FCPS Part 1 Surgery and Allied 2015 Collection

Surgery January 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. Craniopharyngiom

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 ๐Ÿ™‚

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 ๐Ÿ™‚

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

Surgery February

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 โ†‘GFR will do it by following mechanism a.โ†“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

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. A

Q109. 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

 

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