Complete Past Papers of FCPS Part 1 Surgery and Allied

Complete Past Papers of FCPS Part 1 Surgery and Allied

04 FEB 2015. PAPER I (Surgery & Allied) 1. Gas gangrene. Cause of death? A. Septecemia B. Bacteremia C. Toxemia 2. Extent to which a tissue gets disturbed by occlusion of its blood supply depends on A. Velocity of blood in tissue B. anatomical pattern of vascular supply C. General state of blood D. Don’t remember other options E. Rate of development of thrombosis 3. Not a feature of malnutrition in adults? A. Thrombocytopenia B. Leukoplakia 4. Apex of the heart: A. 8 cm from median plane B. 3RD intercostal space 5. True about Osteogenesis A. All cartilage changes to bone B. Clavicle ossifies in cartilage C. Intramembranous bones ossify from cartilage 6. A 15 years old girl with fixed dilated pupils. Lesion is at? A. Oculomotor nerve B. Trochlear nerve C. Facial nerve 7. A tumor with all germ layers: A. Teratoma B. Mixed mesodermal tumor C. Cysts 8. Following has high clearance value: A. Inulin B. PAH C. Glucose D. Na 9. Scanty bar bodies: A. Klienfelter B. Downs C. Turner 10. Organelle have microtubules in its structure: A. Golgi apparatus B . Mitochondia C. Centriole 11. S1 nerve root lesion: A. Ankle jerk B. Loss of sensation of sole and medial side of foot C. Trophic ulcer of dorsum of foot D. Babnisk positive E. Plantar flexion 12. Mucus not secreted by: A. Larynx B. Trachea C. Terminal bronchioles D. Nasopharynx 13. A man of 70 has recurrent UTI cause (No clue was mentioned regarding bedridden): A. Instrumentation B. Outflow Obstruction C. Diverticulum D. Cathetrization 14. Plasma Protein Binds With All Except: A. Oxygen B. CO2 C. Iron D. Bilirubin E. Thyroxin 15. Patient presented in emergency ,deeply comatosed,not responding to nalaxone: A. Heroin B. Morphine C. Methadon D. Phenobarbital E. Pethidine 16. Highest bioavailability of anti emetics: A. Metacloprmide B. Qdansetron 17. X.ray of elbow of 12 yr girl, which Secondary ossification center will appear last on x.ray: A. Trochlea B. Lateral Epicondyle C. Capitulum D. Medial Epicondyle 18. Pregnant lady anaemic, Best lab investigation: A. CBC B. S. ferritin C. TIBC 19. HIGHEST % OF PROTEIN IN WHICH: A. HDL B. VLDL C. LDL D. Chylomicrons 20. Open wound healing includes: A. Contraction of myofibroblasts B. Fibroblast C. Macrophages D. Lymphocyyes 21. Most common S/E of use of histamine 1 blocker: A. Blurred vision B. Blindness C. Sedation 22. Decrease Insulin will: A. Ketogenesis in Liver B. Increase activity of Lipoprotein Lipase 23. An obese man with h/o atherosclerosis underwent laparotomy due bleeding in abd n during surgery his small gut was purple n sup mesenteric vein was ok so what is dx A. Wet gangrene B. Dry gangrene C. Thrombosis D. Volvulous 24. First heard sound: a) Atrial systole b) Isovlumic contraction c) Isovolumic relaxation d) Rapid ejection 25. A patient came with c/o Homonymus hemianopia so a blockage was seen at: A. Optic nerve B. Upper part of optic chiasma C. Lower part of optic chiasma D. Post medulla Oblangata 26. Man With Weakness And Dysphagia, Blood Profile With Target Cells: A. Iron Deficiency Anemia B. AOCD 27. Tetanic Contractions….cause? A. Hypocalcemia 28. Antioxidant Vitamin: A. A B. E C. C 29. Which of the following does not increase in stress for surgery: A. Insulin B. ADH C. Glucagon D. ACTH 30. Patient with Gastrectomy presents with Anemia after One and half year, what will you give: A. Vit B12 B. Vit C C. Iron D. Blood transfusion 31. Data is collected for some clinical trial based on presence or absence of Vomiting. What type of data it is: A. Nominal B. Ordinal C. Parametric 32. Aphasia (Non-fluent) after stroke or Trauma which area of Brain is involved: A. Brocas B. Wernickes (if fluent aphasia was in stem) C. Temporal region D. Pyrimidal gyrus 33. What cytoskeletal structure connects Extracellular matrix to Intracellular: A. Cadherins B. Integrins C. Intermediate Filaments D. Microtubules 34. Wich Antiemetic has high bioavailability: A. Metoclopramide B. Prochlorthiazide C. Ordansetron D. Droperidol 35. Cardiac defects in fetus of mother suffering from rubella infection will occur if: A. 3 rd month B. 4 th month C. 5 th to 10th week D. 7 th month. 36. Downs Syndrome: A. Increase incidence with increasing mother age B. Extra chromosome 37. Pulmonary vasoconstruction occurs due to: A. Raised PCO2 B. Reduced systemic PO2 C. Reduced pH 38. Most imp buffer in blood: A. HCO3 (most imp is HCO3 anywhere) B. Hb 39. Which vitamin act as cofactor in oxidation of fatty acids: A. Biotin B. Vit B1 C. Vit C 40. Oxytocin and vasopressin originated from: A. Neurohypophysis B. Adrenal medulla C. Hypothalamus 41. Lesion of the optic tract produces A. bitemporal hemianopia B. homonymous hemi anopia 42. Cricoid cartilage A. Forms incomplete circle B. Attached to laryngeal folds C. Attached to Thyroid gland 43. About thyroid gland? A. recurrent laryngeal nerve lies anterior to thyroid isthmus B. it moves with deglutition due to attachment with prevertebral fascia C. Drains into deep cervical L Nodes 44. Sympathetic have which neurotransmitters at all postganglionic ends? A. acetylcholine B. Norepinephrine C. Adrenaline 45. Parasympathetic stimulation causes A. decreased heart rate B. Viscous saliva in mouth 46. Which tumour is least invasive A. seminoma B. basal cell carcinoma 47. Scenario of Down’s syndrome A. Trisomy 21 B. Trisomy 23 C. Trisomy 18 D. Trisomy 13 48. Ankylosing spondylitis is associated with A HLA DR 4 B HLA B27 49. HLA B27 associated disease? A. Reiter’s Syndrome 50. Essential fatty acid? A. Linoleic Acid 51. In emergency situations A. Doctor should provide psychological support to patient and the family B. Family should not be allowed inside 52. Pregnant lady with bile duct obstruction. Diagnostic investigation? A. ALT B. AST C. GGT D. Alkaline phosphatase 53. Female with fever for 10 days and chest pain that aggravates on lying down. Pain is originated at? A. Myocardium B. Pericardium C. Pleura 54. A patient has nodule on vocal cord. The most likely mechanism? A. Hyperplasia B. Atrophy 55. Edema of acute infection. Feature A. Transudate B. Specific gravity of 1020 C. Proteins >3gm 56. 6 years old patient presents with rhinitis, edema and urticaria on external surfaces A. Type I hypersensitivity B. Type II hypersensitivity C. Type III hypersensitivity D. Type IV hypersensitivity 57. Resting membrane potential is achieved by: (it was not maintained by) A. Diffusion of potassium outside the cell B.Na K pump C. is same for all types of cell 58. Immediate effects of severe hypotension? A. MI B. Cerebral hemorrhage C. Oligouria 59. Vein not draining to great cerebral vein? A. Basal B. Occipital C. Middle cerebral D. Posterior colossal 60. The specific feature of Apoptosis A. cell shrinking B. karyolysis C. hyperchromasia D. cell swelling 61. Occulomotor nerve supplies A. all exta ocular muscles B cilliary ganglion C cilliary muscle only 62. Muscle is stretched. Relaxation will occur due to: A. muscle spindle B. golgi tendon organ 63. Tension in muscle A. muscle spindle B. golgi tendon organ 64. Cardiac out put depends on A venous return B exercie C stroke vol D EDV 65. FRC is sum of A. vital capacity plus tidal vol B. vital capacity plus exp reserve vol C. residual vol plus resp capacity D. can b measured on spiromrtry E. Gases in lungs after tidal volume 66. GFR A. increases with vasoconstriction of afferent arterioles B. increases with vasoconstriction of efferent arterioles 67. Quadrate lobe? A. functionally part of right lobe B. drains into left hepatic duct C. lies between inferior vena cava and ligamentum venosum. 68. Intrinsic pathway is activated by A. contact of tissue collagen when it comes in contact B. factor X 69. Which is not a ‘basic tissue of body’? A: nerves B: muscles C: blood D: epithiliuem E: connective tissue 70. Transfusion reaction will occur if we transfuse a person with A+ve blood group, the following group A. A-ve B. AB-ve C. O-ve D. O+ve 71. Epidural space is widest at? A. T12 B. L2 C. Just below foramen Magnum 73. Commonest cause of hepatocellular carcinoma in developing countries? A. Aflatoxin B. Hepatitis B C. Hepatitis C D. Both Hepatitis B & C 74. Connections that connect cells; with movement of ions across A. Gap junctions B. Tight junctions 75. At high altitudes, O2 is delivered to tissues because of? A. Decreased temperature B. Alkalosis C. High pH D. Right shift of O2 hemoglobin dissociation curve 76. Patient is pregnant and suddenly faints due to loss of blood. She’ll be positioned in left lateral and not right lateral to avoid compression to which abdominal structure: A. IVC B. SVC C. Liver 77. What is median if values are 20 20 25 30 35 40 25 30: A. 28.1 B. 27.5 C. 25 D. 30 78. About Pitutary gland? A. Foregut derivative B. Lies posterior to Optic chiasma C. Venous drainage into cavernous sinus 79. Which spreads via orofaecal route? A. Hepatits C B. Hepatitis E C. CMV 80. ADH is inhibited by: A. Alcohol B. Aldosterone C. Renin D. Anxiety 81. Post op wound having greenish pus discharge organism involved: A. Staph Aureus B. Pseudomonas C. Streptoccocus Viridans D. Kliebsella 82. Recurrent Oral ulcers A. Stomatitis B. C. 83. Steroids drug action on cells: A. Act on Genes B. Adenyl cyclase C. CGmp D. Ip3 84. Intestinal flora synthesize a vitamin which takes part in coagulation. Vitamin? A. Vitamin C B. Vitamin K C. Vitamin D 85. Broder classification of tumor depends on? A. Differentiation and mitosis 86. Lymphocyes A. Actively involved in phagocytosis B. Come in and out of vessels 87. C3b is involved in? A. Early leucocyte action 88. Main regulator of coronary blood flow? A. Ventricle systole B. Cardiac output C. Local metabolites 89. Anterior relations of left kidney; except? A. Spleen B. Pancreas C. Splenic flexure D. Diaphragm 90. End product of purine metabolism? A. Urea B. Uric acid C. Ammonia 91. Plasmodium falciparum causes? A. Black water fever 92. Regarding realtions of Basal ganglia A. Internal capsule lies medial to globus pallidus 93. Size of head of embryo is about ½ of the CRL at the intraembryonic age of? A. 3 months B. 5 months C. 7 months D. 9 months Regards DrKhalid Khan 4TH-6TH FEB 2015 CONVENT + ONLINE EXAM (MIXED QUESTIONS FROM ALL SPECIALITIES) Please make sure that options in RED are correct answers and text in BLUE is for information and includes refernces also. Text in GREEN means that couldnt find any proper reference yet. Thanks to all dear seniors who helped me with refernces and answers. Pls feel free to discuss any doubtful answers. JazakAllaha! 1. Cervical rib attached to transverse process will compress: A.C5 B. C8 C. T1 (Compresses both C8 and T1 though) 2. Aortic aneurysm which structure not compressed: A. Esophagus B . Trachea C. Left primary bronchus D. Thoracic duct E. Phrenic nerve 3. Resting membrane potential achieved by: A. Diffusion of potassium outside the cell B. Na K pump C .is same for all types of cell (Achieved by K efflux, maintained by N K ATPase Pump) 4. Liver weight: A. 1.5 B. 2.5 C. 2.0 D. 1.0 kg (1.44-1.66 kg is Range) 5. What is median if values are 20 20 25 30 35 40 25 30: A. 27.5 (Arrange in Ascending order 20 20 25 25 30 30 35 40 than take middle two values 25+30/2=27.5) 6. Dead organisms in vaccine : A. Measles B. Mumps C. Tetanus D. Pertussis (Pertusis/ Cholera/ Influenza /Inject Polio/Rabies all Killed or inactivated vaccines . Tetanus is Toxoid (toxin rendered non toxic by formaldehyde) and MMR is Live attenuated) 7. Esophagectomy done , stomach is mobilized to upper portion of thorax, To anastomosis with phayrnx Which artery is responsible for stomach supply ( not exact wording some thing like that ) (repeat question from 1 Jan 2015 PAPER) A. Left gastric B. Right gastric C. Left gastroepiploic D. Short gastric vessels E. Right gastroepiploic 8. Patient is pregnant and suddenly faints. She’ll be positioned in left lateral and not right lateral to avoid compression to which abdominal structure: A. IVC B. SVC C. Liver 9. Post op wound having greenish pus discharge organism involved: A. Staph Aureus B. Pseudomonas C. Streptoccocus Viridans D. Kliebsella 10. Prevalence is: A. All cases B. Old cases C. New cases (Prevalence:All current cases (old & new) existing at a given point of time in given population) 11. Common carcinogen of CA Cervix: A. HPV B. HSV C. Chronic irritation D. IUD 12. Apex of the heart: A. 8 cm from median plane B. 3RD intercostal space 13. After normal delivery in primigravida the alive n healthy new born is given feed: A. After 2 hours B. After half hour C. After 12 hours 14. Diagnostic tumor marker for ovarian CA: A. CEA B. CA 125 C. AFP 15. Which of the folowing prolong use of drug will cause persistent increase in Gastrin secretion: A. Antacids B. Antichollenergic C. B blockers D. H 2 antagonist E. PPI 16. A pt presented to his dentist due to inability to put his dentures, dentist referred back to physician saying there is no dental problem, where is the lesion: (STEM NOT PROPERLY RECALLED) A. Substantia nigra 17. Chronic Myeloid Leukemia: A. Chromosome 9 & 22 B. chromosome 11& 22 C. chromosome 14 & 22 18. Steroids drug action on cells: A. Act on Genes B. Adenyl cyclase C. CGmp D. Ip3 19. ADH is inhibited by: A. Alcohol B. Aldosterone C. Renin 20. A tumor with all germ layers: A. Teratoma B. Mixed mesodermal tumor C. Cysts 21. Following has high clearance value: A. Inulin B. PAH C. Glucose D. Na 22. Scanty bar bodies: A. Klienfelter B. Downs C. Turner 23. Which parasite is not transmitted thru orofecal route: A. Giardia B. Entemoeba C. Enterobius (Pinworm) D. Trichuris trichuria (Whipworm) E. Trichenella Spiralis 24. Organelle having microtubules in its structure: A. Golgi apparatus B . Mitochondia C. Centriole 25. S1 nerve root lesion: A. Loss of Ankle jerk B. Loss of sensation of sole and medial side of foot C. Trophic ulcer of dorsum of foot D. Babnisk positive E. Plantar flexion 26. Mucus not secreted by: A. Larynx B. Trachea C. Terminal bronchioles D. Nasopharynx 27. Which of the following increases lower eosophageal tone n speeds up gastric emptying time: A. Aluminium hydrooxide B. Metoclopramide 28. Stem about Diphtheria vaccine reaction: A:type 1 B:type 2 C:type 3 D:type 4 29. Femoral nerve drived from which section of spinal cord: A. L2 L3 B. L2 L3 L4 C. S1 S2 30. Prolong coma is caused by lesion of which nucleus: A. Nucleus cerelous (Confirmed with seniors) B. Periaquedactal of gray of mid brain 32. A man of 70 has recurrent UTI cause (No clue was mentioned regarding bedridden): A. Instrumentation B. Outflow Obstruction C. Diverticulum (As pt is old age so more chances of BPH which can lead to outflow obs leading to recurrent UTIS) 33. Normal FEV/FVC1 Ratio: A. 0.8 B. 0.95 C. 0.6 34. Compression effects on esophagus by which organ enlargement: A. Aorta B. Left Atrium C. Pulmonary artery D. Right atrium E. Left ventricle 35. Plasma Protein Binds With All Except: A. Oxygen B. CO2 C. Iron D. Bilirubin E. Thyroxin 36. Patient presented in emergency ,deeply comatosed,not responding to nalaxone: A. Heroin B. Morphine C. Methadon D. Phenobarbital E. Pethidine 37. Cause of Mental retardation: A. Fragile X Syndrome (Downs wasnt in options) 38. In IV drugs abusers: A. Bacterial Endocarditis B. Libman Sacks endocarditis C. Mitral valve carditis D. Rheumatic heart disease 39. Highest bioavailability of anti emetics: A. Metacloprmide B. Qdansetron 40. X.ray of elbow of 12 yr girl, which Secondary ossification center will appear last on x.ray: A. Trochlea B. Lateral Epicondyle C. Capitulum D. Medial Epicondyle (capitellum > radial head > medial epicondyle > trochlea > olecranon > lateral epicondyle) 1 , 3 , 5 , 7 , 9 , 11 (ODD Numbers so 11 is lateral epicondyle) 41. Baby born on 4th day most common cause of Meningitis: A. Gp A streptoccous B. E.Coli C. Nesseria Meningitis (Causes: Group B Srept , E.coli, Listeria) 42. A tall man with normal external genitalia married but had no kids he had normal ejaculation period but semen analysis showed azospermia cause may be: A Epidydymis B Sertoli cell C Scrotum D Tubules in male 43. Pregnant lady anaemic, Best lab investigation: A. CBC B. S. ferritin C. TIBC 44. HIGHEST % OF PROTEIN IN WHICH: A. HDL B. VLDL C. LDL D. Chylomicrons 45. Soft Keratin with no nucleus found in: A. Cortex of hair B. Matrix of nail C. Stratum corneum 46. A newly married female came with pain in rt illiac fossa her TlC 12000 she has fever n vomiting her lmp was 3 weeks back what is diagnosis: A. Acute Appendicitis B. Salpingitis C. Uterine cause D. Fallopian tubes 47. Open wound healing includes: A. Contraction of myofibroblast B. Fibroblast C. Macrophages D. Lymphocyyes 48. Patient aged 65 years, is diagnosed to have severe aplastic anemia. HLA compatible sibling is available. The best option of treatment is: a) Anti thymocyte globulin followed by cyclosporine b) A conventional bone marrow transplantation from the HLA identical sibling c) A non-myeloablative bone marrow transplantation from the HLA identical sibling d) Cyclosporine 49. Most common S/E of use of histamine 1 blocker: A. Blurred vision B. Blindness C. Sedation 50. Decrease Insulin will: A. Ketogenesis in Liver B. Increase activity of Lipoprotein Lipase 51. An obese man with h/o atherosclerosis underwent laparotomy due bleeding in abd n during surgery his small gut was purple n sup mesenteric vein was ok so what is dx A. Wet gangrene B. Dry gangrene C. Thrombosis D. Volvulous E. Red infarct 52. First heard sound: a) Atrial systole b) Isovlumic contraction c) Isovolumic relaxation d) Rapid ejection 53. A patient came with c/o hemianopia so a blockage was seen at: A. Optic nerve B. Upper part of optic chiasma C. Lower part of optic chiasma D. Post medulla Oblangata 54. 30 yr male newly diagnosed wth HTN, on ECG lt ventricular hypertrophy, serum cholesterol 200, FBS 88 mg%, urinary sugar ++ RFTs were normal, K 2.5 , Na 140, what is cause of his HTN: A. Diabetic nephropathy B. Essential hypertension C. Pheochromocytoma D. Primary hyperaldosteronism 55. Man With Weakness And Dysphagia, Blood Profile With Target Cells: A. Iron Deficiency Anemia B. AOCD 56. Which of the following in maternal serum for rubella should b an indication for termination of pregnancy: A. Ig G B. Ig M C. IgE 57. Epithelium of Conjunctiva: A. Stratified Columnar Epithelium B. Simple Couboidal C. Simple Columnar 58. Antioxidant Vitamin: A. A B. E C. C (Vit E >>> Vit C) 59. Which of the following does not increase in stress for surgery: A. Insulin B. ADH C. Glucagon D. ACTH 60. Monitoring of HEP B virus can be done via: A. S. Bilirubin B. SGPT (or ALT) C. PT D. Serum Protein E. Serum Albumin (PT is to monitor Liver failure) 61. Diseased ovary pain radiating to medial thigh of body due to nearby presence of: A. Pudendal Nerve B. Obturator Nerve C. Pelvic Nerve D. Obturator Nerve 62. Biguanides side affects: A. Diarrhoea and flatulence B. Elevated ALT 63. Patient with Gastrectomy presents with Anemia after One and half year, what will you give: A. Vit B12 B. Vit C C. Iron D. Blood transfusion 64. Data is collected for some clinical trial based on presence or absence of Vomiting. What type of data it is: A. Nominal B. Ordinal C. Parametric 65. Aphasia (Non-fluent) after stroke or Trauma which area of Brain is involved: A. Brocas B. Wernickes (if fluent aphasia was in stem) C. Temporal region D. Pyrimidal gyrus 66. What cytoskeletal structure connects Extracellular matrix to Intracellular: A. Cadherins B. Integrins C. Intermediate Filaments D. Microtubules 67. Wich Antiemetic has high bioavailability: A. Metoclopramide B. Prochlorthiazide C. Ordansetron D. Droperidol 68. Cardiac defects in fetus of mother suffering from rubella infection will occur if: A. 3 rd month B. 4 th month C. 5 th to 10th week D. 7 th month. 69. Dorsal Column Medial Leminsical carries: A. Proprioception B. Pain C. Temperature (Pain and Temp is by Anterolateral System) 70. Contralateral loss of pain and temp at T9 and ipsilateral loss of proprioception below T8, bilateral normal reflexes: A. Lesion of spinothalamic tract at T8 B. Complete spinal cord section C. Hemisection at T12 D. Hemisection at L1 or 2 71. Downs Syndrome: A. Increase incidence with increasing mother age B. Extra chromosome 72. Pulmonary vasoconstriction occurs due to: A. Raised PCO2 B. Reduced systemic PO2 C. Reduced pH 73. Most imp buffer in blood: A. HCO3 (most imp is HCO3 anywhere) B. Hb 74. Gastrin secretion is inhibited by: A. Epinephrine B. Protein food c. Stomach dilatation D. Somatostatin 75. Which vitamin act as cofactor in oxidation of fatty acids: A. Biotin B. Vit B1 C. Vit C 76. Oxytocin and vasopressin originated from: A. Neurohypophysis B. Adrenal medulla C. Hypothalamus 77. If FACTOR IX not available: A. FFP B. Cryo (Lacks Factor IX) 78. All of the following will cause lesion at genital tract except: A. Syphilis B. Gonorrhoea C. Chancroid D. Condyloma Accuminatum 79. Vagus decreases HR by which mechanism: A. Na (permeability) B. Na, K C. Ca 80. Maximum absorption of salt and water: A. Jejunum B. Ileum 81. Patient with beta blocker ECG show increase PR: A. Drug induced block1 B. MI 82. Drug causing peripheral neuro and pancreatits: A. Ziduvudine B. Interfron C. Diadenosine 83. Left Kidney is not related to: A. Diaphragm B. Splenic flexure colon C. Spleen D.Pancreas 84. What age the head of fetus become exactly half the length at CRL: A. 3rd month B. 4th month C. 7 month 85. Prostatic carcinoma spread to skull bones through: A. Internal carotid artery B. External carotid artery C. Vertebral plexus 86. First heard sound: a) Atrial systole b) Isovlumic contraction c) Isovolumic relaxation d) Rapid ejection 87. Pregnant women 1st trimester develops Atrial fibrillation what would u give: A. IV Heparin B. IV Heparin Oral Aspirin C. Aspirin D. Anticoagulant 88. The tumor which is the ovarian counter part of seminoma of the testis is: A Chorio carcinoma B Dysgerminoma C Embryonal cell carcinoma 89. Patient came in with sore throat, fever and lymphadenopathy. His monspot test was positive. His blood shows atypical leukocytosis. What is the type of cell that is affected: A. T-cell B. B-cell C. Neutrophil (In Infectious mononucleosis ATYPICAL T CELLS (T-CELLS) react against INFECTED B CELLS) 90. Pt was brought into the Emergency Department and his family wanted to accompany him. What is the most appropriate response: A. Physian should discourge the anger of pt n atendents againt department B. Only pt should be allowed in the ER C. Physcological support should be provided for patients and attendants in the Emergency Department. 91. A pregnant full term patient came into the ER with pre-eclampsia. Her Blood pressure was 190/110. She was admitted for emergency ceserean section. What is the best medicine to bring down the blood pressure: A. Hydralazine B. Sodium Nitroprusside C. Verapamil D. Propranolol 92. Patient was admitted in the ICU. HE had a central venous catheter for 10 days. HE started having fevers. Blood cultures were sent. It came back positive for Gram positive cocci in clusters. What medication will you start? A. Amoxicillin B. Imipenim C. Ampicillin-Getamycin D.Piperacillin-Gentamycin E. Vancomycin (Always mark Vancomycin if CVP line,Indwelling catheter or double lumen site Infection especially in hospitalized patient and that too in ICU or dialysis units. High prevalence of MRSA.) 93. Pt comes in to the emergency department with seizures. His BP is 90/60. His serum calcium level is 6, serum cortical level is 6 microg/dl , blood sugar level is 80 mg/dl. Serum Sodium level ?, Serum potassium level ?. What is the diagnosis? A. Addisonian Crisis B. Cushings diseaes C. Tetany 94. About Lignocaine what is true: A. Blocks generation of impulses from free nerve endings B. Prevents influx of Na ions across membrane 95. INR is for: A. Heparin B. Oral anticoagulation therapy: 96. A Person wid malignant melanoma. Risk factor: A. Xeroderma pigmentosum B. Prolonged sunlight 97. Diabetic patient with DKA died due to: A. Histoplasmosis B. Coccidiodomycosis C. Cryptococus D. Mucormycosis 98. Urethra is narrowest at: A. Pelvic brim B. Prostatic part C. Membranous D. External meatus 99. Married man had no children for few years and was diagnosd as sterile with azoospermia wat is investigatn of choice: A. Serum FSH and LH B. Serum Prolactin C. Serum testosterone 100. A man goes to a high altitude 02 delivery to tissues is maintained by: A. Hb conc is increased B. Po2 is normal C. Hypercapnia D. Pa02 is higher than normal 101. Regarding indication of furosemide: A. SIADH B. Acute pulmonary edema 102. A patient was brought to the hospital after a roadside accident. On examination he was pale with low blood pressure and fracture of left 10th rib. Which organ is most likely to be injured: A. Kidneys B. Liver C. Pancreas D. Spleen E. Stomach 103. Most common cause of premalignant change in mouth in adults: A. Chronic ulcer B. Lichen planus C. Submucous fibrosis 104. Female showing cervical dysplastic changes, etiology: A. Vaginal cream B. Grand multiparity C. HSV D. IUCD E. Chronic irritation 105. Tumor in children with blue cells and high levels of catecholamines: A. Nephroblastoma B. Neuroblastoma C. Wilms tumor 106. Ligament that prevents anterior dislocation of femur on tibia: A. Collateral B. Anterior cruciate C. Posterior cruciate 107. Cholangiocarcinoma caused by: A. Schistosoma Hematobium B. Schistosoma Mansoni C. Cholonorchis Sinensis 108. Trauma to left 10 rib causes damage to: A. Kidney B. Liver C. Spleen 109. Farmer wid migratory lesion on foot: A. Leishsmania B. Strongyloides stercoralis C. Cutaneous Larva migrans 110. Washed RBCs are used for prevention of: A. Hypersensitive Reaction B. Febrile reaction C. To avoid infection 111. Eating raw or undercooked meat can cause infection by: A. Hookworm B. Roundworm C. Tapeworm D. Echinococcus 112. Man comes 1st time to Pakistan develops fever than coma, on investigation retics10%..platelets wbcs ↓ A. Meningoencephalitis B. Dengue C. Falciparum 113. Correct about Aorta: A. Lies to right of Cisterna chyli B. Divides at L5 C. Give branches to parities at L1 D. Gives renal arteries at L2 114. Scrotum drains to: A. External Iliac Nodes B. Internal Iliac Nodes C. Superficial Inguinal Nodes D. Deep Inguinal Nodes 115. Medullary rays of kidney contain which part of kidney: A. Collecting ducts B. Vasa recta C. Glomeruli 116. Pancreatitis(acute) will cause fluid accumulation in: A. Lesser sac B. Greater sac C. Paraa colic gutters 117. Deep ring present in: A. External Oblique Aponeurosis B. Rectus Abdominis C. Fascia transversalis 118. Eversion is done by: A. Peroneus longus B. Tibialis anterior C. Tibialis posterior 119. True about Thoracic duct, drains into: A. Right brachiocephalic B. SVC C. At Confluence of left Subclavian and left Jugular 120. Gustatory sweating is caused by: A. Submandibular Excision B. Superficial Parotidectomy C. Wisdom tooth extraction (Freys Syndrome produces flushing and sweating instead of salivation in response to taste of food after injury of Auriculotemporal Nerve which carries Parasympathetic secretomotor fibers to PAROTID gland and Sympathetic fibers to SWEAT gland. When the nerve is severed the fibers can regenerate along each pathway and innervate the wrong gland. It can occur after Parotid surgery and may be treated by cutting the tympanic plexus in middle ear- Ref BRS Anatomy) 121. Analgesic causing tachycardia in therapeutic dose: A. Pethidine B. Morphine C. Fentanyl 122. Following is a good analgesic but weak anaesthetic: A. NO B. Isoflurane C. Sevoflurane 123. About Posterior Triangle of Neck what is true: A. Apex is mid of clavicle B. Formed by ant border of sternocaleidomastoid and ant border of trapezius C. Contains subclavian , three trunks of brachial plexus 124. Herpez simplex virus transmitted by A.water B.blood C.droplet 125. Pt came in with abdominal pain, his amylase was high, he was diagnosed with Pancreatitis. What is his omentum going to show ? A. Caseous necrosis b. Fatty necrosis c. Liquefactive necrosis 126. During Parturition and Menstruation which layer involed: A. Basalis 127. Which carcinoma doesnt show distant metastasis: A. Basal cell Carcinoma 128. Orofecal transmission: A. HEV 129. When tension in muscle increases near to rupture which does the relaxation: A. Golgi tendon organs 130. Golgi tendon organs respond to: A. Tension 131. Pacemaker of Heart: A. SA Node 132. Parasympathetic stimulation: A. Decreases HR 133. Sacral hiatus is formed due to: A. Failure of fusion of laminae of 4th and 5th sacral vertebrae (Sacral Hiatus is used to administer Caudal (Epidural) anesthesias) 134. Effect of drug on a body: A. Pharmakokinetics B. Pharmodynamics 135. Which is not blood supply of scalp A. Maxillary artey B. Occipital artery C. Supra orbital artery D. Supra trochlear artery 136. Hydroxyindoacetic acid in urine: A. Pheochromocytoma B. Alkaptonuria C. Phenylketonuria D. Carcinoid syndrme 137. Pt came with testicular mass. It was diagnosed as a yolk sac tumor. What is the follow up marker for this patient? A. Alpha-Fetoprotein B. HCG D. CEA (Yolk sac tumor (endodermal sinus tumor) is the most common germ cell tumor in children. In those cases, the prognosis is good. In adults, the tumor is often mixed with other components so the prognosis may depend on what the other components are. i. Microscopically, yolk sac tumor shows scattered Schiller-Duval bod ies, which have a mesodermal core with a central capillary, all lined by flattened layers of both visceral and parietal cells resembling a glomerulus-like structure. The tumor marker is alpha-fetoprotein) 138. In the hospitals most common cause of wound infection: A. Klebsiella B. Pseudomonas C. Staph aureus D. Streptococcus E. Ecoli (2nd most common) 139. Nerve loss in urogenital triangle which nerve involved: A. Pudendal Nerve B. Obturator Nerve 140. Neck of femur supplied by: A.Obturator and medial circumflex B. Medial and lateral circumflex C. Posterior and medial circumflex 141. A man having recurrent bacterial infections with streptococci also having diarrhea which on examination showed giardiasis, urther exam revealed normal T cells but ↓B cells levels of igM,igG and igA were given A. Diabetes B. Altered immunodeficiency C. Bruton’s agammaglobulinemia 142. True about Pituitary: A. Drains to dural sinuses B. Optic chiasma is in anterior relation C. Partly derived from Foregut 143. About Quadrate lobe, true is: A. Functionally part of right lobe B. Drains by left hepatic duct C. Lies between IVC and Ligamentum venosum 144. A girl has midline neck swelling histology shows normal thyroid tissue, epithelium is: A. Cuboidal follicular B. Simple columnar ciliated C. Stratified Squamous 145. Barr body is found in the following phase of the cell cycle: A. Interphase B. Metaphase C. G1 phase D. Telophase 146. Old woman with swelling on external ear she also had gout wd -ve bifringent type crystals scenario was given: A. Calcium pyrophosphate B. Monosodium urate C. Sturvate 147. After Cholecystectomy surgeon places drains into: A. Right Subhepatic Region B. Left Subhepatic region C. Paracolic gutter 148. Pt having H/o cough cloudy yellow colour effusion fluid containing 98 % neutrophil nd 2% lymphocyte the fluid was dull to percussion: A. Purulent exudate B. Abcess C. Fibrinoid inflammation 149. Isoniazid causes side effects which can be prevented by taking which vitamin: A. B12 B. Riboflavin C. Pyridoxine D. Folate 150. Gas gangrene. Cause of death? A. Septecemia B. Bacteremia C. Toxemia 151. Not a feature of malnutrition in adults? A. Thrombocytopenia 153. A tumor with all germ layers: A. Teratoma B. Mixed mesodermal tumor C. Cysts 154. Scenario of Down’s syndrome A. Trisomy 21 B. Trisomy 23 C. Trisomy 18 D. Trisomy 13 155. Ankylosing spondylitis is associated with A HLA DR 4 B HLA B27 156. Female with fever for 10 days and chest pain that aggravates on lying down. Pain is originated at: A. Myocardium B. Pericardium C. Pleura 157. 6 years old patient presents with rhinitis, edema and urticaria on external surfaces: A. Type I hypersensitivity B. Type II hypersensitivity C. Type III hypersensitivity D. Type IV hypersensitivity 158. Immediate effects of severe hypotension? A. MI B. Cerebral hemorrhage C. Oligouria 159. Transfusion reaction will occur if we transfuse a person with A+ve blood group, the following group: A. A-ve B. AB-ve C. O-ve D. O+ve 160. Epidural space is widest at: A. T12 B. L2 (5mm) C. Just below foramen Magnum 161. Commonest cause of hepatocellular carcinoma in developing countries? A. Aflatoxin B. Hepatitis B C. Hepatitis C D. Both Hepatitis B & C 162. Connections that connect cells; with movement of ions across: A. Gap junctions B. Tight junctions 163. HLA B27 associated disease? A. Reiter’s Syndrome 164. Pregnant lady with bile duct obstruction. Diagnostic investigation? A. ALT B. AST C. GGT D. Alkaline phosphatase 165. About Trichomonas vaginalis what is correct: A. Can b a commensal in vagina B. Is sexually transmitted C. Is treated wid Quinolones 166. Anion gap: A. Diff between measured cation and measured anion 167. Occulomotor nerve supplies: A. All extraocular muscles B. Ciliary ganglion C. Parasympathetic to Cilliary muscles (Via Short Ciliary Nerves) 168. Infective endocarditis diagnostic investigation: A. Blood culture B. ASO titre 169. Essential fatty acid: A. Linoliec acid (Also Linolenic Acid) 170. Patient was brought to the ER unconscious. The doctor gave Naloxone but it was not working. What is the likely cause of toxicity? A. Methadone B. Phenobarbital C. Morphine 171. Patient lacerated the dorsal part of his wrist accidentally. He came in with difficulty to adduct the fingers and difficulty abducting the thumb. Which nerve was paralysed? A. Dorsal-medin nerve B. Ulnar Nerve C. Radial Nerve D. Median Nerve 180. Pain from lower inferior segment of Diaphrgam: A. Phrenic (supplies central tendon of diaphrgam) B. Subcostal Nerves 181. Cingulate gyrus blood supply: A. Anterior cerebral Artery B. Middle Cerebral Artery C. Basilar Artery D. Post Comm Artery 182. Dorsal Vein of penis drains into: A. Greater Saphenous Vein B. Internal pudendal Vein C. Femoral Vein 183. Internal carotid bleeding stopped by compressing: A. C6 B. C2 C. C7 184. A patient has nodule on vocal cord. The most likely mechanism? A. Hyperplasia B. Atrophy 185. Edema of acute infection. Feature A. Transudate B. Specific gravity of 1020 C. Proteins >3gm (EXUDATE) 186. Vein not draining to great cerebral vein? A. Basal B. Occipital C. Middle cerebral D. Posterior colossal 187. Extent to which a tissue gets disturbed by occlusion of its blood supply depends on : A. Velocity of blood in tissue B. Anatomical pattern of vascular supply C. General state of blood D. Rate of development of thrombosis 188. A 15 years old girl with fixed dilated pupils. Lesion is at? A. Oculomotor nerve B. Trochlear nerve C. Facial nerve 189. Axon arise from conical shape part of neuron cell body called: A. Perikaryote B. Axon hillocks C. Dendrites 190. Peptic ulcer profusely bleeding from posterior wall of duodenum which artery involed: A. Gastroduodenal Artery B. Gastroepiploic Artery 192. Epithelium of kidney (glomerulus or something was specifically mentioned) a) endoderm only b) ectoderm only c) mesoderm only d) endoderm + mesoderm e) ectoderm + mesoderm 193. 8 mnth Baby boy with repeated rhinitis 2episodes of pneumonia in less then 2 mnth.low plasma B cells n decreased immunoglobulins: A. SCID B. IgA deficency C. IgG deficiency 194. Which is not a ‘basic tissue of body’? A. Nerves B. Muscles C. Blood D. Epithiliuem E. Connective tissue 195. A 30 year old man had a road traffic accident and sustained fracture of femur. Two days later he developed sudden breathlessness. The most probable cause can be: A. Pneumonia B. Congestive heart failure C. Bronchial asthma D. Fat Embolism 196. Carpal Tunnel Syndrome: a) Wasting of thenar muscles b) Anesthesia of thenar muscles c) Injury to ulnar nerve d) Injury to radial nerve 197. Which of the following statements about carcinogenesis is false? a) Asbestos exposure increases the incidence of lung cancer b) Papilloma viruses produce tumours in animals but not in humans c) Exposure to aniline dyes predisposes to cancer of the urinary bladder d) Hepatitis B virus has been implicated in hepatocellular carcinoma 198. Regarding Parotid gland: A. Lat pterygoid lies anterior to pterygoid B. Ext carotid passes through superficial gland C. Facial nerve supplies it 199. Max potassium absorption occurs in: A. PCT B. DCT C. Descending loop D. Prox straight tubule 200. Epidural anestheisa given to the patient.Nerve spared: A)t10 B) L1,L2 C)s1,s2 (Most seniors agreed to this option) D)s3,s4 201. Lung capacity increased in inspiration by 2/3 by: A. Bucket handle action of rib B. Pump handle action of ribs C. Elastic recoil of lungs n chest wall D. Diaphragm 202. Pitutary Gland Causng Bitmemporal Hemianopia .Where is the lesion? A)middle of Optic Chiasma B)upper of Optic Chiasma C)Med To Optic Nerv D)Right Optic Tract 203. Cancer is Least Related To: A)Age B)Heredity C)Sunlight D)Virus E)Traumatic injury 204. What Age The Head Of Fetus Become Exactly Half The Length At CRL: A. 3rd Month B. 4th Month C. 7month 205. Not Included In Blood Coagulation Profile: A. BT B. PT C. Platelets D. APTT E. Anti thrombogin 3 205. Starling Law of the heart: A)Doesnot operate in the failing Heart B)Doesnot operate during Exercise C)Explains increase in Cardiac Output that occurs when venous return is increased. D)Sympathetic nerve supplying Heart are stimulated E)Explains increase in Heart rate produced by Inspiration 206. Scenario Of Fissure. Pain Due To Which Nerve: A. Inferior Rectal B. Pudendal C. Perineal 207. About Ureter which statement is unlikely: A)Terminal part is supplied by uterine Artery B)Crosses Ischial Spine C)Behind mesocolon D)Pierced parietal peritoneum before entering bladder (Most probably its D on exclusion criteria, although A is unlikely also but senior said that RJLAST says Uterine Artery also) 208. Pendular knee jerk is the result of? A. UMN lesion B. LMN lesion C. Hypothyroidsm D. Parkinson E. Hyptonia 209. Medial side of arm is supplied by? A. Medial cord B. Lateral cord C. Musculocutaneous nerve D. Median nerve 210. Bare area of liver is limited by? A. Right and left traigular ligament B. Falciform ligament C. Ligament teres D. Ligament venosum E. Coronary ligament 211. During a surgery a surgeon nicks hepatoduodenal ligament. Which structure is likely to be damaged? A. Portal vein B. Bile duct C. IVC D. Hepatic Duct 212. Capsule of left kidney prevents the spread of infection to? A. Other kidney B. Lesser sac C. Upper part of greater sac D. Lower part of greater sac E. Deep pelvis 213. Which structure develops from 3rd n 4th pharyngeal arches A. Hyoid B. Cricoid C. Mandible D. Thyroid 214. Which one is secreted after sweating: A. Increase ADH B. inc Na C. dec water 215. A man with 70 cardiac output 60mmhg po2 8mg/dl hb o2 bind to: A. 1.21ml/l B. 10ml/l C. 15l/lt 216. Baby born edematous aftr 2 days shows signs of renal failure on examination rounded mass in pelvic area on autopsy cystic mass is seen. Diagosis? A.failure of mesonephros development B. failure of metanephros development C. failure of union of mesonephros n ureteric bud D. renal a genesis 217. B lymphocytes are associated with: A. CD 4 B. CD 8 C. CD 19 & 20 D. CD 10 218. All anti psychotics are alike in: A)anti emetic effect B)anti pyschtic C)potency in mili grams D)price 220. Which of the following ulcer is caused by synergistic infection by microaerophilic non hemolytic streptococci and aerobic hemolytic staphlococci: A.Bazon ulcer B.Marjolin ulcer C.Meleney’s ulcer D.Venous ulcer EArterial ulcer 221. Which of the fallowing structures doesnot receive innervations from branches of pudendal: A)Ischiocavernosus muscles B)Labium Minora C)Skin of Penis or Clitoris D)Posterior Fornix of Vagina E)Urethral Sphincter 222. Sructure attached to Lumbar Verebra: A)Anterior Longitudinal ligament B)Extensors of thigh C)Obturator Muscle 223. Right horizontal semicicular canal stimulated: A. Head tilt to left B. Head tilt right 224. Athetosis is due to defect in: A. Caudate B. Putamen C. Globus pallidus D. Subthalamic nucleus 225. Opsonization occurs: A. Help of c3b 226. Abt parotid gland: A. Lies lateral to lateral pterygoid B. Stylomandibular ligament separates parotid frm submandibular C. External carotid lies in its substance superficial to facial nerve 227. Propulsive movement of intestine effected due to lesion of: A. Aurbach B. Myntric pleuxes 228. Main class associated wid antigen presenting cells: A. MHC1 B. MHC2 229. About small intestine true is: A.valvae connivents most numerous in ileum B.mesentry start from the rite of L2 C.valvae connivents 5mm wide D.small intestine 6-8 meters long 230. Lysosome has secretion against bacterial iron because they contain: A. Hydrolases B. Oxidases 231. Blood supply of heart is regulated by: A. Local metabolites 232. Post synaptic sympathatic mainly secretes: A. Nor epinephrine B. Acetylecholine C. Adrenalline 233. True abt vertebral column: A. Cervical nerves originate above corresponding vertebra B. Vertebral artery arches ant part of post arch of axis (Xcept C8 cervical nerve which is below C7 vertebrae , and all Spinal nerves also originate below the coressponding vertebrae) 234. Confidence interval: A. Mean n its standard error of mean B. Mode n its standard deviation C. Median n its range 235. Positive Predictve valve is affected by: A)Remission of cases B)Incidence C)Prevalence of disese 236. In PPD induration u will find: A. B cells B. macrophages C. Eiosinophils D. T cells 237. Which of the following drugs is contraindicated in a patient with raised intracranial pressure: a) Thiopentone b) Propofol c) Midazolarn d) Ketamine 238. If circumflex branch of left coronary artery is blocked which area will b effected: A. Anterior surface of left ventricle B. Posterior surface of left ventricle C. Interventricular septum 239. Draining to Sup Mesenteric nodes: A. Splenic flexure B. 4th part of duodenum C. Jejunum (As you can see in below picture that Duodenum also drains into Superior Mesenteric Node but Jejunum is solely into SMN so we choose here) 240. Diabetic pt came to ER insulin given what change will happen in blood: A.inc K in blood B.increased ketogenesis C.increased pH 241. Potassium will be lost mostly frm which segment following dietary irregularities: A.straight proximal tubule B.convoluted proximal tubule C.distal tubule D.thin descending limb of loop of henle E.thick ascending limb of loop of henle 242. Main diagnostic feature of DIC: A.raised aptt B.raised pt C.presence of D dimers 243. A man wd his gut removed some weeks ago now showing ↑ gastric motility wid diarrhea, cause: A.due to secretin released frm normal gut B. Osmotic+secretory diarrhea 244. CO poisoning,methemoglobulinemia,anemia dont result in hyperpnoea..this is because A.carotid bodies are stimulated B.aotic bodies are stimulated C. Po2 remains normal (Anemia- Pa02, Sa02 – Normal MethHB and CO Poisoning – Pa02 – N, Sa02 DECREASED- Ref Goljan) 245. Ductus deferens end in: A.testis B.prostate C.seminal vesicle D.ejaculatory duct 246. Sjogren associated with? A. RA B. SLE 247. Ovarian pain related to: A. Femoral nerve B. Obturator C. Pudendal 248. Most common cause of premalignant change in mouth in adults is: A. Chronic ulcer B.lichen planus C. Submucous fibrosis 249. Subdural hematoma due to: a) rupture of cerebral vein b) rupture of meningeal vessel Epidural–> Middle Meningeal Artery–>Lens shaped-BiCONVEX hematoma Subarachnoid–> Cerebral arteries and Vein (Berry Aneurysm in Circle of Villis) Subdural–> Superficial Bridging cerebral Veins–> Cresecent shaped hematoma Subpial–> Small vessels of Pia and Brain tissue 250. Enzyme in saliva that prevents iron utilalisation by bacteria: A. Lactoferrin B. IgA protease C. Lysozyme 251. Fio2 max dose which does not cause fetolental adrenoplasia: A. 0.5 B. 1 C. 2.5 D. 0.6 (Safe limit is 0.6 or less than that) 252. Gardener right side chest pain 3.5 cacific on rt lower lobe: A. Aspergilosis B. Hydatid cyst C. Abcesss D.CMV 253. Recurrent renal stone associated with which amino acid abnormality: A. Tryptophan B. Lysine C. Glutamate D. Alanine 254. Nerve supply of Lattisimus dorsi: Thoracodrosal Nerve 255. Nerve supply of Rhomboids: Dorsal scapular nerve 256. Nerve supply of Sartorius: Femoral Nerve 257. Unlocking of knee: Poplitues 258. Vitamin produced by intestinal bacteria: Vitamin K 259. End product of purine metabolism: Uric acid 260. Arrangement of renal segments: Renal-> Interlobar->Arcuate->Interlobular->Afferent Arteriole 261. Cervical CA metastasize to: Internal and External LN 262. Prader Willi Syndrome: Hyperphagia and Hypergonadism 6TH FEB ONLINE (SURGERY): 263. A patient comes to you in your clinic with lab findings of RBS 198 G/dl and FBS 122 G/dl; what is your diagnosis? A) normal glucose B) Diabetes Mellitus C) Impaired glucose Fasting >110 <126 ———— IGT ————- For DM —- RBS must be > 200 with Classical Symptoms ——– and FBS must be > 126 264. Which of the following have direct relationship? A) coronary blood flow and venous return B) pulmonary blood flow and venous return C) coronary blood flow and pulmonary blood flow D) cerebral blood flow and venous return (Factor That control Cardiac Output also control Pulmonary Circulation-Guyton) 265. In hypoxic vasoconstriction; which of the following is decreased? A) arterial pO2 B) arterial pCO2 266. What causes pulmonary vasoconstriction? A) increased arterial pO2 B) increased arterial pCO2 C) decreased arterial pO2 D) decreased arterial pCO2 267. In athletes, which of the following is increased even in resting state? A) heart rate B) cardiac output 268. Muscle of quiet inspiration: A) diaphragm B) external intercostals C) internal intercostals 269. If a foreign body is inhaled; which of the following lung lobes it will go to: A) Left superior lobe B) Rt inferior lobe C) Left inferior lobe 270. Intracellular ANIONS: A) K B) Na C) Proteins 271. Type of junction present in smooth muscles? A) tight junction B) gap junction 272. Type of junction present in cardiac muscle? A) tight junction B) gap junction 273. A man moving in an elevator; which of these is working: A) semicircular canals B) semicircular ducts C) utricle (responds to gravity and linear straight line acceleration and deceleration) D) saccule E) neck proprioception 274. Which of the following has normal anion gap? A) DKA B) Diarrhea C) CRF 275. Which of the following is diagnostic of tuberculous granuloma? A) giant cells B) epitheliod cells C) multinucleated cells D) fibroblasts 276. A lady with 26 wks gestation has uterine height of 24 wks. On ultrasound there is no fetus and snowstorm appearance. Which of the following probably associated with it? A) choriocarcinoma B) karyotype 46 XX (CPSP DEMO) C) 47 XX D) 69 XXX E) 45 XO 277. A soldier comes with heavy bleeding. The ideal fluid replacement would be? A) whole blood B) packed RBCs C) FFP D) cryoprecipitat 278. Which of the following is diagnostic of tuberculous granuloma? A) giant cells B) epitheliod cells C) multinucleated cells D) fibroblasts 279. Which of the following causes hypocalcemia: A) 25 hydroxycholecalciferol B) 1, 25 di hydroxycholecalciferol C) PTH D) Calbindin 280. Genotype of a true hermaphrodite is? A) XX B) XY C) XXY D) XX/XY E) XO 281. Calcitonin is secreted by which tumor: A. Pancreatic B. Thyroid C. Parathyroid 282. Angiotensin 2 is responsible for: A) systemic vasoconstriction of venules B) release of aldosterone C) vasoconstriction of affernt glomerularr an adult in sitting position, 283. Most common skin malignancy in pt with HIV: A. Kaposi sarcoma B. Basal cell carcinoma C. Squamous cell carcinoma 284. Left gastroepiploic artery is branch of: A) Right hepatic B) Splenic artery C) Gastrodudenal D) common hepatic 285. Organelle that binds carbohydrates with protein enclose them in vesicles n release (don’t remember the exact stem ): A) RER B) SER C) GOLGI D) MITOCHONDRIA 286. Child with recurrent infection, which of the following physiological antibody is missing on peripheral smear: A) igA B) igM C) igG D) igD 287. Plasma membrane thickness is: A) 0.4 B) 7-11 (7.5 – 10nm is Range- Guyton) 288. Lady with ventricular rate of 40/m most likely A) atrial fibrillation B) mobitz type 1 C) mobitz type 2 D) complete heart block E) first degree heart block 289. Iron binds to: A) transferrin B) ferritin C) albumin 290. Highest carbohydrates is in A) rice (23gm CHO) B) maize C) wheat (71gm CHO) D) soghrum 291. Resonance of the lungs can b auscultated from back of the chest till: a. 6th rib b. 8th rib c. 10th rib d. 11th rib e. 12th rib (Demarcation Line is 3rd-9th Intercostal Space) 292. Flexion of knee and extension of hip is the action of: A) rectus femoris B) semitendinosus C) sartorius (Also Biceps femoris, Semitendinous, Semimembranous – Posterior Comp Thigh muscles–> Tibial Nerve) 293. Which of the following bones has no muscular attachments? A) cuboid B) navicular C) lateral cuneiform D) talus 294. Lymph drainage from outer nipple is to which group of lymph nodes: A) anterior axillary B) central C) internal mammary D) apical 295. Dorsal scapular nerve supplies which of the following muscle: A) levator scapulae B) rectus capitis C) trapezius (Dorsal scapular Nerve also supplies Rhomboids) 296. Which of the following is a pivot joint: A) atlanto occipital joint B) atlanto axial joint C) distal radioulnar joint 297. Small muscles of hand are supplied by: A) C6 B) T1 298. Motor supply of pharynx is by: A) nucleus solitarious B) nucleus ambiguous (Nucleus Solitarius: Sensory Ambigous: Motor) 299. Sacroiliac joint: A)less mobility B)plain variety of synovial joint C)covered by psoas &iliacus D)is supplied by post division of external iliac artery E)Is innervated by ventral rami of S1+S2 and lateral branches of dorsal rami of S1+S2 300. Left gastroepiploic artery is branch of: A) Right hepatic B) Splenic artery C) Gastrodudenal D) common hepatic JazakAllaha, Keep everyone in ur Prayers #Pray #Help #Share SeaShell 1.in deep coma lesion is found at both frontal lobes (ANS) right frontal lobe nucleus ceruleas midbrain 2. urine osmlarity 600mosm urea 15 Na 110 K 3.4 options: SIADH (ANS) dehydration addisons 3. HTN in young male with 2 somthing K and urine sugar ++ pheochromocytoma essential HTN hyperaldosteronism(ANS) 4. rubbella effects 5-10 weeks 5. thirst is inhibited by ADH(ANS) angiotensin (if barorecptor efferent was in options that was ans otherwise ADH) 6. learning disability is most commonly seen in fragile X(ANS) cridu chat turner 7. regarding csf functions whts wrong it cant travel from latral ventricle to 4th ventricle 8. muscles for foot eversion Peroneus longus 9. cervical rib compresese which nerve root in brachial plexus C8 10. compression of s1 will result in loss of ankle jerk 11. transfusioon reactn will occur if we give to A+ve A-ve AB-ve (ANS) O-ve O+ve 12. PPD induration u will find B cells macrophages eiosinophils(ANS) t cells 13. which Anti AIDs drugs has S/e of pancreatitis didanosine, stavudine 14. prophylactic drugs for guy wd prosthetic valve and prvsly rheumatioc fever ampicilin+clauveric acid 15. study conducted on the bases on vomiting is absent or presnst which type of study it will b nominal ordinal parametric(ANS) 16. questin abt median 27.5 17. taste sensations ends in salivtry nclus somatosensry cortx(ANS) 18. end metabolities of 5HT and epi/NE metanephrine 19. vit helps in fattly acid metabolism B12 20. Which vitamin is the best antioxidant a)Vitamin E(ANS) b.vit A c.vit c 21. if 100 cm ileum is resectd wht will happen Inc water loss / inc bile salts loss 22. chrons and UC defrntitng lesioins Perianal lesion 23. max wtr and salt is abrosed In jejunum(ANS) In colon 24. young female wd recurrent abortion and dvt that is nt corrected even aftr giving FFPs ans mutated factr 5 laden 25. intrinsic pathwy is initiated aftr exposure to collegn surface 26. 2 questions abt glgi tendon 27. medial dissection of aorta (mcq books questin 28. rt border of hrt is formd by SVC 29. dysphagia and cmprsn of recurnt lyrgeal nvr Lft atrail invlvmnt 30. question abt myxoma 31. Which antiemetic has the highest bioavailability? a)metoclopramide b)ondansetron (ANS) 32. a schol teachr came wd tremors and has vry bad and writing no rigidty thyroid prbm whch drug will u prescribe amantadine ropinirole procyclidine levodopa propanalol (ANS) 33. basal ganglia is nt invlved intention tremors 34. qstn abt great cerebral vein occipital(ANS) 35. epidural space is widest at whch part of spinal cord L2 36. whch drug inc LES tone and gastric motility \ Metochlopromide 37. ttypical case scnro of asprgilosis 38. plasma protein is nt invlvd in carrying following CO2(ANS) billirubin iron O2 39. cooomon cause of HCC in develpng countries Hep B n C 40. qustns abt microtubles, gap jnctns 41. pO2 will be equal to 100mmhg in left to rt shunt(ANS) rt to left shnt fibrosis high altitude 42. dorsal column carries propioceptions 43. qustn abt rt shft of oxygen dissociation curve 44. lesion of rt optic tract heminoous heminopia 45. whch one is not spreaded by orofecal route trihc thrcis thrichinella sprialis(ANS) entmb hstlytca 46. whch spreads via orofcal trnsmsn hep b c CMV hep e(ANS) 47. hep b is monitrd by s/albumin s/proteins sgpt(ANS) 48. qstn abt secretin 49. tail of pancrase lies in b/w Layers of splenorenal ligament 50. qstn abt SMA brnchs Middle colic artry 51. hematemsis bcoz of gastrodudnal artery 52. progestrne is precusr to whch hrmnes 53. sjogrens is assocated wd RA (ans) 54.tumor markers of 55.testicular cancer->afp ovarian cancer ->ca125 56. surface markrs fr t cell 57. case of pericarditis 58. qstn abt bells palsy 59. a 15 yrs old girl wd fixed dilated pupil where does the problem lies Occulomotor nerve 60. drug over dose wd aciddosis and hypervntaltion ans. Salicylates 61. depresed rsprtn nt reverted by nalaxone whch drug is rspnsbl fr rsp deprsn mmorphine heroin phenobarbitone(ans) 62. regrdng hemostsis whch is nt imp tlc(ANS) pt bt ct appt 63. nt a feature of malnutrition thrombocytopenia 64. Pt wd anemia wtloss dysphagia hb 6 mcv 68 name the anemia a.plumer vinsn syn 65. in pregnent womn whch is incrsd TIBc 66. qstn abt recurent oral ulcers aphthous ulcers 67. whch artry doesnt supply scalp maxillary(ANS) ocptl sypra trchlr supra orbital 68.true abt osteogensis intra membrns bones ossify frm crtlg 69sequence of vein,artry and nerve in bw intcstal neuromsclr bundle (nerve most inferior then superior is vein then artry) 70.pain ovry reaching medial side of thigh ..whch nrve is involved Obturator nerve 71 neutrophils 98% lymphocytes 2% cloudy plerual effusion of an old man wd h/o cough, no fvr options were chronic inflmtn(ANS) abcsess fibrinoid inflmtn 72 coagulative ncrosis results due to ischemia 73 necrosis does not depend on velocity of blood flow thru tht area(ANS) distribution of area supld by tht area genral condition of blood 74 FEV1/fvc = 0.8 75 qstn abt FRC 76scenerio abt type 3 hypersensitivity 77 cardiac output depnds on SV(ANS) EDV Venous Return 78. dif b/w anaphylctc shock nd hypovlmc shck 79 cavrns sinus contains -> ICA and abducnt nerve 80 vit acitvated in intstines – >vit k 81 ilieum resctn will result in loss of bile salts 82 soft keratin is containeed in whch strcture St. cornium 83 qstn abt placenta 84 adduction n abdctn of fngrs anf adctn of thmb is lost, whch nerve is involved ULnar N 85 smthng brodre clsfictn of tumor 86 neutrophils r phaygocytic in blood stream 87 pregnnt ldy wd a fib drug of choiice iv hep (ans) oral antti coaglnts 88pre eclmptc ldy drug given to her before GA hydralazne sodm nitropruside (ans) 89tumor tht doesnt hv mets BCC (ans) SCC 90. qstn abt ligamntm artrosm 91. bby wd urine frm umblcs ans.presistent urcharus 92. qstn regarding thyroid glands artrial supply 93. in a smkr wd hrsnes of voice and dysphaga has a nodule on vocal cord wht is most unlikely => atrpohy of nodule 94. qstn abt aziothioprine mech of action Inhibits both immmune plus serological response.. 95. binding of bact question abt c3b 99. main regulator of coronary blood flow is ans. local metabolites 100. question abt macroprolactinoma 102. infcius mononclsis-> activated t cells on peripherall film 103 left kidney ant relations all except -> diaphragm 104. following splnectmy immediate finding will be – > thrombocytosis(ans) Howel jolly bodies 106. qstn of teratoma 107. thirst is inhibited by -> alcohol 108. qustn abt SA node membrane potential 109. RMP is maintained by k diffusion out of cell na-k pump maintains internal neg chrge of cell membrane 110. CRF -> ans oral intake is limited to 0.5 l/day 111. full clearence of whch substance inulin (ans) 112. purine metabolism give uric acid 113. feature of folic acid def anemia- . megaloblastc 114. puberty starts wd increase in gondotrophins gonadal hormones 115. malaria answr was black watr fever 116. qstn abt motor aphasia 117. case scnro of psedoparahhyperthyroidism 118. steroid hormons act by activating genes(ans) protein synthesis 119. smthng abt amyloid light chain 120.movement of thyroid gland on deglutiniition is due to its attachment wd pre vertebral fascia 121. inclusions smthing parkinsons/basal ganglia invlvment 122. intrnal capsule is medial to globus palidus 123. best invstgn to diagonse scnro ws abt heart involvmnt+kidny invlvmnt smthng case of infectv endocarditis IxOC was asked blood culture 124. head is abt half of CRL at begng of 3 mnth 4th mnth 5th mnth 6th mnth 7th mnth 125. qstn ab tetanic contractions due to Hypocalcemia 126. hyperpolarization of hair cells due to head movement 127. Blood buffer Bicarbonate Hb 128, Common sinus causing fungus Mucilosis ,aspergilo, histom, blastomyco 129. rubella is diagnosed & TOP is done wen one of followning Ig is found iin blood ig g IGA Ig m 130. Essential fatty acid Linolic acid 131. all anti psychotics are likely in anti ematic effect anti pyschtic potency in mili grams price 132. Insulin deficiency which increase lipase, ketogenesis 133. EBV …… infects B cells while we see activated T cells in peripheral film 134. Congenital cataract…. German measles 135. Microchromic hypocytic anemia with target cells and dysphagia a)sideroblastic anemia b)thalassemia intermedia c)iron deficiency anemia(ANS) 136. Lipoprotein in HDl 137. Dysphagia…. which structure enlargement cause oesophagus obstruction. 1 aorta 2 rt atrium 3lft atrium(ANS) 138. In pregnant lady bile duct obstructed diagnostic Ast Alt Alkaline phosphate Gama glutamyltransfrase(ANS) 139. Female had fever chest pain on lying Pericarditis 140, Nodule on vocal cord on microscopic examination least likely Atrophy(ANS) Hyperplasia 141. Edema of acute infection Transudate Specific gravity 1020 Proteins >3(ANS) 142. qstn abt carcinoid tumors 143. 6yr old rhinitis edema extensor surface involvement Hypersensitivity type a.type 1(ANS) b.type 2 c.type 3 144. Gas gangrene cause of death Septicemia Toxemia(ans) Bacteremia 145. Vit in lipid oxidation A B12(ANS) Biotin 146. Which hormon increased post surgery Adh Insulin Glucagon(ANS) Acth 147. Umbical vein remanant Ligamentum teres(ANS) Ligamentum venousum 148. In emergency Only pt shd b allowed relatives stay outside Psycological support of both pt n relatives shd b done(ANS) 149. Old man repeated uti cause Decreased bladder tone Uretheral insufficency leading to urine retention obstruction cathetrization(ANS) 150. S1is concurent with Diastole Isovolumeteric cont(ANS) Isovol relaxation 151. Parasympathetic stimulation effects Muscles of blood vessels Muscles of hair root Muscles at elbow joint muscles of GIT(ANS) 152. Immediate effect of sever hypovolemic shock Cerebral hamorrhag MI Oliguria(ANS) 153. Right border of heart a) Right ventricle b) Right atrium c) Right atrium and SVC (ANS) 154. Loss of eversion of foot a) tibialis anterior b) tibialis posterior c) peroneus longus(ANS) 155. First heard sound: a) Atrial systole b) Isovlumic contraction(ANS) c) Isovolumic relaxation d) Rapid ejection 156. about scanty Barr bodies in a.klinefilter (ANS) b.turner c,autosomal male ov Down syndrome d.adrenogenital syndrome 157. Vein which wud not drain in to great cerebral vein a.basal b.occipital (ANS)* c.middle cerebral d.post Callosal 158. Pregnant women 1st trimester..develops atrial fib..what would u do… Iv hep(ANS) Iv hep plus oral anticoag Aspirin 159. 55yr old Pt allergic to penicilin..prev h/o rhematoid heart disease..get dental treatment.. Prophylaxis Vanco plus genta(ANS) Vanco Clinda Ampicilin Amoxil 160. 5H indole AA in Systemic carcinomatosis Carcinoid syndrome(ANS) 161. Medial to lateral in femoral triangle Vein artery nerve 162. Sup to inf in intercostal space Nerve artery vein(ANS) 163. Ligamentam arteriosum is between Arch and left pul artery(ANS) Arch and left bronchial artery Aorta and left pul vein 164. human placenta has a.amnion on its fetal side b.chorioallantoic placenta c.get separated along the stratum spongiosum 4.get separated when there is rupture of many uterine arteries 5 hemochoridal memberane(ANS) 165. a female with bone pains and hyperesthesias, Ca 2.60 (near upper limit) phosphate within normal limit, ALP was bit raised, serum parathormone was within normal range but near upper limit, cause? pseudohyperparathroidism(ANS) hyperparathyroidism hypervitaminosis D Normal ca study 166.The specific feature of Apoptosis A cell shrinking(ANS) B karyolysis C hyperchromasia D cell swrlling 167.Secretions of neutohypophysis r generated from A hypothalmus B adenohypopj C Great cerebral vein does not drain scalp vein D nurohypophysis(ANS) 168. A tumor with all germ layers A teratoma(ANS) B mixed mesodermal tumor C cysts 169. pt had hemianopia ..and high prolactin??? A.middle part of optic chiasma B.upper part of optic chiasma C.right optic tract(ANS) 170. Occulomotor nerve supplies A all extta occiler muscles(ANS) B cilliary ganglion C cilliary muscles D ??? 171. A man of 70 has recurrent UTI cause Cathertarazation diverticula Urinary outflow obstruction 172. An obese man with h/o atherosclerosis underwent laparotomy due bleeding in abd n during surgery his small gut was purple n sup mesenteric vein was ok so what is dx A wet gangrene(ANS) B dry gangrene C thrombosis D volvulos 173. ADH is inhibited by A Alcohol(ANS) B aldosteron C rennin 174. Wound of surgery with green discharge is due to A pseudomonas(ANS) B salmonella C candidiasis D mycobacterium 175. Hiv associatd with A decreased CD4(ANS) B cytotoxic T cell C 176. Open wund healing includes A myofibroblast B fibroblast(ANS) C macrophages D lymphocyyes 177. S1 is lost so there will b A ulcer on medial n lat sole B loss of sensation on lat leg C flexion of ankle affevted D.loss of ankle jerk(ANS) 178. Golgi tendon associated A reflex against excessive tension(ANS) B jerk C joint movement n vibration 179. Cardiac out put depends on A venous return B exercie C stroke vol(ANS) D EDV 180. Following has highest clearance value A inulin (ANS) B para amino hippuric acid C glucose D Na 181. Apex of heart is A about 8cm from mid line(ANS) B in 3rd intercostal space C inguinal canal D pulmonary trunk 182. mcq abt ejection fraction n mcq of high GFR witj decrease resistance in efferent artetiole? a. gfr increases with decrease resistance in afferent aarterioles(ANS) 183. A girl of 11 yr was reffered to x ray department for xray of elbow joint to know age so xray will of A capitulum B trochlea C med epicondyle D lat epi condyle(ANS) 184. quadrate lobe a.functionally part of rt lobe b.drains into left hepatic duct c.lies btw inf vena cava and lig venosum 185. Sjogren syndrome associated with a.RA(ANS) b.SLE 186. “Which one is USED for oxidation of fatty acifds , CHO A biotin B pantothenic acid C vit B12(ANS) 187. Intrinsic pathway is activated by A contact of tissue collagen when it comes in contact(ANS) B factor X 188. Stem about diphtheria vaccine reaction: A:type 1 B:type 2(ANS) C:type 3 D:type 4 189. Which is not a ‘basic tissue of body’? A:nerves B:muscles C:blood (ANS) D:epithiliuem E:connective tissu 190. spinothalamic tract lesion at t8 MEDICINE & ALLIED 4 th JUNE 2014 (Paper A & B – Mixed) NOTE: ALL MCQs are recall questions. Human error is Possible. Special Thanks to Dr Sahil Syed, Dr Hammad, Dr Jawad, Dr Suleman Sami, Dr Qamar Subhan, Dr Umbreen Hashim & Members of FCPS Prep 2005-2010 group of FB. ●●●●●● ●●●●●● ●●●●●● ●●●●●● ●●●●●● 1. MRSA sensitive to: aztreonam co amoxiclav clotrimoxazole metronidazole 2. primary hepatocellular carcinoma : aflatoxin b1 hep E hep C alpha 1 antitrypsin deficiency 3. Braodman area 3 1 2 1 recieves all somatic sensation 2 special sensory 3 granular cortex something 4. serology not helpful in a) toxoplasmosis b) ambisis c) giardiasis d) ameobic liver abscess 5. 6. 7. Virus causes cancer via 1 proto oncoogene 2 oncogene 3 nucleic acid 4 promotr gene Byssinosis occurres in people working in 1)garment factory 2)lead factory 3)textile industry 4)cement factory OPD , 2 year old boy comes with fever, bowel disturbance… mcv mch mchc all raised … detected by serum vit b12 levels intrinsic factor antibodies 8. 9. 1st line phagocyte in blood neutrophil monocyte macrophage old aged Person living at 12000ft had a hx of of MI 6 year back…both lower limbs swelling and bluish discoloration …cause A. cardio-pulmonary failure B. venous thrombosis C. CO Poisoning 10. a lady delivered 34 weeks baby who was at 30th percentile of weight and height, cleft lip cleft palate, microcephaly , 6 fingers in both hands … axial something … whats the diagnosis : a: 45X b: 46XXy c: 74 XY+13 d: 74 XY + 18 11. Esophageal stage of swallowing most effected by : myasthenia cerebral cortex stroke just above lateral gyrus Scleroderma 12. cancer cells combatted by : natural killers (BOTH NK cells & CD8 are Anti-Neoplastic) cd8 and t lymphos cell mediated 13. TCA…. what is false: A. sedation B. alpha blocker C. Sympthomimetic D. beta agonist activity 14. DIC is stimulated by?? tissue thromboplastin 15. Thiazides causes.. Hypokalemia Hyponatremia Hypocalcemia 16. Hyperpolarization is caused by.. Na+ influx K+ influx Cl- influx 17. Pt of chronic renal failure going to dialysis..normocytic normochromic anemia .. Drug given: Erythropoietin Frolic acid Vit b6 Vit b12 18. Tricuspid auscultation area? A. 2nd right ic space B. 2Nd left ic space C. 3Rd left ic space D. Mitral area E. Lower half of left border of sternum 19. Parotid ducts opens into (Asim MCQ) Second upper molar teeth between cheeks and teeth 20. Histamine releasing opioid analgesic. A. Morphine Tramol butyrophenie fentanyl 21. vitamin b12 def can be found out by urine test of methylmalonic acid pyruvic acid 22. a patient known case of lambago comes with sudden left side chest pain.. Cardiac enzymes r normal.. No retrosternal pain also not radiated.. But tenderness at 5,6 intercostal spaces at posterior side.. MI Costochondritis Aortic aneurysm Pleuritis 23. There is lesion of upper trunk.. All wil occur except (Asim’s MCQ) adduction of arm medial rotation of arm Sensory loss over forearm Elbow extension Supination 24. Typhoid diagnose in 2nd week best by : widal blood cs blood cs plus widal only widal stool cs 25. Pt with nose lesion , granuloma, proteinuria leprpsy wegner’s 26. Which hormone not required for growth of sperm: GH bHCG Prolactin FSH 27. Steatorrhea due 2 chronic pancreatitis occur due to deficient: 1,amylase 2.lipase 28. Female with lush push bodyline , well develped brest ,, complained amenorrhoea since puberty , short vagina , uterus not palpable, testes in inguinal region. male psuedohermaphrodite female pseudoherma testicular feminization 29. Dissection of aorta: medial necrosis (Cystic Medical Necrosis – Rubin’s Pathology) 30. Subclavian artery arches over: (Asim’s MCQ) clavicle 1st rib 2nd rib 31. What’s the hallmark of aids: progressive immune-depression opportunistic infections Proliferation of virus inside Tlymphocytes 32. in tractus solitarius A. 1st order neuron of taste (ant 2/3 tongue) B. 2nd order neuron of taste (ant 2/3 tongue) 33. wound healing ascorbic acid 34. Autosomal dominant. whats wrong: 50% offspring effected complete penetrance 50% females effected Variable expression 35. radiation causes cancer usually in : A. 5-10 yr B. more than 10 yrs 36. 37. protein fat carbohydrates deposition by A. GH B. glucagon C. insulin what white blood cells are raised in acute viral infection A. Neutrophils B. Lymphocytes 38. Appendix ..pain in flexion & Medial Rotation of hip. (Asim & Shoaib MCQ) A. Pelvic B. Retrocecal C. Preileal D. Post ileal 39. body utilizs nutrients in what order: CHO, fats , protein fat, prot CHO cho Prot fat 40. myasthenia gravis Pt, Dr gv some medication due to which Pt conditions improved. What’s mode of action of medication: anticholinesterase chlonergic anticholinergic 41. Skeletal muscles A. are innervated by somatic nervous system B. are non straited C. intercalated disc 42. Shock characteristic: tissue hypoxia low BP tachycardia 43. Scenario about nerve supply to tip of the nose Opthalmic division of trigeminal nerve 44. Neurogenic shock mediated by: loss of vasomotor tone heart pumping decrease 45. Scenario on lacrimation while eating like that Facial nerve 46. something about secondary active transport (Amino Acid absorption in PCT) 47. what sound comes on rapid filling of lft ventricle S3 S2 48. 49. If Ejection fraction increase (Rabia Ali MCQ with wrong key AND BRS Physio MCQ) EDV decrease ESV decrease 50. Woman with borderline lab values of MCV, MHCH etc: microcytic normo macrocytic macro micocytic hypochromic 51. Lumber puncture …predominates lymphocytes, HIGH Protein & Normal Glucose (Asim’s & Chandkian’s MCQ) A. TBM B. Bacterial meningitis 52. Nutrient artery supplies: A. epiphyseal plate D. flat plate C. epiphysis D. Diaphysis (Supply Diaphysis & Central portion of Metaphysis. Peripheral portion of Metaphysis is supplied by separate artery – Metaphyseal artery) E. metaphysic 53. Vitamin K deficiency, defective clot formation i guess A. fibrogen B. fibrin A. Cataract B. Stabismus C. Astigmatism 3. thrombin 4. thromboplastin 5. Prothrombin 54. Osteogenic imperfecta Defect in synthesis of collagen 55. liver in its place coz of attachment with IVC ligaments 56. Jugulodiagastric lymph node drains into Palatine tonsils and tongue 57. Right adrenal gland Pyrimidal in shape 58. oblique fissure in lung extends from : (Asim’s MCQ) t3 – t6 t2 t6 t4 t6 59. 60. factor 9 def, aptt high PT low Christmas disease factor 8 def 61. sixty year old lady having unilateral severe head ache…temporal atery biopsy A. Giant cell artiritis B. Takayasu neonate adrenal is same the size of adult adrenal gland 62. bile acids absorbed in ileum 63. bile acids helps fat digestion by: Facilitate absorption of Lipid Hydrolysis of LIPID 64. stone in the parotid duct (Asim’s MCQ) Apoptosis necrosis degeration 65. 66. epithelium changes in endocervix Metaplasia dysplasia 67. Squamous cell Carcinoma marjolin ulcer bowen’s disease 68. Peroxisomes Long chain fatty acid 69. Pt for renal transplant , what investigation is not necessary in the donor: (Asim’s MCQ) Serum Renin UCE HLA CBC c5 D.below c5 70. Hormone involved in gluconeogenisis Glucagon 71. Inhibit gastric acid secretions (Asim’s MCQ) Secretin 72. Naked Person with 80% humidity in air & 21 degree temp: heat loss by (Ganong’s MCQ: Ch# 17 MCQ#2) A. conduction and radiation B. By vaporization of sweat C. Elevated metabolism D. Respiration E. Urination 73. Derived from neural crest (Asim’s MCQ) autonomic ganglia 74. Rapidly adopting fibers… A. baroreceptors, B. pacinian corpuscles, C. meissner 75. Nutritional deficiency..scaly dermatitis,alopecia Zinc 76. Not supplied by vagus nerve (Asim’s MCQ) A. stomach B. ascending colon C. Jejunum 77. Which will shift the O2.HB curve to the extreme left… A. CO poisoning B. fetal Hb , C. acidosis, D. inc 2,3 bis 78. Secretary vesicles found in organelle A. Golgi apparatus (Transport vesicle from ER to Golgi Modification of Transport vesicle inside Golgi Secretary Vesicle) B. ER 79. Cristanee concavity toward nucleus Golgi apparatus 80. Inappropriate about atropine.. A. Increase CUTANEOUS BLOOD FLOW B contraindicated in inc intra-ocular pressure 81. Widest part of epidural space A. L2 B. C7 82. About collagen…. most abundant protein in the body 83. High pressure oxygen for 24 hrs (Scenario of Some Smoker). Spontaneous Pneumothorax 84. Warfarin given for DVT, what is Appropriate? Not given in pregnancy Rapidly antagonized by FFP 85. 5th week what happens? A. Heart has definite form (NOT True as Upper as it occurs at the end of 8 th week ) B. Limb buds appear (NOT True as Upper limb buds in 4 th week & Lower limb in 5 th ) In These options (If other 3 were wrong, then Option B is appropriate.) 86. Neural tube is formed in which week A. 3 rd B. 4 th C. 5 th 87. 2*2 TABLE Chi-square testing 88. Sample which is age based grouped then random people taken from each group, IT IS? (Rabia Ali MCQ Page 484) A. stratified sampling B. simple sampling 89. Meningitis after pyogenic lung abcess organism? (Asim’s, Chandkian’s & Rabia Ali MCQ) A. Staph B. Pneumococci 90. Endometrial hyperplasia A. inc estrogen B. dec estrogen C. inc progesterone 91. PYOGENIC PEROTINITIS A. Bacteroids B. E.Coli Reference: GOLDMAN’s Cecil Medicine 24th ed and Harrison’s Principles & Practice of Medicine 18th Ed. 92. Organ with high atriovenous (AV) 02 difference at rest? A. Heart B. Kidney C. Brain D. Skeletal muscle 93. Hormone that stores carbohydrates, lipids and proteins in cells is also called hormones of abundance A. GH B. Cortisol C. Thyroid hormone D. Estrogen E. Insulin 94. Starling law of heart (Ganong’s MCQ: Ch#30, Q# 6) A. Explain the increase in cardiac output that occur when venous return is increase B. explain the inc in heart rate by exercise. C. does not operate during exercise. D. explains the increase in cardiac output when the sympathetic nerves supplying the heart are stimulated. E. does not operate in the failing heart. 95. Trigeminal ganglia A. Completely covered by dura B. Freely bathed in csf C. Lies in MCF on the side of cavernous sinus 96. Short limb..short height…intelligence normal (case of achondroplasia) A. Autosomal dominant B. Autosomal recessive 97. Drug which enhances the hypoglycemic effect of sulphonylurea? A. Phenylbutazone, (Ref: Textbook of Diabetes – Table 24-6) B. thiazide. C. OCP 98. Tx of hypercalcemia A. Calcinomimetic B. Bisphosph C. Furesimide 99. 45×0/46xy….A short stature n prominent crease line… A. BRACHECEPHALY AND MENTAL RETARDATION B. GONADAL DYSGENESIS WITH FOLLICULAR APLASIA 100. Neostigmine action: inhibit Ach esterase 101. Venous return increased by A. intrathorcic pressure B. Valve in veins C. Muscle contraction of leg 102. A LADY HAD AN ROAD ACCIDENT AND GOT HEAD INJURY.SHE LATER DEVELOPED complaint of polydypsia and polyuria..lab findings were given in which urine osmolarity is low and plasma osmolarity high. After giving vasopressin urine osmolarity increased and plasma osomalilty decreased…what is diagnosis??? A. Central Diabetes Insipidus B. SIADH C. Nephrogenic Diabetes Insipidus 103. Chrons disease diff from Ulcerative colitis Perianal lesion 104. Post-Renal Transplant pt, Now presented with Respiratory infection. BAL showed revealed boat shaped cyst organism (Nov 2013 Medicine paper MCQ = repeated) A) Toxoplasma gondii B) H. influenza C) Pneumocystis carinii 105. Hormone inhibited by feedback from hypothalamus? Prolactin 106. Pneumothorax Ipsilatrral lung collapse and chest wall spring out 107. A patient burning and recovered completely what factor determines that complete recovery will occur? ,A. underlying Granulation tissue B. local edema C. Blood supply 108. Typhoid test (Asim’s MCQ) A. 1:160 O antigen B. 1:160 H ag C. 1:80 O ag D. 1:160 O and H antigen 109. 110. What happen in lower motor neuron lesion..?? A. muscle wasting.. B hypertonia.. 111. 112. 113. Chorea, athetosis region involved Basal ganglia involved A. tibialis ant & tibialis post B. tibials ant & fallicus H longus Medulla oblongata A. Decrease motor tone B. spastic 114. a lady have difficult in going down stairs examination shows head tilted to left and rite eye was upward ocular musle involved? A. right sup oblique.. B. inf rectus.. C sup rectus 115. Area of the brain most activated before performing skilled motor activity A) Precentral gyrus B)spinal motor neuron C) cerebellum. D) Cortical association areas (Ganong’s MCQ: Ch: 12 Q: 5) 116. pupillary light reflex carried by.. A. 2nd & 3 rd Cranial Nerves B. 3 rd and 4 th CN 117. Some Scenario of UNILATERAL MUSCLE ATROPHY WITH NO SENSORY DEFICIT? like that..don’t rememeber exactly…lesion? A. upper motor neuron B. Lower motor neuton C. Lower motor neuron with ant horn of spinal cord 118. Asthma scenario.. Dec FEV 1/FVC 75 119. Pt with chemotherapy induced vomiting drug to b given A. metoclopramide B. domeperidon C. OndaNsetron 120. Artery in TRUE PELVIS Middle rectal artery 121. Estrogen is released by? A. ovary B. uterus 122. Which is malignant? A. Glioma B. Meningioma C. H. mole 123. Clostridium perfingens exotoxin action by.. A. coagulase . B. phopholipase 124. Pt with bronchial ca present with hemoptysis due to?? (Asim’s MCQ) A) Erosion of bronchial vessel B) pulm vein C) pulm artery. 125. Cavernous sinus thrombosis A. superior opthalmic vein B. inferior opthalmic vein 126. Inappropriate about hcg.. A. It causes ovulation.. B. Little similar as thyroid, C. it causes LEUITINIZATION OF FOLLICLES 127. major part of energy utilized during breathing is to overcome (Asim’s MCQ) A. Elastic recoil of lungs B. Resistance of chest wall C. Large airway resistance 128. Side effect of chlorpromazine.. A. dystonia 129. Immunological function is significantly reduced in A. dec basophils B. ACTH C. dec neutrophis D. liver failure 130. Patient came with complaint of hirsutism .muscle wasting .skin pigmentation and truncal obesity, hyprtension hyprglycemia… A.Cushing disease B. Primary inc in ACTH 131. Decrease in PR interval A. 1 st degree Heart Block B. 2nd degree Heart Block C. WPW syndrome 132. Slow Pain transmitted by unmyelinated c fibers.. A. substance p B. serotonin C. Ach 133. Which hormone decrease gastric motility..??? A. CCK .. B secretin.. C. gastrin 134. Minimal change nephrotic syndrome…microscopic finding A. mesengial deposition B. sub epithelial deposition C. sub endothelial deposition D. Linear IgG deposition on IMMUNOFLORESCENCE (Confusion is in Qs stem. If it was Goodpasture’s Syndrome then Option D is Correct) 135. Fracture behind humeral medial epicondile loss of sensation in A) medial/3palmer aspects B) Medial 1/3 palmer & dorsal aspect C) Lateral 1/3 136. A sluggish pendular knee jerk due to..? A. Anterior horn neurons damage B. upper motor neuron lesion 137. aortic opening aneurysm structures compressd…azygous vein and thoracic duct 138. Microaneurysm feature of AIDs don’t include.. A. hard exudates B. Vasculitis 139. Thymus (Asim’s MCQ) rich in lymphocytes 140. Aids not associated with.. A squamous cell carcinoma.. B lymphoid series of bone marrow (Leukemia is Unlikely in AIDS. Option B is correct NOT bcoz of Lymphoma but because of BONE MARROW, Lymphoma can occur in HIV pt, in-fact CNS Lymphoma is the 2nd most common cancer in HIV pts ) 141. Lymph nodes not present in? A. Spleen B. Thymus 142. Basic drugs bind to..?? (Chandkian’s MCQ with wrong key answer) A. alpha 1 glycoprotein.. B. albumin 143. Thrombocytopenia APPROPRIATE A. inc clotting time causing dec platelet count B. thrombocytonpenia impairs APTT pathway C. DIC occurs due to Dec in platelet count/ DIC causes decrease in platelet count 144. A child with thrombocytopenia after acute viral infection due to…. A. Anti-platelet antibody (Explanation: In ITP Body own cells attack on Platelets – The reason why We give Steroids or do Splenectomy is because it is Autoimmune process and SPLEEN is the main culprit site. Antibodies Formed in SPLEEN BY Plasma Cells). B. immune complex formation. C. consumptional coagulopathy 145. Minimal change in blood flow to an organ during exercise A) Heart B) Brain C) Skeletal muscles D) Kidneys. E) Lung. 146. Congenital anomaly associated with urothelial CA is A. bladder extrophy (Adenocarcinoma has association with B. Extrophy – Conn’s Current Therapy 2013) B. unilateral agenesis of kidney C. double ureter D. Horse shoe kidney 147. Lipoprotein with highest cholesterol content (Asim’s MCQ) A) HDL B) LDL C) IDL D) VLDL E) Chylomicrons 148. One question about leprosy drugs (Asked about Inappropriate statement): Answer = CLOFAZIMINE IS NOT GIVEN IN PT RESISTENT TO DAPSONE 149. Galactorrhea (Asim’s MCQ with little modification of question stem) A. Chromophoes are smallest B. chromophils are 50% of total 150. Scenario of turner syndrome. A. bracheceephale with mental retardation short stature with prominent simian crease B. gonadal dysgenesis with follicular aplasia 151. Inappropriate about dopamine. A: contraindicated in septic shock… B. causes increase myocardial infarct area.. C. 10 microgram per kg dose of dopamine causes vasoconstriction a. Hyernatremia A. heart failure B. excessive ADH 152. A vertical lesion in optic chiasma causes.. A bitemporal hemiaopia.. B. right sided homonomous hemianopia 153. Warfarin causes decrease in.. A. Fibrinogen B. Factor 13 C. Prothrombin 154. Essential amino acid is.. Phenylalanine 155. Atomic bomb,… release of Stroncium-90 which affect milk products..so it causes A.osteosarcoma B.nasopharyngeak CA 3.leukemia 156. Vertical artery along face, deep to submandibular gland is..?? A. Facial B. Maxillary C. Lingual 157. Tumor which also invade neural tissue A.adenoCA B.hemangiopericytoma 158. which one is NOT autosomal recessive A. ataxia talengiectasia B. carcinoma ovary 159. good patient and doc relationship…active listening 160. One glucose give ATP.. A. 38 (8 in Glycolysis & 30 from Kreb’s Cylce) | some folks are using FA as reference that it is 32 BUT it is NOT Correct. According to Modern P/O (Phosphate/Oxygen) ratio 1 NADH2 = 2.5 ATP & 1 FADH2 = 1.5 ATP. The sum of ALL ATPs, NADH2 & FADH2 produced by 1 molecule of glucose is equal to 31 ATPs (NOT 32) So again 32 is NOT correct. ALL Major Biochemistry Texts still follow the Traditional (Old) P/O ratio (NADH2 = 3ATP & FADH2 = 2 ATP) So Correct answer is 38 161. Digoxin don’t cause A. inc intracellular Ca B. inc intracellular Na C. inc intracellular K 162. inferior thyroid artery is branch of thyrocervical trunk 163. Pt with gum bleed in petechia advised bone marrow likely DX A) Lymphoma B) Leucopenia C) Leukemia 164. fluid having specific gravity of 1.006 cause is A. CCF B. Ca lung C. pneumonia D. TB 165. a patient came in semi comatose state,,shifting dullness was positive..liver biopsy taken and there were mallory bodies n fibrosis of liver : Alcoholic Hepatitis 166. A lady after abdominal surgery presented with dyspnea susp DVT cause (Asim’s MCQs) A) Endothelial injury B) Endothelial injury & stasis C) Stasis & hypercoagulablity. 167. Broadman’s Area 3 2 1,,, A. agranular cortex.. B. Primary Somatosensory Cortex 168. secondary center of ossification (Asim’s MCQ) EPIPHYSIS 169. acclimatized…rapid ascent a) 2 3 DPG b) PO2 is normal c) PO2 is lower than normal d) Pulmonary edema 170. Pregnant lady with normocytic normochromic Anemia. Cause? plasma volume expansion 171. Adrenal insensitivity syndrome which is inappropriate test A. Serum LH FSH B. Serum progesterone C. US abd 172. Endocervical epithelium of lady reveals sq epi cause? A) Dysplasia B) Anaplasia C) metaplasia 173. Water Intoxication causes??? (Asim’s MCQ) A) Slow pulse B) Thirst C) Altered behavior. 174. In complete heart block A. Atrial rate is lower than ventricular rate B. Ventricular fibrillation is common C. Fainting occur cuz atrial unable to pump blood into ventricles D. Fainting occur because of prolong periods during which ventricles fail to Contract (Ganong’s MCQs Chapter 29 Q # 5 24th Ed) 175. Burning hot sensation occurs when temp of the surrounding is A.28 B.32 C.42 D. Above 45 (Thermal nocioreceptors activate when Temperature Falls Below 5 C – COLD or shoot Above 45 C) 176. Slow growing Tumor/Carcinoma of Thyroid? A. Follicular B. Papillary 177. Low molecular weight heparin A) can cause thrombocytopenia B) produced by fragmentation n degradation of heparin 178. Clostridium tetani main site of action is? A. cerebral cortex B. Exotoxin produces lethal effects 179. Pt having Hypertension 210/120 and Creatinine 7, defect is in? (Rabia Ali MCQ) A. JG apparatus B. Mecula Densa 180. Gastrectomy after 3 months anemia A. microcytic hypochromic B. megaloblastic 181. Drug contraindicated in impaired renal failure: ` Gentamicin 182. Solubility of drug is increased by which factor A. increase lipid solubility 183. Gastric secretions are inhibited by what. A. secretin B. Ach 184. In slow wave sleep what is unlikely. A. Inc muscle tone B. Dreams unable to recall C. Delta waves 185. Bradykinin … A. kallikren 186. Alpha adrenergic stimulation causes A.. Vasodilation B. Lipolysis C. Pupillary dilation 187. GFR Clinically Measure by: A. Creatinine B. Inulin C. PAH 188. Inappropriate regarding Azygous Vein Pass through Esophageal Opening 189. Rh Agglutinins A. present of RBC surface B. present in month of Rh -ve mother when give birth to rh +ve fetus 190. Artery involved Anterior wall MI LAD artery 191. Taste fibers through. tractus solitarius 192. After giving Glucocorticoids, there will be? (Asim’s MCQ) Decrease Lymphocytes Decrease Neutrophil 193. Multiple long bone fracture…B.P 90/, Pulse 115. Initial management? (Asim’s MCQ) A. Fracture stabilization B. Volume replacement C. Tracheostomy 194. Atrial fibrillation A. Pulses deficit 195. The process by which DNA is transferred from one bacterium to another by a virus is known as A. TRANSDUCTION 196. Fracture of Long Bones Fat Embolism 197. Thirst is Reduced By? (Asim’s MCQ) A. Angiotensin II B. INC Volume of ECF C. Stimulation of Hypothalamus ●●●●●● ●●●●●● ●●●●●● Join us for FCPS Part1 Prep at : https://www.facebook.com/groups/102979646495000/ To Visit our Official Page https://www.facebook.com/pages/FCPS-prep-batch-2005- 10/1552705071621966 For Medical Pearls (Clinical & Basic sciences) visit our page www.facebook.com/Medidole01 If you have Twitter account then follow us www.twitter.com/medikole 31 Dec-2nd Jan 2015 Surgery And Medicine Mixed: Salam Everyone, Here i have combined Dec Jan 2015 Papers. Pls make sure that whatever is in Red are Correct answers and whatever in Blue are just references or info added for ur knowledge or when corrects options werent recalled. 1. Most appropriate about Clavipectroral Fascia: A. Above the clavicle connects wid Pretracheal Facia B. Part of Endothorac Fascia C. Covers Pectoralis Major D.Covers Pectoralis Minor 2. If Lateral Cord of Brachial Plexus will damage which muscle will get paralysed most likely: A. Pectoralis Major B.Pectoralis Minor C. Teres Major D. Teres Minor (As Pectoralis Major is supplied by Lateral and Medial Pectoral Nerves both and Lateral Pectoral Nerve arises from Lateral Cord of Brachial Plexus, All other muscles listed nerve supply arises from Medial and Posterior Cord) 3. Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid loss will be through: A. Stomach B. Colon C. Pancreas D. Duodenum E. Jujenum 4. Fracture of surgical neck of Humerus damage to: A. Axillary Nerve 5. Inversion of foot by which muscle: A. Peronues Longus B. Peroneus Brevis C. Peroneus tertius D. Tibialis Posterior 6. Pain from Gallbladder felt in Anterior Triangle of neck, this mechanism of Reffered Pain appropraite statement is: A. Vagus Nerve has wide distribution in thorax and most of abdominal organs B. Accersory nerve gives fibers to Gallbladder C. Parasympathetic something 7. Lateral foot dermatome: A. S1 B. S3 c. L4 8. Regarding jerks corresponding with spinal segments: A. Biceps- C6 B. Tricep- C8 All other options were wrong but didnt know what to choose among above two. 9. MELAS syndrome histological finding: A. Loflar bodies B. Inclusion bodies C. Granulomas D. Cyst E. Red ragged fibers 10. Giant Cell Tumors histo finding: A. Spotted calcifications B. Soap Bubble appearance 11. Blast Cells in peripheral blood: A. Iron deficiency anemias B. Erythroblastosis fetalis C. Folate deficiency D. Bone marrow depression 12. Most common cause of Hepatocellular CA in developing countries: A. HEP B, C B. Hep C c. Hep B 13. Young adult with raised ALP, jaundice and decreased Hb Scenario: A. Cholesterol Stones B. Pigment Stones C. CholangioCA D. Hepatitis 14. Regarding Lymph drainage of breast except: A. Apical B. Supraclavicular Nodes C. Pectoral Nodes D. Inferior Phrenic Nodes 15. Closure of lips involve: or unable to close lips which muscle involved: 1. Depressor anguli oris 2. Depressor labii inferioris 3. Depressor labi superioris 4. Orbicularis oris 5. Lateral pterygoid 16. Superior Thyroid artery arise from: A. First branch of Subclavian Artery B. External Carotid Artery C. Internal Carotid Artery 17. Incubation period of which disease is longest: A. Measles B. Rubella C. Chicken pox D. Infectious Mononucleosis E. Mumps 18. Chronic Fungal infection with rhinosinusitis causing medial erosion and granulomas: A. Cryptococcosis B. Mucormycosis C. Rhinophycomycosis D. Histoplasmosis E. Aspergillus 19. Which of following has highest chances of developing endometrial cancer: A. Simple hyperplasia B. Complex hyperplasia without atypia C. Complex hyperplasia with atypia D. Squamous metaplasia E. Chronic endometritis 20. Regarding CSF A. Formed by ependymal cells B. Formed 500ml/day C. Formed only 30percent by chorioid plexus D. Arachnoid villi are visible There were two questions about CSF So i am adding some discription to review about CSF. The brain produces roughly 500 mL of cerebrospinal fluid per day. This fluid is constantly reabsorbed, so that only 100-160 mL is present at any one time. Ependymal cells of the choroid plexus of Lateral third and Fourth Ventricle produce CSF. The choroid plexus is a venous plexus contained within the four ventricles of the brain. CSF contains a higher concentration of sodium and chloride than blood plasma, but less potassium, calcium and glucose and protein CSF circulates within the ventricular system of the brain. Lateral Ventricle –> Foramen Monro (Interventricular foramen) –> Third Ventricle —-> Cerebral aqueduct (Sylvius) —> Fourth Ventricle —> Subarachnoid Space (Thru Foramen Magendie in midline and (2) Foramen Lushcka laterally ) The CSF moves in a pulsatile manner throughout the CSF system with nearly zero net flow 21. Age estimation at 5th to 12th week is done through: A. Biparietal diameter B. Crown rump length C. Crown heel length D. Abdominal circumference 22. A sprinter during running had injury to his ankle. He can stand on his toes but with severe pain. There is a visible ecchymoses around ankle joint: A. Plantaris tendon 23. Otic ganglion is between mandibular nerve and tensor tympani. It’s superior border is formed by: A. Foramen lacerum B. Foramen ovale C. Foramen rotundum D. Styloid process 24. Amoeba causes lesions in which part of gut: A. Terminal ileum B. Cecum C. Ascending colon D. Transverse colon E. Sigmoid and rectum 25. A young boy with inc appetite weight gain and sleep problems. On examination he is having genitals hypoplasia: A. Hypothyroidism B. Pineal tumor C. Craniopharyngioma D. Narcolepsy E. Cushing disease 26. Sensory supply of uterus passes through which ligament: A. Broad ligament B. Round ligament C. Cardinal ligament D. Uterosacral ligament E. Uterocervical ligament 27. Highest number of alpha receptors are present in: A. Trigone B. Neck of bladder and Proximal Urethra C. Penile urethra D. Membranous urethra E. External urethral opening 28. Regarding elbow joint: A. Capsule deficient posteriorly B. Covered all around by muscles C. Hinge joint D. Supination occurs here E. Joint between humerus, radius, ulna 29. A needle when inserted 2cm below and lateral to pubic tubercle will be closely related to on: A. Obturator nerve B. Ilioinguinal nerve C. Sciatic nerve D. Femoral nerve 30. Regarding Pterygopalatine Raphe: A. Buccinator B. Inferior constrictor C. Parts from all constrictors D. Middle constrictor 31. Most important characteristic of Glycogen Storage diseases are: A. Hyperglycemia with Hepatomegaly B. Hyperglycemia with splemomegaly C. Hypoglycemia with Hepatosplenomegaly D. Hypoglycemia with Hepatomegaly 32. Buccopharyngeal Membrane: A. Stomodium from Foregut B. Nose from Pharynx 33. PTU: A. Inhibits synthesis of thyroid hormones B. Inhibits release of thyroid hormones 34. Most common position of appendix: A. Retrocecal B. Pelvic 35. Pretracehal fascia infections spreads to: A. Anterior mediastinum B. Posterior mediastinum 36. Sensations from tip of fingers by: A. a fibers B. a beta fibers C. a delta fibers D. c fibers 37. Shivering center is located in: A. Anterior hypothalamus B. Posterior hypothalamus 38. Which tumor involves extension to nerve sheath: 1. Myxomas 2. Adenomas 3. Hemangiopericytoma 4. Carcinoma expleomorphic adenoma 39. Anterior epithelium of Cornea is: 1. Stratified squamous keratinized 2. Simple squamous 3. Simple columnar 4. Stratified Squamous non keratinized 40. A 30 year old woman in azad kashmir was injured mildly in an earthquake that killed many people apart from her distant uncle. She would most probably be in A. Social crisis B. Personal crisis C. Situational crisis D. Developmental crisis 41. While a surgery on Submandibular gland which has more chances of injury: A. Superior thyroid artery B. Lingual nerve C Mandibular nerve D. Facial nerve (Nerves Injured in Submandibular Gland Surgery are: in order of chances Marginal Mandibular branch of Facial Nerve Lingual Nerve Hypoglossal Nerve Mylohyoid Nerve) 43. Which one combination is correct: 1. Thiopental reduces heart rate 2. Profofol increases cerebral blood flow 3. Morphine reduces apnoeic threshold 4. Ketamine causes bronchodilation 44. A 31 year old young man has heaviness in his scrotum for six months. On examination a solid 5cm mass is palpated. On labs his alpha feto protein level was 81ng/ml while bHCG level was 15 IU/l. Same side orchiectomy was done and Which of following could be the cause 1. Leydig cell tumor 2. Embryonal carcinoma 3. Choriocarcinoma 4 Teratoma 45. Which ligament supports odontoid process of axis on atlas( stem not sure) A. Posterior longitudinal ligament B. Anterior longitudinal ligament C. Tranverse ligament D. Ligamentum nuchae 46. A patient came in ER, with bleeding from i guess Femoral Artery something. and due to hypovolemia which will be LEAST affected: A. Myocardium B. Brain c. Retina D. Skeletal Muscles E. Intestines 47. Medial geniculate body A. Receives oculomotor fibers B. Optic tract fibers C. Fibers ascend to thalamocortical areas D. Solely to thalamUS E. Project to Visual Cortex 48. Cerebral Malaria caused by: A. Plasmodium Falciparum B. Plasmodium Malariae 49. C7 Vertebrae has: A. Longest spine B. Broad body 50. PT Is indicated by: A. XIII (PT AND APTT are normal in Factor XIII def) B. VIII C. IX D. Prothrombin (as Prothrombin is factor II) (and 7 wasnt in da options) 51. Percentage of Plasma out of ECF: A. 30% B. 20% C. 50% 52. Direct Inguinal Hernia: A. Medial to epigastric Artery 53. Newborn with a Erythroblastosis Fetalis having Bloodgp Bpos what is best for management: A. Any blood with Rhpostive B. B Negative 54. A man during fasting his urine become concentrated because of: A. Decrease intake of water B. ADH secretion 55. Regarding Thalesemia A. Defect in ratio of chains B. Defect in globin production 56. For assessment of nutritional status of a person alongwith weight loss and something u will assess: A. Minerals B. Vitamins C. Albumin and something (Option and stem were imp in this question which no one could recall properly so cant really confirm the answer now and offcourse most of us didnt know if whatever they marked was right) 57. Most radiosenstive tumour: A. Glioblastoma multiforme B. Glioglioma C. Craniopharyngioma 58. If a person is taking Protein in his diet which will be necessary: A. Riboflavin B. Thiamine 59. Regarding ADH secretion: A. Released in increased Plasma osmolarity 60. Scenario on Marfans wid mitral valve prolapse died and on autopsy is prolapse this was due to defect in A. Fibrillin B. Spectrin 61. Group of young men bathing n beech next day develop blisters on back shoulder limbs region cause is: A. Mast cell destruction B. Endothelium venules destruction 62. Obstruction to RCA after giving Marginal branch will affect: A. AV Node 63. Regarding HEART what is appropriate: A. SA Node generates spontaneous impulses. 64. Second Heart sound produced by: A. Closure of aortic and pulmonary valve 65. Left Atrium supplied by: A. LCX 66. Inferior Wall MI artery involved: A. Right Marginal Artery 67. Aortic valve closure outsets: A. Rapid filling B. Isovlumic Relaxation (or Isovolumetric relaxation) C. Isovoulmetric Contraction 68. Highest Cardiac Output in: A. Anemia B. Pregnancy C. Beri Beri 69. Most suitable NSAID during Lactation: A. Ibuprofen B. Peroxicam C. Naproxen 70. Malignant tumour mesenchymal in origin: A. Sarcoma 71. Renal Column: A. Collecting Duct B. Interlobar artery C. Interlobular artery D. Minor calyces 72. 18 year old girl has fever tenderness in right ileac fossa. On labs WBC 17000cells/mm3. Appendicectomy was preformed. Which of the following would be seen on histology 1. T lymphocytes in wall of appendix 2. Polymorphonuclear neutrophills 3. Glissening mass at apex of appendix 73. Myxomas most common location: A. Left Atrium (I remember it like this: MXYOMAS are common in Left Atrium which is supplied by LCX 🙂 74. Regarding Bain Bridge Reflex: A. Increases HR B. Decreases HR C. Maintains posture and balance (The Bainbridge reflex, also called the atrial reflex, is an increase in heart rate due to an increase in central venous pressure. Increased blood volume is detected by stretch receptors (baroreceptors) located in both atria at the venoatrial junctions) 75. Surgeons injects dye during surgery through: A. Ligamentum Teres 76. Appendicular Artery is a branch of: A. Posterior Cecal Artery B. Iliocolic Artery (Confirmed by all seniors, donot confuse urself AND mark Iliocolic not Posterior Cecal) 78. Bladder carcinoma: A. Schistosoma hematobium 79. Regarding Thymus: A. Hassals corpuscles B. synthesis of t lymphocytes within lobule 80.Inion is: A. Part of pterion B. Posteroinferior prominent part of occipital bone C. Posterior to frontal bone D. Internally to occipital bone 81.Function exclusively linked with vit E: A. Carbohydrate metabolism B. Endothelial protection C. Skin integrity D. Germinal epithelial protection 82.Heterophile antibody is seen in: A. Infectious mononucleosis B. Herpes simplex C. Gonorrhea 83.Deep to post digastric and near palatoglossus a structure runs obliquely upwards A. Facial artery B. Lingual artery C. Maxillary artery D. Sup thyroid 84.Nucleus of general visceral efferents of tenth nerve to palate muscles is present in: A. Locus ceruleus B. Tractus solitarius C. Nucleus ambiguous D. Nucleus raphe 86.Loss of abduction and adduction of fingers and adduction of thumb with intact skin sensations involves: 1. Recurrent branch of median 2. Deep branch of ulnar 87.A 52 year old man underwent coronary artery bypass graft two weeks ago and now presents with purpuric patches on skin. On labs his PT and aPTT were normal. Following is true: A. Heparin induced thrombocytopenia B. Drug induced thrombocytopenia 88.Regarding pneumotoxic center following is true: A. Increases inspiratory potential B. Fires dynamic respiratory drive 89. What is correct about thyroid: A. Supplied by 3 paired arteries B. Surrounded by prevertebral fascia C. Isthmus attached to cricoid D. Venous drainage in bracheocephalic vein 90. Regarding Pituitary gland: A. Secretes TSH 91. Color differentiation due to red and green: A. Protonopia 92. Dental carries due to: (or infection due to) A. Bacillus B. Lactobacillus C. Sretptococcus D. Staph (Viridans wasnt given in option specificly) 93. Layer of the viscera from outermost to innermost: A. Serosa subserosa muscularis mucosa submucosa mucosa (all of the options were very close and with slight shuffling) 94. Dysphagia due to liquids only: A. Plummer Vinson syndrome B. Neuromuscular blockade 95. Cholangiocarcinoma spread by: A. Clonorchs sinuses 96. Post 1/3 of the tongue supplied by: A. Cranial nerve 9 97. Blood group A+ transfusions reaction due to: A. A+ B. B+ C. OD. A- 98. H2O2 found in: A. Peroxisome B. Mitochondira c. Lysosome D. RER 99. ICAM and VCAM are for: A. Leucocyte adhesion 100. Breast atrophy in young female is due to: A. Estrogen B. Estrogen and Progesterone C. Progesterone 101. Regarding cancer mutations in: A. Protooncogen 102. Essential amino acid: A. Phenylalanine 103. Fecal incontinence after trauma damage to: A. External anal sphincter 104. Joining of ICA and Basilar artery: A. Posterior communicating Artery 105. Regarding Beta Agonists: A. Increase HR 106. Poliomyelitis: A. Anterior horn cell defect 108. Regarding P Value: A. Checks probability B. Percentile something. 109. Regarding H2 Blockers: A. Inhibits both gastric acid secretion and parasympathetic 110. Mechanism of Vibro cholera: A. Cl channel B. dec HCO3 C. IP3 something Cant really recall correct statements about this questions so its better to read the topic and save it in ur mind if question comes again you can choose da correct one 🙂 (The cholera toxin (CTX or CT) is an oligomeric complex made up of six protein subunits: a single copy of the A subunit (part A), and five copies of the B subunit (part B), connected by a disulfide bond. The five B subunits form a five-membered ring that binds to GM1 gangliosides on the surface of the intestinal epithelium cells. The A1 portion of the A subunit is an enzyme that ADP-ribosylates G proteins, while the A2 chain fits into the central pore of the B subunit ring. Upon binding, the complex is taken into the cell via receptor-mediated endocytosis. Once inside the cell, the disulfide bond is reduced, and the A1 subunit is freed to bind with a human partner protein called ADP-ribosylation factor 6 (Arf6).[13] Binding exposes its active site, allowing it to permanently ribosylate the Gs alpha subunit of the heterotrimeric G protein. This results in constitutive cAMP production, which in turn leads to secretion of H2O, Na+, K+, Cl−, and HCO3− into the lumen of the small intestine and rapid dehydration. 111. Two point discrimination: (repeat mcq) A. Scapula B. Lips C. Palms 112. Spread of renal tumor will be through: A. Renal Vein 113. About ankle joint: A. Supplied by superficial artery B. Supplied by superficial paroneal nerve C. Fibrocartilage on hyaline surfaces D. Lateral mallaeolar ligament on medial side E. Deltoid is on malleolar side all these are exact statements (It is supplied by deep peroneal, saphenous, sural and tibial nerves. Occasionally, the superficial peroneal nerve also supplies the ankle joint) 114. Regarding Lesser Omentum: A. Contains Hepatic DUCT and artery B. Attaches to second part of duodenum C. is a bilayer structure D. have no attachment to liver 115. Nucleous Pulposus herniation will cause compression of: A. L5-S1 (OR L4-L5) was in a option other options seemed incorrect 116. Retention of C02: A. Respiratory failure 117. Lymph drainage of Testes: A. Paraaortic LN 118. Regarding Lower Limb: A. Short Saphenous Vein form from superficial arch something. B. Long Saphenous ends at mid of thigh (so hard to recall this question options, they were weird n confusing. better to read the topic) 119. Antiseptic for skin: A. Phenol with clorhexidine Cant recall other statements but this seemed the best answer as Phenol and Clorhexidine are used for skin disinfectants. 120. Cardiac disease scenario wad there and they asked about the fluid accumulation, proteins more than 3.2 g/dl: A. Exudative B. Transudative 123. Scenario was given about massive splenomegaly: A. Leishmanias B. Chornic Malaria (Both does so choose da option on ur own risk 🙂 124. Repeat mcq from asim regarding Gray matter foot processes: A. Protoplasmic Astrocytes 125. Most important renal tubular buffer is: A. hB B. hC03 C. Protein D. Phosphate 126. Cause of global blindness: A. Herpes Simplex B. Rubella C. Chlamydia Trochamatis 127. Which is normal HB: A. HbA B. HbF C. HbC 128. Thalesemia carrier percentage in Pakistan: A. 5% B. 10% C. 15% 129. Surgery for removal of ovary done which is damaged: A. Internal Iliac Artery B. External Iliac Artery C. Uterine Artery 130. In respiratory Alkalosis renal compensation is: A. NaHC03 excretion 131. True regarding ig A nephropathy cause? A)Mesengial proliferation deposits B)Local cause of wound healing C)Ischemia D)Vit c def E)Infection 132. During mitosis chromosomes double in which phase? A. Prophase B. Metaphase C. Anaphase D. Telophase E. Interphase 134. Early changes in asthmatic attack: A)Inc o2 in pulm artery B)Dec co2 in pulm artery C)Inc co2 in pulm artery D)Inc compliance 135. Level of lead in blood is estimated by: a. Absorption frm GIT b. From nasal mucosa inhalation c. Skin d. As a bi product of chemical reaction 136. A woman is presented in opd with history of rash on face while playing cricket outside. On investigations she has bilateral plueral and pericardial effusions also. The most likely pathology in her kidneys would be: A: antibodies against glomerular membrane B: immune complex deposition C: focal segmental sclerosis 137. Example of observational study: a. Cohort b.cases (include case reports ) c.mata anylasis 138. Tumor of anterior pituitary causes lesion of which nerve: A. Optic B. Trochlear C. Trigeminal. 139. After haemorrhage Plasma protein return to normal after how many days: A)2-3 days B)7-8 C)10-12 D)12-14 140. Fat in adult male: A)7 prcnt B)10 C)15 D)40 E)60 141. Local Anesthetic having Intirnsic sympathomimetc activity: A. Xylocain B. Tetracaine C. Procaine D. Cocaine 142. 100 pts of int.homorrhoids surgeon divided them into 2 groups ,One group on medications And onther on dietary contol, After one year surgeon call them all and asked about their experience: Type of study A)Case control B)Cohort C)Clinical trial D)Prospective cohort or retrospective 143. Nitrous oxide produces: A. Good analgesia B. good muscle relaxation C. cardiac depression 144. Infection in superficial perinal pouch will go to: A. Deep transverse perineal muscle B. Great vestibular gland C. Bulbiurethral gland JazakAllaha, SeaShell 5TH JAN 2015- MEDICINE (This 5th Jan paper was uploaded by Mitral Valve, i just included it here for convinience and edited it a bit) Femoral vein palpated at: a.pubic tubercle b.adductor canal Megaloblastic anemia in 35yrz old man: a.loss of intrinsic factor b.transcobalamin Pregnant woman e spoon shaped nails: a. low mcv,mchc Q fever caused by: a.tick b.ricketssia itz caused by ticks bite n by ricketsia like organism not riscketsia according to first aid T/t of chloroquine resistant malaria: a.mefloquine b.pyrmethamine Trachea is: a.25cm long b.17cm external dia (all other options incorrect….15-20cm dia) c.bifurcation at T3 What loops around arch of aorta: a.left recurrent laryngeal nerve First artery given by abdominal aorta: a.celiac trunk b.inferior mesenteric artry Masseteric fascia derived from: a.prevertebral fascia b.pretracheal fascia c.buccopharangeal fascia (Masseteric Fascia is also known as Parotideomasseteric Fascia,) is a strong layer of fascia derived from the deep cervical fascia on the human head and neck. It covers the masseter, and is firmly connected to it. Above, this fascia is attached to the lower border of the zygomatic arch, and behind, it invests the parotid gland.) Infusion of isotonic N/S: a.hypo osmotic overhydration b.hyperosmotic overhydration (Options needed, as Isotonic doesnt cause any change in Osmolarity) Right shift O2 dissociation curve: a.Inc pcO2 b.inc pH Autosomal is: a.both males n females are affected Supra renal gland: a.right is pyramidal in shape Peripheral neuropathy…numbness mcv 112 a.Vit b-12 b.folate Prevention of ATT side effect: a.vit b6 Zinc: Carbonic anhydrase Conversion of fibrinogen to fibrin..what will be detected in blood? a.thrombin b.plasmic c.txA2 Poly arthritis nodosa a.fibrinoid necrosis b.renal failure Mode of action of chemotherapy drugs: a.apoptosis Imp characterstic of irreversible cell injury a.cell memb damage b.calcium influx Antibiotic for pseudomonas: a.cipro b.ceftriaxone c.doxicycline Inability to brush hair: a.suprascapular nerve injury Mode of action of gemifibrozil: This increase in the synthesis of lipoprotein lipase thereby increases the clearance of triglycerides Ketogenic amina acids: a.lysine n leucine Immunogenic stimulatnt: a.growth hormone b.cortisol c.beta endorphins Doesnt act via receptors a.naloxone b.aluminuim hydroxide Cephalic vein: a.starts at anatomical snuff box Costo diaphragmatic recess: a.b/w diaphragm n parietal pleura b.b/w diaphragm n visceral pleura SLE sensr? 30.helper T cells a.dec in AIDS Lethal chemical carcinogen a.benzidine b.aflatoxin 2/3rd of TBW: a.ICF b.ECF Physiological response not occur in cold: a.pooling of blood in cutaneous vessels b.sweating c.vasoconstriction CCK: A. Dec gastric emptying Fusion of sternum occur at which age: a.8yrz b.6yrz (option should contain 25 yrz or 30 yrz which will be answer) Terminal ileum resection: a.inc loss of water in feces b.dec absorption of amino acids c.dec loss of fats in feces Rt colectomy done pt on Parentral Nutrition what will happen: A. Hypophodphatemia B. Hyperglycemia Menopause: A. Low estrogen,high LH n FSH Testosterone: A. Converted to androstendione in target tissues B. Causes muscle n bone growth Billiary obstruction: a. ALP b.GGT During pharyngeal phase of swallowing: A. Vocal cords adducted B. Soft palate moves downwards Carbon laiden macrophages: a. Pneumoconiosis b.asbestosis c.silicosis Antimicrobial activity and preventing infections in lungs: a. Alveolar macrophages b.secretng IgA Farmer rt lower lung calcification: a.Tb b. Aspergillosis Constrictive pericarditis: a.ST depression in ECG b.pl.effussion Hypertrophic cardiomyopathy: a. Myofibrill disarray Metabolite of vit A used in vision cycle: a.retinol b.retinoic acid c.retinaldehyde (or retinal) Endotoxin causes: a.lowers bp when ingested b.Sepsis Which of the following is benign: Melanoma Heptatoma Adenoma Which of the follwing is precancerous: Intradermal nevus Which of the following process cause prto-oncogens to oncogene: Point mutation A female after surgery has loss of extension of wrist to comb her hair nerve damage: Sub scapular Supra scapular Axillary Spinal part accesary Vitamin A given in deficiency: Retinol Retinoic acid Retinic acid Most appropriate TB Histological picture: Acid-fast alcohol bacteria Caseous necrosis Giant cells Epithelial cells Abundant cells in a patient with allergy and protective against parasitic infection: Eosinophils Basophils mast cells Single most impotant factor in delayed wound healing: Infection Ischemia A patient with Mid diastolic murmur incresed PCWP pulmonary HTN he could have: Left venticular hypertrophy Right venticular hypertrophy Both right and left venticular hypertrophy Partial ptosis and pain during eating both bilateral: Myesthenia Gravis Nerve that surrounds arch of aorta: Left vagus left phrenic Post intercostal artey supplied by Internal thoracic Thoracic aorta Cutting root of lung will spare: bronchiole pulmary ligametn pulmonary artery Vagus nerve A group of smokers is gatherd and half volunteer for drug for decresing dependance which of the following is missing in study Random assignment From renal tubules: All bicarb is absorbed in acidosis Which of the following is affected by nervous system: Arterioles Artery Veins Renin secretion decrease by: Aldosterone Afferent constriction Dec NA+ delivery A patient on hypertensive drugs presents postural hypotension. in heart rate while standing is mediated by: A. Increase fire rate of baroreceptors B. decrese sympathtic C. In vagal tone D. In vasomotor tone Gabercula is located in: (It should be GLABELLA i guess) Frontal bone Temporal Two point discrimnation: Un myelinated fibres Meissners Merkel Palpitation following hyperthyroidsm: due to b receptor Denticulate ligament: b/w dura and CSf Extension of Piamater CSF contained / associated with sub arachnoid Lesion at L1 will damage: Cauda equina Conus medularis Middle cerebral artery : Supplies infero medial part of temporal lobe Glucagon effect on heart is like: Dopamine Acetylcholine Post gang sympth to sweat glands: Cholinergic Collagen contraction: Causes bleeding Back muscles supplied by Dorsal Ramus A Gardener with fever cough on x-ray lower right chest calcified lesion: TB Sarcoid Aspergilosis Hemisection of spinal crd on right: Contralateral loss of pain and temp Taste fibres pass through: Int cpsule Thalamus Right coronary Artery: SA node Post intervent septm arises frm ant aortc sinus Endotoxin: Sepsis shock Max amount of blood is present in: Veins Heart lungs Xerostmia,keratitis,painful joints: Sjogrens Creascents are protective for Glomerulous. they are produced by: Endoth cel Endo and mesangial Mesangial Skin relatd cancer wid hiv aids: Kaposi Squamous Adrenal gland and Kidney enclosed in: Same membrane Regarding thyroid: Suplied by External Carotid Artery (Through Superior Thyroid Artery) In 3rd week embryo has how many layers: Three Autosomal disease transmittd by: Male part female part Male and female both Right lung has how much broncho pulmonary segments: 8 10 12 Sternum ossify at age of: 6mnths to 18yrs Mid trimester production of blood: Yolk sac Liver Bones Atheletes heart from normal Increase Stroke volume Maximum inpiration and expiration of tidal: inspiratory capacity Vital capacity Bicrbonate chloride shift in rbc which protein: Spectrin Band 3 Ankyrin Regeneration of Brain cells can not occur due to: neuroglia oligoden astrocytes Microglia Same Property of cardiac and skeletal muscle: Ca-calmodulin complex Transplant 5 yrs back Max chances of: A. Brain tumors B. Renal tumors C. Lymphoproliferative D. Cervical dysplasia Cycloplegic refraction dangers in: hypermet Myope Shallow anterior chamber Sweat glands: more on feet than back have cuboidal epithelium Hepatic region with least blood supply: zone 1 zone 4 zone 3 Q fever is caused by: Bacteria Parasite Fungi Rickettsiae Question about Kulchitsky cells: These cells are neuroendocrine cells lining epithelia of gi tract mainly stomach small intestine colon n secrete serotonin Post Ganglionic sympathetic to Sweat glands: Cholinergic For ur Knowledge I am adding these lines: cuz it includes an imp point. In the Parasympathetic division, neurons are cholinergic (that is, acetylcholine is the primary neurotransmitter.) In the Sympathetic division, neurons are mostly adrenergic (that is, epinephrine and norepinephrine function as the primary neurotransmitters.) Two exceptions to this rule are the sympathetic innervation of sweat glands and arrectores pilorum muscles where the neurotransmitter at both pre and post ganglionic synapses is acetylcholine and the vessels in the renal cortex where dopamine is used as the main neurotransmitter. Another exception is the sympathetic innervation of the medulla of the adrenal glands, which is accomplished by preganglionic fibers, and subsequently uses acetylcholine as a neurotransmitter. The cells of the adrenal medulla are actually modified postganglionic neurons which secrete epinephrine and norepinephrine directly into the blood stream rather than into a synapse Post intercostal arteries n 5th to 9th space are produced by: Thoracic aorta Thyrocervical Trunk Regarding cerebellum which is true: 6 layers Purkinje r excitatry Fluconodular lobe balance control Abt DNA and histone proteins: Nucleolous Ribosomes Nucleoli forms ribosomes in their immature form Question about Mobius syndrome: Facial paralysis, inability to move eyes JazakAllaha Everyone! Goodluck for Exams! Keep Us in ur Duas August 2014 online Medicine & Allied paper Q1.. One of the following chemical mediator is for pain a.Bradykinin (ANS) b.Leukotrines c.Nitrous oxide Q2..One of the following is used in non neoplastic diseases and act as an immunosupressant a.Methotrexate c.Cisplatin Q3..GFR increases due to a.Dilatation of afferent arteriole(Ans) b.Dilatation of efferent arteriole Q4..Patient brought with history of heavy drinking and ascites lab investigations show impaired LFTs most probable finding on histological exam of needle biopsy of liver show a.Constricted central vein b.Disorganized liver architecture(Ans) Q5..Mitotically active liver cells a.Normal portal triad Q6..Patient with peptic ulcer has epigastric pain the referred visceral pain is mediated by a.Greater splanchnic nerve(Ans) b.Lesser splanchnic nerve c.T-9 spinal nerve Q7..Regarding epithelia and cells a. Holocrine type of secretion occurs in mammary gland b. An endocrine gland is marked by the presence of a number of ducts c. the simple squamous epithelium is usually found at places where exchange of gases takes place(Ans) Q8..A man with head injury has difficult in uttering words and his speech has also become slow damage is in a.Frontal lobe b.Brocas area(Ans) c.Wernickes area d.Occipital lobe Q9..Action potential in SA node is caused by a.Na influx b.Ca influx(Ans) c.Increase K+ conductance Q10. High output cardiac failure is found in a. anemia b. beri beri(Ans) c. hyperthyroidism d. high blood pressure e. total peripheral resistance Q11. following lesion is considered as premalignant lesion a. compound naevues|(Ans) b. contact dermatitis c. psoriasis d. seborrhic keratosis e. intradermal naevus Q12..During collection of blood sample from medial cubital vein which nerve is most likely to be pierced a.Median cutaneous nerve of arm b.Median nerve(Ans) c.Musculocutaneous nerve d.Radial nerve Q13..Mean systemic filling pressure regulates a.Mean arterial pressure b.Pulmonary vascular resistence c.Right arterial pressure d.Systemic vascular resistance e.Venous return Q14..Percentage of lichen planus was asked in the paper options were a.1-10%(Ans) b.5-10% c.10-15% d.15-20% e.20-25% Q15..A hypertensive 40 year old man developed severe chest pain and died at autopsy there was extensive dissecting aneurysm of aorta what is the most likely cause a.Atherosclerosis of aorta b.Medial necrosis of aorta(ANS) c.Saccular aneurysm of aorta Q16..A 7 year old boy had acute onset of fever and sorethroat he responded well to antibiotics however 3 weeks later he started to have generalized edema painful micturation and hematuria these symptoms indicate that he probably has a.Good pasture syndrome b.Henoch shonlein purpura c.Post streptococcal glomerulonephritis(Ans) Q17..urine creatinine 144mg/dl, 24 hour urine volume 1.4 litre, Plasma creatinine 1.2mg/dl….. find creatinine clearance 168 litre/day is ans… 31 st aug medicine mcq Q18..Protein catabolism in extrahepatic tissue and protein synthesis in liver is action of: a. cortisol(Ans) b. epinephrine c.growth hormone d.insulin e.thyroxine Q19..Metaplasia is characterized by a. functional change in cell Q20..An increase in nuclear cytoplasmic ratio of cells a.Variation in the size and shape of cell Q21..A 12 year old boy has frequent episodes of pain in the abdomen chest and joints he is usually febrile and has jaundice at the time of these attacks the spleen is mildly enlarged HB varies 6 to 8 and the reticulocytes are raised the most likely cause of his hemoglobinopathy is hemoglobin a.C b.D c.E d.S-C e.S-S(ans) Q22..A 55 year old insulin dependent diabetic female had a major abdominal surgery on the 8th postoperative day she complained of sudden onset of dyspnea chest pain and hemoptysis the most likely cause of her symptom would be a.Myocardial infarction b.Pneumonia c.Pulmonary embolism(Ans) d.Septicemia e.Spontaneous pneumothorax Q23..Subacute bacterial endocardititis after tooth extraction is caused by a.Strep viridians(ans) b.Staph aureus Q24..P53 is a tumor suppressor gene when it is absent or mutated it may indicate a.Apoptosis b.Cell survival(ans) c.DNA repair d.Mitosis e.Short G1 phase Q25..Most commonly fracrured long bone a.Tibia(Ans) b.Fibula c.Humerus d.Femur e.Radius Q26…A 60 years old man presents with 8 month history of progressive generalized lymphadenopathy his HB is 9.8 TLC is 59×10*9 and platelet count is 94×10*9 the peripheral film mostly show mature looking lymphocytes the most likely diagnosis in this patient is a.Chronic lymphocytic leukemia(ans) b.Hairy cell leukemia c.Malignant non hodgkin lymphoma d.Sarcoidosis e.Tuberculous lymphadenitis Q27..Functional residual capacity is a.IRV+RV b.ERV+RV(Ans) c.IRV+ERV+RV Q28..Superficial temporal artery is accompained by which nerve a.Auriculotemporal nerve(Ans) b.Glossopharyngeal nerve c.Deep petrosal nerve Q28.. Injury to common peroneal nerve will lead to a.Loss of eversion(Ans) b.Loss of inversion Q29. Oblique fissure of the lung a.T3-T6(Ans) b.T2-t4 Q30..The maximum effect (emax) achieved by a drug is a measure of its a) bioavalability b) efficacy(Ans) c) intrinsic activity d) potency e) safety Q31.Nutmeg liver seen in a.Chronic-acute viral hepatitis b.Chronic passive congestion(Ans) Q32.DNA replicate in which phase a.Prophase b.Metaphase c.Anaphase d.Interphase(ans) Q33..Alcohol intake associated with a.Vitamin A b.Vitamin C c.Vitamin B1(ans) Q34..Posterior 1/3 of interventricular septum is supplied by a.LAD(Ans) b.LCX c.RCA Q35..Left axis deviation occurs in a.Right bundle branch block b.Left bundle branch block(ans) Q36..Patient with hyperthyroidism tsh is low.TRH is given ths will increase tsh where is the problm a.Pitutary b.Hypothalmus(Ans) c.Thyroid Q37..Patient with ptosis,anhidrosis,mydriasis aftr fever a.Oculomotir nerve palsy(Ans) b.Horners Q38..True abt cell a.Nucleolus makes ribosomal dna b.Hemotoxtlin is an acidic dye(ans) c.Cell is in euchromatic phase if its trabscritionaly active Q39.Medial fasiculus formed by decusation of a.Pyarmids b.Intrnal arcuate(ans) c.Post extrnal arcuate d.Ant ext arcuate Q40.. .Deep sleep hornore a.Serotonin Q41…True abt NREM a.Delta waves(Ans) b.Night nares Q42..Alpha waves a.disapear upon opening eyes Q43.2nd hrt sound producd by a.closure of tricuspid n mitral valve b.closure of aortic n pulmonary valve(Ans) Q44..Patietn with low third heart sound a.rapid refilling of ventricles few other options dont remember Q45..Butterfly rash and nephritis a.Sle nephritis Q46..How to diagnose SLE specificaly a.Anti ds dna Q47..Patient smoker psycotic with vomitin abdominal pain n visible perstalsis in upper portion of stomach a.Pyloric stenosis b.Psycogenic(Ans) c.achlasia Q48..complete Ventricular depolarization state a.P wave b.St c.Qrs(Ans) Q49..Saw tooth ecg a.Firing rate 250-300(ans) b.More thn 450 c.Trtmnt is defibrilator Q50..First line defense in tissue a.Macropage,neutrophils Q51..Ige ataches to a.Eosiphils(ans) b.Basophils Q52..Coarctation of aorta a.narrowing of aorta Proximal to subclavian artry origin Q53…Ecf grealy increasd by a.100ml isotonic sol b.100ml hypertonic(ans) c.100ml hypotonic sol Q54…Most common facturd bone a.Tibia(ans) b.femur c.humerus d.radius e.fibula Q55..Most common cause of mutliple fractures a.Cushing b.Osteoporirsis(ans) c.Hyperpara d.Hypo para Q56…Mgso4 toxicity reversd by a.Cacl2 Q57..,Leprosy diagnosis in early stage a.nasal or lesion scraping(Ans) b.sputum tests for lepra bacili c.blood culture Q58..Cervix with large irregular cells, cells have large nuclei n prominent nucleolus after 2yrs of hpv a.Carcinoma b.Metaplasia(Ans) c.Warts. d.dysplasia Q59…collagen fibers a.are of yelow colour b.freely devide c.staiined with eosin(ans) d.prominent in ligament flavum 3 questions abt muscle spindle n gamma fibers abt gamma and alpha Q64.a lady wid round face fat on neck and abdomen with hirsutism and raised ACTH a.cushing disease b.cushing syndrom(Ans) c.conns syndrom Q65..a pt with hyper pigmented elbows hyperkalemia hypotension like snerio a.addisons(ans) b.cushing c.conns syndrom Q66…who r true hermaphrodites a.xxy(Ans) b.xyy c.yy d.xo Q67..wheat is a rich source of a.vit c b.thiamine(Ans) c.riboflavin d.vit a e.vit d Q68…oblique fissure of lungs a.t3 t6(Ans) b.t3 t4 Q69…trauma to peroneal nerve a.loss of eversion(ans) b.loss of inversion Q70…epithelim covering palatine tonsils Q71..progressive weaning of muscles in evening related to mysthenia gravis.confirmatory test is a.antibodies to ach receptors(ans) b.emg Q72..a pt injured in periphary is transfused with 2 week old saved blood he is predominately transfused with which type of cells a.rbcs(ans) b.lymphocytes c.platelets Q73.thyroid isthmus is related to a.recuuret larayngeal nerve Q74..some drug used for mysthenia gravis.uska mech of action poocha hoa tha a.it act as anticholinestrase b.raises choline c.as cholinestrase Q74.frontal area is supplied by a.basilar artery b.arteries dont anastmose once they enter brain c.artries dont anastomos on surface of cerebral area(ans) Q75.foot area on motor humonculus is supplies by a.middle cerebral artery n other options dont remember Q76..pt with po2 60 hb 15.what type of hypoxia will occour a.anemic hypoxia b.methemoglobiinemia c.cyanide poisioning d.hypoxic hypoxia(ans) Q77.which is absorbed passively a.urea(ans) b.glucose c.k d.na Q78..thiazide causes a.hyperkalemia b.hypo kalemia(Ans) Q79.a pt with thorn snerio a.staph aureus Q80.effect of parasympthtic a.on git Q81.parasypmthtic action a.inc salivary secretio b.decrease sweating Q82..vasodilation is caused by a.alpha1 adrenergic b.alpha 2 adrenergic(ans) c.beta 1 n beta 2 adrenergic Q83.transverse colon is supplies by a.right rectal artery esa kuch tha dont remember exactly Q84…amniocentesis can be done a.in week 4-5 b.weeks before 10 c.befor 14 weeks(ans) Q85…which is not malignant a.adenoma b.lymphoma c.hamartoma(ans) d.melanoma Q86..which is rich source of cholesterol a.egg(ans) b.red meat Q87..a man with firearm injury to axila.he is unable to flex index fingure and there is loss of sensation from lateral palmer surface of skin.nerve involved is a.axillary b.median(ans) c./muskulocutaneous d.ulnar Q88..pituitary tumour snerio wid blindness what are other finding in a centraly located pituitary tumour a.hypothermia b.anorexia(ans) c.salvage Q92.alcohlic pt.with anorexia n vomitin.liver biopsy shows a.fatty liver b.mallory bodies(ans) Q93.action potential in sa node is due to a.influx of na b.influx of ca(ans) c.eflux of k d.eflux of cl Q94..sever pain around chin and erusption around that nerve.reason a.herpes zoster b.trigeminal neuralgia(ans) Q95..a child wid fetal disease askes u is he gonna die?what wil u do a.tel me what ur parents told u(ans) b.no u r going to be fine c.yes u r going to die d.ur prents told me not to talk abt it Q96.p53 is a suppresor gene its defect or deficiency means a.mitosis b.cell survival(ans) c.apoptosi d.short g1 phase Q97…a lady after abdominal surgery develop dyspnea after 8 days a.pnemonia b.pulmonary embolism(Ans) c.sepsis Q98…metaplasia a.is a fuctional change in epithelim Q99…rt border of heart on ap view of xray is made by a.right atrim(ans) b.rt ventricl c.ivc d.svcc Q100.lp done at a.below l4(ans) b.below l5 c.below l2 q101..git motility is decreased by a.gastrin b.cck(ans) c.secretin Q102..exudate means a.protein >3g(ans) b.more lyphocytes Q103.adult polycystic is a.autosomal dominant(ans) b.autosomal ressesive Q104..bp 200/130 which is damage a.jg cel(ans) b.renal cells c.pct Q105…blood born disease is a.hept b Q106..human is a intermediate host in a.hydatid disease(ans) b.hook worm infestation Q107..blood supply for post 1/3 of interventricular septum a.rca b.lad(ans) c.lca Q109.maximum increase of ecf occour in a.100ml hypertonic salin(ans) b.100ml hypotonic normal saline Q110..a pt wid difficulty in swalowing from 6 months.lost 5kg in 2 weeks on endoscopy middle part of esophagus showed ulcer.causes are a.ch alcholism b.carcinoma(ans) c.gastric ulcer Q111..pain in epigastrim in pt with gastric ulcer is due to a.greater splanchnic nerve Q112.effects of turminal ileostomy a.free fatty acids in stool(ans) b.dec/inc water in stool dont remember exatly Q113…max anteropsterior diamete of chest is achied by a.diaphragbucket handel like movement of intercosta; muscles Q114.in 2nd week of typhoid fever test for diagnosis is a.widal n blood(ans) b.blood culture c.widal test Q115.ige on a.basophils b.eosinophils(ans) Q116.phase 1 reaction is a.methylation b.oxidation(ans) c.glucronidation d.acetylation Q117.granulocytes related qs dont remmeber.options were a.lymphocyte b.eosiophil c.baophil d.neutrophil Q118.wheat is a rich source of a.thiamine (ans) b.riboflavin c.vit c d.vita e.vit d Q115..pt with pco2 decreased,more oxygen raised ph.what wil happen a.hypoventilation(ans) b.hyperventilation Q116.a child with sore throat hematuria a.post streptococal glomerulonephritis Q117.psedomonas aeinosa effects by a.endotoxin (ans) b.erytrogenic toxin Q118..pt wid g6pd deficiency a.heinz bodies(ans) b.howel jolly body Q120.sjogren is related to a.rehumatoid arthritis(ans) b.sle Q121.pt with broken words after injury.area damaged is a.brocas(ans) b.wernicks c,part of frontal lobe Q122.most common premalignant lesion a.erytroplakia b.leukoplakia c.lichen planus(ans) Q123.eversion n inversion occur at a.subtalar joint Q124.a line drawn btw tip of both scapula will pass from a.t10 b.t7(ans) c.t9 d.t7 e.t6 Q125.bladder carcimoa cause a.smoking Q126..hard plate epithelim a.st sq non keratinised b.simple coloumnar Q127..1 qs wid edema a.increased hydrostatic pressure Q128..2nd qs wid edema a.lyphatic obstruction Q129..nrem sleep a.delta waves(ans) b.night mares c.deranges bp n pulse Q130..deep sleep neurotransmitter a.serotonine(ans) b.norepinephrine Q131..tru abt dna a.euchromatic is expressed in rna synthesis Q132..breast atrophy in young female a.estrogen(ans) b.progesteron n estrogen Q133..most common cause of pul embolism a.thromus in deep legs veins Q134..micturation reflex a.is self regenrative(ans) b.related to sacral area c.inhibited if parasympthetic supply cut Q135..100perecnt o2 for a.decompression sickness Q136..bronchogenic ca due to a.smoking b.asbestosis(ans) Q137.in adult polycytic disease most common cause of death a.cerebral hemmorhage b.renal failure(ans) Q138..factor delaying wound healing a.infection Q139..p.falciparum causes a.black water fever Q140.heparin works by acting on a.factor 12a b.factor 9 c.factor 10a n thrombin(ans) Q141.angina worsen by a.theophylin Q142..which muscle [protrudes jaw a.lat pterygoid(ans) b.ant digastric c. temporalis d. medial pterigoid e. platysma Q143..apex of lung a.max ventilation b.max dead space(ans) Q144.pt e vulvar itching.biopsy taken .which of the following change is premalignant. a.Chancre b.Condyloma c.Intradermal nevus d.Pagets(ans) e.Non specific ulcer Q145. In Pneumothorax following happens… a. Lung collapses and chest expands(ans) b. Lung collapses and chest in-draws c. Lung expands and chest expands d. lung expands and chest in-draws e. lung expands and chest remains same Q146.. Which tumor does not have bone metastasis….? a) Thyroid b) Liver(ans) c) Lung d) Breast e) Kidney Q147.. Natural anticoagulant in the body… a) Heparin(ans) b) Warfarin c) Aspirin d) Plasminogen e) Fibrin Q148.. Regarding NEURAL TUBE… a) Forms primitive streak b) Forms notochord c) CNS develops from it(ans) d) Forms three germ layers ALL THE BEST COMBINED PAPER MEDICINE 10th of june’2015 NOTE: All MCQS ARE RECALL QUESTIONS.HUMAN ERROR IS POSSIBLE Special thanks to Dr Mairrah (Vagus Nerve & Dr Waleed (Hewho Mustnot Benamed) & Members of FCPS Part-1 “Academics” GoodLuck and may ALLAH help you all  1.80 year old male NIDDM: tolbutamide 2.lincosamides: ?? 3. dobutamine: beta1 and beta2 4. wrong:widal test in 1st week…one 5. peroneus longus: eversion 6.deltoid ligament: ankle sprain 7.external intercostals:increase transverse diameter during inspiration 9.hpv infection 2 years back: dysplasia…one 10.diaphragm: mucle of normal quite inspiration 11.sub arachnoid hemorrhage: severe headache, hemmorhagiic csf…papr one 12.external laryngeal nerve: most commonly injured during thyroidectomy 13.axillary sheath: prevertebral fascia….one 14. biceps brachii: supreglenoid fossa 15. abdominal aorta: L2 renal branch 16.uterine lyomioma: hyperplasia…paper one 17.cervix ca: inc estrogen 18. metochlopramide: LES compatibilty 19. barbiturates: enzyme inducers 20.all wrong except: metronidazole does cross bbb 21.hcg except: ?paper one 22. pregnancy except:? 23.gluconeogenesis: glucagon 24. aldosterone: vasoconstriction…one 25. rectus sheath except: superficial incision damages nerves 26. aedes mosquito except: dengue hemorhhagic 27.echovirus causes: meningoencephalitis 28.hookworm sideeffect except: macrocytosis 29.gas gangrene: clostridium welchii…one 30. qrs :ventricular depolarization 31. av node: no p wave 32.purkinjee fibres: fastest conduction…one 33. m cells: transport antigen across intestinal epithelium 34.CCK: gastric emptying dec 35. styloid process of temporal bone : 2nd pharyngeal cleft 36. pseudocholinestrase:succinylcholine…one 37. total pancreatectomy: steatorrhea 38. igM:doesn’t cross placenta 39. hand lump, melanoma: uv radiations 40. hb o2: dec ph 41. brown sequard syndrome: ? bcq from asim 42. pain and temperature lost on right: BSS 43. optic tract lesion: Rt HH 44.optic tract lesion: Rt HH 45. stroke , loss of motivation and depressed: frontal lobe 46. hep E: doesn’t lead to chronic disease…one 47.P. malariae :more than 48 hours schizont cycle 48. mouth open: lateral pterygoid…one 49. internal thoracic artery except: ends at 8th intercostals space 50. aspirin antidote: bicarb 51.least important cancer causing: trauma 52. tumor suppressor: p53…one 53. bipolar : olfactory…one 54. except: trisomy13 edward 55. downs : inc mummy age…one 56 agammaglobinemia: pyogenic infections 57.pt/inr/aptt: warfarin montiring 58. LMWH: after surgery given 59. h pylori : ca stomach 60.cephalhematoma: under periosteum 61.alzheimers:lipofuschin 62.angina: aortic stenosis 63. pseudomonas: tnf…one 64.optic nerve compression: thyrotoxicosis 65. drug by hakeem : ALT 66. no agglutinin: ab +…one 67.ANA : mctd 68. transplant rejection worst prognosis: thrombosis and vasculitis 69. sle:?? 70.ureter: not palpable per rectal 71.magaloblastic anemia : oval 72.siadh scenario 73. cushing disease scenario 74. ace inhibitor: mild ccf 75.asbestosis: mesothelioma 76.trop T: sensitive marker…one 77. hydrochlorthiazide: treatment of renal stones 78.hypoblast epiblast: 2nd week…one 79.hpv: ca cervix…one..I doubt 80.wernicke: fast speech, no sense 81.athetosis: slow writhing movements 82.dna damage: radiations…one 83.gonorrhea: gram stain of exudate…one 84.hematopoetic cells: bomb blast effects 85.adrenogenital syndrome scenerio…one 86.jg cells…one 87.aschoff degeneration 88.ipsilateral chest spring out and lung collapse: pneumothorax…one 89.statins: hypercholestrolemia 90.csf except: 60 to 150 pressure 91.posterior duodenal ulcer bleed : gastroduodenal artery 92. na reabsorption: max in PCT 93.atypical mycobacteria: resistant to ATT 94.chlorpromazine except :porphyria 95.9, 22: CML 96. pallegra: niacin…one 97.bone marrow aspiration: aplastic anemia scenerio 98.monocyte: foam cells 99.urachal fistula: patent lumen of allantois one 100.scanty bar bodies : klinefelters 1.blood supply of heart:LCA has LAD and circumflex branches…one 2.heart muscle conductivity: Ca…one 3.infraorbital arter branch of: maxillary artery…one 4.carpul tunnel except: ulner nerve 5.pubic bones unite: symphysis…one 6.pulmonay artery supplies: alveoli…one 7.microbial destruction in lung: alveolar macrophages…one 8.mean: sum of observable values /total number of observations…one 9.ethical pillars: non maleficance, beneficence, autonomy, justice…one 10.bronchopulmonary segment: aerated by tertiary bronchus…one 11.duodenal irritation pain: neck and shoulder 12.cut on elbow: vasoconstriction 13.pregnant lady anemia: plasma volume expansion…one 14. pruritis, jaundice female pt. :antimicrobial antibodies 15.inc blood flow to skeletal mucle: epinephrine/ alpha antagonists 16. superiolateral relation of floor of fourth ventricle: inferior cerebeller peduncle…one 17. p deficit: atrial fibrillation…one 18. arterial thromboemboli: left ventricular mural thrombi…one 19. preload: EDV/ CVP 20. venous blood reservoir: inc venous volume 21.left suprerenal vein : left renal vein…one 22. hypoxemia: hypoxic hypoxia…one 23.4th heart sound: vibration in ventricles due to atrial systole..one 24.uncoupling oxidative phosphorylation: thyroid hormone…one 25. protein catabolism in periphery ,anabolism in liver: cortisol…one 26. bells palsy scenario: facial nerve 27. triacylglycerides: VLDL…one 28. brocas: non fluent aphasia…one 29.muscle length: muscle spindle 30.thyroid gand: functional change in epithelium…one 31.gastrectomy: pernicious anemia…one 32. cotton wool: diabetic retinopathy 33.increase ejection fraction: decrease end systolic volume…one 34. breast implant: plasma cells…one 35.insulin secreted by: glucagon…one 36.edema:lymphatic obstruction…one 37. kidney flow incease: dec protein…one 38. local edema: allergy…one 39.resting membrane potential: efflux of potassium…one 40.diabetes mellitus: urine albumin…one 41.brodmans area 312: all somatic sensations…one 42.water dieresis: positive water clearance…one 43. increased Nacl intake: increase blood volume…one 44.chemotactic: C5A…one 45.umblical vein: 80% oxygen…one 46.cerebellum: affrent from cortex/ propioreceptors…one 47.muscles: aponeurosis is fibous and membranous…one 48.baby bleeding, diarrhea: vitk deficiency…one 49. swelling on scar tissue: neuroma…one 50. propranolol on heart: beta 1 51.optic nerve fibres end: lateral geniculate body 52.high output failure: beri beri 53.low output failure: IVC obstruction 54.scenerio compensated metabolic acidosis/ C M Alkalosis 7.36 PH, PCO2: 40 hco3:18 55.end arteries: retina…one 56. cant regenerate: lens…one 57.thromboembolism: prolong immobilization…one 58.sulphur containing AA: cysteine…one 59. pseudomembranous colitis: perfringes deficille…one 60. pregnancy what increased: TIBC…one 61.smooth muscle:gap junctions…one 62.memory lobe: temporal…one 63. smooth muscle contraction: ADH…one 64. dopamine doesn’t cross: blood brain barrier…one 65.scenerio: vonwillibrand disease 66.fats: increase fatty acid by adrenaline…onee 67.dorsal rami: supply extensors of trunk…one 68.tachyphylaxis: rapid dec responsiveness of drug…one 69. thymus: no follicles…one 70.dead space remains same: shallow respiration…one 71.meningitis: pyogenic low glucose…one 72.thorn prick injury: S aureus…one 73.metalloprotease: neutrophils 74. 3 smooth layer: fundus of stomach 75. NA and water maximum absorption: jejunum 76. pyruvate intermediate of: glucose and acetyl coa cycle…one 77. sa node position: upper segment of sulcus terminalis..one 78. lung function: fev1/fec 79.transitional epithelium: stratified with surface cell larger and rounded one 80.phonation: vocal cord adduct 81. metaplasia: chronic irritation…one 82.catarct: uv radiations 83.metaplasia: functional change/ variation in size and shape ..one 84.parasympathetic: iris muscle contraction…one 85.fast adopting: pacinian…one 86.person exercise: propioreceptors 87.leprosy: nasal scrapping 88.virulence 89.pupillary dilation: alpha adrenergic…one 90.slow wave sleep:serotonin 91.primary hepatocellular CA:hep C…one 92.apoptosis: protective against cancer 93.virus: inhibit protein synthesis…one 94.measles scenerio 95.insulin: dec ketogenesis…one 96.RBC: mcv 85..one 97.osmoregulation feedback : urine osmolarity 98. wound contracture: difference in primary and secondary wound intention one 99. supraoptic nucleus: adh one 100. cancer: overexpression of protooncogene one CPSP QUESTIONS ALL COMBINED WITH CPSP KEY: 1. Blood brain barrier is formed by: a. Capillary endothelium b. Continuous basement membrane c. Pericytes d. All of above e. None of above Ans: a 2. Total power of the eye is 59 diopters. Main role is maintenance of this power as performed by: a. Anterior surface of cornea b. Lens c. Vitreous Humor d. Retina e. Posterior surface of cornea Ans: a 3. In patient with increased bleeding time, what could be the cause of bleeding a. Prothrombin Deficiency b. Hemophilia – A c. Vitamin – K deficiency d. Protein – C deficiency e. Von Willebrand’s disease Ans: e 4. What is the nerve supply of tip of nose? a. Ophthalmic nerve b. maxillary nerve c. Mandibular nerve d. Fascial nerve e. Cervical plexus Ans: a 5. Parasympathetic stimulation caused: a. Bronchodilation b. Decreased gut motiilty c. Opens intestinal sphincters d. Constipation e. Tachycardia Ans: c 6. Which of the following is the site of fusion of binocular vision? a. Optic chiasma b. Lateral geniculate bodies c. Retina d. Visual cortex e. Optic nerve Ans: d 7. A newborn baby with hydrocephalus has a swelling in lumbosacral spinal region, which contains neural tissue in it. What could be the probable diagnosis of this patient? a. Spina bifida b. Meningocele c. Meningomyelocele d. Meningoencephalocele e. Meningohydroencephalocele Ans: c 8. Which of the following is most strong antioxidant? a. Glutathone b. Vitamin – E c. Vitamin – C d. Ceruloplasmin e. Catalase Ans: a 9. Most early diagnosis of Vitamin-A deficiency is: (a) Bilot spots in cornea (b) Night blindness (c) Keratomalacia (d) Chielosis (e) Hyperkeratosis Ans: b 10. A patient presents with recurrent epistaxis. Investigation receal decreased factors II, VII, IX, X & protein-C which of the following is most likely diagnosis of this condition? (a) Christmas disease (b) Hemophillia (c) Vitamin-K deficiency (d) Von willebrands disease (e) Liver dysfunction Ans: c 11. On H & E staining a student sees the hallow structure around the nucleus. What it could be: (a)Golgi apparatus (b) Lysosomes (c) Ribosomes (d) Endoplasmic reticulum (e) Mitochondria Ans: b 12. Bitemproral vision loss is most commonly caused by: (a) Piuitary tumor (b)Crainiopharyngioma (c) Adenoma of hypothalamus (d) Section of optic tract (e) Section of optic nerve Ans: a 13. A patient has finger like projection on upper lid. Hostopathological report shows epithelial cells along with fibrous element. What is most probable diagnosis? Option (a) Pappiloma Option (b) Basal cell carcinoma Option (c) Squamous cell carcinoma Option (d) Chalazion Option (e) Cellulites Ans: a 14. Parotid gland supplied by: Option (a) GVA Option (b) GVE Option (c) SVE Option (d) SVA Option (e) GSA Ans: b 15. Primary malignant melanoma of the choroids most commonly metastasizes to: Option (a) Liver Option (b) Lungs Option (c) Brain Option (d) Kidneys Option (e) Breast Ans: a 16. A patient develops sensory loss over left side of body. After few days his behavior for pain is changed & he become angry after touching. Where could be the lesion in brain Option (a) Right thalamus Option (b) Internal capsule Option (c) Cerebral cortex Option (d) Basal ganglia Option (e) Midbrain Ans: a 17. A middle aged male has non-healing wound for long time in presence of regular dressing, random blood sugar is 130 mg/dl. What could be the cause of delayed healing in this patient Option (a) Infection Option (b) Diabetes mellitus Option (c) High mobility Option (d) Foreign body in wound Option (e) Vascular insufficiency Ans: e 18. In a patient with sympathetic stimulation, what effect will occur on his heart? Option (a) Decreased rate Option (b) Coronary vasoconstriction Option (c) Hyperpolarization of SA node Option (d) Decreased AV nodal delay Option (e) Decreased stroke volume Ans: d 19. Which of the following is diagnostic of granuloma? Option (a) Giant cells Option (b) Epithliod cells Option (c) Multinucleated cells Option (d) Fibroblasts Option (e) Caseation Ans: b 20. Medial orbitotomey is done in a patient with tumor in orbit. Now he is complaining of numbness at upper part of head up to vertex & medial part but medial part is intact. Which of the following nerves is damaged? Option (a) Supraorbital nerve Option (b) Supratrochlear nerve Option (c) Superior orbital nerve Option (d) Inferior orbital nerve Option (e) Fascial nerve Ans: a 21. In inferior wall Myocardial Infraction, which artery should be blocked Option (a) :Left marginal artery Option (b) :Diagonal artery Option (c) :Right coronary artery Option (d) :Right marginal artery Option (e) :Posterior Interventricular artery Ans: d 22. Oxygen level in the blood will decrease in: Option (a) :Hypovolumic shock Option (b) :Anemic Hypoxia Option (c) :Hypoxic Hypoxia Option (d) :Congestive Heart Failure Option (e) :Acidosis Ans: c 23. A male patient has antibodies against FSH RECEPTORS. Which of the following will be lower than normal in this patient? Option (a) :LDL cholesterol Option (b) :Hemoglobin Option (c) :Sperm count Option (d) :Blood Sugar Option (e) :Triglycerides Ans: c 24. Brucellosis is Transmitted by Option (a) :Files Option (b) :Ras Fish Option (c) :Unpasteurized Milk Option (d) :Air Borne Option (e) :Blood Transfusion Ans: c 25. week pregnant women has Irregular Ulterine Contractions. Which of following drugs will be beneficial for this lady. Option (a) :Progesterone Option (b) :Estrogen Option (c) :Prolactin Option (d) :Oxytocin Option (e) :LH Ans: d 26. The Diagnostic finding on investigations of Metabolic Alkalosis is: Option (a) :HCO3 more then 24meq/L Option (b) :CO2 more then 24meq/L Option (c) :PH less than 7.4 Option (d) :Decreased O2 in blood Option (e) :Increase serum carbonic anhydrase Ans: a 27. A 6 cm Lump in the breast removed. Four Lymp nodes & skin were involved. Biopsy declared invasive Dectal Carcinoma. This tumor is called HIGH-GRADE because: Option (a) :Lymph node involvement Option (b) :Skin involvement Option (c) :Size of tumor Option (d) :Pleomorphism Option (e) :Duct involvement Ans: d 28. Which of the following is the characteristic of lgM? Option (a) :It provides mucosal barrier Option (b) :It is in highest concentration in serum Option (c) :It is smallest molecule Option (d) :It is largest Molecule Option (e) :It crosses the placenta Ans: d 29. Which of following structures in the mouth is derived from Ectoderm? Option (a) :Epithelium of the tongue Option (b) :Submandibular gland Option (c) :Mylohyoid muscle Option (d) :Epithelium of parotid gland Option (e) :Tonsil Ans: d 30. A young patient’s blood pressure is 150/95. his serum Rennin level is higher than normal. Which of the following is the STIMULUS for this increased level of rennin? Option (a) :Essential hypertension Option (b) :Increased delivery of sodium to Renal tubules Option (c) :Increased sympathetic stimulation via Renal nerves Option (d) :Vasodilatation of Renal arterioles Option (e) :Increased blood flow to the kidneys Ans: c 31, A young women, complains of Dry mouth & Dry eyes. Which investigation will give clue to her diagnosis Option (a) :ANA Option (b) :Anti-ANA Option (c) :RA factor Option (d) :Anti – SS A/B Option (e) :ANCA Ans: d 32. Regarding SA Node: Option (a) :Its resting membrane potential is – 65 to -85 volts Option (b) :It automatically generates impulses, creating rhythmic heartbeat Option (c) :Its membrane is impermeable to Na ions Option (d) :It is supplied by left coronary artery Option (e) :It lies in the septum Ans: b 33. During the stretch in the Skeletal Muscle, which of the following changes will occur in the Nuclear Bag fiber? Option (a) :They increase impulse generation Option (b) :They remain static Option (c) :They decrease impulse generation Option (d) :They increase oscillation Option (e) :They inhibit muscle contraction Ans: a 34. which of the following structures is produced in 3rd week of development? Option (a) :Thyroid gland Option (b) :Parathyroid gland Option (c) :Genital ridge Option (d) :Heart tube Option (e) Tonsil Ans: d 35. Antibodies are produced by: Option (a) :Lymphocytes Option (b) Plasma cells Option (c) T-Cells Option (d) :Neutrophils Option (e) Endothelium Ans: b 36. Pulmonary Artery pressure increases in: Option (a) :Exercise Option (b) :Hypoxia Option (c) :Anemia Option (d) :Hypovolumic Shock Option (e) :Hypertension Ans: b 37. Defect in the formation of Bulbus Cordis result in all of following EXCEPT? Option (a) :ASD Option (b) :VSD Option (c) :Hypertrophy of right ventricle Option (d) :Congenital cyanosis Option (e) :Transposition of great vessels Ans: a 38. Regarding the vibration Sense all are correct EXCEPT: Option (a) :It is lost in Diabetes Option (b) :Its fibers are traveling in the dorsal columns Option (c) :Its receptor is Pacinian Corpuscle Option (d) :Its receptor is Meissener’s corpuscle Option (e) :Is highly correspond to the bony portions Ans: d 39. A patient with aplastic anemla is given Anti Lymphocytic Globulin (ALG). One week later he develops Skin rashes, mechanism for presentation? Option (a) :Arthus reaction Option (b) :Type – I Hypersensitivity Option (c) :Type – II Hypersensitivity Option (d) :Type – III Hypersensitivity Option (e) :Type – IV Hypersensitivity Ans: d 40. The most common site of Fertilization in humans is: Option (a) :Ovary Option (b) :Uterus Option (c) :Fallopian tube Option (d) :Cervix Option (e) :Peritoneal cavity Ans: c 41. Patients comes with deviation of tongue to right side. Decreased sense of touch and vibrations, the artery commonly involved in brain is: Option (a) :PICA Option (b) :AICA Option (c) :Anterior Spinal Option (d) :Posterior Cerebral Option (e) :Superior Cerebral Artery Ans: c 42. Most common site of malignancy in patients suffering from nuclear outbreak Option (a) :Haematopoietic Option (b) :Thyroid Option (c) :Lung Option (d) :Breast Option (e) :Bones Ans: a 43. Least common site for ectopic pregnancy would be at: Option (a) :Ovaries Option (b) :Pouch of douglus Option (c) :Greater omentum Option (d) :Fallopian tubes Option (e) :Cervix Ans: a 44. Most sensitive cells to hypoxia are Option (a) :RBCs Option (b) :Neurons Option (c) :Nephrons Option (d) :WBCs Option (e) :Platelets Ans: b 45. Following is not a tumor marker: Option (a) :PALP Option (b) :CEA Option (c) :bHCG Option (d) :AFP Option (e) :Acid Phospatase Ans: e 46. tyrosine derivative does not include: Option (a) :TSH Option (b) :Adrenaline Option (c) :Nor adrnaline Option (d) :Prolactin Option (e) :Dopamine Ans: d 47. Organ having least chances of infarction: Option (a) :Lungs Option (b) :Heart Option (c) :Kidneys Option (d) :Liver Option (e) :Spleen Ans: d 48. Least chances of renal stones is associated with: Option (a) :Hyperlipidemia Option (b) :Hyper PTH Option (c) :Hyper vit.D Option (d) :Infections Option (e) :Hyperurecemia Ans: a 49. Patient with injury to left 8th cervical segment of spinal cord will not show following sign: Option (a) :Decreased sense of position Option (b) :Vibration below lesion on same side Option (c) :Extensor plantar on left side Option (d) :Dec power of muscles below the lesion on same side Option (e) :Dec sense of pain and temperature below the lesion on same side Ans: e 50. Patient with bone pains having normal Ca, inc Alkaline phosphatase. Most likely suffering from: Option (a) :Pagets disease Option (b) :Hyper PTH Option (c) :Hyper Vit D, Option (d) :Bone mets Option (e) :Osteomalacia Ans: a 51. Bile salts are reabsorbed from the: Option (a) :Duodenum Option (b) :Jejunum Option (c) :Ileum Option (d) Colon Option (e) Rectum Ans: c 52. In Turner syndrome, the genotype would be: Option (a) :XX Option (b) :XO Option (c) :XXY Option (d) :XY Option (e) :XYY Ans: b 53. Presence of pancreatic tissue in gastric mucosa is termed as: Option (a) :Hamartoma Option (b) :Metaplasia Option (c) :Neoplasia Option (d) :Choriostoma Option (e) :Dysplasia Ans: d 54. Patient with old history of adenocarcinoma of colon operated for polypectomy, on histologic evaluation pathologist labelled it as benign growth with no chances into malignant transformation, it would be: Option (a) :FAP Option (b) :Villous adenoma Option (c) :Tubular adenoma Option (d) :Tubulovillous Option (e) :Metaplastic polyp Ans: c 55. Man in suffering from testicular Carcinoma, the lympahtic drainage of testicle is into Option (a) :Para aortic Lymph nodes Option (b) :Pre aortic Option (c) Superficial inguinal Option (d) :Internal iliac Option (e) :External iliac Lymph nodes Ans: a 56. Mesothelioma is associated with: Option (a) :Vinyl chloride Option (b) :Silica Option (c) :Asbestos Option (d) :Copper dust Option (e) :Carbon Ans: c 57. Foetal period starts after which week: Option (a) :11th Option (b) :8th Option (c) :12th Option (d) :16th Option (e) :21st Ans: b 58. Soldier comes with heavy bleeding. The ideal fluid replacement would be: Option (a) :Packed RBCs Option (b) :Crystallines Option (c) :Colloids Option (d) :Whole blood for 3 days Option (e) :Whole blood for 18 days Ans: d 59. Vertebrae is derived from : Option (a) :Myotome Option (b) :Sclerotome Option (c) :Dermatome Option (d) :Ectoderm Option (e) :Endoderm Ans: b 60. Largest total cross-sectional and surface area is of: Option (a) :Artery Option (b) :Arterioles Option (c) :Capillaries Option (d) :Venules Option (e) :Veins Ans: c 61. Esophagus histology Option (a) :Covered by squamous ep Option (b) :Has str. sq in upper 1/3 Option (c) :Has str. sq in lower 1/3 Option (d) :Has 3 layers of muscles Option (e) :Esophageal opening acting as anatomical sphincter Ans: b 62. Structures entering thorasic inlet Option (a) :Accessory nerve Option (b) :Aorta Option (c) :Superior vena cava Option (d) :Azygous Vein Option (e) :Left recurrent laryngeal nerve Ans: b 63. Example of carrier mediated counter transport: Option (a) Na – glucose transport Option (b) :Active transport Option (c) :Passive transport Option (d) :H transport Option (e) :Diffusion Ans: a 64. Alpha recptors effects Option (a) :Inc HR Option (b) :Lipogenesis Option (c) :Midriasis Option (d) :Piloerector contraction Option (e) :Bronchodilator Ans: c 65. Hypoglycemia increases Option (a) :SSK Option (b) :Somatostatin Option (c) :Gastrin Option (d) :VIP Option (e) :Secretin Ans: e 66. Cushing’s triad: Option (a) :Inc ICP, HTN, Bradycardia Option (b) :Inc ICP, hypoTN, Bradycardia Option (c) :Inc ICP, hypoTN, Tachycardia Option (d) :Inc ICP, HTN, Tachycardia Option (e) :Dec ICP, HTN, Tachycardia Ans: a 67. Somatostatin dec sec of which hormone Option (a) :ADH Option (b) :Insulin Option (c) :Oxytocin Option (d) :Prolactin Option (e) :Thyroid hormone Ans: b 68. Digoxin toxicity Option (a) :Inc K Option (b) :Inc Mg Option (c) :Dec Ca Option (d) :Dec Na Option (e) :Alkalosis Ans: e 69. Following is true regarding sterilization: Option (a) :Repeated heating denatures polyvencyl tubings Option (b) :Autoclaving is heating objects at 121 degC at 15 psi for 3min Option (c) :Radiation (UV light) Option (d) :Dry heat Option (e) :Formaldehyde Ans: b 70. Pt complains of chest pain for more than 30 min. ECG shows changes in V1-V4. It denotes: Option (a) :Anterior wall MI Option (b) :Anterolateral MI Option (c) :Inferior wall MI Option (d) :Lateral wall MI Option (e) :Inferior wall MI Ans: a 71. Depolarization of cell is maintained by: Option (a) :Na influx Option (b) :Ca efflux Option (c) :Ca influx Option (d) :K influx Option (e) :Na efflux Ans: a 72. Spinal cord ends at the level of lower border of: Option (a) :L2 vertebra Option (b) :L3 vertebra Option (c) :L4 vertebra Option (d) :L5 vertebra Option (e) :S1 vertebra Ans: a 73. Hyperoxia. All true except 1. Option (a) :Retrolental fibroplasia Option (b) :Atelectasis Option (c) Dec surfactant prod Option (d) :CV depression Option (e) :Anemia Ans: e 74. Pacinian corpuscles related to Option (a) :Touch Option (b) :Vibration Option (c) :Pressure Option (d) :Rapidly adapting pain Option (e) :Slowly adapting pain Ans: b 75. Drug that inc extracellular K (moves K out of the cell): Option (a) :Angiotensin Option (b) H2CO3 Option (c) :Carbonic anhydrase Option (d) :pH Option (e) :Exercise Ans: a 76. Thirst is decreased by: Option (a) :ADH Option (b) :Aldosterone Option (c) :Ag II Option (d) :Baroreceptor efferent Option (e) :Inc Hematocrit Ans: d 77. Muscle of quiet inspiration Option (a) :Diaphragm Option (b) :Rectus abdominis Option (c) :Internal intercostals Option (d) :innermost intercostals Option (e) :External intercostals Ans: a 78. Dry mouth increases all except Option (a) :Thrist Option (b) :ADH Option (c) :Ag II Option (d) :Plasma osmolarity Option (e) :Plasma vol Ans: e 79. Gastric acid is stimulated by: Option (a) :Gastrin Option (b) :CCK Option (c) :Secterin Option (d) :GIP Option (e) :VIP Ans: a 80. Which of the following fungi produce life threatening infection in patients with diabetics ketoacidosis? Option (a) :Candida Albicans Option (b) :Histoplasmosis Option (c) :Mucor Option (d) :Aspergillus Option (e) :Blastomycosis Ans: c 81. A patient has non-reactive HBs Ag, non reactive HBe Ag & reactive anti HBc Ab. This stages of patient indication what? Option (a) :Acute infection Option (b) :Carrier Option (c) :Transient resolving stage of hepatitis Option (d) :Immunized Option (e) :Chronic active disease Ans: c 82. A Patient has enlaged parotid gland with pain in this region. Which nerve is carrying pain fibers from the parotid gland? Option (a) :Auricuolotemporal nerve Option (b) :Glossopharyngeal nerve Option (c) :Fascial Nerve Option (d) :Temporal nerve Option (e) :Greater auricular nurve Ans: a 83. A Patient has anemia, hyper-segmented Neutrophils on peripheral blood examination & neurological manifestations. Which type of anemia he is suffering from? Option (a) :Folic acid deficiency anemia Option (b) :Iron deficiency anemia Option (c) :Pernicious anemia Option (d) :Thalasemia Option (e) :Autoimmune hemolytic anemia Ans: c 84. A young child has increased BP in upper limbs while decreased BP in lower limbs. Pulse in also week. What is the probable diagnosis? Option (a) :Preductal coarctation of aorta Option (b) :V.S.D Option (c) :Patent ductus arteriosus Option (d) :Postductal coarctation of aorta Option (e) :Transposition of great vessels Ans: d 85. In case of typhoid fever of 06 days. Which investigation is of first choice? Option (a) :Widal test Option (b) :Blood culture Option (c) :Typhi dot test Option (d) :Bone marrow culture Option (e) :Urine culture Ans: b 86. In a patient with diabetes, which is the best antihypertensive drug Option (a) :Captopril Option (b) :Diuretic Option (c) :Varapamil Option (d) :Propranolol Option (e) :Diltiazim Ans: a 87. Urine Examination of a patient with diabetes demonstrates. Ketone-bodies. What is the mechanism of formation of these ketone-bodies? Option (a) :Insulin deficiency Option (b) :Hyperglycemia Option (c) :Defective fat metabolism Option (d) :Hypoalbubinemia Option (e) :Defective glucose metabolism Ans: a 88. After giving blood transfusion, a patient develops hypersensitivity reaction. Which type of hypersensitivity reaction is this? Option (a) :Type I Hypersensitivity Option (b) :Type II Hypersensitivity Option (c) :Type III Hypersensitivity Option (d) :Type IV Hypersensitivity Option (e) :A.D.C.C Ans: b 89. A Patient develps lesion in the Caudate nucleus. Which is most common clinical feature Indicating this lesion? Option (a) :Chorea Option (b) :Intentional Tremor Option (c) :Resting Tremor Option (d) :Hemiplagia Option (e) :Nystygmus Ans: a 90. Heme Binds with Option (a) :Albumin Option (b) :Globulin Option (c) :Hemopexin Option (d) :Heptoglobin Option (e) :Macroglobulin Ans: d 91. Best pulmonary function test for the asthma is: Option (a) :FEV – 1 Option (b) :Residual volume Option (c) :Tidal volume Option (d) :Vital capacity Option (e) :Inspiratory capacity Ans: a 92. A pregnant lady develops pain few hours after delivery. E.C.G. shows S1, Q3 and T3. What is another investigation most appropriate for the diagnosis of this case? Option (a) :RF Option (b) :X-Ray Option (c) :Gallium Scan Option (d) :CPK Option (e) :Ultrasound Ans: c 93. In a patient diarrhea are corrected after the fasting. Which is most likely type of diarrhea? Option (a) :Infectious Option (b) :Psychogenic Option (c) :Osmotic Option (d) :Metabolic Option (e) :Toxic Ans: c 94. A diabetic Patient is advised fasting blood glucose level. At what value doctor is confusing & needs further evaluation with glucose tolerance test? Option (a) :04 m mol / 1 Option (b) :05 m mol / 1 Option (c) :07 m mol / 1 Option (d) :10 m mol / 1 Option (e) :15 m mol / 1 Ans: c 95. A patient has Aphasia & Facial nerve palsy on same side. Which artery is most likely blocked? Option (a) :Anterior cerebral artery Option (b) :Posterior cerebral artery Option (c) :Middle cerebral artery Option (d) :Anterior division of middle cerebral artery Option (e) :Posterior division of middle cerebral artery Ans: c 96. A young female is having Goiter. She feels difficulty in breathing while lying down. Which type of the goiter she is having? Option (a) :Retrosternal goiter Option (b) :Malignant goiter Option (c) :Toxic goiter Option (d) :Diffuse goiter Option (e) :Simple goiter Ans: a 97. Regarding L & D sugars Option (a) 😀 sugar has – OH on right Option (b) :L sugar has – OH on right Option (c) 😀 sugar has – OH on left Option (d) 😀 sugar has no – OH Option (e) :L sugar has no – OH Ans: a 98. Councilman bodies are formed in the process of Option (a) :Infection Option (b) :Apoptosis Option (c) :Trauma Option (d) :Necrosis Option (e) :Atrophy Ans: b 99. A middle aged male presents with joint pain since one week. His serum Uric Acid level is 156 mg/dl. What is the best investigation for confirmation of the disases? Option (a) :R.F Option (b) :Synovial fluid for polarized light Option (c) :Synovial fluid for Culture & Sensitivity Option (d) :X-Ray of joint. Option (e) :E.S.R Ans: b 100. A patient comes to you in ill condition. His blood pH is 7.3 PCO2 is 44 mmHg & HCO3 is 17 meq/L. What diagnosis you are thinking of this patient? Option (a) :Metabolic alkalosis Option (b) :Metabolic acidosis Option (c) :Respiratory acidosis Option (d) :Compensatory acidosis Option (e) :Compensatory alkalosis Ans: b 101. During general anaesthesia Halothane is given in combination with which of the following drugs? Option (a) :Thiopentone Option (b) :Nitric oxide Option (c) :Enfluran Option (d) :Phenobarbital Option (e) Ketamine Ans: b 102. Most common cause of the pelvic inflammatory disease is? Option (a) :Gonococcus Option (b) :Chlamydia Option (c) :Anaerobes Option (d) :Candida albicans Option (e) :E-coli Ans: b 103. A lady received DES during pregnancy for prevention of the abortion. Her baby will be on the risk of: Option (a) :Small cell of carcinoma Option (b) :Squamous cell carcinoma Option (c) :Carcinoma of endometrium Option (d) :Clear cell carcinoma of Vagina Option (e) :Uterine fibroid Ans: d 104. Prenatal chromosomal abnormality can be detected at: Option (a) :Booking Option (b) :10-12 weeks Option (c) :14-18 weeks Option (d) :After 20 weeks Option (e) :In second trimester Ans: c 105. Secondary Hyperaldosteronism can occur due to: Option (a) :Increased rennin Option (b) :Decreased rennin Option (c) :Increased potassium Option (d) :Decreased potassium Option (e) :Hypertension Ans: a 106All of the following mechanisms are involved in development of diabetic gangrene EXCEPT? Option (a) :Trophic changes due to peripheral neuritis Option (b) :Arterioscierosis leading to reduced blood flow to foot Option (c) :Decreased neutrophil motility Option (d) :Excess sugar in tissues leads to reduced resistance to infection especially fingal infection Option (e) :Anaerobic infection is commonly encountered in this disease Ans: b 107. A patient presents with dislocation of hip after an accident. Which of the following muscle group is involved? Option (a) :Gluteus Maximus + Minimus + Medius Option (b) :Only Gluteus medius Option (c) :Only Gluteus Maximus Option (d) :Gluteus Maximus + Medius Option (e) :Only Gluteus Minimus Ans: a 108. A patient has history of recurrent abortion. Which of the following enzyme analysis will give help to diagnosis? Option (a) :Estrogen Option (b) :Progesterone Option (c) :L.H & F.S.H Option (d) :H.C.G Option (e) :Testosterone Ans: b 109. A patient presents with secondary amenorrhea. One year back she has history of P.P.H for that she received six pints of blood what is most probable caused of her menstrual problem? Option (a) :Pituitary Tumor Option (b) :Sheehan’s syndrome Option (c) :Addison’s disease Option (d) :Adrenal cortex adenoma Option (e) :Psychological problem Ans: b 110. A patient presents with recurrent Rhinitis with Urticaria & Rashes. Which of the following is most probably diagnosis? Option (a) :Type – I Hypersensivity Option (b) :Type – II Hypersensivity Option (c) :Viral Infection Option (d) :Arthus Reaction Option (e) :Cell mediated reaction Ans: a 111. A 60 years old women is brought with bleeding per vagina. She is diabetic & hypertensive & one year back she was diagnosed as having carcinoma of breast. What can be most probable diagnosis for this bleeding p/v? Option (a) :Carcinoma of colon Option (b) :Carcinoma of endometrium Option (c) :Endometrial Hyperplasia Option (d) :Carcinoma of cervix Option (e) :Cervical erosion Ans: b 112. A Patient is suffering from carcinoma of rectum. He develops pain in the posterior aspect of thing due to involvement of nerve. Which nerve supplies the posterior aspect of thigh & that can be involved in the malignancy of rectum? Option (a) :Lumbosacral trunk Option (b) :Sacral nerves Option (c) :Obturator nerve Option (d) :Superior hypo gastric plexus Option (e) :Inferior hypo gastric plexus Ans: b 113. A semiconscious patient is brought to emergency department. He has history of taking some unknown drug. NaHCO2 reverses the action of drug. Which drug he has most likely taken? Option (a) :Phenobarbital Option (b) :Phenothiazine Option (c) :Morphine Option (d) :Diazepam Option (e) :Alcohal Ans: a 114. A lady with 26 weeks gestation has uterine height of 24 weeks. On sonography there is no fetus & snowstorm appearance. Which of the following probably associate with it? Option (a) :Choriocarcinoma Option (b) :Karyotype-46XX Option (c) :47XX Option (d) :69XXX Option (e) :45XO Ans: b 115. Normal female pelvis has: Option (a) :Deeper inlet Option (b) :Inturned spine Option (c) :Narrow outlet Option (d) :Round outlet Option (e) :Oval inlet Ans: e 116. The ascent of horse shoe shaped kidney is prevented by: Option (a) :External iliac artery Option (b) :Internal iliac artery Option (c) :Superior mesenteric artery Option (d) :inferior vena cava Option (e) :inferior mesenteric artery Ans: e 117. Which of the following is characteristic of polycystic ovary disease: Option (a) :Increased L.H Option (b) :Increased F.S.H Option (c) :Decreased L.H Option (d) :Decreased F.S.H Option (e) :No change in hormones Ans: a 118. A 20 – Week pregnant lady has blood pressure 140/95. She complains of vomiting & headache. What is the probable diagnosis of the condition? Option (a) :Appendicitis Option (b) :Pregnancy induced hypertension Option (c) :Oligohydramnios Option (d) :Raised intracranialpressure Option (e) :Pregnancy induced DM Ans: b 119. Which cranial nerves carry parasympathetic fibers? Option (a) :Third, Fourth, Ninth, Tenth Option (b) :Third, Fourth, Fifth, Ninth Option (c) :Second, Fourth, Fifth, Ninth Option (d) :Third, Seventh, Ninth, Tenth Option (e) :Fifth, Sixth, Tenth, Eleventh Ans: d 120. Patient comes with deviation of tongue to the right side, decreased sense of touch and vibration, the artery commonly involved in brain is Option (a) PICA (b) AICA (c) anterior spinal (d) posterior cerebral (e) superior cerebral artery. Ans. C 121. Nerve injured in anterior dislocation of shoulder joint is Options (a) musculocutaneous (b) axillary (c) median (d) radial (e) suprascapular Ans. A 122. A patient is unable to extend his metacarpophalyngeal joint, abduct and extend his thumb, sensation is intact, which nerve is damaged Options (a) radial nerve (b) post interosseous nerve (c) ulnar nerve (d) median nerve (e) musculocutaneous nerve Ans. A 122. Milk is notoriously deficient in (a) vit A (b) Riboflavin (c) Iron (d) pantothenic acid (e) vit C Ans. d 12th February 2014 Medicine Solved Paper Special Thanks to Dr Fahad 192 MCQs (Mixed – Paper A & B) 1. High Pressure in Glomerular capillaries is due to a. Afferent is long b. Afferent is short c. Efferent is low resistance d. Efferent is down stream 2.Regarding SLE followin are true except a. ANA is +ve b. Fibrinoid necrosis is common histological feature c. Glomerulonephritis is commonest cause of death d. more common in women e. risk is increased by inheritance of HLA B27 3.Edema in nephrotic syndrome a. Na retention b. Hypoproteinemia c. Hyperlipidemia 4.Bronchopulmonary segment a. each has its own blood supply b. different number on both sides 5.Recently diagnosed fatal disease, most appropiate a. tell family but nt patient b tell patient but nt family c. tell family and patient as soon as knwn d. crisp, logical and evidence based accurate information to the patient and family accordin to demand 6.Young lady having anemia, MCV 78 , MCH 25, MCHC 29 a. Hypochromic b.Hypochromic and Normocytic c.Hypochromic and microcytic d. normocytic and normochromic 7.WHICH OF THE FOLLOWING SHIFTS THE O2-HGB DISSOCIATION CURVE TO RIGHT: A.ACIDOSIS B.ALKALOSIS C.INCREASE pH D. NO E. FETAL HEMOGLOBIN 8.A 75 year old man with an acute MI suddenly dies 6 days after the infarct . At autopsy, there is a large amount of blood in the pericardial sac . The most likely cause of death is ; A. Cholesterol pericarditis B. Amyloidosis C. Cardiac tamponade D. Codsackie B pericarditis E. Constrictive pericarditis 9.most active gluconeogenesis results from metabolism of ? a.fatty acid b.protein c.cholesterol d.glycogen e. TG 10. Severe magnesium deficiency a. Hypocalcemia b. Hypercalcemia c. Hypokalemia d.Hypophosphatemia 11. Langerhans giant cells found in a.Tuberculosis b.Sarcoidosis c.Wegners granulomatosis D)Syphlis 12. parasympathetic inervation a.sweat gland b.salivary gland 13. A pt has multiple polyps on colonoscopy.His father died of same disease.These types of polyps are 14. Dysarthria is due to a lesion in? a.Brocas area b.Cerebellum c.Thalamus d.Sensory motor cortex e.Hypothalamus 15.Hypothyroidism a. Increased cholesterol 16. During 2nd week which is appropriate test for Typhoid fever ? a) Widal+Blood culture a-Hemartomatous b-Adenomatous polyp c-Metaplastic b) Blood culture only c) Stool culture only d) Bone marrow 17. A woman havin fever for few days developed chest pain which aggravated by lying down . Reason is? a.Costochondral junction b.Mi c. pericarditis d.due to plurea 18. purpura is most likely asaociated with a. leukemia b. von wilbrand disease c. hiv 19. a lady using diethylesterbestrol what should be most likely in her daughter a. squamous cell carcinoma b. clear cell carcinoma 20. Lady with osteoporosis,having family h/o cardiac disease and breast ca. Treated by a. Calcium plus vit D b. Raloxifene c. bisphosphonates d. HRT 21. Which disease involves a carrier stage ? a.Measles b.Mumps c.Polio d.Typhoid 22. H+ ion secretion in proximal tubule is related with? A. Bicarbonate reabsorption B. Bicarbonate excretion C. K secretion D. Na secretion 23. Hamartoma is ; A. A Metaplasia B. A neoplasia C. Has a capsule D. Same as cholestoma E. Totally benign 24. 40 yr old woman, middle class,3 kids ,pap smear shows cervical dysplasia..cause A HPV B IUCD 25. 10% Formaldehyde is used for sending Biopsy specimens,Why? a. Sterilisation b.To prevent autolysis c. TO stain cells d. TO denature proteins e. to cause lysis of cell 26. Metastatis occur in all except a.Liver b. Brain d. Spleen d. lung 27.Fast, sharp pain from mechanical origin is mediated by which fibers; A. A alpha B. A delta C. C fiber D. High myelinated 28. Fat necrosis occurs in ; A. Acute pancreatitis B. Heart C. Liver 29. Which tumor is derived from all the 3 germ layers; A. Adenoma B. Teratoma C. Rhabdomyosarcoma D. Chancroid 30. A 20yr old male has dyspnea on lying down. The structure most likely to cause this is ; A. Enlarged isthmus of thyroid B. Puberty C. Retrosternal goiter 31. A FISHER MAN PRESENTED WITH SLOWLY DEVELOPING LETHARGY, EASY FATIGUE AND PALPITATIONS. HIS DIET COMPRISES OF FISH AND RICE MOSTLY PHYSICAL EXAM SHOWED PALLOR AND LOSS OF TOUCH SENSATION IN BOTH FEET AND LOWER LIMB. HIS CBC SHOWED HB 7.5G/DL MCV 132, PLATELETS 110 AND WBC 3450 . MOST LIKELY CAUSATIVE PARASITE: A.ANKYLOSTOMA DUODENALE B.DIPHYLLOBOTHRIUM LATUM C.STRONGYLOID STERCOLIS D.ECHINOCOCCUS GRANULOSIS E. TAENIA SAGINATA 32. Long term elevated BP is due to a.cardiac output b.renal function c.TPR 33. The vitelline duct forms; A. Ductus venosus B. Duodenum C. Meckel, s diverticum D. Portal vein E. Urachus 34. Which is correct Regarding Axillary artery a-It Lies behind pectoralis minor b-Extend upto the lower border of pectoralis major 35. a. the components of the cell containing microtubules in there structure are; a. cell membrane b. centrioles c. endoplasmic reticulum d. lysosomes e. mitrochondria 36. a chronic smoker from 30 years working in a tyre factory presented with painless hematuria n on histopathology transitional cell carcinoma of bladder causative agent is ..? a.aromatic amines b.tobaco smoking c.nitrites/nitrates d.shistosomia hematobium 37. most common manifestation of autoimmune disease ; a. Fever b.arthralgia c.haematologic symptoms. d.fatigue 38. ACTH effectively controls ? a. Aldosterone b. Adrenal androgens c. Adrenal estrogen d. Hydrocortisone 39. what defines the acute inflammation ? 1.local response of living tissue to injury 2.systemic response of living tissue to injury 3.migration of leukocytes 40. aortic pressure lowest during which phase of cardiac cycle?? a.atrial systole b.isovolumic contraction c.isovolumic relaxation 41. The vision lost is left temporal and right nasal field of both eyes, the visual pathway involved in this lesion is A. Rt optic nerve B. Left optic tract C. Rt optic tract D. Left optic nerve 42. the affect of L dopa in parkinson pt dcreease gragually due to 1.antibodies develop against l dopa 2.gradual degeneration of neurons in sunstantia nigra 43. Glucose transport across a membrane is directly proportional to concentration graddient . Type of transport is ; A. Simple diffusion B. Facilited C. Active D. Na countertaransport 44. sebacous glands are absent on 1.corner of lips 2.palms 3.glans of penis 45. Blood transfusion reaction is likely to occur when a person having blood group A+ is transfused with blood of group; A. A+ B. AC. ABD. O+ E. O- 46. C0mplicti0n of diabetic? a.Wet gangren b. dry gangren c. ranyod phen0mena d. thrmbroagints 47. true regarding genetic inhertance of SLE is ; a. high incidence in monozygotic twins b. incidence is high in females c. if its in family, more chances to occur to all family members 48. Langhans giant cells are found in; a.Tuberculosis b.Sarcoidosis c.Wegners granulomatosis d. Leprosy 49. most active gluconeogenesis results from metabolism of ? a.fatty acid b.amino acids c.cholesterol d.glycogen/carbohydrates 50. Esophago gastric junction competence is maintained by A. lying supine B. increased intra abdominal pressure C. diaphragm paralysis D. use of metoclopramide E. use of morphine 51. Diminished jaw jerk due to lesion of A. Mesencephalic nucleus of V nerve B. Facial motor nucleus C. Glossophyrngeal injury D. Vagus injury 52. Co-trimoxazole action in.hiv pt on pnumocystc carini? a.Inhibit cellwall syn b.Inhibit folic acid synth c. inhibit DNA synth 53. Which of the following structure doesn’t pass posterior to the flexor retinacum A. Ulnar nerve B. Median nerve C. Flexer digitorum superficialis D. Flexer digitorum profundus 54. Cardiac surgeon during open heart surgery found bleeding vessel accompanying LAD in anterior interventricular groove . Most likely involved vein is ; A.Great cardiac vein B. Anterior cardiac vein C. Oblique vein D. Small cardiac vein E. Marginal vein 55. An upper motor lesion of facial nerve will result in ; A. Excessive lacrimation B. Hyperacusis C. Loss of taste sensation in ant 2 /3 of tongue D. Ability to wrinkle the forehead on the affected side 56. SQUAMOUS CELL CARCINOMA a.Actinic keratosis b. marjulian ulcer c. Bowen Disease 57. Regarding histology of gastrointestinal tract, which is inappropriate ; A. Peneth cells contain Eosinophilic granules in apical cytoplasm B. Peyer’s patches are present in submucous layer of duodenum C. Parietal cells of human stomach secretes intrinsic factor D. Striated brush border is composed of microvilli E. The longitudinal coat of muscularis externa is arranged in 3 bands in colon 58. Which one.is.malignant a.Glioma b.Meningioma c.Psedolymphoma d.Chondroma 59. which cranial nerves r parasympathetic A. III, VII, IX, X B. V, VIII, II, XII 60. Severly dehydrated man comes in er what to gv a.5percent glucose b.Ten precent glucose c.Hypertonic albumin d. 0.9% nacl 61. Fibrous dysplasia commonly occurs in a.Maxilla b.Occipital bone c.Frontal bone d.Temporal bone 62. Weight of prostate a.14 gr b.18 gr c.30 gr d.40 gr 63. Edema is caused by; A. ↓ hydrostatic pressure B. ↑ osmotic pressure C. Lymphatic obstruction 64. Growth hormone secretion is increased ; A. Exercise B. Hperglycemia 65. Drug action wont b affected bound to alpha glycoprotein in a. Neoplasm b.Trauma c. Hepatic disease d. MI 66. Clinically GFR is measured by a. Creatinine B. Inulin 67. 16 yr child with cola color urine since one day , Hb 6 , high grade fever , was given antimalarial 1 day back .. a.g6pd b.falciparum(blackwater fever) c. PNH 68. The cause of death in gas gangrene is due to ; A. Bacteremia B. Toxic shock C. Pneumonia 69. which is not the content of mediastinum…? a.lungs b.heart c.trachea d.vagus nerve e.large vessels 70. Diseases transferred thru vertebrate animals to humans: a)zoonosis b)zonoarthosac c)Zoncosis d) anthropozoonosis 71. about calcitonin…? a.must b given parenteral b.may b used in intoxication of vid D c.hypoparathroidism d.a polypeptide of 32 aminoacid 72. most common conginital heart dsz? a)asd b)vsd 73. A man with AIDs who has no symptom with CD4 count 800 presented with suppurative otitis media, causative organism is: A. Mycobacterium B. Strep pneumoniae C. Pseudomonas aeruginosa d)stap aureus 74. A pt can survive without mechanical ventilation, if the lesion is ; A. Above C2 B. At C3 C. At C4 D. Below C5 75. Preganglionic sympathetic nerve fibers release ; A. ACH b. Norepinephrine C. Dopamine 76. 5th Post intercostal artery a. Thoracic aorta 77. Which one of the following is a COX II inhibitor ; A. Aspirin B. Indomethacin C. Meloxicam 78. Fasting blood sugar of pt is 6.8 mmol (122 mg/dl) after 1 hr of OGTT it is 10.9 mol and later after 2 hr postprandial it was 10.7 mol ( 194 mg/ dl ) what is the diagnosis A. DM B. impaired glucose tolerance C. Long lag phase 79. Not recorded on ECG normally A. SA NODE b.LEFT ATRIUM c.AV NODE d.RIGHT ATRIUM 80. After 48 hr of starvation, wht will be broken down to provide energy,; A. Carbohydrate B. Fat C. Protein 81. Which of the following causes increased interstitial pressure; A. ↑ capillary permeability B. ↑ colloid osmotic pressure 82. Post op wound causes greenish pus discharge . Which organism is involved ; A. Psudomonas B. Klebseilla C. E. Coli 83. Infection spreads retroperitoneally, which will b infected a) Spleen b) Jejunum c) Transverse colon d. Ascending colon 84. Sprain of ankle leads to eversion of ankle, which ligament is damaged . a. Deltoid b. Talofibular c. peroneal d. tendocalcaneous 85. A pt, wd DK didnt respond to treatment and died, Autopsy show inflammatory lesion in kidney brain and lung, with some fungus. Most likely organism is ; A. Mucormycosis B. Candida 86. Person naked in room, temperature 21 degree centigrade, humidity present, loss of heat by ; A. Insensible perspiration B. Sweating C. Conduction and radiation 87. Microscopic feature of polyarteritis nodosa is ; A. Granuloma B. Fibrinoid necrosis C. Associated with hepatitis c 88. Which of the following structure damages in thyroidectomy ; A. Recurrent laryngeal nerve damage B. External laryngeal nerve damage C. Laryngeal oedema D. Sore throat E. Vagus nerve damage 89. ACTH effectively controls ? a.Aldosterone b.Adrenal androgens c.Adrenal estrogen d.Hydrocortisone e.NE 90. which cannot b measured by spirometry 1.residual volume 2.expiratory reserve volume 3.inspiratory reserver vol 4.tidal vol. 91. the following diseas occur in iv abuser 1)infective endocarditis 2)llibmansack endocarditis 92. Normal FEV1/ FVC ratio is ; A. 0.6 B. 0.8 C. 1 D. 5 93. Pt unable to void after fall which of the following section of spinal cord is affected; A. L2, L3, L4, L5 B. L1, L2 C. S1, S2, S3 D. S2, S3, S4 94. osmotic diuretic effects on which part of nephron a.proximal tubule b.collecting duct c.asc loop of henle d.glomerular memb 95. After rapid loss of 2 liter of fluid . person drinks plain water . it ll lead to A. Increase in interstitial fluid only B. Increase in intracellular fluid volume C. Plasms volume increase 96. A patient known smoker in laryngoscopy found laryngal nodule what is most unlikely 1 neoplasm 2 hyperplasia 3 keratosis 4 atrophy 97. secondary center of ossification a.epiphysis b.epiphyseal plate c.diaphysis 98. .liquefactive necrosis. a.brain b.kidney c.spleen 99. 1st heart sound a.isovolumetric contraction 100. A 40 year old man has pain felt deep in the face and nose between the mouth and orbit to the ear and temporal region . the pain may be due to the lesion of the ; A. auricular nerve b. facial nerve c. hypopharyngeal nerve d. maxillary branch of the trigeminal nerve e. opthalmic branch of the trigeminal nerve 101. EBV nasopharyngeal carcinoma 102. inverse stretch reflex(resulting relaxation) golgi tendon organ 103. fast sharp pain A delta fibers 104. 3rd ventricle bounded laterally by 2/3 thalamus (Rabia Ali MCQ) 105. glycogen breakdown aerobic and anaerobic break down to pyruvate 106. fatty acids co enzyme biotin 107. %age units/total units X 100 108. The diagnostic lab test for the infection by streptococuss beta haemolyticus is ; A. ASO titre B. Blood culture C. ESR D. Leukocytes culture E. Urine for bile pigment 109. disclosing pt’s secret info A. only with pt. consent B. Insurance Claim 110. Most common cause of inc bleeding time a.thrombocytopenia b. Aspirin 111. opsonin C3b 112. plasma cells produce antibodies 113. black water fever a.p.falciparum 114.Sulphonylurea?? Don’t remember the options but question was asking about mechanism of action 115. alkalinize urine for removing a.phenobarbitone 116. which one is true for parasympathetic sys on Heart a.inc the AV nodal delay b. Decrease K ion outward current c. Increase Ca++ inward Current d. Decrease Inward Na+ current 117. .parasympathetic action a. sweat glands b.salivary glands 118.ectopic pregnancy most common site a. uterine tube 119. both central n peripheral chemoreceptors respond to a..arterial pCO2 b. Increase pH c. Decrease pO2 120. meckel’s diverticulum a.vitelline duct 121. .insulin dec by a.beta blockers 122. most sensitive cardiac marker a.trop T b.Ckmb 123. Hypothyroidism a. increased TSH 124. left adrenal vein drain into a.left renal vein 125. fastest B.P regulation a.baroreceptor 126. ESR inc in a.infections b. polycythemia 127.local factor delaying wound healing a.foreign body b. local infection 128.actin covered by a.tropomyosin 129. turner a.44xo 130.klinefilters syndrome a.46XXY 131. S2,S3,S4 lesion a.rectal incontinence b.no pain in labour c. anorgasmia 132. pain referred to shoulder a.c2c3 b.C3,C4,C5 133. compression of S1 a.dec ankle jerk 134. not related to rt. kidney a.descending colon 135. external carotid a.lateral to retromandibulr vein 136.symphisis pubis a.sec. cartilaginous joint 137.fibrous and parietal pericardium supplied by a.phrenic 138. corona radiata a.granulosa cells 139. .cimetidine with sucralfate a.decrease metabolism b. Sucralfate decreases cimetidine absorption, give it after 2 hours 140. Cimetidine may significantly prolong the prothrombin time and causes bleeding in pt who has been treated with warfarin by ; A. decreasing the hepatic clearance of warfarin B. Displacing warfarin from plasma protein C. Increasing the oral bioavailability of warfarin D. Inhibiting renal tubular secretion of warfarin 141. .sternocleidomastoid supplied by a.accessory nerve 142.regarding collagen a.present in all types of connective tissue b.unique protein 145.organ for metabolism a.liver b kidney 146. Regarding Portal vein following statement are correct ; Except A. Develops partly from the cranial part of right vitelline vein B. is connected to veins of anterior abdominal wall through paraumbilical vein C. Is formed by union of superior and inferior mesenteric vein D. lies in the free margin of lesser omentum E. tributaries include left gastric and superior pancreatoduodenal vein 147. compact bone… a.Regularly arranged lamelae 148. An initial left to right shunt before reversal is most commonly a feature of ; A. Coarction of the aorta B. Ebstein’ s malformation C. Eisenmenger’s complex D. Transpostion of the great arteries E. Truncus arteriosis 149. Digoxine unlikly 1.inc Ca intracellular 2.inc K intracellular 3.inc Na intracellular 4.inc sympathetic to heart 150. u wave is associated with A..atrial depo B .atrial repo C. ventricular repor 4. ventricl depo 5. slow repolarization of papillary muscles 151. A 25year old sprinter developed acute leg pain while running. the next day he noticed ecchymosis around ankle . he can stand on his toes through it hurts . the most likely cause is ; a. acute arterial embolism b. deep vein thrombosis c. herinated lumbar disc d. ruptured Achilles tendon e. ruptured plantaris tendon 152.A 30 year male came to a consultant clinic with history of progressive right facial numbness and headach for 3 months, on examination, facial nerve palsy was confirmed on right side along with VIII nerve involvement of same side, and right sided Intention tremors, the most likely site of lesion is ; A. Cerebello pontine angle B. Pons C. Rt lobe of cerebellum D. Rt side of mid brain 153. Wilsons disease A. Ceruloplasmin 154. 16 yr old boy with diarhea,biopsy showin villous atrophy, not improved by gluten free diet, most likely diagnosis a. Celiac disease b. Giardiasis c. Whipples disease 155. IM ketorolac given in a. Renal failure b. Pregnancy c. Suspected drug addicted complaining of pain 156. Water and salt reabsorption is maximum at a. Duodenum b. Stomach c. jenunum d. Ileum e. Colon 157. wht happens in patient gettin TPN a. Hyperglycemia b. hyperphospatemia 158. epinephrine given slowly??? a. Decrease in TPR b. Increase in diastolic pressure 159. Premalignant oral lesion a. Lichen planus b. Submucosal fibrosis 160. Question from biostatistics (Asked about Wrong Statement) a.statistical data is of no significance b. Chi square 161. Nerve loops around arch of aorta A. recurrent laryngeal nerve 162. Hemolytic anemia question?? Scenario was given and Correct Answer was Hemolytic anemia 163. Regarding atonic bladder, it is caused by A. damage to parasympathetic efferent pathway B. Damage to sympathetic efferent pathway C. Cerebral cortex damage D. Pudendal damage 164. Toxoplasmosis is inection caused by a. Parasite b. Virus C. Fungus D. Bacteria 165. transmitted from eating undercooked meat a. tapeworm b. Liver fluke 166. false statement about Carbimazole a. increases T4 to T3 conversion 167. lady with exophthalmos, thyrotoxicosis a. Graves b. MNG 168. Mitral stenosis, absent waves are a. c waves b. a waves 169. What wil decrease in hypotension a. Carotid sinus discharge 170. RBC fragility a. 0.35 % NaCl cause complete hemolysis b. Hypotnonic cause swelling c. Hypertonic causes shrinkage 171. Standing from 1 hour a. Decrease CVP 172. something about Gamma motor neuron a. Relaxes muscle b. controls fiber 1a afferent c. contract the intrafusal fibers 173. Arteriolar dilation leads to a. increase in arterial blood volume b. increase in venous volume c. something about capillaries 174. Cause of Squamous Cell Carcinoma bladder a. Shchistosoma hematobium 175.Post Commnicating artery a. Internal carotid and Post Cerebral artery 176. Sjogrens Syndrome a.dry mouth and eyes b. Dry mouth only c. Dry nasal mucosa 177. Which one is not epithelial tumour a. Adenocarcinoma b. Liposarcoma c. Squamous cell Ca 178. Diphtheria toxoid given n thn aftr 2 weeks skin rashes , most likely reaction a. Type 1 b. type 2 c. Type 3 d. Type 4 179. Cardiac output low in a. beri beri b. Cardiac failure c. AV fistula d. hyperthyroidism 180 Labetalol a. Beta blocker b. Alpha blockr c. Alpha plus Beta blocker 181.Monocytes likely A. Can transfer into large multinucleated giant cells in chronic infection B. Increase in allergy C. Produce IgM D. Formed from precursor cells in lymph nodes E. Do not migrate across capillary wall unlike granulocytes 182. not true abt surfuctant a.increase surface tension 183.Lipid diet a. Cholecystokinin 184. Reflex involving cerebrum a Light reflex b. Consensual light reflex c.Accomodation reflex d.Visual body reflex 185.Ocular myasthenia a. Decreased postsynaptic receptors 186.Oral anticoagulant a.PT b. aPTT 187.Cushing syndrome a.ACTH 188.Renal excretion of drugs??? a.Something about Plasma proteins 189.graft rejection a. Acute Cellular 190.Ventilation of lungs a.increased at base Good Luck for your Part-1 Exam 191. Failure of aorta to separate from Pulmonary artery a. Truncus Arteriosus b. TOF 192. Peptic ulcer pain a. Greater splanchnic Nerve b. lesser splanchnic nerve Medicine paper-2 10 june 2015 conventional Questions with yellow highlight we have no confirmation about it , others in red color are confirmed . Still have chance of error , so plz if u have any confusion , get help from text books . [Plz Remember in ur prayers] by Dr M.A and Dr M.U.T.W 1) About Flexor retina culum not passed posteriorly A. Flexor Palmaris longus B. flexor digitorum profundus C. median nerve D. ulnar nerve 2) 2nd pharyngeal arch A.Zygomatic bone B. styloid process of temporal bone C.Maxillary bone D.squamous part of temporal bone 3) In male on PR examination which not palpable A.Ureter B. bulbourethral part etc 4) Ankle sprain durind eversion , ligament torn A .Deltoid ligament 5) Eversion of foot ……………….peroneus longus 6) Quiet inspiration………………diaphragm 7) Transverse diameter during inspiration by ……………. Ext intercostal muscle 8) Internal thoracic artery wrong statement Terminates on 8th intercostal space [it divides at 6th intercostel leve] 9) Regarding abdominal wall……. Don’t remember options 10) Wernicke’s damage……….rapid speech but make little sense 11) Athetosis…..slow writhing movement 12) Optic nerve terminates at A.Lat geniculate body B. medial geniculate body D. Viusal cortex 13) Thyrotoxicosis + some eye sign …………….optic nerve compression 14) Thyroidectomy common nerve injured…… A. Reecurrent Laryngeal Nerv B. ext laryngeal nerve 15) Biceps brachhii …….attached to superior glenoid tubercle of humerus 16) Case with no prick sensation on Rt and vibration on left below lesion A.Complete transection of cord B. hemisection at T11 C.Complete transection at T9 17) RTA + hemisection of rightt cord……….left side temp and pain loss 18) Barbiturates……..induce hepatic enzyme 19) Lincosamides[drug]…………..dont remember options 20) Dobutamine action A. On alpha and beta B. alpha, beta and dopamine C. on only beta 21) Propranolol action to dec HR on A. Beta 1 receptor 22) Dm 2 + elderly A.Metformin B.tolbutamode C.glibenclamide 23) Most effective Dvt prophylaxis A.Warfarin ? B.heparin C. low molecular wt heparin ? 24) Chlorpromazine s/e except Convulsion cholestatic jaundice porphyria constipation 25) Warfarin check ………………….PT, aPTT,INR 26) CML ……9:22 chromosome 27) Not caused Hookworm A.Hypoprotenemia B. macrocytic anemia C. bronchitis D. intesitinal effect 28) Echo virus Meningoencephalitis 29) Scanty barr body……..klinefelter syndrome 30) Chromosome wrong statement is ……………13 is edward 31) Case bleeding gums + BT and aPTT prolonged …………….vWD 32) Anemia + bleeding gums + fever 103 ask Ix ……….Bone Marrow aspiration 33) Megaloblastic anemia……….oval macrocytes 34) rash pattern started from back of ear and spread down towards trunk……Meseals 35) On ecg ,QRS + T wave and no P wave where will be pacemaker Sa node av node internodal fibers ventricals 36) Rt homonymous hemianopia…………left optic tract 37) Rt optic tract lesion ……………..left homonymous hemianopia 38) Preload determined by ……. A.Left Ventricular EDV B. LVEDP C.left atrial pressure(wedge pressure) 39) High CO ………beriberi 40) Low CO ………..IVC obstruction 41) Construction business+ pulm s/s ……….asbestosis 42) Obstructive and restrictive pattern …………………….FEV1/FVC 43) O2 dissociation curve movies to right by decrease in …………………..pH 44) ANA positive in A.Progressive systemic sclerosis B. RA C. mixed connective tissue 45) Least specific about SLE ……….ANA some other options?? 46) Cephalhematoma which layer. A. Under pericranium B. 3rd loose areolar tissue 47) Pain from peritoneal diaphragm radiate to ……..A.11 th and 12th rib site B. neck and shoulder 48.During lactation dec ovulation due to decrease GNRH by ……..prolactin 49.Case in which first metaplasia then dysplasia then ca in situ HPV in uterine cervix 50 . Recurrent ca stone in kidney ……hydrochlorthiazide 51.Cotton wool in retina A. DM B. HTN 52. Ph 7.36 hco3 16 co2 30 ……..compensated metabolic acidosis 53. NA + active reabsorption In kidney A.Loop of henle B. in pct by active transport C.na along with k+ 54. Skelatal muscle blood flow increased…………….alpha recp blocker 55. Urine Osmolarity regulated by …………………….ADH 56. Alzheimers disease case brown color pigment found on heart autopsy A. lipochrome B .wear and tear lipofusion C. hemosidderin 57. UV radiation fron sun cause A.Cataract B. teratogenic 58. Radition effect on ……….hematopoitic system 59. Case of nodular swelling on dorsum surface of hand , brown pigment + axillary Ln enlarged A.Uv radiation B. latex gloves exposure D. prior exposure to asbestos 60. Aschoff bodies in early stage …………… A.fibrinoid degenration B. giant cells 61. Food poisioning cae…………………. Virulence infectivity pathogenicity 62. LES competency drug given ………metoclopramide 63. Antibiotics………………. Metronidazole cross BBB 64. Aspirin poisoning treatment ………. A.Bicarbonate administration B.NH4cl 65. Decrease motivation and depression ……frontal lobe 66. During Exercise stimulation goes by …………. A. Mechanoceptor B. proprioceptor 67. Case hirsutism HTN wt gain and inc ACTH ……. Cushing disease 68. Lung carcinome + Adh and s/s …….. SIADH 69. Gluconeogenesis stimulate by ………………… glucagon 70. Most common cause Primary HCC ………………. A. Alpha 1 AT deficiency B.aflatoxin C.hep-C 71. 3 layers of smooth muscle ……. Fundus of stomach 72. S/E and water reabsorption ……………. A.Jejunum B.colon C. ileum 73. Gastric emptying delayed by ………. CCK 74. Primary hypercholesterolemia prevention …A.statin B. niacin C.fibrin 75. Quac give medicine and jaundice occur Ix ………………. ALT 76. More than 48 hour shizogony……. Falciparum malaria 77. Pseudo infction + earache + fever due to …………. TNF 78. Agammaglobulenemia…….. pyogenic infection 79. Acute renal transplant rejection bad prognosis………. A. thrombosis B .Vasculitis and Lymphocytic infiltrations 80. Monotherapy of CCF …… ACE as captopril 81. Angina symptoms in …………… A.Aortic stenosis B. AR 82. Leprosy early Ix………. Nasal scraping of lepra 83. On ECG QRS due to……………… vent depolarization 84. Atypical mycobacteria …………… not respond to ATT 85. Ades mosquito which not occur ………………… A.raft velly B. yellow fever C. japanese encephalitis, D.dengue 86. Foam cell in atheroma A.Neutrophil B. Monocyte (remember no macrophage option ) 87. Phonation occur …………….. A .During expiration B.When vocal cord adducts 88. Neoplasm least associated …….. A. Age , B. Physical trauma 89. Severe steatorrhea ……….. A. total pancreatectomy B.terminal ileal resection 90. About bleeding from duodenal ulcer Post wall duodenal ulcer bleeds due to gastroduodenal artery 91. Antibody not cross placenta A.IgM B. IgG A. IgE 92. Angiotensin 2 short term mechanism …………… vasoconstriction 93. Pneumothorax case…….. inward collapse and chest wall spring outward 94. Regarding skeletal muscle A.Belly is fleshy throughout length B. aponeurosis and fibrosis Some option mixed with origin and insertion 95. Why vein are bigger resorvoir …….A.increase blood vol capacity ? , B.Veins has no smooth muscles ? 96. Slow wave sleep NT ……… A.norepinephrine B. serotonin 97. Free Ag to digestive system ??…… A.Hassels corpuscle B. M cells C. dendriocytes 98. Difference between primary and 2ndry wound healing A.Wound contraction 99. About b-hcg wrong statement ……??? Similar action as LH on ovary molecular structure similar as LH 100. One is regarding pregnancy or mensturation ?? wrong statement Increase estrogen in 2nd half of periods or pregenacy Don’t remember options AOA …Medicine 10 june 2015 paper 1 conventional • Q with yellow highlight ans… are not confirmed , others with red color are confirmed ….still may have some errors . if u have any doubt plz get help from text books .we tried to remember how much we…. • By Dr . M.A and Dr M.U.T.W [ GUYS NEED UR PRAYERS ] 1.Regarding Fat Stores (Adipose tissue) A.insulin cause lipolysis B.inc in size by dividing adipocytes [I marked] C.Growth hormone cause deposition of fat dont remember other options 2.Insulin causes A. dec ketogenesis B. inc lipolysis C .inc glycogenolysis 3.Thorn prick…abscess formation..most likely organism A.Strept Pyogenes B.Staph aureus C.Pseudomonas aeruginosa 4.In Pregnant lady blood, there will b increase of A. ferritin B. TIBC C. iron 5.Pregnant lady normocytic normochromic anemia appropriate A.plasma volume expansion B.iron def anemia 6.after total gastrectomy what occurs A.iron def anemia B.Pernicious anemia 7.best host defence system in alveoli A.lymphatics B.alveolar macrophages C.nasal cilia D. IgA secretions 8.Most common cause of DVT ? A.prolonged bed rest B.After surgery C.inherited thrombophilia 9.14 yr old child with 8%creatinuria BP 180/110.. what is damaged A.glomeruli B.JG cells C.Macula densa 10.Mechanism involved in RMP is mainly A.k efflux B.na/k pump [I marked] 11.blockage of alpha recepters A.vasoconstriction B.vasodilation 12.dec arterial PO2 A.CO poisoning B.anemic hypoxia C.hyoxic hypoxia 13.4th Heart sound [S 4] due to A.Atrial contraction causes ventricular wall vibration B.aortic rebound C.verntricular filling 14.which doesnt cross BBB A.levodopa B.Dopamine 15.at beginning of 2nd week A.epiblast B.epiblast and mesoderm C.Epiblast and hypoblast 16.regarding Transitional epithelium A.pseudostratified B.Stratified columnar C. Stratified with outer cells bigger n rounder 17.regarding Cerebellum A.receive preprioceptive info from spinal cord B.afferent input from motor cortex 18.regarding free water diuresis A.positive water clearance [ I marked ] B.negative water clearance c. palsma osmolarit ……. dont remember exactly 19.floor of 4th ventricle’s superolateral relation A.superior cerbellar peduncle B.middle cerebellar peduncle [ I marked ] C.inferior cerbellar peduncle D. Lower Pons and pyramidal tracts 20.regarding atrial fibrillation A.p waves prominent B.regular rhythm C.pulsus deficit 21.Most sensitive marker in MI A.creatine kinase B.Troponin T [I marked ] C.Myoglobin D.LDH 22.uterine leiomyoma. endometrium around the mass has few glands and a lot of stroma…wat has happened to endometrium around fibroid A.metaplasia B.hyperplasia C.atrophy D.dysplasia E. Neoplasm [ I marked ] 23.alpha sympathetic stimulation A.pupils constrict B.pupils dilate 24.parasympathetic stimulation A.pupils dilate B.sphincteric muscle of iris constrict C.inc heart rate D.dec GI motility 25.Free radicals formed by radiation they will damage A.DNA B.cell membrane C.mitochondria 26.virus cause disease A.direct action B.altering protein synthesis C.membrane damage 27.inc ejection fraction causes A.dec EDV B.Dec ESV 28.SA node location A.superior aspect of sulcus terminalis B.lower part of crista terminalis 29.tumor suppressor gene A.p53 30.Diabetic nephropathy diagnosed by A.inc blood urea nitrogen levels B.inc creatinine C.inc urinary albumin 31.Gastric lymphoma most common cause A.H-pylori B.atrophic gastritis 32.Host defence against neoplasm A.apoptosis B.good health C.no family history 33.most common cause of neoplasm A.overexpression of proto-oncogenes B.non-lethal injuryof genes 34.abdominal aorta A. divide at L5 vertebra b.give renal artery at L2 C. Give lateral branches to parites [ I marked ] 35.Regarding Down syndrome A.inc incidence with inc maternal age 36.Dorsal rami supply A.Flexors of trunk B.extensors of trunk 37.localized edema cause A.allergy 38.Regarding Red cells A.larger than all WBCs B.Mean MCV is 85 fl C.contain remnants of mitochondria and endoplasmic reticulum 39.myeloperoxidase is present in A.lymphocytes B.RBCs C.Neutrophils 40.Succinylcholine toxicity in individuals having deficiency of A.Acetyl cholinesterase B.pseudocholinesteae C.MAO 41.Lady had breast implant 2 yrs ago since then she is having firmness and shape distortion something . Now the implants are removed and implant fluid is leaking inside. Which cells will most likely be present A. Neutro B. Mast C.Eosinophil D.Giant cell [ I marked ] E.Plasma cell 42.vessel having 80% saturation in fetus A.umbilical vein B .Aorta C.IVC 43.which hormone causes extrahepatic protein catabolism and hepatic protein anabolism A.Thyroid hormone B.Epinephrine C.Cortisol D.growth hormone E.insulin 44.GFR is increased by A.afferent artiolar constriction B.dec plasma proteins C increase pressure of bowman capsule 45.Patent lumen of allantois A. Urachal sinus B.urachal cyst [ I marked ] C.umbilical vein D.urachal fistula ? 46.left adrenal vein is drained into A.IVC B.left renal vein C.Inf mesenteric vein 47.Tissue not regenerated A.kidney B.adrenal medulla C.lens D.skin 48.no lymphoid nodules seen in A.thymus B.Lymph node C.spleen 49.pseudomembranous colitis caused by which A.clostridium perfringens B.clostridium dificile 50 a.most common cause of gas gangrene lower limb A.clostridium birefrengens (this is the exact spelling as in paper) B.clostridium welchii C.clostridium septicum 51.joint b/w pubic bones allowing slight movement during birth of baby A.Synchondrosis B.syndesmosis C.Symphysis 52.Heart contractility depend on A.ca++ ions 53.Regarding thyroid gland A.change in epithelium occurs with function 54.rapidly adapting receptors A.pacinian B.Baroreceptors C.free nerve endings 55.which of the following inhibits the muscle to stretch beyond limits A.golgi tendon organ B.muscle spindle 56.Dead space does not change in A.standing [ I marked ] B.old age C.shallow breathing D.Deep inspiration E.Tracheostomy 57.max triglycerides found in A.VLDL ? B.chylomicrons remnants ? [ I marked ] C.LDL D.HDL E.IDL 58.most common source of SYSTEMIC arterial emboli A.femoral vein thrombosis B.pulmonary vein thrombosis C.right atrial thrombus D.portal vein thrombus E.left ventricular mural thrombus 59. pyruvate is intermediate between A.glucose and acetyl coA B.acetoacetic acid and actyl coa C.Fat metabolism and acetyl coA D.carbohydrates and proteins 60.pulmonary atery supply A.Bronchi B.Bronchioles C.Alveoli 61.Regarding bronchopulmonary segment A.airated by primary bronchus B.airated by secondary bronchus C.airated by tertiary bronchus D.not in touch with all other segments 62.A 45 yr old female presents with two years history of pruritis, months history of jaundice. On clinical examination she has bruises xanthomas and hepatosplenomegaly. The investigation which will confirm the diagnosis would be: A. ALT B. Alkaline phosphatase C. Anti-mitochondrial antibodies D. CT abdomen E. ultrasound abdomen. 63.ADH formed in A.posterior pituitary B.supraoptic nucleus C.ventromedial nucleus 64..metaplasia is caused by A.chronic irritation 65.most common cause of PRIMARY HCC (I think I also add this q in paper 2 ) A.hep C [ I marked ] B.alpha 1 antitrypsin deficiency C.Aflatoxins 66.Two liters Normal saline infusion A.dec urinary sodium B.inc blood volume C.dec intracellular volume 67.Tachyphylaxis A.Rapid dec in drug action B.Gradual dec in drug action C. Is like Anaphylaxis 68.Fastest speed of impulse in heart conduction system A.ventricular fibers B.AV node C.AV bundle D.purkinje fibers 69.pt cant open mouth which muscle injured A.Masseter B.medial pteryogoid C.lateral pterygoid D.Buccinator E.Platysma 70.There are no blood agglutininns in which blood group .A.AB- [I marked] , B.AB+ C .O+ D. O- 71.Insulin increased by A.Glucagon B.Growth hormone 72.pt has Gonococcus infection what is quicked way to check it A.ZN stain B.Gram stain C.Culture 73.Metaplasia A.functional change in cells B.change in size and shape of cells 74.Which artery has branches that are end arteries A.Coronary artery B.Central artery of Retina 75.which are bipolar neurons A.posterior root ganglion cells B.anterior horn cells C.posterior horn cells D.Olfactory cells 76.memory function of which lobe? A.parietal B.Temporal C.Frontal D.Occipital E.insula 77.Pellagra caused by def of A.Vit B1 B.Vit.B6 C.nicotinic acid 78.Area 3,1,2 A .All somatic sensation 79.Which hormone causes smooth muscle constriction In Arteriols A. Aldosterone B.ADH [By V1 Recep ] 80.Ethics principle A. Autonomy ,Beneficence, Non-maleficence , justice 81.Regarding mean A.it is some of all individual value divided by total number of values B.its a good measure of central tendency 82.Brocas Area A.Sup temporal lobe B.afluent aphasia 83.infraorbital artery is a branch of A.maxillary B.facial C.ophthalmic 84.Ther is painful swelling at site of below knee amputation A.neuroma B.ganglioneuroma 85.Sulfur containing amino acid A.Arginine B.Cysteine 86.pyogenic meningitis A.dec glucose 87.Axillary sheath from A.pretracheal sheath B.prevertebral fascia C.carotid sheath 88.hormone responsible for oxidative phosphorylation and inc in body temperature A.Thyroid hormone B.Growth hormone C.Insulin 89.Pt had severe headache…CSF showed blood tinge A.sub-dural hemorrhage B.sub-arachnoid hemorrhage 90. Young pt has bleeding history from minor trauma and also had chronic diarrhea , with no family hstry of any bleeding disorder , PT deranged , platelets normal , hb normal A.Vit k deficiency. 91.Edema is caused by A.dec hydrostatic pressure B.inc osmotic pressure C.blocked lymphatics 92.first response for bleeding A.wound contraction 93.potent chemotactic factor A.C3a B.C5a 94.Left coronary artery divides into A.LCX and anterior interventricular artery 95. CSF wrong statement ….. A.valve of arachnoid villi stop working in high pressure ????? B.Lying on left lateral position pressure will b 60 to 150 C.pressure on internal jugular vein increase the CSF pressure. 96. case in which 2 year histroy with HPV infection in female cervix + nucleus prominent and enlarged ?? A.Hyperplasia B. carcinoma C. metaplasia D. dysplasia[ I marked ] 97) regarding VDRL wrong statement Widal test in best 1st week 98) XX + pseudohermaphroditism… A. androgenital syndrome 99) Question regarding……Gap junction MONSTER FCPS-1 SURGERY 2015 PAST PAPERS Doc Ali Hassan 6/9/2015 These past papers are composed by other members of this group, I have just re-compiled for the ease of Surgery candidates. Remember me in your Prayers, JazakAllah. SURGERY JAN 2015 1 STJAN 2015 1. Most appropriate about Clavipectroral Fascia: A. Above the clavicle connects wid Pretracheal Facia B. Part of Endothorac Fascia C. Covers Pectoralis Major D.Covers Pectoralis Minor 2. If Lateral Cord of Brachial Plexus will damage which muscle will get paralysed most likely: A. Pectoralis Major B.Pectoralis Minor C. Teres Major D. Teres Minor 3. Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid loss will be through: A. Stomach B. Colon C. Pancreas D. Duodenum E. Jujenum 4. Fracture of surgical neck of Humerus damage to: A. Axillary Nerve 5. Inversion of foot by which muscle: A. Peronues Longus B. Peroneus Brevis C. Peroneus tertius D. Tibialis Posterior 6. Pain from Gallbladder felt in Anterior Triangle of neck, this mechanism of Reffered Pain appropraite statement is: A. Vagus Nerve has wide distribution in thorax and most of abdominal organs B. Accersory nerve gives fibers to Gallbladder C. Parasympathetic something 7. Lateral foot dermatome: A. S1 B. S3 c. L4 8. Regarding jerks corresponding with spinal segments: A. Biceps- C6 B. Tricep- C8 All other options were wrong but didnt know what to choose among above two. 9. MELAS syndrome histological finding: A. Loflar bodies B. Inclusion bodies C. Granulomas D. Cyst E. Red ragged fibers (some says inclusion and some say LOFLAR) 10. Giant Cell Tumors histo finding: A. Spotted calcifications B. Soap Bubble appearance 11. Blast Cells in peripheral blood: A. Iron deficiency anemias B. Erythroblastosis fetalis C. Folate deficiency D. Bone marrow depression 12. Most common cause of Hepatocellular CA in developing countries: A. HEP B, C B. Hep C c. Hep B 13. Young adult with raised ALP, jaundice and decreased Hb Scenario A. Cholesterol Stones B. Pigment Stones C. CholangioCA D. Hepatitis 14. Regarding Lymph drainage of breast except: A. Apical B. Supraclavicular Nodes C. Pectoral Nodes D. Inferior Phrenic Nodes 15. Closure of lips involve: or unable to close lips which muscle involved: 1. Depressor anguli oris 2. Depressor labii inferioris 3. Depressor labi superioris 4. Orbicularis oris ans 5. Lateral pterygoid 16. Superior Thyroid artery arise from: A. First branch of Subclavian Artery B. External Carotid Artery C. Internal Carotid Artery 17. Incubation period of which disease is longest: 1. Measles 2. Rubella 3. Chicken pox 4. Infectious mononucleosis 5. Mumps 18. Chronic Fungal infection with rhinosinusitis causing medial erosion and granulomas: 1. Cryptococcosis 2. Mucormycosis 3. Rhinophycomycosis 4. Histoplasmosis 5. Aspergillus 19. Which of following has highest chances of developing endometrial cancer 1. Simple hyperplasia 2. Complex hyperplasia without atypia 3. Complex hyperplasia with atypia 4. Squamous metaplasia 5. Chronic endometritis 20. Regarding CSF 1. Formed by ependymal cells 2. Formed 500ml/day 3. Formed only 30percent by chorioid plexus 4. Arachnoid villi are visible There were two questions about CSF. 21. Age estimation at fifth to 12th week is done through: A. Biparietal diameter B. Crown rump length C. Crown heel length D. Abdominal circumference 22.A sprinter during running had injury to his ankle. He can stand on his toes but with severe pain.. There is a visible ecchymoses around ankle joint: A. Plantaris tendon 23.Otic ganglion is between mandibular nerve and tensor tympani. It’s superior border is formed by: A. Foramen lacerum B. Foramen ovale C. Foramen rotundum D. Styloid process 24. Amoeba causes lesions in which part of gut: A. Terminal ileum B. Cecum C. Ascending colon D. Transverse colon E. Sigmoid and rectum 25. A young boy with inc appetite weight gain and sleep problems. On examination he is having genitals hypoplasia: A. Hypothyroidism B. Pineal tumor C. Craniopharyngioma D. Narcolepsy E. Cushing disease 26. Sensory supply of uterus passes through which ligament: 1. Broad ligament 2. Round ligament 3. Cardinal ligament 4. Uterosacral ligament 5. Uterocervical ligament 27. Highest number of alpha resceptors are present in: 1. Trigone 2. Neck of bladder and proximal urethra 3. Penile urethra 4. Membranous urethra 5. External urethral opening 28. Regarding elbow joint: 1. Capsule deficient posteriorly 2. Covered all around by muscles 3. Hinge joint 4. Supination occurs here 5. Joint between humerus, radius, ulna 29. A needle when inserted 2cm below and lateral to pubic tubercle will be closely related to on: A. Obturator nerve B. Ilioinguinal nerve C. Sciatic nerve D. Femoral nerve 30. Regarding Pterygopalatine Raphe: A. Buccinator B. Inferior constrictor C. Parts from all constrictors D. Middle constrictor 31. Most important characteristic of Glycogen Storage diseases are: A. Hyperglycemia with Hepatomegaly B. Hyperglycemia with splemomegaly C. Hypoglycemia with Hepatosplenomegaly D. Hypoglycemia with Hepatomegaly 32. Buccopharyngeal Membrane: A. Stomodium from Foregut B. Nose from Pharynx 33. PTU: A. inhibits synthesis of thyroid hormones B. inhibits release of thyroid hormones 34. Most common position of appendix: A. Retrocecal B. Pelvic 35. Pretracehal fascia infections spreads to: A. Anterior mediastinum B. Posterior mediastinum 36. Sensations from tip of fingers by: A. a fibers B. a beta fibers C. a delta fibers D. c fibers 37. Shivering center is located in: A. Anterior hypothalamus B. Posterior hypothalamus 38. Which tumor involves extension to nerve sheath: 1. Myxomas 2. Adenomas 3. Hemangiopericytoma 4. Carcinoma expleomorphic adenoma 39. Anterior epithelium of cornea is: 1. Stratified squamous keratinized 2. Simple squamous 3. Simple columnar 4. Stratified Squamous non keratinized 40. A 30 year old woman in azad kashmir was injured mildly in an earthquake that killed many people apart from her distant uncle. She would most probably be in 1. Social crisis 2. Personal crisis 3. Situational crisis 4. Developmental crisis 41. While a surgery on submandibular gland which has more chances of injury: 1. Superior thyroid artery 2. Lingual nerve 3 Mandibular nerve 4. Facial nerve 42. Function exclusively linked with vit E: 1. Carbohydrate metabolism 2. Endothelial protection 3. Skin integrity 43. Which one combination is correct: 1. Thiopental reduces heart rate 2. Profofol increases cerebral blood flow 3. Morphine reduces apnoeic threshold 4. Ketamine causes bronchodilation 44. A 31 year old young man has heaviness in his scrotum for six months. On examination a solid 5cm mass is palpated. On labs his alpha feto protein level was 81ng/ml while bHCG level was 15 IU/l. Same side orchiectomy was done and Which of following could be the cause 1. Leydig cell tumor 2. Embryonal carcinoma 3. Choriocarcinoma 4 Teratoma 45. Which ligament supports odontoid process of axis on atlas( stem not sure) A. Posterior longitudinal ligament B. Anterior longitudinal ligament C. Tranverse ligament D. Ligamentum nuchae 46. A patient came in ER, with bleeding from i guess Femoral Artery something. and due to hypovolemia which will be LEAST affected: A. Myocardium B. Brain c. Retina D. Skeletal Muscles E. Intestines 47. Medial geniculate body A. Receives oculomotor fibers B. Optic tract fibers C. Fibers ascend to thalamocortical areas D. Solely to thalamUS E. Project to Visual Cortex 48. Cerebral Malaria caused by: A. Plasmodium Falciparum B. Plasmodium Malariae 49. C7 Vertebrae has: A. Longest spine B. Broad body 50. PT Is indicated by: A. XIII B. VIII C. IX D. Prothrombin (or Thrombin) was an option (and 7 wasnt in da options) 51. Percentage of Plasma out of ECF: A. 30% B. 20% C. 50% 52. Direct Inguinal Hernia: A. Medial to epigastric Artery 53. Newborn with a Erythroblastosis Fetalis having Bloodgp Bpos what is best for management: Any blood with Rhpostive? cant rem options and correct ones 54. A man during fasting his urine become concentrated because of: A. Decrease intake of water B. Adh secretion 55. Regarding Thalesemia A. Defect in ratio of chains B. Defect in globin production 56. For assessment of nutritional status of a person alongwith weight loss and something u will assess: A. Minerals B. Vitamins C. Albumin and something (Option and stem were imp in this question which no one could recall properly so cant really confirm the answer now and offcourse we most of us didnt know if whatever they marked was right) 57. Most radiosenstive tumour: A. Glioblastoma multiforme B. Glioglioma C. Craniopharyngioma 58. If a person is taking Protein in his diet which will be necessary: A. Riboflavin B. Thiamine 59. Regarding ADH secretion: A. Released in increased Plasma osmolarity 60. Scenario bif on Marfans wid mitral valve prolapse died and on autopsy is prolapse this was due to defect in A. Fibrillin B. Spectrin 61. Group of young men bathing n beech next day develop blisters on back shoulder limbs region cause is: A. Mast cell destruction B. Endothelium venules destruction 62. Obstruction to RCA after giving Marginal branch will affect: A. AV Node 63. Regarding HEART what is appropriate: A. SA Node generates spontaneous impulses. 64. Second Heart sound produced by: A. Closure of aortic and pulmonary valve 65. Left Atrium supplied by: A. LCX 66. Inferior Wall MI artery involved: A. Right Marginal Artery 67. Aortic valve closure outsets: A. Rapid filling B. Isovlumic Relaxation (or Isovolumetric relaxation) C. Isovoulmetric Contraction 68. Highest Cardiac Output in: A. Anemia B. Pregnancy C. Beri Beri 69. Most suitable NSAID during Lactation: A. Ibuprofen B. Peroxicam C. Naproxen 70. Malignant tumour mesenchymal in origin: A. Sarcoma 71. Renal Column: A. Collecting Duct B. Interlobar artery C. Interlobular artery D. Minor calyces 72. 18 year old girl has fever tenderness in right ileac fossa. On labs WBC 17000cells/mm3. Appendicectomy was preformed. Which of the following would be seen on histology 1. T lymphocytes in wall of appendix 2. Polymorphonuclear neutrophills 3. Glissening mass at apex of appendix 73. Myxomas most common location: A. Left Atrium 74. Regarding Bain Bridge Reflex: A. Increases HR B. Decreases HR C. Maintains posture and balance (The Bainbridge reflex, also called the atrial reflex, is an increase in heart rate due to an increase in central venous pressure.[1] Increased blood volume is detected by stretch receptors (baroreceptors) located in both atria at the venoatrial junctions) 75. Surgeons injects dye during surgery through: A. Ligamentum Teres 76. Appendicular Artery is a branch of: A. Posterior Cecal Artery B. Iliocolic Artery (Confirmed by all seniors, donot confuse urself and follow seniors advice) 78. Bladder carcinoma: A. Schistosoma hematobium 79. Regarding Thymus: A. Hassals corpuscles B. synthesis of t lymphocytes within lobule 80.Inion is: A. Part of pterion B. Posteroinferior prominent part of occipital bone C. Posterior to frontal bone D. Internally to occipital bone 81.Function exclusively linked with vit E: A. Carbohydrate metabolism B. Endothelial protection C. Skin integrity D. Germinal epithelial protection (seniors confirmed) 82.Heterophile antibody is seen in: A. Infectious mononucleosis B. Herpes simplex C. Gonorrhea 83.Deep to post digastric and near palatoglossus a structure runs obliquely upwards A. Facial artery B. Lingual artery C. Maxillary artery D. Sup thyroid 84.Nucleus of general visceral efferents of tenth nerve to palate muscles is present in: A. Locus ceruleus B. Tractus solitarius C. Nucleus ambiguous D. Nucleus raphe 85.Which tumor involves extension to nerve sheath: 1. Myxomas 2. Adenomas 3. Hemangiopericytoma 4. Carcinoma expleomorphic adenoma 86.Loss of abduction and adduction of fingers and adduction of thumb with intact skin sensations involves: 1. Recurrent branch of median 2. Deep branch of ulnar 87.A 52 year old man underwent coronary artery bypass graft two weeks ago and now presents with purpuric patches on skin. On labs his PT and aPTT were normal. Following is true: A. Heparin induced thrombocytopenia B. Drug induced thrombocytopenia 88.Regarding pneumotoxic center following is true: A. Increases inspiratory potential B. Fires dynamic respiratory drive 89. What is correct about thyroid: A. Supplied by 3 paired arteries B. Surrounded by prevertebral fascia C. Isthmus attached to cricoid D. Venous drainage in bracheocephalic vein 90. Regarding Pituitary gland: A. Secretes TSH 91. Color differentiation due to red and green: A. Protonopia 92. Dental carries due to: (or infection due to) A. Bacillus B. Lactobacillus C. Sretptococcus D. Staph 93. Layer of the viscera from outermost to innermost: A. Serosa subserosa muscularis mucosa submucosa mucosa (all of the options were very close and with slight shuffling) 94. Dysphagia due to liquids only: A. Plummer Vinson syndrome B. Neuromuscular blockade 95. Cholangiocarcinoma spread by: A. Clonorchs sinuses 96. Post 1/3 of the tongue supplied by: A. Cranial nerve 9 97. Blood group A+ transfusions reaction due to: A. A+ B. B+ C. OD. A- 98. H2O2 found in: A. Peroxisome B. Mitochondira c. Lysosome D. RER 99. ICAM and VCAM are for: A. Leucocyte adhesion 100. Breast atrophy in young female is due to: A. Estrogen B. Estrogen and Progesterone C. Progesterone 101. Regarding cancer mutations in: A. Protooncogen 102. Essential amino acid: A. Phenylalanine 103. Fecal incontinence after trauma damge to: A. External anal sphincter 104. Joining of ICA and Basilar artery: A. Posterior communicating Artery 105. Regarding BI Agonists: A. Increase HR 106. Poliomyelitis: A. Anterior horn cell defect 107. Scenario about CHF than asked about reason for edema: A. Dec Colloid osmotic pressure 108. Regarding P Value: A. Checks probability B. Percentile something.. 109. Regarding H2 Blockers: A. Inhibits both gastric acid secretion and parasympathetic 110. Mechanism of Vibro cholera: A. Cl channel B. dec HCO3 C. IP3 something Cant really recall correct statements about this questions so its better to read the topic and save it in ur mind if question comes again you can choose da correct one 🙂 111. Two point discrimination: (repeat mcq) A. Scapula B. Lips C. Palms 112. Spread of renal tumor will be through: A. Renal Vein 113. About ankle joint: A. Supplied by superficial artery B. Supplied by superficial paroneal nerve C. Fibrocartilage on hialine surfaces D. lateral mallaeolar ligament on medial side E. Deltoid is on malleolar side we had so many questions who had such vague statements, and missing key words. so cant really decide the mostt appropriate one for this question also. (It supplied by deep peroneal, saphenous, sural and tibial nerves. Occasionally, the superficial peroneal nerve also supplies the ankle joint) 114. Regarding Lesser Omentum: A. Contains Hepatic DUCT and artery B. Attaches to second part of duodenum C. is a bilayer structure D. have no attachment to liver 115. Nucleous Pulposus herniation will cause compression of: A. L5-S1 (OR L4-L5) was in a option other options seemed incorrect 116. Retention of C02: A. Respiratory failure 117. Lymph drainage of Testes: A. Paraaortic LN 118. Regarding Lower Limb: A. Short Saphenous Vein form from superficial arch something. B. Long Saphenous ends at mid of thigh (so hard to recall this question options, they were weird n confusing. better to read the topic) 119. Antiseptic for skin: A. Phenol with clorhexidine Cant recall other statements but i guess i have seen this question somewhere. 120. Cardiac disease scenario wad there and they asked about the fluid accumulation, proteins more than 3.2 g/dl: A. Exudative B. Transudative 123. Scenario was given about massive splenomegaly: A. Leishmanias B. Chornic Malaria (Both does so choose da option on ur own risk 🙂 124. Repeat mcq from asim regarding gray matter foot processes: A. Protoplasmic Astrocytes 125. Most important renal tubular buffer is: A. hB B. hC03 C. Protein D. Phosphate 126. Cause of global blindness: A. Herpes Simplex B. Rubella C. Chlamydia Trochamatis 127. Which is normal HB: A. HbA B. HbF C. HbC 128. Thalesemia carrier percentage in Pakistan: A. 5% B. 10% C. 15% 129. Surgery for removal of ovary done which is damaged: A. Internal Iliac Artery B. External Iliac Artery C. Uterine Artery 130. In respiratory Alkalosis renal compensation is: A. NaHC03 excretion About 10 or 15 repeated. so do Asim n Shoaib well! There were questions about: • Cruciate Anastamosis • Medical Geniculate Nucleus • Internal Thoracic Artery • Pituitary Tumour • Meningitis type values were given • Resp Alkalosis n compensation • Cervical Vertebra osteology • Foreign body in Supine Position • Development of brain which give rise to which BY: DR. SEA SHELL SURGERY FEB 2015 4TH FEB 2015 Q1.Diabetic ketoacidosis pt managed bt died.most likely infection is? a.mucur [ANSWER] b.candida c.E.coli Q2.The specific feature of Apoptosis a. cell shrinking [ANSWER] b. karyolysis c. hyperchromasia d. cell swrlling Q3.A tumor with all germ layers a. teratoma[ANSWER] b. mixed mesodermal tumor c. cysts Q4.An obese man with h/o atherosclerosis underwent laparotomy due to bleeding in abdomen n during surgery, his small gut was purple n sup mesenteric artry was blocked , so what is dx a. wet gangrene [ANSWER] b. dry gangrene c. thrombosis d. volvulus Q5. ADH is inhibited by a. alcohol[ANSWER] b. aldosteron c. rennin Q6. Wound of surgery with green discharge is due to a.pseudomonas [ANSWER] b. salmonella c. candidiasis d. mycobacterium Q7. Hiv associated with a.decreased CD4[ANSWER] b. cytotoxic T cell Q8. Open wound healing includes a.myofibroblast[ANSWER] b.fibroblast c. macrophages d. lymphocyyes Q9. S1 is lost so there will b a. ulcer on medial n lat sole b. loss of sensation on lat leg c. flexion of ankle affected d.loss of ankle jerk [ANSWER] Q10.Cardiac out put depends on a. venous return [ANSWER] b. exercise c. stroke volume or [ANSWER] d. EDV Q12.Following has highest clearance value a. inulin b. para amino hippuric acid [ANSWER] c. K d. Na Q13.Apex of heart is a.about 8cm from mid line[ANSWER] b. in 3rd intercostal space c. inguinal canal d. pulmonary trunk Q14.FRC is sum of a. vital capacity plus tidal vol b. vital capacity plus exp reserve vol c. ERV and RV [ANSWER] d. can b measured on spirometry Q15. A girl of 11 yr was reffered to x ray department for xray of elbow joint to know age, a. capitulum b. trochlea c. med epicondyle d. lateral epicondyle [ANSWER] Q16. Quadrate lobe a.functionally part of rt lobe b.drains into left hepatic duct [ANSWER] c.lies betweem inf vena cava and lig venosum. Q17. Intrinsic pathway is activated by a.contact of tissue collagen when it comes in contact[ANSWER] b. factor X Q18.Which is not a ‘basic tissue of body’? a.nerves b.muscles c.blood [ANSWER] d.epithiliuem e.connective tissue Q19.Cervical rib attached to trverse process of cevical rib will compress: a.C5 b. C8 c.T1 [ANSWER] Q20. Aortic aneurysm which structure not compressed: a. Esophagus b. Trachea c.left primary bronchus d.Thoracic duct e. Phrenic nerve [ANSWER] Q21. Resting membrane potential achieved by: a.diffusion of potassium outside the cell b.Na K pump [ANSWER] c.is same for all types of cell Q22. What is median if values are 20 20 25 30 35 40 25 30: a.27.5 [ANSWER] b.25 c.30 Q23. Dead organisms in vaccine : A. Measles B. Mumps C. Tetanus d.pretussis [ANSWER] Q24. Esophagectomy done , stomach is mobilized to upper portion of thorax .. To anastomosis with phayrnx, Which artery is responsible for stomach supply now a.left gastric [ANSWER] b.Right gastric c.Left gastroepiploic d.Short gastric vessels Q25. Patient is pregnant and suddenly faints due to less blood ot brain or something. She’ll be positioned in left lateral and not right lateral to avoid compression to which abdominal structure: a.IVC [ANSWER] b.SVC c. Liver Q26. Post op wound having greenish pus discharge organism involved: a. Staph Aureus b.pseudomonas [ANSWER] c. Streptoccocus Virid d. Kliebsella Q27. Common carcinogen of Ca cervix: a.HPV [ANSWER] b. HSV c. Chronic irritation d. IUD Q28. Chronic Myeloid Leukemia a.chromosome 9&22 [ANSWER] b. chromosome 11& 22 C. chromosome 14 & 22 Q29.common Post op infection in hospital cause by which organism : a. Staph Aureus [ANSWER] b.pseudomonas c. e.coli d. Kliebsella Q30. Steroids drug action on cells: a.act on genes [ANSWER] b. Adenyl cyclase c. CGmp d. Ip3 Q31.claw hand produced by unopposed action of a.flexor digitorum longus and flexor digitorum profundus b.extensor digitorum longus and extensor digitorum indices c.extensor digitorum and flexor digitorum profundus [ANSWER] Q32.blood supply of head of humerus is a.anterior circumflex artery [ANSWER] b.posterior circumflex artery c.suprascapular artery d.subscapular artery Q33. Organelle have microtubules in its structure: a. Golgi apparatus b. Mitochondia c.centriole [ANSWER] Q34.blood supply of head of femor is a.femoral artery and obturator artery b.obturator artery ? Q35.function of anterior cricuiate ligmant is a.prevents forward sliding of the tibia on the femur [ANSWER] b.prevents backward sliding of the tibia on the femur Q36.if iodine is nt used for formation of thyroid hormorne,then iodine excreted which site of the body a.stool b.urine [ANSWER] c.salivary gland Q37. Mucus not secreted by: a. Larynx b. Trachea c.terminal bronchioles [ANSWER] d. Nasopharynx Q38.coagulative necrosis occurs due to a.ischmia [ANSWER] Q39. A man of 70 has recurrent UTI cause (No clue was mentioned regarding bedridden): a. Instrumentation b.outflow obstruction [ANSWER] c. Diverticulum d.catheterization Q40. Plasma Protein Binds With All Except: a.oxygen [ANSWER] b. CO2 c. Iron d. Bilirubin e. Thyroxin Q41. Which drug cause tachycardia in therapeutic doses: a.morphine [ANSWER] b. Fentanyl c.afentanyl d.pethidine Q42. Highest bioavailability of anti emetics: a.metaclopromide [ANSWER] b. Qdansetron Q43.f there is abnormal metabolism of amino acid.which of the following amino acid will appear in urine a.alanine b.tryosine c.tryptophan Q44.nerve supply of extensor digiti minimi a.deep radial nerve [ANSWER] b.superfcial radial nerve Q45. Pregnant lady anaemic, Best lab investigation: a.S. ferritin b .CBC [ANSWER] c. TIBC Q46. HIGHEST % OF PROTEIN IN WHICH: a. VLDL b.HDL [ANSWER] c. LDL d. Chylomicrons Q47.Rotator cuff is formed by a.supraspinatus,infraspinatus,teres minor and subscapularis [ANSWER] Q48. Decrease Insulin will leads to: a.Increase activity of Lipoprotein Lipase b.ketogenesis in liver [ANSWER] Q49.the structure which prevents muscle from tearing under a constant pressure a.ruffinis endings b.golgi tendon organ [ANSWER] c.merkle cells d.muscle spindle Q50. First heart sound: a. Atrial systole b.isovolumic contraction [ANSWER] c. Isovolumic relaxation d. Rapid ejection Q51.regarding golgi tendon organ it a.senses dynamic length of muscle b.senses muscle tension [ANSWER] c.alpha motor neuron stimulation d.involved in reciprocal innervation Q52. 55yrMan With Weakness And DysphagiaTarget Cells, Blood Profile With : a. AOCD b.iron deficiency anemia [ANSWER] Q53.optic chiasma lesion causes a.bitemporal hemianopia [ANSWER] b.right homonymous hemianopia c.left homonymous hemainopia d.ipsilateral temporal hemianopia Q54. Antioxidant Vitamin: a.vit A b.vit E [ANSWER] c. vit C Q55. Which of the following does not increase in stress for surgery: a.ADH b.insulin [ANSWER] c. Glucagon d. ACTH Q56. Biguanides side affects: b. Elevated ALT b.diarrhea and flatulence [ANSWER] Q57. Patient with Gastrectomy presents with Anemia after One and half year, what will you give: a. Vit C b.VIT B12 [ANSWER] c.Iron d. Blood transfusion Q58. Data is collected for some clinical trial based on presence or absence of Vomiting. What type of data it is a. Ordinal b.nominal [ANSWER] c. Parametric Q59. Aphasia (Non-fluent) after stroke or Trauma which area of Brain is involved: a. Wernickes b.brocas [ANSWER] c. Temporal region d. Pyrimidal gyrus Q60. What cytoskeletal structure connects Extracellular matrix to Intracellular: a. Integrins b.cadherins [ANSWER] c. Intermediate Filaments d. Microtubules Q61. Wich Antiemetic has high bioavailability: a. Prochlorthiazide b.metoclopramide [ANSWER] c. Ordetron d. Droperidol Q62. Cardiac defects in fetus of mother suffering from rubella infection will occur if: a. 3 rd month b. 4 th month c.5th to 10th week [ANSWER] d. 7 th month. Q63.in chorea which nucleus effected a.putamen b.caudate [ANSWER] c.globus pallidus Q64.in athetosis which nucleus effected a.putamen b.caudate [ANSWER] c.globus pallidus Q65. Downs Syndrome: a. Extra chromosome b.increase incidence with increasing mother age [ANSWER] Q66. Pulmonary vasoconstruction occurs due to: A. Raised PCO2 b.reduced systemic po2 [ANSWER] C. Reduced pH Q67. Most imp buffer in blood: a. Hb b.HCO3 [ANSWER] Q68. Which vitamin act as cofactor in oxidation of fatty acids: a. Vit B1 b.biotin [ANSWER] c. Vit C Q69.oxytocin and vasopressin originated from: a.Neurohypophysis b. Adrenal medulla c.hypothalmus [ANSWER] Q70. If FACTOR IX not available: a. Cryoprecepitate b.FFP [ANSWER] c.platelets d.whole blood Q71.in von willebrand factor which one is given a. Cryoprecepitate [ANSWER] b.FFP c.platelets d.whole blood Q72.Lt kidney is not related anterioly to A. Diaphragm [ANSWER] b. splenic flexure colon c.3rd part of deudonum Q73.On xray,shadow of heart,right border is formed by a.Right atrium b. Ascending aorta c.Left ventricle d.SVC [ANSWER] e.IVC Q74right border of heart is formed by a.Right atrium [ANSWER] b. right atrium and svc c.Left ventricle d.SVC e.IVC Q75.whic artery occlusion cause posterior 1/3rd of inter ventricular septum m.i a. left c artry b.rca [ANSWER] c. inter ventricular artery Q76.golgi tendon organ is associated wth: a.measurement of length in muscle [ANSWER] b.measurement of tension developed in muscle [ANSWER] Q77.Metaplasia a.Increse in numbr of cell b.Size Increase c.transformation of one with other epithelium [ANSWER] Q78.patient with seizures hypotonia anticalcium antibodies present what is the diagnosis a.duchene b.beckar c.lambert eaton syndrome [ANSWER] Q79. which of the following drain into superior mesentric lymph node? a.Jejunum [ANSWER] b.4th part of duodenum c.Desending colon d.cecum Q80.Fever chills 10 days. Pain in chest on lying.structure involved a.pleura b.pericardium [ANSWER] c.myocardium Q81.The muscle that causes eversion of foot. a.Tibialis post b.peroneus longus [ANSWER] Q82.Burkits lymphoma? a.CMv b.EBv [ANSWER] c.Malaria d.Hiv Q83.Post synaptic sympathatic mainly secretes a.Acetylecholine b.nor epinephrine [ANSWER] c.adrenalline Q84.muscle is stretched,relaxation will occur due to: a.muscle spindle b.golgi tendon organ [ANSWER] Q85.Cervical carcinoma s associated wd? a.Trichomonas vaginalis b.HPV [ANSWER] c.Candida albican Q86.Parotid gland a.Lat pterygoid lies anterior to pterygoid b.ext carotid passes through superficial gland c.facial nerve supplies it Q87.Broder, s classification of tumour a.degree of differentiation [ANSWER] b.degree of mitosis c.grading on histopathology Q88.mucus not secreted by a.larynx b.terminal bronchioles [ANSWER] c.trachea d.nasopharynx Q89.Effect of drug on a body a.pharmakokinetics b.pharmodynamics [ANSWER] Q90.Most common known cause of hepatocellular carcinoma in developing countries a.Hepatitis B b.Hepatitis C c.both hep b and hep c [ANSWER] Q91.Carpal Tunnel Syndrome a. Anesthesia of thenar muscles b.wasting of thenar muscle [ANSWER] c.Injury to ulnar nerve d.Injury to radial nerve Q92.Gluteus medus and minumus cause a. Adduction and lateral rot b.abduction and medial rotation[ANSWER] c.Extension d.Flexion e. Standing from sitting Q93.para sympathetic stimulation cause .. a.periphral vaso dilation b.decrease heart rate [ANSWER] c.thick and viscus saliva sectetion Q94.widest epidural space?? a.just below foraman magnum b.L2 [ANSWER] c .T12 Q95.Which one is used for beta oxidation of fatty acifds and CHO a. biotin [ANSWER] b. pantathenic acid c.vit B12 Q96.Which is not blood supply of scalp a.occipital artery b.maxillary artery [ANSWER] c.supra orbital artery d .supra trochlear artery Q97.Pancreatitis in fluid accumulation?? a.Sub diapgrm b.Sub phrnic c.Para colic gutter [ANSWER] d.lesser sac Q98.Extent to which tissue disturbed by occlusion of its venous or arterial supply does not depend on a.anatomical pattern of vascular supply b.velocity of blood in tissue [ANSWER] c.general state of blood Q99.Anion gap a.difference b/w measured cation and unmeasurd anion [ANSWER] Q100.infective endocsrditis diagnostic investigation? a.ASO titre b.blood culture [ANSWER] Q101.Essential fatty acid? a.linoliec acid [ANSWER] b.palmatic acid Q102. a pt with histry of bleeding gums n wounds prolongd bleeding time and PT 28SEC ( control 12sec) wats the diagnosis? a.heamophelia b.christmis c.won wiliband disease d.factore 7 deficiency [ANSWER] Q103.drug which is analgesic but not anesthetic a.desflurane b.isofurane c.nitrous oxide [ANSWER] Q104.if circumflex branch of left coronary artery is blocked which area will b effected,,, a.anterior surface of left ventricle b.posterior surface of left ventricle [ANSWER] c.interventricular septum Q105.regarding cimitidine intake what effect causes a. Agranulocytosis b.inibition of hepatic enzymes [ANSWER] c.anti estero genic effect Q106.a drug causing ↑GFR will do it by following mechanism a.↓ing bLOOD flow b.increasing hydrostatic pressure Q107.Plasmodium falciparum causes: a.Hemolytic anemia b.black water fever [ANSWER] Q108.axone arise from conical shape part of neuron cell body called. a.perikaryot b.axon hillocks [ANSWER] c.Dandrites Q109.peptic ulcer profusely bleeding from posterior wall o duodenum…which artery involed? a.gastroduodenal [ANSWER] b.gastroepiploic Q.110.Epithelium of kidney is developed from a. endoderm only b. ectoderm only c. mesoderm only [ANSWER] d. endoderm + mesoderm e. ectoderm + mesoderm Q111.deep inguinal ring is present in a.transversis abdominis muscle b.transversalis fascia [ANSWER] c.internal oblique muscle Q112.wash red bloood cell use to abolish a.hypersensitivity [ANSWER] b.Infection c.Transfusion reaction Q113.Scrotal carcinoma – spread to a. Deep inguinal b.Superficial inguinal [ANSWER] c.Para-aortic Q114.parathyroid glands are developed from a.1st pharyngeal pouch, b.2 pouch c.3rd pharyngeal pouch d.4th p pouch [ANSWER] both 3rd and 4th correct Q115.In IV drugs abusers a. Libman Sacks endocarditis b.bacterial endocarditis [ANSWER] c. Mitral valve carditis d. Rheumatic fever or heart disease Q116.true abt vertebral column A.cervical nerves originate above crresponding vertebra [ANSWER] B.vertebral artery arches ant part of post arch of axis Q117.papillary carcinoma of thyroid occurs due to a.radiation [ANSWER] Q118.seminoma in male ,if same origion occurs in overy then its called a.yolk sac b.embrynal c.dysgerminoma [ANSWER] Q119.which of the following is premalignant lesion a.lichen planus [ANSWER] Q120.ewing sarcoma occurs which site of bone a.diaphysis [ANSWER] b.epiphysis c.metaphysis Q121.spermatogenesis is stimulated by a.fsh b.testosterone c.LH d.FSH and testosterone [ANSWER] Q122.an old diabetic develops sensory abnormalities of left foot and ulcer of big toe .the pathogenesis of this condition is best described by a.angiopathy with neuropathy [ANSWER] b.accelerated atherosclerosis c.microangiopathy d.vascular occlusion with infection Q123.a pt is having generalized pain,and taking nsaid drugs,nw developed swelling n big toe, wht will b present in fluid a.mono sodium urate crystals [ANSWER] Q124.type 1 hypersensity reaction Q125.cardiac reserve a.increase in athelete [ANSWER] Q126.regarding neutrophil correct statment is a.migrate into and out of blood stream [ANSWER] b.more phagocytic n blood stream c.decrease n infective carditions d.decrease whn corticosteroid given Q127.regarding vit k a.is a water soluble b.produced by intestinal bacteria [ANSWER] c.present n large amount n human and cow milk Q128.human placenta has a.amnion on its fetal side [ANSWER] b.chorio allantoic placenta c.get separated along the stratum spongiosum d.get seperated whn is rupture of may uterine arteries Q129.regarding vertebra a.31 pairs of spinal nerve b.each cervical nerve arises above the crossponding vertebra [ANSWER] Q130.regarding occulomotor nerve a.arising from trigeminal gangalion b.all the fibers going to sphincter pupillae muscle parasympathetic [ANSWER] Q131.ulcer caused by anarobic staphyloccus a.arterial ulcer b.venous ulcer c.marjulan ulcer Q132.epididymis drain into a.vasdeferens [ANSWER] b.ejaculatory duct c.seminal vesicle Q133.person naked n room,temperatue 21 centigrade ,humidity present,loss of heat by. a.insensible perspiration b.sweating c.conduction and radiation [ANSWER] d.urination Q134.a pregant lady has bile duct obstruction,which s marker best a.gama glutamyl transferase [ANSWER] b.LDH c.ALT d.alkaline phosphatase Q135.regarding lesser sac a.double peritonal layer [ANSWER] Q136.congenital catract caused by a.rubella [ANSWER] Q137.lidocaine mechanism of action a.blocks na channels [ANSWER] b. block k channels Q138.extent to which tissue distrurbed by occulsion by its venous or arterial supply doesnt depend on a.velocity of blood in tissue b.anatomical pattern vascular supply c.general state of blood Q139.when head of fetus became exactly half of the length at crl a.3 month [ANSWER] b.4th mont c.7th month Q140.malignant neoplasia which rarely metastasized a.basal cell carcinoma [ANSWER] b.breast carcinoma c.bronchial carcinoma Q141.most appropriate about clavipectoral fascia a.covers pectoral minor [ANSWER] b.covers pectoral major Q142.lysosome has secretion against bacterial iron, bkz thy contain a.hydrolases [ANSWER] b.oxidases Q143.normal t cells and low b cells and mild anemia a.bruton [ANSWER] b.aplastic anemia c.thallasemia Q144.cricoid cartilage Q145.blood supply of heart is regulated by a.local metabolites [ANSWER] Q146.coronary artery corpus callosum forms a.join 2 hippocampus b.posterioly forms a ridge c.join parts in same cerebral hemisphere Q147.about small intestine true is a.valvae connivents most numerous in ileum b.mesentry start from the rite of L2 c.valvae connivents 5mm wide d.small intestine 6-8 meters long [ANSWER] Q148.right horizontal semicircular canal stimulated a.head tilt to right [ANSWER] b.head tilt to left Q149.end product of purine metabolism a.uric acid [ANSWER] Q150.basic scavengers a.macrophages [ANSWER] Q151.great cerebral vein does not drain into a.occipital vein [ANSWER] Q152.acute inflamation protein more thn 3 a.exudate [ANSWER] Q153.regarding gap junctions Q154.recurrent ulcers n mouth a.atrophic stomatitis [ANSWER] Q155.orofecal transmission a.hep e [ANSWER] Q156.elderly with scenario of malnutrition the most unlikely is a.thromocytopenia [ANSWER] Q157. cause of death in clostridium infection a.toxemia [ANSWER] b.toxic shock syndrome Q158.vocal cords atrophy Q159.correct about aorta a.lies to rt of cisterna chyli b.divides at L5 c.give branches to parities at L1 d.gives renal arteries at L2 [ANSWER] Q160.a girl has midline neck swelling ,histology shws normal thyroid tissue ,which epithalium a.simple columner wid ciliated cells b.cuboidal follicular [ANSWER] c.stratifed squamous Q161.a child came with bleeding , which investagation will u do a.aptt [ANSWER] b.bleeding time c.clotting time d.pt Q162. farmer wid migratory lesion on foot a.leismania b.strongyloides stercoralis c.cutaneous larve migran [ANSWER] Q163.nerve loss in urogenital ,which nerve is severed a.obturator b.pudenal [ANSWER] Q164.true about throacic duct ,drain into a.right brachiocephalic b.svc c.at confluence of left subclavian and left jugular [ANSWER] Q165.a man comes ist time to pak,develops fever thn coma,on investagation 10 percent platelets ,wbc dec? a.memingoencephalitis b.dengue c.falciparum [ANSWER] Q166.main class associated with antigen presenting cells a.mhc1 b.mhc2 [ANSWER] Q167.about posterior triangle correct statement is a.apex is mid of clavicle b.formed by ant border of sternocleidmastoid c.contains subclavian,three trunks of brachial plexus [ANSWER] Q168.tumor n children with blue cells and high levels of catecholamines a.nephroblastoma b.neuroblastoma [ANSWER] c.wilms tumor Q169.abt trichomonas vaginalis correct is a.can b a commensal n vagina b.sexually transmitted [ANSWER] c.treated wid quinolones Q170.gustarty sweating is caused by a.submandibular excision b.superficial parotectomy [ANSWER] c.wisdom tooth extraction Q171.regarding thyroid a.lympatic drainage n deep cervical lymph node [ANSWER] b.isthmus is level of c4 and c5 c.its covered by prevertebral fascia Q172.secondry center of ossification is a.epiphysis [ANSWER] b.diaphysis c.metaphysis Q173.which of following predisposes carcinoma of billery system a.clonarchis sinensis [ANSWER] b.taenia solium Q174.which of the following is hypovoliume. a,oliguria [ANSWER] Q175.starling effect a.increase venous return [ANSWER] Q176.slow growing tumor of parotid gland a.pleomorphic adenoma [ANSWER] Q177.propulsive movement of intestine effected ,due to lesion of a.aurbach [ANSWER] b.myentric pleuxes Q178.absolute lymphocytes with b sore throat a.infectious mononucleosis [ANSWER] Q179.K excretion n diet distal tubules a.distal tubules [ANSWER] Q180.narrowest part of urethra a.external meautis [ANSWER] Q181. ca prostate spread by a.vertebral plexus [ANSWER] Q182.INH a.pyridoxine [ANSWER] Q183.after non-lethal MI in 4 minutes a.arrhythmias [ANSWER] b.complete recovery Q184.Artenoid cartilage a.give attachment to inferior constrictor [ANSWER] Q185.opsonization occurs a.help of c3b [ANSWER] Q186.subdural hematoma a.diploc fracture [ANSWER] Q187.fracture of 9th and 10th ribs will cause injury of which organ a.spleen [ANSWER] b.pancreas BY: DR. BADAL KHAN. SURGERY APRIL 2015 22 APRIL 2015 Q1. Saphenous nerve terminal br of A. femoral B. obturator c.sciatic Q2. Adductor muscle hamstring muscle supplied by which nerve A . tibial B. Obturator C.femaoral D.common peroneal Q3. gracillis nerve supplied by , A.obturator nerve b. femoral c. common peroneal Q4. Adductor brevis supplied by,, A. ant branch of obturator nerve b.femoral c.common peroneal Q5. Fracture of surgical neck of humerus, artery damaged, a.axillary nerve B.post.circumflex humeral Q6. common bile duct parts,, a. omental, retroduodenal, paraduodenal B. omental, retroduodenal, paraduodenal, intaduodenal c.retroduodenal, paraduodenal, intraduodenal Q7.human intermediate host ,, A. hydatid cyst Q8.loss of small muscle of one hand damage, A. C8,T1 B. ulnar c.radial D. C5 C6 Q9. inion landmark for what, a. glabella b. pterion C. extrnal occipital prominence D. internal occipital groove Q10. gastroduodenal artery branch of, A.right hepatic artery b.celiac c.splenic Q11. regarding tramadol true is, a.kappa nd meu b.strong kappa c.weak kappa d.strong meu E.weak meu agonist Q12.ketorolac analgesia most preferable,, a.Thoractosy patient with ozzing blood from wound b. hernoraphy wid patient of peptic ulcer C.Non diabetic cholecyctectomy D.Asthmatic patient having inguinal hernia repair Q13.Radiotherapy most sensitive to, a.craniopharyngioma b.pineal tumor c.midbrain glioma D.glial glioma[confirm it ] Q14.bilateral exopthlmos, antithyroid antibody present,, A.graves b.hashimotos Q15.epitheial changes in endocervix in squamous tissue due to ,, A.metaplasia b.dysplasia Q16.normal rasonance area in,, A. right 2nd to 4th midclvicular line b. right 4 to 6 midclavicular c.left 2nd to 4 mid clavicular d.left 2nd to 4 midaxillary Q17.internal carotid a damage, bleeding, at what vertebral tubercle u will press to stop bleeding,, a.3rd b.4th c.5th D.6th e.7th Q18.cysticercosis caused by,, A. ingesting eggs of tenia solium b.ingesting cysts of tenia solium c. eating uncooked meat d. eating uncooked mutton Q19. which drug has more effect on coxII than cox I ,, a.aspirin B.celexocib c. nalproxane d.ketorolac Q20. Internal oblique muscle aponeurosis,, a.form conjoint tendon b. post boundary of inguinal canal c. external spermatic fascia D.conjoint tendon Q21. RCA after ginving marginal branch obstruction affect ,, a.SA node B. AV node c. apex of heart d.right atrium Q22. penile urethra rupture ,, A. scortum under colles fascia b.tunica vahinilis c.thigh d.deep fascia Q23.which one is benign tumor,, A. warthin Q24.middle rectal artery branch of, ,, A.internal iliac b.femoral c.common iliac d. superior mesenteric Q25.right testis tumor nodes drain into , A. paraaortic b. righ deep inguinal c.superficial inguinal Q26.Chlamydial infection causing chlamydia psittacosis is,, A.obligate intracellular b.DNA derived from host Q27.scenerio of granuloma wid yellow pigment ,, A. actinomyecets Q28. painful papule at labia ,,, a. hsv II A.hsv I [ confirm it by urself] c. vz d. CMV Q29.most perinium and pelvis nerve supplied by,, A.pudendal b.femoral c.obturator Q30.maintain flexor tone arm by ,, a.corticopinal b.corticobulbr c.reticulo spinal D.rubro spinal Q31.lower motor neuron lesion… A.muscle wasting b.hyperreflexia c.positive Babinski d. spasticity Q32.hemisetion with total spinal section differentaiad by ,, a.paraplegia in extension b. degre of reflex activity c.sensory loss permanent D.spinal shock Q33.which one is most common exocrine pancreas tumor ,, A.ductal adenocarcinoma b.acinar adenocarcinoma c.mixed d.intraductal Q34.delayed action of insulin,,, a.glucose inside cell b.potasium inside cell c.inhibit protein catabolism d. protein synthesis E. stimulate mRNA transcription for lipogenesis [confirm it by urslf ] Q35.gas having mximum diffusion capacity in body fluids,,, A. CO2 b.CO c.He d.O2 Q36.dec PO2 in blood.. a.CO poisoning B.hypoventiltion c.anemia d.cyanide poisong e.hypoventilation Q37.A person living on river side since 2yrs, having blindness, opthalmologist indentify which larva,,, A.onchcerosis b. wucheria c. loa Q38.during surgery thyroid nerve present to a distance to superior thyroid artery, A.externl lyryngeal b.internal laryngeal c.recurrent Q39.antrum of stomach removed wht happen , a.dec compliance b.inc acid output c.increase gastrin Q40.margins of TB ulcer, A.undermined b.everted c.inverted Q41. ulcer due to hypertension,, a.decibuts b.marjolins C. martorell d.bazin Q42. PTU: A. Inhibits synthesis of thyroid hormones b.lt homonymous hemianopia B. Inhibits release of thyroid hormones Q43. Right optic tract lesion causes,, a.right homonymous hemianopia b.left homonymous hemianopia Q44.Internal laryngeal nerve passes through,, a.Arytenoid n cricoids cartilage b.Cricoid n thyroid C.Thyroid n hyoid Q45. prgnanacy related senerio, PT and APTT inc (too long scenario but answer DIC : A.DIC Q46.which is used for screening congenital abnormality,, A.Estrol b.estrione c.estradiol Q47.phenyl over alcohol anaesthesia ,, a. effect detected soon B.less painful c.phenol most potent Q48.patient developed hemolysis due toG6PdD deificiency nxt happen,, A.self limiting b.hemolysis with G6PD c.autosomal domint Q49. Primitive streak mesoderm cells migrate around the cloacal membrane to form ant. Abdominal wal cell, if ths migration does not hapen around the cloacal membrane will ruptureand open caudly as. A. exstrophy of bladder b.imperfrate anus c.hypospedia d.ectopic anal opning Q50.liver development , a.from dorsal mesentry proximal midgut B.from ventral mesentry proximal foregut c. from ventral mesentry distal foregut d. ventral mesentry proximal midgut Q51.which one drain into left brachiocephalic vein,,, a. sup thyroid b.middle thyoid C.inf thyroid d. facial Q52.64 year Old man with posterior cervical lympadenopathy which is firm and mobile. Hb 13-14 hct 40 wbc 7230 plateletes 250000 no hepato splenomegaly seen biopay showed numerous small monomophic lyphocytes,, a.infectious mononucleosis b.hodgkin lymphcyte predominant c.CLL d.reactive hyper plasia Q53.hb 10, O2 sturation 90, PO2 60 , ask abt to calculate O2 contents,, a.10 B.13 c.18 d.21 Q54.girl with h/o of gum bleeding, giant platelets , plt count 85k, ,,, A.vonwillibrand b.bernaud solier c.familial thrombocytopathy d.thrombocytopenia e.ITP Q55.thiazide and loop diuritc given work simultaneously in excretion of Na and chloride from,, a.ascending loop of henele b.proximal tubult C.distal tubule d.descending limb Q56. required for transport of B12 in blood, a.intrinsic factor b.TC 1 C. TC2 d.TC 3 Q57.terminal ileum removed what happens,, A.large amount of water in feces b. decreased amino acid absorption c.increased bile acid and entero hepatic circulation d.increased fat absorption Q58.protein content less in glomerular filtrate occur due to , A.pore size and negative charge b.rapid active transport absorbtion Q59. increase in aldosterone due to inc in, A. HIGH K b.angiotensin 2 Q60.35 year old man bilateral crepts, on xray chest heart fills completely,mass in rt ventricl , what wil b the main cause.. a.mesothelioma b.rhabdomyosarcoma c.angiosarcoma d.myxoma Q61.about flexor hallucis longus,, a.tendion can be felt immediately post to medial maleolus b.inserted on first metarsal base Q62.superficial parotid painless tumor, psudopoid growth, contain no capsule on histopatho ,, A.pleomorphic b.warthin c.mucoepidermoid d.cyst adeno carcimona Q63.Hypertensive ulcer a.bazin B.Martorel c.curling d.decubitus Q64.Reflexes correctly marched,, A.Bicep c6 b.triceps C8 c.abdominal L5 S1 d.knee L4 L5 Q65.Rt ovarian vein drains into,, A. IVC b.renal vein Q66.regarding posterior communicating artery,, a.connect post cerebral to internal carotid b.connect post and middle cerebral c. pass anterior to occulomotor and connect internal carotid with post cerebral D.Its coonects internal carotid with posterior cerebral e.connect post cerbellar inernal carotid Q67.ADH is inhibited by, A.alcohol b.increased plasma osmolarity c.angiotensin 2 d.dec ECF Q68.large Bolus stuck after eating what will happen next, a. Its never happens b.swallowing centre activated C.secondary persiatlisis will be generayed by intrinsic nervous sytem to remove it Q69.whn will u do dilaysis whn gfr decreases by %,, A. 5 b.20 c.30 d.40 e.50 Q70.feature of malignancy,, a.Invasion B.metastasis c. high N C ratio Q71.Death of Gas gangrene is,,, A.Toxemic shock b.excessive necrosis Q72. big scenario of ischemia but in end asking finding in brain , A. Liquefactive b.coagulative c)caseous Q73.infection related to pretracheal layer will spread to,, A.Ant mediastinum b.sup mediastinum c.post mediastinum Q74. Regarding active transport about drugs which is incorrect,, a.saturable b.require energy C. all drugs transported by this mechanism d.involves cariers Q75. organism causing cerebral malaria,, A. p. falciparum b.p. vivax c.p. malaria Q76.p.falciparum disease,, A. black water fever Q77.regarding piturtry gland true is A.vein drain directly in dural sinuses b.partly derived from foregut c.related to ethmoidal sinus d.optic chiasm lie anteriorly Q78. Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid loss will be through: A. Stomach B. Colon C. Pancreas D. Duodenum E. Jujenum Q79. Inversion of foot by which muscle: A. Peronues Longus B. Peroneus Brevis C. Peroneus tertius D. Tibialis Posterior Q80. Anemia wid Blast Cells in peripheral blood: A. Iron deficiency anemias B. Erythroblastosis fetalis C. Folate deficiency D. Bone marrow depression Q81. Most common cause of Hepatocellular CA in developing countries: A. HEP B, C B. Hep C c. Hep B Q82. Closure of lips involve: or unable to close lips which muscle involved: a. Depressor anguli oris b. Depressor labii inferioris c. Depressor labi superioris d. Orbicularis oris e. Lateral pterygoid Q83. Superior Thyroid artery arise from: A. First branch of Subclavian Artery B. External Carotid Artery C. Internal Carotid Artery 84. Incubation period of which disease is longest: A. Measles B. Rubella C. Chicken pox D. Infectious Mononucleosis E. Mumps Q85. Regarding CSF true is,, A.total 150 ml B. production rate 20 ml/hr C.produced by ependymal cells of choroid plexus D. Arachnoid villi are visible Q86. Age estimation at 5th to 12th week is done through: A.Biparietal diameter B. Crown rump length C. Crown heel length D. Abdominal circumference 87. A sprinter during running had injury to his ankle. He can stand on his toes but with severe pain. There is a visible ecchymoses around ankle joint: A. Plantaris tendon Q88. Amoeba causes lesions in which part of gut: A. Terminal ileum B. Cecum C. Ascending colon D. Transverse colon E. Sigmoid and rectum Q89. Buccopharyngeal Membrane: A. Stomodium from Foregut B. Nose from Pharynx Q90. Pretracehal fascia infections spreads to: A. Anterior mediastinum B. Posterior mediastinum Q91. Shivering center is located in: A. Anterior hypothalamus B. Posterior hypothalamus Q92. A 30 year old woman in azad kashmir was injured mildly in an earthquake that killed many people apart from her distant uncle. She would most probably be in, A. Social crisis B. Personal crisis C. Situational crisis D. Developmental crisis Q93. While a surgery on Submandibular gland which has more chances of injury: A. Superior thyroid artery B. Lingual nerve C Mandibular nerve D. Facial nerve Q94. Which ligament supports odontoid process of axis on atlas, A. Posterior longitudinal ligament B. Anterior longitudinal ligament C. Tranverse ligament D. Ligamentum nuchae Q95. C7 Vertebrae has: A. Longest spine B. Broad body Q96. conversion of fibronogen into fibrin what will b detected in blood A. Prothrombin Q97. Percentage of Plasma out of ECF: A. 30% B. 20% C. 50% Q98. Newborn with a Erythroblastosis Fetalis having Blood group B postive what is best for management: A. Any blood with Rhpostive B. B Negative Q99. If a person is taking Protein in his diet which will be necessary: A. Riboflavin B. Thiamine Q100. Group of young men bathing n beech next day develop blisters on back shoulder limbs region cause is: A. Mast cell destruction B. Endothelium venules destruction Q101.Renal Column: A. Collecting Duct B. Interlobar artery C. Interlobular artery D. Minor calyces Q102.Function exclusively linked with vit E: A.Carbohydrate metabolism B. Endothelial protection C. Skin integrity D. Germinal epithelial protection Q103.Deep to post digastric and near palatoglossus a structure runs obliquely upwards, A.Facial artery B. Lingual artery C. Maxillary artery D. Sup thyroid Q104.Nucleus of general visceral efferents of tenth nerve to palate muscles is present in: A. Locus ceruleus B. Tractus solitarius C. Nucleus ambiguous [ confirm it by urself] D. Nucleus raphe Q105.Regarding pneumotoxic center following is true: A. Increases inspiratory potential B. Fires dynamic respiratory drive Q106. What is correct about thyroid: A. Supplied by 3 paired arteries B. Surrounded by prevertebral fascia C. Isthmus attached to cricoid D. Venous drainage in bracheocephalic vein Q107. Regarding Pituitary gland true is : A. TSH B.TRH Q108. Blood group A+ transfusions reaction due to: A. A+ B. B+ C. OD. AQ109. H2O2 found in: a.mitochondira B.peroxisome ANS [confirm] c. Lysosome D. RER Q110. ICAM and VCAM are for: A. Leucocyte adhesion Q111. Breast atrophy in young female is due to: A. Estrogen B. Estrogen and Progesterone C. Progesterone Q112. in man causes cancer is: A. Protooncogen Q113. Essential amino acid: A. Phenylalanine Q. Joining of ICA and Basilar artery: A. Posterior communicating Artery Q114. Regarding sympathetic effects Beta Agonists: A. Increase HR Q115. Poliomyelitis: A. Anterior horn cell defect Q116. Regarding P Value: A. Checks probability B. Percentile something. Q117. Spread of renal tumor will be through: A. Renal Vein Q118. Retention of C02: A. Respiratory failure Q119. Antiseptic for skin: not come A. Phenol with clorhexidine Cant recall other statements but this seemed the best answer as Phenol and Clorhexidine are used for skin disinfectants. Q120. Cardiac disease scenario wad there and they asked about the fluid accumulation, proteins more than 3.2 g/dl: A. Exudative B. Transudative Q121. Scenario was given about massive splenomegaly wid lymphatic obstruction: B.Leishmanias B. Chornic Malaria Q122. regarding Gray matter foot processes: A. Protoplasmic Astrocytes Q125. Cause of global blindness: A. Herpes Simplex B. Rubella C. Chlamydia Trochamatis Q126. Which is normal HB: A. HbA B. HbF C. HbC Q127. Thalesemia carrier percentage in Pakistan: A. 5% B. 10% C. 15% Q128. Surgery for removal of ovary done which is damaged: A. Internal Iliac Artery B. External Iliac Artery C. Uterine Artery Q129. In respiratory Alkalosis renal compensation is: A. NaHC03 excretion Q130. During mitosis chromosomes double in which phase? A. Prophase B. Metaphase C. Anaphase D. Telophase E. Interphase 131. Example of observational study: a. Cohort b.cases (include case reports ) c.mata anylasis Q132. most two common pathway of axillary lymph drainage: A. central and apical B. Supraclavicular and posterior C. Pectoral and lateral D. anterior and posterior Q133.true about csf is A.produced by chroid plexus which is cauliflower n shap coverd by smooth muscle and seen by naked eye B.daily production is 500 ml per day C.hyperosmolar thn plasma Q134.the maximum strengh of wound healing occurs in A.3 month Q135. suboccipital n supply which muscle a.capitis b. lattisimus dorsi c. trapezius D.rectus capitis post Q136. regarding intercostobrchial nerve true is ,, a. loss of nerve supply b.post side of arm C. 2nd intercostal sensory d.loss to preganglionic sympethaetic Q137.Normal rasonance are,, A. rt 2nd to 4th midclvicular line b.rt 4th to 6th midclavicular Q138. in asian population most common cause of macrocytosis A. liver diease b.hemolysis c.hypothyrodism d. alchol Q139.corticoteriod mechanism anti inflammatory A. inhibit phospolipase A2 b.inhibit cycloxygenase c.inhibit lipoxygenae d) action on leukotriene B e. inhibit lukotriene D Q140. scenerio about sacrioilac joint pain, loss of lumber ladorosis negative ana,, 22 A. HLA b27 b.rA Q141.a person standing at same place for 1hour, what wl dec a.diametr of aorta B.central venous pressure c.rennin d.adh Q142.true regarding breast peau de orange appearance except,, A.orange brown appearance due to necrosis b.dimpling of skin due to lymphatic obsturstion c. subcutenous edema Q143.enzymes for abcess formation A.neutrophil b.serum c.lymphocyte Q144.A lady presented with with leg swelling for last five months and no cough nd fever, on investigation thre were bilateral plueral effusion and right atrium enlargemt…ast 200 ,alt250 ldh dearranged a.recurrent thromboembolism b.rheomatid arthritis C.good posture d.renovascular hypertension e.chronic asthma Q145.Estrogen, progesterone and testosterone k receptors act through.. ligand chanel involves,, a.g coupled b.tyrosine kinase C.increase transcription [confirm it] Q146. great tronchetric fracture, cant walk properly painful swelling, next complication A.pulm thromboembolism b.soft tissue tumor Q147.post triangle relations Q148.acute appendicitis scenerio, on pathologicl emanination A.neutrophil n muscular wall b. lymphoid hyperplasia with giant cell in muscular wall Q149. old man develepod discomfort in abdomen with enlargement massive Splenomegaly(3000 gm),,, a.sickle cell b.Mononucleosis c.portal Hypertension D.myelofibrosis Q150.During exercise decreased TPR is due to a.Skeletal muscle arterioles dilation due local metabolites b.due to increase coronary flow to brain c. increase splanchnic flow Q151.man in hot sunny environment fell…finding na 122 due to A.excessive sweating B.decrease water intake c.decrese reabsorption Q152. lady presented with persistent asthenuria ( dilute urine) defect,, a.high blood urea B. low urine nacl [confirm it] c. fixed specific gravity or plasma osmolarity Q153. about pancrease true is , a. they are inferior to stomach b. sup mesenteric pass anterior to uncinate process Q154. leukocyte adhesion factor is ,, A. integrin b. selectin Q155. 35 year old man bilat crepts, on xray chest heart fills completely,a mss in rt ventricl a.mesothelioma b.rhabdomyosarcoma c.angiosarcoma D.myxoma Q156. if P53 is mutated wht wil happen A. cell survival Q157.2ndary cartilagenous joint is A .Pubic symphysis Q158.Oesophegotomy done, nw stomach blood supply is a.lt gastric artery B. rt gastric artery ANS [confirm it] Q159.regarding acetylcholine true is Q160.regarding acetylcholine true is Q161.protein synthesis correct squence is Q162.jejunum blood supply is A. SM artery b.im artery Q163.non epithelil origion A.sarcoma Q164.one question abt bone Q165.dicumarol side effects A. Increase BT Q166.regarding breast tumor correct is Q167.pt and dr relation ,, A.reassurance Q168.increase amino acid,glucose and fatty acid n blood A.Cortsol Q169.in children spinal cord level is,, A. L3 Q170.hip extension and leg flexion by ,, A.semitandinius Q171. gun shot at lateral leg wid foot drop ,site of injury is ,, A.neck of fibula Q172.long thoracic nerve supply to,,, A. serratus anterior Q173. transplant 5 years back ,maximum chances of what,, Q174. female wid nausea ,icterus ,hep n pregnancy ,which hep wil b dangerous n future ,, A. HE P E Q175. regarding c1 vertebrea true is,, A. no body Q176.prolactan antagonist,, A. dopamine Q177. in malnutrition pt ,wht substance u wil check to measure estimate malnutrition A. Protein b.vitmins c.mineral SURGERY JUNE 2015 10th June 2015 Post No.1 Guys ive collected about 190 plus mcqs i m going to share with u kindly add remaining stems if missing n tell me if there is a mistake ill correct it 1.A female pt with bleeding from breast.no mass found on examination.no axillary lymph node palpable.wats the diagnosis A.Fat necrosis B.Intraductal papilloma C.ductal CA D.Fibrocystic disease 2.Regarding Adipose tissue A.insulin cause lipolysis B.inc in size by dividing adipocytes C.Growth hormone cause deoosition of fat dont remember other options 3.Insulin causes A.dec ketogenesis B.inc lipolysis C.inc glycogenolysis 4.pnemothorax A.lung collapse chest inward B.lung collapse chest owtward 5.Breast lymph drainage of inner lower quadrant except (a long scenario actually) A.Pectoral Nodes B.inferior phrenic nodes C.internal mammary nodes D.Apical Nodes 6.Pain Temp Crude touch fibres of face go to thalamus through trigeminal via A.Trigeminothalamic tract B.Trigeminothalamic lemniscus C.Dorsal D.Anterolateral tract 7.DOC for systemic fungal infection A.Amphotericin B B.Ketoconazole C.Iconazole D.Nystatin 8.Decrease surfactant cause A.increase pulmonary compliance B.decrease pulmonary compliance C.decrease surface tension 9.Regarding Spleen A. Vertically 12cm B. On da right free margin of lesser sac C. More echogenic than liver on ultrasound D.if ligamentous support become lax it becomes free called wandering spleen 10.Thorn prick…abscess formation..most likely organism A.Strept Pyogenes B.Staph aureus C.Pseudomonas aeruginosa 1.D? 2.B? 3.A 4.B 5.B 6.A? 7.A 8.B 9.D 10.B 11.15yr child came in peads clinic with history of sore throat & fever for 10 days. now he presented with chest pain not related to respiration. what is the most probable cause: a. lungs b. pleura c. myocardium d. pericardium e. costochondral joints 12.regarding middle colic artery which one is correct, A.supplies mailny left colic flexure, B.is a branch of SMA, C.supplies cecum only 13.sickle cell scenario.boy having hb 5.6 deeply jaundiced, ,plt 260000 ndtlc 10000 a aplastic crisis b painful crisis c sequestration crisis d hemolytic crisis 14.Pregnant lady appropriate A.inc ferritin B.inc TIBC C.inc iron 15.Pregnant lady normocytic normochromic anemia appropriate A.plasma volume expansion B.iron def anemia 16.Aids associated skin lesion A.Kaposi sarcoma B.BCC 17.Sertoli cells appropriate A.secrete testosterone B.secrete FSH C.secrete LH D. provide nourishment and glucose E.Forms Blood Testis barrier 18.Ca channels disease A.Myasthenia Gravis B.Lambert Eaton syndrome’ C.Duchenne Muscular Dystrophy D.Beckers myotrophy dont remember exactly 19. Proteinuria RBCs RBC casts wats damaged A.Proximal tubule B.Glomeruli C.Urinary Bladder 20.serum conc is 10/ml…urinary conc is 100/ml…urine flow rate is 2ml/min wats clearance? A.2ml/min B.20ml/min C.200ml/min D.0.2m/min 11.C 12.B 13.D? 14.B 15.A 16.A 17.D? 18.B? 19.B 20.B? 21.after total gastrectomy wat occurs A.iron def anemia B.Pernicious anemia 22.best host defence system in alveoli A.lymphatics B.alveolar macrophages C.nasal cilia 23.breast surgery done pt cant comb hair due to paralysis of serratus anterior.nerve involved A.suprascapular nerve B.long thoracic nerve 24.DVT most common A.prolonged bed rest B.After surgery C.inherited thrombophilia 25.14 yr old child with 8%creatinuria BP 180/110.. wat is damaged A.glomeruli B.JG cells C.Macula densa 26.after gynecological surgery which anaerobic beta lactamase producing organism causes infection A.Bacteroides B.Ecoli C.Strept pyogenes 27.RMP is mainly by A.k efflux B.na/k pump 28.blockage of alpha recepters A.vasoconstriction B.vasodilation 29.dec arterial PO2 A.CO poisoning B.anemic hypoxia C.hyoxic hypoxia 30.Elastic fibers most thick in A.Aorta B.renal C.brachial 21.B 22.B 23.B 24.A 25.B 26.B? 27.A 28.B 29.C 30.A 31.4th Heart sound due to A.Atrial contraction causes ventricular wall vibration B.aortic rebound C.verntricular filling 32.human is intermediate host in A.Schistosomiasis B.Haydatid cyst 33.which doesnt cross BBB A.levodopa B.Dopamine 34.2yr old female child pale n not thriving dec hb 4.2 anisocytosis poikilocytosis hepatospleenomegaly A.leishmaniasis B.thalasemia major C.fe def anemia D.sideroblastic 35.aneurysm of 3rd part of subclavian artery which triangle involved A.Anterior B.Posterior C.Muscular 36.week 2 A.epiblast B.epiblast and mesoderm C.Epiblast and hypoblast 37.Regarding Thymus A.Arch of aorta is anterior to it B.has single lobe C.extends from below thyroid to T4 vertebral level 38.Regarding NK cells A.kill virus infected cells without prior sensitization 39.thyroid CA operated. 3cm mass which has congo stain. wats best marker to monitor A.calcitonin B.AFP dont remember other options 40.knee cant b flexed and hip cant be extended which muscle damaged A.rectus femoris B.sartorius C.semitendinosus 31.A 32.B 33.B 34.B 35.B? 36.B 37.B? 38.A 39.A? 40.C 41.Regarding Popliteus A.medially rotates femur on tibia B.Assists in knee extension C.lies b/w lateral meniscus and lateral collateral ligament 42.Meckels diverticulum A.sometimes contain acid secreting mucosa B.located in proximal part of ileum 43.regarding cardiac cycle A.Aortic notch his due to aortic valve B.60% Filling in diastole, C.max filling in mid atrial contraction, dont remember other options 44.tubuloglomerular feedback supported by A.dec peritubular na conc B.inc peritubular blood flow C.inc tubular urine flow 45.paracetamol A.has very weak antiinflammatory activity 46.a plumber has history of dyspnea and cough now PH 7.4 bicarb 19 PCO2 31 PO2 62. wats diagnosis A.compensated met acidosis B.compensated resp alkalosis C.mixed resp alkalosis and met alkalosis D.met acidosis E.uncompensated resp alkalosis 47.case of small cell CA n cushingoid features A.ACTH 48.pt has dec pupil size and droopy eyelid A.home adie pupil] B.occulomotor injury C.argyl robertson pupil D.horner syndrome 49.pt rt eye cant look laterally A.tumor in frontal lobe B.cavernous sinus infection C.lateral blow to eye 50.elderly patient with pneumonia admitted in ward…6 hrs later died A.inc vascular permeability B.dehydration C.shock 41.B? 42.A 43.A 44.A? 45.A 46.B? 47.A 48.D 49.B 50.A 51.urinary osmolality 1200 serum osmolality 310 diagnosis A.SIADH 52.urethra damage at urogenital diaphragm urine will leak into A.Retropubic space B.sup perineal pouch C.medial thigh D.ischiorectal fossa 53.regarding Transitional epithelium A.pseudostratified B.Stratified columnar C. Stratified with outer cells bigger n rounder 54.during a histology practical test a medicalstudent observes under microscope a tubular structure having a small lumen lined by transitional epithelium supported by connective tissue lamina propria and three layers of smooth muscle with adventitia as outer most layer what anatomical structure is it? A.prostate B.Renal pelvis C.Urethra D.ureter E.urinary bladder 55.Submandibular gland surgery nerve damaged A.marginal branch of mandibular branch of facial nerve B.lingual nerve 56.70 age female with previous history of MI hb5 TLC 7000 Plt 120000 pt 13 aptt 35 wats best for her A.whole blood B.FFP C.platelets D.RBC concentrate 57.regarding Cerebellum A.receive preprioceptive info from spinal cord B.receive cortical info from cortex dont remember other options 58.infarct near post interventricular septum.artery involed A.LCA B.RCA C.Rt marginal branch D.LCX E.Rt interventricular 59.regarding dilute urine A.positive water clearance B.negative water clearance dont remember exactly 60.floor of 4th ventricle’s superolateral relation A.superior cerbellar peduncle B.middle cerebellar peduncle C.inferior cerbellar peduncle D.pyramidal tracts 51.A 52.A? 53.C 54.C 55.A 56.D 57.A 58.B 59.A 60.D? 61.regarding atrial fibrillation A.p waves prominent B.regular rhythm C.pulsus deficit 62.Most sensitive cardiac marker A.creatine kinase B.Troponin T C.Myoglobin D.LDH 63.uterine leiomyoma. endometrium around the mass has few glands and a lot of stroma…wat has happened to endometrium around fibroid A.metaplasia B.hyperplasia C.atrophy D.dysplasia 64.alpha sympathetic stimulation A.pupils constrict B.pupils dilate 65.parasympathetic stimulation A.pupils dilate B.pupils constrict C.inc heart rate D.dec GI motility 66.Bile duct relation with duodenum A.supraduodenal retroduodenal infraduodenal intraduodenal B.omental supraduodenal intraduodenal C.omental supraduodenal infraduodenal 67.Renal artery A.interlobar lobar segmental arcuate B.lobar interlobular segmental arcuate C.seegmental interlobar arcuate D.lobar segmental interlobar arcuate 68.Dorsum of noise supplied by A.ethmoidal branch of ophthalmic artery B.a branch of facial artery 69.Free radicals formed by radiation they will damage A.DNA B.cell membrane C.mitochondria 70.virus cause disease A.direct action B.altering protein synthesis C.membrane damage 61.C 62.B 63.C? 64.B 65.B 66.A 67.A 68.A? 69.B 70.B 71.pt having of hepatoma developed dependent edema and dilated abdominal veins wats the cause A.hepatic vein obstruction B.IVC obstruction C.portal vein obstruction 72.female pt with difficulty swallowing..wrinkles which appeared on her skin vanished…difficulty eating with hands…no joint pain..wats the diagnosis A.dermatomyositis B.CREST 73.Regarding Medial geniculate body A.receive visual afferents B.attatched with thalamus C.located on ventromedial aspect f thalamus 74.inc ejection fraction causes A.dec EDV B.Dec ESV 75.Macrocytic anemia A.Folic acid deficiency B.intrinsic factor deficiency C.hemolysis 76.SA node location A.superior aspect of sulcus terminalis B.lower part of crista terminalis 77.Regarding lignocaine A.cause prolonged seizures B.toxicity can be prevented by using 2% preparation C.can be prevented by hydrocortisone injection 78.Femoral artery pulse is felt A.apex of femoral triangle B.midpoint of inguinal ligament C.mid-inguinal point 79.tumor suppressor gene A.p53 80.Diabetic nephropathy 1st manifestation A.inc blood urea nitrogen levels B.inc creatinine C.inc urinary albumin 71.B 72.B 73.B? 74.B 75.A 76.A 77.A? 78.B? 79.A 80.C 81.Mesothelioma most common cause A.tobacco smoking B.asbestosis 82.Gastric lymphoma most common cause A.H-pylori B.atrophic gastritis 83.Host defence against neoplasm A.apoptosis B.good health C.no family history 84.most common cause of neoplasm A.overexpression of proto-oncogenes B.non-lethal injuryof genes 85.IVC is formed at A.L5 vertebra 86.female with exophthalmos inc HR sweating antibodies present A.Hashimoto B.Graves 87.Regarding Down syndrome A.inc incidence with inc maternal age 88.Dorsal rami supply A.Flexors of trunk B.extensors of trunk 89.female undergoing hysterectomy..there is a chance of damaging ureter while ligating which artery A.Internal ilac artery B.Uterine artery 90.pt underwent trauma now has spastic lower limbs exaggerated lower limb reflexes Babinski sign is positive biceps jerk is absent whr is the injury A.C5-C6 B.C2-C3 CL1-L2 81.B 82.A 83.A? 84.B 85.A 86.B 87.A 88.B 89.B 90.A 91.Prostate arterial supply A.Inferior vesical artery B.superior vesical artery C.internal ilac artery 92.localized edema cause A.allergy 93.Regarding Red cells A.larger than all WBCs B.Mean MCV is 85 fl C.contain remnants of mitochondria and endoplasmic reticulum 94.myeloperoxidase is present in A.lymphocytes B.RBCs C.Neutrophils 95.Succinylcholine toxicity in individuals having deficiency of A.Acetyl cholinesterase B.pseudocholinesteae C.MAO 96.upper origin of external oblique forms digitation with which muscle A.Latissimus Dorsi B.Pectorals major C.Serratus anterior 97.Platelet rich plasma is stored at A. 0 deg B. 4 deg C. 22 deg D.40 deg 98.Lady had breast implant 2 yrs ago since then she is having firmness and shape distortion something . Now the implants are removed and implant fluid is leaking inside. Which cells will most likely be present A. Neutro B. Mast C.Eosinophil D.Giant cell E.Plasma cell 99.Remnant of gubernaculum in females A.spermatic cord B.Testis C.Round ligament of ovary D.prostate 100.vessel having 80% saturation in fetus A.umbilical vein B.aorta 91.A 92.A 93.B? 94.C 95.B 96.C 97.C? 98.D 99.C 100.A 101.Sciatic nerve is damaged now which nerve supplies sole of foot A.saphenous nerve B.sural nerve C.common peroneal nerve 102.trauma to upper limb pt cant feel sensation in little finger and paralysis of dorsal interossei which nerve is damaged A.Ulnar nerve B.anterior interosseus nerve C.median nerve 103.Fracture of surgical neck of humerus. nerve damaged A.median nerve B.axillary nerve C.upper brachial plexus 104.trauma to shoulder axillary nerve damaged pt cant abduct arm A.above head B.0 to 20 deg C.20-90 deg 105.which muscle is flexor of elbow joint and supplied by radial nerve A.brachioradialis B.brachialis C.Biceps brachii 106.which hormone causes extrahepatic protein catabolism and hepatic protein anabolism A.Thyroid hormone B.Epinephrine C.Cortisol D.growth hormone E.insulin 107.GFR is increased by A.afferent artiolar constriction B.dec plasma proteins 108.lumen of allantois doesn’t obliterate A. Urachal sinus B.urachal cyst C.umbilical vein D.urachal fistula 109.abdominal contents pushed through remains of processus vaginalis which occurs A.indirect inguinal hernia B.direct inguinal hernia C.hydrocoele 110.left adrenal vein is drained into A.IVC B.left renal vein C.Inf mesenteric vein 101.B ? 102.A ? 103.B 104.B 105.A 106.C 107.B 108.D 109. A 110.B 111.Tissue not regenerated A.kidney B.adrenal medulla C.lens D.skin 112.regarding tail of pancreas A.in linorenal ligament don’t remember the mcq exacty 113.no lymphoid nodules seen in A.thymus B.Lymph node C.spleen 114.CA urninary bladder caused by which parasite A.schistosoma hematobium B.clonorchis sinenis 115.pseudomembranous colitis caused by which A.clostridium perfringens B.clostridium dificile 116a.most common cause of gas gangrene lower limb A.clostridium birefrengens (this is the exact spelling as in paper) B.clostridium welchii C.clostridium septicum I asked the examiner he said it must be perfringens 116b.osteoblastoma most common site A.diaphysis B.Metaphysis C.epiphysia plate D.epiphysis E.Body of vertebra 117..difference between primary and secondary peristaltic wave A….Primary has oropharangeal phase B.primary wave relaxes lower esophageal sphincter C.secondary propels food forward don’t remember exact mcq 118.joint b/w pubic bones allowing slight movement during birth of baby A.Synchondrosis B.syndesmosis C.Symphysis 119.Heart contractility depend on A.ca++ ions 120.Regarding thyroid gland A.change in epithelium occurs with function 111.C 112.A 113.A 114.A 115.B 116a.B? 116b.A? 117.A? 118.C 119.A 120.A 121.fast adapting phasic receptors A.Pacinian B.meisners C.Baroreceptors 122.rapidly adapting receptors A.pacinian B.Baroreceptors C.free nerve endings 2 similar questions were asked one in both papers a and b 123.which of the following inhibits the muscle to stretch beyond limits A.golgi tendon organ B.muscle spindle 124.Dead space does not change in A.standing B.old age C.shallow breathing D.Deep inspiration E.Tracheostomy 125.chlorthiazides cause A.hyperuricemia B.hyperkalemia C.hypercalcemia 126.max triglycerides found in A.VLDL B.chylomicrons C.LDL D.HDL E.IDL 127.most common source of SYSTEMIC arterial emboli A.femoral vein thrombosis B.pulmonary vein thrombosis C.right atrial thrombus D.portal vein thrombus E.left ventricular mural thrombus 128. pyruvate is intermediade between A.glucose and acetyl coA B.acetoacetic acid and actyl coa C.Fat metabolism and acetyl coA D.carbohydrates and proteins 129.pt with back pain lytic lesions in vertebra and ribs on xray.. most appropriate investigation for diagnosis A.MRI B.Immune electrophoresis C.CT scan 130.patient with history of multiple myeloma now has hypercalcemia , polyuria and confusion urine osmolality is 310mosm/l wats the reason of polyuria A.ADH cant act on tubules B.dec ADH formation C.psychogenic polydipsia don’t remember the actual stems 121.A 122.A 123.B 124.D 125.C 126.B 127.E 128.A? 129.B 130.A? 131.pulmonary atery supply A.Bronchi B.Bronchioles C.Alveoli 132.Regarding bronchopulmonary segment A.airated by primary bronchus B.airated by secondary bronchus C.airated by tertiary bronchus D.not in touch with all other segments 133.55 yr old diabetic hypertensive hypothyroid DOC for HTN A.Propanolol B.Verapamil C.Captopril D.Nefidipine 136.A 45 yr old female presents with two years history of pruritis, months history of jaundice. On clinical examination she has bruises xanthomas and hepatosplenomegaly. The investigation which will confirm the diagnosis would be: A. ALT B. Alkaline phosphatase C. Anti-mitochondrial antibodies D. CT abdomen E. ultrasound abdomen. 137.sarcoidosis histological picture A.Ganuloma with asteroid bodies B.non-caseating granuloma 138.ADH formed in A.posterior pituitary B.supraoptic nucleus C.ventromedial nucleus 139.42 yr old female and dyspareunia and midcycle pain n bleeding her cervix was hypertrophic.. vagina and uterus normal which initial investigation should be done A.colposcopy with biopsy B.cervical smear C.endoscopy 140.metaplasia is caused by A.chronic irritation 131.C 132.C 133.C 136.C 137.A? 138.B 139.B 140.A (plz dont mind numbering error ☺) 141.most common cause of PRIMARY HCC A.hep C B.alpha 1 antitrypsin deficiency C.Aflatoxins 142.Two liters Normal saline infusion A.dec urinary sodium B.inc blood volume C.dec intracellular volume 143. patient bp 90/50.. why is isoflurane contraindicated A.dec cardiac contractility B.vasodilation of blood vessels 144.Regarding popliteus A.assist in knee extension B.cause medial rotaion of femur on tibia C.located in between lateral meniscus and lateral collateral ligament D.supplied by obturator nerve 145.Otic ganglion is located immediately below A.Foramen ovale B.Foramen rotundum C.Foramen lacerum 146.DIC initiated by A.thromboplastin B.Factor 13 147.Tachyphylaxis A.Rapid dec in drug action B.Gradual dec in drug action 148.Fastest speed of impulse in A.ventricular fibers B.AV node C.AV bundle D.purkinje fibers 149.a student asked a pt to clench his teeth then followed his masseter inferiorly on lower madibular marginal he felt a pulsation which artery was it A.Lingual B.Facial C.Maxillary D.External carotid 150.pt cant open mouth which muscle injured A.Masseter B.medial pteryogoid C.lateral pterygoid D.Buccinator E.Platysma 141.A? 142.B 143.B? 144.A 145.A 146.A 147.A 148.D 149.B 150.C 151.Abdominal migraine cause A.IMA B.SMA 152.Middle colic artery is a branch of A.SMA B.IMA C.Aorta 153.There are no blood agglutinins in which blood group A. ABB.AB+ C O+ 154.Insulin increased by A.Glucagon B.Growth hormone 155.pt has Gonococcus infection what is quicked way to check it A.ZN stain B.Gram stain C.Culture 156.pt took cotrimxoazole developed black urine reason? A.G6PD B.Malaria 157.Whcih prolongs the life of corpus luteum A.testosterone B.endogenous FSH LH C.Endogenous HCG 158.Which artery has branches that are end arteries A.Coronary artery B.Central artery of Retina 159.pt has Christmas disease…factor 9 not available wats best substitute A.Cryoprecipitate B.FFP C.Whole blood 160.Metaplasia A.functional change in cells B.change in size and shape of cells 151.B 152.A 153.B 154.A 155.B 156.A 157.C 158.A? 159.B 160.B 161.pseudomonas causes shock A.endotoxin 162.which are bipolar neurons A.posterior root ganglion cells B.anterior horn cells C.posterior horn cells D.Olfactory cells 163.memory function of which lobe? A.parietal B.Temporal C.Frontal D.Occipital E.insula 164a.GH increased by A.excercise B.hyperglycemia 164b.Pellagra caused by def of A.Vit B1 B.Vit.B6 C.nicotinic acid 165.which is caused by DNA virus A.influenza B.infectious mononucleosis 166.cervical lymphadenopathy…reed stern berg cells seen A.hodgkin lymphoma 167.pt with normal internal genital organs with ambiguous genitalia karyotype 46 XX A.Adrenogenital syndrome B.Craniopharyngioma 168.Area 3,1,2 A.All somatic sensation 169.Basal ganglia excitatory pathway neurotransmitter released A.serotonin B.Dopamine 170.Pregnant lady with rheumatic heart disease …most dangerous complication for her A.MR B.AR 161.A 162.D 163.B 164a.A 164b.C 165.B 166.A 167.A 168.A 169.B 170.B 171.Which hormone causes smooth muscle constriction A. Aldosterone B.ADH 172.Ethics principle A. Autonomy Beneficence. Non-maleficence Equity 173.Regarding mean A.it is some of individual value divided by total number of values B.its a good measure of central tendency 174.Brocas Area A.Sup temporal lobe B.afluent aphasia 175.infraorbital artery is a branch of A.maxillary B.facial C.ophthalmic 176.painful swelling at site of amputation A.neuroma B.ganglioneuroma 177.Sulfur containing amino acid A.Arginine B.Cysteine 178.pt on oral anticoagulation which test for monitoring A.PT B.APTT 179.pyogenic meningitis A.dec glucose 180.Axillary sheath from A.pretracheal sheath B.prevertebral fascia C.carotid sheath 171.B 172.A 173.A 174.B 175.A 176.A 177.B 178.A 179.A 180.B 181.Anterior duodenal perforation whr does the fluid accumulate A.lesser sac B.left paracolic gutter C.rt subphrenic space D.left subphrenic space there was no option of right paracolic gutter 182.hormone responsible for oxidative phosphorylation and inc in body temperature A.Thyroid hormone B.Growth hormone C.Insulin 183.Pt had severe headache…CSF showed blood tinge A.sub-dural hemorrhage B.sub-arachnoid haemorrhage 184.young pt had diarrhea PT deranged platelets normal hb normal A.Vit k deficiency 185.Edema is caused by A.dec hydrostatic pressure B.inc osmotic pressure C.blocked lymphatics 186.lower esophagogastric junction and fundus removed wat will happen A. loss of receptive relaxation B.inc gastrin production C.inc acid production 187.Regarding Trachea A.from upper border of C6-T4 B.Recurrent laryngeal nerve in front dont remember other options 188.pt with rt sided weekness of facial muscles cant blow air wats the reason of weakness A.facial nerve palsy 189. Regarding Vibrio cholera caused diarrhea A.inc chloride channels B.causes dec absorption of food which leads to osmotic diarrhea 190.first response for bleeding A.wound contraction 181.E 182.A 183.B 184.A 185.C 186.A? 187.B? 188.A 189.A 190.A 191.potent chemotactic factor A.C3a B.C5a 192.Disease transmitted by mosquito A.Filariasis 193.Left coronary artery divides into A.LCX and anterior interventricular artery 194.Pt breathing fast then slow then again fast A.chyne stoke breathing 191.B 192.A 193.A 194.A BY: DR. OMAIR ARSHAD DAR. SURGERY 14TH AUG 2015 SURGERY 14TH AUG 1)After removing fundus of stomach what will happen ? A. Decrease receptive relaxation B. Decrease production of gastrin 2)Regarding IVC most appropriate is? A. commences at the level of L5 B. has tributries similar to that of aorta 3)Primary esophageal peristalsis is different from secondary by? A.Presence of oropharyngeal phase B.Doesnt cause relaxation of LES 4)Presence of oropharyngeal phase? A.Doesnt cause relaxation of LES 5)Deficiency of surfactant causes? A. Decrease recoil of lungs B. Decrease complaince 6)True for cricoid cartilage? A. Vocal cords are attached to it B. Inferior constrictor attached to it 7)After abdominal n gynecological surgery? A.Bacteroids B.E-Coli 8)Which factor def causes thrombosis instead of bleeding? A.Factor V 9)Hypovolaemia with hypotension isoflurane should not be given why? A.Potent vasodilation 10)Otic ganglion location foramen was asked? A.Sup border of foramen ovale 11)Increase in interstial fluid cause? A.Inc capillary permeability 12)Right sided weakness with Babinski’s positive all UMN lesions no sensory loss where is the lesion? A.left internal capsule B.left broadman area 4 resection 13)Epitheluim of preterminal bronchiole? A.Pseudostratified columnar epithelium 14)Mesiothelioma exposure to? A.Asbestosis 15)Thyroid covers by? A.Pretracheal fascia 16)Radiation causes cancer after how much years? A.5-10 yrs B.More than 10 years 17)Premalignant lesions are? A.Metaplasia of endocervix B.Dysplasia C.Condyloma, skin 18)Weakness in abduction of fingers nerve involve is? A.Ulner B.Median 19)Sciatic nerve severed, dorsum of foot supplied by which nerve? A.saphenous nerve B.Sural nerve C.Comman paroneal nerve 20)Lidocaine overdose? A.Seizures 21)Loss of knee flexion and hip extension muscle involved is? A.Semitendinous 22)Muscle which causes flexion of elbow and supplied by radial nerve? A.Brachioradialis 23)Breast lower medial quadrant will not drain into? A.Inf phrenic nodes B.Pectoral nodes C.supraclavicular nodes 24)Volume of distribution question from pharmacology? ?? 25)Probability of difference between the two medians questions? ?? 26)Lack of communication and understanding between doctor and patient is due to? A.Doctor not properly listening. 27)Damage to axillary nerve damage will cause? A.Dec abduction 0-20 degree B.Dec abduction 20 -90 degree C.Dec abduction above head D.Dec flexion 28)Fracture of surgical neck of humerus causes? A.Axillary nerve damage. 29)Increase of blood viscosity causes? A.Inc radius of capacitance B.Inc radius of resistance arteriole C.Inc mean arterial pressure 30)Rupture to male urethra below urogenital diaphragm, urine will leak into? A.Superficial pouch B.Retropubic space C.Ischiorectal fossa D.Medial thigh 31)Cold sensations from which receptors? A.Same as hot receptors B.Different from hot receptors C.Take sensation at same center where hot receptors 32)which one is the DNA virus? A.Influenza B.Measles C.Mumps D.Yellow fever E.Infectious mononucleosis 33)Motor deficit question…? A.Ant part of post limb of IC 34) ANT DUODENAL perforation where will secretion go? A.Right paracolic gutter B.Left paracolic gutter C.Anterior subhepatic space D.Posterior subhepatic space 35)Blood supply of prostate Question? 36)Macrocytic anaemia cause? A.Intrinsic factor deficiency 37) Regarding trachea? A.Has 7 rings B.Posteriorly bounded by Trachealis 38)Chronic gastritis or gastric lymphoma ka cause? A.H Pylori B.Chronic ulcer 39)Intermenstural bleeding and post coital bleeding no other abnormality on per speculum examination. Cervix hyperplasia present. What initial test u will do? A.Colposcopy B.Pap smear 40)Pain, temperature and touch sensations lost from face where will be the lesion? Trigeminal lemniscus system TrigrminothAlamic tract Spinoreticular tract 41)Physiological dead space? A. Dec in excercise B. Inc in pulmonary diseases 42)GH secretion stimulated by? A.Hyperglycaemia B.Cortisol C.Excercise 43)Cell injury by which amino acid? A.Tyrosine B.Phenylalnaine 44)Known case of sickel cell anemia became deep jaundiced HB low which type of crisis it will cause? A.Aplastic crisis B.Sequestration crisis C.Hemolytic crisis 45)Defeciency of glucose 6 Phosphatase causes? A.Increase in glycogen storage in liver B.Increase in glycogen storage in liver C.Decrease in glycogen in skeletal Muscle D.Hypoglycemia… 46)Increase GFR causes inc absorbtion of salt and water from PCT. The most imp mechanism for this tubuloglomerular feedback is ? A. Inc peritubular colloid pressure B.? C.? 47)hormone causing inc arteriolar resistance? A.Angiotensin 2 B.Epineprine 48)Most imp action of angiotensin 2? A.release ADH B.release aldosterone C.Increase thirst 49)Right eye has difficulty in seeing at right side where will be the lesion? A.infection in cavournus sinus? B.? 50)During hysterctomy ureters can be damaged while ligating which artery ? A.Uterine artery B.Ovarian artery 51)Basilar Artery question ? 52)Lambert eaten syndrome scenario? A.Antibodies at postsynaptic Ca channels B.Antibodies at presynaptic ach. 53)Regarding Inguinal Canal, the correct one is? A. Floor is formed by Fascia lata B. Roof is formed by Conjoint tendon C. Absent in infants D.Extend from the anterior superior iliac spine to pubic tubercle 54)Total bilirubin was 10 direct was round about 9 and indirect 1.0? A.Crigler Najjar B.Hepatitis C.Gilbert 55)middle thyroid vein drains into? A.Anterior jugular B.External jugular C.Internal jugular 56)Regarding IVC most appropriate is? A. commences at the level of L5 B. has tributries similar to that of aorta 57)Ptosis and miosis scenario cause is? A.Occulomotor nerve damage B.Horner syndrome 58)In Rheumativc fever which valvular lesion is present? A.Mitral stenosis B.Aortic Regurgitation 59)Most common skin cancer in HIV? A.Sq. Cell carcinoma B.Basal cell carcinoma C.Malignant lymphoma 60)Collagen tat gives strenght during wound healing? A.Type 1 B.Type 3 61)Sertoli cells most appropriate is? A.Produce fluid rich in glucose and protiens (nutrients). B.Maintain blood testis barriers. 62)Rapidly adapting receptors ? A.Pacinian B.Free nerve endings C.Meissners 63)What is crown lump lenght at 17 -20 weeks? ? 64)Abdominal angina cause by obstruction to? A.Inf mesenteric B.Sup mesenteric 65)Middle colic is the branch of ? A.Inf mesenteric B.Sup mesenteric 66)Chest pain and fever not related to respiration? A.Costochondral junction B.Pericarduim C.Myocarduim 67)Case control studybig same asim shoaib scenario. 68)Sarcoidosis findings? A.Granuloma with asteroid bodies 69)A 60 years old patient having hypertension, diabetes with hyperthyroidism, which drug will be safe for him? A.Ca blockers B.ACE C.B.Blockers 70)How much time digoxin required to reach at stable level? A.2 minutes B.9 minutes 70)Known case of IHD type 2 diabetic present with chest pain HB is 6 TLC was normal platelet was normal 120, PT 13 (control 11 ) APTT 23 ( control 21) . What should be transfused? A. RBC Concentrate B. Fresh frozen plasma C. Fresh whole blood D. Whole blood 71)Common bile duct parts? a. omental, retroduodenal, paraduodenal B. omental, retroduodenal, paraduodenal, intaduodenal c.retroduodenal, paraduodenal, intraduodenal 72)Bilateral exompthlmos, antithyroid antibody present, A.Graves b.Hashimotos 73)Organism causing cerebral malaria? A.P.falciparum B.P.Vivax C.P.Malarie 74)Location of femoral artery? A.Mid inguinal point B.Mid point of inguinal ligament. 75)Skeletal system develops from? A.Mesoderm only B.Mesoderm and neural crest cells 76)What preventery step is must in ICU? A.Washing hands again and again. B.Keeping re-usable equipment sterilized C.Wearing Gloves 77)Thalamus relations Question. 78)Pt breathing fast then slow then again fast A.chyne stoke breathing BY: DR. ALI HASSAN SURGERY 18TH AUG 2015 18TH AUG 2015 SURGERY 1- Eating undercooked and raw meet can cause infestation by… dracunculous medinesnsis echinococcus granulosis liver fluke schistosomiasis tape worm [Ans] 2- Iodine which is not used in the thyroid hormone syntheseis is secreted from body via Feces saliva urine [Ans] sweat 3- Gustatory sweating is caused by Parotidectomy Diabetes Mellitus Glossectomy 4- Rupture of penile urethra, extravasation of urine into ant abdominal wall scrotum [Ans] superficial perineal pouch deep perineal pouch 5- Mass movement is affected in colon due to problem in Auerbach plexus [Ans] Submucosal plexus 6- In an adult Ileactomy and jejunectomy has been done. He has diarhoea and 15-20 bowel sounds per minute. The most likely cause of this decreased transit time in the intestine is due to Secretory osmotic secreroy plus osmotic [Ans] High concentration of bile salts in the colon 7- treatment of vWD ( a confusing scenario was given). FFP Cryoprecipitate [Ans] Vit K Aminocaproic acid 8- The head of femur in adult is supplied by Anterior circumflex artery Sciatic artery Femoral artery Medial and lateral circumflex artery [Ans] posterior circumflex artery 9- Head of humerus is supplied by Anterior circumflex [Ans] posterior circumflex axillary 10- In acute pancreatitis, fluid will most like accumulate in a) Righ paracolic gutters [Ans] b) Subphrenic space c) Retroperitoneal space d) Left paracolic gutters 11- most prominent feature of water intoxication: a) juglar vein distention b) fast pulse c) low pulse [Ans] d) thirst 12- True about internal juglar vein a) Present most posterior in the carotid sheath b) Is present on the medial side of internal carotid artery in the carotid sheath c) Originates on the posterior aspect of jugular foramen [Ans] 13- A young boy is sitting in a room at 26 centigrade, he is profusely sweating his pulse rate is 120 and BP is 150/110 mmHg. What is the most likely cause? a- Stress [Ans] b- exercise 14- Washed RBCs are indicated to a- avoid ABO conflict b- Avoid Rh conflict c- avoid fever after transfusion d- avoid hypersensitivity reactions [Ans] 15- A middle age female with recurrent chest infections, long history of diarrhoea. On stool examination cysts of Giardia lamblia were detected. Periferal smear reveals normal T cell but B cells are slightly decreased. Serum IgA 73, IgG 300 and IgM is 67. What is the most likely Dx? a- Bruton’s agammaglobulinemia b- Common variable immunodeficiency [Ans] c- HIV infection d- Cystic fibrosis 16- highest amount of TAGs in a- Chylomicrons [Ans] b- vldl c- hdl d- IDL e- Chylomicron remnants 17- which structure imparts basophilia to the tissue a- peroxisome b- ribosome [Ans] c- mitochondria d- nucleus e- golgi apparatus 18- Clostridium are mostly (dont remember the options exactly) a- Gram negative rods b- Anaerobic c- spore forming [Ans] 19- Function of Gulteus medius and minimus is a- Extention of hip joint b- Flexion of hip joint c- Adduction and medial rotation of hip joint d- Abduction and medial rotation of the hip joint [Ans] 20- Thorn prick…abscess formation..most likely organism A.Strept Pyogenes B.Staph aureus [Ans] C.Pseudomonas aeruginosa 21- A 5 or 6 years child who develops muscular weakness. Anti voltage gated calcium chanel antibodies are present A.Myasthenia Gravis B.Lambert Eaton syndrome’ [Ans] C.Duchenne Muscular Dystrophy D.Beckers myotrophy 22- Resting membrane potential is most likely due to a- Equilibrium potential of K ions [Ans] b- Equilibrium potential of Na ions c- Equilibrium potential of Ca ions d- Equilibrium potential of Cl ions e- Equilibrium potential of HCO3 ions 23- human is intermediate host in A.Schistosomiasis B.Haydatid cyst [Ans] 24- A patient presents with enlarged mass in front of the neck. Biopsy of thyroid gland is performed which reveals no metastatic change. Which type of epithelium is found in thyroid? a- Simple squamous b- Simple striated squamous c- Simple cuboidal epithelium [Ans] 25- Regarding Popliteus A.medially rotates femur on tibia B.Assists in knee extension C.lies b/w lateral meniscus and lateral collateral ligament D. Cause flexion of knee joint [Ans] 26- patient with diplopia, when asked to look to the right side his left eyes turns towards the right but right eyes turns medially, which is damaged? a- optic nerve b- trochlear nerve c- abducens nerve [Ans] d- occulomotor nerve 27- Damage to penile urethra, urine extravasation into A.Retropubic space B.sup perineal pouch C.medial thigh D.ischiorectal fossa e- Scrotum [Ans] 28- Infarction of posterior 1/3 of interventricular septum.artery involed A.LCA B.RCA [Ans] C.Rt marginal branch D.LCX E.Rt interventricular 29- Free radicals formed by radiation they will damage A.DNA [Ans] B.cell membrane C.mitochondria 30- Viruses are carcinogens because they have a- proto-oncogens [Ans] b- oncogens c- chemicals which are carcinogenic 31- A male patient with normal urine osmolality. Most dilute urine reaches at a- PCT b- Descending loop of Henle c- Tip of loop of henle d- Medullary collecting tubules e- Macula densa [Ans] 32- A patient with anemia with MCV in normal range most likely cause a- A pregnant female not taking vitamin supplements b- Thallassemia c- Vit B-12 defi d- After blood loss >2 days [Ans] 33- Apoptosis initiates when … a- Bcl-2 activation b- Phagocytosis c- Activation of caspases 34- Right border of heart is formed by a- right atrium [Ans] b- SVC c- SVC+Rt Atrium d- Rt ventrical 35- GFR is increased by A.afferent artiolar constriction B.dec hydrostatic pressure C. Efferent arteriolar dilatation D. Afferent arteriolar dilatation [Ans] 36- which is a small blue cell tumour a- neuroblastoma b- wilms tumour c- ? 37- Most common tumour of the epiphysis is? A.Giant cell tumour B.Osteoblastoma 38- Primary cartilaginous joints example is a- intervertebular joint b- symphysis pubis c- costochondral joints [Ans?] d- chondrosternal joints 39- which of the following prevents muscle tear under high pressure a- Golgi tendon organ [Ans] b- Spindle fibers 40- pulmonary atery supply A.Bronchi B.Bronchioles C.Alveoli [Ans] 41- A patient was admitted in the hospital. He was in supine position and something like vomiting + …. Happened. He aspirated the vomitus. Which segment is most likely a- Rt upper anterior b- Rt upper posterior c- Rt lower basal d- ? e- ? 42- sarcoidosis histological picture A.Ganuloma with asteroid bodies [Ans] B.non-caseating granuloma 43- cervical metaplasia most likely cause a- high multiparity [Ans] b- HPV infection c- IUCD 44- which ulcer is caused by infection by microaerophilic nonhemolytic streptococci and aerobic hemolytic staphylococci a- Martonel>s ulcer b- Bazin>s disease c- Meleney>s ulcer [Ans] 45- a young male has azoospermia. Which initial investigation will help in Dx a- testosterone level b- FSH level c- FSH and LH level [Ans] d- Sperm count e- Antibodies against sperms 46- Pellagra caused by def of A.Vit B1 B.Vit.B6 C.nicotinic acid [Ans] 47- A pt with sore throat, cervical lymphadenopathy and …….. can@t recall at the moment (its was case of Infectious mononucleosis.) 48- A patient had to undergo amputation of right leg. At the site of amputation ha present with a mass, biopsy shows haphazard pattern. a- Neuroma [Ans] b- schwanomma c- lymphoma 48- INR is used to monitor a- Heparin therapy b- Anti-platelet therapy c- Oral anticoagulation [Ans] 49- clavipectoral fascia covers a- clavicle bone b- pectoralis minor [Ans] c- serratus anterior d- serratus posterior 50- Cholecystectomy is done, where to put the drain? a-Subhepatic space [Ans?] b-Subphrenic space c-Rt paracolic gutter 51- Pt with Diabetic ketoacidosis pt managed Bt died. Most likely infection is a.mucur [Ans] b.candida c.E.coli 52—Dead organisms in vaccine: A.Measles B.Mumps C.Tetanus d.pretussis[Ans] 53-Esophagectomy done stomach is mobilized to upper portion of thorax ..To anastomosis with phayrnx, Which artery is responsible for stomach supply now a.left gastric [Ans] b.Right gastric c.Left gastroepiploic d.Short gastric vessels 54-Chronic Myeloid Leukemia a.chromosome 9&22[ANSWER] b.chromosome11&22 C.chromosome14&22 55-common Postop infection in hospital cause by which organism: a.Staph Aureus[ANSWER] b.pseudomonas c.e.coli d.Kliebsella 56-clawhand produced by unopposed action of a.flexor digitorum longus and flexor digitorum profundus b.extensor digitorum longus and extensor digitorum Indices c.extensor digitorum and flexor digitorum profundus[ANSWER] 57-if iodine is nt used for formation of thyroid hormorne,then iodine excreted which site of the body a.stool b.urine[ANSWER] c.salivary gland 58- Which drug cause tachycardia in therapeutic doses: a.morphine b. Fentanyl c.afentanyl d.pethidine [ANSWER???] 59-female, there is abnormal metabolism of amino acid.which of the following amino acid Will appear in urine a.alanine b.tryosine c.tryptophan d. Lysine [Ans?] 60- nerve supply of extensor digiti minimi a.deep radial nerve [ANSWER] b.superfcial radial nerve 61- Rotator cuff is formed by a.supraspinatus, infraspinatus, teres minor and subscapularis 62- optic chiasma lesion causes a.bitemporal hemianopia[ANSWER] b.right homonymous hemianopia c.left homonymous hemainopia d.ipsilateral temporal hemianopia 63- Biguanides side affects: b.Elevated ALT b.diarrhea and flatulence 64- A middle aged woman presents with writing movements in the upper limbs, Pulmonary vasoconstriction occurs due to: A.Raised PCO2 b.reduced systemic po2 [ANSWER] C. Reduced pH 65-which nucleus effected a.putamen b.caudate [ANSWER] c.globus pallidus 66-If FACTOR IX not available: a. Cryoprecepitate b.FFP [ANSWER] c.platelets d.whole blood 67-which of the following drain into superior mesenteric lymph node? a.Jejunum[ANSWER] b.4thpart of duodenum c.Desending colon d.cecum 68- The muscle that causes eversion of foot. a.Tibialis post b.peroneus longus [ANSWER] 69- Parotid gland a.Lat pterygoid lies anterior to pterygoid b.ext carotid and the fascial nerve passes through superficial gland c.facial nerve supplies it d.is separated from the mandibular gland through a fascia 70- Broder,s classification of tumour ……… don’t remember options ?????? 71-Carpal Tunnel Syndrome A.Anesthesia of thenar muscles b.wasting of thenar muscle [ANSWER] c.Injury to ulnar nerve d.Injury to radial nerve 72-Basic drugs mostly bind with a- Albumin b- Alpha glycoprotein c- Hb 73- features of Achromegally were given and asked about the cell of pituitary which are affected a- chromophobes b- acidophills 74-A pt with history of bleeding gums n wounds prolonged bleeding time and PT 28SEC (control 12sec) wats the diagnosis? a.heamophelia b.christmis c.won wiliband disease d.factor 7 deficiency [ANSWER] 75-Drug which is strong analgesic but not a good anesthetic a.desflurane b.isofurane c.nitrous oxide [ANSWER] 76- A drug causing ↑GFR will do it by following mechanism a.↓ing bLOOD flow b. increasing hydrostatic pressure c. afferent arteriole vasoconstriction d. By increasing Kf 77- A young male comes to Pakistan for the first time, after 2days he has fever, altered state of consciousness and goes into Coma. Hb is low, PLTs low and neutrophils(dnt remember). Most like diagnosis a- Dengue b- Malaria falciparum 78- axon arise from conical shape part of neuron cell body called. a.perikaryot b.axon hillocks [ANSWER] c.Dandrites 79- peptic ulcer profusely bleeding from posterior wall of duodenum…which artery involed? a.gastroduodenal [ANSWER] b.gastroepiploic 80- Epithelium of nephrons is developed from A.endoderm only b. ectoderm only c. mesoderm only [ANSWER???] d. endoderm+mesoderm e. ectoderm + mesoderm 81-Deep inguinal ring is present in a.transversis abdominis muscle b.transversalis fascia [ANSWER] c.internal oblique muscle 82- parathyroid glands are developed from a.1st pharyngeal pouch, b.2nd pouch c.3rd pharyngeal pouch d.4th pouch [ANSWER] 83- In IV drugs abusers there is increased risk of: A.Libman Sacks endocarditis b.bacterial endocarditis [ANSWER] c. Mitral valve carditis d. Rheumatic fever or heart disease 84- true abt vertebral column A.cervical nerves originate above corresponding vertebra B.vertebral artery arches ant part of post arch of axis there were other options with the orientation of facets tc can’t recall. Option A is not the answer as C8 is a cervical nerve and does not originate above the corresponding vertebrae. (Somebody correct me if I am wrong…) Can’t recall the Option which looked to suit the best! 85- papillary carcinoma of thyroid in children may occur due to a.radiation[ANSWER] b.chemotherapy c.viruses d.Mulitnodular Goitre 86-Seminoma is a tumour in male, its equivalent when occurs in ovary then its called a.yolk sac tumor b.embrynal tumor c.dysgerminoma [ANSWER] d. Hydatiform mole 87- Which of the following is mostly premalignant in the oral cavity? a. Chronic irritation b. smoking c. lichen planus [ANSWER] 88- A female pt was having generalized pain, and has been taking NSAIDs for a long time. Now developed swelling n big toe, wht will b present in fluid aspirate? a.mono sodium urate crystals [ANSWER] b. Calcium pyruvate 89- Integrins are present on: a. Platelets b. Bacteria c. Viruses d. Leukocytes e. Endothelial cells 90- A patient suffering from steatorrhea for last 18 months. He is most likely to suffer from the deficiency of which nutrient? a. Folic acid b. Vit B12 c. Iron d. VitaminD e. Ascorbic acid 91- Ductus deferens terminates into: a. bulbar urethra b. seminal vesicle c. ejaculatory duct [ANSWER] 92- lidocaine mechanism of action a.blocks na channels [ANSWER] b. block k channels 93- there was a question regarding CORPUS CALLOSUM lies between something like that… 94- About small intestine true is a.valvae connivents most numerous in ileum b.mesentry start from the rite of L2 c.valvae connivents 5mm wide d.small intestine 6–‐8 meters long [ANSWER] 95- Salivery enzyme kill bacteria by a. iron binding lactoferin [ANSWER] b. inhibiting protein synthesis c. rupture of membranes BY: DR. ABDULLAH KHALID



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