Cool Medic Golden File File 2

ALLINONEGOLDEN2
HEREISOUR2NDFILEFOR2016
THISPDFCONTAINSMARCH,APRILAND
MAY2016PAPERS.
IHAVEADDEDCPSPDEMOQSINTHIS
PDF.GIVEAREAD.
SOMANYEFFORTSHASBEENMADEIN
COLLECTINGANDCOMPILING,THISALLDONE
TOHELPPLZKEEPHELPINGOTHERS.
KEEPMEINURPRAYS
DRM KALIM .KOOL-MEDIC
CPSP DEMO QUEStiONS with CPSP KEY:
Please dont mess with the key and memorize the way they are:
1. Blood brain barrier is formed by:
a. Capillary endothelium
b. Continuous basement membrane
c. Pericytes
d. All of above
e. None of above
Ans: a
2. Total power of the eye is 59 diopters. Main role is maintenance of this power as
performed by:
a. Anterior surface of cornea
b. Lens
c. Vitreous Humor
d. Retina
e. Posterior surface of cornea
Ans: a
3. In patient with increased bleeding time, what could be the cause of bleeding?
a. Prothrombin Deficiency
b. Hemophilia A
c. Vitamin - K deficiency
d. Protein - C deficiency
e. Von Willebrand's disease
Ans: e
Dr M KaLiM KOOL-MEDIC
4. What is the nerve supply of tip of nose?
a. Ophthalmic nerve
b. maxillary nerve
c. Mandibular nerve
d. Fascial nerve
e. Cervical plexus
Ans: a
5. Parasympathetic stimulation caused:
a. Bronchodilation
b. Decreased gut motiilty
c. Opens intestinal sphincters
d. Constipation
e. Tachycardia
Ans: c
6. Which of the following is the site of fusion of binocular vision?
a. Optic chiasma
b. Lateral geniculate bodies
c. Retina
d. Visual cortex
e. Optic nerve
Ans: d
7. A newborn baby with hydrocephalus has a swellingin lumbosacral spinal region, which
contains neural tissue in it. What could be the probable diagnosis of this patient?
a. Spina bifida
b. Meningocele
c. Meningomyelocele
d. Meningoencephalocele
e. Meningohydroencephalocele
Ans: c
8. Which of the following is most strong antioxidant?
a. Glutathone
b. Vitamin - E
c. Vitamin - C
d. Ceruloplasmin
e. Catalase
Ans: a
9. Most early diagnosis of Vitamin-A deficiency is:
(a) Bilot spots in cornea
(b) Night blindness
(c) Keratomalacia
(d) Chielosis
(e) Hyperkeratosis
Ans: b
10. A patient presents with recurrent epistaxis. Investigation receal decreased factors II, VII,
IX, X& protein-C which of the following is most likely diagnosis of this condition?
(a) Christmas disease
(b) Hemophillia
(c) Vitamin-K deficiency
(d) Von willebrands disease
(e) Liver dysfunction
Ans: c
11. On H & E staining a student sees the hallow structure around the nucleus. What it could
be:
(a)Golgi apparatus
(b) Lysosomes
(c) Ribosomes
(d) Endoplasmic reticulum
(e) Mitochondria
Ans: b
12. Bitemproral vision loss is most commonly causedby:
(a) Piuitary tumor
(b)Crainiopharyngioma
(c) Adenoma of hypothalamus
(d) Section of optic tract
(e) Section of optic nerve
Ans: a
13. A patient has finger like projection on upper lid. Hostopathological report shows
epithelial cells along with fibrous element. What is most probable diagnosis?
Option (a) Pappiloma
Option (b) Basal cell carcinoma
Option (c) Squamous cell carcinoma
Option (d) Chalazion
Option (e) Cellulites
Ans: a
14. Parotid gland supplied by:
Option (a) GVA
Option (b) GVE
Option (c) SVE
Option (d) SVA
Option (e) GSA
Ans: b
15. Primary malignant melanoma of the choroids mostcommonly metastasizes to:
Option (a) Liver
Option (b) Lungs
Option (c) Brain
Option (d) Kidneys
Option (e) Breast
Ans: a
16. A patient develops sensory loss over left side of body. After few days his behavior for pain
is changed
& he become angry after touching. Where could be the lesion in brain
Option (a) Right thalamus
Option (b) Internal capsule
Option (c) Cerebral cortex
Option (d) Basal ganglia
Option (e) Midbrain
Ans: a
17. A middle aged male has non-healing wound for long time in presence of regular dressing,
random
blood sugar is 130 mg/dl. What could be the cause of delayed healing in this patient
Option (a) Infection
Option (b) Diabetes mellitus
Option (c) High mobility
Option (d) Foreign body in wound
Option (e) Vascular insufficiency
Ans: e
18. In a patient with sympathetic stimulation, what effect will occur on his heart?
Option (a) Decreased rate
Option (b) Coronary vasoconstriction
Option (c) Hyperpolarization of SA node
Option (d) Decreased AV nodal delay
Option (e) Decreased stroke volume
Ans: d
19. Which of the following is diagnostic of granuloma?
Option (a) Giant cells
Option (b) Epithliod cells
Option (c) Multinucleated cells
Option (d) Fibroblasts
Option (e) Caseation
Ans: b
20. Medial orbitotomey is done in a patient with tumor in orbit. Now he is complaining of
numbness at upper part of head up to vertex & medial part but medial part is intact. Which of
the following nervesis damaged?
Option (a) Supraorbital nerve
Option (b) Supratrochlear nerve
Option (c) Superior orbital nerve
Option (d) Inferior orbital nerve
Option (e) Fascial nerve
Ans: a
21. In inferior wall Myocardial Infraction, which artery should be blocked
Option (a) :Left marginal artery
Option (b) :Diagonal artery
Option (c) :Right coronary artery
Option (d) :Right marginal artery
Option (e) :Posterior Interventricular artery
Ans: d
22. Oxygen level in the blood will decrease in:
Option (a) :Hypovolumic shock
Option (b) :Anemic Hypoxia
Option (c) :Hypoxic Hypoxia
Option (d) :Congestive Heart Failure
Option (e) :Acidosis
Ans: c
23. A male patient has antibodies against FSH RECEPTORS. Which of the following will be
lower than
normal in this patient?
Option (a) :LDL cholesterol
Option (b) :Hemoglobin
Option (c) :Sperm count
Option (d) :Blood Sugar
Option (e) :Triglycerides
Ans: c
24. Brucellosis is Transmitted by
Option (a) :Files
Option (b) :Ras Fish
Option (c) :Unpasteurized Milk
Option (d) :Air Borne
Option (e) :Blood Transfusion
Ans: c
25. week pregnant women has Irregular Ulterine Contractions. Which of following drugs will
be beneficial for this lady.
Option (a) :Progesterone
Option (b) :Estrogen
Option (c) :Prolactin
Option (d) :Oxytocin
Option (e) :LH
Ans: d
26. The Diagnostic finding on investigations of Metabolic Alkalosis is:
Option (a) :HCO3 more then 24meq/L
Option (b) :CO2 more then 24meq/L
Option (c) :PH less than 7.4
Option (d) :Decreased O2 in blood
Option (e) :Increase serum carbonic anhydrase
Ans: a
27. A 6 cm Lump in the breast removed. Four Lymp nodes & skin were involved. Biopsy
declared invasive Dectal Carcinoma. This tumor is called HIGH-GRADE because:
Option (a) :Lymph node involvement
Option (b) :Skin involvement
Option (c) :Size of tumor
Option (d) :Pleomorphism
Option (e) :Duct involvement
Ans: d
28. Which of the following is the characteristic oflgM?
Option (a) :It provides mucosal barrier
Option (b) :It is in highest concentration in serum
Option (c) :It is smallest molecule
Option (d) :It is largest Molecule
Option (e) :It crosses the placenta
Ans: d
29. Which of following structures in the mouth is derived from Ectoderm?
Option (a) :Epithelium of the tongue
Option (b) :Submandibular gland
Option (c) :Mylohyoid muscle
Option (d) :Epithelium of parotid gland
Option (e) :Tonsil
Ans: d
30. A young patient's blood pressure is 150/95. hisserum Rennin level is higher than normal.
Which of the following is the STIMULUS for this increased level of rennin?
Option (a) :Essential hypertension
Option (b) :Increased delivery of sodium to Renal tubules
Option (c) :Increased sympathetic stimulation via Renal nerves
Option (d) :Vasodilatation of Renal arterioles
Option (e) :Increased blood flow to the kidneys
Ans: c
31, A young women, complains of Dry mouth & Dry eyes. Which investigation will give clue to
her diagnosis
Option (a) :ANA
Option (b) :Anti-ANA
Option (c) :RA factor
Option (d) :Anti - SS A/B
Option (e) :ANCA
Ans: d
32. Regarding SA Node:
Option (a) :Its resting membrane potential is - 65 to -85 volts
Option (b) :It automatically generates impulses, creating rhythmic heartbeat
Option (c) :Its membrane is impermeable to Na ions
Option (d) :It is supplied by left coronary artery
Option (e) :It lies in the septum
Ans: b
33. During the stretch in the Skeletal Muscle, which of the following changes will occur in the
Nuclear Bag fiber?
Option (a) :They increase impulse generation
Option (b) :They remain static
Option (c) :They decrease impulse generation
Option (d) :They increase oscillation
Option (e) :They inhibit muscle contraction
Ans: a
34. which of the following structures is produced in 3rd week of development?
Option (a) :Thyroid gland
Option (b) :Parathyroid gland
Option (c) :Genital ridge
Option (d) :Heart tube
Option (e) Tonsil
Ans: d
35. Antibodies are produced by:
Option (a) :Lymphocytes
Option (b) Plasma cells
Option (c) T-Cells
Option (d) :Neutrophils
Option (e) Endothelium
Ans: b
36. Pulmonary Artery pressure increases in:
Option (a) :Exercise
Option (b) :Hypoxia
Option (c) :Anemia
Option (d) :Hypovolumic Shock
Option (e) :Hypertension
Ans: b
37. Defect in the formation of Bulbus Cordis resultin all of following EXCEPT?
Option (a) :ASD
Option (b) :VSD
Option (c) :Hypertrophy of right ventricle
Option (d) :Congenital cyanosis
Option (e) :Transposition of great vessels
Ans: a
38. Regarding the vibration Sense all are correct EXCEPT:
Option (a) :It is lost in Diabetes
Option (b) :Its fibers are traveling in the dorsal columns
Option (c) :Its receptor is Pacinian Corpuscle
Option (d) :Its receptor is Meissener's corpuscle
Option (e) :Is highly correspond to the bony portions
Ans: d
39. A patient with aplastic anemla is given Anti Lymphocytic Globulin (ALG). One week later
he develops Skin rashes, mechanism for presentation?
Option (a) :Arthus reaction
Option (b) :Type - I Hypersensitivity
Option (c) :Type - II Hypersensitivity
Option (d) :Type - III Hypersensitivity
Option (e) :Type - IV Hypersensitivity
Ans: d
40. The most common site of Fertilization in humansis:
Option (a) :Ovary
Option (b) :Uterus
Option (c) :Fallopian tube
Option (d) :Cervix
Option (e) :Peritoneal cavity
Ans: c
41. Patients comes with deviation of tongue to right side. Decreased sense of touch and
vibrations, the artery commonly involved in brain is:
Option (a) :PICA
Option (b) :AICA
Option (c) :Anterior Spinal
Option (d) :Posterior Cerebral
Option (e) :Superior Cerebral Artery
Ans: c
42. Most common site of malignancy in patients suffering from nuclear outbreak
Option (a) :Haematopoietic
Option (b) :Thyroid
Option (c) :Lung
Option (d) :Breast
Option (e) :Bones
Ans: a
43. Least common site for ectopic pregnancy would be at:
Option (a) :Ovaries
Option (b) :Pouch of douglus
Option (c) :Greater omentum
Option (d) :Fallopian tubes
Option (e) :Cervix
Ans: a
44. Most sensitive cells to hypoxia are
Option (a) :RBCs
Option (b) :Neurons
Option (c) :Nephrons
Option (d) :WBCs
Option (e) :Platelets
Ans: b
45. Following is not a tumor marker:
Option (a) :PALP
Option (b) :CEA
Option (c) :bHCG
Option (d) :AFP
Option (e) :Acid Phospatase
Ans: e
46. tyrosine derivative does not include:
Option (a) :TSH
Option (b) :Adrenaline
Option (c) :Nor adrnaline
Option (d) :Prolactin
Option (e) :Dopamine
Ans: d
47. Organ having least chances of infarction:
Option (a) :Lungs
Option (b) :Heart
Option (c) :Kidneys
Option (d) :Liver
Option (e) :Spleen
Ans: d
48. Least chances of renal stones is associated with:
Option (a) :Hyperlipidemia
Option (b) :Hyper PTH
Option (c) :Hyper vit.D
Option (d) :Infections
Option (e) :Hyperurecemia
Ans: a
49. Patient with injury to left 8th cervical segment of spinal cord will not show following sign:
Option (a) :Decreased sense of position
Option (b) :Vibration below lesion on same side
Option (c) :Extensor plantar on left side
Option (d) :Dec power of muscles below the lesion on same side
Option (e) :Dec sense of pain and temperature belowthe lesion on same side
Ans: e
50. Patient with bone pains having normal Ca, inc Alkaline phosphatase. Most likely suffering
from:
Option (a) :Pagets disease
Option (b) :Hyper PTH
Option (c) :Hyper Vit D,
Option (d) :Bone mets
Option (e) :Osteomalacia
Ans: a
51. Bile salts are reabsorbed from the:
Option (a) :Duodenum
Option (b) :Jejunum
Option (c) :Ileum
Option (d) Colon
Option (e) Rectum
Ans: c
52. In Turner syndrome, the genotype would be:
Option (a) :XX
Option (b) :XO
Option (c) :XXY
Option (d) :XY
Option (e) :XYY
Ans: b
53. Presence of pancreatic tissue in gastric mucosa is termed as:
Option (a) :Hamartoma
Option (b) :Metaplasia
Option (c) :Neoplasia
Option (d) :Choriostoma
Option (e) :Dysplasia
Ans: d
54. Patient with old history of adenocarcinoma of colon operated for polypectomy, on
histologic evaluation pathologist labeled it as benign growth with no chances into malignant
transformation, it would be:
Option (a) :FAP
Option (b) :Villous adenoma
Option (c) :Tubular adenoma
Option (d) :Tubulovillous
Option (e) :Metaplastic polyp
Ans: c
55. Man in suffering from testicular Carcinoma, the lympahtic drainage of testicle is into
Option (a) :Para aortic Lymph nodes
Option (b) :Pre aortic
Option (c) Superficial inguinal
Option (d) :Internal iliac
Option (e) :External iliac Lymph nodes
Ans: a
56. Mesothelioma is associated with:
Option (a) :Vinyl chloride
Option (b) :Silica
Option (c) :Asbestos
Option (d) :Copper dust
Option (e) :Carbon
Ans: c
57. Foetal period starts after which week:
Option (a) :11th
Option (b) :8th
Option (c) :12th
Option (d) :16th
Option (e) :21st
Ans: b
58. Soldier comes with heavy bleeding. The ideal fluid replacement would be:
Option (a) :Packed RBCs
Option (b) :Crystallines
Option (c) :Colloids
Option (d) :Whole blood for 3 days
Option (e) :Whole blood for 18 days
Ans: d
59. Vertebrae is derived from :
Option (a) :Myotome
Option (b) :Sclerotome
Option (c) :Dermatome
Option (d) :Ectoderm
Option (e) :Endoderm
Ans: b
60. Largest total cross-sectional and surface area is of:
Option (a) :Artery
Option (b) :Arterioles
Option (c) :Capillaries
Option (d) :Venules
Option (e) :Veins
Ans: c
61. Esophagus histology
Option (a) :Covered by squamous ep
Option (b) :Has str. sq in upper 1/3
Option (c) :Has str. sq in lower 1/3
Option (d) :Has 3 layers of muscles
Option (e) :Esophageal opening acting as anatomicalsphincter
Ans: b
62. Structures entering thoracic inlet
Option (a) :Accessory nerve
Option (b) :Aorta
Option (c) :Superior vena cava
Option (d) :Azygous Vein
Option (e) :Left recurrent laryngeal nerve
Ans: b
63. Example of carrier mediated counter transport:
Option (a) Na - glucose transport
Option (b) :Active transport
Option (c) :Passive transport
Option (d) :H transport
Option (e) :Diffusion
Ans: a
64. Alpha recptors effects
Option (a) :Inc HR
Option (b) :Lipogenesis
Option (c) :Midriasis
Option (d) :Piloerector contraction
Option (e) :Bronchodilator
Ans: c
65. Hypoglycemia increases
Option (a) :SSK
Option (b) :Somatostatin
Option (c) :Gastrin
Option (d) :VIP
Option (e) :Secretin
Ans: e
66. Cushing's triad:
Option (a) :Inc ICP, HTN, Bradycardia
Option (b) :Inc ICP, hypoTN, Bradycardia
Option (c) :Inc ICP, hypoTN, Tachycardia
Option (d) :Inc ICP, HTN, Tachycardia
Option (e) :Dec ICP, HTN, Tachycardia
Ans: a
67. Somatostatin dec sec of which hormone
Option (a) :ADH
Option (b) :Insulin
Option (c) :Oxytocin
Option (d) :Prolactin
Option (e) :Thyroid hormone
Ans: b
68. Digoxin toxicity
Option (a) :Inc K
Option (b) :Inc Mg
Option (c) :Dec Ca
Option (d) :Dec Na
Option (e) :Alkalosis
Ans: e
69. Following is true regarding sterilization:
Option (a) :Repeated heating denatures polyvencyl tubings
Option (b) :Autoclaving is heating objects at 121 degC at 15 psi for 3min
Option (c) :Radiation (UV light)
Option (d) :Dry heat
Option (e) :Formaldehyde
Ans: b
70. Pt complains of chest pain for more than 30 min. ECG shows changes in V1-V4. It denotes:
Option (a) :Anterior wall MI
Option (b) :Anterolateral MI
Option (c) :Inferior wall MI
Option (d) :Lateral wall MI
Option (e) :Inferior wall MI
Ans: a
71. Depolarization of cell is maintained by:
Option (a) :Na influx
Option (b) :Ca efflux
Option (c) :Ca influx
Option (d) :K influx
Option (e) :Na efflux
Ans: a
72. Spinal cord ends at the level of lower border of:
Option (a) :L2 vertebra
Option (b) :L3 vertebra
Option (c) :L4 vertebra
Option (d) :L5 vertebra
Option (e) :S1 vertebra
Ans: a
73. Hyperoxia. All true except .
(a) :Retrolental fibroplasia
Option (b) :Atelectasis
Option (c) Dec surfactant prod
Option (d) :CV depression
Option (e) :Anemia
Ans: e
74. Pacinian corpuscles related to
Option (a) :Touch
Option (b) :Vibration
Option (c) :Pressure
Option (d) :Rapidly adapting pain
Option (e) :Slowly adapting pain
Ans: b
75. Drug that inc extracellular K (moves K out of the cell):
Option (a) :Angiotensin
Option (b) H2CO3
Option (c) :Carbonic anhydrase
Option (d) :pH
Option (e) :Exercise
Ans: a
76. Thirst is decreased by:
Option (a) :ADH
Option (b) :Aldosterone
Option (c) :Ag II
Option (d) :Baroreceptor efferent
Option (e) :Inc Hematocrit
Ans: d
77. Muscle of quiet inspiration
Option (a) :Diaphragm
Option (b) :Rectus abdominis
Option (c) :Internal intercostals
Option (d) :innermost intercostals
Option (e) :External intercostals
Ans: a
78. Dry mouth increases all except
Option (a) :Thrist
Option (b) :ADH
Option (c) :Ag II
Option (d) :Plasma osmolarity
Option (e) :Plasma vol
Ans: e
79. Gastric acid is stimulated by:
Option (a) :Gastrin
Option (b) :CCK
Option (c) :Secterin
Option (d) :GIP
Option (e) :VIP
Ans: a
80. Which of the following fungi produce life threatening infection in patients with diabetics
ketoacidosis?
Option (a) :Candida Albicans
Option (b) :Histoplasmosis
Option (c) :Mucor
Option (d) :Aspergillus
Option (e) :Blastomycosis
Ans: c
81. A patient has non-reactive HBs Ag, non reactiveHBe Ag & reactive anti HBc Ab. This stages
of patient indication what?
Option (a) :Acute infection
Option (b) :Carrier
Option (c) :Transient resolving stage of hepatitis
Option (d) :Immunized
Option (e) :Chronic active disease
Ans: c
82. A Patient has enlaged parotid gland with pain in this region. Which nerve is carrying pain
fibers from the parotid gland?
Option (a) :Auricuolotemporal nerve
Option (b) :Glossopharyngeal nerve
Option (c) :Fascial Nerve
Option (d) :Temporal nerve
Option (e) :Greater auricular nurve
Ans: a
83. A Patient has anemia, hyper-segmented Neutrophils on peripheral blood examination &
neurological manifestations. Which type of anemia he is suffering from?
Option (a) :Folic acid deficiency anemia
Option (b) :Iron deficiency anemia
Option (c) :Pernicious anemia
Option (d) :Thalasemia
Option (e) :Autoimmune hemolytic anemia
Ans: c
84. A young child has increased BP in upper limbs while decreased BP in lower limbs. Pulse in
also week. What is the probable diagnosis?
Option (a) :Preductal coarctation of aorta
Option (b) :V.S.D
Option (c) :Patent ductus arteriosus
Option (d) :Postductal coarctation of aorta
Option (e) :Transposition of great vessels
Ans: d
85. In case of typhoid fever of 06 days. Which investigation is of first choice?
Option (a) :Widal test
Option (b) :Blood culture
Option (c) :Typhi dot test
Option (d) :Bone marrow culture
Option (e) :Urine culture
Ans: b
86. In a patient with diabetes, which is the best antihypertensive drug?
Option (a) :Captopril
Option (b) :Diuretic
Option (c) :Varapamil
Option (d) :Propranolol
Option (e) :Diltiazim
Ans: a
87. Urine Examination of a patient with diabetes demonstrates. Ketone-bodies. What is the
mechanism of formation of these ketone-bodies?
Option (a) :Insulin deficiency
Option (b) :Hyperglycemia
Option (c) :Defective fat metabolism
Option (d) :Hypoalbubinemia
Option (e) :Defective glucose metabolism
Ans: a
88. After giving blood transfusion, a patient develops hypersensitivity reaction. Which type of
hypersensitivity reaction is this?
Option (a) :Type I Hypersensitivity
Option (b) :Type II Hypersensitivity
Option (c) :Type III Hypersensitivity
Option (d) :Type IV Hypersensitivity
Option (e) :A.D.C.C
Ans: b
89. A Patient develps lesion in the Caudate nucleus. Which is most common clinical feature
Indicating this lesion?
Option (a) :Chorea
Option (b) :Intentional Tremor
Option (c) :Resting Tremor
Option (d) :Hemiplagia
Option (e) :Nystygmus
Ans: a
90. Heme Binds with
Option (a) :Albumin
Option (b) :Globulin
Option (c) :Hemopexin
Option (d) :Heptoglobin
Option (e) :Macroglobulin
Ans: d
91. Best pulmonary function test for the asthma is:
Option (a) :FEV - 1
Option (b) :Residual volume
Option (c) :Tidal volume
Option (d) :Vital capacity
Option (e) :Inspiratory capacity
Ans: a
92. A pregnant lady develops pain few hours after delivery. E.C.G. shows S1, Q3 and T3. What
is another investigation most appropriate for the diagnosis of this case?
Option (a) :RF
Option (b) :X-Ray
Option (c) :Gallium Scan
Option (d) :CPK
Option (e) :Ultrasound
Ans: c
93. In a patient diarrhea are corrected after the fasting. Which is most likely type of diarrhea?
Option (a) :Infectious
Option (b) :Psychogenic
Option (c) :Osmotic
Option (d) :Metabolic
Option (e) :Toxic
Ans: c
94. A diabetic Patient is advised fasting blood glucose level. At what value doctor is confusing
& needs further evaluation with glucose tolerance test?
Option (a) :04 m mol / 1
Option (b) :05 m mol / 1
Option (c) :07 m mol / 1
Option (d) :10 m mol / 1
Option (e) :15 m mol / 1
Ans: c
95. A patient has Aphasia & Facial nerve palsy on same side. Which artery is most likely
blocked?
Option (a) :Anterior cerebral artery
Option (b) :Posterior cerebral artery
Option (c) :Middle cerebral artery
Option (d) :Anterior division of middle cerebral artery
Option (e) :Posterior division of middle cerebral artery
Ans: c
96. A young female is having Goiter. She feels difficulty in breathing while lying down. Which
type of the goiter she is having?
Option (a) :Retrosternal goiter
Option (b) :Malignant goiter
Option (c) :Toxic goiter
Option (d) :Diffuse goiter
Option (e) :Simple goiter
Ans: a
97. Regarding L & D sugars
Option (a) :D sugar has - OH on right
Option (b) :L sugar has - OH on right
Option (c) :D sugar has - OH on left
Option (d) :D sugar has no - OH
Option (e) :L sugar has no OH
Ans: a
98. Councilman bodies are formed in the process of
Option (a) :Infection
Option (b) :Apoptosis
Option (c) :Trauma
Option (d) :Necrosis
Option (e) :Atrophy
Ans: b
99. A middle aged male presents with joint pain since one week. His serum Uric Acid level is
156 mg/dl. What is the best investigation for confirmation of the disases?
Option (a) :R.F
Option (b) :Synovial fluid for polarized light
Option (c) :Synovial fluid for Culture & Sensitivity
Option (d) :X-Ray of joint.
Option (e) :E.S.R
Ans: b
100. A patient comes to you in ill condition. His blood pH is 7.3 PCO2 is 44 mmHg & HCO3 is
17 meq/L. What diagnosis you are thinking of this patient?
Option (a) :Metabolic alkalosis
Option (b) :Metabolic acidosis
Option (c) :Respiratory acidosis
Option (d) :Compensatory acidosis
Option (e) :Compensatory alkalosis
Ans: b
101. During general anaesthesia Halothane is given in combination with which of the
following drugs?
Option (a) :Thiopentone
Option (b) :Nitric oxide
Option (c) :Enfluran
Option (d) :Phenobarbital
Option (e) Ketamine
Ans: b
102. Most common cause of the pelvic inflammatory disease is?
Option (a) :Gonococcus
Option (b) :Chlamydia
Option (c) :Anaerobes
Option (d) :Candida albicans
Option (e) :E-coli
Ans: b
103. A lady received DES during pregnancy for prevention of the abortion. Her baby will be on
the risk of:
Option (a) :Small cell of carcinoma
Option (b) :Squamous cell carcinoma
Option (c) :Carcinoma of endometrium
Option (d) :Clear cell carcinoma of Vagina
Option (e) :Uterine fibroid
Ans: d
104. Prenatal chromosomal abnormality can be detected at:
Option (a) :Booking
Option (b) :10-12 weeks
Option (c) :14-18 weeks
Option (d) :After 20 weeks
Option (e) :In second trimester
Ans: c
105. Secondary Hyperaldosteronism can occur due to:
Option (a) :Increased rennin
Option (b) :Decreased rennin
Option (c) :Increased potassium
Option (d) :Decreased potassium
Option (e) :Hypertension
Ans: a
106.All of the following mechanisms are involved in development of diabetic gangrene
EXCEPT?
Option (a) :Trophic changes due to peripheral neuritis
Option (b) :Arterioscierosis leading to reduced blood flow to foot
Option (c) :Decreased neutrophil motility
Option (d) :Excess sugar in tissues leads to reduced resistance to infection especially fingal
infection
Option (e) :Anaerobic infection is commonly encountered in this disease
Ans: b
107. A patient presents with dislocation of hip after an accident. Which of the following
muscle group is involved?
Option (a) :Gluteus Maximus + Minimus + Medius
Option (b) :Only Gluteus medius
Option (c) :Only Gluteus Maximus
Option (d) :Gluteus Maximus + Medius
Option (e) :Only Gluteus Minimus
Ans: a
108. A patient has history of recurrent abortion. Which of the following enzyme analysis will
give help to diagnosis?
Option (a) :Estrogen
Option (b) :Progesterone
Option (c) :L.H & F.S.H
Option (d) :H.C.G
Option (e) :Testosterone
Ans: b
109. A patient presents with secondary amenorrhea. One year back she has history of P.P.H
for that she received six pints of blood what is most probable cause of her menstrual
problem?
Option (a) :Pituitary Tumor
Option (b) :Sheehan's syndrome
Option (c) :Addison's disease
Option (d) :Adrenal cortex adenoma
Option (e) :Psychological problem
Ans: b
110. A patient presents with recurrent Rhinitis with Urticaria & Rashes. Which of the
following is most probably diagnosis?
Option (a) :Type - I Hypersensivity
Option (b) :Type - II Hypersensivity
Option (c) :Viral Infection
Option (d) :Arthus Reaction
Option (e) :Cell mediated reaction
Ans: a
111. A 60 years old women is brought with bleeding per vagina. She is diabetic &
hypertensive & one year back she was diagnosed as having carcinoma of breast. What can be
most probable diagnosis for this bleeding p/v?
Option (a) :Carcinoma of colon
Option (b) :Carcinoma of endometrium
Option (c) :Endometrial Hyperplasia
Option (d) :Carcinoma of cervix
Option (e) :Cervical erosion
Ans: b
112. A Patient is suffering from carcinoma of rectum. He develops pain in the posterior aspect
of thing due to involvement of nerve. Which nerve supplies the posterior aspect of thigh &
that can be involved in the malignancy of rectum?
Option (a) :Lumbosacral trunk
Option (b) :Sacral nerves
Option (c) :Obturator nerve
Option (d) :Superior hypo gastric plexus
Option (e) :Inferior hypo gastric plexus
Ans: b
113. A semiconscious patient is brought to emergency department. He has history of taking
some unknown drug. NaHCO2 reverses the action of drug. Which drug he has most likely
taken?
Option (a) :Phenobarbital
Option (b) :Phenothiazine
Option (c) :Morphine
Option (d) :Diazepam
Option (e) :Alcohal
Ans: a
114. A lady with 26 weeks gestation has uterine height of 24 weeks. On sonography there is
no fetus & snowstorm appearance. Which of the following probably associate with it?
Option (a) :Choriocarcinoma
Option (b) :Karyotype-46XX
Option (c) :47XX
Option (d) :69XXX
Option (e) :45XO
Ans: b
115. Normal female pelvis has:
Option (a) :Deeper inlet
Option (b) :Inturned spine
Option (c) :Narrow outlet
Option (d) :Round outlet
Option (e) :Oval inlet
Ans: e
116. The ascent of horse shoe shaped kidney is prevented by:
Option (a) :External iliac artery
Option (b) :Internal iliac artery
Option (c) :Superior mesenteric artery
Option (d) :inferior vena cava
Option (e) :inferior mesenteric artery
Ans: e
117. Which of the following is characteristic of polycystic ovary disease:
Option (a) :Increased L.H
Option (b) :Increased F.S.H
Option (c) :Decreased L.H
Option (d) :Decreased F.S.H
Option (e) :No change in hormones
Ans: a
118. A 20 - Week pregnant lady has blood pressure 140/95. She complains of vomiting &
headache. What is the probable diagnosis of the condition?
Option (a) :Appendicitis
Option (b) :Pregnancy induced hypertension
Option (c) :Oligohydramnios
Option (d) :Raised intracranialpressure
Option (e) :Pregnancy induced DM
Ans: b
119. Which cranial nerves carry parasympathetic fibers?
Option (a) :Third, Fourth, Ninth, Tenth
Option (b) :Third, Fourth, Fifth, Ninth
Option (c) :Second, Fourth, Fifth, Ninth
Option (d) :Third, Seventh, Ninth, Tenth
Option (e) :Fifth, Sixth, Tenth, Eleventh
Ans: d
120. Patient comes with deviation of tongue to the right side, decreased sense of touch and
vibration, the artery commonly involved in brain is
Option (a) PICA
(b) AICA
(c) anterior spinal
(d) posterior cerebral
(e) superior cerebral artery.
Ans. C
121. Nerve injured in anterior dislocation of shoulder joint is
Options (a) musculocutaneous (b) axillary (c) median (d) radial (e) suprascapular
Ans. A
122. A patient is unable to extend his metacarpophalyngeal joint, abduct and extend his
thumb, sensation is intact, which nerve is damaged
Options (a) radial nerve
(b) post interosseous nerve
(c) ulnar nerve
(d) median nerve (e)
musculocutaneous nerve
Ans. A
122. Milk is notoriously deficient in
(a) vit A
(b) Riboflavin
(c) Iron
(d) pantothenic acid
(e) vit C
Ans. D
Regards ; Tan Veer Ahmad
Good luck for exam
1
7th & 8th March-2016- Papers of all Specialties (1705 MCQS)
[ Index- Check List ] Compiled by : Amlodipine Besylate
(1) Medicine & Allied 7th March 2016 (Evening Session) by Alizay Khan (181 MCQS) Page#1
(2) Medice & Allied 8th March 2016 (Morning Session) by Dr Kunza Aslam (200 MCQS) P#15
(3) Medicine 8th March(Evening) by Dr.Tariq Khan/Mudassir Bangash (200MCQS) P#29
(4).Surgery & Allied 7th March (Evening Session) by Dr. Hasnain Afzal (197 MCQS) P#40
(5). Surgery & Allied 7th March (Evening Session) - by Dr.Xaheer Khan (185 MCQS) P#57
(6). Surgery 7th March 2016 (Morning Session) by By Dr.Haris Riaz Sheikh (156+) P#73
(7). Gyane/Obs 7th March-2016 (Morning Session) by Dr.Noor Fatima (184) P#89
(8)..Gynae / Obs; 8th March 2016 (Morning Session) Dr.Nourin Hameed (105) P#94
(9). Radiology 7th March-2016(Morning) by Dr.Asfandyar Khan Bhittani & Loa Loa(122) P#103
(10). Community Medicine 7th March 2016 (Morning) by Dr.Qaisar Javed (90+85) P#112
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
(1)Medicine & Allied 7th March 2016(evening) by Alizay Khan (181)
1. anterior cruciate ligament is damaged.direction of tibial dislocation on femur is
a. anteriolateral
b. anteromeddiaal
c. anterior (answer)
d. posterromedial
e. posterolateral
2. narrowest point in pediatric airway
a. cricoid (answer)
b. thyroid
c. trachea
d. false vocal cord
e. true vocal cords
3. regarding vertebral column
a. intervertebral disc is thickest in thoracic and lumber regions
b. cervical vertebrae are 7(answer)
c. total 31 vertebrae
d. curvature to side is caalled lordosis
e. prolapse can occur without fracutre
4. pulmonary artery supplies a. alveoli (answer)
5. if thalamus gets damaged,which is not affected
a. sense of olfacton (answer)
b. vibration
c. touch
6. dorsal nucleus of vagus nerve is present
a. upper part of pons
b. lower part of pons
c. medulla (answer)
d. midbrain
7. superior colliculus recieves which sensation
a. auditory
b. visual (answer)
c. hearing
2
8. posterior to urinary bladder
a. anal canal
b. prostate
c. denonvillers fascia (answer)
d. completely covered by peritoneum
e. covered by peritoneum in lower half only
9. dorsal column damaged,which will be least affected
a. touch
b. sterogonosis (answer-NOT SURE)
(temp and vibration were not in options)
10. nerve involved in bell's palsy
a. 7 (answer)
b. 9
c. 10
11. posterior communicating artery
a. passes below the occulomotor nerve and connects ICA and PCA (answer)
b. passes above occulomotor nerve and connects ICA to MCA
c. connects ICA to posterior cerebellar rtery
12. structure passing thru the cavernous sinus
a. CN 3
b. CN 6 (answer)
c. CN 4
13. isthumus of thyroid is situated over which tracheal rings
a. 1,2,3
b. 2,3,4 (answer)
c. 1,2
d. 2,3
14. which muscle gets paralyzed/damaged in temporomandibular joint dislocation
a. temporalis
b. masseter
c. lateral pterygoid (answer)
d. medial pterygoid
e. buccinator
15. fascia deep to parotid gland forms
a. stylomandibular ligament
b. stylohyoid ligament
c. temporomandibular ligament (answer)
16. cardiac plexus
a. formed infront of trachea
b. have preganglionic sympthetic fibers from superior cervical ganglia
c. contain both sympathetic andd parasympathetic fibers (answer)
17. 1st branch of abdominal aorta
a. inferior phrenic (answer)
b. celiac
18. LCX blocked.area affected
a. left atrium+left ventricle (answer)
19. brachial plexus block...pt still feels pain on lateral aspect of forearm.which nerve is
spared
a. axillary nerrve
b. musculocutaneous nerve (answer)
20. structure pierced during spinal tap
3
a. posteerrior longitudinal lig
b. ligamentum flavum (answer)
21. dilatation of aortic arch will compress
a. left bronchus (answer)
b. trachea
c. esophagus
(RLN was not in options)
22. muscles are connected to bones via
a. ligaments
b. tendons (answer)
23. long thoracic nerve supplies
a. lattisimus dorsi
b. serratus anterior (answer)
24. pt with spells of dizziness and diplopia,now presented with coma.what's the
diagnosis
a. subarachnoid hemorrhage
b. carotid arterry obstruction
c. basilar artery thrombosis (answer)
d. pontin hemorrhage
25. axillary artery is formedd by
a. bassilic vein and vena commitantes of brachial artery (answer)
b. cephalic vein and vena commitantes of brachial artery
26. at which level trachea starts
a. c6 (answer)
b. t?
27. jejunum is supplied by
a. SMA (answer)
b. IMA
c. pancreaticoduodenal artery
28. regarding vessels of lower limb
a. cruciate anastmosis is b/w femoral artery and external iliac artery
b. short saphenous starts from medial side of foot
c. long saphenous ends in mid thigh
d. femoral vein is lateral to femoral canal (answer)
29. injury to lateral hypothalamus will
a. increases appetite
b. no effect on hunger
c. decreases hunger (answer)
d. increases hunger for carbohydrates
30. lesion of rt lateral geniculaate body causes
a. left homonymus hemianopia (answer)
b. rt homonymus hemianopia
c. bitemporal hemianopia
31. internal carotid artery
a. ophthalmic branch enters thru superior orbital fissure
b. it enters thrusquamous paart of temporal bone
c. at bifurcation its lateral to external carotid artery then turns medially and posteriorly (answer)
d. pierces diaphragma sella medial to optic nerve
32. bundle of his is supplied by
a. RCA
b. LCX
4
c. rt marginal artery (answer)
33. lymphatic drainage of thyroid
a. deep cervical lymph nodes (answer)
34. in open laparotomy,surgeon recognizes left kidney by
a. dark color
b. begins from T12 to L4
c. anterior relation with stomach,pancrease,descending colon,spleen,jejunum (answer)
d. anterior relation with pancrease,descending colon,spleen,jejunum
35. pt suffering from appendicitis,having pain in right iliac fossa that is reffered to
umbilicus.which spinal nerve root is involved in this reffered pain
a. T10 (answer)
b. L5
36. light thrown in rt eye,direct reflex is present but absence of indirect light reflex.which
structure is involved/damaged
a. rt occulomotor nerve
b. left occulomotor nerve (answer)
c. pretectum
37. linear growth pf bone is affected if following structure is fractured
a. metaphysis
b. epiphyseal line
c. epiphyseal plate (answer)
d. diaphysis
38. abscess anteior to pretracheal fascia.infection can spread to
a. anterior mediastinum (answer)
39. beta endorphins
a. hypothalamus
40. typical scenario of sickel cell anemia with abdominal pain jaundice etc...
a. HB ss (answer)
b. HB sc
41. difference b/w sarcoma and carcinoma
a. pleomorphism
b. inc vascularity
42. ITP scenario was given.splenectomy done.which organism will cause
postsplenectomy reecurrent infections
a. hemophilis influenza
b. staph aureus (answer)
43. hepatitis scenario,viral markers negative,ALT slightly raised,on exaamination there
were some eye findings.what is the suitable dignostic test
a. serum ceruloplasmin (answer)
b. urinary copper
c. HbsAg
d. anti mitochondrial ab
44. patient comes with tender right hypochondrium,stool with occult blood.on
colonoscopy, ascending colon was involved, showing ulcers while other parts of colon
were spared.on histology/microscopy (smthng like that)what will be seen
a. necrotizing vasculitis
b. crypt abscess
c. entamoeba histolytica
d. carcinoma
45. verrrrrryyyy long stem.microscopic findings were given.2 word thats i remember from
those alien features are epithelium and rete ridges
5
a. verrocus carcinoma
b. squamous cell carcinoma(or small cell)
these two were carcinomas. remaining were sarcoma etc
46. child with history of bed wetting though toilet trained.investigations done.at one side
duplication of ureter was found and one of them was opening in vagina.what is the cause
a. early division of ureteric bud
47. coal minning,sand blaster.lon|Achg scenario
a. asbestosis
b. silicosis (answer)
d. anthracosis
48. anxiety is dec by the activation of which receptors
a. GABAa
b. glutamate
c. glucocorticoid
d. nicotinic cholinergic
e. dopamine
49. turner syndrome
a. AR
b. AD
c. gynaecomastiaa
d. short stature (answer)
50. CRF pt died.on autopsy,which organ will show hypertrophy
a. thyroid
b. parathyroid(answer)
51. which cell organelle contain double membrane
a. nucleolus
b. golgi apparatus
c. ribosomes
d. RER (answer-??)
52. fisherman with gingival hyperplasia and echymosis.which one is deficcient
a. vit B12
b. vit K
c. vit c (answer)
53. pt on immunosuppresents.abscess is formed on upper outerr half of arm.after
drainage healing process is verry slow though a month hs been passed.reason
a. dec collagen formation
b. dec neutophil migration
54. slowest growing malignant thyroid Carcinoma
a. papillary (answer)
b. follicular
55. which infusion will inc ECF to maximum extent
a. hypertonic fluid (answer)
b. isotonic fluid
56. steady pressure is detected by
a. meissners
b. ruffinis (answer)
c. pacinian
57. pt with MI.typical sign and symptoms.st elevation in leads II, III and AVF
a. anterior wall MI
b. inferior wall MI
ans: b
6
58. pt with AML undergone bonemarrow transplant....pneumonia...histology showing
large cells with intrcellular inclusions.cause is
a. CMV
b. candida
c. pneumocystic
ans: a I marked
59. child brought by mother,suffering from diarrhea.on examination,rectal prolapsed
was found(finaly a hint was given that worm with small anterior end)
A. entrobius vermicularis
b. trichuria trichuris
c. whip worm
ans: b
60. best indicator of venous return
a. end diastolic vol
b. end systolic vol
ans: a
61. MI pt after 48 hour,found collapsed,no pulse.on ECG irregular waves were seen.whats
the pathophysiology
a. dec cardiac output
b. re-entery current
ans: I marked b
62. subcapsular efferent
a. lymph nodes
b. spleen
c. thymus
ans: a
63. alveoli are kept dry because of
a. alveolar macrophages
b. tight junction b/w capillaries
c. surfactants
d. negative interstitial pressure
64. dead space does not change in
a. shallow breathing
b. deep inspiration
c. standing
ans: a
65. local edema
a. allergy
66. dec GFR
a. inc pressure in bowman's capsule
b. dec hydrostatic pressure
c. inc oncotic pressure
ans: a
67. what is more/high in venous blood as compare to arterial blood
a. PCV
68. long senario,child with hypocalcemia(or tetany),having some cardiaac problems and
lots of viral infections mentioned.
a. NADPH oxidase deficiency
b. 22qc.
lowCD4
ans: b
7
69. cause of fatty liver in our country
a. hep B and hep C
b. alcoholism
c. fatty diet
ans: a
70. primary active transport
a. pump
b. carriers
c. channel proteins
ans: a
71. corona radiata is formed by
a. granulosa cell
b. theca interna cells
c. theca externa cells
ans: a
72. spermiogenesis
a. primary oocytes form secondary oocytes
b. secondary oocytes form sperrmatids
c. spermatidz form spermatozoa
ans: c
73. renal threshold for glucose
a. 180
b. 200
c. 250
d. 375
ans: I marked c
74. in which condition atrial repolarization is shown on ECG
a. third degree cmplt heart block
b. inspiration
c. during exercise
ans: a
75. on ECG,QRS complex represents
a. ventricular systole
b. ventricular depolarization
ans: b
76. non smoker,fever for 6 weeks and cough with small amount of blood.on xray "Coin
lesion"is seen in upperr lobe
a. small cell carcinoma
b. granulomaa
c. silicosis
77. which structure binds cytoskeleton with ECM.
a. proteoglycans
b. intermediate filaments
c. integrins
ans: a
78. a tall young girl(child) with history of secretion from breast.on microscopy of anterior
pituitary,which cells ar abundant
a. eosinophilic
b. basophilic
c. chromophobes
ans: a
8
79. which valves are most commonly involved in rheumatic heart disese
a. mitral and aortic
80. aseptic endocarditis
a. SLE
b. cancer patients
ans: I marked b
81. pt with muscle weaakness and bilateral ptosis.which investigations you will do
a. Acetylcholine receptors antibodies
b. anti smooth muscles antibodies
(EMG was not in options)
ans: a
82. farmer's lung
a. sugarcane dust
b. grain dust
c. cotton dust
d. tobacco
ans: b
83. hormone responsible for ductal growth and fat deposition in bresat
a. progesterone
b. estrogen
c. prolactin
ans: b
84. heart rate is 75,PR interval is 0.3.if heart rate becomes 225, what will be the PR
interval
a 0.1
b 0.9
c 0.05
ans: a
85. least amount of minerals are found in
a. roots
b. tubers
c. cereal
d. pulses
e. veg(leaves)
86. erythropoietin secretion iss inhibited by
a. cobalt
b. hypoxia
c. theophylline
ans: c
87. which is low in csf as compare to plasma
a. Na
b. osmolarity
c. Cl
d. Mg
e. protein
ans: e
88. cells of chronic inflammation
a. macrophages
b. lymphocytes
ans: a
89. middle aged man presented with meningitis after having lung abscess
9
a. staph aureus
90. which toxin is responsible for scarlet fever
a. exotoxin
b. erythrogenic
c. endotoxin
ans: b
91. serum sodium is regulated by
a. osmoreceptors
92. highest sodium channel conc
a. initial segment
b. node of ranvir
c. dendrites
ans: b
93. in chronic liver disease,which histological finding suggests chronicity
a. fibrosis
b. councilmann bodies
ans: a
94. FFPs used for the acute management of
a. factor 8 deficiency
b. warfarin overdose
ans: b
95. intense transfusion reaction occurs if we transfuse
a. A- to A+
b. A+ to O+
ans: b
96. which prevents muscle from tearing unde pressure
a. GTO
b. muscle spindle
ans: a
97. inverse stretch reflex
98. flexor withdrawal reflex
a. multisynaptic
99. if right atrial pressure is increased
a. increases cardiac output
b. increases intrathrocic pressure
ans: a
100. after adrenalectomy,which is preffered
a. glucose
b. NaCl
ans: b
101. in cell mem of RBCs,CL- and HCO3- exchange occurs through
a. nkyrin
b. band3
c. spectrin
ans: b
102. pt with discoid rash,arthritis and hemolytic anemia.whats most specific
investigation
a. ANA
b. ant ds DNA ab
ans: b
10
103. pt with malaise and raised bp,died b/c of hemorrhagic stroke in basal ganglia.on
autopsy bilateral small kidneys with petecheal hemorrhages,hyperplastic arteriosclerosis
and fibrinoid necrosis.whats the diagnosis
a. fibromuscular dysplasia
b. DM type II
c. systemic sclerosis
d. NSAID induced
104. which one is most pre malignant
a. compound nevus
b. intradermal nevuss
c. seborrhaic keratosis
ans: a
105. old male patient hass history of headache in temporal region.thick cord like vessels
in that area.on biopsy giant cells are seen
a. ESR more than 110
weird options...
106. presynaptic sympathetic fibers release
a. ACH
b. nor epinephrine
c. dopmine
ans: a
107. saliva prevents iron utilization by microbes via
a. lactoferrin
b. lysozymes
ans: a
108. benign tumor
a. leiomyoma
109. pt with left ventricular hypertrophy(smthng like this,finaly asked)what is the cause of
left axis deviation
a. RBBB
b. damaged myocardium of right ventricle
ans: b
110. sulfur containing aminoacids
a. cystine
111. which corneybacterium is common amongst humans
a. diphteriae
112. diphtheria toxin has sever affect on
a. heart
b. brain
ans: a
113. anemic pt, Hb 6.2 platelets 450,000 TLC normal range BME shows erythroid
hyperplasia
a. acute blood loss
b. leukemia
c. iron deficiency anemia
d. anemia of CRF
114. hyperkalemia will increase the secretion of
a. aldosterone
b. ADH
c. renin
d. cortisol
11
ans: a
115. urine osmolarity 1200(or 1400)plasma sodium 120, whats the cause
a. increase ADH
116. urine concentrated in juxtamedullary nephrons.in which part dilute urine will be
present
a. DCT
b. CT
c. thick ascending loop of henle
d. thin ascending loop of henle
ans: c
117. stab wound of chest,what will happen
a. ipsilateral lung collapses and ipsilateral chest wall springs out
b. ipsilateral lung collapses and contralaterl chest wall springs out
ans: a
118. 46 XX pseudohermaphrodite
a. adrenogenital syndrome
119. long scenario,at the end asking bout type of necrosis in brian
a. coagulative
b. liquefactive
ans: b
120. uncoupling of oxidative phosphorylation and heat production,hormone involved
a. thyroxine
121. tumor suppressor gene
a. p53
b. Ras
c. n.myc
d. c.myc
ans: a
122. young male is suffering from syphilis(i think primary mentioned).to confirm the
diagnosis, smple is taken from
a. blood sample
b. genital sores
c. buccal mucosa
ans: b
123. dec heat production during anesthesia is due to(something like this)
a. reduced activity of Na/K pump
b. reduced skeletal muscle tone
c. vasodilation
d. starvation???
124. which factor helps immune system against microbial defense
a. complement system
b. c3b
ans: I marked b
125. occupational carcinoma
a. tobacco factory worker
b. silicosis
c. asbestosis
ans: c
126. abnormalities are common in meiosis.if a complete chromosome is transferred to
haploid cell(dont remember haploid word was present or not)what this abnormality is
called
12
a. trisomy
b. meiotic nondysjunction
127. vagotomy done
a. dec gastric acid and pepsin secretion
128. commonest organism causing UTI
a. ecoli
b. candida
ans: a
129. sweat glands
a. not present in palm and sole
b. innervated by sympathetic nervous system
ans: b
130. Na is major ECF cation.its mostly balanced by which anion
a. HCO3-
b. Clans:
b
131. which is more in dialysing fluid as compare to plasma
a. glucose
b. HCO3-
ans: a
132. which inhibits stomach emptying
a. gastrin
b. CCK
ans: b
133. which causes gall bladders contraction
a. CCK
b. gastrin
ans: a
134. dec gastric secretions
a. gastrin
b. secretin
c. enterogasterone
ans: b
135. what is glycocalyx
a. structural protein
b. carbohydrate moiety
c. receptors...
136. sarcoma as compare to carcinoma
a. spread to bones early
b. in the form of clusters of cells
c. more sensitive to radiotherapy
137. S2 as compared to s1 has
a. high frequency
b. longer duration
ans: a
138. in a standing person,venous return from legs i facilitated by
a. contraction of skeletal mucles
b. valves in veins
ans: a
139. gastric lymphomas
a. H.pylori
13
140. T cell receptor interacts with
a. antigen presenting cells
b. MHC
ans: b
141. median umbilical ligament is remanant of
a. urachus
142. female pt in reproductive age presents with DVT,there is history of taking some
medicine,whcih it could be
a. OCPs
143. ch 9:22 translocation
a. CML
144. dec ESR
a. inc albumin
145. cells of pancrease involved in DM I
a. alpha cells
b. beta cells
ans: b
146. primary biliary cirrhosis,typical senario of female with history of itching ,jaundice
xantoma...investigation
a. anti mitochondrial antibodies
147. hematocrit
a. rbcs+wbcs+platelets
148. achalasia cardia
dont remember options..absent gaglion or something was there which was the right option
149.
150. 2 qstns related to asthma.cant recall
151. lymphatic tumor
a. cystic hygroma
152. HIV patient...tumor
a. kaposi's sarcoma
153. HLA DR4
a. RA
154. scenario of ankylosing spondylitis..asked about association
a. HLA-B 27
155. Antibody receptors are
a. hypervariable regions of H and L chains
156. sympathetic supply to adrenal medulla
(easy qstn so dont remembr)
157. negative mantox test is seen in
a. pt taking immunosuppresents
158. postganglionic sympathetic supply to sweat gland is thru
a. muscrinic receptors
b. nicotinic receptors
159. pre-eclamptic pt,high bp,medicine given before anesthesia
a. nitroprusside
b. hydralazine
ans: I marked b
160. which antiemetic is preffered in pts of chemotherapy
a. odansterone
b. metochlopramide
ans: a
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161. steady conc of doapmine is achieved in
a. 9 min
b. 2 min
ans: a
162. drug interaction
a. pharmacokinetic only
b. pharmacodynamic only
c. both pharmacokinetic and pharmacodynamic (answer)
163. ranitidine is different from cemitidine as
a. it has less CNS toxicity (answer)
b. less potent
164. systemic fungal infection is treated with a. amphoteracin b (answer),b. ketoconazole
165. alpha adrenergic causes a. mydriasis(answer) ,b. bronchodilation
166. 0.85% saline contains how much NACL
a. 850mg/100ml
b. 85g/L
ans: a
167. dicumarol side effect
a. platelets aggregation
b. inc clotting
c. dec clotting
d. inc bleeding time(i think it was in the options)
168. eye infecton,diagnosed as HSV conjunctivitis...treatment a. trifluridine
169. dexamethasone as compare to hydrocortisone
a. immunosuppression
b. hyperglycemia
cant recall other options
170. vol of distribution is not affected by a. age ,b. gender (answer)
171. histamine releasing opioid a. morphine (answer),b. tramdol
172. morphine is used in -a. biliary colic -b. terminal cancer pain (answer)
173. thiazide diuretics acts on -a. DCT
174. cox 2 inhibiotor -a. meloxicam
175. antihypertensive acting directly on SA node a. verapamil(answer) b. nifidipine
176. mode of action of cephalosporin
a. dec peptidoglycan synthesis b. inhibit transpeptidase (answer)
177. 2x2 table - a. chi square
178. study conducted to check temp change with general anesthesia over time(smthg
like this)best way to calculate result
a. student t test
b. chi square
c. ANOVA
d. regression analysis
179. 2qstns regarding pts management and doctors behavious....
180. on staining,cytokeratin indicates
a. carcinoma
b. to visualize metaplasia and dysplassia
c. to visualize the contractile elements of cell
d. to visualize the cytoskeletal structures of cell with impending death
181. rt shift of Hb dissociation curve ,if there is dec in a. PH
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15
( 2)Medicine & Allied 8th March 2016 MORNING by Dr Kunza Aslam
Q no.1 : Pacinan corpuscle :
A. high frequency vibration ( ans )
B. low frrequency vibration
Q no 2 : What is used for traveller's diarrhea ?
A. metochlopramide
b. Diphenoxylate ( ans )
Q No3. plantar surface cutaneous innervation ?
A. Sural nerve
B Sephanous nerve
C. posteior tibial nerve ( ans )
Q no 4. Esophagus :
A. Passes theough right crus of diaphragm ( ans )
B. covered by peritoneum on anterior and right surface
C. grooves posterior surface of liver
Note: Peritoneum covers anterior and left side of abdominal part of esophagus. Ref: BD
Churassia
Q no 5. Aneurysm of aorta at diaphragmatic hiatus compresses
A. azygous vein and thoracic duct ( ans )
Q no 6. HR = 70 , CO 5.6 L , EDV = 160 ml ,, calculate EF ?
a. 0.5 L ( ans )
b. 0.05L
Q nO 7. female met an accident , her son and husband died , afterwards she had night mares
and amenorrhea .
A. increased ACTH ( i marked )
B. low CRH
C. low dopamine
--> It is an Asim bcq but that's key was " increased CRH"
Q NO. 8: female met an accidnt , whiplash injury ,, damaged C5 and C6. what will be affected
a. flexion at elbow ( ans)
past paper question
Q no 9 : stab wound at the right of xiphisternum at the level of 6th costal cartilage , will
penetrate which heart chamber or major venous channel ?
a. right atrium
B . Right ventricle
C. IVC
Q no 10: Fetal heart differs from adult heart by ?
A. left atrium has more pressure than right atrium
B. septum primum and secundum fuse to complete separation between common atria
C. fused endocardial cushions divide right and left atrioventricular canals (I marked )
D. sinus venosus carries blood from Pulmonary artery to arch of aorta
Q no 11. Antacid decreasing gastric motility
a. Alluminium hydroxide ( ans )
Q no. 12: lithium is a toxic antipsychotic. when should it be stopped ? ( dont remember the exact
statement )
a. when levels more than 1.2mmol
B. coarse tremrs
C. nausea and vomiting
D. hypothyroidism
16
Q no 13: causing patchy demyelination and peripheral neuropathy ?
A. Lead
B. Co
Q No 14. maximum renal tubular transport maximum (Tm) is for :
A. sulphate
B. lactate
C. urate
D. Phosphate
Q N0 15.. female breast feeds her child . what would happen due to continuous suckling ?
A. failure of primordial follicles to mature (ans)
b. decreased prolactin
Q no 16. in X ray right border ofheart is formed by
A. SVC
B. right Atrium
Q no 17. bile salts are absorbed from
A. ilium
Q no 18. severe steatorrhea will result from
A. terminal ilium resection
B. total pancreatectomy (ans )
Q no 19. amino acids are absorbed from kidney via
A. primary active transport
B. secondary active transport (ans)
Q no 20. Common btw diazepam and chlorpromazine
A.sedation
B.extrapyramidal side effects
C. Parkinsnism
D. Dependence
E. Skeletal ms relaxation
past paper q.
Q no 21. anti emetic with highest bioavailability
A. metoclopramide (ans)
B. ondansetron
Q no 22. vessel lying close to LAD , prone to injury during surgery is
A. great cardiac vein (ans )
B. middle cardiac vein
C. oblique cardiac vein
Q no 23: purine metabolism end product :
A. uric acid
Q no 24 : Pt on ATT , cant differentiate btw red and green . which drug is responsible ?
A. ethambutol ( ans )
B. INH
Q no 25 . regarding pertussis most likely ?
A. infants are susceptible from the time of birth
B. DPT has no protective value
c. Nasal and bronchial secretions are highly infectious ( I marked bcz maternal immunity is
protective for first 6 months)
Qno 26: sympathetic post ganglionic fibers release Ach :
A. sweat glands (ans )
Q no 27: chemotaxis involves
A. Migration (ans)
B. Margination
17
Q no 28: in blacks , comlication of wound healing
A. keloid formation
(past paper q )
Q no 29. most aggressive CA :
A. SCC
B. BCC
C. melanoma (ans )
Q no 30. Ventricles are completely depolarized in
A. QRS
B. ST segment (ans)
past paper q
Q no 31 : proteins dont appear in urine because of
A. basement membrane (ans )
B. mesangium
c. podocytes
(nothing about negative charge mentioned )
Q no 32. tachyphylaxis
A. rapid decrease in responsiveness to drug (ans )
B. radual decrease in response
C. shown by morphine
Q no 33. after cell injury , cellular swelling occurs due to
A. water comes inside the cell from surroundings ( ans )
B.protein accumulation in cells
C.lipofuscun accumulation
D.glycogen break down
Q no 34. RBC antigens
A. secreted in saliva ( ans )
b. are agglutnins in hemolytic reactions
nothing about glycolipid or glycosphingolipid mentioned
EXPLANATION: antigens areAgglutinoGENS
antibodies are AGGLUTININS
Q no 35 . Asian man develops asian kind of cholangitis. he is at risk of developing
cholangiocarcinoma . cause ?
A, oncocerca volvulus
B. chlonorchis sinensis ( ans )
Q no 36 . measels will cause
A. Subacute Sclerosing pan enencephalitis ( ans )
B. progressive multifocal leukoenencephalopathy
Q no 37. 22 yr old sexually active , reported to have been in contact with syphilis positive , how
would his physiciann know about him having contacted the disease ?
A. chancre on penis
B. gumma on testicular biopsy
C. condylomata accuminatum
---> answer is chancer.. although biospy would be diagnostic , but first go for non invasive
procedure.
Q no 38 . trachoma caused by
A. chlamydia trachomatis
Q no 39. Sulphur containing amino acid :
A. methionine ( ans )
Q no 40. Chandkians scenario : Dr divided some group on age bases and then randomly
allocated them in different groups
18
A. Stratified random sampling
Q n 41. Temporal lobe lesion will affect most ?
a. Memory ( ans )
B. olfaction
Q no 42 : Pt has left hand tremors and increased propensity to fall towards left side . where is
the lesion ?
A. Left cerebellar hemisphere (ans )
B. Right cerebelar hemisphere
Q no 43, primary brain vesicle
A. Diencephalon
B. Mesencephalon ( ans )
C. metencephalon
D. prosencephalon
E. myelencephalon
Q no 44. X ray shows lobar pneumonia . How to diagnose ?
A. sputum culture ( ans )
Rabia ali MCQ
Q no 45 : what is allele ?
A. non identical genes at same locus
RAbia Ali Mcq
Q no 46: hemorrahge . after compensation what will decrease ?
A. heart rate
B. cardiac contractility
C. venous capacitance ( I marked )
D . BP
Q no 47 : increase in EF decreases ?
A. ESV
Rabia ali mcq
Q no 48. what causes conversion of chondrocytes to osteocytes.. ( dont remeber the exact stem
, but it was like what increases the bone growth )
A, somatotrophs ( I marked )
B. thyroxin
Q no 49 : BMR in resting condition maintained mainly by ?
A. liver ( I marked )
B. Heart
C. Kidney
D.Brain
Q no 50 : most common cause of pulmonary infarction and DEATH ?
A. thromboembolism ( I marked as per previous discussions on group )
B fat embolism
Q no 51 : Pt post MI develops cyanosis. what is the cause ?
A. ventilation perfusion mis match
( the best option among other options which pointed towards pulmonary embolism )
Q no 52. Intervertebral discs
A. make 1/ 4th of the lengthof vertebral column ( i marked )
B. made of hyaline cartilage
c. something about annulus fibrosis composition
D. something about size of discs during day and night
Q no 53. decreased GABA in Globus pallidus and substantia nigra ?
A. Chorea
B. Athetosis( ans )
19
C. parkinsonism
Q no 54. Immunological test done for
A. hydatid cyst ( ans )
B. amoebic liver abscess
Q no 55 : Child with Down sndrome. One of the parents has chances of having ?
A. Robertsonian translocation ( i marked )
B. reciprocal translocation
C. mosaicism
Q no 56 . Central chemoreceptors respond to
A. CSF ph
B. pCO2 in cerebral veins ( ans )
Q no 57. patellar tendon tapped. what will appen ?
A. increased 1b afferent firing
B. quadriceps femoris will contract ( ans )
Q no 58 : Alpha agonistic activity will cause ?
A. contraction of radial muscles of iris ( ans )
Q no 59 : Heparin primarily works through :
A. anti thrombin 3 ( ans )
B. factor X
past paper q
Q no 60. most common site of obstruction for hydrocephalus
A. Aqueduc of sylvius ( ans )
B, inter ventricular foramen
C. foramen of Luschka
Q no 61 : Ascending reticular formation located in
a . floor of aqueduct of sylvius ( ans )
b. Cortex
C. Hypothalamus
past paper q
Q no 62. Middle meningeal artery
A. passes through foramen spinosum (ans )
B. divides at pterion
C. causes subdural hemorrhage
Q no 63. Human blood :
A. platelet more in no than RBCs
B.RBC larger than WBC
C. RBCs are biconvex
D, Iron is mainly in haemoglobin (ans)
Q no 64 : In parenchymal organs , iron is stored as
A, Ferritin ( ans )
B. hemosidrin
Q no 65 . Pt has facial congesion , lung CA diagnosed to be small cell (oat cell) CA , it will show
increased
A. ACTH ( ans )
B. PTHrP
Q no 66 : Patient taking propranolol develops increased PR interval . what is the cause ?
A. Drug induced 1st degree heart block ( ans )
Q no 67 : Pt given one litre N/S , what will happen?
A . decreased urinary osmolarity
B.increased plasma osmolarity
C. increased urinary osmolarity
20
I dont remember the rest of options. it is quite a possibilty that the right one is missing here.
osmolarity remains same , aisa koi option nahi tha. Aongst all , A looked best to me and i
marked that.
Q no68. Free nerve endings ?
A. non encapsulated
Q no 69. Osmolarity of Human plasma ?
A. Similar to 0.9 % N/S ( ans )
B. similar to 0.5 % Dextrose
Q no 70. Structures which prevent communication of un wanted materials between cells ?
A. Tight junctions ( ans )
B. zona adherens
C. desmosomes
D. gap junctions
Q no 71. Common btw skeletal and smooth muscles ?
A. increased Intra cellular Ca before contraction (ans )
B. both are striated
C. sarcomeres
Q no 72. long bone mostly fractured ?
A. tibia ( ans . bcz it is asuperficial bone , most part uncovered by muscles )
B. femur
Q no 73. post ganglionis sympathetic fibers are present in
A. cervical
B. thoracic
C. lumbar
D. sacral
E. all spinal nerves ( ans )
it is a Rabia Ali q.
Q n 74. First bone to ossify in inrauterine life ?
A. femur ( I marked )
B. Clavicle
Q no 75. Smoking is associated with
A. thromboangiitis obliterans ( ans , it is also called BUERGER disease )
B. takayasu
C.giant cell arteriti
D.wegners granulomatosis
E.PAN
Q no 76. which of these is not synthesized by post ganglionic sympathetic fibers ?
a. ach
B. dopamine
C. nor epinephrine
D. Epinephrine
E. L.Dopa ( answer )
Q no 77 : 90 % of anthrax infections are associated with
A. Cutaneous lesions ( ans )
past paper q.
Q no 78 : Bromocriptine reversed amenorrhoea . how ?
A. acts as dopamin agonist ( ans )
B. increases prolactin
Q no 79 : first factor that goes in Vit K deficiency ?
A. factror 7 ( ans )
Q no 80 : Leydig cells
21
A. make sperm testis barrier
B. mainly reside in seminiferous tubules
C. have high level of SER ( i marked )
D. cause sperm maturation
--> Sertoli cells make blood testes barrier and provide nourishment to the sperms
Q no 81 : structure that passes through posterior mediastinum ?
A. thoracic aorta ( ans )
B. SVC
C. thymus
Q no 82 : thalasemia suspected in fetus , how to diagnose ?
A. Chorionic villous sampling ( I marked )
B. maternal blood for fetal RBCs or antigen ( dont remember exactly )
C. materal urine for fetal hb
D. maternal Hb electrophoresis
no 83: Primigravida taking iron tablets , lots of fresh vegetables and juices .. what deficiency she
is at risk of developing ?
A. Ca ( i marked )
B. vit B12
C. folic acid
D. vitamin E
E. vitamin B1
Q no 84 : Pt awake with eyes closed, EEG on occipital leads will show
A. alpha waves ( ans )
Q no 85 : Fisherman only eating fish and rice , anemia. MCV 106. Some neuropathy sign.stool
shows ova. Cause ?
A. Diphylobothrium latum ( ans )
Q no 86: Scalenus anterior
A. Phrenic nerve passes anterior to it.( i marked )
B subclavian vein passes behind it
C.attached to outer border of 1st rib
Q no 87 : Main support of uterus.
A .transverse cervical ligamant ( ans )
B.round ligament
C.broad ligament
Q no 88: antioxidant vitamin
A. vit e ( ans )
B. Vit A
C: Vt C
q no 89 : not a part of natural immunity
A . plasminogen ( ans )
b. interferon
Q no 90 ; .person standing from sitting position , Heart rate increases due to
A.dec firing rate frm baroreceptor ( ans , confirm )
B. increased firing rate from baroreceptors
Q no 91 : Viruses cause cancer by doing alteration in
A . Nucleic acid ( I marked as it is another name for DNA and viruses cause cancer by altering
DNA and thus they alter protein synthesis )
B. oncogene
C. proto oncogene
Q no 92 : Pulmonary artery supplies
Primary bronchus
22
secondary bronchus
terminal bronchiole
Alveoli ( ans )
Q no 93 : septic shock caused by
A.gram negative bacteria ( ans )
Q no 94 : .hamartoma?
A.totally benign ( ans )
B. presence of gestric tissue in meckel's
Q no 95 : .myeloperoxidase present in
A.neutrophills ( ans )
Q no 96 : Thorn prick on leg. Abscess develops
A. Staph aureus ( ans )
Q no 97 : metastasis occurs due to
.1loss of E cadherin ( ans )
2. Migration of tumor cells
Q no 98 : Medical ethics
A. Moral of professional conduct ( ans )
B.same as hippocratic oath
chandkians mcq , i guess
Q no 99 : Pt with bee sting.after 4 hours , he has periorbital edema , Hypotension bp 100 by 6o.
Pulse 110(delayed anaphylactic reaction ban rha tha ) what to give ?
A. IM adreanline
B. Hydrocortisone
Q no 100 : Pulse pressure decreases in
A. Increased capacitance of arteries
B. Dec stroke volume ( i marked )
b was best amongst all.. i dont remember the rest of options
Q no 101 : Extra systole what will happen
A."Dec pulse pressure bcz of decreased stroke volume"
i cant recall the rest of optios.
Q no 102 : . Trigeminal nerve
A . Supplies temporalis ( ans )
B. Supplies angle of jaw
C. Has 3 roots
Q no 103 : blood supply of interventricular septum
.a)anterior interventricular artery ( ans , as /3rd part is supplied by it )
b)post interventricular artery
Q no 104 : Acute mild rejection of heart transplant. What will be the finding there ?
A. Inc neutrophils
B. Inc lymphocytes
cant remember the other options
Q no 105 :PPD test . Induration will have cells
A. T cells and macrophages ( ans )
Q no 106 : Increased risk of cancer in HIV positive pt
A. Uterine cervix ( ans )
Q no 107 : Pt pap smear hpv positive. After 2 years , increased nucleus size , prominent
nucleoli . What is it
A. Dysplasia
Rabia ali mcq
Q no 108 : After chemo, cancer cells die , nucleus and cytoplasm shows fragmentation. What is
the mechanism?
23
Apoptosis ( ans )
Q no 109 : .Pt cant see the left temporal and right nasal fields. Where is the lesion ?
A. Right optic tract. ( ans )
B. Left optic tract.
C. Rt optic nerve
Q no 110 : Skin related CA in HIV
A. Kaposi sarcoma
Q no 111 : . Factor 8 is synthesized by
A. Endothelial cells (ans)
B. Hepatocytes
Rabia ali mcq
Q no 112 : . Echo virus causes
A. Meningoencephalitis ( ans )
Past paper q
Q no 113 : Female swelling infront of neck.. hypothyroid. Dr orders some immunological test.
What is the diagnosis ?
A. Hashimoto thyroidits ( ans )
B. lymphoma
Q no 114 : Poliomyelitis
A. Affects anterior horn cells (ans )
B.reaches cns through nerves
Q no 115 : .Spinal cord
B. In neonates ends at L3 ( i marked )
C. Central canal extends into the filum terminale
D. Filum terminale ends at S2
Q no 116 : .Myxoid degenration
A. Mitral valve prolapse ( ans)
B. Libman sac
C. Marantic
D.infective endocarditis
Q no 119 : Correct sequence of events ?
A. Damaged valve, thrombus , perforation , emboli
B. Damaged valve , perforation , thrombus , bacteremia
C. Damaged valve , bacteremia , thrombus , perforation
D. Bacteremia , thrombus , perforation , emboli
( bht zyada resemble krti thi options )
Q no 120 : pt with cancer T4N1M1 , such that these pts have low survival rate. What will be
common to such pts ?
A. Cachexia ( i marked )
B. HCC
C. cervical CA
Q no 121 : Scenario of TB. Like X ray p kuch findings thi .. easy scenario tha. They asked about
type of hypersensitivity ?
Type 4 hypersensitivity (ans )
Q no 122 : what is the landmark for pudendal nerve block ?
1.sacral promontory
.2.ischial spine ( ans )
3.ischial tuberosity
4. Pubic tubercle
Q no 123 : Winging of scapula caused by damage to which nerve ?
Long thoracic nerve ( ans )
24
Q no 124 : Pt with portal HTN , ascites and dilated abdominal veins. What vein is involved ?
A . IVC
B. Portal vein ( I marked )
Q no 125 : Pt given oral anti coagulant. How to monitor
A . PT ( ans )
B. aptt
INR was not in options
Q no 126 : Child witj recurrent knee joint swelling and pain. Faxtor 8 was 57 % , i guess and
factor 9 was 8 % ya 18% (dont remember exacctly). What is the disease ?
A. Christmas disease ( ans)
B. Hemophilia A
C. vWb
Q no 127 : 20yrs Female with anemia , hb 6 , retics 10% , spleenomegaly ,peripheral smear
showed microspherocytes. What test to do.
A. RBC survival studies ( i marked ).
B. Uric acid test
C. Coombs test
D. G6PD assay
( Scenario is of Hereditary spherocytosis )
Q no 128 : intravascular hemolysis :
A. Dec heptoglobin levels ( ans )
Q no 129 : Ph 7.5 , hCO3 30 , pco2 40mmHg ?
A. Uncompensated metabolic alkalosis.( ans )
B. Partially compensated metabolic alkalosis
Q no 130 : Tumor due to gene amplification ?
Neuroblastoma ( ans due to amplification of N-myc gene )
Retinoblastoma
past paper q
Q no 134 : . Brain venous draiange
A. Dural sinuses( ans)
B. Diploic veinx
C. Emmissary veins
D . Internal jugular vein
E. Petrosal venous sinus
Q no 135 : At which stage nuclei disappear ?
A. Proeryhtroblast
B. Erythroblasts
C. reticulocytes ( i marked )
i dont remember the other options
Q no 145 : Carbon laden macrophages
A. Pneumoconiosis
B. Anthracosis ( i marked )
Q no 146 : Female with some resp issue , non smoker. X ray shows increased translucency.
Alpha 1 antitrypsin deficient. What will be most affected ?
A. Alveolar duct ( ans )
B. Terminal bronchiole
Baqi sare alveolar duct se oper wali respiratory divisons thi or koi alveoli ki option nahi thi
( alpha anti trypain defficiency causes panacinar COPD )
Q no 147 : obstructive pattern disease diagnosed by
A. FEV1/FVC less than 75 (ans )
25
Q no 150 : Obstructive lung disease ka scenario tha. X ray showed increased translucency .
what will increase ?
1. FRC ( i marked)
2. Vital capacity
3.FEV1 /FvC
Q no 151: Pt with septicemia, on ventilatory support. More and more ventilatory pressure
required to maintain ventilation.. x ray shows opacities.
A. Diffuse alveolar damage ( i marked )
B. Intra alveolar neutrophilic exudate
c. Patchy atelactasis
Baqi yad nahi
Q no 152 : pt with lung fibrosis has dyspnea due to
A. Dec diffusing capacity of O2. ( i marked )
B. increased airway resistance
Q no 153 : What is the mediator of allergy ?
A. 5 hydroxy tryptamine
B. Bradykinin
C. Adrenaline
Histamin was not in options
Q no 154 : .Melatonin
A. Increased in day time
B. Produced from tyrosine
C. Increases GNRH release or something like that
I cant recall other options. some say it has some role in puberty. it is better to read melatonin
from somewhere
Q no 155 : .diffusion capacity of O2
A. Less than N2
B. More than CO2
C. Decreases in exercise
D. Decreases in lung fibrosis or something like that
this question options are not properly recalled .. many people chose A but no one was sure
about it.
Q no 156 : Dr pt relationship. What is most important
A. Mutual trust
B.respect
C.clarity
D. Autonomy
E. Clarity
Q no 157 : Pt with HTN , LVH , Creatinine 0.8 , Urea ki b value di hoe thi , BSF 88mg% with
urinary sugar ++ , Na 140 , K 2.5. Cause of HTN
A. Hyperaldosteronism ( answer )
B. Essential HTN
C.diabetic nephropathy
D. Glomerulonephritis
Rabia ali bcq
Q no 158 : Cotton wool spots
A. Diabetic retinopathy (ans)
B. Hypertensive retinopathy
Q no 159 : Tympanic reflex
A. Frequency 20 decibles something like that
B. Requires continuous chain of ossicles
26
C. At very loud voices
I dont remember the other options
Q no 160: 250Hz frequency detected by
A. Pacinian ( answer)
Baqi options me baqi receptors the
Q no 161 : .4 yrs child with meningitis plus rash ( meningococcal meningitis ka scenario ban rha
tha ) treatment
A. 3rd generation cephalosporines
B. 2nd generation cephalosprns.
C. Benzylpenicillin
4. Eryhtromycin
5. 1st generation cephalosporins
Q no 162 : Kid with meningitis then develops bilateral deafness
A. Damage to the neural pathways
B. Rupture of tympanic membrane
C. Damage to organ of corti
D. Altered level of Na in scala media ,something like that
Q no 163 : CSF from normal human being
A. More potassium than plasma
B. Less glucose than plasma
C. Ph comparable with plasma
D. Something about osmolarity
Q no 164 CSF?
A. Proteins from 20 to 40mg per dl.
B. Glucose 120mg /dl
Baqi options nahi yad.
I marked A
Q no 165 : Exudate contains proteins
A. 2 to 2.5mg%
B. 2.5 to 4mg%
C. More than 4mg%
Q no 166 : Dialyzing fluid has more than plasma
A. Glucose
Thori different wording thi.
Q no 167 : . Child with loose skin (shaed, exact lafz nahi yad) with easy bruisability and
defective procollagen 3.what can be the most striking symptom / complication ?
A . Hyperextensible skin
B. Hypermobile joints
C. Problm in articular cartilage.
D. Rupture of large vessels
Q no 168 : Most common cayse of HCC in developing world
A. Hep B plus hep C
B. Hep B.
C. Hep C
Q no 169 : Vasoconstriction caused by
A. ADH ( answer)
B.aldosteron
C. Renin
Angiotensin was not in options
Q no 170 : BP increased by
A. Alpha 1 agonist
27
B. Saralasin
C. Phenoxybenzamine
Q no 172 : Active transport basically involves
A . Downhill transport
B. Uphill transport
C. Atp breakdown something
D. Carrier proteins
E. Carrier protein saturation
Q no 173 : .at site of bifuraction of common carotid , internal carotid artery related to external
carotid
A.posterior
B. Anteromedial
C. Lateral
Q no 174 : External carotid differs from internal carotid
A. Gives branches in neck
Q no 175 : Trauma to face , facial asymmetry , cant close eyes. Nerve damaged
A. Facial ( ans)
Q no 176 : Protrude jaw
A. Lateral pterygoid ( ans)
Q no 177 : Lymphoid mass with stratified sq epi
A. Palatine tonsil ( ans )
Q no 178 : Howship lacunae contain
A. Osteoclasts ( ans)
Q no 179 : intestinal basic electric rhythem
A. Alters in respone to the hormones in circulation ( ye exact statmnt nahi he)
B. Constant in duodenum and and alters in other segments
C. Diminshes during mechanical digestive movemnts
D. Or b ajeeb o ghareeb options thi.
Better to read the topic
Q no 180 : Duodenum
A. Decreases gestruc emptying in response to fatty meal
B. Secretes bile in response to fatty meal
Q no 181 : Dudenal secretions in respomse to
A. When ph less than 4.5
B. High ph
Q no 182 :Not HLA associated
A. Mysthenia
B.graves
C. Type 1 DM
D. RA
E. SS
Q no 183 : Loud S1
A. Mitral insufficuency
B.aortic stenosis
C.RBBB
D. PR interval upper normal limit ,( something like that)
E. PR interval lower normal limit ( somethng liek that)
Q no 184 : Passes infront of pulmonary artery
A. Phrenic nerve ( I marked )
B. Bronchus
C. Recuurent laryngeal nerve
28
D. Pulmonary veins
Q no 185 : Vessel damaged due to close proximity to phrenic nerve
A. Pericardiophrwnic artery
Q no 186 : Fragile X syndrome relatd to
A . Trinucleotide repeats (ans)
B. X chrmosome
Q no 188 : more selective for COX 2 than for COX 1 ?
A. Meloxicam ( ans )
B. piroxicam
celecoxib was not in options
Q no 189 : Ischemia from hepatic flexure to middle of transverse colon
A. Middle colic ( I marked )
B.ileocolic
C. Sup mesenteric artery
D. Marginal artery
Q no 190: Low Ca , high Phosphate, normal alkaline phosphatase
A. Renal failure ( answer )
Q no 191 : Boy with fracture , low Ca (6 tha shaid ). Develops carpopedal spasm on taking BP...
Ca being excreted in urine ( Some value of Ca in urine was given )
A. Vit D deficiency
B. Hypoparathyroidism ( i marked)
Q no 192 :
Superior Parathyroid gland
A. Supplied by sup thyroid artery
B. Lies at middle of posterior border/ surface of thyroid lobe at level of 1st tracheal ring (ans )
C . More variable in postion
D. Just anetrior to pretracheal fascia
Q no 193 : Pus contains
A. dead bacteria
B. dead neutrophils ( I marked )
C. dead lymphocytes
Q no 194 : peripheral nerve damaged , nerve will regenerate at the rate of
A. 0.1 mm/day
B. 0.3 mm/ day
C. 10mm/day
Q no 195 : Glucocorticoids cause
A. decrease peripheral utilization of glucose ( ans )
Q no 196 : Pannus is a feature of
A. RA (ans )
Q no 197 : Heart is most susceptible to fibrillation ?
A. during refractory period
B. peak of action potential
C. starting of action potential
D. Near the end of action potential ( I marked )
Q no 198 : Pt has pericardial friction rub with deranged RFTs . what is the cause of pericarditis ?
A. serous ,B. Fibrinous ,C. exudative
Q no 199. Pt with damaged valves develops fever , splinter hemorrhages ( scenario of IE ), what
is the cause ? A. strept viridanse (ans ) B. Staph
Q no 200: tobacco smoking affects organogenesis during ,A.1 to 3 weeks ,B.3 to 8 weeks(ans)
C.after 12 weeks
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29
(3) Medicine-8th March Evening By Dr.M Tariq Khan & Mudassir Bangash(200)
1. Which structure is embeded in temporal lobe----->>>insula
2.Pseudomembranous colitis is caused by---->>> clostridium difficle
3-Alpha-2-agonist used in ICU for sedation
a. Clonidine
b. Phentolamine
c. Phenoxybenzamine
d. Prazosin
e. Dexmedetomidine (Ans)
4-Ureteric bud is formed as a part of a. Mesonephric duct (Ans) b. Paramesonephric duct
c. Pronephros d. Cloaca e. Metanephros
5-Coccygeal ligament start at---->>> L1
6-About Cornybacterium Diphtheriae select correct One
a. Spore forming
b. Produce Exotoxin (Ans)
c. Penicilline Resistance
7-A 40 years Old man (Hafiz Ullah) from Sibi Balochistan with fever and
Lymphadenopathy with the H/O of sleeping on floor and often bite by flies. On Peripheral
bood film Unicellular structure can be seen. Dx
a. Kalazar (Ans) b. Malaria c. Infectious Mononucleosis
8-Clavulinic Acid is use with Penicilline to
a. Decrease penicilline Resistance b. It inhibit beta lactamase (Ans)
9-Cimitidine -------------->>> Inhibit Hepatic Metabolism
10-Drug that increase LES tone and Increase Gastric emptying-------->>> Metoclopramide
11-Ondasentron M/A was asked
a. Block dopaminergic in ChemoTriger Zone
b. 5-HT3 antagonist (Ans)
12- A scenarion of Man which can't differentiate between colours.Which structure will be
absent
a. Rods b. Cones (Ans) c. Retina d. Optic Tract
13-Vitamin A deficiency first sign----->>> Night Blindness cpsp demo Qx
14-Thiamine cause ------->>> Peripheral Neuropathy (Rabia Ali Qx)
15-TGs highest in ------>>> Chylomicrones
16- A dental surgeon is having pain in his back and MRI shows involvement of Sciatic
nerve. Which intervertebral diac will be involve------->>> L4L5
17- Irreversible step in Glycolysis-------->>> Glucose to Fructose-6-Phosphate
18- Regarding S3 heart sound------->>> Rapid ventricular filling
19-Regarding S4 heart sound--------->>> Atrial Systole
20- A Qx of Middle Meningeal Artery about its supply..Option was confusing can't reacall
21- A scenario of Turner syndrome. Genotype was asked----->>>XO
22-A case of Kilnefilter Karyotype------>>> XXY
23-Partial mole genotype was asked----->>> 69XXY
24-Extra-Ocular mucles of eyes are controlled by which Loop
a. Association loop
b. Orbital loop
c. Occulomotor loop (Ans)
25- Nerve asked, loss of sensation in lower teeth, chin and lower lip
a. Inferior Alveolar nerve (I did)
b. Madibular nerve
26-Retromandibular vein is formed by junction of Maxillary vein and (#PPQ April 2014)
a. Facial vein
30
b. Lingual vein
c. Maxillary vein
d. Superficial temporal vein (I did)
e. Transverse Facial
27-Intracranial and extracranial veins are joined by
a. Emissary Veins (Ans)
b. Cavernous sinus
c. Dipolic veins
28-Systamic Lupus Erythematous typical Scenario , Investigation of asked (ANA was not
in option)------>>> Anti-dsDNA
29-A women was watching a cricket match and develop malar rash. A scenario of SLE
and complication was asked------>>>
a. Pericarditis (I did)/
b. Pulmonary fibrosis
30-A 50 years Old man with arthritis from last 5 years. Left and right cardiomyopathy and
raised Ferritin. Which other investigation will help in Dx
a. Anti-centromere antibodies (I did) confirm it
b. ESR more than 75
31-A 30 years Old multigravida suffer miscarriage at GA 12 week. Whcih will be best
Regime
a. Uterine evacuation (I did) Confirm it
b. Uterine evacuation +FFP+Packed RBCs
c. FFP+Evacuation
32-A man has to undergo teeth extraction and also using Warfarin, which test to be done
a. PT,aPPT,INR (Ans , all three in one option was given) <<Ans>>
b. BT
c. aPPT
d. CT
33-Bleeding time and aPPT prolonged and PT normal--------->>> vWD
34-Another Scenarion with Only BT was prolonged-------->>> vWD
35-How Aspirin protect in Coronary disease------->>> Inhibit cyclooxigenase
36-Situation of SA node---------->>>Upper portion of Sulcus terminalis
37-Thromocytopenia in Children due to Acute Viral infection is becausw of
a. Pooling of platelets in spleen
b. Antibodies against platelets (Ans)
c. Immune Complex in blood
38- A child with Parasite infection, Which cell will increases------->>> Eosinophils
39-APC in Intestinal mucosa--------->>> M Cells
40-Secretions with high PH (Ganong BCQ)
a. Gastric juice
b. Pancreatic juice (Ans)
c. Gall bladder secretions
d. Salive
41-Esophagous epithelium was asked (cpsp demo Qx)------>>> Upper 1/3 sq.
42-Esophagous narrowest at-------->>> Cricopharyngus
43-Enocervix with squamous epithelium-------->>>Metaplasia
44-Benign tumor -a. Warthin tumor
45- Characteristic feature of Malignancy -a. Invasion (Metastasis was not in option)
46-Another Qx of Malignancy I think histopathological feature was asked
a. Pleomarphism (Ans)
b. Inc N:C ratio
31
Metastasis and invasion was not mention in that Qx
47-Alleles are -a. Non-identical gene on same locus
48-True about Nucleus
a. Eucromatin is transcribtively active and form RNA [I did]
b. Hemotoxylin is blue dye which stain nucleus
49-Most radiosensitive tumor
a. Bone
b. Cartilage
c. Lymph node (I did)
50-In long bones from secondary centre of ossification what is formed
a. Epiphyseal plate (I did) confirm it
b. Epiphysis
c. Metaphysis
51-Insulin is blocked by -a. Beta blockers
52-A young boy with undescended testis, it could lead to
a. Malignancy (Ans)
b. Impotence
53-50 years old female with normal living. What will happen post-menopausally-------->>>
Increase FSH & LH
54-Cerebral blood flow at rest
a. 25ml/100mg/min
b. 50ml/100mg/min (Ans)
c. 75ml/100mg/min
d. 100ml/100mg/min
e. 150m/100mg/min
55-Upper and lower limits of cerebral blood flow autoregulation
a. 25-150ml/min
b. 50-150ml/min (Ans)
c. 50-200ml/min
d. 75-200ml/min
56-In some children Dorsalis pedis Artery is missing congenitally. Then dorsum of foot
will be supplied by which artery
a. Plantar Arch
b. Lateral plantar artery
c. Peroneal artery (Ans)
d. Medial plantar artery
e. 1st metatarsal Artery
57-Itching will stimulate (Ganong BCQ)
a. Dorsal column
b. touch receptors
c. C fibers (Ans)
d. A alpha
e. B type fibers
58-Sensation in periphery
a. All must have to pass through reticular formation (I did) confirm it
b. Half will pass through reticular formation
c. Never pass through reticular formation
d. Depending on modalities some pass while other Bypass (???)
59-Masseteric fascia derived from
a. Carotid sheath
b. Pretracheal fascia
32
c. Prevertebral fascia
d. superficial layer of Deep cervical fascia (Ans)
e. Buccopharyngeal fascia
60-A Child got blow at elbow and elbow joint displaced. And loss of sensation over little
finger. Structure involved
a. Medial collateral ligament
b. Ulnar collateral ligament (Ans)
c. Medial meniscus
61- A 35 years old man die suddenly. Autopsy finding nill. Toxicology shows cocaine and
its metabolite in blood. Cause of death
a. Myofibrillar disarray
b. Contarctile band (Ans)
c. Myocarditis
62-Ganglion found at T7 vertebra
a. Pteregopalatine
b. Geniculate
c. Thoracocervical (Ans)
63-Edrophonium most common adverse effect
a. Diaphoresis
b. Dry mouth
c. Nausea (Ans)
d. Euphorea
e. Sweating
64-Damage to first lumbar vertebra will lead to
a. Conus Medullaris Syndrome (Ans)
b. Damage to spinal Cord
c. Damage to sympathetic system
65-In feamle neck of bladder lie
a. Lie above urogenital diaphragm (Rabia Ali BCQ)
66-Most significant cause of atheroma
a. Alcohol
b. Diastolic hypertension
c. Type 2 personality
d. Choleatatoma (I did)
67- The life style patteen of healthy persons from 20 to 30 years of age are studied. A
subset of these persons have a lifestyle characterized by consumption of a lot of pizza
and very little physical activity. Which of the following tissue changes is most likely to
develop in these subset of persons as a consequence of this lifestyle. (Qx is taken from
USMLE forum where Key is D)
a. Fatty Metamorphosis of liver
b. Pancreatic fat Necrosis
c. Fatty degeneration of myocardium
d. Hypertrophy of Steatocytes (Ans)
68-Mediators of pain in acute inflamation
a. Bradykinin and PGs (Ans)
b. IL1 and TNF alpha
c. IL6
69-A lady presented with pain in shoulder and can't ADDuct and Medially rotate
a. Teres Major (I did)
b. Teres minor
c. Supraspinatus
33
d. Infraspinatus
e. Subscapularis
70-A child with infection blood is need for lab studies. Vensection done. Which structure
will be damage
a. Saphenous vein (Ans)
b. Common peroneal nerve
c. Superficial peroneal nerve
71-A man with Bp of 200/100mmHg and glucose level of 200mg/dl, which drug you will
give
a. Linisopril (I did)
b. Furosamide
c. Amlodipine
d. Propanolol
72-Digoxin is DOC for
a. Atrial fibrillation
73-A scenario with P wave was replaced with some irregular wave and irregular R-R and
irregular pulse. Radial rate is less than apex beat
a. Atrial fibrillation (Ans)
b. AV nodal block
c. Ventricular arrythmias
d. Ventricular Fibrillation
e. Atrial fluuter
74-A lady with Hb 6, MCH 36, MHCH 29, MCV 79 fl, HbA 94% and HBA2 4%
a. Iron deficiency anemia (Ans)
b. Thalasemia trait
c. Alpha thalasemia
75-Point mutation cause
a. Sickle cell Anemia (Ans)
b. Alpha thalasemia
c. Huntington disease
d. beta thalasemia
76-In EKG Heart rate is 120/min
a. R-R interval will be 0.5 sec (Ans)
b. QRS complex will be less than 0.02 sec
c. T wave will be greater than 2 mv
77-A lady with mild fatigue since 5 years Hb 11, MCV 104 fl, AST 80 and ALT 85 all other
values are normal. Heptoglobulin 88 Reticulcytes 0.7& Billirubin1.2
a. Hepatitis C infection (I did)
b. Vit B12 deficiency
78- A man with itching and jaundice Direct billirubin was raised
a. Typical case of extrahepatic cholelithiasis
79- Mechanoreceptors of Warm----->>>Long receptive field
80-Cutaneous and Gracillis damage will result---->>>Asterognosia
81-A lady with 6 week of German measles---->>>Cataract
82-Mother gives birth to a child with cataract. Which infection she had during pregnancy-
----->>>Rubella
83-WBC adhesion molecule------>>>FLA-1
84- A Qx of transplant (nasty one)
a. if both donor and recipient with CMV antibodies positive should not be done
transplantation
b. Cyclosporin should be given after transplant to suppress CD8 cell proliferation
34
c. HLA-1 is more important than HLA-2 (Ans Ref Goljan page 41)
85-Norepinephrine is released at
a. Presynaptic nerve endings (Ans)
b. Post ganglionic sympathetic
c. Parasympathetic Preganglionic
d. Preganglionic Sympathetic
e. Presynaptic adrenal medulla
86-During wound healing strength is provide by (exact statment) ---->>>Type 3 collagen (
Ref Kaplan Anatomy)
87-Articular surface has which cartilage----->>>Hyaline
88-Elastic cartilage is found at------>>>Epiglottis
89-Preganglionic Presympathetic fibers----->>>
a. B type (I did)
b. A type
c. C type
90-Reticular connective tissue is present in
a. Tonsil (I did)
b. Dermis
c. Salivary
91- Regarding Vitamin A, Retinoic acid act as
a. Vitamin A (I did)
b. Is toxic
92-Reagarding QRS complex----->>>Occur prior to ventricular systole
93-Paraneoplastic syndrome---->>>Small cell lung Ca (I did)/ Pancoast tumor
94-Diastolic murmur and weak radial pulse---->>>Aortic Regurgitation
95-A man with chest pain from last 3-4 hours which enzyme will be raised
a. Cpk-MB (Ans)
b. CPK
c. LDH
96-Glucocorticoides does
a. Deamination of Amino Acids
b. Dec uptake of Amino acid in liver
c. Dec glucose utilization (Ans)
d. Inc fatty Acid in blood
e. Inc protein Anabolism
97-A man having Hep C on histology eosinophilic granules in cytoplasm with compact
chromatin
a. Apoptosis (Ans)
b. Necrosis
c. Fibrosis
98-Exophthalamus is due to
a. Inc TSI (Ans)
b. Inc T3T4
c. Inc thyroglobulin
99-Which microorganism cause Malignancy in GIT----->>>H.pylori
100-Apoptosis is by------>>>Activation of caspases
101-In Thyrotoxicosis (inc thyroxine) what metabolic activity happen
a. Gluconeogenesis (I did)
b. Lipogenesis
c. Protein synthesis
d. Atherosclerosis
35
102-Which drug is inducer------>>>Phenobarbitone
103-One Qx was about inhibitors----->>>Ketoconazole
104-A 2 years boy presented with pallor and bowel disturbance. No physical findings
seen. What lab investigation to be done
a. Serum Vit12???
b. Intrinsic factor (I did) confirm it
105- Benzodiazepine cause----->>>Dependence
106-Thiazide Diuretics cause------>>>Hypokalemia
107-Osmotic drugs act on------->>>PCT
108-Maximum glucose and Amino acid are reabsorbed in ----->>>PCT
109-Resection of ileum more than 100cm will cause----->>>Dec absorption of bile salts
110-Supply of midgut, Root value was asked
a. T8-T12 (I did)
b. S2S3S4
c. T6-T9
d. Greater spanchnic nerve
111-A patient with tremor, gait disturbance, bradykinesia, rigidity. Nueron affected------
>>>Substancia Nigra
112- PICA damage, blood supply of which part will be affected
a. dorslateral of medulla [Ans]
b. Pons
c. Midbrain
d. Cerebellum
113-Aphasia due to which lobe involvment [<<Frontal lobe wasn't in Option>>]
a. Temporal lobe (Ans)
b. Parietal lobe
c. Occipital lobe
114- In summer in a fasting man concentrated urine is formed due to
a. Secretion of ADH (Ans)
b. Sweating
c. Dehydration
115- In severe dehydration
a. Whole body fluid will be low (I did)
b. ECF will be low
c. ICF will be low
116-A man with heavy sweating along with that he took 2L of water. What will increase
a. IC volume (I did)
b. EC volume
c. IC osmolarity
d. EC osmolarity
117-Plasma osmolarity is decreased by
a. Vasopressin (I did)
b. Isotonic saline
c. 20% Albumin
d. Hypertonic solution
118-A boy with protein greater than 3.6g with proteinuria and edema---->>>Dec colloid
osmotic pressure
119-About neutrophils------>>>
a. Active phagocytes in blood (I did)
b. Move in and out of circulation
120-ESR decrease with ------>>>Inc Albumin (Ans)
36
121-One Qx of Autoimmune hemolytic Anemia very confusing and loooooooong one
can't recall it
122-O2 releasing from Oxyhemoglobin is decreased by----->>>Dec temperature
123-Clinical cause of cyanosis------>>>
a. Dec oxygen in blood
b. Dec Hb saturation
c. Inc conc of deOxyhemoglobin (I did) confirm it
124-A person smoker and working in construction , bilateral diaphragmatic lung lesions
on CXR------>>>Abestosis
125-In bronchoscopy which part of bronchus will be seen first
a. Right lower bronchus (Ans)
b. Upper right lobe
c. Apical bronchus
126-A person lying on his neck, aspire a foreign body. Will lodge in ----->>>Apical portion
of right lower lobe
127- A man working in tyre and repairing. Presented with carcinoma. Cause don't
remember exact scenario)
a. Alanine dye
b. Smoking
c. Aromatic amines ( Ans???)
d. Nitrates
128-Virus cause damage by------>>>>Altering protein synthesis
129-2*2 or four values are represented by----->>>Chi-square chart
130- Study of disease against non-disease and looking for risk factors---->>>Case-Control
study
131-Four basic pillar of medical ethics---->>>Autonomy, Justice, Beneficence,
non-maleficence
132- Inc blood flow to muscle----->>>Local metabolite
133-Regarding sigmoid colon Option A wrong coz continue as rectum at S3
a. continue as rectum at S5
b. Is infront of pelvic brim /Begins at pelvic brim (Correct Answer)
c. It does not have tenia coli
d. Recieve inervation from S1-3
e. In sigmoid no mesocolon
134-Left renal vein is infront of----->>>Aorta (Rabia Ali BCQ)
135-NK cells------>>>Kill virus with prior sensitization
136-Structure loop around arch of aorta------>>>Left Recurrent Laryngeal
137- Left ventricular failure is caused by
a. Aortic valve disease (Ans)
b. Mitral stenosis
c. Cor pulmonale
d. Pulmonary valve disease
138-Which hormone act via cAMP Mechanism
a. Glucagon (Ans)
b. Oxytocin
c. Insulin
d. Estrogen
139-In Auscultation 3rd intercostal space left to sternum
a. Aortic A2 (I did)
b. Aortic A1
c. Pulmonary valve sound
37
d. Mitral valve
(Aortic A2=Erb point=3rd ICS Left)
140-A 25 years old boy complaining of dyspnea on lying down--->>>Retrosternal goiter.
141- A patient with COPD and Po2 55, HCO3 26, pCO2 49 and PH 7.3
a. Type I Respiratory failure with uncompansated Respiratory Acidosis
b. Type II Respiratory failure with uncompansated Respiratory Acidosis (I did)
c. Respiratory Acidosis
d. Type II Respiratory Failure with Compansated Respiratory Acidosis
e. Type I Respiratory Failure with Compansated Respiratory Acidosis
142-Value of FEV1/FEC------->>>0.8
143-In Asthmatic patients what test will be less------->>>FEV1
144- A man with symptoms of Cushing disease------>>>Adrenal Adenoma
145-Best indicator of Renal clearance--------->>>Inulin
146-Both GFR and RPF will be increased------->>>Dilation of afferent arterioles
147-A disease in which Antibodies against post-synaptic ACh receptors------->>>
Mysthenia Gravis
148-A patient got injured and pupil reduced in size can't even dilate in dark-------->>>
Lesion to sympathetic Cervical trunk
149-Severe transfusion reaction ------->>> A+ to O+
150-Atonic bladder lesion will ------>>>
a. Loss of parasympathetic efferent (I did)
b. Loss of somatic nerve supply
151-One Nasty Qx about "Voluntary" Contractions withO motor wil will be activated first
a. Gamma motor will be activated first
b. Both will be activated simultaneously (Ans) confirm it
c. Stretch reflex is inhibited
152-Vitamin required for Fatty acid synthesis ----->>>Biotin
153-Type of fibers in Preganglionic Autonomic fibers----->>>B type
154-A needle piercing mid-axillary line will not damage
a. Levator costrum (Ans)
b. Internal intercostal muscle
c. External intercostal muscle
d. Innermost intercostal muscle
155-Which structure pass through Aortic hiatus----->>>Azygous vein
156-Farmer with linear foot lesion----->>>Cutaneous Larva Migrans
157-Somites
a. Arise from both side of notochord (Ans)
b. Arise from lateral plate mesoderm
c. Arise from intermediate plate mesoderm
158-Intestinal motility is due to
a. Na+ influx due to impulses
b. Nervous stimulation of slow wave
c. Spontanous stimulation of slow wave by Ca+ (Ans) BRS GIT Unit
d. Hormonal stimulation of slow wave
e. Simultaneous summation potential due to Na+
159-In cardiac muscle pleatue is due to
a. Influx of Na+
b. Influx of Na+ and Ca+ (Ans)
c. Influx of Cld.
Influx of K+
e. There was no option of K+/Ca+ influx Nor Ca ions influx So B near best
38
160-Na/K pump act by
a. Pump Potassium Against the gradient (Ans)
b. Throw 3K for 2Na
c. When Ca+ increase intracellularly
d. When Na + increase intracellularly
161-Chromatid align at equatorial plate----->>>Metaphase
162-Which Cells have telomerase
a. Germ cells (I did)
b. Endothelial cells
c. Neutrophils
d. RBCs
e. Neurons
163-Regarding alveoli
a. Surfactant avoid collapse of alveoli (Ans)
b. Produce by type II pneumocytes
c. Dec compliance
164-Mean arterial Pressure is------>>>Diastolic plus 1/3 pulse pressure
165-Dermal Artery damage. What compensatory mechanism will happen--->>>
Vasoconstriction
166-Patient with DKA died. Which Oragism responsible---->>> Mucormycosis
167-Gastric HCL from parietal cells is needed for
a. Conversion of pepsinogen to pepsin (I did)
b. intrinsic factor activation
168-Perineal area innervation was asked------>>>S2-4
169-Most drugs are metablized in ------->>>Liver
170-Death due Clostridium botilinum---->>>Paralysis of respiratory muscle
171-Which drug cause HyperUrecemia------>>>Pyrazinamide
172-Hemorragic infarct in
a. Lungs (Ans)
b. Heart
c. Spleen
173-About coronary circulation which is true
a. Veins have similar names with arteries
b. Arteries runs in respective atrioventricular grooves (True)
c. Anastomosis occur at arteriolar level
174-Test for Typhoid fever in 6 days----->>>Blood culture (BASU)
175-True about Osmosis (I think 2 Options was true which are given)
a. Is passive process
b. Pressure depend upon Number of solute (I did)
176-Which of the following Aid to immune system to kill bacteria----->>
a. Complement system (I did)
b. Opsonins. {{This Qx was repeated in paper of all specialities on both 8th and 9th March}}
177-A man with no cough and fever CXR show diffuse lung fibrosis
a. Smoking
b. Organic dust
c. Inorganic dust (Ans)
d. Radon
178-If core temperature of body fall, body response will be
a. Decrease BMR
b. Shievring
c. Anterior hypothalamus activation (Ans)
39
d. Vasodilation
179-Which drug cause Hypoglycemia most rapidly
a. NPH (I did)
b. Glibenclamide
c. Metformin
d. Insulin lente
180-41% Hematocrit means----->>>Composed of RBCs, WBCs and platelets
181-Spreading of tumor to other sites-------->>>Destruction of E-Cadherin
182-Internal carotid artery
a. Choroidal artery to lateral ventricles
b. Run sidewall of cavernous sinus
c. Anterior choroidal is its branch which supplies anterior and inferior temporal lobe (Ans)
183- True about Supernumary cervical Rib----->>>Compress brachial plexus and subclavian
vessels
184-A female with blurred vision etc case of Multiple Sclerosis----->>>Demyelination of
neurons
185-Node of Ranvier------>>> Lack of Myelin sheath
186-Qx about tuberculin test (Negative)----->>>Taking immunosuppressive drugs
187-Control of ventilatory drive under drastic dec in O2------>>>Apneustic centre in medulla
(I did)???
188-MCC of global blindness
a. Bacterial infection (I did Rabia Ali Key)
b. Viral infection
c. Chlamydial infection (???)
189-Amylodosis in plasma Cells. What will appear in Urine----->>>light chain
190- I think one Qx of cell injury----->>>Glycine AA
191-Esophygeal phase of swallowing is affected in which disease---->>>Scleroderma
192-Thyroid Glands are enclosed in Which Fasica----->>>Pretracheal fascia
193-A 55 years old male with painless hematuria and Transitional cell carcinoma of
bladder---->>>Tobacco Smoking
194-Sympathetic Overactivity cause-------->>>Bronchial dilation
195- In lumbar puncture which structure will be damage----->>>ligamentum flavum
196-One Qx of Anencephaly----->>>Failure of Neural tube
197-Left Adrenal vein drain into----->>>Left Renal vein
198- A Qx of women with writing problem, site of lesion asked---->>>G.palidus
199-Tachycardia and Hipotension after Tonsillectomy (#PPQx) ----->>> Hypovolemic Shock
200-Which preserve body in state of shock "As a whole" ( famous Qx discussed on Page
many times) ---->>>CNS ischemic Response
thanks and all the best
remember us in your prayers
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(4)Surgery & Allied 7th March (Evening) by Dr.Hasnain Afzal (197)
Mix paper 1 n 2 evening session
Correct Answers Marked with Asterik (*)
I have marked most of the answers. But do not consider this final. There may be mistakes.
Kindly read topics, and then follow what you think is best and seek seniors guidance too.
Thankyou.
1. Premalignant lesion
A. Intradermal nevus
B. Compound nevus.*
C. Seborrheic keratosis
2. Regarding middle meningeal artery most appropriate....
A. Involved in extradural hemorrhage. (I marked)
B. Can be fairly located outside the skull at pterion...
C. Enters middle cranial fossa through foramen spinosum...
D. Grooves inside of skull
E. Supply supratentorial dura
MOST EASY- STILL THEY MADE IT CONTROVERSIAL All are true
3. Minerals not found in or minerals with low bioavalibility
A. Green Vegetables..
B. Cereals
C. Pulses...
D.tubers
E. Roots
4. Medial boundary of ischiorectal fossa.
A. External anal sphincter*...
B. Levator ani.
C. Ramus something(not sure)
5. Boy with h/o trauma to perineal region, swelling in scrotum and ant. Abd wall but didnt go to
thigh. Rupture of..
A. Membranous urethra. ..
B. Bulbar urethra*...
C. Neck of urethra...
D. Perineal body..
E....
6. Turner syndrome...
A. Short stature*. B. Autosomal dominant ...c. Autosomal recessive.
7. Pseudo hermaphrodite. With 46xy.....
A. Adrenogenital synd.*
41
8. Abdominal aorta.
a. Gives renal arteries at L2*. B. Lateral br. To parieties c. Present on the right of ivc...
9. Hepatic artery bile canaliculus and vein something .
exact stem not remembered.
a. Classic hepatic lobule b. Simple acinus .c. Compound acinus. C. Principal acinus
10. Stab to chest...air in pleural space will cause.
a. Lung to collapse and chest wall to sprung out.*
11. Dead space doesnt change in
A. Standing. B. Shallow breathing.*
12. Regarding 1st lumbrical.
A. Arises from 2nd metacarpal b. Bipennate. C. Attaches to radial side of index finger. D.
Attaches to proximal phalanx*
13. Lateral thenar muscles spared but other short muscles of hand paralysed. Injury?
A. Ulnar*. B. Median .c. C5 c6. D. C8 t1
14 axillary artery.
a. Lateral to pect minor. B. Post to pect minor*.c lat. To lat. Cord of brachial plexus..
15. Infection ant. To pretracheal fascia spread to .
A. Ant. Mediastinum*. B. Sup. C. Post. D. Neck maybe. E. Middle
16. Sarcomas.
A. Spread to bone.
B. Clumps/clusters
C. Radiosensitive
D. Aggressive
Read yourself- controversial
17. Primitve streak mesoderm migrates to anterior abdominal wall and around cloaca. A rupture
of this mesoderm cranially will produce
a.ectopic anal opening*
b. Imperforate anus
c. Rectovesical fistula
D. Bladder exstrophy.
E. Hypospadias.
18. Hbeab +ve, hbcab +ve. Igm -ve. Hbsag -ve
A. Acute resolving hepatitis.*
B. Chr hep. ..repeated mcq from asim shoaib iguess.
19. Systemic fungal infection .drug given.
A. Amphotericin*
b. B.ketoconazole.
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20. Vitamin a.
A. Rhodopsin*. B. Collagen synthesis. Other options not remembered.
21. S2 in comparison to s1 sound.
A. Inc. Frequency*. B. Longer duration. Other options.....???
22. B/l recurrent laryngeal nerve cut. Muscle spared.
a. Cricothyroids*. B. All other arytenoids were in
Other 4 options.
23. Superficial cardiac plexus.
a. Contain both symp n parasympath*. B. Parasympath mainly. C. Contain fibers from all
heart/vagal?? Nerves.
24. Gastric ulcer pain.
A. Greater splanchnic*. B. Lesser splanc. C. Least splanch.
25. Appendicitis pain radiates to umblicus thru.
A. T10*
26. H/o fall bladder incontinence unable to void urine. Spinal segment involved.
a. S2s3s4.*
B.s1ss2s3.
C. L5s1s2.
27. Neck of fibula fracture. Dorsiflexion n eversion gone.
a. Common peroneal n*.
28 excessive eversion lig. Ruptured.
A. Deltoid.*
29. Person standing. Venous return from legs mainly facilitated thru.
A. Venous valves.
b. Contraction of sk. Muscles*. C. Other options...??
30. Medial side of arm stabbed. Flexion n supination affected.
A. Musculocutaneous n.*
31. Mediolateral episiotomy. Structure cut.
A. Bulbospongiosus muscle.* B. Levator ani muscle...c. .???
32. Regarding withdrawal reflex?
A. Relaxation of flexor muscles
B. Stretch of muscles(option not correctly remembered)
C. Multisynaptic*
33. Tension in the muscle is limited by
a.golgi tendon organ*
43
34. Alpha adrenergics causes.
a. Mydriasis*. B. Bronchodilation. C. Lipolysis.
35. Due to stress of surgery inc peripheral something is due to secondary action from.
a.acth*. B. Serotonin. C. Cytokines.
36. In crf unlikely
A. Hypophosphatemia*
37. Opsonin.
A. Fc igg and c3b* . B. Fab igg. C3b. C. Others like these options.
38. Tcell receptor complex bind with.
A. Mhc*. B. Apc.
39. Gluteus medius n minimus.
A. Abduct n medially rotate.*
40. Ciliary body .
A. Pigment epithelium produces aqueous humor.
b. Pigment epi of retina is cont. With pigment epi of ciliary body.*
C. Non pigment epi produces aq. Humor....
D. Supplied by short ciliary arteries
41. Isthmus infront of.
A. Rings 2 3 4*. B. Rings 3 4 . C. Rings 2 3
42. 4ml vial of 2percent lidocaine.. Total lidocaine.
A. 80mg*. B.8mg. C.2mg.
43. 0.85percent nacl is equal to.
A. 850mg/100ml* b. 85mg/1000ml...options not remembered
Correctly.
44. St elevation v4. Artery involved.
A. Lad.* B. Lt.circumflex. C. Rca.
45. Lt.circumflex artery involved in mi. Old mi with new mi. Area involved.
A. Lt. Atrium n lt. Ventricle.*
46. Bundle of his blood supply.
A. Rca*. B. Main lca. C. Interventricular br of lca. D. Marginal art.
Controversial-Read yourself
47. Most commonly involved heart valve.
A. Aortic. B. Mitral.* C. Tricuspid. D. Pulmonary.
48. Dka pt. Died. Which fungal inf.
A. Mucurmycosis.*
44
49. Stroke death. Autopsy brain. Necrosis.
A. Liquefactive.*
50. Abdominal angina. Artery involved.
.A. SMA.*
51. 50 yrs old. Hypertensive. Severe chest pain radiating to back. Died. On autopsy findings.
A. Medial necrosis of aorta*. B. Atherosclerosis
52. Median umblical lig is remnant of.
A. Urachus.*
B. Allantois
53. Premature baby born. Most common finding is
A. PDA*. B. Patent foramen ovale
54. Pulmonary arteries supply. Part of lungs.
A. Bronchioles. B. Alveoli*...other options..??
55. In adult head of femus blood supply.
A. Obturator. B. Med n lat circumflex femoral art.*
56. During l.p structure punctured.
A. Lig.flavum*
57. Return of blood during exercise from
A. Calf muscles*
58. Testosterone main funtion.
a. Grows hair on scalp. B. Inc muscle and bone growth*
59. Sertoli cells function.
A androgen binding protein*. B. Testosterone production
60. Adult female breat atrophy.
A. Estrogen*. B. Estrogen plus progesterone.
61. Carb protein fat synthesis hormone.
a. Insulin*. B.cortisol. C. Thyroid.
62. Most common salivary gland tumor is of which salviary gland.
a. Parotid*.
B. Submandibular.
C. Sublingual
63. Cervical ca. Lymph nodes involved.
A. Internal iliac*. B. Superficial inguinal.
64. Regarding rectum.
a. Starts at s1. B. 9 inches long. C. Also supplied by median sacral artery*.
45
65. Regarding anal canal.
A.supplied by both sup n inf rectal arteries*.
B. Inferior rect artery part of Portal system... Something like that. Options not remembered.
66. Pt. Started on oral anticoagulant. Test to monitor.
A. PT.* B. Bt. C. Aptt
67. Coumadin (warfarin) question.. Options.
A. Inc bleeding time. B inc coagulation time maybe.
68. Trachea commences at.
C6.*
69. Vit k not absorbed. Coagulation factor decreased ...?
a. Prothrombin*. B. factor VIII c. Options..????
70. Vit k def. First n foremost coagulation factor depleted.
A. 7 b.2 c.10 d. Protein c.*
71. Female presents with dvts . Says she has been taking some kind of pills.
a. Ocps.
72. 10 days fever. Chest pain unrelated to respiration.
A. Myocardium* b. Pericardium
73. Chr. 9/22
a. Cml* b. Aml. C. Hodgkins.
74. Breast outer quadrant .
A. Pectoral (anterior ) group*
75. Pregnant with jaudice. Went to remote village. To see her parents. Cause.
A. Hepa b. Hep b. C.
Hepc. D. Hepd. E. Hep e*
76. Liver transplant pt. I think died. Cause.
a. Cmv*.
B. Ebv.
C. Hep a.
D. Hep b.
E. Hep d.
77. Which ca rarely metastasizes.
A. Bcc*
78 bcc features. Most likely
A. Locally malignant*
46
79.which ca spreads to large vessels.
A. Clear cell ca of kidney*. B. Transitional cell ca of kidney .
C. Lung ca...
Other options not remembered.
80. Cholangicarcinoma..
A. Clonorchis sinensis.*
81. Most common ca of epiphysis.
A. Osteoblastoma*. B. Osteoma. C. Ewings. D. Osteosarcoma.
E.oteoid osteoma.
82.limb growth will be affected if fracture passes thru.
A. Epiphyseal plate*. B. P.epiphyseal line. C.
Metaphysis. D. Diaphysis.
83. Acoustic neuroma.
A. Vestibular component of cn 8*. B. Cochlear part of cn 8. C. Trigeminal n. D.
Facial.
84. Hypoglossal nrv injured.
A. Tongue deviated to same side*. B. Other side. C. Not deviated.
85. Deep part of parotid fascia forms.
A. Sphenomandibular lig. B. Stylomandibular lig*. C
Buccopharyngeal membrane.
86. Intraarticular disc of tmj involved.. Muscle paralyzed.
A. Lat.pterygoid*. B. Med pterygoid. C.
Temporalis.
87. Lung ca fungiform growth.
A. Bronchogenic ca. B. Small cell ca. C. Sq.cell ca. D. Undiff. Large
Cell ca.
88. Gastric lymphoma ass with.
A. H pylori gastritis.*
89. Terminal ileum resected more to 100 cm.
A. Less absorption of bile salts*. B. More absorption of
Bile acids. ..other options not remembered.
90. Femoral arterial pulse.
A. Mid inguinal point*. B. Mid inguinal ligament. C. Adductor canal.
91. Inguinal canal.
A. Absent in infants. B. Extends from ant.sup.iliac spine to pubic tubercle. C. Roof
Formed by conjoined tendon*.
47
92. In. Old age .
A. Vc decreases*. B. Co decreases.
93. Decrease in esr is due increase in .
A. Fibrinogen. B. Albumin*.
94. Cytoskeleton connected to ecm environment thru.
A. Intermediate fil.
b. Proteoglycan*.
C. Integrin.
D. Cadherins
95. Glycocalyx contains.
A. Carbohydrate moiety*. B. Lipid membrane.......options not clear.
96. Not electrical active transport of na occurs in.
a. Pct*. B. Dct. C. Loops .d. Collecting duct.
97. Greatest clearance is of
A. Pah*. B. Insulin-yes it was written insulin.
..
98. Rt. Testicular vein enters.
a. Ivc. *
99. Tibial nerve severed. Which muscle will still flex the knee joint.
A. Short head of biceps*.
B. Long head biceps.
C. Semitendinosus
D. Semimembranosus
100.oraganelle with double membrane.
A. Nucleus.* B. Golgi. C. Rer. D.ribosome.
101. Bupivacaine. Overdose initial symptom.
A. Unconsciousness. B. Vent arrhythmia. C. Ringing in ears*(I marked)
Other options not remembered.
102. Pt. Anesthetized heat will not produce due to a. Loss of musle tone*. B. Na/k pump
blockage.
103. 60 percent ventricle fill during .a. Rapid inflow*. B. Isovolumetric relaxation. C. Atrial
contraction.
104. Regarding post. Comm artery. A. Connects PCA to ICA above occulomotor nrv*. B.
Connect
Pca below occulomotor nev. C. Connect ica to basilar artry.
48
105. Dorsal vagal nuclei present in. A. Medulla*. B. Upper pons. C. Lower pons. D. Midbrain.
106. Which hormone causes uncoupling of
oxidative phosphorylation with increase
heat production:
a. Thyroid hormones*
b. Insulin
c. Growth hormone
d. Epinephrine
107. Patient had previous episodes of diplopia nd dizziness now acutely comatose reason...
A. Basilar artery thrombosis*, b .c .d.3 type of hemorrhages were in options, e .carotid artery
occlusion
108. Child has episodes of bleeding nd echymosis i guess since birth hb 9.8 mg/dl nd platelets
count was normal 180 x 10^3 bt prolonged...
A. Hemophilia, b.itp c.,platelet functional defect*
109. Patient given warfarin on second day had large echymosis on thigh...
a. Ttp
B. Overdose of warfarin
C. Protein c def*
110. Csf has low conc of which of the following than plasma...
A. Osmolarity,
B. Na,
C. K+,
D. Mg2+
E.proteins*
111. Corona radiata forms from.
A. Germ cells. B.theca interna. C. Theca externa d. Granulosa*
112. Surgery grade 3 tumor.
A) more than 75% cells undifferentiated
B) 50 to 75 % cells undifferentiated* (i marked)
C. 100%
D. 25% or less i guess
113. Muscle attached to bone by.
A. Tendon*. B. Ligament.
114.treponyma pallidum for intial diagnosis sample can be taken form?
A. Genital sore scrapping*
49
115. Pt with jaundice hepatosplenomegaly....complete stem not remembered. Which test to be
Performed.
A. Antimitochondrial ab*
116. 1 litre blood loss quest.
A. Inc venous tone*
117. While playing cricket got abrasions. Immediate mechanism.
A. Vasoconstriction*
Repeated mcq.
118. Highest diffusion both across resp membrane and body fluids.
a. O2.
B. Co2
C. Helium.
D CO
E. Nitrogen
118. Tumor supressor gene.
A. P53*
119. Mc cause of fatty liver in our population.
A. Hep B & C*
B. Alcoholism
120. Ecf volume can be increased by.
A. Hypertonic saline*. B. Hypotonic saline. C. Distilled water.
121. Most radiosensitive tumor.
A. Seminoma*
B. Glioma.
122. Alveolar surface dry due to.
A. Surfactant. B. Inflammatory cells. C. Negative interstitial pressure* (i marked)
controversial- better to read topic
123. Pseudomonas aureginosa. ...complete stem???
A. Endotoxin*.b. Exotoxin.
124. Corynebacterium diphtheria lethal effect on?
A. Tonsil.b. Heart*. C. Kidney.
125. Benign tumor.
A. Leiomyoma*.
126. Histoplasmosis effect on .
A. Reticuloendothelial sys*.
50
127. Highest na. Iguess.
A. Node of ranveir*. B. Axon. C. In the myelin.
128. Rectus sheath post.lower limit
A. Arcuate line*. B. Pectineal lig or line. C. Lacunar.
129. Bioavailability is not affected by?
A. Sex/gender*
130. Regardig morphine use.
A. Ternimal cancer pt.*
131. Heparin prevent.
A. Propagation*. B. Embolization. C. Dissolution. D. Organification.
132.upper motor neuron lesion??
A.fasiculation b. Increase muscle tone* c. Dec tendon reflexes
133.passes throug cavernous sinus
A. Abducent*
134.young girl,used a drug for back ache, platelets were in normal range,wbc 7000,neutropenia,
hb was 9, small imature cell in peripheral film???
A.aplastic anemia
B.acute leukemia*
C.itp
D.analgesic induced (i marked)
135.difference btween arterial nd venous blood??
A. Packed cell volume*
b. PH.
136.gastric emptying accelerated
A.gastrin*
B.secritin
137.in juxta glomerular nephron,sodium is activaly reabsorbed electrically neutral from lumen of
nephron in which segmnt of nephron???
a. Pct.* B. Dct. C. Loops.
138.about follicular ca of thyroid???
A. Psamoma bodies
51
B. Vascular invasion*
139.transplanted auto graft survives most in
A. Uremia
B. Agamaglobinemia*...
C. third degree burns ,
140 local edema
A.allergy*
141.increase in creatinine,,source??
A. Liver
B. Skelatal muscle*
142.gametogenesis,,one cell get extra than normal haploid???
A. Trisomy*
B. Monosomy
C. Non disjunction
143.chronic hepatitis histology
A.lymphocytes b. Fibrosis*
144.strongest layer-
A. mucosa,
b. Sub mucosa*
c. Longitudinal layer
d. Circular layer
145. Right atrium wala question was ,,,if presure in right atrium increases with in normal limits
what
Would happen
A. Hr inc*
B. cardiac output inc
C. Decrease venous tone (options not correctly remembered)
146. Weight bearing line in pelvis pass thru??
A.ischial tuberosity*
B. Coccyx.
C. Pubic ramus
52
147.sugar in urine will be detected if its concentration in blood becomes
A. 250mg/dl
B. 200mg/dl* (according to f.a)
C. 180 mg/dl
D. 150 mg/dl
E. 375mg/dl
148. Which of the following is ectoparasite.
A. Lice*
B. Fleas
C. Ticks
D. Bed bugs
149. Farmer organophosphate poisoning what should be given.
A. Atropine* b. Pralidoxime
150. For chemotaxis. Exact stem not remembered.
A. Lymphokones*
.b.serotonin
151. Baroreceptors responds to?
A. Dec blood pressure*. Complete options not remembered.
152. All preganglionics neurotrasmitter
A. Acetylcholine*
153. Sweat gland by.
a.sympathetic*
154. Rt upper n lower limb paralysis. Angle of mouth deviates to left while talking.
A. Internal capsule*
B. Pons.
C.cortex
155.sulfur containing aminoacid
A. Cystine*
156. Truncal vagotomy
A. Dec acid secretion and pepsin*
53
157. Insulin is inhibited by.
A. B.blockers*
B. Secretin
C. Glucagon
D.b.agonists
158. Primary active transport...
A. Enzymes b. Carriers c. Proteins d. Pumps*
159. Non bacterial thrombotic endocarditis
A. Terminal cancer* .b sle
160.mid arm circumferece.
A. Proteins* b. Fat. Options and stem not clearly remembered
161. Injury to pulmonary alveoli causing constriction of alveoli by
a.hypoxia
b.atherosclerosis
c.adenosine
d.prolonged oxygen therapy*
162. On autopsy finding... Complete stem required...
a. Hypertrophied parathyroid gland*
163. Boy. H/o taking antimalarials.
A. G6pd def*
164. Chloride shift in rbc
A. Ankyrin
B. Spectrin
C. Band 3*
165. Ppd false negative
A. Malnutrition
B. Immunosuppressant*
166. Fisherman bleeding gums
A. Scurvy*
167. Mcq related to wilsons disease
A. Ceruloplasmin*
168. Following lymphoid organ recive lymph from subscapular sinus
a.thymus
b.spleen
c. Lymph node*
54
169. Adrenectomy taste preferences?
A. Nacl*
170. Most important cell of chronic inflammation
A. Lymphocytes
B. Macrophages*
171. Test for typhoid in ist week...
A. Blood culture*
172.patient with lung abscess develops meningitis, causative organism.?
A. Staphylococcus*
173. Question regarding edema---
A. Lymphatic blockage*
174. 41% hematocrit...
A rbcs only*
b. Rbcs wbcs, platelets (i marked)
-kindly confirm it by yourself-
In ganongs physio
the number of red cells is also conveniently expressed as the hematocrit , or the percentage of
the blood, by volume, that is occupied by erythrocytes
175. Low dose estrogen pill causes.....
A.breast cancer..b.dvt...c.uterine cancer...d.cervical cancer e. Hepatic adenoma*
176. Human is an intermediate host of
A. Hydatid cyst*
177. Severe transfusion rxn.
a. Apos to oneg*
B. O to bpos.
C. Apos to ab pos.
(behavioral sciences/c.med questions)
178. 2x2 table
A. T test. B. Anova . C. Chi square.
179. Correlation of two things by which test
A. Student t-test
B. Anova test
C. Mc witneys
D. Chi square
180. How can doctor provide better management to patients:
a. By better communication *
181. Another behavioral sciences question. (see rabia ali mcqs b.sciences section )
Ans by active listening to patient.*
55
182 eeg of a patient shows
A. Increase frequency of waves in active mind than in deep sleep
B. Is symmetrical in both hemispheres
C. Small amplitude of waves in intense thinking
D. Determine intelligence
183. Regarding eeg...
184. .sodium regulation is through
A osmoreceptors*
B .sodium absorption
C .adh
D .reninangiotensin
E .aldosteron
185. Teratogenic effect in which embryonic age?
A. 2 to 8 wks*
B. 1 to 3 wks
C. After 12 wks
186. Which form of thyroxin is an active form
A. Reverse t3
B. Unbound form*
C. Bound to albumin
D. Bound to prealbumin
187. Beta receptor stimulatin causes
A. Increase heart rate*
B. Increase force of contraction
C. increase renin from kidney
D. increase lipolysis
188. Drug interaction occur
A. With drug only
B. Pharmacodynamic only
C. Pharmacokinetic only
D. Pharmacodynamic and Pharmacokindetic Both*
189. Parasympathetic effect on Heart-A. Increase PR interval*
190. DIC activated by?--A. Tissue thromboplastin*
191. Regarding PseudoHYPERparathyroidism?
A. because of Hypocalcemia
B. Because of PTHrP by various tumor*
56
C. associated with Nephritic syndrome
D. because of Vit D def
192. which of the following augment the effect of immune system?
A. Complement System*
B.opsonins
Other options not remembered
193. For sodium neutralization
A. K+
B. organic ions
c. Cl
d. Mg
e. HCO3
194. Regarding occupational diseases increase risk of problems with exposure to:
a. coalmines
b. asbestos*
c. silicons
d. textile industry
195. Regarding biceps brachi
a. insertion on humerus
b. Arises from supraglenoid tubercle*
c. pronation
d. extention of elbow
196. Inf wall MI:--A.Right marginal artery*
197..A person had an accident and there was severe bleeding from his body.He got multiple
transfusions but Ecg showed
Changes after transfusion due to
a hypocalcemia
b hyperkalemia*
c hypokalemia
d hypermagnesemia
e PH changes
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57
( 5)-Surgery & Allied 7th March Evening-by Xaheer Khan (185 MCQS)
1.Regarding abdominal angina which artery is involved
a..inf mesentericartery
b..aorta
c..sup mesenteric artery (answer)
2......50 years old hypertensive patient presented with severe chest pain radiating to back
suddenly collased On autopsy what can be seen
a..ischemic necrosis
b.medial necrosis (answer)
c.athero sclerosis
3....Medial umbilical ligament is the remnant of
a..umbilical artery
b..umbilical vein
c.alantoise
d..urachus (answer)
4........Pulmonary artery supplies
a.alveoli (answer)
b.bronchioles
c.terminal broncioles
5......premature baby born with
a..PDA (answer)
b.patent foramen ovale
c.right atrial pressure increases
6..........22table........chi square test
7.......Cause of adult female atrophy.....Estrogen
8.....Which harmone causes fatty acid synthesis and protein synthesis
a.cortsole
b.thyroid
c.glucagon
d..insuline(answer)
9.Most common salivary gland....
a.salivary
b.submandibular
c.parotid(answer)
10......Lymph nodes invol vein Ca of cervix...
Internal iliac nodes (answer)
11.....Regarding rectum
a.startsatS1
b.9incheslength
c.has two lateral curves
d.covered by peritoneum all around
e.also supplied by median sacral artery(asim key) (answer)
12......Regarding anal canal
a.supplied by both sup n inf rectal artereis (answer)
b.inf rectal artery part of portalsystem
c.external anal sphincter is involuntary
d.ha stwo lateral curves
e.sup inguinal lymph nodes drain the upper half of anal canal(asim key)
13.....Patient started on anti coagulant how to moniter further
a.Aptt
58
bClottingtime
c.Pt (answer)
14.....Trachea commences at....C6
15....First clotting factor decreased in vitK deficiency
a.factor8
bfactor5
cfactors
d.Factor2 (answer)
16........Afemale of reproductive age presented with dvt.she gave history
Of taking some kind of pill what is the cause of her condition
a.thrombo embolism
b.analgesics
c..OCPs (answer)
17...........45 years old man presented with chest pain not related to respiration
myocardium (answer)
18.....9:22 translocation of grnesin
CML
19.....A fisherman presented with echymosis n bleeding from gum she is
Mostlikely suffering from
a.Vit c def (answer)
b.Vitb12def
cFolic acid def
d.Iron def
20.......A pregnant lady from remote village presented with
Mildly raised sgpt n bilirubin from 2 months what can be the cause
a.Hepd
bHepb
cHepe
d.Hep a (answer)
21.....A patient with liver transplantation there is increase risk of problems from
a.ebvvirus
b.CMV (answer)
c.Hepd
dHepaande
22......which cancer rarely metastasizes
Basal cell carcinoma (answer)
23.......The features of BCC
a.metastasis
b.beningtumor
c.bordersareundermined
d.Locally malignant(asim key) (answer)
24....cancer spreading to large vessels
a.Clear cell ca of kidneys (answer)
b.lungca
c.transitional cell ca (asim key)
25.......Acoustic neuroma invoving
a..cochlearpartof 8thnerve
b.vestibular part of 8thnerve (answer)
c.trigeminalnerve
d.fascialnerve
59
26........Epiphysial bone tumor
a.osteoidosteoma
b.osteosarcoma
c.ewingssarcoma
d.Osteoblastoma (answer)
osteoblastoma is a large group of bone tumor which also consists of ostepidosteoma.they all
involve epiphysis.They are rare tumors.The most common is Giant cell ca which was not in the
options
27......Hypoglossal nerve paralysis can lead to
Tongue is deviated towards the leision site (answer)
28....Deep part of the parotid fascia forms
a.bucco pharyngeal membrane
b.stylomandibular lig
c.sheno mandibular lig (answer)
d.stylo hyoid lig
29.....Intra articular disc of TM JOINTgvs origin to
a.medialpterygoidmuscle
b.temporalis
c.buccinator
d.lateral pterygoid muscle (answer)
30......a 30years old heavysmoker presented with emptysis.On xray film there is a fungating
mass.Diagnosis
a.squamous cellca (answer)
bsmallcellca
c.bronchogenicca
d.mesothelioma
31......Gastric lymphoma most probable cause
a.Hpylori (answer)
b.chronicgastritis
c.duodenalulcer
d.smoking
e.analgesicuse
32.....first Lumbrical
a.bipennate
b.attached to proximal phalynx
c.origin near the radial side off first meta carpal bone (answer)
First n second are unipennate while third n fourth are bipennate
33....Ina surgery1 00 cms of ileum was resected. what will be the outcome
a.les absorption of bile salts (answer)
b.less absorption of bile acids
c.more absorption of bile salts
d.increase sodium loss
34.....Regarding inguinal canal
a.extends from sup iliac spine to pubic tubercle
b.roof is formed by conjoint tendon (answer)
c.lowerborderformedbyfasciatransversalis
35........In old age
a.cariacoutputincreases
b.venousreturnincreases
c.Frcincreases
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d.VC decreases (answer)
36.......decrease ESR is due to
Increase albumin (answer)
37........Cytoskeleton connected to ECM through
a.intermediatefilaments
b.cadherins
c.proteoglycans
d.integrins (answer)
principal role of integrins is connection of cytoskeleton to extracellular matrix
Wheras e cadherins bind to both ecm n icm
38....Neutral electric transport of Na occurs in
a.DcT
b.loopofhenle
c Pct (answer)
d.collecting ducts
39......Greatest clearance is of
PAH (answer)
40....Regarding cardiac plexus
a.formed by both symathetic n parasympathetic nerves (answer)
b.thoracic splanchnic nerves are the main nerves
c.starts at trachea bifurcation
d.present at the base of heart
e.anterior cardiac nerves are the main nerves
41....Baroreceptors
a.hypotention
b.respond to progressively increasing arteriolar pressure (answer)
c.respondsto progressively decreasing arteriolar pressure
42....Insuline is inhibited by
a.secretin
bglycogen
cbetaagonists
d betablockers (answer)
43.....Glycocalyx contains
A carbs moities(back bone of glycocalyx) (answer)
b.phospholipids
c.antigens
d.proteins
44....Biaoavailibity of minerals is lowest in
a.roots
b.green leaves
c cereals
d pulses
e.Tubers (answer)
All others must have mineral sexcepttuberehich have less.Tubers are potatoe family rich in
starch
45....Drug drug interaction by
Both pharmacokinetics and pharmacodynamics (answer)
46....Glucose start appearing in urine at
a.100mg
b180mg
c200mg
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d.350mg
e 250mg (answer)
glycosuria....morethan200mg
47....a patient suffering from lobar pneumonia causative organ
a.staphylococci (answer)
bstreptococci
c.pneumococci
48...correlation of two things by which test
a.studentt test
b anova test
c mc witneys
d.chi squared
make it clear..i did chi square
49....Regarding sweat glands
Cuboidal epithelium(ppq) (answer)
50....Bioavailibility is not affected by
a.age
b.liverdisease
c sex/gender (answer)
51........The alveoli are kept dry by
a.macrophages
b.negative intra pleural pressure
c.ventilation
d.surfactant (answer)
52........The dorsal vagal nucleus is presentin
a.medullaoblongata (answer)
b.midbrain
cpons
53.............A person present with diplopia and dizziness for the past one month suddenly went
into comma the cause lies in
a.cerebellar haemmorhage
b.pontine haemmorhage (answer)
c.thallamic hmg
d.subarachnoidhmg
54.............muscles are attached to the bones by
a.ligaments
b.aponeurosis
c.fasciae
d.tendons (answer)
55..........Dimercaprol
a.increases clotting
b.decreases clotting (answer)
c.decreases bleedingtime
56.............A young lady presented with increase bleeding time.It is due to
a.vonwilli brand factor (answer)
b.factor8
c.factor9
d.itp
e.platelet dysfunction
57.............For sodium neutralization
a..k
62
b.organicions
c.Cl (answer)
d.mg
e.hco3
58.........Amino acid containing sulphur
Cystein (answer)
59.............Sodium regulationis through
A osmoreceptors (answer)
b.sodium absorption
c.Adh
d.Reninangiotensin
e.Aldosteron
60...........Circumflex artery supplies
a.antsurfaceofheart
b.left atrium n ventricle (answer)
c.rightatrium
d.leftatrium
e.leftventricle
61...........41%haematocrit contains
a.rbcs
b.rbcs,wbcs,platelets (answer)
c.platelets......ganongsbcq
62..............arterial blood as comparedto venous blood has
a.lowph
b.more packed cell volume (answer)
c.increasepo2
d.increase ph...(asim key)
63........ During Lp which structure is ruptures......ligamentum flavum (answer)
64...........during stab injury
Ipsilateral lung collapse n ipsilateral chest expands (repeated question) (answer)
65.........a person got lacerated injury on his elbow what will be the initial affect of blood
haemostasis
vasoconstriction....rmem vessels on the top always (answer)
66..........during a one km running the venousreturn to the heart is by
a.valvesinthelegveins
b.pumpsinthelegs
c.skeletal muscles contraction (answer)
67.........right atrial pressure is increased this will lead to
a.inc cardiac output (answer)
bheartrateinc
c.inccontractionofrightventricle
68.........regarding occupational diseases increase risk of problems with exposure to
a.coalmines
b.asbestos (answer)
c.silicons
d.textile industry
69........Eversion of foot leads to ligamentum fractured
a.laterligament
b.planatarisruptured
c.Deltoid ligamentum (answer)
70.....Most common causeof fatty liver in our society is
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HepB and HepC (answer)
71.......whichnerveleavesthethenarmusclesandallothermusclesofthehandareaffected.Thenerveinj
uryisto
a.ulnar nerve (answer)
b.median nerve
c.c8t1
d.Radial nerve...asim key
in this question thenar muscles are spared.The answer is not c8t1 because e all the muscles
of the hand are supplied by this root
N here all muscles are not affected
72..........A farmer while spraying suddenly got collapsed with salivation from his mouth n
broncho spasm.What is the specific antidote
a.atropine
b.neostigmine
cphysostigmine
d.Pralidoxime....asim key (answer)
73.......Seventy years oldmale develops sudden loss of power in both right upper n lower limb
with angle of mouth deviated to the
Left during talking.The most likely site of leision is in
a.internal capsule asim key (answer)
b.pons
c.medullaoblongata
d.midbrain
74..........Larynx lost its supply but its still can be contracted due to the nerve supply to
a.thyrohyoid
b.postcrici thyroid
c.cricothyroid (answer)
d.cricoarytenoid
75...........Regarding biceps brachi
a.insertion on humerus
b.supplied by musculo cutaneous nerve (answer)
c.pronation
d.extentionofelbow
76........blood supply in an adult to head of femure gets its branch from
A lateral n medial circumflex femoral (answer)
B arcuate artery
C abturator artery
d inf gluteal
e supepigastric....retinacular wasnt ino ptions
77........A person was walking bare feet suddenly stepped upon some sharp object.he quickly
removed his leg due to which reflex
a.flexor response
b.mono synaptic reflex
c.multi synapticreflex (answer)
78......Regarding general anesthesia body temp decreases due to which mechanism
a.dec na k pump
b.dec skeletal muscle tone (answer)
c.stimulated by post hypothalamus
79........Nucleus anmbiguos is in
a.upper midbrain
b.lower midbrain
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c.medulla (answer)
d.pons
80........inadolcentthegrowthoflongbonessuddenlystoppedduetoleisionin
A epiphyseal plate (answer)
B metaphysis
C epiphysealline
D diaphysis
81........low estrogen used by a 35 years old married femal.there is increase risk of
a.liver adenoma asim key (answer)
bthromboembolism
ccabreast
dcacervix
82.......action of gluteus medius and gluteus minimus
Abduction and medial rotation (answer)
83........Opsonization due to interaction of
FCportionofigGandC3b (answer)
84.......skinreplacementpatchissuccessfulin
a.neoplasm
b.burnpatients
c.autoimmunity
d.aggamaglobunimia (answer)
85..........Morphinisusedin
terminalcancerillness (answer)
86......Aorta
a.bifurcatesatL5
b.bifurcatesatT5
cliesattherightsideofIVC
d.GivesrenalarteriesatL2 (answer)
87......InfwallMI
Right marginal artery cpsp demo quest (answer)
88.......Bundle of hiss is suppliedby
a.LCA
bRCA
c.leftascendingbranchofLCA
d.interventricular branch of LCA (answer)
itsacontroversialqueation.IhvalotdiscussionregardingdiswdseniorsbutstillitsindoubttheysayRCA
nmedscapenkaplan
saysLCAalsoasim keysaysLCA.sodoitonurownrisk.ididwhatmymindtoldme
89.......double membrane bounded organnel
Golgi apparatus..endoplasmic reticulum..nucleus (answer)
these all were given now we dnt know wats cpsp key (answer)
90.........Regarding MMA
a.pterionis the surface marking
b.its branches form grooves on the under surface of skull
c.cause extradural hmg wen ruptures (answer)
d.enters skull thru foramen spinosum
all the options were correct.And was asked about most appropriate.i did extradural hmg due to
its specificity most common adversity
91......A female delivered a baby and she was started on warfarin as she developed dvt.The
next day she has a purplish patch on
Her right thight what can be the cause
65
A lupus anticoagulant (answer)
b.warfarin overdose
c.proteinc def
d.proteins def
92........Frst factor affected in anticoagulation
factor7 (answer)
93........Bupivacain first sign of over doze
a.arrythmias
b-ringingine ars (answer)
c.hypotention
d.death
e.decco
it was asked initial affect so Cns excitation is the initia affects followed by CNs depression
94........V4stelevationMidue
LAD (answer)
95.....vagotomy done for
a.decmotilityofgut
b.decgastricacidity
c.decpepsin
d.dec gastric acidity n pepsin motility of gut (answer)
96......pain of Gastric ulcer is due
Greater splanchnic nerve involvement (answer)
97.......medial wall of ischiorectal fossa is formed by
Levator ani muscles (answer)
98......most radio sensitive tumoris
seminomaglialgliomacraniopharyngioma (answer)
99......Man is intermediate host in
Hydatid cyst
100........a person got fracture of neck of fibula now he cant do dors flexion n eversion
Common peroneal nerve (answer)
101.....a young man fell from two storey building and now he has urinary incotinence.leision is at
s2s3s4 (answer)
102.....s2 differs from s1 by
a..s2hasincduration
b.s2hasdecpitch
c s2 has inc frequency (answer)
ds1hasincpitch
es1hasdecduration
103..........a child presented to opd with 104 fever for th e last 4 days.He has been passing cola
colored urine for the last one
day.He has bee n on anti malarials too.His lfts are deranged wdincunconjugatedbilirubin.What is
the most probable diagnosis
a.druginducedjaundice
b.blackwaterfever
c.paroxysmalnocturnalhaemaglobinuria
dhaemolyticuremicsyndrome
e G6pd (answer)
104.............post communicating artery connects
Internal carotid artery with post cerebral artery (answer)
105..........ayoungmangotsomeinjuryandafterthattherewasswellingindascrotum
followedbyantabdominalwallswelling
66
buttherewasstrictdemarcationtothethigh.Whichstructurewasinjured
a.collesfascia
b.bulbar urethra (answer)
c.ejaculatoryduct
d.penileurethra
e.pelvicdiaphragm
106...........pseudo hermaphrodite with 46XX karyotype in
Aadrenogenital syndrome (answer)
b.turnorssyndrome
c.klenifelterssyndrome
d.45xo
107...........Turnor syndrome with
a.AR
b.AD
c shows secondary infertility
d stunted growth (answer)
108...........ECF is increased by infusion of
A hypotonic saline
bnormasaline
chypertonic saline (answer)
d dextrose water
109.........peri capsular sinuses in
a.lymph node (answer)
b thymus
c palatine tonsils
110.......weight bearing line passes through
Ischial tuberosities (answer)
111.......A14 years old girl presented with right iliac fossa pain.pain associated with vomiting and
was radiated to periumbilical
region.Which segmen is involved/or pain radiation due to
a. ilioinguinal nerve
b.iliohypogastric nerve
c.t12level
d L2level
e T10 level (answer)
112.........microscopic slide of liver shows portal vein hepatic artery and bile duct at periphery
and central vein in the centre.What is
This called
a.hepatic lobule
b portal acinus
c heatic acinus (also called liver acinus) (answer)
113...........EEG of a patient shows
A increase frequency of waves in active mind than in deep sleep (answer)
B is symmetrical in both hemispheres
C small amplitude of waves in intense thinking
D determine intelligence
114.......what is produced in muscles
A phospholipids
B creatinine (answer)
C urea
D uricacid
67
E glycogen
115.......Cervical lyph nodes drain into
Internal iliac nodes (answer)
116.........about sertoli cells
A produce testosterons
B rapidly deviding cells
C release androgen inhibiting factor (INHIBIN) (answer)
D break blood testis barrier
E reinkes crystals
117............histoplasmosis whic sytem affected mostly
A cvs
b git
c cns
d reticulo endothelial system (answer)
118...........in CRF whatcantbepresent
A lowph
b hypo phasphatemia (answer)
c enlargedparathyroids
d metabolicacidosis
ehypocalcemia
119........on autopsy of CRFpatient which organ was hypertrophied
Para thyroid glands (answer)
120..........strongest layerof smallbowel
asubmucosa (answer)
bmusoca
clongitudnallayer
dcircularlayer
elaminapropria
121..........chronic hepatitis histology on microscope shows
A fibrosis
b neutrophills
c lymphocytes asim key (answer)
dlymphokines
remember the pre dominant feature of chronic inflammations is LYMPHOCYTES
122..........Dilute tubular fliud in which segmentof nephron
A thick ascending limb (answer)
B thindecending limb
c distaltu bule
d macula densa
e collecting ducts
123......sarcoma is differentiated from carcinoma
A metastasis
B aggressive (answer)
C radiosensitive
SOME says mets but mets are in both but with sarcoma through blood and carcinoma
thorough lymph nodes.Sarcoma involves
Large areas wd increase necros is increase haemmorhages n mostly creul to therapy
124.......systemic antifungal is
Amphoterecin (answer)
125........heparin inhibits
A organization of clot
68
B retraction of cot
C dissolution of clot
D propagation of clot.....asim key (answer)
126.............During pregnancy which period affects fetus mostly
A 1to2weeks
B 2to8weeks (answer)
C 22to36weeks
D last trimester
E 7to12weeks
(organogenes is from 3 to8 week so b suits da best)
127......muscle is prevented from tearing under action of which receptor
a.muscle spindles
b GTO (answer)
c ruffinis
d meissners
e phosphate bonds
128..........max sodium entry in nerve fibre takes place at
A during depolarization
B during repolarization
C at nodes of Ranvier (answer)
D as the impulse propagates along lenth of nerve fibre
129..... Regarding Axillary artery
A it lies post to pectoralis minor muscle (answer)
B lateralchordliesposttoit
C startsatthelateralborderof pectoralis minor
D all the chords are lateral to it
130.......Primary Brain vesicleis
Mesen cephalon (answer)
131....0.85%normalsalinecontains
a.850mg/100ml
b 8.5mg/100ml
c 8.5mg/1lit
d.85gm/1lit
e 85mg/100ml
(idid option B but iam not sure about its answer.aplogies)
132......the valve which has more propensity toward diseases is
MITRALVALVE (answer)
133......marranticendocarditisleadingtomitralstenosisisdueto
A rheumaticfever
B SLE
C streptococcal glumerulonefritis
D thrombo embolism
E neoplastic diseases (answer)
marranticisanoldnamefornonbacterialendocarditis.Marrantic means wasting away...so dats
why it is strongly related to
Diseases causing wastingcancersalthough also due to sle but neoplasms have stong
adherance
134........A young lady came to ur clinic.How can u treat herina best way
A good medicalknowledge
B beneficial lab tests
C clear conversation (answer)
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135.......23 years old boy came with mild jaundice.His hbsAg is negative...anti Hbc igM is
neg......anti Hbe positive.Whats the current situation
a acute resolving phase (answer)
b acutehepatitis
c window period
d chronic hepatitis
136.......difference between csf and cerebra capillaryis
a.incph
b carbohydrates
c incpco2
d less proteins(they are almost negligible in csf) (answer)
137.......Lower limit of rectus sheath posteriorly is
Arcuateline (answer)
138......mostbeningtumorofsmoothmusclesis
Leiomyoma (answer)
139......pseudomonas producing shock through
A TSST
b catalase
c endotoxins (answer)
d exotoxins
e lymphokines
140.....Highest diffusing capacity across respiratory membrane and in bodyfluids is
A helium
b carbonmonooxide
c carbondioxide (answer)
d nitrogen
e oxygen
141.........Tumor suppresser gene-p53
142.......upper motor neuron leision leads to
A dectendonreflexes
B fasiculations
C inc muscle tone (answer)
D flaccidparalysis
143.......which nerve passes through cavernous sinus -6th nerve
144...........premalignant growth
A sebborhickeratosis
B compoundnevus...asim key (answer)
C intradermalnevus
D dysplasia
e junctionalnevus
145..........35yearsoldgirlhasbeenusinganalgesicforbackache.Shepresentedwithplateletsinnormal
range.wbc7000
neutropenia.Herhbwas9withsmallimmaturecellsinperipheralsmear.Diagnosis
a acute leukemia (answer)
b ITP
c aplasticanemia
d druginduced
146.........vitKdeficiencyleadstodec
A proteins
B proteinc
C factor8
70
D prothrombin (answer)
147........Gastric emptyng increasesby a.secretin b.Gastrin (answer) c.Cck d.ach inhibition
148...........Grade 3 means
a.20%undifferenciated
b.30to50%undiff
c. 50to70%undiff (answer)
d. morethan70%undiff
e .100%undiff
149.......local edema cause-Allergy (answer)
150....... Exogenous antigens..(stem nt clearly remembered but answer was MHC)
151.....most lethal effect of Diphtheria is on
A cns
b neurons
c heart (answer)
d lungs
152... During meiosis abnormalities may occur.If one of the cell get san extra chromosome
instead of haploid number.The
Condition is called
A non disjunction
B monosomy
C robertsonian dislocation
D Trisomy (answer)
153.........a lady presented with yellow eye s and she has got hepato megally.Alsoxanthomas
present.What can be the cause in her
A AMA (answer)
B ANA
C sclerosing cholangitis
D lipidemia
154.....pseudo hyperparathyroisim A parathyroidharmone B pthrp (answer) c.hypocalcemia
155.......Right ovarian artery drains into IVC
156........ciliary muscle supplied by short ciliarynerves (answer)
157.......Biceps brachi attached to -Supra glenoid tubercle (answer)
158.......Which is ecto parasite- A Lice (answer) B tics C fleas D leech E mites
159......Breast outer quadrant lymphatic drainage by A post B supraclavicular C lateral
D anterior(pectoral) (answer)
160............A 22years old man came to Opd with ALT raised viral marker s were negative.He
has got some problem in the eye and
Immunological tests were derranged.Whats the most useful investigation for him
A liverbiopsy
B HbsAg
cHCVvirology
d serum copperlevel
e cerulo plasmin level (answer)
161.......adiabeticpatientpresentedwithincreasingdegreeofprogressiveillnessinvolvingrespiratory
system.gastrointestinal.What can be the cause
a histoplasma
b acidbasebalance
c Mucormycosis (answer)
d hyperkalemia
e bloodglucose
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162..........A person got an accident and there was h severe bleeding from his body.He got
multiple transfusios but Ecg showed
C hangesaftertransfusiondueto
A hypocalcemia
B .hyperkalemia (answer)
C hypokalemia
D hypermagnesemia
E PHchanges
163..........DIC activatedby
A lowerythropoitine
B endothelialdamage
c. thromboplastine (answer)
d clottingfactors
e septicemia
164.........Cardiac plexus has vagus nerve supplyfrom which nerve nucleus
medullaoblongata (answer)
165.......one question was regarding rhodopsin answer was VitA
166........Doctor patient relationship
Active listening (answer)
167.......lidocain vial contains 4ml normal saline of2%
a2mg
b800mg
c4mg
d.8mg (answer)
168........isthmus lies at
234 tracheal rings (answer)
169......after adrenelectomy taste preference increases for
A sweets
b.Nacl (answer)
c sour
170............60%of ventricular filling is because of
A Rapid inflow asim (answer)
B slow inflow
C diathesis
D slowejectionphase
E isovolumetricrelaxation
171..........about follicular cancer of thyroid
a.vascular invasion (answer)
b psammomabodies
c lymphaticspread
d hyperchromatism
172.......proteinon Rbc membrane for chloride exchane
a.spectrin
b.protein band3 (answer)
c.glycocalyx
173......Regarding cholangio carcinoma
chlonorcissinensis (answer)
174.......treponema pallidum initial diagnosis
amouthulcer
b.genital sore (answer)
c.tabesdorsalis
72
175.......Dead space doesnt decrease in
a.shallow breathing (answer)
b.deep breathing
c.lung diseases
d.gravity
e.tracheostomy
176.........necrosis of Brain Liquefactive necrosis (answer)
177.........chemical mediator of inflammation
a.histamine (answer)
b.serotonine
c.lymphokines
178........a young. Man while walking most of cardiac output is due to
Skeletal muscle contraction (in both papers) (answer)
179...........Adverse blood transfusion reaction occurs in
A o+toA+
B onegtoA+
C AnegtoA+
d. AB+toA+ (answer)
e AbnegtoA+
180..........regarding choroid
Choroid is continue with the pigment layer of retina (answer)
181.........Regarding un coupling of Oxygen thats produced by
a.thyroid (answer)
b.norepinephrine
c.epiephrine
182........If a 70kg healthy adult loses one litre ofblood within 5 minutes there would be
a.decTPR
bi.ncGFR
c.inc venous tone (answer)
d.dec diastolic pressure
e.splanchnic vasodilatation
183.........injury to pulmonary alveoli causing constriction of alveoli by
a.hypoxia
b.atherosclerosis
c.adenosine
d.prolonged oxygen therapy (answer)
l84.....Primitive streakmesoderm cells migrate Round cloaca lmembranetoform antabdominal
wall cells.If this migration doesnt
happen around cloacal membrane will rupture and open cranially as
a extrophyofbladder
b imperforateanus
c ectopi canal opening (answer)
d hypospadias
185......one was that sum flexion can still be maintained after nerve injury
Answe was short head of Biceps(dnt remember clearly)
All the tough ones have been covered under the given questions
Keep in prayers feel free to discuss wish u a goodluck.......
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(6). Surgery 7th March 2016 (Morning) by By Haris Riaz Sheikh (156+)
1.Pt had anorexia diarrhea ,Alpha feto normal ,CEA raised,Bilurubin 16,GGt raised,Alt ast
normal,Diagnosis ?
a.-CA Liver b.-CA colon c.-Ulcerative colitis
2. Somatostatin dec insulin in which fashion ?
a.Endocrine b.Neuroendocrine c.Apocrine d.Holocrine e.Paracrine
3. Old age pt presented wid chest pain from last 4-6 hrx at 2AM Emergency managemnt done
Labs were Na 141 K 4.1 Sugar 103 Which will make diagnosis ?
a.Cpk b.Ldh c.Ck mb
4. Prozone phenomenon- a. inc antigen titer-b. inc antibody titer- c. Dec antibody titer
5.90 years old lady has bruise on hand n arm...she has no other complaint
A thrombocytopenia
B treatment vik k
C capilary defect
6.Pt had epidural anesthesia feeling tingling sensation in thumb
Nerve involved
C5
C6
C7
C8
7. Adaptation of receptor:
A dec sensation bcx of change in concentration to sum other sensory input
B den in sensation bcx sensory input is repeated over time
Sum other options like that dnt remember exactly
8. Regarding breast
-Tubuloalveolar glands
-2nd to 6th ICS
-15-20 lacteferous ducts
9. Extraembryonic coelomic membrane derived from
Epiblast
Hypoblast
Endoderm
10. After splenectomy child is least susceptible to following infection
A streptococcus
B H influenza
C pneumococcal
D e coli
E Neisseria
11. Ureter is posteriorly related to
Ovarian vessels
Genitofemoral nerve
Root of mesentry
Diaphragm
74
12. Regarding trachea
Moves down during deglutition
Bifurcates at T2
Fixed in children n mobile in adults
18cm in adults
Enclosed in prevertebral fascia
13. Descending thoracic aorta
A becomes abdominal aorta at L2
B Begins at upper border of body of T4
C Supplies lower 8 intercoastal spaces on both sides
D Supplies esophagus pericardium n lungs
E lies in middle mediastinum
14. Vagus nerve
Supplies longitudinal muscles in esophagus
Leaves the skull through middle of jugular foramen
15. Girl feels pain in one half of neck...pain is due study related...pain will relieve by dividing
which nerve
Phrenic
Spinal accesory
Vagus
16. Pt had nodule on ant 2/3 of tongue...lumphatic drainage to
Superior deep cervical
Inferior deep cervical
Submandibular
submental
17. In von willebrand disease
A Inc pt
B inc aptt
C Inc BT
D Thrombocytopenia
E Normal platelets count
18. Congenital cataract cardiac defects n deafness related to
A maternal rubella
19. Haesselbach triangle
Femoral hernia
Direct inguinal
Indirect inguinal
20. Internal spermatic fascia derived from
External oblique
75
Internal oblique
Transversallis fascia
21. Left shift Hb dissociation curve
A 2-3 biphosphoglycerate
B altitude
C inc temp
D HbF
E acidosis
22. Most obvious ecg changes in MI
Tall P waves
Inc PR interval
ST elevation
23. Scanty barr body
Turner
Klinefelter syndrome
24. Male wid small legs n small arms, head n trunk normal in size , intellectual normal
A autosomal dominant
B autosomal recessive
C X linked recessive
25. First sign of lidocaine toxicity
A Light headedness
B tonic clonic seizures
C nausea vomiting
26. Exposure to hydrocarbons causes
A seminomas
B acute leukemias
C bronchogenic carcinoma
27. Hypermagnecemia causes
A hyperreflexia
B dec acetylcholine
C inc acetylcholine n muscle twitching
28. Superficail temporal nerve is acompanied
A auriculotemporal nerve
29. Second arch derivative
A stylohyoid ligament
B stylomandibular ligament
C thyroid cartilage
76
30. Lymphatic nodule not present in
A lymph node
B thymus
C spleen
31. Glucose as sole source of energy in
Neuron
Skeletal muscle
32. Following transplant most common tumour is
Renal
Hepatic
Leukemias
Skin malignancy
33. Which of the following inc GFR
Bowmann capsule pressure
Efferent arteriole constriction
Dec in plasma proteins
Constricting external urethra
34. Blood group antigens are
A polysaccharides
B glycolipids
C polypeptides
35. Which will cause severe form of steatorrhea
A gastric resection
B zolljnger ellinson syndrome
C gall bladder resection
D pancreatic resection
36. Baby at 6 weeks of age previously healthy presented first tym wid jaundice n bilirubin in wet
diaper
A crigler najjar
B gilbert
C biliary atresia
D physiologic jaundice
37. Imp in wound healing
A collagen I
B collagen ll
C collagen lll
D collagen lV
E collagen V
77
38. Glycocalx is
A role in absorption
B a glycoprotein
C has a positively charged sulphate group
39. Regarding motor neuron
A single nerve supplies many muscle fibres
B many nerve fibers supply single muscle fiber
C single nerve fiber supplies many muscle fibers
40. During appendicectomy at mcburney point the injury to
A deep circumflex artery
B inferior epigastric artey
C genitofemoral nerve
41. Rupture of bulbar urethra urine goes
A superficial perineal pouch
B deep perineal pounch
42. Levator ani supplied by
A pudendal nerve
B pudendal nerve via sacral 2
C Obturator nerve
43. Sigmoid colon supplied by
A L3,4,5
B S1,2,3
C S2,3,4
44. Pain fibers travel thru
A B fibers
B A alpha
C A delta
D C fibers
45. Presynaptic cholinergic fibers travel thru
A B fibers
B A alpha
C A delta
D C fibers
46. Cholinnergic fibers causes
A gall bladder relaxtion
B detrusor relaxtion
C ciliary muscle contraction
78
47. Which of the following causes septic sepsis
EBV
streptococci
CMV
48. Old man presented wid persistant cough n thick mucoid sputum
A mycobactrium Tuberculosis
B H influenza
C pseudomonas
D klebsiella
49. Subacute endocarditis
A spreptococcus viridians
B staph aureus
50. Scenerio of endocarditis most common organism
A staph aureus
B viridian grp
51. Female taking contraceptive pills will have inc risk of
A thromboembolism
B osteoporosis
52. Female taking estrogen to relieve post menupausal symptoms will inc risk of
A thromboembolism
B cerical carcinoma
C osteoporosis
53. Pt has dilatd umbilical veins will have portal hypertension bcx of which structure
A hepatic veins
B portal vein
C hepatic artery
D sup mesenteric artry
54. A patient has dependnt edema is diagnosed as having hepatoma caused by compression of
A portal vein
B IVC
C hepatic artery
55. 1st cervical vertebrae has which of following
A absent foramen transversarium
B has odontoid process
C lacks body
D massive body
56. Basic drugs bind preferentially with
A albumjn
79
B alpha globulin
C beta globuljn
57. In our culture support is provided by
A Volunteer
B edhi centre
C family mambers
D health care professional
58. Confidentiality can b breached when
A pt has treated priviously wid sum unknown drugs
B pt is from sum other country
C cannot afford
D when he allows to do so
59. subArachnoid space ends at
L2
L4,5
S1,2
S3,4
60. Clara cells are present in
A terminal bronchioles
B respiratory bronchioles
C larynx
D trachea
E bronchi
61. Meckel diverticulim
Vetilline ducts
62. I-CAM V-CAM
leukocyte adhesion molecules
63. Cervical epithilium stratified squamous
Metaplasia
Anaplasia
Dysplasia
64. Epithelium in lungs of a smoker
A stratified squamous continuous
B patchy stratified squamous with stratified columnar
65. Sec paristalsis will b observed when
A achalasia esophagus
B vagotomy
C distension of esophagus
80
66. Columnar epithelium in esophagus
Adenocarcinoma
67. Microscopic Diagnosis of tb
A AFB
B casseous necrosis
68. Hilar mases n non casseating granulomas
Sarcoidosis
69. Dec absorption of bile salts by resection of
A ilium
B jejunjm
C colon
70. Pleural effusion
Upper border of lower rib at the point of max dullness
71. Aneurysm descending thoracic aorta will compress
Azygous vein n thoracic duct
72. Aortic aneurysm
Medial necrosis
73. Cardiac reserve
A amount of blood that can b pump after normal flow
B cardiac out per total body surface area
74. Anaphylactic shock differs from hypovolumic shock by
A inc carfiac output
B inc peripheral resistance
C inc heart rate
75. A boy has blood loss n doctor do not find any vein for iv maintainance...ideal vein for
venesection
Great saphenous
76. A female has post partum hemorrhage n diagnosed has having acute rrnal failure...the
structure most probably affected is
A PCT
B DCT
C collecting ducts
D asc limb of loop of henle
77. Which of the following is different from plasma osmotically
A 0.9% N/S
B 5% D/w
81
C Plasma protein fraction
D Ranger lactate
78. Vasopressin n oxytocin originate in
A Hypothalamus
B ant pituitary
C post pituitary
79. Vasopressin acts via
A osmoregulation
B sympathetiv regulation
C pH
80. Cerebral blood flow is maintained by
A sympathetic discharge
B pO2
C pCO2
81. Dec in functional hemoglobin as in anemia Carbon monoxide poisoning n
methemoglobenemia will not causes hyperoxia bcx
A stimulated by central receptors
B stimultd by carotid body
C arterial pO2 remains normal
D arterial oxygen content is kept in normal range
82. Serum iron stores as
Ferritin
Transfirrin
Iron
83. Inc need of iron during pregnany is represnted by inc in
A iron
B feritin
C TIBG
84. Myxedema is caused by
A total lack of thyroid hormone
B partial lack of thyroid hormone
C lack of hypothalamic pituitary
D aldosterone
E ADH
85. Fisherman wid sensory loss
Diphylobothrium latum
86. Scenerio showing necrosis of brain
Liquifactive necrosis
82
87. Superficial temporal artey accompanies
Auriculotemporal nerve
88. Left ovarian artery is a branch of
Abdominal aota
89. Most common lesion caused by chewing bettle nuts pan
submucosal fibrosis
90. When blood is acidified
A dec bicarb excretion
B inc H reabsorbtion
C aldosterone
91. Fracture neck of femur most common complication
AVASCULAR NECROSIS
92. Pseudomembranous colitis is associated wid antibiotic use
A clindamycin
B cefulexin
C gentamycin
D erythroxycin
93. ADPKD associated wid
renal failure
Dnt remember other options
94. Calculate median in following data...
Total 8 values middle two were 25 n 30
So median was 27.5
95. During ka study of two populations in which population having risk factors in history
developing CHD n other population who do not have risk factor study is called (sumthing like
that)
A case control
B cohort
C random ampling
96. Accessory spinal nerve to sternoceidomastoid
accessory is motor supply,,,,,,C2 ,C3,,, right answers but they both were given as separate
options
97. In spermiogenesis acrosomal cap is formed by
A lysosomes
B mitochondria
C golgi complec
D Endoplasmic reticulum
83
98. A pt was prescribed tricyclic antidepressant ...its analgesic action is mediated in
A 1 day
B 3,4 days
C 3,4 weeks
D more than 6 weeks
99. There was question of cerebellum that do appropriate action of motor cortex. ..
i marled climbing n mossy fibers...statement ni hae mind mei
100. Penetrating injrury to 4th incoastal space jst on left side of sternum will damage
A right atrium
B intercoastal musvle
C intercoastal membrane
101. Posterior rectus sheath end as--Arcuate line
102. Most common breast tumour
A carcinoma in situ
B invasive ductal carcinoma
C comedocarcinoma
D lobular carcinoma
E indraductal pappiloma
103. In polycythemia vera which cells not raised
A neutrophills
B lumphocytes
C monocytes
D eosinophils
E basophills
104. Posterior relation of hip joint
A sacral nerves
B piriform bursa
105. Rupture of posterior cruciate ligament will result in
A ant displacemnt of tibia
B ant displacemnt of femur
106. Pt of hurshsprunge disease of sigmoid colon which spinal nerve supply .
S1.s2.s3
S2.s3.s4
107. Coibital fossa nidal pass which nerve demage. .
Median nerve
108. Myelin sheath is formed by
A oligodendrocytes
84
B schwann cells
C astrocytes
109. Exocelomic membrane derived from ? I marked a.hypoblast b.meso?
110. Middle meningeal artery
Foramen spinosum
111. High canc of co2 in which ..
Pulmonary vein
Pulmonary arteries
Experied air..
112. Which organ can not regenerate ?
A lens
B neuron
C skeletal muscle
113. Regarding symphysis pubis
Synarthrosis
Gomphosis
Sec ossification
114. Q abt abducting of shoulder intial 30 degree. ..
Supraspinatus
Infraspinatus
Delatiod
115. Q.abt injury to hip joint capsule ..
Ans .avascular necrosis
116. A patient is askd to lower his arm slowly from right angle but when he does so drops his
arm
Deltoid
117. Which of the following has shortest pre erythrocytic phase
A falciparum
B vivax
C malariae
D ovale
118. Post natal conjuctivitis
A Gonorrhea
B chlymadia trachomatis
C HSV
85
119. Pt having multiple polyps in colon ...his grandfather died of similar illness
Adenomatous polyps
120. Which drug cause psodo membranous colitis. .
Vencomycine
Clandamycine
121. Diagnostic of thalasemia major
A Hbf more 90%
B iron deficiency anemia
122. Pt had anorexia diarrhea
Alpha feto normal
CEA raised
Bilurubin 16
GGt raised
Alt ast normal
Diagnosis ?
-CA Liver
-CA colon
-Ulcerative colitis
Ulcerative colitis due to involvement of biliary system
Primary biliary cirrhosis
Thats y bilirubin is raised n also Ggt
123. Breast tumour (T3,N2,M0)
Stage ?
A stage ll a
B stage ll b
C Stage lll
D stage IV
E stage l
124. During thyroidectomy superior thyroid artery is ligated close to gland to save
A external laryngeal nerve
B Recurrent laryngeal nerve
C internal laryngeal nerve
125. Large amount of dextrose infusion given inhibit which hormone ? ADH
126. Phopholipase A2 is inhibited by -Corticosteroids
127. Clostridium botulinum causes Flaccid paralysis
128. Something regarding atropine ?
ANS was it counters the effectsof parasympathetic nervous system in effector orgens
86
129. Medial meniscus attachd wid -Medial colletaral ligament
130. Structure which remains in true pelvis-Middle rectal artery ?
131. Lymphatic drainage of cervix
A internal iliac
B external iliac
C deep inguinal
D superficial inguinal
132. Pt had abdominal surgery for mass for which he remained hospitalized ...he got some
cardiac abnormality...his labs shows inc potassium
Most probable cause of this inc is
A prolong antibiotic use
B postoperative infection
C prolonged bedrest
133. Antibiotic should b given
A 6 hrx before surgery
B 12 hrx before srgery
C on operating table
D after the surgery
E on first dressing
134. Substance which is maximally reabsorbed by the kidney
A Na
BK
C glucose
D urea
E bicarb
135. Most common factor for a tumor to b called malignant
Metastasis
136. Pain is reffered to shoulder by A C2,3,4, B C3,4,5
137. Hydrocephalus most commonly caused by stenosis of
A duct of sylvier
B formen lushka
C foramen mejendie
138. Very small particles in respiratory tract are cleared by
A cilia
B mass transport
C phagocytosis
87
139. Surgeon accidently removed parathyroid gland during thyroidectomy
Hypocalcemia numbness n positive chivostek sign
140. All the short muscles of hand are supplied by
A median nerve
B ulnar nerve
C radial nerve
D T1
E C5
141. Perforation of duodenum most common source of bleeding-Gastroduodenal artery
142. Hereditary spherocytosis is defect of--Structural proteins
143. Regarding RBC fragility-0.35% N/S
144. H202 present in-Peroxisomes
145. Regarding irreversible injury of cardiac cell
A Cell swelling
B clumping of chromatin material
146. 40 years old female having 4 children has cervical epithelial change--HPV
147. Golgi tendons- Tension in muscles
148. Most common cause of hyperthyroidism--Graves disease
149. Exogenous steroids will dec which one of following--Corticotropin
150. Q there was 2 q abt autosomal dominat disease --Acgondroplasia -Adult polycystic disease
151.Q was abt renal faliar hemorrhage which area of nephron effected
a.PCT,b.Collecting duct ,c.Asanding loop henle
152.old man cough with thick mucoid sputum?A ) Klebsiella, B) mycobacterium,3 pseudomonas
153. EARLIEST SIGN OF LIDOCAINE TOXICITY???,,,,A.) Lightheadedness,,,,B) Tonic clonic
seizures
154. Q: A man develops pain in calf muscles after walking for 100 yards , which settles after
taking rest.. which artery involved? Anterior perforating, popliteal , int iliac, ext iliac, common
iliac ??
155. Q was abt which type of collagen fiber take part in wound repair
Tpye 1.2.3.4 ,I mark type 1
156. Tissue taken for transplantation from identical twin...true statement
A never rejected
88
B require immunosuppesants
C always rejctd due to minor HLA incompatibility
7th March 2016 (Morning) Surgery by Umeed-eSubah
1.Prozone Phenomenon
2.In Our Culture Patient Support (Edhi, Social Voulteer, Family)
3.Basic Drug Binds (Albumin, globulin, alpha glycoprotein)
4.Portal Hypertension causing dilated Para umblical vein due to (Portal Vein, Hepatic Vein,
Inferior Vena Cava, Hepatic Artery)
5.Bulbous Urethra Rupture - Urine Extravasate into - (Deep Perineal Pouch, Superficial Pouch,
Ischiorectal fossa, urogenital diaphragm)
6. Baby Diper gets yellow due to (Gilbert, Crigller Najar, Biliary Atresia, Hemolytic disorder)
7.Fast Pain Fiber (A alpha,Beta,delta, B or C)
8.PreGanglionic Nerve Fiber (A alpha,Beta,delta, B or C)
9.Cervical Carcinoma - Lymph drains (Internal Iliac, External Iliac, deep inguinal, superficial
inguinal, paraaortic)
10. Pleural Drainage (Area of Max Dullness upper border of lower rib, Midclavicular line 2nd
intercostal upper border, lower border)
11. Azygous Vein and Thoracic Duct Accompanies Aorta
12. Aortic Aneurysm (Medial Necrosis)
13. Left Lung notch formed by (Acending , descending or arch of aorta)
14. Arachnoid space ends (L3-L4, L5, S1-S2, L2)
15. Pudendal nerve in Pudendal canal in ischiorectal fossa
16. Which does not leaves pelvis (obturator nerve, pudendal nerve, ilioinguinal nerve,inferior
gluteal )
17. Old age with gastric discomfort - bruise over hand - Treatment Vit K
18. short arms and legs - long trunk - (X Linked, dominant, recessive, Inherited)
19.Bilesalts absorb from (Ileum, jejunum, duodenum, colon)
20.CEA+, alpha feto protein, ALP Raised, ALT Normal, AST Normal ( CA Colon, Hepatoma)
21.Family history positive , 100 of polyps (Adenomatous, Hamartomatous,)
22.Esophagus Epithelium changes to columnar epithelium- Leads to (Adenocarcinoma,
Squamous cell carcinoma)
23. Cervical epithelium Stratified sqaumous ( Dysplasia, Metaplasia)
24.Tuberculosis Diagnosis (AFB+, Caseous granuloma)
25.autonomic supply from (L1,L2,L3 - S1S2S3 - L2L3L4)
26.Meckel Diverticulum (Allantois, Vitelline)
27.ICAM and VCAM- causes Leukocyte adhesion
28. Clara Cells presents in (Terminal Bronchiole, Respiratory Bronchiole, Bronchi
1. Council man bodies are found in ?
2. Barr Bodies in Klinefelte
3.Left Shift due to (Acidosis, FHb, Inc 23BPG, Inc Altitude Inc Temp)
4. hassel Bach Triangle ( Lumbar hernia, Femoral, Direct Indirect
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(7). Gyane/Obs 7th March Morning by Noor Fatima
1- 1 gram protiens give ? 4kcal
2- Regarding thyroid? Drain in deep cervical lymph node
3- Subarachnoid space ends at ? S2
4- Medial quadrant of breast drain into? Internal thoracic nodes
5- Lateral quadrant of breast drainage?anterior pectoral nodes
6- Symphysis pubis ? secondary cartilaginous joint
7- In males rectum separated from bladder by? Fascia of denonvilliers
8- 1/3rd of total body water?ecf
9- Muscle of sadness and fright which lower angle of mouth slightly downward? Platysma
10- Sacral plexus anterior division branch?a)femoral b)obturator c)post cutaneous n of thigh
d)superior gluteal e)inf gluteal
11- Portal hypertension ,vein dilated?a)inf epigastric b)inf mesenteric c)esophageal
12- Superficial temporal artry accompanied by? Auriculotemporal nerve
13- Common motor pathway?a)descending corticospinal tract b)motor cerebral cortex
14- Intratesticular temperature less than abdominal cavity by?a)1-2 b)2-3
15- Glycocalyx is? Carbohydrate moiety b)charged with sulphate group
16- Hypermagnesemia causes? Dec acetylcholine secretion(bcz it causes dec calcium,dec
presynaptic calcium entry nd so decreased ach)
17- Ureter most narrow at?a) uretropelvic b)when enter in bladder c)at pelvic brim
18- Brain primarily regulated by?A)pH B)Pco2
19- OBJECTives of health programmes are mainly? A)Qualitative statement b)quantitative
c)not influenced by wht hv achieved previously
20- Confidentiality breaks?if pt authorizes u( insurance claim was nt in option)
21- Post streptococcal glomerulonephritis?subepithelial deposits
22- Nitrous oxide safe level in operation theater per day? A)100ppm b)10ppm c)200ppm
23- Inguinal canal posterior wall formed by?cojoint tendon
24- Maternal mortality per?a) 100000 b)1000 (no option of 10,000)
25- Epidural anesthesia given,to inc its duration nd to achieve more sensory nd motor
blockage?a)inc dose b)inc conc c)give with 1;20000 epinephrine
26- 40 year male with yellow sputum b/l lung infiltrates nd left upper lobe consolidation with
air fluid level,in sputum neutrophils present?a)mycoplasma b)staph aureus c)tb
d)adenovirus
27- Motor unit? Muscle fascicle supplied by one motor nerve
28- There is no syphatetic drive nd circulatory collapse occur d/t? a)loss of vasomotor tone
b)loss of venous tone
29- Mifepristone ?antiprogestin
30- Tamoxifen ?estrogen agonist
31- Osteoblasts are multinucleated ? or uncalcified organic matrix Is called osteoid?
32- Stylohyoid ?second arch derivative
33- Pre-eclampsia triggering factr is?endothelial alteration b)fetoplacental circulation
compromised
90
34- Bite cells? G6pd def
35- Blood group antigens on rbcs are?a)glycolipid b)glycoprotein (no option of
glycosphingolipid)
36- Brain autopsy done?liquefactive necrosis
37- For transfer of radicals(atoms)from one group to another?a)oxidoreductase
b)transferase
38- For conversion of glucose 1 phosphate to glucose 6 phosphate require? A)atp
b)isomerase
39- Acute beta 2 blockage causes?a)hypoglycemia b)lipolysis )vasocons in muscles
40- Common cause of non obstetrical death in our country? A)domestic violence b)heart
disease c)tb d)asthma
41- Most common cause of maternal mortality in our country? A)sepsis b)haemorrhage
42- Eating raweggs causes?tapeworm infestation
43- Calculate median (total values were 8,nd middle two were 27,30..median will 27.5)
44- In malaria cause of anemia? A)autoimmune b)hemolysis of para sitized rbcs
45- Golgi tendon organs?muscle tension
46- Lymph node biopsy shows non caseating granuloma?a)sarcoidosis b)amebiasis
c)histoplasmmosis
47- Most frequent is?a)autosomal dominant b)aut recessive c)x-linked d)chromosomal
e)multifactorial
48- Warfarin overdose causes brain haemorrhage immediately give?a)vit k + ffp b) ffp
49- Superior sagittal sinus pressure in standing position?a)+10 b)- 10
50- After ATN which part affected most?a0pct b)loop of henle c)dct
51- Deep ring in fascia transversalis
52- Aspiration of hydrocele,needle does nt pierce?tunica albugenia
53- Councilman bodies?apoptosis
54- Preterm labor? Bacterial vaginosis
55- Breastfed recommened ?within half an hour after delivery
56- Dvt embolus goes into?pulmonary artry
57- pCO2 max in?a)expired air b)insp air c)pulmonary artry d)pulm vein
58- dec release of o2 from hemoglobin d/t? a)dec temp b)inc temp c)hypoxia
59- pain on flexing leg medialy ?pelvic appendix
60- shoulder pain reffered from pleura?c3,c4,c5
61- nerve supply of fibrous nd parietal pericardium?phrenic
62- ureter is in front of?common iliac artry bifurcation
63- ureter is?a)away from utrus b)superior to uterine vessels
64- left suprarenal drain in?left renal vein
65- lymphocyte production nd turnover regulated by?a)thyroid b)zona fasciculate
66- most toxic local anesthesia?bupivacaine
67- vagus nerve?passes through middle of jugular foramen b)beneath subclavian artry
68- burkit lymphoma in AIDS? EBV
69- screening test ?acceptable to general population
70- screening done to detect disease at early stage
71- pain from fingertips by? Abeta fibrs
91
72- NTD? Alpha fetoprotein raised
73- Aftr c section pain in lumbr region?ureter ligated
74- After ejaculation sperm may b stored into? A)ampulla of ejaculatory duct b)seminal
vesicle
75- Cervix lymph drain?internal iliac nodes
76- Boy with testicle swelling,fever ,b/l mandibular angle swelling?mumps
77- Hemophilia gene located on? X chromosome
78- Middle meningeal artrt passes through ?foramen spinosum
79- Labia majora swelling lymph passes to?superficial inguinal medial group
80- IVC commences at?L5
81- Testicular lymph drain into?paraortic nodes
82- Muscle damage in obstructed labor?levator ani
83- Symp supply of midgut?
84- Newborn baby with absent limbs?amniotic band syndrome
85- Thyroid hormone causes?inc FFA
86- Which causes dec production of prostagalndins? A)asprin b) steroids
87- Metaplasia? Functional change in epithelium
88- Vagina? St sq epi
89- Most common cause of male infertility?klinfilter synd
90- Semen analysis abnormal finding?
91- Newborn baby with abdominal swelling covered with membrane?omphalocele
92- Mensturation at 18 day?secretry phase
93- After birth ossification centr present already at?lower end of femur
94- Ist sign of vit A deficiency? Night blindness
95- Pt stand on one foot,drop on left?ritegluteus medius paralysis
96- Fallopian tube?columner epi
97- Goblet ells absent,clara cels present?a)terminl bronchiole b)trachea
98- Bulbourehral gland content of deep perineal pouch
99- Adh nd oxytocin production in?hypothalamus
100- Jaundice in pregnancy?GGT
101- In pregnancy obliteraton of utrus by?decidua basalis capsularis b) capsularis nd
parietalis
102- Memory ?hippocampus
103- Hypothyroidism drug of choice?levothyroxine
104- In diabetic postprandial?inc insulin nd inc glucose
105- Virus causes protein alteration
106- Radiation cause hange in prorto-oncogene
107- Gastric carcinoma ?h pylori
108- Inc BT ?thrombocytopenia
109- Basic drugs bind with?alpha glycoprotein
110- ICAM nd VCAM ?adhesion molecules
111- Pyogenic peritonitis>?bacteroids
112- Diff b/w benign nd malignant tumor? Metastasis
113- Microscopic fature of malignant?invasion
92
114- No lymphatic nodules in?thymus
115- Short stature? Autosomal dominant
116- Pt lying naked heat loss by?conduction
117- Congenital cataract ?rubella
118- Above hilum of left lung ?arch of aorta
119- Pt supported in our country by? A)Edhi b)family
120- Fast pain ?a delta
121- Preganglionic fibers are? B type
122- Pleural drainage site?upper border of lower rib at max dullness
123- Tb confirmation? Acid fast bacillus
124- Somatostatin act on beta cells by?a)paracrine action b)endocrine c)neurocrine
125- Ventricular filling /s3
126- Acrosome reaction by?a)golgi b)lysosomes
127- Brain uses only fuel?glucose
128- Chest pain 6 hours ago? CK-MB
129- Cns myelination?oligodedrocytes
130- LMNL ?flaccid paralysis
131- Recptr acting via phospholipase? Vasopressin mediated sk muscle contraction
132- Neck of fibula fracture? Common peroneal nerve injured
133- In standing person venous return facilitated by? Sk mucles contraction in legs
134- Fright or flight?a) Dec release of bronchial secretions b)inc git motility
135- Atrial fibrillation?pulses deficit
136- Hot sunny day person collapses? Heat exhaustion due to excessive sweating
137- C1 vetebra have no body
138- Inc gfr? Dec plasma proteins
139- Cardiac reserve?
140- Osmosis depend on ?osmoreceptors
141- Betelnut chewing?submucosal fibrosis
142- Tb antibodies are? Cell bound
143- In HIV ? dec helper cells
144- In iron deficiency wht is increased? TIBC
145- Very small particles in respiratrytract removed by?a)ciliary movement
b)phagocytosis
146- ADPKD associated with? A)cerebral haemorrhage b) renal failure
147- Nucleus containing organelle?mitochondria
148- Pseudohermaphrodite?46xxy
149- Aorta give renal artry at?L 2
150- Infection of pretracheal fascia extend to?anterior mediastinum
151- Systemic fungal infection drug of choice ?amphotericn
152- Gastric ulcer pain? Greater splanchnic nerve
153- Withdrawl nociceptive reflex/? Multisynaptic
154- Opsonin ?c3b
155- Alpha adrenergic causes?mydriasis
156- T cells bind with ?MHC
93
157- Thyroid isthumus in front of?2,3,4 tracheal rings
158- Lt circumflex involved area affected? Lt atrium nd lt ventricle
159- DKA pt died d/t? mucormycosis
160- Hypertensive pt ,severe chest pain radiating to back ,died.on autopsy? Medial
calcific necrosis
161- Abdominal angina d/t? superior mesenteric artry
162- In pre mature baby common is? PDA
163- Lumber puncture?ligamentum flavum punctured
164- Testosterone ?inc bone nd muscle growth
165- Oral anticoagulation monitored by?PT
166- Dvt d/t use of? OCPs
167- Liver transplant? CMV
168- Cholangiocarcinoma? Chlonorchis sinensis
169- Femoral artry at?midinguinal point
170- Dec ESR d/t?inc albumin
171- Max clearance of?PAH
172- Rt testicular drain into ?IVC
173- Organelle with double membrane ?nucleus
174- Post communicating?connects PCA with ICA
175- Uncoupling of phosphorylation with inc heat production by?thyroid hormones
176- P53?tumor suppressor gene
177- Most radiosensitive?seminoma
178- Corynebacterium diphtheria most lethal effect on? Heart
179- Sulfer containing amino acid? Cysteine
180- Prim active transport require?pump
181- Fisherman bleeding gums? Scurvy
182- 182-hematocrit
183- Edema due to lymphatic blockage
184- Typhoid in first week? Blood culture
185- Sodium regulation by?osmoreceptors
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94
(8) Gynae / Obs- 8th March 2016; (Morning Session) Nourin Hameed (105)
Paper A upto 70% and paper B upto 50% repeat tha.
1)Gram negative bacteria causes infection of which system
A)Urinary tract
B)Biliar tract
2)What is tachyphylaxis
A)Diminished response developing rapidy
B)Diminished response developing slowly
3. 3)Which vitamin is antioxidant
A)Vitamin A
B)Vitamin E
C)Vitamin k
4)Vein accompanying anterior inter-ventricular vein
A)Great Cardiac Artery
B)Middle Cardiac vein
C)Superior cardiac vein
5)Vessel accompained by Phrenic Nerve
A)Musculophrenic Nerve
B)Pericariophrenic artery
C)Internal carotid
D)Superior Epigastric artery
E)Internal thoracic
6)Post ganglionic sympathetic fibres are present in
A)All spinal level
B)All thoracic level
C)All cervical level
7)Patient came with vaginal dischrage,whitish curd like,causative agent
A)Chlamydia
B)Trichomoniasis
C)Candida
8)Structure in the oral cavity covered by stratified squmous epithelium
A)Palatine Tonsil
B)Thymus
9)Postganglioic sympathetic nerves doesn't release
A)Acetylcholine
B)aDRENALINE
C)Dopamine
10)Sulphur containg amino acids include
A)Methionine
B)Glutamate
C)Lysine
11)Cause of Edema
A)Decresed Hydroststic pressure
B)Decreased Colloid pressure of ECF
C)Lymphatic obstruction
12) Per mint perfusion of 100g brain tissue per minute
A)10-15 ml
B)20-30 ml
C)50-55ml
95
D)95-100 ml
E)100-105 ml
13)Glucocorticoids
a. Decrease FA uptake by liver
b. Decreasd lipolysis
c. Deceased proteolysis
d. Decrease glucose utilization by cells
14) Myxoid degeneration is mostly associated with
a) carcinoid valve disease
b) infection endocarditis
c) libman endocarditis
d) marantic endocarditis
e) mitral valve prolapsed
15)Common Longest bone fracture
Tibia
Femur
Clavical
Humerus
16)-Howship lacunae contain
Chondrocyte
Chondrblast
Osteoblast
Osteocyte
17)Internal carotid different from extrrnal carotid by
A)Branches in neck
B)More pulsatile
C)More deep in the neck
18).Disease in which immunological test is of diagnostic value
A.hydatid disease
B.amoebic liver abcess
19)First bone ossified is
A)Clavicle
B)Humerus
C)Sternum
20)Femoral Nerve root valve
A)L3,4,5
b)s1,s2
C)L2,3,4
21)Tunning fork placed on head sensations percieved by
Paccinian corp
Merkle
Messiner
22)abt trigeminal nerve
Divide in merkl cave
Hv 3 nuclei
Gives sensory brnch to angle of jaw
23)Last end of spinal cord surrounded by dura,pia,arachnoid end at the level of
A)S1
b)s2
C)L1
96
D)L2
E)Coccygeal level
24)Vein accompanying anterior interventricular artery
A)Middle Cardiac vein
B)Great cardiac vein
C)Superior Cardiac vein
25) Right border of heart on chest X-ray is partly is formed by
a- right ventricle
b- SVC
c- SVC+Rt Atrium
26)True regarding thyroid gland
A)Epitheilum changes its shape
B)Isthmus lies above cricoid cartilage
27)Breast medial/Lower compartment doesnot
A)Pectoral lymph nodes
B)Supraclavicular lymph nodes
C)Inferior phrenic lymph nodes
28)Structure present in the lateral vaginal fornex
A)Ureter
B)Fallopian tube
C)Ovaries
29)Paccinian corpuscles respond to
A)Rapidly adapting vibration
B)Slowly adapting vibration
C)Touch
D)Two point discrimination
30)Free nerve endings
A)Detect only pain
B)Are non encapsulated
31)Pus contain
A)Dead bacteria
B)Dead neutrophils
32)Structures not present in post ganglionic sympathetic fibres
A)Noe-adrenaline
B)Adrenaline
C)Dopamine
D)Acetyl Choline
33)True about CSF
A)Inc K than Plasma
B)Decreased Glucose
C)Decreased Specific gravity
D)Decreased chloride than plasma
33)Which part of brain has role in memory
A)Frontal lobe
B)Parietal lobe
34)RBCS are
A bioconvex
B nonfragile
C have nucleus
D have glycolytic enzyme activity
97
35)erythropoietin is sec by
mesengial cells
peritubular capillary
36)Factor viii is produced by:
a. hepatocytes
b. kuffer cell
c. bone marrow
d. spleen
e. Thymus
37)Patent with low Hb and had mulpitiple ulcers the body ,type of anemia
A)Sickle Cell
G6Pd deficiency anemia
38)Patient with jaudice.Had low Hb and increaed reticulocytes count.Type of anemia
A)Hemolytic anemia
B)G6PD deficiency anemia
39)Muscle hepling in opening the jaw
A)Medial Pterygoid
B)Lateral pterygoid
C)Cricothyroid
40)True about paltelets
A)4-8 micron in size
B)alpha granules release serotinin
C)Half life is about 10 days
D)Count increases after splenectomy
41)Tubular structure having tubular glands in laina adventitia and surrounded by three layers of
smooth musvles
A)Ureter
B)Urinary bladder
42)Growth hormone secretion is inhibited by
A)Sleep
B)Somatostain
C)Pubert
D)Exercise
43)Hormone causing incresed follicular growth and maturation
A)Lh
B)FSH
C)Estrogen
D)HCG
44)Pregnat lady had viral infection during pregnancy.She was worried when she read on
internet taht a type of viral infection is lethal in pregnancy.Which type of viral Infection could that
be?
A)Hep A
B)Hep B
C)Hep D
D)Hep E
45)Patient had HSV infection.Epithelium changes its shape with increased tendency of
metastasis.Type of Change?
A)Dysplasi
B)Metaplasia
C)Hyperplasia
98
46)Myeloperoxidase is present in
A)Platelets
B)Basophils
C)Neutrophils
47)Type of hypersensitivity in erythroblastosis fetalis
A)Type 1
B)Type 2
C)Type 3
D)Type4
48)Patient had sore throat and streptococcal infection.He may also be suffering from
A)Hepatitis
B)Gastroenteritis
C)Glomerulonephritis
49)Which of the fallowing is carcinogen
A)CO
B)Asbestos
C)cisplatin
50)Bladder ca is caused by
A)Schistosoma mansonin
B)Schistosoma Hematobium
51)Allele is
A)Non fragmented gene
B)Non identical gene
C)Structural gene
52)Characteristic of malignancy
A)Pleomorphism
B)Invasion
53)Hamartoma is
A)Malignant tumor
B)Totally benign
54)Protein concentration in exudate
A)1-2 gm
B)2.5-4 gm
C)Above 4 gm
55)Patient had high Calcium,low phosphate,high parathomone,Cause?
A)Primary Hypoparathyroidis
B)Secondy Hypoparathyroidism
C)Chronic Renal Failure
D)Vitamin D deficiency
56)Patient is on Glucocorticoid for long time.She will have all of the fallowing Except
A)Moon facce
B)Hpotension
C)Thin skin
D)Hypertension
57)Most important thing in doctor patient relation is
A)Mutual relation
B)To clarely explain the disease situation
58..which of the following brain vesicle first appear
A.telencephalon
B..diencephalon
C.metencephalon
99
D.myelencephalon
E.mesencephalon
59.parathyroid related question
A.supplied by superior thyroid artery
B. Present posterior to thyroid lobes
60.aortic aneurysm at aortic opening in diaphram
Which structure will b compressed
A.azygous vein
B.hemiazygous
C.azygous+thoracic duct
61..incidence ki definition was in option
62.most common prim cause of HCC in developing countries
A.hep B &C
B.hep B
C.Hep C
D.alpha 1 antitrypsin deficiency
63.a boy with fracture,serum calcium was 8.2
Excrete calcium in urine
A.vit D deficiency
B.prim hypoparathyroidism
.Bmr in resting condition maintained by
A.liver
B.brain
C.heart
65.intervertebral disc forms 1/4 of vertebral columb
66..loss of nuclei in RBCs occur at which stage
A.reticulocyte
B.proerythroblast
67..septic shock mostly due to
A.gram negative
B.gram positive
68.More than 90% patient of anthrax having manifestation of
A.skin
69..stimus fr central chemoreceptos
A.pco2
70.1 litr of normal saline infusion causes
A.inc plasma osmolarity
B.dec urine osmolarity
C.inc urine osmolarity
71.pulm embolism cause
A.thromboembolism
72.Lobar pneumonia inveatigation was asked
A.sputum culture
B.blood culture
73.cell swelling sec to hypoxic injury cause will
A.entery of water in cell
B.protein accumulation in cells
C.lipofuscun accumulation
D.glycogen break down
74.in black woumd healing was asked, healng will
A.keloid
100
B.premalignant lesio
C.premalignant change
75..thorn prick abcess
A.staph aureus
76.cell junctions dont allow movement
A.gap junction
B.tight junction
77..in human blood
A.wbcs more than rbc
B.platelets more than rbc
C.iron binds to hemoglobin
78.a terminal ill patient with t3N1M1 stage, having less than five yr survival,
What wll b seen commonly
A.cachexia
B.Hypertension
79.Not synthesized by postganglionic sympathetic
A.dopamine
B.adrenaline
C.ac
80..increased bioavailibility
A.metoclopramide
B.Cyclizine
C.Dapsone
81..medical ethics
A.same as hippocratic oath
B.code of conduct of doctor
82.True about anal canal
A)Upper part drained by superficial inguinal lymph nodes
B)Supplied by both superior and inferior Rectal arteries
C)Inferior Rectal vein drains into Infeior mesenteric vein
83.True about Second degree heart block
A)Shortening of PR interval
B)Ventricular depolarization pattern is disturbed
C)More prone to develop ventricular tachycardia
84.True about Progesteron
A)Plays no role in breast development
B)Not secreted in pregnancy
C)Increased amount results in onset of menstruation
D)Decreased amount results in onset of menstruation
E)Increased amount causes abortion
85.Young patient with peritonsillar abscess.Causative agent?
A)Diphtheria
B)Streptococcus
C)Staphlococcus
86.Aspirin and other NSAIDS work by acting on
A)Lipoxygenase
B)Cyclo-oxygenase
C)HMG Co A reuctase inhibitor
87.If ovarian cycle duration is 21-23 days ,when will the ovulation takes place
A)7-9 days
101
B)14th day
C)18-20th day
D)19-21 th day
88.Substance not increaed during pregnancy
A)Thyroid hormone
B)Growth hormone
C)TIBC
89.Drug used to treat Endometriosis
A)Danazole
B)Flutamide
C)Tamoxifen
D)Ketoconazole
90.Patient presented with butterfly rash and proteinuria.The most diagnostic investigation would
be
A)Anti-double stranded DNA
b)ASO titre
C)LE cells
91.Toxoplasmosis is
A)A parasite
B)A helminth
C)A virus
D)A bacteria
92.Trachoma is caused by
A)Candida
b)Chylymydia
C)Streptococcus
93.Sympathetic adrenergic stimulation causes
A)Contraction of radial musles of iris
B)Glycolysis
94.Increase Ejection fraction causes decrease in
A)End diastlic volume
B)End systolic volume
95.Osteocytes convert into bone cells due to the effect of which hormone
A)FSH
B)Thyroxine
C)Parathormone
96.Following has lymphoid tissue with surrounding stratified squamous epithelium ...
A.. Lymph node
B..palatine tonsil
C..spleen
D..ovary..
97.Which brain vesicle appears first
A)Telencephalon
B)Diencephalon
C)Metencephalon
D)Mesencephalon
98.Iron stored in parenchymal tissue in the form of
A)Hemosiderin
B)Ferritin
99.Which ligament has both intra as well as extrapelvic extension
A)Round ligament of uterus
102
B)Round ligament of ovary
C)Suspensory ligament
100.Microtubules are present in
A)Mitochondria
B)Centrioles
C)RER
101.Skin of scrotum is supplied by
A)Genitofemoral nerve
B)Ilioinguinal nerve
C)Femoral Nerve
102.A woman in labor room had excessive bleeding and was hypotensive.She had IUD on
ultrasound.Initial management would be
A)Evacuation
B)Fluid replacement
C)Oxygen therapy
103)the ascent of horse shoe shaped kidney is prevented by
a external iliac
b inferior mesenteric
104)urogenital diaphragm attached laterally to?
A.inferior remus of pubis and ischial ramus
B.ischial spines
C.ischial tuberosities
D.obturator internus facia
E.tip of coccyx
105)Correct sequence of events ?
A. Damaged valve, thrombus , perforation , emboli
B. Damaged valve , perforation , thrombus , bacteremia
C. Damaged valve , bacteremia , thrombus , perforation
D. Bacteremia , thrombus , perforation , emboli
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103
9. Radiology 7th March 2016 by loa loa and Asfandyar Bhittani (122)
1.Trigeminal ganglion location
2.which lies posterior to the posterior part of internal capsule- Ans.Optic radiation??
3.testicular carcinoma 1st metastases
Superfacial inguinal lymph nodes(ans)ref:robbins
Renal lymph nodes
Deep inguinal lymph nodes (paraortic was not in option)
4.anterior relation of left kidney attached directly without membrane
Spleen
Duodenum
Pancreas(ans)
Stomach
5.axons of vestibular nucleus ends at
6.lymph nodes of lower internal mammary lymph nodes into except
Pectoral nodes (ans)
Inferior phrenic nodes
Supraclavicular noded
Suprasternal nodes
7.pectrol lymph nodes drain maximum
Major part of breast
Upper part of anterior trunk(ans)
Upper part of posterior trunk
8. About vagus nerve
Leaves the skull through jugular foramen (ans)
Relaxtion of esophageal muscles
9.fragile x syndrome
Trinucleatide repeat
10.which structure passes anterior to the left lowest part of the pancreas head
Sma(ans)
Ima
11.which stucture passes through esophageal hiatus
Vagus trunk right vagus(ans)
Phrenic nerve
12.9 yr boy with joint and bone pain also anemic
Sickle cell(ans)
Beta thalessemia
13. L1 L2 ends at
Inferior hypogastric plexus(ans)
Inferior mesenteric plexus
Superior mesenteric plexus
14.detrusor nerve supply
Parasympathetic pelvic nerves (ans)
Inferior hypogastric plexus
15.portal vein tributary
Hepatic vein
Inferior epigastric vein (ans)
16. Hepatoma will early compress
Portal vein(ans)
Cystic duct
Hepatic artery
104
17.portal vein tributary
Left colic(ans)
Inferior epigastric vein
18.adrenocortical deficiency causes
Hyponatremia (ans)
Alkalosis
19.herpes zoster nerve involved
Trigeminal nerve(ans)
Facial nerve
20. Regarding inguinal canal
Roof formed by conjoint tendon(ans)
Extends from anterior superior iliac spine to pubic tubercle
21.which bronchas of lung is supplied by endartrial artey?
Middle lobe
Superior lobe
Inferior lobe
22.after chemotherapy
Apoptosis
23.cerebral blood flow regulation
Pco2(ans)
H+
Po2
24.malarial parasite transfer in which form in man
Schizont
Sporozite(ans)
25.in embyo lung is covered by mesotheliam which later form which layer
Visceral pleura( i marked)???
Parietal pleura
Costodiaphragmatic recess
26.anterior to pancreas is
Stomach
Lessar sac(ans)
Splenic vein
27. Hepatoduodenal ligament transmits
Portal vein(ans)
Pancreatic duct
28. In surgery hepatoduodenal ligament is injured which artery will be affected
Hepatic artery (ans)
Cystic artery
29.a man having echomosis.. able to stand on toes but have pain
Planteris tendon rupture(ans)ref:dr mehtab notes in group
Achiles tendon rupture
30.in hemolysis hb bind to
Haptoglobin
31.in mastectomy which nerve is damaged
Spinal accessory nerve
Long throcic nerve(ans)
32. Most common congenital anomaly of head and neck
Cystic hygroma
Cleft plate(ans)
33.extraembyonic mesoderm derived from
105
Epiblast
Hypoblast(ans)
Endoderm
35.beta thalessemia scenrio
36.right eye swelling.... radiological study of orbit is normal
Meningioma
Glial gloma
Retinal arteries obstruction
37.most commonly fructure of bone after 60 yrs
Neck of femur (ans)
Shaft of femur
36.parathyriod enlaged cells... Oxyphil , chief cells , both????
37.ques abt ankle joint..
Deltoid ligament lies behind middle maleolar
39.visual area is supplied by
Pca(ans)
Mca
40. Mandibular branch of Trigeminal nerve passes through
Foramen ovale(ans)
Foramen rotandum
41.middle cerebral artry is branch of
Internal carotid arted artery(ans)
External carotid artey
42.type 3 reaction
Arthus
43. Myelin form in cns
Oligodendrocytes(ans)
Schwan cells
44. Preganglionic fibers
B fibers
45. Cardiac reserve( rabia ali mcq)
46.Most common Inheritance pattern
A. Autosomal Dominant
B. Autosomal Recessive
C. X-linked recessive
D. Multifactorial(ans)
47.necrosis in brain
Liquefactive(ans)
Coagulative
48.fructure humate bone
Ulnar nerve(ans)
Radial artery
49.antibodies in pernicious anemia
Antiparietal antibodies (ans)
Antityroxin antibodies
Warm antibodies
50.collection of mix blood from
Pulmonary artery(ans)
Pulmonary vein
Left atrium
51. Scienerio of achondroplasia
106
Autosomal Dominant (ans)
X.linked recessive
52. ivu kidney more prominent ..
Calyces (ans)
pelvis
pyramids
53.which of the following is responsible for maintaining body in shock
Adreno sympathetic ( ans) ???
Cns ischemic response response
54.thyroid follicles that release hormone are derived frm..
Endoderm(ans)
mesoderm
56.spinal cord ends at...
L2,
lower border of l1...(ans)
57.epidural space contains....
Venous plexues
58.most common dislocation of TMJ...
Anterior
posterior
lateral...
59.sa node is pace maker bcux...
Top of rt atrium(ans)
Lower part of sulcus terminalis
Something like in between conducting pathway
60.major supprt of utreus (ligament)
Broad ligament
Transverse cervical ligament (ans)
61.thyroid
Drains to deep cervical lymp nodes
62.clostridium botulinum
Flacid paralysis
63. slow growing tumor of thyroid
Papillary carcinoma (ans)
Medullary carcinoma
65. sensry loss on lower surface of deltoid musle and femur bone fructure nerve involved
Axillary nerve(ans)
Musculocutaneus
66. fractur of neck of humrus nerve damaged
Axillary nerve
67. Regarding cephalic vein
Arises from medial side of dorsal arch
Lie between deltoid and pectoralis major muscle(ans)
68.nerve that supplies extensor of arm arises from..
Lateral cord
medial cord
posterior cord(ans)
69.a 60 yrs old man develops pain in calf muscles aftr walking 100 yards pain is due to...
Popliteal (ans)
posterior tibial
70. Ulcer 2nd part of duodenum which arty will u ligate
107
Gastroduodenal artery(ans)
Right gastric artery
71.10 yrx boy repeated visits to opd with pallor frontal bossy
thalasemia major(ans)
Thalasemia minor
Sickle cell disease
72.renal vein lies posterior to
Renal artery
Pancreas
Aorta
Sma(ans)
73.vagina and utrus epithelium frm
Endoderm
Mesoderm
Endoderm and mesoderm
74.parathyriod enlarged cells...
Oxyphil
chief cells
both
78.lumber triangle anteriorly bound by posterior border of
Extrnal oblique
quadratis lumbrm
Serratus anterior(ans)
79. Regarding sarcoma
Increased vascularity
80.icam nd vcam
Leukocyte adhesion
81.Mononucleosis. Stucture most likely to be damaged even on minor trauma
A. Liver
B. spleen(ans)
C.Gall bladder
D. Pancreas
82.Barium swallow Feathery appearance in left abdomen
A. Jejunum(ans)
B. Ileum
C. Stomach
83.Damage to middle cranial fossa. No lacrimation. damage to
A. Ciliary ganglion (ans)
B. Greater petrosal nerve
84.In spermiogenesis acrosomes are synthesized and secreted by
A. Lysosomes
B. Mitochondria
C. Golgi complex (ans)
D. Endoplasmic reticulum
E. Peroxisomes
85.Which of the following is not isotonic to plasma
A. 0.9% N/S
B. 5% D/w(ans)
C. Plasma protein fraction
D. Ranger lactate
E. 1.2% sodium bicarb
108
86.Highest Pco2 in
A. Expired air
B. Alveoli
C. Pulmonary artery(ans)reference guyton
D. Pulmonary vein
87.pregnant lady Jaundice Stone in bile duct. most important investigation
A. Ggt(ans)
B. Alkaline phosphatase
C. Alt88
D. Ast
88.Somatostatin acts on beta islet cells
A. Apocrine
B. Holocrine
C. Paracrine(ans)
D. Neuroendocrine
E. Endocrine
89.Glucocoticoids inhibit
A. Corticotropin
B. insulin
90.Most common Inheritance pattern
A. Autosomal Dominant
B. Autosomal Recessive
C. X-linked recessive
D. Multifactorial
91.Exocelomic membrane derived from?
A. Somatopleuric mesoderm
B. Splancnopleuric mesoderm
C. Hypoblast
D. Epiblast
92.Very small particles in respiratory tract are cleared by
A. Ciliary transport
B. Phagocytosis
C. Expectoration
D. Mass movement
93.Jaundice Stone in bile duct. most important investigation
A. Ggt
B. Alkaline phosphatase
C. Alt
D. Ast
94.External urethral sphincter related to which part of prostate
A. Lateral
B. Posterior
C. Base
D. Apex
95.Barium swallow Feathery appearance in left abdomen
A. Jejunum
B. Ileum
C. Stomach
96.Trauma to head. No lacrimation. damage to
A. Ciliary ganglion
B. Greater petrosal nerve
109
C. Cervical sympathetic
don't remember exactly
97.Parathyroid hyperplasia involves
A. Oxyntic cell
B. Chief cells
C. Oxyntic + chief
98.Adreno cortical insufficiency cuases
A. Alkalosis
B. Hyponatremia
C. Hypokalemia
D. Hyperglycemia
99.Most common TMJ dislocation
A. Anterior
B. Posterior
C. Inferior
D. Lateral
100.Unilateral painless bulging of eye. blood profile normal. Radiologic study normal
A. Meningioma
B. Glioma of optic nerve
C. Graves
D. Mets
E. Thyroid ophthalmopathy
101.Which of the following is not isotonic to plasma
A. 0.9% N/S
B. 5% D/w
C. Plasma protein fraction
D. Ranger lactate
E. 1.2% sodium bicarb
102.Phospholipase most likely to be inhibited by
A. Steroids
B. Aspirin
C. Streptokinase
103.Eparterial bronchus is related to
A. Right superior
B. Left superior
C. Right middle
D. Right inferior
E. Left inferior
104.First observable sign of irreversible cell injury in cardiac cell
A. Clumping of nuclear chromatin
B. Hydropic change
C. Cell Swelling
D. Contraction bands in cytoplasm
105.Lumbar triangle bounded anteriorly by
A. External abdominal oblique
B. Litissimus dorsi
106.Anterior relation of left kidney directly without intervening peritoneum
A. Spleen
B. Duodenum
C.Pancreas
110
D. Stomach
E. Jejunum
107.Uterus and vaginal epithelium derived from
A. Endoderm
B. Mesoderm
C. Endoderm + Mesoderm
D. Mesoderm + Ectoderm
108.Major support of uterus
A. Transverse cervical ligament
B. Uterosacral Ligament
C. Pelvic diaphragm
D. Urogenital diaphragm
109.IVU of kidney done. Most prominent part would be
A. Calyces
B. Pyramid
C. Medulla
D. Cortex
110.Somatostatin acts on beta islet cells
A. Apocrine
B. Holocrine
C. Paracrine
D. Neuroendocrine
E. Endocrine
111.Anterior to left renal vein
A. Inferior mesenteric vein
B. Aorta
C. Renal artery
D. Pancreas
112.Most common head and neck congenital anomaly
A. Cleft lip and palate
B. Preauricular cyst
C. Problems of ear
D. Cystic hygroma
113.Most important response as a whole
A. Sympathetic/adrenocortical stimulation
B. Brain Ischemic response
114.Highest Pco2 in
A. Expired air
B. Alveoli
C. Pulmonary artery
D. Pulmonary vein
115.Postpartum hemorrhage caused ARF. structure most likely damaged is
A. Pct
B. Dct
C. Ascending loop of henle
D. Descending loop of henle
E. Collecting duct
116.In spermiogenesis acrosomal reaction occurs by
A. Lysosomes
B. Mitochondria
C. Golgi complex
111
D. Endoplasmic reticulum
E. Peroxisomes
117.Fracture of hamate can damge?
A. Radial artery
B. Radial nerve
C. Ulnar nerve
D. Median nerve
E. Flexor carpi ulnaris
118.Detrusor muscle is supplied by
A. Pudendal (S2-4)
B. Parasympathetic (S2-4)
C. Inferior hypogastric plexus
119.Axons of vestibular nuclear complex ends at
A. Dentate
B. Granular layer
C. Cochlear
plz add options
120.Posterior most in the posterior limb of internal capsule
A. Optic radiations
B. Corticospinal tract of upper limb
C. Corticospinal tract of lower limb
121.Pain in left calf on walking relieved by rest. Involves
A. Popliteal artery
B. Post tibial
C. Ant tibial
D. Profunda femoris
E. Femoral
122.Mononucleosis. Stucture most likely to be damaged even on minor trauma
A. Liver
B. spleen
C.Gall bladder
D. Pancreas
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112
(10.) Community medicine 7th March 2016 (Morning) by Qaisar Javed (90+85)
Paper-1 (90 )MCQS
1. True about Glycocalyx - fuzz like coat on external surface??/ carrier protein/ lipid mem
2. Hypermagnesemia - Decrease release of Ach/ hyperreflexia?
3. Brain regulated by - Pco2
4. Confidentiality breach - if pt auth you
5. H202 in which organelle - peroxisomes
6. Cannot regenerate- Lens
7. True statement -osteoblasts/clast are multinucleated or Uncalcified organic matrix is called
osteoid - Question/Stems not properly recalled..
8. 2nd arch derivative- Stylohyoid
9. Liquefactive necrosis - in brain
10.Tfr of radicals(atoms) from one gp to another- oxidoreductases
11.Caculate median - 27.5 Answer
12.Golgi muscle tendon - tension /relaxation info ??
13.ILD non caseating granuloma with hilar nodes- Sarcoidosis
14.RBC antigen - Glycoprotein / Glycolipid ?
15.Most common genetic disorder - Multifactorial
16.Muscle of fright and Sadness- Platysma
17.Throid lymph Drainage- deep cervical lymph nodes
18.Temporal artey realted - Auriculotemporal nerve
19.Acute Renal failure part affected - Pct?? / loop of henle
20.Irreversible cell injury in myocardium- Contraction bands in cytoplasm?? / Nuclear chromatin
appearance
21.DVT emboli - Pulm artery?
22.Pco2 max in - Pulm Vein/ pulm artery ??/ expired air
23.Shoulder pain referred from pleura - C345
24.Lt suprarenal drain - Lt renal vein
113
25.1/3rd body water - ECF
26.Councilman bodies seen - Apoptosis
27.Basic drug binds - alphaglycoprotein
28.Case control typical scenario - disease and not diseased
29.ICAM and VCAM - adhesion molecules
30.Symphysis pubis joint - Secondary cartilaginous joint
31.Pyogenic peritonitis - Bacteroids
32.Diff Malignant and Benign tumor - Invasion? / metastasis
33.Microscopic feature Malignant tumor - invasion
34.Metaplasia - epithelium change
35.Goblet cells covert to Clara- Terminal bronchioles
36.No lymph nodules - Thymus (spleen/lymph nodes..)
37.Megalobalstic anemia invest - Intrinsic factor antibodies
38.Scenario Achondroplasia - Autosomal dominant
39.Pt lying on bed at room temp - Conduction
40.Middle meningeal artery - Foramina Spinosum
41.Incr PT and PTTK - Vit K def ?
42.Wound strength - Type III collagen
43.Decrease Gentamicin clearance in old age - Decrease renal func
44.Lower limit of subarachnoid- s2 (L2 / ..)
45.Above hilum lt lung - Arch of aorta
46.Congenital cataract- Rubella
47.Virus act by - altering proteins synthesis
48.No valves seen in - SVC (IVC/..)
49.Pt support in our culture - family
50.Fast pain fibre- A delta
114
51.Preganglionic nerve fiber- Beta fiber?
52.Pleural drainage- area of max dullness at upper border of lower rib
53.TB Dx - sputum AFB
54.Extraembryonic coelomic membrane - endoderm
55.Somatostain acts on beta cells - paracrine/holocrine/autocrine/endocrine/neuroendocrine
56.Not isotonic to plasma - 1.2% HCO3 ?
57.Ventricular filling - 3rd heart sound
58.Glucorticoids inhibit - Corticotrophin?
59.In spermiogenesis Acrosome - Lysosome/ Golgi
60.Organ which utilizes glucose - brain
61.pt came at 2am with chest pain - CKMB (No other best options were there)
62.Lower motor neuron lesion - flaccid paralysis
63.CNS myelination - Oligodendrocytes
64.Receptor action via Phospholipase C - Vasopressin induced smooth muscle contraction
65.Flight or fright Stimulation- Decrease release of bronchial secretions ( pupillary
constriction/Incr GI motility)
66.Atrial fibrillation - Pulse deficit
67.Hot sunny day, sudden collapse - Excessive sweating
68.C1 vertebra feature - lacks vertebral body
69.Pulse pressure max at - renal artery/ pulm artery/...?
70.Dec plasma proteins - Inc GFR
71.Cardiac reserve- Max % by which CO can be inc above normal
72.Osmosis depends?? - no of partices ?
73.1 litre blood loss late to adjust ?? - rbc mass/ renin/ aldosterone
74.Incr TPR ?? - ??
75.5% dextran in large amount given - adh inhibition?
76.Plasma mem - 100nm/ extent to size of membrane??
115
77.Cardiac pleural serous mem supplied by ?? - cardiophrenic/vagus
78.Betel nut -submucosal fibrosis
79.In preg jaundiced Inv performed - GGT
80.TB antibodies are - Cell bound
81.Regarding ?? - Hiv dec helper cells ?
82.Mot imp response as a whole - CNS ischemic response / sympathetic adrenal response
83.Corticosteroids anti inflammatory action by - ??
84.In Iron def anemia in pregnacy, Increased - TIBC
85.Very small particles in respt ract cleared by - ciliary / phagocytosis
86.APKD assoc - renal failure/ cerebral hrmorrhage
87.Acute glomerunephritis proteinuria- Basement mem defect / subepithelial deposit/IgG dep
Basement mem
88.Organelle having nucleus ? - Mitochondria
89.Motor unit - muscle fascicle innervated by single motor nerve fibre
90.Vagus nerve true? - passes thru middle of jugular foramin / beneath subclavian artry in neck
7th March 2016 (Morning Shift) Community Medicine Paper 2
1.Vit A dose 2 yrs age, prevention - IU
2.Riboflavin def .. staple diet.. rice?
3.Another vit def assoc with Niacin?
4.Vit A highest in ? Potato> green leafy veg
5.Scenarios related to persuation
6.motivation
7.Counselling
8.propaganda
9.Symposium
10.cause specific fatality rate scenario
116
11.Incidence formula - denominator
12.rabbit disease- tularemia
13.echinococuus granulosis- transmission dogs? sheep cattle fish
14-15.cas control scenario-- 2-3 scenarios
16-17.cohort scenario 2-3 scenarios
18.positively skewed curve - Mean>Mean>Mode
19.pinworm Rx
20.Human dev index composition
21.community participation scenario
22.Integrated health realted scenario
23.Secondary attk rate numerical
24.case fatality rate numerical
25.OCD Scenario- Personality disorder
26.Scenario- lack of awareness among community
27.MCHC succesful... comm participation
28.Primordial prevention
29.disability- tertiary prev
30.Use of helmet for motorcycle- Prim prev
31.Impairment Definition
32.neonatal mort rate- shows late fetal deaths
33.snowstorm apperance- silicosis
34.Improving working environment --- scenario
35.DM is inc in dev countries -- different suboptions
36.Vasculotoxic Russel viper? common krait
37.p value .. alpha error definition
38.pt not treated by local dr but sent to tertiary care for atls mngmnt.. First lvl referral .. other
options prim /sec/ ter prev/first lvl care
117
39.Lead time - def
40.convalescent carrier?? Definition
41.min percentage of essen fats for CHD patient- 10% of energy intake
42.mild/moderate arm circumference in anthropometric measurement
43.waterloo class for growth charts
44.PEM min protein lvl below % -- 7?
45.Obese pt , essential fats limited to - ?%
46.human milk contain protiens- 1-2 gm
47.Diphtheria immunized 2 yrs bk... again rx? Penicillin + Acitive or passive immunity
48.dewdrop lesion - chicken pox
49.mid arm circumference in children mild/moderate - 12.5-13.5cm
50.CHD and Cataract infection -- Rubella
51.TB mother .. child tuberculin positive -- rx ? BCG, BCG+ATT, INH for 3months, Ig
52. Amenorrhea and sterility --- caues?? lead, mercury , etc ?
53.rate - numerator in denominator
54.HTN & IHD in male and female --- confounding factor- female sex ?
55.sensitivity incr - specifity dec
56.Vit A def- Night blindness
57.female gathering , awareness on cancer common-- breast CA
58.non modifiable factor - cigarette smokingr
59.Alcohol and LDL assoc being studied lead to MI assoc -- this is called ?
60.Diabetes screening- urine test for glucose or BSR?
61.Viral Infec not causing congenital abnormality?? HIV, HSV, HZV, Rubella, CMV
62.IgE - hypersensitivity
63.igG - Most abundant
64.Targeted screening- workers of factory
118
65.Population doubling time for growth rate 3% - 20-25 yrs
66.Decreased population growth of country analysed by -- Inc mortalilty rate ?
67.Net reproduc rate - assoc with mortality rate
68.median in given calculations= 27.5 answer - past paper
69.Demographic Cycle- Pakistan entered 3RD STAGE
70.tetanus campaign by unicef = < 1 case per 1000
71.Worms in feces by eating pork - T.solium
72.Ozone depletion by factories- by CFC
73.Green house effect mainly by- CO2
74.Air pollution- Soiling index
75.Strength of sewage - Biochemical O2 demand
76.ILD with non caseating granuloma and hilar lymp nodes- Sarcoidosis
77.LBW < 2.5 kg weight
78.Smoking in pregnancy-- IUGR
79.Wheel of causation - main component-- HOST
80.Fecal contamination recent - e.Coli?
81.Adding saccharide in ice cream - Food additive
82.Critical Path method - Network analysis
83. Snake bite Immobilze pt
84. Teaching Ors prep to mothers Demonstration
85. Stratified random sampling
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The End- Compiled by : Amlodipine Besylate
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1
4th & 5th April-2016- Papers of all Specialties (1032 MCQS)
[ Index- Check List ] Compiled by : Amlodipine Besylate
(1) Medicine & Allied 4th April 2016 (Evening Session) by Miqdad Haider(200 MCQS) Page#1
(2) Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS) P#9
(3) Surgery & Allied 4th April 2016 (Evening session) by Neelum Agha (195MCQS) P#24
(4) Surgery 4th April 2016 Morning by Usman Dawar & Mir Karimshah(92+30) Page#32
(5).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#36
(6). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#50
(7). Anesthesiology 4th April 2016 Morning Aly Samnani (80) P#57
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(1)Medicine & 4th April 2016 (Evening Session) by Miqdad Haider(200)
APRIL 4, 2016 EVENING, MEDICINE AND ALLIED PAPER 1 AND 2 By: Miqdad Haider
(PCDA Pakistani Cuban Doctor Association) Please point out errors and make errata. I have tried to mark maximum answers
(from books/this group/internet) but still wasnt sure about some questions. So your feedback will be welcomed. It has been t ried to
put the most accurate answer, but you never k
to all members of the group who contributed in compilation of this paper by posting questions after their paper and by partic ipating
in
the discussion (Esp. Med Med, Asad Saleem).
1. Labetalol acts on
a.Alpha and Beta receptors * (ans) b.Alpha receptors c.Beta receptors
2. Neuron peak of Action potential
a.Electric gradient tend to send Na into the cell* (ans)
b.Concentration gradient send Na out of the cell
c.Electric gradient tend to send K out of the cell
d.Concentration gradient send K in of the cell
e.Another option about Chloride
3. Embryological counterpart of Mullerian tubercle is:
a.Pineal body
b.Seminal colliculus* (ans)
c.Vas deferens
4. Most common acquired cause of thrombus/embolus
a.Protein c deficiency
b.Protein s deficiency
c.Antithrombin III def
d.Antiphospholipid antibody syndrome* (ans)
5. Most important clinical feature of water intoxication
a.Slow pulse* (ans)
b.Distended neck vein
c.Pulmonary edema
6. Proteins that escape into tissues from blood vessels :
a.Reabsorbed by lymphatic system* (ans)
b.Convert to be a part of defence system
c.Involve in metabolic activity
7. Thirst is decreased by
a.Increased plasma osmolarity and decreased plasma volume (ans)
b.Increased plasma osmolarity and increased plasma volume
2
c.decreased plasma osmolarity and decreased plasma volume
8. Patient with Mitral stenosis,,, and a-fib, now ischemic stroke. Pathogenesis?
a.Thrombus
b.Emboli* (ans)
9. Increased salivation by Parasympathetic system associated with vasodilation due to:
a.VIP
b.GIP
c.Ganin
d.Substance P* (ans)
10. Hypothalamus inhibits the following hormone
a.Prolactin (ans)
11. Which of the following veins drains into coronary sinus and itself becomes part of coronary
sinus?
a.Great cardiac vein* (ans)
b.Middle cardiac vein
12. Fastest conduction in heart by
a.Purkinje system (ans)
13. Most effective way to prevent heat loss
a.Stimulation of adrenaline and noradrenaline
b.Shivering
c.Cutaneous Vasoconstriction* (ans)
14. Aortic pressure lowest during
a.Atrial systole
b.Isovolumetric contraction* (ans)
c.Isovolumetric relaxation
15. Period where heart is susceptible to fibrillation
a.At the end of action potential* (ans)
b.Refractory period
c.First half of action potential
d.Later half of action potential
16. Infusion of 1 litre normal saline causes
a.Plasma osmolarity decrease
b.Plasma volume decrease
c.Decrease urine osmolarity* (ans)
d.Urine sodium increase
17. 40 year old patient of Down syndrome, has risk of Alzheimer (ans)
18. Dorsal column carries a.Proprioception* (ans),b.Temperature ,c.pain
19. Pus contains a.Dead bacteria b.Neutrophils* (ans)
20. Organism causing meningitis in adults a.Streptococcus* (ans) b.Actinomyces
21. Patient with acute promyelocytic leukemia, cell show multiple basophilic round bodies,
irregular membrane, structureless eosinophilic cytoplasm,
a.Apoptosis* (ans)
b.necrosis
c.hydrolysis
d.coagulation necrosis
22. alpha adrenergic stimulation causes a.bronchodilation b.mydriasis* (ans)
23. Important protein in RBC a.Spectrin*(ans) b.Actin c.myosin
24. Essential amino acid a.Phenylalanine* (ans) b.Glycine c.Cysteine d.Proline
25. How to disclose a bad news to a patient
a.In front of family
b.Alongwith staff
3
c.In a separate formal session* (ans)
d.At bed side
26. Confidentiality can be breached by
a.Insurance claim * (ans)
b.If patient authorizes you
27. Carcinogen for cancer of cervix a.HPV*(ans) b.Chronic irritation
28. Steroids act by a.cAMP activation b.gene alteration* (ans)
29. Women after delivery, Platelet: 70,000, aTTP normal, PT raised DIC. (ans)
30. Tumor screening test is for - Early diagnosis of a disease. (ans)
31. Patient with tic doloreaux (Trigeminal neuraglia), analgesia given to block trigeminal
ganglion at which site :
a.Middle cranial fossa* (ans)
b.posterior cranial fossa
c.anterior cranial fossa
d.infratemporal fossa
e.pterygopalatine fossa
32. In late pregnancy the uterus is most sensitive to Oxytocin. (ans)
33. About bicep brachialis muscle attaches to supraglenoid tubercle of scapula. (ans)
34. Maximum area of resonance is T2-T4 of right midclavicular line. (ans)
35. True about spinal cord
a.Conus medullaris terminates in neonates at the level of L3* (ans)
b.Dorsal and ventral roots meet 2cm beyond interbertebral foramen to form spinal nerve?
36. Cimetidine is used preoperatively because:
a.Inhibits H2 receptors competitively ,b.Decrease gastric acid* (ans)
c.Does not affect gastric motility ,d.Does not interact with induction agents To decrease gastric
volume
37. Nursing mother with herpes labialis, drug of choice a.Acyclovir b.Trifluridine* (ans)
(Above umbilicus trifluridine, below umbilicus acyclovir)
38. After feeding the baby, diarrhea develops Gastrocolic reflex. (ans)
39. Both sides of 5th posterior intercostal spaces are supplied by: a.Thoracic aorta b.Internal
thoracic artery?
40. 2 years old child with medially rotated arm lesion in - Upper trunk. (ans)
41. Opioids produces vomiting by acting on a.Chemo trigger zone in medulla*(ans)
b.Vomiting center c.Antagonist of dopamine
42. Female with uterus cancer which travels to labia majora following which route - Round
ligament (ans)
43. Pain in epigastrium due to ulcer, transmitted by - Greater splanchnic nerve (ans)
44. Bitemporal hemianopia due to lesion of a.Optic tract ,b.Peripheral part of optic chiasm
c.Central part of optic chiasm* (ans)
45. Vesicular lesion on the right tip of nose and right eyelid Right Ophthalmic nerve (ans)
46. Patient cant abduct till 30 degree, which muscle is responsible Supraspinatus
47. Nerve supply to plantar surface of foot a.Posterior tibial* (ans) b.Superficial peroneal
c.Deep peroneal d.Saphenous nerve
48. Ventral spinothalamic tract a.Coarse touch and pressure* (ans) b.Temperature
49. Vibration and touch via White matter of posterior spinal cord. (ans)
50. Brainstem reticular formation a.Unusual stimulus causes arousal*(ans) ,b.initiates REM
sleep ,c.Inhibition of neural systems causing wakefulness ,d.Does not communicate with upper
part of CNS
51. Most radiosensitive tumor ,a.Ganglioglioma ,b.Brainstem glioma
c.Craneopharyngioma*(ans)
52. Hormone increased during sleep as compare to at day wakefulness
4
a.Cortisol*(ans) b.GH wasnt in the options
53. Patient with intentional tremors and facial paralysis lesion at
a.Cerebellopontine angle* (ans) b.Right hemisphere Pons
54. Patient working in mine with tuberculin test positive. Cough, fever, weight loss with hilar
lymphadenopathy
a.Silicosis* (ans) b.Asbestosis c.Anthracosis d.Pneumoconiosis
55. Male working in construct factory with pleural plaques
a.Asbestosis* (ans) b.Anthracosis c.Pneumoconiosis
56. Neoplastic cells with continuous mitosis due to persistence of Telomerase. (ans)
57. During exercise venous return is due to - Contraction of calf muscles. (ans)
58. Action of steroids as anti-inflammatory is due to - Inhibiting phospholipase.
59. Long term thiazide use causes a.Hypokalemia. (ans) b.Hypocalcemia c.Hyponatremia
60. Intermediate filaments staining with immunofluorescence to diagnose (it has something to
do with cytokeratin, dont remember exact stem) Carcinoma. (ans)
61. VPL nucleus of thalamus when damaged cause
a.somatosensory loss of contralateral body* (ans)
b.Loss of taste ,c.Loss of olfaction ,d.Somatosensory loss of ipsilateral body
62. Man living on side of a river, got blindness from nematode; organism
Onchocerca volvulus. (ans)
63. MCC of HTN Idiopathic. (ans)
64. Female with hirsutism, galactorrhea, infrequent heavy menstrual cycle. U/S both ovaries
with cystic lesions and LH:FSH :: 3:1 PCOD (ans)
65. Female with hot flushes a.Increase FSH and LH* (ans) b.Decrease FSH increase LH
66. Injection of atropine will cause - Dryness of mouth. (ans)
67. Female with severe loss of vibration, Investigation of choice - Stomach biopsy. (ans)
68. Female with weakness and lethargy with RBCs 5.5 diameter and very thin red line of RBC in
peripheral smear
a.Microcytic hypochromic anemia* (ans)
b.Normocytic hypochromic
c,Normocytic normochromic
69. Monitoring of Hep B a.Serum glutamate-pyruvate transaminase*(ans)b.Prothrombin time
70. Female with reactive anti HBe and reactive total anti HBc along with non-reactive HB IgM
and non-reactive HepBs Ag
a.Acute recovery phase* (ans)
b.Chronic Carrier
71. Patient with obstruction jaundice; now bleeding cause a.Vit K deficiency* (ans)
b.Decrease cloting factor production due to liver problem
72. Investigation of Hashimoto thyroiditis Antimicrosomal and anti-thyroglobulin
antibodies. (ans)
73.Cimetidine interaction with warfarin causes
a.Decrease hepatic clearance of warfarin(ans) b.Increase oral bioavailability of warfarin
74. Patient using some anti-coagulant, how will you know that anticoagulant is warfarin because
it is being monitored by a.PT* b.By giving Protamine
75. BP drops from 100mmHg to 70mmHg, it will result in a.Decrease in carotid sinus nerve
activity* (ans)
b.Increased sympathetic efferent effect on heart
c.Increased sympathetic efferent effect on heart
76. Erythropoietin is secreted from - a.Mesangial cells (?) b.Tubular epithelial cells (I did)
77. Child with machinery like murmur a.PDA*(ans) b.MS c.MVP
78. PaO2 is 100% in a.A person who used to live in high altitude b.Right to left shunt c.Left to
right shunt* (ans)
5
79. Kallmann syndrome a.Gene defect in Kal1 gene on Y chromosome* b.Lesion in
arcuate nucleus
80. Diplamotoylphosphatidyl choline + carbohydrate + proteins is a content of
a.Surfactant* b..Alveolar endothelium interstitium
81. In asthma a.Decrease FEV1* (ans) b.Residual volume change
82. Splenectomy is most useful in
a.Hereditary spherocytosis* (ans) b.Thalassemia c.Sickle cell anemia
83. Findings in glycogen storage diseases
a.Hepatomegaly and hypoglycemia* (ans) b.Hepatomegaly and hyperglycemia
84. Corynebacterium diphtheria produces Exotoxins (ans)
85. Common specie of Corynebacterium affecting human is Diphtheriae. (ans)
86. CSF with increased proteins and polymorphs with decrease glucose the drug of choice
a.Ceftriaxone* (ans) b.Ciprofloxacin
87. About the pharmacology of Neiserria gonorrhea a.Pencilin G. (ans)
88. Major histocompatibility is related to a.HLA. (ans)
89. Kidney is transplanted, gets cyanosed in 10 minutes, type of reaction
a.Antibody mediated* (ans) b.Host Vs Graft Reaction c,Cell mediated
90. A child with Agammaglobulinemia is prone to
a.Pyogenic infections* (ans) b.Viral infections
91. Diagnostic criteria for sarcoma a.Increased vascularity*(ans) b.Pleomorphism
92. Soldier coming down from height, now with discoloration of fingers, dyspnea Secondary
polycythemia. (ans)
93. Vitamin D acts on intestinal mucosa to increase calcium absorption by following mechanism:
a.Expression of genes*(ans) b.cAMP
94. Calcium influx via slow channels in ventricle cells causes a.Ventricular ejection*(ans)
b.Atrial systole c.Rest were relaxation phases of cardiac cells
95. Increased a wave in JVP due to a.Mitral stenosis b.Mitral regurg c.Aortic stenosis
d.Tricuspid stenosis* e.Aortic regurg
96. Person with HR 80/min, on ECG RR interval would be - 0.75 sec. (ans)
97. Class III Antiarrhythmics a.Amiodarone* (ans) b.Quinidine c.Lidocaine
98. Increased ASO titer a.Rheumatic fever* (ans) b.Endocarditis
99. In hypertrophic cardiomyopathy Myocytes disarray. (ans)
100. 5 month pregnant lady with thyrotoxicosis, drug of choice Methimazol PTU* (ans)
101. 30 years old smoker, psychotic, vomiting of fluid with visible peristaltic movements on
abdomen cause - Pyloric stenosis. (ans)
102. Myenteric system of parasympathetic is potentiated by Ach. (ans)
103. Pethidine is preferred over Morphine a.Fast acting* (ans) b.Less addictive c.Less
potent analgesic d.More constipation
104. Philadelphia chromosome CML. (ans)
105. Male with fever upper lobe consolidation, fever from last 3, productive cough, AST 135 and
ALT 111, alkaline phosphatase normal, bilirubin 10, he died on autopsy weight of liver increased
and with fat droplets seen on hepatocytes. Diagnosis Chronic alcoholic disease* (ans)
106. Alpha 2 macroglobulin inhibit a.Trypsin(ans) b.Secretin
107. 65 years old male with all symptoms of LV failure and pulmonary edema without any
previous illness and BP 125/85mmHg, on X-ray cardiomegaly, a febrile cause of heart failure,
liver enzymes normal Bicuspid calcified aortic valve Alcoholic cardiomyopathy*(ans)
Amyloidosis
108. Calculate Alveolar ventilation where Tidal volume is 500ml/respiration. RR 10 -
3500ml/min (ans)
109. Calculate Clearance where Urinary flow 20 ml/min, Concentration of substance in urine 10
and Plasma 10 20ml/min (ans)
6
110. Highest potential difference in the wall of stomach is when:
a.Aspirin ingestion* (ans)
b.HCL is not secreted and gastric mucosa is intact
c.HCL is secreted and gastric mucosa is damaged
111. Excessive eversion of foot damaged which structure - Rupture of deltoid ligament. (ans)
112. About thoracic aorta a.starts at T4 on left side*(ans) ,b.supply lungs, esophagus n
pericardium ,c.supplies last 8 intercostal spaces
113. Histology of cornea - Stratified squamous non-keratinized. (ans)
114. Left shift of HbO2 curve - CO poisoning. (ans)
115. Humans are intermediate host in a.Hydatid cyst. ,b.Filariasis
116. Micturition reflex a.Self generating (ans) b.Cerebral control c.Condition reflex
117. Hallmark of HIV disease a.Proliferation of virus in T-Cells(ans). b.Progressive immune
deficiency
118. Surgery of submandibular gland; nerve damaged - marginal mandibular branch of
facial. (ans)
119. Aspirin overdose causes a.Coma b.Alkalosis c.Hypothermia
120. Father with defective gene on one autosomal chromosome, develops disease later in his
life; chances of getting disease in children Half of the children will be affected. (ans)
121. Thorn prick in left lower limb caused abscess - Staph aureus. (ans)
122. Lesion of parasympathetic system affects mostly - GI muscles. (ans)
123. ADH Osmoreceptors (ans)
124. About systolic pressure which one of the following true
a.directly related to plasma Renin*(ans) b.depends on venous return c.dosnt depend on TPR
125. Superficial temporal artery relation with which nerve a- Auriculotemporal nerve. (ans)
126. Protoncogenes converted to oncogenes by a.point mutation* (ans) b.gene amplification
c.translation d.dna transcription e.chromosomal translocation
127. Oblique fissure of the lung at level - T3 to T6 Costochondral. (ans)
128. A long case scenario of Appendicitis, bottom line was pain mediated by ----
a.Prostaglandin and bradykinin* (ans) b.TNF alpha
129. Hamartroma : a.ectopic tissue b.disorganized growth of mature cell indigenous to the
site*(ans) a tumor which can metastasize a tumor with all germ layers
130. Correlation between two variables( duration and anesthesia administration I think) was
studied a.student t test ,b.chi square ,c.regression analysis* (confirm it)
131. Chemotaxis (indirect statement about an inflammation scenario) . C5a (ans)
132. Drug drug interaction . Morphine toxicity treated with naloxone (ans)
133. Best diagnosis for turner: a.barr body b.karyotyping (ans)
134. Inferior imaginary line in rectus sheath ---- arcuate line (ans)
135. The measurement of cardiac output by thermodilution ?
a.-Is accurate and easily repeatable b.-Involves measuring the integral of temperature change
over time
c-Involves use of the latent heat of vaporization in the calculations d-Is also known as the Fick
technique e.May be inaccurate due to respiratory changes in the pulmonary artery
temperature(may be this one is right, please confirm)
136. Medial arcuate ligament formed by a.diaphragm b.lumber fascia c.psoas fascia* (ans)
d.quadratus lumborum
137. zinc is important in following
a.carbonic anhydrase*(ans) b.cellular oxidation c.vitamin b12 d.glycosis ketogenesis
138. Bilateral S3.4.5 cut what will result in a.labour with out pain b.painless mensis
c.anorgasmia d.rectal incontinence* (ans)
7
139. long case,90 year old female, lipofuscin pigment present in histology report of cardiac
muscles. A.cellular oxidation,b.coagulative necrosis c.apoptosis d.autophagy* ans . FA 2014
pg 228)
140. Ghon complex is characteristic of ----a.Tuberculosis (ans)
141. Immunity provided by DPT is a.artificial active*(ans) b.artifial passive
142. Glucose fasting 6.8 (124), after 2 hours 10.6 (190)
a.impaired glucose tolerance* (ans) b.Diabetes
143. Aldosterone most important stimulus a.Increase potassium*
144. Air embolism, quantity of air required to produce symptoms a.100ml* (ans) b.50 ml
145. Microscopic feature of compact bones a.Haversian canals are arranged obliquely
b.lacunae have osteoblasts ,c.Haversian canals are not interconnected collagen imparts colour
d.lamellae are regularly arranged* (ans)
146. How many white ramus communicans are there in our body a.13 b.14 * (ans) (T1-L2),c.15
d.16
147. Virus cause cancer by alteration of a.proto oncogen b.oncogen c.DNA* (ans) d.RNA
148. Hydrolysis of DNA release a.ribose sugar b.phosporic acid* (ans)
149. Pregnant lady with obstructive jaundice will have raised: a.GGT (ans)
150. Farmer with gum bleeding a.Vitamin C deficiency (ans)
151. Last mediator of septic shock a.IL 6* b.TNF c.IL 1
152. Which of the following organelle contain oxidases? A.Peroxisome (ans)
153. True about middle meningeal artery
a.Enter to brain through foramen spinosum* (ans) b.Causes subdural hemorrhages
154. Free hemoglobin bind to Hapatoglobin* (ans)
155. Transitional epithelium of bladder derived from
a.mesoderm b.endoderm* (ans) c.endoderm+mesoderm
156. Microglial cell a.phagocyte of nervous system* (ans) b.abundant in white matter
c.abundant in gray matter
157. Regarding skull of child?
A. anterior fontanelle present between 3 bones b.posterior fontanelle closes at 3 months?
c.Vault is bigger than the face
158. Postero superior relation of pituitary? related to parotid gland
a.saphenoid*(ans) b.Maxillary
159. Cervical branch of facial nerve supply a.playtsma*(ans) b.strnocledomsdtoid
160. Corneal opacity is caused by a.chloroquin* (ans) b.quinine c.ethambutol
161. To calculate the median of 40, 20,25,30,25,20,35,40(it wasnt arranged in ascending order)
ans 27.5
162. Radiation therapy, lesions on skin due to a.Endartritis obliterans (ans)
163. Infratemporal fossa also known as
a.Parapharyngeal fossa b.tonsillar fossa c.suprasternal d.submesenteric
164. 15 yrs old boy with multiple large purpura, bleeding problem, investigation?
A.Platelets less than 20* (ans) b.Platelets less than 90 c.Factor 8 def
165. Patient has glycosuria, although serum glucose is 100mg/dl
a.he cant absorb glucose from pct
b.he has DM
c.has abnormal absorption of glucose
d.his kidney has low glucose threshold* (ans)
166. Agammaglobunemia a.Pyogenic infections* (ans) b.Viral infections
167. Severe hypomagnesemia causes a.Hypocalcemia* b.Hypercalcemia
168. Thyroglossal cyst common location
a.Above sternum b.Thyrohyoid region* (ans) c.Intralingual
169. M bands produced by? A.b cells b.plasma cells*(ans) c.t cells d.macrophages
8
170. crus cerebri near to A,substantia nigra* (ans) b.red nucleus c.superior colliculus
d.superior cerebellar peduncle
171. 7th left pulmonary segment..what is it called?
A.Lingual lobe b.Right medial basal* (ans) c.Lateral basal d.apical
172. Both peripheral and central chemoreceptors stimulated by? A.CO2* b.H c.O2
173. Damage to precentral gyrus
a.Contralateral motor loss*(ans) b.Contralateral sensory loss
174. Area 312 damaged, symptoms a.Somatosensory loss* (ans)
175. Short half life means a.Reaches stable dose quickly* (ans) b.Rapid clearance
c.Bioavailability d.Freely filtered in glomeruli
176. Damage to ventro posterior lateral (VPL) nucleus of thalamus a.Somatic contralateral
loss* (ans)
177. RBC breakdown will result in
a.Increase biliverdin in feces b.Increase urobilinogen in urine c.Release of globulin d.Release
of iron which can be reutilized* (ans)
178. Intracellular buffer a.Bicarbonate b.Hemoglobin c.Protein* (ans)
179. Burn tissue. Which non bacterial opportunistic organism found a.Candida* (ans)
180. Baby with some red structure coming out above pubic symphasis, frequently getting wet ,
O/E epispadia and incomplete closure of pubic symphsis
a.bladder exstrophy(I marked) (ans)
b.incomplete cephalocaudal folding (confirm it)
c.incomplete lateral folding
d.failed reinforcement of the cloacal membrane by underlying mesenchyme
181. Mitral stenosis murmur best heard at a.Apex*(ans) b.Mitral valve
182. Blood supply of bones a.Flat bones supplied by nutrient artery and periosteal artery
b.Irregular bones by nutrient artery and periosteal artery
c.Long bones supplied by epiphyseal artery* (ans)
d.One about metaphyseal artery
183. Absence of surfactant in child will cause Distress syndrome (ans)
184. Ectoderm will give rise to which organ system a.GIT b.CNS* (ans)
185. Which of the following has high chances of developing into cancer a.lymphocytoma
b.Pseudocancerous c.Intraepithelial nevus d.Bowen disease* (ans)
186. Typical TB scenario, Chronic cough sputum xray shows cavity febrile. Type of immunity:
a.Antibody mediated immunity b.Cell mediated* (ans)
187. Stony dull percussion note a.Fluid in pleural cavity (ans)
188. Cytokeratin a.Glycoprotein b.Intermediate filament*(ans) c.Microtubule
189. Criteria for diagnosis of sepsis a.HR > 100 b.HR > 120 c.Positive culture
c.WBC <2000 and >15000 (not sure, I marked HR>100 but other say its positive culture.)
190. Renal column has: a.Minor calyx ,b.Arcuate arteries c.Interlobar arteries* (ans)
191. Nor epinephrine and epinephrine metabolized by MAO*(ans) COMT
192. Excessive stretch will be prevented by a.Muscle spindle* b.GTO
193. Oliguria is a.Less than 500ml* b.Between 500 and 1000ml
194. Lesion to pyramid results in --- a.Contralateral hemiplegia (ans)
195. Baroreceptor firing causes decrease in:
a. Heart rate b.Venous compliance* (ans) c.Coronary blood flow d.Cardiac Output
196. Thyroid isthmus is located a.2 3 4 tracheal rings (ans)
197. Gap junctions Allow rapid spread of action potential to all cardio myocytes* (ans)
198. A child who is apathic, peripheral edema, low albumin a.Kwashiorkor*(ans),b.Marasmus
199. Pulmonary wedge pressure used for -----Left atrium(ans)
200. In shock, most important body response
a.CNS ischemic response*(ans) b.Baroreceptor (not sure about the correct stem )
9
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(2) Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS)
Medicine paper 5 April, 2016 morning both paper 1 and 2
By Dr.Nadir Khan Orakzai..
1, Heart shape vertebrae
a. Thoracic vertebrae
b. Lumber vertebrae
c. Sacral vertebrae
d. Coccygeal vertebrae
2, Massive RBCs destruction
a. conjugated hyperbillirubinemia
b. unconjugated hyperbillrubinemia
3, Patient with allergies, iv xylocain given
a. Tachycardia
b. Mild syncope ( IV cause bradycardia, local may cause tachycardia)
c. Rash
4, ADH acts on
a. cortical collecting tubules
b. medullary collecting ducts (Both are correct)
c. distal tubules
5, Renin inhibited by
a. inc pressure in afferent arterioles
b. aldosterone
(Both are true, pressure changes in afferent arteriole is the main mechanism by which
kidney
protects itself from high systemic pressure changes)
6, Hypercalcaemia will activate
a. 1,25 dihydroxycholecalciferol
b. 24,25 hydroxycholecaliciferol
c. Parathyroid hormone
d. 25 cholecalciferol
7, Which one will decrease potassium secretion
a. spironolactone
8, PTH reabsorbs calcium through
a. distal convoluting tubule
b. Proximal convoluting tubules
9, Increase water diuresis seen in
a. positive water clearance
b. negative water clearance
10, Good pauster syndrome
a. linear deposition
b. Sub epithelial deposits
c. Sub endothelial deposits
11, Person taking normal saline
a. increase urine sodium
b. increase plasma osmolarity
c. decrease urine osmolarity
12, A person with numbness, paraesthesia and pallor,, Hb 10, MCV high, his urine will
probably
contain
10
a. methylmelonic acid
13, Action of captopril
a. hypercalcemia
b. increase degradation of angiotensin 2
c. increase degradation of bradykinin
14, Mother rh positive and father rh negatiive, how will you counsel them
a. Antigen antibody complexes in post natal life
b. Antigen may transfer to mother circulation
c. Hemolytic disease of newborn may occur
15, Patient on antituberculous drugs, presents with pin and needle sensations , what
drug should be
stopped
a. Isonazide
b. Pyrazinamide
c. ethambutol
16, Drug of choice in actinobacter bouneii
a. Imipenem
b. Tetracycline
17, Patient having travelers diarrhea not responding too antidiarrheal drugs, which drug
should be
given
a. Metronidazole
b. Erythromycin
c. Norfloxacine
d. Chloramphencol
(remember, Most common organism involved in travelers diarrhea is E.Coli, and most
common
protozoan is Giardia, patient not responding to antimicrobial therapy means the
organism is most
commonly involved giardia, and the drug of choice is metronidazole
Persistent diarrhea means > 14 days)
18, Drug of choice in travelers diarrhea
a. Diphenoxylate
b. Metronidazole
c. Atropine
d. Aluminum hydoxide
19, Helminthes transmitted through mosquito
a. Filarial
b. Oncocercia
20, Most characteristic feature of actinomyces
a. Talcum granules
b. Restrictive anaerobe
c. Cause infection in immunodeficient
(Actinomyces of human species are facultative anaerobes, although Wikipedia says
anaerobe
but various books say it is facultative not restrictive anaerobe, it causes infections
usually in
immunocompatent and may be in immunudefficients, produce sulfer granules, talcum
term is used for
minerals generally)
21, Characteristic feature of hemophilia
11
a. Tissue bleeding (Reference Pathoma)
b. Epistaxis
c. Ecchymosis
22, Patient with MI, on day first trop-t was positive, on 3rd day of mi, patent collapsed
with blood
pressure down, pericardiocentises was done which shows hemorrhages, instead of good
resuscitative
measures, patent expired. What cells will you find in his pericardial cavity
a. Necrosis with neutrophils and macrophages
b. Lymphocytic infiltrates
23, Patient presents with vacuities and p-ANCA positive, what should be the cause
a. Hepatitis b
b. Hepatitis a
c. Hepatitis c
24, Child with allergies and parasitic infections, what cells will you find
a. Eosinophils
b. Mast cells
25, Right subclavian artery derived from
a. Aortic arch 1
b. Aortic arch 2
c. Aortic arch 3
d. Aortic arch 4
26, Patient with vague abdominal pain with nausea, pain was not related to any meal, no
cardaic
issues, glucose normal, endoscopy was done which showed normal stomach with no
mass or ulcers, it
was found non-specific gastritis, what is the cause
a. H.pylori
b. Pernicious anemia
c. Zollinger ellison syndrome
a. (Remember, H.Pylori is the most common cause of peptic ulcers, question was about
nonulcer
gastrtis that is non-specific gastritis)
27, Girl with epistaxis, bleeding time prolong, PT normal, APTT deranged, what is the
diagnosis
a. vWD
b. G6PD defciiency
28, Patient with asthma, pCO2 is 55 mmhg, HCO3 is 25 mmol/l, PH is 7.3, what is the
abnormality
a. Respiratory acidosis with renal compensation
b. Respiratory acidosis without renal compensation
( pCO2 elevated and PH is about normal<normal blood PH 7.4>, so it means there is
some renal
compensation)
29, Child presenting with malaise, recurrent respiratory infections, and died in age 32
years, biopsy of
lymph nodes showed germinal centers atrophy and some lymph nodes were missing,
what is the
diagnosis
a. NADPH deficiency
b. Failure of maturation of plasma cells into B cells
12
30, An old patient with weakness of muscles of upper body, hyperreflaxia of knee and
ankle joints
and history of urinary dribbling, what is the diagnosis
a. Tabes dorsalis
b. Upper motor neuron lesion
c. Lower motor neuron lesion
31, Patient presented with injury to lower legs,, it was fond that tibial part of sciatic nerve
was
damaged but still there was some flexion remained in knee, which nerve is there
a. Short head of bicep femoris
b. Long head of bicep femoris
32, Diarrhea
a. Metabolic acidosis with normal anion gap
b. Metabolic acidosis with increased anion gap
c. Metabolic alkalosis
33, Spinal hemi-section done
a. Ipsilateral loss of proprioception below section
b. Contralateral loss of pain and temperature
c. Ipsilateral loss of proprioception at c6-c7 and below
34, Morphine is given to a patient, what effect will occur
a. Contraction of gall bladder and release of bile
b. Constipation
c. Release of pancreatic secretions
35, Normal waves in basic electrical rhythms of stomach
a. 12 waves/day
b. 3 waves/day
36, Patient with hypotension and fever, on examination there were splinter hemorrhages,
something
palpable in splenic region, and needle track sign in cubital region, what is the diagnosis
a. Cholesterol >300 g/dl
b. Urea is 114 mmol/l
c. Pseudomonas aerugenosa
(Although pseudomonas does not cause infective endocardis in IV drugs users, but no
other
option fits)
37, ADH is inhibited by
a. Aldosterone
b. thirst
c. Alcohol
38, Malarial parasite is transferred into human blood in form of
a. Merozoites
b. Sporozoites
c. Shizonts
( Malarial parasite is present as sporozoite in mosquitos, transferred to human blood as
sporozoite, lives in liver cells as tissue shizont, leave liver cells as blood shiizont or
merozoite)
39, Benzodiazepines causes
a. Dependence
b. tolerance
40, Resistance develops by staph aureus can be tested by shows
a. Hemolysis
13
b. Coagulase positive
c. Coagulase negative
41, Tachyphylaxis
a. Rapid decrease to response
b. Slow decrease to response
42, Angina worsen by which drug
a. Theophylline
b. Salbutamol
c. Vasopressin
d. Verapamil
e. metoprolol
43, End product of cabohydratte metabolism
A. Fructose
B. Sucrose
C. Pyruvate
D. Glucose
44, Patient with MCH low, MCV low , MCHC low, HbA 94% and HbA2 4% diagnosis
a. Thalassemia trait
b. Iron deficiency anemia
45, Duschine muscular dystrophy, which enzyme is defected
a. Dystropin
46, Most common cause of death in rheumatic fever
a. Mitral valve
b. Myocarditis (reference Pathma)
47, Patient presents with microcytic hypochromic pattern and anisoopikylocytosis. His
another
brother is also receiving blood transfusion
a. Red cell survival
b. Osmotic fragility
c. Hemoglobin electrophoresis
48, Mean is 80, SD is 1.75
a. 94%
b. 80%
c. 84%
49, About thyroid gland
a. three paired arteries
b. Venus drainage to brachiocephalic and subclivian
c. Covered by prevertebral fascia
d. Isthmus is infront of cricoid cartilage
50, Heart
a. Diaphragmatic surface is formed by left atrium
b. Left border is formed by left atrium
51, Trachea
a. Present in midline and bifurcation occurs slightly too right side
b. Deeply present in children and mobile
52, Thyroglossal tract
a. End upto base of tongue
b. Below hyoid bone to foramen caecum
53, Duodenum
a. 1st, 2nd and 3rd part retroperiitonim
b. 3rd part related to right kidney
14
c. 25 cm long
54, A man with dyspnea and no cough, cause is
a. Smoking
b. Inorganic dust
c. Organic dust
(This MCQ is a modified form of a man with dyspnea and no feverPast paper que. )
55, Cause of macrocytic anemia
a. Folate and cobalamine
b.
56, Ovary
a. Lymphatic drainage to para artic nodes
b. Arteral supply by ovarian artery
(Both are true)
57, Nucleoli
a. Does not have limiting membrane
b. DNA only
c. DNA and Ribosome
(Both are true)
58, Artery remain in true pelvic
a. Superior gluteal
b. Inferior gluteal
c. Middle colic
59, About carcinogenesis
a. Proto-oncogene overexpression
60, Lady with loss of blood about 1500ml, after few days her serum ACTH level was low
and later it
was found that her adrenal gland size was reduced to 2 g( normal size 4-5) , what is the
cause
a. Atrophy of medulla
b. Atrophy of cortex
c. Ischemic infarction (Not Confirm)
61, Liver damage occurred, binucleated cells were found which are due to
a. DNA without histones
b. Histones without DNA
c. Karyoknesis without cytokinesis
62, Bronchopulmonary segment
a. Are not connected with each other
b. Aerated by primary bronchioles
c. Aerated by secondary bronchioles
d. Aerated by tertiary bronchioles
63, Right broncheal artery
a. Branch of descending aorta
b. Branch of 3rd posterior intercostal artery
64, Tumor with nerve sheet involvement
a. Carcinoma ex-plemorphic adenoma
b. Mucuepidermoid tumor
c. Hemangiopericytoma
65, Lobe of lung with two bronchopulmonary segments
a. Right medial
b. Left medial
c. Right lower
15
d. Right upper
66, Macula of utricle involved in
a. Horizontal acceleration
b. Angular acceleration
c. Malequilibrium ahead of time
d. Verticle acceleration
67, First line of defense in blood loss
a. Blood vessels
b. Platelets plug
68, EEG shows basic electrical rhythms
a. Reticular formation
b. Thalamus
69, Deep cervical artery is a branch of
a. Thyrocervical trunk
b. Costcervical trunk
70, Basal gangliia send excitatory signals too
a. Thalamus
b. Pontine reticular formation
c. Medullary reticular formation
d. Olivary nucleus
71, Old patient with tremors, gait deformity, abnormal finger nose test and
dysdidokokinesia sign,
diagnosis
a. Cerebellar lesion
b. Upper motor neuron lesion
c. Lower motor neuron lesion
72, Injury to neck on severe flexion
a. Posterior longitudinal ligament
b. Ligamentum flavum
c. Anterior longitudinal ligament
d. Ligamentum nuchea
( extension injury=Anterior longitudinal ligaments is raptured, in Flexion injury=
Posterior
longitudinal ligament is raptured)
73, Ligamentum flavum connects which parts of vertebrae
a. Lamina
b. Body
c. Spines
74, Autonomic supply of jejunum
a. Greater and lesser splanchniic nerves
b. Pelvic splanchnic nerves
c. Vagus nerve
75, Enzyme release in MI of 12 hours
a. Alkaline Phosphatase
b. AST
c. ALT
d. LDH
e. Creatinine kinase
76, Creatinin produced by
a. Liver
b. Skeletal muscles
16
c. Heart
d. Kidneys
77, splitting of S2 heart sound enhanced by
a. Delayed closure of aortic valve
b. Delayed closure of pulmonary valve
c. Early closure of aortic valve
78, CSF
a) arachnoid vallii can be seen with naked eye
b) Glucose 120 mg/dl
c) Proteins 20-40 mg/dl
79, PDA
a. Increase arterial PCO2
b. increase arterial PO2
c. Peripheral cyanosis
( PDA leads to Essenmenger syndrome and patient presents with peripheral cyanosis)
81, Reactive hyperemia is delayed by
a. Dependent position
b. Ischemia
82, Trachoma
a. Lymph-granuloma veneream
b. Cancroid
c. Condylomata leta
83, Supernormal( hyper-excitable) period of myocardium is the period
a. Ventricular hyperexcitatiion
b. Prolong relative refractory period
c. Prolong in sympathetic stimulation
( Supernormal period is the period just before the end of repolarization and this is the
stage of
relative refractive period, cells are more susceptible to excitation, even a small stimulus
can excite,
sympathetic stimulation will shorten this period coz of rapid depolarization and
repolarization)
84, Patent with productive cough, fever and dyspnea, streptococci and klebsella
infections were
found, he has history of recurrent pneumonia and has mucus gland hypertrophy,
diagnosis
a. Bronchiectasis
b. Chronic bronchitis
c. Emphysema
( This is not chronic bronchitis coz it is not mentioned that productive cough was for 3
years or
for 3 month in consecutive 3 years,, also recurrent pneumonia history is given)
85, Primordial germ cells are formed
a. At the end of 3rd week
86, Oogonia undergoes mitosis in
a) Post natal
b) Yolk sac
c) Pre natal after 3 months
d) Prenatal after 3 weeks
e) Prenatal 7 to 8 weeks
87, Dead space decreased n
17
a. Emphysema
b. Pleural effusion
c. Atelectasis
d. Hypertension
e. Pneumothorax
88, Therapeutic window
a. Therapeutic dose range
89, Acetylcholine
a. Nicotinic receptor abundant in brain
90, Type of collagen in dermis of skin
a. Type 1
b. Type 2
c. Type 3
d. type 4
e. Type 5
91, Rivastigmine
a) acetylcholine estrase inhibitor
b) mao inhibiter
c) comt inhibitor
92, Parasympathetic stimulation of heart
a. decrease cAMP
b. increase protein kinase
93, Old man with multiples bone fractures on x-ray and blue sclera
a. osteogenesis imperfacta
94, Most common chromosomal abnormality
a) down syndrome
b) fragile x
c) ptau syndrome
95, Mediator of slow pain fibers
a. substance P
b. dopamine
c. histamine
96, Hormone causing increase release of testosterone
a. leutanizing hormone
97, Growth hormone inhibited by
a. somatostatine
98, About collagen
a. lightly stain with eosin
99, Characteristic feature of sarcoidosis
a. hypercalcemia
100, Citrate affect coagulation by
a. calcium chelate
101, Secretion of ectopic thyroid hormone by
a. small cell carcinoma of lung
b. squamous cell carcinoma of larynx
102, Bifurcation of common carotid artery
a. at level of cricoid
b. superior border of thyroid cartilage
c. jugular notch
103, Characteristic sign of severe penicillin allergy
a. rash
18
b. bronchospasm
c. fever
104, Drug which when given increase effect of antiseizure drugs
a. valproate
b. phenobarbitol
c. carbamezapine
d. phenytoin
105, Acetylcestein is given in paracetamol toxicity because it
a. increase renal clearance
b. convert metabolite of paracetamol into acetylated form
106, CSF
a. daily production 500ml/day
107, Epinephrine release from adrenal medulla dilates blood vessels through
a. beta 2 agonist receptors
108, Patient with weak pulses in lower limbs than upper limbs and there is radiofemoral
delay,,
diagnosis is
a. Co-arctation of aorta
109, Femoral artery pulsations
a. mid inguinal point
b. mid point of inguinal ligament
110, Progressive prolongation of PR intervals with droops of P-wave
a. Mobitz type 1
b. Mobitz type 2
111, Gluteus maximus is supplied by
a. Inferior gluteal artery
b. Superior gluteal artery
112, RCA
a. Supply Sa-Node
b. Emerge from anterior aortic sinus
( Both Are true)
113, Muscles are strong due too
a. Multipinate
b. Bipinate
c. Strap
114, Characteristic feature f long bone
a. Mesenchymal ossification
b. Haversian canal
115, Pregnant lady with increase T3, T4 due to
a. Increase TBG
116, Skin pressed with sharp needle for sometime, redness due t
a. Histamine
b. Kinin
117, HIV associated carcinoma
a. Kaposi sarcoma
118, Blood supply of skin lies in
a. Loose areolar tissues
b. Between skin and aponeurotic layer
( There are many layers of scalp,, from outside to inside,, skin-subcutaneous connective
tissuesaponeurosisloose
areolar connective tisues-pericranium, blood vessels and nerves lay in
19
subcutaneous connective tissues which are present between skin and aponeurotic layer,
loose areolar
tissues only contain emissary veins)
119, Doctor patient relationship
a. Active listening to every question of patient
120, Social support too patient is prviided by
a. Family members
b. Nursing staff
c. Edhi foundation
d. NGO
e. Social workers
121, When both alleles expressed on same chromosome in heterozygous, it is called
a. Co-dominance
122, After renal transplant of CKD Patient, 3 weeks later, acute graft rejection was
noticed, it is due to
a. Vacuities and thrombosis
b. Dense lymphocytic infiltrates
c. Plasma cells
123, Tuberculin test , which cells can be found at site
a. CD4 positive cells
b. CD8 positive cells
124, Patient presents with night sweats and fever, there is swelling on left side of neck
with
discharging sinus, culture/smear negative, what is next best initial investigation
a. ZN staining
b. Biopsy
125, Tests for typhoid in second week
a. Blood culture
b. Widal and blood culture
c. Stool culture
126, Child with rectal prolapse, parasitic infection with parasite shows short head
a. Trichuris trichura
b. Ankylostoma duodenale
127, Diabetic patient with decreased distant vision, right eye visual acuity is 4/60 and left
eye 3/60,
what is the diagnosis
a. Cataract
b. Hypermatropia
( Not cataract as distant vision was mentioned, in cataract both near and distant visions
are
affected)
128, Patient with trauma admitted in ICU, there is greenish discharge from his wound,
what is the
organism
a. Pseudomonas aerugenosa
129, Schlerotome , vertebrae and nerves
a. 7,7,7
b. 7,8,7
c. 8,8,8
d. 8,7,8
130, End diastolic ventricular volume will increase with
20
a. Venous return
b. Heart rate
c. Cardaic output
131, A women presents with winging of scapula damage to which nerve
a) thoracodorsal
b) spra scapular
c) long thoracic
132, Glucocorticoids
a. decrease glucose utilization in cells
133, Secretion high in HCO3
a. pancreatic secretion
134, Intestinal motility is increased by
a. CCK
b. Gastrin
135, Vagus nerve emerge through
a. Jugular foramen
136, Old patient presents with weakness in all arms, clasp knife rigidity and
hyperreflexia,
diagnosis
a. Upper motor neuron lesion
b. Lower motor neuron lesion
137, Stage in which spindle fibers attach to centromeres and divide
a. Telophase
b. Metaphase
c. Anaphase
d. Prophase
138, Difference between ECF and ICF
a. Low potassium outside
139, At rest actin is covered in its active site by
a. Troponin
b. Tropomyocin
140, In liver cell injury, enzyme decreased is
a. ALP
b. 5-nucleotidase
c. AST
d. GGT
e. ALT
141, Baby starts bleeding from umbilical cord when cut
a. Vit-k deficiency
b. Vit B12 deficiency
c. Vit B1 deficiency
142, Patient with jaundice, direct bilirubin raised, ALP= 1600, GGT raised, diagnosis
a. Extrahepatic jaundice
143, Virus cause malignancy through
a. Alteration in proteins
144, Metastasis of cancer occur due to
a. Degradation of cadherin
145, Pseudomembranous colitis
a. Clostridium deficile
146, Most Common cause of cervical carcinoma
a. HPV
21
147, Obese person working as a Clerk with sedentary life style, was routinely checking
his blood
pressure and blood pressure was raised. He was investigated but no cause was found,
his raised blood
pressure is due to
a. Vessel tone
148, 30 years old patient weigh 70 kg presents with blood pressure 140/90 mmHg, pulse
80 bpm,
glucose 88%, urine glucose ++, Na 140 mmol/dl and K 2.4 mmol/dl, diagnosis
a. Primary hyperaldosteronism
149, Difference between arterio-venous blood
a. Hematocrit
b. MCHC
150, Arrangement of intercostal neurovascular bundle from cephalocaudal
a. Vein, nerve, artery
b. Vein artery nerve
c. Nerve vein, artery
151, True about adrenal gland
a. It is pyramidal in shape
152, kidney
a. Adrenal gland covered with perirenal fats
b. Renal vein passes infront of both renal artery and inferior vena cava
153, which of the following drugs will increase the effect warfarin
a. Cimetidine
154, Dual nerve supply but not reciprocal
a. Sweat gland
b. Third gland
c. Cillairy body
d. Pupils
155, Thymus
a) rich in lymphocytes
b) regress after birth
c) develop from 3rd and 4th pharyngeal pouches
156, Patient With below knee amputation. After that painful scar formed
a. neuroma
b. ganglioma
157, Which of the following is a benign tumor
a. leomyoma
158, Alterobaric changes n a person during dving in deep sea
a. unequal changes in pressure n middle ear during diving
b. perilympathic fistula
159, Drug which effect thyroxine llevel
a. potassium iodide
b. prophylthiouracil
c. propranolol
160, Cause of increase pulse pressure
a. increase arterial compliance
b. stroke volume
c. total peripheral resistance
161, Left shift of O2 hemoglobin dissociation curve with hypocapnia
a. bohr effect
22
b. haldine effect
162, Glucose increasing factor release from pancreas
a. glucagon
b. Insulin
c. Secretin
163, Basilar artery ends by dividing into
a. Posterior cerebral artery
164, Secretin release when
a. HCl n stomach
b. HCl n duodenum
165, defect vWB will affect
a. Platelets adhesion
b. Platelets aggregation
166, Person chewing pan and battle, which complication may occur
a. Keratosis
b. Submucosal fibrosis
c. Ulcers
167, Strong anaphylatoxin
a. C5
b. C8
c. C7
d. C5a
168, A boy with deviation f mouth towards left side, unable too close his right eye,
dribbling of saliva
from his right angle of mouth, which nerve is involved
a. Right facial nerve
b. Oculomotor nerve
c. Left facial nerve
169, Normal ratio FEV1/FVC
a. 0.8
170, Filum terminale
a. Formed of pia matter
171, Child with rheumatic fever
a. Antibody-antigen immune complex deposit
b. Bypass low zone cross reactivity
172, Pyogenic infection
a. Proteins > 3g
b. Transudate
173, Lady with painful swelling of left lower leg
a. DVT
174, Iron bind to which proteins in blood
a. Albumin
b. Ferritin
c. Transferrin
175, Aplasia means
a. Absence of cells
176, Cause of cardiogenic shock
a. Hemorrhages
b. Septicemia
c. MI
d. Burn
23
177, Toxoplasma infection,, what antibody will be found in neonates
a. IgG-1
b. IgG-4
c. IgM
(In first week of infection there are IgM antibodies in Mother, then IgG-1 and very late but
most
strong defense by IgG-4, in neonate most specific IgM and most sensitive IgA and IgE)
178, Morphine stimulates secretion of which hormone
a. Secretin
b. Histamine
c. CCK
179, Spermatogenesis
a. Spermatids form spermatozoa
180, TNF as answer,, have forgotten the stem
181, Increase ESR more than 100 occurs in
a. Anemia
b. Polycythemia
c. Multiple Myeloma
d. porphyria
182, Scenario about Gastrocolic reflex
183, Researchers want to study relationship between MI and 24 hour activity level with
20% mild
activity 35% moderate 45% severe,, how data will be plotted
a. Bar chart
184, which nucleus is present in midbrain
a. Tractus solatarus
b. Occulmootor
185, Formation of interstitial fluids will increase in
a. Decrease plasma colloid pressure
b. Decrease plasma oncotic pressure
c. Decrease lympathics
186, A man with increase thirst. And changed behavior urine osmolarity decrease. There
is a lesion of
a) hypothalamus
b) amygadala
c) thalamus
d) cerebellum
187, Cells to cells adhesion occurs through
a. Intigrins
b. Selectins
c. Cadherin
188, Which is essential for tissue matching
a. HLA
189, Infarction a. Arterial Occlusion
190,
Cannot recall any more MCQs, dont follow my keys unless confirmed,,
Special thanks to Dr.Alia Bukhairi, Dr.Afnan Ahmad, Dr.Merral Meral, Dr.Sa-
Node and Dr.Fcps Physiology
Regard: Dr.Nadir Khan Orakzai
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24
4th April 2016 Surgery (Evening) by Neelum Agha (94+101)
Paper-1 (94)
1)hypovolumic shock response> baroreceptor reflx , cns ischemic injury
2)fisherman swollen n bleeding gums > vit c def
3) r.b.c structure maintained by> spectrin
4)r.b.c destroyed a)iron go back for utilization b)mainly urobilinogen excreted in urine c) biliverdin in stool
5)r.b.c antigen found in saliva
6) corneal opacity > chloroquine
7) cervical part of facial nerve supply> platysma
8) middle meningeal artery> foramen spinosum
9) compensation of shock what will decrease > heart rate
10)reversal of shock> urine output will increase
11) diastolic filling depend on> venous return
12) 6 values given calculate median
13)zinc> carbonic anhydrase ,vit b12
14)non bacterial oportunistic organim after burn > pseudomonas
15) compact bone histologcl feature
16)scenario on neutrophil diapedesis > c5a
17) scenario on inc. bleeding time> platelets 20000
18) cause of cervica tumor a.chronic irritation b.iucd c.hsv ,d.hpv
19)long scenario ws given pain produced by> prostaglandin and bradykinin
20) scenario pathological fracture m band > plasma cell
21) alpha 1 adrenergic receptor> mydriasis
22) vagus cause inc. salivation nd vasodilation due to > a.vip ,b.gastrin ,c.gip.d.substance p
23) infratempotal fossa> also kown as a. parapharngeal b.tonsilar c.pretracheal d.submesenteric
24)commonest site of thyroglosal cyst a.infrahyoid ws not in options b.thyrohyoid c.suprahyoid
25)down syndrome> alzheimer disease
25
26)reliable diagnosis for turner> karyotyping bar body
27)scenario non.pregnnt lady fbs 122,rbs after 1 hour 194, after 2 hour 194> impaired glucose tolerance
28)skull of child vault greater than face ant.fontnlee formd frm 3 bones
post fntanele close at 3 months and fourth option was 'bones of vault ossify completely before birth'
something like this
29)gohn complex> t.b
30)highest chance of fibrillation> at the end of action potential
31)mitral stenosis murmur> apex of heart
32) t.b scenario > cell mediated immunity
33)protein after leakage from tisue> enter back to circulatio by lymphatics
34)hamartoma> Disorganized growth of mature cel indeginous to the site
35)breaking bad news
36) doctor patient relationship
37)pharmakodynamic drug drug relation> reverse action of morphine by nalxene
38)2 factors comparision> student t test
(ITS NOT STUDENT T TEST CORRELATION BTWN TEMP AND G>ANESTHESIA ITS OUR PAST PPR
MCQ ITS ANS IS REGRESSION ANALYSIS..................)
39) hypophysis cerbri post relation> sphenoidal sinus
40)steroid acts by> gene amplification
41)prevent heat loss> vasoconstriction
42)virus> oncogene
43)protooncogene converted to oncogene by> a.point mutation b.gene amplification
44)acute promyelocytic leukemoa scenario> apoptosis
45)cytokeratin>intermediate filament
46)thyroid isthmus> 2 3 4 tracheal rings
47)most comon cause of septic menigitis> streptococcus
48)severe hypomagnesemia> hypocalcemia
49) brain lesion involving s2 s3 s4> rectal incontinence
26
50)7th brnchopulmonry segment of LEFT lung(in previous pprs Right ws asked)
anterolateral
refrence netters atlas
51)fastest conduction velocity> purkunji fibers
52)coronary sinus is cotinuation of > great cardiac vein
53) peak of action potential> electrical na influx electrical na efflux
54)micrglia> macrophage of cns
55) organ ectodermal on origin> cns
56)tra sitionl epi of blader derived from> endoderm
57)scenario about child with spurapubic wet mass> exostrophy of bladder
58)unicellilar parasit bone infection> cant recall options
59)medial boundry of ischiorectal fossa> levator ani ecternal anal sphincter
60)hypothalamus inhibitory effect> prolactin
61)atherosclerosis fibrilation stroke due to> embolism
62)medulla decusate at pyramid> propioceptiom/ medial leminscus
63)oblique fissure of right lung>t3 to t6
64)cant diferntiate betweeb red n green> protanopia
65)nor.epi and serotonin dgrade by> comt
66)oxidases present in> peroxisome
67) number of sympathetic white mayer comunicnts a.14 b.15 c.13
68)excesice stretch> muscle spindle
69)least presure in aorta during a.isovolumtrc relxation b.isovol. contraction ,c.end of rapid filling
70)drugs with shorter half life > reach steady state earlier
71)radiation therapy for cancer > destruction of squamous epithelium
72)water intoxication sign> slow pulse
73)normal saline infusion given,dec urine osmolarity,inc. urinary sodium,inc. plasma osmolarity
74)thirst increased due to> increased plasma osmolarity dec plasma volume
74)amimo acid to be taken in diet> phenylalanine ( essential) 75)scenario relatd to lipofusin acumulation
in heart > autophagolysis ,coagultv necrosis
27
75)scenario relatd to lipofusin acumulation in heart > autophagolysis,coagultv necrosis
76)teratoma> all three germ cell layers
77)air embolism >100cc
78)aldosterone released in response to > increased potassium
79)hydrolysis of dna yield> phosphoric acid
80) pregnant lady with obstructive jaundice> gama gt
81)last mediator of shock > interleukin 6
82)scenario on peripheral edema low albumin > kwashiorkor
83)free hb binds to> haptoglobin
84)acquired deficiency< alpha 1 antitrypsin def.
85)intracellular buffer> protein
86)pus> neutrophil
87)leads to malignncy > bowen disease
88)sweat chloride test> cystic fibrosis
89) typhoid cariers> asymptomatic
90) ketamine is a good analgesic
91) cardiac muscles >,gap junctions cause increases electrcl spread
92) increases calcitonin asociatex with tumor of > thyroid
93) arterial suply of bone,long bones by epiphyseal flat bones by nutrient etc cnt recall
94)more acidic urine in dct due to> secretion of h+ ion in dct
Paper-2
1)creatinine produced by> skeletal muscle
2) pregnant lady e anemia scenario feritin not raised> cant recal other options not iron def. anemia
3) pregnant lady scenario> decrease albumin cant recal other options
4)absolute lymphocytosis> infectious mononucleosis
5) cancer therapy> apoptosis
6) sepsis diagnosis pulse > 120 tlc less than 2000 n greater thn 15000 postve bacterial culture
7)diaphragm> quiet respiration
28
8)winging scapula>long thoracic nerve
9)lower truk of brachial plexus> oponen polics
10)cubital tunnel syndrome tendon afctng ulnar nerve is > flexor carpi ulnaris
11)fracture mid.shaft radius> radial nerve damage
12)pulmonary artery wedge pressure> left aterial pressure
13)left atrium supply>circumflex artery
14)ana cervicalis relatd It ws symthng wd hypoglosal and c1 2 3?? Cant recall Its frm.past pprs i gues
15)trigone of blader
16) scenario vesicl fistula somethng dupilcate ureter due to> early diferntiation of ureter
17)hand fall on side > deltoid muscle
18)intercostobrochial trunk> anterolaterl part of thoracic aorta
19)medicine need daily monitoring> vancomycin
20) vastas medialis > suplied by femoral nerve
21)foot drop> comon peroneal nerve
22) inversion not possible tendon ruptured> tibialis posterior
23)knee joint> medial meniscus inmobile and most prone to injury
24) main supply of perineum> internal pudendal artery
25)dorsal colum lesion los of> sensory ataxia
cn recall other options
26) area 3 2 1> somatosensory
27> pt. wd blood grp a+ cnt b gvn other blood groups due to presnce ov wch antibody kell duffy
28) ffps given in> warfarin overdose
29)ptu inhibit which step of thyroid hormone synthesis> iodide oxidation
30)obstructive azoospermia non.invssive antibody>igg
31) inferior part of inguinal ligament > fascia of thigh
32)sup. thyroid artert damage> external laryngeal nerve
33) scenario on inflamed apendix
histolgcl finding fr diagnosis > neutrophil in muscularis
34)more selective cox 2 th cox1> meloxicam
29
35)post spleenectomy scenario> prolonged aptt, prolonged pt, decrease platelet nd increase fdp
36)scenario of non preggnt ldy with bleeding low plt count, prolongd aptt nd prolngd pt> dic
37) most comon cns tumor secondary to radiation> glioblastoma multifrme
38)lower lip formed by> mandibular process
39)po2 is 100% at> high altitude left to right shunt
40)scenario of megaloblastc anemia > loss of intrinsc factor
41)submandibular gland> parasympathetc prt facial nerve supply it
42)b/l temp. pain loss propioception n vibration intct at t4 to t8 > bilatera lesion of anterolateral tract at t4
to t8
43)umblicus dermatome> t.10
44) epigastric pain scenario> greater splanchnic nerve
45) parotid glnd posteriomedial relation
46) gaba def. in globus palidus nd substantia niagra athetosis parkinsonism
47) uretric constriction> sacral promontory
48)internal iliac branch on true pelvis > middle rectal
49)boil on labia lymph drained by >superficial vertical inguinal
50)nosocomial u.t.i > staph. Aureus
51)osteomylitis > staph. Aureus
52)i.v drug abuser> infective endocarditis
53)scenario old teacher ph 7.3 co2 58 hco3 24> uncomprnsated resp. acidosis
54)scenario 6 yr child in japan..( past pprz)> Kawasaki
55)scenario old man with dificultu swalowing b.p 210/ 110 ana posotive .complement level normal >
nodular scelrosis
acute glomerulonephritis
56)non.caseous granuloma> sarcoidosis
57)actinomycosis > granuloma+ abcess
58)coronar sinus drain > 2/3rd of heart
( it was most apropriate cx ant. crdiav vein n few venecomitnt drain drctly in right atrium)
59)paeu de orange>
60)lymphatics> cystic hygroma
30
61) cortisol is necesary for action of > insulin glucagon thyroxine epinephrine thyroxine aldosterone
62) hyperparathyoidsm whch age grp young adult post menopsusal womn premenopausal womn
63) autosomal dominant > familal adenomatoys polyposis
64)unicellular parasite in bone infection cant recall options
65) medial boundry of ischiorectal fossa> levator ani external anal sphincter
66)virus oncognc for> t. cell leukemia (cnt recal other options)
67)scenario of soldier in balochstan > kalazar
68) post duodnl perforation> gastroduodenal artery
69)terminl prt of bile duct relation with pancreas> embeded in it
70) stomach> most dilated part of git
71)inion> EXTERNAL ocipital protuberance
72)foramen rotandum> lie infront of foramen ovale?
73) amoeba most comnly involv > caecum
74)multiple regime anti t.b drugs > to avoid resistance
75)isoniaxid> b6 gven to aboid complications
76)steatorhea> pancreatectomy
77)appendectomy> iliohypogastric nerve most comny damgd
78)cytoplasm eosinophilic plus basophilic > apoptosis
79)dpt > artifical active artifical passive
80)glucose excretd in urine at 100mg/dl> dec. rena threshold of glucose of that person
81)femoral hernia > below n lateral to pubic tubercle
82)morphine> given in terminaly ill patients
83) oligouria < 500ml
84)pelvic mass, ascites, pleural effusion> meig's syndrome
85)dull percusion node> pleural fluid in cavity
86)preggnt lady 20week gestation fever for five days.abortion done aftr 2 days u/s amnion yolksac
present wdout villi what causes symptom > granulocyte stimulating fctor
granulocyte macrophge stimulting fctor tnf
87)renal column collecting duct interlobar artery
31
88)wrong finding of e.c.g maxe PR interval 0.1?
89)calculation of vd/vt ratio ( physiologc dead space) > paco2-peco2/ paco2
PCO2 48 tha nd PaO2 30 a. 0.5 b. 0.3
90)tumor size > 3.5cm, homocntrl nodes somthng nd metastasis> t2n1m1
91)decrease in blood vol. what increases > rennin gfr
92)pyloric sphincter resected> food imediatly pases to duodenum somthng
complince dec. acid relatd
93)surfactnnt absent in newborn> rds
94)both central n peripheral chemoreceptors respond to> increase arterial pco2
95)pulmonary wedge pressure > left atrium
96)parasmpthtc loss afct> git muscles
97) scenario from pastpprs man lives near river devlop blindnes > onchocercosis
98)sebaceous gland > hair cortex
hair folicle
mamry gmlnd is secretry glnd ov breast
99)r.b.c breakdown in spleen b/w red cord n veins b/w pulp n cord etc
100)sickle cell> beta globulin
101) oral melanoma most common site> palate
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32
4th April 2016 Surgery Morning by Usman Dawar & Mir Karimshah(92+30)
4th April 2016 Surgery Morning by Usman Dawar(92)
Some memories of 4 april morning surgry
1.surgical neck of humerus #, which artery damaged posterior circumflex
2.which muscle is flexor of forearm and supplied by radial nerve? brachiradialis
3.inferior wall MI which artery will damaged on angiogram ......Right Marginal artery
4.sinus in jaw plus yellow granules ACTINOMYSIS
5.farmer in rose garden rt lower lobe me me clacified mass 4x3 cm. aspirgilosis
6.Abduction of arm upto Upto 40 degree is lost which muscle is aafctd ?? supraspinatus
7.lateral quadrants of breast drain into which nodes apical/pectoral nodes.
8.mass of hair shaft is because of ....... cortex
9.light reflex,imoral sexual response ,no reflexes pain sensatio .....tabes dorsalis
10.pain of ovrian tumor is refered to thigh by obturatr nerve
11.neck of bladder and proximal urethra is supplied by sympathetic by hypogastric
12.deep inguinal ring is present in transversalis fascia 13.vessels of base of bladder lies in which
ligament dosrolateral
14. suprficial epigasric artry branch of... Femoral Artery
15. which one z involvd in portal hyprtnsion.. esophageal
16. regarding sciatic nerve.. present bw gratr trouchntr nd ischial tuberosity
17. median nerve damaged at carpel tunnel what will occur wasting of thiiner muscle
18. 17 ketosteroid in urine normal male
19. median nerve damaged which action of thumb will impared....... opposition
20. lymph from testis will drain into....... paraortic nodes
21. sciatic nerve damaged dorsal surface of foot still have cutenous innervation b/c of
.....sphaneous nerve
22. Pulmonary symptoms by .........ascariasis
23. Scree ning is done in cancer .....detect disease at early stage
24.Post PPH blood transfusions from sm blood bank o positive.......... hemochromotasis
25. regarding malignant melanoma..... arrange cell in chronoligical order which wil present
earlier...NK cells
26.antiobiotic given patient has deranged PT ptt and normal platelets what will you give...vit. K
27. floursent ,and resistant to antibiotic,antiseptic ......pseudomona
28.Post HIV operation theater will be cleaned by....2% gluteraldehyde
29.patient lacks coagulation factor 27910 what is deficient vit. K
30. relation ov terminal cbd with heas ov pancreas....embedded
31.Relation in the popletial fossa ...Medial
32. MC tumor in child....... meduloblastoma
33. which branch of cervical plexus supply posterior auricul area, ...Lesser occipital nerve
34. Fracture of which vertebrae , bone peice damage vertbral coulm.......axis
35. tlc 6 litr, residual volum 1 litre, calculate vital capacity.. 5
36.Mild transplant rejection myosial biopsy shows... lymphocye
37. imunocompromised pt..... angular chelitis caused by... candida
33
38. asthmna which inc........> functionl residual capacity
39. at normal condition both are equal..????.....venous return and pulmonary flow
40. Long term memory immunoglobulin..? ig G
41. loop diuretic dangrous efect... hypovolumia
42.Propofol absolute contra..? Hypersensitivity
43. Acetozomalamide(diamox) MOA..? h+ absorption, na k exceretion
44.Cranial nerve 7 9 10 taking taste sensation converge.. solitary nucleus
47.posterior tringle biopsy> damage of spinal part of acessory nerve
48. Alpha receptr on...... neck ov bladder nd proximal urethra
51. inferior thyroid> recurnt lyrngeal nerve
52. Choriostoma .....pancreatic tissue in stomach
53.patient unconcious.. Lesion on ct post central gyrus sensory area
54. Sickle cells disease protein affected ...beta globin
55. retroperitonial mass, close to psoas, no ocult blood, or intstnl obstruction...... liposarcoma
56.ron deficiancy anaemia > inc tibc
57.thiazide diuretics... early DCT
58. Part ov portal system,superior rectal vein
59. tumour cell in blood most commnly diagnosed...peripheral morphology
60.60yr old alcoholic centrilobular congestion,neck veins distended, fibrosis passive congestion
..Right heart failure
61. NSAIDS........... potent cox inhibiters
62.most rapidly adopting receptor....pacinian
63.about veins of thorax....pulmonary vein lies anterior to pulmonary artery
64.awkward posture, wide gait,can't perform rapidly alternating tasks,past pointing... cerebellar
leison
65.loop diuretics at therapeutic dose.....decrease blood volume
66.Grading... degree of anaplasia
67.pneumothorax..... ipsilateral lung collapse chest spring out
68.anterior wall MI.....LAD
70.fisherman.....diphylobothrium latum
71.posterior cranial fossa tumor....medulloblastoma
72.Appendix.... retrocecal
73.TPN......hyperglycemia
74.INR....oral anticoagulant
75.purpera no illness,drug use....ITP
76.true about AV Bundle... only pathway to transmit current from atria to ventricle
78. 0.5 cm perihilar nodule plus eosinophilia in blood sputum and biopsy?.... noinvasiv
aspergilosis/ wegnr granulomatosis
79. endothelium of vagina and endometrium derived from ..... endoderm mesoderm endoderm
plus ectoderm
80. spleenectomy, vassels present in which ligment.....lenorenal
81. Rectus sheath..... Upper intersection near xphoid process
83. Hemophilia, joint pain 6 month s, which subsntc present,, cholestrol crystals
84. Origin of diaphragm Cervical somites/septum transversm
34
85. Most common brain tumor... GBM
86.Regarding primary peristalsis.. Esophageal sphincter relax...Ahead of primary
peristalsis/when peristalsis reach
87.gastric emptying....decreased by secretin
88.positive chloride sweat test....cystic fibrosis
89.standard deviation... variability among individuals
90.great cerebral vein....cistern of ambiens
91.Hodgkin's lymphoma,cervical lymph nodes,spleen involved...stage 2E/III
92.LH acts on.....leyding cells
=-=
4th April 2016 Surgery Morning by Mir Karimshah(30)
1: artery orginate at post ext carotid in parotid near post digastrix muscle
A: facial
B: lingual
2: superficial epigastric artery is branch of
A: external iliac
B: femoral
3: blood and nerve supply to base of bladder is
A: urachus
B : medial umbilical lig
4: Gallen vein located at
A: post cestern
B: Ant cistern
5: RTA oerson die due to vertebrae fragement causing injury to spinal cord
A: Axis
B: Atlas
6: Ovarian disease pain radiating to medial thigh due to
A: obturator nerve
B: Pudendal nerve
7: bulk of hair is form by
A: basalis and spinosum
B: cuneform
8: planter surface foot sensory supply thru
A: sural nerve
B: post tibial
9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is
A:Supraspinatous
B: Trapizius
10: left lung root get sever injured spared structure will be
A: vagus nerve
B: pulmonary ligament
35
11: carpal tunnel syndrom
A: wasting of thenars
12: inf wall MI vessel involve is
A: rt marginal artery
B: PIV artery
13: ant wall MI vessel involve is
A: LAD
14: LXM artery supplies
A: lft atrium
B: lft ventricle
15: sciatic nerve
A: passes btwn greater tronchter and ischium
B: divides into superficial and deep peroneal
16: popliteal nerve in relation to vessel is at popliteal fossa
A: Ant
B: Post
17: flexor of elbow supplied by radial nerve
A: brachio radialis
B: bicep brachii
18: lysosomes
A: oxidation of long chain fatty acids
B: hydrlytic enzymes
19: scalp at post auricular surface supplies by
A: auriculo temporal
B: greater occipital
20: structur damage at post cervical lymphadenectomy
A: spinal part of accessory nerve
21: Int jugular with ant relation to as exit from skull
A: Accessory nerve spinal part
22: LH acts at testiculuar cells
A: Leydigs
B: Sertoli
23: for splenectomy renal vessel.ligation
A: gastro splenic lig
B: lenorenal lig
24: nerve supplying area below orbit anove mouth
A: maxillary division of trigeminal
B: auricular nerve
25: greater sephanous valve A: 15,B: 20, C: 25
26: calculate Vital capacity while lung volume after mxm inspiration is 6L and 1L after mxm exp. FRC is 3.5L and T.V
0.5L. A: 5,B: 4
27: gardener with rt side chest pain xray shows rounded lesion.A: hydatid cyst.B: lung abscess
28: About stomach motility ,A: delayed by secretin ,B: increased by alcohol
29: local factor for delayed wound healing ,A: vit c def,B: infection
30: breast during pregnancy and lactation,A: stromal hypertrophy,B: lobular hyperplasia
Remember me in your prays
36
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(4).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#89
Q1 CO2 cross through alveoli
a high plasma solubility
b high diffusion coefficient
c high molecular weight
i marked A but according to seniors its B choose at ur own risk
Q2 anesthesia pass through placenta
a simple diffusion ANS A
b active diffusion
c fascilitated diffusion
Q3 a female with right ovarian CA cancer ist metastasiz to
a internal illac L.N
b messenteric L.N
c left para aortic L. ANS C
Q4 mechanism of action of posphodiesterase inhiitors
a ATP to AMP
b cAMP to 5 AMP ANS B
Q5a virus hich occur in epidemic form but do not cause CLD
a hep A
b hep B
c hep C
d hep E ANS D
Q6 glucose cross through placenta via
a simple diffusion
b passive diffusion
c fascilitated diffusion ANS C
Q7 pain fibers are
a un encapsulated ANS A
b capsulated
Q8 mechanism of action of action of anesthesia
a k channel blocker
b ca channl blocker
c na channel blocker ANS C
Q9 AIDS related lymphoma
a EBV ANS A
b CMV
c SCC
Q10 iron homeostasis via
a tranferrin ANS A
b haptoglobin
c ferratin
Q11 line of zahn formed in
37
a obstructed thrombus
b primary platelet thrombus
c coraline thrombus ANS C
d post mortem thrombus
Q12 anterior boundary of pelvis in female is
a bounded by sacrotuberous n isheopubic rami ANS A
b short subpubic angel
c wider behind ten male pelvis
Q13 tractus solitarious
a ist order neuron
b seond order
c third order
i marked B but some say A some saying B
Q14 which one of the following crossing pelvic brim
a uretre ANS A
b obturator internus
c psoas muscles
Q15 a women who is nursing her baby for one year now quit breast feeding what change occured
in her breast tissue
a stromal hypertrophy
b ductal dilataion
c lobular hyperplasia ANS C
Q16 EBV is related to
a retinoblastoma
b colonic CA
c neuroblastoma
d subset of hodghkins lymphoma
here i marked C but nt sure confirm it urself
Q 17 Mullerian duct form
a rete testes cordis
b vaginal fornix n cervical upper pat ANS b
c ovaries
Q18 rapidally adapting
a pacinian ANS A
b baro recptors
c ruffians
Q19 EBV
a produce toxin to DNA
b interfere vid DNA repair ANS B
c common affrican population
Q20 pregnant lady present in clinic vid pallor and fatigue Ix of choice
a S/ferratin
38
b S/iron and TIBC ANS B
d RBCs value
c CBC
Q21 doctor recognised by
a regularity punctuality and availabity to patients
b politness and good bedside manners
some say A some say B
Q22 male in clinic presnts vid testicular CA will ist metastasizd to
a para aortic L.N ANS A
b superior messenteric L.N
Q23 in a study 40% women received HRT 20% women not received study called
a pie chart ANS A
b bar graph
b scatter
c histogram
Q24 A woman vid coneal vasularization and fissures at corners of mouth
A ribofvalin ANS A
b niacin
c biotin
Q25 A pt vid defficiency of niacin and riboflavin will have
a pellaga ANS A
b scurvy
c rickets
d osteomalcia
Q26 a multigravida having two kids presents in clinic after cholecystectomy her peripheral smear
showin microcytes cause is
A blood loss
B IDA
C haemodilution
ANS A bt few vd B
Q27 a male present in clinic vid pallor fatigue and lethargy Ix of choice
A CBC ANS A
B S/ferratin
C RBC mass
Q28 A 6 year old girl vid HB 6.2 MCV 58 FL MCHC 27 PCV 20 pallor and lethargy vid
platelets count 250,0000 and wbsc 7000
suffering from
A IDA
B thalasemia trait
i marked A cozz no hbA 2 given no history of hepatospleenomegaly so confirm it further
.Q29 Mechanism of action of GLUCAGON
a stimulate potein kinase ANS A
39
b suppressing sdenylate cyclase
Q30 non essential amino acid take alpha group from
A oxaloacetate
B glutamate ANS B
C pyruvate dehydrogenase
Q31 A women came in clinic due to faal in wash room having bone pain her x ray taken and
there found reduced mass over head of feamur and deminraliztion all over body her s/ca+2 was
12mg/dl [while normal is 10 to 11 mg /dl] there is ca+2 in urine .lady is suffering from
A hyperparathyroidism ANS A
B hypo parathyroidism
C osteoporosis
Q32 hypophysectomy which will suffer
A acini of pancreas
B chief cells of parathyoid
C principal cells of thyroid ANS C
Q33 peroxiosome arise from
A SER ANS A
B RER
C golgi
Q34 cornybacterium diphetheria
A spore forming
B G neg
C exotoxins ANS C
Q35 a young girl with bee sting which cells will involve in this kind of hypersensitivity
A eosinophils
B mucosal mast cells ANS B
C neutrophils
Q36 cerebellum is related vid
A speech
B movements
C coordination of movement ANS C
Q37 which peritoneum covering the organs of abd viseras
A parietal
B viseral ANS B
C plural
Q38 Collecting system of kidneys derive from
A mesonephric duct
B ureteric bud ANS B
C urothelium
Q39 less heat is produced in anesthsia due to
A NA/K PUMPS blockage
B decrease muscle tone ANS B
C muscle paralyss
40
Q40 OCPs C.I in
A vaginal bleed
B migrain ANS B
Q41 Second meiotic division complete in females
A fertilization ANS A
B zygote
C at birth
Q42 During L.P structure pierced
A dura matter ANS A
B pia matter
c lig nuche
Q43 micturation due to
A mehanoreceptors in bladder wall ANS A
B enteric nervous system supplied by para sympathetic N.S
C hypogastric plexsus
Q44 which clotting factor deficiency leads to thrombosis rather then bleding
A factor 12 ANS A
B factoe v laiden
C christmas factor
Q45 true hermaphrodiet
A XX
B XY
C XX/YY
D XXY ANS D its CPSP key
Q46 A beautiful looking girl came in clinic vid complaints of ammenorreha on examination
secondar sexual characteristics were present on USG there was no uterus an vid blind ended
vagina
A true hermaphrodiet
B normal
C adrenogenital synd
D testicular feminization ANS D
Q47 before giving sodium valporate to pt check
A RFTs
B LFTs ANS B
C cognitive functions
Q48 During meiosis what happens
A Exchange of genetic material in autosmomes ANS A
B chromosomes double in number
Q49 primary oocyte surrounded by zona pelucida and fluid filled cavity called
A primary follicle
B secondary follice ANS B
C tertiary follicle
Q50 IST meiotic division complete at
A before ovulation ANS A
B after ovulation
C birth
41
Q51 A pt after RTA brought to hosp after 30 min of slow bleeding
greatest reduction in bood volume will occur in
A veins ANS A
B arteries
C arteriols
D capillaries
Q52which ligament hold uterus in antevertd position and can b palpated per rectal exam
A uterosacral ANS A
B round
C broad ligament
Q53 A boy after heart and lung transplant came in clinic vid complaints of headach L.P done cs
showing increase proteins count no change on sugar there was no bacteria on culture and halos i
dnt remebr further causative agent is
A histolasmosis
B cryptococus ANS B
C aspegillus
Q54 Secondary ossification center
A diaphysis
B epiphysis ANS B
C metaphysis
Q55 common feature of sk muscle and smooth muscle
A T tubules
B branching
C transverse striation ANS C
Q56 smooth muscle feature
A Mononucleate ANS A
C multinucleate
D branching
Q57 osteon A concenteric lamella B sharpeys fibers C woven bones ANS A this is olos
controversial so choose it at ur own
Q58 All para sympathetic fibers are
A cholinergic ANS A
B adrenergic
Q59 enhance effect of halothane with
A Nitrous oxide ANS A
B thiopental
C barbiturates
Q60 virus related CA
A HTLV ANS A
B SCC
Q61 PCKD is
A autosomal dominant trait ANS A
B autosomal recessive trait
C multifactorial trait
Q62 reaction will occur
42
A O to O
B A to AB ANS B
Q63 vagina drainage
A medial group of horizontal nodes ANS A
B vertical group
C popliteal
Q64 70 year old man brought in clinic in comatosed condition his blood sugar 700 mg/dl no
ketone uria no protein uria man would b suffreing from
A DM 1
B DM2 ANS B
C M.S
Q65 male pt vid uretheritic and dysuria causative agen is
A chlamydia ANS A
B trichomonas
C neisseria
Q66 causes of hot flushes in post menopausal women is
A Increase FSH/LH ANS A
B increase estrogen
C Decrease LH
Q67 medial to femoral hernia
A Lacunar lig ANS A
B femoral A
C femoral vein
Q68 germinal follicles present in
A Cortex of lymph node ANS A
B Para cortex of L.N
C thymus
D spleen
Q69 Normal caloric vlue for an adult male is
A 70 KCAL/ day
B 25 to 30 kcal/day ANS B its asim shoaib key
Q70 Thirst is stimulated by A ECF volume expansion B ang 2 ANS B
Q71 EF increase vid decrease in A ESV ANS A B EDV
Q72 A lady vid CA breast positive had undergone lumpectomy now which drug to give
A tamoxifen ANS A B 5 flurouracil C MTX
Q73 longest incubation period is A hepB ANS A B hep A c T. B
Q74 Coccygeal ligment at A l2 ANS A as l 1 was nt given in options B SI TO S3
Q75 erythropoietin producrd from
A JG cells B peritubular capillaries ANS B
Q76 on ECG prolong PR interval called A bradycardia B ist degree H.B ANS B C 2nd degree
H.B
Q77 N20 plus O2 A good anelgesia ANS A B good anesthesia
Q78 Abdominal aorta give A renal arteries at L2 ANS A B lateral branches to parieties
43
Q79 MMR A 100,000 total births B 100,000 live births ANS B
Q80 Transfer of a redical from cone compound to another compound is called as
A transferase ANS A B oxidoreductase
Q81 lowest urin osmolairty found in A CCD B DCT ANS B C Tip of loop
Q82 In LSCS intra abdomial bleed due to
A UTERINE artey ANS A
B inf epigastric A
NOTE...
inf epigastric bleed will b outside of body but if after LSCS bleed is intra abd then it viil b from
uterine artery
Q83 after LSCS a lady came in hosp vid complaints of urinary incontinence
A VVF ANS A
B uretr ligation
C fistula
HERE i want to add more info during hysterctomy ureter is at greater risk of damage
but in LSCS bladder at higher risk of damage
Q84 protein synthesis in muscle A testosteron ANS A B DHT C DHEA
Q85 How many barr bdies in XXX A 1, B 2 ANS , C 3
Q86 narrowest part of paediatric pathway is A cricoid ANS A B hyoid
Q87 Turner syndrome A x0 ANS A B XX C XY
Q88which of the following will prevent ovaries from falling down
A broad ligament B round ligament C uterus ANS C
Q89 male accessory gland A prostate ANS A B ductus deference C epidydimis
Q90 Gold standard of breast CA A USG B mammogram ANS B
Q91 Uterus functionl layer which shed down during mensturation A capsularis and
spongiosum ANS A B capsularis and basale
Q92 Quadrant malaria A P malaria ANS A B vivax C ovale
Q93 dysplasia is recognised by A dyskeratosis B Loss of polarity and architecture of cell ANS
B C Pleomorphism
Q94 Bladder drainage via A internal illiac A. ANS A b external illiac A
Q95 Prolactin is regylated by A prolactin releasing hormone B prolactin inhibitory hormone
ANS B
Q96 a lady vid vaginal dischargecame in clinic which is suspected to be from cervix the most
44
cheap and initial diagnostic test is
A pap smear ANS A
B cone biopsy
C cervical smear
Q97 A lady at 24 week gestation presnts in clinic with fundal height greater then dates
A dudenal atresia ANS A
B horseshoe kidney
C B/L renal agenesis
Q98 CVS is useful for
A trisomy 21 ANS A
B parau synd
C Edward synd
Q99 In a pregnant lady risk of rublle increase in
A 5 TO 10 weeak ANS A
B last trimester
Q100 CRL
A 8 to 13 week ANS A
B 24 th week
Paper-1
Q101 GFR is calculated clinically best with A inuline B PAH C creatinine ANS
Q102 a 12 year boy present in clinic with the complains of bone pains and diarrhea the suffering
from
A vit B1,B biotin, C vit K ANS C
Q103 roof of the ant horn of lateral horn is formed
A body of corpus callosum ANS A
B genu of corpous callosum
Q104 cereberal blood flow depends on A CO2 ANS A.B ph,C H+
Q105 lethal effect of ECF ion on heart A K+ ,B Ca+2,C Na+
confirm it coz i marked it as B coz of Ca+2 is ECF ion can cause lethal automaticity of SA and
AV nodes but seniors pointed towards K+coz of arrythmias which is a major intracellular ion
Q106 wound healing via
A myofibroblasts ANS A
B collagen
C EPDGF
Q107 shigella toxins involved in
A endotoxins
45
B exotoxins
C invasion of mucosa ANS C
Q108 if root of left lung is severed which structure will b prevented
A vagus N ANS A
b azygous
i could nt remem the other options
Q109 typhoid fever diagnostic test in 2nd week
A blood C/S
B widal +B/C ANS B
C urine D/R
Q110 intra amniotic infection detectd via
A IL6 ANS A
B G staining
C B/C
Q111 pain of small intestine is felt in
A epigastrium
B tip of shoulder
C peri umblical ANS C
Q112 which is most effective feed back mechanism to maintain B.P
A baro receptors
B CNS cushings
confirm it fom seniors coz CNS is only involve in potent controll effective and maxiimally are
features of baro receptors
Q113 anemia in pregnant lady
A IDA
B dilutional anemia ANS B
C B12 defficient
Q114 HPV involved in A ovarian CA B cervical CA ANS B
Q115 epigastric pain is felt via A intercostobrachial N ,B greater splanchnic N ANS
Q116 in a pregnant woman with DM drug of choice
A glyburide
B insulin ANS B
46
Q117 carbamazepine S/E ANS DYSTONIA
Q118 A woman presents with discoid rash and protein ria the diagnostic test would b
A ANA ,B anti ds DNA ,ANS
Q119 After parturition size of uterus is reduced d/t A mitochondria,B lysosomes,C SER
Q120characteristic feature of ATN
A hyperkalemia ANS A B oliguria
Q121 a boy came in hosp vid complains of loss of sensation over nose and mouth extending upto
tempral region nerve involve is
A fascial N
B maxillary division of trigeminal N ANS B
Q122 hpermagnesemia cause
A hyer reflexia
B decrease ACH release ANS B
C increase ACH release
D convusions
Q123 myocardial cntractility is best correlated with intracellular concentration of
A Ca +2 ANS A
B K+
C Na +
Q124data is collected for some clinical trial based on presence or abscence of vomiting
A nominal ANS A
B ordinal
C parametric
Q125 A pt operated for CA colon now follow up with
A CEA ANS A
B beta HCG
Q126 fibroblasts form A Collagen B Reticular fibers only C amorphous substance ANS C
47
Q127 rectum A sacular ANS A B S234
Q128 boundary of mandibular triangle ant andpost belly of digastric muscle and body of
mandibe
Q129 A boy with history of fall on ground with outstretched hand cant abduct his arm initially
upto 40 degree but above this angle able to do vidout any support
dnt nw the exact words
A supraspinatus ANS A
B deltoid muscles
Q130 thalasemia trait diagnosed by CVS
Q131 after 5 year of transplant surgery there is increase incidence of
A liver malignancy
B skin makignancy
C lymphoproliferative ANS C
Q132 14 year old boy vid 8%creatinine BP 180/110 structure involved is
A JG cells ANS A,B glomerulus
Q133 platelets are derived from fragmentation of cytoplasm of megakaryocytes
Q134 hormone involved in deposition of CHO proteins and fat -INSULINE
Q 135 a boy admittetd in hosp in unconscious state his ph 7.33,CO2 44 mmhg,HCO3 18
anion gap 18
A Metabolic alkalosis ANS A ,B Metabolic acidosis,C R.F
Q136 lungs are supplied by autnomic N.S
Q137 virus cause cancer A Oncogens ANS A B proto oncogens
Q138 TBW is ICF+ECF+intercellular fluid of same composition
Q139 impair wound healing ANS infection
Q140 patent lumen of allontois
A urachal cyst B urachal fistula ANS B C urachal sinus
Q141 after tooth extraction organism causing IEC
A S aureus
B strptococcus viridians ANS B
Q142 Philtrum develop due to medial nasal processes maldevelopment
Q143 Cleft lip D/T medial nasal +maxilla fusion defect
48
Q144 neutrophil chemotactic factor LTB4
Q145One question was about standard deviation
Q146 ndividual having independent and same chancesof being selected
A Random selection ANS A
B stratifiesd random
Q147 trigeminal ganglion
A Completely bathed with CSF
B give ant and post branches
C in middle cranial fossa alongside cavernos sinus ANS C
Q148 Internal jugular vein anterior relation immediately after exiting from skull
A SCM
B ICA
C carotid sheath
D spinal part of accessory nerve ANS D plz further confirm it
Q149 Testosteon is produced from
sertoli cells
Q150 charecteristic feature of shock
A hypoxiemia
B hypoperfusion of organs ANS B
Q151 on strepcoccal pneumonia infection in a person clearnace of infection will occur via
A H2O2
B PG
C leukoterines ANS C
Q152 after radiations inflammation occur d/t
A venous thrombosis
B end arteritis obliterance ANS B
Q153 Increase interstitial hydrostatic pressure is d/t
A increase capillary permeability ANS A
B colloid oncotic pressure
Q154LXA supply left atrium
Q155 T.B granulomma contain T cells
Q156 ventricles are max filled with blood during
A rapid inflow
B atrial systol
ANS i markd A
some were saying its B
49
Q157 Diabetic nephropathy micro albuminuria
Q158 intra and etra pelvic extention of ligament
Round ligament of uterus
Q159 pelvic splanchnic nerves are parasympathetic
Q160 H/P of cancer grading and differentiation
Q161 One ques was abt water weight i.e 42 lit
Q162 pars distalis
supplied from superior hypophyseal artery
Q163 ACTH levels are high in
A Ant pituitary portal sys
B pst pituitary portal sys
C Systemic arterial blood
here some vid A some C
Q164 If a test is able to both diagnose and eliminate diseased and non diseased it is called
A specific
B sensitive ANS B,C accurate
Q165 To disclose about a recently diagnosed fatal disease ost appropriate
A tell family and pt ASAP ANS A
B crisp logical evidence based accurate info to pt and family according to deman
Q166 A person with sweating drinks 2 lit of distilled water what will hapen
A Increae ICF
B increase ECF
C dec urie osmolarity
Q167 one ques wa ADH contrl ans was urea absorption somthing
NOTE
These bcqs do not contain the exact stem with same wording neither the options nor the answers
and i might b wrong at some questions.so futher cofirm it
2ndly help me to complete total 200 ques if someone recall more que lemme knw i'll add so dat maximum ppl cn get benfit
guys CPSP bcq arent difficult rather thy are just tricky
when i was solving mcq in exam hall
in every question after ist read i olways came up with two possible ans n in second carefull read of the stem ans figured out its own
coz ans is usually hidden withinn the stem so read the stem very carefully and gynae ppl who r gonna appear in MAY attempt must must must
read 18th nov 7th 8th march and 4th april evening morning past paper focus more on recent most ppq wish you best of luck
remember me in ur prayres
regards
Dr.Misbah Abid
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50
(5). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#103
4 April 2016 PAPER A morning shift (radiology)
1. A lady have two children now operated for cholecystectomy presnt in clinic vid pallor and
fatigue periphral blood show microcytes
IDA (Ans)
Blood loss
2. long term osmolarity control via
Aldosteron
Adh
Angiotensin
Effect of efferent vessels
3.Pt vid defficiency of niacin and riboflavin will have
Pellagra (Ans)
Scurvy
Rickets
Osteomalacia
4. which of the following is intrapelvic as well as extrapelvic ligament?
a.tranverse cardinal ligament
b.broad ligament
c.uteropelvic ligament
d.round ligament (Ans)
5. 9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is
A:Supraspinatous (Ans)
B: Trapezius
6. left lung root get sever injured spared structure will be
A: vagus nerve (Ans)
B: pulmonary ligament
7. LXM artery supplies
A: lft atrium (Ans)
8. Int jugular with ant relation to as exit from skull
A: Accessory nerve spinal part
9. local factor for delayed wound healing
A: vit c def
B: infection (Ans)
51
10. breast during pregnancy and lactation
A: stromal hypertrophy
B: lobular hyperplasia (Ans )
Remember me in your prays
11. Lateral ventricle ant horn roof made by
Genu of carpus callosum
Anterior part of Body of carpus (Ans)
PitAutry gland
12.Fibroblasts made
Collagen fibres only
Reticular only
Elastic only
Histamine
Amorphous ground substances (Ans)
13.Presynaptic sympathetic action by
All r cholinergic (Ans)
All r vagal
Afferent neurons
All r adrenergic
14. Bacteria causing meningitis ..secondly to pyogenic lung abscess
Hemephelous influenza.
Pneumcocci
Streptococci
Staphylococcus ( Ans)
15. Bar body in xxx???
A. 2 (Ans)
B. 3
C. 1
D. Zero
16.
Thirst is regulated by hypothalamus
angiotensin 2 (Ans)
Adh
Aldosterone
17. Hormone increasing muscle growth ...
A. testosterone (Ans)
B. dihydrotestosterone
C. Progesterone
52
18.Lady feeding her baby for a year no problem....what happened during pregnancy....
A. lobular hyperplasia (Ans)
B. Ductal metaplasia
C. Stromal hypertrophy
19.First meiotic decision completed during..
A. after ovulation....
B. few hours before ovulation (Ans)
20. True hermaphrodite
A. Xxy
B. Xx/xy (Ans)
21.Cardiac stroke volume
A. venous return (Ans)
22. Vomiting data 20 and 40 percent
A. Nominal (Ans)
23. Ejection fraction increases what decreases...
A. EDv
B. ESV (Ans)
24.Internal jugular vein anterior relation to which structure after exiting from skull...
A. carotid sheath...
b. internal carotid artery...
c. scm
D. Accessory nerve
25.strp pneumonia confrm so how it treat by
A. leukotriene
B. hydrogen peroxide
26.Regarding trigeminal ganglion
Bath in csf completely (Ans)
Completely coverd vid dura matter
Present in mid cranial fossa alongside cavrnous sinus
27. E max of drug
Efficacy (Ans)
Bio avilability
Potency
28. glucagon
Suppressing adenyl cyclase
Stimulete protein kinase (Ans)
53
29. Visceral pleura Sensitive to pain
Supplied by autonomic nerves supplied to lungs (Ans)
Phrenic nerve
30. L.p pierced
Pia
Ant ligamnt
Post spinal cord part
pierced dura (Ans)
31. Compliance is inversly proportional to
A. recoil force of lung
B. Fibrosis
32.Meiosis is a type of cell division in which
A. DNA synthesis takes place
B. Exchange of genetic material takes place in autosomes (Ans)
C. One cell give rise to eight spermatozoa
D. Take place in sometic cells
E. Total number of chromosomes remain same after the process is complete
33.line of Zahn
Propagated thrombosis
Emboli
34.Clinical clearance via
A. creatine clearance (Ans)
B. Inulin
35.vvitamin deficiency ...chilsis corneal ulceration glosssitis
Riboflavin (Ans)
Niacin
36. standrd deviation
37.isthmus of thyroid gland Crocoid ?
38. Osteon Concentric lamella Sharpeys fibes
39.Follicular nodular lymphoma ka scenario tha
less than 5 years
5-10 yrs (Ans)
More than 10 yrs
40.abdomina angina is caused by which artery A. SMA(Ans) B. IMA C. AORTA
54
41.c1 vertebra(atlas) lacks what of following
A. Spinous process
B. Articular facets
43. one scenario of christmas disease
44.lymph nodes of prostate gland
A. Int iliac node (Ans)
B. Ext iliac
C. Both
45.diabetic nephropthy test
A. Microalbuminuria (Ans)
46. about professionalism of doctor
47. about diagastric triangle
A. Ant n post belly of dia gastric n midline mandible (Ans)
48.which enzyme transfer radical group from one compound to another
A. transferase
B. Reductase
C. Oxidoreductase
49. Line of Zahn seen in?
Obsrtuted thrombus
Propagating thrombus
50.Myocardial contractility is the best correlated with intracellular concentration of?
A) sodium.
B) potasium.
C) calcium (Ans)
D) chloride.
E) magnesium
51.abt venous drainage of urinary bladder
Internal iliac (Ans)
Common iliac
52.If core temperature of body fall, body response will be
a. Decrease BMR
b. Shivering (Ans)
c. Anterior hypothalamus activation
d. Vasodilation
55
53.Maximum ventricle is filled during?
Atrial systole (Ans)
Ventricle systole
Isometric ventri contraction
Slow ejection phase
Rapid inflow
54. BENIGN TUMOUR
A. HAMARTOMA
B WARTHIN'S (Ans)
55. bee sting ....after 10 hour which increase.... igE (Ans) Eosinophils Mast cell
56. cardic muscle and skeletal muscle are same in ...... A. T tubules (Ans) B.sarcolemma
57. Smoth muscls are...... A. mononuclear (Ans)
58.Increase pR interval 1degree block (Ans) 2 badycardia
59. lipoxygenase wala ta chemotxtc....
A. LB4 (Ans)
B. C5a
60. Fatal disease of patient;
a. Shouldn't be told to the patient ad not the family
*b. Crisp clear information should be provided to the patient according to his needs (Ans)
c. Should be told to the relatives of the patient.
61.Ha paper 1 ka ta...regarding descending oarta...pir neechy option di ty
62.Hemostasis of iron by
A. ferritin (Ans)
B. Transferrin
63.total body water weight
A. 42 litre (Ans)
B. 60% of total body water
C. ECF,ICF N electrolyte in equal proportion
64.Persnlism wala......comunity se
65.cho.protien aur fat storage
A. Insulin (Ans)
B. Glucagon
66. CML A. 9:12
56
67.Ik purine metabolism A. Uric acid (Ans)
68.Prolong vomiting contartiion alkalosis
A. Hyponatremia (Ans)
B. Hypocalcemia
C. Hypokalsemia
69.platelets A. megakarocytes (Ans)
70.erythropiotn produced by A. peritubular (Ans)
71.Ik vomiting....jis may hypochlormc alkalosis hota hy...
A. HC03
B. Hyponatremia
C. Hypokalemia
72.intermediate filament in CA
A. Keratin.....(Ans)
B. Vimentin
C. Desmin
73.clostrdium tetani... A. exotoxin (Ans)
74.Dysarthria A. cerebellum (Ans)
75.Child with narrow air way .......
76.Ik carbamazepine A. dystonia ... (Ans)
77.Hypermagnesiumia A. Dec ach release (Ans) ,B. Dec ach uptake
78.Which factor causes thrombosis rather than bleeding A. Factor 12 ...(Ans),B. 5, C. 7
79.Tuberculin A. T cells (Ans) B. B cells
80.Conjuctivia wala... A. gonorrhea ans ta
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57
(6). 4th April 2016 Anesthesiology Morning Aly Samnani (80) P#112
Anesthesia April 2016 Paper 2
1.Function of estrogen : Sec sexual characteristic
2.Most important function of progesterone :
a.alveolar duct development
b. dec uterine contractions
c.Secretory phase of endoetrium ( somethong like this not exact wording )
3.Patient was given thiopentone he developed severe pain what should be the management :
a.Naloxone
a.Lignocaine
c.Epinephrine
4.Which of the following decrease thyroid hormone : Propyl thio uracil
5.What is the role of thiopentone in head injury : Dec oxygen consumption
6.Patient with biliary colic what should be given along morphine to reduce the pain :
a.Pethidine
b.Hyoscine butyl bromide
7.Patient underwent limb surgery now complain of moderate pain on 3rd post op day what
should be given
a.Paracetamol
b.Ketorolac
8.Lumbar puncture should be performed : abve the L4 spine
9.Capnography oxygen above zero indicate
a.Spontaneous breath in controlled ventilation
b.Rebreathing
10.Chlorthalidone causes :
a.Hypercalcemia
b.Hyperuricemia
11.Metabolic alkalosis is a prominent feature of : Hyperaldosteronisim
12.Which drug increase potassium : captopril
13.Prevention of heat loss in anesthetized person
a.Space blanket
b.Humidification of inspired air
14.Another bcq about heat loss cant recall stem and only option I remember is : heat loss can b
prevented more by humidification of inspired air than by warming inspired air
15.P02 in arterial blood is less than that in alveoli reason
a.02 req diffusion pressure to get in artery
b.Coronary arteries drain into coronary sinus (there was no option that indicated shunting of
blood )
16.Paramagnetic cylinder is used for (this is not the exact wording of stem ) :
a.N20 ,b.C02 ,c.02 ,d.Halothane
17.True about N20 : Supports combustion
18.True about cautery : amount of cutting depends upon density of current
19.Which agent releases maximum histamine
a.Tubocurarine,b.Atracurium
20.Longest acting NMB :a.Doxacurium,b.Pancuronium
21.Buffer to be most effective : pka should be near ph
22.Dead space increases in :
a.Lung collapse
58
b.Pulmonary edema
c.Hypertension
d.Hypotension
e.Atelectasis
23.3% choloroprocaine has fast onset than 2% lignocaine why :
a.Concentration
b.Ester and amid factor
b.Pka
c.Protein binding
d.Lipid solubility
24.Molecular weight of isoflurane :
a.144
b.184.5
25.E cylinder of oxygen will last for how many minutes if flow is at 6 lit / min
a.80 min,b.114 min,c.134 min
26.Nalbuphine :
a.Causes same resp depression as morphine
b.As potent as morphine
27.Mech of action of tramadol :
a.Weak meu
b.Kappa and meu
28.Septum pellucidum : weird options combo cant recall
29.Neuro muscular blockade is prolonged by : Gentamycin (Aminoglycoside)
30.Which of the drug is aminoglycoside : Amikacin
31.Patient underwent liver transplant which of the drug you will prescribe which is nephrotoxic
and doesnt causes bone marrow depression
a.Cyclophosphamide
b.Cyclosporine
c.Prednisolone
32.True about actions of glucocorticoid : dec peripheral glucose utilization
33.Abrupt withdrawal of glucocorticoid causes : adrenal supprsion
34.The advantage of dexamehasone over hydrocortisone is it doesnot causes
a.Hyperglycemia
b.Salt retention
35.In CNS myelination is a function of : oligodendroytes
36.Which cell in the CNS resembles Schwann cells : oligodendrocytes
37.EEG synchronization is caused by :
a.non specific thalamic nuclei
b.locus cerulus
38.Oil in 02 reducing valve will cause explosion of what type : Adiabatic
39.Why high dose of non depolarizing agent is required in burn patients :
a.Increase no of receptor
b.High protein binding
40.Hyperthyroid lady with ventricular tachycardia heart rate of 180 pulse irregulary regular
treatment of choice :
a.Propanolol
b.Amiodarone
c.Verapamil
41.The volume of air remained in lung after maximal expiration is
a.1200
b.1400
59
42.Digoxin toxicity is increased by :
a.Increase intracellular potassium
a.Increase intracellular calcium
43.Antacid causing dec gastric emptying : aluminium hydroxide
44.Esophago gastric junction lies at : a.T10 ,b.T11 , c.L1
45.Venous pressure increased 8mm what will be the effect on capillary pressure :
a.Inc by 8 mm
b.Inc markedly
c.Dec by 6 mm
d.No change
e.Dec by 8 mm
46.Jejunum is supplied by : Superior mesenteric artery
47.If v/q in inc blood p02 and pc02 will be same in :
a.Expired air
b.Venous blood
c.Atmosphere
d.Arterial blood
e.Humidified inspired air
48.Low molecular weight heparin :
Inc binding to factor 10a
49.The chance of bleeding in a patient with epidural will be greatest in :
a.Patient on warfarin
b.On heparin
c. aspirin
d.On LMWH
50.More local anesthetic concentration in the blood by :
a.Epidural block
b.Caudal block
c.Spinal block
d.Brachial plexus block
51.Acetaminophen poisoning N-acetylcsytein will cause :
a.Excrete acetaminophine
b.Break into non toxic metabolites
c.Converts to acetylated metabolites
52.Edema reduced by diuretic by excretion of :
a.Na excretion
b.K excretion
c.Hydrogen excretion
53.Suxa causes tachycardia by :
a.Direc acting on muscuranic receptor of SA node
b.Act on nicotinic receptor of ANS
c.By releasing histamine
54.Test to do before starting valproate
a.Cbc
b.Lfts
c.Rfts
55.Most of posterior intercoastal arteries are braches of : thoracic aorta
56.Deep cervical artery is a branch of :
a.costo cervical trunk
b.superior thyroid
c.inferior throid
60
d.externa carotid
56-B-CSF contains :
a.20mg-40mg protein
b.120mg glucose
57.Regarding surfactant component missing is :
a.Calcium
b.Protein
c.Neutral lipid
d.Lecithin
58.Advantage of crystalloid in fluid resusitation is : improve coronary flow
59.Young girl with severe ronchi breathlessness PEFR less than 50 % of predicted
management :
a.Bronchodilators
b.Inhaled steroids
c.Ipratropium
d.Iv steroids plus bronchodilators
60.Patient having asthma treatment to be given
a.IV steroid
b.IV theophiline (no option of inhaled agent al were IV)
61.Patient solving airthematic problem EEG wave present :
a.Alpha
b.Beta
62.Levodpa given it will cause : orthostatic hypotension
63.Structure that doesnt part thru diaphragm :
a.Lymphatics of pleura
b.Right phrenic nerve
c.Greater splanchinc nerve
64.Spinal cord ends at a.L2 b.L1
65.CVP : measure of right atrial filling pressure
66.K sparing diuretic like spiranolactone acts by :
a.Increasing GFR
b.Adh inhibition
c.Inhibtinh H/K exchange in collecting duct
67.Mid diastolic murmumr irregularly regular what will b seen :
a.Ince pressure gradient against mitral valve
b.Pmitrale
c.Increase r-r interval
68.High anion gap in : a.Uncontrolled diabetes
69.Most potent vasoconstrictor : Cocaine
70.In General anesthesia dec heat production is by :
a.inhibition of Na/K atpase
b.dec muscle tone
71.most immediate anterior relation to internal jugular vein after jugular foramen : internal
carotid artery
72.temperature at which vapour pressure is equal to atmospheric pressure : boiling point
73.Method of face mask sterilization :
a.Wash with soap and water
b.5% phenol
c.Form aldehyde
74.Method of face mask sterilization for prevention against organism :
a.Steam sterilization
61
b.Ethylene oxide gas
c.Phenol
d.Pasteurization
75.Why ranitidine is preferred over cimeteidine : low cns side effect
76.For acute blood pressure management : baroreceptor
77.Which system has maximum feedback gain in controlling cardiac pressure
a.Baroreceptor
b.Renal volume pressure mechanism
78.Warfarin dose should be adjusted in patient taking : cimetidine
79.Slow adapting receptor (not exact statement )
a.Slowly decreasing action potential
b.Absence of action potential
80.Result of ischemia on brain auto regulation :
a.Auto regulation curve shifts right
b.Curve Shift left
c.Leads to ablation of auto regulation
Special thanks to Dr. Maliha Hanif , Dr. Sana Shaikh and Dr. M. Asad Chaudhary for helping me compile this paper please
remember us all in your prayers !! best of luck
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The End
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Compiled by : Amlodipine Besylate
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MAY2016PAPPERS
BELOW THEATTACHEDSNAPWILL
SHOW UTHESEQOFPAPPERS.
Paper1and2..pathology9thmaymorning.Guyspleaseuploadmorequestionsifu
remember
Microscopicfeatureoftb
Fourthlayerofskull
Medicalethicsis
Stratifiedcuboidalepithelium
Adrenalectomywillcausetastepreferencefor
Ladywithseethruclothesandtalksinseductivemannerwhatwillthedoctordo
Hypertrophy?
Forceofcontractionofheartdeterminedby
Childwithjaundicefeaturestestdone?
Intraembryoniccoelomdrivedfrom
Spinalcordsuspendedbyduramatterhow
Antioxidant-vitcvitevitk
By Dr M KaLiM (KOOL-MEDIC)
Cytokeratin-
Hyperkalemiacause?
Diarrheacauses??
Gastricoutletobstructionduetoduodenalulcerwhatwillhppen?
Hyperplasticbonemarrowplateltsincreasedhb6gmdiagnosis??
Chlamydiais??
Multiplewashingmethod-latexagglutination..haemagglutination..elisa
Hairbulkmadeby?Nailmatrix..stratumcorneum..stratumbasaleandspinosum
Whiplikeciliarymovement-spermatozoa
Amoeboidlikemovement-
Featherydegenerationofliverin-lead..copper..bilestagnation..
Mostcomncauseofcancer-asbestos...berrylium..
Malewithprostateswelling..painful.butnogrowthonmicrobialculture-candidaimarked
Acaseof18yroldboywithpallorlymphadenopathy..heptosplenomegaly..blastcells90%..
whichstaintest--sudanbyaLAP
Mesaxon??
:Mostcommndnavirusinfectionby--mumpsmeaslesinfluenzayellowfeverinfectious
mononucleosis
Drugexcretionbykidneyaffectedby??
Myoglobin??
Purkinjiecells??
Supplyofavnode??
Antsurfaceofheartformedlargelyby??
Adrenalglandcausingvasidilation--imarkedb2adrenergicrecptors
Mostcommoncauseofmeningitis-imarkedgroupbetastrepagalactia.Optionmay
n.meningitidisbhita
Chisquarrtestcaseta
Caseofcancerpatients.Survivalislessthan50% foreach.Whatclinicalfindinguwillfind.--
cachexia(imarked)splenomegaly
Casejismaynegativedirectandindirectcombstesttaandpatientage75yrsoldwithfatigue
since1year.Noabnormalphysicalfinding.Plateletnormal.Hb9.Wbc3500-
hemoglobinopathy..sle..chronicbloodloss
Erythropoietinbindstoerythropoietinrecptorwhathappensthen??
Bluishskin
Caseoffacialthickening.Punchoutbiopsydone--hairycellleukemia..burkitts
Germinalcentrein--medullaoflymphnodes..cortexoflymphnode..redpulpspleen..thymus
Esrwilldecreasebyincreasing-temperature..plasmacholestrol..plasmaproteins
Turner-xo
Klinefeltercase
MotherbldgrpAandchildrenhaveOandABtellaboutdadbldgroup-
Patientdiedaftersevereischemicchestpain.Postmortemshowscoagulativenecrosisand
thickdeepneutophils..atwhatday-7days..14days..12hrs...48hrss
ComonthinghppenginImmunityandallergy-
Whatisaniongap?
Rhdnegmomrhdpostivedadbabybornnormal..butnextbabykhatam.Typeof
hypersensitivityreaction?-
ANAESTHESIOLOGY
Paper1
9thMay2016;Morning
1-Patientwithcancer;stageT4,N1,M1.Whatwillbeseen:cachexia
2-Patientwithcyanosis:deoxyhemoglobin>5%
3-Massivepulmonaryembolism.Wheredidembolusoriginatefrom:a)longsaphenous
veinb)pelvicveinsc)poplitealveinsd)femoralartery
4-11yearsoldgirl,wherewillbethelastsecondarycentreofossificationpresentinthe
humerus:a)lateralepicondyleb)medialepicondylec)trochlead)olecranone)capitulum
5-Bleedingfromtracheostomy.Whichvesselisresponsible:a)inferiorthyroidarteryb)
veinconnectinganteriorjugularveins
6-Collagenatrophy:a)injurycausesbleedingb)rheumatoidarthritis
7-Characteristicofexudates:a)decreasedvascularpermeabilityb)inflammatorycellsc)
increasedlipidsd)specificgravity<1.012(nooptionofproteinpresent)
8-Maximumglycogenstoredin:a)liverb)skeletalmuscles
9-Elasticcartilagewhenfreshlycutappearsyellowandclearbecauseof:a)elasticfibersb)
collagenfibersc)basophils
10-Trueabouthypertrophy:a)unlimitedextentb)increasedDNAcontentc)occursin
endocrineglands
11-Neurotransmitterreleaseinsynapticcleftdependsona)presynapticcalciumreleaseb)
presynapticactionpotential
12-Athirstypatientwithurineosmolalityof950andserumosmolalityof297.Whatisthe
diagnosis:a)waterdeprivationb)SIADHc)Nephrogenicdiabetesinsipidus
13-Increasedvagalstimulationcauses:a)increasedPRinterval
14-Ameboidlocomotionisseenin:a)WBCs
15-Potassiumsecretion:a)Aldosteroneb)ANPc)Angiotensin
16-Whichoneamongstthefollowingisbenign:a)Melanomab)Lymphomac)Adenomad)
Hepatoma
17-Axillarysheathisformedby:a)pretrachealfasciab)prevertebralfasciac)superficial
cervicalfascia
18-ICAM andVCAM:a)leucocyteadhesion
19-Hyalinecartilagepresentin:a)Intervertebraldiscb)Pinnac)TMJarticulard)Epiglottis
20-Secondarycartilaginousjointis:a)Pubicsymphysis
21-Anteriorrelationshipofrightkidney:a)Liverb)2ndpartofduodenumc)hepaticflexure
d)smallintestine
22-Innormalquietrespiration,resonanceofchestinmid-scapularlineposteriorlyispresent
till:a)7thribb)8thribc)9thribd)10thribe)11thrib
23-G6PDdeficiencypresentsmostcommonlyas:a)druginducedhemolysisb)favism
24-Agirlwasaskedaquestioninalecture;herfacebecamered.Whatisthemechanism:a)
Activehyperemiab)Passivehyperemiac)Increasedcongestion
25-Amanwithhistoryofchronicalcoholabusebutnomedicalillnessisworkingwelland
comestoadoctorforroutinecheckup.Examinationisunremarkable.AST=40,ALT=40,
Totalbilirubin=1.1;mostlikelymicroscopicfeatureis:a)fattyliverb)hypertrophyof
smoothendoplasmicreticulum
26-Parasympatheticstimulationcauses:a)relaxationofdetrusormuscleb)contractionof
sphinctersc)erectiond)decreasedgutmotility
27-Abnormalproteinsynthesis.Misfoldedproteinsdegradedby:a)Peroxisomeb)
Proteasomec)Nucleosome
28-IncreasedWBCcountinviralinfection.Whichcellsareresponsible:a)Lymphocytesb)
Neutrophilsc)Eosinophilsd)Basophils
29-AIDscharacterizedby:a)decreaseinThelpercells
30-Spinalcordissuspendedindurameterby:a)denticulateligamentb)alarligament
31-Rapidfillingofventricleproducesvibrationresponsibleforwhichheartsound:a)1st
heartsoundb)2ndheartsoundc)3rdheartsoundd)4thheartsound
32-Testfortyphoidin1stweekofinfection:a)bloodcultureb)complementfixationc)
Widalstest
33-Mostpotentanti-oxidant:a)vitaminAb)vitaminCc)vitaminEd)Transferrin
(glutathionenotinoptions)
34-Aldosteronecauses:a)increasedtubularreabsorptionofsodiumb)mostactive
mineralocorticoid
35-ManyWBCsliningtheendotheliumiscalled:a)Adhesionb)marginationc)
pavementationd)diapedisise)chemotaxis
36-Visceralafferent
37-Mostappropriateaboutcardiacmuscleisa)suppliedbyautonomicnervoussystemb)
striated
38-OsmolarityofnormalsalineinmOsm/L:a)280b)320
39-ResearchaboutriskofMIandlevelofexertion24hourspriortoMI.3resultvalues
givenformild,moderateandseverelevelofexertion.Thisisbestrepresentedby:a)bar
chartb)piechart
40-4foldor2x2contingencytable:Chisquaretest
41-Regardingmodeofactionofaspirin:a)COXinhibitor
42-VitaminDdeficiencycauses:a)Rickets
43-Ironabsorptionincreasedby:a)Ferrousformb)oxalateintake
44-Cortisolcauses:a)decreasedintakeofglucoseintocells
45-Girltalkingtoadoctorinaseductivetone.Whatshoulddoctordo:a)refertoother
doctorb)askopenendedquestionsc)callinanurse
46-Factor8releasedby:a)endotheliumb)liver
47-4thlayerofscalpis:a)looseconnectivetissueb)denseconnectivetissue
48-WhichdrugactsbyinhibitionofH+/K+pump:a)Omeprazoleb)cimetidinec)ranitidine
49-Infectionbetweeninvestinglayerofdeepfasciaandpretrachealfascia.Wherecanit
spread:a)retropharyngealspaceb)posteriortosternocleidomastoidc)superiorborderof
manubriumsternumd)anteriortopericardiume)oesophagus
50-Rightbronchialarteryarisesfrom:a)2ndintercostalsarteryb)3rdintercostalsarteryc)
thoracicaortad)archofaorta
51-Isthmusofthyroidispresentinfrontof:a)2nd,3rd,and4thtrachealrings
52-Secretionofproteinsfromkidneyispreventedby:a)podocytefootprocessesb)
basementmembranec)fenestrations
53-Renalclearanceofasubstancedependson:a)increaseinGFRb)aldosterone
54-Patientwithadrenalectomy.Tastepreferencefor:a)sodiumchloride
55-Signofreversibleinjury:a)cellularblebsb)swellingofendoplasmicreticulum
56-Extraembryoniccoelomderivedfrom:a)intraembryoniccoelomb)lateralmesodermc)
paraxialmesodermd)intermediatemesoderm
57-Stratifiedcuboidalepitheliumpresentin:a)liningofsalivaryductb)urethra
58-Structurepassingthroughtheoesophagealopeningofthoracicdiaphragm:a)rightvagus
nerveb)rightphrenicnervec)hemiazygousvein
59-Nitroglycerineshouldnotbegivenorallybecause:a)inactivatedduringfirstpassage
throughliver
60-Bestinvestigationfordiagnosingdiabeticnephropathy:a)urinealbumin
61-Edemainrenalpathologyistheresultof:a)sodiumretentionb)hypoalbuminemiac)
sodiumretentionandhypoalbuminemia
62-Whatdecreasesinpregnancy:a)PaCO2b)minuteventilation
63-Foodwhichcausesadecreaseinriskofcancer:a)chocolatebonbonb)smokedmeatc)
applesd)rum
64-Treatmentofentericfever:a)ciprofloxacin
65-MothersbloodgroupisA.ChildsbloodgroupisO.OtherchildsbloodgroupisAB.
Whatisthebloodgroupofthefather?:a)Bb)childrenhave2differentfathers
66-AmniocentesisshowskaryotypeXXY.Diagnosis:a)Klinefeltersb)Turnersc)
Androgeninsensitivitysyndrome
67-Activetubularreabsorptionof:a)Streptomycinb)Penicillin
68-Medicalethics:a)coveredbyHippocraticoathb)codeofprofessionalconductc)codeof
moralconductofadoctor
69-Increasedagecausesadecreasein:a)vitalcapacityb)heartratec)bloodpressured)
pulsepressure
70-WarfarintherapyinDVT:a)nottobegiveninpregnancyb)canbequicklyreversedby
FFPsc)vitaminKwillworkinshortterm
71-Airflowstothealveolimoreatthebasebecauseof:a)increasedcomplianceatthebaseb)
increasedbloodflowatthebase
72-Whatpassesthroughvenacavalopeningofthoracicdiaphragm:a)rightphrenicnerve
73-Drugcausingredmansyndrome:vancomycin
74-Patientwithstroke.Repairofbraintissueby:a)glialcellsb)oligodendrocytes
75-Adenomaderivedfrom:a)epithelialcellsb)glands
76-Majorbufferofblood:a)hemoglobinb)bicarbonatec)proteins
Anaesthesiology
Paper2
9thMay2016;Morning
1-TreatmentofGilledetourettersyndrome:a)Haloperidolb)Methylphenidate
2-MapelsonAbreathingsystem.FGF1.5xminutevolumetopreventrebreathingof
alveolarair????
3-Regardingbetaselectivity:a)Timolol-beta1selectiveb)Betaxolol-beta1selectivec)
lebuvolol-beta1selectived)betaxolol-beta2selectivee)levobulol-beta2selective
4-Trueaboutinternalcapsule:a)somatosensoryfibersinanteriorlimbb)thalamuslies
medialtoposteriorlimbc)corticospinalfibersarepresentinanteriorlimb
5-80yearsoldmaleunabletosleepatnight.Cametoadoctor.BPwas160/80.Notonany
antihypertensives.Didnthaveanybloodpressureproblemsbefore.Mostlikelycauseof
increasedbloodpressureinthispatientis:a)decreasedaorticcomplianceb)unableto
sleepatnight
6-Neuromuscularblockerwithmaximumreleaseofhistamine:a)Tubocurareb)
Atracuriumc)Succinylcholine
7-Percentageofoxygeninamixtureof2%halothaneandairis:a)20.4%b)40%c)50%d)
15.4%e)60%
8-Decreasedhypothalamicfunctionwillresultinanincreaseinoneofthefollowing:a)
prolactinb)TSH
9- L5slidesoversacrumanteriorlysuchthatitisnearertothesacralpromontory.Whatis
thisconditioncalled?:a)Spondylosisb)Spondylolisthesis
10-Carbondioxideintissuesistransportedtothealveolimainlyintheformof:a)plasma
bicarbonateb)carbonichemoglobin
11-HR=75andventricularsystoleis0.3seconds.WhenHRincreasesto225,whatwillbe
thedurationofventricularsystole:a)0.9secb)0.1secc)0.6sec
12-TMJdislocatesmostlyinwhichdirection:a)anteriorlyb)posteriorlyc)laterallyd)
medially
13-Howdoesthiazidediureticsdecreaseedema:a)decreasingsodiumabsorption
14-Gyrilongusandbrevispresentinwhichareaofbrain:a)Frontallobeb)Parietallobec)
Temporallobed)Occipitallobee)Insula
15-Salbutamolcauses:a)bradycardiab)hypokalemiac)increaseuterinecontractions
16-Agirlwithpheochromocytomatobeoperated.Forcontrolofbloodpressurewhatshould
begiven:a)alphaandbetablockerb)betablockerc)alphablocker
17-Dobutamineprimarilyactson:a)beta1receptorb)beta1and2receptorsc)alphaand
betareceptorsd)beta1and2receptorsanddopaminereceptor
18-Inapatientwithheartfailure,mannitolshouldbegivenwithcautionbecauseofriskof:a)
precipitatingpulmonaryedemab)increasingintracranialpressurec)decreasing
concentratingabilityofkidneys
19-Furosemideusefulin:a)acutepulmonaryedemab)openangleglaucoma
20-Ladycanunderstandspeechbutunabletospeak.Lesionisinwhichareaofbrain:a)
Brocasareab)Wernickesarea
21-Bleedingfromduodenalulcer.Mostlikely:a)posteriorduodenalulceranderosionof
gastroduodenalarteryb)anteriorlyduodenalulceranderosionofgastroduodenalartery
22-Modeofactionofmethylxanthines(theophylline):a)Phosphodiesteraseinhibitonb)
aldosteronereceptorantagonism
23-Damagetomedullarycuneatusandgraciliscauses:a)analgesiab)anesthesia
c)asteriognosis
24-Drugsafeinpregnancy:a)IbuprofenB)Naproxenc)ketorolac
25-RegardingelectricalisolationofcircuitwithuseofECGmonitoringforplacingaCVP
line:a)useoftransducerforconvertingelectricalsignalstolightb)acurrentleakof200
milliamperescancauseventricularfibrillationc)usingsomethingthatgivesawarning
whenleakageofcurrentisof50milliamperesd)usinganonconductingwireovera
conductingwire
26-Organophosphoruspoisoning:a)Physostigmineb)Neostigminec)Pralidoximed)
Edrophonium
27-Cromolynsodium:a)usedinacuteasthmab)allasthmac)preventsantigenassociated
mastcelldegranulationd)usedinchildrencauseaddedeffects?
28-Fibersofcorpuscollosummostlikelycalled:a)commissuralfibersb)projectionfibers
29-TrismusisoneofthefirstsignofadevelopingmalignanthyperthermiawithuseofIV
succinylcholineinwhatpercentageofpatients:a)<50%b)50%c)75%d)80%e)>85%
30-Patientonmulti-drugresistantATT.Afterawhile,red-orangecolorblindnessdueto:a)
Ethambutolb)Isoniazidc)Streptomycind)Pyrazinamide
31-Keycomponentsofasensorymodality:a)typeofreceptor,receptivefiled,adaptationb)
typeofreceptor,locationinbody,adaptationc)cantrecallotheroptions
32-Upperlunglobehas:a)increaseddeadspace
33-Patientwithbloodlossbetween15-20%.Whatshouldbegivenviainfusion:a)normal
salineb)ringerslactatec)colloidsd)wholeblood
34-Thirstincreasedbyadecreasein:a)baroreceptorfiringb)increasedplasmavolume
35-Conductionvelocityofpropagationinanaxonisincreasedby:a)decreaseinmembrane
resistanceb)decreaseinaxondiameterc)increasedrefractoryperiodd)excitability
36-Toxiceffectsoflocalanesthetics:a)bupivacainecardiaceffectsseenmorethanthatof
lidocaine
37-Solutionusedforscrubbing:a)chlorhexidineb)potassiumpermagnatec)alcohol
38-Cleaningordisinfectionofskin:a)chlorhexidine
39-MostimportantforpreventingtransmissionofinfectioninICU:a)frequenthandwashing
betweenpatientsb)wearinggownsc)wearinggloves
40-ETTbreathingsystem(cantrecallatall)
41-Regardingautoregulationofbloodfrommostsensitivetoleastsensitive:a)cerebrum>
cerebellum>spinalcordb)cerebellum>cerebrum>spinalcord
42-Regardingepinephrine:a)causesbronchodilationbyactingonbeta2receptors
43-Trueregardingalphamotorneurons:a)myelinatedb)unmyelinatedc)innervatesmotor
endplatesd)innervatesintrafusalfibers
44-PRintervalbestrepresentedonJVPcurveby:a)atocwaveb)a,candxc)cwaveby
atrialsystole
45-WhichanalgesicissafestforusewithMAOinhibitors:a)Fentanylb)Buprenorphine
46-Bloodsupplyofcingulatedgyrus:a)anteriorchoroidalarteryb)posteriorchoroidal
arteryc)middlecerebrald)anteriorcerebral
47-Lateralcurvaturelosscauses:a)kyphosisb)lordosisc)scoliosis
48-Partialpressureofoxygeninalveoliatheightof14000feet?Wherebarometricpressure
is450mmHg:a)84b)40c)104
49-IfpH=7.4,ratioof[NaHCO3]to[H2CO3]is:a)1:20b)1:25c)1:30c)1:5
50-Greatestpotentialdifferenceinthewallofstomachachievedby:a)aspirin
51-Autonomicnervoussystemsupplyofstomach:a)parasympatheticincreasesmotilityb)
parasympatheticincreasesecretionofenzymes
52-Re-entrycircuitcauses:a)atrialfibrillationb)atrialflutterc)paroxysmalatrial
tachycardiad)paroxysmalnodaltachycardia
53-SelectiveCOX-2inhibitor:a)Meloxicam
54-Digitalisindicatedin:a)atrialflutterb)ventriculartachycardia
55-GreatestchanceofpneumothoraxwhileinsertingCVPiswithwhichroute:a)internal
jugularb)externaljugularc)rightsubclaviand)leftsubclavian
56-Regardingthermoreceptors,bestis:a)largereceptivefieldb)changingtemperature
causesadynamicresponse
57-PatientwithRTAhasmemoryloss.Damagetowhichlobehasoccurred:a)temporallobe
b)parietallobe
58-RapidtreatmentforSVT:a)adenosineb)amiodaronec)propanolold)verapamile)
lidocaine
59-Ananti-anginaldrugthatcausesconstipationandedema:a)diltiazemb)hydralazinec)
nitroglycerined)propanolole)isosorbidedinitrate
60-Cimetidinecauses:a)liverenzymeinhibitionb)SLE
61-Whatascendsfromthoraxtorootofneck,behindsternoclavicularjunction:a)SVCb)
archofaortac)rightsubclaviand)leftsubclavian
62-3rdlowermolartoothextractionunderGA.Lossofsensationoflateraltongueonthat
side.Nervedamagedis:a)Inferioralveolarnerveb)lingualnerve
63-Todifferentiatebetweenmyastheniacrisisandcholinergiccrisis,whatisused?A)
edrophoniumb)neostigminec)pyridostigmined)physostigmine
64-Bloodsupplyofspinalcord:a)vertebralarteryb)basilararteryc)PCOM
65-Membranerestingpotentialisduetoa)K+effluxb)Na+/K+pump
66-FetalbloodleavingtheplacentacarryhowmuchPO2:a)10b)20c)30d)40e)50
67-Consistentfindingofhypokalemiaispresentin:a)persistentvomitingb)respiratory
alkalosisc)DKA
68-Anteriorsurfaceofheartismainlyformedby:a)RAb)RVc)LVd)LA
69-3rdspacefluidloss.Replaceitwith:a)ringerslactateb)normalsalinec)5%dextrose
70-Fluidnotisotonicwithplasma:a)normalsalineb)5%dextrosec)1.2%sodium
bicarbonated)Hartmanssolution(ringerslactate)
71-Signoflignocaineoverdose:a)prolongedconvulsionsb)perioralanesthesia
72-Paracetamoloverdose.Whatshouldbegiven:a)acetylcysteine
73-Abrasioncausingbleeding.1stchangeseenwillbe:a)vasoconstriction
74-AVnodesuppliedmostlyby:a)RCAb)LCA
75-Forceofheartcontractiondependson:a)pre-existinglengthofmusclefiberb)gap
junctions
76-IncreaseinESRwith:a)increasedfibrinogenb)albuminc)cholesterol
77-3rddegreeburncomplication:a)contractureb)neuroma
78-Aniongapbetween:a)measuredanionsandcations
79-Primordialgermcellsincorporatedingonadsinsexcordin:a)3rdweekb)4thweek
80-Gyrilongusandbrevisarepresentinwhichareaofbrain:a)frontallobeb)parietallobec)
temporallobed)occipitallobee)insula
81-Cingulategyrusliesinwhichlobe:a)temporalb)parietalc)insulard)frontal
82-Satietyismediatedby:a)impulsesfromGITb)increasedbloodglucoselevelsc)uptake
ofglucoseintocellsviainsulin
83-TocheckvitaminDstatusinbody,whatshouldbemeasured?:a)1alphahydroxylaseb)
cholecalciferolc)1,25vitaminDd)25vitaminD
84-Ifmembranepotentialdecreases,itisdueto:a)K+effluxb)Na+effluxc)Cl-efflux
85-Neuralcrestcellderivative:a)dorsalrootganglionb)preganglionicautonomicfiberc)
adrenalcortexd)astrocytesandoligodendrocytes
86-Partialpressureofhalothaneat20degreeCelsiusis:a)184b)568c)243
87-Trueaboutpropofol:a)conjugatedtoglucoronideandsulfateinliverb)preparedin
propyleneglycol
88-Idealcircuitforcontrolledmechanicalventilation:a)MapelsonAb)MapelsonBc)
MapelsonCd)MapelsonDe)MapelsonE
89-Carbondioxidewillbebestabsorbedbyoneofthefollowing:a)alkalies,silicatesand14-
18%moistureb)bariumhydroxideandcalciumhydroxide
90-Tractfromthecerebrumendingonanteriorhorncellsinlateralandcentralpart
(controllingdistalmusculature)ofspinalcordisa)rubrospinalb)reticulospinal(No
optionofcorticospinalwaspresent)
91-Drugcontraindicatedinintracranialhypertension:a)Ketamineb)Propofol
92-Intreatmentofnauseaandvomiting:a)metoclopramideislesseffectiveagainstcytotoxic
druginducedvomiting
93-Featureofanon-depolarisingneuromuscularblockeris:a)poorsustainedtetanic
contraction
94-Cimetidineisgivenpreoperativelyto:a)reducegastricvolumeb)reducegastricacidity
95-Patientisgivenspinalanesthesiaandbecamehypotensive.Causeis:a)lossofvasomotor
tone
96-Patientallergictobupivacaineandprocaine.Whichlocalanestheticcanbeused?:a)
etidocaineb)lidocaine
97-Shortestactingnon-depolarizingneuromuscularblocker:a)rocuroniumb)mivacurium
98-Recentmemoryandalertnessassociatedwith:a)anteriorthalamicnucleusb)reticular
formation
99-Criticaltemperatureisdefinedas:a)temperaturetowhichagasshouldbecooledtobe
liquefiedbypressurealone
100- Aboutpancuronium:a)steroidb)naturalsteroidc)syntheticsteroid
CompiledbyDr.SaqibaTahir
SpecialthankstoDr.AyeshaFatima,Dr.RifahZia,Dr.Tasneem,Dr.MadihaKhan,Dr.
Wajiha,Dr.AdilThandwarani,Dr.M.AsadChaudhary,Dr.HananAyub,Dr.Waqar
Dahri,andDr.NabeelHassanforhelpincompilationofbothpapers!
Voteofthankstotheadministratorsoftheanesthesiawhatsappgroup:Dr.FahadRafiq
ButtandDr.AlySamnaniforprovidingaplatformforpreparationofpart-1anesthesia
exam!
Pleaserememberallofusinyourprayers!
RADIOLOGYMAY2016
1.Duringasurgeryasurgeonnickhepatoduodenalligament.Whichstructureonrightsideislikelyto
bedamaged?
A.Portalvein
B.Bileduct(answer)
C.IVC
D.HepaticDuct
2.GallBladder
A.Producesbile
B.Submucosaispresent
C.Mucosaisthrowninextensivecircularfolds(answer)
3.Bareareaofliverislimitedby
A.Rightandlefttriangularligament
B.Falciformligament
C.Ligamentteres
D.Ligamentvenosum
E.Coronaryligament(answer)
4.Medialsideofarmissuppliedby
A.Medialcord(answer)
B.Lateralcord
C.Musculocutaneousnerve
D.Mediannerve
5.Pendularkneejerk
A.UMNlesion
B.LMNlesion
C.Hypothyroidism
D.Parkinson
E.Cerebellarlesion(answer)
6.Intercostalspaces
A.Havethreelayersofmusclesinbetweencostalcartilages
B.Suppliedbyonlysensorynerves
C.Bloodsupplyfromint.Thoracicarterynthoracicaorta(answer)
D.Neurovascularbundleispresentatupperborderofrib
7.Neurovascularbundle
A.Liesdeepinribs
B.Liedonupperborderofribs
C.Liesbeneathlowerborderofribs(answer)
8.Mesonephricductfunctionalremnantorunitis
A.Epididymis
B.Ductusdeferens(answer)
C.Vagina
D.Uterus
10.MetastaticCalcificationofkidneymostcommonlydueto
A.HypervitaminosisD
B.Hyperparathyroidism(answer)
C.Hypercalcemia
11.Mainsupplyofheadofhumerus
A.Antcircumflexartery
B.Postcircumflexartery
C.Arteriesaroundrotatorcuff
D.Arcuateartery(answer)
E.Subscapularartery
12.Deepcervicalarteryisabranchof
A.Costocervicaltrunk(answer)
B.Subscapularartery
C.Aorta1stpart
D.Intthoracicartery
13.ProximalpartofCBDissuppliedby
A.Infmesentericartery
B.Supmesentericartery
C.Cysticartery(answer)
D.Righthepaticart
E.Lefthepaticartery
14.Apt.gotspleenruptureandsheisgoingtospleenectomy.Whatsherperipheralbloodpictureright
now
A.Howeljowelbodies(answer)
B.Thrombocytopenia
15.Infantsspinalcordendsat
A.BtwL1andL2
B.LowerborderofL3(answer)
C.L2
16.Esophagogastricjunctionisat
A.T11(answer)
B.T7
C.L1
D.L3
17.PortalHTN
A.Leftcolic(answer)
B.Infmesenteric
C.Infepigastric
18.Ayoung1yroldhashydrocele
A.Scrotalswelling
B.Peritonealfluidaccumulation(answer)
C.Testisinflammation
19.Sigmoidanddescendingcolondraininto
A.Leftcolicnodes
B.Infmesentericnodes(answer)
C.Supmesentericnodes
20.Hipjointis
A.Relatedposttopsoasbursa
B.HasObturatorext.inferiorly(answer)
C.Relatedtofemoralnerve
21.Femurbone
A.Lateralligamentattachedtolowerepicondyle(answer)
B.Plantarismuscle
22.Rectumis
A.Straightstructure
B.Hashaustrationscircularfolds
C.PosttorectumisS3S4S5
23.Deepinguinalring&Infepigastricartery
A.Medial
B.Lateral(answer)
24.AVbundle
A.Onlyneuroconnectionbtwrightatria&ventricle(answer)
B.Presentinrightatria
25.Postinterventriculararterysupplies
A.Bothrightandleftventricle(answer)
B.SAnode
C.Rtatria
26.Mostmedialnucleusofcerebellum
A.Fastgial(answer)
B.Dentate
27.Defectininterventricularseptumcausesoraffectswhichvalvemost
A.Aortic
B.Pulmonary(answer)
C.Tricuspid
D.Mitral
E.Coronarysinus
28.Lateralsideofbreastdrainsinto
A.PectoralLN
29.Esophagusconstrictedat
A.Wherecrossedbyarchofaorta(answer)
B.Postmediastinum+leftventricle
C.Rtbronchus
30.Siteofradialarterypulseis
A.Extpollicisandabdpollicis(answer)
B.Brachioradialisandflexorcarpiulnaris
31.Mostimpanatomiclargestsubdivisionofprostateis
A.Medianlobe
B.Peripheralzone(answer)
C.Transitionalzone
32.Painofvaginamediatedmediallydueto
A.Obturatornerve(answer)
B.Femoralnerve
C.Sciaticnerve
33.FemalepelviswithshortAPdiameterandlongtransversediameteris
A.Plateploid(answer)
B.Gynaecoid
C.Anthropoid
34.Intrinsicfactorissecretedfrom
A.Gastricfundus(answer)
B.Gastricantrum
C.Lessercurvature
35.Sicklecelldiseaseisadefectin
A.Betaglobulin(answer)
B.Albumin
36.Lateralpoplitealnervedamagescenarioinafootballeranditwasaskedwhereitisdamaged
A.Neckoffibular(answer)
B.Headoffibular
C.Anttotibia
37.Noofdivisionsoflowerairways?
A.17
B.21
C.23(answer)
D.26
38.Refluxofcecumispreventedby
A.Ileocecalvalve
B.Ileocecalsphincter(answer)
39.Righttestiscancerscenarioandaskedaboutitsdrainage
A.Para-aorticlymphnode(answer)
B.Intiliaclymphnodes
40.Prostatesomescenariowasgivendrainsin
A.Intiliacnodes(answer)
B.Paraaorticnodes
41.Leftsuprarenalgland
A.Separatedfromleftkidneybyperirenalfascia
B.Drainsinleftrenalvein(answer)
42.Parasympatheticsupplytosubmandibularglandisfrom
A.Supsalivarynucleus(answer)
B.Infsalivarynucleus
C.Auriculotemporalnerve
D.Lesserpetrosal
E.Greaterpetrosal
43.Postbellyofdigastricissuppliedby
A.Facialnerve(answer)
B.Accessorynerve
44.Vertebrae
A.PostandInfspine(answer)
B.Nerveleavesup
C.Cervicalpart
45.Anginaismainlypresentin
A.Abdominalaorta
B.Supmesentericartery(answer)
46.Postcurvatureislostinaninfant.Thisconditioniscalled
A.Kyphosis(answer)
B.Scoliosis
47.Agirlhasprobleminopeningmouth.Whichmuscleisdefected?
A.Lateralpterygoid(answer)
B.Medialpterygoid
C.Temporalis
D.Buccinators
48.Annulusfibrosis
A.Attachedmedandlatligaments(answer)
B.Nosensorysupply
49.Phenylalanineconvertsinto
A.Tyrosine(answer)
B.Tyrmaine
50.Stabwoundinjuryinintercostalspace.Surgeonneedstogotopleurabyreaching
A.Extintercostalandinternalintercostalmuscles
B.Neurovascularbundle
C.Parietalpleura
D.Endothoracicfascia(ans)
51.Areaofvisualfieldsuppliedby
A.PCA(answer)
B.MCA
52.Homonymoushemianopiacausedby
A.Optictract(answer)
B.Opticchiasma
53.Intrauterinemidtrimesterhematopoiesisoccursin
A.Liver(answer)
B.Spleen
54.Pancreasrelatedanteriorly
A.Lessersac(answer)
B.Splenicvein
C.Rootofmesentery
55.Lowerlimitofrectussheathis
A.Arcuateline,(answer)
B.Umbilicusor
C.Lineasemilunaris
55.Somescenarioonlossofsensationinlittlefingerandlossofabductionoffinger
A.Damagetoulnarnerve(answer)
56.Suplaryngealarteryaccompaniedby
A.Externallaryngealnerve
B.Internallaryngealnerve(answer)
57.Osteoporosis
A.Reducedbonedensity(answer)
B.Reducedbonemineral
58.Annularpancreasdueto
A.Ventralmesentery(answer)
B.Dorsalmesentery
59.Ureterrelatedposteriorlyto
A.Gonadalvessels(answer)
B.Uterineartery
C.Commoniliac
60.Gastricemptyingisdelayeddueto
A.Gastrin
B.CCK(answer)
61.Oxytocinissecretedfrom
A.Hypothalamus(answer)
B.Neurophysis
62.Renalarterydivisionssequence
A.Segmental,lobar,Interlobar,arcuate(answer)
B.Interlobar,arcuate,lobar,segmental
C.Segmental,Interlobar,lobar,arcuate
63.Whichloopsaroundarchofaorta
A.Leftrecurrentlaryngealnerve(answer)
B.Azygousvein
C.Leftvagusnerve
D.Subclavian
E.Phrenicnerve
64.Foetalperiodstartsafterwhichweek:
A.11th
B.8th(answer)
C.12th
D.16th
E.21st
65.Hypothyroidpatientinonthyroxin,bestmarkertomonitorhisthyroidstatusis:
A.T3
B.T4
C.TSH(answer)
D.T3andT4
E.T3,T4andTSHlevels
66.IFTHEREISATUMORINTHERIGHTSUPERIORLOBARBRONCHUSTHE
BRONCHOPULMONARYSEGMENTMOSTLIKELYTOBECOLLAPSEDWOULDBE:
A.APICALSUPERIOR(ans)
B.ANTERIORBASAL
C.MEDIALBASAL
D.MIDDLELATERAL
E.SUPERIORBASAL
67.charctristicofTBgranuloma
A.Necrosis
B.Epitheloidcell(ans)
C.Giantcell
68.diffinplasmaandInterstitialfluidosmolarity
A.1mosm(ans)
B.1.5mosm
C.5mosm
69.Bodyresponseincoldtoregulatetemp
A.Anorexia
B.Hunger(ans)
C.Vasodilation
70.HighestconofACTHinstressseenin
A.SystemicArterialblood
B.Hypophysialarteries
C.VenousblooddrainingAntpituitary
D.VenousblooddrainingPosteriorpituitary
E.Venousblooddrainingadrenalmedulla
71.SCM issuppliedby
A.SpinalaccessoryNerve(ans)
B.C3,C4
C.Suprascapular
D.Dorsalscapular
72.Decineffectivecirculationvolumewillbe.
A.Incurineflowrate
B.IncGFR
C.INCrenin
D.IncANP
E.INCFREEsolutewaterexcretion
73.Angiotensinisresponsefor
A.Systemiccontractionofvenules
B.Glomerularafferentarterialvasoconstriction
C.Reninrelease
D.Stimulationofthirstcenter
74.60yearoldladybluishspotonthighBT1andclottingtime3Diagnosis
A.Plateletscount
B.Prothrombintime
75.Lymphocytesincreasedin
A.PolycythemiaVera
B.Cushing/adrenocorticalexcess
C.TB
76.Phlebothrombus
a.Heart
b.Smallarteries
c.Veins(ans)
d.Adult
e.Children
77.Mostcommonimmunodeficiency
A.IsolatedigAdeficiency
B.X-Linkedagammaglobinemia
78.Spacebetweensplanchnicnsomaticextracelomicmesoderm
A.Extraembryoniccoelom(ans)
B.Amnioticcavity
C.Blastocoele
79.ApersontransplantedapartoflivertootherpersonhavinghepaticfailureAftersometimeliver
sizeincreasedinbothdueto
A.Dysplasia
B.Metaplasia
C.Hyperplasia(ans)
D.Tumor
E.Hypertrophy
80.Brocasareaanditsnearbyareasuppliedby?
A.Antcerebral
B.Midcerebral(ans)
C.Antchoroidal
81.Lateraltocarotidartery
A.Jugularvein(ans)
B.Sternocleidomastoid
C.Clavicle
D.Trachea
E.Manubrium
82.Protinemiaadverseeffect
a.Hypotension(ans)
b.Pulmonaryvasoconstriction
c.Bleeding
d.Anaphylaxis
83.Neutrophilcollectedfrombloodareanalyzedforburstofoxygenconsumptionfromwhichofthe
followingeveninacuteinflammatoryresponsetorespiratoryburstisessential
a.Attachmentofendothelialcell
b.Increaseproductioninbonemarrow
c.Oppsoniazationofbacteria
d.Phagocytosisofbacteria
e.Microbialkilling
84.Mostfrequentetiologicalhepatitisinourcountry
a.Hepa
b.Hepb(ans)
c.Hepc
d.Hepd
85.Humanepicardiumconsistof
a.Visceralandparietallayer
b.Myocardialcell
c.Visceralserouspericardium
d.Externalconnectivetissue
86.Diarrhea
a.Metabolicacidosiswithnormalaniongap(ans)
b.Metabolicalkalosiswithnormalaniongap
c.Metabolicacidosiswithabnormalaniongap
d.Metabolicalkalosiswithabnormalaniongap
87.ECFconnectedtocytoskeleton
a.Proteoglycan(ans)
b.Integrin
c.Cadherin
d.Intermediatefilament
88.Newbornwithrecurrentinfectionwhichphysiologicalantibodyismissing
a.igG
b.igM
c.igA
d.IgE
89.PatientistakingglucocorticoidhaveDecin
a.Lymphocyte(ans)
b.Neutrophil
c.Monocyte
90.8%bloodlossin30minwithnochangeinatrialpressurewhichofthefollowinghasmaximumlost
ofblood
a.Aorta
b.Arteries
c.Arteriole
d.Capillary
d.Veins
91.Sympatheticactiononalpha-adrenergicreceptor
a.Increaseheartrate
b.Contractionofciliarymuscle(ans)
c.Bronchialdilation
92.Sickdisease
a.Patientnotakingmedicine
93.Autosomaldominant
a.Marfan(ans)
b.Phenylketoneuria
c.Gaucher
d.Alkaptonuria
94.Tumourwithouthormoneproductionis
a.Arrhenoblastoma
b.Chondrsarcoma
c.Carcinoid
d.Teratoma
e.Choriocarcinoma
95.PatientwithEcGpRinterval40
a.completeheartblock,
b.Mobitztype1
c.Mobitztype2
96.Cardiacplexusinsuperiormediastinumreceivesinputfrom
a.Rightvagus
b.Leftvagus
c.Rightcervicalsympathetic
d.Internallaryngeal
97.Facialnervesupply
A.Tensortympani
B.Posteriorbellyofdigastric
C.Posteriorauricularis
D.Puremotor
E.Chordatympaniarisefromhorizontalplate
98.Highcardiacoutputfailure
A.Niacin
B.Riboflavin
C.Thiamine
99.Endeffectofsepsis
A.DIC
100.Mitosisandpairingofchromosomesoccurin
A.Anaphase
B.Metaphase
C.Prophase
D.Telophase
E.EarlyTelophase
101.Fluidindistalproximalconvolutedtubuleis
A.LowPHwhenacidicurineexcretes
B.Increaseureathanbowman
C.15%absorptionisundereffectofADH
D.OsmolarityishalfofGFR
E.Glucoseconcentrationissametothatofplasma
102.Sympatheticthroughalpha-adrenergic
A.Controlradialmuscleofiris
B.Melatoninsynthesis
C.Bronchialrelaxation
D.IncreaseHeartrate
E.Glycogenolysis
103.In60yearmalelefthemicolectomydoneduetoDUKEBtumorandthereisnoliverMetsbest
prognosticlevel,whichshouldbmeasured
A.BhcG
B.Bilirubin
C.CEA
D.AFP
E.Alkalinephosphatase
104.Coagulativenecrosis
A.ByIschemia
B.Byviralinfection
C.Pinkhomogenousareaunderlightmicroscope
D.Notinkidney
E.Infancydisease
105.1/3RDoftotalbodywater
A.ECF
B.ICF
C.Interstitial
D.Plasma
E.Lymph
106.Muscle,whichdepressmouthcorner,e.g.sadface
A.Platysma
B.Orbicularisoculi
C.Buccinator
D.Mentalis
107.Mechanismoftumormetastasis
A.Migrationoftumorcells
B.Attachmenttomatrix
C.DegradationofE-cadherin
108.Quiteinspiration
A.Diaphragm
B.Externalintercostal
C.Pectoralisminor
D.Internalintercostal
E.Scalene
109.IncreaseWBCSinviralinfection
A.Lymphocytes
B.Plasmacells
C.Eosinophils
D.Basophils
110.GlucoseFilteredBYglomerulusandreabsorbedfrom
A.PCT
B.DCT
C.Loopofhenle
D.Collectingducts
111.25yearoldfemale,doingheavyexercisemorebodywaterlossoccurby
A.Sweating
B.Lungs
C.Insensibleloss
112.Exampleofhyperplasia+hypertrophy
A.Uterusinpregnancy
B.Breastinpuberty
C.Skeletalmusclegrowthinathlete
113.Truehermaphrodite
A.XO
B.XXY
C.XY
D.XX/XY
114.Increaselymphocytesin-patientof
A.Hayfever
B.TB
C.Septicemia
D.Polycythemia
E.Pneumonia
115.C1vertebracharacteristic
A.Absentforamentransversum
B.Odontoidprocess
C.Absentbody
D.Longspinousprocess
E.Massivebody
116.SmoothMuscleshas
A.Gapjunctions
B.Motorneuron
C.Sarcomere
D.T-Tubule
E.Motorendplate
117.RoughEndoplasmicreticulum
A.Detoxification
B.CholesterolSynthesis
C.Proteinsynthesis
D.Calciumstorage
E.Phospholipidssynthesis
118.Irontransportiscarriedoutby
A.Globulin
B.Transferrin
C.Albumin
D.PrimaryAlbumin
E.Ferritin
119.AutonomicnervefunctionstoppedbyAtropine
A.Sweatglandstimulation
B.Pupildilatation
C.Dilationofbronchioles
D.Excitementofcardiacmusclecontractility
E.Inhibitgitmotility
120.Plasmamembranethickness
A.7-11nm
B.4-6nm
C.12-14nm
D.14-20nm
121.Baroreceptorissensitiveto
A.Hypotension
B.Hypertension
C.Fluidintake
D.Decreasearterialpulse
122.CSF
A.Flowfrom3rdventricleto4thventricle
B.Drainintocerebrallymphatics
C.Ratenotexceed100ml/24hours
D.Formedbychoroidplexusonly
123.Athletedifferentfromnormalperson
A.Highrestingcardiacoutput
B.Increaseoxygenconsumption
C.Decreasemusclemass
D.Increaserestingheartrate
124.Carcinogenofbronchogeniccarcinoma
A.Asbestos
B.Tobacco
C.Silica
D.Nickel
125.Collagenforstrengthinwoundhealing
A.Type1
B.Type2
C.Type3
D.Type4
126.3rdventricle
A.Communicatewith4thventriclethroughinterventricularforamina
B.Inferiorlytransversefissure
C.Posteriortolaminaterminalis
D.Recessedintomammillarybody
127.RightAtrium
A.FossaovalisinAVwall
B.RelatedtoDiaphragmatt10
C.CoronarysinusatposteriorpartofAVgroove
128.Whichcontainsmorecontentofcarbohydrate
A.Rice
B.Maize
C.Sorghum
D.Cereals
129.Parotidacini,undermicroscopedarkreddishcolourandcytoplasmbasophiliaisdueto
A.Lysosomes
B.SER
C.Mitochondria
D.RER
E.Golgibodies
130.Importantfactorinpathogenesisofthrombosis
A.Endothelialinjury
B.Prolongbedrest
C.Atrialfibrillation
D.Antithrombin3deficiency
E.OCPS
131.Bothallelesarefullyexpressedinheterozygotecalled
A.Codominance
B.Transduction
C.Polymorphism
D.Reducepentance
E.Variableexpressivity
132.Fractureoflongbonewillstoplongitudinalgrowth
A.Epiphysealplate
B.Epiphysealline
C.Anatomicalneck
D.Metaphysis
E.Diaphysis
133.Passageofdrugsacrossbiologicalmembranetakesplacebysimplediffusion
A.Unsaturable
B.Needsenergy
C.Needscarriermolecule
D.Canoccursagainstconcentrationgradient
E.Canoccurforwater-soluble
134.Proteininvolvedinpowerstrokeofmuscle
A.Myosin
B.Actin
C.Myoglobin
D.Tropomyocin
E.Calmodulin
135.VasopressinandADHoriginatedfrom
A.Hypothalamus
B.Neurohypophysis
C.Adenohypophysis
D.GliaofANS
E.Adrenalmedulla
136.Measurementmostusefulinmonitoringofprogressionofdisease
A.Precision
B.Sensitivity
C.Specifity
D.Coefficientofvariance
E.Predictivevalidity
137.A40-yearfemale,non-diabeticfemaleFBS122mmol,after1hr198mmol,afterr2hr194mmol
diagnosis
A.Impairedglucosetolerance
B.Diabetes
C.ImpairedGlucagon
D.PreDiabetic
138.Stonydullpercussiononrightsideofchest
A.Pleuraleffusion
B.Thickeningofvisceralpleura
C.Thickeningofparietalpleura
D.Airinalveoli
140.Definitiveevidenceofmalignancy
A.LocalInvasion
B.Metastasis
C.Increasemitoticactivity
D.TripolarNecrosis
E.Pleomorphism
141.Lordosisischaracterizedbyincreasecurveofvertebralcolumn
A.Concaveanteriorly
B.Concaveposteriorly
C.Convexanteriorly
D.Convextosides
E.Concavelaterally
142.Mandevelophypoglycemiawhichhormonesecretionwillcorrectit
A.Thyroxine
B.Glucagon
C.Cortisol
D.Epinephrine
E.Growthhormone
143.AbabybornwitherythroblastosisfetaliswithbloodgroupA+hereceivebloodgroup
A.A+
B.AB+
C.O+
D.A-
144.Pulsepressure
A.Dependsuponrightventriclestrokevolume
B.Lowinhighcardiacoutputstate
C.Increaseinperipheralarteriesthansystemic
D.Dependsoncomplianceofvenoussystem
145.Thyroidmovesonswallowingbecauseof
A.Pretrachealfascia
B.Prevertebralfascia
C.Investinglayerofdeepcervicalfascia
D.Carotidfascia
E.Superficialfascia
146.Toxinscausescelldeaththroughenzymaticlevel,Cyanideinterferewith
A.Adenylcyclase
B.Cytochromeoxidase
C.Golgi
D.Citricacidcycle
147.A45yearoldmalepresentedinERwithfractureofpelvicboneinRTAwithshockdueto
A.Excessivebloodloss
B.Bladderinjury
C.Malunion
D.DVT
E.Bowelinvolvement
148.Strokevolume
A.Determinedbyheartrate
B.Unaffectedbypreload
C.IsIndependentofmyocardialcontraction
D.Relatednormallytoafterload
E.Isdeterminedbyheartrate
149.Oneoffollowinglesiondevelopintomalignancy
A.Trachoma
B.Bowendisease
C.Lymphocytoma
D.Interepithelialnevus
150.Inphysiologicallimitsrightarterialpressureincreasee
A.Increasecardiacoutput
B.Decreasesystemiccirculation
C.Decreaseheartrate
D.Decreaserenalbloodflow
E.Increaseintrathoracicpressure
151.e-maxachievedbydrugismeasureof
A.Efficacy
B.Safety
C.Potency
D.Bioavailability
E.Intrinsicactivity
152.Immunoglobinsynthesisoccurin
A.Plasmacells
B.Platelets
C.Fibroblasts
D.Redcells
153.InWernickelesion
A.Fullycomprehensive
B.Shorttermmemory
C.Clearwordsunderstandable
D.Rapidnonsenseway
154.I.Vpenicillinhasgivento27-year-oldfemaleafterfewminutesshedevelopedtachycardia
Shortnessofbreath,rashonbodychemicalmediatorsresponsibleforit
A.Complementc5a
B.Bradykinin
C.Histamine
D.Thromboxane
E.Interleukin
155.VwFcause
A.Plateletsadhesion
B.Plateletsaggregation
156.Pivotjoint
A.Proximaltibofibularjoint
B.Atlanoaxialjoint
157.Secondarycenterossification
A.Epiphysis
B.Metaphysis
C.Epiphysealplate
D.Diaphysis
158.DM foot...Angiopathyandneuropathy
159.Inemergency
A.OnlypatientallowinEM roomandfamilystayout
B.Givethempsychologicalsupport
160.Parietalcellssecretefrom..Gastricfundus
161.HighestCholesterollipoprotein..LDL
162.Normaldistributioncurve..alsocalledGaussiancurve
Remembermeinyourprayers(BINT.E.ADAM)
#9MayMedicine2016
#Morning
Itriedmybesttorecallnderrorfree.
Icompiledtheseveryhardlybczimnotgoodatit
RightAnshavestarmark...!!!!
1..ptwithtoothacheonwarfarinplannedforsurgry,whttestwilludo
A...pt,aptt,IN*
B..pt,aptt
2..howcimetidineincreaseswarfarineffect
A...dechepaticclearance*
B...removingfromplasma
3...ptonwarfarin,howllumonitor
A...pt*
B..aptt
4...ulnarnervedamageatelbow
A...clawhanddeformity*
B...hypothenarwasting
5...AspirinMOA
A...inhibitprostaglandinproduction*
B..inhibitphosphoralase
6...kneerelexroot
A...L3L4*
B..L4L5
7...Asiaticcholangioheatitis
A...csinenses*
B..giardia
8...glycogenstoremoreinwhichorgan
A...liver*
B..skeletalmuscle
C...smothmuscle
9...Adenoma
A...glandulartypeapperance*
B...arisesfromserosa
10...aniongap
A...differenceb/wunmeasuredanionandmeasuredcation*
B...diffb/wmeasuredanionndunmeasuredcation
11...vitDdeficiency
A...ricket*
B...pagetD
12...inferiorthyroidveindraininto
A...leftbrachiocephalic*
B..intjugvein
13...scalp4thlayer
A...looseareolartissue*
B..priostum
C..musculartissue
14...ankylosingspondylitis
A...HLAB27*
B...HLAB4
15...Definitivediagnosisoftb
A...afb*
B..caseousgranuloma
C...epitheliodcell
16...microscopicfindingoftb
A...caseousgranuloma*
B...epitheloidcells
17...heartactasasynctiumdueto
A...gapjunction*
B...tightjunction
18...S2differentfromS1
A...frequency*
B..duration
19...S1producedby
A...isovolumetriccontraction*
B...isovolumetricrelaxation
20...retesridgeswithotherfeatures
A...squamouscellca*
B...verrocousca
21..cimetidinefrequentsideeffect
A..hepaticenzymeinhibition*
B..nauseavomitting
22..earinfectionbypseudomonas,fevercausedby
A...TNF*
B...iL1
C...iL5
23...neuraltubedefect
A...meningocele*
B...herniateddisc
24...klinfeltersyndrom
A...47xxy*
B..46xxy
25...scenerioinwhichtotalbilirubinincreasnddirectnormal.cause
A...gilbertsyndrom*
B..ovstructivehepatitis
26...afterstroke,howwillischemicbraintissuerepairedby
A...Neuron
B..fibroblast
C...schwancells
27...whichneurotransmitterincreaswilldecanxiety
A...gaba*
B...glutamate
28...deepsleepcharacterisedby
A...bruxism
B...activedreaming
C...penileerection
29...Area1differentfrommotorarea
A...granularlayer*
B...homunculus
30...basilaryartrybranch
A...pca*
B...mca
C...aica
31...Lppieceswhichstructures
A...dura,subduralspace,subarachnoidmembran,pia*
B...subdualspace,dura,pia,subarachnoid
33...spinalcordsuppliedby
A...vertebralartry*
B...intercostalartries
34...phrenicnerverelation
A...pericardiophrenicArtry*
B..esophagus
C...greatcardiacvein
35...primordialgermcell
A...6week*
B...3week
C...2week
36...typhoidistweektest
A...bloodculture*
B...widal
37...gentamicine
A...contraindicatedinrenalimpairment*
B...docfruti
C...increaseshepaticclearance
38...contactdermititis
A...delayedhypersensitivityreaction*
B...type3HR
C...type2HR
39...femalebloodgroupA,twochildwithbloodgroupO,AB.whtwillbefatherbloodgroup.
A...B*
B..Ab
C..O
40...pulmonarythromboembolismmostcommonlyfrom
A...poplitealvein*
B...greatsaphenousvein
C...pelvicveins
41...femalewhileclimbingstairshavesuddenchestpainnddyspnea
A...V/Qmismatch*
B...MI
C...COpd
42...intraceolomicderivedfrom
A...extraceolomicmesoderm
B...paraxialmesoderm
C...lateralplatemesoderm
D...fromntochord
43...cuboidalepithelium
A...salivaryglandducts*
B..maleurethra
C..collectingducts
44...bulbarurethralrupturebloodextravasat
A...superficialperinealpouch*
B...deepppouch
C...scrotum
45...cornealreflexby
A...opthalmicbranchoftrigeminalN*
B...occulomotorN
C..opticN
46...pthavingcopdwithrespiratoryalkalosis,renalexcretionofpotassiumwillbe
A...falk,duetoincreastubularfluid
B...risek,duetokndacidcoupled*
47...femalefallndpresentednERwithshortleftlegndlateral
A...hipdislocation
B...inferiorglutealNdamag
C..supglutealNdamag
48...aschoffbodiesfirstfeature
A...fibrinoidnecrosis*
B...eosinophil
C...giantcell
49...smallcelllungcaonhistopathologywhichcell
A...acth*
B...pth
50...inlactationGnRHinhibitionby
A...prolactin*
B...GH
C..oxytocin
51...lipogenesis,glycolysisisafunctionofwhichhormone
A...insuline*
B..Gh
C..cortisol
52..hyperfunctionthyroideffectonheart
A...tachycardia*
B...increaspRinterval
C...vulvulardisease
53...afterpartialgastrectomywhichwillhappen
A...hypochromicmegaloblasticanemia*
B..irondeficiencyanemia
C..normochromicmegaloblasticanemia
54...ananemicpthavemicrocyticanemiapicturendhiselderbrotherhavetransfusionhidtory
forsameproblem.whichIxwilludo
A...hbelectrophoresis*
B...serumferritin
C...serumvitb12
55...allantisychoticsamein
A...antiemeticeffect*
B...efficacy
C...potency
56...asthenuriadueto
A...SIADH*
B...ADH
C...ALDOSTERON
57...Neyrohepaticmalignantsyndromeby
A...Haloperidol*
B..Reserpine
C..cimetidine
58...Drugexcretiondependupon
A...glomerularfilteration*
B...fatsolubledrugsincrease
59...adultArdswastreatedwithporcilin(surfactant),whtwasitsMOA
A...decalveolarsurfacetension*
B...increasecomplaince
C...increaseintrapleuralpressure
60...Edemaofrenalorigion
A...albuminuriaandsaltretention*
B...saltretention
61...NeuronRMPdecreasesby
A...k*
B...Na
C...cl
D...ca
62...whichoneispassivelyabsorbedfromrenaltubules
A...cl*
B...NH3
C...glucose
63...obstructivediseaseoflungincreases
A...FRC*
B...FEV1
C...VC
64...absentAwavedueto
A...mitralstenosis*
B...aorticstenosis
65...Dubaitaxidriverwithfever,malaisendlymphedenopathyndotherimmunosupressive
features
A...HIV*
B...yellowfever
C...malaria
66...Eosinophila
A...hogdkinDisease*
B...nonhodgkinD
C...tb
67...LHactonwhichtesticularcellsmostly
A...leydigcells*
B..sertolicells
C...spermatogonia
68...Neuralcrestderivative
A...Sensoryganglion*
B..astrocytes
C..oligodendrocytes
69...femaleptpapsmearshowssquamouscellsinendocervix
A...metaplasia*
B...dysplasia
C...hyperyrophy
70...2feetawayonantimesentericborderthereisadilatedstructure
A...mickel,sdiverticulum*
B...hushprungdisease
C...adenoma
71...rightbronchialartryisbranchof
A...posterior3rdintercostalartry*
B...descendingaorta
C..aorta
72...vagalstimulationcauses
A...increasePR*
B...increaseRR
C...DecreasePR
73...childhavenonfeverdiarrheaformaneydays,onmicroscopycurvedndgramnegative
bacteria
A...vibrio*
B...Ecoli
C...Giardia
74...ameboidlocomotion
A...duetocilia
B...helpsingermcellsmigration*
C...
75...respiratorysymptomsby
A...ascaris*
B...tsolium
C...Adeudenale
76...NitroglycerineMOAonvessels
A...cgmpstimulation*
C...inhibtionofbetareceptors
77...osmolaritycontrolledby
A...feedbackofosmoreceptor*
B...ADH
78...adrenalinsufficiencymainfeature
A...Hyperkalemia*
B...hypokalemia
C...hypernatremia
79...Terminalbronchiol
A...pseudostratifiedepithelium*
B..moregobletcells
C..mucussecretingcells
80...Rightkidneyanteriorrelation
A...righthepaticflexur*
B...liver
C...deoudenum
81...whichstructurearchoveraorta
A..leftRLN*
B...leftbronchus
C...leftphrenicN
82...seconadaryperistalsisdueto
A...esophagusdilatation*
B...onlyduetoachalasia
C...duetometaplasia
83...CCkandgastrinaresimilardueto
A...sameterminalCgroup*
B...samefunctiononstomach
84...fetalhemoglobin
A...increaseaffinityforO2*
B...onlyfoundinfetallife
C...
85...ironabsorptionfromgutincreasesby
A...ironferrousform*
B...hCO3
C...gastricacid
86...soldieronhillyareafor6monthscamebackwiththeconplaintofcyanosis
Ndotherfeatures
A...secondarypolycythemia*
B...polycythemiavera
C...methemoglobinemia
87...workerofminendsandblasterhavedyspnea
A..silicosis*
B..anthracosis
C..asbestosis
88...whichismorerelatedtomalignancy
A...asbestos*
B...berrylium
C...aromaticamines
89...leftheartfailuredueto
A...aorticstenosis*
B..pulmonaryHTN
C..corpulmonale
90...thermorecetors
A...longreceptivefield*
B...specialreceptors
91...S1dueto
A...isovolumetriccontraction*
B...isovolumetricrelaxation
92...calciumchannelblockerwhichactonSAnode
A...verapemil*
B...diltiazem
C...nefedil
93...SAnodesuppliedby
A...RCA*
B...marginalbranch
94...epinephrinedovasodilationbyactingonwhichreceptor
A...beta1
B...bet2*
C...alpha1
D...alpha2
95...postmenupausalwomenhave
A...increaseLHndFSH*
B...DecLHndFSH
96...seductivefemaleptcameneartoyou,whtwilludo
A...callinnurse*
B...dontexamineher
97...medicalethics
A...codeofconductofdrprofisionallife*
B...doctorsright
98...threepercentagesweregiven
Whichchart
A...piechart*
B...barchart
99...whichantiemticwillupreferinchemotherapicpt
A...ondenstran*
B...metoclopromide
100...HIVrelatedskincancer
A...kaposi*
B...sqcellca
101...Exudatecontain
A...inflamatorycells*
B..increaselipid
102...DecreaseESR
A...increasealbumin*
B..Decalbumin
103...vasculitisrelatedwithhepatitis
A...hepB*
B...hepC
C...hepE
104...chronichepatitisischaracterisedforhowmaneyduration
A...6month*
B...3month
C...2month
105...tumorsT4N1M1havingcommonfeatures
A...cachexia*
B...wieghtloss
C...anemia
106...thymus
A...Richinlymphocytes*
B...regressimmediatlyafterbirth
107...cardiacmuscles
A...autonomicsupply*
B...striated
108...Initialinvestivationofleprosy
A...nasalscraping*
B...culture
C...biopsy
109...icuinfectionspreventedby
A...multiplehandwashing*
B...usingfacemask
C..
110...scenerioofachildwithpetechaendbruiseswithbtprolong
A...iTP*
B...hemophila
C...plateletfunctionaldefect
111...potentantioxident
A...vitE*
B...vitA
C...vitC
112...fibrillinmutationcauses
A...marfansyndrome*
B...sideroblasticanemia
C...duchnemusculardystrophy
113...Lpdoneonapt,nowheconplainsofheadache
A...duramatercomression*
B...falxcerebricompression
114...reversiblecellinjury
A...membraneblebs
B...swellingofEreticulum*
115...NeostigmineMOA
A....inhibitorofcholinestrase*
B...anticholinestrase
116...MitralstenoticECGchanges
A...pmitrale
B...irregularRR
117...secondarycartiligiousjoint
A...symphysispubis*
B...chostochondraljiont
118...ptofepidermisburnisatriskof
A...contracture*
B...granulation
C...malignancy
119...hyalinecartilagein
A...larynx*
B...articularsurfaceoftmj
120...Icamndvcamare
A...adhesionmolecules*
B...rbcproteins
121...wBcadherencetodamageendothelialwall
A...margination*
B...migration
122...factor8producedby
A...endothelialcells*
B...hepaticcells
123...damagerabnormalproteinisdegradedby
A...lysosomes
B...golgiapparatus
C...peroxisomes
D...polyphagosomes
124...appropriateaboutthrombusformation
A...damagevalve,decbloodflow,increaseviscosity
B...damagevalve,decbloodflow,wbc*
C...damagvalve,wbc,increaseflow
125...glucocorticoidescauses
A...decperipheralutilisationofglucose*
B...increaseglucose
126...connsyndrome
127...afterMIinminuteswhichoccure
A...Arrythmia*
B...cardiactemponade
128...resonanceonbackupto
A...t8*
B...t10
C..t6
129...thereissmallcysticmassinleftparietallobewithinvolmentofheartfeatures
A...myxoma*
B...glioma
C...cardiachypertrophy
130...whichisanticancer
A...apple*
B...chocolate
C...nitratedmeat
131...whenmembranepotentialdecreases
A...kgoesout*
B...inevitableaction
C...clgoesin
D...kgoesin
132...Neurotransmitterreleasedinchemicaljunctionby
A...cainflux*
B...caefflux
C...nainflux
D...hyperpolarisation
133...Tissuebloodincreasedueto
A...decreasebp
B...increasepO2
C...increasepCO2
134...heavybleedingintreacheostomydueto
A...aveinwhichdrainintojugularvein*
B...inferiorthyroidartry
C..duetoisthmus
135...thyroidisthmuslieat
A...Treachealring234*
B...TRing345
136...gutaffectedfromhepaticflexuretomidtransverscolon,artryaffected
A...midlecolicartry*
B...iliocolicartry
C..sma
137...anteriorsurfaceofheartformedbywhichstructure
A...rtventricle*
B...rtatrium
C..lftventricle
138...spinalcordsupportedby
A...denticulateligamet*
B...transverseligament
C..ligamentumflavum
139...senseofsmell
A...afferentnervesinnasalcavity
B...auditorycortex
C...passesthroughthalamus
140...femaleptwithb/lpleuraleffusionnddyspneaandhavingpedaledema
A...recurrentthromboembolism*
B...dvt
C...chf
141...axillarysheathformedby
A...prevertabralfascia*
B...pretreachealfascia
C...superficiallayerofcervicalfascia
142...pfalciparumfeature
A...blackwaterfever*
B...jaundice
C...fever
143...increasein2/3ofthoracixdiameterby
A...buckethandleeffectofribs*
B...diaghragm
C...handleeffectofribs
144...chronichepCptonmicroscopycellswitheosinophiliccytoplasmndotherfeatures
A...apoptosis*
B...fibrosis
C..necrosis
145...cyanosisdueto
A...deoxyhemoglobin5g*
B...increasepCO2
C...increasepO2
146...childwithyellowishsclera
A...altplusbilirubin*
B...alt
C...altndast
147...diabeticnephropathyIx
A...urinealbumin*
B...urineglucose
C...urinecreate
148...duringperistalsiswhenloweresophagealsphincterrelaxes
A...beforebolusreach
B...afterbolusreach
149...whichthinginsalivarymucusincorporatemicroorganisms
A...lactoferrin*
B...lysozyme
C...lipase
150...whichistruebothaboutimmunityandallergy
A...AidsdecreaseTcells
B...
151...GVA
A...viscera*
B...glands
C...otherorgans
152...parotidglandsupply
A..GVE*
B...GvA
153...louderS1
A...mitralinsufficiency*
B...lowerlimitofPRinterval
154...gastriculcerpain
A...greatersplanchnicN*
B...lessersplanchnicN
155...greatveinofgalenlocatedin
A...superior
B...inferior
C...middle
156...bloodcellsofbonemarrowgetsignalstoproliferatfrom
A...BMendothelialcells*
B...Bmfatcells
C...erthropoitin
C...growthfactor
157...SLEcauseddueto
A...Bcelldysfunction
B...TndBcellsdysfunction
C...immunologicalresponsetohydralazine
158...inspiratoryNeuron
A...apneustic*
B....pneumotaxic
159...Nitroglycerinnotgovenorallybcz
A...extensiveistpasseffect*
B...bioavailibilityislow
C...cantabsorbedfromgut
160...inAcutepancreatitisperitoniumwillshow
A...fatnecrosis*
B...wetgangrene
C...drygangrene
161...mostpotentstimulusforerythropoitin
A...hypoxia*
B...aldosteron
C...decflow
162...11yeargirlxrayelbowagewillshow
A...lateralepicondyl*
B...medapeicondyle
163...Majorbufferofblood
A...HCO3*
B...hb
C...h2co3
164...2*2
A...chisquaretest*
B...ttest
165...afteradrenelectomyincreasetastefor
A...Nacl*
B...cacl2
C...nahco3
166...fortransplantHLA,Bestcellsare
A...wbc*
B...rbc
C...kidneycells
D...hepaticcells
167...G6Pddisordermostcommonly
A...drugsinduced*
B...genetic
C...immunogenic
168...Mosquitobite
A...yellowfever*
B...filiriasis
C...leishmaniaisis
169...postsyphiliticptcantconstrictpupilonlight,withintactaccomodation
A...argylrobertsonpupil*
B...mastheniagravis
C...occulomoterpalsy
170...lungbasehavehighperfusionndventilationwhy
A...highbloodflow*
B...lowbloodflow
C...highdiffusingcapacity
171...forceofcontractionofheartdeterminedby
172...chronicalcoholicwithnormalLFTsonmicroscopyliverwillshow
A...fattychanges*
B...normal
C...fibrosis
173...oneaboutNeuronRMp
174...Oneaboutmotorarea
175...2aboutecgRRndPRintervals
176...oneaboutsarcoidosis,askingabouttypeofcellinvolved
Ps...Otherscntrememberndrecall
Regards...DrHarisIqbal
.....keeepremembernduwazzz....
.....Bestofluck....
10may2016medicineandalliedpaper(morningshift)
Bydr.Ayeshatariq(SMC,Sargodha
Contributors:anteedepressent
1.achildpresenttouwithocularanomlies,cornealdefects,lenseprolapsed.dia??
a)potterssynd(ANS)b)trisomy21,13,18
2.conditionvdnormalpo2butdeco2saturation..COpoisoning
3.hypoglycemialeadtoinclevelofGlucagon(GIPwasntinoption)
4.lossofthenareminence,oppositionofthumb..medianN
5.supcardiacplexusbyleftvagus(ans)
6.bitemporalhemianopialesion..chiasm
7.charctristicofTBa)necrosis.b)epitheloidcell.c)giantcell
8.ACTHsecretedviasmallcellCA
9.PERSONstandingforalongtimewtdec,a)cvp..b)adh..c)rennin..d)HR
10.REcurrantlyrngealNarounda)subclavianveinb)ligamntumartriosum(ans)
11.decvisualacuityinthyroiddiseaseduetoopticNcompression
12.sickrole
13.diffinplasmandInterstitialfluidosmolairty1mosm(chANDKIANS)
14.BODYresponseincoldtoregulatetempa)anorexia.b)hunger.c)cutvasodilation
15.highestconofacthinstressseenina)systemicblood.b.hypophysialartriesc)antpituitaryd)
posteriorpitutary
16.retardedbonegrowthfractureviaepiphysealplate
17.SCM supplyspinalaccessoryN
18.muscleoffrightplatysma
19.proband.frstpersoncomingtodoctorineffectedfamily
20.parazonphenomenon..antibodyexcess>>antigenexcess(pastpaper)
21.structrelateraltoICA..a(jugalrveinb)sternum..c)SCM
22.Personcantmovehisfootmedially(tibialisant+pos)
23.contactdermatitisbylatexglovestype4hypersensitivity
24.type3hypersensitivty
25.igGinmyasthenia..26)nervedamgedthatscontentofcavernoussinus..abducent
27.vWFa)platletadhesionb)platletaggregation..28.H/Kpumpinhibitionomeprazole
29.completeheartblockfaintingduetofailureofventriclescontraction
30.psychophysicaleffctofbrainactivitya)sweatingb)papillaryreflex
31.DKA.mucormycosis..32)normaldistributioncurve..gaussiancurve??
33.renal>>interlobar>>arcuate>>interlobular>>afferent>>glomerulii
34.adhandvasooriginateinhypothalamus.35)hyperoxaluriaduetodeccalciumleveltoform
complexesvdoxalates..36)b/lhippocampusdamage??
37)mostcommonprimaryimmunodefisa)agammaglobenimab)igAdef
38.childwithrepeatedinfectionduetodefofa)igA..b)igG..C)igM
39.NEUTOPHILLa)phagocytosisb)moveinandoutofblood
40.oxidativeburstfra)phagocytosisb)opsonizationc)microbicidalkilling
41.muscleinquiterespirationdiaphragm..42)maxbloodlossveins
43)1/3isECF44)afpraisedinembroynalCA.45)HEARTRATEis40bpmcomplteheart
block..46)incoutputfailureduetothiaminedef..47)cholngioCAorganismclonchrissineseis
48)4yearboysplenctomydonestreppnemonie>h.influenza
49.beestinga)imadrenalineb)ivhydrocortisone..50)cyanideblockcytochromeenzyme
51)6weekbabydiaperstainedbillaryatresia>>rotor.52)leftshiftingcurveincph
53)60yrladybluishspotonthigh,BT1MIN,CT3mina)platletb)PTC)RBSd)wbc
54.Rightsidetouchlftsidetemppainlossrighthemisection.55)righthemicolctomymarker
CEA..56)THROIDCAhistorelatedlongscenarioatendaskingmarkercalcitonin
57)basophiilliatocellonhisto..RER.58)anticoagulantcontraindinthrmbocytopnia
59)esophagealnaturalconstrictionvherecrossedbyaorticarch
60)protaminesideeffcta)hypotensionB)anaphylaxisc)bleeding
61)TCAcausestonicclonicseizures62)commonfactoroffcirrhosisa)alcoholb)hepC
63)aspirinoverdosealkalosis64)ptofasthmandHTNfrERgivei/vnitropruside
65)asthmavdemphysemavatwildecfev1/fvc
66)mostcommonhepatitisinourcountryhepA
67)INobstructivelungdiseasewhatvillbinca)TVb)RVc)FEV1d)incelasticrecoil(frcntin
option)
68)thyroidpretrachealfascia69)facialpalsyandbalanceprobcerebellopontineangle
70)inct4ndptisintoleranttoheatwhatwilldecTSH
71)Megaloblasticanemiadiphylobothriumlatum72)anemiavdpins,needlesB12Def
73)brocaMCA74)pos13tonguesensationslostdamageofglossophyrngealnucleus
75)indolaceticacidincarcinoid76)serotoninsyndromeTCAvdfluxteine
77)40yrnondiabeticfemalevdogttinmorning122,aftr1hr198,aftr2hr192etcImpaired
glucosetolerance78)irontransporttransferring79)pivotjointatlantoaxial
80)regardingsympthticactivationwhatwillepinprinedoa)glycognolysisinliverb)incskeletal
muscleflowc)inhibtGIT
81)FEMALEvdirregualarperiodsfsh;lh3;1PCOD
82)TUmourthatdontsecreteanyhormonea)choriob)teratomac)chondrosarcoma
d)arehnoblastoma 83)lordosisa)inantconvxb)incantconcaveC)lateralcurvature
84)anaphylacticshockdifffromhypovolemica)incHRb)incCO
85)benzylpenicillininneisseria
86.infctionongramstaingramposinclusters,doca)cloxacillinb)pencillin
87)drugrequiringserummonitoringvancomycin
88)poorprognosisofsepsisisa)DICB)diffusetissueinjuryc)tissuehypoxia
89.DIClongscenario,ladyfromremotevillagetypicalone
90)simplediffusionnotsaturable
91)lungtransplant,sizeincduetohyperplasia
92)hypertrophyndhyperplasiatogetheruterusinpregnancy
93)abductionupto40lostsupraspinatus94)incinrightatrialpressureinnormallimits??a)dec
HRb)decvenousreturn
95)anginasymptomsinaorticstenosis96)seondrycenterofossificationinepiphysis
97)malignancyindicatorismetastasis
98)tumormetastasisduetoa)degnrationofEcathedrinsb)movementofcancercells
99)ptvddifficultywalkingraisinglegleftpelvissinkdownA)SUPERIORGLUTEALB)INF
GLUTEAL
100)MALEvdregularcheckupb.p170/110didnttooktreatmentaftronemnt165/110inlong
runincriskofhyperplasticarteriosclerosis
101)chromatidrelatedquestioncntrecall
102)amaninshopsuddenlycollapsedhr120bpmbp90/60,frsthadexcursiatingchestpaina)v
fibb)cardiogenicshock
103)angiotensionvasoconstriction
104)athltetehasincwhichoneinnormalstateinccardiacoutputb)inhr(strokevolumnooption)
105)neurovascularbundlelowerborderofrib
106)wernickesareanonsensefluentb)canspeakandunderstandwrittenetcetc
107)csfquestionoptionweredifficultanddifferent
108.mostcommonplaceofobstructioninhydocphlusaqueductofsylvius
109)crf,hyperphosphatemia110)fetalperiodaftr8weeks
111)thrombophelbitisveins
112)Commonhepaticductjoincystic
113)spacebetweensplnchicandsomaticmesodermisextraembryonic
114)thromboembolismcausativefactorendothelialinjury
115)sickroleexcusedfromobligations
116)LVFbyaorticvalvelesion
117)ldopaeffctstartdecreasingduetoa)degradationofreceptorsb)decofubstnitianigrafibers
118)glucoseabsorptionquestioninpct
119)heparininhibtclotpropagation
120)angiopathyandneuropathy
121)appendixpositionretrocecal
122)inclymphsinTB
123)monospottest
124)erythroblastosisfetalisbloodtransfusionangtve
125)sclerdermaptvdenuresisdrugoxybutonin..asimquestion
126)leftventriclerelationsbaseisposperforatedsubstanceb)posisterminalisetcetc
127)thirstincbydececf
128)fluidindistalpcta)lowphvnacidicb)incureac)osmoalirtyhalfofgfrd)glucosesameas
plasma
129)powerstrokeduringskeletalmusclecontractiona)actinB)Myosinc)troponin
130)onlyptallowedinER
131)injryspontaneouspenumothoraxA)IPsilateralmediastinumb)pleuralequaltoatmospheric
c)inctranslucency
132)pyrazinamidepaininjointinATT
133)RECURRANTabortionsantiphopholipidb)factor5
134)hyperkalemiarelatedquestionofdecpotassiumsecretionina)Addisonb)spironolactone
135)diarrheametabolicacidosisnormalgap
136)parietalcells
137)highhclrequireforpepsinogentopepsin
138)recurrantlyrngealbranchofvagus
139)atropineblocksweatglandsb)bronchialdilatation
140)emaxefficacay
141)truehermaphroditexxy
142)antidsDNAinSLE
143)ANAvasculitisb)sarcidosis
144)growthhormonestimulatedbya)REM b)hypoglycemia(NREM andexercisenotinoptions
145)steroidsdeclymphocytes
146)whchcellincinviralinfctionlymphocytes
147)babnskipositivelostvoluntaryactivityonrtlesionata)pyaramidb)internalcapsulec)motor
cortexd)medulla
148)highcarbohydrateinwheat
149)giantcell>>fibriniodnecrosis
150)tumordecwhattopreventkillingmhc1
151)codominance
152)superiorapicalportionfrsteffectedifbronchigenicCAeffectbronchus
153.bronchiognicCAsmoking
154.vibrioopeningclchannels
155.bowendiseasepremalignnt
156.quackgavesomemedicinemonitorALT
157)BLOODreturnincviacontractionofcalfmuscles
158.lymphnodebiopsyofHIVfindinghyperplasiab)celldepletion
159)menupausedecestrogenincfshndlh
160)plasmamembranethicknesss7to11nm
161.girldoingexercisemostfluidlossviasweatinsensiblec)urine
162.kawashirkorscenario
163.pakingandtransportofcarbohydrateproteingolgicomplex
164)goodfactorfrdetermingdiseaseprogression??senitivtyspecificitypredectvevalue
165)epicardiumconnectivetissue
166)fractureofpelvisshockduetobloodloss
167)c1nobody
168)s2,3,4
169)micturation??
170)posbellyofdigastricsfacialnerve
171)ldlcholesterollipoprotein
172)shockdopamineb)adrenaline
173.thighswellingveminton(desminntinoptions)
174.diazepamndchlorpromazineissedation
175.rightatrialpressureincvillcause??
176.oneaboutgitandpancreasetc
177.melanomaonthighmedialgroupofsuoerficialinginailnodes
178.measlestypicalscenario
Feelfreetocorrectitifursureaboutanyquestionswronginit.
Iwroteoptionsagainstallambiguousquestions,recallerrormaybthere
Thankstomianbehram,Muhammadatharmalik,hussamuddin,ghazimuhammd,mehreen
Fatimaandeverybodyelse
Rememberinduasspecially.
10may2016combinepaper1and2
1.duralsensationlostinmiddlecranialfossanerveinvolved,,,,trigeminalnerve
2.immunoglobininerythroblastosisfetalislgg
3incaseofrubellaantibodiesinpregnantfemaleindicationforpregnancyterminationigm
4.parentreactiondenial
5.firstthingriseaftersplenectomyhoweljowelbodieorhrombocytosis
6.scantybarrbodiesturner
7.barrbodiesdiagnosticforturner
8.bcellmarkercd19and20
9.abouthyalinecartilagecollagennotvisible
10.cavernoussinuscontaininternalcarotidandabducant
11.antipsychoticsimilarinproperty..efficacy
12Azathiaprinexanthinexidaseorinhibittetrahydrofolate
12.atypicallcellinIM tcell
13.cellinfectedinIM.bcell
14.diagnosisofIM testmonospot
15.femalewithhoarsenessmilddysphagianeckmasstumormarkercalcitonin
16.testicularyolkcelltumortumormarkerafp
17.trochlearnervedamagediplopiaonabduction
18.ovarinpainradiatingtomedialthighnerveinvolvedobturator
19.RTApatientvitallyunstableinitialstepfluid
20..mhcregardingquestiondontremember
21..hlarelated.associatedwithgraftrejection
22.folicacidpresentinrawvegetable
23.permanentilatedpupilnerve,,,occuklomotor
24,,vmainpheochromocytoma
25.ggtobsjaundiceinpregnancy
26.hepbmonitoringsgpt
27.lesionofopticchiasmabitempralhemianopia
28.optictaracrightsidedlesionlefthomnymushemianopia
29.indolaceticacidincarcinoid
30.secretinselectivelyinch2co3frompancreas
31.PPiincgastrinsec
32.estrogencontaingpillsthromboembolism
33.patienthavingdysneanocoughrvhprominentvascularmarkingwhatseeninpulmonaryartery
atherosclerosis
34.throbuslikelesioninleftatriummyxoma
35.esophagealcompressionduetoleftatriumenlargement
36.allvalueswerenormallikecalciumphosphateonlyalpwasraised
37helpercellfunctionhelpinantibodyformation
38..bphighsugarpresentinurineinbloodnormalpottasiunlowcauseofhtn..primary
hyperaldosteronism
39.maculadenasenselowsodiumwhatwillrelease..renin
40.lumbarpunctureaboveL4
41.prolactinraisedwithinfertilitywatwillbecausemicroprolictinma
Macroprolactinoma
42.ocddocclomipramine
43.valvuesgivenwithcombinationcorrecttochooseboutcsf
Bbacteriallowglucoseans
44.plasmaandcsfcomparisonlowgluincsf
45..plateletagessionduetoroughendothelium
46..serapartfromsteroidsynthesisdowhatdetoxification
47.plasmacelldisorderamyloidosiswhatwillbepresent..amyloidlightchain
48.5yearoldwithpreciouspuberty..caueandrogenitalorcah
49.type3hypersentivityaftersomediphtheriatoxoid3weekslater
50.notincludedinintrincicpathwayyfactor7
51.ppdwhichcellpresentcd4andmacrophages
52.Ivivofactorthatisactivatedandactivateotherfactores,,,
53.myocarditisscanerioorganisminvolvedcocksackievirus
54.insulinsecincbyGIP
55.pancreatitisplusneuropathydrugdiadinosine
56,,regardingpancreastailinsplencorenalligament
57.fatnecrosisinperitoneum
58.farmerunconsciouslowsodiumcauseexcessivesweating
59..brainliquefactivenecrosis
60.fastingmanconcentratedurinecause.adh
61.Postcommunicatingarterypassaboveandconnectwithpca
62.plasmalowosmurinehighosmcauseSIADH
63.lateraltractsensationlostonleftwhiledorsalsensationonright..cause
64.aldosteroneactoncorticalcollectingduct
65.whatwillbepresentinanaphylacticshockascomparedtohypovolemicshocinccardiacoutput
66.umloffacialnerve,,,spareupperhalfofface
67.bellpaslylesiongeniculateganglian??
68.prolongcommaperieqiduactofgray+?
69.dorsalcolumnprpioception
70.tastesensationfinalrelay???
72.decendingpathstimulatealphaandgammasimultaneously
73.whenalphaandgammastopfiringorsomethinglikethatwhenmusclecontract
74.lossofabductionadductionoffingersandlossofabductionofthumbandinsact
sensationnereveinvolveddeppulnarnerve
75..rthorizontalcallstimulationrtsidemovementofhead
76.gardnerwithlunglesion..aspergilosis
77.wegnerscanerio..noselesionandoroteinurea
78.diabeticnephropathyinv..urinealb
79.chilfwithedema..firstinvurineprotein
80.localedema.allergy
81.morecarcinogenbeenzidine
82.2nddaybaywithjaundicephysiological
83.musclecausefooteversiobnplongus
84.intercosatalneurovascularbundlearrangementfromcranialtocadualVAN
85.arrangementinnfemoraltriganglefrommedialtolateraVAN
86.regardingfontanelleantbiggerthanpost
87,thyroidenclosedinpretrachealfacia
88.inffrompretrachealspreadto,antmediastinum
89.arterysuppluubrocaareaMCA
90..maxsaltandwaterabsjejunumcolon
91.cronsdifferentfromulcerativeperiabnalllesion
92.100cmileumileumrection..decbilesaltabsorption
93.heartsount..s1isovolumetriccontraction
94.nonfittingdenturesdentistsaysnodentalproblem..lesioninsubnigra
95.atpubertywhathappeningnrh
96.deadspacehumidifyandfilterinspiredair
98.ductusarteriousconnectarchofaortaleftpulmonaryartery
99100percentpo2inlefttorightshunt
100.incoandmethemoglobinemiawhyhypercapeadoentoccurpo2normal
101.cervicalribcompressT1
102.radiationinjurydependupon..durationofradition
103.aboutbloodsupplyofheart
104.phrenicnereveaccompany..pericardiophrenicartery
105.onrightsideoftracheawhatispresent,,,vagusnerve
106.teacherhastremorwithfamilyhxalllabsnormaldocpropranolol
107.pregnancyrecurrentabortionantiphospholipid
108.anticoagulantinpregnancy..ivheparin
109..parasympatheticdrugeffectdechrbyincKconductance
110.alphaadrenicstimulation.pupildilation
111.fev1ratiofvc=0.8
112.dullpercussionaspirationsjhowsincneutron..purulentexudate
113..crudydischargepseudohyphaecandida
114.hlab27ankylosing
115..sjogrensyd..RA
116.pregnantladyhtynbeforesurgerywhattogivehydralazine
117.incidencedef
118prevellancedef
119.incesophagealtoneandmotilitymetoclopramide
120..ovariancancertumormarkerca125
121,,chronichepatitisfibrosisorlymphocyte
122..smabranchmiddlecolic
123.diabeticfootangioplusneuropathy
124.duodenalperforationgastroduodenalartery
125.patientthialandchillsfevercausemalaria?????+
126.urineleakingfromumbilicus.patentallantoin
127.baroreceptorrespondtolowbp...carotidsinus
128..actinmyocinclathrinpinocytosis
129.discprolapsespinalnervepluspostroot
130.amnioticmembnonimmunogenic
131.lasttrimestercirculationseparatedbyendothelium+synctio
132.congenitalcataractrubella
133.mostcommoncuaaaseofmentalretardationfragilexsyndrome..downwasnotinoption
134..cvpinf,,,docvanco
135-oldmandentaltreatmenthxofrhddocclindaorvanco??+++
136.falciparummostimpblackwaterfevere
1337..cerebralmalariafalciparum
138.musculardystrophyscaneriowhatwillberaisecpk
139..inexcincbloodflowlocalmetabolitr
140heartbloodflow-localmetabolite
141.marathonraceendhighglucagonlowinsulin
142.mucousgandpredominantlysublingual
143.creatitineproducedbymuscles
144.patientwithuremicnnephropathynormocyticnormochromicanemia
145.crfwhattodofluidrestrictionto0.5lperday
146.nervefortendonreflexcorrectlymatched..tendonreflex
147..endarteriesvitalorgan
148.tbdiagnosisdefinitive..AFB
149.softkeratin..stratiuncorneum
150unconciousnotrespondingtonaloxonephenobarbitone
151..hyerventilatingpatientwithacidosishxofdrugintakesalicyclatepoisoining
152.souceoffolaterawvegetables
153.definitivedxoffolatedefrbcfolatelevel
154.mitralregurgitation..pansystolicapapex
155.apexbeat8cmfrommidline
156.hepbandcspreadcontaiminatedneedles
157.commoncauseofpulmonaryembolismthromboembolism
158.vma..pheochromocytoma
159..indolaceticacid,,,carcinoid
160.lumberpunctureabovrl4
161.somekindoflikedecabsorptionrequiedwhenlocaleffecttofdrugisrequired
162.absorptioninintestineincbyinclipidsolubilityorionization
163.counsellingtohelppeoplethemselves
164.buccopharyngealmembstomodiumfromforegut
165..dnacontainingorganelleotherthannucleusmitochondria
166.ciliamaximummitochondriainapicalportion
167..severehypomagnesmiahypocalcemia
168.bioavailabilityinoralroutesomethinglikethat
169.microscopicfeatureofmalignancyinvasion
170.impfeatureofmalignancymetastasis
171..pulmonaryvasoconstrictionduetodecpo2
172..fattyacidentersinkerbcycleacetylcoa
173.severediarrhoea.metabolicacidosiswithnormalaniongap
174.chemotaxismostimpagent..c5a
Cantrecallmoreremembermeinyourprayersdyingtosleepnow
11may2016morning
Medicine&Allied
1.Lengthoftracheainneonat
4cm (ans)
6cm
8cm
2.After48hrinacuteinflamationpredominantcells
(neutrophils...(ans)
3.InAsthma
fev<75(ans)
4.8mnthsoldchildwithhistoyofu.r.t.inpharyngitis..labshowsdec
leukocytendecno,ofplasmacells
X-linkedAgammaglobiniemia(ans)
5.HallmarkofHIV
(proliferationofTcellsinsidecell)ans
6.rectaltemperatureatwhichperminantcelldeathoccurs
a.106degF
B.104
C.Noeffectevenabove108(ans)
7.Inversionoffoot
tibialisanteriorandposterior(ans)
8.Carotidsheath
A.Behindtheinfthyroid
B.Behindphrenicnerve
C.Formedbyinvestnglayer(ans)
9.regardingposteriortriangle
A.roofisformedbyskin
B.basemiddlethirdofclavicle(ans)
10.trueaboutneonateskull
A.vaultisbiggerthanface(ans)
11.neurolepticmalignantsyndromecausedbydrug
A.Haloperidol(ans)
B.reserpine
12.regardingadenosine
A.causestransienttachycardia(ans)
B.blockbothsaandavnode
C.halflife30sec
D.theophylineenhancesitsactivity
13.howsympatheticsystem effectscarbohydratemetabolism
A.Epinephrinecausesglycogenolysis(ans)
14.germ cellreachgonadalridgeat
A.6weeks(ans)
15..thrombocytopeniacausedby
A.quinine
B.chloramphenicol(ans)
16.mallorybodiesseenin
A.alcoholicliverdisease(ans)
17.aclimitizedpersonadequateoxygensupplyby
A.incHBconcentration(ans)
18.polydyctaly,microcephalyinwhichsyndrome
A.edward(chromosome18)
B.patau(chromosome13)(ans)
19.vomitingcentrein
A.medulla(ans)
20.S4isdueto
A.atrialsystole(ans)
B.ventricularfilling
21.chemoinducedvomitingtreatment
A.ondensetron(ans)
22.subclavianveinrelatedwith
A.1strib(ans)
23.attheendofventricularejection
A.pulm valveclose(ans)
B.aorticvalveremainopen
C.avvalveclose
24.turnersyndromefeatureswereasked
A.gonadaldysgenesis(ans)
25.halflifedependson
A.drugclearance(ans)
B.drugdistribution
26.regardingwarfarin
A.notgiveninpregnantwomen(ans)
B.immediatelyantagonisedbyFFP
27.regardingaphasia(poorrecallbcq)
A.dominanthemisphere(ans)
28.abnormallumbarvertebralcurvature
A.lordosis(ans)
29.vitalcapacitydecreases
A.TLCdecrease(imarked)
B.decsurfacetension
C.paralysisofinspiratorymuscles
D.paralysisofexpiratorymuscles
30.renalvein
A.anttoaorta(ans)
31.aquestionwasregardingnephrogenicdiabetesinsipidus.
32.autosomaldominantdisorder
A.heriditaryspherocytosis(ans)
33.pelvicappendixscenerio
34.from.whichareaofbraincholinergicfibresofcerebralcortexmostly
arise
A.nucleusbasalisofmynert(ans)
35.hypoglycemiceffectofsulphonylureaenhancedby
A.phenylbutazone(ans)
36.sodium retentionisdueto
A.heartfailure(ans)
B.excessADH
37.chorearegardingquestion
A.basalganglia(ans)
38.parasympatheticaction
A.erection(ans)
39.scenerioinwhichfactor8was85%factor97%levellow.APTT
prolonged
A.christmasdisease(ans)
40.patientwithgum bleed,petechie,advisedbonemarrowbiopsy
A.leukemia(ans)
41.denialscenerio.
42.afemalepatientincame,hertonewasseductive(pastbcq)
A.callnurse(ans)
43.achildwithdecplateletcount,afteracuteviralinfection
A.antibodiestoplatelets(ans)
B.poolinginspleen
C.Decbonemarrowsynthesis
44.osteogenesisimperfectascenerio
A.deccollagenyadefectivecollagen(ans)
Poorrecallbutthiswastheanswer
45.beforeskilledvoluntarymovemntbywhichareaactivate
A.corticalassociation(ans)
B.premotorarea
C.cerebellum
46.pleuraltapdone,specificgravity1.006
A.ccf(ans)
B.TB
C.pneumonia
47.basicdrugsbindto
A.alphaglycoprotein(ans)
B.albumin
48.premalignantlesion
A.compoundnevus
B.junctionalnevus
C.intradermalnevus(ans)
A&barebeningn
49.LMWHactionwasasked
A.actsonfactor10.(ans.).
50.premalignantlesionofskin
A.bowendisease
B.actinickeratosis(ans)
51.infarctionposterior1/3ofinterventricularseptum
A.RCA(ans)
B.LAD
C.Marginalartery
52.whichcongenitalanamolyassociatedwithincreaseriskofcancer
A.bladderextrophy(ans)
53.rightgastricarterybranchof
A.Hepaticartery(ans)
54.tipofnosenervesupply
A.ophthalmic(ans)
55.regardingnucleolus
A.lackmembrane(ans)
B.ribosomes+dna
56.cavernoussinusthrombosis
A.supophthalmicvein(ans)
Note..cavernoussinusinfection=>infophthalmicvein
57.IgAdeficiencyscenerio
58.giantcellarteritisscenerio
59.fibroblastfeaturewasasked
Forgotoptions:(
60.aquestionregardingskeletalmuscle
A.multiplenuclei
B.
61.tumorextendtonervesheath
A.carcinomaexpleomorphic(ans)
62.mitochondriareceiveproteinsynthesisby
A.RER(ans)
B.ser
C.ribosomes
63.fibroblastrelease
A.extracellularmatrix(ans)
64.respiratorysymptomsdueto
A.ascaris(ans)
65.mosquitobite=>filariasis
66.hypophysiscerebrirelatedposteriorly
A.sphenoid(ans)
67.outermostcoveringofnervesheath
A.epineurium(ans)
68.sensitivetestforSLE
A.ANA(ans)
69.75teachersaverageBPwas80.standraddeviation10,%ageof
patientshavingBPmorethan70
A.84%(ans)
70.Testtoruleoutdisease
A.specific(ans)
B.sensitive
C.accuracy
71.extraironstoredas(scenerioshowspathologicalstorage)
A.hemosiderin(ans)
72.trueaboutthyroidgland
A.veinsdrainintointernaljugular&brachiocephalicvein(ans)
73.parotidductopening
A.upper2ndmolartooth(ans)
74.Trueaboutcellmembrane
A.allowglucosetopassinpresenceofinsulin(ans)
75.vitaminhelpsinclottingfactorsynthesis
A.vitC(ans)
B.vitb12
C.vitE
D.vitb6
76.stylopharyngeusmusclederivedfrom
A.2ndarch
B.3rdarch(ans)
77.lacrimationafterfoodintakeduetodamageof
A.facialnerve(ans)
B.lacrimal.nerve
C.trigeminalnerve
Note..alsocalledCrocodiletears
78.boywithrecurrentrespiratorynGIinfectionslabshowsnormal
leukocytes,,absenceofplasmacellscause
A.IgAdeficiency
B.CVID
C.complementdeficiency
D.x-linkedagammaglobinemia(ans)
79.after48hrsacuteinflammationpredominantcells
A.neutrophils(ans)
B.macrophages
C.lymphocytes
8o.testicularfeminizationsyndrometypicalscenerio
81.phrenicnerverelationwasasked
A.superficialtoscalenusanteriormuscle(ans)
Thiswasbestoption
82.aorticdilatationataorticopeningindiaphragm compresses
A.azygousvein&thoracicduct(ans)
83.turnersyndrome
A.gonadaldysgenesis(ans)
84.preventprogressionofatheroma
A.atorvastatin(ans)
85.fastestfibres
Ans.purkinjefibres
86.pulmonaryembolism cause
Ans.DVt
87.asceneriowasofrandomizedcontroltrial
88.pulmonaryembolism goestomostprobably
Ans.pulmonaryartery
89.byssinosis
A.textileindustry(ans)
90.strontium causes
Ans.osteosarcoma
91.aquestionregardingvirchowtriad.
92.aplasia
Ans.decproductionofcells
93.microscopicfeatureofantpituitary
Ans.smallestchromophobes
94.secossificationcentreafterbirth
Ans.distalendoffemur
95.lossofsensationofmedial1/3ofdorsalandpalmarsidedueto
damageof
Ans.ulnarnerve
96.oldladygoodpasturesyndromeBPalwaysraisednottaking
medicationproperly,died,onautopsyincheartsizewillbedueto
Ans.hypertrophy
97.ossificationcentreat11yrsoldgirl
Ans.lateralepicondyle
98.testosteroneactionwasasked
A.laryngealhypertrophy(ans)??
B.pubichairincconcavity
C.darkeningofareola
99.slowestgrowingthyroidCA
Ans.papillarycarcinoma
100.knowncaseoflumbagotender4,5thintercostalspace,chest
pain,cardiacenzymesnormal
Ans.chostochondritis
101.lightreflex
Ans.2&3nerve
102.lungCAcase,hemoptysiadueto
Ans.bronchialarteryerosion
103.verticalsectionofopticchiasm
Ans.bitemporalhemianopia
104.aorticdissection
Ans.medialnecrosis
105.abscesscausedbystaphaureus,spleenshowswedgeshaped
necrosis
Ans.coagulativenecrosis
106.Staphaureus,labdiagnosis
Ans.coagulasepositive
107.AquestionwasRegardingdigoxintoxicity
Ans.potassium loosingdiureticuse
108.vomitingcentrein
Ans.medulla
109.drugusedinvomitingafterchemotherapy
Ans.ondansetron
110.femaletakingsteroids,herwoundisnothealingdueto
A.decreasedcollagenformation(ans)
B.decneutrophilmigration
111.severehypercalcemiatreatedwith
Ans.loopdiuretics
112.drugcausinghistaminerelease
Ans.morphine
113.intruepelvis
Ans.middlerectalartery
114.esophagealphaseofswallowingiseffectedin
A.scleroderma(ans)
B.myastheniagravis
C.polio
115.onequestionwascardiovascularreflexorganizationmaintains
A.arterialbloodpressure(ans)
B.CO
C.arteriolarresistance
D.oxygenationtotissues
116.lowermotorneuron
Ans.musclewasting
117.UMN
Ans.increasedmuscletone
118.hemmorhagicinfarctionoccurin
A.lung(ans)
B.spleen
C.heart
D.kidney
Note..hemorhagicorredinfarctinlungandgit
PaleinfarctoranemicinfarctinHSK
H=heartS=spleenK=kidney
119.whichorganbloodsupplyleastaffectedbyexercise
A.brain(ans)
B.skin
C.skeletalmuscle
D.kidney
120.rapidaclimitizationcauses
Ans.pulmonaryedema
121.adultdailyproteinrequiremnt
Ans.50gm
122.regardingthymus
Ans.richinlymphocytes
123.raynaud'sphenomenon
Ans.peripheralvasculardisease
124.prolongedPRinterval,QRSafter3Pwaves3:1ratio,typeofblock
Ans.mobitztype2
125.Thornprickabcessdueto
Ans.Staphaureus
126.incvenousreturndueto
Ans.calfmusclecontraction
127.shortPRinterval
Ans.WPW
128.HB startstoappearinwhichstageoferythropoiesis
A.proerythrocyte.
B.reticulocyte
C.earlynorrmoblast
D.pronormoblast
129.estrogencontainingOCP'scauses
Ans.DVT
130.inMRSAresistencewhichdrugisgiven
Ans.cotrimaxazole
131.gonococcusdiagnosis
Ans.gram staining
132.vitDlevelassessedinlab
Ans.25OHcholicalciferol
133.nucleustractussolitarius
Ans.tastefibres
134.fragilex-syndrome
Ans.Trineuleotidereapeatshift
135.aldosteronecause
A.Nareabsorption(ans)
136.ADHstimulateby
Ans.decplasma.Volume
137.goodpasuresyndrome
Ans.lineardepositsonIF
138.Chronicpancreatitis,steatorrhea,enzymedeficiency
Ans.lipase
139.RTAheadinjurysymptomsofCentraldiabetesinspidus
Ans.Centraldiabetesinsipidus
140.inaniongapNaismultipliedby2other
=ans.Anions
141.leukocyteadhesiontoendothelialcell
Ans.LFA-1
142.DIC=thromboplastin
143.reducedlymphaticflow
Ans.exercise
144.angiotensincause
Ans.vasoconstriction
145.cckinhibits
Ans.gastricemptying
146.gastricsecretiondecreasedby
Ans.secretin
147.freeribosomes
Ans.RER
148.diabeticpatientwithvisionproblem.visualacuityis3/60&4/60.
Ans.cataract
149.boatshapedcyst
Ans.pneumocystisjeroveci
150.leastAVdifference
Ans.Heart
151.Estrogensecretedby
Ans.ovaries
152.perianallesion
Ans.crohn'sdisease
153.strontium -90.Incorporatedinfoodchain
Ans.osteosarcoma
154.BBBcrossexeasilyby
Ans.CO2
155.farmer,organophoshphatepoisoningscenerio
Drugwillbgiven
Ans.atropine
156.patientonATT,uricacidlevelhigh,duetowhichdrug
Ans.pyrazinamide
157.obliterationofuterusinpregnancydueto
A.parietalis&basalis
B.parietalis&basalis
C.amnion&chorion
158.thiazidesideeffect
Ans.hypokalemia
Note,hyperuricemiawasnotinoption
159.bilesaltsabsorbed
Ans.ileum
160.muscleparalysiscausedbydrug
Ans.Curare
161.undescendedtestesriskfactorfor
Ans.malignancy
162.tetanus=toxoid
163.wilsondiseasesceneriodiagnosis
Ans.serum ceruloplasminlevel
(rabiabcq)
164.tumorsuppressorgene
Ans.P53
165.extremeleftshiftofoxy-HBcurve
A.COpoisoning(ans)
B.HbF
166.highestserum conc
Ans.IgG
167.onequestionregardingclonus
168.burningHottemponskin
Ans.45c
169.EEGwavesclosedeyes
Ans.alphawaves
170.TBM scenerio
171.patientondialysis,anemic
Ans.decerythropoitin
172.HallmarkofHIv
Ans.proliferationofvirusint-lymphocytes
173.CD4.=helperTcells
174.Adenomabenignchangemostlikelyshows
Ans.glandularpattern
175.musclewhichopenmouth
Ans.lateralpterygoid
176.pulm congestion=heartfailure
177.irondeficiencyanemiascenerio
178.RMPmaintainedby
Ans.Na/Kpump
179.diphtheriasevereeffecton
Ans.myocardium
180.dorsalrami
Ans.extensorsofback
181.Growthhormonesecretion
Ans.exercis
182.epinephrinecausesvasodilationby
Ans.Beta2receptors
183.carotidsheathformedby
Ans.investinglayerofdeepcervicalfasciaofneck
184.subclavianvesselsgrooveover
Ans.firstrib
185.gentamicin
Ans.nephrotoxic
186.inthirddegreeheartblock
Ans.syncopeduetodelayedandirregularventricularcontraction
187.inorganiccompoundassociatedwithmalignancy
Ans.asbestos
188.won'tneedartificialbreathingiflesionis
Ans.belowC5
189.trueaboutfacialnerve
Ans.postbellyofdigastricsuppliedbyfacialnerve
190.fibroblast
Ans.amorphousECM synthesis
191.Trueregardingheart
Ans.Sanodeinsubepicardium inrightatrium
Othersmadenosense
192.rhythmicmusclecontractionafterstretching
By Dr M KaLiM (KOOL-
Ans.clonus
MEDIC)
PAPER SURGERY 9TH MAY 2016 EVENING
DR SYED ARSALAN AKBAR GILLANI (SMC SWAT)
NOTE..TOTAL QUESTIONS 186...KINDLY DO SHARE UR PAPERS WHEN U PASS.AS IT IS A CHAIN
THAT WE SHUD NOT BREAK...
A medical student was studying a microscope slide of transitional epithelium. He noticed
unduly thick and darkly stained luminal plasma membrane of the surface cells. It is most
likely due to
A. an artefect
B. a layer of glycocalyx
C. aggregation of cytoskelatel elements
D. oblique section of plasma membrane
E. presence of surface microvilli
2. The root value of nerve supply to all short muscles of hand is
A.c6
B.c7
c. T2
d. T1
e. T4
3.What type of tissue is critical for dividing the heart into four chambers and the outflow
tract into pulmonary and aortic channels
A. aorticopulmonary septum
B. endocardial cushions
C .conus septum
D. septum primum
E. septum secondum
4.A person developed urine infection.Urine culture plate yielded a greenish growth having
fruity smell.This organism was oxidase positive and non lactose fermenting. The most
appropriate drug in this case would be
A. Ampilcilin
B. Ceftazidime
C .Ceftriaxone
D. Ciprofloxacine
E. Gentamycin
5. The surface marking of the oblique fissure of lung would be
A. From T2 spine around thorax to 5th costochondral junction
B. From T2 spine around thorax to 6th costochondral junction
C. From T3 spine around thorax to 6th costochondral junction
D. from T4 spine around thorax to 6th costochondral junction
6. The structure most likely to be effected by pus in the adductor canal is
A. femoral vein
B. great saphenous vein
C. medial circumflex vein
E. profunda femoris vein
7. Pain impulses originating in peptic ulcer are carried by
A. 7th intercostal nerve
B. 8th intercostals nerve
C. greater splanchnic nerve
D lesser splanchnic nerve
8.To auscultate the tricuspid valve , stethoscope should be placed at the
A .left 4th intercostals space in mid clavicular line
B .left 5th intercostals space in mid clavicular line
C .medial end of 2nd left inetrcostal space
D. medial end of 2nd right intercostal space
E. Right half of lower end of body of sternum
9. Loss of flexion of knee and extension of hip are caused by paralysis of
A. Rectus femoris
B Sartorius
C. Semitendinous
D. Vastus lateralis
10.Absorbtion of fluid from intestinal epithelium depends on
A. glucose and sodium in lumen combine.??????
B paracellular junction
11. Occlusion of RCA after giving marginal branch which of heart is affected
A. SA node
B. AV node
C. Right atrium
12. Lower lip bleeding on left side pressing on which artery would stop bleeding
A. angle of mouth
B, left facial artery
C. facial artery on both side
13. Osteoblastoma most common site is
A. epiphysis
B. Metaphysis
C. vertebral body
D. diaphysis
14.Nulliparous women with hair growth on face lips and oligomenhorea
B. polcystic ovarian disease
c. pituitary tumor
15. Aldosterone secretion increased by
A. hypokalemia
B. ACE inhibitors
C. dec blood volume
16.A pregnant lady having reheumatic heart disease.Its characteristics valvular lesion will
be
A.Mitral stenosis
B, Mitral regurgitation
C. Aotic stenosis
17.Pateint is having myocardial infarction. Posterior 1/3rd on interventricular septum is
involved.which artery is affected
A.right coronary artery
B. left coronary artery
C. anterior descending artery
D. right marginal artery
18.Anatomical structural unit of heart which characterize conduction of heart is
A .Intercalated disc??
B. Gape junction. ??????
C. Tight junction
D. Desmosomes
E. Zonula adherens
19. malignancy associated with HIV/Aids
A .leukemia
B. Kaposi sarcoma
20. During mitosis chromosomes replicate in which phase
A. prophase
B. Metaphase
C, anaphase
D. Telophase
E. Interphase
21, Type of sampling which every one has equal chance of being selected
A. systemic sampling
B. Random sampling
C. case control
D. biased sampling
22.During exercise increased blood supply to muscle is via
A. local metabolites
23.Difference between systemic and pulmonary circulation is
A. more blood flow in pulmonary circulation
B. low resistance in pulmonary circulation
C.high resistance in pulmonary circulation
24.Chemotherapy given and tumor size become small this mechanism is by
A. atrophy
B, necrosis
C. apoptosis
C. hypertrophy
25 Columnar epithelium lines
A. Rete testis
B. germinal layer of ovaries
C. pigment epithelium of retina
D. Uterine tube
E. Epitheloid covering of choroids pluxes
26. Clavipectoral fascia
A. invest pectoral major muscle
B. invest pectoral minor muscle
27. Structure pass through greater sciatic foramen
A. Sciatic nerve
B. obtuarter inrernus
28.Which one of the following is equal under normal physiological condition
A. coronary and cardiac output
B. Cardiac output and muscle blood flow
C. Venous return and pulmonary blood flow
29. Anterior and posterior Humeral circumflex arteries are branches of
A. Brachial artery
B. Axillary artery
C, subclavian artery
D. thyrocervical artery
30. Dorsal scapular nerve supply
A. Latissimus dorsi
B. Levator scapulae
31. Man with history of 40 pack per day smoking developed carcinoma brain which was
secondary..primary carcinoma is located in
A. Lungs. confrm it
B. Bladder
C. Liver
D, stomach
32. Occiptal nerve supply
A. rectus capitas anterior
B. rectus capitus posterior
33.A 20 year old female presented with right sided cervical lymphadenopathy. She was
completely asymptomatic .Histological examination reveal a metastatic tumor. The most
likely primary carcinoma thyroid in this patient is
A. Anaplastic
B. follicular
C. Medullary
D. Papillary
34..A male patient after a few days of severe burns developed high grade fever .Blood
culture yielded of gram negative rod. He suddenly developed a bleeding diathesis. The most
likely cause in this setting is
A. Drug induced aplastic anemia
B. Hepatorenal syndrome
C. thromobocytopenia
D. Liver failure due to septicemia
E. Disseminated intravascular coagulation
35. Origin of peroxisome is from
A. rough endoplasmic reticulum
B. Golgi apparatus
C, smooth endoplasmic reticulum
D. nucleolus
36.A farmer presented with linear migratory lesion on his foot. Which parasitic infection is
most likely
A. cutanous leishmaniasis
B. hook worm
C. cutanous larva migrans
D. strongyloids stercolaris
E, dracanculus medinensis
37.A 55 year old non insulin dependent diabetic female had major abdominal
surgery. On the 8th post operative day she complained of suddent onset of
dyspnea, chest pain and haemoptysis. The most likely cause of her symptoms
would be
A. Mycocardial infarction
B. pneumonia
C. pulmonary embolism
D. septicemia
E. spontaneous pneumothorax
38.An adult alcoholic male complained of dyspepsia and loss of appetite . Liver biopsy
revealed Alcoholic liver disease because of following pathological microscopic feature
A. extensive hepatic fibrosis
B. fatty change
C. Mallory bodies
D. nutritional disturbance
E. proliferation of bile ducts
39.Increased GFR and increased blood flow occur due to
A. dilatation of efferent arteriole
B, dilatation of afferent arteriole
40.Amniocentesis is done
A. after 2 weeks
B. after 14 weeks
C. after 4 weeks
41.Ist response against acute inflammation in tissue is
A. neutrophill
B. macrophage
C.lymphocytes
42. Pulmonary artery supply
A. primary bronchi
B. secondary bronchi
C. Tertiary bronchi
D. Alveoli
43. Most common fracture of long bone in lower limb is
A.Tibia
B. femure
C. humerus
44. 1 gm of protein gives energy
A. 2 Kcalories
B. 4 Kcalories
C.8 k calories
45.A 2 year old boy has been brought to the hospital for circumcision. There is history of excessive
bleeding from the umbilical stump at the time of birth. Two cousin bleed profusely after
circumcision by surgeon. The blood test most likely to give a clue to the diagnosis is
A. platelet count
B. Bleeding time
C. clotting time
D.prothrombin time
E. Activated partial thromboplastin time
46. Edema is caused by
A. decreased sodium level in serum
B. Haemoconcentration
C. Increased hydrostatic pressure
D. increased oncotic pressure
E. increased venous return
47. An antigen found in relatively high concentration in the plasma of normal
fetuses and a high proportion of patients with progressive carcinoma of the
colon is most likely
A. Alpha fetoprotein
B. Alpha interferon
C. Carcinoembryonic antigen
D. heterophil antigen
E. viral antigen
48.Which one of the following is the primary opsonin in the complement
system
A. C1 q
B. C3a
C. C3b
D. factor B
E. c5
49.Teratomas are tumor composed of
A. All types of ectodermal tissue
B. Mainly cartilage and epithelial cells
C. Derivatives of all three germ layers
50. Edema is caused by
A. decreased hydrostatic pressure
B. Increased osmotic pressure
C. decreased permeability
D. lymphatic bloackage
51.Man is intermediate host in
A. filariasis
B. Hook worm infection
C. Hydatid disease
D. trichomoniasis
52. Right supra renal vein drain into.IVC
53. Metaplasia is characterized by
A. Variation in size and shape of cells
B.. Cloudy swelling of cells
C. A functional change in cells
D. an increase in the number and size of cells
54. P 53 is tumor suppressor gene, When it is absent or mutated it indicate
A. apoptosis
B. Cell survival
C. DNA repair
D. Mitosis
55. The edema fluid in acute inflammation
A. is known as transudate
B. has specific gravity 1010
C. has protein more than 3 gm /dl
D. does not contain fibrongen
56. Female with blood group A have 2 children, one with O and other with
AB, the blood group of father is
A. A group
B. O group
C. Two childrens have two fathers
D. B group
57. Most common cause of multiple fracture in adult is
A. cushing syndrome
B. vitamine D defeciency
C. Osteoporosis
D. Hyper parathyroidism
58.Protrusion of mandible occur by which muscle
A. medial pterygoid
B. buccinator
C. lateral pterygoid
59. Fuction of notochord
A. give rise to CNS
B. develop into spinal cord
C. Induction of ectodermal neural tissue to produce neural plate
60. Release of neurotransmitter is due to
A. release of calcium into presynptic terminal
61.Straight vessles which lie along side the loop of henle particularly in the
juxa medullary nephron and are most imp for concentrating of urine are
A. arcuate arteries
B. inter lobular arteries
C. Peritubular capillary network
D. vasa recta
62. During pharyngeal stage of swallowing
A. epiglottis remain stationary
B. soft palate moves downward
C. vocal cards are abducted
D. larynx moves up and forward
E. palatopharyngeal fold move apart
63. The most important buffering system in the body is
A. Hco3
B, hemoglobin
C. phosphate
D. plasma protein
64.Right border of heart on xray also visible apart of
A. SVC
B. IVC.
C. left atrium
65. During inspiration what decreases
A. heart rate
B. Venous return
C ,negative intrapleural pressure note: negative thoracic pressure increases
D. arterial pressure
E.volume of pulse pressure
66.Most common cause of pulmonary embolism is
A. Deep venous thrombosis
B. left ventricular myxoma
C. abnormal pulmonary blood flow
67.typhoid fever, test during 1st week ix
A. blood culture
B. urine culture
C. stool culture
68. Typhoid fever during 2nd week ix
A. blood culture
B. blood culture and widal test
C. urine culture
D. stool culture
69. Benign neoplasm is
A. adenoma
B. heapatoma
70.which of the following structure lie in right free edge of lesser omentum
A. common bile duct,cystic duct and hepatic artery
B. hepatic vein and cystic duct
C. portal vein, common bile duct and hepatic artery
D. portal vein, hepatic artery and hepatic vein
71. Diabetic nephropathy investigation of choice
A. Ultrasound abdomen
B. urine albumin
C. serum creatinine clearance
72. Mean systemic filling pressure is regulated by
A. heart rate
B. venous return
73. origin of oxytocin and ADH is
A. post pituitary gland
B. Hypothalamus
74. A patient with history hemorrhage receives blood stored for 2 weeks
mainly contain
A. platelets
B. fresh frozen plasma
C, RBC
75. stress hormone in our body is
A. epinephrine
B. insulin
C. ACTH
76. A young patient with serum creatanin of 8 mg % presents with a blood
pressure of 210/130 mmhg. The structure most likely damaged is
A. cells in macula densa
B. cells in peritubular capillaries
C. cells in renal glomeruli
D. Juxta glomerulae cells
77. The sciatic nerve enter the gluteal region through foramen
A. Greater sciatic
B. lesser sciatic
78. Laborotory diagnosis of leprosy in its early stage is by
A. Bacterial culture of blood
B. Bacterial culture of exudates
C. sputum scraping for leprae bacilii
D. Nasal scrapings for leprae bacilli
E. Mantoux test
79.A 28 year old male with history of jaundice and raised ALT. The liver
histology shows councilman bodies. These are most likely to be process of
A. coagulation necrosis
B. Apoptosis
C. enzymatic fat necrosis
80.A 20 year old female presents with cervical lymphadenopathy. The
histological examination of lymph node showed granulomata. The diagnosis of
tuberculosis in this case is strongly suggested due to
A. Epitheloid cells
B. Giant cells
C. Mantoux Test
D. Caseous necrosis
81.A 28 year Fisherman presented with slowly developing lethargy, easy
fatigue and palpitation. His diet comprises of fish and rise. On physical
examination He has pallor ,loss of touch sense. His CBC showed HB 7,5
platelet 110000.His stool report showed Ova of intestinal parasite. The most
likely causative parasite is
A. Ankylostoma duodenale
B. Ascaris lumbricoides
C. Diphylobothrium Latum
D. Taenia saginata
82.A man of 40 year old developed bilateral enlargement of cervical lymph
node. The excised lymph node biopsy revealed Hodgkins disease. Which
one
of the following type has best prognosis?
A. lymphocyte depletion
B. mixed type
C. Lymphocyte predominat
D. Nodular sclerosis
83.GVE fibre of vagus arise from
A. nucleus ambiguous
B. Dorsal nucleus
84. Female with infection of HPV comes after 2 years pap smear shows
prominent nuclei and increased nucleus size. It is
A. Metaplasia
B. Dysplasia
C. anaplasia
85.Mucle of back innervated by
A. dorsal ganglion
B. Dorsal rami
86.Gamma efferent supply to
A. extrafusal fibre
B. end of intrafusal fibre
c. central of intrafusal fibre
87.Child with yellow sclera and colored urine best investigation would be
A. bilirubin
B. bilirubin plus ALT
C. AST
88. Standard deviation shows
A. size of sample
B. Reliability of sample
C. Variability among individual
D. Validity of conclusion
E. Quality of experimental design
89.Potassium is mainly regulated by
A.Angiotensin
B. epinephrine
C. Aldosterone
D. sodium
90.True hermphrodiate is
A. xxy
B. xx..its controversial question..xx ratio is more in true
hermophrodiate(54%)..some
ppl say xxy is cpsp demo qstion..but no one has ever seen this demo
questionxx/xy is asim
and shoib gynae keychoose between xx or xx/xynever choose xxy
C. xx/xy
D.xyy
91.Phosphorylase enzyme raised to cause gylcogenolysis due to deficiency of
which hormone
A. cortisole
B. glucagon
C. Insuline
D. Epinephrine
92. Discharge from muscle spindle decreases when
A. Muscle relaxes
B. Muscle contract
93. Large increase in blood volume occur in
A. Hypotonic Nacl
B. Hypetonic Nacl
C. distilled water
94. Nerve accompany superficial temporal artery is
A. Auricular temporal nerve
B. cervical nerve
95. Isotonic and isometric contraction. Isotonic is different by
A. consume more phosphate bonds
B. less work load
C. have more energy of recovery
D. Heat production
96. Patient with tachycardia and palpitation, TSH is low but on giving TRH,
TSH is increased. problem is in
A.primary hypothalamus
B. anterior pituitary
C. Thyroid gland
97. Myocardial infarction due to blockage of left circumflex artery which will
be affected
A.left ventricle and right ventricle
B. Left atrium and left ventricle
99.Highest cholesterol content is in
A. Egg
B. white meat
C. Red meat
100. Tip of scapula at body level of
A. T 6 body
B. T7 body
C. T8 bodyhere body is mention..never choose T7 body..choose t 7 spine or T8
body
101. About Collagen fibre
A. Abundant in ligamentum flavum
B. stained with Eosin dye
C.Have elastic recoil
D.Branching fibre
102. During procedure of Esophagectomy, the stomach is mobilized upto
esophagus, which artery will responsible for blood supply of stomach
A. Right gastric artery
B.Left gastric artery
C. right gastric epiploic artery
D. Lest gastric epiploic artery
103. S2 heart sound is produced by
A. closure of atrioventricular valve
B. closure of aortic and pulmonary valve
C. Ventricular filling
D. Atrial systole
104.Protein content less in glomerular filtrate occur due to
A. pore size
B, Pore size and negative charge
105. Man Got gun injury lateral side of upper leg, He is unable to dorsiflex
because of
A. Fracture head fibula
B. Fracture neck of fibula
C. Fracture of shaft of fibula
106. The most common site for amoebic ulcer in the gut is
A. Ascending colon
B. Caecum
C. Rectum
D.sigmoid colon
E.Terminal ileum
D. Fracture of condyl of tibia
107. Adult polycystic kidney disease is most closely associated with
A. cerebral hemorrhageasim key
B. hemoptysis
C. polycythemia
D. renal failure
108. The maximum effect achieved by a drug is measure of its
A. bio availibilty
B. potency
C. safety
D. efficacy
E. intrinsic activity
109. A 20 year old male has dyspnea on lying down. The structure most likely
to cause this is
A. Enalrged ishmus of thyroid
B. multinodular goiter
C. puberty goiter
D. retrosternal goiter
110. A 50 year old has hysterectomy for uterine myxoma.then she develop
lump in lower abdomen after 6 month.It was diagnosed as a case of incisional
hernia. The ist structure this lump is most likely to push from with in out
ward is
A.internal oblique muscle
B. transversalis muscle and transversalis fascia
C. Transversalis fascia
D. transversalis muscle
111.Whole wheat is an excellent source of
A. ascorbic acid
B.riboflavine
C. thiamine
D. Vitamina A
E. Vitamine D
112.Foreign body most commonly lodge in
A. left inferior lobe
B. right inf lobe
C. carina
113. Left gastric epiploic artery is branch of
A. hepatic artery
B. spleenic artery
C. gastrodudenal artery
114. gaseous exchange occur where
A. simple squamous epithelial layer
115, Most sensitive of cardiac tissue is
A. Ckmb
B. Troponin T
C. Myoglobin
116. epinephrine released from adrenal medulla causes vasodialation by
which receptor
A B1
B alpha 1
C b2
D alpha 2
117. A girl of 8 years at terminal illness is asking to you Am I going
to die
you response shoul be
A. whats your parients have told you
118. counseling is
A. helping patient themselves
119.Patient injured in accident multiple fracture bo 90/60 pulse 120
A. fluid replacement
120. Anemic hypoxia is caused by
A. cyanide posining
B. methehemoglobinemia
121. Amoebic liver abcesss diagnosis is
A. serology
122. characteristics finding of clostridium botulinum is
A. flaccid paralysis of respiratory muscle
B. diarrhea
123. phase 1 biotransformation reaction
A. oxidation
B. reduction
124.. natural defence against cancer is
A. apoptosis
B, necrosis
125,Pateint has proteinuria greater than 6gm /dl structure demaged
A. Pct
B. Dct
C. Basement membrane
126. cells which contain sense granule and have ig E antibodies on their cell
membrane are
A. esonophills
B. macrophage
C, Basophills
127. Lymphatic drainage from nipple of breast is
A. central axillary lymph node
B. ant axillary lymph node
C. thoracic lymph node
128. Pain mediator is
A. bradykinin
B. histamine
C. serotonine
129. Adductor canal is formed by
A. Sartorius and femur????
B. vastus mediallis and adductor comp???
C. flxor and adductor muscle
130. nerve supply of geniohyoid
A. genioglossus
B. C1
C. anca cervicalis
131..Structure passing above piriformis muscle injured .most likely it will be
A. sciatic nerve
B. obturator nerve
C. superior gluteal vessels
132. Vagus nerve passes through
A. foramen magnum
B. jugular foramen
133. Calcitonin is tumor marker of
A. thyroid glanad
B. parathyroid gland
134 Bar area of liver limited by
A. Right and left triangular ligamnents
B. Coronary ligament
C. Falciform ligament
135.down syndrome
A. trisomy 13
B. trisomy 18
C, trisomy 21
D. monosomy 21
136.excreation of pencillin is inhbited by
A. gentamycine
B.probanecid
C.rifampine
137.Hiv after surgery cleaning of room is done by
A. 2% glutaraldehyde
B. 4% glutataldehyde
138. 5th posterior intercostals artery is branch of
A. thoracic aorta
B. Internal thoracic artery
139.Ureter is most constricted at
A. sacral promontry
B.sacroilliac joint
C. Transverse process
D. ischial spine
140. arterior tibial syndrome which artery is involved
A. anterior tibial artery??????
B.popliteal artery
C. dorsalis padis artery
141.Nucleus gracillis and cunateous lesion
A. Anaesthesia
B. Analgesia
C. Asterognisia
142. Cerebellar lesion causes
A. resting tremor
B. dytonia
C. Dysmetria
143.True regarding brain blood supply in brain
A. Middle cerebral artery supplies foot area
B. Arteries dont anastomose on surface of the brain
C. Arteries dont anastomose after entering the brain substance
D. Internal capsule is supplied by anterior cerebral artery
144. From 2 month to 6 year meningititis is caused by
A. streptococus pneumonia????
B. Nessiria meningitides
C. Hemophillia influenza
145.Usual haemoglobinopathy defect in
A. heme
B. in heme globin binding
C.. Globin structure defect
D. Amino acid sequence change in Globin????
146.ist pass metabolism ..ORAL
147. Inhalational agent which increases cerebral blood flow
A. Halothane
B, Isoflurane
D.sevoflurane????
148. Man moving down is elevator
A. Utricle
B. saccule
C. semicircular canal
149. Main support of uterus which held in position
A. Transverse cervical ligament
B. Broad ligament
C. Round ligament
150.Hypercalcemia activated
A. 1,25 dihydroxycalciferol
B. 24,25 Di hydroxycalciferol
C.25 hydroxy calciferol
151. Correct about thyroid gland gland
A.lymph drainage to deep cervical lymphnode
152. cuttin of parasympathetic system mostly
A. affect pulmonary resistance
B affect sphincteric action
A. affect GI muscles
153.Orarganelle where protein combine with carbohydrate, packed and
release
A.Agranular endoplasmic reticulum
B. Granular endoplasmic reticulum
C. Gogi apparatus
D. Ribosomes
154.Correct about DNA
A. DNA is single stranded
B.Euchromatin is transcriptionally active
155.Cause of delay in healing
A. infection
156.Pao2 decreased,Pco2 increased. Hydrogen ion increased manifestation is
A. hyperventilation
B. Hypoventillation
157. Thorn pick in left lower limb caused abscess
A. Staph aureus
158.Philidelphia chromosome present in
A. CML
159.Giant cell tumor histological finding
A. Soap bubble appearance
160.estrogen containing OCP causes
A. breast carcinoma
B. cervical cancer
C. Thromboembolism
161, plasmodium falciparum finding
A.black water fever
162 massive spleenomegaly,fluid thrill
A. infectous mononucleosis
B.sickle cell anemia
C.myelofibrosis
163. Carcinoid syndrome is diagnosed by
A. VMA in urine
B. 5 hiAA(hrdoxy indole acetic acid)
164,Brain stem stroke vertebral artery dissection having dysphagia cause
A. nucleus ambiguous
B. corticocerebellar tract
C. nucleus solitarus
D. inf cerebellar peduncle
165. about cubital fossa
A.scaphoid form floor of it
B. radial artery is present in its roof
C. cephalic vein arises from its roof
166.Rheumatic fever and infective endocarditis treatment to prevent disease is
A. pencillin G
B. Vancomycin
167. About autonomic nervous system
A. parasympathetic increase salivary secretion
B. parasympathetic increase sweet gland secretion
168. PTU action
A. stop thyroid hormone secretion
169. Patient in semiconscious condition csf shows glucose was 20 mg ,
protein was 150mg 20% lymphocytes diag
A. acute bacterial meningitis???
B. partially treated bacterial meningitis????
C. fungal meningitis
D. viral ..
170. estrogen effect in adult female
A. thick cervical mucus
B.. development of secondary sexual character
C. enlargement of breast
171.pulonary vasoconstriction occur due to
A. dec Po2
B. dec pco2
C. increase Po2
172. ulcer on chin and oral mucosa by
A. HCV
B.HPV???
C. EBV
D. CMV
173.Man with discharging sinus on face with yellow granules
A.streptococus
B. staphylococcus
C. Actinomycosis
174. Gram negative bacteroid fragillis
A.foul smelling
175.female with femur neck fracture swelling and redness of limb next what
will happen
A.Dic
B. pulmonary thromboembolism
176. women with involuntary movement and space occupying lesion in caudate
nucleus.which is most common clinical featurebindicating this lesion
A. intentional tremor
B.resting tremors
C. chorea
D.hemiplagia
E. tonic clonic seizure
177. which one of the following increases pancreatic hco3 secretion but not
pancreatic enzyme
A. glucagon
B, cck
C,secretin
178. A smoker has dyspnea has ph 7.4 pco2 31mmhg and hco3 19 mmol/l
diagnosis is
A. mixed respiratory alkalosis and metabolic alkalosis
B. compensated respiratory Alkalosis
179. Ischemia Of superior mesenteric artery involve
A. Duodenujejunal junction to 1/3rd of transverse colon
B. jujenum,ileum,cecum,ascending colon and 2/3rd tranverse colon
C. Duodenujejunal junction to 2/3rd of transverse colon
c
180.. Narrowest part of air way in neonates
A. Thyroid
B. Trachea
C. cricoid
D. Bronchi
181. most common cause of increase BT is
A. von villibrand disease
B.haemophillia
C. aspirin toxicity
182. A young soldier is hit by a sharp splinter which cut through femoral
artery in his left thigh. He bleed profusely from wound and is brought to a
hospital in state of shock.The most appropriate blood product for immediate
transfusion is
A. 20 days old whole blood
B. fresh frozen plasma
C. platelete concentrate
D. whole blood
183. Critical type of tactile signal are transmitted through tract located
A. in posterior horn of spinal cord
B. dorsal white colum of spinal cord
C. Anterior white column of spinal cord
184. Myxoid degeneration is most likely associated with
A. Carcinoid valve disease
B. infectous endocarditis
C. Libman sacks endocarditis
D. Mitral valve prolapsed
185. A young man presented with low grade fever for last three months. On
examination his nasal bridge was distorted and cervical lymph node were
palpable.Histology of these lymph node revealed non caseating granuloma
and positive AFB stain. Most probable diagnosis is
A. Tuberculosis
B. syphilis
C. Leprosy
D. cat scratch disease
186. A19 year old male with a petechial rash other wise completely well. There
is no history of bleeding, recent illness or use any medication . An examination
of peripheral smear is normal except for virtual absence of platelets. The most
likely diagnosis in this patient is
A. Acute lymphocytic leukemia
B. Drug induce thrombocytopenia
C. Idiopathic thrombocytopenia purpura
D. Iron deficiency anemia
E, pernicious anemia
surgerypaperb.......morningmay20160nline10-05-2016
(g=galiyan.nooffencetoanyonebutcpsp)
1-aptwithbloodgroupa+.hisserumwasnotcrossmatchedwithallthedonors.whichwas
incinhizserum(G)
a)igb)igMc)antikellyd)duffy
2.-aptwithobstructiveazoospermiadueto....a).igAB)igmc)iggd)igDc)igE
3.mostcommoninpregnancy
a]hypoalbuminemiab]hyperglycemiafastingc]incuricacidd]incurea
4-commonsitefororalmelanoma
a]softpalateb]hardpalatec]floorofmouthd]tonguee]alveoli
5-autosomaldominant
a]FAPb]thalasemiac]sickelanemiad]hemophiliad}......
6-leftatriumissuppliedby
a.LCAb]RCAC]LCXD]LADE]PDA
7-APtwithmassivehemoptysis,embolizationofrtlung,intercostobrochonchal
trunk(gGGGG)
a]anttothoracicaortab]archofaortac]anterolateraltodesthoracicaortad0postlateralto
descthoracicaortae]posttothoraciaaorta
8-actinomycosis
a]abscessb]abscessandganulomac]granuloma
9-infectionandtransfusionandantibodykuchthadontremember
10-a20yearsoldwomanwithbleedingpervaginahighgradefeverandincptaptt
A]dicb.henocshonleinpurpurac.itpd.dic
11-primaryhyperparathyroidisma]postmenupausalwomanb]adultwomanc]younadult
womand]youngadultmane)children
12-pyloricendofstomachremoveda]incbaselineacidinbloodb]incacidinnloodc]inc
stomachemptyingd]incgastrininbloode]decgartriccompliance
13-osteomyelitisofmandible(basitnahethaaurkuchhintnaithy)a]staphb]treponemac]
psedomonasd0klibsella
14.ecgfindingabnormalamongfollowinga]prseg0.1b]leadonerwaveinverseand3
uprightc]twaveventriclerepolarizationd)qrscomplexventricledepolarization
15-ketamaineisgiventoaburnptbecause
a]causesnohypotensionufffffffffb]imandivbothc]greateranalgesiauffffff
16-(isqpacpspsnegaliyankhaihnjitniatitheinmje)smallamountofcortisolisimportant
formaximamphysiologicaffectsof
a]insulinglucagonb]insulinepinephrinec)epinephrineglucagond)androsteroneepinehrine
e)thyroxineepinephrine
17-recptiverelaxationofstomachdecreasedin
a]vagotomyb]vipc)gastrininjectiond)inhibitingsympathetics
18-typhidcarriersarea)aysmptomaticb)isolateandtreat
19)kneejointis
a]hingejointformedbw femurtibiaandfibulab)antcruciateligamentarisesfromareaant
tolunarshapedminiscusc)latligamentisstrongd)consistsoftwominiscid)collateral
ligamentkakuchtha
20-lowertrunkofbrachialplexusinjurylossoffunctionof
a)bicepsb)deltoidc)opponenspollicis(2aurbkuchthay)
21.cpspfavourite.Dorsalcolumnmedialleminiscus(ihateit)damageleadstolossof
a)paintouchtemppressureb)sensoryataxiaC}motorataxiatwomoreoptions
22-leftcerebralhemispheredamagenearsagitalareafuctionloss
a]rtfaceb)leftfacec}leftlowerlimbd)leftuperlimbe)rtlowerlimb
23-awomanbroughthergirl6yersoldwithcomplainofbedwettingevenwithnormal
sphinctericcontrol(mesmjaadhanalogueaya).doctordoneivu.(mesamjabifidyreteraya)
andsawureterthatwasbifid(galiyanwiththinkingshaidopeningpuchay)andhadthelower
openinginvaginawithnormalopeninginbladder.(g.g.g.)whichofthefollowingiscauseof
this
a)ectopimoesonephrictissueb)divisionofpromesonephrosc)abnormalbudingof
mesonephros:(:(:(:(
24.20wksprehnantwomanwithmassivevaginalbleedandromhighgradefeverandpurpura
(G).fetusabortedaftertwodays.onexaminationofplacentaincneutroswithnormalamnion
andchorionandvilliabsent.thisconditionoccurreddueto(Gmedickchakarmetha)
a)fibrinogen(G)b)lymphokinesc)complementd)igs
25)foramanrotendum
a)liesanttoforamanovaleb)transmitsfacialnervetotyomacavityc)antlattopatanaikiaD)
ridgeispatanaikia(G)(G)(G)optioneasybhotokuchesadetehnkbandasaikartayhuayb
pareshanhojatahakkaheinyenewallienjagajawabnaho
26)spleenthefavouriteofcpsp.oldbloodcellsareremovedfromspleenin
a)..........capillariesandredpulpb)......capillariesandspleeniccordsc)......capillariesand
sinusoidsd)redpulpandsinusoidse)cordandsinusoids..(deshedlinemeekwordthayadnai
aara.
27.t4-t8levelofspinalcordinjurywitheffects,lesionlevel
a)t4b)t8c)anthornd).....
28)cnstumorduetoradiation
a)glioblastomab)lymphomac)glioblastomamultiphormed)meningioma
29-whichhasnohormonesecretion
a)choriostomab)choriocarcinomac)osteoblastomad)anrehommoae)teratoma
30)breastishardleatherlikewithpimlingoftheskinlikeonion
a)lymphaticobsb)venousobstructionc)lyphaticandvenousobstructiond)invasionand
fibrosiswithvenousobsd)invasionandfibrosis
31.breast
a)mammaryglandsformlactationtissueofbreastb}sebaciousglandsformonmastitis
32-lossofgabaneronsofsubstantianigraandglobuspeluudis
a)parkinsonb)hemibellismusc)choread)athtosis
33.pleuro,,,,,coelemandpericardio....coelmemeetinmidlinetoform
a)mesocoelemeb)....c
34.flexorcarpiulnarisnervesupply
35.extensorcarpiulnarisbloodsupply
36,wigedscapulanerveinjured
37.#midshaftofhumrusnerveinjuredaffects
38.antmusclesofthelimbflaccid,postnormal.nerveinj
39.dorsiflexionaffectednerveinjured
40.eversionlostmuscle?
41.protaminesideeffect
42.warfarrinovedosewhatgivn.
43.ffpsbestin,warfarin
44.balochistansibifojicmewalasenariowithkalazar
45.cancerpleomorphismwala
46,meignssyndrome
47.dicwalaektha
48.itpwalaektha
49.femoralherniaa)antandmedialtopubictubercleb)belowlateraltopubictubercle
50)japanibachawithkawasaqidisease
51.submandibulargland
a)lingualateryformsgroovesuperiorlyb)suppliedbyfacial
52.parotdglandposteriormedialrelations
a.tmjpostb.medialpterygoidmusclec.pharyncd.carotidsheath
53.postbellyofdigastricnervesupply
54.ansacervicalisformsfrom
55.sterocleidomastoidsupply
56.inferiorlipsederivedfrom
57.labiusinfwithHSVlyphaticdrainage
58.intapelvicnerve
59.perineumbloodsupply
60,ureterconstrictedat
a.psoasb.tipoftprocessofLveertebrad.ischialspine.d.ischialtuberositye.sacroilliacjoint
61.prostatekakuchtha
62.infectionofwoundresistenttoantibioticsa.staphspeciesb.kliebsellac.pseudomonas
d.ecoli.
63.fishermanwithblindness
64.indrugabuserinfectiveendocarditiswala
65.medialsideoffootsupply
66.ionin
67.epicardiumiscoveredby
a.serouslayerofmesotheliumb.paritallayerofserousmesothelim.c.viscerallayerofserous
mesothelium
68,statorhea a)pancreatectomy
69)womanwithmegaloblasts a)pernisoiusanemia
70.branchtocardiacplexussuperficiala)leftvagus
71.riskfactoreforca.a)smokingb)asbestosis
10may2016gynae&obs..
EveningSession..sharedbydrhayasyed..
1..Barbodytestinsalivaisdiagnosticfor
ans..Turnersyndrome
2..severehypomagnesemia
ans..hypocalcemia
3..testfordryeyesanddrytomy(sjogrensyndromescenario)
ans.Anti-SS
4..aftermaximum inspirationwhenmaximallyinhaled
ans..vitalcapacity
5..MHCassociatedwith
ans..HLAgene
6..amnioticmembrane
ans..nonimmunogenic
7..aidsspreadby
a.orofecalroute
b.bloodtransfusion(ans)
c.droplet
d.maternalfetalroute
8..potentchemotacticfactor
ans.C5a
9..exogenoussteroidcauses
ans..eosinopenia
NOTE..steroidscausesneutrophilia,eosinopeniaand
lymphopenia.andcausesdecactivationofneutrophiladhesion
moleculesandimpairmigrationfrom vasculaturetothesiteof
inflammation..referenceFIRSTAID
10..braindamage.Hemiplegia,typeofnecrosis
ans..liquefactivenecrosis
11.plateletadhesion
ans..roughendothelium
12..diabeticfootulcer
ans.angiopathy+neuropathy
13..periodbetweenS1ANDS2
ans.Ventricularsystole
14..buccopharyngealmembrane
ans.separatesstomodium from foregut
15..factornotpresentinintrinsicpathway
ans,factor7
16,..actin,myosinandclarthinhelpsin
ans..pinocytosis
17..whichtumormarkerraisedinhydatiform mole
ans..beta-Hcg
18.pyogenicmeningitis
ans.DecreasedglucoseinCSF
19..doctortellaboutpermanentdisabilityofchildtothepatient
ans.denial
20..lesionofopticchiasm
ans.bitemporalhemianopia
21..regardingpituitarywhatiscorrect
ans.drainintoduralvenoussinus
22..ovarynotfalldueto
ans.uterus
23..femaleinguinalcanalcontains
ans..roundligament+inguinalnerve
24.nervesupplyofvulva
ans..pudendalnerve
25..incisionalhernia,firstlayertobdissected
ans.transversalisfascia
26..spinalshock
ans..lossofvasomotortone
27..herniationofdisc
ans..involvesspinalnerve+post.ramus
28..apexofheart
ans..8cm awayfrom sternum inmidclavicularline
29..bladderpartdevoidofperitoneum
NOTE..Theupperpartoftheposteriorsurfaceofthebladderiscovered
byperitoneum
Thelowerpartoftheposteriorsurfaceisdevoidofperitoneum.
Thesuperiorsurfaceofthebladderiscoveredcompletelybyperitoneum.
Alongthelateralmargins,theperitoneum passesontothelateralwallsof
thepelvis.Thismeansthatanteriorandlateralpartsofthebladderare
devoidofperitoneum.
Asthebladderfillswithurine,theperitoneum peelsofffrom theanterior
wallofpelvissothatthebladdercomesindirectcontactwiththeanterior
abdominalwall..
30..respiratorydeadspace
ans.humidifiesandwarmsinspiredair
31..SER
ans..detoxification
32,,breasrcarcinoma.preventionofofosteoporosisinoldage
ans.raloxifen
33..aldosteroneincreasessecto
ans,.hyperkalemia
34..ADHdecby
ans.alcohol
35.Uwave
ans..hypokalemia
36..JGcellssecrete
ans..renin
37..duringexercisedecTPR
dueto
ans.localmetabolites
38..coronarybloodflowregulatedby
ans..localmetabolites
39..carotidsinus
ans..baroreceptor
40..oxygendecreasesinarterialbloodthanalveolarairdueto
ans.pressuregradiant
41..causeofmetaplasia
ans.chronicirritation
42..metaplasiadefinition
43..proteinuriadueto
ans,.glomerularbasementmembranedamage
44..metabolicacidosiswithnormalaniongapin
ans..diarrhea
45..proteinuria,noselesion,vasculitis
ans..wegnergranulomatosis
46..biceps
ans.C6
47..MMRdefinition
48..prevalencedefinition
49..cohortstudy
50.incidencedefinition
51..cervicallymphdrainage
52.righttotrachea
ans.vagusnerve
53,..hyalinecartilage
ans..novisiblefibres
54..generalsensationofmiddlecranialfossa
ans.trigeminalnerve
55..6yearoldchildwithfinenystagmus,nootherophthalmological
andneurologicalsign,lesionin
a.occipitalcortex
b.cerebellum
c.brainstem
56..RBCsformationin2ndtrimester
ans..Liver
57..Rhimmunoglobulin
ans..igG
58..cataractcausedby
ans.congenitalrubella
59..ionizingradiationcauses
ans.leukemia
60..farmerworkinginhotenvironmentsuddenlycollapsed.Na129
mEq/l
ans..excessivesweating
61..localcauseofedema
ans..allergy
62..phrenicnerveaccompaniedby
ans..pericardiophrenicartery
63..functionallayerofendometrium
64..whichlayershedduringparturitionandmenses
65..notfoundindeepperinealpouch
ans...perinealbody
66..lymphdrainagebelowhymen
ans..medialgroupofsuperficialinguinallymphnodes
67..childrenwithgeneralizededemainvestigation
ansurinealbumin
68..fordiabeticnephropathy
ans..urinaryalbumin
69..cocaine
ans..vasoconstriction
70..surfactantdeficiency
ans..deccompliance
71..decreasespindlefibrefirewhen
ans..musclestretch
72..golgitendonorgan
ans..musclerelaxation
73..mitochondrion
ans..maternalinheritance
74..collagen
ans..vitaminC
75..downsyndrome
ans..robertsoniantranslocation
76..uremicnephropathy
ans..normochromicnormocyticanemia
77..hypothyroidism druguse
ans..levothyroxine
78..hasselbachtriangle
ans..directinguinalhernia
79..failureofovulationdueto
ans..prolactin
80..counsellingdefinition
81..regardingRMP
NOTE..achievedbyKefflux
maintainedbyNa/Kpump
82..abnormaldecinestrogenand
incFSH
ans..primaryhypogonadism
83..0.5%bupivacainein100ml
ans..
84..drugwhichrequireminimalabsorptionshouldhave
a.lowtherapeuticindex
b.extensive1stpasslivermetabolism
85..indiabetespolyphagiadueto
a.Incglucose
b.decsensitivityofsatietycentreforglucose(ans)
86..oldagediabetictype2drugofchoice
ans..metformin
87..patienthavingglabenclamideandalsohavingsevereasthmatic
attacktakingdrugforthishavingbloodglucose40mg,whichdrug
interactwithglabenclamide
a.salisylate
b.chloramphenicol
c.b.blocker
d.steroids(ans)
88..21-23daysmenstrualcycle,ovulationwilloccuron
a.10(ans)
b.15
c.18
d.20
89..TBdiagnosis
ans..AFB
90..actinomycosis
ans..granuloma+abscess
91..helperTcell
ans..CD4
92..helperTcells
a.decinautoimmunedisease
b.produceplasmacells
c.producecytokines(ans)
93..endarteriespresentin
ans..vitalorgans
94..chemicalcarcinogen
ans..benzidine
95..amanhavinggonococcalinfection.infectionspreadtothe
structurelyingbeneaththeinferiorlayerofurogenitaldiaphragm
,pelvicandsuperficialfascia
ans..superficialtransversemuscle
NOTE..allothersweredeepcontent
96..inferiorrectalarteryisbranchof
ans..internalpudendalartery
97..belowandlateraltopubictubercle,2cm belowinguinalligament
ans..obturatornerve
98..inlasttrimesterplacentalmembrane
ans..syncitiotrophoblast+fetalendothelium
99..renalcolumn
ans..interlobarartery
NOTE..medullaryrays=collectingduct
100..totalATPinglycolysis
ans..38
101..leftadrenalglanddraininto
ans.leftrenalvein
102..urinarysystem derivedfrom
ans..intermediatemesoderm
103..whenuretericbudfailtoreachmesonephriccap
a..kidneywithoutureter
b.ureterwithoutkidney
104..incTSH,decT3andT4
ans..hypothyroidism
105..positivefeedbackexample
ans..GnRHreleasedbyestrogen
106..ocpsprevent
ans..ovariancancer
107..terminalductsinbreastform
ans..lobule
108..HbF97%,HbA2%..typeofanemia
ans..thalessemiamajor
109..irondeficiencyanemiascenario
110..60yearoldman,Hb6,TLC2.1*10^9.plateletverylow,and
hypocellularbonemarrow
a.mylofibrosis
b.acuteleukemia
111..inmanafterprostatectomy,fecolithinurethra
,whichfasciashouldbepreserved
ans..denonvillerfascia
112..after15daysofC-sectionurinaryincontinence
ans..vesicovaginalfistula
113..intraepitheliallesioninvulva
a..pagetdisease
b.condyloma
114..lactationnotoccurinpregnancyevenprolactinlevelis
high,reason
a.estrogen
b.progesterone
115..chronichepatitishistology
a.fibrosis
b.lymphocytes(ans)
116..cloacalmembrane
a..bothectoderm andendoderm at7thweek
b..formationofallantois
117..Brocaareabloodsupply
ans..middlecerebralartery
118..LHactsthrough
ans..cAMP
119..pelvicAPdiameterismorethantransverse
120..sorbitol=alcoholsugar
121..telomeraseaction
122..testicularfeminizationsyndromequestion
123..benigntumor
ans.warthintumor
124..microscopicfeatureofcancer
ans..invasion
125..differencebetweenbenignandmalignanttumor
ans..metastasis
126..negativefeedbackbysertolicells
ans..inhibin
127..cheapmethodofearlydiagnosisofcervicalCAis
ans.PAPsmear
128..fetaladrenalreleases=DHEA
129..onsetofparturition
ans..fetalcortisol
130..amnioticembolism occurin
a.duringlabour
b.duringlabour,parturition,c-section
c.duringlabour,parturition,intrapartum
131..NOTE..3questionregardingbreastlymphdrainage
132..rectum posteriolylies
ans..S1S2S3
133..alphaagonist
ans..mydriasis
134..parasympatheticaction
ans..miosis
135..potentstimulusofinsulinrelease
ans..GIP
136..lipidsolublelocalanaesthetic
ans..morepotent
137..bupivacainsafedose
ans..150mg
138..morelipidsoluble
ans..moreabsorption
139..6yearoldboywithenlargedscrotum,painandinc17-
ketosteroid
a.congenitaladrenalhyperplasia(ans)
b.testicularcarcinoma
140..whichmetaboliteoffattyacidmetabolism enterintokrebs
cycle
a.acetylCo-A(ans)
b.ketones
141..incancerscreeningtestisimportant
a..mostacceptableforpeople
b..earlydiagnosis(ans)
142..antfontanelleandposteriorfontanelledifference
143..blackwaterfever=malaria
144..Quarantinemalaria=plasmodium malaria
145..largestpro-erythrocytestage=plasmodium malaria
146..multiplefractures,BP90/40.initialstepofmanagement
ans..I/Vfluids
147..surfactantdeficiencycausesincsurfacetensionanddec
compliance
148..precursorofcatecholamines
ans.tyrosine
149..regardinghymen=stratifiedsquamousepithelium
150..regardingbioavailability=oralroute
11thMay2016Obs/Gyane
1. TrueaboutmembranetransportA.glucosetransportiscarriermediatedB.NAmovesagainst
theconcgradientC.KmovesinabulkflowD.watertransportacrossmembraneisalwaysactive
transpose........11may
2. TrueaboutbupivacaineA.It'sanesterlocalanestheticB.O.5in50mlsolutionmean50mg
doseC.ItacceleratedheartD.ItisgiveninIVinregionalanesthsia
3. GlobalBlindnesscause
Ans
Chlymydia
4. ThalasemiapercentageinPakistan
Ans
5%
5. Patientsis6cmdilatedat-2stationbabysheadisoccipitoanteriorpositiontotakecsf
catheterisintroduceditwallpiercesWhtstructureA.SaggitalsureB.CoronalsutureC.anterior
fontanalleD.Postfontanalle
Ans
D
6. Patientpregnant.Shehadinvertedischialspinesandnarrowsubpubicarch.Besttermusedfor
thistypeofpelvisis
A)ContractedPelvis
b)Anthropoidpelvi
c).Android
Ans
C
7. WhtistheactionofestradiolA.Glycoprotein(ormaybesomeotherthingnotfatforsure)
depositioninBrestB.PreventboneresorptionC.Makeendometrialglandsmoretortuous
Ans
B
8. Impotantlandmarkforassinghightoffetusduringlaboris
Ans
Ischialspine
9. NormalHBis
Ans
HBA
10.Duringsecondstageoflaborwhichsubstanceishelpful
Oxytoci
Abdominalmusclecontraction
Ans
Oxtocin
11.Milksecretionisduetotheeffctofwhichhormoe
Ans
Prolactin
12.Duringpregnancygrowthhormoneisnotreleasedduetheeffectofwhichplacentalharmone?
Ans
Humanchorionicsomatotropin
13.FetalbloodleavingplacentaWhtpercentageofPo2
A40
B80
c.30.
D60
An
C
14.WhtpercentofextracellularfluidisplasmaA30B20C60D40
Ans
D
15.Detrusermusclecontractioniscausedby
Pelvicsplanchnicandhypogastricplexus
16.TheendothelialmoleculesICAM 1andVCAM 1areresponsiblefor
A.leukocyteadhesion
B.leukocytemargination
Ans
A
17.Whichisanalpha1blocker
Doxazocin
18.Aladyhadac.sectionandbloodtransfusion10yearsback.nowpresentedwithascitesand
edema.Whichisbestinvestigationforher?
Ans
Serumelectrolytes,LFTs,serumurea.
19.Cardiacfailuremeinedemakiasyhotahaiuskakiaanstha
Ans
ConstrictivePericarditis
20.Co-effeicientofrela
+1
21.Uterosacralligamntwalyka?
Ans
Cervixtosacrum
22.Urogenitaltrianglenervedamageilioinguinal?
Ans
23.Counterpartofmulleriantubercle
An
Seminalcolliculus
24.Countrartoflabiamajora
An
Scrotum
25.Associatedabnormalitywithbicornuateuterus...kidneyblader?
Ans
26.Oneoffollowingistherapideffectiveactionofinsulin
Itcausesk+ionstobeblocked
Inhibitsgluconeogenesisand.
MovemnetofKinsidecells
Ans
C
27.Immediateeffectofiflamation
Ans
Dilationofvessel
28.Bloodlossin5min.Whathappens
A)Splnchnicvasodilation
B)vasoconstriction
Ans
B
29.Effectofbetablockers
Ans
Vasoconstrictioninmuscel
30.pthastuberculouspericarditisnowpresentedwithedema.CauseofedemaCCF.Military
TB.Constrictiveperucarditis
31.Correctaboutovary
Liesposteriortoureter
AttachedtouterusbyroundligamentofUTERUS
Suppliedbyanterioraortainembryoniclife
Ans
C
32.urogenitalsinusdividedinupperandlowerpartby
Ans
Cloaca
33.epiploicforamenrelations?
Ans
SuperiorlybyLiver
34.Trueaboutvagina
Posteriorfornixlinedbyperitoneum
Suppliedbyvaginalanduterinearteries
Ans
B
35.Neuralplatelateralycelsform?
Neuralcrestcellswhichmigratefromlateralendsofhindbrainform
Rtatrium
Papillarymuscle
Ans
A
36.Buccopharyngealmembrane
A)SeparatesStomodeumandforegut
B)Separatesorbitandnasalacvity
C)Separtesoralcavityfrompharynx
D)SeparatesnasalcavityfromPharynx
Ans
A
37.Trueabouthypophysiscerebri
Developspartlyfromforegut
Drainsintoduralvenossinuses
38.Pituitaryglandtruestatement
Suppliedbysuperirhypophysialarteriesfrominternalcarotid
Posteriorpituitarycontainsacidophillsandbasophills
Itslesioncausesunilateralhamianopia
Ans
A
39.Supthyroidarterybrachof?
Ans
ExternalCarotid
40.Regardingthehistologyofthebone,which...oneiscorrect
A-Compactboneisconsistofconcentriclamellaewhicharecontinouswithtrabecularboneon
theinnerside
41.Cellswithirregularfootprocessespresentininterneuronspaceandaroundbloodvesselsin
cns
fibrousastrocytes
protoplasmicastrocytes
Ans
B
42.Csfquantity?
5ooml/day
43.TrueaboutCSFstudy
Ans
Lowglucoseinpyogenicmeningitis
44.Correctassociation
BICEPSC6
45.Aorticvalveopeningoutsets
Isovolumetriccontraction
Isovolumetricrelaxation
46.2ndheartsoundproducedby
Aorticandpulmonaryvalvecontraction
47.Onewasfemalhavercanceronhormonaltherapymechanism
Ans
Apoptosis
48.1wasleftvocalcordparalysis..
Ans
RLN
49.regardinghearttrueis
Botharteriesanastomoseeachother
Botharteriesrunbetweenauriclesandinfundibulumcentriole(thiswasexactwording)
Botarterieshavemojorbrancheswithsamenames
50.Stratumfunctionalisisformedby
Stratumcompactumandstratumspongiosum
51.Onewasadrenocorticalinsufficiency
52.1aboutrubella.?
Howtoprevebntrubella
Ans
Avoidcontact
53.Aboutvertebralongesttransverseproces??
Ans
C7
54.C1absentbody
55.Leadshieldusedforprotectioninpregnantwomenduring
Xraychest
Pelvimetry(xraypelvimetrywasnotwritten)
56.AfemalewithHIvhavechanceofwhichmalignancy?
Leukemia
OvarianCA
Ans
57.Apatientpresentswithmoonface,striaonlegs,truncalobesitybsl=200mg,b.p=150/110(no
valueofacthgiven)whatisyourdiagnosis?
Crushingsyndrome
Crushingdisease
Ans
B
58.Aptpresentedwithweakness,malaise,jointpainfor2weeks.Bestinvestigation
Bloodforcoldagglutinins
Bloodculture
Ans
A
59.GVEForbesofthevagusarisefrom
A.dorsalnucleus
B.Nucleusambigus
Ans
A
60.Femalepresentedwith104feverrightloinpain,feverwbc=25000.whatiathebest
investigationtobedone?
Urineculture
Bloodculture.
61.Ekfolicaciddeficiencywalabtothakfetusmainkiahogaanencephaly
62.IGA%=70%
63.ActivationofcAMPmechanismisanactionofA.ReceptorsB.EnzymesC.carrires
64.AmongfollowingWhtmostlyactivatescomplementsystemA.endotoxinB.Dextran
65.2,Cerebralmalriap.falcprm
66.h202,,,peroxysome
67.cardiacmusclelongr.period
68..heartmostlikely....heartsoundanatomicarea
69.Trueaboutepithelium
Simplesquamousepitheliumisfoundwhereexchangeofgasestakeplace
70.leftshiftcurve...hypothermia
71..breastatrophyadultestrogennprogestron
Ans
Estrogenonly
72..longtransverseshortapdiameter...platypoidmarkd
73.prolectininhibtovalution
74.dicromlenhancebleeding
75..snirolestblood...skelatmuscle
76..sniro.fatembolism
77..scniroamnioticembolism
78..histologybonewala
79.mostlikelyuterinetube..cilatedepithelium
80..Trueregardingbreast
A)Arisesfrommammarybudwithmammarylines
B)Doesntarisefromplaceotherthanthorax
C)MilcomeinsidefromMontgomerytuberclesaftersucking
D)Sizeofbreastdeterminestheamountofmilkinit
E)Hairsaroundareolaaeabnormalandshowhormonalinfluences
Ans
A
81.scnirioeatingmoresmalfeetnhand..priderwlia
82.,InSpleenwornoutbloodcellscomeoutatwhichpart
A)Redpulpandsinuses
B)Whitepulpandvenules
C)Penicillarcapillariesandvenules
D)Arterioleandpenicilarcapillaries
Ans
D
83.bloodsupplytoprimarycortex
84.AsemiconsciouspatientaspiratewhileLYINGonhisback,thesegmentofthelung
mostlikelyaffectedwouldbe;
a)anteriorsegmentofrightupperlobe
b)apicalsegmentofrt.lowerlobe
85.dopaminesteadystate:9min
86.Middlerectalarteryiabranchof
Ans
Inferiorvenacava
87.glucosetransportthroughplacentavia:fascilatddiffusion
88.lymphaticfromvulva:supinguinallymphnode
89.breastcainvolvesantpectoralgrou...upperouterquadrant
90.:2%lignocainein4ml:80mg
91.:bladerbloodsupply:antbranchofinternaliliacartery
92.ExampleofSecondryCartilgenousJoint
Ans
SymphysisPubis
93.mostcommonanemiainpragnancy:dilutionalanemia
94.53:craniopharyngioma:HMGfollowedbyHcg
95.amenorhaeduringactiondueto:prolactin
96.inguinalcanal:supboundbyconjointtendon
97.urinarybladder:stimulatedbystretchreceptorinthewall
98.Carotidbodystimulatedby
A)IncreaseinpH
B)BloodPco2
Ans
B
99.biostatic:mean&standarderrorofmean
100. Vesseldamagedwhenincisiongiveninuprapubicarea
Ans
InferiorEpigastricartery
101. commonintermediateinglycolysis&glucogenesis:
A)fructose16bipiosphatetofructose6phosphate
B)Fructose6phophatetoGlucose6phophate
An
A
102. Inapatientocculocardiacreflexhasbeenstimulatedcausingseverebradycardiaand
hypotension.Mostappropriateinitialmanagement:
1.IVatropine
2removalofstimulus
3hyperventilationofparient
4anesthetizerectusmuscles
5Retrobulbarblock
An
2
103. shiftofcurvetotheleft:hypothermia
104. femaletooktbtreatment10yrbacknwpresentswithgeneralisededema....cause:
constrictivepericarditis
105. Recurrentabscessbystaphaureusnaspergillosisinfinyoungboycauseis:Nadph
deficiency
106. 80:radiationinjury:freeredicals
107. questionnotremberBTansispiechart
108. BestsourceofFactor9:ffp
109. 90:Calcitoninsecretingtumorrelatedtothyroid
110. detrusorsupply:s2s3s4
111. chronicintravascularhemolysis:DECheptoglobin
112. cervicaldysplasia:
multiparity/iucd?????
113. genetics:pyloticstenosischancesincinsiblings
114. obesityhirsuitismpigmentation:primaryincofACTH
115. hormonetherapy:apoptosis
116. WhichoneofthesehashasairbornetransmissionA.Mycobacterium
B.cornybacterium
117. STDchlaymadiayagonnorhea??
Ans
A
118. Gynae11thmayQuestionevening
Edemainptofcardiacfailure,resultfromincreaseformationofinterestitialfluiditis
dueto
a)decreasedcolloidosmoticpressure
b)increasedcapillarypressuresecondarytoincreasedvenouspressure
c)saltandfluidrestrictionbykidney
119. PatientcameinERwithcardiogenicshock..WhtfirsttreatmentA.dopamine
B.adrenaline
120. Hormonecausingincreaseglucose,fattyaciditheblood
Ans
Glucagon
121. BestIxof20wksgestationwithprevioushistoryofhemolyticanemiainnewborn
BloodgroupB+
Ans
withB-IVE
122. Odontoidprocessofaxisonatlas-transverseligament
123. NahCO3isrenalcompensationfor
Respalkalosis
124. Whiplikemovementsarein
Ans
Falllopiantube
125. Monocyte
Ans
Covertsinmultinucleatedgiantcells
126. Sensorypainsensationtouterus
Ans
Broadligment
127. P53genemutationmeans
Ans
Cellsurvival
128. Causesofhepatocellularcarcinomaindevelopingcountries
Ans
HepatitisBadnC
129. Highcardiaoutputin
Ans
Beriberi
130. TerminalIleumresectioninterfereswithabsortionof
A)VitD
B)Calcium
C)B12
An
C
131. Acaseofpeoplewithsmokingandhealthygroup.Typeofstudy
Ans
CaseControl
132. HRTCase.Modeofpresentationwasasked
Ans
Piechart
133. Pregnancycauseofanemia
Ans
Dilutionalanemia
134. ScenerioofInfectiveendocarditis
Ans
Bloodculture
135. Acaseofhaemolyticdiseaeofnewborn.Testdoneinmother
An
IndirectCoombtest
136. Aneutropenic,hypotensivepatientwasadmittedinoncologywardwithistoryof
dysuria.BloodcultureyieldedPseudomonas.Substancerekeased?
Ans
Tumournecrosisfactor
137. Afterradicalprostactectomy,catheterremovedafter2weeksandpatientdeveolops
fecaluria.Whichfibrousstructureshoudbeeftintact
Ans
Denovillerfascia
138. BothwwernichandBrocainvolvementcauses
Ans
GlobalAphaseia
139. H2O2formedby
Ans
Peroxisomes
140. Typeofnecrosisinbrainandspleen
Ans
Coagulativenecrosis
141. Shiveringcentreisin
Ans
PosteriorHypothalamus
142. Pvaluefor
Ans
Probability
143. Median
Medianistheonewithequalupperandlowernumbers
144. Mechainmofacncer
Ans
Expressionofproto-oncogene
145. Doctorbehaviourwhichattractpatient
Ans
Maintainpatientdignity
146. patientwithmultiplefracturesofpelvishavinglossofsensationinperianalarea.
whichnerveisspared?
A.ILLIOHYPOGASTRICNERVE
b.pudendalnerve
c.ilioinguinalnerve
d.podtcutaneousnerveofthigh
Ans
A
147. Pudenadalkirootvalve
Ans
S2,3,4
148. MCV=115
Ans
Macrocyticanaemia
149. Glucoetransportedtoplacentavia
Ans
Facilitataeddiffusion
150. Anticholinergicdrugcanbeusedin
A.Acutepulmonayfibrosis
B.Alergcasthma
C.chronicasthma
D.Acutebronchospasm
E.acutebronchitis
Ans
D
151. Ininterstailpresurebta
Ans
Lymphaticobstruction
152. Halflifeofdopamine.9min/2
153. Shorthalflifewala.Reachessteadystatequickly/lowtherapeuticvalue
drughavingshorthalflife...a)areextensivelyboundtoplasmaproteins..b)arefreelyfiltered
throughglomeruli..c)havelowtherapeuticindex,,d)havelowvolumeofdistribution...e)reach
steadystateconcentrationquickly...
Ans
E
154. Iucdkabtaoididpurulentdischargeqkwahanduringiucdlikha
Ans
SquamousMetaplasia
155. Scenerioofdownsyndrome.Plamarcreaseetc
Ans
Triomy21
156. Menopauseisdueto
Ovarianunresponsivenes
Pituatryexauationduetoluetinghorm
Pituatryexauxtionduetofsh
Hypolthamicunresponsiveness
Ans
A
157. Fetalmeasurementdonein7th,8thweeksby
Ans
CRL
158. persontakingcarbohyderatedeficientdiet?whichvitaminshouldbesupplimented?
A.THIAMINE
b.riboflavin
Ans
A
159. cyclicGMPwhichhormoneincluded?
A.Insulin
B.ANP
Ans
B
160. oncharactersticsofTB?
a.caseousnecrosis
b.epithiloidcells
161. ptinsibbibalochistan..campingandsleepsonfloor..feverwithlymphadenopathy
..historyoftickbite?
a.kalazarb.filariasisc.malariad.Onchocerciasis
162. Lymphaticdrainageofanus
A)Verticalgroupofsuperficialinguinallymphnodes
B)Horizontalgroupofsuperficialinguinallymphnodes
C)DeepInuinalLymphnodes
D)MedialgroupofSuperficialInguinalLymphnodes
Ans
D
163. Labiamajoralymphaticdrainage
Ans
SuperficialInguinalLymphnode
164. regardingbupivican?
a.blockNachannelinionisedstate
b.moreabsorptioninnonionisedstate
Ans
A
165. longestincubationperiodofwhichmalarialparasite?
A.plasmodiamMalariab.ovalec.vivaxd.falciperem
Ans
A
166. pharmamcqactionofanestheticrequire?
A.lipidsolubility
167. twodifferentgeneticlinesderivedfromasinglezygote?
a.genomicimprinting
b.zygoteacromegaly
c.mosaicsm
d.zygoteanomly
Ans
C
168. Proteinsynthesisinvolves
As
Mrna,protein,TraandRibosomes
169. Structuredeeptoubmandibulargland.Passingdeeptoposteriorbeelyof
sternocleidomastoid
Ans
LingualNerve
170. Arteryjoingbasilararterywithinternalcarotidartery
Ans
PosteriorCommunicatingartery
171. Infectionoutsidepretrachiallayergoesto
A.superiormediastinum
B.posterior
C.anterior
D.middle
Ans
C
172. ApregnantladyhadfractureNeckoffemurinaroadtrafficaccident.Causeofdeath
wouldbe?
A)Amnioticfluidembolism
B)FatEmbolism
Ans
A
173. Criteriafordiagnosingmalignanttumour
A)Pleomorphism
B)Invasionofadjacenttissues
C)Pleomorphism
D)Dysplasia
E)Metastasis
Ans
E
174. Caueofcerebralmalaria
Ans
Plasmodiumfalciparum
175. Causeofdeathingasgangrene
Ans
Toxemiashock
176. Calcitonintumormarker..thyroid
Ans
CEA
177. Bupivicain
Aactasnonionizedform
Bblocksodiumchannelasaionizedform
C.Sympatheyicblocktourinarybladder
Ans
B
178. HormoneofanteriorPituitary
Ans
TSH
179. Inhotsunnyday,fewpatietslyingundersunhadsomesortofinjurytoskinandhad
burn.Whatwasthemechanism
A)Endothelialdestruction
B)Mastcellsdestruction
Ans
A
180. Minimumtensilestrengthisachievedinhowmuchtime
Ans
3months.
181.
SOHEREWECOMETO
LASTPAGEOFTHISPDF
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MAYALLAHSHOWERHIS
BLESSINGSUPONALLOF
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DRMKALEEM
JAZAKALLAH
GOLDEN2ERRATAS
THISPDFCONTAINSTHE
ERRATASOFFCPS1PAPERS
DISCUSSEDINTHEGROUP.
AGREATDEALOFEFFORTS
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COLLECTING,COMPILINGAND
GETTINGERRATAS.
THANKSTODr.M KALIM
KOOL-MEDIC,Dr.NIMRA
ASHRAF,ASPERGILOSIS
KAWASAKI,Dr.QASIM
KHALIDFORTHEIR
ENORMOUS&AWSM
CONTRIBUTIONSANDALL
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JAZAKALLAH
Errataallinonegoldenfile2..
Marchsession..
1..medicineandallied7march2016
Pageno.40.allin.oneKOOLMEDICgolden2fileBYDrMKaLiM..
Eveningsessionbydrhuma&drnimra..
9..AA
NOTE..dorsalcolumncarriesfinetouch,proprioception,vibration..
Stereognosisisafunctionofdorsalcolumn..herenotmentionedinstem eitherfineorcrude
specifically.soAAisbetterhere.
16..BBB
28..DDDcorrect
Explanation..femoralsheathhas3compartments
1.lateralcompartmentcontainsfemoralartery
2.intermediatecompartmentcontainsfemoralvein
3.medialcompartmentalsocalledfemoralcanalcontainslymphaticvesselsandlymphnodes..
SoDDDiscorrect..
32..AAA
36..CCC
41..BBB
42..BBB
Sequenceislike
Streptpneumonia>>staphaureus>>h.influenza
44..CCC
Ulcerischaracteristicofentamoebainfection
45..BB
48..AAA
53..AAA
58..AAA
61..BBB
63..DDD
KOOL-MEDIC Dr M KaLiM
66..BBB
68..BB
70..AA
71..AA
73..infirstaid200
Ganongsays180.
Brsphysio=>250
AndGanongshouldbefollowedasmostauthenticone
76..BBB
78..AA
80..B>>>A
84..AAA
Asheartrateinc3times,soPRintervalwilldec3timesaccordingly
85..BBB
103..AA
110..sulphurcontainingaminoacids
CMH=>cysteine,methionine,homocystein
113..AAA
123..BBB
124..instem factorisaskedsoBBB
Here..
AlthoughAisalsocorrect
126..AAA
135..BBB
136..BBB
158..AA
159..BBB
167..CCC
AsdicumaroldepletesvitamenKwhichin.turndepletesfactors(2,7,9,10,)socauses
hemmorhageasaresultofincreaseclottingtimeanddecclotting(decclotformation)
Bleedingtimeisfunctionofplatelets
169..AA
178..DDD
180..AA
Page54
AllinoneKOOLMEDICgolden2fileBYDrM KALIM..
8march2016morningsessionmedicine&allied.
Erratabydrhuma&drnimra
5..AA
EF=SV/EDV
AndSV=CO/HR=>5.6L/70=>5600ml/70=>80
SoSV=80
NowEF=80/160=>0.5answer
7..AA(asim.bcq)
9..AAA
Referencenetter..
10..CCC
12..BBB
13..AA
14..BB
16..AA
20..AA
25..CC
37..AA
46..AA
48..AA
49..AA
50..AA
51..AA
52..AA
53..AA
55..AA
56..AA
CSFPhiscorrect
67..AA
74..BB
80..CC
82..AA
83..CC
86..AA
97..BB
In.optionsE-cadherinwasnotwritten.E-cathedrinwaswritten.
SointhatcaseBB..
OtherwiseAAisBestifinoption..
99..AA
100.BB
101..AA
Giveareadtothistopic..
103..AA
As2/3rdpartissuppliedbythisartery
104..BB
109..AA
Caseoflefthomonymoushemianopia
115..inneonatesendsatL3
119...hereCCC
inrobbins
DTBP=>damage=>thrombosis=>bacteremia=>perforation
Butifthissequenceisnotinoption.
SelectoptionCCCC..
120..AA
124..BB
126..AA
127..AA
135..CC
145..BB
150..AA
151..AA
152..AA
153..AAisbesthere
154..CC
155..DD
156..AA
159..CC
161..AA
162..CC
163..BB
164..AA
165..BBB
167..BB
168..AA
Note...HepB&C>>HepB>HepC
Followthissequence
170..AA
172..BB
173..CCC
179..AA(rabiabcqGITportion)
180..BB
181..AA
182..EE
183..EE
184..DDD
189..AA
194..itwasperonealnerveinstem andperoneal.nerveislargenerve
NOTE..
Smallnerveregenerateat1mm/day
Largenerves=5mm/day
Accordingtowikipedia
197..DD
198..BBB
Note..restarecorrect
Page68..ALLINONEKOOLMEDICGOLDEN2BYDrM KALIM
8march2016eveningsession.
ERRATAbydrhumaanddrnimra..
25..AA
26..DD
29..AA
30..AA
31..AAcorrect
48..AAcorrect
49..CCcorrect
50..BBBepiphysis
58..DDDcorrect
63..CC
66..BBB
69..AAcorrect
71..AA
77..AA(asim key)
85..BBB
89..AAA
90..AA
91..AA
93..smallcelllungCA
101.AA
Thyroxineisglucogenichormone
104..serum vitB12levelfirst.thenfindthecauseofdeficiencyi.eintrinsicfactor
110..AA
113..AAcorrect
115..AA
116..AA
117..AA
119..AA(rabiabcq)
123..CCC
127...stem islikethis
Achronicsmokerfor30years,,workinginatyrefactorypresentedwithhematuriaandon
histopathtransitionalcellCaofbladderseen..causativeagent???
Answer...BBB(tobaccosmoking)
Asheissmokingforlast30years..andforbladdermaincausativeagentistobaccosmoke..
Thencomesother..
139..AAcorrect
141..BBB
150..AA
151..stem islike
Whenamusclecontractvolantarily,whatwillhappen?
Answer..bothalpha&gammaneuronsactivatedsimultaneously..
157..AA
162..AA
167..AA
175..BB
176..AA
177..CC
178..BBB
179..BB
187...correct
188..CCC
Restarecorrect..
Page79OFKOOLEMDICGOLDEN2BYDRKALIM..
7march2016surgery
Eveningsession.(giveninfile2times.)atpage79andpage96)
Isolvedtheoneon79page.ERRATAby
Drnimra..
NOTE..answerswithasterik(*)markarecorrect,whicharedoubtfulcorrectedhereinerrata
1..BBB
Accordingtogivenstem
2..CC
12..DD
16..DD
17..AA
Ifaskedcaudallythenbladderextrophy
18..AArabiabcq
31..AA
37..AAcorrect
40..BB
44..AAcorrect
70..AA
81..AA
87..CC
93..BB
100..AA
101..CCinitialsymptom
Arrhythmiaisadverseeffect
104..AA
109..CC
112..BB
118..BB
122..CCCbest
IfCCnotinoptionthenselectAAA
123..BB
Botharepresntinpseudomonas..exotoxinismore.
134..BB
Note..clue"immaturecells"
143..AA
Incirhosis=>fibrosis
In.chronichepatitis=>lymphocytes
145..BB
149..BB
Note..herenosymptomsaregiven..iftheymentionedsalivation,lacrimation,bradycardiaetcin
stem immediatelywellgiveinjatropineforsymptomaticrelief..
Pralidoximeisuniversalantidotefororganophosphatepoisonig..hereitisbest..
155..sulphurcontainingaminoacids
Note...MCHT(methionine,cysteine,homocysteine,taurine)
161..stem islike..whichofthefollowingcausesoxygentoxicity?
Answer...DDD
174..BB(cpspkey)
178..CC
179..regressionanalysis
182..AAcorrect
184..AAcorrect
193..CCC
Page112OFALLINONEKOOLMEDICGOLDEN2BYDRKALIM..
7march2016surgery(morningsession)
ERRATAbyDrnimra
1..CAcolon
2..EEE
3..CCckmb
4..BBB
5..CC
6..C6
7..BB
8..15-20lacteferousducts
9..hypoblast
10..E.coli(DD)
11.genitofemoralnerve
12.nooptionisappropriate
13..DD
14..BB
15..spinalaccessorynerve
16..inferiordeepcervical
17..CC
18..AA
19..directinguinalhernia
20..transversalisfascia
21..DD
22..STelevation
23..Turnersyndrome
24..AA
25..CC
26..CC
27..BBB
28..AA
29..AA
30..BB
31..neuron
32..leukemia
33..efferentarteriolarconstriction
34..BB
35..DD
36..CC
Note..ifbilliaryatresianotinoptionthenselectgilbertsyndrome
37..CC
38..BB
39..CC
40..AAhere
Ifsuperiorepigastricarteryinoptionpreferthat
41..AA
42..BBB
43..cC
44..C&Dbothcorrect
PreferAdeltaasitisforfastpain
46..CCviaM3
47..streptococcus
48..klebsiella
49..AA
50..BBB
51..AA
52..AA
53..BB
54..AA
55..CC
56..BB
57..CC
58..DD
59..S1,S2
60..AA
Claracellsarepresentinboth.Mostabundantinterminal.bronchioles
61..vitellineduct
62..correct
63..AA
64..BB
65..CC
66..correc
67..AA
68..sarcoidosiscorrect
69..AA
70.correct
71..correct
72..medialnecrosis
73..AAcorrect
BBBiscardiacindex
74..AA
75..greatsaphenousvein
76..AA
77..BBB
78..AA
79..AA
80..CC
81..CC
82..ferritin
83..TIBC
84..AA
85..correct
86..liquefactivenecrosis
87,88,89correct
90..AA
91..correct
92..AA
93..hererenalfailureasnootheroptionhere
CPSPasklikethat
ADPKDassociatedwith=>berryaneurysm
Deathdueto=>renalfailure
94..correc
95..needproperstem whattheywannaask??
Bettertoreadallthreedefinition
96..correct
97..CC
98..CC
Stem shouldbantideprssantactionmediatedin??Insteadofanalgesicaction
99.poorrecallbcq
100.CC
Cpspkey
101..correct
102..BB
103..AAA
Note..neutrophils&plateletsdontincrease
104..AA
105..BBB
106..BB
107..cubitalfossaneddlepasswhichnervedamaged=>mediannerve
108..AA
109..AA
110..correct
111.pulmonaryarteries
112..AA
113..synarthrosis
114.supraspinatous
115..correct
116..correct
117..falciparum
118..AA
GonorrheaisbestasIismorecommoninpregnancy
119..correct
120..clindamyci
121..AA
122..Cacolon
.....ulcerativecollitisduetoinvolvementofbilliarysystem =>primarybilliarycirrhosis
123..CC
124..AA
125..ADH
126..correct
127..correct
128..correct
129..correct
130..correct
131..AA
132..CCC
133..CC
134..CC
135..correct
136..BB
137..aqueductofsylvius
138..CC
139..correct
140..DD
141to150allcorrect
151..PCT
152..klebsiella
153..AA
154..popliteal
155.type1
156..neverrejected
Page128OFALLINONEKOOLMEDICGOLDEN2BYDrM KALIM..
Gynae7march2016
Morningsession..
ERRATAbyDrnimra
10..obturatornerve
11..CC
13..AA
14..BB
15..AA
16..correct
17..BB
18..
19..AA
22..AA
23..correct
37..AA
38..BB
Note..phosphoglucomutaseisanisomeraseenzymewhichcarriesthisconversion
39..AA
Explanation..Hypoglycemiacanoccurwithbetablockadebecausebeta-2adrenoreceptor
normallystimulatehepaticglycogenbreakdown(glycogenolysis)
Andpancreaticreleaseofglucagon,whichworktogethertoincreasetheplasmaglucose..
Thereforeblockingthebeta-2adrenoreceptorslowersplasmaglucose....
40..BB
41..BB
44..BB
46..AA
47..EE
Rememberdiabetesthatismostcommonandmultifactorial
48..BB
49..BB
50..AA=>PCT
57..CC
58..AA
63..AAisbestamonggivenoptions
65..BB
67..AA
71..painbyA-deltafibres
OthersensatiomsbyA-betafibres
74..stem shouldbelike.
Beforeejaculationsperm maybestoredin
Answer..AA
83..T8-T12
86..aspirin
Explanation..aspirinspecificallyblocksprostaglandinsynthesisbyblockingCOX-1&COX-2.
WhilesteroidsblockbothCOXandlipoxygenasepathway..
Soaspirinisomorespecific.
90..parametersmeasuredinsemenanalysis
Normalvalues..
1.sperm counti.e20-150millionsperm/ml
2.volume1.5-5ml/ejaculation
3.Atleast60%ofthesperm shouldhaveanormalshapeandshownormalforwardmovement
(motility).
4..normalPh7.1-8.0
5..WBCs=>nil
97..AA
101..BB
104..correct
118..correct
119..BB
124..AA
126..BB
Acrosomereaction=>lysosomes
Acrosomesynthesizedfrom =>golgiapparatus
131..ADHactsbyV1viaIP3onsmoothmuscles
134..AA
139..Cardiacreservereferstothedifferencebetweentherateatwhichtheheartpumpsblood
anditsmaximum capacityforpumpingbloodatanygiventime
145..BB
146..AA
Note..remainigonelinerquestionsarecorrect..
Pageno133OFALLINONEGOLDEN2BYDRM KALIM
8marchmorninggynae&obs
ERRATAbyDrNimra
1..AA
2..AA
3..BB
4..AA
Greatcardiacvein
5..BB
6.AA
7..CC
8.AA
9..CC
10..AA
11..CC
12..CC
13..DD
14..EE
15..AA
16..osteoclastshouldbeinoptio
17..AA
18..AA
19..AA
20..CC
21..pacciniancorpuscles
22..divideinmecklecave
23..CC
24..BB
25..CC
26..AA
27..AA
28..AA
29..AA
30..BB
31..BB
32..CC
33(1)..BB
33(2)..frontallobehere
Note..temporal>>frontal
34..DD
35..mesengialcells.Cpspkey.
36..AA
Ifendothelialcellsinoptionpreferthat
37..AA
38..AA
39..BB
40..DD
41..AA
42..BB
43...BB
44..DD
45..AA
46..CC
47..BB
48..CC
49..BB
50..BB
51..BbB
52..BB
53..BB
54..BB
55..primaryhyperparathyroidism shouldbeher
Nootheroptionsfitstothescenerio
56..BB
57..AA
58..EE
Mesencephalon
59..BB
60..CC
61..incidenceisdefinedasthenumberofnewcasesduringsometimeperiod
62..AA
63..BB
64..BMRinrestingconditionis
Maintainedby
Answer..Liver
65..correct
66..AA
67..AA
68..AA
69..AA
70..BB
71..correct
72..AA
73..AA
74..AA
75..AA
76..BB
77..CC
78..AA
79..A
80..AA
81..BB
82..BB
83..BB
Isbetteramonggivenoptions
84..DD
85..BB
86..BB
87..AA
Last14daysarefixed
88.BB
89..AA
90..A
91..AA
92..BB
93..AA
Contractionofcilliarymusclesofiris=>mydriasis
94..BB
95..BB
96..BB
97..DD
98..BB
99..AA
100.BB
101..A&Bbothcorrect
Dependsonwhatcpspasks
...genitofemoralnervesupplies=>anterolateralsurface
...illioinguinalnerve=>anteriorsurface
P.S..chandkiankeyisillioinguinal
102..BB
Theevacuationisdoneassoonaspossibleaftervolumereplacement
103..BB
104..AA
Asim gynaekey
105..CCC
Page142OFALLINONEKOOLDEICGOLDEN2BYDRM KALiM..
7march2016Radiology
ERRATAbyDrNimra
1..sensoryganglionofthetrigemminalnerve(CN5)thatoccupiesacavity(meckelcave)Ithe
duramatter,,coveringthetrigemminalimpressionneartheapexofthepetrouspartof
temporalbone
2..correct
3.correct
Ifparaaorticinoptionpreferthat
5..granularlayer
17..inferiorepigastricvein
21..superiorlobe
25..visceralpleura
27&28..hepatoduodenalligamentcontains
..1..hepaticartery
...2.Portalvein
..3..commonbileduct
29..correct
36..(1)..glialglioma
36..(2)..chiefcells
49..antiparietalcellsantibodies
53..correct
58..anterio
59..vagueoptions:(
73..endoderm+mesoderm
74..chiefcells
78..externaloblique
84..CCC
89..AA
90..DDD
91..CC
92..BB
93..BB
Note..inpregnant=>GGT
Inonpregnant__=>ALP
94..DD
95..AA
96..AA
97..BB
98..BB
99..AA
100.BB
101..BB
102..AA
103..AA
104..DD
105..AA
106..CC
107..CC
108..AA
109..AA
110..CC
111..BB
112..AA
113..AA
114..CC
115..AA
116..AA
117..CC
118..BB
119..BB
120..AA
121..AA
122.spleen
Pageno151OFALLININEKOOLMEDICGOLDEN2BYDRM KALIM..
7.March.Morning
Communitymedicine
Paper(A)
ERRATABYDrNimra
1..fuzzlikecoatonexternalsurfaceofplasmamembrane
2..decreleaseofAcetylcholine
7..uncalcifiedorganicmatrixiscalledosteoid
(thisoneiscorrect)
10..transferofradicals(atoms)
From onegrouptoanother
Answer..oxidoreductase
12..golgitendonorgandetectsmuscletension
14..glycoprotein
19..PCT
20..contractionbandnecrosis
Specificformyocytes
21..pulm artery
22..pulm artery
32.Metastasis
36..thymus
41..correct
44..S2
48..superiorvenacava
51..itshouldbeBfibresnotbetafibres
54..mesoderm
55..paracrine
56..couldnotfindanywhereproper
Butdextrose5%Inotisotonictoplasma..thismcqrepeatedmanytimes
59..acrosomeformedby=>golgibodies
Acrosomereaction=>lysosomes
64..correct
65..decreleaseofbronchialsecretion
69..renalartery
72..correct
73..RBCsmass
74..leadstohypertension
75..5%dextroseleadstoADHinhibition
76..
77..phrenicnerve
81..correct
82..sympatheticadrenalrespons
83..byinhibitingphospholipase
85..phagocytosis
86..associatedwithcerebralhemmorhage
Anddeathduetorenalfailure
87..basementmembrane
90...passesthroughmiddleofjugularforamen
Aprilsession..
Pageno158OFALLINONEKOOLMEDICGOLDEN2BYDRM KALIM..
4april2016..medicine&allied
ERRATAbyDrNimra
3..seminalcolliculusinmales
Hymeninfemales
4..DDcorrect
Note..proteinC&Sdeficiency=>inherited
Mostcommoninheritedis=>factor5leiden
Antiphospholipidantibodysyndrome=>mostcommonacquired
5..slowpulse
6..correct
7..decplasmaosmolarity&incplasmavolume
9..VIP
15..correct
26..insuranceclaim >>ifpatientauthorizeu
31..correct
35..AAcorrect
37..acyclovir
Trifluridineisforeyes
39..thoracicaorta
44..ccccorrect
47..posteriortibialvia
Lateralplantarandmedialplantarnerve
50..AA
51..craniopharyngioma
Note..seminoma>>glialglioma>>craniopharyngioma
52..cortisolhere
Growthhormoneshouldbeselectedifin.option
53..correct
59..hypokalemiacorrect
Alsocauseshyperurecemia
Andhypercalcemia
61..AAcorrect
69..SGPTalsocalledALT
70-73allcorrect
75..AAcorrect
76..AAcpspkey
79..BB
Note..KAL1geneisonXchromosomenotonY.
82..correct
89..correct
Duetopreformedantibodies
91..correct
94..AA
95..DD
100.propylthiouracil
103..BB
Lessaddictive
105,106,107arecorrect.andrepeatedlyaskedbycpsp
108..alveolarventilation=(Vt-Vd)*RR
(500-150)*10
=350*10=3500
109..clearance=UV/P
20*10/10=20
110..aspiriningestioncorrect
112..AAcorrect
Thoracicaortastartsfrom lowerborderofT4
113..correct
115..hydatiddisease
116..AA
117..correct
Hallmarkofaids=>progressiveimmunedeficiency
119..overdose=>alkalosis
Toxicity=>metabolicacidosisthencoma
120..correct
124..BB
126..AA
128..AA
129..correct
130..CC
Regressionanalysis
133.correct
135..EEE
136..correct
Psoasfascia
137..AA
138..S2,S3,S4shouldbehere.thencorrect
142..correct
145..correct
146..correct
T1-L2
148..correct
153..AAcorrect
155..BBcorrect
157..CCcorrect
158..correct
159..correct
160..correct
162..correct
163..AA
164..correct
165..DDcorrect
167..AAcorrect
Hypomagnesemia=>hypercalcemia
..severehypomagnesemia=>hypocalcemia
168..BB
169..BB
170..AAcorrect
171..BB
172..correct
173..correct
175..BB
176..somatosensorycontralateralloss
177.DDcorrect
178..proteins
179..candida
180..AA
185..DD
186..BB
188.BB
189..positiveculture
190..CC
Andmedullaryrays=>collectingduct
195..AA
200..BB
Restarecorrect
Page166OFALLINONEKOOLMEDICGOLDEN2BYDRM KALIM..
5april2016..
Medicine&alliedmorningsession
ErratabyDrnimraashraf
2..Bbcorrect
3..BBbcorrect
4..AAreferenceganong
5..BB>>AA
PreferBb
6..BB
7..spironolactoneispotassium sparingdiuretic
8..AA
9..AA
10..Aa
12..correct
Megaloblasticanemiascenerio
13..correctoptionmissing
Note..captoprilcauseshyperkalemia&inclevelofbradykininandinhibitsACEhence
Declevelofangiotensin2..
15..AA
16..correct
Drugofchoiceforactinobacterfamily
17..AA
18..AA
Antimotilityagentgivenintravelersdiarrhea
20..AA
21..AA
22..AA
Referencefirstaidcvschapter
23..scenerioleadstowegnergranulomatosisandHepBisassociatedwithPAN..
Seemsapoorrecallbcq
25..DD
26..BB
30..UMNlesion
43..pyruvate
44..Aaa
48..84%
Repeatedbcq
52..AA
Note..thyroglossaltractarisesfrom theforamencecum atthejunctionofanterior2/3and
posterior1/3rdoftongue..
Themostcommonlocationofthyroglossalcystismidlineorslightlyoffthemidlinebetween
theisthmusofthyroidandhyoidboneorjustabovethehyoidbone
53..CC
1stpartisintraperitoneal
3rdpartisnotrelatedtokidney
Andlength25-38cm
54..correct
56..bothcorrect
PreferAAheremorespecific
Bloodsupplybyuterine&ovarianartery
Lymphaticdrainage=>para-aorticlymphnodes
57..AA
58..itismiddlerectalartery
60..BB
61..CC
62..correct
63..correct
64..AAcorrect
65..rightmiddlelobe
66..utricle=>horizontalacceleration(incar)
Saccule=>verticalacceleration(elevator)
Semicircularcanal=>angularacceleration
68..AA
69..correct
70..AA
72..correct
Extensioninjury=>anteriorlongitudinalligamentruptured
Flexioninjury=>posteriorlongitudinalligamentruptured
74,75,76correct
77..BB
78..CC
79..CC
81..BB
82..chlamydiatrachomatis=>lymphogranulum venerum
83..AAbesthere
Supernormalperiodistheperiodjustbeforetherepolarizationandthisisthestageofrelative
refractoryperiod,cellsaremoresusceptibletoexcitation..evenasmallstimulican
excite,sympatheticstimulationshortenthisperiodcozofrapiddepolarizationand
repolarization.
86..CC
87..CC
89..AA
92..correct
101..correct
102..commoncarotidartery
Splitsintoexternalcarotidarteryandinternalcarotidarteryatupperborderofthyroid
cartilage,ataroundtheleveloffourthcervicalvertebra
109..correct
110..correct
112..BB
113..AA
118..correct
Readexplanation
122,123,124correct
126..correct
Hint..rectalprolapse
Repeatedmanytimes
127..cataractiscorrect
129..correct
130..correct
140..BBasim key
Ifpseudocholinesteraseinoption
Thatisbest
151,152,153,154,155allcorrect
159..Propylthiouracilcorrect
Potassium iodideusedinemergencyi.ethyroidstorm
Saturatedsolutionofpotassium iodidecanbeanemergencytreatmentforhyperthyroidism i.e
thyroidstorm ashighammountofpotassium iodidetemporarilysuppresssecreationof
thyroxinefrom thyroidgland...
Propylthiouracilinhibitstheenzymeperoxidase,whichnormallyactsinthyroidhormone
synthesis,byionizinganioniodidetoiodine...
Alsofacilitatesiodine'sadditiontotyrosineresiduesonthehormoneprecursorthyroglobulin.
Andthisisoneofessentialstepinthyroxinesynthesis.
AndPTUalsoactsbyinhibiting5-deiodinaseenzymewhichconvertsT4toT3..
160..BB
161..haldaneeffectleftshift
Bohreffectrightshift
164..secretinissecretedbyScellsofduodenum inresponsetogastricHCLsecretion
165..AA
168..AA
171..BB
174..CC
177.CC
Readexplanation
184..correct
185..CChere
Note..interstitialfluidincreaseswhen
1.inchydrostaticpressure(capillary)
2.lymphaticobstruction
186..AA
187..integrinandcadherinbothcausescelltocelladhesion
CCbesthere
Restarecorrect
SurgeryandAllied4thApril2016
EveningSessionbyNeelum Agha
Page181KoolMedicGOLDEN2BYDRM
KALIM
ErratabyDr.Qasim KhalidandDr.Sarah
4.A
18.Hpv
22.GIP
53.nainflux
67.14
74.A
PAPER2
1.CORRECT
6.POSITIVEbacterialculture
MorningbyUsmanDawarandMirKarim
Shah
Page189KoolMedicfileGOLDEN2BY
DRM KALIM
1.posteriorcircumflexhumeral
11.sympatheticnparabyinfhypogastricplexus.
43.acetazolamideiscarbonicanhydraseinhibitor.
53.Correct
78.wegnergranulomatosis
79.epithellium ofuterusnvaginabymesoderm
80.splenorenalligament.
83.accumulationofbloodlikhahuah.HEAMOPHILIAA.
84.SEPTUM TRANSVERSUM...
85.GLIOBLASTOMAMULTIFORME
86.A...
87.SECRETIN
88.CYSTICFIBROSIS
89.VARIABILITY
90.CISTERNOFAMBIENS.
91.stage|||s
92.LHactsonleydingcells
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---
MorningSessionByMirKarimshah
Page191KoolMedicFileGOLDEN2BY
DRM KALIM
Esophagealsphincterrelax.
Q.1.rtanswerismissing.whichisoccipitalartery.whichisoriginating
inparotidposttoextcarotidarteryndeeptopostdigastricmuscle
refrencerjlast
2..b
3.bloodnnervesupplyofbaseofbladderrsupninfvesicalarteriesless
contributionfrom uterinevaginalglutealobturatorarteries.nervesupply
viapelvicnsupninfhypogastricplexus.Urachusnmedialumblical
ligamentdrainfetalurinarybladder....from apexnotbase.
Rtoptionsrmissing
4.gallenveinalsoknownasgreatcerebralvein.liesunder
cerebrum.beneaththesplenium formedbytwointernalcerebralveins
5a5.axis
1stcervicalvertebraiscalledatlashasnobodynoprocess.
6.obturatornerve
7.cortexoptionmissing
8.posttibialnerve
9.supraspinatus
10.vagusnerve
11.Correct
12.A
13.A
14.A
15.ASciaticnervedivideintibialncommonfibularorperonealnerve
16.B
17.B
18.bhydrolyticenzymes
19.auriculotemporalnerve
20.Itisascenariothatwhenpostcervicallymphadenectomydone
whichstructuredamaged?
Spinalpartofaccessorynerve
22.leyding
23.splenorenalligament
24.maxillaydivisionoftrigeminalnerve
25.10to20valves
26.Calculatevitalcapacitywhilelungvolumeaftermaximum
inspirationis6Land1Laftermaximum expFRCIS3.5LandTVis
0.5L.
27.aspergillosisoptionmissing
28.a
29.BLOCALFACTORISINFECTION
30.BREASTDURINGPREGNANCYNLACTATION.B.LOBULAR
HYPERPLASIA
Gynea/Obs4thApril2016
EveningSessionbyAyesha
Khan
Page193KoolMedicfileGOLDEN2BY
DRM KALIM
ErratabyDr.Qasim Khalidand
Dr.Sarah
1.B
12.rtoptionismissing..antsymphysispubis.shortsubpubicangle
isfrom platyploidtypeofpelvis...
13.secondorderneuron
14.ureter
15.lobularhyperplasia
16.subsetofhodgkinlymphoma
17.vaginalfornixncervicalupperpart.
18.pacinianrabiaali1stquestionneurophysiology
19.interfereviaDNArepair
20.Cbc
21.OptionB
22.paraaorticlymphnodes
23.piechart
24.Riboflavin2C'sofB2.CHIELOSISNCORNEAL
VASCULARIZATION.
25.Pallegra
26.IDA
27.CBC
28.IDA
29.Stimulateproteinkinase
30.glutamate
31.cainurine....hyperparathyroidism
32.principalcellsofthyroid
33.SER
34.exotoxinspg125FALASTLINE.
35.B
36.coordinationofmovement
37.visceral
38.uretericbud
39.B
47.LFTS
48.exchangeofgeneticmaterialsinautosomes
49.B
50.beforeovulation3rdmonthoflife...
51.veins
52.uterosacral
53cryptococcuslymphocytespredominant
54.epiphysis
55.transversestriation
56.mononucleate
57..concentriclamellewalistem
58.cholinergic
59.nitrousoxide
60.HTLV...
59.B
62.B
64.B
80.roundligament
90.right
91.compactum nspongiosum
92.quartanmalariaPlAasmodium malaria
93.B
94.internaliliac
95.prolactininhibitoryhormone
96cheaptestpapsmear
97.showingpolyhydraminosduodenalatresia
98.CVStrisomy21
105.A
112.CNScushing.
127.B
146.stratifiedrandom sampling
145.hasvariance=1
151.luekitrienes
152radiationulcerendarteritisobliterans.
166...increaseICF
163...Alooksbest
163c...questionisaboutacththenansc....ifaboutcrhthenansis
a....correct
156A...
163a....Incacthlevelsinthevenousbloodofantpituitary
RadiologyPaper4thApril2016
MorningSessionbyGuleAnaab
DRM KALIM
2:ADH
20.A
26.correct
27:isefficacy
31:A
38:concentriclamella
41:A,lackofspinousprocess
48:Atransferases
49a...
53.rapidflowh..
1.A
71.hypochlorrmichypokalemicmetabolicalkalosissoansweris
hypokalemia...hionsarepreservedbykidneyatthexpenseof
pottasium ...72.pyloricstenosisinchildrencausethisalkalosis..
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Anesthesia4thApril2016
MorningSessionbyAlySamnani
DRM KALIM
2.C
3.lignocaine
6.hyosine
7.B
9.B
10.A
13.B
14.A
16.C
19.A
20.A
22.D
23.A
24.B
25.B
26.B
27.A
34.B
39.A
40.A
41.A
42.B
44.B
45.A
47.E
49.D
50.A
51.C
60.B
61.B
63.A
64.B
66.C
67.A
70.B
73.ethyeleneoxide
74.B
77.B
79.A
Radiology9thMay2016
EveningSessionbyBint-e-Adam
DRM KALIM
22.C
27.C
56.Inferiorlaryngealnerve
59.Uterineartery
70.C
72.C
73.C
75.C
77.A
91.C
94.B
95.A
96.B
98.C
101.B
102.A
103.C
104.A
105.A
106.triangularismuscle
107.C
108.A
109.A
110.A
111.A
112.A
113.D
114.B
117.C
118B
119.E
120.A
121.A
122.A
123.D
124.A
125.C
128.wheatbutifnotthancereals
129.D
130.A
31.A
132.A
133.A
134.A
135.A
136.A
137.A
138.A
140.B
141.C
142.B
143.D
144.C
145.A
146.B
147.A
148.A
149.B
150.A
151.A
152.A
146.B
147.A
148.A
149.B
153.D
154.C
155.A
157.A
158.Correct
159.A
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Medicineandallied9thMay
MorningSessionByHarisIqbal
DRM KALIM
ErrataByDr.Qasim KhalidandDr.Sarah
1.A
2.A
3.A
4.A
5.A
6.A
7.A
8.A
9.A
10. Differencebetweenmeasureanionandmeasuredcation
11. A
12. A
13. A
14. A
15. Aconfirmed
16. A
17. A
18. A
19. A
20. A
21. A
22. A
23. A
24. A
25. A
26. Bfibroblast
27. A
28. Abruxism
29. A
30. C
31. Abutremovepiafrom itthusthanoptioniscorrect
32. Thereisnoquestion
33. A
34. A
35. A
36. A
37. A
38. A
39. A
40. A
41. A
42. Clateralplatemesoderm
43. A
44. A
45. A
46. B
47. Ahiplocation
48. A
49. A
50. A
51. A
52. A
53. Birondeficiencyanemia
54. A
55. A
56. A
57. A
58. A
59. A
60. A
61. A
62. BNH3
63. A
64. A
65. A
66. A
67. A
68. A
69. A
70. A
71. A
72. A
73. A
74. B
75. A
76. A
77. A
78. A
79. A
80. Bliver
81. A
82. A
83. A
84. A
85. A
86. A
87. A
88. A
89. A
90. A
91. A
92. A
93. A
94. B
95. A
96. A
97. A
98. A
99. A
100.A
101.A
102.A
103.A
104.A
105.A
106.A
107.A
108.A
109.A
110.A
111.A
112.A
113.A
114.Amembraneblebs
115.A
116.Apmitral
117.A
118.A
119.A
120.A
121.A
122.A
123.Alysosomes
124.B
125.A
126.Connsyndrome
127.A
128.A
129.A
130.A
131.A
132.A
133.Cincreasepco2
134.A
135.A
136.A
137.A
138.A
139.A
140.C
141.A
142.A
143.A
144.A
145.B
146.A
147.A
148.A
149.A
150.Correct
151.A
152.A
153.A
154.A
155.Cmiddle
156.A
157.C
158.A
159.A
160.A
161.A
162.A
163.A
164.A
165.A
166.A
167.Bgenetic
168.A
169.A
170.A
171.Questionnostem
172.A
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---
Medicineandallied10May
Bydr.Ayeshatariq
DRM KALIM
ErratabyDr.Qasim KhalidandDr.
Sarah
1.Trisomy13
2.Copoisoning
3.Glucagon
4.Mediannerve
5.Leftvagus
6.Chiasma
7.Epitheliodcell
8.Smallcellcarcinoma
9.Cvpdecreased
10. Ligamentum arteriosum
11. Opticnervecompression
12. Abstinenceexcusefrom responsibility
13. 1mosom
14. Hunger
15. Anteriorpituitary
16. Epiphysealplate
17. Accessorynerve
18. Platysma
19. Firstpersonwhoseekmedicaladvice
20. Thereisnoquestion
21. Jugularvein
22. Tibilaisanteriorandposterior
23. Type4hypersensitivity
24. Type3
25. IgG
26. Abducent
27. Plateletadhesion
28. H/kpumpInhibition
29. Faintingduetodisputesofventriclestocontract
30. Papillaryreflex
31. Mucomycosis
32. Gaussiancurve
33. Renal>interlobular>arcuate>interlobular>
afferent>glomeruli
34. Hypothalamus
35. Duetodeccalcium leveltoform complexeswith
oxalate
36. Lossfunctiontoconvertrecentmemorytolong
term
37. CommonvariableimmunedeficiencyalsocalledB
celldeficiency
38. IgA
39. Phagocytosis
40. Opsonization
41. Diaphragm
42. Veins
43. Ecf
44. Embroynalca
45. Completeheartblock
46. Thiaminedeficiency
47. ClonchrisSinesis
48. Streppneumococcalvaccination
49. I.M adrenaline
50. Cytochromep450enzyme
51. Biliaryatresia
52. Increaseph
53. Plateletdefect
54. Lesionrighthemisection
55. Cea
56. Calcitonin
57. Rer
58. Thrombocytopenia
59. Aorticarch
60. Hypotension
61. Tonicclonicseizures
62. Alcohol
63. Alkalosis
64. i/vnitroprusside
65. Decfev1/fvc
66. hav
67. Increaseelasticrecoil
68. Pretrachealfascia
69. Cerebellopontineangle
70. Dectsh
71. Diphylobothrium latum
72. Aplasticanemia
73. Mca
74. Glossopharyngealnucleus
75. Indolaceticacid
76. Tcawithfluxetiene
77. Impairedglucosetolerance
78. Transferrin
79. Pivotjoint
80. Increaseskeletalmuscleflow
81. PCOD
82. Teratoma
83. Anteriorconcavity
84. Increaseco
85. Benzylpenicillin
86. Cloxacillin
87. Vancomycin
88. Dic
89. Dic
90. Notsaturable
91. Hyperplasia
92. Uterusinpregnancy
93. Supraspinatus
94. Increasecardiacoutput
95. Aorticstenosis
96. Epiphysis
97. Metasis
98. DegenerationofEcathedrin
99. SuperiorGluteal
100.Hyperplasticarteriosclerosis
101.Metaphase
102.Pulmonaryembolism
103.Vasoconstriction
104.Increasecardiacoutput
105.Lowerborderofrib
106.Nonsensefluent
107.108.
108.Aqueductofsylvius
109.Hyperphosphatemia
110.8weeks
111.Thrombophlebitis
112.Cysticduct
113.Mesoderm isextraembryonic
114.Endothelialinjury
115.Plasmacells
116.Aorticvalvelesion
117.Degradationofsubstantianigra
118.Ureaconcisgreaterindistalpctthanglomeruli
119.Clotpropagation
120.Angiopathyandneuropathy
121.Retrocecal
122.Increaselymphs
123.Monospottest
124.Anegative
125.Oxybutonin
126.Peforatedsubstance
127.Dececf
128.PCT
129.Myosin
130.OnlypatientallowedinEr
131.Pleuralpressureequaltoatmospheric
132.Pyrazinamide
133.Antiphospholipidantigen
134.Addissondisease
135.Normaliongap
136.Parietalcells
137.Pepsinogentopepsin
138.Branchofvagus
139.Sweatglands
140.Efficacyofdrug
141.Xxy
142.Antidsdna
143.Vasculitis
144.Hypoglycemia
145.Lymphocytes
146.Lymphocytes
147.Area4
148.Wheat
149.Fibriniodnecrosis
150.Mhc1
151.Codominance
152.Superiorapical
153.Smoking
154.Clchannels
155.Bowendisease
156.Ast
157.Calfmuscle
158.Tcelldepletion
159.Decestrogenincreasefshandlh
160.8nm
161.Sweat
162.Kawashikor
163.Golgicomplex
164.Sensitivity
165.Epicardium connectivetissue
166.Bloodlossfrom veins
167.Nobody
168.S2,s3,s4
169.Detrusormuscles
170.Facialnerve
171.Ldl
172.Adrenaline
173.Veminton
174.Sedation
175.176
176.Medialgroupofsuperficialinguinalnodes
177.Measles
179.Painfibers
180.Bradykinin
-----------------------------------------------------------------------------------
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MedicineandAllied11thMay
MorningbyUsmanDar
DRM KALIM
ErratabyDr.Qasim Khalidand
Dr.Sarah
1.A
2.Macrophages
3.Correct
4.X-linkedAgammaglobinemia
5.Correct
6.106degree
7.Correct
8.C
9.B
10. Correct
11. A
12. A
13. Correct
14. A
15. B
16. A
17. A
18. B
19. A
20. A
21. A
22. A
23. A
24. A
25. A
26. Botharecorrectinexam bothwontbe
togather
27.
28. A
29. A
30. A
31. Nephrogenicdiabetesinsipidus
32. A
33. Pelvicappendix
34. Correct
2.Inferioropthalmcvein
79.macrophages
128.optionmissing
141.ICAM &VCAM 1
157.parietalis&capsularis
165.carbonmonoxidepoisoning
Surgery9thMay
EveningbySyedArsalanAkbar
DRM KALIM
ErrataByDr.Qasim KhalidAndDr.Sarah
1.C
2.D
3.B
4.D
5.C
6.A
7.C
8.E
9.C
10. A
11. B
12. C
13. C
14. B
15. C
16. A
17. A
18. B
19. B
20. E
21. B
22. A
23. B
24. C
25. D
26. B
27. A
28. C
29. B
30. B
31. A
32. B
33. D
34. E
35. C
36. C
37. C
38. C
39. B
40. B
41. B
42. D
43. A
44. B
45. E
46. C
47. C
48. C
49. C
50. D
51. C
52. Correct
53. C
54. B
55. C
56. D
57. C
58. C
59. C
60. A
61. D
62. D
63. A
64. A
65. E
66. A
67. A
68. B
69. A
70. C
71. B
72. B
73. B
74. C
75. C
76. D
77. A
78. D
79. B
80. D
81. C
82. C
83. B
84. B
85. B
86. B
87. B
88. C
89. C
90. B
91. C
92. B
93. B
94. A
95. A
96. C
97. B
98. Noquestion
99. A
100.C
101.B
102.C
103.B
104.B
105.B
106.B
107.A
108.D
109.D
110.C
111.B
112.B
113.B
114.A
115.B
116.C
117.A
118.A
119.A
120.B
121.A
122.A
123.A
124.A
125.C
126.C
127.B
128.A
129.C
130.B
131.C
132.B
133.A
134.B
135.C
136.B
137.A
138.A
139.A
140.A
141.C
142.C
143.C
144.A
145.C
146.Oral
147.A
148.B
149.A
150.B
151.A
152.C
153.C
154.Otheroptionnoneofthese
155.A
156.B
157.A
158.A
159.A
160.C
161.A
162.C
163.B
164.?
165.?
166.A
167.A
168.A
169.A
170.B
171.A
172.B
173.C
174.A
175.B
176.C
177.C
178.B
179.C
180.C
181.C
182.D
183.B
184.D
185.C
186.C
Surgery10May
MorningsessionbyZiaUrRehman
DRM KALIM
ErrataByDr.Qasim KhalidandDr.Sarah
1.A
2.A
3.A
4.C
5.A
6.C
7.?
8.B
9.?
10. A
11. B
12. ?
13. ?
14. ?
15. C
16. C
17. A
18. A
19. D
20. C
21. B
22. E
23. ?
24. ?
25. ?
26. A
27. ?
28. A
29. A
30. ?
31. ?
32. ?
33. ?
34. Ulnarnerve
35. Ulnarartery
36. Longthoracicnerve
37. ?
46.ovariantumor,ascites,hydrothorax
49.B
3.B
4.D
5.Facialnerve
6.C1,C2,C3
7.Spinalpartofaccessorynerve
61.Biggerlobeofprostatethatmaybethequestionanditisposterior
lobe
63.Onchoresis
65.Superficialperonium
67.B
68.A
69.A
70.A
71.A
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----------
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----------
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10May2016GyneaandObs
EveningsessionbydrhayaSyed
DRM KALIM
ERRATAByDr.Qasim KhalidandDr.Sarah
8.A.
9.A
10. A
11. A
12. A
13. A
14. B
15. A
16. A
17. A
18. A
19. A
20. A
21. A
22. A
23. A
24. A
25. A
26. A
27. A
28. A
29. A
30. A
31. A
32. A
33. A
34. A
35. A
36. A.
37. A
38. A
39. A
40. A
41. A
42. A
43. A
44. A
45. A
46. A
47. A
48. A
49. Metaplasiaisreplacementorchangeinonetypeofcellto
anotherandisreversible
50. A
51. A
52. A
53. A
54. Thematernalmortalityratemmristheannualnumberof
femaledeathsper100000livebirthsfrom anycauserelatedtoor
aggravatedbypregnancyoritsmanagement(excludingaccidental
orincidental)
55. Prevalenceisdrasticallyconceptreferringtothenumberof
casesofthediseasethatarepresentinaparticularpopulationata
giventimewhereasincidencereferstothenumberofnewcases
thatdevelopinagivenperiodoftime.
56. Cohortstudydefinition
57. Incidenceasmentionedabove
52A
53.A
54.A
5355.A
54.A
55.B
56.A
63.Stratum compactum andspongiosum
64.Stratum functionalle
83.500mg
84.B
85.B
87.D
88.A
92.C
103.A
110.A
150.Ivroutefirst
Iv>transdermal>intramuscular>subcutaneous>rectal>oraland
inhalation
----------------------------------------------------------------------------------------------------
--
By Dr
KaLiM
ALLMYUPLOADSCANBE
SEARCHEDBYTHISTAG
#KOOLMEDIC
THISALLCOLLECTINGAND
COMPIISDONETOHELP
PlZDOHELPOTHER
MAYALLAHSHOWERHIS
BLESSINGSUPONUS
KEEPMEINURDUAS
DRMKALIM
DR M KALIM KOOL-MEDIC

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