4th & 5th April-2016- Papers of all Specialties for FCPS (1032 MCQS)

4th & 5th April-2016- Papers of all Specialties for FCPS (1032 MCQS)

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4th & 5th April-2016- Papers of all Specialties (1032 MCQS)

 

[ Index- Check List ] Compiled by : Amlodipine Besylate

 

 

  • Medicine & Allied 4th April 2016 (Evening Session) by Miqdad Haider(200 MCQS) Page#1

 

  • Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS) P#9

 

  • Surgery & Allied 4th April 2016 (Evening session) by Neelum Agha (195MCQS) P#24

 

  • 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 =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=

 

(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 wasn’t 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

 

  1. Embryological counterpart of Mullerian tubercle is: a.Pineal body

 

b.Seminal colliculus* (ans) c.Vas deferens

 

  1. Most common acquired cause of thrombus/embolus a.Protein c deficiency

 

b.Protein s deficiency c.Antithrombin III def

d.Antiphospholipid antibody syndrome* (ans)

 

  1. Most important clinical feature of water intoxication Slow pulse* (ans)

 

b.Distended neck vein c.Pulmonary edema

 

  1. Proteins that escape into tissues from blood vessels : Reabsorbed by lymphatic system* (ans)

 

b.Convert to be a part of defence system c.Involve in metabolic activity

 

  1. 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

 

  1. Patient with Mitral stenosis,,, and a-fib, now ischemic stroke. Pathogenesis? a.Thrombus

b.Emboli* (ans)

 

  1. Increased salivation by Parasympathetic system associated with vasodilation due to: a.VIP

 

b.GIP

 

c.Ganin

 

d.Substance P* (ans)

 

  1. Hypothalamus inhibits the following hormone

a.Prolactin (ans)

 

  1. 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

 

  1. Fastest conduction in heart by Purkinje system (ans)

 

  1. Most effective way to prevent heat loss a.Stimulation of adrenaline and noradrenaline b.Shivering

 

c.Cutaneous Vasoconstriction* (ans)

 

  1. Aortic pressure lowest during

a.Atrial systole

 

b.Isovolumetric contraction* (ans) c.Isovolumetric relaxation

 

  1. 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

 

  1. Infusion of 1 litre normal saline causes a.Plasma osmolarity decrease

 

b.Plasma volume decrease c.Decrease urine osmolarity* (ans) d.Urine sodium increase

  1. 40 year old patient of Down syndrome, has risk of Alzheimer (ans)
  2. Dorsal column carries Proprioception* (ans),b.Temperature ,c.pain

 

  1. Pus contains Dead bacteria  b.Neutrophils* (ans)

 

  1. Organism causing meningitis in adults Streptococcus* (ans) b.Actinomyces

 

  1. 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

  1. alpha adrenergic stimulation causes a.bronchodilation mydriasis* (ans)
  2. Important protein in RBC Spectrin*(ans)  b.Actin  c.myosin

 

  1. Essential amino acid Phenylalanine* (ans) b.Glycine  c.Cysteine  d.Proline

 

  1. How to disclose a bad news to a patient

 

 

a.In front of family b.Alongwith staff

 

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c.In a separate formal session* (ans) d.At bed side

 

  1. Confidentiality can be breached by a.Insurance claim * (ans)

 

b.If patient authorizes you

  1. Carcinogen for cancer of cervix a.HPV*(ans) b.Chronic irritation
  2. Steroids act by a.cAMP activation gene alteration* (ans)

 

  1. Women after delivery, Platelet: 70,000, aTTP normal, PT raised – (ans)

 

  1. Tumor screening test is for – Early diagnosis of a disease. (ans)

 

  1. 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

 

  1. In late pregnancy the uterus is most sensitive to – (ans)

 

  1. About bicep brachialis muscle – attaches to supraglenoid tubercle of scapula. (ans)

 

  1. Maximum area of resonance is T2-T4 of right midclavicular line. (ans)

 

  1. 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

  1. Nursing mother with herpes labialis, drug of choice Acyclovir  b.Trifluridine* (ans)

 

(Above umbilicus trifluridine, below umbilicus acyclovir)

 

  1. After feeding the baby, diarrhea develops – Gastrocolic reflex. (ans)

 

  1. Both sides of 5th posterior intercostal spaces are supplied by: a.Thoracic aorta b.Internal thoracic artery?

 

  1. 2 years old child with medially rotated arm lesion in – Upper trunk. (ans)

 

  1. Opioids produces vomiting by acting on Chemo trigger zone in medulla*(ans) b.Vomiting center c.Antagonist of dopamine

 

  1. Female with uterus cancer which travels to labia majora following which route – Round ligament (ans)

 

  1. Pain in epigastrium due to ulcer, transmitted by – Greater splanchnic nerve (ans)

 

  1. Bitemporal hemianopia due to lesion of a.Optic tract ,b.Peripheral part of optic chiasm Central part of optic chiasm* (ans)
  2. Vesicular lesion on the right tip of nose and right eyelid – Right Ophthalmic nerve (ans)

 

  1. Patient can’t abduct till 30 degree, which muscle is responsible – Supraspinatus

 

  1. Nerve supply to plantar surface of foot Posterior tibial* (ans) b.Superficial peroneal c.Deep peroneal d.Saphenous nerve

 

  1. Ventral spinothalamic tract Coarse touch and pressure* (ans) b.Temperature

 

  1. Vibration and touch via White matter of posterior spinal cord. (ans)

 

  1. Brainstem reticular formation 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

 

  1. Most radiosensitive tumor ,a.Ganglioglioma ,b.Brainstem glioma Craneopharyngioma*(ans)

 

  1. Hormone increased during sleep as compare to at day wakefulness –

 

4

 

 

 

 

a.Cortisol*(ans)  b.GH wasn’t in the options

 

  1. Patient with intentional tremors and facial paralysis lesion at Cerebellopontine angle* (ans) b.Right hemisphere Pons

 

  1. Patient working in mine with tuberculin test positive. Cough, fever, weight loss with hilar lymphadenopathy

 

a.Silicosis* (ans) b.Asbestosis  c.Anthracosis  d.Pneumoconiosis

 

  1. Male working in construct factory with pleural plaques

a.Asbestosis* (ans) b.Anthracosis  c.Pneumoconiosis

 

  1. Neoplastic cells with continuous mitosis due to persistence of – (ans)

 

  1. During exercise venous return is due to – Contraction of calf muscles. (ans)

 

  1. Action of steroids as anti-inflammatory is due to – Inhibiting phospholipase.

 

  1. Long term thiazide use causes Hypokalemia. (ans)  b.Hypocalcemia  c.Hyponatremia

 

  1. Intermediate filaments staining with immunofluorescence to diagnose (it has something to do with cytokeratin, don’t remember exact stem) – (ans)

 

  1. 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




 

  1. Man living on side of a river, got blindness from nematode; organism –

Onchocerca volvulus. (ans)

  1. MCC of HTN – (ans)

 

  1. Female with hirsutism, galactorrhea, infrequent heavy menstrual cycle. U/S both ovaries with cystic lesions and LH:FSH :: 3:1 – PCOD (ans)

 

  1. Female with hot flushes Increase FSH and LH* (ans) b.Decrease FSH increase LH

 

  1. Injection of atropine will cause – Dryness of mouth. (ans)

 

  1. Female with severe loss of vibration, Investigation of choice – Stomach biopsy. (ans)

 

  1. 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

  1. Monitoring of Hep B Serum glutamate-pyruvate transaminase*(ans)b.Prothrombin time

 

  1. 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

 

  1. Patient with obstruction jaundice; now bleeding cause Vit K deficiency* (ans) b.Decrease cloting factor production due to liver problem

 

  1. Investigation of Hashimoto thyroiditis – Antimicrosomal and anti-thyroglobulin (ans)

 

73.Cimetidine interaction with warfarin causes

a.Decrease hepatic clearance of warfarin(ans) b.Increase oral bioavailability of warfarin

 

  1. Patient using some anti-coagulant, how will you know that anticoagulant is warfarin because it is being monitored by PT* b.By giving Protamine

 

  1. BP drops from 100mmHg to 70mmHg, it will result in Decrease in carotid sinus nerve activity* (ans)

 

b.Increased sympathetic efferent effect on heart c.Increased sympathetic efferent effect on heart

 

  1. Erythropoietin is secreted from – a.Mesangial cells (?) b.Tubular epithelial cells (I did)
  2. Child with machinery like murmur PDA*(ans) b.MS c.MVP

 

  1. PaO2 is 100% in a.A person who used to live in high altitude b.Right to left shunt Left to right shunt* (ans)

 

5

 

 

 

 

  1. Kallmann syndrome – Gene defect in Kal1 gene on Y chromosome* b.Lesion in arcuate nucleus

 

  1. Diplamotoylphosphatidyl choline + carbohydrate + proteins is a content of Surfactant* b..Alveolar endothelium interstitium

 

  1. In asthma Decrease FEV1* (ans) b.Residual volume change

 

  1. 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

  1. Corynebacterium diphtheria produces Exotoxins (ans)

 

  1. Common specie of Corynebacterium affecting human is – (ans)

 

  1. CSF with increased proteins and polymorphs with decrease glucose the drug of choice Ceftriaxone* (ans) b.Ciprofloxacin

 

  1. About the pharmacology of Neiserria gonorrhea – a.Pencilin G. (ans)

 

  1. Major histocompatibility is related to – a. (ans)

 

  1. Kidney is transplanted, gets cyanosed in 10 minutes, type of reaction

a.Antibody mediated* (ans) b.Host Vs Graft Reaction  c,Cell mediated

 

  1. A child with Agammaglobulinemia is prone to Pyogenic infections* (ans) b.Viral infections

 

  1. Diagnostic criteria for sarcoma Increased vascularity*(ans) b.Pleomorphism

 

  1. Soldier coming down from height, now with discoloration of fingers, dyspnea – Secondary (ans)

 

  1. Vitamin D acts on intestinal mucosa to increase calcium absorption by following mechanism: Expression of genes*(ans) b.cAMP

 

  1. Calcium influx via slow channels in ventricle cells causes Ventricular ejection*(ans) b.Atrial systole c.Rest were relaxation phases of cardiac cells

 

  1. Increased ‘a’ wave in JVP due to a.Mitral stenosis b.Mitral regurg c.Aortic stenosis Tricuspid stenosis* e.Aortic regurg

 

  1. Person with HR 80/min, on ECG RR interval would be – 75 sec. (ans)
  2. Class III Antiarrhythmics – Amiodarone* (ans) b.Quinidine c.Lidocaine

 

  1. Increased ASO titer Rheumatic fever* (ans) b.Endocarditis

 

  1. In hypertrophic cardiomyopathy – Myocytes disarray. (ans)

 

  1. 5 month pregnant lady with thyrotoxicosis, drug of choice Methimazol PTU* (ans)

 

  1. 30 years old smoker, psychotic, vomiting of fluid with visible peristaltic movements on abdomen cause – Pyloric stenosis. (ans)

 

  1. Myenteric system of parasympathetic is potentiated by – (ans)
  2. Pethidine is preferred over Morphine Fast acting* (ans) b.Less addictive c.Less

 

potent analgesic  d.More constipation

  1. Philadelphia chromosome (ans)

 

  1. 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)

 

  1. Alpha 2 macroglobulin inhibit Trypsin(ans) b.Secretin

 

  1. 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

 

  1. Calculate Alveolar ventilation where Tidal volume is 500ml/respiration. RR 10 –

3500ml/min (ans)

 

  1. Calculate Clearance where Urinary flow 20 ml/min, Concentration of substance in urine 10 and Plasma 10 20ml/min (ans)

 

6

 

 

 

 

  1. 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

  1. Excessive eversion of foot damaged which structure – Rupture of deltoid ligament. (ans)

 

  1. About thoracic aorta starts at T4 on left side*(ans) ,b.supply lungs, esophagus n pericardium ,c.supplies last 8 intercostal spaces

 

  1. Histology of cornea – Stratified squamous non-keratinized. (ans)

 

  1. Left shift of HbO2 curve – CO poisoning. (ans)

 

  1. Humans are intermediate host in a.Hydatid cyst. ,b.Filariasis

 

  1. Micturition reflex Self generating (ans) b.Cerebral control c.Condition reflex

 

  1. Hallmark of HIV disease Proliferation of virus in T-Cells(ans). b.Progressive immune deficiency

 

  1. Surgery of submandibular gland; nerve damaged – marginal mandibular branch of (ans)

 

  1. Aspirin overdose causes a.Coma Alkalosis c.Hypothermia

 

  1. 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)

 

  1. Thorn prick in left lower limb caused abscess – Staph aureus. (ans)
  2. Lesion of parasympathetic system affects mostly – GI muscles. (ans)

 

  1. ADH– Osmoreceptors (ans)

 

  1. 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

 

  1. Superficial temporal artery relation with which nerve a- Auriculotemporal nerve. (ans)

 

  1. Protoncogenes converted to oncogenes by a.point mutation* (ans)gene amplification c.translation d.dna transcription e.chromosomal translocation

 

  1. Oblique fissure of the lung at level – T3 to T6 Costochondral. (ans)

 

  1. A long case scenario of Appendicitis, bottom line was pain mediated by —-

 

a.Prostaglandin and bradykinin* (ans) b.TNF alpha

  1. Hamartroma : a.ectopic tissue disorganized growth of mature cell indigenous to the

 

site*(ans)  a tumor which can metastasize  a tumor with all germ layers

 

  1. Correlation between two variables( duration and anesthesia administration I think) was studied a.student t test ,b.chi square ,c.regression analysis* (confirm it)

 

  1. Chemotaxis (indirect statement about an inflammation scenario) …. C5a (ans)

 

  1. Drug drug interaction …. Morphine toxicity treated with naloxone (ans)

 

  1. Best diagnosis for turner: a.barr body karyotyping (ans)
  2. Inferior imaginary line in rectus sheath —- arcuate line (ans)

 

  1. 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)

 

  1. Medial arcuate ligament formed by a.diaphragm b.lumber fascia psoas fascia* (ans) d.quadratus lumborum

 

  1. 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

 

 

 

 

  1. long case,90 year old female, lipofuscin pigment present in histology report of cardiac muscles. A.cellular oxidation,b.coagulative necrosis c.apoptosis autophagy* ans . FA 2014 pg 228)

 

  1. Ghon complex is characteristic of —-a.Tuberculosis (ans)

 

  1. Immunity provided by DPT is artificial active*(ans) b.artifial passive

 

  1. Glucose fasting 6.8 (124), after 2 hours 10.6 (190)

a.impaired glucose tolerance* (ans) b.Diabetes

 

  1. Aldosterone most important stimulus Increase potassium*

 

  1. Air embolism, quantity of air required to produce symptoms 100ml* (ans) b.50 ml

 

  1. Microscopic feature of compact bones a.Haversian canals are arranged obliquely b.lacunae have osteoblasts ,c.Haversian canals are not interconnected collagen imparts colour lamellae are regularly arranged* (ans)

 

  1. How many white ramus communicans are there in our body a.13 14 * (ans) (T1-L2),c.15

 

d.16

  1. Virus cause cancer by alteration of a.proto oncogen b.oncogen DNA* (ans) d.RNA

 

  1. Hydrolysis of DNA release a.ribose sugar b.phosporic acid* (ans)

 

  1. Pregnant lady with obstructive jaundice will have raised: a.GGT (ans)

 

  1. Farmer with gum bleeding a.Vitamin C deficiency (ans)

 

  1. Last mediator of septic shock IL 6* b.TNF c.IL 1
  2. Which of the following organelle contain oxidases? A.Peroxisome (ans)

 

  1. True about middle meningeal artery

a.Enter to brain through foramen spinosum* (ans) b.Causes subdural hemorrhages

  1. Free hemoglobin bind to Hapatoglobin* (ans)

 

  1. Transitional epithelium of bladder derived from a.mesoderm endoderm* (ans) c.endoderm+mesoderm

 

  1. Microglial cell phagocyte of nervous system* (ans) b.abundant in white matter c.abundant in gray matter

 

  1. Regarding skull of child?

 

  1. anterior fontanelle present between 3 bones b.posterior fontanelle closes at 3 months? c.Vault is bigger than the face

 

  1. Postero superior relation of pituitary? related to parotid gland saphenoid*(ans) b.Maxillary

 

  1. Cervical branch of facial nerve supply playtsma*(ans) b.strnocledomsdtoid
  2. Corneal opacity is caused by chloroquin* (ans) b.quinine c.ethambutol

 

  1. To calculate the median of 40, 20,25,30,25,20,35,40(it wasn’t arranged in ascending order) ans 27.5
  2. Radiation therapy, lesions on skin due to Endartritis obliterans (ans)

 

  1. Infratemporal fossa also known as

 

a.Parapharyngeal fossa  b.tonsillar fossa  c.suprasternal d.submesenteric

 

  1. 15 yrs old boy with multiple large purpura, bleeding problem, investigation? Platelets less than 20* (ans) b.Platelets less than 90 c.Factor 8 def

 

  1. Patient has glycosuria, although serum glucose is 100mg/dl

 

a.he can’t absorb glucose from pct b.he has DM

 

c.has abnormal absorption of glucose

d.his kidney has low glucose threshold* (ans)

  1. Agammaglobunemia Pyogenic infections* (ans) b.Viral infections

 

  1. Severe hypomagnesemia causes Hypocalcemia* b.Hypercalcemia

 

  1. Thyroglossal cyst common location

 

a.Above sternum  b.Thyrohyoid region* (ans) c.Intralingual

 

  1. M bands produced by? A.b cells b.plasma cells*(ans) c.t cells  d.macrophages

 

8

 

 

 

 

  1. crus cerebri near to A,substantia nigra* (ans)red nucleus c.superior colliculus d.superior cerebellar peduncle

 

  1. 7th left pulmonary segment..what is it called?

A.Lingual lobe  b.Right medial basal* (ans) c.Lateral basal d.apical

 

  1. Both peripheral and central chemoreceptors stimulated by? CO2* b.H c.O2

 

  1. Damage to precentral gyrus

a.Contralateral motor loss*(ans)  b.Contralateral sensory loss

 

  1. Area 312 damaged, symptoms Somatosensory loss* (ans)

 

  1. Short half life means Reaches stable dose quickly* (ans) b.Rapid clearance c.Bioavailability d.Freely filtered in glomeruli

 

  1. Damage to ventro posterior lateral (VPL) nucleus of thalamus Somatic contralateral loss* (ans)

 

  1. 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)

 

  1. Intracellular buffer Bicarbonate  b.Hemoglobin  c.Protein* (ans)

 

  1. Burn tissue. Which non bacterial opportunistic organism found Candida* (ans)

 

  1. 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

 

  1. 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

  1. Absence of surfactant in child will cause Distress syndrome (ans)

 

  1. Ectoderm will give rise to which organ system a.GIT CNS* (ans)

 

  1. Which of the following has high chances of developing into cancer a.lymphocytoma b.Pseudocancerous c.Intraepithelial nevus Bowen disease* (ans)

 

  1. Typical TB scenario, Chronic cough sputum xray shows cavity febrile. Type of immunity: a.Antibody mediated immunity Cell mediated* (ans)

 

  1. Stony dull percussion note Fluid in pleural cavity (ans)

 

  1. Cytokeratin a.Glycoprotein Intermediate filament*(ans)  c.Microtubule

 

  1. Criteria for diagnosis of sepsis a.HR > 100 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

 

  1. Excessive stretch will be prevented by Muscle spindle* b.GTO

 

  1. Oliguria is Less than 500ml* b.Between 500 and 1000ml

 

  1. Lesion to pyramid results in — Contralateral hemiplegia (ans)

 

  1. Baroreceptor firing causes decrease in:
  2. Heart rate b.Venous compliance* (ans) c.Coronary blood flow d.Cardiac Output

 

  1. Thyroid isthmus is located 2 3 4 tracheal rings (ans)
  2. Gap junctions Allow rapid spread of action potential to all cardio myocytes* (ans)

 

  1. A child who is apathic, peripheral edema, low albumin Kwashiorkor*(ans),b.Marasmus

 

  1. Pulmonary wedge pressure used for —–Left atrium(ans)

 

  1. In shock, most important body response

 

a.CNS ischemic response*(ans)  b.Baroreceptor  (not sure about the correct stem )

 

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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

  1. Thoracic vertebrae

 

  1. Lumber vertebrae

 

  1. Sacral vertebrae

 

  1. Coccygeal vertebrae

 

2, Massive RBCs destruction

 

  1. conjugated hyperbillirubinemia

 

  1. unconjugated hyperbillrubinemia

 

3, Patient with allergies, iv xylocain given

 

  1. Tachycardia

 

  1. Mild syncope ( IV cause bradycardia, local may cause tachycardia)

 

  1. Rash

 

4, ADH acts on

 

  1. cortical collecting tubules
  2. medullary collecting ducts (Both are correct)

 

  1. distal tubules

 

5, Renin inhibited by

  1. inc pressure in afferent arterioles

 

  1. 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

 

  1. 1,25 dihydroxycholecalciferol
  2. 24,25 hydroxycholecaliciferol

 

  1. Parathyroid hormone

 

  1. 25 cholecalciferol

 

7, Which one will decrease potassium secretion a. spironolactone

 

8, PTH reabsorbs calcium through

 

  1. distal convoluting tubule

 

  1. Proximal convoluting tubules 9, Increase water diuresis seen in

 

  1. positive water clearance

 

  1. negative water clearance 10, Good pauster syndrome

 

  1. linear deposition

 

  1. Sub epithelial deposits
  2. Sub endothelial deposits

 

11, Person taking normal saline

 

  1. increase urine sodium
  2. increase plasma osmolarity

 

  1. decrease urine osmolarity

 

12, A person with numbness, paraesthesia and pallor,, Hb 10, MCV high, his urine will probably

 

contain

 

10

 

 

 

 

  1. methylmelonic acid 13, Action of captopril
  2. hypercalcemia

 

  1. increase degradation of angiotensin 2

 

  1. increase degradation of bradykinin

 

14, Mother rh positive and father rh negatiive, how will you counsel them

  1. Antigen antibody complexes in post natal life

 

  1. Antigen may transfer to mother circulation

 

  1. Hemolytic disease of newborn may occur

 

15, Patient on antituberculous drugs, presents with pin and needle sensations , what drug should be

 

stopped

  1. Isonazide

 

  1. Pyrazinamide

 

  1. ethambutol

 

16, Drug of choice in actinobacter bouneii

  1. Imipenem

 

  1. Tetracycline

 

17, Patient having traveler’s diarrhea not responding too antidiarrheal drugs, which drug should be

 

given

 

  1. Metronidazole
  2. Erythromycin

 

  1. Norfloxacine

 

  1. Chloramphencol

 

(remember, Most common organism involved in traveler’s 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 traveler’s diarrhea

 

  1. Diphenoxylate
  2. Metronidazole

 

  1. Atropine

 

  1. Aluminum hydoxide

19, Helminthes transmitted through mosquito

 

  1. Filarial

 

  1. Oncocercia

20, Most characteristic feature of actinomyces

 

  1. Talcum granules

 

  1. Restrictive anaerobe

 

  1. 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

 

 

 

 

  1. Tissue bleeding (Reference Pathoma)

 

  1. Epistaxis

 

  1. 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

 

  1. Necrosis with neutrophils and macrophages

 

  1. Lymphocytic infiltrates

 

23, Patient presents with vacuities and p-ANCA positive, what should be the cause

 

  1. Hepatitis b

 

  1. Hepatitis a

 

  1. Hepatitis c

 

24, Child with allergies and parasitic infections, what cells will you find

 

  1. Eosinophils

 

  1. Mast cells

 

25, Right subclavian artery derived from

 

  1. Aortic arch 1
  2. Aortic arch 2

 

  1. Aortic arch 3

 

  1. 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

 

  1. pylori

 

  1. Pernicious anemia
  2. Zollinger ellison syndrome

 

  1. (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

 

  1. vWD
  2. G6PD defciiency

 

28, Patient with asthma, pCO2 is 55 mmhg, HCO3 is 25 mmol/l, PH is 7.3, what is the abnormality

  1. Respiratory acidosis with renal compensation

 

  1. 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

  1. NADPH deficiency

 

  1. 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

 

  1. Tabes dorsalis

 

  1. Upper motor neuron lesion

 

  1. 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

  1. Short head of bicep femoris

 

  1. Long head of bicep femoris 32, Diarrhea

 

  1. Metabolic acidosis with normal anion gap

 

  1. Metabolic acidosis with increased anion gap

 

  1. Metabolic alkalosis

 

33, Spinal hemi-section done

  1. Ipsilateral loss of proprioception below section

 

  1. Contralateral loss of pain and temperature

 

  1. Ipsilateral loss of proprioception at c6-c7 and below 34, Morphine is given to a patient, what effect will occur

 

  1. Contraction of gall bladder and release of bile

 

  1. Constipation
  2. Release of pancreatic secretions

 

35, Normal waves in basic electrical rhythms of stomach

 

  1. 12 waves/day

 

  1. 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

  1. Cholesterol >300 g/dl

 

  1. Urea is 114 mmol/l

 

  1. Pseudomonas aerugenosa

 

(Although pseudomonas does not cause infective endocardis in IV drugs users, but no other

 

option fits)

 

37, ADH is inhibited by

  1. Aldosterone

 

  1. thirst

 

  1. Alcohol

38, Malarial parasite is transferred into human blood in form of

 

  1. Merozoites

 

  1. Sporozoites

 

  1. 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

 

  1. Dependence

 

  1. tolerance

40, Resistance develops by staph aureus can be tested by shows

 

  1. Hemolysis

 

13

 

 

 

 

  1. Coagulase positive

 

  1. Coagulase negative 41, Tachyphylaxis

 

  1. Rapid decrease to response

 

  1. Slow decrease to response 42, Angina worsen by which drug

 

  1. Theophylline

 

  1. Salbutamol

 

  1. Vasopressin

 

  1. Verapamil

 

  1. metoprolol

 

43, End product of cabohydratte metabolism

  1. Fructose

 

  1. Sucrose

 

  1. Pyruvate

 

  1. Glucose

44, Patient with MCH low, MCV low , MCHC low, HbA 94% and HbA2 4% diagnosis

 

  1. Thalassemia trait

 

  1. Iron deficiency anemia

 

45, Duschine muscular dystrophy, which enzyme is defected a. Dystropin

 

46, Most common cause of death in rheumatic fever

  1. Mitral valve

 

  1. Myocarditis (reference Pathma)

 

47, Patient presents with microcytic hypochromic pattern and anisoopikylocytosis. His another

brother is also receiving blood transfusion

 

  1. Red cell survival

 

  1. Osmotic fragility

 

  1. Hemoglobin electrophoresis 48, Mean is 80, SD is 1.75

 

  1. 94%

 

  1. 80%
  2. 84%

 

49, About thyroid gland

 

  1. three paired arteries
  2. Venus drainage to brachiocephalic and subclivian

 

  1. Covered by prevertebral fascia

 

  1. Isthmus is infront of cricoid cartilage 50, Heart

 

  1. Diaphragmatic surface is formed by left atrium

 

  1. Left border is formed by left atrium 51, Trachea

 

  1. Present in midline and bifurcation occurs slightly too right side

 

  1. Deeply present in children and mobile 52, Thyroglossal tract

 

  1. End upto base of tongue

 

  1. Below hyoid bone to foramen caecum 53, Duodenum

 

  1. 1st, 2nd and 3rd part retroperiitonim

 

  1. 3rd part related to right kidney

 

14

 

 

 

 

  1. 25 cm long

 

54, A man with dyspnea and no cough, cause is

  1. Smoking

 

  1. Inorganic dust

 

  1. Organic dust

 

(This MCQ is a modified form of a man with dyspnea and no fever……Past paper que…. )

55, Cause of macrocytic anemia

 

  1. Folate and cobalamine

 

56, Ovary

 

  1. Lymphatic drainage to para artic nodes

 

  1. Arteral supply by ovarian artery

 

(Both are true) 57, Nucleoli

 

  1. Does not have limiting membrane

 

  1. DNA only

 

  1. DNA and Ribosome (Both are true)

 

58, Artery remain in true pelvic

  1. Superior gluteal

 

  1. Inferior gluteal

 

  1. Middle colic

59, About carcinogenesis

 

  1. 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

 

  1. Atrophy of medulla
  2. Atrophy of cortex

 

  1. Ischemic infarction (Not Confirm)

 

61, Liver damage occurred, binucleated cells were found which are due to

 

  1. DNA without histones
  2. Histones without DNA

 

  1. Karyoknesis without cytokinesis 62, Bronchopulmonary segment
  2. Are not connected with each other

 

  1. Aerated by primary bronchioles

 

  1. Aerated by secondary bronchioles
  2. Aerated by tertiary bronchioles

 

63, Right broncheal artery

 

  1. Branch of descending aorta

 

  1. Branch of 3rd posterior intercostal artery 64, Tumor with nerve sheet involvement

 

  1. Carcinoma ex-plemorphic adenoma

 

  1. Mucuepidermoid tumor
  2. Hemangiopericytoma

 

65, Lobe of lung with two bronchopulmonary segments

 

  1. Right medial
  2. Left medial

 

  1. Right lower

 

15

 

 

 

 

  1. Right upper

 

66, Macula of utricle involved in

  1. Horizontal acceleration

 

  1. Angular acceleration

 

  1. Malequilibrium ahead of time

 

  1. Verticle acceleration

67, First line of defense in blood loss

 

  1. Blood vessels

 

  1. Platelets plug

68, EEG shows basic electrical rhythms

 

  1. Reticular formation

 

  1. Thalamus

69, Deep cervical artery is a branch of

 

  1. Thyrocervical trunk

 

  1. Costcervical trunk

 

70, Basal gangliia send excitatory signals too

  1. Thalamus

 

  1. Pontine reticular formation

 

  1. Medullary reticular formation
  2. Olivary nucleus

 

71, Old patient with tremors, gait deformity, abnormal finger nose test and dysdidokokinesia sign,

diagnosis

 

  1. Cerebellar lesion

 

  1. Upper motor neuron lesion

 

  1. Lower motor neuron lesion

72, Injury to neck on severe flexion

 

  1. Posterior longitudinal ligament

 

  1. Ligamentum flavum
  2. Anterior longitudinal ligament

 

  1. 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

 

  1. Lamina
  2. Body

 

  1. Spines

 

74, Autonomic supply of jejunum

  1. Greater and lesser splanchniic nerves

 

  1. Pelvic splanchnic nerves

 

  1. Vagus nerve

 

75, Enzyme release in MI of 12 hours

  1. Alkaline Phosphatase

 

  1. AST

 

  1. ALT
  2. LDH

 

  1. Creatinine kinase

 

76, Creatinin produced by

  1. Liver

 

  1. Skeletal muscles

 

16

 

 

 

 

  1. Heart

 

  1. Kidneys

77, splitting of S2 heart sound enhanced by

 

  1. Delayed closure of aortic valve

 

  1. Delayed closure of pulmonary valve

 

  1. Early closure of aortic valve

78, CSF

 

  1. a) arachnoid vallii can be seen with naked eye

 

  1. Glucose 120 mg/dl

 

  1. Proteins 20-40 mg/dl 79, PDA

 

  1. 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

 

  1. Dependent position b. Ischemia

 

82, Trachoma

 

  1. Lymph-granuloma veneream b. Cancroid

 

  1. Condylomata leta

 

83, Supernormal( hyper-excitable) period of myocardium is the period a. Ventricular hyperexcitatiion

 

  1. 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

 

  1. Bronchiectasis

 

  1. 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

 

  1. At the end of 3rd week

 

86, Oogonia undergoes mitosis in

 

  1. Post natal
  2. Yolk sac

 

  1. Pre natal after 3 months

 

  1. Prenatal after 3 weeks
  2. Prenatal 7 to 8 weeks

 

 

87, Dead space decreased n

 

17

 

 

 

 

  1. Emphysema

 

  1. Pleural effusion

 

  1. Atelectasis

 

  1. Hypertension

 

  1. Pneumothorax

 

88, Therapeutic window

 

  1. Therapeutic dose range 89, Acetylcholine

 

  1. Nicotinic receptor abundant in brain 90, Type of collagen in dermis of skin

 

  1. Type 1

 

  1. Type 2

 

  1. Type 3

 

  1. type 4

 

  1. Type 5

 

91, Rivastigmine

  1. acetylcholine estrase inhibitor

 

  1. mao inhibiter

 

  1. comt inhibitor

92, Parasympathetic stimulation of heart

 

  1. decrease cAMP

 

  1. increase protein kinase

 

93, Old man with multiples bone fractures on x-ray and blue sclera a. osteogenesis imperfacta

 

94, Most common chromosomal abnormality

 

  1. down syndrome
  2. fragile x

 

  1. ptau syndrome

 

95, Mediator of slow pain fibers

  1. substance P

 

  1. dopamine

 

  1. histamine

 

96, Hormone causing increase release of testosterone a. leutanizing hormone

 

97, Growth hormone inhibited by

 

  1. somatostatine 98, About collagen

 

  1. lightly stain with eosin

 

99, Characteristic feature of sarcoidosis

  1. hypercalcemia

 

100, Citrate affect coagulation by

 

  1. calcium chelate

 

101, Secretion of ectopic thyroid hormone by

  1. small cell carcinoma of lung

 

  1. squamous cell carcinoma of larynx

 

102, Bifurcation of common carotid artery

  1. at level of cricoid

 

  1. superior border of thyroid cartilage

 

  1. jugular notch

 

103, Characteristic sign of severe penicillin allergy a. rash

 

18

 

 

 

 

  1. bronchospasm

 

  1. fever

104, Drug which when given increase effect of antiseizure drugs

 

  1. valproate

 

  1. phenobarbitol

 

  1. carbamezapine

 

  1. phenytoin

 

105, Acetylcestein is given in paracetamol toxicity because it

 

  1. increase renal clearance

 

  1. convert metabolite of paracetamol into acetylated form 106, CSF

 

  1. daily production 500ml/day

 

107, Epinephrine release from adrenal medulla dilates blood vessels through

 

  1. beta 2 agonist receptors

 

108, Patient with weak pulses in lower limbs than upper limbs and there is radiofemoral delay,,

 

diagnosis is

 

  1. Co-arctation of aorta

 

109, Femoral artery pulsations

  1. mid inguinal point

 

  1. mid point of inguinal ligament

 

110, Progressive prolongation of PR intervals with droops of P-wave

  1. Mobitz type 1

 

  1. Mobitz type 2

 

111, Gluteus maximus is supplied by

 

  1. Inferior gluteal artery

 

  1. Superior gluteal artery 112, RCA

 

  1. Supply Sa-Node

 

  1. Emerge from anterior aortic sinus ( Both Are true)

 

113, Muscles are strong due too

 

  1. Multipinate
  2. Bipinate

 

  1. Strap

 

114, Characteristic feature f long bone

  1. Mesenchymal ossification

 

  1. 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

 

  1. Histamine

 

  1. Kinin

 

117, HIV associated carcinoma a. Kaposi sarcoma

 

118, Blood supply of skin lies in

  1. Loose areolar tissues

 

  1. Between skin and aponeurotic layer

 

( There are many layers of scalp,, from outside to inside,, skin-subcutaneous connective tissuesaponeurosis-

 

loose 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

 

  1. Active listening to every question of patient 120, Social support too patient is prviided by
  2. Family members

 

  1. Nursing staff

 

  1. Edhi foundation

 

  1. NGO

 

  1. Social workers

 

121, When both allele’s 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

 

  1. Vacuities and thrombosis

 

  1. Dense lymphocytic infiltrates

 

  1. Plasma cells

 

123, Tuberculin test , which cells can be found at site

  1. CD4 positive cells

 

  1. 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

 

  1. ZN staining

 

  1. Biopsy

125, Tests for typhoid in second week

 

  1. Blood culture

 

  1. Widal and blood culture
  2. Stool culture

 

126, Child with rectal prolapse, parasitic infection with parasite shows short head

 

  1. Trichuris trichura

 

  1. 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

  1. Cataract

 

  1. 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

 

  1. Pseudomonas aerugenosa

 

129, Schlerotome , vertebrae and nerves

  1. 7,7,7

 

  1. 7,8,7

 

  1. 8,8,8
  2. 8,7,8

 

130, End diastolic ventricular volume will increase with

 

20

 

 

 

 

  1. Venous return

 

  1. Heart rate

 

  1. Cardaic output

 

131, A women presents with winging of scapula damage to which nerve

 

  1. thoracodorsal

 

  1. spra scapular

 

  1. long thoracic 132, Glucocorticoids

 

  1. decrease glucose utilization in cells 133, Secretion high in HCO3

 

  1. pancreatic secretion

 

134, Intestinal motility is increased by a. CCK

 

  1. Gastrin

 

135, Vagus nerve emerge through a. Jugular foramen

 

136, Old patient presents with weakness in all arms, clasp knife rigidity and hyper-reflexia, diagnosis

 

  1. Upper motor neuron lesion b. Lower motor neuron lesion

 

137, Stage in which spindle fibers attach to centromeres and divide a. Telophase

 

  1. 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

 

  1. Tropomyocin

 

140, In liver cell injury, enzyme decreased is a. ALP

 

  1. 5-nucleotidase c. AST

 

  1. GGT e. ALT

 

141, Baby starts bleeding from umbilical cord when cut a. Vit-k deficiency

 

  1. 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

 

  1. Hematocrit

 

  1. MCHC

 

150, Arrangement of intercostal neurovascular bundle from cephalo—caudal

 

  1. Vein, nerve, artery

 

  1. Vein artery nerve

 

  1. Nerve vein, artery

 

151, True about adrenal gland

 

  1. It is pyramidal in shape 152, kidney

 

  1. Adrenal gland covered with perirenal fats

 

  1. Renal vein passes infront of both renal artery and inferior vena cava 153, which of the following drugs will increase the effect warfarin

 

  1. Cimetidine

 

154, Dual nerve supply but not reciprocal

 

  1. Sweat gland
  2. Third gland

 

  1. Cillairy body

 

  1. Pupils

155, Thymus

 

  1. rich in lymphocytes

 

  1. regress after birth

 

  1. develop from 3rd and 4th pharyngeal pouches

156, Patient With below knee amputation. After that painful scar formed

  1. neuroma

 

  1. ganglioma

 

157, Which of the following is a benign tumor a. leomyoma

158, Alterobaric changes n a person during dving in deep sea

 

  1. unequal changes in pressure n middle ear during diving

 

  1. perilympathic fistula

159, Drug which effect thyroxine llevel

 

  1. potassium iodide

 

  1. prophylthiouracil
  2. propranolol

 

160, Cause of increase pulse pressure

 

  1. increase arterial compliance

 

  1. stroke volume
  2. total peripheral resistance

 

161, Left shift of O2 hemoglobin dissociation curve with hypocapnia a. bohr effect

 

22

 

 

 

 

  1. haldine effect

 

162, Glucose increasing factor release from pancreas

  1. glucagon

 

  1. Insulin

 

  1. Secretin

 

163, Basilar artery ends by dividing into

 

  1. Posterior cerebral artery 164, Secretin release when

 

  1. HCl n stomach

 

  1. HCl n duodenum

 

165, defect vWB will affect

 

  1. Platelets adhesion

 

  1. Platelets aggregation

 

166, Person chewing pan and battle, which complication may occur

 

  1. Keratosis

 

  1. Submucosal fibrosis

 

  1. Ulcers

 

167, Strong anaphylatoxin

 

  1. C5
  2. C8

 

  1. C7

 

  1. 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

 

  1. Right facial nerve
  2. Oculomotor nerve

 

  1. Left facial nerve

 

169, Normal ratio FEV1/FVC a. 0.8

 

170, Filum terminale

 

  1. Formed of pia matter

 

171, Child with rheumatic fever

  1. Antibody-antigen immune complex deposit

 

  1. Bypass low zone cross reactivity

 

172, Pyogenic infection

  1. Proteins > 3g

 

  1. Transudate

 

173, Lady with painful swelling of left lower leg a. DVT

 

174, Iron bind to which proteins in blood

 

  1. Albumin

 

  1. Ferritin
  2. Transferrin

 

175, Aplasia means a. Absence of cells

176, Cause of cardiogenic shock

 

  1. Hemorrhages

 

  1. Septicemia
  2. MI

 

  1. Burn

 

23

 

 

 

 

177, Toxoplasma infection,, what antibody will be found in neonates

 

  1. IgG-1

 

  1. IgG-4

 

  1. 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

 

  1. Secretin

 

  1. Histamine

 

  1. CCK

 

179, Spermatogenesis

  1. Spermatids form spermatozoa

 

180, TNF as answer,, have forgotten the stem 181, Increase ESR more than 100 occurs in

 

  1. Anemia

 

  1. Polycythemia

 

  1. Multiple Myeloma

 

  1. 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

 

  1. Tractus solatarus
  2. Occulmootor

 

185, Formation of interstitial fluids will increase in

 

  1. Decrease plasma colloid pressure
  2. Decrease plasma oncotic pressure

 

  1. Decrease lympathics

 

186, A man with increase thirst. And changed behavior urine osmolarity decrease. There is a lesion of

  1. hypothalamus

 

  1. amygadala

 

  1. thalamus
  2. cerebellum

 

187, Cells to cells adhesion occurs through

 

  1. Intigrins
  2. Selectins

 

  1. Cadherin

 

188, Which is essential for tissue matching a. HLA

 

189, Infarction a. Arterial Occlusion 190,

 

Cannot recall any more MCQs, don’t 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

 

 

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-

 

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

 

  • corneal opacity > chloroquine

 

  • cervical part of facial nerve supply> platysma

 

  • middle meningeal artery> foramen spinosum

 

  • compensation of shock what will decrease > heart rate 10)reversal of shock> urine output will increase

 

  • diastolic filling depend on> venous return

 

  • 6 values given calculate median 13)zinc> carbonic anhydrase ,vit b12

 

14)non bacterial oportunistic organim after burn > pseudomonas

 

  • compact bone histologcl feature 16)scenario on neutrophil diapedesis > c5a

 

  • scenario on inc. bleeding time> platelets 20000

 

  • cause of cervica tumor a.chronic irritation b.iucd c.hsv ,d.hpv

 

19)long scenario ws given pain produced by> prostaglandin and bradykinin

 

  • scenario pathological fracture m band > plasma cell

 

  • alpha 1 adrenergic receptor> mydriasis

 

  • vagus cause inc. salivation nd vasodilation due to > a.vip ,b.gastrin ,c.gip.d.substance p

 

  • 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

 

  • typhoid cariers> asymptomatic

 

  • ketamine is a good analgesic

 

  • cardiac muscles >,gap junctions cause increases electrcl spread

 

  • increases calcitonin asociatex with tumor of > thyroid

 

  • 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

 

  • pregnant lady e anemia scenario feritin not raised> cant recal other options not iron def. anemia

 

  • pregnant lady scenario> decrease albumin cant recal other options

 

4)absolute lymphocytosis> infectious mononucleosis

 

  • cancer therapy> apoptosis

 

  • 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

 

  • epigastric pain scenario> greater splanchnic nerve

 

  • parotid glnd posteriomedial relation

 

  • gaba def. in globus palidus nd substantia niagra athetosis parkinsonism

 

  • 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

 

 

 

 

  • cortisol is necesary for action of > insulin glucagon thyroxine epinephrine thyroxine aldosterone

 

  • hyperparathyoidsm whch age grp young adult post menopsusal womn premenopausal womn

 

  • 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

 

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-

 

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 4×3 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

 

  1. suprficial epigasric artry branch of… Femoral Artery
  2. which one z involvd in portal hyprtnsion.. esophageal

 

  1. regarding sciatic nerve.. present bw gratr trouchntr nd ischial tuberosity

 

  1. median nerve damaged at carpel tunnel what will occur wasting of thiiner muscle
  2. 17 ketosteroid in urine normal male

 

  1. median nerve damaged which action of thumb will impared……. opposition
  2. lymph from testis will drain into……. paraortic nodes

 

  1. sciatic nerve damaged dorsal surface of foot still have cutenous innervation b/c of

…..sphaneous nerve

 

  1. Pulmonary symptoms by ………ascariasis
  2. 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

  1. 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

 

  1. relation ov terminal cbd with heas ov pancreas….embedded

31.Relation in the popletial fossa …Medial

 

  1. MC tumor in child……. meduloblastoma
  2. which branch of cervical plexus supply posterior auricul area, …Lesser occipital nerve

 

  1. Fracture of which vertebrae , bone peice damage vertbral coulm…….axis
  2. 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

 

 

 

 

  1. asthmna which inc……..> functionl residual capacity
  2. at normal condition both are equal..????…..venous return and pulmonary flow

 

  1. Long term memory immunoglobulin..? ig G
  2. loop diuretic dangrous efect… hypovolumia

 

42.Propofol absolute contra..? Hypersensitivity

 

  1. 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

 

  1. Alpha receptr on…… neck ov bladder nd proximal urethra
  2. inferior thyroid> recurnt lyrngeal nerve

 

  1. Choriostoma …..pancreatic tissue in stomach

53.patient unconcious.. Lesion on ct post central gyrus sensory area

 

  1. Sickle cells disease protein affected …beta globin

 

  1. retroperitonial mass, close to psoas, no ocult blood, or intstnl obstruction…… liposarcoma 56.ron deficiancy anaemia > inc tibc

57.thiazide diuretics… early DCT

 

  1. Part ov portal system,superior rectal vein
  2. tumour cell in blood most commnly diagnosed…peripheral morphology

 

60.60yr old alcoholic centrilobular congestion,neck veins distended, fibrosis passive congestion

..Right heart failure

 

  1. ………. 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

 

  1. 5 cm perihilar nodule plus eosinophilia in blood sputum and biopsy?…. noinvasiv aspergilosis/ wegnr granulomatosis

 

  1. endothelium of vagina and endometrium derived from ….. endoderm mesoderm endoderm plus ectoderm

 

  1. spleenectomy, vassels present in which ligment…..lenorenal

 

  1. Rectus sheath….. Upper intersection near xphoid process

 

  1. Hemophilia, joint pain 6 month s, which subsntc present,, cholestrol crystals

 

  1. 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)

 

 

 

  • artery orginate at post ext carotid in parotid near post digastrix muscle A: facial

 

B: lingual

 

  • superficial epigastric artery is branch of

 

  • external iliac

 

  • femoral

 

3: blood and nerve supply to base of bladder is A: urachus

 

B : medial umbilical lig

 

  • Gallen vein located at A: post cestern

 

B: Ant cistern

 

  • RTA oerson die due to vertebrae fragement causing injury to spinal cord A: Axis

 

B: Atlas

 

  • Ovarian disease pain radiating to medial thigh due to

 

  • obturator nerve

 

  • Pudendal nerve

 

  • bulk of hair is form by A: basalis and spinosum B: cuneform

 

  • planter surface foot sensory supply thru A: sural nerve

 

B: post tibial

 

  • outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is A:Supraspinatous

 

B: Trapizius

 

  • left lung root get sever injured spared structure will be

 

  • vagus nerve

 

  • pulmonary ligament

 

35

 

 

 

 

  • carpal tunnel syndrom A: wasting of thenars

 

  • inf wall MI vessel involve is A: rt marginal artery

 

B: PIV artery

 

  • ant wall MI vessel involve is A: LAD

 

  • LXM artery supplies

 

  • lft atrium

 

  • lft ventricle 15: sciatic nerve

 

  • passes btwn greater tronchter and ischium

 

  • divides into superficial and deep peroneal

 

16: popliteal nerve in relation to vessel is at popliteal fossa

 

  • Ant

 

  • Post

 

17: flexor of elbow supplied by radial nerve

 

  • brachio radialis

 

  • bicep brachii 18: lysosomes

 

  • oxidation of long chain fatty acids

 

  • hydrlytic enzymes

 

19: scalp at post auricular surface supplies by

 

  • auriculo temporal

 

  • greater occipital

 

20: structur damage at post cervical lymphadenectomy

 

  • spinal part of accessory nerve

 

21: Int jugular with ant relation to as exit from skull

 

  • Accessory nerve spinal part 22: LH acts at testiculuar cells

 

  • Leydigs

 

  • Sertoli

 

23: for splenectomy renal vessel.ligation

 

  • gastro splenic lig

 

  • lenorenal lig

 

24: nerve supplying area below orbit anove mouth

 

  • maxillary division of trigeminal

 

  • 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

 

 

 

 

 

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-

 

(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

  • CMV

 

  • SCC

 

Q10 iron homeostasis via a tranferrin ANS A

  • haptoglobin

 

  • 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

 

  • retinoblastoma
  • colonic CA

 

  • neuroblastoma
  • 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

 

  • scatter
  • histogram

 

Q24 A woman vid coneal vasularization and fissures at corners of mouth

 

A ribofvalin ANS A

  • niacin

 

  • biotin

 

Q25 A pt vid defficiency of niacin and riboflavin will have a pellaga ANS A

  • scurvy
  • rickets

 

  • osteomalcia

 

Q26 a multigravida having two kids presents in clinic after cholecystectomy her peripheral smear showin microcytes cause is

A blood loss

 

  • IDA
  • 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

  • S/ferratin

 

  • 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

 

  • IDA
  • 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

 

  • oxaloacetate

 

  • glutamate ANS B
  • 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

  • RER

 

  • 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

  • eosinophils

 

  • mucosal mast cells ANS B
  • neutrophils

 

Q36 cerebellum is related vid

  • speech

 

  • movements

 

  • coordination of movement ANS C

 

 

Q37 which peritoneum covering the organs of abd viseras

  • parietal

 

  • viseral ANS B
  • 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

  • zygote

 

  • 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

 

  • XX
  • XY

 

  • XX/YY

 

  • 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

 

  • normal
  • adrenogenital synd

 

  • testicular feminization ANS D

Q47 before giving sodium valporate to pt check

 

  • RFTs

 

  • LFTs ANS B
  • 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

  • arteries

 

  • arteriols
  • capillaries

 

Q52which ligament hold uterus in antevertd position and can b palpated per rectal exam

 

A uterosacral ANS A

  • round
  • 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

  • histolasmosis

 

  • cryptococus ANS B
  • aspegillus

 

Q54 Secondary ossification center

  • diaphysis

 

  • epiphysis ANS B
  • metaphysis

 

Q55 common feature of sk muscle and smooth muscle

A T tubules

 

  • branching

 

  • transverse striation ANS C

Q56 smooth muscle feature

 

  • Mononucleate ANS A
  • multinucleate

 

  • 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

  • thiopental
  • 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

  • trichomonas

 

  • 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

 

  • thymus
  • 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

  • collagen

 

  • EPDGF

Q107 shigella toxins involved in

 

A endotoxins

 

45

 

 

 




 

  • exotoxins

 

  • 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

 

  • epigastrium
  • tip of shoulder

 

  • 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

  • IDA

 

  • dilutional anemia ANS B
  • 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

  • glyburide

 

  • 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

  • K+

 

  • Na +

 

 

Q124data is collected for some clinical trial based on presence or abscence of vomiting

 

A nominal ANS A

  • ordinal

 

  • 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

 

  • SCM
  • ICA

 

  • carotid sheath

 

  • spinal part of accessory nerve ANS D plz further confirm it

 

Q149 Testosteon is produced from sertoli cells

 

Q150 charecteristic feature of shock

  • hypoxiemia

 

  • hypoperfusion of organs ANS B

 

Q151 on strepcoccal pneumonia infection in a person clearnace of infection will occur via

 

  • H2O2
  • PG

 

  • 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

  • specific

 

  • 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 attem pt 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

 

  1. 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

 

  1. 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)

 

  1. 9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is

 

A:Supraspinatous (Ans)

B: Trapezius

 

  1. left lung root get sever injured spared structure will be

 

  • vagus nerve (Ans)
  • pulmonary ligament

 

  1. LXM artery supplies

 

A: lft atrium (Ans)

 

  1. Int jugular with ant relation to as exit from skull A: Accessory nerve spinal part

 

  1. local factor for delayed wound healing
  • vit c def

 

  • infection (Ans)

 

51

 

 

 

 

  1. breast during pregnancy and lactation
  • stromal hypertrophy

 

  • lobular hyperplasia (Ans )

Remember me in your prays

 

  1. 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

 

  1. Bacteria causing meningitis ..secondly to pyogenic lung abscess Hemephelous influenza.

 

Pneumcocci

Streptococci

 

Staphylococcus ( Ans)

 

  1. Bar body in xxx???

 

  1. 2 (Ans)
  2. 3

 

  1. 1

 

  1. Zero

 

16.

 

Thirst is regulated by hypothalamus angiotensin 2 (Ans)

 

Adh Aldosterone

 

  1. Hormone increasing muscle growth …

 

  1. testosterone (Ans)
  2. dihydrotestosterone

 

  1. Progesterone

 

52

 

 

 

 

18.Lady feeding her baby for a year no problem….what happened during pregnancy….

 

  1. lobular hyperplasia (Ans)
  2. Ductal metaplasia

 

  1. Stromal hypertrophy

 

19.First meiotic decision completed during..

 

  1. after ovulation….

 

  1. few hours before ovulation (Ans)

 

  1. True hermaphrodite

 

  1. Xxy

 

  1. Xx/xy (Ans)

 

21.Cardiac stroke volume

 

  1. venous return (Ans)

 

  1. Vomiting data 20 and 40 percent

 

  1. Nominal (Ans)

 

  1. Ejection fraction increases what decreases…
  2. EDv

 

  1. ESV (Ans)

 

24.Internal jugular vein anterior relation to which structure after exiting from skull…

 

  1. carotid sheath…
  2. internal carotid artery…

 

  1. scm
  2. Accessory nerve

 

25.strp pneumonia confrm so how it treat by

 

  1. leukotriene
  2. hydrogen peroxide

 

26.Regarding trigeminal ganglion

 

Bath in csf completely (Ans)

Completely coverd vid dura matter

 

Present in mid cranial fossa alongside cavrnous sinus

 

  1. E max of drug

 

Efficacy (Ans)

 

Bio avilability Potency

 

  1. glucagon

Suppressing adenyl cyclase

 

Stimulete protein kinase (Ans)

 

53

 

 

 

 

  1. Visceral pleura Sensitive to pain

 

Supplied by autonomic nerves supplied to lungs (Ans)

Phrenic nerve

 

  1. L.p pierced Pia

 

Ant ligamnt

 

Post spinal cord part pierced dura (Ans)

 

  1. Compliance is inversly proportional to
  2. recoil force of lung

 

  1. Fibrosis

 

32.Meiosis is a type of cell division in which

 

  1. DNA synthesis takes place
  2. Exchange of genetic material takes place in autosomes (Ans)

 

  1. One cell give rise to eight spermatozoa
  2. Take place in sometic cells

 

  1. Total number of chromosomes remain same after the process is complete

 

33.line of Zahn Propagated thrombosis Emboli

 

34.Clinical clearance via

 

  1. creatine clearance (Ans)
  2. Inulin

 

35.vvitamin deficiency …chilsis corneal ulceration glosssitis

 

Riboflavin (Ans)

Niacin

 

  1. standrd deviation

 

37.isthmus of thyroid gland Crocoid ?

 

  1. 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

  1. Spinous process

 

  1. Articular facets

 

  1. one scenario of christmas disease

 

44.lymph nodes of prostate gland

 

  1. Int iliac node (Ans)
  2. Ext iliac
  3. Both

 

45.diabetic nephropthy test

 

  1. Microalbuminuria (Ans)

 

  1. about professionalism of doctor

 

  1. about diagastric triangle

 

  1. Ant n post belly of dia gastric n midline mandible (Ans)

 

48.which enzyme transfer radical group from one compound to another

 

  1. transferase
  2. Reductase

 

  1. Oxidoreductase

 

  1. Line of Zahn seen in? Obsrtuted thrombus Propagating thrombus

 

50.Myocardial contractility is the best correlated with intracellular concentration of?

 

 

  1. calcium (Ans)

 

  1. magnesium

 




51.abt venous drainage of urinary bladder

 

Internal iliac (Ans)

Common iliac

 

52.If core temperature of body fall, body response will be

  1. Decrease BMR

 

  1. Shivering (Ans)
  2. Anterior hypothalamus activation

 

  1. Vasodilation

 

55

 

 

 

 

53.Maximum ventricle is filled during?

 

Atrial systole (Ans)

Ventricle systole

 

Isometric ventri contraction Slow ejection phase

Rapid inflow

 

  1. BENIGN TUMOUR A. HAMARTOMA

 

B WARTHIN’S (Ans)

 

  1. bee sting ….after 10 hour which increase…. igE (Ans) Eosinophils Mast cell

 

  1. cardic muscle and skeletal muscle are same in …… T tubules (Ans) B.sarcolemma

 

  1. Smoth muscls are…… mononuclear (Ans)

 

58.Increase pR interval 1degree block (Ans) 2 badycardia

 

  1. lipoxygenase wala ta chemotxtc….

 

  1. LB4 (Ans)
  2. C5a

 

  1. Fatal disease of patient;

 

  1. 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

  1. ferritin (Ans)
  2. Transferrin

 

63.total body water weight

 

  1. 42 litre (Ans)
  2. 60% of total body water

 

  1. ECF,ICF N electrolyte in equal proportion

 

64.Persnlism wala……comunity se

 

65.cho.protien aur fat storage

 

  1. Insulin (Ans)

 

  1. Glucagon

 

  1. CML A. 9:12

 

56

 

 

 

 

67.Ik purine metabolism A. Uric acid (Ans)

 

68.Prolong vomiting contartiion alkalosis

  1. Hyponatremia (Ans)

 

  1. Hypocalcemia
  2. Hypokalsemia

 

69.platelets  A. megakarocytes (Ans)

 

70.erythropiotn produced by A. peritubular (Ans)

 

71.Ik vomiting….jis may hypochlormc alkalosis hota hy…

  1. HC03

 

  1. Hyponatremia
  2. Hypokalemia

 

72.intermediate filament in CA

 

  1. ….(Ans)
  2. Vimentin

 

  1. 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

  1. 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

 

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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 doesn’t 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

 

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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

 

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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 doesn’t 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

 

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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 =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-Compiled by : Amlodipine Besylate =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-




 

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