FCPS Part 1 31 December to 2nd January 2015 Medicine and Surgery Mixed

This Paper is shared by Sea Shell.

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 ADPribosylates 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

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