[MBBS 0221] FEBRUARY 2021 Sub.

Code :6053

M.B.B.S. DEGREE EXAMINATION

FIRST YEAR
PAPER I – PHYSIOLOGY

MULTIPLE CHOICE QUESTIONS

Q.P. Code: 526053
Time: 30 Minutes Maximum : 20 Marks
Answer All Questions
Write one correct answer in the box provided in the Answer Script. No overwriting
should be done.
III. Multiple Choice Questions: (20 x 1 = 20)

1. The transport of proteins and polypeptides synthesized in soma of nerve cell to the
axonal ending is called as
A) Retrograde Transport.
B) Axoplasmic flow.
C) Transcytosis.
D) Exocytosis

2. Low impedance electrical pathways through which electrical activity can be

passed are called
A) Adherens Junctions.
B) Desmosomes.
C) Gap Junctions.
D) Tight Junctions.

3. Inability of the kidney to concentrate or dilute urine is called

A) Anuria.
B) Uremia.
C) Oliguria.
D) Isothenuria.

4. All are secreted by Sertoli cells EXCEPT

A) Androgen Binding Protein.
B) Inhibin.
C) Mullerian Inhibiting Substance.
D) Testosterone.

5. Full development and function of seminiferous tubules require

A) Somatostatin.
B) Oxytocin.
C) FSH.
D) Androgens and FSH
6. Secretions from the prostate gland are rich in
A) Fructose.
B) Fibrinolysins.
C) Hyaluronidase.
D) Prostaglandins.

7. The inhibitor of glucagon secretion

A) Amino acids.
B) Somatostatin.
C) Exercise.
D) Cortisol.

8. The enzyme primarily responsible for the conversion of T4 to T3 in the periphery

is
A) D1 Thyroid Deiodinase.
B) D3 Thyroid Deiodinase.
C) Thyroid peroxidase.
D) D2 Thyroid Deiodinase.

9. Inhibin inhibits
A) FSH (Follicle Stimulating Hormone).
B) TSH (Thyroid Stimulating Hormone).
C) ACTH (Adrenocorticotrophic Hormone).
D) TRH (Thyroid Releasing Hormone).

10. Transection of pituitary stalk lead to rise in

A) TSH.
B) GH.
C) Prolactin.
D) ACTH.

11. Which of the following is NOT True regarding Natural Killer cells?
A) Destroys Virus.
B) Kills Tumor Cells.
C) Is a T Lymphocyte.
D) Secretes Cytokines.

12. Red blood cell membrane is maintained by

A) Elastin.
B) Spectrin.
C) Laminin.
D) Collagen.

13. Which of the following clotting factor is NOT formed by Liver?

A) II
B) VI
C) IX
D) X
14. The Anticoagulant that acts by facilitating the action of Antithrombin III is

A) Heparin.
B) Warfarin.
C) Dicrumarol.
D) Nicoumalone.

15. The Immunoglobulin that is abundant in plasma is

A) IgG
B) IgA
C) IgM
D) IgE

16. The Hormone that causes secretion of pancreatic juice rich in HCO3-(Bicarbonate
Ions) is
A) Gastrin.
B) Cholecystokinin.
C) Secretin.
D) Motilin.

17. Acetylcholine acts on the Acinar cells via

A) cAMP
B) cGMP
C) Ca
D) Phospholipase - C

18. The rate of BER (Basic Electrical Rhythm) is maximum in

A) Stomach
B) Duodenum
C) Ileum
D) Sigmoid

19. The major nephron site where titratable acid is formed

A) PCT
B) DCT
C) Loop of Henle
D) Collecting Duct

20. Fine, irregular contraction of individual fibers are called

A) Fasciculation
B) Fibrillation
C) Spasm
D) Twitch
*****
[MBBS 0521] MAY 2021 Sub.Code :6053

M.B.B.S. DEGREE EXAMINATION

FIRST YEAR
PAPER I – PHYSIOLOGY

MULTIPLE CHOICE QUESTIONS

Q.P. Code: 526053
Time: 30 Minutes Maximum : 20 Marks
Answer All Questions
Write one correct answer in the box provided in the Answer Script. No overwriting
should be done.
III. Multiple Choice Questions: (20 x 1 = 20)

1. Actions of Parathormone are all EXCEPT

A) Increase bone formation.
B) Lowers serum phosphate.
C) Increase serum calcium.
D) Increase phosphate excretion

2. Fertilization of the ovum by the sperm usually occurs in the

A) Ampulla of Uterine Tube.
B) Fimbria of Uterine Tube.
C) Inside the Uterine Cavity.
D) Fundus of Uterine Cavity.

3. Failure rate is maximum in which the following contraceptive method

A) Barrier contraceptives.
B) IUD.
C) Oral Contraceptives.
D) Surgical procedures.

4. Blood test barrier is formed by

A) Leydig cells.
B) Sertoli cells.
C) Epididymis.
D) Vas deferens.

5. The effect of diffusible ions on the resting membrane potential in the presence of
non-diffusible ions is best explained by
A) Nernst Equation.
B) Gibbs Donnan Equation.
C) Goldman Equation.
D) Hesselbach Equation.
6. Multi unit smooth muscle is found in
A) Uterus.
B) Ureter.
C) Intestine.
D) Iris of the Eye.

7. The property of smooth muscle of hollow organs to return to original force of

contraction after elongation or shortening is
A) Latch Mechanism.
B) Slow cycling.
C) Stress Relaxation.
D) Power Stroke.

8. Atonic bladder occurs in destruction of

A) Afferent impulses from the bladder.
B) Efferent impulses from the spinal cord.
C) Facilitative impulses from the brain.
D) Inhibitory impulses from the brain.

9. Most potent vasopressor is

A) Nor Adrenaline.
B) Renin.
C) Aldosterone.
D) Angiotensin - II

10. The condition in which food accumulates in the oesophagus with oesophageal
dilatation is
A) Achalasia cardia.
B) Gastro oesophageal reflux.
C) Receptive relaxation.
D) Hirschsprung disease.

11. Choleretics cause

A) Contraction of gall bladder.
B) Concentration of bile.
C) Acidification of bile.
D) Increased bile production.

12. Vitamin K is required for synthesis of the following clotting factors EXCEPT
A) II
B) VII
C) IX
D) XII
13. The most essential regulator of RBC production is
A) Tissue Oxygenation.
B) Vitamin – B12.
C) Folic Acid.
D) Copper.

14. The most potent antigen presenting cells are

A) B Lymphocytes.
B) T Lymphocytes.
C) Dendritic cells.
D) Macrophages.

15. White blood cells are attracted to inflamed tissue areas by

A) Chemotaxis.
B) Diffusion.
C) Phagocytosis.
D) Pinocytosis.

16. The transplant of a tissue or whole organ from one identical twin to another is
A) Autograft.
B) Isograft.
C) Allograft.
D) Xenograft.

17. The growth hormone receptor

A) Must be internalized to exert its effect.
B) Requires dimerization to exert its effect.
C) Resembles the IGF – I receptor.
D) Resembles ACTH receptor.

18. The Contraction that occurs only in colon is

A) Segmentation Contraction.
B) Tonic Contraction.
C) Mass action Contraction.
D) Peristalsis.

19. Glucose fever occurs in

A) Insulin deficiency.
B) Glucagon deficiency.
C) Adrenal cortex insufficiency.
D) Primary hyperaldosteronism.

20. Cyclic AMP is used as second messenger in all EXCEPT

A) Secretin.
B) Glucagon.
C) Calcitonin.
D) Oxytocin.
*****
 THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY

[MBBS 0222] FEBRUARY 2022 Sub.Code : 6053

M.B.B.S. DEGREE EXAMINATION

(For the candidates admitted from the Academic Year 2019-2020)
FIRST YEAR
PAPER I – PHYSIOLOGY
MULTIPLE CHOICE QUESTIONS

Q.P. Code: 526053

Time: 30 Minutes Maximum : 20 Marks

Answer All Questions

Choose one correct answer in the box provided in the Answer Script. No overwriting
should be done.

III. Multiple Choice Questions: (20 x 1 = 20)

1. Microfilaments are solid fibres made up of

A. Actin
B. Tubulin
C. Titin
D. Myosin

2. Total safety factor against edema is

A. 3 mm Hg
B. 10 mm Hg
C. 17 mm Hg
D. 7 mm Hg
3. Protein subunits that lines up the Gap junctions are
A. Claudin
B. Connexin
C. Occludin
D. Actin

4. The part of cell membrane which limit the movement of water soluble substances,
A. Protein portion
B. Polysaccharide portion
C. Lipid portion
D. Membrane enzymes

5. Major force affecting the distribution of water and solutes in different body
compartments is,
A. diffusion
B. osmosis
C. Active transport
D. Na-K+ pump
6. ECF volume is difficult to measure because,
A. sampling it is difficult
B. limits of this space are ill defined
C. No substance is distributed exclusively in this compartment
D. Substance which equilibrate here also equilibrate with plasma

7. Rigor mortis is due to

A. damage to actin and myosin
B. rapid sequestration of calcium in the endoplasmic reticulum
C. Increased myosin ATPase
D. ATP depletion

8. Which of the following will bind more calcium

A. Calmodulin
B. Calsequestrin
C. Albumin
D. Calbindin

9. Hyponatremia can be caused by all of the following except,

A. Diarrhoea
B. Over use of diuretics
C. Addison’s disease
D. Diabetes insipidus

10. About 90% of the filtered glucose is reabsorbed in the early part of proximal tubule by
A. SGLT1
B. SGLT2
C. GLUT 3
D. GLUT1

11. Transport maximum is not exhibited by,

A. Glucose
B. Lactate
C. Creatinine
D. Sodium

12. All the following factors stimulate K+ secretion by principle cells except,
A. Increased Extra cellular fluid K+ concentration
B. Increased aldosterone
C. Increased H+ ion concentration
D. Increased tubular flow rate

13. Iron deficiency Anaemia is,

A. Normocytic Normochromic
B. Normocytic Hypochromic
C. Microcytic Hypochromic
D. Macrocytic Hypochromic
14. Physiological effects of calcium are all except,
A. Haemostasis and blood clotting
B. Increased platelet formation
C. Transmission of nerve impulse
D. Acts as a second messenger

15. Following is the histamine receptor blocking drug,

A. Ranitidine
B. Omeperazole
C. Atropin
D. Calcium Bicarbonate

16. Co lipase is an enzyme produced by,

A. Stomach
B. Lingual gland
C. Duodenum
D. Exocrine pancreas

17. The secretion of seminal vesicle contains all of the following except,
A. Fructose
B. Citric acid
C. Prothrombin
D. Fibrinogen

18. which is not the symptom of hyperthyroidism of,

A. High state of excitability
B. Intolerance to cold
C. Increased sweating
D. Weight loss

19. Which of the following is Ovulating hormone?

A. FSH.
B. LH.
C. Estrogen.
D. Progesterone.

20. IUD acts by following mechanism except,

A. Interferes with endometrial preparation
B. Makes cervical mucus thick
C. Acts as a foreign body in uterus
D. Prevents Ovulation
*****
 THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY

[MBBS 0522] MAY 2022 Sub. Code : 6053

M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020)
FIRST YEAR – SUPPLEMENTARY (CBME)
PAPER I – PHYSIOLOGY
MULTIPLE CHOICE QUESTIONS

Q.P. Code: 526053

Time: 30 Minutes Maximum : 20 Marks

Answer All Questions

Choose one correct answer in the box provided in the Answer Script. No overwriting should be
done.

III. Multiple Choice Questions: (20 x 1 = 20)

1. Golgi complex is an organelle ,

A. Participates in breakdown of proteins and lipids
B. Post translational processing of proteins.
C. Energy production
D. Transcription and translation

2. The term homeostasis is coined by

A. W.B. Cannon
B. Claude Bernard
C. Starling
D. William Harvey

3. Indicator used to measure plasma volume is,

A. D2O
B. Inulin
C. Evan’s blue dye
D. Radioactive sodium

4. Neutrophil falls in all except,

A. Typhoid
B. Pernicious anaemia
C. Acute bacterial infection
D. Bone marrow depression

5. Eosinophil granules do not contain,

A. Lysozymes
B. Histamine
C. Ribonuclease enzyme
D. Peroxidase enzyme
6. In complement system cell lysis is brought about by,
A. Cytokine
B. Perforins
C. Interleukins
D. Lysosomes

7. Incorrect regarding sickle cell Anaemia is

A. RBCs fragility increases
B. RBCs are sickle shaped
C. Manifest as mild anaemia
D. Blood flow to the tissue decreases

8. Identify the correct statement,

A. The renal medullary blood flow is high
B. Vasa recta creates medullary hyper osmolarity
C. Medullary blood flow is less than 5% of total renal blood flow
D. The U-shaped structure of vessels do not minimize the loss of solutes

9. Nephrotic syndrome is due to,

A. Increased glomerular permeability leading to loss of proteins
B. Decreased glomerular filtration rate
C. Increased loss of sodium chloride
D. Increased production of plasma proteins

10. The following are loop diuretics except,

A. Furosemide
B. Ethacrynic acid
C. Bumetanide
D. Mannitol

11. Staircase phenomenon is due to

A. Increased availability of intra cellular calcium
B. Synthesis of stale troponin c molecules
C. Summation
D. Tetanus

12. Latch bridge mechanism in smooth muscle is responsible for

A. Fast muscle twitch
B. Sustained muscle contraction
C. Excitation contraction coupling
D. Unstable membrane potential

13. An example of multi-unit smooth muscle is

A. Stomach
B. Uterine myometrium
C. Iris
D. Ureter
14. The basic RMP of gastro intestinal smooth muscle can be affected by
A. Stimulation by acetylcholine
B. Enzyme produced by GI secretions
C. Enteric nervous system
D. Peristalsis

15. Fructose is absorbed by,

A. Na dependent transport
B. Osmosis
C. Simple diffusion
D. Facilitated diffusion

16. Sperms become motile in,

A. Prostate
B. Epidydimis
C. Vas deferens
D. Seminal vesicle

17. Ovulation in a women with normal health occurs,

A. Just before LH surge
B. 14 days prior to start of menstrual bleeding
C. Just before corpus luteum maturation
D. During progesterone rise

18. Factors that stimulate growth hormone is

A. Increased blood glucose
B. Exogenous growth hormone
C. Somatomedins
D. Testosterone

19. Addison’s disease is due to

A. Hyper-adrenalism
B. Hypo adrenalism
C. Increased secretion of melanin
D. Increased adrenal androgens.

20. Synthetic hormone dexamethasone has

A. Only mineralo-corticoid activity
B. Only gluco-corticoid activity
C. Both of the above
D. None of the above
*****
[MBBS 0522]
 THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY
[MBBS 0123] JANUARY 2023 Sub. Code : 6053
M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020)
FIRST YEAR – (CBME)
PAPER I – PHYSIOLOGY
Q.P. Code: 526053
Time: 30 Minutes Maximum : 20 Marks
Answer All Questions
Choose one correct answer in the box provided in the Answer Script.
No overwriting should be done. Choice should be given in Capital Letters.

III. Multiple Choice Questions: (20 x 1 = 20)

1. Regression of tissues as in uterine regression after pregnancy is a function of

A) Nucleus B) Lysosomes C) Secretory Vesicles D) Peroxisomes

2. Blood clotting is an example for

A) Positive feedback B) Negative feed back
C) Delayed negative feedback D) Adaptive control

3. Which of the following attaches cells to the basal lamina?

A) Zona occludens B) Desmosomes C) Hemidesmosome D) Claudin

4. What percentage of the total blood volume is plasma?

A) 3.5% B) 45% C) 55% D) 92%

5. The plasma proteins exert an oncotic pressure of about

A) 5 mm Hg B) 10 mm Hg C) 15 mm Hg D) 25 mm Hg

6. Which of the following protein transports cell-free hemoglobin?

A) Albumin B) Haptoglobin C) Hemopexin D) Transferrin

7. Which of the following muscle cannot be tetanized?

A) Skeletal muscle B) smooth muscle C) Cardiac muscle D) All the above

8. The end plate potential is characterized by

A) Propagation B) All or none law C) Depolarization D) Hyperpolarization

9. Which one of the following acts postsynaptically, blocking the nicotinic Acetylcholine
receptors and preventing the excitation of the muscle cell membrane?
A) Botulinum toxin B) Curare C) Neostigmine D) Tetrodotoxin

10. Slow waves in the GIT are believed to be initiated by

A) I cells B) K cells C) Interstitial cells of Cajal D) S cells

… 2 …
 … 2 …

11. Acidification of bile occurs in the

A) Liver B) Hepatic duct C) Gall bladder D) Duodenum

12. Fructose is transported across the apical membrane of enterocyte by

A) SGLT 1 B) GLUT 2 C) GLUT 4 D) GLUT 5

13. What fraction of filtered water is reabsorbed in the loop of Henle?

A) 15% B) 25% C) 35% D) 5%

14. The diuretic that acts by inhibiting Carbonic anhydrase activity exerts its effect in
A) Proximal tubule B) Loop of Henle C) Distal tubule D) Collecting duct
15. Destruction of sensory nerve fibers to the bladder leads to
A) Atonic bladder B) Neurogenic bladder
C) Hypertonic bladder D) Automatic bladder

16. Which of the following cell is responsible for bone resorption?

A) Osteoblasts B) Osteocytes C) Osteoclasts D) Hematopoietic stem cell

17. All the following increases Growth hormone secretion Except

A) Stress B) Fasting C) Exercise D) Cortisol

18. The Syndrome of inappropriate ADH secretion (SIADH) is characterized by

A) Low ADH levels B) Decrease in blood volume
C) Low blood pressure D) Low serum osmolarity

19. Double Bohr effect occurs in

A) Lungs B) Tissues C) Placenta D) Brain

20. Which of the following is not true about Progesterone?

A) Produce duct growth in the breasts
B) Stimulates the development of lobules and alveoli in the breast.
C) Is thermogenic
D) Has an antiestrogenic effect on the myometrial cells.
*********
[MBBS 0123]
 THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY
[MBBS 0323] MARCH 2023 Sub. Code : 6053
M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020)
FIRST YEAR – SUPPLEMENTARY (CBME)
PAPER I – PHYSIOLOGY
Q.P. Code: 526053
Time: 30 Minutes Maximum : 20 Marks
Answer All Questions

Choose one correct answer in the box provided in the Answer Script.
No overwriting should be done. Choice should be given in Capital Letters.
III.Multiple Choice Questions: (20 x 1 = 20)

1. Most of the water in the human body is found in the

A) Interstitial fluid compartment B) Intracellular fluid compartment
C) Plasma compartment D) Total extracellular fluid compartment

2. Which is the major site of attachment of intracellular actin filaments?

A) Zona occludens B) Zona adherens C) Desmosomes D) Hemidesmosomes

3. Which of the following solution is hypertonic?

A) 0.9 % NaCl B) 5% dextrose C) 20% mannitol D) Distilled water

4. The total blood volume is

A) 5 ml/kg body weight B) 50 ml/kg body weight
C) 80 ml/kg body weight D) 100 ml/kg body weight

5. Erythrocyte Sedimentation Rate (ESR) is increased in

A) Anemia B) Hypofibrinogenemia C) Spherocytosis D) Polycythemia

6. The H antigen is usually present in individuals of

A) Type A and type B B) Type AB C) Type O D) All blood types

7. The minimum stimulus intensity that produces a compound action potential in nerve or
muscle is called
A) Rheobase B) Chronaxie C) Twice rheobase D) Twice chronaxie

8. Contraction of muscles which help in maintaining posture against gravity is an

example of
A) Isometric contraction B) Isotonic contraction
C) Lengthening contraction D) Eccentric contraction

9. The T system in cardiac muscle is located at the

A) Z-lines B) A–I junction C) M-line D) H- zone
… 2 …
 … 2 …
10. Which of the following hormone is secreted by the stomach and plays an important
role in the central control of food intake?
A) Gastrin B) CCK C) Ghrelin D) peptide YY

11. Normally the angle between the anus and the rectum is approximately
A) 15 degree B) 45 degree C) 90 degree D) 180 degree

12. In acute pancreatitis, which of the following causes disruption of pancreatic tissue and
necrosis of the surrounding fat ?
A) Trypsin B) Lecithin
C) Lyso- phosphatidylcholine D) All of the above

13. The tubular transport maximum for glucose in a healthy young man is about
A) 100 mg/min B) 225 mg/min C) 375 mg/min D) 500 mg/min

14. The obligatory 24 hr urine volume to maintain solute homeostasis in a healthy adult
male weighing 65 kg and consuming a balanced 2000 calorie diet is approximately
A) 100 ml B) 500 ml C) 1000 ml D) 1500 ml
15. All of the following drugs inhibit Na+ K+ 2Cl- cotransporter in the thick ascending
limb of loop of Henle except
A) Furosemide B) Ethacrynic acid C) Acetazolamide D) Bumetanide

16. Apparent Mineralocorticoid Excess is due to absence of

A) 3β-hydroxysteroid dehydrogenase B) 21-hydroxylase
C) 11β-hydoxysteroid dehydrogenase 2 D) 11-hydroxylase

17. Which of the following actions of catecholamines requires the permissive action of
Glucocorticoids?
A) Calorigenic effect B) Lipolysis
C) Vasopressor response D) All of the above

18. Wolff-Chaikoff effect is

A) Feedback inhibition of TSH by T3
B) Transient inhibition of thyroid hormone synthesis by large doses of iodide
C) Movement of iodine into the colloid for organification
D) Endocytosis of colloid during release of thyroid hormones
19. Mullerian inhibiting substance is secreted by
A) Granulosa cells B) Sertoli cells C) Leydig cells D) Theca interna cells

20. All of the following are true regarding human chorionic gonadotropin except
A) Production of testosterone in male fetuses
B) Has luteinizing and luteotropic effect
C) Can be detected in urine 6 days after conception
D) Produced by trophoblast cells.
*********
[MBBS 0323]
 THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY
[MBBS 1123] NOVEMBER 2023 Sub. Code : 6053
M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020)

FIRST YEAR – (CBME)

PAPER I – PHYSIOLOGY
Q.P. Code: 526053

Time: 30 Minutes Maximum : 20 Marks

Answer All Questions

Choose one correct answer in the box provided in the Answer Script. No overwriting
should be done. Choice should be given in Capital Letters.

III. Multiple Choice Questions: (20 x 1 = 20)

1. Which of the following cellular organelle contain oxidases?

A) Mitochondria B) Golgi Apparatus C) Lysosomes D) Peroxisomes

2. Which of the following cytoskeletal protein serve as conveyor belts for the intracellular
transport of vesicles and granules?
A) Microfilament B) Intermediate filament C) Microtubule D) Desmin filaments

3. Which control mechanism operates during rapid movements of the body?

A) Positive feedback B) Negative feed back
C) Vicious Cycle D) Feed-forward control

4. Which of the following promotes the rouleaux formation?

A) Albumin B) Thrombin C) Fibrinogen D) Prothrombin

5. Hypersegmented Neutrophils are seen in

A) Hemolytic anemia B) Iron deficiency anemia
C) Megaloblastic anemia D) Aplastic anemia

6. A type of white blood cell in the alveoli of lungs

A) Littoral cells B) Dust cells C) Histiocytes D) Kupffer cells

7. Which of the following drugs would likely alleviate myasthenia gravis patient’s symptoms?
A) Atropine B) Cholinesterase C) Curare D) Neostigmine

8. The calcium-binding protein that plays a key role in the regulation of smooth muscle cell
contraction is
A) Dystrophin B) Calmodulin C) Troponin C D) Calcineurin

9. Which of the following is not true regarding Type I skeletal muscle fibers?
A) They are slow muscle fibers B) They have high glycolytic capacity
C) They contain myoglobin D) There are numerous mitochondria
… 2 …
 … 2 …
10. The proenzyme pepsinogen is secreted mainly from which of the following structures?
A) Acinar cells of the pancreas B) Ductal cells of the pancreas
C) Epithelial cells of the duodenum D) Gastric glands of the stomach

11. The following are the functions of bile salts except

A) Reduce the surface tension
B) Responsible for emulsification of fat
C) Fats are converted into fatty acids and glycerol
D) Form micelles

12. The myenteric plexus of the oesophagus is deficient at the ‘Lower Esophageal Sphincter’
in which of the following condition ?
A) Gastro oesophageal reflux disease B) Achalasia cardia
C) Aerophagia D) Hirshsprung’s disease

13. Which is the fundamental mechanism generating hypertonicity in the renal medullary
interstitium?
A) Active transport of NaCl in thick ascending limb
B) Action of ADH in the collecting ducts
C) Passive recirculation of NaCl in the medullary interstitium
D) Urea permeability of collecting ducts

14. Most important buffer system present in the distal convoluted tubule is
A) Bicarbonate B) Phosphate C) Protein D) Ammonia

15. Angiotensin II causes all of the following except

A) Stimulation of thirst B) Aldosterone secretion
C) Increased ADH secretion D) Vasodilation

16. Metabolic syndrome of obesity includes all except

A) Hyperinsulinemia B) Hyperlipidemia
C) Accelerated atherosclerosis D) Decreased serum insulin levels

17. The binding of iodine with the thyroglobulin molecule is called

A) Iodide trapping B) Oxidation of the Iodide Ion
C) Organification D) Coupling

18. Sheehan syndrome is post partum necrosis of

A) Pancreas B) Pineal gland C) Pituitary gland D) Adrenal gland

19. In females, the first event during puberty is

A) Thelarche B) Pubarche C) Menarche D) Adrenarche

20. Which of the following inhibits synthesis and secretion of prolactin by lactotropes ?
A) Somatostatin B) Dopamine C) Oestrogen D) Oxytocin.
*********
[MBBS 1123]