Rabia Ali errata by Fazli Rashid.

(4th edition)

Dear Doctors,
Please note that this Errata is in addition to the one already made
by Dr.Amara Iftikhar. So I have also included Dr.Amara's Errata
in this file at the end. I have tried my best to answer all the
questions with wrong keys, but still there may be some questions
that needs to be corrected.

ANATOMY

Thorax
28. C (Nerve lies just behind the lower border of the rib)
29. B (VAN from above downwards, Ref Rj last)
51. key correct. (For adults its b/w 2nd and 3rd)
62. Add Right ventricle (Correct option missing)
114. C (A is wrong coz bronchopulmonary segment is not
. functional unit of lung, Functional unit is alveolar sac)
131. B
205. A (All others are attached to 12th rib, Ref RJ last.)
Upper limb
47. C true (Its cpsp key, In golden file CPSP demo Qs key is
Musculocutaneous which is wrong)
76. D (Cephalic vein continues as axillary vein, it does not drain
into axillary vein. and it starts from dorsal surface)
102. D ( Ref Netter)
119. C (Ref. Snell)
144. D (Tip of scapula lies at level with the spine of T7 and body of T8,
i.e T7 spine = T8 body, here T8 is correct Ref. Snell)

Lower limb
43. All wrong. Look for option E, If not then follow key.
44. B
Neck of femur= Medial and lateral circumflex
Head of femur in adults= Retinacular > medial and lateral circumflex
Head of femur in children= Obturator artery
Head of Humerus= Arcuate > Anterior circumflex humoral
Neck of humerous= Posterior circumflex humoral
112. B (Nerve is not among the contents of femoral sheath)

Abdomen
17. C > A
46. Arcuate line is also called linea semicircularis
53. A (B is wrong, Ref RJ last and Netter)
65. Correct answer is,
"Supraduodenal, Retroduodenal, Paraduodenal" (Ref. Rj last)
66. B (Right Gastroepiploic > Right Gastric)
127. Inferior Vena cava (Add option E. i.e IVC)
130. E
145. A (C is clearly wrong, Ref RJ last and Netter)
156. A (Ref Netter. U can see the ascending branch anterior to right
kidney. Bile duct is medial, not anterior, and there is no
intraduodenal bile duct, its ampulla of vater which is
intraduodenal)
165. B
172. All wrong, Click option E
220. B (Splenic artery is not an end artery, its branches inside the
spleen are end arteries.)
222. B
236. D (If splenic artery is blocked by the tumor then Short gastric arteries
will receive blood from Left gastoepiploic, which will receive blood from
Right gastroepiploic, a branch of Gastroduodenal artery. Pancreatica
magna is the last one in series, moreover it can be directly affected by the
tumor)
Pelvis and Perineum
34. D (It covers testes and part of epididymus, so A is wrong)
104. B (Its just like the MCQ which asks about the site of urine
accumulation in rupture of penile urethra. Here its Blood which will go to
scrotum and perenial region)

Head and Neck

6. C (See dermatomes in Netter. Ans should be C3 C4. Here optoin C is
most appropriate)
58. D Ref. Last
76. Add Superior oblique. Trochlear nerve supplies contralateral S.O
79. D (Bells palsy is idiopathic.There is no lesion in Bell's palsy. If
there is lesion then its not Bell's)
107. Typing mistake. Option C and D are similar. Correct option is
"Posterior to RLN and cranial to ITA"
129. A (Posterior Cricoarytenoid is the only abductor of vocal cord/
ligament and is the most important muscle of the body)
151. C (Internal jugular is lateral to carotid artery)
153. None of the above. (Cervical part of internal carotid has no
branches)
163. E (Ref Netter and RJ last)
165. D All others are true
207. Chorda tympani > Lesser petrosal
213. B,
230. E (C is wrong coz sternocleidomastoid is covered by investing layer
of Deep cervical fascia)

Back and Vertebral column

4. B

Neuroanatomy
11. B (Prolactinoma may extend posteriorly and damage posterior part
of optic chiasm and adjoining area of optic tract leading to homnymous
heminopia plus defect depending upon the part of optic chiasm that is
invloved. Ref. A big article on Google. Dont waste ur time searching for
it)
148. A
187. D Ref. First Aid (Diagram)
244. Add Dorsal Nucleus
259. Add Sensory ataxia

Histology
27. Correct sequence is "Renal artery > Segmental > interlobar > Arcuate
> Interlobular > Afferent > Golmerulus > Efferent."
58. A (E wrong, Once monocytes leave the circulation, they can never
re-enter)
76. E (A wrong, Brush border contains antibodies which protects
epithelium. If epithelium is damaged, digestion will be impaired)
86. D
Embryology
57. D (A is wrong, Notochord does not form neural tube, it induces the
overlying ectoderm to form neural tube)
139. C
164. C

PHYSIOLOGY
Cell and General
23. B CPSP key
Nerve and Muscle
20. B (key correct)
50. A (CPSP)
48. E (RMP Maintenance by Na/K pump. Achieved by K efflux)
Blood
4. D
20. A (key correct, Inheritance is autosomal dominant)
39. B (Indirect Coomb's test)
CVS
24. A
40. B
49. A
77. B (If HR is incresed it will allow less time for ventricles to fill with
blood, as a result EDV will be decreased)
88. Increased pulmonary Vessel compliance. During deep inspiration
venous return to right heart increases while to the left heart it decreases.
CO decreases as a result of dec venous return to left heart.
114. A (Ref Ganong. Peripheral chemoreceptors respond to inc H+ and
dec O2. Central chemorecptors respond to inc CO2 indirectly via
increasing interstitial fluid H+.)
201. Decreased vasomotor tone (Patient has taken alpha blockers which
decreases vasomotor tone leading to reflex tachycardia). D is wrong coz
Increased vasomotor tone does not increase HR, Increased sympatheteic
does. Another point to remember is that Barorecptors increases firing
rate in hypERtension, and dec in hypotension. Inc firing rate will dec HR.

Neurophysiology
6. D (Tactile 2 point discrimination = Merkel's disc,
2 point discrimination = Messiner's corpuscle)
28. B
37. C
90. B (Key correct)
120. A (Golgi tendons are present at the "junction of muscle fibers and
tendons". E is wrong coz its statement is correct.i.e It has a high
threshold. It is stimulated only at high pressure)
131. A
153. B (15% people are Left handed. among them 8% are left
hemisphere dominant and 7% r right hemisphere dominant.)
162. D Semicircular canals = angular acceleration.
Utricle = linear acceleration
Saccule = vertical acceleration

Endocrionolgy
55. Key correct
78. C (Some say Its D, as the main disturbance is insulin defeciency)
97. A
140. A
144. B (TSH have no Iodine)
152. C ( Here Thyroid hormones are in excess. TRH is low coz of
negative feedback and so TSH is also low. If u give TRH, TSH will
increase which will further increase thyroid hormones. So primary
problem is in thyroid gland.)
171. B
135. A (Oxytocin increases intramammary pressure by inducing
contraction of the myoepithelial cells and thus aids in the secretion of
milk from the mammary glands. Ref...ncbi.com
Oxytocin does not directly cause dilation of cervix)

Reproduction
10. B
15. B
17.C
19. A (Pernicious is wrong coz the cause of perniciuos anemia is
autoimmune destruction of Gastric parietal cells, not gastrectomy. Ref
Ganong. If B12 def in options then thats correct. but thats another
MCQ. Here Iron defeciency is correct.)
48. B (Bile salts will be reabsorbed from the remaining ileum.)
50. B key correct

GIT
6. B
101. D

Respiration
34. B (If perfusion > ventilation then Shunt is correct)
44. C (In anemia total O2 content is decreased but PO2 is normal so there
is no effect on Respiratiory rate and alveolar ventilation. Ref. First Aid)
69. A (Normally Alveolar PO2 is less than Atmospheric PO2 because
O2 from alveoli diffuse into pulmonry cappilaries. In embolism there is
no blood in cappilaries leading to decreased diffusion of O2 from alveoli
to cappilaries and so Inc Alveolar PO2 level. Pulmonary artery CO2 may
be decreased in early stages of pulmonary embolism, Coz of high
ventilation as CO2 can more easily diffuse as compared to O2)
72. Add "High altitude" (Asim and Shoaib)
77. C

Kidney and body fluids

9. B (Ref WHO criteria "A handbook of fluid resuciation"........... 3
times normal saline or 3 times R/L. e.g If 1 litre blood is lost it should be
replaced by 3 litres N/S or R/L)
34. A (Urea is readily diffusable, so there is no defference between
plasma levels and glomerular filtrate)
50. D (hydrostatic pressure has nothing to do with permeability)
53. Glomerulus (Its a scenario of glemerulonephritis)
133. A (Pancreatic fistula will lead to loss of HCO3 to the small
intestine, and will lead to metabolic acidosis. Chronic hypoventilation
will lead to respiratory acidosis causing compensatory metabolic
alkalosis)

Metabolism, temperature
38. C (Brain can also use ketone bodies)

PATHOLOGY
General
Cell injury
2. D (Myelin figures are present in both reversible and irreversible
injury. Ref. Robbin. Mitochondrial shrinkage is NOT associated with
irreversible injury, You will never see mitochondrial shrinkage in any
book. It ocurrs in apoptosis) D is chandkian key too.
9. Same as Q# 2
55. D (Ref. Atlas of histopathology)
71. D (Dry Gangrene. TB is caseous necrosis)
76. C
78. Giant cells (Foreign body granuloma. Ref Goljan)
112. D

Inflammation
2. C
24. D
36. C (Thrombosis is not a part of inflammation. A is wrong coz AA
metabolites are potent chemoattractants. Ref BRS)
44. A (The first response to injury is local vasoconstriction which is
mediated by serotonin)
51. Both B and D (Ref, Goljan. follow key)
Hemodynamic Disorders
3. B (C wrong coz its a scenario of venous thrombosis and endothelial
injury does not ocurr in venous thrombosis, Venous
thrombosis = Endothelial injury and hypercoaguability Ref. Goljan)
46. D
63. D Ref. FA
66. B (ANA is non specific but vasculitis is much more non specefic)

Immune system
36. D
81. D
104. E ("Hairy leukoplakia" is associated with AIDS and is caused by
EBV but the term "leukoplakia" means Idiopathic white patches. the word
idiopathic differentiates it from hairy leukoplakia. i.e Hairy leukoplakia is
not a form of Leukoplakia. AIDS is associated with Squamous cell Ca of
Anus, so SCC is wrong)
132. A (Selective IgA defeciency)
Neoplasia
31. A
Tissue and wound repair
12. A (Mature scar contains more collagen type 1 and cross linked
collagen)
14. A (Ref. Robbin and FA.) During healing Collagen type 3 appears
which is then replaced by Collagen type 1. Type 1 has more tensile
strength. Remember that wound healing lasts for months. After 3rd week
or so, collagen type 1 starts appearing in the scar.
33. A ( RBCs can never reproduce coz they lack nucleus, 0% chance.
however they can regenerate from bone marrow. Neurons, skeletal
muscle and smooth muscles reproduce in tumors e.g Neuroma,
Rhambdomyoma, Leimyoma respectively. Neurons can regenarate but
cannot reproduce)

Special pathology
Blood
116. D
145. D (PGI2 is platelet inhibitor. Ref BRS)
174. D

CVS
33. C (tamponade = 3 to 14 days post MI)
34. C (LDH starts rising after 24 hours)
42. D All others are 100% true about PDA. ECG is often normal. It may
be (Not usually) abnormal.
73. C

GIT
14. All wrong. Click option E ( In achalasia cardia there is dec number of
ganglion cells of myenteric plexus, not of vagus.)
60. A (Primary carcinoid tumors of lung produces carcinoid syndrome
without mets to liver. Ref Robbins) B is wrong coz its statement is true. i.e
Carcinoid tumors may be primarily present in lungs. The word
"primarily" here means Primary tumors.
72. C
Respiration
1. B (Characteristic diagnostic feature is Non caseating granuloma, Ref.
Robbins. Asteroid bodies are sometimes present but they are not
diagnostic)
35. C
36. A

Renal
31. B (Nephritic = Salt retention. Nephrotic= Hypoalbuminemia)
48. B (Smoking > Aromatic amines)
49. A
55. B (If dec capillary oncotic pressure is in options, click it)

Bone and Soft tissue

6. C
15. C (if leukocyte more than 50,000 its septic arthritis. Ref Kaplan
medicine)
20. C

Skin
6. C

Endocrinology
42. A
Reproduction
18. B
Microbiology
99. C (C.tetani secrete tetanus toxin, which is exotoxin)
199. E
139. D (Acellular vaccine does not prevent infection. Ref. Google)
174. A (Toxin goes up along the nerve i.e Ascending. Ref Google)
177. B (This test primarily detects patient's sensitivity to TB) A is wrong
coz it can also be positive in present infection.
305. B (Ref MRS Microbiology)

Pharmacology
90. B
102. A
129. C (Beta blockers worsen vasospastic angina)
162. A
268. A
270. E (Vancomycin kills Clostridium difficiles and is used in the
treatment of pseudomembranous colitis Ref MRS micro..)
277. B
367. A
441. B

Biochemistry
34. E
36. C (Human liver can make its own carbohydrates from lipids and
proteins via gluconeogenesis. While it cannot make essential aminoacids
and fatty acids)
87. A (Histamine is amide, Its not amino acid. GABA is considered amino
acid by non medical professionals)

Biostatistics
54. D (Euphoria= A feeling of well being or elation. ref. English
dictionary definition)
-----------------------------By Fazli Rashid-------------------------------
 Dr. AMARA'S Errata

RABIA ALI 4TH Edition Errata

note:Correct is written in front of those BCQs which were
having wrong answeres in 3rd Ed,but are now having right
answeres in 4th Ed.I have added those corrected ques and
mentioned CPSP keys in errata so that you dont waste time in
finding and changing their keys.Complete word is written in
front of the topics whose errata is almost complete(no more
wrong ques) as far as I could compile from searching of
finalized discussion keys of seniors and admins of this
group,books,google etc.But topics not having complete in
front of them may have some other BCQs besides those in
errata with wrong keys.Human errors are possible and
accepted.Seniors are welcomed to find mistakes and correct
them!take it as a pay back to group esp gynae people Im
emphasizing that anatomy and embryo is the key to success
for you!!remember me in dua,thanks.
ANATOMY(DETAILED AND ALMOST COMPLETE)
GENERAL{complete}:-
31---- D
62----B
THORAX{complete} :-
18----A(CPSP key)
22----C
29----A
43----A
79----B
157----D
103----C
118----B
135----A
140----A
164----D(asim key,other all are good alternate drain systems)
194----B(CPSP key)
211----B
212----B(most common type A b/w L1 & L2)
215----all are true
216----D(CPSP key)
UPPER LIMB{complete}:-
93----B(key is correct;admins)
122----A(75% drain)
152----A
LOWER LIMB{complete}:-
15----A(if put except in statement then ans C)
64----B
67----E
69----D
93----D(adductor longus is in medial compartment of thigh)
94----B(add except in statement)
119----C
ABDOMEN{complete}:-
29----B
96----D(first aid)
99----B
102----B
117----B
142----change statement to not lying anterior
165----B(asim key)
167----B
204----D(drain into left common iliac)
218----C
229----B
234----C
PELVIS AND PERINEUM{complete}:-
22----A
65----D
70----A(CPSP key)
71----C
88----add to statement pain in lumbar region after
hysterectomy(past paper q)
106----C(correct)
116----in statement BISHOP score
127----change internal carotid to internal iliac artery in
statement
143----D
147----D(fascia present between prostat,urinary bladder and
rectum)
158----A
HEAD AND NECK:-
5----C
9----C
23----A
29----A(superficial middle cerebral vein directly drains into
cavernous sinus and deep middle cerebral vein finally drains
into straight sinus)
40----B
86----D(separate bone)key is correct
92----B
128----E
BACK AND VERTEBRAL COLUMN{complte}:-
2----A
9----B(asim key)
NEUROANATOMY{complete}:-
35,46----A+B(follow key)
54----if LMN type ans is A;if UMN type ans is B
64----B
71----C
86----C
92----C
109----B
161----C
168----C
222----E
226----E
229----C
230----A
233----A
256----change stem in A spinal nerves ans is C
266----A(reflexes normal)
267----B 268----complete statement by add angle of mouth
deviated to(if towards left ans is internal capsule or if deviation
to right then ans is pons)
277----C(CPSP key)
281----D
282----C
283----C
285----B
HISTOLOGY{complete}:-
9----B(CPSP key)
19----A(CPSP key)
25----A
38----A
45----B(most common in sigmoid)
51----D
57----C
69----B
EMBRYOLOGY{complete}:-
47----D(asim key)
53----C
54----C
68----A
80----B
97----C(if except added in statement then ans is D)
106----D(asim key)
108----A
123----D
139----B(if stem C is non union of metanphros and ureteric bud
then select C)
146----all wrong(ans is after 14 weeks or 14-18 wks)
147----A
148----A
154----A(CPSP key)
155----B(CPSP key)
156----C(CPSP key)
172----(pouch derivative is palatine tonsillar crypt epithelium
and arch derivative is stylohoid;change in statement Pouch to
arch,ans is B)
173----A(ratheke pouch related to ant pituitary,foramen cecum
related to thyroid)
179----A+B(follow key)
180----D
PHYSIOLOGY:-
CELL AND GENERAL:-
40----B
50----A
62----C
65----C
NERVE AND MUSCLE:-
29----A(correct)
46----A
BLOOD:-
7----D(correct)
85----B
CVS:-
1----add option E (slow ejection phase) ans is E
7----A
130----A(if systemic BP less than 50 then CNS ischemic
response)
149----E
163----B
166----C
NEUROPHYSIOLOGY:-
40----A
116----D
81----A(correct)
155----B
166----A
171----B
215----B
ENDOCRINOLOGY:-
18----C
127----B(correct)
REPRODUCTION:-
43----D
70----D
73----A
GIT:-
42----A(correct)
64----E(correct)
RESPIRATION:-
32----B(correct)
46----B(correct)
62----C
KIDNEY AND BODY FLUIDS:-
13----B+C (B ans)
18----A(correct)
28----A
49----C(key correct)
71----D
88----A(key correct)
92----C
108----D(CPSP key)
130----C(correct)
147----B
156----A
163----C
METABOLISM AND TEMPERATURE:-
19----C
20----D
22----A
23----A
25----B
26----D
28----A
37----D
39----A
GENERAL PATHOLOGY
CELL INJURY:-
51----A(correct)
57----D(CPSP key)
58----D(correct)
INFLAMMATION:-
28----E(in acute implant neutrophils,in chronic giant cells)
42----D
78----A
HEMODYNAMIC DISORDER:-
2----B(correct)
17----A
21----wrong BCQ
24----D(correct)
56----A
59----A(correct)
60----B(correct)
IMMUNE SYSTEM:-
27----C
88----D
115----C
121----A(correct)
122----B(correct)
131----A
136----A
GENETICS:-
32----A(some say B is cpsp key,if u find follow it)
49----B
ENVIRONMENT AND NUTRITION:-
13----A
14----B
24----D(correct)
40----A
NEOPLASIA:-
24----A
47----E
53----B
54----A
TISSUE AND WOUND REPAIR:-
19----B
SPECIAL PATHOLOGY:
BLOOD:-
12----A(correct)
85----A+D(follow key)
92----A(correct)
132----A(most appropriate initial investigation)
138----A
156----E
163----D(correct)
178----A
196----D
CVS:-
20----A(CPSP key)
68----E(CPSP key)
GIT:-
31----B(correct)
34----E
82----B
RESPIRATION:-
18----B
48----B
49----A
BONE AND SOFT TISSUES:-
2----D
RENAL:-
20----A(correct)
46----A(correct)
SKIN:-
8----D
9----B
10----A
11----A
12----A
13----B
14----C
15----B
16----A
17----A (all these ans 8 to 17 are correct)
NEUROPATHOLOGY:-
12----D
ENDOCRINOLOGY:-
23----C(correct)
42----D
59----D
60----D
62----B
REPRODUCTION:-
10----A(correct)
22----B(correct)
46----A
MICROBIOLOGY:-
5----A(correct)
31----C(If only herpes virus in option then choose hep D)
73----C
76----D
95----C(correct)
122----B
129----C(correct)
185----C(correct)
208----A(correct)
209----A(correct)
252----A
253----D(CPSP key)
289----D
325----A
326----C
PHARMACOLOGY:-
45----A(correct)
46----D
49----C
57----B
61----B
66----D
75----A
105----A(correct)
141----D
167----B
246----B
247----A(correct)
278----C
288----A+B(follow key)
301----add except in statement ans is D
305----D
445----A
BIOCHEMISTRY{complete}:-
8----A(correct)
25----D(CPSP key)
27----A
32----A(content is starch,compound is ATP)
34----E
BIOSTATISTICS{complete}:-
2----B
4----C
5----A(correct)
8----D
25----C
50----A(correct)
53----C
54----D
56----A
57----C
60----A
!!!---BEST OF LUCK--- !!!

DR.AMARA IFTIKHAR