1. Pompe’ds glycogen accumulated in?

Answer lysosomes
2. Vitamin K: carboxylation direct in options. 3 questions of vitamin K
3. Retinoblastoma in patients and each member of family except patients father?
Answer incomplete penetrance
4. Two questions about pedigree. Direct autosomal dominant in options
5. Experiment questions what if CD8+ T lymphocyte damage how it T- cell will form? I
choose B7 and CD28 as answer
6. Handgrip and leg raise murmur changes arrows questions
7. Smear of psammoma’s bodies? Answer papillary thyroid
8. Pancreatic cancer
9. Vwf direct questions asked bleeding time increase, PTT increase look at arrows of
VWD
10. Warfin then asked arrows for factor VII ( pre-convertin), factor VII ( preconvertin
activities)? I marked both arrows up. Check it. I thought if warfin inhibits factor VII
those precursor activities will go up.
11. Addision ds questions
12. Experiment questions about female taking pills don’t remember for what but
remember her doctor said if stopped endometrial lining will rise? Answer SERM drug
she is taking
13. linoleic acid what will rise? Answer TXA2 linoleic acid is precursor for arachidonic
acid pathway
14. Patient eating wild berries? Giaradia lamblia
15. Erylnmeyer flask? Answer osteoclastic activities
16. Acute transplant rejection 3 questions
17. Transmigration? PECAM
18. Virus with some history I don’t remember? Ssrna, dsrna, ssdna, dsdna such options
given
19. Watery diarrhea at 42degree Celsius? C. Jejuni
20. Nitrite negative most common cause if UTI? S. Saphrophyticus. If nitrite positive then
[Link]
21. H. Influenza virus damage hemagglutin? Genetic drift.
22. Exudate fluid with LDH 0.6 given ? Cause malignancy
23. Honey combing given in question? Answer idiopathic pulmonary fibrosis
24. Shipyard worker patients? Asbestosis
25. CXR with air under diaphragm cause? Perforated ulcer
26. Pedigree asked two questions about mode of transmission? Uniparentral disomy
27. Hepatitis Questions IgM HbeAg positive? Answer hepatitis E
28. Image with left palm and ring finger swollen and asked which of the following is
involved? Muscle , tendon and other options given I chose muscle I thought image is
dupuytren's contracture. I may be wrong in muscle check it.
29. Sickle cell electrophoresis questions.
30. CD4+ CD8+ ? Answer thymus
31. CD3-ve ? Answer digeorge. Other were B-cells marker positive
32. Ig chain questions? Answer VdJ recombination
33. PNH cause? Answer complement inhibitors
34. Smoking history? Answer ⬆️Hbs and ⬆️HbF arrow questions for sickle cell
35. Some sickel cell history? Answer Hydroxyurea
36. Patient with acute gout pharmacotherapy for drug given? Answer PG inhibitors
( NSAIDS) they given which drug patients is taking just history of acute gout. Other
option of glucocorticoids, xanthine oxidase, colchicine given
37. Pacliteaxel ? Answer tubulin
38. Patient with cystic fibrosis what is next findings? Answer infertility
39. Scabies direct questions
40. Patient from new mexico I remember what was the question. Go through micro what
location new mexico is histoplasmosis or coccidiosis
41. Image with yellow toe asked MOA if drug given to this patient? Answer Squalene
epoxidase.
42. Image with spoon shaped nails? Answer IDA
43. Ethics questions female have UTI every she has intercourse with her boyfriend what
physicians next advise? Answer: i chose tell patients to urine immediate after
intercourse. This is direct repeat questions
44. Patient had denture in mouth, alcohol , smoking history. Asked what is risk factor
other than smoking? Answer: alcohol. I don’t remember i chose alcohol. I may br
wrong.
45. Image of melanoma risk factors asked and also given patients had history of renal
transplant due to glomerulonephritis? Answer: options were A renal transplantation,
B immunosuppressant, and some rule out options i chose B immunosuppressant.
Check it
46. Patient with anirida? Answer WT1 deletion
47. Products level remains unchange even after adding more substrates? Answer non
competitive inhibitors
48. TOF? Answer pulmonary embolism i chose no other options i can say was correct so
i chose PE
49. Lab ⬆️17 alpha hydroxylase progesterone what is seen in additional findings?
Answer ⬆️Androstenedione
50. Questions about Crohn’s disease
51. Smear showing segments of neutrophils cause? Answer Atrophic gastritis
52. Hyperammonemia history asked what is chnage in blood? Answer Glutamate
53. Itching on shins? Answer Erythema nodosum
54. Behavior changes? Frontal lobe epilepsy
55. Alzheimer disease questions? Answer marke caudate nucleus from image
56. Ethics questions patient is alzheimer CXR findings shows multiple lungs infection but
patients says to physicians i am fine idk why my family keeps on bringing me up to
clinics? Answer i chose options which says what do you think about your lung
disease. Idk i may be wrong. Can’t recall more details.
57. Patient taking NSAIDS? Answer ⬇️GFR, ⬇️FF
58. Questions about prostaglandins
59. Patient with mobile breast mass what is the origin? Answer fibroadenoma. Options
given A adipose tissue, B intraductal , C acini, D nipple , E terminal duct. I was
confused between C and E i chose E
60. Fatty stools not flushing in restroom, from where it origin? Answer Acinar cells
61. Inflammation? Answer liquefactive necrosis
62. Patient taking progesterone antagonist? Answer mifepristone
63. Pregnancy graph asked histology shows spiral image? Answer patient is in luteal
phase marked ABCD accordingly with phase of graph in luteal phase.
64. Women with bilateral lower abdomen pain? Answer ovarian cancer
65. Spine metastasis origin? Prostate
66. Bladder distended cause? Answer A complete ureter blocked, B hydronephrosis, C
stones. I chose A
67. Hexagonal stones on labs? Answer cysteine stones
68. Bilateral oophorectomy with lymph node removal most likely site if metastasis?
Answer A. Retroperitoneal space, B. Perianal space. I chose B other options ruled
out.
69. Patient taking penicillin? Answer acute interstitial nephritis
70. Grandular cast questions
71. Patient with hematuria and RBC cast ? Answer Glomerulonephritis
72. If polyps are removed through polydectomy what is seen in colonoscopy after 6
months? Answer normal mucosa no change in colon because it is removed
73. Kallman syndrome patient asked origin of structural damage in this patient? Answer
Diencephalon ( hypothalamus)
74. Gross anatomy asking to mark pituitary
75. Gross anatomy showing block in foramen and asking which ventricle will enlarge?
Answer A. Lateral, B 3rd ventricle, C. 4th ventricle, D cerebral aqueduct. So weird
gross structure I couldn’t judge where is blockage. So i marked lateral ventricles
because it will buldge in any blockage.
76. Tongue deviation to left marked the damage structure in gross anatomy ? Answer
mark hypoglossal nerve from medulla
77. Polyp? Answer DNA mismatch repair
78. Patient with pancytopenia and asked what is seen on smear, smear given in
question? Answer fat cells
79. MEN1/2B question
80. Acromegaly? Answer IGF resistance
81. Experiment questions two mice one exercise, one doesn’t exercise what is increase
after few months in exercising mice? Answer GH
82. Patient with nodules on knuckle and warm on touch? Answer A. GroupA strep, B. S.
Saprophyticus, C. S. Pyrogens. I chose C I thought septic arthritis. Check it
83. Stap aureus? Answer ⬆️leukocyte
84. Anterior descending arteries, posterior descending artery question related to MI, both
anastomoses.
85. Ecg showing delta wave? Answer WPW syndrome
86. Murmur heart loudest at apex? Answer MR
87. After handgrip, with history of MR ? Answer ⬆️murmur
88. Ventricular septal defect 2 questions
89. Questions about cardiac tamponade
90. Obstructive sleep apnea
91. Patient has medium artery disease with fibrinoid necrosis, what is next findings?
Answer Hepatitis B ( P. Nodosa)
92. Digoxin MOA? Answer Na+/K+ pump
93. Patient with myopathy symptoms asked which drug patients taking? Answer HMG co
reductase
94. Pulmonary vein origin
95. MI patient came after 1-3 days what is seen? Answer neutrophils
96. Patient taking GH which pathway is increased? Answer protein synthesis
97. Through which mechanism vitamin A is teratogenic? Answer Craniocaudal
mechanism ( HOX gene)
98. Patient with epilepsy risk factors? Answer neural tube defect
99. Exogenous insulin? Answer C-peptide absent
100. Patient on Glyburide risk factors? Answer renal insufficiency
101. ⬇️Ca, ⬆️PTH, ⬇️K+ ? Answer calcium sensing receptor defect
102. B12 deficiency which structure affect? A. Duodenum , B. Jejunum, c. Ileum.
Correct answer is C
103. Adxenal torsion which blood supply affected? Answer ovarian veins
104. Image showing horseshoe kidney asked what is affected because of it?
Answer IMA
105. Caput medusa ? Answer para umbilical and small epigastric vein
anastomoses
106. Below pectinate line? Answer superficial inguinal lymph node
107. Below pectinate line? Answer inferior rectal vein.
108. Patient on orlistat? Answer lipase
109. Lab shows anti-IgA transglutaminase increase risk for? Answer T- cell
lymphoma
110. Bloody stools? Answer intussusception
111. Adults patients common cause of meningitis? Answer N. meningitis
112. Sessile polyp what will happen? Answer A. Hamartoma, B. Villous adenoma, i
chose B check it.
113. Orange colour palm what is increase in this patient? Answer iron
( hemachromatosis)
114. Extrapyramidal symptoms due to? Answer dopamine receptor antagonist
115. Nephrotic syndrome what is increase in urine? Answer antithrombin III
116. DVT patients taking heparin, moa? Answer antithrombin III
117. Acute intermittent porphyria what is increase? Answer ALA
118. Atypical cells on smears? Answer CD8+ T cells
119. Stap aures TSS? Answer MHCII with TCR
120. Winging of scapula? Answer serratus anterior
121. Pancoast tumor? Cervical lymphadenopathy
122. Sensation lost between toe finger and middle finger, dorsiflexion lost? Answer
common peroneal nerve
123. Lateral hip pain on percussion diagnosis? Answer greater trochanter bursitis
124. CT scan of subdural hematoma? Answer bridging veins
125. Questions asking about autophagy
126. Asthma patients taking medication fluticaxone? Answer oral thrush
127. Fever and then rash? HHV-6 ( roseolla)
128. Hydrocele ? Answer processus vaginalis
129. SERM? Endometrial hyperplasia
130. CIN? Answer p53
131. Pupil normal and reactive to light, ataxia, which substance abuse? Answer A.
Cannabinoids, B. Opioid, C. Heroines. I chose A i may be wrong check it
132. Serotonin syndrome questions
133. Altruism defense mechanism. Patient with cancer doesn’t take treatment, but
started campaign for breast cancer
134. Lissencephaly
135. Image of boy with yellow honey custed lesions? Answer neutrophils
([Link])
136. PIP and DIP involved next findings? A. Osteophytes, B. Bone cyst, C.
Periarticular narrowing
137. Gout with images showing negative birefringent
138. ADHD patients moa for this patient drug given? Answer NE agonist
139. Varicocele? Answer Bag of worms
140. Biostatistics question ROC curves mark specificity
141. Elderly man? ⬇️REM sleep
142. Ethics questions. 12 year old boy brought by father to clinic with change in
behavior when asked in private boy said taking marijuna what next question by
physicians? A. How is everything going on with you in school. B. What do you know
about marijuana. I chose B
143. Orotic aciduria? ⬆️carbamoyl phosphate
144. Below umbilicus sensation lost ? Answer A. T6 ventral, B. T6 dorsal. Check it
145. Kinesin damage? Anterograde lost