Past Paper of FCPS Part 1 Medicine June 2012

Past Paper of FCPS Part 1 Medicine June 2012

MEDICINE PAPER 12 JUNE 2012

 

1 intraembryonic coelom develop from

a )lateral plate mesoderm

b)paraxial mesoderm

c)extraembryonic coelom

 

2 regarding fetal circulation

a)single umblical artery in diabetic

  1. b) singleumblical artery in htn
  2. c) single artery in 5 % singleton pregnancy

 

3 chorionic villi main component

diciduaparietalis

chorionic plates

 

 

 

4 cardiac output main determinant

a )heart rate

  1. b) stroke volume
  2. c) venous return

 

 

 

5 insulin deficiency

  1. a) hypokalemia
  2. b) metabolic alkalosis
  3. c) increase fat mobilization from liver

 

 

 

6 high plasma calcium causes

  1. a) inc 1 25 dihydrocholecalciferol

b)tetany

c)inc 24 25 dihydrocholecalciferol

 

 

7 bradycardia is not feature of

  1. a) ivedrophonium
  2. b) ocularmasage
  3. c) puling of extra ocular muscles
  4. d) local atropine

 

8 hypercalcemianot related to

 

a)hcc carcinoma

  1. b) ovarianca
  2. c) breastca

d)prostate ca

 

 

 

8 all are secondary metastatic bone tumor except

Thyroid

breast

prostate

liver

 

 

 

 

9 after hyperpolarization is due to increase

k

cl

na

 

 

 

 

10 qrs is prior to

ventricular systole

ventricular diastole

atrial systole

atrial diastole

 

 

 

 

11 Early asthma attack asociated with

  1. a) inc co2 tension
  2. b) inc lung compliance
  3. c) dec co2 tension

 

 

 

 

12.In summer season fasting man which is increased

a)ADH

  1. b) ANP
  2. c) Insulin

d)Aldosterone

 

 

 

 

13 which inc in extracellular volume expansion

  1. a) ANP
  2. b) Angiotensin 2
  3. c) aldosterone

 

 

 

 

14 first part of duodenum

  1. a) related to caudate part of liver
  2. b) surounded by hepatoduodenal ligament
  3. c) circular fold present internaly

 

 

 

 

15 most lethal premalignant lesion of oral cavity

  1. a) erythroplakia
  2. b) leukoplakia
  3. c) lichenplanus

 

 

 

 

16 Oral Contraceptive Pills  increase risk of

  1. a) thromboembolisim
  2. b) breastca
  3. c) endometrialca

 

 

 

17 most common cause of subacute endocarditis

staphylococcus

streptococci viridian

enterococci

 

 

 

 

18 growth factor receptor present on

  1. a) nucleus
  2. b) plasma membrane

 

 

 

 

19 in activated toxin used as toxoid vaccine in

  1. a) measles
  2. b) mumps
  3. c) tetanus

 

 

 

 

20 adult polycystic kidney associated with

  1. a) X- linked
  2. b) Autosomal Dominant
  3. c) Autosomal Recessive

 

 

 

 

21 diagnosis of typhoid during 2nd week by

  1. a) blood culture and widal
  2. b) blood culture
  3. c) widal

 

 

 

 

22 50 yr old male presented with abdominal pain raised serum amylase. Omentum shows

a)gangrenous necrosis

  1. b) fat necrosis

 

 

 

 

23 diagnostic feature of plasamodiumfalipirum

a)black water fever

b)malaria

c)DIC

 

 

24 granulamatousinflamation w/o caseous least likely cause is

  1. a) sarcoidosis
  2. b) leprosy
  3. c) tuberclosis

 

25 50 yr old male present with severe abdominal pain raised amylase omentumshow

  1. a) fat necrosis
  2. b) granulomatousinflamation

 

26 which vitamin used as coenzyme in faty acid synthesis

a.biotin

b.vit B6

c.vit c

 

27 which of following harmone act as steroid harmone on its target tissue

thyroid

Parathyroid

adh

 

28 regarding immunoglobulin which is true

  1. a) incomplete form excreted in urine
  2. b) arelipoprotien
  3. c) are secreted in milk as Ig E

d have two heavy chain which are non specific

 

29 metabolisim of brain

  1. a) take free fatty acid from blood
  2. b) contain large stores of glycogen
  3. c) 20 % o2 consumption at rest

 

30 regarding glycolysis most apropiate

  1. a) pyruvate is end product of aerobic and lactate of anaerobic
  2. b) reversible process

 

31 )pituarity lies posterio superior to

a)frontal sinus

  1. b) ethmoidal sinus
  2. c) sphenoid sinus

 

32 simple squamous epithelium lies

  1. a) pct
  2. b) dct
  3. c) neck of nephron at urinary pole

d collecting duct

e)loop of henle

 

33 fibrocartilage

  1. a) intervertebral discs
  2. b) epiglottis
  3. c) laryngeal cartilage

 

34 regarding thyroid

a)parathyroid lies anteri posterior

  1. b) epithelium changes shape according to function
  2. c) collecting ducts are present in gland epithelium

 

35 spinal cord

  1. a) in new born conusmedularis end at L3

b)posterior median sulcus deeper than anterior

  1. c) filumterminlum attach at s2
  2. d) spinal nerve form 2 cm beyond intervertebral faramina .

 

36 autsomal dominant

  1. a) affected person are usually heterozygotes
  2. b) clinicallyalwaz expressed in pt containing mutated gene
  3. c) unaffected children v 50 % chance of transmission of gene from affected parent

 

37 atypical lymphocytosis doesnot occur in

a)congenitalsyphillis

  1. b) whooping cough
  2. c) burkitt lymphoma
  3. c) infectious mononucleosis
  4. d) walderstormmacroglobulimia

 

38 dialysis fluid differ from plasma

  1. a) contain less calcium than plasma
  2. b) contain more pottasium than plasma
  3. c) contain more glucose than plasma

 

39 antibody produced by

  1. a) plasma cells

b)eosinophills

  1. c) monocytes

 

40 isoniazid induced peripheral neuropathy prevented by

  1. a) Vit B1
  2. b) Vit B6

c)Vit B12

  1. d) Niacin

 

41 which type of collagen increase strength in wound healing

  1. a) type 1
  2. b) type 2
  3. c) type 3

d)type 4

 

42 in stage of starvation which type of sequence is correct

carbohydrate-fat-protein

carbohydrate-protein-fat

fat-carbohydrate-protein

d protein-fat-carbohydrate

 

43 straberryhemangioma

  1. a) occur in pregnancy and cirrhosis
  2. b) regress spontaneously by 5 yr
  3. c) most commonly in lt atrium
  4. d) bypolyvinychloride

 

44 clostridumtetani

may occur weeks to months after innoculation

g +ve aerobic

secrete exotoxin

 

 

45 ligamentumarteriosum connect

  1. a) left pulmonary artery with arch of aorta

b)pulmonary trunk with arch of aorta

 

46 regarding SLE all are correct except

a)ANA +ve

  1. b) HLA b27 present

c )glomerulonephritis is most common cause of death

 

47 Neural tissue derived from

a)ectoderm

b )ectoderm+mesoderm

c)ectoderm+endoderm

 

48 which of following pituarityharmone inhibited by hypothalamus

  1. a) growthharmone
  2. b) prolactin

 

 

 

50 true epithelium not found in

  1. a) blood vessel

b)thyroid

c)intraarticular space of joints

d)body cavities

 

51 during pregnancy fetus v chance of developing renal agensis and oligohydraminos which is responsible

  1. a) captopril
  2. b) spirononlactone

 

52 in gas gangrene death is due to

A toxemic shock

 

54 which one of folowing is malignant tumor

a)chondroma

  1. b) glioma
  2. c) pseudolymphoma

d)meningioma

 

55 patient with loss of little finger sensation after posterior dislocation of elbow joint what is most likely injured

flexor collaterall ligament

ulnar collateral ligament

radial collateral ligament

 

 

56 About scalp most inapropiate

a)resist infection transmission

b)vessels in superficial fascia

 

57 stab wound at supraclavicular region causes lesion of axillary musculcutaneous long thoracic nerves which one of following is invovled

a)C4

b C6

cT1

 

58 prehepatic blood flow obstruction ocurrsin all except

a)buddchiari

  1. b) pleural effusion

c polycythemia rubravera

 

59 bilateral loss of all sensation occur in

  1. a) complete transection of spinal cord

 

60 regarding venous pulse all are except

a)v wave due to venous retuurn

b)a wave due to atrial diastole

 

61 splenic infarction comonly occur in

  1. a) ITP
  2. b) CML

c)hypersplenisim

 

62 in which of folowingdec arterial o2 saturatio w/o dec arterial o2 tension

  1. a) anemia
  2. b) low v/q
  3. c) carbon monoxide poisning

 

63 female lady with recurrent rashes on thigh abdomen and limbs after taking sea food which of following is responsible for it

a)delayed cell type

  1. b) localized anaphylaxis

c)immune complex mediated

 

64 protein canot cross glomeruli because

  1. a) -ve charge of proteoglycans on basement membrane

b)fenestrated endothelium

 

65 ligamentumarteriosum connect

  1. a) left pulmonary artey with arch of aorta
  2. b) pulmonary trunk with arch of aorta

 

66 regarding sle all are correct except

  1. a) ANA +ve
  2. b) HLA b27 +ve
  3. c) glomerulonephritis is most common

 

67.BMR mainly increased by

a)thyroxine

  1. b) pregnancy
  2. c) excercise
  3. d) stress

e)phenobarbital

 

68 cerebellum

  1. a) connectedto medulla thru middle cerebellar peduncle

b)cordination

c)lies below tentorium cerebelli

 

69 mysthania gravis which antibody present

igG

ig M

 

70 10 yr old child with achilles tendon xanthoma blood cholestrol 820mg folowing is most likely case

a)HDL receptor defeciency

  1. b) LDL receptor defeciency

 

71 all of following cause sinusoidal portal hypertension except

a)alcoholisim

  1. b) fatty liver
  2. c) ch active hepatitis
  3. d) schistosomiasis

 

72 theraupeticdose can be measured by

  1. a) plasma half life
  2. b) potency

c)efficacy

 

73 warfarin dose adjusted with

a)cimetidine

b)isoniazid

 

74 drug contraindicated in CLD

  1. a) lorazepam
  2. b) paracetamol

c)pentazocine

 

75 EBV causes burkitt lymphoma which is appropriate

a)affectdna repair

  1. b) producedna toxin
  2. c) cause mitochondria injury
  3. d) everyafricanburkittlymphomapt transmit ebv genome
  4. e) everypt of burkitt lymphoma v antibodies against viral capsid antigen

 

76 CCK gastrin most apropiate

a)5homology aminoacids

  1. b) same five terminal aminoacids(t)

 

77 gastrin main function

a)stimulate GIT motility

b)inchcl and pepsin secretion

 

78 which of folowing is not GIT hormone

  1. a) guanylin

b)neurotensin

  1. c) melatonin
  2. d) substance p
  3. e) motilin

 

79 renal main compensation in respiratory alkalosis

a)dec production of ammonia

b increase NaHCO3 secretion

 

80 RBCs osmotic fragility most apropiate

a)some drugs causes lysis

b)swell up in hypotonic

c)shrink in hypertonic

  1. d) complete destruction of rbc in 0.35 %nacl

e in membrane defect of rbcs

 

81 corpus striatum

a)amagdyloid + lentiform

  1. b) caudate +putamen
  2. c) caudate + globuspelidus
  3. d) amagdyloid + globuspallidus

 

82 in mucosal changes in chronic rhinitis which cell increase

a)mast cells

  1. b) lymphocytes
  2. c) goblet cells
  3. d) basophils

 

83 17-ketosteroids

a)include testosterone

  1. b) index of adrenal androgen

 

84 pt on TPN most common complication

hyperglycemia

hyponatremia

hyperkalemia

 

85 main potent chemotactic agent

c3a

c5a

 

 

86 i/m morphine

a ) independent of blood flow

  1. b) stable in slow release
  2. c) pain relief in 3 -4 hr

d peak little variable

  1. e) onset in 108 min

 

87 falciform ligament contain

  1. a) triangular ligament
  2. b) round (teres )ligament

 

88 pt v difficulty in comprehension and intellectual brain function which brain area affected

  1. a) brocas
  2. b) wernicks

 

89 maximum ventricular filling occur during

  1. a) isovolumetric relaxation
  2. b) atrial systole
  3. c) rapid inflow

d)diastasis

 

90 sweat gland

  1. a) numerous on back as compare to palm
  2. b) innervated by sympathetic

 

91 which of following is important mediator of inflamation

  1. a) complement system

b)opsonin

 

92 which of folowing not carcinogen

a)bacterial product

  1. b) pollution
  2. c) viruses

 

93about  lung

a)pulmonary artery o2 saturation 75 %

  1. b) rt ventricular pressure 25 / 10
  2. c) pulmonary artery pressure 10mmhg less than rt ventricular systole..

 

94 irritant receptors in airways

a)present near epithelium

  1. b) stimulated by stretching

c)causes coughing and broncoconstriction

d)rapidly adapting

 

95 in inc airway reesistance

a)inc in residual volume

 

96 sympathetic stimulation causes

a)bronchodilation

b)vasodilation in skin

 

97 65 yr old women complaints of dry eyes which ganglion damaged

  1. a) pteregopalatine
  2. b) otic ganglion
  3. c) ciliary ganglion

 

98 posterior triangle of neck

a)contain posterior rami of C 2,3,4

  1. b) trapezius form floor
  2. c) roof formed by investing layer of deep cervical fascia

 

99 lung bronchopulmonary segment

seperrate arterial supply

directlyy connected with each other

 

100 content of posterior mediastinum

  1. a) trachea
  2. b) Superior Vena Cava
  3. c) descending thoracic aorta

 

101 fooreign body in superior lobar bronchus which of following lobe collapsed

a)apical superior

b)superior basal

 

102 secondrycartilagenous joint

  1. a) maniburosternal
  2. b) costochondral

 

103 HLAgene present on chromosome number

a)4

  1. b) 6

 

104 Rightsuprerenal vein drain into

a)rt renal vein

  1. b) inferior vena cava

 

105 regarding anus

a)supplied by superior and inferior rectal vein

b inferior mesentric drain into portal vein .

 

106 juglodigastric lymph node drain

a)palatine tonsil and tongue

 

107 detoxification of drug occur in

a)mitochondria

  1. b) SER
  2. c) RER

 

108 fibrous and parietal pericardium suplied by

a)phrenic nerve

  1. b) intercostal nerve

 

109 azygousvein

  1. a) in venography to visualize dye injected into ascending thoracic
  2. b) posterior to abdominal aorta
  3. c) arise form right renal vein

d)arise from lt renal

  1. e) pass via T8 diaphragmatic opening

 

110 kidney most inappropiate

  1. a) reciecve 10 % of cardiac output

b)cortex richly vascularized than medulla

 

111 complete common peroneal nerve lesion result in complete loss of

  1. a) dorsiflexion of foot
  2. b) eversion of foot
  3. c) inversion of foot
  4. d) sensory loss of dorsum of foot

 

112 person lie uncovered in room heat loss via

  1. a) conduction
  2. b) radiation
  3. c) convection

 

113 axillary block done but lateral forearm sensation spared which of following nerve not blocked

  1. a) axillary
  2. b) musculocutaneous

 

114 dimnished jaw jerk due to lesion of

  1. a) mesencephalic nucleus of trigeminal
  2. b) facial motor nucleus

 

115)mast cell beneath epithelium

  1. a) contain granule in cytoplasm

b)resemble eosinophil in function

  1. c) release histamine and heparin

d contain IgA on surface

 

116) epiphyseal plate

  1. a) contain mature collagen
  2. b) increase in length of bone in adolescent
  3. c) elastic cartilage

117)DIC most inapropiate

  1. a) widesspreadmicrovascular thrombi
  2. b) fibrin degradation products low levels

c)may be treated by heparin

 

118) left ventricular failure

  1. a) inc pulmonary capillary pressure
  2. b) orthopnea when standing

 

119 most sensitive growth hormone test

  1. a) arginine infusion test
  2. b) insulin tolerance test
  3. c) excercise tolerance test

 

120 damaged endothelium exposed collagen activate clottting via

xII

vIII

vII

 

121 light enter into one eye

a)constrict pupil and dilate opposite

b)no change in size of pupil whose muscuranic receptor blocked by atropine

 

122 basilar artery and Internal carotid artery comunicate by

posterior comunicatingartery

posterior cerebellar artery

canterior communicating artery

 

123 right optic nerve lesion

alt homonymous homonopia

  1. b) rt homonymous homonopia..

 

124 left optic nerve lesion?

a)rt homonymous heminopia

  1. b) lt homonymous heminopia

 

125 all are parasympathetic cranial nerve except

a)III

b v

cvII

 

127 REM sleep

  1. a) beta wave predominate
  2. b) sleep walking
  3. c) canot recall dream

 

128 Cranial nerve emerge from pons

motor fibre from v vI VII

CN VII

CN III IV

 

129 cervical dysplasia caused by

  1. a) IUCD

b)HPV

 

130 during excercice coronary blood flow maintained by

  1. a) sympathetic stimulation
  2. b) local metabolites

 

131 ECF and ICF difference

  1. a) ECF contain high Na Ca (t )

b)ICF contain high Na low K

 

132 during intravascular hemolysis hb bind to

a)hepatoglobin

  1. b) albumin

 

133 pt suffering from severe diarheoa

a)dec k content of body

  1. b) decna content of body

 

134 middle aged old male taking betel nuts and pan he z most likely to develop

  1. a) submucous fibrosis

b)erythroplakia

c)leukoplakia

d)keratinization

 

135 which of folowingdec gastric empting

  1. a) Alcohol
  2. b) Mg sulfate

caluminium sulfate

 

136 investigation of choice in diabetic nephropathy

  1. a) urine albumin

 

137 basic drug binds to

a)Alphaglycoprotien

  1. b) albumin

 

138 cavernous sinus

oculomotor trochlear and opthlmic present in lateral wall..

connected posteriorly to facial vein

drain directly into straight sinus

 

139 greatest pressure drop in arteriole because

  1. a) highest resistance in arterioles

 

140 nicotinic ach receptor

  1. a) numerous in cns
  2. b) blocked by curare

 

141 most serious effect of diptheria toxin is on

  1. a) larynx
  2. b) pharnx

c)heart

 

142 regarding tubocurarine

  1. a) causus ganglionic blockade

 

143 ideal physician

a)good bed side skill manner

  1. b) good medical knowledge
  2. c) integrated regular….

 

144 pt doctor relationship

  1. a) active listening

 

145 5 yr child with generalized edema and protienuria of 3.6 gm in 24 hr the most important underlying mechanism of edema

  1. a) increased hydrostatic pressure
  2. b) dec colloid osmotic pressure

 

146 left hemidisection of spinal cord which of folowingnot be present on ipsilateral side

  1. a) loss of vibration

b)loss of pain

  1. c) loss of two point discrimination

 

147 external juglar vein most likely

  1. a) begin on surface of sternocliedomastoid behind angle of mandible
  2. b) terminate by piercind deep cervical fascia

 

148 a pt with diabetic kadidnot respond to treatment and died autopsy show inflamatory lesion in kidney brain and lung with some fungus most likely organism

a)mucor mycosis

 

149 35 yr old female diagnosed to with PAN 2 yr back present with bp 220/120 ch feature confirming diagnosis

  1. a) fibrinoid necrosis of arterioles

 

150 26 yr old women present at 36 week of gestation with bilirubin 30 mmol /l most life threatning hepatitis to mother in near future would be

  1. a) hepatitis c
  2. b) hepatitis b
  3. c) hepatitis e

 

 

 

 

 

151) on which of following hypothalamus have inhibitor effect..

a>prolactin

b>gh>

c >acth

 

 

 

 

152)most specific test for growth harmone excess

a> arginine

b>excercise tolerance tese

c> insulin tolerance test

 

 

 

 

153 )primary auditory cortex lies in which lobe?

occipital

superior temporal

inferior temporal

 

 

 

 

154 regarding hypercalcemia what will happen

a>calcitonin decrease

b> 1 ,25 oh vitd incresae

24 25 oh increase

tetany

 

 

 

 

155 blood pressure in capillaries decrease because

they have  highest cross sectional area

..other i dnt remember..

 

 

 

 

 

 

 

 

156 folowing not decrease blood pressure..

.a> press eye

b>press extraocular muscle

c>giving atropine

 

 

 

 

157 one question was regarding strawberyhemangioma

mostcomomn site in left atrium

regress by 5 year

 

 

 

 

158 regarding broncho pulmonary segment

each v independent blood supply

b>are connected indirectly

 

 

 

 

159 rt apical segmental bronchi suply

a>rt superior apical

 

 

160) O2 saturation decrease and o2 tensin high in

a> anemia

co poisning

hypoventilaton

 

 

 

 

161) difference between alveolar to arterial po2 donot change in

a>congrt to lt shunt

b>atelectasis

hypoventilation

d>

 

 

162)decrease in blood po2 type of hyoxemia

a> hypoxia

 

163 regardin left venticular failure

pulmonary capillaries congestion occur

b> orthopnea on standing

 

164 in posterior fracture to elbow of child loss of sensation on little fingre v occured which ligament / tendon ruptured

ulnar collateral

radial collateral

flexor carpi ulnaris tendon

 

 

165 regarding posterior triangle of neck

a>trpezius form floor

b >sternocliedomastoid lie posteriorly

c>deep cervical fascia cover it

d>containts posterior rami of c2c3 c4

 

 

166)scenario of bilary colic pain drug given in adjuvant to morphine

a>pethidine

b>hyosine

 

 

 

 

167 pethidine when given iv l cause

mi depression

tachcardia

halulcination

dysphoria..

delirium

 

 

168 morphine when given intramuscularly

duration of action 3 -4 hr

onset 0f action 104 min

sustained release

 

 

 

 

 

169 ccfpt with crepitations came first time drug  given

a> furosemide

 

 

 

 

170 corpus striatum conssist of

a> putamen + caudate

 

 

 

 

171 hla on which chromosome

a>4

b> 6

 

 

 

171)a female pregnant have cat as a pet what infection can occur in child

a> toxoplasmosis

 

 

 

 

172)intaembryonic coelom develop from

axial mesoderm

lateral plate mesoderm

paraxial mesoderm

 

extraembryonic mesoderm

 

 

173)cardiac output depends on

stoke volume

heart rate

venous return

 

 

 

 

174) end diastolic volume depend upon

a> venous return

b >distensibilty of heart

c> duration of diastole

 

 

 

 

175 a 5 yr child developed proteinuria >3 g / dl and developed edema cause of edema l be a> decreased oncotic pressure

 

 

 

 

176 a girl developed uritcariarashe at arm yrunk leg and face after ating sea food what l be the cause of it

localized tpe 1

b generalized type 2 hypersensitivity

 

 

 

177 symptoms of mysthania gravis were given like then was question which is pathology

antigen a

complex are formed ..

 

 

 

 

178which is secondrycartilagenous joint

sternoclavicular

b> between 1st rib and sternum

c> between maniburum and sternum

 

 

 

 

 

 

179fibrocartilage

larynx

trachea

between vertebrae

 

 

 

 

180standard deviation is used to

a> measure sample size

 

 

 

 

181juglodigastric lymph node drain

a> palatine tonsil and tongue.

 

 

 

182)whichdoesnot contain true epithelium

a> vessels

serous cavities

joint cavities

 

 

 

 

183) main function of gastrin

a>inc gastrointestinal motility

b>inc acid pepsin secretion

 

 

 

 

 

184gatrin and cck

a v same 1st 90 aa

b>v same 5 terminal 5 carboxl terminal

 

 

 

 

185 which antacid delays gastric emptying (wrong question)

alcohol

sodabicarb

 

 

 

 

186 kidney compensate for alkalosis by

dec H2 production

in NaHCO3 secretion

 

 

 

 

187)regarding cerebral metabolisim

a> consume 20 percent of o2

 

 

 

 

188)regarding kidney which is false

a> 10 percent blood flow..

 

 

 

 

189)symptoms of acute rhinitis which cell responsible

a> mast cells

 

 

 

 

190) primary phagocytic

a> neutrophils

b> macrophage

 

 

 

191) chronic rhinitis cell present in nodule

a> lymphocyte

b>goblet cells

macrophage

c> mast cell

 

 

 

 

192 regarding kidney glomerular filtrate is

a>ultrafiltrate

 

 

 

 

193 protein donot pass thru kidney because

a> -ve charge in basement membrane and mesangium

 

 

 

 

194)basic drug bind to

a>glycoprotien

 

 

195most malignant lesion of oral cavity

a>erytoplakia

 

 

 

 

196 heat loss when person sitting nude

a> convection

 

 

197.which of following is major circulating phagocyte??

a.macrophage

b.neutrophil(correct)

c.monocyte

d.mast cell

e.dendritic cell
Paper II

1.cause of spleen infarct??

a.ITP

b.idiopathic thrombocytosis

c.CML(correct)

d.hyperspleenism

e.

2.which of following is major circulating phagocyte??

a.macrophage

b.neutrophil(correct)

c.monocyte

d.mast cell

e.dendritic cell

3.about single umbilical artery which is correct??

a.due to hypertension in pregnancy

b.normal in 5%

c.associated with maternal diabetes(correct)

d.

e.

4.organ least likely to b affected if blood supply blocked??

a.intestine

b.liver(correct)

c.pancreas

d.kidney

e.spleen

5.scenario on pregnant lady having cats in home…..??

a.toxoplasmosis(correct)

b.leshminiasis

c.EBV

d.cytomegalovirus

e.HIV

6.which of following vitamin is cofactor for fatty acid oxidation??

a.cobalamin

b.biotin(correct)

c.vitamin A

d.niacin

e.vitamin D

7.which is malignant tumor??

a.meningioma

b.chordoma

c.glioma(correct)

d.hydatiform mole

e.hamartoma

8.peripheral neuropathy due to INH treated with??

a.vitamin B12

b.vitamin B1

c.vitaminB6(correct)

d.vitamin A

e.vitamin E

9.diagnosis of typhoid in 2nd week by??

a.blood culture

b.widal test

c.bloodculture+widal test(correct)

d.urine culture

e.

10.most serious side effect of diptheria toxin is on??

a.nerve

b.heart(correct)

c.

d.

e.

11.which hormone act by steroid hormone mechanism??

a.prolactin

b.epinephrine

c.growth hormone

d.thyroid hormone(correct)

e.

12.growth factor receptors r present on??

a.nucleus

b.cytosol

c.cell membrane(correct)

d.nuclear membrane

e.

13.drug detoxification occurs in??

a.mitochondria

b.rough endoplasmic reticulum

c.smooth endoplasmic reticulum(correct)

d.peroxisomes

e.

14.patient taking anti tuberculous drugs, cause of color blindness??

a.rifampicine

b.ethambutol(correct)

c.pyrazinamide

d.INH

e.streptomycin

15.scenario on non caseating granuloma occurs in??

a.tuberculosis

b.leporsy

c.sarcoidosis(correct)

d.amoeboma

e.

‎16.one of following is not occur in shock??

a.tachycardia

b.decrease cardiac output

c.increase urine output(correct)

d.muscle weakness

e.

17.during starvation which pattern of fuel consumption occur??

a.protein˃carbohydrate˃fatty acid

b.fattyacid˃protein˃carbohydrate

c.carbohydrate˃fattyacid˃protein(correct)

d.

e.

18.cells increase in allergic condition??

a.basophils

b.neutrophils

c.mast cells(correct)

d.monocytes

e.macrophages

19.antacid which delay gastric emptying??

a.magnesium hydroxide

b.sodium bicarbonate

c.aluminium hydroxide(correct)

d.magnesium carbonate

e.

20.which of followin doesn’t cause hypercalcemia??

a.breast carcinoma

b.hepatocellular carcinoma

c.bronchogenic carcinoma

d.ovarian carcinoma

e.prostate carcinoma(correct)

21.HLA gene present on??

a.chromosome4

b.chromosome7

c.chromosome9

d.chromosome6(correct)

e.chromosome3

22.scenario in which patient is having loss of accomodation,which area involved??

a.pons

b.medulla

c.midbrain(correct)

d.cortex

e.

23.organism of subacute endocarditis??

a.S.aureus

b.S.viridans(corrrect)

c.S.bovis

d.

e.

24.haemoglobin bind to??

a.albumin

b.hepatoglobin(correct)

c.globulin

d.

e.

25.scenario on volume expansion,which hormone increases??

a.aldosterone

b.angiotensin1

c.ANP(correct)

d.renin

e.

26.in chronic rhinitis which cells increases??

a.basophils

b.goblet cells(correct)

c.IgE

d.

e.

27.juglodigastric lymph nodes drain??

a.palate

b.tongueand palatine tonsils(correct)

c.

d.

e.

28.falciform ligament contains??

a.triangular ligament

b.round ligament(correct)

c.coronary ligament

d.

e.

29.defect in language comprehension and intelligence??

a.frontal cortex

b.brocas area

c.wernicks area(correct)

d.

e.

30.about cerebellum??

a.lies below tentorium cerebeli(correct)

b.connected by superior peduncles to pons

c.

d.

e.

‎31.which of following is potent chemotactic factor??

a.IL-1

b.C3a

c.C5a(correct)

d.arachidonic acid

e.IL-8

32.erythropoietin is secreted from??

a.maculadensa

b.peritubular interstitial cells(correct)

c.hepatocytes

d.

e.

33.patient with posterior dislocation of elbow is having pain and numbness in little finger,which ligament or tendon damaged??

a.flexor carpi ulnaris

b.annular ligament

c.ulnar collateral ligament(correct)

d.radial collateral ligament

e.

34.one of following is feature of acute tubular necrosis??

a.concentrated urine

b.oliguria

c.hyperkalemia(correct)

d.proteinuria

e.

35.corpus striatum includes??

a.amygdala+caudate

b.amygdala+caudate+putamen

c.amygdala+putamen

d.caudate+putamen(correct)

e.caudate+globuspallidus

36.which of following correct regarding brain??

a.needs glycogen

b.consume 20% oxygen at rest(correct)

c.

d.

e.

37.drug contraindicated in CLD??

a.pentazocine

b.lorazepam

c.acetaminophen

d.hyosine

e.

38.all of following form anterior relation of kidney except??

a.spleen

b.pancreas

c.diaphragm(correct)

d.

e.

39.which artery connects basilar artery to internal carotid artery??

a.anterior cerebral artery

b.anterior communicating artery

c.middle cerebral artery

d.posterior communicating artery

e.inferior cerebellar artery

40.true about sweat gland??

a.supplied by sympathetic cholinergic(correct)

b.

c.

d.

e.

41.ifdorsalispedis artery is absent congenitally,which artery will supply area??

a.plantar arch

b.peroneal artery

c.medial planter artery(correct)

d.lateral planter artery

e.first metatarsal artery

42.person chews bettlenuts,its associated with??

a.lichenplanus

b.lukoplakia

c.submucosal fibrosis(correct)

d.erythroplakia

e.

43.patient having hypertension 210/120 ndcreatinine 7,defect is in??

a.maculadensa

b.JG apparatus(correct)

c.renal tubules

d.

e.

44.intraembryoniccelom is formed by??

a.extraembryoniccelom

b.lateral plate mesoderm(correct)

c.

d.

e.

45.which is correct regarding strawberry haemangioma??

a.regress within 5 years of age(correct)

b.

c.

d.

e.







 

 

 

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