MCQs of FCPS Part 1 August ( Mix )

AUGUST 2015 BCQS:

So Here you go People. The answers in these mcqs were most probables. Dont rely totally upon them. If You are doubtful, so do discuss them.These are based upon the experience and the memories of people who shared mcqs on respective groups. There can be some mistakes. But all is compiled with too much hardwork. I’ll share further things later. This Group helped me alot. So i want to contribute to this group so that people may get help. The questions can be intermingled i.e the 12th august mcq mght be written in 13th august heading so dont bother. REMEMBER IN YOUR PRAYERS.take it as a gift :p Regards: Dr. Muhammad Husnain Akram 12th August 2015

1-Type of clls in acute viral infection?

2-Myasthenia Gravis is which type of hypersensitivity (type 2)

3-how much amount of air is required for pulmonary embolism (100cc)

4-Facial nerve exits through? stylomastoid foramen

5-Damage to capsule and articular capsule of temporomandibular joint causes damage to which muscle? lateral pterygoid

6-Universal donor O neg

7-Side effects of chlorpromazine parkinsona or dystonia

8-QRS waves on ECG ventricular depolarization

9- P waves ECG atrial depolarization

10-U wave hypokalemia

11-Which structure is formed by the end of first week of fertilization? (blastocyst)

12-When does stomach appear as a dilatation of gut during intrauterine life? a.blastocyte c.amnion b.blastocele d.chorion (blastocele)

13-Cause of Pulmonary edema in CCF – Increased hydrostatic pressure

14-How is fat transported from small intestine? a.Mixed micelles b.Chylomicrons c.Free fatty acids (cylomicrons)

15-Osmosis helps to maintain a.Shape of cell b.Contents of cell c.Volume of cell (vol)

17-Involvement of actin, myosin and clathrin. Which type of transport is this? a.Primary active b.Secondary active c.Facilitated d.Simple e.Carrier mediated (c.m)

18-Most carcinomas contain a.Keratin b.Desmin c.Vmentin

19-Characteristics of malignancy a.Pleomorphism b.Invasion

20-Characteristics of dysplasia -Microscopic feature in prolonged use of alcohol

21-41% hematocrit means?

22-Most common inherited bleeding disorder? a.Factor X b.Factor VIII c.Von wilibrand

23-In case of Vitamin K deficiency which factor is depleted first? a.XI b.II c.VII d.V

24-Calculation of Urinary clearance and Dead space

25-Vessel along left phrenic nerve? a.Internal thoracic artery (internal thoracic ) b.Superior thoracic artery

26-Hemorrhagic shock of 2L of blood. What is expected? a.Coronary blood flow of 250ml b.Increased venous return Increased tpr

27-Intake of 140mEq/mL. What will happen? a.Increased plasma osmolarity b.Increased icf osmolarity c.Increased ecf osmolarity d.Both icf and ecf osmolarity

28-RTA. Patient in shock. Cause? a.Profuse blood loss b.Bladder injury

29-Immunosuppressants given after transplant surgery. What is the important concern? a.Decreased T cells Increased susceptibility to bacterial infections

30-Which of the following is immunostimulant? a.Cortisol b.Beta endorphin GH

31-which of the following is assessed in triple assessment for congenital defects? a.Serum estrogen b.Serum progesterone Serum estriol Serum estradiol Serum estrione

32-Female gravida 1 is unable to lactate her baby even after her utmost desire . She has a history of post partum hemorrhage. What could be the cause? a.Asherman syndrome b.Sheehan syndrome

33-Turner Karyotype?

34-Bee sting allergy. Most important mediator: a.Bradykinin b.Heparin

35-Hylaine cartilage is present in which tissue?

36-what type of joint is present between two parts of mandible during 1st year of life? a.Gomphosis b.Syndesmosis c.Symphysis d.Suture

37-nerve supply of central part of parietal diaphragm

38-Prolonged use of paraffin leads to deficiency of which vitamin? a.Thiamine b.Biotin c.Vitamin A d.VITAMIN B e.Vitamin C

39-Hypothyroidism increases? a.Tolerance to cold b.Serum cholesterol c.BMR

40-Hippocrates Oath a.Confidentiality b.Doctors rights c.Sexuality

41-Patient with atypical TB. He’s most likely to be? aResistant to ATT

42-Which nerve arches over the arch of aorta? a.Left phrenic b.Left vagus c.Left recurrent laryngeal d.Left sympathic trunk

43-Location of geniculate ganglion

44-most common site of abscess in brain

45-Where is glabella located?

46-enzyme in salive that prevents utilization of iron by bacteria? a.lactoferin b.igA proteases c.lysozyme (lactoferin)

47-Sequestration of ca a.SER b.T tubules c.Trponin (SER)

48-Pluropotent stem cells signald by a.Bone marrow edothelium b.Reticular bone marrow cell c.Regenratve cells d.Blood cells n epithelium are labilr (bonemarrow endo)

49-Neoplasm is malignat v put in stage 1 -4 stage 1 would b a.Ca in situ b.No malignant potential

50-2nd wk of life development of which structure blastocyte

51-Sympethetic effect a.Inc heart rate b.bronchocnstricton (inc heart rate)

52-Stress hormone inc in stress a.Cortisol b.Cortol c.Cortorele d.Catecholamine (coritsol)

53-Adrenlectomy taste inc for a.Nacl

54-Inherited disease a.Won willbrand b.Factor 9 def (WVB)

55-Senario like BT 20 Ct 18 i thnk plt 180,000 disordr

56-Fibrinogen def a.Platelt function disorder b.Itp

57-Which of the following most likely cause malignancy a.. Haemochromatosis b. Benzidine C. Asbestosis (asbestosis)

58-Lesion of dorsal column a.Anesthesia b.Analgesia c.Loss of tickling n itch d.Sensory ataxia e.Motor ataxia (sensory ataxia)

59-Vibrio cholera diarrhoea mechanism a.Inhibit Ip3 b.Inhibit cAMP c.Increase Cl channels (Increase Cl channels)

60-most common cause of ppremalignant change in mouth a.chronic ulcer b.lichen planus c.submucous fibrosis (submucous fibrosis)

70-female showing cervical dysplastic changes, etiology? a.vaginal cream b.grand multiparity c.HSV d.IUCD e.chronic irritation (grand multiparity)

71-Conducting system of heart is located in? a.Endocardium b.Subendocardium c.Epicardium d.Myocardium e.Subepicardium

72-Asthmatic e IHD hypertension intra operatively a.Iv nitropruside b.Iv nitroglycerine c.Iv hydralazine (iv nitrospruside)

73-regarding endotoxin most of patients having endotoxin in sepsis

74-cardiac reserve decrease in a.athletes b.can be used to increase cardiac output

75-Gaba deficiency in substania nigra nd globus pelidus cause a. chorea b.athetosis C)Parkinson’s D)hungtinton (hungtinton)

76-Pulmonary blood flow lit/min? a.2 b.3 c.4 d.5 e.6 (5)

77-Cause of hypertrophic cardiomyopathy

78-Conducting system.of heart which layer

79-Scapula ossifies at what age ?

80-What is main adhesion of a cell ?

81-Pt ct disturb of a 12 y/o child – pathology behind it ?

82-Thrombin converts fibrinogen into fibrin –what elevates in blood ?

83-Paraffin inhibits what !

84- MOA of gemfibrazol ?

85-girl cannot comb her hairs . Nerve damage ?

86-Lt atrial hypertrophy + inc pcwp + pulmonary odema . Dx ?

87-Nerve to uretheral sphicter

88-How much cc will cause embolism

89-Parotid will form what ligament

90-Why immunosuppressents have disadvantages …. delay onset ..or

91-recurrent bacterial infec

92-Na is antagonized by which ion

93-Which enchances immunity

94-Cortisol acth growth hormone

95-In mid trimester blood is formed by

96-Pseudomonas antibiotic coverage ?

97-Which hormones stops gastric motality ?

98-Which agent slows gastric motility ? Suralfate aluminum oh omega mg oh

99- Barbiturates uses what ?

100-Mural thrombus from which organ

101-Adh syndrome !!!!! Hypertronic rehydration ya hypotonic rehydration ..

102-Virtual image : a.Image on microscope b.Image in scren. c.Image behind lens

103- Use of atrial neutric peptide in diagnostic !!!

104-Long pr interval bp 120 80 echo clear

105-lt axsis deviation ??? Dx

106-Sick sinus syn option a.Biferengent block b.uniblock c.Triiblock d.complete herat block

107-Lesion in rt lower lung lobe . Pt is gardner

108-Ca store in muscle where ?

109-Action myosin clathrin transport ? How ?

110-decrease in diffusion is due to
111-Defecation occurs due to? a. gastrocolic reflex b. Mass movement (mass movement)

112-Patient develop scarlet fever a.Exfoliation b.Exotoxin (exotoxin)

113-Person working in farm develop lesion on foot a.Cutaneous larva migrans b.Cutaneous leshminiasis c.Dracanculus… (Cutaneous larva migrans)

114-Young patient burning pain during urination, afebrile, tnin yellowish discharge.. a.Chlamydia b.HSV (chlamydia)

115-Which of the following most likely cause malignancy a. Haemochromatosis b. Benzidine C. Asbestosis (asbestosis)

116-Vibrio cholera diarrhoea mechanism a.Inhibit Ip3 b.Inhibit cAMP c.Increase Cl channels (increase cl channels)

117-Mother cant lactate her baby Sheehan syndrome

118.Pseudomonas doc Cipro

119.Inc num of lyphocytes in a.Tb b.Hay fever c.Pneumonia

120.Lady cant comb her hair nerve damage? a.Suprascapular nerve b.Spinal accesory nerve

121.Chi quare 2*2 table

122.cycloplegic refraction complication Shallow chamber

123-Warthin starry stain used for

124-regarding MCA? a.supplying inferomedial part of temporal lobe b.olfactory part of frontal lobe

125-regarding ICA a.enter in skull through squamous temporal lobe. b.lie on lateral side to ECA at origin n then move medially as in ascends in skull give ophtalmic branch

126-femoral artery relation with vein a.lateral b.anterolateral c.posterolateral

127-which physiological function loss in lab test of urine specific gravity? a.concentration b.filteration c.secretion d.blood flow e.reabsorption

128-trochoma? a.bacterial conjunctivitis b.viral conjunctivitis

129-superior thyroid aretry is branch of? a.external carotid b.interal carotid

130-person having systolic pressure

132mmhg. diastolic pressure 66, mean arterial pressure would me..? a.66mmhg b.111mm Hg c.88mmHg

131-normally physiological functionn of placenta ,is a barrier b/w? a.maternal n fetal blood b.barrier for drugs c.barrier for nutrition d.barrier for immunoglobulins

132-anterior pituitary tumor will mostly cause damage to which nerve? a.trochlear b.optic

133-PTH most sensitive to? a.total serum b.serum calcium c.1,25(OH)D3 d.serum PO4

134-woman having whiplash injury during PTA, damage C5 C6 nerves, which of the most disability she is having? a.flexion of forearm b.extension of arm c.adduction of shoulder d.medial roation of shoulder e.extension of finger

135-a new research, study on some therapy regarding smoking, cessation.he divide 40 smokers and on volunteer therapy.after some time he asked about the daily smoking ciggerates from all 40.what key component is missing? a.hypothesis b.random distribution c.dependent distribution d.independent distribution

136-thyroid follicles cell releasing thyroxin derived from? a.endoderm b.ectoderm c.mesoderm d.endo n mesoderm

137-in developing sudden exeruciating chest pain, bp 90/50 mmHg with dislocation of crystalline lens, cause? a.mallory-weise syndrom b.rupture aortic aneurysm

138-regarding heart sounds? a.S2 is usually long b.audible on area of heart valves more precisely

139-cystic fibrosis sweat chloride test

140-what cause gastric emptying metoclopramide

141-female symptoms of hypothroidism n lymphocytes a.hashimotor b.colloid goiter c.thyroid cA d.thyroid lymophoma

142-single local factor for delay wound healing infection

143-posterior 1/3rd of tongue sensation, nucleus involve? glossopharyngeal

144- masseteric fascia develop from ? a.superficial layer of deep cervical fascia b.carotid sheath c.pretracheal d..prevertebral

145-situs inversus kartagena syndrome

146-MAO inhibitor n hypersentivity crises coffee?

147- oral glucose load increase? a.secretion b.tripeptide (secretion)

148-fungi causing meningitis a.histoplasm b.asperigillus c.cryptococcus d.cocadiomycos (cryptococcus)

149-aldosteron major action a.dct b.collecting duct (collecting duct)

150-pulmonary blood flow 5lit/min

151-similarity b/w cardiac n skeletal muscle a.transverse striations b.transverse tubules (transverse tubules)

152-which of following drug cause hyperurecemia? a.ISH b.rifampin c.pyrazinamide (pyraznamide)

153-enlargement of arch of aorta compresses a.esophagus b.lung c.trachea (esophagus)

154-traumatic lesion at L1, which will affect? cauda meclularis

155-astgmatic pt having high BP during surgery, drugs used will be hydralazine

156-injury above sacral spinal cord result in a. dilatation of bladder sphincter b. constriction of bladder c. atonic bladder d. neurogenic bladder (atonic bladder)

157-highest enrgy cntnt a.fats b.proteins c.carbohydrates d.vitamns nd minrls (fat)

158- genu a.lateral ventricle b.ant horn c.roof

159-buccinator from pretracheal fascia?

160-benzodiazepene least like cause: a.hypotension b.hypovolemia old age

161-thyroid secreting tumo a.small call car of bronchus b.squamous cell carcinomma of lungs

162-during short period of atp synthesis.energy is provided by a.phosho creatine b.kreb cycle

163-cvs part solely controled by? ANS?

164-most characteristc feature of polycythemia: a.hyperplastic change b.>50% in hct

165-active transport require pumps or carrier protein (pumps)

166-vascular component of meninges (piamatter)

167-excessive use of liquid paraffin on skin causes?

168- thorn prick on skin, organism? vit A deficiency niacin thiamine

169-gemfibrozil? increase TG clearance

13th August 2015

1-Surfactant Increase compliance

2-Cell mem strct primarily maintain by a.Endoplasmic reticulm b.Cholesterol bilayr c.Golgi apparatus

3-adverse reaction of drug depend upon a.Small dose small b.variable

4-Enzyme may b fall in liver injury a.Alt b.Alp c.Ast d.Ldh

5-Diarrehea normal anion gap met acidosis

6-Thorn pick absess Staph aureus

7-Rite kidney ant relation a.Duodenum b.liver c.hepatic colonic flexure

8-Loss of memory senario Temporal lobe

9-Senario pt havin acute appedixitis havin forgetdulness unable to give consent,came wd a wife,take consent from a.Wife b.Ask senior c.Reaskd from him

10-resection of terminal ileum?

11-after gastrectomy (vit b12)

12-fracture neck of fibula (peroneus longus)

13-pt cannot comb hair ( spinal accessory)

14-one third of body water in icf ecf

15-max pressure in aorta during whic phase ?

16-supply of pericardium

17-leukocyte adhesion

18-branch of basilar artery?

19-cck

20-which antacid dec gastric emptying ?

21- which part of liver with poor supply?

22-stomach become dilated in which week? a.3rd b.4rth c.5th? (4th)

23-femoral vien palpated at a.pubic tubercle b.aduuctor canal

24-megaloblastic anemia in 35yrs old man a.loss of intrinsic factor b.transcobalamin

25-pregnant woman a spoon shaped nails a. low mcv mchc

26- fever caused by a.tick b.ricktessia (tick)

27-trachea is a.25cm long b.17cm external dia c. bifurcation at t3 (17)

28-what loops around arch of aorta a.left reccurrent laryngeal nerve

29-1st artery given by abdominal aorta a.celiec truck b.inferior mesentertic artery

30-hyper eosinophilia occurs in ? a.atypical cml b.hodgkin c.eosinophilic granulum

31-turner karyotype? a.44 xo b.44xyy c.44xxy?

32-41% oh hematocrit means?…. a. 41% of formed fragments of rbc b.41 of red wbc and platelets?

33-kidney activates which of following? a.renin b.adh c.cholecalciferol d.erythropoetin

34-pulse pressure max. amplitude in? a.lft vntrcl b.aorta c.atrium

35-a patient inspired maximally with efforts and expires as usual? a.IRV b.FRC c.IC

36-corticopsinal track ends at which level? a.upper cervical b.mid thoracic c.lumber d.spinal cord e.ower thoracic

37-person working in farm develop lesion in foot a.cutaneous larva migrans b.cutaneous leshminiasis c.dracanculus

38-soldier in balochistan came with complaint of fever mailaise hepatomegaly spleenomegaly, used to sleep on floor, history of bites of fly? a.malaria b.kalazar c.cml (kalazar)

39-warthin starry stain used for a.spirochete b.chlymdia c.mycobacterium d.neisseria

40-nerve loops around arch of aorta? a.vagus b. reccurrent laryngeal

41. phrenic nerve runs on left side with? a. RCA b.LCA c. pericardicophrenic artery

42-after abdominl n gynaecological surgery cause which kind of Infection (becteroids)

43. Which factor def causes thrombosis instead of bleeding Factor 5

44. hypovolaemia with hypotension isoflurane shud not be given,why? Potent vasodilator

45. Otic ganglion location foramen was asked Superior border of foramen ovale

46. Increase in interstial fluid cause Inc. capillary permeability

47. Rite sided weekness with babinkis positive all UMN lesions no sensory loss whr is the the lesion a.left internal capsule b.left broadman area 4 resection

48. Epitheluim of preterminal bronchiole Pseudostratified squamous

49. Mesiothelioma exposure to wat Asbestos

50. Trachea coverd by pretracheal fascia True

51. Radiation causes cancer aftr how much yrs 5-10 years

52. Premalignant lesions are a.Metaplasia of endocervix b.Dysplasia c.Condyloma, skin

53. Weeknes in abduction of fingers nerve involve is Ulcer

54. Sciatic nerve severed, dorsam of foot supplied by which nerve?? a.saphenous nerve b.Sural nerve c.Comman paroneal nerve

55. Lidocaine overdose seizures

56. Loss of knee flexion and hip extension muscle involved is Semitendinous

57. muscle which causes flexion of elbow and supplied by radial nerve Brachioradialis

58. Breast lower medial quadrant will not drain into a.inf phrenic nodes b.Pectoral nodes c.supraclavicular nodes

59. volume of distribution

60. Probablity of difference between the two medians

61. lack of comunication and understanding between doctor and patient is due to?

62-a know patient of lumbago, presented with acute chest pain, o/e tenderness found in the left posterior 3rd and 4th intercostal space, bp normal, pulse normal likely diaganosis a.costochondritis b.spondylitis c.dissecting aortic anurysm

63-denticulate ligament

64-dura matter extension is present b/w

65-hormones during sleep

66-which vascular leison is present in rheumatic fever>

67-Most comman skin cancer in HIV a.sq. Cell carcinoma b.Basal cell carcinoma c.Malignant lymphoma

68-Collagen tat gives strenght during wound healing a.Type 1 b.type 3

69-major blood buffer? a.hb b.hco3

70-Whch type of joint is it, TMJ?

71-whch type of articular cartilage TMJ has?

72-Whch ligament is formed by parotid fascia?

73-chest pain and fever not related to respiration a.Costochondral junction b.Pericarduim c.Myocarduim

74-in later stage of pregnancy oestrogen and progesterone produce by a.corpus luteum b.ovaries c.placenta d.ant pituitary E.post pituitary

75-Q.which one of the following cause coronary vasodilation a.adenosine b.NO

76-.true about skeletan develop from a.ectodem b.mesoderm only c.mesoderm and neural crest. d.somatic mesoderm e.splanic mesoderm

77-In carcinogenic shock u vl give first a.adrenaline b.dopamin

78-.a pallor child xray skull showing hair end appearance next invasion a.xray skeleton b.peripheral smear c.bone marrow aspiration d.Hb electrophoresis

79-.true about denticulate ligament a.extension of duramater b.separate dorsal & ventral root c.extension of filam terminale D.BTW vertebrae and spinal cord

78- A patient has hypercouagable state having def of a.factor viii b.factor ix c.factor x D.factor xiii E.factor v

79-difference BTW skeletal and smooth muscle a.ca calmodulin b.directly activated by ca

80-Infectious mononucleosious

81-which valve is involved in Limb sack endocarditis

82-Graves disease scenario

83-V wave denotes?

84-Abdominal angina cause by obstruction to a.Inf mesenteric b.Sup mesenteric

85-middle colic is the branch of? Superior mesenteric artery

86-geniculate ganglion is located in?

87- taste sensation is carried to the cortex through?

88-folic acid deficiency leads to ? megaloblastic anemia

89-anterior fonatnelle closes at?

90-sphincter urethra is supplied by? pudendal nerve

91-two point discrimination? merkel disc

92-ANP theraptcally useful in? hypertension

93-beta blocker?

94-functional platelet defect

95- oxygen hb curve towards left increase in pH

96-cephalic vein anatomical snuff box

97- atlantoaxial joint is type of pivot joint

98-atypical lymphosytosis EBV

99-edema of legs after bite? histamin

100-stomach tube 4th week

101-oesophageal atresia drooping of saliva

102-AL(OH)2 delays gastric emptying

103- Acute liver damage ALT

104-actin myosin clatherin pinocytosis

105-sternum ossification 21 years

106-mandible symphsis menti

107-cord hemisection

108-broca’s area

109-CSF subdural space

110-anterior spinothalamic tract ends at

111-benzidiazepein GABA

112-renin activation by

113-anatomical dead space

114-dopamin acetycholin intolerance in Parkinsonism

115-adhesion integrins

116-crest syndrom

117-immuniospressant caused teeth disease?

118-brain liquification necrosis?

119-metaplasiachanges character of epithelium

120-carcinoma spread by?

121-femoral pulse at inguinal point

122-heparin VS LMW heparin – common function?

123-adrenalectomy increased taste for Na

124-homonymous hemianopia

125- 2 human virus cause cancer?

126-metabolic acidosis with normal anion gap

127-negative feedback in hemorrhage

128-kidney cholecalciferol

129-cholesterol increases by eating saturated fat

130-decreased cholesterol dec adrenal hormones

140-level of thyroid isthmus?

141-long refractory period heart

142-hypokalemia

143- increased urea in loop of henle

144- IV drugs endocarditis

145-alcohol fatty change

146-leishmaniasis

147-parasympathetic supply of bronchioles?

148-defeciency of glucose 6 Phosphatase causes

149-Increase GFR causes inc absorbtion of salt and water from PCT

150-The most imp mechanism for thiz tubuloglomerular feedback is A. Inc peritubular colloid presure B. Dec peritubular soduim concentration

151-Increase in viscosity of blood Inc radius of capacitance Inc radius of resistance arteriole Inc mean arterial pressure

152-infection in cavournes sinus

153- cause of damage to lateral rectus

154-During hysterctomy ureters can be damaged while ligating which artery ???

155-which one is the DNA virus Influenza Measles Mumps Yellow fever Infectious mononucleosis

156-injury to surgical neck of humurus damage to which nerve

157- Axillary nerve damage will cause wat Dec abduction 0-20 degree Dec abduction 20 -90 degree Dec abduction above head Dec flexion

158-intermenstural bleeding and post coital bleeding no othr abnormality on per speculum examination.. cervix hyperplasia present.. wat initial test u vl do a. Colposcopy b.Pap smear

159-14 yrs old chronic diarhea. bleeding time, CT=50min, diarrhea since 6m,no family hstory vit k def/ liver failure

160-posterior ventricular branches of RCA, branches no. and area of supply?

161-crown rump length at 15-20 wks?

162- right lung, superior,medial and inferior lobes, no. of segments in each?

163- purkunji cells typically present in a.cerebral cortex b.cerebellum c.cerebellar nuclei

164- storage of glycogen is called?

165-case with 8% bleed in 30min ..response? bleed from?

166-severe sudden hypovolemic shock effect?

167- mechanism of response in bleeding of finger cut for a few sec? vasoconstriction

168-in shock, which will pressure body as a “whole”? adreno-sympathetic or CNS inchemic response?

169-scenario: dec BP and activation of renin angiotensin system, which response will help? Vasocontriction Thirst ADH

170- crecenteric morphology associated with?

171-least creatinine clearance? a.glucose b.urea c.HCO3 d.na

172- most abundant antibody? IgG

173-case od blunt abdominal trauma, whch of the following will NOT go from G node to G1? a.smooth muscle b.liver parenchyma cells c.symphysis

174-b/w pubic bones type of joint ?

175-what is true regarding T cells? a.mostly t cells present peripherally b.processing done in thymus after birth

176-in long bones, after birth, secondary centre of ossification? a.diphysis b.epiphysis c.metaphysis d.membranous bone

177-after hepatectomy, mitogenic factors for genration?

178-related to sex linked disorders usually cause in males

179- which is pre malignant lesion? a.dysplasia b.condyloma skin

180- most imp factors for metastasis a. migration of tumor cells b.attachment wid extracellular matrix

181-case of study done in pts with t4N1M1 stage with survival of <50% of 5 years. what will be true? cachexia

182- epicardium is supplied by?

183- a statistical test observed differences b/w 2 means been by chance? a.variance b.correlation c.ratio

184- definition of volume of distribution

185- which amino acid deficiency in cell injury? a.histamin b.glycin c.tyrosine

186-Damage to male urethra below uroginital daighram, urine vl go into a.Retropubic space b.Medial thigh c.Superficial perineal space d.Isciorectal fossa

187-Sartoli cells, most appropriate is a.produce fluid rich in glucose and protiens (nutrients) b.Mentain blood testis barries

188-Rapidly adapting receptors ???

189- blood supply of prostat?

190-12. dr prescribing ANTICOAGULANTfor a lifetime, before that investigation is impotent

191. lung ca., small cell (oat cell) biopsy will show tumor marker? a. prathormone ralated protein b. ACTH c.serotonin

192.lady has loss of little finger due to weakness of interrossei muscles, nerve involed a.ulnar nerve b.radila nerve c.median nerve d.dorsal interrsoe nerve

193- primary esophagela reflex different from secondary reflex as in any relation of inferior sphincter

194- pubic bones move during labor slightly due to joint Symphysis

195-. pubic symphysis is a a type cartilagnous joint

196-reed sternberg cell mostly diagnosis a. hodgkin disease b. non hogdkin lymphoma

197-. Hic associated with a. Kaposi sarcoma

198-. related to ca. of bladder a. schistosoma japonicum b. b schistosoma heamatobium c. c. schistosoma

199-Chronic backache,longest nerve frm which plexus a.lumbosacral b.thoracosacral brachial c.Pia matter , d.invaginate gyri

200-anaomic aphasia dua to lesion of a. brocas b. wernickes

201- ESOPHAGUS a.related anteriorly to recurrent laryngeal b.starts upper border of C6 c.commences at T8 d. continues with pretechial fascia

202-. SCLENUES ARTERY third part sweling will appear in which area a. prevertebral b.supraclavicular c.axilla

203-.posterior intervetricularr artery a. two in no and supplies diagphramatic surface of ventricle

204- accident, fracture of femur,tibia,fibula, pulse 110/min, bp 110/80 (near normal) BEST managemnt a. joint stability b. fluids

205-C5-C6 damage

206-M.I 207-horner syndrome,

208-remant of geburnaculum,

209-relation of cbd wid doudenum

210-left renal vein relation to aorta,

211-most important to do in ICU

212-calculation of GFR

213-abdominal oblique digit insertion in which muscle

214-pregnant lady on lateral side to avoid IVC

215-cold sensation

216-tail of pancreas goes into…. Spleen

14th 15th 16th August 2015

1-KALLMANS SYNDROME. ‘ a.hyperosmia b.hypergonadism c. mutattion of KALIGI gene on Y chromosome(something like that) d. lesion of arcuate nucleus (lesion of arcuate nucleus)

2- eversion of foot by. peroneus longus

3-inversion and eversion at.. a.subtalar joiny b.ankle joint (subtalar)

4- injury of ulnar nerve at elbow. claw hand

5- loss of sensation on lateral side of palm median nerve

6- dermatome of lateral side of elbow… a. c7 b. t1 c.C5 (c5)

7- diagstric muscle central tendon is attached to? a. styloid process b. hyoid bone (hyoid bone)

8- damage to cervical sympathtic ganglion . a mydriasis b ptosis (ptosis)

9-Lambda light chain protein accumulation a. amyloidosis b. alport syndrome. (amyloidosis)

10-csf goes to subarachnoid space via a. medial aperture in 4th ventricle b . lower apertures in lateral ventricles (medial aperture)

11- loss of pain and temp sense but intact touch.. a. tabes dorsalis b. syringomyelia (syringomyelia)

12- purkinje cells in a. cerebellum b. cerebellar cortex (cerebellar)

13-screening test for sle. ANA

14-peri articular erosions on xray a. RA b. osteoarthritis c. sle (osterarthritis)

15-pt had dyspnea and then died. autopsy shows wedge shaped leison.

16-45 year old previousl normal lady start having dyspnaeo, dry cough, fever 3 months back.. recovered for one month when she went on vacation..again developd symptoms when she got back to her canaries. xray multiple nodular lesions in all lung zones. dx a.anrigen antibody mediated rxn b. progressive interstitial lung disease

17- young pt has jaundice . total bil 10mg conjugated. 1.2 .. a. hepatitis causes unconjugated hyperbilirubinemia b. unconjugated hyperbilirubinemia causes hemolysis c. bile duct obstruction causes unconjugated hyperbilirubinemia

18-pt had rta e blunt trauma to abdomen.. which of the following cells will not enter into G1 phase of cell cyccle and will remain in G0 a. hepatocytes b. skeletal muscle c. endothelial cells

19- maranatic endocarditis mainly involves. a. aortoc valve b aortic and mitral c. aortic and pul valves d. somethong about vegetations

20-cresentic glomerlonephtitis is due to a. fibrin leakage b. antigen antibody complex deposition c. subepithelial deposits 21-graves disease.. type of hypersensistivity

21. serotonin syndrome a. tricyclic and flauxetine b. chlorpromazine

22-which one can be elicited in pt with complete brain stem resection a. spontanous respiration if pco2 >50 b. intelligable speech c. flexor reflex aftr piching the toe

23-left optic tract lesion

24- example of choristoma a. pancreatic tissue in gastric mucosa b . pancreatic tissue in mouth c, thyroid tissue in mouth

25- strusture 2 feet from caecum …meckles

26-. pt had red raised lesions on skin since 3 months on rt arm which are increasing in size and number.. he also had watery diarrhea one month back and has generalized lymphadenopathy.. which is the cause of lesions a. HHV8

27-. generalized painful lymphadenopathy, fever, sore throat…. mononucleosus

28-.. True for cricoid cartilage ??? A. Vocal cords are attached to it B. Inferior constrictor attached to it

29. true regarding vertebal colmn a. all thoracic vertebrae hav articular facet for ribs b. lumbar curve is maintained in adults c. aeach vertebrae can be identified individually in adults

30. regarding heart a. left atrium has thicker wall than rt atrium

31. least clearance is for (something like that) a.hco3 b. urea c. glucose

32. the amount of plasma required to reach the nephron to excerete the amount of it in urine is (something like that) a.filtration rate b. clearancE

33. young male with malar rash, arthralgia/arthritis, endocarditis ANA postive.. something about complement C1q (dont rem the full scenario), a. antigen antibody complexes (is it SLE?)

34. pt lost 8% blood in 30 mins, whch volume is significantly reduced a venous blood b. capillary blood (venous blood)

35. thyoid gland a. active forms had follicles with colloid b. isthmus at 4 and 5 tracheal rings c.

36. most of active thyoid hormone released into circulation is a. T3 b. T4 (t4)

37. NON FLUNT aphasia.. brocas

38. all the sensry input to primary somatosensory cortex will be lost if following set of structures are damaged a. dorsal column , grey matter of spinal cord, trigeminal , solaitray nucleus b. dorsal coulm, grey matter of sp cord, trigeminal 39, retinal changes in hypertension a. AV nipping b.retinal detachment c. exudates.. it wasnt hard exudates. some other kind of exudate was mentioned. dont rem its name

38.thymus a. single lobed structure b. lies on sternothroid and sternohyoic. c.aorta lies ant to it d. it regress aftr birth

39. virus related cancer a. T cell leukemia b.renal carcinome c.small cell carcinoma

40. paraneoplastic syndrome a. small cell carcinoma

41. construction worker with resp problem, plaque like lesion on lungs a. silica b. Asbestosis (ANS)

42. ingunal canal. a. ant sup ilaiac spine to pubic tubercle b. conjoint tendon forms its upper boundry

43. abundant antibody.. igG

44. histamine release a. fentanyl b. morphine (morphine)

45. arterial supply of epicardium a. internal thoracic b. pericardio phrnic

46. regarding renal vessels a. rt vein is longer than left b. left renal vein lies ant to aorta and lft renal artery (ans)

47. adrenal is seperated from kidney by?? a) peritoneal fascia b) renal fascia c) perinephric fat (ANS)

48. bladder cancer.. schistosoma hematobium

49. young boy e pallor.. crew cut appearance on xray.. dignostic test. a. hb electrophoresis b. bone marrow aspiration (hb electrophoresis)

50. iron stored in females a.6gm b. 4gm c. 3gm (3gm)

51. olfactory cortex a. ant perforated substance b. calcrine sulcus c. lateral olfactory area

52. hepatocyte regeneration 10 days

53. whch of these stimulate erythroid stem cells to proliferate and differentiate a. erythropoiten b. growth factors c gorwth hormone d, androgens (growth factor)

54. pt with lower back ache and pain at posterior thigh. dr tells him the longest nerve of body is involved. origin? a. saccral plexys b lumbosaccral plexus c thoracolumbar. d.brachial

55. saliva a. normally acidic ph b. predominantly mucoid in normal conditions c. has Na and K less than plasma (mucoid in normal condition)

56. dialysis fluid. a. has less hco3 than plasma b. has more glucose than plasma (has more glu than plasma)

57. one question was regarding glysolysis in rbc,..

57. pt has defeciency of glucose 6 phosphatase… finding a. hyperglycemia b. hypoglycemia c. no glycogen (hypoglycemia)

58. puberty a. high gonadotrophs

59. hashimoto thyroidistis. a. anti tsh antibodies b. anti microsomal and anti thyroglubulin (anti tsh antibodies)

60. source of estrogen and progesteron in late pregnancy a. ovary b. corpus leuteum c. placenta (placenta)

61. ovarian fossa related injury.. vessel involved a. internal iliac b. external iliac (internal iliac)

62.in mature follicle, the ovary is surrounded by mound of cells called a. cumulous oophrous b. corona radiata c. antrum (corona radiata)

63-Defeciency of surfectant causes A. Decrease recoil of lungs B. Decrease complaince

64-at basal side of seminefeous tubules there are cells that form mature sperm cells a. spermatis b. type A sprematogonia c. typre b spermatogonia d. primary spermatogonia

65-.diphylobotrium latum causing megaloblastic anemia

66- rt cornoary artery a. has two branches that supply ant surface of rt ventricle b. has two branches one of which supplies diaphragmatic surface of rt ventricle

67. angiotension does long term regulation of BP thorugh’ a. vasoconstrictiom b. activating aldosterine release (activating aldosteron release)

68. inc interstitial fluid by a. hypertension b. inc cappilary permeability c.inc capiilary hydrostatic pressure (inc hydrostatic pressure)

69. pt with Ph7.4.. po2 8KPa , hco3 4kpa… diagnosis a. resident at high altitude b. compensated resp alkalosis. c. metaolic acidosis’ d. resp alkalosis

70. premalignant lesion a. dysplasia b. condylomata c. cystic hyperplasia of endometrium d. endometrial hyperplasia (dysplasia)

71. cimetidine differ from ranitidine bcz ranitidine a. has lesser cns toxicity b. causes acid secretion (lesser CNS toxicity)

72. digoxin is a doc for a. atrial fib b. heart block c. vt (atrial fib)

73. in shock body response as a whole a. cns ischemic respoce b. adrenosympathetic (adrenosympathetic)

74. After removing fundus of stomach wat will happen ??? A. Decrease receptive relaxation B. decrease production of gastrin

75-75-1: After adrenalectomy taste is increased for ??

76: Adrenal vein drains into ??

77: Insulin secretion increased A) GIP B ) VIP C ) Somatostatin

78: End of marathon, levels of insulin and glucagon

79: Definite diagnosis of malignancy a.Local invasion b.Metastasis

80- Hypertrophy definition?

81-Which nerver lateral to trachea

82-Throid moves with deglution coz its wrapped in what fascia?

83: Coin lesion on chest x ray of a woman, how to differ btwn granuloma and neoplasia: a.Recurrence after excisions b.Rapid inrease in size c.Sensitive to chemo and radiotherapy

84: pregant lady in last trimester with profile of hypochromic and microcytic anemia , cause?? B12,iron etc

85: Which somits first formwd a.Cervical b.thorax sacral

86: Right main bronchus differs from left one because: a.Its more vertical, b.Its has large diameter (more vertical)

87: Digitalis toxicity increased by : a.Hyperkalemia b.Hypercalcemia c.Hypomagnesemia d.Hyperchloremia e.Hypernatremia (hypercalcemia)

88-Patient can not abduct and adduct his 2nd to 4th fingers of a hand. And he also has clawing of the 3rd and 4th finger.

Which nerve involved. a.Radial b.Median c.Ulnar d.Anterior interosseous e.Posterior interosseous (ulnar)

89- how we can increase resolving power of microscope

90)insulin deficiency causes a)increase activity of lipoprotein lipase b)lipid deposition in adipose tissues C) gluconeogenesis in liver

91)GFR and RPF both increase in a) afferent dilation b) efferent dilation

92)cellular vault plays role in a) endocytosia b)sth abt mRNA

93)2 bronchopulminary segments in a) right upper b)right lower c) rt middle d) left upper e) left lower

94)compaction,seggregation of innercellular mass occurs after a) 1st cleavage b) 2nd c) 3rd d) 4th e) 5th cleavage

95)sympathetic stimulation a) reduced sweating B) gluconeogenesis c) reduced cardiac output

96)after parturition utrus size reduces due to action of a) lysosomes B)mitochondria

97)method of studying categorial data

98) slowest fibers a) a alpha b) c fibers C) b fibers

99) opsonization a) cC3b

100) chemotaxis a) C5a

101-gfr increased by ; constriction of efferent arterioles

102-burkit lymphoma is caused by. EBV

103-questn about conducting system of heart… a.SA b.av c.bundle of his d.purkinji

104-random sampling

105-preterm labour caused by?

106-left renal vein drains into?

107-structure similar to labia majora in males?

108-in environment malignancy through proto oncogenes caused by?

109-Tachycardia on normal dose. a.Verapamil b.Dilitazem c.Isosorbise

110-heart mass in right ventricle Myxoma

111-Regarding ACE can be given in high dose in htn crisis May increase k+levels

112=tb granuloma Caseous necrosis

113- MHC1 a.Nk cell b.Cd4+ c.Cd8+

114- anti jo1 a.Arthritis b.Polyneuro c.Rash

115- tourette syndrome DOC

116- post column senstaions lost a.Tabes dorsalis b.polio c.Syringomyelia d.Syringobulia

117- finger sensation a.A beta b.A alpha

118- slow pain neurotransmitter Substance p

119- aik genes wala tha a.Retinoblastma b.Neruoblastoma c.Nephroblastoma

120- termal stress temp 105F a.heat shock b.Heat exhaustion

121- vita minB12

122- apthous stomatitis

123- 1st somite a,1st occipital b.Sacral c,Coccygeal d.Thoracic

124- compaction a.1st division b.2nd c.3rd d.4th and 5th

125- t4-t8 bilateral pain temp lost Medial cavitatiry leison t4t8

126- cellular vault a.Endocystosis b.Apoptosis c.Phagocytosis

127- apoptosis a.Prevent overpopulation b.Mutant cells

128- sisters not affected. Hemphilia 8 Autosomal recessive

129- occulocardiac reflex

130- conductiom system of reflex

131- mother child bonding lost Fos-b gene confirm (ganong mcq)

132- scenario of prolactinoma

133- cell organelle which can replicate a.Mito b.Centriole c.Golgi

134- microscope Decrease wavelength increase lens power

135- relaiblity

136- correlation coefficient

137- increase gfr plus increase plasma flow Dilate afferent

138 – ADH Not secreted by decreae plasma osmolality

139- osmosis a.Passive process b.Active process c.Solutes determine osmolality

140- regarding osmolality a.Mesured by dedicate instrument b.Value im renal failure

141-butyrophenones Centrally acting (confirm)

142- pregnancy Dic

143- malar rash, proteins8 albumin 3.5 generalized lymphadenopthy palor ana+ further test a,Hiv b.C1 estersse c.Anticentromere

144- prostate large lobe a.Periprostatic b.Central c.Isthamus

145- 70yrs recurrent uti Bladder outflow obs

146- highly differentiated sw cell ca a.Nuclear hyperchromatism b.Keratin nest c.Atypia

147- patient came.. Ask about name adress occupation

148- verbal communication a.Presentation b.Vocabulary c.Workshops

149- during inspirstion a.Jvp drop b.Intrathoracic rise c.Abdomn muscles bulge

150-jvp C wave ventricular comtraction

151-gram neg causing shok in which system…… urinary

152- iron is transferred to tissues in form of??

153-a senario of female having fever and something like that. Taking antibiotic for it and developed pancytopenia, cause is…….

154- Corneal opacities caused by.. a.ethambutol, B .quinolones, c. phenothiazinez 154-Blood suply of rectum

155-inferior rectal artery is a branch of

156-ligament wich held utererus a/v n palpated on per rectal examination only

157- spinal cord space contain…. venous plexus

158-Serratus anterior -> long thoracic

159-Trachea damage-> recurrent laryngeal damage 160-Facial artery course.. Complete stems??

161-phimosis organism involved a.HPV b.HSV

162-relation of kideny with hilum a-left bronchus b-right bronchous

163-gap junction in cardiac muscle

164-no synapse Dorsal root ganglion

165-bullet injury common peroneal damage movemnt lost Eversion

166- injury to common peroneal site? Head of fibula Neck of fibula

167-what is given preoperativey for Reduction of acidity? Cimetidine

168-Reversible inhibt h2

169-Waves in stomach Abolished after vagotomy a.3/min b.10/min –

170- long latent period to develop carcinoma a,Vinylchloride b.Benzopyrine c,Asbestos –

171- diastolic hypertension depend a.HR b.SV c.MAP

172- Aid healing a.-c5a b-c3b

173-lungs 2.5 cm Leison how will u differentiate btw neoplasm and granuloma a.Uncontrolled growth b,Recurrnce after chemo c.Radio d.Necrosis

174-another leison in lungs with strep pneumoniae how cells will remove this organism a.Prostaglandins b.H2o2

175-what is given to prevent Alzehimer disease apo E4 gene

176- tonsilectomy done now pt in shock how will u check it a.Pulse rate b.bp c.Sweating palor

177-Cells at irregular spaces Dysplasia

178-Blood supply to heart a,2coronary auricular atrioventricular septal b,2coromary atril ventricular..

179-lungs lobe having only two a.Segments b.Right middle

180-patient taking ATT, now develops pain in the big toe, cause ???

181-tongue is developed from ???

182-DLA4 associated with which disease ??

183-larget part of the prostate??

184-Mother lost her maternal behavior, cause ?

185.All of the following cause horner syndrome except a. Klumpkes paralysis b. Cervical lymphadenopathy c. Syrangiomyelia in pons

186-Which upper-eyelid structure is considered to be analogous to the capsulopalpebral fascia of the lower eyelid? a. Müller’s muscle. b. levator palpebrae superioris. c. levator aponeurosis. d. Whitnall’s ligament. e. orbital septum

187- loss of heat by sweating most probably involve? a. loss of heat by radiation b. by evaporation c. vasodilation d. excessive sympathetic activity

188- age of embryo for an 14 dat of which is commonaly used? a. last mentural period b. fertilization

189- pt having 2 litr of blood loss show a. dec in stroke vol b. negative feedback compensation

190- about stomach a.parasympathetic activity increASE the muscular movement b. parasympathetic activity increase enzyme secretion

191- pt with SIADH show hyposmolar overhydration

192- slow growing tumor of thyroid? papillary carcinoma

193-which condition show normal MCV MCHC MCH? a. a pregnant lady taking no vit b. blood loss before 2 days c. thalasemia

194-renal excretion of drug? affected by glomerular filtration

195-depression of parasympathetic activity increase pulse rate

196- stomach fusiform bud appears in a. 6 wk b. 4 wk c. 4 mnth d. 10 wk

197- virus cause cancer orcosones

198-left afrenal drain into left renal

199- mifipristone is a.antiprogestin b.antiestrogen

200-child with fever nausea vomiting- tender swelling of submandibular gland along with left tensticular enlargement, his collegues also suffer from this mumps n measls

201-40 yrs lady hypothyroidism having mass-endrocrinologist advise FNAC, it shows increase lymphocytes a. thyroid lymphoma b. follicular adrenaloma c. thyroid carcinoma

202-increase bone growth, irregular thickening due to? increase parathyroid hormone

203- epidural space contain? venous plexus

204- female; changes in RBC shape n size, microcytic hypochromic, what is missing in her diet? iron

2 05- SVC commence opposite to L5

206- heart shaped body thoracic vertebrae

207- which is neural tube defect meningeocoel

208- compaction, seggregation of inner cell mass occur after? a. 1st cleavage b. 2nd cleavage c. 4th cleavage d. 5 cleavege e. 3 cleavage

209-cardiac cycle if heart rate double? 0.8 sec

210-vaginal secretion igA 70%

211- stretch sensation carried by ? c fibres

212- proprioception dorsal column

213- ketamine- emersence delirum, cvs depression doesnot cause amnesia

214- atropine- antagonize acetylcholine by dec formation of acetycholine

215- regarding intestinal epithelium villi absent in duodenum

216- swallowing a. pharyngeal stage 20 sec b. center located in medulla n lower pons c. 2ndry peristalsis

217-hormone involved in lymphocyte prduction a. zona fassiculus b.thyroid cells

218- new antihypertensive drug going to be tested by which technique a. sequential trial b…

219- direct inguinal hernia? hesselbech triangle

220- hernia after surgery, layer involved fascia transversalis

221- inferior mesenteric artery obstruction, ischemia in descending n sigmoid colon

222-Which of the following increase HR a.EXERCISE b.STRESS ANXIETY c.EPINEPHRINE

223- How axillary vein is formed. Vena comiates of brachial artery and basiliac vein

224-which stage of mosqito enter into human -> schozont

225-Amino acid deficiency that leads to cell injury A. tyrosine. B. Adenine C. Glycine (tyrosine)

226- Numeours apical mitochondria A. Hepatocytes B. Squamous cells C. Skeletal cells. D. Ciliated cell. e.Steroid secretIng cells (ciliated cells)

227- One question was regarding lesion of optic chiasm

228-. Strep pneumonia A. Common cause of meningitis

229- Male pt RTA, multiple fractures. Intial A. Vol replacement

330-pt has sevre pain in chin region with eruptions A. Trigeminal neuralgia B. Herpes zostr (herpes)

331. Difference between first and second heart sound. A. S1 is louder B. S1 has higher frequency

332. About s2 spiliting. A. Split is increaseD if aortic valves close early B. Split increase with delayed aortic valves closure C. delayed Mitral valve closure.. dont rememeb this option correctly..

333. Doctor patient relation regarding question. Aisa question tha k which will have adverse effect on doctor pt relation.. (dont rem the exact words) A. the hurrying attitude of doctor and angry Behaviour .something like that. B. Use of jargon

16th August 2015

1-Renin is incresed by Increased K Increse plasma osmolarity

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 diferent from secondary by a.Presence of oropharyngeal phase b.Doesnt cause relaxation of LES

4-Malar rash plus raynod syndrome plus ana positive plus anti jo1 positive tha us na mixed connective tissue ki disease abnaye thi anti RNP

5-increase venois return that was correct as due to thoracoabdominal pump of diaphram during inspiration

6-Tachy cardia … Isobro dinitrate karta ha normal therapitic dose pa poocha tha…right venteicle walay ka typical myxoma ki picture thi…. Ace … Can cause inc plasma potasium bcoz if hypertension crisis due to renal artery stenosis bilateral we cant use it

7-Blood group antigens a.Glycoproteins b.Glycolipids

8-glycoprotein confirm goljan

9-Sample for traponema pallidum Genital swab

10-Right gastroepiploic artery b/o gastroduodenal artery

11-Mao inhibitor tundra fish/cheese

12-Platelet aggregator TXA2

13-Primary cartilage joint Costochondral

14-TCA interation cause hypertensive crisis

15-Virulence factor?

16-alzhemer ka us mein us na association de thi or 14 15 21 ka sath or apo e2 tha ya e4 ?? apo e4

17-single layer epithelial cells .. primordial foliicle

18-Fingers say sensation. a.Aplha one b.Aplha 2

19-Pain fibers tracts end at?

20-Thermal stress? Heat stroke

21-Granulocyte colony stimulating factor

22-middle thyroid vein drains to a anterior jugular b. external jugular c. internal jugular

23- what type of joint is present between two parts of mandible during 1st year of life? a.Gomphosis b.Syndesmosis c.Symphysis d.Suture

24- Which of following is primary cartiliginous joint?? a.Costochondral b.syndesmosis c.Symphysis d.Tooth in a socket

25- A patient with moon facies, hypertension n osteoporosis. Which of following finding will be present?? a.Inc BLood Glucose b.Dec Blood Glucose c.Dec calcium d.Inc calcium e.Dec phosphate

26- A patient with chronic renal failure. Which gland will be hypertrophied?? a.Parathyroid b.Pancreas c.Thyroid d.Adrenal Cortex

27- ulnar nerve lesion will cause? a.Loss of abduction b.adduction of fingers c.hypothenar

28-End stage renal disease with severe anemia. cause of anemia? Dec erythropeitin

29-Na absorption in DCT is influenced by?? a.Aldosterone b.Brain Natriuretic Peptide c.ANP d.ADH

30-Weakest phase in amalgam? a.Sn2Hg b.Sn3Hg c.Ag3Sn d.Ag2hg

31- A paedodontist send a stainless steel crown for repair. the technician was unable to join the fractured parts. The primary ingredient missing which chromium oxide ko kuch karta hai aisa likha tha a.Sodium Chloride b.Fluoride c.Zinc d.Chromium

32- Corrugated plaque on lateral surface of tongue. a.Hairy Leukoplakia b.Leukoplakia c.candidiasis

33- Painles swelling on mid palate. firm non tender Pleomorphic adenoma muco epidermoid CA

34-Painless hard swelling on mid hard palate?? palatine torus

35-anti thrombotic effect of aspirin is by?? Blocking cyclo-oxygenase pathway

36-venous return decreases in a. skeletal muscle paralysis b. femoral arteriovenous fistula

37-decreased ventricular filling in increase HR (stem) due to a/ diastole is decreased more than systole b. diastole decreased, systole remains normal

38-abscess contain a. dead bacteria b. dead neutrophils

39-post interventricular branches of riye coronary artery a. 2 in no. b. 3 in no. c. 2 no, n supply the diaphargmatic surface of heart

40-trigeminal nerve a. has 3 ganglion b.supplies temporalis c. area around angle of jaw

41- among following hooks/ arches around the root of left lung a. left vagus b. left phrenic nerve

42-pt with paller, dysphagia .. hb.6h/dl, MCV 68, MCH 24, loner cells, cause is a. iron def b.ACD c.thalassemia d.

43-most common cause of fat necrosis in peritoneum acute pancreatitis

44-acute appendicitis, a young man had appendectomy predominant cells found neutrophils

45-lady has breast implant leakage of implant some lump/ inflamation found, most likely cells to found giant cells

46- most commonly associated with bronchigenic CA asbesbs silica berylium

47- non IDDM woman, had abdominal surgery,8 days after developsy SOB, shock cause of P.E is a. fat embolism b. amniotic c.thromboembolism

48-aphasia , damage in a.parietal lobe b.temporal lobe c.frontal lobe

49-p5 with water deprivation n SIADH secretion difference will be

50- plasma osmolarity will be decreased by injection of a.aldosteron b.vassopressin c.hypertonic glucose d.normal saline e, albunism

51-amino acid cant be synthesized by body a.alanine b.glycine c.glutamate d.phenylalanine

52- hypermagnesia cause a.hyper reflexia b. dec ach uptake c. dec ach release d. smooth muscle contraction

53-in flight fright response a. dec airway resistance

54- placenta a. hemochorea type b. lined by amnion on internal surface c. removed due to rupture of uterine arteries

55- most common remnant of allontois? a. urachal cyst b.uracgal fistula c. urachal inus d. umblical sinus e. meckels

56-cause of thromboembolism a. prolobged immobilization c. surgery

57- a hypersensitive lady, came with shock, with K 6.1 mmol, mist likely due to a. renal failure b. diuretic overdose

58- edema in renal failure is due to A.hypoalbunemia b. na retention

59- if a drug is transported by simple diffusion, then a.its not suitable b. require energy

60 – regarding statistics a. positive showing towards R 61- one molecule of glucose how many ATP molecules a.32 b.30 c.34 d.16

62- information cession is a.information to pts regarding development of new b. session with pts c. attendents alleviating misbelief d. taking informed consent

63- basic drug binds a.albumin b. glycoprotien c. gama globulin d. lipoprotiens

64- jaundice in pregnancy (past BCQ) a. ALP b. GAMA GGT c, ALT

65-pt of acute haemorrhage component which will be replaced in the end a. RBC b. K or some electrolyte c. plasma volume 66- FRC is a.vol of air remains in lung after tidal vol

67- commonest cause of shift of K from intracellular to extracellular a. strenous exercise b. alkalosis c. insulin d. aldosteron

68- in summer, a fasting man has concentrated urine due to a. dec water intake b. ADH secretion c. inc sweating

69- regarding trachea a. is 15cm long b. commence at lower end of cricoid cartilage

\70- damage to medulla oblongata during hanging a. C3 b.C4 c. odontoid process d. axis

71- sternocleidomastoid causes a. movemnt of head in opposite direction against force

72-platelets a. have half life of 10 days b. increases after spleenectomy c. granules conatin actin molecule d. are stimulated by growth hormone

73- lymphocytes a. immunity against cancer cells b. not affected by hormone c. monocytes

74- most severe reaction a. A+ to O+ b.A+ to AB+ c.O+ to A+ d. A- TO A+

75- immunioglobulins are produced by plasma cells

76- CO2 diffuse easily high diffusion co efficient

77- chromosomes arrange themselves on equitorial plate in which phase a. prophase b.metaphase c. prometaphase d. telophase

78- highest clearance by kidney a. insulin b. PAH c.glucose d.urea

79- rapidly adapting receptors a.puccinian corpuscle

80- nerve endings are non encapuslated receptors

81- young man , 2 hrs after tonillectomy have tachycardia and hypotension,type of shock hypovolemic

82- prolong OCP intake, increased risk of a. thromboemolism b.breast cancer

83- about healing a. old age after 60 causes delayed healing b. ascorbic acid deficiency cause delayed

84-.ribosomes Organ of protein synthesis

85-Menopause women most likely a.Inc fsh and lh b.Anovulatory cycl

86-Do hypertensive drugs k liye apne hypothesis diya ha.. your research has rejected null hypothesis. what it means? a.Your hypothesis has been rejected b.There is no difference between two drugs c.Your hypothesis has been accepted

87-Mifpristone?? a.Antihypertensive b.Anticarcinogenic c.Used to treat premature uterine contractions

88-2.corpus striatum includes Caudate plus putamen

89-intracellular buffer is a.HB b.Bicarb c.Phosphat

90-12yr old child not respondind to antidiarrheal treatment have partial villous atrophy with PAS positive macrophages.diagnosis is a.Imunoproliferative disorder b.Lymphoma c.Giardiasis d.Celiac e.Whipple

91-.Philadelphia chromosome is in a.Cml b.Hodgkin

92-baby observed after birth that no anus present but diaper had stained meconium.diagnosis is a.Imperforate anus b.Rectovaginal fistula

93-most reliable investigation/observation for diagnosing tb is a.Afb b.Caseating granuloma

94-.classical findind in tb is a.Epitheliod collection b.Caseating granuloma

95-.hormone for neural/brain development in intrauterine life TSH

96-factor k shifting out of cell a.Insulin b.Alkalosis c.Strenuous exercise d.Diabetes inspidus e.Alkalosis

97-12 yr old pale.lethargic.HB.6.TLC 4.8.plt 240.hbf 97%.hba2 is 3%.diagnosis a.B thalasemia major b.Thalasemia intermedia

98-for detecting thalasemia in intrauterine life a.CVS b.Mothers bld electrophoresis

99-branch of middle cerebral artery a.Posterior communicating b.Choroidal artery

100-Common or most likely feature of shock a.Hypotension b.Hypoxemia c.Dec perfusion all over in tissues

101-Septic shock a.Is misnomer bc blood pressure is maintained b.Caused by psuedomonas species c.Pt is usually hypertensive

102-urogenital diaphragm is injured which nerve will b damaged?? some thing like a.Ilio inguinal nerve b.Genital br of genitofemoral nerv

103-Most likely cause of atherosclerosis a.Diastolic hypertension b.Cholesteatoma

104-which carcinogen has its carcinogenic effect after long use or as late complication?? a.Benzene b.Asbestosis c,Estrogen

105-Digoxin toxicity? ? a.Hyperkalemia b.Hypernatremia c.Hypochloremia

106-.in female pelvis structure between ureter and peritoneum is a.Obturator artery b.Obturator nerve c.Uterine artery

107-.man has vesicular eruption and burning sensation just below clavicle.area is supplied by a.C3.c4. b.T2 c.T3 d.T4

108-.diminished knee jerk due to injury of a.L3 b.L4 c.L5 17th plus

18th August

1. 6 weeks pregnancy tenderness in RIF.she tested at home and preg test was positive a.appendicitis b.Ectopic

2 .there is a stone in ureter at pelvic brim which structures surgeon must know are near to it a.Sigmoid colon b.Desending colon

3.receptor on adrenal gland a.Alpha 1 b.Beta 1 c.Beta 2 d.Nicotinic

4-.skeletal muscle neuromuscular plate a.Acetylcholenestrase b.Norepi

5-.breast cancer after manopause a.Drug give b.Tamoxifen?

6-.NMDA blockade related to a.GABA b.Glycine c.Glutamine d.Serotonin

7-.ph 7.36 a.Pco2 30 b.Bicarb 16

8-.patellar tendon hit a.Quadratus contracts b.Golgi tendon c.Muscle spindle afferent

9-.sigmoid colon a.Supplied by left colic b.At pelvic brim

10-.pectoral lymph nodes drain which breast quadrant

11-.least malignant a.Hepatoma b.Adenoma

12-.appendicectomy may damage whic structure?

13.processus vaginalis a.Covers only testis?

14-.inguinal ligament a.Iliohypogastric passes through it b.From anterior sup iliac spine to pubic tubercle

15-.which one in amniotic fluid is specific for doagnosis Wbcs

16-.pt under treatment for pulm tb

17-Which drug causes (eye related koi side effect tha) a.Ethambutol b.Pyrazinamide c.Isoniazid d.Rifampicin

18-.flu like illness self limiting ,On gram stain no identifiable organism but neutrophils seen M.avium

19.difference btw plasma and ICF osmolarity No difference?

20-.on ecg QRS complex starts a bit early to a.Ventricle systole b.Ventricle filling

21-.least movable joint during child birth a.Symohysis 22-.y ovaries dont go or fall in pelvis Uterus

23-.Gnrh secretes Fsh and lh

24-.oxytocin and vassopressin are produced by a.Neurohypophysis b.Hypothalamus

25-.initiation of labour a.Fetal ACTH b.Maternal ACTH 26-.GH Half life/time it stays is 6 to 10 min?

27.Fast pain fibers—> A delta

28-.Arches over right main bronchus a.Arch of aorta b.Azygous c.Hemiazygous d.Esphagus

29-.In cancer> keratin

30-.serum lactate raised ,cardiac output 2 L, cvp 2 Type of shock

31-.Lateral part of vaginal fornix is more closely related to a.Uterine artery b.Broad ligament c.Ureter

32-.Urogenital diaphragm laterally attached to

33-.vit b12 absorbed in Ileum

34-.terminal ileum absorbs Vit b12

35-.lady with rigors and chills n after 2 days blackening of urine a.Post strep glomerulonephritis b.Plasmodium falciparum

36-.arteries and veins(coronary) Run in their spaces on heart

37-.tricuspid valve sound felt at Lower border R sternum

38-.rectus abdominous a.Starts near xiphoid process b.Anchored to anterior n post sheath via intersections(aisa e kuch tha) c.Ends at level of arcuate line

39-.skin around anus lymphatic drainage is to?

40-.scalenus anterior a.Inserts in ist rib b.Abv subclavian vein near ist rib

41-.mcv 58 Ferretin 15o Hypochromic hypocytic Iron def anemia Thal minor

44-.multiple bone fractures history,blue sclera Which product’s enzyme is deficient a.Collagen b.Myosin c.Hyalin

45-.medial part of thigh n sole of foot medial is supplied by which dermatome

46-oligurea a.Less than 500ml b.Less than 100 ml

47-.25cholecalciferol to 1.25 reduces in a.Chronic kidney disease b.Liver etc

48-.common cause of fatty liver in our population a.Hep b c b.Alcohol

49-.a mother deliverd n 2 days afterwards died Most common cause postmortem in ojr country a.Malnutrition b.Sepsis c.Hemorrhage

50-.2nd pharyngel arch forms(2 questions) Stylohyoid ligament

51-.regarding embryo of heart Septum primum n secundum fuse to form interatrial septum

52.uterus is supported by a.Broad ligament b.Uterosacral ligament c.Transverse cervical ligament

53-.Under action of insulin glucose enters a.Liver b.Muscle

54-pelvic diaphram formed by Levator ani

55-. German measles in mother cause what in babies a.Congenital catarct b.Mental deformities c.Ear deformities 56-.to reduce incidence of congenital catarct Immunize girls with rubella vaccine 57-.toxoid Tetanus 58-.botulism Flaccid paralysis 59-T3 is produced by a.Principle cells of thyroid b.Parafollicular cells of thyroid 60.In case of factor ix deficiency Blood Cryopreciptate Ffp Platelets 61.recurrent abortions Lupous 62- In AID/HIV patient which skin malignancy occur A.melanoma B.squamous cell CA 63 .in neoplasm which natural mechanism occur3- A. Apoptosis B. Bacterial immunoglobulin produce defence mechanism 64-. CBD A. Supradudenal, infradudenal , intradudenal , retro dudenal B. Omenal, supradudenal, intradudenal 65-. Connection of lesser sac closed to greater sac except for A. Epiploic formen (ans) B. IVC 66-. Caput me dosa most commonly occur at A. Para umbilical vein (ans) B. Inf rectal veins 67-. Fundas of stomach lymph node lymphatic drainage A. Celiac node ( ans) B. SM node C. Hepatic node 68-. Arch of aorta compress A. Left bronchus ( ans) B. Oesophagus C. Left atrium 69-. Mixed venous blood found at A. Pulmonary artery (ans) B. Pulmonary vein 70-. Coronary venous drainage of heart, at coronary sinus greatest ( sum thing like that in question ) A. Greater cardiac vein (ans) B. All cardiac vein C. Small cardiac vein D. Anterior cardiac vein 71. Fastest conduction/ Myelination at A. Panic anion corpuscles (ans) B. Free nerve ending 72-positive predictive value All Postives (dn remember exact options) 73-.if patient z having fatal disease a.Provide info bed side b.Provide in presence of all staff c.In prezence of all relatives d.In outdoor exclusively 74-.a female after child birth is having severe bleeding from vagina Which drug to be given 75-.pt of DM uses daltone(aisa e koi nam tha)Also uses drugs for asthma…..now symptoms exagerrated which drug causes interaction a.B blocker b.Steroids 76-.haloperidol given oral anesthesia….pain n anesthetic effect is achieved but not optimum,What should be added a.Sevoflurane b.Nitric oxide c.Suxamethonium 77-.lipid soluble anesthetic a.Spreads rapid b.Stays for long 78-Derivative of ectoderm A. Lens (ans) B. Retina C. Autonomic ganglia 79-. Trigone of bladder A. Ureter open as oblique slits ( I marked it but not sure) B. Develop from urogenital sinus 80-. Regarding sigmoid colon A. Start at pelvic brim B. Supply by left colic artery ( both options seems to correct) 81-. Testicular CA metastasis A. Testicular lymph node (ans) B. Renal lymph node C. Inf mesenteric lymph node 82-. Ejaculatory duct open into A. Prostatic urethra (ans) B. Penile urethra C. External urethral sphincter 83-. Antibodies are formed by A. Plasma cell ( ans) B. Macrophages C. Lymphocyte 84-. Aphasia due to damage of A. Temporal lobe ( ans) B. Paretial lobe C. Hippocampus 86-. Inter acellular buffer A. Protein (ans) B. HCO3 C. Phosphate 89-. Essential amino acid not produced but include in diet A. Phenylalanine (ans) B. Tyrosine C. Guanine D. Alanine 90-. Silicon breast implant scenario later inflammatory changes A. Neutrophil ( marked ths but not sure) B. Plasma cells 91-pleural effusiin best drained from a.Upper border of lower rib b.Mid axillary line c.Mid clavicular line 92- Immunological way to attack (some thing) a.TB b.Treponema c,Mycobacterium leprae 93-. Regarding polycytemia Vera A. Increase blood concentration B. Increase RBC mass C. Increase RBC concentration D. Melo fibrosis 94-. Type 1 hyperlipidemia A. Defect at HDL surface receptor or antigen 95-. Most common cause of congenital male infertility A. Cryptoradism (ans) B. Malunion of ejaculatory duct C. Loss of function of seminal vesicles D. Blockage of vas deferens

96-. Most commonly fractured bone in hand A. Scaphoid (ans) B. Pisiform C. Lunate D. Hemate

97-. Ulnar nerve supply A. Medial 2 lumberical (ans) B. Small muscles all

98-. Frontal eye field blood supply by A. ACA (ans) B. MCA C. PCA

99-. Thumb n finger representation area A. Dorsal n ventral nucleus gracilis B. Dorsal n ventral nucleus cute ous C. Medial n lateral nucleus gracilis D. Medial n lateral nucleus cunatous E. Lateral n medial nucleus gracilis

100-. Regarding posterior cranial fossa A. Facial nerve pass through internal acoustic meatus ( ans) Forgot other options

101-. Patient with increased intracranial pressure n papilledema A. Hydrocephalus (ans)

102-. 12 years old boy not responding to antidiarrheal drugs, n have partial villus atrophy with positive PAS positive macrophages, diagnosis A. Giardiasis (ans) B. Celiac disease C. Whipple disease D. Lymphoma

103-. CO2 diffuses greatly than O2 due to A. Diffusion coefficient ( ans) B. Increase pH C. Increase water solubility

104-. Ribosomes A. With ER formed cytoplasmic protein synthesis (ans but nt sure) B. Protein synthesis

105-. Pus in boil of nose or any organ A. Dead neutrophils (ans) B. Dead bacteria

106-. Greatest renal clearance by A. Inulin (ans) B. PAH C. Albumin

107-. About plasma osmolarity A. Vasopressin (ans) B. Hypertonic saline solution C. Isotonic saline solution D. Aldosterone E. 20% albumin

108-. Which bone formed medial longitudinal arch A. Tallus (ans) B. Calcaneus

109-. Cavernous sinus thrombosis which vein involve A. Inferior ophthalmic vein (ans) B. Sup ophthalmic vein

110-. Rupture of middle cerebral artery A. Epidural hematoma (ans) B. Subdural hematoma C. Subarachnoid hemorrhage

111-. About thyroid gland A. Epithelium changes according to function ( ans)

112-. Most appropriate about diaphragm A. Innervated by phrenic n intercostal nerves (ans)

113-A 48 yr old lady c/o inc. weight..TSH=4..T3= 4 ‘T4=8…. A..hyperthyroid B..hypothyroid C..over eating D..hypopituitrism

114-most imp strong exotoxin of strep pneumonia a.leucocidin b.streptolysin c.catalase d.coagulase e.fibrinolysin 1

15-PS nerves are a.3 b.7 c, 9 d, 10

116- hepatic pedicle a. Hepatic artery b. Portal vein

117- COPD bed ridden pt is havin SOB cause Pulmnry embolism

118- tractus solitarius 2 nd neuron for taste receptors

119- muscles o back are supplied by Post. Spinal Ganglion

120- which of the following is prevent unwanted transport b/w 2 epithelium of 2 cells Gap junction

121- leasy movable joint during child birth Symphysis

122- SK muscle neuromuscular plate Acetylcholenestrase

123- botulism Tetanus 124- neutrophils increase in Cardiac failure

125- recurrent abortion Lupus

126-most common cause of bronchogenic CA A.aesbestos B.tobacco smoke Regards: Dr. Muhammad Husnain Akram



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