All in One Golden CPSP Questions
All in One Golden CPSP Questions
All in One Golden CPSP Questions
A. Pectoralis Major
B.Pectoralis Minor
C. Teres Major
D. Teres Minor
(As Pectoralis Major is supplied by Lateral and Medial Pectoral Nerves both and
Lateral
Pectoral Nerve arises from Lateral Cord of Brachial Plexus, All other muscles
listed nerve
supply arises from Medial and Posterior Cord)
3. Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid
loss will be
through:
A. Stomach
B. Colon
C. Pancreas
D. Duodenum
E. Jujenum
4. Fracture of surgical neck of Humerus damage to:
A. Axillary Nerve
5. Inversion of foot by which muscle:
A. Peronues Longus
B. Peroneus Brevis
C. Peroneus tertius
D. Tibialis Posterior
6. Pain from Gallbladder felt in Anterior Triangle of neck, this mechanism of
Reffered Pain
appropraite statement is:
A. Vagus Nerve has wide distribution in thorax and most of abdominal organs
B. Accersory nerve gives fibers to Gallbladder
C. Parasympathetic something
7. Lateral foot dermatome:
A. S1
B. S3
c. L4
8. Regarding jerks corresponding with spinal segments:
A. Biceps- C6
B. Tricep- C8
All other options were wrong but didnt know what to choose among above two.
9. MELAS syndrome histological finding:
A. Loflar bodies
B. Inclusion bodies
C. Granulomas
D. Cyst
E. Red ragged fibers
10. Giant Cell Tumors histo finding:
A. Spotted calcifications
B. Soap Bubble appearance
11. Blast Cells in peripheral blood:
A. Iron deficiency anemias
B. Erythroblastosis fetalis
C. Folate deficiency
D. Bone marrow depression
12. Most common cause of Hepatocellular CA in developing countries:
A. HEP B, C
B. Hep C
c. Hep B
13. Young adult with raised ALP, jaundice and decreased Hb Scenario:
A. Cholesterol Stones
B. Pigment Stones
C. CholangioCA
D. Hepatitis
14. Regarding Lymph drainage of breast except:
A. Apical
B. Supraclavicular Nodes
C. Pectoral Nodes
D. Inferior Phrenic Nodes
15. Closure of lips involve: or unable to close lips which muscle involved:
1. Depressor anguli oris
2. Depressor labii inferioris
3. Depressor labi superioris
4. Orbicularis oris
5. Lateral pterygoid
16. Superior Thyroid artery arise from:
A. First branch of Subclavian Artery
B. External Carotid Artery
C. Internal Carotid Artery
17. Incubation period of which disease is longest:
A. Measles
B. Rubella
C. Chicken pox
D. Infectious Mononucleosis
E. Mumps
18. Chronic Fungal infection with rhinosinusitis causing medial erosion and
granulomas:
A. Cryptococcosis
B. Mucormycosis
C. Rhinophycomycosis
D. Histoplasmosis
E. Aspergillus
19. Which of following has highest chances of developing endometrial cancer:
A. Simple hyperplasia
B. Complex hyperplasia without atypia
C. Complex hyperplasia with atypia
D. Squamous metaplasia
E. Chronic endometritis
20. Regarding CSF
A. Formed by ependymal cells
B. Formed 500ml/day
C. Formed only 30percent by chorioid plexus
D. Arachnoid villi are visible
There were two questions about CSF So i am adding some discription to review about CSF.
The brain produces roughly 500 mL of cerebrospinal fluid per day. This fluid is constantly
reabsorbed, so that only 100-160 mL is present at any one time.
Ependymal cells of the choroid plexus of Lateral third and Fourth Ventricle produce CSF. The
choroid plexus is a venous plexus contained within the four ventricles of the brain.
CSF contains a higher concentration of sodium and chloride than blood plasma, but less
potassium, calcium and glucose and protein
CSF circulates within the ventricular system of the brain.
Lateral Ventricle --> Foramen Monro (Interventricular foramen) --> Third Ventricle
----> Cerebral aqueduct (Sylvius) ---> Fourth Ventricle ---> Subarachnoid Space
(Thru Foramen
Magendie in midline and (2) Foramen Lushcka laterally )
The CSF moves in a pulsatile manner throughout the CSF system with nearly zero net flow
21. Age estimation at 5th to 12th week is done through:
A. Biparietal diameter
B. Crown rump length
C. Crown heel length
D. Abdominal circumference
22. A sprinter during running had injury to his ankle. He can stand on his toes but
with severe
pain. There is a visible ecchymoses around ankle joint:
A. Plantaris tendon
23. Otic ganglion is between mandibular nerve and tensor tympani. It's superior
border is
formed by:
A. Foramen lacerum
B. Foramen ovale
C. Foramen rotundum
D. Styloid process
24. Amoeba causes lesions in which part of gut:
A. Terminal ileum
B. Cecum
C. Ascending colon
D. Transverse colon
E. Sigmoid and rectum
25. A young boy with inc appetite weight gain and sleep problems. On
examination he is
having genitals hypoplasia:
A. Hypothyroidism
B. Pineal tumor
C. Craniopharyngioma
D. Narcolepsy
E. Cushing disease
26. Sensory supply of uterus passes through which ligament:
A. Broad ligament
B. Round ligament
C. Cardinal ligament
D. Uterosacral ligament
E. Uterocervical ligament
27. Highest number of alpha receptors are present in:
A. Trigone
B. Neck of bladder and Proximal Urethra
C. Penile urethra
D. Membranous urethra
E. External urethral opening
28. Regarding elbow joint:
A. Capsule deficient posteriorly
B. Covered all around by muscles
C. Hinge joint
D. Supination occurs here
E. Joint between humerus, radius, ulna
29. A needle when inserted 2cm below and lateral to pubic tubercle will be closely
related to
on:
A. Obturator nerve
B. Ilioinguinal nerve
C. Sciatic nerve
D. Femoral nerve
30. Regarding Pterygopalatine Raphe:
A. Buccinator
B. Inferior constrictor
C. Parts from all constrictors
D. Middle constrictor
31. Most important characteristic of Glycogen Storage diseases are:
A. Hyperglycemia with Hepatomegaly
B. Hyperglycemia with splemomegaly
C. Hypoglycemia with Hepatosplenomegaly
D. Hypoglycemia with Hepatomegaly
32. Buccopharyngeal Membrane:
A. Stomodium from Foregut
(The Bainbridge reflex, also called the atrial reflex, is an increase in heart rate due
to an
increase in central venous pressure. Increased blood volume is detected by
stretch receptors
(baroreceptors) located in both atria at the venoatrial junctions)
75. Surgeons injects dye during surgery through:
A. Ligamentum Teres
76. Appendicular Artery is a branch of:
A. Posterior Cecal Artery
B. Iliocolic Artery
(Confirmed by all seniors, donot confuse urself AND mark Iliocolic not Posterior
Cecal)
78. Bladder carcinoma:
A. Schistosoma hematobium
79. Regarding Thymus:
A. Hassals corpuscles
B. synthesis of t lymphocytes within lobule
80.Inion is:
A. Part of pterion
B. Posteroinferior prominent part of occipital bone
C. Posterior to frontal bone
D. Internally to occipital bone
81.Function exclusively linked with vit E:
A. Carbohydrate metabolism
B. Endothelial protection
C. Skin integrity
D. Germinal epithelial protection
82.Heterophile antibody is seen in:
A. Infectious mononucleosis
B. Herpes simplex
C. Gonorrhea
83.Deep to post digastric and near palatoglossus a structure runs obliquely
upwards
A. Facial artery
B. Lingual artery
C. Maxillary artery
D. Sup thyroid
84.Nucleus of general visceral efferents of tenth nerve to palate muscles is
present in:
A. Locus ceruleus
B. Tractus solitarius
C. Nucleus ambiguous
D. Nucleus raphe
86.Loss of abduction and adduction of fingers and adduction of thumb with intact
skin
sensations involves:
1. Recurrent branch of median
2. Deep branch of ulnar
87.A 52 year old man underwent coronary artery bypass graft two weeks ago and
now
presents with purpuric patches on skin. On labs his PT and aPTT were normal.
Following is
true:
A. Heparin induced thrombocytopenia
B. Drug induced thrombocytopenia
88.Regarding pneumotoxic center following is true:
A. Increases inspiratory potential
B. Fires dynamic respiratory drive
89. What is correct about thyroid:
A. Supplied by 3 paired arteries
B. Surrounded by prevertebral fascia
C. Isthmus attached to cricoid
D. Venous drainage in bracheocephalic vein
90. Regarding Pituitary gland:
A. Secretes TSH
91. Color differentiation due to red and green:
A. Protonopia
92. Dental carries due to: (or infection due to)
A. Bacillus
B. Lactobacillus
C. Sretptococcus
D. Staph
(Viridans wasnt given in option specificly)
93. Layer of the viscera from outermost to innermost:
A. Serosa subserosa muscularis mucosa submucosa mucosa
(all of the options were very close and with slight shuffling)
94. Dysphagia due to liquids only:
A. Plummer Vinson syndrome
B. Neuromuscular blockade
95. Cholangiocarcinoma spread by:
A. Clonorchs sinuses
96. Post 1/3 of the tongue supplied by:
A. Cranial nerve 9
97. Blood group A+ transfusions reaction due to:
A. A+
B. B+
C. OD.
A98.
H2O2 found in:
A. Peroxisome
B. Mitochondira
c. Lysosome
D. RER
99. ICAM and VCAM are for:
A. Leucocyte adhesion
100. Breast atrophy in young female is due to:
A. Estrogen
B. Estrogen and Progesterone
C. Progesterone
101. Regarding cancer mutations in:
A. Protooncogen
102. Essential amino acid:
A. Phenylalanine
103. Fecal incontinence after trauma damage to:
A. External anal sphincter
104. Joining of ICA and Basilar artery:
A. Posterior communicating Artery
105. Regarding Beta Agonists:
A. Increase HR
106. Poliomyelitis:
A. Anterior horn cell defect
108. Regarding P Value:
A. Checks probability
B. Percentile something.
109. Regarding H2 Blockers:
A. Inhibits both gastric acid secretion and parasympathetic
110. Mechanism of Vibro cholera:
A. Cl channel
B. dec HCO3
C. IP3 something
Cant really recall correct statements about this questions so its better to read the topic and
save it in ur mind if question comes again you can choose da correct one :)
(The cholera toxin (CTX or CT) is an oligomeric complex made up of six protein
subunits: a
single copy of the A subunit (part A), and five copies of the B subunit (part B),
connected by a
disulfide bond. The five B subunits form a five-membered ring that binds to GM1
gangliosides
on the surface of the intestinal epithelium cells. The A1 portion of the A subunit is
an enzyme
that ADP-ribosylates G proteins, while the A2 chain fits into the central pore of
the B subunit
ring. Upon binding, the complex is taken into the cell via receptor-mediated
endocytosis.
Once inside the cell, the disulfide bond is reduced, and the A1 subunit is freed to
bind with a
120. Cardiac disease scenario wad there and they asked about the fluid
accumulation,
proteins more than 3.2 g/dl:
A. Exudative
B. Transudative
123. Scenario was given about massive splenomegaly:
A. Leishmanias
B. Chornic Malaria
(Both does so choose da option on ur own risk :)
124. Repeat mcq from asim regarding Gray matter foot processes:
A. Protoplasmic Astrocytes
125. Most important renal tubular buffer is:
A. hB
B. hC03
C. Protein
D. Phosphate
126. Cause of global blindness:
A. Herpes Simplex
B. Rubella
C. Chlamydia Trochamatis
127. Which is normal HB:
A. HbA
B. HbF
C. HbC
128. Thalesemia carrier percentage in Pakistan:
A. 5%
B. 10%
C. 15%
129. Surgery for removal of ovary done which is damaged:
A. Internal Iliac Artery
B. External Iliac Artery
C. Uterine Artery
130. In respiratory Alkalosis renal compensation is:
A. NaHC03 excretion
131. True regarding ig A nephropathy cause?
A)Mesengial proliferation deposits
B)Local cause of wound healing
C)Ischemia
D)Vit c def
E)Infection
132. During mitosis chromosomes double in which phase?
A. Prophase
B. Metaphase
C. Anaphase
D. Telophase
E. Interphase
134. Early changes in asthmatic attack:
A)Inc o2 in pulm artery
B)Dec co2 in pulm artery
C)Inc co2 in pulm artery
D)Inc compliance
135. Level of lead in blood is estimated by:
a. Absorption frm GIT
b. From nasal mucosa inhalation
c. Skin
d. As a bi product of chemical reaction
136. A woman is presented in opd with history of rash on face while playing
cricket outside.
On investigations she has bilateral plueral and pericardial effusions also. The
most likely
pathology in her kidneys would be:
A: antibodies against glomerular membrane
B: immune complex deposition
C: focal segmental sclerosis
137. Example of observational study:
a. Cohort
b.cases (include case reports )
c.mata anylasis
138. Tumor of anterior pituitary causes lesion of which nerve:
A. Optic
B. Trochlear
C. Trigeminal.
139. After haemorrhage Plasma protein return to normal after how many days:
A)2-3 days
B)7-8
C)10-12
D)12-14
140. Fat in adult male:
A)7 prcnt
B)10
C)15
D)40
E)60
141. Local Anesthetic having Intirnsic sympathomimetc activity:
A. Xylocain
B. Tetracaine
C. Procaine
D. Cocaine
142. 100 pts of int.homorrhoids surgeon divided them into 2 groups ,One group
on
medications And onther on dietary contol, After one year surgeon call them all
and asked
about their experience: Type of study
A)Case control
B)Cohort
C)Clinical trial
D)Prospective cohort or retrospective
143. Nitrous oxide produces:
A. Good analgesia
B. good muscle relaxation
C. cardiac depression
144. Infection in superficial perinal pouch will go to:
A. Deep transverse perineal muscle
B. Great vestibular gland
C. Bulbiurethral gland
JazakAllaha,
SeaShell
Menopause:
A. Low estrogen,high LH n FSH
Testosterone:
A. Converted to androstendione in target tissues
B. Causes muscle n bone growth
Billiary obstruction:
a. ALP
b.GGT
During pharyngeal phase of swallowing:
A. Vocal cords adducted
B. Soft palate moves downwards
Carbon laiden macrophages:
a. Pneumoconiosis
b.asbestosis
c.silicosis
Antimicrobial activity and preventing infections in lungs:
a. Alveolar macrophages
b.secretng IgA
Farmer rt lower lung calcification:
a.Tb
b. Aspergillosis
Constrictive pericarditis:
a.ST depression in ECG
b.pl.effussion
Hypertrophic cardiomyopathy:
a. Myofibrill disarray
Metabolite of vit A used in vision cycle:
a.retinol
b.retinoic acid
c.retinaldehyde (or retinal)
Endotoxin causes:
a.lowers bp when ingested
b.Sepsis
Which of the following is benign:
Melanoma
Heptatoma
Adenoma
Which of the follwing is precancerous:
Intradermal nevus
Which of the following process cause prto-oncogens to oncogene:
Point mutation
A female after surgery has loss of extension of wrist to comb her hair nerve
damage:
Sub scapular
Supra scapular
Axillary
Spinal part accesary
Vitamin A given in deficiency:
Retinol
Retinoic acid
Retinic acid
Most appropriate TB Histological picture:
Acid-fast alcohol bacteria
Caseous necrosis
Giant cells
Epithelial cells
Abundant cells in a patient with allergy and protective against parasitic infection:
Eosinophils
Basophils
mast cells
Single most impotant factor in delayed wound healing:
Infection
Ischemia
A patient with Mid diastolic murmur incresed PCWP pulmonary HTN he could
have:
Left venticular hypertrophy
Right venticular hypertrophy
Both right and left venticular hypertrophy
Partial ptosis and pain during eating both bilateral:
Myesthenia Gravis
Nerve that surrounds arch of aorta:
Left vagus
left phrenic
Post intercostal artey supplied by
Internal thoracic
Thoracic aorta
Cutting root of lung will spare:
bronchiole
pulmary ligametn
pulmonary artery
Vagus nerve
A group of smokers is gatherd and half volunteer for drug for decresing
dependance which of
the following is missing in study
Random assignment
From renal tubules:
All bicarb is absorbed in acidosis
Which of the following is affected by nervous system:
Arterioles
Artery
Veins
Renin secretion decrease by:
Aldosterone
Afferent constriction
Dec NA+ delivery
A patient on hypertensive drugs presents postural hypotension. in heart rate
while standing
is mediated by:
A. Increase fire rate of baroreceptors
B. decrese sympathtic
C. In vagal tone
D. In vasomotor tone
Gabercula is located in: (It should be GLABELLA i guess)
Frontal bone
Temporal
Two point discrimnation:
Un myelinated fibres
Meissners
Merkel
Palpitation following hyperthyroidsm:
due to b receptor
Denticulate ligament:
b/w dura and CSf
Extension of Piamater
CSF contained / associated with sub arachnoid
Lesion at L1 will damage:
Cauda equina
Conus medularis
Middle cerebral artery :
Supplies infero medial part of temporal lobe
Glucagon effect on heart is like:
Dopamine
Acetylcholine
Post gang sympth to sweat glands:
Cholinergic
Collagen contraction:
Causes bleeding
Back muscles supplied by
Dorsal Ramus
A Gardener with fever cough on x-ray lower right chest calcified lesion:
TB
Sarcoid
Aspergilosis
Hemisection of spinal crd on right:
Contralateral loss of pain and temp
Taste fibres pass through:
Int cpsule
Thalamus
Right coronary Artery:
SA node
Post intervent septm
arises frm ant aortc sinus
Endotoxin:
Sepsis shock
Max amount of blood is present in:
Veins
Heart
lungs
Xerostmia,keratitis,painful joints:
Sjogrens
Creascents are protective for Glomerulous. they are produced by:
Endoth cel
Endo and mesangial
Mesangial
Skin relatd cancer wid hiv aids:
Kaposi
Squamous
Adrenal gland and Kidney enclosed in:
Same membrane
Regarding thyroid:
Suplied by External Carotid Artery
(Through Superior Thyroid Artery)
In 3rd week embryo has how many layers:
Three
Autosomal disease transmittd by:
Male part
female part
Male and female both
Right lung has how much broncho pulmonary segments:
8
10
12
Sternum ossify at age of:
6mnths to 18yrs
Mid trimester production of blood:
Yolk sac
Liver
Bones
Atheletes heart from normal
Increase Stroke volume
Maximum inpiration and expiration of tidal:
inspiratory capacity
Vital capacity
Bicrbonate chloride shift in rbc which protein:
Spectrin
Band 3
Ankyrin
Regeneration of Brain cells can not occur due to:
neuroglia
oligoden
astrocytes
Microglia
Same Property of cardiac and skeletal muscle:
Ca-calmodulin complex
Transplant 5 yrs back Max chances of:
A. Brain tumors
B. Renal tumors
C. Lymphoproliferative
D. Cervical dysplasia
Cycloplegic refraction dangers in:
hypermet
Myope
Shallow anterior chamber
Sweat glands:
more on feet than back
have cuboidal epithelium
Hepatic region with least blood supply:
zone 1
zone 4
zone 3
Q fever is caused by:
Bacteria
Parasite
Fungi
Rickettsiae
Question about Kulchitsky cells:
These cells are neuroendocrine cells lining epithelia of gi tract mainly stomach
small intestine
colon n secrete serotonin
Post Ganglionic sympathetic to Sweat glands:
Cholinergic
For ur Knowledge I am adding these lines: cuz it includes an imp point.
In the Parasympathetic division, neurons are cholinergic (that is, acetylcholine is
the primary
neurotransmitter.)
In the Sympathetic division, neurons are mostly adrenergic (that is, epinephrine
and
C. T1
(Compresses both C8 and T1 though)
2. Aortic aneurysm which structure not compressed:
A. Esophagus
B . Trachea
C. Left primary bronchus
D. Thoracic duct
E. Phrenic nerve
3. Resting membrane potential achieved by:
A. Diffusion of potassium outside the cell
B. Na K pump
C .is same for all types of cell
(Achieved by K efflux, maintained by N K ATPase Pump)
4. Liver weight:
A. 1.5
B. 2.5
C. 2.0
D. 1.0 kg
(1.44-1.66 kg is Range)
5. What is median if values are 20 20 25 30 35 40 25 30:
A. 27.5
(Arrange in Ascending order 20 20 25 25 30 30 35 40 than take middle two values
25+30/2=27.5)
C. Liver
9. Post op wound having greenish pus discharge organism involved:
A. Staph Aureus
B. Pseudomonas
C. Streptoccocus Viridans
D. Kliebsella
10. Prevalence is:
A. All cases
B. Old cases
C. New cases
(Prevalence:All current cases (old & new) existing at a given point of time in given
population)
11. Common carcinogen of CA Cervix:
A. HPV
B. HSV
C. Chronic irritation
D. IUD
12. Apex of the heart:
A. 8 cm from median plane
B. 3RD intercostal space
13. After normal delivery in primigravida the alive n healthy new born is given
feed:
A. After 2 hours
B. After half hour
C. After 12 hours
14. Diagnostic tumor marker for ovarian CA:
A. CEA
B. CA 125
C. AFP
15. Which of the folowing prolong use of drug will cause persistent increase in
Gastrin
secretion:
A. Antacids
B. Antichollenergic
C. B blockers
D. H 2 antagonist
E. PPI
16. A pt presented to his dentist due to inability to put his dentures, dentist
referred back to
physician saying there is no dental problem, where is the lesion: (STEM NOT
PROPERLY
RECALLED)
A. Substantia nigra
17. Chronic Myeloid Leukemia:
A. Chromosome 9 & 22
B. chromosome 11& 22
C. chromosome 14 & 22
18. Steroids drug action on cells:
A. Act on Genes
B. Adenyl cyclase
C. CGmp
D. Ip3
19. ADH is inhibited by:
A. Alcohol
B. Aldosterone
C. Renin
20. A tumor with all germ layers:
A. Teratoma
B. Mixed mesodermal tumor
C. Cysts
21. Following has high clearance value:
A. Inulin
B. PAH
C. Glucose
D. Na
22. Scanty bar bodies:
A. Klienfelter
B. Downs
C. Turner
23. Which parasite is not transmitted thru orofecal route:
A. Giardia
B. Entemoeba
C. Enterobius (Pinworm)
D. Trichuris trichuria (Whipworm)
E. Trichenella Spiralis
24. Organelle having microtubules in its structure:
A. Golgi apparatus
B . Mitochondia
C. Centriole
25. S1 nerve root lesion:
A. Loss of Ankle jerk
B. Loss of sensation of sole and medial side of foot
C. Trophic ulcer of dorsum of foot
D. Babnisk positive
E. Plantar flexion
26. Mucus not secreted by:
A. Larynx
B. Trachea
C. Terminal bronchioles
D. Nasopharynx
27. Which of the following increases lower eosophageal tone n speeds up gastric
emptying
time:
A. Aluminium hydrooxide
B. Metoclopramide
28. Stem about Diphtheria vaccine reaction:
A:type 1
B:type 2
C:type 3
D:type 4
29. Femoral nerve drived from which section of spinal cord:
A. L2 L3
B. L2 L3 L4
C. S1 S2
30. Prolong coma is caused by lesion of which nucleus:
A. Nucleus cerelous (Confirmed with seniors)
B. Periaquedactal of gray of mid brain
32. A man of 70 has recurrent UTI cause (No clue was mentioned regarding
bedridden):
A. Instrumentation
B. Outflow Obstruction
C. Diverticulum
(As pt is old age so more chances of BPH which can lead to outflow obs leading
to recurrent
UTIS)
33. Normal FEV/FVC1 Ratio:
A. 0.8
B. 0.95
C. 0.6
34. Compression effects on esophagus by which organ enlargement:
A. Aorta
B. Left Atrium
C. Pulmonary artery
D. Right atrium
E. Left ventricle
35. Plasma Protein Binds With All Except:
A. Oxygen
B. CO2
C. Iron
D. Bilirubin
E. Thyroxin
36. Patient presented in emergency ,deeply comatosed,not responding to
nalaxone:
A. Heroin
B. Morphine
C. Methadon
D. Phenobarbital
E. Pethidine
37. Cause of Mental retardation:
A. Fragile X Syndrome (Downs wasnt in options)
38. In IV drugs abusers:
A. Bacterial Endocarditis
B. Libman Sacks endocarditis
C. Mitral valve carditis
D. Rheumatic heart disease
39. Highest bioavailability of anti emetics:
A. Metacloprmide
B. Qdansetron
40. X.ray of elbow of 12 yr girl, which Secondary ossification center will appear
last on x.ray:
A. Trochlea
B. Lateral Epicondyle
C. Capitulum
D. Medial Epicondyle
(capitellum > radial head > medial epicondyle > trochlea > olecranon > lateral
epicondyle)
1 , 3 , 5 , 7 , 9 , 11 (ODD Numbers so 11 is lateral epicondyle)
41. Baby born on 4th day most common cause of Meningitis:
A. Gp A streptoccous
B. E.Coli
C. Nesseria Meningitis
(Causes: Group B Srept , E.coli, Listeria)
42. A tall man with normal external genitalia married but had no kids he had
normal
ejaculation period but semen analysis showed azospermia cause may be:
A Epidydymis
B Sertoli cell
C Scrotum
D Tubules in male
43. Pregnant lady anaemic, Best lab investigation:
A. CBC
B. S. ferritin
C. TIBC
44. HIGHEST % OF PROTEIN IN WHICH:
A. HDL
B. VLDL
C. LDL
D. Chylomicrons
45. Soft Keratin with no nucleus found in:
A. Cortex of hair
B. Matrix of nail
C. Stratum corneum
46. A newly married female came with pain in rt illiac fossa her TlC 12000 she has
fever n
vomiting her lmp was 3 weeks back what is diagnosis:
A. Acute Appendicitis
B. Salpingitis
C. Uterine cause
D. Fallopian tubes
47. Open wound healing includes:
A. Contraction of myofibroblast
B. Fibroblast
C. Macrophages
D. Lymphocyyes
48. Patient aged 65 years, is diagnosed to have severe aplastic anemia. HLA
compatible
sibling is available. The best option of treatment is:
a) Anti thymocyte globulin followed by cyclosporine
b) A conventional bone marrow transplantation from the HLA identical sibling
c) A non-myeloablative bone marrow transplantation from the HLA identical sibling
d) Cyclosporine
49. Most common S/E of use of histamine 1 blocker:
A. Blurred vision
B. Blindness
C. Sedation
50. Decrease Insulin will:
A. Ketogenesis in Liver
B. Increase activity of Lipoprotein Lipase
51. An obese man with h/o atherosclerosis underwent laparotomy due bleeding in
abd n
during surgery his small gut was purple n sup mesenteric vein was ok so what is
dx
A. Wet gangrene
B. Dry gangrene
C. Thrombosis
D. Volvulous
E. Red infarct
52. First heard sound:
a) Atrial systole
b) Isovlumic contraction
c) Isovolumic relaxation
d) Rapid ejection
53. A patient came with c/o hemianopia so a blockage was seen at:
A. Optic nerve
B. Upper part of optic chiasma
D. Obturator Nerve
62. Biguanides side affects:
A. Diarrhoea and flatulence
B. Elevated ALT
63. Patient with Gastrectomy presents with Anemia after One and half year, what
will you
give:
A. Vit B12
B. Vit C
C. Iron
D. Blood transfusion
64. Data is collected for some clinical trial based on presence or absence of
Vomiting. What
type of data it is:
A. Nominal
B. Ordinal
C. Parametric
65. Aphasia (Non-fluent) after stroke or Trauma which area of Brain is involved:
A. Brocas
B. Wernickes (if fluent aphasia was in stem)
C. Temporal region
D. Pyrimidal gyrus
66. What cytoskeletal structure connects Extracellular matrix to Intracellular:
A. Cadherins
B. Integrins
C. Intermediate Filaments
D. Microtubules
67. Wich Antiemetic has high bioavailability:
A. Metoclopramide
B. Prochlorthiazide
C. Ordansetron
D. Droperidol
68. Cardiac defects in fetus of mother suffering from rubella infection will occur
if:
A. 3 rd month
B. 4 th month
C. 5 th to 10th week
D. 7 th month.
69. Dorsal Column Medial Leminsical carries:
A. Proprioception
B. Pain
C. Temperature
(Pain and Temp is by Anterolateral System)
70. Contralateral loss of pain and temp at T9 and ipsilateral loss of proprioception
below T8,
B. MI
82. Drug causing peripheral neuro and pancreatits:
A. Ziduvudine
B. Interfron
C. Diadenosine
83. Left Kidney is not related to:
A. Diaphragm
B. Splenic flexure colon
C. Spleen
D.Pancreas
84. What age the head of fetus become exactly half the length at CRL:
A. 3rd month
B. 4th month
C. 7 month
85. Prostatic carcinoma spread to skull bones through:
A. Internal carotid artery
B. External carotid artery
C. Vertebral plexus
86. First heard sound:
a) Atrial systole
b) Isovlumic contraction
c) Isovolumic relaxation
d) Rapid ejection
87. Pregnant women 1st trimester develops Atrial fibrillation what would u give:
A. IV Heparin
B. IV Heparin Oral Aspirin
C. Aspirin
D. Anticoagulant
88. The tumor which is the ovarian counter part of seminoma of the testis is:
A Chorio carcinoma
B Dysgerminoma
C Embryonal cell carcinoma
89. Patient came in with sore throat, fever and lymphadenopathy. His monspot
test was
positive. His blood shows atypical leukocytosis. What is the type of cell that is
affected:
A. T-cell
B. B-cell
C. Neutrophil
(In Infectious mononucleosis ATYPICAL T CELLS (T-CELLS) react against
INFECTED B CELLS)
90. Pt was brought into the Emergency Department and his family wanted to
accompany him.
What is the most appropriate response:
A. Physian should discourge the anger of pt n atendents againt department
B. Coccidiodomycosis
C. Cryptococus
D. Mucormycosis
98. Urethra is narrowest at:
A. Pelvic brim
B. Prostatic part
C. Membranous
D. External meatus
99. Married man had no children for few years and was diagnosd as sterile with
azoospermia
wat is investigatn of choice:
A. Serum FSH and LH
B. Serum Prolactin
C. Serum testosterone
100. A man goes to a high altitude 02 delivery to tissues is maintained by:
A. Hb conc is increased
B. Po2 is normal
C. Hypercapnia
D. Pa02 is higher than normal
101. Regarding indication of furosemide:
A. SIADH
B. Acute pulmonary edema
102. A patient was brought to the hospital after a roadside accident. On
examination he was
pale with low blood pressure and fracture of left 10th rib. Which organ is most
likely to be
injured:
A. Kidneys
B. Liver
C. Pancreas
D. Spleen
E. Stomach
103. Most common cause of premalignant change in mouth in adults:
A. Chronic ulcer
B. Lichen planus
C. Submucous fibrosis
104. Female showing cervical dysplastic changes, etiology:
A. Vaginal cream
B. Grand multiparity
C. HSV
D. IUCD
E. Chronic irritation
105. Tumor in children with blue cells and high levels of catecholamines:
A. Nephroblastoma
B. Neuroblastoma
C. Wilms tumor
106. Ligament that prevents anterior dislocation of femur on tibia:
A. Collateral
B. Anterior cruciate
C. Posterior cruciate
107. Cholangiocarcinoma caused by:
A. Schistosoma Hematobium
B. Schistosoma Mansoni
C. Cholonorchis Sinensis
108. Trauma to left 10 rib causes damage to:
A. Kidney
B. Liver
C. Spleen
109. Farmer wid migratory lesion on foot:
A. Leishsmania
B. Strongyloides stercoralis
C. Cutaneous Larva migrans
110. Washed RBCs are used for prevention of:
A. Hypersensitive Reaction
B. Febrile reaction
C. To avoid infection
111. Eating raw or undercooked meat can cause infection by:
A. Hookworm
B. Roundworm
C. Tapeworm
D. Echinococcus
112. Man comes 1st time to Pakistan develops fever than coma, on investigation
retics10%..platelets wbcs
A. Meningoencephalitis
B. Dengue
C. Falciparum
113. Correct about Aorta:
A. Lies to right of Cisterna chyli
B. Divides at L5
C. Give branches to parities at L1
D. Gives renal arteries at L2
114. Scrotum drains to:
A. External Iliac Nodes
B. Internal Iliac Nodes
C. Superficial Inguinal Nodes
D. Deep Inguinal Nodes
115. Medullary rays of kidney contain which part of kidney:
A. Collecting ducts
B. Vasa recta
C. Glomeruli
116. Pancreatitis(acute) will cause fluid accumulation in:
A. Lesser sac
B. Greater sac
C. Paraa colic gutters
117. Deep ring present in:
A. External Oblique Aponeurosis
B. Rectus Abdominis
C. Fascia transversalis
118. Eversion is done by:
A. Peroneus longus
B. Tibialis anterior
C. Tibialis posterior
119. True about Thoracic duct, drains into:
A. Right brachiocephalic
B. SVC
C. At Confluence of left Subclavian and left Jugular
120. Gustatory sweating is caused by:
A. Submandibular Excision
B. Superficial Parotidectomy
C. Wisdom tooth extraction
(Freys Syndrome produces flushing and sweating instead of salivation in
response to taste of
food after injury of Auriculotemporal Nerve which carries Parasympathetic
secretomotor
fibers to PAROTID gland and Sympathetic fibers to SWEAT gland. When the
nerve is severed
the fibers can regenerate along each pathway and innervate the wrong gland. It
can occur
after Parotid surgery and may be treated by cutting the tympanic plexus in middle
ear- Ref
BRS Anatomy)
121. Analgesic causing tachycardia in therapeutic dose:
A. Pethidine
B. Morphine
C. Fentanyl
122. Following is a good analgesic but weak anaesthetic:
A. NO
B. Isoflurane
C. Sevoflurane
123. About Posterior Triangle of Neck what is true:
A. Apex is mid of clavicle
B. Formed by ant border of sternocaleidomastoid and ant border of trapezius
C. Contains subclavian , three trunks of brachial plexus
124. Herpez simplex virus transmitted by
A.water
B.blood
C.droplet
125. Pt came in with abdominal pain, his amylase was high, he was diagnosed
with
Pancreatitis. What is his omentum going to show ?
A. Caseous necrosis
b. Fatty necrosis
c. Liquefactive necrosis
126. During Parturition and Menstruation which layer involed:
A. Basalis
127. Which carcinoma doesnt show distant metastasis:
A. Basal cell Carcinoma
128. Orofecal transmission:
A. HEV
129. When tension in muscle increases near to rupture which does the relaxation:
A. Golgi tendon organs
130. Golgi tendon organs respond to:
A. Tension
131. Pacemaker of Heart:
A. SA Node
132. Parasympathetic stimulation:
A. Decreases HR
133. Sacral hiatus is formed due to:
A. Failure of fusion of laminae of 4th and 5th sacral vertebrae
(Sacral Hiatus is used to administer Caudal (Epidural) anesthesias)
134. Effect of drug on a body:
A. Pharmakokinetics
B. Pharmodynamics
135. Which is not blood supply of scalp
A. Maxillary artey
B. Occipital artery
C. Supra orbital artery
D. Supra trochlear artery
136. Hydroxyindoacetic acid in urine:
A. Pheochromocytoma
B. Alkaptonuria
C. Phenylketonuria
D. Carcinoid syndrme
137. Pt came with testicular mass. It was diagnosed as a yolk sac tumor. What is
the follow up
marker for this patient?
A. Alpha-Fetoprotein
B. HCG
D. CEA
(Yolk sac tumor (endodermal sinus tumor) is the most common germ cell tumor
in children. In
those cases, the prognosis is good. In adults, the tumor is often mixed with other
components
so the prognosis may depend on what the other components are. i.
Microscopically, yolk sac
tumor shows scattered Schiller-Duval bod ies, which have a mesodermal core
with a central
capillary, all lined by flattened layers of both visceral and parietal cells
resembling a
glomerulus-like structure. The tumor marker is alpha-fetoprotein)
138. In the hospitals most common cause of wound infection:
A. Klebsiella
B. Pseudomonas
C. Staph aureus
D. Streptococcus
E. Ecoli (2nd most common)
139. Nerve loss in urogenital triangle which nerve involved:
A. Pudendal Nerve
B. Obturator Nerve
140. Neck of femur supplied by:
A.Obturator and medial circumflex
B. Medial and lateral circumflex
C. Posterior and medial circumflex
141. A man having recurrent bacterial infections with streptococci also having
diarrhea which
on examination showed giardiasis, urther exam revealed normal T cells but B
cells levels of
igM,igG and igA were given
A. Diabetes
B. Altered immunodeficiency
C. Bruton's agammaglobulinemia
142. True about Pituitary:
A. Drains to dural sinuses
B. Optic chiasma is in anterior relation
C. Partly derived from Foregut
143. About Quadrate lobe, true is:
A. Functionally part of right lobe
B. Drains by left hepatic duct
C. Lies between IVC and Ligamentum venosum
144. A girl has midline neck swelling histology shows normal thyroid tissue,
epithelium is:
A. Cuboidal follicular
B. Simple columnar ciliated
C. Stratified Squamous
145. Barr body is found in the following phase of the cell cycle:
A. Interphase
B. Metaphase
C. G1 phase
D. Telophase
146. Old woman with swelling on external ear she also had gout wd -ve bifringent
type
crystals scenario was given:
A. Calcium pyrophosphate
B. Monosodium urate
C. Sturvate
147. After Cholecystectomy surgeon places drains into:
A. Right Subhepatic Region
B. Left Subhepatic region
C. Paracolic gutter
148. Pt having H/o cough cloudy yellow colour effusion fluid containing 98 %
neutrophil nd
2% lymphocyte the fluid was dull to percussion:
A. Purulent exudate
B. Abcess
C. Fibrinoid inflammation
149. Isoniazid causes side effects which can be prevented by taking which
vitamin:
A. B12
B. Riboflavin
C. Pyridoxine
D. Folate
150. Gas gangrene. Cause of death?
A. Septecemia
B. Bacteremia
C. Toxemia
151. Not a feature of malnutrition in adults?
A. Thrombocytopenia
153. A tumor with all germ layers:
A. Teratoma
B. Mixed mesodermal tumor
C. Cysts
154. Scenario of Downs syndrome
A. Trisomy 21
B. Trisomy 23
C. Trisomy 18
D. Trisomy 13
155. Ankylosing spondylitis is associated with
A HLA DR 4
B HLA B27
156. Female with fever for 10 days and chest pain that aggravates on lying down.
Pain is
originated at:
A. Myocardium
B. Pericardium
C. Pleura
157. 6 years old patient presents with rhinitis, edema and urticaria on external
surfaces:
A. Type I hypersensitivity
B. Type II hypersensitivity
C. Type III hypersensitivity
D. Type IV hypersensitivity
158. Immediate effects of severe hypotension?
A. MI
B. Cerebral hemorrhage
C. Oligouria
159. Transfusion reaction will occur if we transfuse a person with A+ve blood
group, the
following group:
A. A-ve
B. AB-ve
C. O-ve
D. O+ve
160. Epidural space is widest at:
A. T12
B. L2 (5mm)
C. Just below foramen Magnum
161. Commonest cause of hepatocellular carcinoma in developing countries?
A. Aflatoxin
B. Hepatitis B
C. Hepatitis C
D. Both Hepatitis B & C
162. Connections that connect cells; with movement of ions across:
A. Gap junctions
B. Tight junctions
163. HLA B27 associated disease?
A. Reiters Syndrome
164. Pregnant lady with bile duct obstruction. Diagnostic investigation?
A. ALT
B. AST
C. GGT
D. Alkaline phosphatase
165. About Trichomonas vaginalis what is correct:
A. Can b a commensal in vagina
B. Is sexually transmitted
C. Is treated wid Quinolones
166. Anion gap:
A. Diff between measured cation and measured anion
167. Occulomotor nerve supplies:
A. All extraocular muscles
B. Ciliary ganglion
C. Parasympathetic to Cilliary muscles (Via Short Ciliary Nerves)
168. Infective endocarditis diagnostic investigation:
A. Blood culture
B. ASO titre
169. Essential fatty acid:
A. Linoliec acid
(Also Linolenic Acid)
170. Patient was brought to the ER unconscious. The doctor gave Naloxone but it
was not
working. What is the likely cause of toxicity?
A. Methadone
B. Phenobarbital
C. Morphine
171. Patient lacerated the dorsal part of his wrist accidentally. He came in with
difficulty to
adduct the fingers and difficulty abducting the thumb. Which nerve was
paralysed?
A. Dorsal-medin nerve
B. Ulnar Nerve
C. Radial Nerve
D. Median Nerve
180. Pain from lower inferior segment of Diaphrgam:
A. Phrenic (supplies central tendon of diaphrgam)
B. Subcostal Nerves
181. Cingulate gyrus blood supply:
A. Anterior cerebral Artery
B. Middle Cerebral Artery
C. Basilar Artery
D. Post Comm Artery
182. Dorsal Vein of penis drains into:
A. Greater Saphenous Vein
B. Internal pudendal Vein
C. Femoral Vein
183. Internal carotid bleeding stopped by compressing:
A. C6
B. C2
C. C7
184. A patient has nodule on vocal cord. The most likely mechanism?
A. Hyperplasia
B. Atrophy
185. Edema of acute infection. Feature
A. Transudate
B. Specific gravity of 1020
C. Proteins >3gm (EXUDATE)
186. Vein not draining to great cerebral vein?
A. Basal
B. Occipital
C. Middle cerebral
D. Posterior colossal
187. Extent to which a tissue gets disturbed by occlusion of its blood supply
depends on :
A. Velocity of blood in tissue
B. Anatomical pattern of vascular supply
C. General state of blood
D. Rate of development of thrombosis
188. A 15 years old girl with fixed dilated pupils. Lesion is at?
A. Oculomotor nerve
B. Trochlear nerve
C. Facial nerve
189. Axon arise from conical shape part of neuron cell body called:
A. Perikaryote
B. Axon hillocks
C. Dendrites
190. Peptic ulcer profusely bleeding from posterior wall of duodenum which
artery involed:
A. Gastroduodenal Artery
B. Gastroepiploic Artery
192. Epithelium of kidney (glomerulus or something was specifically mentioned)
a) endoderm only
b) ectoderm only
c) mesoderm only
d) endoderm + mesoderm
e) ectoderm + mesoderm
193. 8 mnth Baby boy with repeated rhinitis 2episodes of pneumonia in less then
2 mnth.low
plasma B cells n decreased immunoglobulins:
A. SCID
B. IgA deficency
C. IgG deficiency
194. Which is not a 'basic tissue of body'?
A. Nerves
B. Muscles
C. Blood
D. Epithiliuem
E. Connective tissue
195. A 30 year old man had a road traffic accident and sustained fracture of
femur. Two days
later he developed sudden breathlessness. The most probable cause can be:
A. Pneumonia
B. Congestive heart failure
C. Bronchial asthma
D. Fat Embolism
196. Carpal Tunnel Syndrome:
a) Wasting of thenar muscles
b) Anesthesia of thenar muscles
c) Injury to ulnar nerve
d) Injury to radial nerve
197. Which of the following statements about carcinogenesis is false?
a) Asbestos exposure increases the incidence of lung cancer
b) Papilloma viruses produce tumours in animals but not in humans
c) Exposure to aniline dyes predisposes to cancer of the urinary bladder
d) Hepatitis B virus has been implicated in hepatocellular carcinoma
198. Regarding Parotid gland:
A. Lat pterygoid lies anterior to pterygoid
B. Ext carotid passes through superficial gland
C. Facial nerve supplies it
199. Max potassium absorption occurs in:
A. PCT
B. DCT
C. Descending loop
D. Prox straight tubule
200. Epidural anestheisa given to the patient.Nerve spared:
A)t10
B) L1,L2
C)s1,s2 (Most seniors agreed to this option)
D)s3,s4
201. Lung capacity increased in inspiration by 2/3 by:
A. Bucket handle action of rib
B. Pump handle action of ribs
C. Elastic recoil of lungs n chest wall
D. Diaphragm
202. Pitutary Gland Causng Bitmemporal Hemianopia .Where is the lesion?
A)middle of Optic Chiasma
B)upper of Optic Chiasma
C)Med To Optic Nerv
D)Right Optic Tract
203. Cancer is Least Related To:
A)Age
B)Heredity
C)Sunlight
D)Virus
E)Traumatic injury
204. What Age The Head Of Fetus Become Exactly Half The Length At CRL:
A. 3rd Month
B. 4th Month
C. 7month
205. Not Included In Blood Coagulation Profile:
A. BT
B. PT
C. Platelets
D. APTT
E. Anti thrombogin 3
205. Starling Law of the heart:
A)Doesnot operate in the failing Heart
B)Doesnot operate during Exercise
C)Explains increase in Cardiac Output that occurs when venous return is
increased.
D)Sympathetic nerve supplying Heart are stimulated
E)Explains increase in Heart rate produced by Inspiration
206. Scenario Of Fissure. Pain Due To Which Nerve:
A. Inferior Rectal
B. Pudendal
C. Perineal
207. About Ureter which statement is unlikely:
A)Terminal part is supplied by uterine Artery
B)Crosses Ischial Spine
C)Behind mesocolon
D)Pierced parietal peritoneum before entering bladder
(Most probably its D on exclusion criteria, although A is unlikely also but senior
said that
RJLAST says Uterine Artery also)
208. Pendular knee jerk is the result of?
A. UMN lesion
B. LMN lesion
C. Hypothyroidsm
D. Parkinson
E. Hyptonia
209. Medial side of arm is supplied by?
A. Medial cord
B. Lateral cord
C. Musculocutaneous nerve
D. Median nerve
210. Bare area of liver is limited by?
B)anti pyschtic
C)potency in mili grams
D)price
220. Which of the following ulcer is caused by synergistic infection by
microaerophilic non
hemolytic streptococci and aerobic hemolytic staphlococci:
A.Bazon ulcer
B.Marjolin ulcer
C.Meleney's ulcer
D.Venous ulcer
EArterial ulcer
221. Which of the fallowing structures doesnot receive innervations from
branches of
pudendal:
A)Ischiocavernosus muscles
B)Labium Minora
C)Skin of Penis or Clitoris
D)Posterior Fornix of Vagina
E)Urethral Sphincter
222. Sructure attached to Lumbar Verebra:
A)Anterior Longitudinal ligament
B)Extensors of thigh
C)Obturator Muscle
223. Right horizontal semicicular canal stimulated:
A. Head tilt to left
B. Head tilt right
224. Athetosis is due to defect in:
A. Caudate
B. Putamen
C. Globus pallidus
D. Subthalamic nucleus
225. Opsonization occurs:
A. Help of c3b
226. Abt parotid gland:
A. Lies lateral to lateral pterygoid
B. Stylomandibular ligament separates parotid frm submandibular
C. External carotid lies in its substance superficial to facial nerve
227. Propulsive movement of intestine effected due to lesion of:
A. Aurbach
B. Myntric pleuxes
228. Main class associated wid antigen presenting cells:
A. MHC1
B. MHC2
229. About small intestine true is:
A.valvae connivents most numerous in ileum
B.lichen planus
C. Submucous fibrosis
249. Subdural hematoma due to:
a) rupture of cerebral vein
b) rupture of meningeal vessel
Epidural--> Middle Meningeal Artery-->Lens shaped-BiCONVEX hematoma
Subarachnoid--> Cerebral arteries and Vein (Berry Aneurysm in Circle of Villis)
Subdural--> Superficial Bridging cerebral Veins--> Cresecent shaped hematoma
Subpial--> Small vessels of Pia and Brain tissue
250. Enzyme in saliva that prevents iron utilalisation by bacteria:
A. Lactoferrin
B. IgA protease
C. Lysozyme
251. Fio2 max dose which does not cause fetolental adrenoplasia:
A. 0.5
B. 1
C. 2.5
D. 0.6 (Safe limit is 0.6 or less than that)
252. Gardener right side chest pain 3.5 cacific on rt lower lobe:
A. Aspergilosis
B. Hydatid cyst
C. Abcesss
D.CMV
253. Recurrent renal stone associated with which amino acid abnormality:
A. Tryptophan
B. Lysine
C. Glutamate
D. Alanine
254. Nerve supply of Lattisimus dorsi: Thoracodrosal Nerve
255. Nerve supply of Rhomboids: Dorsal scapular nerve
256. Nerve supply of Sartorius: Femoral Nerve
257. Unlocking of knee: Poplitues
258. Vitamin produced by intestinal bacteria: Vitamin K
259. End product of purine metabolism: Uric acid
260. Arrangement of renal segments: Renal-> Interlobar->Arcuate->Interlobular>Afferent
Arteriole
261. Cervical CA metastasize to: Internal and External LN
262. Prader Willi Syndrome: Hyperphagia and Hypergonadism
B) Diabetes Mellitus
C) Impaired glucose
Fasting >110 <126 ------------ IGT ------------For DM ---- RBS must be > 200 with Classical Symptoms -------- and FBS must be >
126
264. Which of the following have direct relationship?
A) coronary blood flow and venous return
B) pulmonary blood flow and venous return
C) coronary blood flow and pulmonary blood flow
D) cerebral blood flow and venous return
(Factor That control Cardiac Output also control Pulmonary Circulation-Guyton)
265. In hypoxic vasoconstriction; which of the following is decreased?
A) arterial pO2
B) arterial pCO2
266. What causes pulmonary vasoconstriction?
A) increased arterial pO2
B) increased arterial pCO2
C) decreased arterial pO2
D) decreased arterial pCO2
267. In athletes, which of the following is increased even in resting state?
A) heart rate
B) cardiac output
268. Muscle of quiet inspiration:
A) diaphragm
B) external intercostals
C) internal intercostals
269. If a foreign body is inhaled; which of the following lung lobes it will go to:
A) Left superior lobe
B) Rt inferior lobe
C) Left inferior lobe
270. Intracellular ANIONS:
A) K
B) Na
C) Proteins
271. Type of junction present in smooth muscles?
A) tight junction
B) gap junction
272. Type of junction present in cardiac muscle?
A) tight junction
B) gap junction
273. A man moving in an elevator; which of these is working:
A) semicircular canals
B) semicircular ducts
C) utricle (responds to gravity and linear straight line acceleration and
deceleration)
D) saccule
E) neck proprioception
274. Which of the following has normal anion gap?
A) DKA
B) Diarrhea
C) CRF
275. Which of the following is diagnostic of tuberculous granuloma?
A) giant cells
B) epitheliod cells
C) multinucleated cells
D) fibroblasts
276. A lady with 26 wks gestation has uterine height of 24 wks. On ultrasound
there is no
fetus and snowstorm appearance. Which of the following probably associated
with it?
A) choriocarcinoma
B) karyotype 46 XX (CPSP DEMO)
C) 47 XX
D) 69 XXX
E) 45 XO
277. A soldier comes with heavy bleeding. The ideal fluid replacement would be?
A) whole blood
B) packed RBCs
C) FFP
D) cryoprecipitat
278. Which of the following is diagnostic of tuberculous granuloma?
A) giant cells
B) epitheliod cells
C) multinucleated cells
D) fibroblasts
279. Which of the following causes hypocalcemia:
A) 25 hydroxycholecalciferol
B) 1, 25 di hydroxycholecalciferol
C) PTH
D) Calbindin
280. Genotype of a true hermaphrodite is?
A) XX
B) XY
C) XXY
D) XX/XY
E) XO
281. Calcitonin is secreted by which tumor:
A. Pancreatic
B. Thyroid
C. Parathyroid
D) soghrum
291. Resonance of the lungs can b auscultated from back of the chest till:
a. 6th rib
b. 8th rib
c. 10th rib
d. 11th rib
e. 12th rib
(Demarcation Line is 3rd-9th Intercostal Space)
292. Flexion of knee and extension of hip is the action of:
A) rectus femoris
B) semitendinosus
C) sartorius
(Also Biceps femoris, Semitendinous, Semimembranous - Posterior Comp Thigh
muscles-->
Tibial Nerve)
293. Which of the following bones has no muscular attachments?
A) cuboid
B) navicular
C) lateral cuneiform
D) talus
294. Lymph drainage from outer nipple is to which group of lymph nodes:
A) anterior axillary
B) central
C) internal mammary
D) apical
295. Dorsal scapular nerve supplies which of the following muscle:
A) levator scapulae
B) rectus capitis
C) trapezius
(Dorsal scapular Nerve also supplies Rhomboids)
296. Which of the following is a pivot joint:
A) atlanto occipital joint
B) atlanto axial joint
C) distal radioulnar joint
297. Small muscles of hand are supplied by:
A) C6
B) T1
298. Motor supply of pharynx is by:
A) nucleus solitarious
B) nucleus ambiguous
(Nucleus Solitarius: Sensory
Ambigous: Motor)
299. Sacroiliac joint:
A)less mobility
B)plain variety of synovial joint
A. A- group
B. O+
C. ABD.oQ5
6 yr child, rhinitis , eczema etc etc
What's the process??
A. Type 1 hyper sensitivity
B. Type 2
C. Type 3
D. Type 4
Q6
The blood level of wc of the following drugs is monitored usually after administration??
A. Cloxacillin
B. Penicillin
C. Vancomycin
D. CiprofloxAcin
Q7
Doc for Neisseria Meningitidis ?
A. Penicillin G
B. Cloxacillin
C. Ampicillin
Q8
Anticoagulantion e heparin is C/I in patients e?
A. Hypertension
B. Thrombocytopenia
Q9
Which on has highest bioavailibilty ??
A. Ondansetron
B. Metoclopramide
Q10
In a pt of asthma and IHD, which drug should b used to control bp during an operation?
A. Iv NGN
B. IV SODIUM NITROPROSIDE
C. Iv HYDRALAZINE
Q11A female pt in a remote area gave birth to child, after 10 hrs her gums start bleeding, she was
brought to Hosp in a critical cond, investigations show dec platelets , dec hb, raised tlc, pt 30 sec.
It is most probably ???
A. Sepsis
B. DIC
C. ENDOtoxic shock
D. Hypotension
Q12Patients whose small gut is resected due to any disease, they present e "hyperoxaluria". The
cause of this cond is...?
A. Dec blood calcium to form calcium oxalate
B. There is increaed calcium abs from gut
C. There is increased phosphate in blood
Q13The end product of purine metabolism in humans, which is excreted in urine is ??
A. Uric acid
B. Xanthine
C. Oxalate
1.Amanorrhea in lactating women is due to
Prolactin
Estrogen
Progestrone
Gnrh antagonist
2.side effect of cemitidine
Inhibition of p45o
Agranulocytosis
Anti estrogen
3.aminophylline matabolism is inhibited when used with
1.cemitidinne
2.adnosine
Othr option dnt remember
Membrane hyperpolarization is
K effulx
Cl infux
Na
Na k atps
4..adverse effect of cortico steride in dm.
Infctn
Bleeding
P.malariae
P.falciparum
cervical dysplasia caused by
HSP 2
Multiparity
IUCD
Melanocyte origin from
Epidermis
Dermis
Neural crest
diarrhea main options were Hyerkalemia alkalosis hypernatremia n hyponatremia n i thought
most probable is hypo natremia
clonidine is an alpha blocker n baki sabbb option main Ca channel blockers thay
Data .. 2 grps .. Vominting and non vomiting .., nominal data ...
Thirst stimulated by ... Inc plasma osmolarity ?
Structure at the end of 5th week .. Limb buds appear ?
2% bupicaine .. In 4ml .. 0.08 ?
In 100ml = 2 mg
In 1ml = 0.02
In 4 ml = 0.02 * 4 = 0.08
CHO diet ... Is vit B1 ( thiamine ) was in option ?
In diarrhea there is hypernatremia or normal sodium .. Hypokalemia .. Normal anion gap ...
Metabolic acidosi
1.Cardgenic shock is due to?? Post MI
2.Neurogenic shock due to?? Dec vasomotor tone
3.two percentage givenon which data will b plotted? Pie chart
4.One group of individual with vomiting one without??type of Data??
5.14 weeks pregnant ladt after fracture? Fat embolism
6 n 7. Two questions of amniotic fluid embolism?
8.Cardiogenic shock 1st drug? Dopamine
9.hypophysectomy n ovulation induction?? HMG n Hcg
10.uterine prolapse? Metaplasia n chronic cervicitis
11.GB pain to shoulder? C3,4,5
12.Pudendal nerve root value?
13.Thirst stimulated by??
14.Child with diarrhea? Dec sodium
15.Increase in GFR? Afferent arteriolar dilatation
=-=18 april medicine test mcqstried to remember all but few remain
1.
2.
3.
4.
Which of the folowing prolong use of drug will cause persistent inc in gastrin secretion
:a.antacids
b.antichollenergic
c.b blockers
d.H 2 antagonist
e.PPI
5.
6.
9.
Which of the following increases lower eosophageal tone n speeds up gastric emptying time:A. Aluminium
hydroxide
B. Metoclopramide
A. Brocas B wernik
22. Maximum absorption of salt and water
:A. Jejunum B. Ileum
C. colon
23. Parasympathetic effect on SA node is due to
A. K
B. Na
C.
Na and K
D, calcium
E cal and k
Confirm it yourself .some senior says a ..some c
24.
CMV
hep e
62. qstn abt secretin pancreatic hco3
63. pain ovry reaching medial side of thigh ..whch nrve is involvedObturator nerve..pudendal nerve
64. qstn abt SMA brnchs Middle colic artry
65. progestrne is precusr to whch hrmnes asim gynea
cholestrol
66. sjogrens is assocated wd RA (ans)
67. neutrophils 98% lymphocytes 2%
cloudy plerual effusion of an old man wd h/o cough, no fvr
options were
chronic inflmtn serpous effusion
abscess,,,, purulent effusion./..
fibrinoid inflmtn
68. following splnectmy immediate finding will be >
thrombocytosis
Howel jolly bodies
69. left adrenal vein drain
left renal vein
70. dif b/w anaphylctc shock nd hypovlmc shck
71. cavrns sinus contains ->
ICA and abducnt nerve
72. vit acitvated in intstines >
vit k
102. Cortisol..which has diffrnt function in adispose tissue and liver in protein syntheses
Cortisol protein and lipid synthesis in liver and breakdown in other parts of body
The mean is the average of the numbers. It is easy to calculate: add up all the numbers,
then divide by how many numbers there are. In other words it is the sum divided by the
count.
110. Aldosterone mainly act on ..
proximal distal loop collcting
late distal collecting tubule
111. Sulphur containg amino acid cystine
142. Succinyl..psudocholinsterase
143. Plasma fibrinogrn..invlved in blood clotting
144. Tbt cell macrophages type 4 reaction
145. Slescenario
146. Pernicious anemia..
After GASTRECTOMY
147. Staph aureus inf after thorn prick
148. Apoptosis
cancer
149. Anti oncogens
p53
150. Vibrio cholera.
151. MyeloperoxidaSE.
NUETROPHILS
152. Rta
1st vasoconstriction.
.
153. Dead space unchanged..
treachostomy..
standing..
deep inspiration
154. Female wd silicon breast implant having inflamtory ..
plasma cell nuetrophils esinophils
giant cells
155. Deudenal ulcer.
.gastroduedenal artery
156. Sa node,
,upper part of crista terminalis
157. Respiratory segmnta tree
one atery for each segmnt
158. Diabetic nephropathy
urine albumin
159. Fastest conduction..
purkinjee
160. Dorsal rami..extensor of trunk
161. Rapid adaptation
Pascinian corpuscle
162. Infra orbital artery
maxillaery branch
163. Memory areaoperculum of insula
temporal lobe
164. Olfactory cell
bipolar cells
165. Virus causes cancer by
calcitonin
187. Pubic bone joint type in last trimester
Symphysis
syndesmosis
188. Pulmonary atery ends in .
.alveoli .
.bronchioles
bronchi
189. Diagnostic feature of folic acid def
a megaloblstic erythropoisis.
b..low serum folate ..
c low rbc folate level
190. Pul artery dilation is due to .
.a atherosclerosis
b..anuerysm
=-=-=-=
10. A man of 70 has recurrent UTI cause (No clue was mentioned regarding bedridden):
A. Instrumentation
B. Outflow Obstruction
C. Diverticulum
D. Cathetrization
13. X.ray of elbow of 12 yr girl, which Secondary ossification center will appear last on x.ray:
A. Trochlea
B. Lateral Epicondyle
C. Capitulum
D. Medial Epicondyle
18. An obese man with h/o atherosclerosis underwent laparotomy due bleeding in abd n
during surgery his small gut was purple n sup mesenteric vein was ok so what is dx
A. Wet gangrene
B. Dry gangrene
C. Thrombosis
D. Volvulous
20. Man With Weakness And Dysphagia, Blood Profile With Target Cells:
A. Iron Deficiency Anemia
B. E
C. C
22. Patient with Gastrectomy presents with Anemia after One and half year, what will you
give:
A. Vit B12
B. Vit C
C. Iron
D. Blood transfusion
23. Data is collected for some clinical trial based on presence or absence of Vomiting. What
type of data it is:
A. Nominal
B. Ordinal
C. Parametr
C. Intermediate Filaments
D. Microtubules
27. Cardiac defects in fetus of mother suffering from rubella infection will occur if:
A. 3 rd month
B. 4 th month
C. 5 th to 10th week
D. 7 th month.
43. Female with fever for 10 days and chest pain that aggravates on lying down.
Pain is originated at?
A. Myocardium
B. Pericardium
C.endocardium
44. 6 years old patient presents with rhinitis, edema and urticaria on external
surfaces
A. Type I hypersensitivity
B. Type II hypersensitivity
C. Type III hypersensitivity
D. Type IV hypersensitivity
B.outward k ions
C. is same for all types of cell
D inward Na
50. GFR
A. increases with vasoconstriction of afferent arterioles
B. increases with vasoconstriction of efferent arterioles
53. Transfusion reaction will occur if we transfuse a person with A+ve blood
group, the following group
A. A-ve
B. AB-ve
C. O-ve
D. O+ve
55. Connections that connect cells; with movement of ions ,electricl porntials
A. Gap junctions
B. Tight junctions
57. Patient is pregnant and suddenly faints due to loss of blood. She'll be positioned in left
lateral and not right lateral to avoid compression to which abdominal structure:
A. IVC
B. SVC
C. Liver
65. Intestinal flora synthesize a vitamin which takes part in coagulation. Vitamin?
A. Vitamin C
B. Vitamin K
C. Vitamin D
67 regarding neutrophils
72. Size of head of embryo is about of the CRL at the intraembryonic age of?
A. 3 months
B. 4 months
C. 6months
D. 7 months
73 hyperxyloria occur eithr due to intestinal inflammtry diseas or ileal resection is due to
A decreas ca-oxalat formation
75 kallaman syndrome
A hypergonadism
B hyperanosmia
C lesion to arcuat necleus
76 patient has fever,murmurs,splenomegally and splinter hemorrhag frm few weeks
,investigation of choice
(infective endocarditis)
A cold agglutinin
B blood culture
C blood serology
D throat swab
77 prozon phenomenon
A inflammtry condition
B antibody depleted
C antigen excess?
4 cimitidin cause
A hepatic enzyme inducer
B heapatic enzyme inhibitor
10 patient has right sided loss of vibration and left sided loss of pain and temperature
(spinal cord hemsisection)
A Right hemisection
11.child present wth fever ,rash appear ist behind ear then spread to chest and
extremities,diagnosis
A q fever
B measles
12 patient present wth anemia,numbness and gastrectomy done 1 year back ,whch cell
is lost
A gastrin cell
B chief cell
C parietal cell
C lymphocyte depleted
18 pregnant lady has enemia,numbness in feet mcv 110 ,wbc 3500,platelats 130000
etcdiagnosis
A aplastic anemia
B leukemia
C megaloblastic anemia
19 patient has cirrhosis ,ascits and develop bruisingwhch vl b difficient
A VITA
B VITC
C VIT E
C vitK
29 patient has wading gait and pelvic sink to one side while walking, demag is to
A inferior gluteal nerve
B femoral nerve
C superior gluteal nerve
30.patient has difficulty in rotating foot medially while lateral rotation is normal,demag is
A Flexur hallucis longus/extensor halucis longus
B tibialis ant/tibialis post
C extensor hallucis longus/tibialis posterior
31 patient aftr fall from 2nd storey develop difficulity in voiding urine and overflow
incontinence,demag is
A S1 S2 S3
B S2 S3 S4
37.contact dermatitis
A Type iv hypersensitivity reaction
39.seminoma
A CAE
B AFP
40.regarding menupaus
A high estrogen ,low fsh ,lh
B low estrogen high lh,low fsh
C low estrogen,high fsh,lh
42.carcnoid syndrome
A 5hydroxy indol acetic acid
43.patient with asthma and emphysema which one is decreas
A FRC
B FEV/FVC
45.patient has thyrotoxicosis,has decreas visual acuity and visual field defect
A exophthalmos?(cconfirmed it)
B oculomoter nerve demage?
C optic nerve compression
50.patient has multiple sclerosis develop urinary incontinence which drug should be
given
A beclofen
B methacholine
C oxybutynin?
(antimuscrinic)
54.feamle give birth of baby in remote ares develop bleeding into gums,nose,low
BP,increase pulse,WBC 17000, platelats 20000..diagnosis
A dic
A abducent nerve
58.child present with right sided facial weakness and right sided intention tremors,lesion
is at
A.pons
B.cerebellum
C.cerebelo pontine angle
BY:
Dr afzal haq wazir
Remember me in your prays.
=-=-
Ans. Apoptosis.
.
12. Scenario, Ascites+Pleural Effusion, Alcoholic Hepatitis, finding?
Ans. Mallory Bodies
.
13. Scenario of Alcoholic Patient.
Ans. Fatty Liver.
.
14. Opsonization.
Ans. C3b.
.
15. In Acute Inflammation Fluid present is?
A. Specific Gravity of Fluid is 1010
B. is known as Transudate
C. Protein more than 3gram (Answer)
.
16. Pleural Effusion present, Specific Gravity is low than 1002, cause?
Ans. CCF.
.
17. Chronic cervical adenopathy, tuberculous suspected, diagnosis by?
Ans. Caseous Necrosis.
.
18. Young patient on corticosteroids therapy, Abscess on upper outer quadrant of Rt. Arm excised,
after one month wound not healed, cause?
A. decreased neutrophil infiltration (Answer)
B. decrease formation of collagen
C. Re-epithelialization defective
.
19. Self Replicative Organelles, Peroxisomes, contain Oxidase developed from?
A. Golgi Apparatus
B. Nucleus
C. Mitochondria
D. S ER (Answer)
E. R ER
.
20. Pulmonary Embolism, caused by?
Ans. Deep Venous Thrombosis of Leg.
.
21. Helmintic disease by caused by Mosquito bite?
Ans. Filariasis
.
22. Scenario of Patau Syndrome. Microcephaly, Polydactyly, cleft Lip and Palate.
Ans. Trisomy 13.
.
23. female short Vagina, no Uterus, O/E testes present, cause?
Ans. Testicular Feminizing Syndrome.
.
24. Fragile X Syndrome?
A. Trinucleotide repeat (Answer)
B. Defect in X chromosome.
.
25. Scenario, female with Oligomenorrhea, karyotype XO/XX, cause?
Ans. Gonadal Agenisis and Hypogonadism.
.
26. Hallmark of HIV?
A. Immunodeficiency.
B. Proliferation of virus inside T lymphocyte.
.
27. Female have Butterfly Rash, first test performed?
Ans. Antinuclear Antibody.
.
28. Esophageal Stage of Swallowing effected by?
Ans. Scleroderma.
.
29. Tumor, not melagnant?
Ans. Adenoma.
.
30. Tumor with 3 germ Layers?
Ans, Teratoma.
.
31. Tumor invading Nerve Sheath?
Ans. Hemangiopericytoma.
.
32. Squamous Cell Carcinoma associated with?
Ans. Marjolin Ulcer.
.
33. Scenario, pateint have half/one side headache, biopsy of Artery show granuloma formation?
Ans. Giant Cell Arteritis.
.
34. Drug which stable plaque in Acute Coronary Syndrome?
A. Atorvastatin (Answer, not Sure)
B. Diuretics
C. Morphine
D. Nitrates
.
35. First Biological marker of Myocardial Infarction?
Ans. Troponin-T.
.
36. Myocardial Infarction due to block of LCA, which site of heart damaged?
Ans, Left Atrium and Left Ventricle.
.
37. Lumbago Patient have chest pain and Tenderness at Posterior 2-4 Intercostal Space, CK and
Trop-T normal, B.P normal, no retrosternal burning, cause?
A. MI
B. Aneurysm of Aorta
C. Costochondritis (Answer)
D. Pleurisy
.
38. Aortic Aneurysm, cause?
Ans. Medial Necrosis.
.
39. p53, Tumor Suppressor Gene, if mutated, what occur?
Ans. Cell survival.
.
40. Pneumonia not respond to Antibiotics, Boat shaped cysts are seen?
Ans. Pneumocystis carinii.
.
41. Characteristic/diagnosis of Asthma?
Ans. FEV1/FVC <75%
.
42. Chron's disease different from Ulcerative Colitis?
Ans. Perianal Lesions.
.
43. Diabetic nephropathy diagnosed by?
Ans. Albuminuria.
.
44. Goodpasture syndrome?
Ans. sub-endothelial deposits of IgG.
.
45. Urothelial Carcinoma associated with?
A. Bladder exstrophy
B. Horse shoe shaped kidney
C. Duplication of bladder
D. Polycystic Kidney
.
46. Scenario of Berry Aneurysm/hemorrhage, association?
Ans. Adult Polycystic Disease.
.
47. Testes in Abdomen/ Cryptorchidism associated with?
Ans. Malignancy.
.
48. ACTH Incresed, hirsutism, central Obesity, cause?
Ans. Cushing Syndrome.
.
49. (another Question also related with ACTH/Adrenocortical condition, i don't remeber exactly)
.
50. Pateint suffered Head Trauma, Urine Osmolarity decresed, symptoms Polydipsia and Polyuria,
cause?
Ans. Central Diabetes Insipidus.
.
51. Patient came to clinic with complaints of Polyuria and poldipsia, urine Osmolarity decrased,
Incresed Thirst and Thirst not relieved by drinking water, Injection of ADH given but symptoms
persists?
Ans. Nephrogenic Diabetes Insipidus.
.
52. Patient with tachycardia and Palpitations, TSH low, after giving Thyrotropin TSH is Increased,
cause is?
A. Problem in Pituatry
B. Problem in Thyroid (Answer)
C. Thyroid Adenoma
.
52. Multiple Fractures occur in which disease?
A. Osteoporosis
B. Vitamin D deficiency
C. Hyperparathyroidism
D. Hypoparathyroidism
E. Cushing Synrome
.
53. Meningitis, CSF shows, Gluscose 40 (less) Lymphocytes.
C. Monocytes
D. Neutrophills
.
70. Chemical Synapse, most likely?
Ans. Ca uptake and release of ACh into cleft.
.
71. Isotonic and Isometric contraction, Isotonic contraction is different by?
A. Consume more phosphate bonds
B. Less work done
C. Have more energy of recovery
D. Heat production
.
72. Major Stress harmone?
A. ACTH (Answer)
B. norepinephrine
C. Epinephrine
D. ADH
.
73. Major Blood Buffer?
A. Bicarbonate (Answer)
B. Hemoglobin
C. Protein
D. Phosphate
.
74. Vasodilation cause by which Adrenergic Receptors?
Ans. Beta 2.
.
75. Autonomic Nervous System?
Ans. Parasympathetic Increase GIT Motility.
.
76. Regarding Epithelium and Glands?
Ans. Simple Squamous occurs at sites of Gaseous Exchange.
.
77. 2nd heart Sound?
Ans. Closure of Semilunar valves.
.
78. Humans start burning sensation of skin, when surface exposed to Temparature is?
A. 35
B. 40
C. 45 (Answer, not sure)
.
79. Tricuspid valve Auscultation.
Ans. Lower end of Sternum on Rt. Side.
.
80. Mean Systemic Filling Pressure?
Ans. Affects Mean Arterial Pressure.
.
81. Difference of Pulomanary and Systemic Circulation?
Ans. Pulmonary have low Resistance.
.
82. Organ have no change of Blood Supply during Exercise?
Ans. Brain.
.
.
116. Protrusion of Mandible by Muscle?
Ans. Lateral Pterygoid.
.
117. Rt. Gastric Artery is branch of?
Ans. Hepatic Artery.
.
118. Subclavian Vessels groove over?
Ans. First Rib.
.
119. Carotid Sheath?
Ans. Thickening of Investing layers of fascia of neck.
.
120. Parotid Duct open?
Ans. Upper 2nd Molar between gum and Cheek and lips.
.
121. DIabetic Old Lady, Scenario of Weakness of Vision?
Ans. Cataract.
.
122. Cavernous Sinus Thrombosis, Eye swelling, block to Vein?
A. Infraorbital.
B. superior ophthalmic (Answer)
c. Inferior Ophthalmic
.
123. Difficulty in moving foot medially/Inversion, cause is?
Ans. Loss of Function of Tibialis Anterior and Tibialis Posterior.
.
124. Appendicitis, Tenderness in moving thigh medially and medial rotation, appendix position?
Ans. Pelvic.
.
125. Artery in True Pelvis?
Ans. Middle Rectal Artery.
.
126. Muscles of back supplied by?
Ans. Dorsal Ramus.
.
127. Scapula attached to Thoracic wall by muscle?
A. Quadratus lumborum
B. Lattismus Dorsi
C. Rhomboids Major
D. Serratus Anterior (Answer, not sure)
.
128. Patient with Hemoptysis, damage to?
Ans. Bronchial Arteries.
.
129. Tip of Nose, herpes Infection, Nerve?
Ans. Ophthalmic division of Trigeminal.
.
130. Upper Motor neuron Lesion. (don't remember answer)
.
131. Lower Motor neuron Lesion.
Ans. Wasting.
.
E. Mitrochondria
.
146. DIC, caused by (related question, i dont remember exact)
A. Thromboplastin
B. Factor X
C. Factor IIV
d. Factor IX
.
147. Peroxisomes originate from?
A. Golgi?
B. S ER
C. R ER
.
148. Thymus?
A. Contain Lymphocytes (Answer, not sure)
B. Developed from 4th pouch
C. Glandular structure
.
149. Most likely feature of thyroid?
A. Goiter moves on deglutation bcoz attach to prevertebral fascia
B. Thyroid drain to deep cervical (Answer, not sure)
C. Rt. Recurrent laryngeal nerve on isthmus
D. Supplied by Internal Carotid artery
.
150. Radioactive Strontium causes?
A. Small cell Ca of Lung
B. Osteosarcoma (Answer, not sure)
C. Kaposi sarcoma
.
151. Diagnosis of Leprosy at initial stages by?
A. M Leprae in Nasal Scrapings
B. M Leprae in sputum (Answer, not sure)
C. Blood C/S
.
152. True Hermaphrodite genotype?
A. XY
B. XX
C. XXY (Answer, not sure)
D. XY/XX
.
153. Slow growing Thyroid Tumor?
A. Papillary Carcinoma (Answer)
B. Follicular Carcinoma
C. Medullary Carcinoma
D. Anaplastic Carcinoma
.
154. Primary Center of Ossification at Epiphysis of Long bone at Birth?
A. Lower end of Femur
B. Lower End of Humerus
C. Upper End of Fibula
D. Upper End of Tibia
.
155. Question about Immunodeficiency. (don't remember exactly)
.
156. Oblique Fissure?
Ans. T3 to 6th Chostochondral junction.
.
157. Antiemetics during chemotherapy.
Ans. Ondansetron.
.
158. Which is a function of Parasympathetic Nervous System?
Ans. Increase in salivary gland secretion.
.
159. Gamma Efferent fibers supply?
A. End of intrafusal muscle fibers (Answer)
B. Central portion of muscle fibers
.
160. Shortened PR Interval?
Ans. WPW Syndrome.
.
161. A child with recurrent infections decreased levels of all Immunoglobulins?
Ans. X linked Agamaglobulinemia.
.
162. Pulmonary Artery supplies?
Ans. Alveoli.
.
163. Estrogen is produced by?
Ans. Ovary.
.
164. Most common bone fractured?
Ans. Tibia.
.
165. Scenario, B.P 220/110, defect in?
Ans. J.G Apparatus.
.
166. Patient having raised PO decreased calcium?
Ans. Acute Renal Failure.
.
167. Smoking associated?
Ans. Bronchogenic Carcinoma.
.
168. Lipoprotein with highest cholesterol content?
Ans. LDL.
.
169. Venous Return increased by?
Ans. Muscle contraction of leg.
.
170. Organ with high arteriovenous oxygen difference at rest?
Ans. Heart.
.
171. Drugs causing Neuroleptic malignant sydrome?
Ans. Haloperidol.
.
172. Mediator of pain?
Ans. Bradykinin.
.
ant. Mediastinum
32. Barbiturates-, enzyme inhibitors
33. Severe Mg defeciency cause hyocalcemia
34. Aldostron is stimulated by hyperkalemia
35. U wave is sue to hypokalemia
36 aspirin toxicty treatment - H2co3.
37Typical snario of SIADH.
38 Definition of metaplasia
39. Definition of hemosiderin
40. Liquefactive necrosis occurs - brain
41. poor prognostic signs of acute
transplant reject - vasculitis nd
thrombosis.
42. Bruton agammaglobulinemia causes pyogenic infectns
43. Glucagn causes - gluconeogenesis
44 scenario of leukemia what will be
Investigatn of choice ,
(a)bone marow biopsy
(b)ctogenetic testing
(c) CBC
45 CML genetics - chr 9,22
46.immunoglobulin involve in
Erythroblastosis fetalis - IgG
47.Mode of transmission of HIV- transmits
from mother to baby. 48.typical scenario of
measle
49.fisherman presented with pallor
diphylobothrium latum
50.which cells first present antigen from
GIT M cells
51.Maximum h2o and Na is absorbed in jejunum
52. Sickle cell genetics- point mutation
53. Asthma test- FEV1/FVC
54. True about carotid sinus- it detects
rapidly changing pressure
55.End arteries are present in vital organ
56.Polyarteritis nodosa pathologyfibrinoid
necrosis
57. At end of Marathone raceincrease
glucagon decrease insulin
58.hormone which inhibit ganodotropins
release-prolactin
59.typical scenario of cushing disease
60.slow growing thyroid tumor-papillary
61.cotton wool exudates are present in _DM
62.h.pylori affects which organ-stomach
63.a quack prescribes drug to a patient
which cause liver necrosis which enzyme
will be raised- ALT
64.which structure separated mouth from
pharynx in embryo-buccopharyngeal membrane
65. ANA will be positive in Mixed CT
dieseae(SLE was not in option)
66.most common cause of metaplasia
chronic irritation
67.infarct of broca area which artery
involvedMCA
68. step of cardiac cycle b/w S1and S2
ventricle systole
by diseseae
118.most common reaction of parents in
peadiatric ward after hearing morbid
illness - denial
119.function of SER Detoxefication
120.DNA is present in mitochondria
121.true statement regarding pituitary
pituitary gland sends its venous drainage
to dura space
122. Echo viruse causes
meningoencepahalitis
123.correct combination of CSF finding
TBM leads to decrease glucose
124. most potent chemotactic factor C5a
125.Dobutamine stimulates which receptors
B1+B2
126.finding in hyperthyroidism decrease
TSH
127.apical mitochondria are present in
which structure cilia
128.feature that promotes blood clotting
rough endothelial surface
129. fatty acid enters kreb cycle as a
kreb cycle molecule
130. thyroid is enclosed in pretracheal
fascia
131. hormone of slow wave sleep serotonin
132. staging described extent of tumor
133.true statement regarding circle of
villus posterion communicating artery
connects PCA with ICA beneath oculomotor
nerve
134. counseling is to help people
themselves
135. cause of carcinoma benzidine
136.true statement regarding
erythroblastosis fetalis immunoglobulins
are produced in RH- mother with RH+ baby
137. patient presents with proteinurea and
nose lesion diagnosis Wegener
granulomatosi
138.athetosis slow writhing movements
139.in which organ changes occur in
sequence of metaplasia to anaplasia to
dyslpsia to carcinoma in situ cervix
140. ultraviolet radiation causes
(a) cataract
(b) teratogenic , (confirm it from book
which option is right)
141. prostatic secretion contains acid
phosphatse
142. true statement regarding antibiotics
metronidazole can readily crosses blood
brain barrier.
143.patient presented with loss of pain and
temp sensation below T9 where is lesion
spinothalamic tract at T8
144.in bitemporal hemianopia which part of
optic chiasma is involved middle part of
optic chiasma
145. urine osmolarity is controlled by
ADH
(a)alpha 1 antagonists
(b) norepinephrine
151.a patient after stroke presents
motivation which lobe is involved
(a)frontal
(b) temporal
(c)occipital
152.function of basal ganglia initiation
of voluntary movements
153.concentration of which hormone does not
change in pregnancy
(a) cortisol
(b)GH
(c)prolactin
(d) PTH
154.characteristic finding of megaloblastic
anemia oval macrocytsa
155.ECG of a patient shows absent P wave
normal QRS complex where is pacemaker
located.
(a)SA node
(b)AV node
(c)bundle of HIS
(d)purkinje
156.6yr male child presented with hirsutism
and adult size external genitalia.urinary
17-ketosterods are elevated.what is
diagnosis
(a) adrenogenital syndrome
(b) congenital adrenal hyperplasia
157. a breat fed baby after 2 days of birth
develops jaundice, direct=1 indirect=9
diagnosis physiological jaundice
158.radiation injury depends upon
(a) type of radiation
(b) dose of radiation
(c) type of tissue exposed
(d) dose with shot duration
158.patient presented with rectal propse
finding revealed an organism in recal
mucose which will be this organism
trichura
159.what is the most effective way of to
prevent DVT in hospitalized patients
(a)pneumatic compression
(b) warfarin
(c)heparin
160.patient presented with erythematous
swelling of back side of hand what will be
drug of first choice.
(a) pencillin G
(b) cloxacillin
161.which cells are present in
atherosclerotic plaque which are derived
from circulation
(a) macrophages
(b) monocytes
162.in early leprosy investigation of
nasal scraping of lepra bacilli
163.ashoff bodies contain
(a) Giant cells
(b)necrotic substance
164.propranolo block which receptors B2 (
non selective was not in option)
165.biopsy from 80yr old man shows re wear
and tear pigment lipofuscin
166.in hyaline cartilage
(a) collagen fibers are visible
(b) fibers are absent
(c) elastic fibers are present
167.true statement regarding helper T
cells.(forgot options)
168. a neutropenic patient with fever
admitted in oncology ward with fever what
will be mediator of this - TNF
169. Max steatorrhea will occur in
(a)ileum resection
(b) jejunum resection
(c)total pancreatectomy
(d) gall bladder resection
170. what is correct pairing of reflexes
with root value
(a) biceps- C6
(b)knee L4 L5
171.injury to ulnar nerve will cause
(a) compete claw hand
(b)atrophy of hypothenar
172.patient presented with swelling on face
on examination axillary lymph nodes are
enlarge what will be cause sunlight
173.A lobourer while working in hot sunny
day collapsed down investigation revealed
Na=120 what will be cause excessive
sweation
174.175. there were two stupid questions
from muscles spindles and stretch reflex
that are not rememembered.
176.a man during exercise keeps balace this
is due to activation of which receptors
(a) proprioceptors
(b)exteroceptors
(c)interoceptors
177.pectoralis major flap will get its
blood supply from
(a)intercostal arteries
(b)thoracoacromial arteries
178. during phonation
(a)vocal cards adducts
(b)vocal card abducts
(c)occurs only during inspiration
(d)occurs only during expiration
(e) occurs during inspiration and
expiration
B. inc lipolysis
C .inc glycogenolysis
3.Thorn prick...abscess formation..most likely organism
A.Strept Pyogenes
B.Staph aureus
C.Pseudomonas aeruginosa
4.In Pregnant lady blood, there will b increase of
A. ferritin
B. TIBC
C. iron
5.Pregnant lady normocytic normochromic anemia appropriate
A.plasma volume expansion
B.iron def anemia
6.after total gastrectomy what occurs
A.iron def anemia
B.Pernicious anemia
7.best host defence system in alveoli
A.lymphatics
B.alveolar macrophages
C.nasal cilia
D. IgA secretions
8.Most common cause of DVT ?
A.prolonged bed rest
B.After surgery
C.inherited thrombophilia
9.14 yr old child with 8%creatinuria BP 180/110.. what is damaged A.glomeruli
B.JG cells
C.Macula densa
10.Mechanism involved in RMP is mainly
A.k efflux
B.na/k pump [I marked]
11.blockage of alpha recepters
A.vasoconstriction
B.vasodilation
12.dec arterial PO2
A.CO poisoning
B.anemic hypoxia
C.hyoxic hypoxia
13.4th Heart sound [S 4] due to
A.Atrial contraction causes ventricular wall vibration
B.aortic rebound
C.verntricular filling
14.which doesnt cross BBB
A.levodopa
B.Dopamine
15.at beginning of 2nd week
A.epiblast
B.epiblast and mesoderm
C.Epiblast and hypoblast
16.regarding Transitional epithelium
A.pseudostratified
B.Stratified columnar
C. Stratified with outer cells bigger n rounder
17.regarding Cerebellum
A.receive preprioceptive info from spinal cord
B.afferent input from motor cortex
18.regarding free water diuresis
A.positive water clearance [ I marked ]
B.negative water clearance
c. palsma osmolarit . dont remember exactly
19.floor of 4th ventricle's superolateral relation
A.superior cerbellar peduncle
B.middle cerebellar peduncle [ I marked ]
C.inferior cerbellar peduncle
D. Lower Pons and pyramidal tracts
20.regarding atrial fibrillation
A.p waves prominent
B.regular rhythm
C.pulsus deficit
21.Most sensitive marker in MI
A.creatine kinase
B.Troponin T [I marked ]
C.Myoglobin
D.LDH
22.uterine leiomyoma. endometrium around the mass has few glands and a
lot of stroma...wat has happened to endometrium around fibroid
A.metaplasia
B.hyperplasia
C.atrophy
D.dysplasia
E. Neoplasm [ I marked ]
23.alpha sympathetic stimulation
A.pupils constrict
B.pupils dilate
24.parasympathetic stimulation
A.pupils dilate
A.IVC
B.left renal vein
C.Inf mesenteric vein
47.Tissue not regenerated
A.kidney
B.adrenal medulla
C.lens
D.skin
48.no lymphoid nodules seen in
A.thymus
B.Lymph node
C.spleen
49.pseudomembranous colitis caused by which
A.clostridium perfringens
B.clostridium dificile
50 a.most common cause of gas gangrene lower limb
A.clostridium birefrengens (this is the exact spelling as in paper)
B.clostridium welchii
C.clostridium septicum
51.joint b/w pubic bones allowing slight movement during birth of baby
A.Synchondrosis
B.syndesmosis
C.Symphysis
52.Heart contractility depend on
A.ca++ ions
53.Regarding thyroid gland
A.change in epithelium occurs with function
54.rapidly adapting receptors
A.pacinian
B.Baroreceptors
C.free nerve endings
55.which of the following inhibits the muscle to stretch beyond limits
A.golgi tendon organ
B.muscle spindle
56.Dead space does not change in
A.standing [ I marked ]
B.old age
C.shallow breathing
D.Deep inspiration
E.Tracheostomy
57.max triglycerides found in
A.VLDL ?
B.chylomicrons remnants ? [ I marked ]
C.LDL
D.HDL
E.IDL
58.most common source of SYSTEMIC arterial emboli
A.femoral vein thrombosis
B.pulmonary vein thrombosis
C.right atrial thrombus
D.portal vein thrombus
E.left ventricular mural thrombus
59. pyruvate is intermediate between
A.glucose and acetyl coA
B.acetoacetic acid and actyl coa
C.Fat metabolism and acetyl coA
D.carbohydrates and proteins
60.pulmonary atery supply
A.Bronchi
B.Bronchioles
C.Alveoli
61.Regarding bronchopulmonary segment
A.airated by primary bronchus
B.airated by secondary bronchus
C.airated by tertiary bronchus
D.not in touch with all other segments
62.A 45 yr old female presents with two years history of pruritis, months
history of jaundice. On clinical examination she has bruises xanthomas
and hepatosplenomegaly. The investigation which will confirm the
diagnosis would be:
A. ALT
B. Alkaline phosphatase
C. Anti-mitochondrial antibodies
D. CT abdomen
E. ultrasound abdomen.
63.ADH formed in
A.posterior pituitary
B.supraoptic nucleus
C.ventromedial nucleus
64..metaplasia is caused by
A.chronic irritation
65.most common cause of PRIMARY HCC (I think I also add this q in paper
2)
A.hep C [ I marked ]
B.alpha 1 antitrypsin deficiency
C.Aflatoxins
B.Temporal
C.Frontal
D.Occipital E.insula
77.Pellagra caused by def of A.Vit B1
B.Vit.B6
C.nicotinic acid
78.Area 3,1,2
A .All somatic sensation
79.Which hormone causes smooth muscle constriction In Arteriols
A. Aldosterone
B.ADH [By V1 Recep ]
80.Ethics principle
A. Autonomy ,Beneficence, Non-maleficence , justice
81.Regarding mean
A.it is some of all individual value divided by total number of values
B.its a good measure of central tendency
82.Brocas Area
A.Sup temporal lobe
B.afluent aphasia
83.infraorbital artery is a branch of
A.maxillary
B.facial
C.ophthalmic
84.Ther is painful swelling at site of below knee amputation
A.neuroma
B.ganglioneuroma
85.Sulfur containing amino acid
A.Arginine
B.Cysteine
86.pyogenic meningitis
A.dec glucose
87.Axillary sheath from
A.pretracheal sheath
B.prevertebral fascia
C.carotid sheath
88.hormone responsible for oxidative phosphorylation and inc in body
temperature
A.Thyroid hormone
B.Growth hormone
C.Insulin
89.Pt had severe headache...CSF showed blood tinge
A.sub-dural hemorrhage
B.sub-arachnoid hemorrhage
90. Young pt has bleeding history from minor trauma and also had chronic
diarrhea , with no family hstry of any bleeding disorder , PT deranged ,
platelets normal , hb normal
A.Vit k deficiency.
91.Edema is caused by
A.dec hydrostatic pressure
B.inc osmotic pressure
C.blocked lymphatics
92.first response for bleeding
A.wound contraction
93.potent chemotactic factor
A.C3a
B.C5a
94.Left coronary artery divides into
A.LCX and anterior interventricular artery
95. CSF wrong statement ..
A.valve of arachnoid villi stop working in high pressure ?????
B.Lying on left lateral position pressure will b 60 to 150
C.pressure on internal jugular vein increase the CSF pressure.
96. case in which 2 year histroy with HPV infection in female cervix +
nucleus prominent and enlarged ??
A.Hyperplasia B. carcinoma C. metaplasia D. dysplasia[ I marked ]
97) regarding VDRL wrong statement
Widal test in best 1st week
98) XX + pseudohermaphroditism
A. androgenital syndrome
99) Question regardingGap junction
--
A.Zygomatic bone
B. styloid process of temporal bone
C.Maxillary bone
D.squamous part of temporal bone
3) In male on PR examination which not palpable
A.Ureter
B. bulbourethral part etc
4) Ankle sprain durind eversion , ligament torn
A .Deltoid ligament
5) Eversion of foot .peroneus longus
6) Quiet inspirationdiaphragm
7) Transverse diameter during inspiration by . Ext intercostal
muscle
8) Internal thoracic artery wrong statement
Terminates on 8th intercostal space [it divides at 6th intercostel leve]
9) Regarding abdominal wall. Dont remember options
10) Wernickes damage.rapid speech but make little sense
11) Athetosis..slow writhing movement
12) Optic nerve terminates at
A.Lat geniculate body
B. medial geniculate body
D. Viusal cortex
13) Thyrotoxicosis + some eye sign .optic nerve compression
14) Thyroidectomy common nerve injured
A. Reecurrent Laryngeal Nerv
B. ext laryngeal nerve
15) Biceps brachhii .attached to superior glenoid tubercle of humerus
16) Case with no prick sensation on Rt and vibration on left below lesion
A.Complete transection of cord
B. hemisection at T11
C.Complete transection at T9
17) RTA + hemisection of rightt cord.left side temp and pain loss
18) Barbiturates..induce hepatic enzyme
19) Lincosamides[drug]..dont remember options
20) Dobutamine action
A. On alpha and beta
B. alpha, beta and dopamine
C. on only beta
21) Propranolol action to dec HR on
A. Beta 1 receptor
22) Dm 2 + elderly
A.Metformin B.tolbutamode C.glibenclamide
23) Most effective Dvt prophylaxis
A.Warfarin ? B.heparin C. low molecular wt heparin ?
24) Chlorpromazine s/e except
Convulsion cholestatic jaundice porphyria constipation
25) Warfarin check .PT, aPTT,INR
26) CML 9:22 chromosome
27) Not caused Hookworm
A.Hypoprotenemia
B. macrocytic anemia
C. bronchitis
D. intesitinal effect
28) Echo virus
Meningoencephalitis
29) Scanty barr body..klinefelter syndrome
30) Chromosome wrong statement is 13 is edward
31) Case bleeding gums + BT and aPTT prolonged .vWD
32) Anemia + bleeding gums + fever 103 ask Ix .Bone Marrow
aspiration
33) Megaloblastic anemia.oval macrocytes
34) rash pattern started from back of ear and spread down towards
trunkMeseals
35) On ecg ,QRS + T wave and no P wave where will be pacemaker
Sa node av node internodal fibers ventricals
36) Rt homonymous hemianopialeft optic tract
37) Rt optic tract lesion ..left homonymous hemianopia
38) Preload determined by .
A.Left Ventricular EDV
B. LVEDP
C.left atrial pressure(wedge pressure)
39) High CO beriberi
40) Low CO ..IVC obstruction
41) Construction business+ pulm s/s .asbestosis
42) Obstructive and restrictive pattern .FEV1/FVC
43) O2 dissociation curve movies to right by decrease in ..pH
44) ANA positive in
A.Progressive systemic sclerosis
B. RA
C. mixed connective tissue
B.NH4cl
65. Decrease motivation and depression frontal lobe
66. During Exercise stimulation goes by .
A. Mechanoceptor B. proprioceptor
67. Case hirsutism HTN wt gain and inc ACTH . Cushing disease
68. Lung carcinome + Adh and s/s .. SIADH
69. Gluconeogenesis stimulate by glucagon
70. Most common cause Primary HCC .
A. Alpha 1 AT deficiency B.aflatoxin C.hep-C
71. 3 layers of smooth muscle . Fundus of stomach
72. S/E and water reabsorption . A.Jejunum B.colon C. ileum
73. Gastric emptying delayed by . CCK
74. Primary hypercholesterolemia prevention A.statin B. niacin C.fibrin
75. Quac give medicine and jaundice occur Ix . ALT
76. More than 48 hour shizogony. Falciparum malaria
77. Pseudo infction + earache + fever due to . TNF
78. Agammaglobulenemia.. pyogenic infection
79. Acute renal transplant rejection bad prognosis. A. thrombosis
B .Vasculitis and Lymphocytic infiltrations
80. Monotherapy of CCF ACE as captopril
81. Angina symptoms in A.Aortic stenosis B. AR
82. Leprosy early Ix. Nasal scraping of lepra
83. On ECG QRS due to vent depolarization
84. Atypical mycobacteria not respond to ATT
85. Ades mosquito which not occur
A.raft velly B. yellow fever C. japanese encephalitis, D.dengue
86. Foam cell in atheroma
A.Neutrophil B. Monocyte (remember no macrophage option )
87. Phonation occur .. A .During expiration B.When vocal
cord adducts
88. Neoplasm least associated .. A. Age , B. Physical trauma
89. Severe steatorrhea .. A. total pancreatectomy B.terminal ileal
resection
90. About bleeding from duodenal ulcer
Post wall duodenal ulcer bleeds due to gastroduodenal artery
91. Antibody not cross placenta
A.IgM B. IgG A. IgE
92. Angiotensin 2 short term mechanism vasoconstriction
93. Pneumothorax case.. inward collapse and chest wall spring outward
94. Regarding skeletal muscle
Ganongs Questions:
What is the clearance of a substance when its concentration in the plasma is 10 mg/dL, its
concentration in the urine is 100 mg/ dL, and urine flow is 2 mL/min?
A. 2 mL/min
B. 10 mL/min
C. 20 mL/min
D. 200 mL/min
The fourth heart sound is caused by
A. closure of the aortic and pulmonary valves
B. vibrations in the ventricular wall during systole
C. ventricular filling
D. closure of the mitral and tricuspid valves
E. retrograde flow in the vena cava.
Tight junction
(312 )(GFR increaseses)
(317. ) Receptors in muscles which prevent their length to go beyond limits are:
Muscle spindles
GTO
Meissniers
Ruffinis end organs
Pacinian corpuscles
(Q. 333 )Uncoupling of oxidative phosphorylation with increased heat production in the body results
from the excess of:
Cortisol
Epinephrine
Growth Hormone
Thyroid Hormones
Insulin
(Q. 334) Protein catabolism in extrahepatic tissues and protein syntheses in the Liver is the action of:
Cortisol
Epinephrine
Growth Hormone
Thyroid Hormones
Insulin
(Q. 335) Growth hormone secretion is increased by:
A. Cortisol
B. REM Sleep
C. Exercise
D. FFA
E. Glucose
Non-REM > Exercise > REM
(364 ) Atrial Fibrillation is characterised by:
Pulse deficit
Multiple P waves
Increase CO
Saw Tooth appearance in ECG (occurs in atrial flutter)
(410) 55 years old male, Plumber by occupation came with history of Dyspnoe on exertion and dry
cough for last two years. His arterial blood gases revealed pH-7.4 P02 62 PCO2 31, HCO3 19. What is
the correct discription of his biochemical state.
Compensated Metabolic acidosis
Compensated respiratory alkalosis
Mixed respiratory and metabolic alkalosis
Respiratory Alkalosis
(Q. 422) A 16 years old boy is prescribed CO-trimaxole for fever. After 12 hours he developed red color
urine and profound weakness. Lab tests show intravascular hemolysis. The most common cause of his
problem is:
A. G6PD Deficiency
B. Immune Hemolysis
C. PNH
D. Malaria
E. Sicke cell diseases
(Q. 457.) Pneumothorax-- Ipsilateral lung collapse and chest wall spring out
B. ALP
C. Anti-mitochondrial antibodies
D. CT Abdomen
E. Ultrasound Abdomen
61(Endotoxin-Pseudomonas)
117(Mesotheloioma),
206(Schistosoma Hematobium)
225(Lens)
244(Myoglobin or CK)
261(Immuno-electrophoresis)
21. 280(Granuloma with asteriod bodies)
290(Chronic irritation)
406 (Hep E)
488 (RCA)
548. Red cell concentrates
506. Insulin icreases entry of glucose into skeletal muscles
Medicine Portion:
191. Natural killer cells are known to be:
Able to kill virus infected cells without prior sensitization
Cytotoxic T cells
B cells that can kill widout complement
Have CD 19, 20 , 21 on their surface
Increase by immunization
ANATOMY:
56- Myocardium-unrelated to respiration
59. A 30 years old woman has presented with red color urine. Lab tests show ALBUMIN presence of
Rbc, RBC Casts. Which structure damaged:
Glomeruli
Ureter
Urethra
Urinary Bladder
Renal calyx
91. Ureter lined by transitional epithelium
95. Facial Artery
147. A 50 years old man known case of Hepatoma develops dependent edema with dilated abdominal
wall veins. The most likely structure involved is:
Hepatic Artery
Hepatic Vein
IVC
Right side of heart
Peritoneum
203. Abdominal angina is caused by:
SMA
IMA
Middle colic Artery
Left gastric Artery
PATHO:
170. Clostridium Diffcile
Gynae Portion:
364. MCV-85
410. Uracha Fistula
Gynae-Pathology:
39. Cervical Smear
206. Hemolytic crisis-sickle cell
-----------------------------------------------------------------------Regarding Thymus:
A. Supplied by Superior Thyroid artery
C. Brachial Artery
D. Aorta
Child is having more bleding from minor wounds. No such family history is there. He also have
diarrhoea BT is 6 min CT is 50 mins, there is no family hx of any disease. Diagnosis?
A. Factor 9 def
B. Classic hemopholia
C. Renal failure
D. Liver failure
E. Vit K deficiency
Myeloperoxidase present in:
A. Basophils
B. Lymphocytes
C. Neutrophils
D. Platelets
Muscle which helps in flexion of elbow but is supplied by Radial Nerve:
Brachioradialis
Which drug can not cross BBB?
A. Phenobarbitone
B. Diazepam
C. Dopamine
D. Levodopa
E. Phenytoin
Vibrio Cholera:
A. Inreases CL secretion in mucosal/intestinal crypts
B. Inreases HCO3 secretion in intestional lumen
DNA Virus:
A. Infectious Mononucleosis
B. Mumps
C. Measles
SA Node location:
Superior portion of sulcus terminalis
Middle Colic Artery most appropraite:
A. Branch of SMA
Axillary sheath formed by:
A. Carotid sheath
B. Prevertebral layer
C. Pretracheal layer
D. Platysma
2 year old baby failure to thrive, Hb 4, on examination anisopikilocytosis, NUCLEATED RBCS, present:
Iron def Anemia
Sideroblastic Anemia
Thalesemia Major
A lady with dysphagia, and complains that she is not able to type on keyboard but no other joint
problems noted, also she has lost her wrinkles over face which had developed due to aging:
CREST Syndrome
Mixed Connective Tissue Disease
Sjogren Syndrome
Dermatomyositis
Difference between primary and secondary peristaltic wave:
A. Primary has oropharangeal phase
B. Primary wave relaxes lower esophageal sphincter
C. Secondary propels food forward
E. Atrophy
Osteoblastoma most commonly occurs at:
A. Epiphysis
B. Metaphysis
C. Epiphyseal plate
D. Diaphysis
E. Vertebrae
Bipolar cells found in
A. Nasal epithelium
B. Olfactory
C. Ant horns
D. Spinal nerves
Commonest cause of systemic arterial emboli
A. Femoral vein thrombosis
B. LV mural thrombi
C. Pulmonary artery thrombi
Subclavian artery aneurysm occurs mostly in third part distal to scalene muscle, Nodular swelling will
be present in which part:
A. Suprasternal area
B. Anterior Mediastinum
C. Posterior Mediastinum
D. Vertebral triangle
Sertoli cell appropriate is:
A. Secrete FSH
B. Secrete LH
C. Secrete Testosterone
A. Ras
B. Cmyc
C. P53
D. Nmyc
Post abdominal and gynaecological surgeris cause is: which is beta lactamse resitant and doesnt
respond to penicillin:
Bacteriodes
E.coli
After amputation of leg, scenario was given and asked what will develop:
A. Neuroma
B. Neuroglioma
Regarding Down syndrome:
A. Increase incidence with increased maternal age
Dorsal rami supply:
A. Flexors of trunk
B. Extensors of trunk
Increase ejection fraction causes:
A. Dec EDV
B. Dec ESV
Abdominal contents pushed through remains of processus vaginalis which occurs:
A. Indirect inguinal hernia
B. Direct inguinal hernia
C. Hydrocoele
Left adrenal vein is drained into:
A. IVC
B. Left renal vein
A. Acetyl cholinesterase
B. Pseudocholinesterase
C. MAO
Knee cant b flexed and hip cant be extended which muscle damaged:
A. Rectus femoris
B. Sartorius
C. Semitendinosus
Female with exophthalmos inc HR sweating antibodies present:
A. Hashimoto
B. Graves
Which hormone causes vasoconstriction:
A. Aldosterone
B. ADH (Via V2 Receptors)
Ethics principle
A. Autonomy Beneficence. Non-maleficence Equity
Regarding MEAN:
A. It is some of individual value divided by total number of values
B. Its a good measure of central tendency
Blockage of alpha recepters:
A. Vasoconstriction
B. Vasodilation
Macrocytic Anemia cause:
A. Folate deficiency
B. Loss of intrinsic factor
Blood gp with no aglutinin:
A. AB+
B. ABC. O+
D. ODiabetic patient with miosis and partial Ptosis of right eye cause:
Diabetic Opthalmoplegia
Horners Syndrome
Regarding Muscles:
A. Origin is mobile
B. Insertion is fixed
C. Belly is fleshy through out
D. Aponeurosis is fibrous
E. Ligaments are round and fibrous
Scenario of Rheumatic Fever. Death occurs due to:
A. MS
B. AS
C. AR
D. MR
Chlorthiazides cause:
A. Hyperuricemia
B. Hyperkalemia
C. Hypercalcemia
Neurotransmitter present in brainstem:
A. Dopamine
B. Epinephrine
C. GABA
Platelet rich plasma is stored at:
A. 0 deg
B. 4 deg
C. 22 deg
D. 40 deg
Most sensitive cardiac marker:
A. Creatine kinase
B. Troponin T
C. Myoglobin
D. LDH
Parasympathetic stimulation:
A. Pupils dilate
B. Pupils constrict
C. Increase heart rate
D. Decrease GI motility
Spleen
A. Lax ligament leads to wandering Spleen
B. Accesorry spleen present in 25% cases
Insulin secretion increased by:
Glucagon
Beta blockers
Most Potent chemotactic is:
A. C5A
B. IL-6
----------------------------------------------------------------------------------------------These are questions whose answers I wasnt able to find because of improper recalls or
references!
=-=-=
Medicine paper - Online 11th June 2015 (mixed ques from paper I and II)
By Dr Lubna Jafri
I have tried to state the main point of the ques as clearly as possible...yes some answers can be
wrongso you may double check in doubt.
For now these are all i can recall...will add more as i remember. Hope this helps!
1) Most common cornyebacterium in clinical cases
2) Green discharge - pseudomonas
3) CSF had inc protein dec glucose and polymorph - give Ceftriaxone
4) # of cervical sclerotomes, vertebrae and nerves - 8,7,8
5) Nursing mother with herpes lesion - Acylcovir
6) Eversion damages - Deltoid ligament
7) formula needed to be applied for clearance in kidneys - ans was 20 ml
8) Alveolar ventilation to be calculated when Tidal volume is 500 and RR 10
9) After trauma and amputation - Neuroma
10) Most common cause of HTN - idiopathic
11) Left vent hypertrophy and pulm edema - Bicuspid aortic stenosis
12) JVP a wave due to Mitral stenosis (i think)
13) Cause of cervical and genital Ca - HPV
14) Heart shaped vertebra - Thoracic
15) About renal vessels - Left renal vein is ant to aorta and renal art
16) Neiserria - Penicillin G
17) Heart base formed by Left atrium
18) Biceps - supraglenoid tubercle
19) Difficulty abduction of arm only till 30 degrees, fine after that - supraspinatus
20) Aspirin overdose causes Alkalosis
21) Common carotid artery bifurcates at Upper border of thyroid cartilage
22) What is therapeutic window
23) Tachyphylaxis - rapid decrease in response to drug
24) Glycogen storage diseases cause Hepatomegaly and hypoglycemia
25) benign tumor - Leiomyoma
26) function of alpha macroglobulin
27) Metastasis feature - tumor invasion by loss of E cadherin
28) In our culture support to patient is by Family
29) Good patient doctor relationship depends on Active listening
30) Opioid stimulated chemoreceptor trigger zone
31) Construction work history along with pleural plaques - Asbestosis
32) betal chewing causes submucosal fibrosis
33) Some patient with visible peristalsis - pyloric stenosis
34) Dorsal column transmits Propioception
35) Conus medullaris is at L3 in children
36) PCOS scenario
37) Menopause - inc LH and FSH
38) Nucleus in midbrain - CN III
39) 2nd week of typhoid fever - Widal plus blood culture
40) kallman syndrome - arcuate nucleus
41) Atypical TB - resistant to anti TB drugs
42) Corneal epithelium
43) Bitemporal hemianopsia - lesion at optic chiasm
44) Vibration from Dorsal column
45) Pseudo mem colitis - C difficile
46) RIver blindness
47) Man is intermediate host in Hydatid cyst
48) Sheehan syndrome typical scenario
102) Normal saline causes ... ? inc plasma Na, inc plasma osmolarity, inc urine osmolarity
103) Blood loss, dec BP - symp activity inc
104) most imp factor delaying wound healing - infection?
105) CSF - 500 ml/day
106) Glucocorticoids cause - dec glucose utilization in cells
107) Hormone inc during sleep - Cortisol (not sure though)
109) Growth hormone inhibited by Somatostatin
110) HIV hallmark - progressive immunosupression
111) Hep B infection - keep checking SGPT
112) Machinery murmur - PDA
113) Something about long bones - i marked haversian canal (total fluke)
114) As compared to ICF, ECF has - low K
115) pO2 close to 100 in Left to Right shunt
116) Some values given and asked which graph represents better. Confusion between bar or pie
chart
117) Primordial germ cells - by 3rd week
118) After bed rest leg pain and swelling - DVT
119) megaloblastic due to - folate and cobalmin
120) Philadel chromosome - CML
121) Metab acidosis - causes inc breathing
122) X linked agammaglob - pyogenic infections
123) Dead space - humidifies and filters air
At the moment I dont even remember the most difficult onesPlease pray for me.
=-=-=
Answer is D
4. Vibrio cholera diarrhea mechanism
A. Inhibit Ip3
B. Inhibit cAMP
C. Increase Cl channels
Answer is C
5. Asthmatic with IHD hypertension intra operatively management for Blood Pressure
A. I/V Nitroprusside
B. I/V Nitroglycerine
C. I/V Hydralazine
Answer is A
6. Pulmonary blood flow lit/min?
A. 2
B. 3
C. 4
D. 5
E. 6
Answer is D (Same as Cardiac Output)
A. Supplying
B. Olfactory part
C. Supplying
of frontal lobe
Answer is A
15. Below 1 inch to the Inguinal Ligament Femoral artery relation with vein
A. Lateral
B. Anterolateral
C. Posterolateral
D. Anteromedial
Answer is A
16. Which physiological function loss in lab test of urine specific gravity
A. Concentration
B. Filtration
C. Secretion
D. Blood flow
E. Reabsorption
Answer is A (Reference Goljan)
17. Trachoma
A. Bacterial Conjunctivitis
B. Viral Conjunctivitis
C. Inclusion Conjunctivitis
Answer is C
18. Superior thyroid artery is branch of
A. External carotid
B. Internal carotid
Answer is A
19. Person having systolic pressure 132mmhg. diastolic pressure 66, mean arterial pressure
would be
A. 66mmhg
B. 111mm Hg
C. 88mmHg
Answer is C (1/3 of Pulse Pressure + Diastolic Pressure)
20. Normally physiological function of placenta is barrier b/w
A. Maternal n fetal blood
B. Barrier for drugs
C. Barrier for nutrition
D. Barrier for immunoglobulins
Answer is A
21. Anterior pituitary tumor will mostly cause damage to which nerve
A. Trochlear
B. Optic
Answer is B
22. PTH most sensitive to
A. Total serum
B. Serum calcium
C. 1,25(OH)D3
D. Serum PO4
E. Serum Mg
Answer is B
23. Woman having whiplash injury during RTA, damage C5 C6 nerves, which of the most
disability she is having
A. Flexion at Elbow
B. Extension of arm
C. Adduction of shoulder
D. Medial rotation of shoulder
E. Extension of finger
Answer is A
24. A new research, study on some therapy regarding smoking, cessation. he divide 40 smokers
and on volunteer therapy, after some time he asked about the daily smoking cigarettes from all
40.what key component is missing
A. Hypothesis
B. Random distribution
C. Dependent distribution
D. Independent distribution
Answer is B
25. Thyroid follicles cell releasing thyroxin derived from
A. Endoderm
B. Ectoderm
C. Mesoderm
D. Endo and Mesoderm
Answer is A
26. In Circus man developing sudden excruciating chest pain, BP 90/50 mmHg with dislocation
of crystalline lens what is cause
A. Mallory-Weise Syndrome
B. Rupture aortic aneurysm
Answer is B (Scenario of Marphan Syndrome)
27. Regarding heart sounds
A. S2 is usually long
B. Audible on area of heart valves more precisely
All the options are irrelevant
28. Cystic fibrosis
Answer is sweat chloride test
29. What cause gastric emptying
Metoclopramide
30. Female symptoms of hypothyroidism and lymphocytes
A. Hashimoto Thyroiditis
B. Colloid goiter
C. Thyroid Ca
D. Thyroid lymphoma
Answer is A
31. Single local factor for delay wound healing
A. Infection
B. Ischemia
Answer is A
32. Posterior 1/3rd of tongue sensation, nucleus involve
Glossopharyngeal
33. Masseteric fascia develop from
A. Superficial layer of deep cervical fascia
B. Carotid sheath
C. Pre-tracheal
D. Prevertebral
Answer is A
34. Situs Inversus
Kartagener Syndrome
35. MAO Inhibitor and hypertensive crises
A. Coffee
B. Chocolate
Answer is A
36. Oral glucose load increase
A. Secretin
B. tripeptide
C. Dipeptide
Answer is Dipeptide
37. Fungi causing Meningitis
A. Histoplasma
B. Aspergillus
C. Cryptococcus
D. Cocadiomycosis
Answer is C
38. Aldosterone major action
A. DCT
B. Collecting Duct
Answer is B
39. Similarity between Cardiac & Skeletal muscle
A. Transverse striations
B. Transverse Tubules
Answer is A (Confirm It)
Answer is B
54. During Third Week Embryo has
Answer is Three Layer Ectoderm Endoderm Mesoderm
55. Primordial Germ Cell derived from
Answer is Yolk Sac
56. A 25 years old lady had Metallic Mitral Valve replacement 2 weeks after she was sent home
on routine medications. She reported to causality with two hours history of severe epistaxis.
She looked pale, rest of Clinical Examination was unremarkable. Investigation HB 6.5%, TLC
7500/CUMM, Platelets 75000/CUMM, PT 5, INR 5.5. The most likely cause of her bleeding is:
A. Drug Induced
B. Idiopathic
C. Infection
D. Thrombocytopenia
E. Trauma
Answer is A
57. The Internal Carotid Artery (Asim Shaoib Anatomy Bcq 380)
A. Enter the cranium through the squamous temporal bone
B. Give a branch to the choroid plexus of the 3rd ventricle
C. Has an ophthalmic branch entering the orbit through the superior orbital fissure
D. Lies within the dural covering of the cavernous sinus
Or
Arise lateral to the external carotid & turns Posteromedially
E. Pierces the diaphragm sella medial to the optic nerve
Answer is D (Both Statement are right, from both only one is given)
58. Therapeutic Index
Safety of Drug
59. Rectus Sheath Posteriorly
Arcuate Line
60. Scenario MCV 108 Sensory Symptoms (Asim Shaoib)
Answer is Vita B12 Deficiency
61. Post Streptococcal Glomerulonephritis
A. Type I Reaction
B. Type II Reaction
C. Type III Reaction
D. Type IV Reaction
Answer is C
62. Helper T Cell
A. Helps to induce Antibody Formation via Th2 Pathway
63. Immunoglobulins (Antibodies) are Produced By
A. Basophils
B. Helper T Cells
C. Plasma Cells
D. Lymphocytes
E. Monocytes
Answer is C
Answer is C
B. Pterygopalatine Ganglion
Answer is B
B. Toxemia
Answer is B
111. Red Infarcts is due to
A. Dual Blood Supply
112. Infarction of brain is due to
A. Ischemia
B. Emboli
Answer is Ischemia
113. Line of Defense in Lungs
A. Alveolar Macrophages
114. Which one is directly controlled by CNS
A. Precapillary Sphincter
B. Arterioles
Answer is B
115. Main Reservoir of Blood is
A. Veins
116. Blood is lost which will maintain the blood
A. Veins
117. Testosterone
A. Increase the protein synthesis in Muscle & Bones
118. Resistance is increase when
A. Viscosity of blood is increased
119. Metastasis form Uterus to External Genitalia through
A. Round Ligament
120. Cells which don not regenerate
A. Labile Cells
B. Stable Cells
C. Permanent Cells
Answer is C
121. 2/3 of Water is Found in
A. ECF
B. ICF
C. Plasma Volume
D. Interstitial
Answer is B
Answer is B
133. Labetalol
A. Alpha Blocker
B. Alpha Beta Blocker
C. Beta Blocker
Answer is B
134. Regarding Lymphatics
A. Cystic Hygroma
135. About Thymus
A. If Removed in Adult decrease in T Cells
136. Absorption from the Ileum
A. Vitamin B12
137. Regarding Cardiac Coronary Autoregulation
Answer is Basic need of O2 Supply
138. Collagen Fibers
B. Most of Abundant Protein in the Body
139. Mechanism of Propyl Thiouracil
A. Causing uncoupling of Iodine
B. Decrease the Formation of Thyroid Hormone
Answer is B
140. Chlamydia is the Etiological Agent For (Asim Gyne BCQ)
A. Acute endometritis
B. Acute salpingitis
C. Chancroid
D. Condyloma latum
E. Lymphogranuloma inguinale
Answer is E
141. Defecation Reflex
A. Gastrocolic Reflex
B. Mass Reflex
Answer is A
142. Muscle of Quite Inspiration
A. Diaphragm
143. About Heart
A. Right Ventricular Pressure is 25/10
Other options are very tough & not resembling
B. Catecholamine
Answer is B
145. Increasing Age is associated with decrease of
A. Blood Pressure
B. Pulse (Heart Rate)
C. Vital Capacity
Answer is B (C is also right but in CPSP lecture classs slide answer is B)
146. First Heart Sound
A. Isovolumic Contraction
147. Endotoxin Found in Patient of
A. Sepsis syndrome
148. Neurotransmitters at Preganglionic Sympathetic Fibers is
A. Nor epinephrine
B. Acetylcholine
Answer is B
149. AIDS is Associated with
A. Decrease in Helper T cells
150. Arteriolar Dilation is associated with
A. Increase in Venous Volume
151. Soft Tissue Tumor are Associated with
A. Increase Vascularity
152. Middle Esophagus is Supplied by
A. Descending Thoracic Aorta
153. Respiratory Alkalosis & Metabolic Acidosis
A. Salicylate Poisoning
154. Which of the Following is more in Dialysis Fluid
A. Glucose
B. Potassium
Answer is A
155. Elbow Joint
A. Hinge Joint
156. Regarding Injury at Root of Lung Which one is Spared
A. Bronchiole
B. Pulmonary Ligament
C. Vagus Nerve
D. Pulmonary Artery
Answer is C
157. Costodiphargmatic Recess
A. b/w diaphragm and parietal pleura
158. In Acidosis
A. All Bicarbonates are reabsorbed from Kidney
159. Renin Secretion is Inhibited By
A. Afferent Constriction
B. Decrease Na+ delivery
C. Aldosterone
Answer is C
160. A Patient on hypertensive drugs presents postural hypotension, increase heart rate while
standing is mediated by:
A. Increase Fire rate of baroreceptors
B. Decrease Sympathetic
C. Increase Vagal Tone
D. Increase Vasomotor tone
Answer is D
161. Right Coronary Artery
A. Supplies SA node
B. Supplies Posterior Interventricular Septum
C. Arise from Anterior Aortic Sinus
Answer is C
162. Crescents are protective for Glomeruli, they are produced by
A. Endothelial Cells
B. Endothelial & Mesangial
C. Mesangial
D. Parietal Epithelium
Answer is D (Some Time Fibrin is given in spite of Parietal Epithelium)
163. Ketogenic Amino Acids
A. Leucine and Lysine
164. Zinc is Co Factor for
A. Carbonic Anhydrase
165. Infusion of Isotonic N/S what will happens
A. Increase Blood Volume or Plasma Volume
166. Regarding cerebellum which is true:
A. 6 Layers
B. Purkinje are excitatory
Answer is C
167. About DNA
A. Euchromatin is transcriptionally Active to form mRNA
B. Nucleolus helps in formation of ribosomal RNA
Answer is A
168. Organophosphorus Poisoning
A. Irreversible Ach esterase Blocker
169. Sickle Cell Defect in
A. Beta Globin Chain
170. Cell hindering the Regeneration
A. Astrocyte
B. Oligodendrocytes
C. Neuroglial
D. Microglial
Answer is C
171. Lesion of Nucleus Gracillis and Cuneatus
A. Asterognesia
B. Anesthesia
C. Analgesia
Answer is A
172. Spinal Nerves and Cranial Nerves are
A. Upper Motor
B. Lower Motor
C. Motor Unit
Answer is B
173. Uterine Atony occurs after delivery drug of choice
A. Oxytocin
B. Ergometrine
Answer is B
174. Patient having Hemoptysis and Hematuria
A. Burger Disease
B. Wegner Granulomatosis
C. Good Posture Syndrome
Answer is C
175. Child having Epistaxis and Thrombocytopenia and superficial bleeding diagnosis is
confirmed by
A. Bone Marrow Biopsy
B. CBC
Answer is A
176. Right Iliac Fossa Pain less than 24 hours, appendectomy is done and sample is given to
pathologist. The Pathologist says Inflammation is limited Serosa.
A. Normal Appendix
B. Acute mild Appendicitis
C. Acute Peritonitis
Answer is B
177. About Thyroid
A. Both Lobes are Identical
B. Isthmus is Related to cricoid
C. Moves on Deglutition due to attachment of Prevertebral Fascia
Answer is A
178. A 25 year old sprinter developed acute Leg pain while running. The next day he noticed
Ecchymosis around Ankle. He can stand on his Toes thought it Hurts. The most Likely cause is
(Asim surgery Anatomy 31 BCQ)
A. Acute arterial embolism
B. Deep Vein thrombosis
C. Herniated lumber disc
D. Ruptured Achilles tendon
E. Ruptured Plantaris tendon
Answer is E
179. Which one of the following is the characteristics microscopic feature of parietal cells of the
stomach (Asim Surgery Anatomy 119 bcq)
A. Copious eosinophilic cytoplasm and a central nucleus
B. Extensive rough endoplasmic reticulum
C. Extensive smooth endoplasmic reticulum
D. Granular cytoplasm with basally located nucleus
E. Located at the basal third of gastric glands
Answer is A
180. The Roof of the Anterior Horn of the Lateral Ventricle is Formed by (Asim Surgery
Anatomy 125 bcq)
A. Body of the corpus callosum
B. Genu of the corpus callosum
C. Head of caudate nucleus
D. Rostrum of the corpus callosum
E. Superior surface of thalamus
Answer is A
181. Axons of the Alpha Motor Neurons of the Spinal Cord (Asim Surgery Anatomy 319 bcq)
A. Are myelinated
B. Are non-myelinated
C. Pass through the dorsal root
Answer is A
182. Acetyl Choline Stimulation (Parasympathetic)
A. Relaxation of Intestinal Sphincters
183. Stored Blood has one of the following disadvantage? (Chandkian Med 1309)
A. It has unstable factor ii, vii, ix, x
B. It has un stable factor viii, ix
C. Platelet has half-life of 5 days
D. There is risk of exaggerated hemolysis
Answer is D
184. Regarding Autosomal Dominant
A. Both males and Female are affected
185. During Strenuous Exercise blood flow to muscle is maintained by?
A. Decrease pH
B. Increase arterial O2
C. Increase arterial PCo2
D. Decrease arterial O2
E. Collateral signs from Higher Centers
Answer is A or E (Chandkian Medicine 1319)
186. Regarding Ossification
A. Ossifications starts in Intrauterine Life
187. Regarding Hodgkin Lymphoma
A. Contiguous Spread
188. Patient is Hypertensive what will you prevent
A. Bouts of Cereals
B. Soup
C. Pulses
Answer No idea
189. Which of the Following is related to Lung Cancer
A. Asbestosis
190. Psos Major Muscle
A. Contain Lumber Plexus
B. Covered by Medial Arcuate Ligament of Diaphragm
Answer is A
191. A case of Comb Test Positive with increase Reticulocytes
A. Autoimmune Hemolytic Anemia
192. Coagulation Necrosis
A. Preserved Margins
17-Involvement of actin, myosin and clathrin. Which type of transport is this? a.Primary active b.Secondary
active c.Facilitated d.Simple e.Carrier mediated (c.m)
18-Most carcinomas contain a.Keratin b.Desmin c.Vmentin
19-Characteristics of malignancy a.Pleomorphism b.Invasion
20-Characteristics of dysplasia -Microscopic feature in prolonged use of alcohol
21-41% hematocrit means?
22-Most common inherited bleeding disorder? a.Factor X b.Factor VIII c.Von wilibrand
23-In case of Vitamin K deficiency which factor is depleted first? a.XI b.II c.VII d.V
24-Calculation of Urinary clearance and Dead space
25-Vessel along left phrenic nerve? a.Internal thoracic artery (internal thoracic ) b.Superior thoracic artery
26-Hemorrhagic shock of 2L of blood. What is expected? a.Coronary blood flow of 250ml b.Increased venous
return Increased tpr
27-Intake of 140mEq/mL. What will happen? a.Increased plasma osmolarity b.Increased icf osmolarity
c.Increased ecf osmolarity d.Both icf and ecf osmolarity
28-RTA. Patient in shock. Cause? a.Profuse blood loss b.Bladder injury
29-Immunosuppressants given after transplant surgery. What is the important concern? a.Decreased T cells
Increased susceptibility to bacterial infections
30-Which of the following is immunostimulant? a.Cortisol b.Beta endorphin GH
31-which of the following is assessed in triple assessment for congenital defects? a.Serum estrogen b.Serum
progesterone Serum estriol Serum estradiol Serum estrione
32-Female gravida 1 is unable to lactate her baby even after her utmost desire . She has a history of post
partum hemorrhage. What could be the cause? a.Asherman syndrome b.Sheehan syndrome
33-Turner Karyotype?
34-Bee sting allergy. Most important mediator: a.Bradykinin b.Heparin
35-Hylaine cartilage is present in which tissue?
36-what type of joint is present between two parts of mandible during 1st year of life? a.Gomphosis
b.Syndesmosis c.Symphysis d.Suture
37-nerve supply of central part of parietal diaphragm
38-Prolonged use of paraffin leads to deficiency of which vitamin? a.Thiamine b.Biotin c.Vitamin A d.VITAMIN
B e.Vitamin C
39-Hypothyroidism increases? a.Tolerance to cold b.Serum cholesterol c.BMR
40-Hippocrates Oath a.Confidentiality b.Doctors rights c.Sexuality
41-Patient with atypical TB. Hes most likely to be? aResistant to ATT
42-Which nerve arches over the arch of aorta? a.Left phrenic b.Left vagus c.Left recurrent laryngeal d.Left
sympathic trunk
43-Location of geniculate ganglion
44-most common site of abscess in brain
45-Where is glabella located?
46-enzyme in salive that prevents utilization of iron by bacteria? a.lactoferin b.igA proteases c.lysozyme
(lactoferin)
47-Sequestration of ca a.SER b.T tubules c.Trponin (SER)
48-Pluropotent stem cells signald by a.Bone marrow edothelium b.Reticular bone marrow cell c.Regenratve
cells d.Blood cells n epithelium are labilr (bonemarrow endo)
49-Neoplasm is malignat v put in stage 1 -4 stage 1 would b a.Ca in situ b.No malignant potential
50-2nd wk of life development of which structure blastocyte
51-Sympethetic effect a.Inc heart rate b.bronchocnstricton (inc heart rate)
52-Stress hormone inc in stress a.Cortisol b.Cortol c.Cortorele d.Catecholamine (coritsol)
53-Adrenlectomy taste inc for a.Nacl
54-Inherited disease a.Won willbrand b.Factor 9 def (WVB)
55-Senario like BT 20 Ct 18 i thnk plt 180,000 disordr
125-regarding ICA a.enter in skull through squamous temporal lobe. b.lie on lateral side to ECA at origin n then
move medially as in ascends in skull give ophtalmic branch
126-femoral artery relation with vein a.lateral b.anterolateral c.posterolateral
127-which physiological function loss in lab test of urine specific gravity? a.concentration b.filteration
c.secretion d.blood flow e.reabsorption
128-trochoma? a.bacterial conjunctivitis b.viral conjunctivitis
129-superior thyroid aretry is branch of? a.external carotid b.interal carotid
130-person having systolic pressure
132mmhg. diastolic pressure 66, mean arterial pressure would me..? a.66mmhg b.111mm Hg c.88mmHg
131-normally physiological functionn of placenta ,is a barrier b/w? a.maternal n fetal blood b.barrier for drugs
c.barrier for nutrition d.barrier for immunoglobulins
132-anterior pituitary tumor will mostly cause damage to which nerve? a.trochlear b.optic
133-PTH most sensitive to? a.total serum b.serum calcium c.1,25(OH)D3 d.serum PO4
134-woman having whiplash injury during PTA, damage C5 C6 nerves, which of the most disability she is
having? a.flexion of forearm b.extension of arm c.adduction of shoulder d.medial roation of shoulder
e.extension of finger
135-a new research, study on some therapy regarding smoking, cessation.he divide 40 smokers and on
volunteer therapy.after some time he asked about the daily smoking ciggerates from all 40.what key
component is missing? a.hypothesis b.random distribution c.dependent distribution d.independent distribution
136-thyroid follicles cell releasing thyroxin derived from? a.endoderm b.ectoderm c.mesoderm d.endo n
mesoderm
137-in developing sudden exeruciating chest pain, bp 90/50 mmHg with dislocation of crystalline lens, cause?
a.mallory-weise syndrom b.rupture aortic aneurysm
138-regarding heart sounds? a.S2 is usually long b.audible on area of heart valves more precisely
139-cystic fibrosis sweat chloride test
140-what cause gastric emptying metoclopramide
162-during short period of atp synthesis.energy is provided by a.phosho creatine b.kreb cycle
163-cvs part solely controled by? ANS?
164-most characteristc feature of polycythemia: a.hyperplastic change b.>50% in hct
165-active transport require pumps or carrier protein (pumps)
166-vascular component of meninges (piamatter)
167-excessive use of liquid paraffin on skin causes?
168- thorn prick on skin, organism? vit A deficiency niacin thiamine
169-gemfibrozil? increase TG clearance
13th August 2015
1-Surfactant Increase compliance
2-Cell mem strct primarily maintain by a.Endoplasmic reticulm b.Cholesterol bilayr c.Golgi apparatus
3-adverse reaction of drug depend upon a.Small dose small b.variable
4-Enzyme may b fall in liver injury a.Alt b.Alp c.Ast d.Ldh
5-Diarrehea normal anion gap met acidosis
6-Thorn pick absess Staph aureus
7-Rite kidney ant relation a.Duodenum b.liver c.hepatic colonic flexure
8-Loss of memory senario Temporal lobe
9-Senario pt havin acute appedixitis havin forgetdulness unable to give consent,came wd a wife,take consent
from a.Wife b.Ask senior c.Reaskd from him
10-resection of terminal ileum?
11-after gastrectomy (vit b12)
12-fracture neck of fibula (peroneus longus)
13-pt cannot comb hair ( spinal accessory)
36-corticopsinal track ends at which level? a.upper cervical b.mid thoracic c.lumber d.spinal cord e.ower
thoracic
37-person working in farm develop lesion in foot a.cutaneous larva migrans b.cutaneous leshminiasis
c.dracanculus
38-soldier in balochistan came with complaint of fever mailaise hepatomegaly spleenomegaly, used to sleep on
floor, history of bites of fly? a.malaria b.kalazar c.cml (kalazar)
39-warthin starry stain used for a.spirochete b.chlymdia c.mycobacterium d.neisseria
40-nerve loops around arch of aorta? a.vagus b. reccurrent laryngeal
41. phrenic nerve runs on left side with? a. RCA b.LCA c. pericardicophrenic artery
42-after abdominl n gynaecological surgery cause which kind of Infection (becteroids)
43. Which factor def causes thrombosis instead of bleeding Factor 5
44. hypovolaemia with hypotension isoflurane shud not be given,why? Potent vasodilator
45. Otic ganglion location foramen was asked Superior border of foramen ovale
46. Increase in interstial fluid cause Inc. capillary permeability
47. Rite sided weekness with babinkis positive all UMN lesions no sensory loss whr is the the lesion a.left
internal capsule b.left broadman area 4 resection
48. Epitheluim of preterminal bronchiole Pseudostratified squamous
49. Mesiothelioma exposure to wat Asbestos
50. Trachea coverd by pretracheal fascia True
51. Radiation causes cancer aftr how much yrs 5-10 years
52. Premalignant lesions are a.Metaplasia of endocervix b.Dysplasia c.Condyloma, skin
53. Weeknes in abduction of fingers nerve involve is Ulcer
54. Sciatic nerve severed, dorsam of foot supplied by which nerve?? a.saphenous nerve b.Sural nerve
c.Comman paroneal nerve
55. Lidocaine overdose seizures
56. Loss of knee flexion and hip extension muscle involved is Semitendinous
57. muscle which causes flexion of elbow and supplied by radial nerve Brachioradialis
58. Breast lower medial quadrant will not drain into a.inf phrenic nodes b.Pectoral nodes c.supraclavicular
nodes
59. volume of distribution
60. Probablity of difference between the two medians
61. lack of comunication and understanding between doctor and patient is due to?
62-a know patient of lumbago, presented with acute chest pain, o/e tenderness found in the left posterior 3rd
and 4th intercostal space, bp normal, pulse normal likely diaganosis a.costochondritis b.spondylitis c.dissecting
aortic anurysm
63-denticulate ligament
64-dura matter extension is present b/w
65-hormones during sleep
66-which vascular leison is present in rheumatic fever>
67-Most comman skin cancer in HIV a.sq. Cell carcinoma b.Basal cell carcinoma c.Malignant lymphoma
68-Collagen tat gives strenght during wound healing a.Type 1 b.type 3
69-major blood buffer? a.hb b.hco3
70-Whch type of joint is it, TMJ?
71-whch type of articular cartilage TMJ has?
72-Whch ligament is formed by parotid fascia?
73-chest pain and fever not related to respiration a.Costochondral junction b.Pericarduim c.Myocarduim
74-in later stage of pregnancy oestrogen and progesterone produce by a.corpus luteum b.ovaries c.placenta
d.ant pituitary E.post pituitary
75-Q.which one of the following cause coronary vasodilation a.adenosine b.NO
76-.true about skeletan develop from a.ectodem b.mesoderm only c.mesoderm and neural crest. d.somatic
mesoderm e.splanic mesoderm
77-In carcinogenic shock u vl give first a.adrenaline b.dopamin
78-.a pallor child xray skull showing hair end appearance next invasion a.xray skeleton b.peripheral smear
c.bone marrow aspiration d.Hb electrophoresis
79-.true about denticulate ligament a.extension of duramater b.separate dorsal & ventral root c.extension of
filam terminale D.BTW vertebrae and spinal cord
78- A patient has hypercouagable state having def of a.factor viii b.factor ix c.factor x D.factor xiii E.factor v
79-difference BTW skeletal and smooth muscle a.ca calmodulin b.directly activated by ca
80-Infectious mononucleosious
81-which valve is involved in Limb sack endocarditis
82-Graves disease scenario
83-V wave denotes?
84-Abdominal angina cause by obstruction to a.Inf mesenteric b.Sup mesenteric
85-middle colic is the branch of? Superior mesenteric artery
86-geniculate ganglion is located in?
87- taste sensation is carried to the cortex through?
88-folic acid deficiency leads to ? megaloblastic anemia
89-anterior fonatnelle closes at?
90-sphincter urethra is supplied by? pudendal nerve
91-two point discrimination? merkel disc
92-ANP theraptcally useful in? hypertension
93-beta blocker?
94-functional platelet defect
168-in shock, which will pressure body as a whole? adreno-sympathetic or CNS inchemic response?
169-scenario: dec BP and activation of renin angiotensin system, which response will help? Vasocontriction
Thirst ADH
170- crecenteric morphology associated with?
171-least creatinine clearance? a.glucose b.urea c.HCO3 d.na
172- most abundant antibody? IgG
173-case od blunt abdominal trauma, whch of the following will NOT go from G node to G1? a.smooth muscle
b.liver parenchyma cells c.symphysis
174-b/w pubic bones type of joint ?
175-what is true regarding T cells? a.mostly t cells present peripherally b.processing done in thymus after birth
176-in long bones, after birth, secondary centre of ossification? a.diphysis b.epiphysis c.metaphysis
d.membranous bone
177-after hepatectomy, mitogenic factors for genration?
178-related to sex linked disorders usually cause in males
179- which is pre malignant lesion? a.dysplasia b.condyloma skin
180- most imp factors for metastasis a. migration of tumor cells b.attachment wid extracellular matrix
181-case of study done in pts with t4N1M1 stage with survival of <50% of 5 years. what will be true? cachexia
182- epicardium is supplied by?
183- a statistical test observed differences b/w 2 means been by chance? a.variance b.correlation c.ratio
184- definition of volume of distribution
185- which amino acid deficiency in cell injury? a.histamin b.glycin c.tyrosine
186-Damage to male urethra below uroginital daighram, urine vl go into a.Retropubic space b.Medial thigh
c.Superficial perineal space d.Isciorectal fossa
187-Sartoli cells, most appropriate is a.produce fluid rich in glucose and protiens (nutrients) b.Mentain blood
testis barries
29. true regarding vertebal colmn a. all thoracic vertebrae hav articular facet for ribs b. lumbar curve is
maintained in adults c. aeach vertebrae can be identified individually in adults
30. regarding heart a. left atrium has thicker wall than rt atrium
31. least clearance is for (something like that) a.hco3 b. urea c. glucose
32. the amount of plasma required to reach the nephron to excerete the amount of it in urine is (something like
that) a.filtration rate b. clearancE
33. young male with malar rash, arthralgia/arthritis, endocarditis ANA postive.. something about complement
C1q (dont rem the full scenario), a. antigen antibody complexes (is it SLE?)
34. pt lost 8% blood in 30 mins, whch volume is significantly reduced a venous blood b. capillary blood (venous
blood)
35. thyoid gland a. active forms had follicles with colloid b. isthmus at 4 and 5 tracheal rings c.
36. most of active thyoid hormone released into circulation is a. T3 b. T4 (t4)
37. NON FLUNT aphasia.. brocas
38. all the sensry input to primary somatosensory cortex will be lost if following set of structures are damaged
a. dorsal column , grey matter of spinal cord, trigeminal , solaitray nucleus b. dorsal coulm, grey matter of sp
cord, trigeminal 39, retinal changes in hypertension a. AV nipping b.retinal detachment c. exudates.. it wasnt
hard exudates. some other kind of exudate was mentioned. dont rem its name
38.thymus a. single lobed structure b. lies on sternothroid and sternohyoic. c.aorta lies ant to it d. it regress aftr
birth
39. virus related cancer a. T cell leukemia b.renal carcinome c.small cell carcinoma
40. paraneoplastic syndrome a. small cell carcinoma
41. construction worker with resp problem, plaque like lesion on lungs a. silica b. Asbestosis (ANS)
42. ingunal canal. a. ant sup ilaiac spine to pubic tubercle b. conjoint tendon forms its upper boundry
43. abundant antibody.. igG
44. histamine release a. fentanyl b. morphine (morphine)
45. arterial supply of epicardium a. internal thoracic b. pericardio phrnic
46. regarding renal vessels a. rt vein is longer than left b. left renal vein lies ant to aorta and lft renal artery
(ans)
47. adrenal is seperated from kidney by?? a) peritoneal fascia b) renal fascia c) perinephric fat (ANS)
48. bladder cancer.. schistosoma hematobium
49. young boy e pallor.. crew cut appearance on xray.. dignostic test. a. hb electrophoresis b. bone marrow
aspiration (hb electrophoresis)
50. iron stored in females a.6gm b. 4gm c. 3gm (3gm)
51. olfactory cortex a. ant perforated substance b. calcrine sulcus c. lateral olfactory area
52. hepatocyte regeneration 10 days
53. whch of these stimulate erythroid stem cells to proliferate and differentiate a. erythropoiten b. growth factors
c gorwth hormone d, androgens (growth factor)
54. pt with lower back ache and pain at posterior thigh. dr tells him the longest nerve of body is involved.
origin? a. saccral plexys b lumbosaccral plexus c thoracolumbar. d.brachial
55. saliva a. normally acidic ph b. predominantly mucoid in normal conditions c. has Na and K less than plasma
(mucoid in normal condition)
56. dialysis fluid. a. has less hco3 than plasma b. has more glucose than plasma (has more glu than plasma)
57. one question was regarding glysolysis in rbc,..
57. pt has defeciency of glucose 6 phosphatase finding a. hyperglycemia b. hypoglycemia c. no glycogen
(hypoglycemia)
58. puberty a. high gonadotrophs
59. hashimoto thyroidistis. a. anti tsh antibodies b. anti microsomal and anti thyroglubulin (anti tsh antibodies)
60. source of estrogen and progesteron in late pregnancy a. ovary b. corpus leuteum c. placenta (placenta)
61. ovarian fossa related injury.. vessel involved a. internal iliac b. external iliac (internal iliac)
62.in mature follicle, the ovary is surrounded by mound of cells called a. cumulous oophrous b. corona radiata
c. antrum (corona radiata)
63-Defeciency of surfectant causes A. Decrease recoil of lungs B. Decrease complaince
64-at basal side of seminefeous tubules there are cells that form mature sperm cells a. spermatis b. type A
sprematogonia c. typre b spermatogonia d. primary spermatogonia
65-.diphylobotrium latum causing megaloblastic anemia
66- rt cornoary artery a. has two branches that supply ant surface of rt ventricle b. has two branches one of
which supplies diaphragmatic surface of rt ventricle
67. angiotension does long term regulation of BP thorugh a. vasoconstrictiom b. activating aldosterine release
(activating aldosteron release)
68. inc interstitial fluid by a. hypertension b. inc cappilary permeability c.inc capiilary hydrostatic pressure (inc
hydrostatic pressure)
69. pt with Ph7.4.. po2 8KPa , hco3 4kpa diagnosis a. resident at high altitude b. compensated resp
alkalosis. c. metaolic acidosis d. resp alkalosis
70. premalignant lesion a. dysplasia b. condylomata c. cystic hyperplasia of endometrium d. endometrial
hyperplasia (dysplasia)
71. cimetidine differ from ranitidine bcz ranitidine a. has lesser cns toxicity b. causes acid secretion (lesser CNS
toxicity)
72. digoxin is a doc for a. atrial fib b. heart block c. vt (atrial fib)
73. in shock body response as a whole a. cns ischemic respoce b. adrenosympathetic (adrenosympathetic)
74. After removing fundus of stomach wat will happen ??? A. Decrease receptive relaxation B. decrease
production of gastrin
75-75-1: After adrenalectomy taste is increased for ??
76: Adrenal vein drains into ??
77: Insulin secretion increased A) GIP B ) VIP C ) Somatostatin
78: End of marathon, levels of insulin and glucagon
79: Definite diagnosis of malignancy a.Local invasion b.Metastasis
80- Hypertrophy definition?
81-Which nerver lateral to trachea
187- loss of heat by sweating most probably involve? a. loss of heat by radiation b. by evaporation c.
vasodilation d. excessive sympathetic activity
188- age of embryo for an 14 dat of which is commonaly used? a. last mentural period b. fertilization
189- pt having 2 litr of blood loss show a. dec in stroke vol b. negative feedback compensation
190- about stomach a.parasympathetic activity increASE the muscular movement b. parasympathetic activity
increase enzyme secretion
191- pt with SIADH show hyposmolar overhydration
192- slow growing tumor of thyroid? papillary carcinoma
193-which condition show normal MCV MCHC MCH? a. a pregnant lady taking no vit b. blood loss before 2
days c. thalasemia
194-renal excretion of drug? affected by glomerular filtration
195-depression of parasympathetic activity increase pulse rate
196- stomach fusiform bud appears in a. 6 wk b. 4 wk c. 4 mnth d. 10 wk
197- virus cause cancer orcosones
198-left afrenal drain into left renal
199- mifipristone is a.antiprogestin b.antiestrogen
200-child with fever nausea vomiting- tender swelling of submandibular gland along with left tensticular
enlargement, his collegues also suffer from this mumps n measls
201-40 yrs lady hypothyroidism having mass-endrocrinologist advise FNAC, it shows increase lymphocytes a.
thyroid lymphoma b. follicular adrenaloma c. thyroid carcinoma
202-increase bone growth, irregular thickening due to? increase parathyroid hormone
203- epidural space contain? venous plexus
204- female; changes in RBC shape n size, microcytic hypochromic, what is missing in her diet? iron
2 05- SVC commence opposite to L5
206- heart shaped body thoracic vertebrae
32- Corrugated plaque on lateral surface of tongue. a.Hairy Leukoplakia b.Leukoplakia c.candidiasis
33- Painles swelling on mid palate. firm non tender Pleomorphic adenoma muco epidermoid CA
34-Painless hard swelling on mid hard palate?? palatine torus
35-anti thrombotic effect of aspirin is by?? Blocking cyclo-oxygenase pathway
36-venous return decreases in a. skeletal muscle paralysis b. femoral arteriovenous fistula
37-decreased ventricular filling in increase HR (stem) due to a/ diastole is decreased more than systole b.
diastole decreased, systole remains normal
38-abscess contain a. dead bacteria b. dead neutrophils
39-post interventricular branches of riye coronary artery a. 2 in no. b. 3 in no. c. 2 no, n supply the
diaphargmatic surface of heart
40-trigeminal nerve a. has 3 ganglion b.supplies temporalis c. area around angle of jaw
41- among following hooks/ arches around the root of left lung a. left vagus b. left phrenic nerve
42-pt with paller, dysphagia .. hb.6h/dl, MCV 68, MCH 24, loner cells, cause is a. iron def b.ACD c.thalassemia
d.
43-most common cause of fat necrosis in peritoneum acute pancreatitis
44-acute appendicitis, a young man had appendectomy predominant cells found neutrophils
45-lady has breast implant leakage of implant some lump/ inflamation found, most likely cells to found giant
cells
46- most commonly associated with bronchigenic CA asbesbs silica berylium
47- non IDDM woman, had abdominal surgery,8 days after developsy SOB, shock cause of P.E is a. fat
embolism b. amniotic c.thromboembolism
48-aphasia , damage in a.parietal lobe b.temporal lobe c.frontal lobe
49-p5 with water deprivation n SIADH secretion difference will be
50- plasma osmolarity will be decreased by injection of a.aldosteron b.vassopressin c.hypertonic glucose
d.normal saline e, albunism
1. 6 weeks pregnancy tenderness in RIF.she tested at home and preg test was positive a.appendicitis
b.Ectopic
2 .there is a stone in ureter at pelvic brim which structures surgeon must know are near to it a.Sigmoid colon
b.Desending colon
3.receptor on adrenal gland a.Alpha 1 b.Beta 1 c.Beta 2 d.Nicotinic
4-.skeletal muscle neuromuscular plate a.Acetylcholenestrase b.Norepi
5-.breast cancer after manopause a.Drug give b.Tamoxifen?
6-.NMDA blockade related to a.GABA b.Glycine c.Glutamine d.Serotonin
7-.ph 7.36 a.Pco2 30 b.Bicarb 16
8-.patellar tendon hit a.Quadratus contracts b.Golgi tendon c.Muscle spindle afferent
9-.sigmoid colon a.Supplied by left colic b.At pelvic brim
10-.pectoral lymph nodes drain which breast quadrant
11-.least malignant a.Hepatoma b.Adenoma
12-.appendicectomy may damage whic structure?
13.processus vaginalis a.Covers only testis?
14-.inguinal ligament a.Iliohypogastric passes through it b.From anterior sup iliac spine to pubic tubercle
15-.which one in amniotic fluid is specific for doagnosis Wbcs
16-.pt under treatment for pulm tb
17-Which drug causes (eye related koi side effect tha) a.Ethambutol b.Pyrazinamide c.Isoniazid d.Rifampicin
18-.flu like illness self limiting ,On gram stain no identifiable organism but neutrophils seen M.avium
19.difference btw plasma and ICF osmolarity No difference?
20-.on ecg QRS complex starts a bit early to a.Ventricle systole b.Ventricle filling
21-.least movable joint during child birth a.Symohysis 22-.y ovaries dont go or fall in pelvis Uterus
B. HCO3 C. Phosphate 89-. Essential amino acid not produced but include in diet A. Phenylalanine (ans) B.
Tyrosine C. Guanine D. Alanine 90-. Silicon breast implant scenario later inflammatory changes A. Neutrophil (
marked ths but not sure) B. Plasma cells 91-pleural effusiin best drained from a.Upper border of lower rib b.Mid
axillary line c.Mid clavicular line 92- Immunological way to attack (some thing) a.TB b.Treponema
c,Mycobacterium leprae 93-. Regarding polycytemia Vera A. Increase blood concentration B. Increase RBC
mass C. Increase RBC concentration D. Melo fibrosis 94-. Type 1 hyperlipidemia A. Defect at HDL surface
receptor or antigen 95-. Most common cause of congenital male infertility A. Cryptoradism (ans) B. Malunion of
ejaculatory duct C. Loss of function of seminal vesicles D. Blockage of vas deferens
96-. Most commonly fractured bone in hand A. Scaphoid (ans) B. Pisiform C. Lunate D. Hemate
97-. Ulnar nerve supply A. Medial 2 lumberical (ans) B. Small muscles all
98-. Frontal eye field blood supply by A. ACA (ans) B. MCA C. PCA
99-. Thumb n finger representation area A. Dorsal n ventral nucleus gracilis B. Dorsal n ventral nucleus cute
ous C. Medial n lateral nucleus gracilis D. Medial n lateral nucleus cunatous E. Lateral n medial nucleus gracilis
100-. Regarding posterior cranial fossa A. Facial nerve pass through internal acoustic meatus ( ans) Forgot
other options
101-. Patient with increased intracranial pressure n papilledema A. Hydrocephalus (ans)
102-. 12 years old boy not responding to antidiarrheal drugs, n have partial villus atrophy with positive PAS
positive macrophages, diagnosis A. Giardiasis (ans) B. Celiac disease C. Whipple disease D. Lymphoma
103-. CO2 diffuses greatly than O2 due to A. Diffusion coefficient ( ans) B. Increase pH C. Increase water
solubility
104-. Ribosomes A. With ER formed cytoplasmic protein synthesis (ans but nt sure) B. Protein synthesis
105-. Pus in boil of nose or any organ A. Dead neutrophils (ans) B. Dead bacteria
106-. Greatest renal clearance by A. Inulin (ans) B. PAH C. Albumin
107-. About plasma osmolarity A. Vasopressin (ans) B. Hypertonic saline solution C. Isotonic saline solution D.
Aldosterone E. 20% albumin
108-. Which bone formed medial longitudinal arch A. Tallus (ans) B. Calcaneus
109-. Cavernous sinus thrombosis which vein involve A. Inferior ophthalmic vein (ans) B. Sup ophthalmic vein
110-. Rupture of middle cerebral artery A. Epidural hematoma (ans) B. Subdural hematoma C. Subarachnoid
hemorrhage
=-=-=-
reach completion.
Best of luck to all those who have yet to give their exams.
1.
2.
neoplasia
3.
chalmydia
4.
5.
6.
cuboidal epithelium
7.
ulnar nerve
8.
9.
10.
pretracheal fascia
11.
Destroying first order neurons of somatosensory pathway would involve destruction of:
A. dorsal column, grey matter of spinal cord, main trigeminal nucleus
B. dorsal column, grey matter of spinal cord, main trigeminal nucleus, facial nucleus
C. dorsal column, grey matter of spinal cord, main trigeminal nucleus, nucleus of tractus solitrius
D. medulla/pons, grey matter of spinal cord, main trigeminal nucleus (?)
E.
[?]
12.
13.
Patient has severe pain in a dermatomal distribution at and around his chin and a skin eruption
A. Herpes zoster
B. Trigemminal neuralgia
C.
D.
E.
[?]
14.
D.
E.
[?]
15.
16.
Metaplasia:
A. functional change in cell (?)
B.
C.
D.
E.
[?]
17.
18.
19.
old lady, bed bound after CVA, has an episode of SOB, develops pleuritic chest pain 2 weeks
later, later on has another CVA and dies. at autopsy lung shows wedge shaped infarct/lesion (?).
Which is most likely:
A. thromboembolism
B.
C.
D.
E.
[?]
20.
D.
E.
21.
Which of the following will adversely affect the doctor-patient relationship (?)
A. Hurried attitude
B. Use of jargon
C.
D.
E.
[?]
22.
Which is most important in preventing spread of infection between patients in the ICU:
A. frequent hand washing between patients
B.
C.
D.
E.
[?]
23.
A 28 year old (?) female with 12 weeks amenorrhea, frequency of micturition and burning
sensation during urination. What is the most likely dx:
A. Early pregnancy
B. UTI
C.
D.
E.
24.
25.
26.
27.
28.
Calcitonin:
A. useful in hypervitaminosis D
B. is a 32 amino acid peptide
C. must be administered parenterally
D.
29.
30.
Inguinal canal:
A. roof is formed by conjoint tendon
B. floor is formed by fascia of thigh
C. transmits iliohypogastric nerve
D. extends from anterior superior iliac spine to pubic tubercle
E.
31.
32.
33.
34.
D.
E.
35.
36.
which of the following is responsible for preserving the organism "as a whole" in shock state
A. sympatho-adrenal discharge
B. pulmonary circulation
C. CNS ischemic response
D.
E.
37.
38.
a 45 year old (?) man comes to you as he is concerned about coronary heart disease and his
high cholesterol. He is asymptomatic. What would be the most appropriate advice to him at this
time:
A. reduce fat intake
B. reduce carbohydrate intake
C.
D.
E.
39.
40.
41.
C.
D.
E.
[A - Big Robbins, 8e, ch6, table 6-15]
42.
43.
6 year old child (?), "total bilirubin 11.1, conj 10 unconj 1.1":
A. hepatitis
B. wilson's disease
C. hemolysis
D. gilbert's syndrome
E. criggler-najar syndrome
44.
[Question]
A. dermatome at junction of costal margin and midclavicular line is T8 (?)
B.
C.
D.
E.
45.
46.
Presence of normal tissue at an abnormal site is known as choristoma. An example of this is:
A. Pancreatic tissue in submucosa of stomach
B. Thyroid tissue in posterior third of tongue
C. Pancreatic tissue in tongue
D.
E.
[A big robbins 8e ch7: For example, a small nodule of well-developed and normally organized
pancreatic substance may be found in the submucosa of the stomach]
47.
E.
[B - http://www.ncbi.nlm.nih.gov/pubmed/16813730]
48.
49.
50.
51.
52.
53.
54.
55.
Which fluoroquinolone is the preferred drug for treating combined infection with gonorrhea and
Chlamydia:
A. ofloxacin
B. ciprofloxacin
C. nalidixic acid
D. levofloxacin
E.
[A/B/D? CMDT 2013 ch33 p1453 and 1462 (& others) current recommendations may have
changed, according to CMDT quinolones are no longer recommended, previously cipro was used
for both and may be the correct answer in the key. CMDT mentions levofloxacin for both
gonorrhea and Chlamydia but not in combined form, over the net, you may find that oflox is the
preferred drug]
56.
57.
58.
A statistical test to determine whether the difference observed between two means is by chanec
is a test of:
A. variance
B. significance
C. reliability
D. validity
E.
60.
61.
62.
Two groups of patients, one exposed to a risk factor and the other unexposed are followed over a
period of time, this type of study is known as:
A. case-control
B. cohort
C.
D.
E.
[B First Aid 2015 p48]
63.
Description of a cancer patient with metastatic cancer including TNM staging, the most prominent
feature would be:
A. cachexia
B.
C.
D.
E.
[A Goljan 4e ch9 p218 very common complication of disseminated cancer]
64.
The parts of bones which develop by secondary centres of ossification after birth are called:
A. metaphysis
B. diaphysis
C. growth plate
D. epiphysis
E.
[D Lasts anatomy ch1 p6]
66.
Which of the following hormones causes vasoconstriction of both arterioles and veins:
A. angiotensin 2
B. epinephrine
C. angiotensin 3
D. ADH
E.
[B
Guyton 13e ch19 p235 (regarding angiotensin 2) Vasoconstriction occurs intensely in the
arterioles and much less so in the veins.
Guyton 13e ch76 p949 Whereas minute concentrations of ADH cause increased water
conservation by the kidneys, higher concentrations of ADH have a potent effect of constricting the
arterioles
Rang and Dale 8e ch12 table 12.1 both arterioles and veins bear alpha adrenergic receptors]
67.
68.
[question]
A. if Vd < 10L, drug is mostly present in blood
B.
C.
D.
E.
[unreliable references over the internet confirm A, but without knowing the other options and
question there is no way to be sure]
69.
A man injured in an RTA with fractures of humerus, femur and collarbone; pulse 120; BP 90/60
which should be done first:
A. fluids
B. X ray of fractured bones
C. splinting
D. reduction and casting
E. tracheostomy
[A]
70.
6 year old (?) child with history of excessive bleeding from cuts and easy bruising, no such
family history. Also complains of diarrhea/steatorrhea. What is the cause of bleeding?
A. liver failure
B. vitamin K deficiency
C. Christmas disease
D.
E.
[B?]
71.
72.
73.
74.
75.
D. HCO3E. pH
76.
77.
78.
79.
80.
Loss of 8% blood volume gradually over 30 minutes(?), without fall in BP, greatest amount of
blood is lost from:
A. veins
B. arterioles
C. capillaries
D. arteries
E.
[A Guyton 13e ch15 p180 Enhancement of sympathetic tone, especially to the veins, reduces
the vessel sizes enough that the circulation continues to operate almost normally even when as
much as 25 percent of the total blood volume has been lost.]
81.
Joint between two pubic bones which, in the female, may spread apart during pregnancy:
A. symphysis
B.
C.
D.
E.
[A - Lasts anatomy 12e ch1 p6]
83.
Number of brochopulmonary segments in upper, middle and lower lobes of right lung3,2,5
A. 3,2,5
B.
C.
D.
E.
[A Lasts anatomy 12e ch4 p216]
84.
85.
86.
87.
A. Hepatitis E
B.
C.
D.
E.
[Robbins 8e ch18 table 18-4. Hep A was not included among options]
88.
89.
90.
91.
35 year oldA woman complains of chronic cough for 3 months, cough is relieved after she goes
on vacation, it restarts upon her return when she starts taking care of her pet birds again. CXR
shows pattern diffuse interstitial and nodular shadowing. What is the cause of this pattern: (?)
A. Mycobacterium kansasii
B. diffuse interstitial fibrosis
C.
D.
E.
[B? Davidson 21e ch19 p710-11 and table 19.86 Hypersensitivity pneumonitis/Bird fanciers
lung see also Robbins 8e ch15 Hypersensitivity pneumonitis/Bird breeders lung]
92.
Construction worker X ray shows pleural plaques most likely cause: (?)
A. asbestosis
B. silicosis
C.
D.
E.
[A Robbins 8e ch9 and 15]
93.
Which of the following drugs would you prescribe in a patient with cardiogenic shock:
A. epinephrine
B. acetylcholine
C. dopamine
D.
E.
(Dobutamine not an option)
[C? Davidson 21e ch8 p194]
94.
95.
Young male with raised red-purple nodular lesions on arms, also has watery diarrhea, oral thrush.
Causative agent:
A. human herpesvirus 8
B.
C.
D.
E.
[A? Robbins 8e ch11 Kaposis sarcoma?]
96.
97.
[clinical scenario of goiter] which would confirm the diagnosis of Hashimotos thyroiditis (?)
A. anti-thyroglobulin and anti-microsomal antibodies
B. anti TSH antibodies
C.
D.
E.
[A - Davidson 21e ch20 table20.8]
98.
99.
100.
An ABG report from a patient shows pO2 8kPa pCO26kPa pH 7.4, diagnosis/cause:
[normal values were NOT given]
A. resident at high altitude
B. compensated respiratory alkalosis
C. metabolic acidosis
D. respiratory alkalosis
E. alveolar hypoventilation
[E Davidson 21e ch28 table 28.2 partial pressure of oxygen is markedly reduced, while other
values are within normal ranges]
101.
102.
103.
A woman cuts her finger, the bleeding stops after a few seconds, which mechanism is
responsible:
A. vasoconstriction
B. platelet aggregation
C. clot formation
D.
E.
[A (?) Robbins 8e ch4 After initial injury there is a brief period of arteriolar vasoconstriction.
The effect is transient, however, and bleeding would resume if not for activation of the platelet
and coagulation systems.
104.
105.
106.
107.
The volume of plasma that would be necessary to supply the amount of substance excreted in
the urine per unit of time is known as:
A. Clearance
B.
C.
D.
E.
[A Guyton 13e ch28 p365 Thus, clearance refers to the volume of plasma that would be
necessary to supply the amount of substance excreted in the urine per unit of time.]
108.
E. IgD
[A Guyton 13e ch34 p470 IgG, which is a bivalent antibody and constitutes about 75 percent
of the antibodies of the normal person
109.
Patient has RTA and blunt trauma to the abdomen, cells will enter G 1 from G0 to begin
regeneration, which will remain in G0:
A. Hepatocytes
B. Gut epithelium
C. Skeletal muscle
D. Endothelial cells
E.
[C - Robbins 8e ch3 Nondividing tissues contain cells that have left the cell cycle and cannot
undergo mitotic division in postnatal life. To this group belong neurons and skeletal and cardiac
muscle cells
110.
Kallmans syndrome:
A. hyperosmia
B. hypergonadism
C. arcuate nucleus
D.
E.
[C - http://www.britannica.com/science/gonadotropin-releasing-hormone]
111.
Dissociative anesthesia; loss of pain and temperature but intact touch and vibration (?)
A. tabes dorsalis
B. syringomyelia
C.
D.
E.
[B - Davidson 21e ch26 p1157 Lesions in the centre of the spinal cord (such as syringomyelia
(see Box 26.108 and Fig. 26.56 (p. 1225)) spare the dorsal columns but affect the spinothalamic
fibres crossing the cord from both sides over the length of the lesion. The sensory loss is
therefore dissociated (in terms of the modalities affected)]
112.
113.
114.
115.
Scenario of sciatica. The doctor informs the patient that the longest nerve in the body is
involved. Fro where does this arise:
A. lumbosacral plexus
B. brachial plexus
C. sacral plexus (?)
D.
E.
[C (/A?) Lasts anatomy 12e c5 p327 the sciatic nerve is the largest branch of the sacral
plexus
116.
During the last 7 months of pregnancy, estrogen and progesterone are secreted by :
A. placenta
B. corpus luteum
C. pituitary
D. ovary
E.
[A Guyton 13e ch83 p1060 If the corpus luteum is removed before approximately the seventh
week of pregnancy, spontaneous abortion almost always occurs, sometimes even up to the 12th
week. After that time, the placenta secretes sufficient quantities of progesterone and estrogens to
maintain pregnancy for the remainder of the gestation period. The corpus luteum involutes slowly
after the 13th to 17thweek of gestation.]
117.
Infection with which of the following is associated with the development of gastric cancer:
A. helicobacter pylori
B.
C.
D.
E.
[A Robbins 83 ch17]
118.
A mass(?) is found 2 feet from the iliocolic junction on the antimesenteric border of the small
intestine, this is likely to be:
A. meckel's diverticulum
B.
C.
D.
E.
[A Snells anatomy 8e ch5 p238]
119.
Bullet passes through axilla and exits at shoulder, loss of sensation over lateral aspect of palm:
A. median nerve
B.
C.
D.
E.
[A Snell 8e ch9 p468 fig9-38]
120.
121.
122.
123.
124.
125.
A young boy with pallor; skull x-ray shows crew-cut appearance; which investigation will be
diagnostic:
A. hemoglobin electrophoresis
B.
C.
D.
E.
[A - Robbins 8e ch14 crew-cut has been described in sickle cell anemia and thalassemia.
Both are hemoglobinopathies best diagnosed by Hb electrophoresis]
126.
Pregnant female with anemia; peripheral smear shows microcytosis and hypochromia:
A. iron deficiency
B. volume expansion
C.
D.
E.
[A Robbins 8e ch14 Whatever its basis, iron deficiency produces a hypochromic microcytic
anemia]
127.
128.
129.
Hormone secreted by sertoli cells which inhibits secretion of FSH from pituitary
A. inhibin
B. relaxin
C.
D.
E.
[A Junqueira 11e ch21 They also secrete a peptide called inhibin, which suppresses synthesis
and release of FSH in the anterior pituitary gland]
130.
131.
132.
133.
Denticulate ligament:
A. lies between dura and vertebra
B. extension of dura
C. between anterior and posterior nerve roots
D.
E.
[C - Lasts anatomy 12e ch6 p453 This flange crosses the subarachnoid space between anterior
and posterior nerve roots]
134.
135.
Non-fluent aphasia:
A. broca's area
B. wernickes area
C. angular gyrus
D.
E.
[A Davidson 21e ch26 p1160 fig26.19 Broca aphasia: non-fluent aphasia]
136.
137.
Which of the following would most likely require modification of the dose of warfarin:
A. cimetidine
B.
C.
D.
E.
[A - http://reference.medscape.com/drug/coumadin-jantoven-warfarin-342182#3 cimetidine will
increase the level or effect of warfarin by affecting hepatic/intestinal enzyme CYP3A4]
138.
139.
140.
141.
Scleroderma:
A. progressive fibrosis throughout the body
B.
C.
D.
E.
[A - Robbins 8e ch6 it is characterized by excessive fibrosis throughout the body]
142.
Tender lymphadenitis, fever sore throat, after the fever settled it took the patient a couple of
weeks to recover fully (?) A. infectious mononucleosis
B.
C.
D.
E.
[A Davidson 21e ch13 p316 In most cases fever resolves over 2 weeks, and fatigue and other
abnormalities settle over a further few weeks]
143.
144.
145.
146.
147.
Which of the following stimulate erythroid stem cells to proliferate and differentiate:
A. erythropoietin
B. growth factors
C. androgens
D. growth hormone
E. hypoxia (?)
[A Guyton 13e ch33 p448 the important effect of erythropoietin is to stimulate the production
of proerythroblasts from hematopoietic stem cells in the bone marrow. In addition, once the
proerythroblasts are formed, the erythropoietin causes these cells to pass more rapidly through
the different erythroblastic stages than they normally do
E is incorrect Guyton 13e ch33 p448 hypoxia has little or no effect to stimulate RBC
production]
149.
150.
Most of the active form of thyroid hormone released into the circulation is:
A. T3
B. TSH
C. thyroxine
D.
E.
[C Guyton 13e ch77 p951 About 93 percent of the metabolically active hormones secreted by
the thyroid gland is thyroxine, and 7 percent is triiodothyronine]
151.
152.
153.
154.
155.
A patient has AIDS but does not wish to inform his wife and asks you not to tell her, you should:
A. perusade him to tell his wife, and if he doesn't tell her your self
B. advise contraception
C.
D.
E.
[A?]
=-=-=-=
C. Syndesomosis
D. Costochondral
Correct. D
6. Platelet aggregation by (chandkians)
A. TXA2
B. PGI2
C. PGF2
Correct. A
7. Action of MAO Inhibitors is potentiated by
A. Cheese
B. Tundra fish
C. Beta blockers
D. Alpha agonist
Correct. I marked A some people were saying tundra fish. Not confirm!
8. Utricle action (asim surg)
A. Role in angular acceleratiom
B. Role in linear acceleration
C. Role in horizontal acceleration
D. Role in vertical acceleration
Correct. B.
C,D also correct as utricle helps in streamline smooth acceleratiom wether vertical or
horizontal. But B is most appropiate as it cover the both options. Semicircular canals
are for angular acceleration.
9. A mcq was on virulence factor of bacteria. Stems very long and
confusing.
B. Increase k+ levels
Correct. A
16. Tb granuloma microscopy (chandkians)
A. Caseous necrosis
B. Epithelial cells
Correct. A
17. MHC 1
A. Cd4 + cells
B. Cd8+ cells
C. Th1 cells
D. Nk cells
Correct. B
18. Anti jo-1 antibody, rash, neuropathy, arthritis, muslce biopsy
neutrophilic infiltration
Difficult to recall stems. Answer was dermatomyositis
19. DOC for Tourette Syndrome
A. Haloperidol
B. Carbamazepine
Other options ---20. Only posterior column sensation lost in which disease
A. Syringomyelia
B. Syringonulia
C. Tabes dorsalis
D. Polio
Correct. C
C. X linked
Correct. Autosomal recessive
38. Which of the following decrease the blood pressure
A. Bainbridge reflex
B. Cushing reflex
C. Occulocardiac reflex
D. Hering bruer reflex
Correct. C
Bainbridge increase blood pressure.
Hering bruer decrease breathing
39. Conducting system of heart.
(Asim mcq surg book. Anatomy portion page 55)
40. Arteries of heart.
Clear your concepts about atria/auricular/septal/ventricular
41. Axillary vein is formed by
A. Combination of basiliac and cephalic vein
B. Combination of basilic and vena comitantes of brachail artery
C. Combination of cephalic and vena comitantes of brachial artery
Correct. B
42. Mother child bonding lost due to
A. Ovarian failure
B. Pituitary adenoma
C. Menopause
D. Fos B gene.
Correct. D.
This mcq is taken from ganong physiology. Do read all ganong mcqs. Very imp!
43. Scenario of prolactinoma
44. Growth hormones produce affect on bones and chondrocytes by
Answer. Somatomedians
45. Left hemianopia
Lesion site.
Answer. Right optic tract lesion
46. Cell organelle which can replicate
A. Mitochondira
B. Centriole
C. Golgi
D. Endoplasmic reticulum
Correct. A
47. Microscope how will you increase visiblity something like that..
Answer. Decrease wavelength increase power
48. Scenario on PEFR. difficult one!
49. Scenario on surfactants. Difficult options!
50. Scenario on corellation co efficient. Biostats
51. Scenario on relaiblity. Biostats.
Typical definition was asked which is written in high yield biostats.
52. How both GFR and plasma flow rate were increased.
A. Dilate afferent
B. Constrict afferent
C. Dilate efferent
D. Constrict efferent
Both a b
Correct. A
53. How GFR decreased
A. Dilation of afferent
B. Constriction of efferet
C. Dilation of efferent
Correct. C
54. Regarding ADH
Answer. Inhibited by low serum osmolarity
55. Osmosis
A. Active process
B. Passive process
C. Solutes determine osmolarity
Correct. B
56. Regarding osmolarity
A. Measured by delicate instrument in lab
B. Helpful in renal failure
Other options irrelevant.
Correct. A?B?
57. Centrally acting antiemetics
A. Metochlopromide
B. Butyrophenones
C. Dopamine antagonist
Correct. B
58. Young lady, delivery, village, low plts, high tlc, deranged clotting
profile
Answer. DIC
59. Prostate large lobe structurally
A. Periurerthral
B. Median
C. Posterior
D. Peripheral
Correct--60. 70 years old man with recurrent uti, cause (asim)
A. Bladder outflow obstruction
B. Repeated cathetarization
C. Prostatic CA
Correct. A
61. Feature of a highly differentiated squamous cell carcinoma
A. Hyperchromatism
B. Keratin pearls
C. Caseous material
D. No relevance with parent cell
Correct. B?
62. Patient came to your clinic. How will you begint the conversation
Answer. Ask name, address, occuption
D. SER
Correct. B
84. Cimetidine given pre operativey because
A. It is a ppi
B. Irreversible antagonist of h+/k+ pump
C. Reduce gastric acidity
Correct. C
Cimetidine is a reversible antagonist.
85. Waves in stomach.
Answer 3/min. (Brs-physio)
Duodenum small intestime 10-11/min
86. Long latent period to develop CA
A. Benzopyrine
B. Smoking
C. Asbestos
D. Vinylchloride
Correct--87. Regarding diastolic hypertension
A. Increase HR
B. increase venous return
C. Increase stroke volume
D. In old people
Correct. B
88. Trisomy 21
Answer. Downs syndrome
89. Mining, coal worker, crust stones what will be present
A. Silicosis
B. Anthracosis
C. Aspergilosis
Correct. A
90. Laceration 3.5cms longs. Which of the following will aid healing
A. Infection
B. Smoking
C. Ischemia
D. Sutures
Correct. D
91. Mcq on C5a
92. Mcq on C3b
93. Which of the following secretion has lowest Ph
A. Pancreatic
B. Intestinal
C. Oral
D. Gastric
Correct. D
94. Middle aged lady with no history of cough, sputum, fever has
incidental finiding of 2.5cm right lower lobe lesion. How will you
differentiate between tumor and granuloma
A. Uncontrolled growth
B. Hyperchromasia
C. Epithelioid cells
Correct. A
95. Penumonia due to strep. Pneumonie body combat by the production
of
A. NADPH
B. Prostaglandins
C. IgE
Correct. B
NADH for peroxide producing organisms klebsiela, staph, influenza
96. Same above question was repeated in paper 2 also.
97. Tonsilectomy done. Patient in shock which happened
Answer. Hypovolumia
98. Tonsilectomy done now patient is shivering, tachypneic and there
were many other things in scenario. Which clinical sign you will check
to know the status
Answer was increase pulse rate.
99. Regarding dysplasia
A. Not all cells present on same surface
B. Irregularly shaped cells
C. Irreversible
Correct. B
100. Malarial parasite enter in human body in which form
A. Merozoite
B. Shizont
C. Sporozoite
Correct. C
101. Secont time degue fever what complication cam develop
Answer was hemorrhage
102. Which organsim can cause myocarditis
Answer was cox Sackie
103. Which of the following increase heart rate
A. Epinephrine
B. Exercise
C. Sleep
D. Salbutamol
Correct. B
104. After adrenlectomy patient increase in diet
A. Sugar
B. NaCL
C. KCL
Correct. B
105. Aldosterone is inhibited by
A. Increase serum osmolality
B. Decrease serum osmolality
C. Angiotensin
D. Low blood volume
Correct. A
C. Eosinophilia
Correct. C
125. Scenario on emphysema and copd in smoker due to deficiney of
Answer. Alpha 1 antitrypsin
126. Absorption of food in ileum depends upon
A. Presence of sodium
B. Presence of sodium plus glucose
C. Doesnot depend on solutes conc.
D. No absorption took place in ileum
Correct. B
127. Dirrhea corrected by fasting
Answer. Osmotic diarrhea
128. Repeat small numerical based mcq of chandkins in which tidal
volume was asked.
Answer. 3500 ml/ min
129. Ulner nerve damaged
A. Claw hand
B. Ape like hand
C. Wrist drop
D. Hemianesthesia of arm
Correct. A
130. Diabetic patient having ulcer on foot. Due to
(Asim/chandkians)
Answer. Angiopathy and neuropathy
BEST WISHES
ZAID TAYYAB>>
Little sharing of my experience regarding PART1
Exercise mcqs as much as you can. Read mcqs of ALL THREE ASIM & SHOAIBS whatsoever
your speciality is.
Chandkians must be on your finger tips. You will never cut the sorry figure InshaAllah.
=-=-=-
names , always run in the respective AV septal depression, anastomes with each
other at arteriolar level
11. Scalenus Anterior Muscle : arises from c3-c6 vertebral bodies, inserted at
anterior border of first rib, phrenic nerve passes anterior to it, subclavian
artery/vein passes anterior to it.
12. Man with deviated angle of mouth, drooling, can not tightly close his eyes
........ facial nerve palsy
13. loss of sensation of nose, cheek, maxilla, zygoma : maxillary division of
trigeminal nerve
14. Which of the following have subcapsular afferent sinuses : thymus, spleen,
tonsills, submucosal pyer's patches , lymph nodes
15. which of the following hormone increases content of skeletal muscle proteins
: testosterone , growth hormone, progesterone, cortisole, dihyrotestosterone
16. An Ovum is surrounded by corona radiata which is formed by : granulosa
cells, theca cells, germinal epithelium
17. Oxidases are present in : mitochondria , lysosomes , cell membrane,
Peroxysomes
18. Scenario of Metaplasia
19. Patient underwent colostomy after colon resesction for colonic cancer, best
way to monitor for recurrence : alpha-feto protein levels, B- HCG, colonoscopy,
CEA levels
20. Growth harmone : acts through somatomedians on skeletal muscles and
bones to cause growth , is a polypeptide
21. Insuline dependant uptake of Glucose into : brain, skeletal muscles, kidneys,
intestines
34. A man with third degree burns have increased risk of developing : keloid ,
contracture
35. Scenario of active transport
36. Which of the following arches ovar root of right lung : hemiazygous vein,
azygous vein , thoracic duct
37. Tractus Solitarius : contains 2nd order neurons from taste pathway, contain
first order neurons from taste pathway, wrong option related to is location
38. Stored blood has following charcteristics : platlets will degenrate after 5 days,
deficient in factor V, VIII, dec. affinity for O2, dec. factor II, IV, VI, X, increased
hemolysis
39. Fibrocartillage : contains type II collagen, Basophilic, present in Pinna of Ear,
present b/w intervertebral discs
40. Regarding vertebrae : lumbar are heart shaped , thoracic vertebrae have
formin thoracis, spine of C7 vertebrae is longest
41. Vitamin B12 is primarily absorbed in : distal ileum
42. scenario of Iron def anemia
43. scenario of breaking bad news : should be told to patient in a formal session
exclusivly...
44. for efficient patient doctor relationship best way to start conversation with
the patient is : asking abt complains, asking abt his name, age, adress
45. regarding thyroid : active follicles are filled with colloid
46. regarding oxytocin and ADH : produced by ant. pituitary, produced by post.
pituitary, produced by hypothalamus
47. QRS complex is slightly prior to : ventricular systole
48. which of the following predispose to malignancy : proto-oncogenes
49. Myxoid degeneration will occur in which : mitral valve prolapse, libman sacs,
mitral valve stenosis
50. Cancer cells predominantly have Increased conc. of : vimentin, desmin, glial,
keratin
51. which of the follow prevents flow of substances in intercellular space : tight
junctions
52. most common cause of fatty liver in our country : Hep B & C , alcohol
53. Infective stage of Hep B : HBs antigen + and hbs antibody+,HBs antigen + and
hbs antibody+,HBs antigen + and hbs antibody-,HBe antigen + and hbe
antibody+,HBe antigen + and hbe antibody-, confirm it urself
54. 9months pregnant lady fainted, liad down in left lateral position to prevent
compression of : IVC
55. Aspirin prevents formation of : PGI2, PGE2, thromboxin A2
56. Strongest chemotactic agent : C5a
57. best way to diagnose thyphoid fever at 2nd week of presentation : blood
culture , stool culture, serology, blood culture and serology
58. Antharax is 90 % associated with : cutaneous lesions
59. scenario of DIC
60. Hairy Leukoplakia is associated with : AIDS
61. Strongest prepotential is in : SA node
62. LevoDOPA is given in combination with Carbidopa : to increase its diffusion
through BBB , to dec. its peripheral degenration
63. total parenteral nutrition : aminoacids are given in isomer form, all caloric
requirment can be fullfilled by glucose only ,dec. chances of infection via enteral
nutrition
epithelium
6. Histology of Vagina : str. squamous epithelium with abundant elastic tissue in
submucosa, highly vascular, smooth muscles around
7. Histology of Ureter : small lumen tubular str. lined by transitional epithelium,
with complete muscular coat
8. Mother contracted german measles during pregnancy , fetus is on risk of
developing : congenital Catract, congental deafness
9. Risk of Congenital catract by Rubella virus can be prevented by : vaccination of
girls of child bearing age
10. Which of the following can be palpated via lateral fornix of Vagina : ureter
11. tapping of patellar tendon causes : contraction of quadriceps muscle ( only
quadriceps muscle was written , and this one was the correct one)
12. Which of the following is true regarding ureter : crosses superiorly to uterine
artery (crosses posteriorly is right) , enters bladder at 90 degree ( always enter
bladdder diagonaly ), located away from uterus
13. A statistical constant R is used to show relationship b/w two variables, best
relationship can be demonstrated if the value of R is : +1, -1, 0 (i marked) , 0.5, 0.5
14. Pts of different races are coming at emergency , 50% are whites, 20% blacks,
20 % asians, best way to depict there percentages is : pie chart
15. Scenario of Randomised control trial
16. A diabetic asthmatic patient on Sulfonylurea developed acute attack of
asthma, treatment was given, next morning she woke up drowsy with blood
glucose of 40%, which of the following is responsible : STERIODS ( rest of the
drugs given in options are not used for asthma, think reasonably :p )
45. Patient with normal amount of semen production but azospermia : defect in
sertoli cells
46. GnRH regulates secretion of : FSH and LH
47. Transport of glucose across placenta is carried out by : na-glucose antiport,
na-k-glucose cotransport, simple diffusion, biport( co-transport) yes these were
options, since it is Na-glucose cotransport, i marked it , as co transport was
given in brackets too
48. IN preganancy mother feels respiratory distress b/c of : effect of progesterone
, inc. mint. ventilation , dec. in TLC ( asim shoib mcq)
49. young female with hx of multiple recurrent abortions : LUPUS/antiphopholipid antibody levels
50. In females neck of bladder rests on : upper part/surface of urogenital
diaphragm
51. Hypophysectomy will effect primarily : principle cells of thyroid, beta cells of
pancrease, aplha cells of pancreas, cells of adrenal medulla, C-cells of parathyroid
gland
52. Tricuspid valve can be best auscultated at : around right lower half of body of
sternum
53. Fast pain is carried by : A-Delta fibers
54. A young female patient presented with pain RIF with hx of amenhorrea for 6
weeks, pregnancy test is positive : ectopic pregnancy, acute appendicitis ( if
leucocyte count, nausea and fever mentioned)
55. Urogenital diaphragm lateraly attaches to : ischiopubic rami
56. Pregnant patient presented at 3rd month of pregnancy with Hb 12.5 g/dl,
later on presented on 9th month with HB 10 g/dl normocytic, normochromic,
cause of anemia : iron def anemia, normal physiological change
57. Pregnant patient presented with complain of easy fatiguiblity, HB 7.5 g/dl,
MCV 58, MCH 15 cause of anemia : iron deficiency anemia , thalassemia trait
58. In patients with Thalassemia major diagnosis can be made by : increased
levels of HBA2 and HBF
59. local anaesthetic MOA of ionized substances : cause blockade of Na-channels
60. Neuromuscular junction motor end plate : contains acetylcholinestrase
61. Female patient presented with hx of cough for 1 week, CXR showed diffuse
patchy infiltrates of both lungs, gram stain of sputum showed normal flora few
neutrophills and recovered in 2 weeks : H-influenzae
62. OLd male patient on immunusuppresive therapy psented with s/s of
meningitis, Gram stain of CSF showed no bacteria but gram positve cells having
halos around them : Cryptococcus Neoformens , Histoplasmosis, CMV
63. Patient presented with Hx dyspepsia, anemia, pale hands, spooning of nails,
stool test showed OVA : Ancylostoma Duodenale , Ascaris
64. Sphincter Urethrae is content of : deep perineal pouch
65. 34 weeks pregnant lady died in RTA type of death is : Fortitious death, direct
obstetrical death , indirect obstetrical death (i marked), perinatal death,
antenatal death
66. While doing appendectomy via incision at Mc'burney's point structure
damaged is : deep circumflex Iliac artery ( i marked)
67. superior boundary of inguinal canal is formed by : conjoined tendon
68. Primigravida presented with excessive bleeding after delivery drug of choice is
: ergometrine , oxytocin
b) Subphrenic space
c) Retroperitoneal space
d) Left paracolic gutters
11- most prominent feature of water intoxication:
a) juglar vein distention
b) fast pulse
c) low pulse [Ans]
d) thirst
12- True about internal juglar vein
a) Present most posterior in the carotid sheath
b) Is present on the medial side of internal carotid artery in the carotid sheath
c) Originates on the posterior aspect of jugular foramen [Ans]
13- A young boy is sitting in a room at 26 centigrade, he is profusely sweating his pulse
rate is 120 and BP is 150/110 mmHg. What is the most likely cause?
a- Stress [Ans]
b- exercise
14- Washed RBCs are indicated to
a- avoid ABO conflict
b- Avoid Rh conflict
c- avoid fever after transfusion
d- avoid hypersensitivity reactions [Ans]
15- A middle age female with recurrent chest infections, long history of diarrhoea. On
stool examination cysts of Giardia lamblia were detected. Periferal smear reveals normal
T cell but B cells are slightly decreased. Serum IgA 73, IgG 300 and IgM is 67. What is
the most likely Dx?
a- Bruton's agammaglobulinemia
b- Common variable immunodeficiency [Ans]
c- HIV infection
d- Cystic fibrosis
16- highest amount of TAGs in
a- Chylomicrons [Ans]
b- vldl
c- hdl
d- IDL
e- Chylomicron remnants
17- which structure imparts basophilia to the tissue
a- peroxisome
b- ribosome [Ans]
c- mitochondria
d- nucleus
e- golgi apparatus
18- Clostridium are mostly (dont remember the options exactly)
a- Gram negative rods
b- Anaerobic
c- spore forming [Ans]
19- Function of Gulteus medius and minimus is
a- Extention of hip joint
b- Flexion of hip joint
c- Adduction and medial rotation of hip joint
d- Abduction and medial rotation of the hip joint [Ans]
20- Thorn prick...abscess formation..most likely organism
A.Strept Pyogenes
B.Staph aureus [Ans]
C.Pseudomonas aeruginosa
21- A 5 or 6 years child who develops muscular weakness. Anti voltage gated calcium
chanel antibodies are present
A.Myasthenia Gravis
B.Lambert Eaton syndrome' [Ans]
C.Duchenne Muscular Dystrophy
D.Beckers myotrophy
22- Resting membrane potential is most likely due to
a- Equilibrium potential of K ions [Ans]
b- Equilibrium potential of Na ions
c- Equilibrium potential of Ca ions
d- Equilibrium potential of Cl ions
e- Equilibrium potential of HCO3 ions
23- human is intermediate host in
A.Schistosomiasis
B.Haydatid cyst [Ans]
24- A patient presents with enlarged mass in front of the neck. Biopsy of thyroid gland is
performed which reveals no metastatic change. Which type of epithelium is found in
thyroid?
a- Simple squamous
b- Simple striated squamous
c- Simple cuboidal epithelium [Ans]
25- Regarding Popliteus
A.medially rotates femur on tibia
B.Assists in knee extension
C.lies b/w lateral meniscus and lateral collateral ligament
D. Cause flexion of knee joint [Ans]
26- patient with diplopia, when asked to look to the right side his left eyes turns towards
the right but right eyes turns medially, which is damaged?
a- optic nerve
b- trochlear nerve
c- abducens nerve [Ans]
d- occulomotor nerve
27- Damage to penile urethra, urine extravasation into
A.Retropubic space
B.sup perineal pouch
C.medial thigh
D.ischiorectal fossa
e- Scrotum [Ans]
28- Infarction of posterior 1/3 of interventricular septum.artery involed
A.LCA
B.RCA [Ans]
C.Rt marginal branch
D.LCX
E.Rt interventricular
29- Free radicals formed by radiation they will damage
A.DNA [Ans]
B.cell membrane
C.mitochondria
30- Viruses are carcinogens because they have
a- proto-oncogens [Ans]
b- oncogens
c- chemicals which are carcinogenic
31- A male patient with normal urine osmolality. Most dilute urine reaches at
a- PCT
b- Descending loop of Henle
c- Tip of loop of henle
d- Medullary collecting tubules
e- Macula densa [Ans]
32- A patient with anemia with MCV in normal range most likely cause
a- A pregnant female not taking vitamin supplements
b- Thallassemia
c- Vit B-12 defi
d- After blood loss >2 days [Ans]
33- Apoptosis initiates when
a- Bcl-2 activation
b- Phagocytosis
c- Activation of caspases
34- Right border of heart is formed by
a- right atrium [Ans]
b- SVC
c- SVC+Rt Atrium
d- Rt ventrical
35- GFR is increased by
A.afferent artiolar constriction
B.dec hydrostatic pressure
C. Efferent arteriolar dilatation
D. Afferent arteriolar dilatation [Ans]
36- which is a small blue cell tumour
a- neuroblastoma
b- wilms tumour
c- ?
37- Most common tumour of the epiphysis is
?
38- Primary cartilaginous joints example is
a- intervertebular joint
b- symphysis pubis
c- costochondral joints [Ans?]
d- chondrosternal joints
39- which of the following prevents muscle tear under high pressure
a- Golgi tendon organ [Ans]
b- Spindle fibers
40- pulmonary atery supply
A.Bronchi
B.Bronchioles
C.Alveoli [Ans]
41- A patient was admitted in the hospital. He was in supine position and something like
vomiting + . Happened. He aspirated the vomitus. Which segment is most likely
a- Rt upper anterior
b- Rt upper posterior
c- Rt lower basal
d- ?
e- ?
42- sarcoidosis histological picture
A.Ganuloma with asteroid bodies [Ans]
B.non-caseating granuloma
52--
Dead
organisms
in
vaccine
:
A.
Measles
B.
Mumps
C.
Tetanus
d.pretussis
[Ans]
53--
Esophagectomy
done
,
stomach
is
mobilized
to
upper
portion
of
thorax
..
To
anastomosis
with
phayrnx,
Which
artery
is
responsible
for
stomach
supply
now
a.left
gastric
[Ans]
b.Right
gastric
c.Left
gastroepiploic
d.Short
gastric
vessels
54--
Chronic
Myeloid
Leukemia
a.chromosome
9&22
[ANSWER]
b.
chromosome
11&
22
C.
chromosome
14
&
22
55--
common
Post
op
infection
in
hospital
cause
by
which
organism
:
a.
Staph
Aureus
[ANSWER]
b.pseudomonas
c.
e.coli
d.
Kliebsella
56--
claw
hand
produced
by
unopposed
action
of
a.flexor
digitorum
longus
and
flexor
digitorum
profundus
b.extensor
digitorum
longus
and
extensor
digitorum
indices
c.extensor
digitorum
and
flexor
digitorum
profundus
[ANSWER]
57--
if
iodine
is
nt
used
for
formation
of
thyroid
hormorne,then
iodine
excreted
which
site
of
the
body
a.stool
b.urine
[ANSWER]
c.salivary
gland
58--
.
Which
drug
cause
tachycardia
in
therapeutic
doses:
a.morphine
b.
Fentanyl
c.afentanyl
d.pethidine
[ANSWER???]
59--
female,
there
is
abnormal
metabolism
of
amino
acid.which
of
the
following
amino
acid
will
appear
in
urine
a.alanine
b.tryosine
c.tryptophan
d.
Lysine
[Ans?]
60--
nerve
supply
of
extensor
digiti
minimi
a.deep
radial
nerve
[ANSWER]
b.superfcial
radial
nerve
61--
ruttor
cuff
is
formed
by
a.supraspinatus,infraspinatus,teres
minor
and
subscapularis
62--
optic
chiasma
lesion
causes
a.bitemporal
hemianopia
[ANSWER]
b.right
homonymous
hemianopia
c.left
homonymous
hemainopia
d.ipsilateral
temporal
hemianopia
63--
Biguanides
side
affects:
b.
Elevated
ALT
b.diarrhea
and
flatulence
64--
A
middle
aged
woman
presents
with
writing
movements
in
the
upper
limbs,
Pulmonary
vasoconstruction
occurs
due
to:
A.
Raised
PCO2
b.reduced
systemic
po2
[ANSWER]
C.
Reduced
pH
65--
which
nucleus
effected
a.putamen
b.caudate
[ANSWER]
c.globus
pallidus
66--
If
FACTOR
IX
not
available:
a.
Cryoprecepitate
b.FFP
[ANSWER]
c.platelets
d.whole
blood
67--
which
of
the
following
drain
into
superior
mesentric
lymph
node?
a.Jejunum
[ANSWER]
b.4th
part
of
duodenum
c.Desending
colon
d.cecum
68--
The
muscle
that
causes
eversion
of
foot.
a.Tibialis
post
b.peroneus
longus
[ANSWER]
69--
Parotid
gland
a.Lat
pterygoid
lies
anterior
to
pterygoid
b.ext
carotid
and
the
fascial
nerve
passes
through
superficial
gland
c.facial
nerve
supplies
it
d.
is
separated
from
the
mandibular
gland
through
a
fascia
70--
Broder,
s
classification
of
tumour
dont
remember
options
??????
71--
Carpal
Tunnel
Syndrome
a.
Anesthesia
of
thenar
muscles
b.wasting
of
thenar
muscle
[ANSWER]
c.Injury
to
ulnar
nerve
d.Injury
to
radial
nerve
72--
Basic
drugs
mostly
bind
with
a-- Albumin
b-- Alpha
glycoprotein
c-- Hb
73--
features
of
Achromegally
were
given
and
asked
about
the
cell
of
pituitary
which
are
affected
a-- chromophobes
b-- acidophills
74--
A
pt
with
histry
of
bleeding
gums
n
wounds
prolongd
bleeding
time
and
PT
28SEC
(
control
12sec)
wats
the
diagnosis?
a.heamophelia
b.christmis
c.won
wiliband
disease
d.factore
7
deficiency
[ANSWER]
75--
Drug
which
is
strong
analgesic
but
not
a
good
anesthetic
a.desflurane
b.isofurane
c.nitrous
oxide
[ANSWER]
76--
A
drug
causing
GFR
will
do
it
by
following
mechanism
a.
ing
bLOOD
flow
b.
increasing
hydrostatic
pressure
c.
afferent
arteriole
vasoconstriction
d.
By
increasing
Kf
77--
A
young
male
comes
to
Pakistan
for
the
first
time,
after
2
days
he
has
fever,
altered
state
of
consciousness
and
goes
into
Coma.
Hb
is
low,
PLTs
low
and
neutrophils
(dnt
remember).
Most
like
diagnosis
a-- Dengue
b-- Malaria
falciparum
78--
axone
arise
from
conical
shape
part
of
neuron
cell
body
called.
a.perikaryot
b.axon
hillocks
[ANSWER]
c.Dandrites
79--
peptic
ulcer
profusely
bleeding
from
posterior
wall
o
duodenum...which
artery
involed?
a.gastroduodenal
[ANSWER]
b.gastroepiploic
80--
Epithelium
of
nephrons
is
developed
from
a.
endoderm
only
b.
ectoderm
only
c.
mesoderm
only
[ANSWER???]
d.
endoderm
+
mesoderm
e.
ectoderm
+
mesoderm
81--
deep
inguinal
ring
is
present
in
a.transversis
abdominis
muscle
b.transversalis
fascia
[ANSWER]
c.internal
oblique
muscle
82--
parathyroid
glands
are
developed
from
a.1st
pharyngeal
pouch,
b.2nd
pouch
c.3rd
pharyngeal
pouch
d.4th
pouch
[ANSWER]
Explanation:
Thymus
and
Parathyroid
are
derivatives
of
3rd
pouch.
Parathyroid
are
derived
from
the
4th
pouch.
If
both
of
these
were
given
in
one
option
then
that
would
be
the
best
option.
83--
In
IV
drugs
abusers
there
is
increased
risk
of:
a.
Libman
Sacks
endocarditis
b.bacterial
endocarditis
[ANSWER]
c.
Mitral
valve
carditis
d.
Rheumatic
fever
or
heart
disease
84--
true
abt
vertebral
column
A.cervical
nerves
originate
above
crresponding
vertebra
B.vertebral
artery
arches
ant
part
of
post
arch
of
axis
there
were
other
options
with
the
orientation
of
facets
etc
cant
recall.
Option
A
is
not
the
answer
as
C8
is
a
cervical
nerve
and
does
not
originate
above
the
corresponding
vertebrae.
(Somebody
correct
me
if
I
am
wrong
)
Cant
recall
the
option
which
looked
to
suit
the
best!
85--
papillary
carcinoma
of
thyroid
in
children
may
occur
due
to
a.radiation
[ANSWER]
b.
chemotherapy
c.
viruses
d.
Mulitnodular
Goitre
86--
Seminoma
is
a
tumour
in
male,
its
equivalent
when
occurs
in
overy
then
its
called
a.yolk
sac
tumor
b.embrynal
tumor
c.dysgerminoma
[ANSWER]
d.
Hydatiform
mole
87--
Which
of
the
following
is
mostly
premalignant
in
the
oral
cavity?
a. Chronic
irritation
b. smoking
c. lichen
planus
[ANSWER]
88--
A
female
pt
was
having
generalized
pain,
and
has
been
taking
NSAIDs
for
a
long
time.
Now
developed
swelling
n
big
toe,
wht
will
b
present
in
fluid
aspirate?
a.mono
sodium
urate
crystals
[ANSWER]
b.
Calcium
pyruvate
89--
Integrins
are
present
on:
a. Platelets
b. Bacteria
c. Viruses
d. Leukocytes
e. Endothelial
cells
90--
A
patient
suffering
from
steatorrhea
for
last
18
months.
He
is
most
likely
to
suffer
from
the
deficiency
of
which
nutrient?
a. Folic
acid
b. Vit
B12
c. Iron
d. Vitamin
D
e. Ascorbic
acid
91--
Ductus
deferens
terminates
into:
a. bulbar
urethra
b. seminal
vesicle
c. ejaculatory
duct
[ANSWER]
92--
lidocaine
mechanism
of
action
a.blocks
na
channels
[ANSWER]
b.
block
k
channels
93--
there
was
a
question
regarding
CORPUS
CALLOSUM
lies
between
something
like
that
94--
about
small
intestine
true
is
a.valvae
connivents
most
numerous
in
ileum
b.mesentry
start
from
the
rite
of
L2
c.valvae
connivents
5mm
wide
d.small
intestine
6--8
meters
long
[ANSWER]
95--
Part A
10-When does stomach appear as a dilatation of gut during intrauterine life? b.blastocele 4
11-Cause of Pulmonary edema in CCF -Increased hydrostatic pressure
12-How is fat transported from small intestine? b.Chylomicrons
13-Osmosis helps to maintain ? Volume of cell (vol)
14-Involvement of actin, myosin and clathrin. Which type of transport is this? Carrier mediated (Receptor mediated endocytosis /
pinocytosis)
15.-Characteristics of malignancy ? Invasion
16.-Characteristics of dysplasia Dysplasia is reversible change ,disorderly maturation and spatial arrangement of cells
,pleomorphism and increased abnormal mitosis
17.-Microscopic feature in prolonged use of alcohol? Prolonged use leads to micronodular pattern evolving in late stages to typical
hobnail liver with large irregular nodules
18.-Most common inherited bleeding disorder? Von wilibrand
19.-In case of Vitamin K deficiency which factor is depleted first Factor VII
20.-A person working in some industry .. presented with fev1/fvc less than 75percent ..some values of his previous normal
spirometry were given ...now at presentation total lung capacity 6000 and tital volume 600ml ...at the end it was asked what is value
of his anatomical dead space.. 150
21.-Vessel along left phrenic nerve? a.Internal thoracic artery (Pericardiophrenic)
22-Hemorrhagic shock of 2L of blood. What is expected? Increased TPR
23-Immunosuppressants given after transplant surgery. What is the important concern? Decreased T cells
24-Intake of 140mEq/mL Na with water(Isotonic). What will happen?It should be Inc in ECF volume -(no change in ICF volume
&ECF osmolarity)
25-RTA. Patient in shock. Cause? Profuse blood loss
26-Which of the following is immunostimulant? GH
27-which of the following is assessed in triple assessment for congenital defects? Serum estriol
28-Female gravida 1 is unable to lactate her baby even after her utmost desire ,She has a history of post partum hemorrhage.
cause? b.Sheehan syndrome
29-Bee sting allergy. Most important mediator: a.Bradykinin (if histamine in opt then mark it)
Symphysis
b.Itp
50-Which of the following most likely cause malignancy a.. Haemochromatosis, b. Benzidine
C. Asbestosis
81-Virtual image : a.Image on microscope ,(cannot be produced on screen ,it is behind a mirror not lens)
virtual image related???
A. inverted
Cipro
103-which physiological function loss in lab test of urine specific gravity? a.concentration,b.filteration,c.secretion
d.blood flow,e.reabsorption
104-trochoma? a.bacterial conjunctivitis caused by chalymdia trachomatis
105-superior thyroid artery is branch of? a.external carotid ,b.interal carotid no br in neck
106-person having systolic pressure 132mmhg. diastolic pressure 66, mean arterial pressure would me..?
a.66mmhg ,b.111mm Hg , c.88mmHg (2/3 diastolic + 1/3 systolic = 44+44 =88)
107-normally physiological functionn of placenta ,is a barrier b/w? a.maternal & fetal blood
108-anterior pituitary tumor will mostly cause damage to which nerve? optic
109-PTH most sensitive to? a. serum calcium (in guyto its written,, even the slightest dec in extracellular calcium causes the pth
gland to increase there rate of secretion,)
110-woman having whiplash injury during PTA, damage C5-C6 nerves, which of the most disability she is having?
a.flexion of forearm, b.extension of arm
111-a new research, study on some therapy regarding smoking, cessation.he divide 40 smokers and on volunteer therapy.after
some time he asked about the daily smoking ciggerates from all 40.what key component is missing?
a.hypothesis, b.random distribution,c.dependent distribution,d.independent distribution
112-thyroid follicles cell releasing thyroxin derived from? a.endoderm ,b.ectoderm , c.mesoderm
Follicular Endo- Parafollicula Ecto ..Neural Crest)
113-in developing sudden exeruciating chest pain, bp 90/50 mmHg with dislocation of crystalline lens, cause? Marfan case
a.mallory-weise syndrome
114-regarding heart sounds? a.S2 is usually long? b.audible on area of heart valves more precisely
115-cystic fibrosis sweat chloride test
116-what cause gastric emptying metoclopramide
117-female symptoms of hypothroidism n lymphocytes ? a.hashimotos , b.colloid goiter , c.thyroid cA,d.thyroid lymophoma
118.-single local factor for delay wound healing? infection
119-posterior 1/3rd of tongue sensation, nucleus involve? glossopharyngeal (nucleus solitarius)
120- masseteric fascia develop from ? a.superficial layer of deep cervical fascia -b.carotid sheath, c.pretracheal, d..prevertebral
(if buccopharyngeal fascia in option mark it )
121-situs inversus ? kartagenar syndrome
122.Pt taking MAO Inhibitors which could cause HTN crisis ? coffee , Chocolate ,Cola, Pineapple,String beans
Action of MAO inhibitor is potentiated by? Cheese.Tundra fish.Beta blocker,Alpha agonist
123- oral glucose load increase? a.secretion,b.tripeptide
124-fungi causing meningitis cryptococcus
125-aldosteron major action on collecting duct
126-pulmonary blood flow 5lit/min(same as CO)
127-similarity b/w cardiac n skeletal muscle ?a.transverse striations , b.transverse tubules
128-which of following drug cause hyperurecemia PZA
129-enlargement of arch of aorta compresses? a.esophagus , b.lung
c.trachea
130-traumatic lesion at L1, which will affect? a. cauda equina , b. conus medlularis
131-astgmatic pt having high BP during surgery, drugs used will be
hydralazine
132-injury above sacral spinal cord result in ?b. contracted bladder (UMN bladder/ spastic bladder)
c. atonic bladder (Below Sacral segments z LMN BLADDER ALSO CALLED ATONIC BLADDER-> due to lesion of sacral spinal
b. carrier protein
niacin
thiamine
c. site of action
4-Enzyme may b fall in liver injury ?a.Alt ,b. Pseudocholinesterases [decrease in liver disease(hepatitis and cirrhosis)
5-Diarrehea normal anion gap met acidosis
6-Rite kidney ant relation? c.hepatic colonic flexure
7-Loss of memory scenario Temporal lobe(hippocampus)
8-Senario pt having acute appedixitis havin forgetdulness unable to give consent,came wd a wife,take consent from a.Wife
9-after gastrectomy vit b12)
10-fracture neck of fibula peroneus longus Common peroneal nerve and anterior tibial artery - loss of dorsiflexion nd eversion
11-pt cannot comb hair Long thoracic
12-max pressure in aorta during which phase max during slow ejection phase ..
b.transcobalamin
23-what nerve loops around arch of aorta ?a.left reccurrent laryngeal nerve
24-hyper eosinophilia occurs in ? b.hodgkin
25-turner karyotype? a.44 xo
26-kidney activates which of following? c.cholecalciferol
27-pulse pressure max. amplitude in aorta
28-a patient inspired maximally with efforts and expires as usual?
a.IRV (extra volume that can be inspired with full force)
of normal expiration)
b.FRC
(it is the amount of air that remsins in the lungs at the end
c.IC
(becteroids)
36. Rite sided weekness with babinkis positive all UMN lesions no sensory loss whr is the the lesion ?b.left broadman area 4
resection
37. Epitheluim of preterminal bronchiole/ conducting zone Pseudostratified columnar cilliated...with goblets in larger bronchiole)
[ in resp bronchioles> cuboidal, then simple squamous upto the alveoli] {clara cells in terminal bronchioles}
38. Trachea covered by pretracheal fascia
39. Weeknes in abduction of fingers nerve involve is Ulnar
40. Sciatic nerve severed, dorsam of foot supplied by which nerve??
a.saphenous nerve
b.Sural nerve
-> Brachioradialis
44.Breast lower medial quadrant will not drain into ? b.Pectoral nodes c.supraclavicular nodes
45. volume of distribution depends upon lipid solubility of drug
46-a know patient of lumbago, presented with acute chest pain, o/e tenderness found in the left posterior 3rd and 4th intercostal
space, bp normal, pulse normal likely diaganosis ? a.costochondritis,b.
47.-dura matter extension is present b/w
48-hormones during sleep GH increases (During sleep Inc level than awake cortisol)
49-which vascular leison is present in rheumatic fever>
50-Most comman skin cancer in HIV? a.sq. Cell carcinoma , (if Kaposi in option mark it) , b.Basal cell
51-Whch type of joint is it, TMJ? (synovial )
52-whch type of articular cartilage TMJ has?(articular disc is Fibrocartilage)
53-Whch ligament is formed by parotid fascia stylomandibular ligament
54-chest pain and fever not related to respiration ? b.Pericarduim
c.Myocarduim
58.
86-femoral pulse at Mid inguinal point-midway b/w ant sup illiac spine n pubic tubercle
87-heparin VS LMW heparin - common function acts on antithrombin III
88- 2 human virus cause cancer EBV , HPV
89.metabolic acidosis with normal anion gap RTA or diarrhea
90.-negative feedback in hemorrhage
b.Pap smear
109-14 yrs old chronic diarhea. bleeding time, CT=50min, diarrhea since 6m,no family hstory?vit k def
110-posterior ventricular branches of RCA, branches number. and area of supply? ( 2 in no. supply diaphargmatic surface)
111- right lung, superior,middle and inferior lobes, no. of segments in each? (superior-3, middle-2, inferior -5)
112- purkunji cells typically present in ? b.cerebellum ,c. cerebellar cortex (if mentioned cerebellar nuclei then mark
CEREBELLUM)
113-case with 8% bleed in 30min.response? bleed from vein
114-severe sudden hypovolemic shock effect oliguria
115- mechanism of response in bleeding of finger cut for a few sec vasoconstriction
116-scenario: dec BP and activation of renin angiotensin system, which response will help? Vasocontriction,Thirst, ADH
117- secondary centre of ossification Epiphysis Primary centre of ossification Diphysis
118- most imp factors for metastasis? a. migration of tumor cells b.attachment wid extracellular matrix
119-case of study done in pts with t4N1M1 stage with survival of <50% of 5 years. what will be true ? cachexia
120- epicardium is supplied by coronary arteries
121- a statistical test observed differences b/w 2 means been by chance? a.variance , b.correlation,c.ratio
122- definition of volume of distribution
123-Damage to male urethra below uroginital diaphragm(I,e bulbar), urine will go into ?Superficial perineal space
(1 rupture of memb. deep poch. 2..rupture of bulb..--> superficial pouch.
124-Sartoli cells, most appropriate is ? b.Mentain blood testis barries
126- blood supply of prostate--> inferior vesical artery, a branch of the internal iliac artery & middle rectal artery
127-12. dr prescribing ANTICOAGULANTfor a lifetime, before that investigation is important PT
128.., small cell (oat cell) lung ca biopsy will show tumor marker? a. prathormone ralated protein
b. ACTH
129.lady has loss of little finger due to weakness of interrossei muscles, nerve involed ?a.ulnar
130- primary esophageal peristalsis is different from secondary due to Presence of oesophageal phase Does not cause LES
relaxation
131-anomic aphasia (is Fluent) due to lesion of ? Angular Gyrus area 39
132-.posterior intervetricular artery branches:? two in no and supplies diagphramatic surface of ventricle
133- ESOPHAGUS ? a.related anteriorly to recurrent laryngeal b.starts upper border of C6 c.commences at
134-. SCLENUES ARTERY third part sweling will appear in which area ? b.supraclavicular
135- accident, fracture of femur,tibia,fibula, pulse 110/min, bp 110/80 (near normal) BEST managemnt ? a. joint stability (B/C BP
is normal)
b. fluids
136-C5-C6 damage erbs palsy (Arm adducted & internaly rotated at the shoulder and arm is extended & pronated at elbow)
137-horner syndrome, > (ptosis, miosis, anhydrosis)
138-remant of geburnaculum, ( Ovarian ligament and round ligament of uterus)
139-relation of cbd wid duodenum ( first supra then rertro/paradudenal)then behind head of pancreas(infraduodenal) and lastly
(Intraduedenal)
140-left renal vein relation to aorta LRV is anterior
141-calculation of GFR(clearence of inulin - Urine vol*Urine conc./ plasma conc.)
142-abdominal oblique digit insertion in which muscle
143-pregnant lady on lateral side to avoid -IVC obstruction
144-cold sensation by A delta , Warm by C fiber,,With cold, cold receptors are stimulated .when body will be cold which one
will be stimulated:,,A - free nerve endings
B- krause bulbs
145- what is true about pseudocoloumnar epithelium: A - All cells are at base,,B- all cells reach apex
146-tail of pancreas goes intoSpleen(Spleenorenal ligament)
147: Insulin secretion increased by GIP
148: Coin lesion on chest x ray of a woman, how to differ btwn granuloma & neoplasia?b.Rapid inrease in size
149.Right main bronchus differs from left one because: (BOTH CORRECT OPTION! But A is BEST) a.Its more vertical, b.Its has
large diameter
150.Most common acquired thrombotic disorder APLA
DEFCNCY )
151.Individuals have the independent and Same vhance of being selected Random Sample
152.preterm labour caused by : Infections that could ascend to the womb include E-Coli and Group B Streptococcus (GBS),
bacterial vaginosis-most common, chlamydia, trichomona, gonorrhoea, syphilis and HIV (but not thrush)
153.structure similar to labia majora in males : Scrotum -Labia majora , Penile skin- Labia minora ,Penis- Clitoris
154- malar rash, proteins8 albumin 3.5 generalized lymphadenopthy palor ana+ further test a,Hiv , b.C1-esterase ,
155.Blood suply of rectum : Sup rectal- IMA middle internal iliac inf rectal- internl pudendal(int pudendal is br of internal iliac
artery )
156.Ligament which held utererus anteverted & palpated on per rectal examination only
UTEROSACRAL ligamentfrom sacrum to cx.They keep uterus anteverted by keeping the cx in backward pull against the forward
pull d/t round ligament on fundus.
157.spinal epidural space contain.... venous plexus
158.Thirst is stimulated by ---------->angiotensin 2
159.Thirst is regulted by------------->ADH
160.All of the following cause horner syndrome except ? a. Klumpkes paralysis ,b. Cervical lymphadenopathy, c. Syrangiomyelia in
pons ,(All 3 causes horner. The correct option is missing!)
161-Which upper-eyelid structure is considered to be analogous to the capsule-palpebral fascia of the lower eyelid?
c. levator aponeurosis. ans:c. capsulopalpebral fascia of lower eye lid is analogue to levator complex in upper eyelids.
inferior tarsal of lower eye lid is analogue to muller of upper eyelid.
162- pt having 2 liter of blood loss show ? a. dec in stroke vol
163- about stomach ?b. parasympathetic activity increase enzyme secretion
164- pt with SIADH show Hyposmolar overhydration
165.slow growing tumor of thyroid Papillary carcinoma
166.which condition show normal MCV MCHC MCH? a. a pregnant lady taking no vit b. blood loss before 2 days
c.
167.EXCRETION OF DRUG IN OLD PTS IS DECREASED DUE TO? renal failure(Renal clearance Dec in old age.
In old age- Lesser body volume - so lesser volume of distribution )
168.Depression of parasympathetic activity increase pulse rate
169.cardiac cycle if heart rate double? 0.4 sec(normal 0.8 . if HR double it will be half)
170-40 yrs lady hypothyroidism having mass-endrocrinologist advise FNAC, it shows increase lymphocytes
a. thyroid lymphoma (if hashimotos in option select it)
EXP:case likely to be hashimotos ,although on Fnac diffuse sclerosing varity of papillary carcinoma simultate hashimotos.
171.Increase bone growth, irregular thickening due to increase parathyroid hormone
st
172.SVC commences at lower border of 1 right coastal cartilage by joining of two brachiocephalic veins.-->right border of
nd
rd
sternumat 2 intercoastal cartilage pierces pericardium,lower border of 3 coastal cartilageenters right atrium. behind sterna
angle azygous vein drain into it.
173.vaginal secretion IgA 70%
174.ketamine- emersencedelirum, cvs depression doesnot cause Amnesia
Exp:ketamine is a dissociative anasthsia,in which patient remain conscious,cvs stimulantinc icp,causes amnesia and emergence
reactions(disorientation,hallucination)use preop benzodiazepines
175.Atropine- antagonize acetylcholine by Blocking Muscarinic receptors
176.Regarding swallowing ? C. center located in medulla & lower pons
Swallowing has voluntary,pharyngeal and esophageal stage .PHARYNGEALautomatic bolusphayrnxexcites
involuntary phyranx sensory receptorssoft palate pulled upwards to close narespalatopharyngeal fold approxvocal
cords abductedtrachea closedesophagus opened a fast peristaltic wave initated by nervous system of
pharynxbolus of foodupper esophagus.the entire process in less than 2 sec.swallowing center is medulla+lower
pons.swallowing inhibits respiration for less than 6 sec hardly noticible. ESOPHAGEALprimary peristaltic wave8-10
sec continuation of phyranx waveSECONDARY WAVEINITATED BY MYENTERIC PLEXUSafferent via
vagus(10)medulla9&10 efferent.If vagus nerve is cut or patient has brainstem paralysis,food fed by tube or in some
other way into the esophagus still passes into stomach coz of myenteric plexus.
177.hormone involved in lymphocyte production ? a. zona fassiculus , b.thyroid cells (GH also),IL 13 also involved
178.new antihypertensive drug going to be tested by which technique sequential trial ..
179.- direct inguinal hernia protrude through the hesselbach/inguinal triangle
180- hernia after surgery, layer involved fascia transversalis
181- inferior mesenteric artery obstruction, ischemia in descending n sigmoid colon
182-Which of the following increase HR ? a.EXERCISE
b.STRESS ANXIETY
c.EPINEPHRINE
EXP:EXERCISE Though all of them .but exercise specifically increases HR. ref gananong table.
16th August 2015
1-Renin is incresed by Increased K
2-Primary esophageal peristalsis is diferent from secondary by ?a.Presence of oropharyngeal phase
b.Doesnt cause relaxation of LES (if gravity is in options then mark it)
3-increase venous return due to thoracoabdominal pump of diaphram during inspiration
4-TCA interaction cause hypertensive crisis
5-middle thyroid vein drains to internal jugular - (
juguler vein
While inferior thyroid drains into bracheocephalic vein)
6- what type of joint is present between two parts of mandible during 1st year of life Symphysis (symphysis menti)
7- A patient with moon facies, hypertension n osteoporosis. Which of following finding will be pr esent??a.Inc BLood Glucose
(Cushing syndrome)
8- A patient with chronic renal failure. Which gland will be hypertrophied Parathyroid
9- ulnar nerve lesion will cause? a.Loss of abduction, b.adduction of fingers
10-End stage renal disease with severe anemia. cause of anemia Dec erythropeitin
11-Na absorption in DCT is influenced by Aldosterone
12-Weakest phase in amalgam Sn7-8Hg
13- A paedodontist send a stainless steel crown for repair. the technician was unable to join the fractured parts. The primary
ingredient missing Chromium
14- Corrugated plaque on lateral surface of tongue. a.Hairy Leukoplakia
b.Leukoplakia
c.candidiasis
15- Painles swelling on mid palate. firm non tender? Pleomorphic adenoma
16-Painless hard swelling on mid hard palatepalatine torus
17-anti thrombotic effect of aspirin is by Blocking cyclo-oxygenase pathway
18-venous return decreases in? a. skeletal muscle paralysis
19-decreased ventricular filling in increase HR (stem) due to a/ diastole is decreased more than systole
20-abscess contain? b. dead neutrophils
b. amniotic
c.thromboembolism
27-aphasia , damage in a.parietal lobe b.temporal lobe(Receptive (sensory, fluent, or Wernicke) aphasia:)
c.frontal lobe(Expressive (motor, nonfluent, or Broca) aphasia:)
28-Pt with water deprivation and SIADH. secretion difference will be plasma osmolarity..which is decreased in SIADH and
increased in water deprivation
29- plasma osmolarity will be decreased by injection of ?a.aldosteron b.vassopressin(another name for ADH
remember it causes euvolemic hyponatremiadec plasma osmolarity)
30-in flight fright response dec airway resistance
31- hypermagnesia cause? dec ach release (hypermagnesemia causes hypocalcemia--> dec calcium influx in presynaptic
terminal--> dec fusion of vesicles --> dec ach release)
32- placenta ? removed due to rupture of uterine arteries
33- most common remnant of allontois?.urachal fistula
34-cause of thromboembolism? a. prolonged immobilization ((most common) b. surgery
35- a hypersensitive lady, came with shock, with K 6.1 mmol, mist likely due to? a. renal failure (ARF) , b. diuretic overdose
36- edema in renal failure is due to ? A.hypoalbunemia b. na retention
37- if a drug is transported by simple diffusion, then ? a.its not saturable - b. require energy
38 - regarding statistics ? a. positive showing towards R
39- one molecule of glucose how many ATP molecules > 38, a.32(mark it if 38 not in options) (glycogen 39
40. information cession is? taking informed consent
41- Acidic drugs bind with Albumin Basic drugs bind with alpha 1 Glycoprotein.
42.-pt of acute haemorrhage component which will be replaced in the end ?a. RBC . b. electrolyte , c. plasma volume
Plasma volume first, electrolyte second and RBC at last (B/C first hypoxia will stimulate erythropoietin secretion, which will then
stimulate RBCs synthesis; this process would take time)
43.- FRC is (IRV+RV) a.vol of air remains in lung after tidal vol is expired
44.- commonest cause of shift of K from intracellular to extracellular? a. strenous exercise (releases K from skeletal muscle)
45- in summer, a fasting man has concentrated urine due to? b. inc ADH secretion
46- regarding trachea? b. commence at lower end of cricoid cartilage(
c. inc sweating
C6)
b.A+ to AB+
c.O+ to A+
d. A- TO A+
nd
trimester)
b.Choroidal artery
74-Common or most likely feature of shock? c.Dec perfusion all over in tissues
75-Septic shock? b.Caused by psuedomonas species
76-urogenital diaphragm is injured which nerve will b damaged?? some thing like ?b.Genital br of genitofemoral nerv
77-Most likely cause of atherosclerosis? b.Cholesteatoma
78. thyroid gland-Cell shape changes with the degree of secretion
79-which carcinogen has its carcinogenic effect after long use or as late complication? a.Benzene, b.Asbestosis
80-Digoxin toxicity causes/ leads to: ? a.Hyperkalemia
106-.in female pelvis structure between ureter and peritoneum is?c.Uterine artery
107-.man has vesicular eruption and burning sensation just below clavicle.area is supplied by? a.C3.c4
108-.diminished knee jerk due to injury of ?b.L4 [ The knee jerk reflex is mediated by the L3 and L4 nerve roots, mainly L4 ]
109 Among following most commonly causing hypersensitivity reaction? a. M tuberculosis ,b. M laprae,D.streptococcus pyogenes
110. a person steps on throne, withdrawl reflex is? a.monosyn, b. polysynaptic
111. major phase of ventricular filling (or more flow)? b.rapid inflow (which will 70-80 % ventricles)
113. Mean 80, SD 10 and 70 values accuracy will be? 96 % ,, 84%,, 22%
nd
th
27-.rectus abdominous ? (All wrong ...as it originate from sym.pubis and pubic crest inserted into 5 6 & 7 ribs and xiphoid process,
3tendinous intersections present anteriorly o connected to ant sheath but not to posterior...RJ LAST)
28-.skin around anus lymphatic drainage is to Medial group of horizontal superficial inguinal lymph node
29-.scalenus anterior? a.Inserts in ist rib
30-.mcv 58 Ferretin 150 Hypochromic MicrocyticIron def anemia , Thal minor (low MCV Normal ferratin)..(ferritin range :
male...20-300 microg/l, female 14-150 microg/l)
31-.multiple bone fractures history,blue sclera ? Which product's enzyme is deficient a.Collagen (osteogenesis imperfecta
32-.medial part of thigh n sole of foot medial is supplied by which dermatome? (Medial L3 and medial side of sole by L5
Medial part of leg and medial malleolus)
33-.common cause of fatty liver in our population? a.Hep b c , b.Alcohol
34-. Most common cause postmortem in our country? c.Hemorrhage
35-.2nd pharyngel arch forms(2 questions) Stylohyoid ligament-( steps.styloid process. Leser horn of hyoid. stylohyoid ligament
Muscle of facial expression. stapedius , stylohyoid, plastysma Posterior belly of digestric)
36-.regarding embryo of heart- Septum primum n secundum fuse to form interatrial septum
37-.Under action of insulin glucose enters? b.Muscle
38.uterus is supported by ?Transverse cervical ligament Held in position by utero sacral
39-. German measles in mother cause what in babies a.Congenital cataract (most common)
(RUBELLA IN PREGNANCY: 3-4 week cardiac defects
40-.to reduce incidence of congenital catarct ? Immunize girls with rubella vaccine
41-T3 is produced by ? a.Principle cells of thyroid
42.In case of factor ix deficiency ? Ffp
43- In AID/HIV patient which skin malignancy occur? B.squamous cell CA [most commonly anal sq cell ca] (MC skin cancer in
HIV)
IF KAPOSI IN OPTIONMARK IT
44 .in neoplasm which natural mechanism occur- (IS LOST) A. Apoptosis (B/C loss of apoptosis leads to neoplasm)
45-. Arch of aorta compress? A. Left bronchus ,B. Oesophagus,C. Left atrium
46-. Mixed venous blood found at? A. Pulmonary artery,B.Pulmonary vein(only oxygenated blood)
47-. Coronary venous drainage of heart, at coronary sinus greatest ( sum thing like that in question )
A. Greater cardiac vein (b/c Coronary sinus is the continuation of great cardiac vein
48. Fastest conduction/ Myelination at? A. Panic anion corpuscles ?? B. Free nerve ending
49-positive predictive value-All Postives (def: measure of likelihood That a person with positive test result actually has the disease.)
50-.if patient is having fatal disease, Provide info?. in a formal session in exclusivity
51-.a female after child birth is having severe bleeding from vagina. Which drug to be given (first inc dose of oxytocin then
ergometrine,
52-.pt of DM uses daltone(aisa e koi nam tha- galbenclamide ) Also uses drugs for asthma.....now symptoms exagerated which drug
causes interaction
a.B blocker-NO- In asthmatics and diabetics beta blockers are contraindicated
b.Steroids(b/c they inc the blood glucose level symptoms exagerrated)
53-.haloperidol given oral anesthesia....pain n anesthetic effect is achieved but not optimum, What should be added?b.Nitric oxide
54-.lipid soluble anesthetic? a.Spreads rapid (rapid onset of action
55-Derivative of ectoderm ? A. Lens (surface ectoderm),B. Retina(neuro-ectoderm) C. Autonomic ganglia(Neural crest cells)
56-. Trigone of bladder? A. Ureter open as oblique slits.B. Develop from urogenital sinus ,(it develops from lower ends of
mesodermal mesonephric ducts.)
57-. Testicular CA metastasis ? ((para-aortic lymph nodes at L1where testicular artery originate))
58-. Ejaculatory duct open into? A. Prostatic urethra B. Penile urethra ,C. External urethral sphincter
59-. Aphasia due to damage of ? A. Temporal lobe Brocas is in frontal -Wernickes in temporal,difficulty in uttering words,lesion
Brocas
60-. Silicon breast implant scenario later inflammatory changes? C. Giant cell.
61-pleural effusiin best drained from? a.Upper border of lower rib (in posterior axillary line)
62- Immunological way to attack (some thing) ? a.TB , b.Treponema
63-. Regarding polycytemia Vera? A. Increase blood concentration B. Increase RBC mass
64-. Type 1 hyperlipidemia?A. Defect at HDL surface receptor or antigen , It is also called hyprchylomicronemia, caused by
lipoprotein lipase deficiency, / defective apolipoprotein c2
In type 2a absent / defective LDL receptors
In type 4 hepatic overproduction of VLDL
65-. Most common cause of congenital male infertility ? A. Cryptoradism
66-. Most commonly fractured Carpal bone in hand? A. Scaphoid(also prone to avascular necrosis)
B. Lunate (Most commonly Dislocated Carpal bone)
67-. Ulnar nerve supply ? A. Medial 2 lumberical, B. all Small muscles
68-. Frontal eye field blood supply by ? B. MCA , C. PCA
69-. Thumb n finger representation area? Medial & lateral nucleus cunatous -CUNEATUS FOR-UPPER
GRACILIS FOR-
LOWER LIMB
70-. Regarding posterior cranial fossa? A. Facial nerve pass through internal acoustic meatus
71-. CO2 diffuses greatly than O2 due to
A. Diffusion coefficient -(Has 20 times more ability to diffuse bcz of high Diffusion coefficient)
(Co2 has more diffusion coffecnt. Co has more binding)
72-. Ribosomes ? A. With ER formed cytoplasmic protein synthesis-B. Protein synthesis
73-. About plasma osmolarity (maintained by)? A. Vasopressin ,B. Hypertonic saline solution
C. Isotonic saline solution ,D. Aldosterone ,E. 20% albumin
74 Which bone formed medial longitudinal arch? A. Tallus. B. Calcaneus
75-. Cavernous sinus thrombosis which vein involve ? A. Inferior ophthalmic vein (IOV)
76-. Most appropriate about diaphragm ? A. Innervated by phrenic n intercostal nerves (ans)
77-A 48 yr old lady c/o inc. weight..TSH=4..T3= 4 'T4=8....? A..hyperthyroid , B..hypothyroid C..over eating , D..hypopituitrism
78-most imp strong exotoxin of strep pneumonia? a.leucocidin,b. Pneumolysin (not streptolysin),c.catalase,
79- hepatic pedicle includes .. bile duct portal vein hepatic artrey
80- muscles o back are supplied by? Post. Spinal Ganglion-(Post / Dorsal rami of spinal nerves supply muscles of the back)
81- which of the following is prevent unwanted transport b/w 2 epithelium of 2 cells Tight junction (Gap Junction helps in
electrochemical transmission)
82- SK muscle neuromuscular plate Acetylcholinestrase
83-.recurrent abortion Lupus (lupus anticoagulant found in patient with APLA syndrome, one of the causes of recurrent
abortions) recurrent abortion due to APLA
84.Cells of simple columnar epithelium are connected by-c-tight junctions only,b-desmosomes only
85.Common complication of diabetic foot A. Dry gangrene(D for diabetes,,, and D for Dry gangrene) B. Wet gangrene
-
=-=-=
causes?
A.Axillary nerve damage.
29)Increase of blood viscosity causes?
A.Inc radius of capacitance
B.Inc radius of resistance arteriole
C.Inc mean arterial pressure
30)Rupture to male urethra below
urogenital diaphragm, urine will leak
into?
A.Superficial pouch
B.Retropubic space
C.Ischiorectal fossa
D.Medial thigh
31)Cold sensations from which receptors?
A.Same as hot receptors
B.Different from hot receptors
C.Take sensation at same center where hot
receptors
32)which one is the DNA virus?
A.Influenza
B.Measles
C.Mumps
D.Yellow fever
E.Infectious mononucleosis
33)Motor deficit question?
A.Ant part of post limb of IC
34) ANT DUODENAL perforation where
will secretion go?
A.Right paracolic gutter
B.Left paracolic gutter
C.Anterior subhepatic space
D.Posterior subhepatic space
35)Blood supply of prostate Question?
36)Macrocytic anaemia cause?
A.Intrinsic factor deficiency
37) Regarding trachea?
A.Has 7 rings
A.Crigler Najjar
B.Hepatitis
C.Gilbert
55)middle thyroid vein drains into?
A.Anterior jugular
B.External jugular
C.Internal jugular
56)Regarding IVC most appropriate is?
A. commences at the level of L5
B. has tributries similar to that of aorta
57)Ptosis and miosis scenario cause is?
A.Occulomotor nerve damage
B.Horner syndrome
58)In Rheumativc fever which valvular
lesion is present?
A.Mitral stenosis
B.Aortic Regurgitation
59)Most common skin cancer in HIV?
A.Sq. Cell carcinoma
B.Basal cell carcinoma
C.Malignant lymphoma
60)Collagen tat gives strenght during
wound healing?
A.Type 1
B.Type 3
61)Sertoli cells most appropriate is?
A.Produce fluid rich in glucose and protiens
(nutrients).
B.Maintain blood testis barriers.
62)Rapidly adapting receptors ?
A.Pacinian
B.Free nerve endings
C.Meissners
63)What is crown lump lenght at 17 -20
weeks?
?
64)Abdominal angina cause by
obstruction to?
A.Inf mesenteric
B.Sup mesenteric
65)Middle colic is the branch of ?
A.Inf mesenteric
B.Sup mesenteric
66)Chest pain and fever not related to
respiration?
A.Costochondral junction
B.Pericarduim
C.Myocarduim
67)Case control studybig same asim
shoaib scenario.
68)Sarcoidosis findings?
A.Granuloma with asteroid bodies
69)A 60 years old patient having
hypertension, diabetes with
hyperthyroidism, which drug will be safe
for him?
A.Ca blockers
B.ACE
C.B.Blockers
70)How much time digoxin required to
reach at stable level?
A.2 minutes
B.9 minutes
70)Known case of IHD type 2 diabetic
present with chest pain HB is 6 TLC was
normal platelet was normal 120, PT 13
(control 11 ) APTT 23 ( control 21) . What
should be transfused?
A. RBC Concentrate
B. Fresh frozen plasma
C. Fresh whole blood
D.
=-=-=-=
Medicine & Allied, November 18, 2015 By: Dr. Muhammad Sher Khoh Qaisrani
Dear students! To err is human. Extensive efforts have been done to reproduce these complete 200 BCQs from
CPSP Medicine and Allied Paper I & II and it has been tried to make it error free by consulting different fellows,
books and internet sources; but still errors are possible. Despite the fact, both paper questions are mixed, some of
the statements in purple color are still confusing and no proper answer has been found. Answers for each
statement is given directly after -(hyphen). Opinions and correct answers for any of the following questions are
most welcome if any authentic reference (books with page numbers, URL of the sites and others) is available. I am
thankful to my fellows who helped me in finding some BCQs that were missing. The prominent among these are
Dr. Bushra Anwar, Dr. Syed Khawar Abbas, Dr. Syed Jannat Hussain, Dr. Umair Hassan and some of those guys who
put questions in FCPS batch (2005-10) for consultation. Last but not least, please pray for us, a humble request
from you all. Cheers!
1. Potassium is mainly regulated by - Aldosterone.
2. Tip of scapula at level T7.
3. Oblique fissure of the lung at level - T3 to T6 Costochondral.
4. Decussating of medial lemniscuses - Internal Arcuate Fibers.
5. Superficial temporal artery relation with which nerve - Auriculotemporal nerve.
6. Correct about Thyroid gland - lymph drainage to deep cervical lymph nodes.
7. Anemic hypoxia occur in Methemoglobulenemia.
8. In cerebral circulation brain arteries - Do not anastomose once entered in the brain (controvertial).
9. Phase 1 of transformation of drug metabolism Oxidation.
10. Standard deviation shows - Variability of individual observation.
11. Counseling in patients is - To help themselves.
12. A young girl who is going to die and asks you Am I going to die? Doctor response should be What your
parents have told you?
13. In whole wheat Thiamine.
14. Cholesterol enriched diet Egg.
15. Origin of peroxisomes SER.
16. Organelle where protein combines with carbohydrates, packed and released - Golgi complex.
17. Correct about DNA Euchromatin is transcriptionally active.
18. ADPKD associated with Renal failure (vs) Cerebral haemorrhage (controversial) here most probable Renal
failure.
19. Cause of delay in healing Infections.
20. PaO2 decreased, PCO2 increased, hydrogen ion increased; manifestation (looked like kind of COPD)
Hypoventilation.
21. PCO2 31, HCO3 19, pH increased (Metabolic alkalosis scenario) - Hyperventilation
22. Person with tachycardia, and heat intolerance with low level of TSH, on giving TRH; level of TSH and thyroid
hormones increases. Diagnosis Hyperthyroidism with thyroid problem.
23. Origin of oxytocin and ADH Hypothalamus.
24. Difference between systemic and pulmonary circulation - Low resistance in pulmonary circulation.
25. Mean systemic filling pressure is regulated by - Venous return.
26. Systolic pressure is directly related to which one of the following Renin.
27. ADH responds to Osmolarity.
28. Osmoreceptors ADH.
29. Right border of heart on X-ray also visible a part of SVC.
30. In MI sensitive cardio marker Tropinin T.
31. Diabetic nephropathy investigation - Urine albumin.
32. Young boy with generalized edema and proteinuria - Lesion of basement membrane.
33. Lesion of parasympathetic system affects mostly - GI muscles.
34. Stress hormone of our body - ACTH.
35. S2 sound heard on - Closure of aortic and pulmonary valve.
36. A patient with history hemorrhage (trauma) receives a bag stored for 2 weeks mainly contains RBCs.
37. Due to inspiration Decreased negative intrapleural pressure.
38. Important buffer of blood - HCO3-.
103. 2 years old child with medially rotated arm lesion in - Upper trunk.
104. Female with uterus cancer which travels to labia majora following which route - Round ligament.
105. Pain in epigastrium due to ulcer, transmitted by - Greater splanchnic nerve.
106. Vesicular lesion on the tip of nose and eyelid - Ophthalmic nerve.
107. Patient cant abduct till 30 degree, which muscle is responsible Supraspinatus.
108. Nerve supply to plantar surface of foot - Posterior tibial.
109. Medial arcute ligament Psoas major muscle.
110. Bitemporal hemianopia due to lesion of - Central part of optic chiasm.
111. Ventral spinothalamic tract - Coarse touch and pressure.
112. Dorsal column Proprioception.
113. Vibration and touch via - White matter of posterior spinal cord.
114. Function of notochord - Induction of ectodermal neural plate to produce neural tube.
115. Midbrain reticular system Unusual stimulus causes arousal.
116. Most radiosensitive tumor Medulloblastoma.
117. Hormone increased during sleep as compare to at day wakefulness Cortisol.
118. In Trigeminal neuralgia anesthesia given to block trigeminal ganglion at which site - Pterygopalatine fossa.
119. Patient with intentional tremors and facial paralysis lesion at Cerebellopontine angle.
120. Opioids produces vomiting by acting on - Chemo trigger zone in medulla.
121. Patient working in mine with tuberculin test positive. Cough, fever, weight loss with hilar lymphadenopathy
Silicosis.
122. Male working in construct factory with pleural plaques Asbestosis.
123. Neoplastic cells with continuous mitosis due to persistence of Telomerase.
124. During exercise venous return is due to - Contraction of calf muscles.
125. During exercise increased blood supply to muscles - Local metabolites.
126. Action of steroids as anti-inflammatory is due to - Inhibiting phospholipase.
127. Intermediate filaments staining with immunofluorescence to diagnose Carcinoma.
128. VPL nucleus of thalamus when damaged cause somatosensory loss of contralateral body.
129. Thiazide diuretic cause Hypokalemia.
130. Man living on side of a river, got blindness from nematode; organism - Onchocerca volvulus.
131. MCC of HTN Idiopathic.
132. Adult female with breast atrophy due to decrease in Estrogen.
133. Female with hirsutism, galactorrhea, infrequent heavy menstrual cycle. U/S both ovaries with cystic lesions
and LH:FSH :: 3:1 - PCOD
134. Female with hot flushes - Increase FSH and LH.
135. Injection of atropine will cause - Dryness of mouth.
136. Female with severe loss of vibration, Investigation of choice - Stomach biopsy.
137. Child with yellow sclera and colored urine, best Investigation - Bilirubin and ALT.
138. Female with weakness and lethargy with RBCs 5.5 diameter and very thin red line of RBC in peripheral smear Microcytic hypochromic anemia.
139. Monitoring of Hep B Serum glutamate-pyruvate transaminase.
140. Female with reactive anti HBe and reactive total anti HBc along with non-reactive HB IgM and non-reactive
HepBs Ag - Acute recovery phase.
141. Patient with obstruction jaundice; now bleeding cause - Vit K deficiency.
142. Investigation of Hashimoto thyroiditis Antimicrosomal and anti-thyroglobulin antibodies.
143. Cimetidine interaction with warfarin causes - Decrease hepatic clearance of warfarin.
144. Patient using some anti-coagulant, how will you know that anticoagulant is warfarin because it is being
monitored by PT.
145. BP drops from 100mmHg to 70mmHg Decrease in carotid sinus nerve activity.
146. Erythropoietin is secreted via Mesangial cells.
147. Patient with all symptoms of Cushing along with increased ACTH cause - Cushing disease.
148. Child with machinery like murmur PDA.
149. PaO2 is 100% in - Left to right shunt.
150. Kallmann syndrome Gene defect in Kal1 gene.
151. Diplamotoylphosphatidyl choline + carbohydrate + proteins is a content of Surfactant.
152. In asthma - Decrease FEV1.
153. Splenectomy is most useful in - Hereditary spherocytosis.
154. Findings in glycogen storage diseases - Hepatomegaly and hypoglycemia.
155. Corynebacterium diphtheria produces Exotoxins.
=-=-=
=-=-
B. Pseudomonas
C. Nocardia
D. Actinomyces
E. Staphylococcus
Ans: D
5.Farmer in rose garden has Right lower lobe clacified mass 4x3 cm.
A. Aspirgilosis
B.Candidiasis
C. Blastomycosis
D. Mucormycosis
E. Coccidiodomycosis
Ans: A
6.A Sportsman fell on his Right shoulder he felt severe pain and abduction of arm Upto 40
degree is lost which muscle is affected.
A. Deltoid
B. Supraspinatus
C. Infraspinatus
D. Teres major
E. Subcapularis
Ans: B
7. Lateral quadrant of breast drain into which nodes.
A. Parasternal
B. Posterior axillary group
C. Anterior axillary group
D. Lateral axillary group
E. Infraclavicular
Ans: C
8. Mass of hair shaft is mainly due to
A. Cortex
B. Matrix of nail
C. Bsale
D. Basle plus spinosum
E. Sebaceous gland
Ans: A
9. A 35 yr male usually goes to Dubai and has H/O immoral sexual activities and doesn't
use any protection.He has problem in walking in dark and loses balance,absent light
reflexe,no pain sensation,most likely diagnosis.
A. UMNL
B. Tabes dorsalis
C. LMNL
D. Syringomyelia
E. Lesion of Visual cortex
Ans: B
10. Pain of ovrian tumor is refered to thigh by
A. Femoral nerve
B. Obturator nerve
C. Sciatic nerve
D. Pudendal Nerve
E. Postrior cutaneous nerve of thigh
Ans: B
11. Neck of bladder and proximal urethra is supplied by.
A. Pudendal Nerve
B. Pelvi splanchnic nerve
C. sympathetic L1-L2 via hypogastric plexus
D. Lesser splanchnic nerve
E. illioinguinal nerve
Ans: C
12.Deep inguinal ring is present in
A. External oblique
B. internal oblique
C. Rectus abdominis
D. Peritoneum
E. Transversalis fascia
Ans: E
13. Vessels of base of bladder lies in which ligament
A. Dosrolateral
B. Ventrolateral
C. Median umblical
D. Puboprostatic
E. Illiofemoral
Ans: A
14. suprficial epigasric artry branch of
A. Femoral Artery
B. External illiac artery
C. Internal illiac artery
D. Abdominal aorta
E. Profunda femoris artery
Ans: A
15. which vein is involvd in portal hypertension
A. esophageal
B. Thoracic
C. Renal
D. Inferior phrenic
E. Inferior epigastric
Ans: A
16. Regarding sciatic nerve true statement is
A. Divides into common and superficial peroneal nerve
B. Passes through lesser sciatic foramen
C. Formed only by saccral segments
D. Present b/w greater trochentar and ischial tuberosity
E. Injury does not affect peroneus muscle
Ans: D
17. Median nerve damaged at carpel tunnel what will occur
A.wasting of thenar muscles
B. Loss of sensations of medial 1/3 of palmar surface
C. Loss of sesation of dorsal surface of hand
D. Loss of wrist flexion
E. Hypothenar atrophy
Ans: A
18. 17 ketosteroid in urine seen maximally in
A. Normal male
B. Normal female
C. Ovarectemized female
D. Adrenalectomizedze male
E. Adrenalectomized female
Ans: A
19. Median nerve damaged which action of thumb will impared.
A. Flexion
B. Abduction
C. Opposition
D. Extension
E. Adduction
Ans: C
20. Lymph from testis will drain into.
A. Internal illiac
B. External illiac
C. Internal + external
D. Paraortic
E. Superficial inguinal
Ans: D
21. sciatic nerve damaged dorsal surface of foot still have cutenous innervation because
of
A. Saphaneous nerve
B. Sural nerve
C. Common peroneal nerve
D. Tibial nerve
E. No sensations
Ans: A
22. Pulmonary symptoms caused by which parasitic disease
A. Filariasis
B. Ascariasis
C. Cystercercosis
D. Hydatid cyst
E. Trichinosis
Ans: B
23.Primary objective of Screening in cancer is
A. Detect disease which are treatable
B. Detect disease at early stage
C. Socially acceptable
D. Cheap
E. Requires confirmatory test
Ans: B
24. Post PPH, multiple blood transfusions from blood bank,O positive, will lead to
A. Thrombocytopenia
B. Hemochromotasis
C. Polycythemia
D. Thrombocytosis
E. Hypergammaglobinaemia
Ans: B
25. Regarding malignant melanoma cell in chronoligical order which wil present earlier
A. T cells
B. NK cells
C. Monocytes
D. Macrophages
E. B cells
Ans: B
26. Antiobiotic given, patient has deranged PT aPTT and normal platelets what will you
give.
A. Whole blood
B. FFP
C. Cryoprecipitate
D. Warfarin
E. Vit. K
Ans: E
27. Organism which produces flourscent pigments and resistant to antibiotic & antiseptic.
A. Staphylococcus
B. Streptococcus
C. Pseudomonas
D. Mycobacterium
E. Treponema pallidum
Ans: C
28.Post HIV operation theater will be cleaned by.
A. 1% Hypochlorite
B. 2% gluteraldehyde
C. 4% glteraldehye
D. Phenol
E. Soap and water
Ans : B
29. Patient lacks coagulation factor 2,7,9,10 what is deficient.
A. Vit. C
B. Glutathione
C. Vit. A
D. Vit. K
E. Zinc
Ans: D
30. Relation of terminal CBD with head of pancreas
A. Anterior
B. Posterior
C. Medial
D. Embedded in it
E. No relation
Ans: D
31.Relation of Common Peroneal nerve with Bicep Femoris in popletial fossa
A. Lateral
B. Medial
C. Anterior
D. Posterior
E. Proximal
Ans: B
32. Most common Brain tumor of posterior cranial fossa in children.
A. Medulloblastoma
B. Astrocytoma
C. Maningioma
D. GBM
E. Hemangioma
Ans: A
33. which branch of cervical plexus supply posterior auricul area.
A. Auriculotemporal nerve
B. Lesser occipital nerve
C. Greater occipital nerve
D. Supratrochlear nerve
E. Zygomaticotemporal nerve
Ans: B
34. Fracture of which vertebral bone peice damage vertbral coulm.
A. Axis
B. Atlas
C. C5
D. C7
E. Occipetal bone
Ans: A
35. TLC 6 litre, Residual volum 1 litre, calculate vital capacity.
A. 3L
B. 4L
C. 5L
D. 6L
E. 4.5 L
Ans: C
36. Mild transplant rejection myosial biopsy shows.
A. Lymphocytes
B. Aneurysms
C. Antigen antibody complexes
D. Eosinophils
E. Macrophages
Ans: A
37. A patients undergoes Renal transplant ,he is on immunosuppressive therapy and
develops angular chelitis causative agent is.
A. EBV
B. CMV
C. Herpes
D. Candida Albicans
E. Aspergillus
Ans: D
38.In asthma which is increased.
A. Vital capacity
B. FEV
C. FRC
D. Tidal volume
E. All increased
Ans: C
39. At Normal condition both are equal.
A. Venous return and coronary flow
B. Venous return and renal flow
C. Cerebral flow and cornary flow
D. Venous return and pulmonary flow
E. Pulmonary flow and cornary flow
Ans: D
40. Long term memory immunoglobulin.
A. IgA
B. IgM
C. IgG
D. IgE
E. IgD
Ans: C
41. Loop diuretics therapeutic and dangerous effect
A. Acidosis
B. Hyperkalemia
C. Bradycardia
D. Low blood volume
E. Hypernateremia
Ans: D
42.Propofol absolute contraindication.
A. Porphyria
B. Hypertension
C. Hypersensitivity
D. Old age
E. Pregnancy
Ans: C
43. Acetozomalamide(diamox) MOA?
A. H+ absorption, Na K exceretion
B. Acts on Thick ascending loop
C. Acts on DCT
D. Osmotic diuretic
E. Causes alkalosis
Ans: A
44.Cranial nerve 7 9 10 taking taste sensation converge.
A. Medial Laminiscus
B. Solitary tract
C. Lateral geniculate body
D. Nucleus ambiguous
E. Dorsal NucleusI
Ans: B
45. 12 yr old boy brought by mother has yellow discolouration of sclera,anorexi, vomiting
and yellow coloured urine most appropriate test will be
A. Alkaline phosphatase
B. Bilirubin plus ALT
C. HBsAg
D. HAV
E. Liver biopsy
Ans: B
46.Sampling in which everyone has equal chance of being selected.
A. Systemic sampling
B. Random sampling
C. Stratified sampling
D. Biased sampling
E. Case control
Ans: B
47. 15 yr old boy has enlarged posterior cervical Lymph nodes, while taking biopsy which
nerve can be damaged.
A. Vagus nerve
B. Cranial Accessory nerve
C. Hypoglossal nerve
D. Spinal Acessory nerve
E. Glossopharyngeal nerve
Ans: D
48. Alpha receptors abundant in which part of urinary Bladder.
A. Trigon
B. Walls
C. Neck of bladder and proximal urethra
D. Base
E. Apex
Ans: C
49.parasympthetic stimulation causes
A. Bronchodilation
B. Constipation
C. Contraction of Sphincters
D. Increase Salivation
E. Contraction of Radial muscles
Ans: D
50. Viral infection caused by DNA virus
A. Measles
B. Mumps
C. Infectious mononucleosis
D. Rubella
E. Rabies
Ans: C
51. inferior thyroid artery ligation may cause injury to
A. External laryngeal nerve
B. Vagus nerve
C. Superior Laryngeal nerve
D. Recurrent Laryngeal nerve
E. Internal Laryngeal nerve
Ans: D
52. True about Choriostoma
A. Thyroid tissue on base of tongue
B. Pancreatic tissue in stomach
C. Cartilage tissue in lung
D. Is malignant
E. Teeth in dermoid cystcyst
Ans: B
53. After RTA Patient unconcious, on CT scan hematoma compressing post central
gyrus,area affected is
A. Motor area
B. Sensory area
C. Auditory cortex
D. Visual cortex
E. Frontal eyefield
Ans: B
C. Osteoid osteoma
D. Chondrosarcoma
E. Giant cell tumor
Ans: B
69. Difficulty in breathing on lying down
A. Retrosternal goiterR
B. Toxic goiter
C. Toxic adenom
D. Graves disease
E. Multinodular goiter
Ans: A
70. A fisherman presented with slowly developing lethargy, easy fatigue and palpitations.
His diet comprises of fish and rice mostly. Physical examination showed pallor and loss of
touch sensations in both feet and lower limb. His CBC showed Hb 7.5/dl MCV 132
platelets and TLC normal.most likely causative parasite:
A. Ancylostoma duodenale
B. Diphylobothrium latum
C. Strongyloid stercoralis
D. Echinococcus
E. Tenia saginata
Ans: B
71. A pregnant lady during 5th month of Gestation is case of thyrotoxicosis,most
appropriate drug for treatment is
A. Methamazol
B. Propylthiouracil
C. Thyroxine
D. Propranolol
E. Labetalol
Ans: B
72. Most common position of Appendix
A. Parailial
B. Pelvic
C. Retrocecal
D. Paraillial
E. Subhepatic
Ans: C
73.TPN complication
A. Hypoglycemia
B. Hyperglycemia
C. Hypocalcemia
D. Hyperviscosity
E. Hypophosphatemia
Ans: B
74.INR is used to monitor
A. Heparin
B. Oral anticoagulant
C. Vit. K
D. Streptokinase
E. Enoxaparin
Ans: B
75. A young girl has patechie on body, no H/O of recent illness and drug use,laboratory
investigations show normal Hb and TLC count but platelets are decreased,most likely
diagnosis
A. Leukemia
B. Aplastic anemia
C. Idiopathic thrombocytopenic purpura
D. Thrombocytosis
E. Hemolytic anemia
Ans: C
76. True about AV Bundle
A. Only pathway to transmit current from atria to ventriclesO
B. Located in membranous part of interventricular septum
C. Divides into purkinji fibers
D. Is specialized nervous tissue
E. Left division supplies moderator band
Ans: A
77. False about active transport
A. Saturable
B. Occurs for all drugs
C. carrier mediated
D. Requires energy
E. Against concentration gradient
Ans: B
78. 0.5 cm perihilar nodule plus eosinophilia in blood sputum and biopsy?
A. Noinvasiv aspergilosis
B. wegner granulomatosis
C. Candidiasis
D. Blastomycosis
E. Pneumonia
Ans: A
79. Endothelium of vagina and Endometrium derived from
A. Endoderm
B. Mesoderm
C. Endoderm plus ectoderm
D. Mesoderm plus Endoderm
E. Ectoderm
Ans: B
80. Spleenectomy, vassels present in which ligment
A. Gastrospleenic
B. Splenorenal
C. Greater omentum
D. Gastrohepatic
E. Gastroduodenal
Ans: B
81. Rectus sheath true statement
A. Upper intersection near xiphoid process
B. Lower intersection at level of arcuate line
C. Tightly adherent to both layers of rectus sheath
D. Lower intersection at level of pubic tubercle
E. Are 6 in number
Ans: A
82. Regarding isotonic and isometric contraction isotonic contraction
C. Hyperglycemia, Hepatomegaly
D. Hypoglycemia, Hepatomegaly
E. Hyperglycemia,mental retardation
Ans: D
95. True statement regarding Bone
A. Circuferrential lamella arranged around central canal
B. Haversian canals are obliquely placed
C. Lacunae contain osteoblasts
D. Haversian canals do not communicate with each other
E. Collagen fibers impart basophilia to the tissue
Ans: A
96. Increased plasma osmolarity causes
A. Stimulation of osmoreceptors and release of ADH
B. Stimulation of osmoreceptors and inhibition of ADH
C. Inhibition of osmoreceptors and release of ADH
D. Inhibition of osmoreceptors and inhibition of ADH
Ans: A
97. Most commonly fractured carpal bone
A. Lunate
B. Scaphoid
C. Trapizium
D. Hamate
E. Capitate
Ans: B
98. Branch of external carotid atery which arises from medial side, behind the posterior
belly of diagstric muscle in substance of parotid gland is
A. Ligual artery
B. Occipital artery
C. Facial artery
D. Ascending pharyngeal artery
E. Superior thyroid artery
Ans: C
99. A female in day 18 of menstrual cycle,which phase of menstrual cycle will be
A. Follicular phase
B. Proliferative phase
C. Ovulation
D. Secretory phse
E. Menstruation
Ans: D
100. Blood cells able to regenerate beacuse of
A. Growth factors
B. Erythrpoiten
C. Insulin
D. Growth hormone
E. IL- 2
Ans: A
Compiled by: Muhammad Saqlain
=-=-
Nov 2015
C-skin
Ans
A
20--aorta :gives renal arteries at level of L2
21--12 Years old girl with hb- 6,, mcv-59fl,, mch-15pg:
A - iron deficiency anemia
B- thalassemia trait
22--iron deficiency anemia typical senario
23-- Tx of diabetes in pregnant woman
Ans
Insulin
C- AB D- B (ans)
E- two childrens have two fathers
43--whole wheat is good source of:
A - thiamine(ans)
B- riboflavin
44--Highest cholesterol content:
A - egg (ans)
B-red meat c- white meat
45--tip of scapula:
A - T7 (ans)
B- T8
46--BREAST atrophy in adult female caused by: A-estrogen B- both estrogen and progesterone
(ans)
47-- Metaplasia:
A - functional change in cells
B- inc in size and nbr of cells
48--councilmans bodies senario:
A - Apoptosis
49- male pt with dyspepsia and loss of appetite,Alcoholic, finding on biopsy:
A - Mallory bodies
50--c3b is involved in:
A-apsonization ( ans)
B-phagocytosis
51--finding of acute inflammation fluid:
A - specific gravity 1010
B- is known as Transudative
C- protein > 3gm/ dl (ans)
52--female with diffuse cervical lymphadenopathy.He has granuloma on histopathology.which is
the further findi for diagnosis of tb:
A - caseous necrosis (ans)
B- epitheloid cells
53--self replicative organelles. peroxisomes contain oxidase develops from:
A - smooth endoplasmic reticulum (ans)
B- lysosomes
67--individuals have the independent and same chance of being selected:(was repeated in both
papers)
A - random sampling (ans)
B- stratified sampling
C- systemic sampling
68--Adh and oxytocin originate from:
A - hypothalamus (ans)
B- posterior pituitary
69--pt injured in accident, , , multiple fractures, bp- 90/ 60, pulse 12o:
A - fluid replacement
70--chemical synapse most likely:
A - ca uptake and release of Ach into cleft ( please add option)
71--isotonic and isometric cintraction. isotonic contraction is different by:
A - consume more phosphate bonds ( ans)
B- less work load
C- have more energy of recovery
D- heat production
72--major stress hormone:
A-ACTH
73-- Major blood buffer is:
A - bicarbonate
74-- epinephrine released from adrenal medulla cause vasodilation by which adrenergic
receptors:
A - A2
B-B2 (ans)
75--autonomic nervous system:
A- - parasympathetic inc salivary secretions
76-- 2nd heart sound:
A - closure of pulmonary and aortic valves
77-- tricuspid valve auscultation:
A -lower end sternum on rht side
78-- Mean systemic filling pressure:
A -affects mean arterial pressure
B-venous return (ans)
126-- after 15 days of c- section due to obstructive labour.. pt developed urinary incontinence.
what is the most likely cause:
Vesico vaginal fistula
127-- lymphatic drainage of upper lateral quadrant of breast-- pectoral ( anterior) lymph nodes
128-- breast lobes---separated by interlobar stroma (I did)
Please add options
129--how good is a test at correctly diagnosi diagnosing people with the condition. Feature
qualifies:
Sensitivity (asim gynea bcq# 151)
130--40% receiving hrt,, 20% not- pie chart
131--pO2 is lower in arterial blood than pulmonary blood because-- diffusion to occur ( I did)
132-- nucleoli wala bhi tha not exactly remember please add options:
A- contain DNA
B- contain RNA AND non histone proteins
C- Haematoxylin dye stains nulcleus purple ( I did that)
133- local anesthetic mechanism of action:
A) blocking Na channels
B)Acting ON Pain receptors
134-- lady with back ach on right side,neck of femur fractured due to slipage in washroom.Blood
calcium is raised and calcium appeared in urine,, diagnosis:
A-hyperparathyroidism(I did)
135-- phosphorylase enzyme raised to cause glycogenolysis due to deficiency of which hormone:
A - insulin (ans)
B- glucagon
C- epinephrine
D- cortisol
136-- most common cause of anemia in pregnancy:-hemodilution
137-- enzymes are specific for male and female hormones production,,, enzyme only for female
hormones production:
A - aromatase ( I did)
138-- male pt with severe hemorrhage,presented in unconscious state,, transfused with 2 weeks
old blood.
Blood mainly contain:
A - Rbcs (ans)
B- platelates
C- monocytes
D- neutrophills
139--which of the following environmental factors cause mutation of proto oncogenes:
A - virus
B- radiation( chandkian medicine bcq# 263)
C- chemical
140-- maternal mortality ratio is xpressed as maternal deaths per:
A-100000 (ans)
B- 10000
141-- cells which contain sense granules and have igE antibodies on their cell membrane are:
A - basophills (ans)
B- eisiphills
C- macrophages
142-- child admitted in unconscious state with rapid respiration. Blood ABGs: ph-7. 3 3,, c0220,, hco3- 18.
A- metabolic acidosis (ans)
B- respiratory acidosis
143-- functionalis:
Corpus striatum and corpus
144-- free nerve endings for sensation of:-pain
145--current bone density is assessed by:
A -dexa (asim gynea: bcq# 436)
146--most common cause of gram negative septic shock-Urinary tract ( asim gynea patho- bcq# 6)
147-- tamoxifen effects over- breast
148-- female presented with some epithelial changes nd hpv +ve.Again presents and pap smear
shows large cells with large nucleus.Diagnosis
A-metastasis
B- dysplasia(I did)
C- carcinoma
149-- clostridium:
A - spore producing (ans)
B- produces exotoxin
C-gram negative
150--leprosy diagnosis in early stage:
A -nasal scrapings of lepra bacilli ( asim gynea patho bcq#223)
151-- natural defence againt cancer:-apoptosis
152--p53 mutation results:
Cell survival
153--1st line of defe in tissues:
A- macrophages (ans)
B- neutrophills
C- monocytes
154-- few weeks after delivery regression of uterus and breast:
A - lysosomes
155--inc stroke volume is due to:
A - inc heart rate at normal volume
B- large blood volume (ans)
156-- transport of glucose across placenta:-facilitated
157-- transport of local anesthetic across placenta - simple diffusion
158--Most common injured artery during difficult c- section:A- uterine artery (ans )
B- internal iliac artery
C- common iliac
159-- Associatio of smoking with low birth weight and their relation is followed by time,, thiz
type of study:
A - cross sectional
B- clinical trial
C- cohort
D- prospective (ans)
E- retrospective
160-- maximum effect produced by a drug is measure of its:
A)Potency
B)Efficacy
C)Efficiency
Ans
b(rabia ali)
161-- pulmonary system is cahnge from systemic in:
A)High resistance
B) low vascular resistance
Ans
B
162-- patient has proteinuria > 6gm/ dl.structure damaged:A)PCT
B)DCT
C)Basement membrane
Ans
C
163--cutting of parasympathetic nervous system most likely:A affects pulmonary resitance
B affects sphincteric action
C-affects git muscles
Ans
C
164-- during inspiration what decreases:
A - HR
B- Venous return
C- negative intra plueral pressure
D-arterial pressure
E- pulse pressure
Ans
A
165)On Lumbar Puncture structure damaged:
A-Ligamentum falvum
B-Anterior longitudinal ligament
C-dura matter
D-Posterior longitudinal ligament
Ans
C
167-- alpha amino group of non essential amino acids is derived from:
A - pyruvate
B- glutamate
C- lactate dehydrogenase
D- acetyl coA
E-glucagon
Ans
B
168-- micturation controlled by :
A- Mechanoreceptors in bladder wall.
B-Inhibited by a centre in pons.
C- condition reflex.
D-processed in cerebral cortex.
E.stretch of urethral sphincter...
Ans
A
mechanoreceptors in bladder wall (I did)
169-- pelvic splanchnic nerve:
A - contain postganglionic fibers
B-parasympathetic
Ans
B
Ans
B
171--regarding active transport of drugs unlikely:
A - saturable
B- all transported by this mechanism
Ans
B
172- virus cause carcinomas by oncogenes mutation,, which of the following carcinoma occur by
this mechanism:
A - retinoblastoma
B- hepatic angiosarcoma
C - renal carcinoma
D - T-cell leukemia
Ans
D
173-- cause of edema:
Inc hydrostatic pressure
Dec hydrostatic pressue
ANS
A
174-- cause of edema:
Lymphatic blockage
Dec hydroststic pressure
A
175-- peritoneum lining abdominal visceras is called:
A - viscral peritoneum (
B- parietal peritoneum
Ans
A
176-- h. pylori is associated with:A-gastric carcinoma
B-Gastritis
C-Leukemia
Ans
A
177--ADH:
A - DEC urinary osmolality
B- inc urea transport in DCT
C- inc plasma osmolarity
178-- 42 years old pregnant lady,, suggested for chorionic villous sampling.What you suspect:
A - trisomy- 21
B trisomy 18
C- trisomy 13
Ans
A
179--pt with moon facies excessive fat deposition at chest and abdominal areas,, ACTH raised,,
diagnosis:
A - cushing disease
B- cushing syndrome
Ans
B
180) A patient presented on 18th day of menstrual cycle.Her normal cycke is such that she
ovulates on 14th day.Which phase will she be in
a)follicular
b)ovulatory
c)pre menstrual
d)proliferative
e)secretory
Ans
E
181--True hermaphrodite
A- xxy
B- xx/xy
C-XX0
Ans
B
182-- lady with low serum calcium and high potassium, high plasma potassium and normal
alkaline phosphatase:
CRF
Hyperparthyroiism
ARF
Hyperthyroidism
Ans
B
Rabia Ali page 225
183-- standard deviation shows:
a. size of sample
b. reliability of sample
c. variability among individuals
d. validity of conclusions
e. quality of experimental design
Ans
C
187-- child with yellow sclera and colored urine best investigation:
A)ALT & bilirubin
B)AST
C)Bilirubin
Ans
A
189- A girl with primary amenorrhea ,, height 5. 4,, weight 60 kg.well developed breasts , small
vagina,, no uteeus on u/s,, genotype xy ( no bar body)
A- testicular feminization
B-adrenogenital syndrome
Ans
A
190)Regarding renin angiotensin system involved in long term regulation of blood pressure bc:
A - Renal effects
B- aldosterone
C-Lungs
Ans
A
A)Angiotensin
B)Epinephrine
C)Aldosterone
D)Sodium
Ans
C
193-- Before giving GA to a patient halothane is combined with
A)Thiopentone
B)Nitrous Oxide
C)oxygen
ans
B
194---The spindle fibers will decrease in discharge of impulses when A)Muscle contracts
B)When efferent gamma discharge occurs
Ans
A??
muscle contracts
195) Pars distalis:
A - supplied from superior hypophyseal artery
B- blood supply from hypthalamic hypophyseal system
C- stores hormones in the form of vesicles in herring bodies
D- develops from neuroectoderm
E- Related to neurohypophysis
Ans
A
196-Shigella dysentery effects are due to :
A - endotoxemia
B- mucosal invasion
C - verotoxin
D - neurotoxin
E- inhibit protein synthesis
Ans
B
197)burkits lymphoma is caused by EBV because:
A - it interferes with DNA repair
A.DIC
33 .which is used for screening congenital abnormality,,
A.Estriol
b.estrione
c.estradiol
34.phenyl over alcohol anaesthesia ,,
a. effect detected soon
B.less painful
c.phenol most potent
35.patient developed hemolysis due toG6PdD deificiency nxt happen,,
A.self limiting
b.hemolysis with G6PD
c.autosomal domint
36.Primitive streak mesoderm cells migrate around the cloacal membrane to form ant. Abdominal
wal cell, if ths migration does not hapen around the cloacal membrane will ruptureand open
caudly as.
A. exstrophy of bladder
b.imperfrate anus
c.hypospedia
d.ectopic anal opning
37.liver development ,
a.from dorsal mesentry proximal midgut
B.from ventral mesentry proximal foregut
c. from ventral mesentry distal foregut
d. ventral mesentry proximal midgut
38. Saphenous nerve terminal br of
A. femoral
B. obturator
c.sciatic
39. Adductor muscle hamstring muscle supplied by which nerve
A . tibial
B. Obturator
C.femaoral
D.common peroneal
40.gracillis nerve supplied by ,
A.obturator nerve
b. femoral
c. common peroneal
41. Adductor brevis supplied by,,
A. ant branch of obturator nerve
b.femoral
c.common peroneal
42.Fracture of surgical neck of humerus, artery damaged,
a.axillary nerve
B.post.circumflex humeral
43.common bile duct parts,,
a. omental, retroduodenal, paraduodenal
B. omental, retroduodenal, paraduodenal, intaduodenal
c.retroduodenal, paraduodenal, intraduodenal
44.human intermediate host ,,
A. hydatid cyst
45.loss of small muscle of one hand damage,
A. C8,T1
B. ulnar
c.radial
D. C5 C6
c.familial thrombocytopathy
d.thrombocytopenia
e.ITP
58.required for transport of B12 in blood,
a.intrinsic factor
b.TC 1
C. TC2
d.TC 3
59.terminal ileum removed what happens,,
A.large amount of water in feces
b. decreased amino acid absorption
c.increased bile acid and entero hepatic circulation
d.increased fat absorption
60.protein content less in glomerular filtrate occur due to
A.pore size and negative charge
b.rapid active transport absorbtion
61.35 year old man bilateral crepts, on xray chest heart fills completely,mass in rt ventricl , what
wil b the main cause..
a.mesothelioma
b.rhabdomyosarcoma
c.angiosarcoma
d.myxoma
62.flexor hallucis longus,,
a.tendion can be felt immediately post to medial maleolus
b.inserted on first metarsal base
63.superficial parotid painless tumor, psudopoid growth, contain no capsule on histopatho ,,
A.pleomorphic
b.warthin
c.mucoepidermoid
d.cyst adeno carcimona
64..Reflexes correctly marched,,
A.Bicep c6
b.triceps C8
c.abdominal L5 S1
d.knee L4 L5
65.Rt ovarian vein drains into,,
A. IVC
b.renal vein
66.regarding posterior communicating artery,,
a.connect post cerebral to internal carotid
b.connect post and middle cerebral
c. pass anterior to occulomotor and connect internal carotid with post cerebral
D.Its coonects internal carotid with posterior cerebral
e.connect post cerbellar inernal carotid
67.ADH is inhibited by,
A.alcohol
b.increased plasma osmolarity
c.angiotensin 2
d.dec ECF
Q68.large Bolus stuck after eating what will happen next,
a. Its never happens
b.swallowing centre activated
C.secondary persiatlisis will be generayed by intrinsic nervous sytem to remove it
Q69.whn will u do dilaysis whn gfr decreases by %,,
A. 5
b.20
c.30
d.40
e.50
70.Death of Gas gangrene is,,,
A.Toxemic shock
b.excessive necrosis
ecrosis i rai
A. Liquefactive
b.coagulative
c)caseous
71.infection related to pretracheal layer will spread to,,
A.Ant mediastinum
b.sup mediastinum
c.post mediastinum
C. all drugs transported by this mechanism
d.involves cariers
72.organism causing cerebral malaria,,
A. p. falciparum
b.p. vivax
c.p. malaria
73.regarding piturtry gland true is
A.vein drain directly in dural sinuses
b.partly derived from foregut
c.related to ethmoidal sinus
d.optic chiasm lie anteriorly
74.. Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid loss will be
through:
A. Stomach
B. Colon
C. Pancreas
D. Duodenum
E. Jujenum
75.Anemia wid Blast Cells in peripheral blood:
A. Iron deficiency anemias
B. Erythroblastosis fetalis
C. Folate deficiency
D. Bone marrow depression
76. Closure of lips involve: or unable to close lips which muscle involved:
a. Depressor anguli oris
b. Depressor labii inferioris
c. Depressor labi superioris
d. Orbicularis oris
e. Lateral pterygoid
77. Superior Thyroid artery arise from:
A. First branch of Subclavian Artery
B. External Carotid Artery
C. Internal Carotid Artery
78. Incubation period of which disease is longest:
A. Measles
B. Rubella
C. Chicken pox
D. Infectious Mononucleosis
E. Mumps
79. Regarding CSF true is,,
A.total 150 ml
B. production rate 20 ml/hr
A.Carbohydrate metabolism
B. Endothelial protection
C. Skin integrity
D. Germinal epithelial protection
94.Deep to post digastric and near palatoglossus a structure runs obliquely upwards,
A.Facial artery
B. Lingual artery
C. Maxillary artery
D. Sup thyroid
95. What is correct about thyroid:
A. Supplied by 3 paired arteries
B. Surrounded by prevertebral fascia
C. Isthmus attached to cricoid
D. Venous drainage in bracheocephalic vein
96.H2O2 found in:
a.mitochondira
B.peroxisome ANS
c. Lysosome
D. RER
97.ICAM and VCAM are for:
A. Leucocyte adhesion
Breast atrophy in young female is due to:
A. Estrogen
B. Estrogen and Progesterone
C. Progesterone
98.in man causes cancer is:
A. Protooncogen
Essential amino acid:
A. Phenylalanine
99.Regarding sympathetic effects Beta Agonists:
A. Increase HR
100.Poliomyelitis:
A. Anterior horn cell defect
101.Regarding P Value:
A. Checks probability
. 102.Spread of renal tumor will be through:
A. Renal Vein
103.Retention of C02:
A. Respiratory failure
104.regarding Gray matter foot processes:
A. Protoplasmic Astrocytes
Cause of global blindness:
A. Herpes Simplex
B. Rubella
C. Chlamydia Trochamatis
105. Which is normal HB:
A. HbA
B. HbF
C. HbC
106.Thalesemia carrier percentage in Pakistan:
A. 5%
B. 10%
C. 15%
107.Surgery for removal of ovary done which is damaged:
A. Internal Iliac Artery
B. External Iliac Artery
C. Uterine Artery
108.In respiratory Alkalosis renal compensation is:
A. NaHC03 excretion
109.During mitosis chromosomes double in which phase?
A. Prophase
B. Metaphase
C. Anaphase
D. Telophase
=-=-
Ans: C
3.A 45 year old male had myocardial infarction of inferior wall which artery will damaged
on angiogram.
A. Anterior interventricular artery
B. Circumflex artery
C.Right Marginal artery
D. Right coronaryartery
E. Posterior descending artery
Ans: C
4.A 60 yr Female had discharging sinus in jaw and yellow granules,most likely causative
agent is
A.Tuberculus
B. Pseudomonas
C. Nocardia
D. Actinomyces
E. Staphylococcus
Ans: D
5.Farmer in rose garden has Right lower lobe clacified mass 4x3 cm.
A. Aspirgilosis
B.Candidiasis
C. Blastomycosis
D. Mucormycosis
E. Coccidiodomycosis
Ans: A
6.A Sportsman fell on his Right shoulder he felt severe pain and abduction of arm Upto 40
degree is lost which muscle is affected.
A. Deltoid
B. Supraspinatus
C. Infraspinatus
D. Teres major
E. Subcapularis
Ans: B
7. Lateral quadrant of breast drain into which nodes.
A. Parasternal
B. Posterior axillary group
C. Anterior axillary group
D. Lateral axillary group
E. Infraclavicular
Ans: C
8. Mass of hair shaft is mainly due to
A. Cortex
B. Matrix of nail
C. Bsale
D. Basle plus spinosum
E. Sebaceous gland
Ans: A
9. A 35 yr male usually goes to Dubai and has H/O immoral sexual activities and doesn't
use any protection.He has problem in walking in dark and loses balance,absent light
reflexe,no pain sensation,most likely diagnosis.
A. UMNL
B. Tabes dorsalis
C. LMNL
D. Syringomyelia
E. Lesion of Visual cortex
Ans: B
10. Pain of ovrian tumor is refered to thigh by
A. Femoral nerve
B. Obturator nerve
C. Sciatic nerve
D. Pudendal Nerve
E. Postrior cutaneous nerve of thigh
Ans: B
11. Neck of bladder and proximal urethra is supplied by.
A. Pudendal Nerve
B. Pelvi splanchnic nerve
C. sympathetic L1-L2 via hypogastric plexus
D. Lesser splanchnic nerve
E. illioinguinal nerve
Ans: C
12.Deep inguinal ring is present in
A. External oblique
B. internal oblique
C. Rectus abdominis
D. Peritoneum
E. Transversalis fascia
Ans: E
13. Vessels of base of bladder lies in which ligament
A. Dosrolateral
B. Ventrolateral
C. Median umblical
D. Puboprostatic
E. Illiofemoral
Ans: A
14. suprficial epigasric artry branch of
A. Femoral Artery
B. External illiac artery
C. Internal illiac artery
D. Abdominal aorta
E. Profunda femoris artery
Ans: A
15. which vein is involvd in portal hypertension
A. esophageal
B. Thoracic
C. Renal
D. Inferior phrenic
E. Inferior epigastric
Ans: A
16. Regarding sciatic nerve true statement is
A. Divides into common and superficial peroneal nerve
B. Passes through lesser sciatic foramen
C. Formed only by saccral segments
D. Present b/w greater trochentar and ischial tuberosity
E. Injury does not affect peroneus muscle
Ans: D
E. Superficial inguinal
Ans: D
21. sciatic nerve damaged dorsal surface of foot still have cutenous innervation because
of
A. Saphaneous nerve
B. Sural nerve
C. Common peroneal nerve
D. Tibial nerve
E. No sensations
Ans: A
22. Pulmonary symptoms caused by which parasitic disease
A. Filariasis
B. Ascariasis
C. Cystercercosis
D. Hydatid cyst
E. Trichinosis
Ans: B
23.Primary objective of Screening in cancer is
A. Detect disease which are treatable
B. Detect disease at early stage
C. Socially acceptable
D. Cheap
E. Requires confirmatory test
Ans: B
24. Post PPH, multiple blood transfusions from blood bank,O positive, will lead to
A. Thrombocytopenia
B. Hemochromotasis
C. Polycythemia
D. Thrombocytosis
E. Hypergammaglobinaemia
Ans: B
25. Regarding malignant melanoma cell in chronoligical order which wil present earlier
A. T cells
B. NK cells
C. Monocytes
D. Macrophages
E. B cells
Ans: B
26. Antiobiotic given, patient has deranged PT aPTT and normal platelets what will you
give.
A. Whole blood
B. FFP
C. Cryoprecipitate
D. Warfarin
E. Vit. K
Ans: E
27. Organism which produces flourscent pigments and resistant to antibiotic & antiseptic.
A. Staphylococcus
B. Streptococcus
C. Pseudomonas
D. Mycobacterium
E. Treponema pallidum
Ans: C
28.Post HIV operation theater will be cleaned by.
A. 1% Hypochlorite
B. 2% gluteraldehyde
C. 4% glteraldehye
D. Phenol
E. Soap and water
Ans : B
29. Patient lacks coagulation factor 2,7,9,10 what is deficient.
A. Vit. C
B. Glutathione
C. Vit. A
D. Vit. K
E. Zinc
Ans: D
30. Relation of terminal CBD with head of pancreas
A. Anterior
B. Posterior
C. Medial
D. Embedded in it
E. No relation
Ans: D
31.Relation of Common Peroneal nerve with Bicep Femoris in popletial fossa
A. Lateral
B. Medial
C. Anterior
D. Posterior
E. Proximal
Ans: B
32. Most common Brain tumor of posterior cranial fossa in children.
A. Medulloblastoma
B. Astrocytoma
C. Maningioma
D. GBM
E. Hemangioma
Ans: A
33. which branch of cervical plexus supply posterior auricul area.
A. Auriculotemporal nerve
B. Lesser occipital nerve
C. Greater occipital nerve
D. Supratrochlear nerve
E. Zygomaticotemporal nerve
Ans: B
34. Fracture of which vertebral bone peice damage vertbral coulm.
A. Axis
B. Atlas
C. C5
D. C7
E. Occipetal bone
Ans: A
35. TLC 6 litre, Residual volum 1 litre, calculate vital capacity.
A. 3L
B. 4L
C. 5L
D. 6L
E. 4.5 L
Ans: C
36. Mild transplant rejection myosial biopsy shows.
A. Lymphocytes
B. Aneurysms
C. Antigen antibody complexes
D. Eosinophils
E. Macrophages
Ans: A
37. A patients undergoes Renal transplant ,he is on immunosuppressive therapy and
develops angular chelitis causative agent is.
A. EBV
B. CMV
C. Herpes
D. Candida Albicans
E. Aspergillus
Ans: D
38.In asthma which is increased.
A. Vital capacity
B. FEV
C. FRC
D. Tidal volume
E. All increased
Ans: C
39. At Normal condition both are equal.
A. Venous return and coronary flow
B. Venous return and renal flow
C. Cerebral flow and cornary flow
D. Venous return and pulmonary flow
E. Pulmonary flow and cornary flow
Ans: D
40. Long term memory immunoglobulin.
A. IgA
B. IgM
C. IgG
D. IgE
E. IgD
Ans: C
41. Loop diuretics therapeutic and dangerous effect
A. Acidosis
B. Hyperkalemia
C. Bradycardia
D. Low blood volume
E. Hypernateremia
Ans: D
42.Propofol absolute contraindication.
A. Porphyria
B. Hypertension
C. Hypersensitivity
D. Old age
E. Pregnancy
Ans: C
43. Acetozomalamide(diamox) MOA?
A. H+ absorption, Na K exceretion
B. Acts on Thick ascending loop
C. Acts on DCT
D. Osmotic diuretic
E. Causes alkalosis
Ans: A
44.Cranial nerve 7 9 10 taking taste sensation converge.
A. Medial Laminiscus
B. Solitary tract
C. Lateral geniculate body
D. Nucleus ambiguous
E. Dorsal NucleusI
Ans: B
45. 12 yr old boy brought by mother has yellow discolouration of sclera,anorexi, vomiting
and yellow coloured urine most appropriate test will be
A. Alkaline phosphatase
B. Bilirubin plus ALT
C. HBsAg
D. HAV
E. Liver biopsy
Ans: B
46.Sampling in which everyone has equal chance of being selected.
A. Systemic sampling
B. Random sampling
C. Stratified sampling
D. Biased sampling
E. Case control
Ans: B
47. 15 yr old boy has enlarged posterior cervical Lymph nodes, while taking biopsy which
nerve can be damaged.
A. Vagus nerve
B. Cranial Accessory nerve
C. Hypoglossal nerve
D. Spinal Acessory nerve
E. Glossopharyngeal nerve
Ans: D
48. Alpha receptors abundant in which part of urinary Bladder.
A. Trigon
B. Walls
C. Neck of bladder and proximal urethra
D. Base
E. Apex
Ans: C
49.parasympthetic stimulation causes
A. Bronchodilation
B. Constipation
C. Contraction of Sphincters
D. Increase Salivation
B. Sensory area
C. Auditory cortex
D. Visual cortex
E. Frontal eyefield
Ans: B
54. In Sickle cells disease protein affected is
A. Albumin
B. Collagen
C. Elastin
D. Beta globin
E. Spectrin
Ans: D
55. Retroperitonial mass, close to psoas, no ocult blood, or intestinal obstruction
A. Adenocarcinoma
B. Liposarcoma
C. Hemartoma
D. Adenoma
E. Choristoma
Ans: B
56. In Iron deficiancy anaemia which is increased
A. Ferritin
B. TIBC
C. Iron
D. Ceruloplasmin
E. RBCs size
Ans: B
D. Fatty liver
E. Autoimmune hepatitis
Ans: B
61. Regarding NSAIDs True statement
A. Chronic use causes liver damage
B. Potent cox inhibiters
C. Cause pulmonary fibrosis
D. Does not cause GI irritation
Ans: B
62.Most rapidly adopting receptor
A. Pacinian
B. Ruffini
C. Free nerve enndings
D. Merkel
E. Golgi tendon organ
Ans: A
63.about veins of thorax
A. Supreme intercostal vein drains into SVC in pericardium
B. Azygous vein drains into SVC inside pericardium
C. Pulmonary vein lies anterior to pulmonary artery
D. Left brachiocephalic vein drains into SVC on left side
E. SVC drains into Left atrium
Ans: C
64. Awkward posture, wide gait,can't perform rapidly alternating tasks,past pointing.
A. Parkinsonism
B. Cerebellar leison
C. Wilson's disease
D. Subthalamic nucleus lesion
E. Huntington Disease
Ans: B
65. What happens to patient of tertiary syphilis
A. Atonic bladder
B. Hyperactive bladder
C. Loss of pain sensations from bladder
D. Resting tremors
E. Intension tremors
Ans: A
66.Grading determines
A. Pleomorphism
B. Metastasis
C. Tissue invasion
D. Degree of anaplasia
E. Size of tumor
Ans: D
67. In pneumothorax.
A.Contralateral chest will spring out and Lung collapse
B. Contralateral chest will spring in and lung collapse
C. Ipsilateral lung collapse and chest spring out
D. Ipsilateral lung expand and chest spring in
E. Ipsilateral lung collaps and chest spring in
Ans: C
68. A 14 yr child presented with bone growth in Diaphysis,radiolucent ,surrounded by
A. Methamazol
B. Propylthiouracil
C. Thyroxine
D. Propranolol
E. Labetalol
Ans: B
72. Most common position of Appendix
A. Parailial
B. Pelvic
C. Retrocecal
D. Paraillial
E. Subhepatic
Ans: C
73.TPN complication
A. Hypoglycemia
B. Hyperglycemia
C. Hypocalcemia
D. Hyperviscosity
E. Hypophosphatemia
Ans: B
74.INR is used to monitor
A. Heparin
B. Oral anticoagulant
C. Vit. K
D. Streptokinase
E. Enoxaparin
Ans: B
75. A young girl has patechie on body, no H/O of recent illness and drug use,laboratory
investigations show normal Hb and TLC count but platelets are decreased,most likely
diagnosis
A. Leukemia
B. Aplastic anemia
C. Idiopathic thrombocytopenic purpura
D. Thrombocytosis
E. Hemolytic anemia
Ans: C
76. True about AV Bundle
A. Only pathway to transmit current from atria to ventriclesO
B. Located in membranous part of interventricular septum
C. Divides into purkinji fibers
D. Is specialized nervous tissue
E. Left division supplies moderator band
Ans: A
77. False about active transport
A. Saturable
B. Occurs for all drugs
C. carrier mediated
D. Requires energy
E. Against concentration gradient
Ans: B
78. 0.5 cm perihilar nodule plus eosinophilia in blood sputum and biopsy?
A. Noinvasiv aspergilosis
B. wegner granulomatosis
C. Candidiasis
D. Blastomycosis
E. Pneumonia
Ans: A
79. Endothelium of vagina and Endometrium derived from
A. Endoderm
B. Mesoderm
C. Endoderm plus ectoderm
D. Mesoderm plus Endoderm
E. Ectoderm
Ans: B
80. Spleenectomy, vassels present in which ligment
A. Gastrospleenic
B. Splenorenal
C. Greater omentum
D. Gastrohepatic
E. Gastroduodenal
Ans: B
81. Rectus sheath true statement
A. Upper intersection near xiphoid process
B. Lower intersection at level of arcuate line
C. Tightly adherent to both layers of rectus sheath
D. Lower intersection at level of pubic tubercle
E. Are 6 in number
Ans: A
A. GBM
B. Astrocytoma
C. Maningioma
D. Schwannoma
E. Hemangioma
Ans: A
86.Regarding primary peristalsis
A. Esophageal sphincter relaxes ahead of primary peristalsis
B. Sphincter relax when peristalsis reachw
C. Not controlled by autonomic nervous system
D. Are Voluntary
Ans: A
87. Gastric emptying
A. Increased by fatty meal in esophagus
B. Decreased by secretin
C. Increased by CCK
D. Increased by alcohol
Ans: B
88. During inspiration what decreases
A. Heart Rate
B. Venous return
C. Volume of thoracic cavity
D. Negative pleural pressure
E. Volume of arterial pulse
Ans: E
89. Ventral surface of foot is supplied by
Ans: A
93.Saphenous vein has velves
A. 15
B. 20
C. 25
D. 30
E. 40
Ans: B
94. which one is first line of Defence in body tissues.
A. Lymphocytes
B. Macrophages
C. Neutrophils
D. Plasma Cells
E. Fibroblasts
Ans: B
93. Which will cause extracellular compartment to increase maximum
A. Hypotonic Saline
B. Isotonic saline
C. Hypertonic Saline
D. Hypertonic urea
E. Distilled water
Ans: C
94. Most common finding in Glycogen Storage Disease is
A. Hyperglycemia,spleenomegaly
B. Hypoglycemia, spleenomegaly
C. Hyperglycemia, Hepatomegaly
D. Hypoglycemia, Hepatomegaly
E. Hyperglycemia,mental retardation
Ans: D
95. True statement regarding Bone
A. Circuferrential lamella arranged around central canal
B. Haversian canals are obliquely placed
C. Lacunae contain osteoblasts
D. Haversian canals do not communicate with each other
E. Collagen fibers impart basophilia to the tissue
Ans: A
96. Increased plasma osmolarity causes
A. Stimulation of osmoreceptors and release of ADH
B. Stimulation of osmoreceptors and inhibition of ADH
C. Inhibition of osmoreceptors and release of ADH
D. Inhibition of osmoreceptors and inhibition of ADH
Ans: A
97. Most commonly fractured carpal bone
A. Lunate
B. Scaphoid
C. Trapizium
D. Hamate
E. Capitate
Ans: B
98. Branch of external carotid atery which arises from medial side, behind the posterior
belly of diagstric muscle in substance of parotid gland is
A. Ligual artery
B. Occipital artery
C. Facial artery
D. Ascending pharyngeal artery
E. Superior thyroid artery
Ans: C
99. A female in day 18 of menstrual cycle,which phase of menstrual cycle will be
A. Follicular phase
B. Proliferative phase
C. Ovulation
D. Secretory phse
E. Menstruation
Ans: D
100. Blood cells able to regenerate beacuse of
A. Growth factors
B. Erythrpoiten
C. Insulin
D. Growth hormone
E. IL- 2
Ans: A
Compiled by: Muhammad Saqlain
=-============================
Rafel Aariq
c.anemia
d.cyanide poisong
BBB
A person living on river side since 2yrs, having blindness, opthalmologist indentify which
larva,,,
A.onchcerosis
b. wucheria
c. loa
AAA
During surgery thyroid nerve present to a distance to superior thyroid artery,
A.externl lyryngeal
b.internal laryngeal
c.recurrent
AAA
Antrum of stomach removed wht happen ,
a.dec compliance
b.inc acid output
c.increase gastrin
AAA
Margins of TB ulcer,
A.undermined
b.everted
c.inverted
AAA
Ulcer due to hypertension,,
a.decibuts
b.marjolins
C. martorell
d.bazin
CCC
PTU:
A. Inhibits synthesis of thyroid hormones
b.lt homonymous hemianopia
B. Inhibits release of thyroid hormones
AAA
Right optic tract lesion causes,,
a.right homonymous hemianopia
b.left homonymous hemianopia
BBB
B. obturator
c.sciatic
AAA
Adductor muscle hamstring muscle supplied by which nerve
A . tibial
B. Obturator
C.femaoral
D.common peroneal
AAA
gracillis nerve supplied by ,
A.obturator nerve
b. femoral
c. common peroneal
AAA
.
Adductor brevis supplied by,,
A. ant branch of obturator nerve
b.femoral
c.common peroneal
AAA
Fracture of surgical neck of humerus, artery damaged,
a.axillary nerve
B.post.circumflex humeral
BBB
common bile duct parts,,
a. omental, retroduodenal, paraduodenal
B. omental, retroduodenal, paraduodenal, intaduodenal
c.retroduodenal, paraduodenal, intraduodenal
AAA
Human intermediate host ,,
A. hydatid cyst
True
loss of small muscle of one hand damage,
A. C8,T1
B. ulnar
c.radial
D. C5 C6
AAA
b.renal vein
AAA
Regarding posterior communicating artery,,
a.connect post cerebral to internal carotid
b.connect post and middle cerebral
c. pass anterior to occulomotor and connect internal carotid with post cerebral
D.Its coonects internal carotid with posterior cerebral
e.connect post cerbellar inernal carotid
AAA
ADH is inhibited by,
A.alcohol
b.increased plasma osmolarity
c.angiotensin 2
d.dec ECF
AAA
Q68.large Bolus stuck after eating what will happen next,
a. Its never happens
b.swallowing centre activated
C.secondary persiatlisis will be generayed by intrinsic nervous sytem to remove it
CCC
Q69.whn will u do dilaysis whn gfr decreases by %,,
A. 5
b.20
c.30
d.40
e.50
AAA
Death of Gas gangrene is,,,
A.Toxemic shock
b.excessive necrosis
AAA
Necrosis i rai
A. Liquefactive
b.coagulative
c)caseous
???
Infection related to pretracheal layer will spread to,,
A.Ant mediastinum
b.sup mediastinum
c.post mediastinum
AAA
All drugs transported from Placenta by this mechanism
A involves cariers
B Simple Diffusion
BBB
Organism causing cerebral malaria,,
A. p. falciparum
b.p. vivax
c.p. malaria
AAA
Regarding piturtry gland true is
A.vein drain directly in dural Venous sinuses
b.partly derived from foregut
c.related to ethmoidal sinus
d.optic chiasm lie anteriorly
AAA
Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid loss will be
through:
A. Stomach
B. Colon
C. Pancreas
D. Duodenum
E. Jujenum
BBB
Anemia wid Blast Cells in peripheral blood:
A. Iron deficiency anemias
B. Erythroblastosis fetalis
C. Folate deficiency
D. Bone marrow depression
BBB
Closure of lips involve: or unable to close lips which muscle involved:
a. Depressor anguli oris
b. Depressor labii inferioris
c. Depressor labi superioris
d. Orbicularis oris
e. Lateral pterygoid
DDD
A 30 year old woman in azad kashmir was injured mildly in an earthquake that killed many
people apart from her distant uncle. She would most probably be in,
A. Social crisis
B. Personal crisis
C. Situational crisis
D. Developmental crisis
CCC
Which ligament supports odontoid process of axis on atlas,
A. Posterior longitudinal ligament
B. Anterior longitudinal ligament
C. Tranverse ligament
D. Ligamentum nuchae
CCC imarked
C7 Vertebrae has:A. Longest spine
B. Broad body
AAA
Conversion of fibronogen into fibrin what will b detected in blood
A. Prothrombin
Fibrinopeptides are detected in Blood
Percentage of Plasma out of ECF:30%
Newborn with a Erythroblastosis Fetalis having Blood group B postive what is best for
management:
A. Any blood with Rhpostive
B. B Negative
BBB
If a person is taking Protein in his diet which will be necessary:
A. Riboflavin
B. Thiamine
AAA
Thiamine for Carbsin Diet
Group of young men bathing n beech next day develop blisters on back shoulder limbs region
cause is:
A. Mast cell destruction
B. Endothelium venules destruction
AAA
Q101.Renal Column:
A. Collecting Duct
B. Interlobar artery
C. Interlobular artery
D. Minor calyces
BBB
Function exclusively linked with vit E:D. Germinal epithelial protection
Deep to post digastric and near palatoglossus a structure runs obliquely upwards,
A.Facial artery
B. Lingual artery
C. Maxillary artery
D. Sup thyroid
BBB
. What is correct about thyroid:
A. Supplied by 3 paired arteries
B. Surrounded by prevertebral fascia
C. Isthmus attached to cricoid
D. Venous drainage in bracheocephalic vein
H2O2 found in:B.peroxisome
ICAM and VCAM are for: A. Leucocyte adhesion
Breast atrophy in young female is due to:
A. Estrogen
B. Estrogen and Progesterone
C. Progesterone
BBB
Virused in Human causes cancer via
A. Protooncogen
B Oncogen
BB (Radiations via Protooncogens)
Essential amino acid:A. Phenylalanine True
Regarding sympathetic effects Beta Agonists:A. Increase HR True
Poliomyelitis:A. Anterior horn cell defect True
Regarding P Value:A. Checks probability True
Spread of renal tumor will be through:-A. Renal Vein True
=-=-=-
Radiology
22 nov-2015,, online
All efforts of dr.muhammad Din ,, who has been kind enough to share questions of
the online attempt,.jazak allah dr muhammad din,, and congratulations on ur success
c. Extenser policis and addctr policis brevis. There was no option regarding flexers.
6. Lymphatics folow the artries in hind gut pathology in rectum and sigmoid
colon lyphatics follow the folowing artery
a. Internal iliac
b. Superier colic
c. Inf mesentric artry
d. SMartery
e. Aorta.
c. Esophagus
G6PD defiecy
26.Post splenectomy
howell jolly bodies.
40.A patient have dificulty latral movement of left eye, unable to close left eye,
hearing loss in left ear where the damage is
cerebelopontine angle
caverns sinus thrombosis.
46.Cerebellum
basilar artery suply only
atachd to medvla by middle celleblar peduncle
lie below tentorium cerebelli
47.Ectopic thyroid
48.Most comon cong anomaly in head n neck??
49.Stab wound
50.Limbic system
Congenital m cystichygroma..
56.marfan syndrome
a.autosomal dominant
57.achondroplasia
a.autosomal dominant
b.autosomal recessive
c.x-linked
64.hla dr4
reuhmatoid arthritis
67. a person has cerebral infarction had chest infection as cause of death
brain slice will show
lequificative necrosis
68. mi had 6 hrs back now pericardial sac filled with blood.. autopsy what will u
c...
cardiac temponade
74. in hysterectomy...injury to
uterine artery
E. Amitryptiline
7. Epinephrine is contraindicated for treatment of postural hypotension if patient is already taking which of
the following drug
A. Imipramine
B. Amitryptaline
C. Dopamine
D. Atropine
8. Imprinting
A.Only in birds (Ans)
B. Psychological Problem
C. Learning Method
9. Mature defence Mechanism
A. Denial
B. Regression
C. Projection
D. Introjection
E. Altruism (Ans)
10. Patient is having Choreo-athetosis, lesion in
A. Caudate (Ans)
B. Putamen
C. Basal Ganglia
D. Thalamus
11. Ventral Spinthalamic Tract carries
A. Propioception
B. Pain
C. Temperature
D. Itch (Ans)
E. Vibration
12. Complete Brain stem lesion, which is not affected
A. Respiratory Centre response to decrease PCO2
B. Withdrawal reflex to prick on toe (Ans)
C. Babinskis Sign
13. Male, history of progressive memory impairement over 4 months, afebrile, died of bronchopneumonia,
on autopsy brain substance was normal, on microscopy sponging appearance (in formic acid), most likely
A. HIV encephalopathy
B. Herpes Virus Encephalopathy
C. Creudz felt Jacob disease
D. Alzheimer disease
E. Alcoholic disease
14. Neurofibrillary tangles in
A. Picks Disease
B. Hungtingtons Disease
C. Some other form of Alzhemiers
15. Chorea, hereditary disease with CAG repeat, patient is most likely having deficiency of which
neurotransmitter
A. Dopamine
B. Serotonin
C. GABA (Ans)
16. Brain lesion with Caudate Nucleus involvement, apathy, patient will have
A. Chorea
B. Athetosis
C. Hemiballismus
17. Patient is having complain of urinary retention, abnormal gait, dilated ventricles seen on imaging,
most likely
A. Normal Pressure Hydrocephalus
B. Wernickes Encephalopathy
C. Progressive Supranuclear Palsy
18. Neuromodulators
A. Release Directly in blood
B. Release from sites other than synaptic spaces
19. Adaptation phase in which child learn being distant from mother and familiar with surrounding things
A- Oedepial Phase
B- And some other phases
20. Which drug if given IV in clinical dose will cause increase heart rate and pupillary dilation
A. Epinephrine (Ans)
B. Atropine
C. Dopamine
D. Acetylcholine
21. Coordination of visual stimulus and changing it into auditory relative, by
A. Angular Gyrus (Ans)
B. Supramarginal Nucleus
22. Trigeminocortical Fibres relay in thalamus in
A. VPM (Ans)
B. VPL
C. Dorsal Nucleus
23. Feeding centre is inhibited by
A. VPM (Ans)
B. VPL
C. Anterior Hypothalamus
D. Posterior Hypothalamus
24. Severe Hyperkalemia associated with
A. Suxamthonium given in recent burn
B. Metabolic Alkalosis
25. Anion gap decrease in
A. Hypoalbuminemia
B. Metabolic Alkalosis
C. Lactic Acidosis
D. Ketoacidosis
E. Salicyclate Poisoning
26. Hyporeflex of Achilles tendon in
A. Hyperthroidism
B. Hypothroidism (Ans)
C. Lesion of Internal Capsule
27. No motor or sensory loss, no reflex change, lesion in
A. Internal capsule
B. Rubrospinal tract
C. Spinothalamic tract
D. Cerebral Cortex
E. Broadman Area 4
28. Pituitary adenoma, most likely effect
A. Binasal hemianopia
B. Bitemporal Hemianopia (Ans)
C. Homonymous Hemianopia
29. Craniopharyngioma affecting middle of optic chiasma result in
A. Rt nasal and Left temporal
B. left nasal and Rt temporal
C. Bitemporal Homonymous Hemianopia (Ans)
D. Binasal Hemianopia
30. Lesion in Right Optic tract
A. left Homonymous Hemianopia (Ans)
B. Right Homonymous Hemianopia
C. Bitemporal Hemianopia
31. Release of Norepinephrine
A. Most of sympathetic postganglionic (Ans)
B. All post ganglionic sympathetic
C. Presynaptic at adrenal medulla
D. All postganglionic parasympathetic
32. For olfactory stimulus, substance should be
A. Both water and lipid soluble (Ans)
B. Only lipid soluble
C. Only water soluble
D-Have benzene ring
33. Carbidopa, given in Parkinson along with levodopa act on
A. Dopa decarboxylase (ans)
34. Lesion in brain, left hemiplegia, no sensory loss, involve which area of internal capsule
A. Anterior division of posterior limb (Ans)
B. Posterior Division of Anterior Limb
C. Anterior Division of Posterior limb + Genu
D. Genu
E. Posterior division of anterior limb + Genu
35. Lesion in brain, sensory ataxia, recovery with unpleasant sensation, involve
A. Thalamus (Ans)
B. Hypothalamus
C. Amygdala
D. Cerebellum
36. Centre of Fear
A. Hypothalamus
B. Amygdala (Ans)
C. Thalamus
37. Heat Cramps due to
A. Hyperthermia
B. Sodium loss (Ans)
C. Water loss
D. Shivering
E. Sweating
38. Patient with family history of IHD and Breast Cancer want prophylaxis to prevent Osteoporosis, you
will advice
A. Calcium n Vit D
B. Bisphosphonates
C. Combined Hormonal Replacement Therapy
D. Raloxifene (Marked this)
39. To facilitate action of atropine, TCA block which of the following receptor
A. Alpha
B. Beta 1
C. Beta 2
D. Dopaminergic
E. Cholinergic
40. Grinding of teeth by children in sleep is called
A. Bruxism (Ans)
B. Narcolepsy
C. Somnabulism
41. Lady having tremors, problem in writing, family history of similar complain, what u will advice
A. Amitryptiline
B. Ropirinole
C. Dopamine
D. Propranol (Answer, She has Essential Tremors)
42. Patient with K/c of depression, on TCA since 2 years when changed to SSRI, as developed tremors,
showed good response to change of treatment, had 2 sessions of ECT but still having complain of
tremors, what will you give
A. No further ECT ( I marked this)
B. Add Anticholinergic
C. New Combination of SSRI
D. Lower the dose of SSRI
43. Patient presented with complain of tremors, no liver disease, no kayser Fleischer ring, normal thyroid
profile, no neck swelling, no palpitation, treatment
A. Pencillamine
B. Ceruloplasmin
C. Propranolol
D. Benztropine
44. Cause of Priapism
A. Trazodone (Ans)
B. Atropine
45. Drug act on Neuromuscular Junction
A. Cocaine
B. Dopamine
C. Tubocurarine (Ans)
46. Subdural Heamorrhage involve
A. Dural bridging veins (Ans)
B. Middle Meningeal Artery
C. Middle Cerebral artery
47. Na- 155, K-3, due to increase level of
A. Aldosterone (Ans)
B. ANP
C. ADH
D. Angiotensin
48. 20 years old, command hallucinations, apathy, drug advice
A. Olanzapine
B. Chlorperazine
C. Lithium
49. Patient, 40 yrs old brought by his father, complaining son has episodes of rage and mania, followed
by crying and asking for forgiveness, what you will prescribe to stabilize mood
A. Lithium
B. Carbamazepine
50. 25 yrs old mother, delivered mentally challenged baby, most likely due to use of which of the following
A. Alcohol
B. Anticonvulsants
C. Antidepressants
D. Barbiturates
51. Impairement of making recent memory, most likely cause
(hippocampus was not in the option)
A. Tumor in Hypothalamus
B. Hydrocephalus
C. Demyelination of cord
52. Amino acid required for formation of neurotransmitter, deficient in Parkinson disease
A. Tyrosine
B. Histamine
C. Alanine
53. Ph is measure of
A. negative log of H+ conc (Ans)
54. Septum Pellucidum separates
A. fornix , ant commissure , thalamus
B. Fornix, ant commissure, lateral and 3rd ventricle
71: Question on light reflex, swinging light reflex done, dont remember the entire scenario and asked
damage is where, I thought its due to oculomotor so I marked that.
72: Question on Adrenaline, where is it released from?
Options were: Preganglionic fibers of adrenal medulla, nicotinic fibers, etc
73: Question on hemisection of spinal cord
74: Question on Normal pressure hydrocephalus and asked whether the dementia is reversible or
irreversible.
75: Question on Middle cerebral artery stroke
76: Question on Temp regulation, Post hypothalamus was the answer.
77: Question on the source of ADH and oxytocin.
Ans was hypothalamus
78: Which cells are responsible for K metabolism in brain:
Astrocytes.
79: Question a structure which induces overlying ectoderm to differentiate into neuroectoderm and form
neural plate:
Ans was notochord
80: where will you find leprosy organisms?
Ans: scrapings.
81: A young man with multiple fractures come to the ER with bp 90/70, tachycardia, what will you do?
A: reduce fractures B: Do CT C: normal saline D:Intubate
Regards Dr. Rida Hanif
Trachea
17 fluid in pericardial cavity, pericardial tap from paper 2
Medial border of4-6 intercostal space
2-4 intercostal space in midclavicular line
18 tricuspid valve paper 1
Lower border of sternum on right side,,answer
Left 5th intercostal space
Left 2nd intercostal space
19 vesicular eruption causing pain in Infraclavicular and suprasternal notch area,,
dermatomes paper 2
C3-4
T2
T3
T4
20 knee jerk paper 2
L3
L4
21 median nerve paper 2
Gives no main branches in arm
Pass superficial to flexer retinaculum
Injury causes loss of sensation in medial 1 and half fingers
Cystic artery
33 cystic duct blood supply paper 2
Cystic artery
34 which artery in front of head of pancreas paper 2
Sup ans inf pancreatecodudenal
Sup and inf mesenteric arteries
35 gut rotation paper 2
270 degree clockwise
Rotation around sup mesenteric artery
36 hysterectomy,,damage to paper 2
Uterine artery
37 artery remaining in true pelvis paper 2
Middle rectal
38 patient after operation comes with lumbar pain,, injury to paper 2
Ureter
39 what located between ureter and peritoneum in pelvis paper 2
Uterine artery
40 uterus blood supply paper 2
Uterine artery
Ovarian artery
41 foor eversion,injury to paper 2
Deltoid ligament
42 foot drop paper 2
43 loss of eversion damage to paper 2
44 pillar of medial longitudinal arch paper 2
Calcanium
Navicular
Talus
Med cuneiform
Middle cuneiform
45 most commonly fractured long bone of body paper 1
Tibia,,answer
Femur
Humerous
Fibula
Radius
46 parts of bile duct paper 2
Supradudenal,retrodudenal,infradudenal,intradudenal
Omental,retodudenal..
47 trigone of bladder paper 2
Ureter open in an oblique slit
Most sensitive area of bladder than urethra
48 maximun cholesterol paper 1
Egg
Red meat
49appendicitis,,pain around umbilicus throu paper 2
Sensory throu t10
Sympathetic thru t10
Parasympathetic,,,,,
50parasympathetic action paper 1
Inc gastric motility
SER..answer
RER
Mitochondria
Golgi
71 packaging and secretion by paper 1
Golgi
72 patient with trucal obesitry,thin limbs,rounf face, raised ACTH paper 1
Cushing syndrome
Cushing disease
73 benign tumor paper 1
Adenoma
Hepatoma
74 skeletal muscle during exercise,,vasodilation due to paper 2
Local metabolite ,,, answer
Epinephrine
75 investigation for liver amaebic abcess paper 1
Serology
76 epidydymus paper 2
77 carcinoma prostate affects paper 2
Posterior lobe answer
Median lobe
78 cerebellar lesion paper 1
Dysmetria
79 medial lamniscus paper 1
Int arcuate fibers
80 seminal vesicle paper 2
Cancer
107 metaplasia paper 1
Functional change in epithelium
108 GVE of vagus nerve,nucleus paper 1
Ambiguous
Salivatotry
Dorsal nucleus
109 glycogenolysis due to absence of paper 1
Insulin,,, answer
Glucagon
110 bronchogenic carcinoma paper 1
Tobacco smoking,,answer
Asbestos
111 most sensitive marker of MI paper 1
CK
Troponin t
112 radiosensitive paper 2
Craniopharyngioma,,answer
Glialglioma
113 stab wound chest paper 1
Ipsilateral lung collapse,ipsilateral chest wall spring out
114 gas exchange areas paper 1
Simple squamous epithelium
115 pain meditor paper 1
Bradykinin..answer
leukotrien
Hypoventilation
135 cause of inc co2 paper 1
Ascent to high altitude
Hypoventilation
136 origin of oxytocin anf ADH paper 1
Hypothalamus,,, answer
Pituitary
137osmolality increased paper 1
138 diabetic nephropathy paper 1
Urine albumin
139 opsonization paper 1
C3b
140 active transport all true except paper 1
Saturable
141 dyspnea on lying down paper 1
Retrosternal goiter
142 APKD association with paper 1
Cerebral hemorrhage
Renal failure
143 cause of healing delay paper 1
Infection
144 deff between pulmonary and systemic circulation paper 1
Dec resistance,,answer
High cardiac output
High pressure
145 right border of heart on x ray paper 1
SVC answer
Rt atrium
146 diabetic female after abdominal surgery,dyspnea and cough paper 1
Pulmonary embolism,,, answer
Pul infarction
147 pulmonary embolism cause paper 1
DVT
148 Typhoid fever first week test paper 1
Blood test
149 typhoid fever 2nd week test paper 1
Blood +widal,,, answer
Widal
Urine DR
Stool DR
150 diagnosis of tb paper 2
Caseous necrosis
151 initial diagnosis of laprosy paper 1
Nasal scraping
152 tumor with 3 germ later paper 1
Teratoma
153 amniocentesis paper 1
After 14 week
154cells with igE receptors and dark granules paper 1
Basophils
Esinophils
Monocytes
=-=-=
Shuroo kerta hoo ALLAH k naam se jo bara mehrban hey or reham kerny
wala hey
20th November 2015 Surgery Paper online by RAFAEL ARIQ
Paper was a repeat and mostly BCQ from 20th April paper + Chandkians + 4 bcqs from
Asim (which I marked and now m unable to find them ..AAAAArgh)
Q.1 Air Born Infection is
A. SARS
B. TB
C Meningitis
I marked SARS cause The Most recently its Added in the Air born Infections
Q.2 Extension of Hip and Flexion of Leg is by ...Semitendinous
Q.3 Long Thoraccic Nerve Supply ..Serratus Anterior
Q.4 Side Effect of Dimercaprol is ..Raised BT
Q.5 During the Procedure of Esophagectomy , the stomac is Mobilised up to Esophagus
,,
Which artery will be reposible for the Blood Suply of Stomach... Rt Gasroepiploic Artery
Q.6 Correct Sequence of Protien Synthesis is mRNA ,Cytoplasm,Ribosome,tRna,
AminoAcids
Q.7 Jejunem is Supplied by SMA
Q.8 Regarding Thyroid True Statement is ..Lymph drainage to deep cervical lymph nodes
Q.9 HLAb27 Ankylosing Spondylytis
Q.10 CerebroVascular Circulation Correct Statement is... Do not anastomose once
entered in the brain Substance
Q.11 All true regarding Breast Peau de orange appearance Except .. Orange Brown
Appearance is because of the Necrosis
Q.12 Lady with leg Swelling from last 5 months with no history of fever and cough
but cxr show bilateral peural effusion Derranged Lfts and Rt Heart Enlargement
...Recurrent Thromboembolism
Q.13 Estrogen, Progesteron and Testosteron acts Via ...Transcription
Q.14 Complication Associated with Trochanteric Fracture is ..Pulmonary Emolism
Q.15 GVE to palate Muscle is via ... Dorsal Vagal Nucleus
Q.16 Whole wheat is a rich source of ..Thiamine
Q.17 Mean systemic filling pressure regulates ... Venous return
Q.18 S2 sound by ... Closure of aortic and pulmonary valve
Q.19 Max increase in ECF Volume due to .... Infusion of Hypertonic Solution.
Q.20 Auscultation of tricuspid valve best heard .... Right lower end of the body of
sternum
Q.21 P53 gene is absent what will be the results .... cell survival
Q.22 Diagnosis for leprosy by the initial investigation is via ..... Nasal scrapping
Q.23 Investigation for liver amoebic abscess .... Serology
Q.24 internal carotid a damage, bleeding, at what vertebral tubercle u will press to stop
bleeding,,
a.3rd
b.4th
c.5th
D.6th
e.7th
DDDD
Q.25 Cysticercosis caused by,,
A. ingesting eggs of tenia solium
b.ingesting cysts of tenia solium
c. eating uncooked meat
d. eating uncooked mutton
AAAA
Q.26 Which drug has more effect on coxII than cox I ,,
a.aspirin
B.celexocib
c. nalproxane
d.ketorolac
BBBBB
Q.27 Internal oblique muscle aponeurosis,,
a.form conjoint tendon
b. post boundary of inguinal canal
c. external spermatic fascia
D.conjoint tendon
DDDDD
Q.28 Suboccipital n supply which muscle
a.capitis
b. lattisimus dorsi
c. trapezius
D.rectus capitis post
DDD
Q.29 Regarding intercostobrchial nerve true is ,,
a. loss of nerve supply
b.post side of arm
C. 2nd intercostal sensory
d.loss to preganglionic sympethaetic
CCCC
Q.30 Normal rasonance are,,
A. rt 2nd to 4th midclvicular line
b.rt 4th to 6th midclavicular
AAA
Q.31In asian population most common cause of macrocytosis
A. liver diease
b.hemolysis
c.hypothyrodism
d. alchol
DDD (IF ASK IN OUR COUNTRY THEN ITS LIVER DISEASE)
Q.32 RCA after ginving marginal branch obstruction affect ,, (BRS BCQ)
a.SA node
B. AV node
c. apex of heart
d.right atrium
BBB
Q.33 Penile urethra rupture ,,
A. scortum under colles fascia
b.tunica vaginilis
c.thigh
d.deep fascia
AAA
Q.34 which one is benign tumor,,
Warthin True
Q.35 Middle rectal artery branch of, ,,
A.internal iliac
b.femoral
c.common iliac
d. superior mesenteric
AAA
Q.36 Right testis tumor nodes drain into ,
A. paraaortic
b. righ deep inguinal
c.superficial inguinal
AAA
Q.37 Chlamydial infection causing chlamydia psittacosis is,,
A.obligate intracellular
b.DNA derived from host
AAA
Q.38 Scenario of granuloma with yellow pigment ,, Actinomyeces
Q.39 Painful papule at labia ,,,
a. hsv II
b.hsv I
c. vz
d. CMV
AAA
(HSV I is on lips Face ..)
Q.40 most perinium and pelvis nerve supplied by,,
A.pudendal
b.femoral
c.obturator
AAA
b. wucheria
c. loa loa
AAA
Q.49 During surgery thyroid nerve present to a distance to superior thyroid artery,
A.externl lyryngeal
b.internal laryngeal
c.recurrent
AAA
Q.50 Antrum of stomach removed what will happen ,
a.dec compliance
b.inc acid output
c.increase gastrin
AAA
Q.51 Margins of TB ulcer,
A.undermined
b.everted
c.inverted
AAA
Q.52 Ulcer due to Hypertension,,
a.decibuts
b.marjolins
C. martorell
d.bazin
CCC
Q.53 What is the Mechanism of action of PTU:
A. Inhibits synthesis of thyroid hormones
b.lt homonymous hemianopia
B. Inhibits release of thyroid hormones
AAA
Q.54 Right optic tract lesion causes,,
a.right homonymous hemianopia
b.left homonymous hemianopia
BBB
Q.55 Internal laryngeal nerve passes through,,
a.Arytenoid n cricoids cartilage
b.Cricoid n thyroid
C.Thyroid n hyoid
CCC
Q.56 Pregnancy related scenario, PT and APTT increases long scenario) DIC
Q.57 Which is used for screening congenital abnormality,,
A.Estriol
b.estrione
c.estradiol
AAA
Q. 58 Phenyl over alcohol anaesthesia ,,
a. effect detected soon
B.less painful
c.phenol most potent
BBB
(Alcohol is Very Potent and Excruciatingly Painful)
Q.59 Patient developed hemolysis due toG6PdD deficiency,,What will happen Next ,,
A. Self limiting
b.hemolysis with G6PD
c.autosomal domint
AAA
Q.60 Primitive streak mesoderm cells migrate around the cloacal membrane to form
ant. Abdominal wal cell, if ths migration does not hapen around the cloacal membrane
will ruptureand open caudly as.
A. exstrophy of bladder
b.imperfrate anus
c.hypospedia
d.ectopic anal opning
AAA
Q.61 Liver Develops from
a.from dorsal mesentry proximal midgut
B.from ventral mesentry proximal foregut
c. from ventral mesentry distal foregut
d. ventral mesentry proximal midgut
BBB
Q.62 Saphenous nerve terminal branch of
A. femoral
B. obturator
c.sciatic
AAA
Q.63 Adductor muscle hamstring muscle supplied by which nerve
A . tibial
B. Obturator
C.femaoral
D.common peroneal
AAA
Q.64 Gracillis is supplied by the nerve
A.obturator nerve
b. femoral
c. common peroneal
AAA
.
Q.65 Adductor brevis supplied by,,
A. ant branch of obturator nerve
b.femoral
c.common peroneal
AAA
Q.66 Fracture of surgical neck of humerus, artery damaged,
a.axillary nerve
B.post.circumflex humeral
BBB
Q.67 Common bile duct parts,,
a. omental, retroduodenal, paraduodenal
B. omental, retroduodenal, paraduodenal, intaduodenal
c.retroduodenal, paraduodenal, intraduodenal
AAA (Bile Duct has 3 parts only RJ LAST )
Q. 68 Human intermediate Host in Hydatid cyst (10 June Paper Bcq)
Q.68 loss of small muscle of one hand damage,
A. C8,T1
B. ulnar
c.radial
D. C5 C6
AAA
Q.69 Inion is a landmark of,
a. glabella
b. pterion
C. external occipital prominence
D. internal occipital groove
CCC
Q.70 Gastroduodenal artery branch of,
A.right hepatic artery
b.celiac
c.splenic
AAA
Q.71 Regarding tramadol true is,
a.kappa nd meu
b.strong kappa
c.weak kappa
d.strong meu
E.weak meu agonist
EEE
Q.72 Ketorolac analgesia most preferable,,
a. Thoractosy patient with ozzing blood from wound
b. Hernioraphy wid patient of peptic ulcer
C. Non diabetic female undergoing cholecystectomy
D. Asthmatic patient having inguinal hernia repair
CCC
Q.73 Radiotherapy most sensitive to,
a.craniopharyngioma
b.pineal tumor
c.midbrain glioma
D.glanglio glioma
AAA
Seminoma >> Glial Glioma >> Craniopharyngioma
c. pass anterior to occulomotor and connect internal carotid with post cerebral
D.Its coonects internal carotid with posterior cerebral
e.connect post cerbellar inernal carotid
AAA
Q.90 ADH is inhibited by,
A.alcohol
b.increased plasma osmolarity
c.angiotensin 2
d.dec ECF
AAA
Q.91 A Very Fat Bofy was eating a burger and a very Large Bolus stuck after eating
..what will happen next,
a. Its never happens
b.swallowing centre activated
C.secondary persiatlisis will be generayed by intrinsic nervous sytem to remove it
CCC
Q.92 When will u do dialysis with GFR Decreases to
A. 5 %
b.20 %
c.30 %
d.40 %
e.50 %
AAA
Q.93 Death of Gas gangrene is,,,
A.Toxemic shock
b.excessive necrosis
AAA
Q.95 Infection related to pretracheal layer will spread to,,
A.Ant mediastinum
b.sup mediastinum
c.post mediastinum
AAA
Q.96 All drugs transported from Placenta by this mechanism
A involves cariers
B Simple Diffusion
BBB
Q.97 Organism causing cerebral malaria,,
A. p. falciparum
b.p. vivax
c.p. malaria
AAA
Q.98 Regarding pituatry gland true is
A.vein drain directly in dural Venous sinuses
b.partly derived from foregut
c.related to ethmoidal sinus
d.optic chiasm lie anteriorly
AAA
Q.99 Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid loss
will be through:
A. Stomach
B. Colon (K with Kolon)
C. Pancreas
D. Duodenum
E. Jujenum
BBB
Q.100 Anemia wid Blast Cells in peripheral blood:
A. Iron deficiency anemias
B. Erythroblastosis fetalis
C. Folate deficiency
D. Bone marrow depression
BBB
Q.101 Closure of lips involve: or unable to close lips which muscle involved:
a. Depressor anguli oris
b. Depressor labii inferioris
c. Depressor labi superioris
d. Orbicularis oris
e. Lateral pterygoid
DDD
Q. 102 Superior Thyroid artery arise from:
A. First branch of Subclavian Artery
B. External Carotid Artery
C. Internal Carotid Artery
BBB
Q.103 Incubation period of which disease is longest:
A. Measles
B. Rubella
C. Chicken pox
D. Infectious Mononucleosis
E. Mumps
DDD
Q.104 Regarding CSF true is,,
A.total 150 ml
B. production rate 20 ml/hr
C.produced by ependymal cells of choroid plexus
D. Arachnoid villi are visible
BBB
Q.104 Age estimation at 5th to 12th week is done through:
A.Biparietal diameter
B. Crown rump length
C. Crown heel length
D. Abdominal circumference
BBB
A. Riboflavin
B. Thiamine
AAA
Thiamine for Carbs in Diet
Q.115 Group of young men bathing n beech next day develop blisters on back shoulder
limbs region cause is:
A. Mast cell destruction
B. Endothelium venules destruction
AAA
Q.116 Regarding Renal Column
A. Collecting Duct
B. Interlobar artery
C. Interlobular artery
D. Minor calyces
BBB
Q.117 Function exclusively linked with vit E:
A.Carbohydrate metabolism
B. Endothelial protection
C. Skin integrity
D. Germinal epithelial protection
DDD
Q.118 Deep to post digastric and near palatoglossus a structure runs obliquely upwards,
A.Facial artery
B. Lingual artery
C. Maxillary artery
D. Sup thyroid
BBB
Q.119 What is correct about thyroid:
A. Supplied by 3 paired arteries
B. Surrounded by prevertebral fascia
C. Isthmus attached to cricoid
D. Venous drainage in bracheocephalic vein
Q.120 H2O2 found in:
a.mitochondira
B.peroxisome
c. Lysosome
D. RER
BBB
Q.121ICAM and VCAM are for Leucocyte adhesion
Q.122 Breast atrophy in young female is due to:
A. Estrogen
B. Estrogen and Progesterone
C. Progesterone
BBB
Q.123 Virus in Human causes cancer via
A. Protooncogen
B Oncogen
BB (Radiations via Protooncogens)
Q.124 Essential amino acid:
A. Phenylalanine
Q.125 Regarding sympathetic effects Beta Agonists:
A. Increase HR
Q.126 Poliomyelitis:
A. Anterior horn cell defect
Q.127 Regarding P Value:
A. Checks probability
Q.128 Spread of renal tumor will be through:
A. Renal Vein
Q.129 Retention of C02:
A. Respiratory failure
Q.130 Regarding Gray matter foot processes:
A. Protoplasmic Astrocytes
Q.131 Cause of global blindness:
A. Herpes Simplex
B. Rubella
C. Chlamydia Trochamatis
CCC
Q.132 Which is normal HB:
A. HbA
B. HbF
C. HbC
AAA
Q.133 Thalassemia carrier percentage in Pakistan:
A. 5%
B. 10%
C. 15%
AAA
Q.134 Surgery for removal of ovary done which is damaged:
A. Internal Iliac Artery
B. External Iliac Artery
C. Uterine Artery
AAA
Q.135 In respiratory Alkalosis renal compensation is:
A. NaHC03 excretion
Q.136 During mitosis chromosomes double in which phase?
A. Prophase
B. Metaphase
C. Anaphase
D. Telophase
E Interphase
EEE
Q137 Pain of ovrian tumor is refered to thigh by
A. Femoral nerve
B. Obturator nerve
C. Sciatic nerve
D. Pudendal Nerve
E. Postrior cutaneous nerve of thigh
Q.138 Deep inguinal ring is present in
A. External oblique
B. internal oblique
C. Rectus abdominis
D. Peritoneum
E. Transversalis fascia
EEE
Q.139 17 Ketosteroid in urine seen maximally in
A. Normal male
B. Normal female
C. Ovarectemized female
D. Adrenalectomizedze male
E. Adrenalectomized female
AAA (Asim Bcq)
Q140 Sciatic nerve damaged dorsal surface of foot will get nerve supply from
of
A. Saphaneous nerve
B. Sural nerve
C. Common peroneal nerve
D. Tibial nerve
E. No sensations
AAA (as its a branch of Femoral Nerve )
Q.141 What is the relation of terminal CBD with head of pancreas
A. Anterior
B. Posterior
C. Medial
D. Embedded in it
E. No relation
DDD
Q142 Which one of the following is most common brain tumor in children.
A. Medulloblastoma
B. Astrocytoma
C. Maningioma
D. GBM
E. Hemangioma
AAA
Q.144 Absolute contraindication of Propofol is
A. Porphyria
B. Hypertension
C. Hypersensitivity
D. Old age
E. Pregnancy
CCC
Q.145 Type of Sampling in which everyone has equal chance of being selected.
A. Systemic sampling
B. Random sampling
C. Stratified sampling
D. Biased sampling
E. Case control
BBB
Q.146 After RTA a patient becomes unconscious and on CT scan there is a hematoma
which is compressing post central gyrus,in this condition which area will be most
affected
A. Motor area
B. Sensory area
C. Auditory cortex
D. Visual cortex
E. Frontal eye field
BBB
Q147 Lutenizing Hormone in males acts on.
A. Leyding cells
B. Sertoli cells
C. Spermatocytes
D. Spermatogonia
E. Granulosa cells
AAA
Q.148 True statement regarding Bone (Asim BCQ)
A. Circuferrential lamella arranged around central canal
B. Haversian canals are obliquely placed
C. Lacunae contain osteoblasts
D. Haversian canals do not communicate with each other
E. Collagen fibers impart basophilia to the tissue
AAA
Q.149 Cause of Primary Hepatocellular Carcinoma
a Hep B and Hep C
b Aflatoxin
c Hep C alone
d Hep D
e Alpha 1 Antitrypsin Deficinecy
Exact options were these and answer is AAA
Q.150 Regarding Pneumotaxic Centre which statement is true .. Inhibits Respiration
Q.151 During exercise increased blood supply to muscles is via .. Local metabolites
Q.152 Spindle fibers will decrease discharge of impulses when Muscle contracts
Q.153 Drug has more effect on cox II than cox I Celecoxib
Q.154 What is the Difference between systemic and pulmonary circulation ..
Low resistance in pulmonary circulation
Q.155 MOA of steroids in Inflammation is - Inhibiting phospholipase.
=-=-
b.
c.
5. Pregnant lady with lethargy koilonycia
a. inc MCV MCH MCHC
b. inc MCV, dec MCH MCH
c dec MCV, inc MCH MCHC
d dec MCV, MCH MCHC
6.Best for measuring GFR
a.Inulin
7.Calculate dead space if TV 600
fev 75% saturation 94% one other value was 6000
8.35 yrs old with macrocytic anemia.diagnostic test
a. IF antibodies
b. Pernicious anemia
c. lipid malabsorption
b. dec TC2
9. Regarding stomach
a. pNS effect secretions of enzymes
b SNS effects secrwetions of enzymes
c SNS effects HCL secretions
d. PNS effects intestinal movement
10.Gemifibrozil mechanism of action
A. Oxidation of lipids
B. Vldl hydrolysis or lipolysis
C hdl hydrolysis or lipolysis
d.It causes lipid hydrolysis by lipprotien lipase.
11.Defintion of Incidence
12. Defintion of Prevelance .
but with different wording most closest was affected mass of total
13.30 yrs old pt with BL diplopia BL ptosis muscle weakness
a.MG
and 4 other syndrome names, never heard of them
14. Triple screening for prenatal anomalies
a. estrone
b. estriol
c estradiol
15. Patient developed uti. and now we see that there is pseduomonas auregonisa and treatment or
antibiotic to be given
A. Co trimazole
B. Ciprofloaxcin
C. Gentamycin
D. Ceftriaxone
16. pt missed periods for 8 months... now most diagnostic
a.inc FSh dec LH
b. inc FSH LH.
c. dec FSH. LH
d. dec FSH inc LH
e Atrophic uterus
17.causative organism of Q fever
a. tick
b. Rekitssea
c.loa loa
18. 6 yrs old boy with adult size penis and testis and secondary hair growth.
a. adrenogenital syndrome
b. congenital adrenal hyperplasia
19.post communicating artery joins
a. post cerebral with middle cerebral
b. IC with basilar
c. PC with MC
d. PC with IC
20. trachea as descends in sup mediatinum. rt to it lies
a. vagua
b. recuurent laryngeal
c. common carotid
d. arch of aorta
e. mediastinal pleura
21.Known case of lumbago with pain in chest and tenderness in posterior 4,5 intercoastal
space..diagnosis
a. costochondritis
b.ankylosing spondilitis
c. pericarditis
22. antacid causing dec gastric emptying
a. Alum Hydroxide
b. Mag Oxide
c. Ca Bicard
d. Soda bicard
23.tumor secreting ADH causes
a. HYperosmotic overhydration
b. HYperosmotic dehydration
c. HYposmotic overhydration
d, HYpoosmotic dehydration
24. Thirst is decreased by
a. Ang 2
b. alchol
c, renin
25. PPH... leading to no lactation
a. Sheehan Syndrome
26. Actin myosin clarthin transport mechanism
A. Primary Active transport
B. Secondary active transport
C. Simple diffusion
D. Pinocytosis
E. Facilatated diffusion
27.Lady had some abcess in neck triangle than we did incision and drainage .. Than now after that
she is unable to comb her hair as she cannot take her hand above her head
A. Spinal accessory nerve
B. Subscapular nerve
c. suprascapular
d. long thoracic
28. footballer..injury to lateral side of knee. x ray showed fibular fracture.. cant evert and planterflex
a. peroneus longus
b tibialis ant
c tibialis post
d fibular nerve
e common peroneal nerve
29.Person working in hot environment suddenly collapses.serum sodium found to be 120mmol/l
Cause z
a.Excess sweating
b. less drinking
30. Cycloplegic refraction more dangerous in
A. Strabismus
B. Accommodative something
C. Anterior shallow chamber
d. myopia
e. hypermetropia
30. First branch of abdominal aorta,
a. celic
b.inferior phrenic
c. rt suprarenal
31. Warthin starry stain used in
A. Spirochete
B. Chlamydia
c. candida
d. mycobacterium
32. soldier came after many years in sibbi.. hepatosplenomegaly.lymphadenopathy
hx of fly bite low grade fever...
a. KALAZAR
b. MALARIA
c. RIVER BLINDNESS
d. WOUCHERIA
33.Resistent to chloroquine what to give
a. mefloquine
b. primaquine
34. Drug after giving orally absorbed by aquious diffusion
a. benzo
b. pheno
c. ethanol
d. ephidrine
e. chlorpromazine
35. which is correct about csf
a. pyogenic infection.... dec glucose
b fungal.... normal glucose
c. viral...... normal protien.
d. TBM ....... normal lymphocyte
36. Pyogenic abcess in brain . Which lobe most common
a. frontal
b. parietal
c. temporal
37. aphasia caused by destruction of
a. BROCAS
b. temporal lobe
c. parietal lobe
d. frontal
38 brodmans area 4 supplied by
a. ASA
b ACA
c. PCA
d ant cruciate artery
e. MCA
39. Leuckocyte adhesion
A. Integrin
B. Selectin
40. Maximum pressure in aorta during which phase
A. Isovolumetric contraction
B. Isovolimetric relaxation
c. slow ejectiond. rapid ejection
41. alpha adrenergic causes
a.inc BP
b.
42. Cck inhibit what
A. Gastric emptying
B. Contraction of gall bladder
43. Ventricular complete depolarisation occurs during
a. QRS
b QT interval
c. ST sement
44.Femoral artery please note the word Artery palpated in
A. Adductor canal
B. Mid inguinal point
C. Midpoint of inguinal ligament
45. a question about SILICOSIS(from earth crus)
46.PNEUMOCONIOSI( Carbon laiden macrophages)
47. Hemisection od rt spinal cord
ipsilateral loss of pain 2 segments below
48. hemisection of rt spinal cord
contralateral loss of proprioception
49. Hemisection of Spinal cord..
a. ipsilateral loss of all sensetions at the site of leison
50. vertebral dics herniation
a. affects spinal nerve and post rami
b. affects posterior dorsal column
51. urine conc 100 urine flow rate 2 plasma conc 10 calculate clerance
a 200
b 20
c 100
d 10
52. VLooping around aorta
A. Left recurrent laryngeal nerve
53. scanerio of dysphagia finger pain skin deformity
CREST
a. SCC
b. BCC
c Kaposi
80. platelets adhere to
a. rough endotheliu
b. intact endothelium
81. mitochondria enriched cells in apical part.
a. cilia containing cells
b. liver parenchymal cells
82. DNA containing organele other thn nucleus
a. mitochondria
b. lysosome
c. Golgi
d. Ribosome
e. SER
83. CD4 cells----> Helper T cells
84. Helper T cells.
a. opsonization
b. activates plasma cells
c. already matured in fetal life
d.
85. LMWH and Heparin has in common
a. same action on factor 10
b. same action on prothrombin
c. same action on factor 5
86. After oral antiguagulant which factor inhibited first
a. factor 7
b. factor 11
c. factor 12
d. factor 5
87. Factor not included in intrinsic pathway
a. factor 7
b. factor 11
c. factor 12
d. factor 5
88. the most reliable diagnostic feature of Tuberculosis
a. granuloma
b. caseating granuloma
c. identifying AFB
89. Benzodiazepin..
a.tolerance?
b.depndace..?
c.hangover effect.?
d. epileptic fitz
90. Glebella is
a. part of frontal bone
b. part of frontal bone btw supracilliary arches
c. part of frontal bone just below nasion
91. which area of liver has most poor blood supply
a. zone 1
b. zone 2.
c around central vein
b. around permanent cells
92. Slow growing thyroiod tumor---> paillary CA
93. pulmonary embolism, death, nothing specific i could recall. most imp cause
a. fat embolism
b. thromboembolism
c. air embolism
d emboli
94. after 5 years of transplant increase incidence of?
a. cervical dysplasia
b brain tumor
c.myeloproliferation
d.liver tumor
e.lymphoproliferative disorder
95.golgi tendon organ.
a.reduces strtch
b. cause relaxation
. cause contraction
96. In hyaline cartilage
a. Collagn fibre visible
b. Fiber absent
c. Elstc fibre visible
d. Both elastic and collagen visible
97. GAS GANGRENE CAUSE OF DEATH.... TOXIEMIA
98. in tissue HB releases O2 by
a. inc temp
b. inc Ph
c inc 2,3,DPG
d. inc CO2
98. right shift of O2 dissociation curve
a. dec temp
b inc Ph
c Alveolar Capillaries (somethign like that)
d. hyperthyroid
99. adult HB....HBA
100. So 5 years old girl in morning PT, has cough and sore throat and in
past complained of wrist pain... Diagnose
A. Aso titre
B. Throat swab
C.RA FACTOR
101. Betal nuts---> submucosal fibrosis
102. Thyroid gland enclosed in
A. Pre tracheal
B. Prevertebral
C.
103. Excess stored iron with iron overload
a hemosiderin
b. ferritin
c trnsfrrin
B. A delta
C. Ventral column
D. Glutamate
133 Neo corticocervical tract ends at?
A. Upper cervical level
B. Upper thoracic level
C. Mid thoracic level
D. Lower thoracic level
134 In Addition to Steroid synthesis Smooth Endoplasmic Reticulum performs following function
Unable to recall the proper question
A Detoxification
B
=-=-
36. 5yr old child presented with generalized edema which test to be done - urine albumin
37.maximumwol of blood is present in veins and venules
38.diabetic patient present with gangrenous foot cause is -angiopathy+neuropathy
39.cause of death in gas gangrene - toxemia
40.Drug absorbed from GIT depends upon its Lipid solubility
41.Blood flow to Heart is controlled by - Local metabolites
42.confirmation of TB- detection of AFB
43.hormone inhibit gastric emptying - CCK
44.which artery is present along phrenic nerve - pericardiophrenic artery
45.apex beat location - 8cm from midline
46.function of dead space - humidifies and warms inspired air
47.which is requied for collagen synthesin - vit c
48.thirst will decrease when - ECF vol increase
49.characteristic feature of malignancy - metastasis
50. the characteristic microscopic feature of malignancy is -- pleomorphism
51.most common source of Hep B and C are contaminated needles
52.patient presented with protienurea which structure is damaged basement membrane
53.chewningbetal nuts will cause submucous fibrosis
54.complication of OCP thromboembolism
55.dfinition of incidence no.of new cases per unit time
56.dfiniton of prevelance mass affectd by diseseae
57.most common reaction of parents in peadiatric ward after hearing morbid illness - denial
58.function of SER Detoxefication
59.DNA is also present in mitochondria
60.true statement regarding pituitary pituitary gland sends its venous drainage to dura space
61.correct combination of CSF finding TBM leads to decrease glucose
62. most potent chemotactic factor C5a
63.Dobutamine stimulates which receptors B1+B2
64.finding in hyperthyroidism decrease TSH
65.apical mitochondria are present in which structure cilia
66.feature that promotes blood clotting rough endothelial surface
67. fatty acid enters kreb cycle as a kreb cycle molecule
68. thyroid is enclosed in pretracheal fascia
69. hormone of slow wave sleep serotonin
70. staging described extent of tumor
71.true statement regarding circle of villus posterion communicating artery connects PCA with
ICA beneath oculomotor nerve
72. counseling is to help people themselves
73. cause of carcinoma benzidine
74.true statement regarding erythroblastosisfetalis immunoglobulins are produced in RH- mother
with RH+ baby
75.findig in sever diarrhea acidosis with normal anion gap
76.administration of which of the following will incease blood flow to Muscle
(a)alpha 1 antagonists
(b) norepinephrine
77.function of basal ganglia initiation of voluntary movements
78.concentration of which hormone does not change in pregnancy
(a) cortisol
(b)GH
(c)prolactin
(d) PTH
79.6yr male child presented with hirsutism and adult size external genitalia.urinary 17-ketosterods
are elevated.what is diagnosis
(a) adrenogenital syndrome
(b) congenital adrenal hyperplasia
80. abreat fed baby after 2 days of birth develops jaundice, direct=1 indirect=9 diagnosis
physiological jaundice
81.radiation injury depends upon
(a) type of radiation
(b) dose of radiation
(c) type of tissue exposed
(d) dose with shot duration
82.true statement regarding helper T cells.(forgot options)
83. what is correct pairing of reflexes with root value
(a) biceps- C6
(b)knee L4 L5
84. during phonation
(a)vocal cards adducts
(b)vocal card abducts
(c)occurs only during inspiration
(d)occurs only during expiration
(e) occurs during inspiration and expiration
85.allele are identical genes on same locus
86.true regarding posterior frontanelle- area is smaller than anterior frontanelle
93. Alcoholic liver disease, biopsy done, histological feature reveals Mallory bodies
94. Muscle spindles supply to Ends of intrafusal fibers
95. Muscle spindle firing decreases when Muscle contract
96. Increased H+ in blood acts on Central chemoreceptors on Medulla oblongata
97. Leprosy investigation Nasal scraping for culture
98. Breast atrophy in an adult female due to decrease in Oestrogen
99. The proteins and carbohydrates are assemble and packed for secretion in the organelle Golgi
complex
100. Peroxisomes originate from SER
101. Family history positive, patient with recurrent respiratory infections, sinusitis investigation for
diagnosis Sweat Chloride test.
102. With mean in some research data analysis, investigators also do Standard deviation for To
measure the variability of individual studies
103. In synaptic vesicles about neurotransmitters Ca influx in presynaptic membrane is necessary for
neurotransmitter release
104. Trachoma Bacterial conjunctivitis > Inclusion conjunctivitis
105. Population everyone has equal chances of being selected Random sampling
106. Left circumflex artery MI supply affected to Left atrium and left ventricle
107. Right border of the heart radiologically SVC
108. Anemic hypoxia Methaemoglobinemia
109. Epinephrine released by Adrenal medulla acts on which receptors to cause vasodilation Beta 2
adrenergic
110. Most common cause of multiple fractures in an adult Osteoporosis
111. Man sitting on chair with hands on lateral sides, tips of scapula is at T7
112. True hermaphrodite XX
113. Notochord Neural plate on ectoderm
114. Pulmonary different from systemic circulation Decrease vascular resistence
115. Gamma efferent supply to Intrafusal muscle spindles.
116. Most sensitive plasma serum marker showing the myocardial cell death Myoglobin
117. Carotid artery Located externally at its bifurcation point and then turns medially
118. Oblique fissure of the lung at level - T3 to T6 Costochondral.
119. Superficial temporal artery relation with which nerve - Auriculotemporal nerve.
120. Correct about Thyroid gland - lymph drainage to deep cervical lymph nodes.
121. In cerebral circulation brain arteries - Do not anastomose once entered in the brain (controvertial).
122. Phase 1 of transformation of drug metabolism Oxidation.
123. Counseling in patients is - To help themselves.
124. A young girl who is going to die and asks you Am I going to die? Doctor response should be
What your parents have told you?
125. Cholesterol enriched diet Egg.
126. Correct about DNA Euchromatin is transcriptionally active.
127. ADPKD associated with Renal failure (vs) Cerebral haemorrhage (controversial). It is actually
associated with berry aneurism and subarachnoid haemorrhage occurs due to it. Main cause of death is
Renal failure.
128. Cause of delay in healing Infections.
129. PaO2 decreased, PCO2 increased, hydrogen ion increased; manifestation (looked like kind of COPD)
Hypoventilation.
130. Mean systemic filling pressure is regulated by - Venous return.
131. ADH responds to Osmolarity.
=-=-
1st January 2016 Surgery & Allied Paper 1 and 2 Evening Session.
(By: Dr. Waqar Arif)
1. Which hormone delays gastric emptying? CCK.
2. Nerve damage at surgical neck of humerus? Axillary nerve.
3. A patient is having a swelling in neck. Swelling (mass) is positively stained
with Congo red stain. Thyroid carcinoma is diagnosed. Tumor marker will
be? Calcitonin.
4. The swelling of 3rd part of Subclavian artery will appear in? A) Anterior
triangle B) Posterior triangle (Answer) C) Suprasternal area E) Axilla.
5. Half life depends upon? Rate of clearance.
6. At what rectal temperature, permanent cell injury occurs, if that
temperature remains constant? A) 99* F B) 101* F C) 103* F D) 106* F
(Answer). See Ganong 24th Edition page no. 320 E) No effect even at 108* F
7. Patient is having myocardial infarction. Posterior 1/3rd of interventricular
septum is involved. Which artery will be affected? Right coronary artery.
(This question was given in both paper 1 & 2)
8. A male having MCV 70, MCH 21, serum iron decreased, serum ferritin
decreased and TIBC increased. Diagnosis? Iron deficiency anemia. ( This
question was also given 2 times)
9. Aldosterone causes absorption of? Sodium.
10. Glucose is absorbed maximum in? Proximal convoluted tubule.
11. The fourth heart sound is produced by? A) Closure of aortic and
pulmonary valves B) Vibrations in the ventricular wall during systole C)
Ventricular filling (Answer). Ganong mcq key. D) Closure of mitral and
tricuspid valves E) Retrograde flow in vena cava.
12. Nor-epinephrine released from nicotinic receptors of adrenal medulla will
mediate vasodilation via? Beta 2 receptors.
13. A 50 years old diabetic, smoker and also having hypothyroidism. His B.P is
180/110mmHg. Drug of choice? A) Verapamil B) Captopril (Answer?) C)
Propranolol.
14. A smoker patient presents with constricted pupil and having partial
drooping of eyelid. Diagnosis? A) Diabetic opthalmoplegia B) Horner
syndrome (Answer).
15. A boy with progressive muscular weakness. Antibodies against Calcium
channels are present. Diagnosis? Lambert-Eaton syndrome.
16. A smoker patient having round face, abdominal striae, hypertension and
obesity. Which hormone will be raised in his blood? ACTH (As it is a
scenario of small cell lung carcinoma leading to paraneoplasticCushing
disease)
17. A 16 years old boy after treated with Co-trimoxazole for some infection
now complaints of dark black urine. Diagnosis? G6PD deficiency.
18. Karyotype of Klinefelter syndrome? 47XXY.
19. Basic drugs bind with? Alpha 1 glycoprotein.
20. Middle colic artery is a branch of? Superior mesenteric artery.
21. Abdominal angina is caused due to involvement of? A) Superior
mesenteric artery (Answer) B) Inferior mesenteric artery C) Celiac artery.
22. Regarding trachea? A) It extends upto T8 vertebra B) Superiorly, it is fused
with cricothyroid membrane C) It has striated trachealis muscle D) Starts
from upper border of C6 (Answer) E) Recurrent laryngeal nerve lies
anteriorly.
23. Which structure develops from 3rd pharyngeal arch? A) Stylopharyngeus
(Answer) B) Posterior belly of digastrics.
24. Otic ganglion lies near the anterior border of? Foramen Ovale.
25. Regarding spleen? A) It is normally 12cm in length B) On USG, it is more
echogenic than liver C) Accessory spleen is present in 25% cases D) Lax
ligaments may cause wandering spleen (Answer?).
26. Regarding thymus? A) Supllied by superior thyroid artery B) Single lobed
structure C) Extends from lower pole of thyroid upto 4th costal cartilage
(Answer?) D) Arch of aorta lies anterior to it E) It lies on sternothyroid and
sternohyoid.
27. Renal clearance calculation. Given values were: U = 100, V = 2ml/min and
P = 2. So applying UV/P = 20ml/min (Answer)
28. Regarding inferior vena cava? Commences at L5 (Answer).
29. A patient having completely injured sciatic nerve. Some sensory supply to
dorsum of foot will be managed by? Saphenous nerve.
30. Flexor of elbow supplied by radial nerve? Brachioradialis.
31. A scenario was given. Tubuloglomerular balance? A) Increase peritubular
blood flow B) Increase renal tubular flow C) Decrease peritubular sodium
concentration (Answer?).
32. Glucose in nephron is absorbed by? Co-transport.
33. Prostate blood supply? Inferior vesical artery.
34. Dorsum of nose is supplied by? A) Anterior ethmoidal branch of
ophthalmic artery (Answer?) B) Lingual artery C) Ascending palatine branch
of facial artery.
35. Pulsation felt at the anterior border of masseter, near jaw? Facial artery.
36. Anatomical structure which characterize conduction of heart? A) Nerve
fibers? B) Desmosomes C) Zonula adherens D) Gap junctions? E) Tight
junctions.
37. Patient is unable to open his mouth. Paralyzed muscle? Lateral pterygoid.
38. A female patient wearing a revealing dress starts conversation in a
seductive tone. What will you do? A) Refuse to examine her B) Refer to
another doctor C) Call in a nurse (Answer) D) Ask open ended questions E)
Ask about her personal life.
39. Bladder carcinoma. Organism involved? Schistosoma hematobium,
40. Skin cancer associated with HIV/AIDS? Kaposi sarcoma.
41. Renal artery divisions? Segmental Lobar Interlobar Arcuate
(Answer)
42. 11 years old girl has an elbow X ray. Ossification centre will be assessed
at? Lateral epicondyle.
43. From which area of brain, cholinergic fibres of cerebral cortex will mostly
arise? A) Frontal lobe B) Parietal lobe C) Nucleus basalis of Meynert D)
Hippocampus E) Basal ganglia.
44. Platelet rich plasma stored at? 22* C.
45. Gubernaculum remnant in females? Ovarian ligament (Round ligament of
ovary).
46. Meckels diverticulum? Occasionally contains gastric mucosa.
47. Aplasia? A) Decrease in cell size B) Decreased cell production? C) Failure of
cell production?.... (I think it should be decreased cell production. Failure of
cell production is called agenesis. Needed to be discussed)
48. Adenoma definition/characteristic?? One option contained the word
glands in it That was probably correct.
49. Most common premalignant skin lesion/condition? A) Intradermal nevus?
B) Junctional nevus? C) Seborrheic keratosis.
50. Parts of bile duct? A) Omental, retroduodenal and pre-pancreatic? B)
Omental, intraperitoneal and retroduodenal C) Omental and retroduodenal
D) Supraduodenal, retroduodenal, intraduodenal and infraduodenal E)
Supraduodenal, retroduodenal and intraduodenal.
51. A patient is unable to move his right eye laterally? A) Maxillary sinus
infection B) Cavernous sinus infection (Answer). (No option was present,
directly stating it as 6th C.N palsy).
52. Hypophysis cerebri is posterosuperiorly related to? Sphenoidal sinus.
53. About thyroid? Venous drainage into internal jugular and brachiocephalic
veins.
54. Mesothelioma is associated with? Asbestos.
55. Autosomal dominant disorder? Hereditary spherocytosis.
56. A scenario was given. Diagnosis was Multiple myeloma.
57. Diagnostic investigation for multiple myeloma? Immunoelectrophoresis.
58. Nucleoli contents were asked? Options were related to DNA, RNA,
proteins and ribosomes etc
59. A question about cell membrane structure?
60. A 45 years old woman complained of post coital and intermenstrual
bleeding. Abdominal examination was unremarkable. On specular
examination her uterus was hypertrophied. On vaginal examination uterus
and appendages were normal. Most initial lab investigation will be? A)
Diagnostic curettage B) Cone biopsy C) Cervical smear (Answer) D)
Colposcopy.
61. Fundus and corpus of stomach removed? Loss of receptive relaxation.
62. Trachea length in neonates? A) 2cm B) 4cm (Answer?) C) 6cm D) 8cm E)
10cm. (According to Grays anatomy trachea length in adults is 10-11cm so
we can get an idea from that)
63. Which factor will decrease vital capacity? A) Increase in residual volume B)
Decrease in total lung capacity (Answer).
64. A person developed abcess after a thorn prick. Organism will be? Staph.
Aureus.
65. Neisseria gonorrhea can be most easily identified by? Gram stain.
66. An admitted patient having difficulty in respiration. His tidal volume first
increases and then gradually decreases. Respiratory pattern is? A) Normal
respiration B) Apnea C) Kussmaul respiration D) Chynes stoke breathing
(Answer).
67. Most common circulating phagocytic cells in blood? A) Neutrophils
(Answer) B) Macrophages C) Basophils D) Eosinophils.
68. Urethra ruptured distal to urogenital diaphragm. Urine will extravasate
into? Superficial perineal space.
69. Disease caused by DNA virus? Infectious mononucleosis.
70. Incision given for submandibular gland surgery. Which nerve can be
damaged? A) Facial nerve B) Marginal mandibular branch of facial nerve
(Answer) C) Lingual nerve D) Greater auricular nerve.
71. A patient is suffering from acute inflammation. After 48 hours
predominating cells in blood, will be? A) Neutrophils B) Macrophages?....
72. Facial nerve supplies? Posterior belly of Digastric.
73. Popliteus? Present between lateral collateral ligament and lateral
meniscus.
74. Vibrio cholera causes diarrhea. Mechanism? Increased chloride channels.
75. Major neurotransmitter of basal ganglia? A) GABA B) Dopamine? C)
Glutamate.
76. Helminthic infection caused by mosquito bite? Filariasis.
77. Lumber vertebral segment has lost its curvature due to? A) Kyphosis B)
Scoliosis C) Lordosis (Answer).
78. A patient has anterior duodenal perforation. Fluid will go into? A) Right
anterior subphrenic space B) Right posterior subphrenic space? C) Lesser
sac.
79. Tail of pancreas lies in? Lienorenal ligament.
80. Aphasia due to defect in? A) Cerebellum B) Cerebral cortex (Answer).
(Specific areas e.g Brocas was not given in options)
81. A patient is on oral anticoagulation. Investigation of choice for
monitoring? Prothrombin time.
82. An old male patient having Reed Sternberg cells in his blood? Hodgkin
lymphoma.
83. Phrenic nerve? A) Lies anterior to subclaneus anterior B) Lies posterior to
subclaneus anterior?....
84. Fastest conduction in heart in? Purkinji fibers.
85. Most common method for Tetanus prevention is through? A) Toxoid
(Answer) B) Antitoxin.
86. Virulence of Staph. Aureus is determined by detecting? Coagulase.
87. During calculation of plasma osmolarity, sodium is multiplied by 2 due to?
A) Other cations B) Anions?....
88. A group of school teachers having diastolic B.P measurements (n=75).
Mean was 80mmHg and standard deviation was 10. How many teachers
(percentage) will have diastolic B.P of 70mmHg or more? A) 16% B) 46% C)
84%? D) 96%?....
89. A doctor randomly selects 200 patients of hemorrhoids. 100 patients had
surgery and 100 had high fiber diet. After one year doctor observed that
patients who had surgery respond well with having P<0.01. Study is? A)
Case control B) Prospective cohort C) Randomized control trials (Answer).
90. Primary nerve of peristalsis differs from secondary wave as? A) It has an
oropharyngeal phase (Answer?) B) It relaxes lower esophageal sphincter.
91. Which drug causes thrombocytopenia? A) Thiazides B) Chloramphenicol
(Answer).
92. Thiazides cause? A) Hyperurecemia? B) Hyperkalemia C) Hypercalcemia?...
93. Fibroblasts secrete? A) Only collagen fibers B) Only reticular fibers C)
Amorphous material (Answer?).
94. Child having hemarthrosis, diagnosed as Hemophilia B. Factor 9 is not
available. Next best substitute will be? A) Cryoprecipitate B) FFP (Answer)
C) Whole blood D) Plasma.
95. Aldosterone is functioning normally in a person. Under its action which ion
secretion will be decreased in tubular fluid? Sodium.
96. An old diabetic patient admitted in hospital due to pneumonia and
liver fluke
schistosomiasis
tape worm
Auerbach plexus
Submucosal plexus
osmotic
Secretory
secreroy plus osmotic {not sure}
High concentration of bile salts in the colon
6- treatment of vWD
FFP
Cryoprecipitate
Vit K
Aminocaproic acid
a) Gutters
b) Subphrenic space
c) Retroperitoneal space
d) lesser sach {not sure}
A. Diabetes
B. Altered immunodeficiency
C.Bruton's agammaglobulinemia
b- Spindle fibers
A. Bazon ulcer
B. Marjolin ulcer
C.Meleney's ulcer
D.Venous ulcer
E .Arterial ulcer
Infectious mononucleosis.
a.left gastric
b.Right gastric
c.Left gastroepiploic
d.Short gastric vessels
e.right gastroepiploic artery {not sure}
A. Tryptophan
B. Lysine
C. Glutamate
D. Alanine
35- nerve supply of extensor digiti minimi
a.deep radial nerve
b.superfcial radial nerve
a.putamen
b.globus pallidus {asim shoib anaesthesia book)
c.cuadate
a.Cryoprecepitate
b.FFP
c.platelets
d.whole blood
a.Jejunum
b.4thpart of duodenum
c.Desending colon
d.cecum
a.heamophelia
b.christmis
c.won wiliband disease
d.factor 7 deficiency
45-Drug which is strong analgesic but not a good
anesthetic
a.desflurane
b.isofurane
c.nitrous oxide
46- A young male comes to Pakistan for the first
time, after 2days he has fever, altered state of
consciousness and goes into Coma. Hb is low, PLTs
low and neutrophils(dnt remember).
Most like diagnosis
a- Dengue
b- Malaria falciparum
47- axon arise from conical shape part of neuron
cell body called.
a.perikaryot
b.axon hillocks
c.Dandrites
48- peptic ulcer profusely bleeding from posterior
wall of duodenum...which artery involed?
a.gastroduodenal
b.gastroepiploic
49- Epithelium of kidney (glomerulus is mentioned in
brakets specifically) derived from
A.endoderm only
b.ectoderm only
c.mesoderm only
d.endoderm+mesoderm
e.ectoderm + mesoderm
50-Deep inguinal ring is present in
a.transversis abdominis muscle
b.transversalis fascia
c.internal oblique muscle
51- parathyroid glands are developed from
a.1st pharyngeal pouch,
b.2nd pouch
c.3rd pharyngeal pouch
d.4th pouch {not sure}
( superior parathyroid and 3rd pouch gives thymus and
inferior parathyroid)
52- In IV drugs abusers there is increased risk of:
A.Libman Sacks endocarditis
b.bacterial endocarditis
c.Mitral valve carditis
d.Rheumatic fever or heart disease
53- true abt vertebral column
A. Cervical nerves originate above corresponding
vertebra {not sure}
B. Vertebral artery arches ant part of post arch of axis
(Xcept C8 cervical nerve which is below C7 vertebrae ,
and all Spinal nerves also originate
below the coressponding vertebrae
c. ejaculatory duct
59- lidocaine mechanism of action
a.blocks na channels
b.block k channels
60- there was a question regarding CORPUS
CALLOSUM lies betweet
a.join 2 hippocampus
b.posterioly forms a ridge
c.join parts in same cerebral hemisphere
61- About small intestine true is
a.valvae connivents most numerous in ileum
b.mesentry start from the rite of L2
c.valvae connivents 5mm wide
d.small intestine 6--8meters long
62- 230. Lysosome has secretion against bacterial
iron because they contain:
A.Hydrolases
B. Oxidases
63. Compression effects on esophagus by which
organ enlargement:
A. Aorta
B.Left Atrium
C. Pulmonary artery
D. Right atrium
E. Left ventricle
64. Prostatic carcinoma spread to skull bones
through:
A. Internal carotid artery
A. Pudendal Nerve
B. Obturator Nerve
76. About Quadrate lobe, true is:
A. Functionally part of right lobe
B.Drains by left hepatic duct {not sure}
C. Lies between IVC and Ligamentum venosum
77. Isoniazid causes side effects which can be
prevented by taking which vitamin:
A. B12
B. Riboflavin
C.Pyridoxine
D. Folate
78. About Trichomonas vaginalis what is correct:
A. Can b a commensal in vagina
B. Is sexually transmitted
C. Is treated wid Quinolones
79. Athetosis is due to defect in:
A.Caudate
B. Putamen
C. Globus pallidus
D. Subthalamic nucleus
80. Main class associated wid antigen presenting
cells:
A. MHC1
B.MHC2
C.Gamma interferon
D.Alpha interferon
81. Diabetic pt came to ER insulin given what change
will happen in blood:
A.inc K in blood
B.increased ketogenesis
C.increased pH
82. If circumflex branch of left coronary artery is
blocked which area will b effected:
A. Anterior surface of left ventricle
B. Posterior surface of left ventricle
C. Interventricular septum
83. Potassium will be lost mostly frm which segment
following dietary irregularities:
A.straight proximal tubule
B.convoluted proximal tubule
C.distal tubule
D.thin descending limb of loop of henle
E.thick ascending limb of loop of henle
84. Main diagnostic feature of DIC:
A.raised aptt
B.raised pt
C.presence of D dimers
85. CO poisoning,methemoglobulinemia,anemia dont
result in hyperpnoea..this is because
A.carotid bodies are stimulated
B.aotic bodies are stimulated
C.Po2 remains normal
(Anemia- Pa02, Sa02 - Normal
MethHB and CO Poisoning - Pa02 - N, Sa02
DECREASED- Ref Goljan
EBV
87Bitemporal hemiopnea
Pituitary Adenoma
88. Subdural hematoma due to:
a) leakage of cerebral vein
B) Diploic fructure {this may also right]
Carridiac arrthemias
completly recovery
92.pnemothorax
A.lung collapse chest inward
B.lung collapse chest owtward
96 .during inspiration
greater decrease in intrapleral pressure than
alvelor pressure
97.young girl HB 5,MCV LOW ,MHCH LOW,and
abnormal morphology of RBCS
,investigitiom??????
HB electropheresis
ferritin
fe,TIBC