SK – Pearl (All February Papers - 2020)

Med 2nd shift 25 02 20

1. HIV confirmatory test...westren blot

2. Conductive aphasia = lesion in arcuate fasciculus
3. Pulmonary varix is.. ..B-drains into left atrium
4. First line of drug of GCT ..... Topiramite
5. Unsaturated fatty acids are present in =soybean
6. Which drug increase diazepam effect ......Fentanyl
7. Nasopharyngeal carcinoma = EBV
8. Fungus that invade rhiosinusitis or cause thrombosis... mucormycosis
9. Abg pH 7.5, pCo2 40, hco3 30....MA
10. Neurosecratory hormone =nerve endings
11. Cell in acute cellular rejection...lympho (not confirmed)
12. Granuloma without caseous...sarcodiosis
13. Most resistant organ to rejection tranplant....kidney nd liver
14. Cell indices in CRF PATIENT .... Rbc 3 2 mcv 92 mch 30
15. Cause of sec aldosteronism in chronic alcoholic... renin
16. Transfusion reaction will occur if A positive is transfused by .....Ab-
17. Thyroiglobulin secreted by which cells = follicular cells
18. Anterior inferior cerebellar artery branch of...basilar artery
19. Clavical break at which part ..... Middle 2 3rd nd lateral 1 3rd
20. Most radiosensitive tumor =lymph nodes
21. 5 month pregnant lady with hyperthyroidism =methimazole
22. Conus medullaris.... at lower end of L1
23. Lesion of medullary branch of vertebral artery..... ., ipsilteral tongue paralysis.,
contralateral hemiplegua, Ipsilateral tactile loss
24. Burkit lymphoma =c-myc translocation
25. Blood supply... Middle third of esophagus....Descending thoracic aorta
26. total body water = antipyrine
27. Patient with ptosis diplopia mydriadis which cranial nerve =occulomotor
28. thiazide diuretic causes ... hypokalemia
29. richest source of vit K......green vegetables
30. chromatids formation in which phase?....prophase
31. pudendal nerve block....Ischial spine
32. UMN LESION WHAT WILL HAPPEN... ⬆️⬆️⬆️⬆️exagurate reflex
33. Chorea caused due to lesion of ......Corpus striatum
34. gynecomastia, undeveloped testes, xxy... klienfilters
35. 3 months baby, hydrocephalus? ....stenosis of aqueduct
36. Autoregulation of renal blood flow at what MEAN ARTERIAL BLOOD PRESSURE .... 80 -
120
37. Male having gynecomastia ., and incapable to errect. HyperProlactin
38. DKA scenario and asked about active buffer ?...... bicarbonate
39. What will be normal in restrictive lung disease?....fev/fvc
40. For penile errectile tissue dysfunction.... Alpha adrenergic
41. pancreatitis than fluid in peritonium what type of necrosis?....fat necrosis
42. -girl in from poor family frontal bossing ,leg bowing,pectus excavatum......-vit d
deficiency
43. maximum cross sectional area = capillaries
 SK – Pearl (All February Papers - 2020)

44. Kidney stone due to oxalic glycoxalic which amino acid? Glycin
45. pt has to go through operation (anaesthesia) and normal antiemetic not working which
antiemetic will u give ....odansetron
46. which hormone will be in normal level during pregnancy...gh
47. Hematocrit =erythrocytes
48. Secondary polycythemia =Inc RBC mass
49. thyroglobulin is formed by which cells....follicular
50. Billiary Colic / Stenosis which enzymes will be raised...alp
51. Bp regulation is not maintaining which feedback mechanism is not working properly
=negative
52. lambert eaton sydrome = antibodies against ca channels
53. Femoral.hernia pass in thigh behind the following...., inguinal ligament
54. greenish pus coming from operated wound.....pseudomonas
55. Sq cell carcinamo of bladder ...schistosoma haematobium
56. On opp poisoning...ans atropine
57. In pheochromocytoma before Surgry??...both alpha nd beta
58. P r interval prolong .....Av nodal Delay
59. Ant relation of hilum of Rt kidney =2nd part of duodenum
60. Death on 8th day post MI = cardiac temponade
61. History of diarrhea donut cyst = cryptosporoidosis
62. extra chromosome durind meiosis = trisomy
63. Clavicle fracture ....Lateral 1/3 medial 2/3
64. supine to standing position what will increase?...heart rate
65. Scenario 80 year old 1 episode of high bp and sleep disturbance what is the cause of
high bp,.... Dec aortic compliance
66. Berry aneurysm ,tunica is not present ....aortic dissection
67. difference between primary and secondary wound healing....wound contraction
68. Cardidopa is given with levodopa on which enzyme it acts......dopa decarboxylase
69. Subclavian +internal jugular vein =brachiocephalic vein
70. Parasympathetic =pelvic splenchnic
71. True about Lt kidney: brush border on pct, post tail of pancreas,(not cinfirmed😔😔)
72. Spore forming back...clostridia
73. Burkit lymphoma = c myc trancription
74. Lesion T7 =contralateral loss of pain and temp
75. Scenario on pancreatitis and asked about necrosis= fat necrosis
76. High frequency sound base of basiler = oval window
77. Muscle which stablize knee originate from femur= vastus lateralis
78. type 1DM girl with persistent morning hyperglycemia
79. what will u give .....- intermediate acting insulin twice a day
80. Scenario on post thyroidectomy numbness = hypocalcemic tatany
81. Scenerio on atrial fib with stroke option = emboli
82. Scenerio give feature of amyloidosis... multiple myeloma
83. In which phase of of cell cycle choramatids arranged in parallel...Prophase
84. Bronchopulmonary segment....Terminal bronchus
85. Serous demilunes?... parotid
86. Dopaminergic neurons form....Substantia nigra.
87. Indole acetic acid inc in which disease....Carcinoid
88. True about muscle....Have fleshy belly
 SK – Pearl (All February Papers - 2020)

89. Ek p53 mutated = cell survival

90. Hyperkalemia cause = exercise
91. Delayd act of insulin ....., protein synthesis
92. Lady has menstrual cycle of 29 days ovulation occur at which day ...14
93. Thirst is caused by...... ecf depletion
94. Admistration of glucocorticoids cause .....Peripheral glucose uptake into cells
95. Person had dec motivation or emotions and talks excessive but doesnt make
sense,lesion at.....Temporal
96. Conduction aphasia= arcuate
97. on Duchene muscular dystrophy... Xlinked reccesive
98. defecation after feed = gastrocolic reflex
99. Exogenous agent which cause alteration of protoncogene= virus Ionizing radiation
100. Drug receptor interaction... bradycardia by labetolol
101. Senerio on non com hydroceph.... Stenosis od aqueduct of sylvius
102. Graves disease scenerio what will dec ...tsh
103. cimitidine ..... dec hepatic metabolism
104. Warfarin toxicity antidote = vit k
105. Neck swelling to SCM muscle superficial vein =external jugular vein
106. Brachial cleft cyst within lateral neck,, ant to sternoeidomastoid muscle = 2nd cleft
107. Bone with no muscles are attached = talus
108. Grading =degree of cellular diiferentiation
109. Hepatocellular carcinoma =AFP
110. Anticoagulant is contraindicated in which condition.....
111. Child with recurrent infections which physiological antibody is missing...Iga
112. No anemia no history of CO poisoning type of hypoxia = hypoxic hypoxia
113. A person win a race competition after cross point ......Inc glucagon dec insulin
114. Ameobic liver absess..diagnose by...serology
115. Selective beta blocker drug?... atenolol
116. Hydroxyindoleacetic is present in urine it is present in which disorder... Carcinoid
117. Breast implants after 2 yrs leakage of breast material breast feels heavy signs of
acute inflammation cells present....Giant cells
118. Sperm partialy motile....Epididymous
119. Cholesterol = LDL
120. Which of the following types of drugs will have maximum oral
bioavailability....Largely hydrophobic, yet soluble in aqueous solutions
121. Exit from jugular foramen ECA is related to? ICA
122. Stimulation of gastric acid secretion = proteins
123. Thirst is increased by=angiotensin 2
124. Cause of edema in known case of IHD and hypertension.....Inc hydrostatic
125. oxidases found in....Peroxidases
126. True about smooth muscles = inner circular outer longitudinal
127. Patient with raised BP which part of kidney = JG cells
128. 3rd heart sound = rushing of blood rapidly in ventricle
129. Hyperplasia of lymphoid...Leshmaniasis.
 SK – Pearl (All February Papers - 2020)

Gynae morning shift 26 02 20

1. Adrogenital syndrome urine contains wat composition?

2. Ureter develops from....endo
3. Paramesonephric remanant in males apendix ,testis(not cinfirmed)
4. Bladder epithelium develops from ....meso plus endo
5. Muscle insertion close to corneal limbus...medial rectus
6. Fetal monitoring continuously by....fetal scalp electrode
7. Fetal monotoring with....least false positive CTG
8. Spermiogenisis takes place by... FsH nd testosterone
9. Antepartum fetal monitoring = biophysical profile
10. Hymen epithelium... stratified sq epithelium
11. Terminal bronchioles epithelium..... pseudostartified non goblet type
12. Boy with 2 week hx of high grade fever epistaxis echymosis hb 5.6 wbc 10*109 platelets
20000 diagnsos aplastic anemia dengue fever .....Virus hemargic fever,Aml ,All✔
13. Mchc raised,hb decrese peripheral smera.....spherocyte
14. Local anesthetic cross placenta through ...passive diffusion
15. Airborne transmission... anthrax
16. Anthrax most common finding ....skin lesion
17. Ovary lymh nodes..... para aortic
18. Ca cervix lymph nodes... internal
19. Grading is...type of cell
20. Failure rate of iucd....Less than 1
21. Infant lateral side stimulate with deep stimulus what happened .....dorsiflexion of big toe
22. Vit c def....
23. Thaimine deficinecy... peripheral neuritis
24. Artrry damage in ovarian fossa =internak illiac
25. Ureter most commonly injured ...At pelvic brim
26. Bulbourethral glands part of...deep
27. cervix at itroutis ligament damage is...uterosacral
28. Muscel cut in mediolateral epi.... Bulbospongiosus
29. Inciscal hernia first layer it will take out along... transversalis fascia
30. Ducheme muscluar dystrophy which protein is defective...dystrophin
31. Maternal inheritane.... dna
32. Qualitative gene mutation...
33. Propanaol work as treatment of hyperthyroidism mechanism... beta blocker
34. Half life 10 hours how much time to reach steady state......
35. Left side umn of uper lime left face and left hemonimyous hemianopia lesion.....forebrain
36. Percent of o blood group in population..47%
37. Most common non obstetric cause of death.... domestic voilence
38. Amenia stools having eggs xd is....Ancylostoma
39. Leukemia pt chemotherapy done which organism cause oral infect .... Candida
40. Mid value in upper and lower limit is called ...median
41. OT temperature r body heat,how to represent relation....heat stroke
42. Decrease sympathetic stimution, cause shock, leision, cause>>>> decrease tone
43. 6 yr girl microcytic anemia....Thalasemia trait
44. High karypynotic index indicate ....Cervical dypasia
45. Parasympathetic effect with exception of sweat gland ..increase secretion
 SK – Pearl (All February Papers - 2020)

46. Epinephrine decreases....Cutaneous dilation

47. corpus Luteum can be maintained by ... Endogenous hcg
48. Dec in pregnancy...Arteriovenous gradiant
49. APTT 60 sec, pt 40sec, bt 6min,With epistaxis... decrease platelet..
50. Pallegra is caused by deficeinecy of..niacin
51. True hermaphrodite genotype ...
52. At 5 mnt of gestation hyperthyroidism.. What is appropriate treatment....Propylthioracil
53. Graves disease antibodies...antibodies against tsh receptors
54. Ureter derived from...Endoderm
55. Renal column contains....Interlobar artery
56. Most close to crus cerebri...substansia nigra
57. bromocripne is.... d2 agonist
58. Senerio was about decrease milk production after delivery defect in which structure..
pitutary
59. Hydrothiazide causes...Hypokalema
60. short acting hypoglycemic.... tolbutamide
61. Blood supply of apix of heart ...lad (not confirmed😔)
62. Star shaped lumen...ureter
63. karyopyknotic index increase in... cervical dysplasia
64. Decrease lymph flow due to increase... oncotic pressure
65. Surgery of some orbital structure done after that fever and inflaamtion and inc neutrophilss
shock then died after few days ..... edotoxemia
66. Difference of carbohydrates metabolism in pregnant and non pregnant....hypoinsulemia
67. Carbohydrates cant metabolize mutation of which enzyme....Lactase
68. Which has more oxygen saturation durinh fetal life... umbilical vein
69. Neural folds se derivative.....endocardial cushions
70. Ant relation of internal jugular vein at its exit from foramen....Int. Carotid artry
71. At erect position Level of body of hyoid bone...c3
72. Condyloma acuminatum...hpv
73. Blood supply of stylohyoid bone....
74. Cauliflower lesions on perinael region causitive org....Hpv
75. Softening of cervix...prostaglandin
76. peripheral smear contain which type of cell were....Spherocytes
77. 3rd ventricle posterior relation .....
78. Internal oblique aponeu foam.... conjoint tendon
79. Pre eclampsia case how to control bp on ot table... Hydralazine
80. Gastric ulcer aur megaloblastic anemia....Iv vit b12
81. Left renal artery anterior to ...aorta
82. Lymph draimgae of medial quadrant of breast....Internal thoracic
83. Testicular sweeling..... lymphoma
84. Pregnent women fever with rigors m chills vaginal watery discharge....Chorio
85. Drug of choice for post op pain in asthmatic patient..... ketorolac
86. PDA close...indomethacin
87. Longest incubation period of which mosquito specie... f malaria
88. Renin secretion inhibited by...angiotensin
89. Fsh inhibitor....Inhibin
90. Which stimulate spermiogenesis.... Testosterone
91. Lambert Eaton ...
 SK – Pearl (All February Papers - 2020)

92. Skeletal muscle abnormality.... achondroplasia

93. Severe Diarrhea and Dehydration normal hco3 ,low cl,k,na....metabolic acidosis
94. Howships lacunae,...Osteoclast
95. Patient came with state of shock which drug given ...dopamine
96. 3rd ventricle connects with which opening..
97. Stylohoid nerve supply...
98. Finger cut ,acute inflammation... histamine
 SK – Pearl (All February Papers - 2020)

Radiology morning 25 02 20

1. 1 Derivatives of ventral nd dorsal mesogastrium.... hepatoduodenal and sigmoid mesocolon

respectively
2. Apex of heart supply, inferior wall supply... LAD
3. Restricted movement on lateral side, unable to close left eye nd left hearing loss lesion
in...cerebropontine angle
4. 6 year old girl with hb 6.2, mcv 58FL, MChc 27, Pcv 20 pallor and lethargy with plateletes count
250,000 and wbc 7000 suffering from ...IDA
5. Left gastroepiploic branch of...gestrodeudenal artery
6. Dysarthia dysphagia senerio....pica
7. Lateral rotation of arm, msl injured....teres minor
8. Lymphatic drainage of cervix.... External plus internal illiac
9. metastasis of prostate CA via....vertebral plexus
10. regarding free HB--- Haptoglobin
11. prostate carcinoma lobe involved.... posterior
12. choroidal plexus.... lateral ventricle
13. Hirschprung...sacral segments involved
14. spinal cord damage due to fracture part of vertebra inserted,pt has difficult breathing,the
fracture part is from....Axis
15. medial end of clavicle shifted posteriorly due to trauma..structure damaged....Sup v
16. regarding coarctation of aorta...postductal
17. Relations of pancreas
18. lacrimal gland is derivative of.....surface ectoderm
19. CSF analysis---> lymphocytosis
20. Structure present in anterior mediastinum... thymus
21. Interneuronal cells in grey mater...Protoplasmic astrocytes
22. Fracture neck of fibula..artery involved....Anterior tibial
23. foot drop...Common peroneal(No option of deep peroneal)
24. Wrist drop....radial nerve
25. Termination of subarachnoid space....s2-3
26. CBD relation to pancreas .....Posterior
27. True regarding Sympathetic nerves...T1-l2
28. Allergic reaction and rash...Type 1 HSR
29. Acute MI most common finding on a ecg ....ST segment dispalcement
30. Myasthenia gravis ...Type 2 hypersensitivity
31. Ansa cervicalis ...root value..... Hypoglossal and c1 2 3
32. Fascia transversalis apneurosis......internal spermatic fascia
33. Vagal parasympathetic and sympathetic both ends at which level in GIT....trannsverse colon
34. Marker of ovarian cancer (scenario) ....CA 125
35. regarding pancreatitis..finding after 6 months...pseudo cyst
36. Choroid pappiloma location.....triagone of lateral ventricle
37. Medial epicondyle fracture (humerus)...ulnar nerve
38. Radial nerve main trunk damage leads to...wristdrop
39. Insertion of psoas muscle...lesser trochanter of femur
40. Stratified squamous epith located.... secretory epithelium
41. Fracture of clavicle,loss of lateral rotation of arm muscle involve... teres minor
42. Metastatic calcification most common cause....... in kidney hypervitaminosis D
 SK – Pearl (All February Papers - 2020)

43. Submandibular gland location acc to triangle boundaries... Fatima Masood anter and posterior
bellies of digastric, mandible
44. Submental submandibular LN involvement carcinoma location.... lower lip
45. Juglodigastric LN drain what... palatine.tonsil
46. Pain after mumps during chewing of food nerve involved.... auriculotemporal
47. Carcinoma of infratemporal fossa which part of bone involved... Greater wing of sphenoid
bone
48. Nucleus ambiguous nerves...9 10 11
49. Hyperemesis gravidarum will cause... hypokelimia
50. Contents of free part of lesser omentum....portal triad
51. Subarachnoid space extension...S2
52. Gummatous necrosis... syphilis
53. Sub dural hemorrage due to rupture of ... Superior cerebral vein
54. Uterine prolapse..which ligament holds uterus...tansverse cervical
55. Transverse mesocolon attached posteriorly... lesser omentum
56. Transport of glucose nd aminoacid via... avtive transport
57. Vagus and thoracic splanchnic nerves extension upto.....jucnction of middle third to 1/3rd of
transverse colon
58. Hysterectomy lumbar pain structure damaged... ureter
59. Ureteric stone most common location..pelvic brim
60. azoospermia..sertoli cells
61. Rupture of cloacal membrane... Cranial Nerve ectopic anal aperture
62. Ureter damaged during ligation of... ovarian artery
63. Ovarian carcinoma tumor marker...ca125
64. Carpal tunnel syndrome important feature..... Loss of opposition or sensation
65. Senerio regarding jaundice at 6 months age.....gilbert or criggler najar
66. Most medial structure in cubital fossa... median nerve
67. Psosa muscle insertion...lesser trochanter
68. Normal delivery favored by which feature of pelvis....true conjugate
69. Tibia over femoral.. ...anterior cruciate
70. Pericardiocentesis area bounded by.... Midaxillary 5th, subcostal 6th
71. Post MI injury...Free oxygen radicals
72. Most oxygenated blood...Umbilical vein
73. True conjugate... Obstetric conjugate
74. Most common cause of meningitis (no age).... steptococcus pnemu
75. Phrenic nerve avulsed at origin... loss of respiratory reflex
76. Pt took ATT for 2 months no response ... Atypical mycobacteria
77. 6hrs post MI patient Which cardiac marker rises earlier..... creatinine kinase
78. Patients confidentiality question.... Do not share wuth the family
79. Serum testosterone levels lowest at which age... preschool
80. Two point discrimination... dorsal or posterior
81. A person died from spinal injury after trauma due to which cervical injury....c7
82. 2 l pure water after sweating... inc icf Vol
83. Micturition reflex ....Splanchnic nerves s2 s3 s4
84. A drug (cabergoline maybe) used for suppression of lactation. After still birth delivery....D2
agonist
85. 60 year old post oo..dvt cause....Stasis nd endothelial injury
86. Voluntry control of micturation reflex... pudendal nerve
 SK – Pearl (All February Papers - 2020)

87. Cavitation and nodular leaions in lungs ... aspergilloma

88. regarding translocation in acute myeloid leukemia....8:21
89. Pain epigastrium radiating to left hypo nd right shoulder from.. Gall bladder
90. Pt had transplant surgery. After 5 yrs inc risk of.... Lymphoproliferative
91. A soccer player girl had tibial fracture,POP was applied for 8 weeks,after removal she
noticed that size of gastrocnemius has reduced...Decreased Actin myosin protein
synthesis
92. Senerio related to omentum necrosis....fat necrosis
93. well differentiated squamous cell carcinoma histopathology.....Keratin pearl
94. Locally aggressive malignant Ca....bCC
95. Hemorrhagic infarct in....Lungs
96. Pan chewers 30 yrs unable to chew,.....submucosal fibrosis
97. Smoker working in tyre factory cause.....smoking
98. Faryal Farooq Butt this was actually
99. 30Y/M , presented with headache, anorexia and feeling of unwell for 3 days, he's pale
and dehydrated CSF findings were 100 lymphocytes,80% protein, 65%
glucose......meningitis
100. Dislocation of tibia on femur.. Anterior
101. Protamine adverse effect ....hypotension
102. Anterior to pancreas....Lesser sac
103. Splenic vein runs behind ... its runs post to body of pancreas
104. Breast of an adult female overlord.... superficial pectoral fascia
105. about lymphatic drainage of duodenum..... celiac +superior mesenteric
106. Ovulation inhibited during lactation..... prolactin
107. A woman had RTA in which ckavicle depressed posteriorly,which structure will be
damaged at sternal end of clavicle....trachea
108. Vessels or nerves of bladder run in which ligament of bladder.... Dorsolateral
109. Most common location for prostatic carcinoma ....posterior lobe
110. Pt has inflammation of big toe. No hx of trauma. Investigaion.....Plasma uric acid
111. Primordial Germ cell start migrating....3 wks
112. Left pleuroperitoneal defect... Gut on left side chest
113. rapid paracellular signaling occures via.....gap junctions
114. Ayesha Afzal
115. Pt with loss of vision of left eye leision ......Rt occipito calcarine
116. Fracture of neck of fibula,which artery will be damaged?? Anterior tbial
 SK – Pearl (All February Papers - 2020)

Surgery night 25 02 20

1. Medial cord = musculocutaneus nerve or ulnar nerve

2. Loss of suppination of arm = musculocutenus + median nerve Or musclu+ radial
3. Fatty liver in kwashiorkar.....aflatixin
4. Organism with multiple discharging sinuses... Actinomycetes
5. Artrey most likely damaged during difficult C-section..... Uterine
6. Lymphatic drainage of skin of glans penis...... Superficial inguinal lymph nodes
7. Inorganic compound causing carcinoma...... Asbestosis
8. In breast ca surgery,Sentinel lymph node is resected to....... Prevent axillary lymph node
clearance
9. Vessel most likely damaged during appendectomy,... Deep circumflex artrey
10. Structure which leaves the gluteal region by passing above the piriformis muscle..... Superior
gluteal artrey
11. Person is unable to scratch his back. Muscle most likely involved..... Lattismus dorsi
12. Floor disinfectant after HIV positiv surgery ...1% hypochlorite
13. 39 year old lady complain of nausea and vomiting from last 5weeks, after endoscopic biopsy
reveal plasma cell, macrophage and t lymphocytes ... H. Pylori
14. Malignancy most likely associated with HIV..... Kaposi sarcoma
15. If sympathetic supply cut from bladder, what will happen.... Loss of control of external urtheral
sphincter
16. Lymphatic drainage of prostate.. Internal and external lymph nodes
17. lost eversion, muscle involve... muscle ant n post tibial
18. Loss of supination which nerves involved.... musculocutaneous and radial(both were given in
one option)
19. Special feature about the epithilium of vagina.... Contains abundant elastic tissue
20. Pansystolic murmur...VSD
21. IVC blocked just above azygous, blood goes into...left ascending lumbar vein
22. Short gastric artreys are the branches of..... Spleenic artrey
23. Person falls on outstretched hand and i jured his wrist. Which structure will get damaged while
passing superficial to flexor retinaculum....... Ulnar artrey and nerve
24. Clavicle fractured, which muscle injured...pect major
25. Neck post.triangle boundry,?
26. Pain in right hypogastrium soon after fatty meal: by gallbladder
27. Reticular fibers in which tissue..
28. Infertility, azospermia due to..... sertoli cell
29. Drug with highest 1st pass metabolism....
30. Artery not leaving true pelvis...middle rectal
31. Kala azar: patient from balochistan, sleeps on floor, splenomegaly
32. Treachostomy level : 2
33. Anti-mitochondrial antibodies, Pruritus ... PBC
34. Orofecal route: HEV
35. S3 sound... ventricular filling
36. Chemotaxis: c5a
37. B2- riboflavin ( chelosis, scaly dermatitis, glossitis)
38. Factor 8 deficiency: cryoprecipitate
39. Daily protein requirements...0.8g
40. Calcitonin given in.... paget
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41. Wernicke area: speaks fluently but no sense

42. Which bone formed by both intramembranous and endocondrial ossification .... mandible
43. Patient can’t close eye nerve involve .....facial
44. Relation of terminal cbd to pancreas... posterior
45. Highest ph secretions....pancreas
46. Prolonged APTT: haemophilia
47. Grading: degree of differentiation
48. Staging: extend of invasion
49. Main support of uterus... transverse cervical
50. vaginal prolapse...uterosacral
51. Hemorrhoids study by doctors ... Randomised clinical trials
52. During exercise ....Decrease TPR
53. Clavicle fracture, Can't rotate Arm laterally: Teres Minor.
54. Prostate MAINLY drains into ..Internal iliac nodes
55. Proliferation of endometrial..Progesterone
56. Glans penis: Superficial Inguinal (no deep in option )
57. Negative Free water: SIADH
58. Boy with erection loss and breast development... prolactin
59. Meningioma: cancer due to radiation
60. Problem in liver with epitheliod cells ... coagulative necrosis
61. Child tumor with blue cells and gen amplification = Neuroblastoma
62. Heat kills bacteria by ....Protein degenration or.coagulation
63. Active sodium absorption: colon
64. Submusocal glands found in...
65. Submucosa = duodenum
66. Hoarseness of voice and mass in brain = vagus
67. U wave:hypokalemia.
68. Lady with RTA: fat embolism
69. Liver to body wall ...Falciform ligament
70. Nerve supply of jejunum.... l1-l2
71. Boy fall from cycle, anuria: rupture of urethra.
72. Clasp knife reflex ..Strich reflex of muscles spindles??
73. Posterior interventricular septum: vein; middle cardiac vein
74. about pleura supplied by.... phrenic nerve
75. Botulinum toxin A ,B acts on...SNAP
76. posterior triangle of the neck: 3rd of clavicle(inferior border)
77. Reinfarction -- CKMB
78. Rt Atrium infarction; what will happen......Pap muscle necrosis??
79. Aphasia... temporal lobe
80. Least in blood...Basophilsss
81. Change of shape cell...Dysplasia
82. Structure damage above pirriformis: sup.gluteal artery
83. Just behind the sternum ...Internal thoracic artery
84. MAIN lymph drainage of Breast; Axillary lymph nodes on axillary vessels
85. Vein accompanying some cardiac artery ..Middle cardiac vein (not confirmed😔)
86. Damage in Post triangle: Trapezius
87. Ant costobracial nerve cut ....2nd intercostal sensory
88. House Officer taking ABGs in..... heparinized Tube
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89. Femoral artery....Mid inguinal point

90. Superficial to Flexor Reticulum: Ulner Nerve and Ulner Artery.
91. Femoral artery BEST palpated; mid inguinal
92. Common perional damage: Eversion of foot
93. Athlete, can stand but painful; plantrias rupture
94. Atelet cant do lateral rotation of sole of foot Muscles... tibialis ant and tibialis post
95. Raticuloendothelial system;Histoplasmosis
96. Pulmonary artery embolism What decreases ..Vq ratio??
97. Umbilical vein: high O2
98. Cholera Food and water ...resistance to alkaline ph
99. Hypoxia; vasoconstriction in lungs
100 .HIV pt, post surgery OT floor cleaning: 1% Hypochlorite
101 Bleeding: first to occur—-> vasoconstriction
102 Landmark used in NVD for baby crowning/station...sacral promontory
103 Difficult C.section: structure damage:: ovarian artery
104 Boy busy in room....Exercise
105 Tumor invading Nerve sheet.. Ex-pleomorpic adenoma
106 Tumor after radiation... Meningioma
107 Orofecal rout..HEV
108 Pudendal nerve block ..Isceal spine
109 Damage to TMJ joint muscle damage ... Lateral pterygoid
110 Morphine causes... tachy+ miosis
111 Primodial germ cell goes to Wall of yolk sac, in 3rd week Came from....Ecto
112 dilated urine.....Inc. plasma osmolarity
113 Adrenal gland supply.... Greater thoracic splanchnic
114 Hco3 absorbed in....Pct. and collecting tuble
115 Hospital acquired pneumonia.... Staph aureus
116 Potent stimulant of erythropoietin ....Hypoxia
117 thick sputum: klebseilla
118 Lady with yellow sputum... S pneumonia
119 Short gastric arteries..... Splenic
120 Montox +ve; Cell mediated
121 Immunoglobulins ...Passive immunity
122 Metaplasia in lower esophagus; pre-malignant
123 Giving antibodies: passive
124 Moderator band; Rt ventricle
125 Patent luman of urachus; fistula or sinus (not confirmed)
126 Median umbilical vein...Urachus
127 DM, conforming; microalbuminuria
128 Pt ischemic heart disease, laparotomy, PT ,APTT Normal. Inc BT:ASPIRIN
129 Enlarged nuclei, poikilocytosis; dysplasia
130 Good analgesic but weak anesthetic... NO
131 Blood supply in heart: RCA supply SA Node, AV Node.
132 Epinephrine on heart... Dec cutaneous blood flow
133 Baroreceptors; regulate map
134 cryoprecipitate .... factor 8
135 N-epi is released at: post-ganglionic sympathetic
136 Post surgery wound ...Bracteriod fragalis
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137 Rheumatic fever ...Penicillin and gentamicin

138 whixh should be preferrably given by IV route, to avoid first pass inactivation.... adrenaline
139 active tubular secretion... benzylpenicillin
140 Pt passing dilute urine, tubloglomerular conc problem.....Low urinary sodium
141 Splinter hemorrhage ,Bacterial endocarditis ...Blood culture
142 Endometrial proliferation ... estrogen
143 Corpus letum produces = estrogen +progesterone +inhibin.
144 Vomiting center: medulla
145 What about that corpus regarding blood oozing out ..... haemorrhagicus
146 Corticospinal tract and one other tract....Voluntary movement
147 Aphasia is lesion in ....temporal
148 Most malignant tumor; melnoma
149 More speech but senseless : Wernicks
150 Main action of insulin.. Enter glucose in some cell
151 Premature baby, jaundice and easy bruising, mom takes med in pregnancy, def of which vit...
vit K.
152 RIGOR MORTIS - dec ATP
153 Medical student hold 3 book, next boom placed. Droped: inverse flaxor reflex.
154 Drug given have highest 1st pass metabolism... epinephrine
155 Painful parotid swelling: auriculotemp nerve.
156 Therapeutic/adverse effect of loop.....Dec blood vol ,Dec blood pressure??
157 Steady pressure = Ruffini corpasals
158 Estrogen producing tumor ...Granulosa cell
159 Cytokeratin is? Intermadiate filament
160 Pneumothorax; lungs in chest out
161 Malignant hyperthermia ..... ryanodine receptors mutation
162 Shortest pro-erthrocyte stage: M Falcipatum
163 CRF pt, dialysis, most imp to monitor: creatinine
164 For vitamins dr advice: vegetables
165 CK MB ...Reinfarction after 3days
166 Good analgesic but not so good anesthesia ... NO
167 Nor epinephrine release from.... Post ganglionic sympathetic nerve fibre
168 Definite sign of ovulation...... Ferning of cervix
169 Delivery of baby ....Positive feedback
170 Branch of internal illiac artery remain to true pelvis.... middle Rectal artry
171 A doctor advice to pregnant female not lying on the right side...To avoid compressions of the
IVC ..
172 VT 500 was given, and values like 2500 was given ....Lung compliance ?
173 In HIV patients = kaposi sarcoma
174 In Athletes = increase Stroke volume
175 Diagnosis for IDA = serum ferritin level
176 Cholangiocarcolinoma: Clonorichis sinesis
177 Multiple draining abscess: actino isreali
178 Musculoskeletal abnormality: Achondroplasia
179 In thyroid, idoine first bind with; tyroglobolin
180 Caucassian community o positive group ..47%
181 Decompressed/decompression liver disease, nkw ascites & pedal edema:dec oncotic pressure
182 Pus in adductor canal which structure?...Femoral vein
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183 Biopsy of axillary node in breast CA because of....help in prognosis

184 Premature baby born, which cardiac abnormality: PDA
185 Pregnant women unconcious placed in left lateral position reason? Which structure to
prevent....ivc
186 Type of research by comparing surgical and diet based treatment of patients... Randomised
clinical trials
187 Medial cord in axilary trunk progress to.. musculocutaneous
188 Leukocyte is know by their .....large nucleus or,Function (not confirmed)
189 Hormone in stress = ACTH
190 Child with blue red tumor on face... Hemangioma
191 Corticosteroids adverse effects ...Osteoporosis
192 Blood warming ...Lt to Rt shift
193 100fold inheritnce in male of green eyes then females....x linked recessive
194 Conversation of one normal epithelium into other normal epithelium... Metaplasia
195 Regarding Hemangioma ...red purple lesion
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1 Aortic wall opens when pressure is :80, 100,120

2 Patient brought in emergency with semiconsious frothy odour: DKA
3 Which antiepileptic decreases the metabolosm of other: phenytoin, carbamazapine, valporate,
phenobarbital
4 What passes through foramen rotundum:naxillary branch of V2
5 Eruption on one side of nose and mouth painful: ophthalmic
6 Pco2 70, po2 90, HCO3 raised what is the underlying mechanism: central chemorectors inhibited
,central chemoreceptors stimulated ,peripheral chemoreceptors stimulated ,peripheral
chemoreceptors inhibited
7 Immidiate relation of IJV at its exit :ICA
8 Stone stuck in bile duct will cause :
9 Surgical vagus nerve resection will xause :
10 Following is the branch of middle cerebral.artery :
11 Superior mesentric branch drains into :
12 Trauma to abdomin lateral to.xyphisternum will cause inhury at :6 nd right atrium
13 Which if the following causing hip abduction:ischiofemoral ,illiofemoral
14 Left renal.vein passes: anterior to.aorta ,post to.renal artery
15 Mechanism.of action of antiemitics given in poisoning acts on: 5ht3 in small intestime ,dopamine
D2 receptors in chemoreceptors trigger zone ,area in.stomach
16 Pt with severe dirrhea, hypochloremia ,hypokalemia nd normal co2 diagnosis is :alkalosis
17 Rolandic artery is the branch of:mca
18 In 2nd trimester which hormone remain normal:GH
19 Type 3hypersensitivity reaction ; authurs reaction
20 Blood is wadmed upto 37°c :to.avoid reaction
21 Lowest venous pressure in :vein of leg during standing
22 Patient with incomprehensive speech nd low intelligence : brocas area, wernicke area
23 Diff b/w dwarf nd cretinism :mental retardation
24 Pt smoker nd alcoholic with alpha fetoprotein 990 what is the cause of this condion:smoking,
alcohol
25 Lung compliance inc in :emphysema ,fibrosis
26 Patient with left sided limb weakness ,left facial weakness nd homonymous hemianopia lesion in :
27 Lowest venous pressure while.standing :heart ,foot,juglar vein ,sagittal sinus
28 Esophagus compresses:left atrium
29 Bladder transitional epithelium derived from:
30 Tibial artery accompanied by: deep perineal
31 Air fluid level in mediastinum in x rays disphgia nd difficulty blenching what is the
daignosis:achlasia
32 Muscle causes flexion supplied by both median nd ulnar :flexor digitorum.profundus
33 Which muscle inc lateraal expansion of thorax during quiet breathing :external imtercostal , pect
minor ,scalenous anterior
34 Renal column comtains which artery : interlobar
35 cysticercosis caused by
36 Child with bleeding with increased aptt n BT: von willebrand disease
37 Superior mesesenteric nodes drain which area: 4th part of duodenm, spleen, pancreas
38 Posterior wall of duodenum rupture artery affected :GD artery
39 Characteristic of clostridium: spore producing
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40 Howship lacunae reside : osteoclast

41 Cleft lip caused by defect in fusion of:
42 Air borne transmission:M TB, SARS, anthrax
43 90% of anthrax patients have skin lesion:
44 About meiosis. DNA synthesis occurs , One sperm divides into 8 ,Occurs in autosomes , Occurs in
somatic cells
45 Parasympathetic damage effect on bladder : reduced capacity ,automatic reflex , autonomous
bladder
46 Aids skin tumor :kaposi
Female having hb 9 nd given iron supplement but still hb 10 ...wats best investigation now: hbelectro
47 Pallegra is caused by:niacin deficency.
47 Two point discrimination maximum at which place:
48 Leg area supplied by:aca
49 Two point discrimination pathway : lateral inhibition
50 Fine voluntay skilled movement by: cerebellum
51 Myxedema ,Diabetic n htn drug of choice: Captopril, biguanide, sulfonylurea
52 Branch of middle cerebral artery. Ophthalmiic, anterior choroidal, rolandic
53 History of fits from one yr back partail seziure drug of choice :carbamazapine
54 muscle transverses shoulder joint :Coracobrachialis ,long head of bicep
,Infraspinatus,Suprasoinatus ,Short head of biceps
55 Non smoker 50s patient with recurrent chest pain had syncope BP raised grade 3/6 systolic
murmur on left sternal border left ventricular dilation. Drug of choice: metoprolol, nifedipine ,ace
inhibitors ,captopril digitalis
56 Most common carbohydrate malabsortion:lactase , sucrase , amylase
57 Phospholipase c increases : ca
58 Shortest acting antidiabetic: glibenclamide.
59 Bil dysphagia, bil ptosis. Difficulty in chewing..: Myasthenia gravis., mobius syndrome.
60 opioid induced nausea ;M3 recp ,Direct vomitung center ,D2 recpetor chemorecp trigger zone
61 most common thrombophillia:prot c deF ,PRot s def ,Factor 5
62 A patient came in a state of shock.. Which drug will benefit.. Dopamine, epinephrine,
acetylcholine
63 Anticholinergic commonly used in :Chronic bronchitis ,Asthama
64 Benzodizapine moa :Inhibit gaba transaminase ,Facilitaye gaba
65 epinephrine dec :Heart rate ,heart contractility , Decrease in cutaneous blood flow
66 olfaction :Direct mitral cell to cortex
69Taste sensation to cortex :Hypoglossal ,thalamus
70 deep inspiration which neuron activate pneumotactic,Apneutic ,medulla
71 Cabergoline moa? D2 agoinst
72 Clearance of urine in substance unit? Mg/ml, ml/min ,mg/min
73 Index of TPR: Cvp, MAP, PULSE Pressure, sysyolic bp ,diastolic bp
74 Most imp factor in thrombosis... Endothelial injury.. Platelet adhesion.. Immobalization
75 A drug has half life of 10 hours.. In how many hours will reach at steady stat.. 20,,,30',,,,40,,,60
76 Inverse stretch reflex :regression analysis , pie.chart
77 Neg charge of basement membrane:. Proteoglcan.. Typ 4 collagen.. Laminin
78 Philadelphia ch.. CML
79 Diagnostic test for infectious mononucleosis:hetrophil
80 No hx of smoking but patient developed squamous cell cA.. Asbestos,, radon ,, smoking
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81 Vesicles on lateral forehead and Medial side of eye and nose with severe facial pain and
headache Which nerve? Trochlear, Ophthalmic, Facial, Nasociliary
82testosterone converted to 17b-estradiol, by the influence of which hormone : Fsh, LH, estradiol,
Dhe
83 Patient came in shock.. Bp below 60.. ===CNS ischemic response activation
84 Leg area supply by: aca 85 A 85 young patient with GFR less than 50% and decreased urine output
an increase in the levels of which of the following will be alarming: cretinine, potassium. 86. Least
cell in blood smear; basophils
87 Most common tenchnique to see tumor cells :peripheral blood picture
88 Balloon dilation of atrium and increasing pressure to 5mmhg encourages release of ;Atrial
natriuretic peptide
89 A woman with hb 9 treated with iron pills for two months Hb now 10 Which lab investigaton will
you do find underlying cause of persistent anemia :total iron bindin cap hb electrophoresis, ferritin
levels
90 Chlymadia causes.. Chancroid,,,,, lymphogranuloma venerem
91 Middle aged male,vesicles on external genitalia :hsv 2
92 Aortic insufficiency related to which condition:
93 Smooth muscle ===mononuclear
95Piriform fossa nerve supply
94 Scnario of pancreatitis condition associated was asked.====>. Fat necrosis.
95 Blunt trauma to abdomen
96 Which cell will likely remain in G0 phase: skeletal muscle
97 Man going up stairs, had increased cardiac output due to: increased preload
98 Shortest acting hypoglycemic agent:Lente insulin ,NPH,Tolbutamide
99 man with 325 rbs 25 kg extra weight. drug of choice:buiguinides
100 Hilar lymphadenopathy = wegners granulomatosis
101 Highest ph====> pancreatic juice
102 Levodopa side effect=====>>>orthorthostatic hypotension
103 Jugulo digastric lymph nodes drain:Palatine tonsil ,Pharyngeal tonsil
104 Main support of female pelvic viscera====>>> levator ani
105 Scnario of liver transplant after 3 mnths size inc in both donor and recipient====>>hyperplasia
106 scenario of HOCM, drug to be used:Digitalis ,Beta blockers,Diuretics
107 U wave shows:slow papillary repolarization
108 Inactive, Neurons group activated in medulla during increased breathing:Pneumotaxic
109 Carbohydrates malabsorption due to which enzyme?Intestinal maltase,Intestinal
isomaltase,Salivary amylase,Intestinal lactase
110 What happens when you remove terminal ileum:steatorrhea
111 An Athlete in marathon, in july , sweating profusely, dizziness, and fell unconscious. Cause?
Dehydration
112 Which feature confirms spastic palsy
113 Structure of basal ganglia: medial to globus pallidus
114 Source of calcium in small cell carcinoma in the blood pth like peptide
115 Percardiocentesis Ki in a man who complained of chest pain, specific gravityvmore than 1.025
protein more than 3mg the fliud is :Exudate
116 A young lady with a mass on adrenals Which hormone is responsible for high blood pressure of:
Aldosterone
117 What is feauture of typical neuron:Axon hillock separates synapse from rest of axon
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118 Which cells in small intestine carry foreign antigens: m cells

119 Mouth lesion lead to SCC
120 Cystocerosis ova of tinea solium
121 Third ventricle. posterior subthalamus
122 Tumor in granular layer of cerebellum. medulloblastoma
123 Rustling sound on auscultation... pericarium
124 Antigen presenting cell in intestine. m cell
125 Mucinous gland is: Sublingual
126 Chlamydia causes what:Lymphogranuloma venrum
127 In tuberculosis type 4 HSR
128 Pt normal appt and bt both dearranged : Hemophillia A ,Haemophilia B, Vwd
 SK – Pearl (All February Papers - 2020)

1.Venturi apparatus question.. when 2 venturi surfaces are together, substance sticking to side.
COANDA effect ✅
2.A person has rta in which loss 2 point discrimation has occured.. the mechanism by which 2
point discrimination occurs posterior inhibition ✅
3.A person in shock with failing heart.. what to give Dopamine ✅
4.A patient has increased heart rate.. inc cardiac output.. decreased total peripheral resistance..
vasodilation.. this is due to which pressor drug
1. Dopamjne
2. Epi
3. Nor epi
5. A patient has cast around his leg.. muscle size shrink .. what happened? Disuse atrophy ✅
6. Cast was appiled to femur.. girl saw gastrocnemius muscle shrink after cast removal.. what
happened? Muscle fibers decreass in size ✅
7. Half life of drug 10 hrs. steady state will be acheived in 40hrs ✅
8. Laminor flow turns to turbulent when Reynolds number is greater than?
2000✅
9. Laminar flow is directly dependeant upon
fourth power of radius ✅
10. Laminar flow depends upon: Inversely to viscosity ✅
11. Patient has runny itchy nose.. which will stabilize mast cells..
Sodium chromoglycate ✅
12. Unconscious patient aspired his vomitus.. where will it go?
Posterior part of superuor right lob ✅
13. Myasthenia ptnt.. symptoms improved on edrophonium.
Give inc dose of neostigmine✅
14. Succinylcholine willbe resistent in ptnt of?
myasthenia gravis ✅
15. Competitive muscle relaxant given in renal failure.. Atracurium ✅
16. Muscle relaxant in rapid sequence intubation if succinyl is contraindi is?
rocuronium ✅
Which will cause hypertensive crisis when used for a prolonged time and stopped suddenly
1.phenylephrine
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2.lithium
3. Ephedrine
4. Epinephrine
17. Right hemiplagi with deviated mouth to left.. internal capsule✅
18. Increased metabolism of warfarin.. barbiturate ✅
19. When pain afferents synapse of pain inhibitory complex in spinal cord, the
neurotransmittor released is enkephalin ✅
20. Pain afferents will be carried upwards in Lateral spinothalamic tract in lamina 1 ✅
21. Eeg waves.. eyes closed.. alpha ✅
22. Aspirin in low dose.. Platelet aggregation stopped.. how? Inhibits thromboxane2 ✅
23. Acute injury to cardiac muscle.. what will happen? Displacement of st segment✅
24. Carbondioxide carried in blood..HCo3✅
25. Rbc of Venous blood has high Cl content ✅
26. Patient has paraesthesia and nausea.. lab test shows hyperchloremic metabolic acidosis..
which drug is she taking? Acetazolamide for glaucoma ✅
27. Standard deviation ka ik ques tha.. variation among individual ✅
28. Patient has mid diastolic murmur, left atrial enlargemnent , inc pul capillary wedge pressure
, what will happen next? Right ventricular hypertrophy✅
29. Ranitidine preferred over cimitedine..less cns toxicity ans ✅
30. Anterior branch of sacral plexus gives ? Tibial nerve ✅
31. What should be stopped 24hrs before surgery? Metformin✅
32. Sorted acting hypoglycemics patient loses faces of people.. i marked lesion in?
parietotemporoocipital lobe.✅
33. Fibers of proprioception travel in .. dorsal column ✅
34. Action of quinolones.. dna gyrase inhibition ✅
35. Effective cell wall synthesis inhibitor.. penicillin ✅
36. Inhalation anesthes act on reticular activating system ✅
37. Hypophyseal portal system connected to adenohypophysis ✅
38. Face mask should cleaned with Ethylene oxide ✅
39. Hiv patient.. clean floor by 1% hypochlorite ✅
40. Lateral expansion of lungs.. external intercostal✅
41. Paradoxical aciduria what to give normal saline ✅
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42. Beta 2 agonist salbutamol✅

43. Patient has superior mesentric artery angina.. what part of large intestine spared?
Descending colon ✅
44. Ik aur question tha jis main hirshsprung disease was mentioned Problem is in
2 s3 s4 sacral segments ✅
45. First coccygeal segment present at which vertebrae? L1 ✅
46. P02 decreased in ? Hypoxic hypoxia ✅
47. Which increases LES tone? anticholinergics ✅
48. Cerebellaresion in patent. What is the most characteristic finding? Dysdiadochikinesia ✅
49. Nucleus ambiguos nerve supply? 9 10 11 ✅
50. Which nerve cell body is found in midbrain? occulomotor ✅
51. dilated pupil.. ptosis.. sudden loss of pupil reflex etc etc.. cranial nerve 3 ✅
52. Infecious mononucleosis disgnostic test ?
heterophil antibody ✅
53. Spinal anesthesia where? Subarachnoid space ✅
54. Heparin acts by binding on:
1. Antithrombin3 ✅
2. Factor 10a
55. Submandibular and submental gland swollen.. which is involved? Ca tongue ✅
56. Most potent stimulus for vasopressin is:
Nausea and vomiting✅
57. Artery supply apex of heart?
a) Marginal artery
b) LCA
58. Heparin released from mast cell ✅
59. Bacterial menginitis case.. 3rd cephalosporin ✅
60. Lambert eaton syndrome
Antibodies to ca channel ✅
61. Child with nose bleeding history aptt inc came to physician before minor surgery.. what to
check? Intrinsic pathway ✅
62. Bladder ca patient working in tyre factory.. smoker.. cause: smoking ✅
63. Factor 8 released by endothelial cells ✅
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64. Chlorothiazide causes:

1.Hyperkalemia
2.Hypercalcemia ✅
3.Hyperuricemia
65. Artist with fine skilled movements.. corticospinal tract ✅
66. Patient with cystic hygroma.. Turner syndrome XO ✅
67. Women rh poitive and husband rh negative.. came for counselling? Hemolytic Anemia may
occur in new born.. ✅
68. Lactating lady came to office with severe pain .. what to give? Ibuprofen ✅
69. Hepatitis b patient.. when is transmission going to happen? HbeAg positive and hbeAb
negative ✅
70. Which of the following is a QUALITATIVE change in gene expression?
a) Point mutation ans
b) Promoter insertion
c) Gene amplification
71. Submandibular gland location:
Between 2 bellies of digastric and mandible ✅
72. child lose 1.5 lit blood Normochromic normocytic anemia ✅
73. 2 lit of water infusion where it will go.
a) icf osmolairty inc
b) icf volume inc ✅
c) ecf osmolairty inc
d) ecf volumw inc
74. dose of lignocaine wt add. 7mg ✅
75. pan chewing senario. submucosal fibrosis ✅
76. doc in epilepsy. Phenytoin diazepam. ✅
77. In conductive deafness, bone conduction is greater than air conduction. Which of the
following is true?
a) Rinne test positive
b) False rhinne negative
c) Webber lateralized ✅
 SK – Pearl (All February Papers - 2020)

78. Post radical mastectomy patient, developed swelling in RT arm. Cause? Lymphatic
obstruction ✅
79 Median Umbilical ligament derived from? Urachus. ✅
80. Gummatous necrosis seen in? Syphilis ✅
81 Scenario of a pregnant lady, what metabolic change will be seen? Hypokalmia ✅
82. Scenario of a pregnant lady with history of coagulopathy or something, what drug should
be given? Heparin ✅
83. Case of rta, mandible fractured. What should be the site for tracheostomy?
a) 2nd tracheal ring
b) 3rd tracheal ring ✅
c) 4th tracheal ring
84. Streoid nucleus of which anesthetic drug??? Etomidate✅
85. Inc effect of lidocaine with? 1:200000 epinephrine ✅
86. Patient has nausea and vomitimg which induction agent to be guven? propofo ✅
87. Ik tha phospholipace c increases what? increase calcium ions ✅
88. Ek ka % me values di howi thi? pie chart ✅
89. Ek mid lutial phase ya secretory phase may konsa hormone barhta hy.. progesterone ✅
90. Pseudo membranous colitis... Clindamycin ✅
91. First to rise... CKMB✅
92. Aspirin Toxicity... Alkalosis ✅
93. In burn pt ketamine.. Potent analgesia ✅
94. Quiet Expiration.. External Intercostal ✅
95. Transducer.. Converts one form of energy into another form✅
96. Hunger, thirst... Lateral hypo ✅
97. Verapamil ? Tx of SVT ✅
98. Volunteer micturation... Tone of Detrusor.. ✅
99. Free hemoglobin bind to Haptoglobin ✅
100. Mc burney poing... Iliohypogastric nerve ✅
101. HSN in urticaria... Type 1 ✅
102. HSN in MG... Type 2 ✅
103. High Cardiac output... Thiamine ✅
104. Lt Renal.. Ant to Aorta ✅
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105. 2nd Degree Heart block... Atrial rate>Ventricular ✅

106. Difficulty in lying supine Retrosternal Goitre ✅
107. 15% blood loss... RL ✅
108. Marathon race... Dehydration ✅
109. Commonest Immunoglobin in serum is. IgG ✅
110. Pheochromocytoma Alpha and Beta blocker ✅
111. Opioid.. Weak meu agonist ✅
112. Cabergoline. D2 agonist ✅
113. Compliance... Volume/pressure ✅
114. Renal column... Inter lobar ✅
115. Cell adhesions..desmosomes ✅
116. Alp seceted by osteoblast ✅
117. Glomerulus has single arteriole ✅
118. Bupivacaine Toxicity... Tinnitus, vertigo ✅
119. MAC anesthetic... Oil gas partition co efficient ✅
120. Deep palmar arch.. Radial ✅
121. Swelling of jugulo di gastric lymph... Palatine tonsils ✅
122. Intercostal space cephalo caudal view... Vein artery nerve ✅
123. Fruity odour... DKA ✅
124. Regarding smooth muscles... Sustained slow contraction ✅
125. Enzymes.. Dec activation energy ✅
126. Drug contraindicated in HOCM Digoxin ✅
127. a wave in cvp due to atrial systole ✅
128. burn pt.... proliferation of receptors✅
129. extracoelomic coelom from? hypoblast ✅
130. Ek tha mother ko ca ho mana karti k na bataye kisi ko phir bachy dr say pochty hy?
Tell nothing to anyone✅
131. Ek numbness and anemia wala the..Vit b12 def ✅
132. ovarian ca market 125 ✅
133. Ek bile salt wala tha micls def ✅
134. hemrhagic ischemia in which organ? lungs✅
135. post 1/3rd tongue supply? glossophyrngeal nerve ✅
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136. astrocyte wala tha in gray matter.. protoplasmic astrocytes✅

137. unipennate muscle? has fibrrs going into central tendon ✅
138. Most common cause of increase permiability Inflemation✅
139. Ek tha lymphatic flow kis say kam hota hy ? inc oncotic pressure of blood vessel ✅
140. Siachian soldier now experiencing blueness of toes and dyspnea ..secondary polycythymia
✅
141. Ek tha csf aur blood diffrnc ka .. low glucose in csf ✅
142. The gas having maximum diffusiom capacity = co2✅
143. Anticancer therapy antiemetic = odansetron ✅
144. Diabetic Gastroperesis = metoclopramide✅
145. KThird space fluid loss choice = ringer lactate ✅
146. maximum excitation during it was about semicircular canal = cartwheel ✅
147. hair cell depolarization due to = potassium ✅
148. Sympathetic nervous system = thoracolumbar outflow t1 to L2 ✅
149. Drug used in malignant pleurodocentesis = adriamycin✅
150. At the end of exercise = increase glucagon and decrease insulin ✅
151. Nor adrenaline sec at = post ganglionic sympathetic ✅
152. Spinal cord blood supply = vertebral artery ✅
153. Confidentiality can be breached if = pt authorises u ✅
154. Drug used in svt= verapamil ✅
155. Drug causes thyroid dysfunction= lithium ✅
156. Pt with blood loss represented in an emergency in a state of shock which mechanism =
cns ischemic response ✅
157. Pt with myasthenia = increase dose of neostigmine✅
158. Stratified squamous epithelium = pharynx✅
159. Micturition center = pons ✅