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SEPTEMBER 6, 2016 EVENING

1. Regarding Aphasia; Lesion in =Temporal lobe
2. Fascia enclosing masseter muscle =Deep Cervical Fascia
3. There was a scenario female with webbed neck and short stature = turner syndrome
4. A Scenario of Male with XXY =klinfilter syndrome
5. Decrease in core body temperature results in = Shivering
6. Virus cause disease by = Alteration in protein synthesis
7. Regarding node of Ranvier = no Myelin
8. Highest TGs concentration = Chylomicrons
9. Regarding hemorrhagic infarct = Lungs
10. Type of collagen present DURING wound healing = Type 3
11. Regarding reticular connective tissue = Spleen
12. Smoking working in tyre factory, cause of trAns:itional cell carcinoma = Smoking >
Aromatic.(ref Goljan)
13. Supernumerary ribs = compression of Brachial plexus and subclavian
14. Diseased vs non diseased = Case control
15. Gardener with linear lesion = Cutaneous larva migrAns:
16. Repeat question of a diabetic who died despite aggressive measure = Mucormycosis
17. Insulin inhibited by = B blockers
18. Vitamin in fatty acid oxidation = biotin
19. Aggressive sympathetic drive = Bronchodilation
20. Most important response in shock as a whole = CNS ischemic response
21. Increased BT is observed in = vWF deficiency
22. Regarding Renal vein = Anterior to Aorta
23. Left adrenal vein drainage = Left Renal Vein
24. Retromandibular vein = Maxillary with superficial temporal
25. Chromatids align at equatorial plain = Metaphase
26. Child presented with proteinuria of >3gm, cause on edema? = Decrease colloid osmotic
pressure
27. Natural Defense Against Cancer = Apoptosis
28. Step in Apoptosis = Activation of caspases
29. Child with macrocytic type CBC = B12 level Ans:
30. Elastic cartilage present in = Epiglottis
31. Regarding Hyaline cartilage = Articular surfaces
32. Mother having measles, child at risk of =Cataract
33. Mother delivered a baby with cataract, cause? = Measles
34. Sound produced in Ventricular filling = S3
35. Which of the following decreases serum osmolality?= antidiuretic hormone
36. Thiazide diuretic = Hypokalemia
37. Fracture of Lumbar vertebra = Conus medularis syndrome
38. True about osmosis? = its osmolality depends on particles number
39. Regarding nucleus? = Euchromatin is trAns:criptionally active
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40. In severe dehydration = decrease in total body water
41. A patient with severe dehydration drinks 2L tap water: inc ICF (reference ganong)
42. Global cause on infective blindness: = Chlamydia > bacteria
43. Internal carotid artery: anterior choroidal branch to cavernous sinus
44. Leukocyte Adhesion = LFA1
45. True about Leukocytes = Phagocytic in blood
46. Repeat case of= EXTRAHEPATIC CHOLESTASIS
47. Preganglionic autonomic Fibers = B type
48. T cell Receptor bind with = MHC 2
49. Secondary ossification center present in? = lower end of femur
50. Associated with intestinal malignancy = H. Pylori
51. Decrease ESR = Increase Albumin
52. Patient aspired on lying down = Right lower lobe
53. Irreversible step of glucose metabolism? = G6P to fructose 1,6 po4.
54. In second degree heart block = Progressive lenghthening of Pr interval until a beat is
dropped(type1)
55. 41% hematocrit = 41% RBC WBC Platelets
56. Structure embedded in cerebral cortex? = Insula
57. SA node location = upper part of sulcus terminalis
58. Ureteric bud development = Mesonephric duct
59. Patient presented with chest pain of 2-4 hours’ duration, all baseline was normal next
investigation = CK-MB
60. Mechanoreceptor of Warm = Long receptive fields
61. Gracilis and cuneatus damage = Astereognosia
62. PICA supply = dorsolateral medulla
63. Cells having most telomerase activity = Germ Cells
64. Most drugs are metabolized in = Liver
65. Pseudomembrane colitis = C. difficile
66. Reason of tuberculin test negative = taking immunosuppressant
67. Case of PARKISON with all associated symptoms like tremor, bradykinesia, rigidity gait
problem, lesion in = Substantia Nigra
68. Heart Rate of 120 = RR interval 0.5sec
69. 60 years old farmer with Cushing symptoms = Adrenal Adenoma
70. Malignant tumor = Metastasis
71. 2*2 table = Chi Square
72. Which augments the effect of phagocytes? = Complement
73. Metastasis occurs because = loss of E cadherin
74. Allele = Non identical genes
75. Hypovolemia results in = Decrease carotid sinus nerve firing
76. Typhoid investigation in first week = Blood Culture
77. Thiamine deficiency causes = Peripheral neuropathy
78. Increase in GFR and RPF= afferent arteriolar dilatation
79. Cimetidine effect = Inhibit hepatic enzymes
80. Inducers of liver enzymes = Phenobarbital
81. 50 years’ post-menopausal lady = Increase FSH and LH
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82. Severe trAns:fusion reaction occurs = A+ to O+
83. Which drug increases LES tone and gastric motility = Metoclopramide
84. NK Cells = Kills virally infected cells without sensitization
85. Cushing features with Raise ACTH = Cushing disease
86. Mediators of Pain = Bradykinin and PG
87. Young patient dyspnea on lying down = Retrosternal goiter
88. Breaking bad news = Information in crisp and formal sessionin exclusivity .
89. QRS complex occur = Prior to ventricular systole
90. Alpha and gamma motor neuron = UMN supply
91. Atheroma development major factor = HTN
92. Response to bleeding due to dermal abrasion = vasoconstriction
93. Increase thyroid hormone cause = increased in gluconeogenesis
94. There was a female with malar rash = Anti DSDNA
95. Regarding somite’s = Arise from paraxial mesoderm
96. Early sign of Vitamin A deficient= Night blindness
97. Partial mole = 69XXY
98. Lady presented with uterine bleed due to coagulation failure secondary to
miscarriage=Evacuation .
99. Regarding sensory fibers = May pass or may not pass reticular depending upon
modality
100. Motor Fibers =Supply alpha and beta simultaneously
101. Young female with decrease Hb, Dec mch, hbA 94% hbA2 was 4% = Thalassemia trait
102. A smoker patient, was having interstitial lung disease and pleural plaque=
Asbestosis
103. Compression of sciatic nerve level was asked = L4,L5
104. Best measure of GFR estimation = Creatinine( if best measure asked:inulin).
105. A patient with BP200/120 and glucose >200, what to give = Lisinopril
106. FEV1/FVC = 0.8
107. Bronchial asthma = decrease FEV1
108. 4th heart sound correlates with = Atrial contraction against stiff ventricles
109. Rapid acting hypoglycemic drug = second generation sulfonylurias.
110. Autonomic supply to mid gut = T8-t12
111. 100cm of ileum resected = decrease absorption of bile salts
112. How to monitor a patient on warfarin = PT, APtt, INr
113. Increase Bt and Aptt normal PT = vWF defect
114. Ganglion found at c7 vertebra = Cervicothoracic
115. Patient having constricted pupil, unable to dilate it = cervical sympathetic
116. Regarding esophagus = upper 1/3rd striated
117. Color Blindness due to = Cones defect
118. In severely dehydrated child, venesection was performed; most likely nerve to be
damaged = Saphenous
119. Osmotic diuretics act upon = PCT
120. A known case of HCV, histology of liver shows eosinophilic cytoplasm, nuclear
clumping = Councilman bodies.
121. A patient presented with fatigue, mcv104, alt 74 ast 80 = B12
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122. A patient presented with irregularly irregular pulse, p wave was replaced by irregular
waves = Atrial Fibrillation
123. Digoxin given in =Atrial Fibrillation
124. Atonic bladder =Damage to parasympathetic below sacral
125. Most radiosensitive tumor =Lymph node
126. A patient presented with acute exacerbation of COPD, Po2 45, Pco2 51, pH 7.31,
Bicarbcarbonates =Type II respiratory failure.
127. A patient doing exercise, increased respiration. Which of the following will activate, that
remains inactivated at normal respiration = Ventral respiratory group
128. Mechanism of action of Aspirin = inhibit COX( irreversibily both cox1 n 2)
129. OndAns:etron control vomiting by = antagonism pf 5HT3
130. Itching is carried by = Type C
131. Viral infection and purpura = antibodies to Platelets (ITp)
132. Abduction and medial rotation or arm = Teres Major
133. Microscopic feature of malignancy = Invasion> pleomorphism
134. Brain perfusion at rest = 50ml/100gm
135. Brain auto regulatory pressure? = 50-150mm Hg
136. Coccygeal ligament = L1
137. On right lung bronchoscopy first section to be visualized? = inferior bronchus
138. Narrowest point of esophagus = Cricopharynx
139. Point mutation occurs in = Sickle cell disease
140. A patient diagnosed as amyloidosis having plasma cell disease, amyloidosis is due to
deposition of = Amyloid light chain
141. Which of the following function through cAMP = Glucagon
142. Which of the following passes through aortic hiatus? = Azygous vein
143. Norepinephrine secreted at = post ganglionic sympathetic
144. Patient from Baluchistan presented with fever, hepatosplenomegaly, and has history of
fly bite = Kala Azar
145. Intracranial veins connected to extracranial= Emissary veins
146. A child with congenitally missing dorsalis pedis artery, blood supply to dorsum of foot
maintained through = peroneal artery
147. A child got blow at elbow, elbow joint displaced, now he is having loss of sensation in
little finger = ulnar collateral ligament.
148. 35 years old male patient died suddenly, autopsy finding nil, tox screen shows cocaine =
contraction band necrosis
149. Edrophoneum most common side effect =Nausea
150. In females, neck of bladder lies = above urogenital diaphragm
151. Perineal innervation = S2,3,4
152. Death due to C. Botulinum = Respiratory Muscles Paralysis
153. A female having blurred vision, decreased muscle activity, other neurologic nerve
involvements = demyelination of nerves
154. Antibodies to post synaptic Ach receptors = Myasthenia Gravis
155. Loss of sensation of lower teeth and chin = Inferior Alveolar Nerve
156. Alpha 2 agonist used in ICU for sedation= Dexmedetomidine
157. Decrease release of Oxygen from Hb = decrease in Temp
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158. Hyperuricemia is side effect of ATT = Pyrazinamide
159. AIHA diagnosed by = Anti Globulin Antibody Test (coomb ‘s test).
160. One question was on = OCCULOMOTOR Loop
161. C. Diphtheriae = secretes Exotoxin
162. Benign tumor is = Warthin
163. On biopsy, endocervix show squamous cells = Metaplasia
164. Which structure loops around arch or aorta = Left recurrent laryngeal nerve
165. Sound heard in left 3rd Intercostal space = Aortic A2
166. Regarding kidney trAns:plant = HLa1 more important than HLA2
167. Scenario was given 5 years’ arthritis history with congestive cardiac failure features
cardiomegaly and glucose was 167 what lab finding in this patient you will find = raised
Ferritin
168. Benzodiazepine cause =Dependence
169. Highest pH is seen in = Pancreatic Secretion
170. A child presents with perianal pruritus; which cells will be elevated = Eosinophils
171. Gastric HCL is necessary for = Converting pepsinogen to pepsin
172. In pleural fluid aspiration in mid axillary line which structure will not be pierced =
Levator Costrum
173. Left Ventricular Failure cause = Aortic Valve pathologies
174. A patient having a lot of pizza and burgers = Hypertrophy of Steatocytes
175. There was one question on coronary circulation = run in respective grooves
176. sciatic Nerve root = L4 L5 S1,2,3
177. Which of the following cause paraneoplastic syndrome = Small Cell CA
178. A patient was presented with Malar Rash and other symptoms of SLE what other finding
can be found? = Pericarditis
179. Blood flow to muscle during exercise = Inc. local metabolite
180. Exophthalmos occurs due to = TSI
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a.1-10%
b10-15
c.15-20
d.20-25
e.25-30
Ans:: aa
9 . after tooth extraction cause of sub
7 SEPTEMBER MORNING acute endo carditis
SHIFT…….. MED AND ALLIed a.viridins goup of streptococci
b staph aurus
1.theophyline interaction with which c.fecalis
causes decREASE its clearance Ans:: aa
a.adenosine 10.Most common cause of subacute
b.cimitidine endocartis
c.beta bloker a.viridiAns: streptococi
d. litium b. staphloccus aureus
Ans:: aa Ans:: aa
2.most common premalignnt condiotion… 11. Blood born infection
a.leukoplakia A. staphlococus
b.erythroplakia b.hepatitis B
c.lichen planus Ans:: bb
d.apthos ulcer 12.Child with sore throat and fever you
Ans:: cc gave antibiotics...after 3 weeks hematuria
3.painful vesicular eruption at chin and occurs
dermatomes involve diagnosis a. good pasture syndrome
a.trigeminal neuralgia b.poststreptococal glomerulonephritis
b.herpes Ans:: bb
Ans:: bb 13.Increase LES tone and speeds up
4.Immunoglobulins produced by: gastric emptying ?
a. plasma cells a. Metoclopramide.
b. hepatocytes b.OndAns:etron.
Ans:: aa Ans:: aa
5. following produce by plasma cells 14.there is achalasia of lower esophagus
a. albumin a. no myentric plexus in lower esophagus
b. firinogen b.food rapidly goes through esophagus
c. gama globulin Ans:: aa
Ans:: cc 15. Dignosis for Hashimotos
6. an enzyme which combine two and a.antimitochondraial antibody
make a single compound b.Antimicrosomal and anti thyroglobulin
a. synthetase Ans:: bb
b. isomerase 16. thyrocervical trunk
c.trAns:ferase a. suprascapular branch
Ans:: aa b. arise from second part of subclavian
7.Intercoastal nerves c.superior intercostal is branch
a.only supply skin Ans:: aa
b.12 in number 17. High carbohydrate diet taking should
c.Supply only intercostal muscles have in diet or deficientin
d.Associated with sympathetic chain a.thiamine
Ans:: cc b.riboflavin
8.percentage of lichen planus chance to Ans:: aa
covert in malignancy 18. Muscle of back supplied?
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a. dorsal rami of cervical spinal. a.dibetes inspidus
b. ventral rami of spinal nerves. b. hyperphgia
Ans:: aa c.hypertension.
19.Cavernous sinus contain Ans:: bb
A. abducent nerve 29. Man has non lethal MI what happens
b. trochlear to him in few minutes?
c. oculomotor A. complete recovery without any
Ans:: aa complication
20.premalingnat nevus is b. ventricular arrhythmia
a.compound nevus Ans:: bb
b.intradermal nevus. 30 What decreases penicillin excretion
c.junctional nevus. from kidney
Ans:: cc……as There is no option of a.Probenecid
dysplastic or congenital giant nevus b.Erythromycin
21.hyperthyroid ,goiter and exophthalmos c.Gentamicin
a.toxic goiter d.Benzathin penicillin
b. graves disease e.Penicillin G
Ans:: bb Ans:: aa
22.Alchohol cause deficiency of which 31.Dead space decrease in
vitamin A.standing
A, vitamin b1 b.tracheostomy
b.vitamin a c. deep inspiration
c.vitamin d d. shallow breathing
Ans:: aa Ans:: bb
23.Sle diagnostic test 32. SA node action potential due to
a.anti double strand antibody( anti DsDNA a.Na influx
Ab) b.Ca influx
b. Anti Ach Ab. Ans:: bb.
c. AMA. 33. Large intestine most accurate
Ans:: aa a.Caecum may have a diameter of 9cm
24.Sjogren associated with? b.TrAns:verse colon supplied by right colic
a.sle c.Appendix is rarely retro caecal
b. RA d.20% have mesentry attached to ascending
Ans:: bb. colon
25.lumber puncture site e. Descending colon lies medial to left
a. above l4 kidney Cecum
b. below l5 Ans:: dd
Ans:: aa 34. Mechanism of action of methyldopa
26. baby has abdominal pain and anemia a.Binds adrenergic receptors in cns
diagnosis.....repeated scenario of sickle b.Acts directly on arteriolar smooth muscles
a.hbss Ans:: aa
b.hb a 35. Left axis deviation in
c.hb cs A .Right sided myocardial damage
Ans:: aa b.RBBB
27. Hyperbaric oxygen use in treatment of Ans:: aa
sea divers.. 36. while taking blood sample at cubital
a.barotrauma fossa which nerve injured?
b.decompresion sickness a. median
Ans:: bb b.ulner
28. optic chiasma damage with also c.radial
hypothalamus damage will result in Ans:: aa
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37. Common peroneal nerve lesion E. Verapamil
a. unable to evert Ans:: cc
b .unable to invert 45. Most important feature of shock
c. unable to planter flex ankle and big toe a.tissue hypoxia
d Loss of sensation on medial side of leg. b.hypotension
Ans:: aa Ans:: aa
38.A child has bald patch on scalp since 46.bar body in xxx
birth. Which is leathery. On microscopic a. 1
exam there is papillomatous projections b. 2
in epidermis. Dermis main abundance of c. 3
sebaceous glands What is the serious Ans:: bb
complication 47.Short arms /legs . Lordosis . With
a.Basal cell carcinoma normal mental health . Disease mode of
b.Squamous cell carcinoma trAns:mission.. (achondroplasia)
c.Keratocanthoma a. autosomal dominant
d.scaling alopecia b. autosomal recessive
Ans:: cc c. x-linked
39. Mgso4 action inhibited by Ans:: aa
a. Na 48. adult Polycystic kidney disease mode
b. Cacl2 of trAns:mission
c. K a. autosomal dominant
Ans:: bb b. autosomal recessive
40.Thiazides decreses clearence of Ans:: aa
a.Class 2 antidepressants 49. L dopa given in Parkinsonism
b.Phenothiazide antipsychotics a. decrease drug inactivation in periphery
c.TCA b. increase peripheral utilization
d. lithum c. increased upake into plasma
Ans:: dd Ans:: aa.
41. patient cant flex index finger and loss 50.Vomiting present and absent
sensation of lateral palmer surface .which a.Ratio
nerve damage b.Nominal
a. median c.Ordinal
b. radial d.Pametrics
c. ulnar Ans: : bb
Ans:: aa 51.hormone increase in response of meal
42. Heparin primary action achieved by in duodenum
binding to a.cck
a. Antithrombin 3 b.secretin
b. Xa c. lipase
c. Thrombin Ans:: aa
Ans:: aa 52.increase gall bladder contractility
43. Skin incision with sharp object a.cck
redness due to b.gastrin
a. Axonal reflex Ans:: aa
b. Histamine 53. Heparin acts by binding to
Ans:: aa a.Factor xa and thrombin
44. Angina may be worsened by b.Factor xa only
A. Atropine c.. factor 8
B. Salbutamol d.Factor 7
C. Theophyline Ans:: aa
D. Vassopressin
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54. In pancreatic fistula action of 62.urinary bladder mass there and
somatostatin??? features towards squamous cell
a. Inhibit enzymes ca….cause
b Inhibit secretion a.smoking
Ans:: bb b. cotton industry worker
55. Inversion and eversion of foot on Ans:: aa
which joint 63. mcv raised 107 and gut problem….. ?
a.subtalar joint a.Megaloblastic anemia
b. calcaneocuboid. b.IDA
c.talonavicular c. AOCD
Ans:: aa Ans:: aa
56.Phrenic nerve relation to ant to which 64. severe steatorrhea
muscle a.pancreatic resection
a.scalnues anterior b. stomach resection
b.scalneus medius c.duodenal resection
Ans:: aa Ans:: aa
57.Phrenic nerve root value 65.nutmeg liver.
a.C3c4c5 a.chronic passive congestion
b.C2,c3,c4 b.active hyperemia
Ans:: aa c. reactive hyperemia
58. Pregnant lady go into obstructed Ans:: aa
labour and reach hospital 50 miles away 66.3rd heart sound murmr occur due to
when reached hospital she died....cause? a. rapid inflow in ventricles
A.Fat emboli b. slow inflow in ventricles.
b.amniotic emboli Ans:: aa
Ans:: bb 67. esophgeal ca and middle 3rd is
59. Aspirin should be stopped before squamous diagnose
surgery. How many days the effect of a. alcoholism
aspirin remains? b. smoking
A. 7-9 days Ans:: aa
B. 3-4 days 68.EEG change
C. 10-12 days a.alpha waves disappear on eyes open
D. 14-16 days b.beta waves when eyes are closed.
Ans:: aa Ans:: aa
60. Heart chamber related to sternum 69.hyoid bone level
(costochondral surface) a. C3
a. right ventricle b. c2
b. right atrium c. c1
c. left ventricle Ans:: aa
Ans:: aa 70.human intermediate host of
61. Regarding blood supply of bones A.Hydatid disease .
a. Small bones supplied by nutrient artery b. ameobic dysentery
b. Irregular bone supplied by nutrient artery c.liver fluke
c. Flat bones bone supplied by nutrient Ans:: aa
d. Shaft of long bone supplied by Nutrient 71. patient died on brain biopsy which
artery only. type of necrosis…
e. ends of long bones supplied by epiphyseal a.liqufactive necrosis
arteries. b.coagulative necrosis
Ans:: ee. c. fat necrosis
Ans:: aa
72.about pesudomAns:
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a.endotoxin Ans:: aa.
b. exotoxin. 84. Atrial flutter
Ans:: aa a.Treated with defibrillation shock therapy
73.aplastic anemia… b. rate is so rapid above 400beats/min
a.hypocelluar tap on trephine biopsy c.Heart beat between 200 and 350beats /min
b. bloody tap Ans: : cc
Ans:: aa 85.creatinine clearance Values 144 s
74.prophylaxis agaist tetnus to population creatinine 1.4 And plasma creatinine =1.2
a.toxoid a.1.68
b. antitoxin b.168
Ans:: aa c.163
75.thamalic stoke or hamrohge like d.cannot be calculated
scnerio … Ans:: dd.
a. hperasthesia 86.true hermaphrodite,…
b.Synesthesia a.xy
Ans: : aa b.xyy
76.red infarct c.xxy
a.organ have dual blood supply Ans:: cc
b. organ having single blood flow 87.xerostomia , and keratitis patient is
Ans:: aa having?
77.yellow fever in non endemic area a.sjorjen syndrome.
a. epidemic b.Mukilicks syndrome
b. sporadic Ans:: aa
c.endemic 88 .. patient with mydriasis and ptosis.
Ans:: aa Whats the cause
78.ventricles completely depolarized at a.occulomotor damage
a.qrs b.horner syndrome
b. st Ans:: aaa as in horner there is miosis ,ptosis
Ans:: bb n enaphthalmos
79. patient cant speak or utter words 89.In G6PD what is present?
damage to a.comb test ,
a. wernickes b.osmotic fragility
b.brocas c. heinz body
Ans:: bb. d.microcytosis
80.. hemartoma… Ans:: cc
A. mass of mature but disorganised tissue 90.In venous blood rbc have?
indiginous to a location. a.Inc cl conc
b. mass of well differentiated tissue outside b.Inc hco3
a particular location. Ans:: aa
Ans:: aa 91. In deep sleep hormone secreted is
81.left precentral gyri damage a. serotonin
a.right hemiplegia b.melatonin
b. left hemiplegia Ans: : bb ( melatonin secreted in deep sleep
Ans:: aa while serotonin mediates deep sleep)
82.adenoma 92.diabetic patient wound healing
a.Glandular pattern. impaired due to
b. histologic variation a.neuropathy and angiopathy.
Ans:: aaa b. angiopathy
83.phledelphia chromosomes c.neuropathy.
A.cml Ans: : aa
B. AML 93.Mg store in
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a.bone 103.which cause malignancy in git …
b.muscle a.h.pylori
Ans:: aa b. cmv
94. Diabetic patient after gram negative Ans:: aa
infection present with shock after 6 days 104.which condition predispose to cancer
sugar level normal a. barretes esophagitis
a. acute tubular necrosis b. chronic ulcer
b. increase permeability Ans:: aa
Ans:: aa 105.hypophysis cerebri related with
95. Patient stands from supine position a.sphenoid sinus
what will happen? b.ethmoid sinus
a. increase heart rate Ans:: aa
b. decrease venous return 106.soft palate lined by
Ans:: bb. a. stratified squamous non cornified
96.boat shaped organism in case of b. stratified squamous cornified.
pneumonia… Ans:: aa.
a. pneumocystitis jervoci 107.pt died after 6 days of MI on autopsy
b. cmv large amount of fluid seen in pericadia
Ans:: aa cavity
97.Patient smoker psychotic with a.cardiac tamponade
vomiting abdominal pain n visible b. arrythmias
perstalsis in upper portion of stomach Ans:: aa
a.Pyloric stenosis 108.gfr increase by
b.Psychogenic. a. afferent arteriolar dilation
c.achlasia b. afferent arteriolar constriction.
Ans:: aa Ans:: aa
98.fisherman with gums hypertrophy and 109.post 1/3 interventrcular sptum
bleeding …deficiency of which supplied by
a.vitamin c a. marginal
b.vitamin k b. right coronary artery
Ans:: aa c. circumflex
99. Bilateral ptosis at the end of day is Ans: : bb .
conformatory test? 110.thirst is stimulated by
A. Tensilon a .increase osmolarty and decrease volume
B.antibodies (Ach Receptor Ab) b. decrease osmolarty and increase volume
c.emg Ans:: aa
Ans:: bb 111.prolactin regulation by
100.isthamus of thyroid… a.dopamine
a.2,3,4 rings b. serotonin
b. 3,4 rings Ans:: aa
c. 1,2 rings 112.about pulse pressure depends.
Ans:: aa a. Stroke volume
101.corticospinal tract decussate at… b. venous return
a.pyramid Ans:: aa
b.medulla 113.heparin ,histamine and protease
c.pons release from
Ans:: aa a. mast cells
102.pus contain b. eosionphils
a.dead bacteria c. basophils
b.dead neutrophil Ans:: aa
Ans:: bb 114.glucocorticoid causes dec which cell..
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a. lymphocyte a.cytokeratin
b. neutrophil b.vimentin
Ans:: aa Ans::aa
115.gluconeogenesis is caused by 126.diffusion depends upon like stem…
a. insulin a.total surface area .
b. glucagon b.saturation kinetics,
Ans:: bb Ans:: aa
116.resection of ilium 127.in myasthenia gravis treatment
a. decreased bile salt absorption. affected by
b.increased water content of feaces. a. Choline acetyl trAns:ferase
Ans:: aa b. acetyl coA
117.ventral corticospinal end at c, acetylcholine
a.mid thoracic d. acetylcholinesterase
b.upper thoracic e. cholinestrase.
c.all spinal cord Ans:: dd ( should be anti Ach esterase but
Ans:: aaa no option there).
118.muscle stretch then relaxation by 128. definitive diagnosis of a patient with
a. muscle spindle Tb asked
b. gto a.caseous necrosis
Ans:: bb b.identification of acid fast bacili
119. muscle stretch to extreme which Ans: : bb
prevent from damage or tear like that 129. length of right bronchus
a. muscle spindle a.2.5 cm
b. GTO b.5 cm
Ans:: bb c.10 cm
120. Hyaline cartilage Ans::aa
A. present in nasal septum 130. in mountain the po2 and nitrogen
B pinna from 700 was asked..
C TMJ articulation a.pO2 144 and pNo2 546
D epiglottis b.po2 110 and pno2 590
E.two menisci c. po2 100 pno2 600
Ans:: aa d. po2 98 and Pno2 602.
121.antimetabolite use in cancer Ans:: cc
treatment 131.in copd patient
a.methotrexate a.Vt 350.fev .20000. fvc 36000
b.azathioprine 132. univeral recipient
c.flourouracil a. AB -ve
Ans:: aa B.AB +ve
122.left shift of oxygen hb curve C. O+ve
a.increase temp D.O-ve
b.co poisononing Ans:: bb
Ans:: bb 133.about cerebellum
123. about left renal a. lies below tentorum cerebelli
a.ant to both aorta and left renal artery b.middle cerebellar connect with medulla or
b.post. to aorta spinal was given….
Ans:: aa c. only supply by basilar artery
124.one of delayed wound healing Ans:: aa
a.vitamin c deficiency 134.glucagon secretion increase by.
b. vitamin A exc ess. a.exercise
Ans:: aa b.insulin
125.intermediate filament for cancer is Ans:: aa.
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135 Patient have malar rash and anti ds 146.Coarctation of aorta is associated
DNA positive now having proteinuria and with
hematuria A.Constriction just after the subclavian
a.lupus nephritis artery
b.sore throat . B.Dilatation below the coarctation
Ans:: aa Ans:: aa.
136 . edema of kidney origin 147.The most common changes which
AAlbuminuria and Na retention occur in a case of uterine prolapse
B.Only Na retention . a.chronic cervicitis with squamous
C.Decrease Ca. metaplasia
Ans:: aa b. dysplasia of cervix
137 A patient has injury red flare was c. hypertrophy of cervix
seen due to d. squamous metaplasia , endocervix
a. Histamine e.vaginal discharge
b. bradykinin Ans:: aa.
Ans:: aa 148.a 2 year boy having mcv raised .. and
138 Decrease Na secretion due to .?? choice of investigation
a. maximum Na reasbsorption a.vitamin b12
b. maximum Cl reabsorption. b. intrinsic factor
Ans:: aa c. anti intrinsic factor antibody.
139. One was asked about N REM Ans:: aa
A. night mares 149.heparin given affect on
b. on EEg delata waves a.factor X
Ans:: bb B.fctor x and thrombin c
140. hormone of stress c.factor vii
a. cortisol Ans::aa
b. norepinephrine. 150.Christmas disease
Ans:: aa a.Factor 9 deficient
141. gluocorticoid. b.Factor 8 deficient.
a. decrease utilization of glucose Ans:: aa.
b. increase utilization of glucose. 151. By the End of 5th week
Ans:: aa. a.heart definite form
142. thyroid hormone increases what? b.stomach rotates
a. free fatty acid c.limbs bid appear
b.cholesterol Ans:: bb
Ans:: aa 152. Internal carotid artery
143. micturation reflex. a.Lateral to external carotid at origion then
a.once start then self regenerative goes POST to come medialy
b.control by sacral segments of spinal cord. b. Give ophthalmic artery that enter the eye
Ans:: bb. through superior orbital fissure
144.post inter ventricular septum1/3 Ans:: aa.
a.right coronary artery 153.renin decrease by…. ??
b.circumflex a.antidiuretic hormone
c. left anterior descending artery. b. angiotension 2
Ans:: aa. Ans:: bb
145. Essential fatty acid 154.fascial nerve
a.linolenic acid a. supplies stapedius
b. lithocholic b. posterior belly of diagastric
c.cholic acid Ans: :bb
Ans:: aa 155.Visual Accomodation
a.Contraction of ciliary muscle
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b.Sphincter pupillae relax 164. A pt with hypoxia ..with po2 :60
c. Tension of ligaments to lens mmhg n HB :15g/dl...reason of hypoxia
Ans:: aa a.Histotoxic
156 A protein that binds oxygen in b. Anemia
skeletal muscle c. Hypoxia
a.Myoglobin Ans:: cc
b. Actin 165.Somatostatin helps in pancreatic
c. Myosin fistula by
Ans:: aa a.decreasing secretions
157 Germ cells arise in yolk sac at 3rd b.Inhibiting enzymes
week of Intrauterine life ..they originate Ans::aa
from ? 166At upper part of lung /zone 1
a. Endoderm a.Shunting is increased
b. Mesoderm b.Dead space is increased
c. Ectoderm c.Circulation highest
Ans:: aa Ans:: bb
158. Melanocytes derived from 167Which part of brain receives major
a. Dermis excitatory input to from cerebral cortex
b. Neural crest cells but it itself doesn't send axons to cortex
c. Mesoderm a.Substantia nigra
d. Endoderm b.Globes pallidus
Ans:: b. c.Caudate
159. Which is absorbed passively by d.VL thalamus
kidney e.VA thalamus
a. Urea Ans:: aa
b. Cl SEPTEMBER 7 EVENING
c. K
Ans:: bb MEDICINE 2016
160.Epitheliod cells of tubercle are 1. Which part of brain receives
a.Mononuclear phagocytes major excitatory input to from cerebral
b.LangerhAns: giant cells cortex bt it itself doesn't send axons to
c.PMN leukocytes cortex
Ans::aa a.Substantia nigra
161.Diffusion of a solute across cell b.Globus pallidus
membrane depends on c.Caudate
a.Saturation kinetics with nernst equation d.Ventrolateral thalamus
b.Carrier protein e.Ventro anterior thalamus
c.Surface area of membrane Ans::a.
Ans:: cc 2. MgSO4 effects can b overcome by ?
162.Most abundant in serum ? a.Calcium chloride
a.IgG b. Labetalol
b.IgM c.Atropine
Ans:: aa Ans::a.
163.A normal n healthy individual is 3.Most severe steatorrhoea in
a.Who eats sleeps n exercises regularly n a. Gall bladder resection
lead a disciplined life b...Pancrease resection
b. Economically Occupationally socially c..Terminal ileum resection
acceptable Free o f discomfort d..Colon resection
.c-Who is famous in his society Ans::b.
Ans:: aa 4.At upper part of lung /zone
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a Shunting is increased 13. Left deviation of oxygen dissociation
b.Dead space is increased curve
c.Circulation highest a.Carbon monooxide poisoning
Ans::b. b.Increased ph
5.Somatostatin helps in pancreatic fistula Ans::a.
by 14. A normal and healthy individual is
a.decreasing secretions a.-Who eats sleeps n exercises regularly n
b.Inhibiting enzymes lead a disciplined life
Ans::a. b.-Economically Occupationally socially
6. A patient with hypoxia ..with po2 :60 acceptable Free of discomfort
mmhg n HB :15g/dl...reason of hypoxia c.-Who is famous in his society
a.Histotoxic Ans::a.
b.Anemia 15. Most common premalignant condition
c.Hypoxia of mouth
Ans::c. a.Leukoplakia
7. True about blood supply : b.Erythroplakia
a.Flat bones supplied by nutrient Artery c.Lichen planus
b.Short bones supplied by nutrient Artery d.Apthous ulcer
c.End of long bones in Adult by epiphyseal Ans::c
Artery 16.Epithelium of oral surface of soft
d.Shaft by metaphysial artery palate
e.Vertebrae supplied by nutrient Artery a.Stratified columnar epithelium
Ans: : cc b.Stratified squamous non cornfield
8. Pin stroke on skin red flare cause ? epithelium
a.Histamine c Stratified cuboidal epithelium
b.Kinins d.Pseudo stratified columnar epithelium
Ans::a. Ans: bb
9. compensation on standing from sitting 17.Hyaline cartilage
a.Decrease stroke volume a.Precursor of endochondral ossification
b.Decrease Venous return b.Epiglottis
c.Increase Heart rate Ans::a.
d.Decrease Cardiac output 18.Cortico spinal tract crosses at
Ans:: bb a.Base of pons
10. Which drug increases LES of b.Pyramids
esophagus n speeds up gastric emptying c.Midbrain peduncle
a.Metochlopramide d.Ant horn cells
b.ondensaron e.Internal capsule
Ans::a Ans::b.
11. Effect of sympathetic system by Alpha 19.Intercostal nerve
discharge a.12 pairs
a.Contraction of radial muscles of iris b.Connection with sympathetic nerves
b.Glycogenolysis c.Only supply skin
Ans::a. d.Only supply intercostal muscles
12. A patient with a bald patch on scalp Ans::d
.which on examination is yellow velvety .. 20.Beginning of 5th week
It can lead to which dangerous condition a.Limb bud appear
a.Squamous cell carcinoma b.gut rotation begins
b.Basal cell carcinoma Ans:: bb
c.Keratoacanthoma 21.Hormone decreasing stomach
Ans::c. contractility upon fatty food in duodenum
a.Secretin
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b.Cck a.Urea
Ans::b. b.Cl
22.Pt with chronic asthama for 5 yrs ..vt? c.K
Fev1 ? Fvc? Ans:.a
a.Vt 300 fev 1 : 2000. Fvc:3200 33.Decreased clearance of Na in ...
b.Vt 450. Fev1 : 2100. Fvc:2600 a.Osmotic diuresis
c.Vt :350 fev1 : 3000. Fvc. 3700 b.Water diuresis
23.A man with short limbs but normal c.Increased absorption of Na
trunk n lumbar lordosis ..which type of Ans:.c
inheritance? 34.Melanocytes derived from
a.Autosomal recessive a.Dermis
b.Autosomal dominant b.Neural crest cells
Ans::b c.Mesoderm
24.Pulse pressure : d.Endoderm
a.Is more in peripheral artries than aorta Ans::b.
b.Depends on venous compliance 35.Germ cells arise in yolk sac at 3rd
Ans::a. week of Intrauterine life.they originate
25.Most abundant in serum ? from ?
a.IgG a.Endoderm
b.IgM b.Mesoderm
Ans::a c.Ectoderm
26.Diffusion of a solute across cell Ans::a
membrane depends on 36.Protein that binds oxygen in skeletal
a.Saturation kinetics with nernst equation muscle ?
b.Surface area of membrane a.Myoglobin
Ans::b b.Actin
27.True about large intestine c.Myosin
a.Descending colon is medial to left kidney Ans::a.
b.Right colic supplies trAns:verse colon 37.Hemorrhage in thalamus ..sensory
c.Ascending colon has mesentery in 20% changes ?
cases a.Numbness
Ans: cc b.Hyperesthesia
28.Lichen planus malignant Ans::b.
trAns:formation in ? 38.Patient with fatigue which worsens
a.10-15% towards evening ..most appropriate
b.20-25% investigation
Ans::a. a.Acetylcholine receptor antibody
29.When to stop aspirin before surgery b.Tensilon test
a.10-12 days c.Emg
b.7-9 days d.Ct brain
c.1-3 days Ans::a.
Ans::b. 39.Posterosuperior relation of pituitary
30.Atmospheric pressure 700 ..humidity a.Sphenoid air cells
zero ..partial pressure of nitrogen and b.Ethmoid air cells
oxygen ? c.Maxillary sinus
31.Epitheliod cells of tubercle are d.Mastoid air cells
a.Mononuclear phagocytes Ans::a.
b.LangerhAns: giant cells 40.True about cerebellum
c.PMN leukocytes a.Lies below tentorium selle
Ans::a b.Connected to midbrain via middle
32.Which is absorbed passively by kidney peduncle
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Ans:: aa d. diaphysis
41.True about internal carotid Ans: c
a.Lies lateral to external carotid at origin and 50..Abscess anterior to pretracheal
latter turns to medial side fascia.infection can spread to
b.Enters skull through squamotympanic a. anterior mediastinum
fissure b.post.mediastinum
c.Lies lateral to external carotid at origin n Ans::a
latter turns to medial side 51.. Beta endorphins
Ans::a. a. hypothalamus
42.Visual Accomodation b.pituatary
a.Contraction of ciliary muscle Ans::a.
b.Sphincter pupillary relax 52.. Typical scenario of sickle cell anemia
c.Tension of ligaments to lens with abdominal pain jaundice etc...
Ans::a. A. HB ss
43.Angina worsened by B. HB sc
a.Virapamil Ans:.a
b.Theophylline 53. Difference b/w sarcoma and
Ans:.b carcinoma
44.Tubular excretion of penicillin a.. pleomorphism
decreased by ? b. increase vascularity
a.Probenecid Ans::b.
b.Gentamycin 54. ITP scenario was given splenectomy
Ans::a done which organism will cause
45.Theophyllin action slowed down by postsplenectomy recurrent infections
concurrent use of a.. hemophilis influenza
a.Atropine b. streptococus pneumonia
b.Beta blocker Ans: :b ( Shin : strept pneumonia >
c.Adenosine h.influenza type b > Nisessria meningitidis )
Ans::c 55. Hepatitis scenario viral markers
46.Mechanism of action of methyldopa negative ALT slightly raised on
a.Directly causes relaxation of arteriolar sm examination there were some eye findings
muscles what is the suitable diagnostic test
b.Stimulation of adrenergic system in CNS a. serum ceruloplasmin
c.inhibition of adrenergic system in CNS b. urinary copper
Ans:: cc c. HbsAg
47.Post 1/3 of Interventricular septum d. anti mitochondrial antibody
damaged ..artery ? Ans::a.
a.posterior interventricular artery 56. Patient comes with tender right
b.Right coronary artery hypochondrium stool with occult blood on
Ans::a colonoscopy, ascending colon was
48.Patient had non lethal MI .what can involved, showing ulcers while other parts
develop in few minutes ? of colon were spared on histology/
a.Cardiac arrythmias microscopy what will be seen
b.Left ventricular failure a. necrotizing vasculitis
c.Nothing b. crypt abscess
Ans::c c.entamoeba histolytica
49.linear growth of bone is affected if d. carcinoma
following structure is fractured Ans:: bb
a. metaphysis 57.microscopic findings were epithelium
b. epiphyseal line and rete ridges
c. epiphyseal plate a.verrocus carcinoma
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b.squamous cell carcinoma 65 Patient on immunosuppressant’s
Ans:: bb abscess is formed on upper outer half of
58. Child with history of bed wetting arm after drainage healing process is very
though toilet trained investigations done slow though a month has been passed
at one side duplication of ureter was reason
found and one of them was opening in a. decrease collagen formation
vagina. what is the cause b. decrease neutrophil migration
a. early division of ureteric bud. c.infection
b. Inability of mesonephric duct to join to Ans:: aa
ureteric bud 66. Slowest growing malignant thyroid
Ans::a. Carcinoma
59.Sand blaster a. papillary
a. asbestosis b. follicular
b. silicosis c.lymphoma
C. anthracosis Ans:: aa.
Ans::b 67.Which infusion will increase
60.Anxiety is decrease by the activation of Extracellular fluid to maximum extent
which receptors a. hypertonic fluid
a.GABA b. isotonic fluid
b. glutamate c.hypotonic
c. glucocorticoid Ans:: aa
d.nicotinic cholinergic 68.. Steady pressure is detected by
e. dopamine a. meissners
Ans::a. b. ruffini
61. Turner syndrome c.pacinian
a. autosomal recessive Ans:: bb.
b. autosomal dominant 69.Patient with myocardial infarction
c.gynaecomastia with typical sign and symptoms.st
d.short stature elevation in leads II, III and AVF
Ans::d a. anterior wall MI
62. Chronic renal failure patient died on b.inferior wall MI
autopsy which organ will show c.anerioseptalMI
hypertrophy Ans::b.
a. thyroid 70.Patient with AML undergone bone
b. parathyroid marrow trAns:plant got pneumonia
c.adrenal histology showing large cells with
Ans::b. intracellular inclusions cause is
63. Which cell organelle contain double a. CMV
membrane b.candida
a. nucleolus c. pneumocystic
b. golgi apparatus Ans: : aa
c. ribosomes 71. Child brought by mother suffering
d. Rough endoplasmic reticulum from diarrhea on examination rectal
Ans:: dd prolapsed was found. worm with small
64. Fisherman with gingival hyperplasia anterior end
and ecchymosis which one is deficient a. entrobius vermicularis
a. vitamin B12 b. trichuria trichuris
b.vitamin K c. whip worm
c.vitamin c Ans:: bb.
Ans:: cc 72.Best indicator of venous return
a. end diastolic volume
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b.end systolic volume a.macrophages
c.capillary filling pressure b.lymphocytes
Ans: : aa c.eiosionphils
73. myocardial infarction patient after 48 d.basophils
hour found collapsed no pulse. on ECG Ans: : aa
irregular waves were seen. whats the 81. Middle aged man presented with
pathophysiology? meningitis after having lung abscess
a.decrease cardiac output a.Staph. Aureus
b. ventilation perfusion defect b. Streptococcus fecalis
c.decrease capillary filling . c.Streptococus viridiAns:
d.venous pooling Ans: : aa.
Ans:: bb 82. Which toxin is responsible for scarlet
74.Subcapsular afferent fever
a. lymph nodes a. exotoxin
b. spleen b. erythrogenic
c. thymus c. endotoxin
Ans: : aa. Ans: : bb
75. Alveoli are kept dry because of 83. Serum sodium is regulated by
a. alveolar macrophages a. osmoreceptors
b. tight junction between capillaries b.Volume of ECF
c. surfactants c.ICF volume
d.negative interstitial pressure Ans: : aa
Ans:: dd 84. Highest sodium channel
76.Dead space does not change in concentration
a .shallow breathing a. initial segment
B deep inspiration b. node of ranvir
c.standing c. dendrites
d. re-entery current Ans: : bb
Ans:: aa 85. in chronic liver disease which
77.Least amount of minerals are found in histological finding suggests chronicity
a. roots a. fibrosis
b. Tubers b. councilman bodies
c. cereal c. lymphocytes
d. pulses Ans: :aa
e. vegetables(leaves) 86. FFPs used for the acute management
Ans: : bb of
78. Erythropoietin secretion is inhibited a. factor 8 deficiency
by b. warfarin overdose
a. cobalt c. PLT function defects.
b. hypoxia Ans: : bb
c.theophylline 87. intense trAns:fusion reaction occurs if
Ans: : cc we trAns:fuse
79. Which is low in csf as compare to a. A- to A+
plasma b. A+ to O+
a. Na c. A to A-
b. Osmolarity Ans: : bb
c. Cl 88. which prevents muscle from tearing
d. Mg under pressure
e. protein a. GTO
Ans: : e b. muscle spindle
80.Cells of chronic inflammation c. Ligaments
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Ans: : aa a. ESR more than 110 .
90. flexor withdrawal reflex b. Diagnosis is made on biopsy .
a.multisynaptic Ans: : bb
b.monosynaptic 98. presynaptic sympathetic fibers release
c.disynaptic a. ACH
Ans: : aa b. nor epinephrine
91. right atrial pressure is increased c. dopamine
a. increases cardiac output Ans: : aa
b. increased venous return 99. saliva prevents iron utilization by
c. increases intrathoracic pressure microbes via
Ans: : bb a. Lactoferrin
92. After adrenalectomy which is b. lysozymes
preferred c. Lactase.
a. glucose Ans: : aa
b. NaCl 100. benign tumor
c. Mg cl a.Leiomyoma
Ans: : bb b.Hamartoma
93. in cell membrane of RBCs CL- and c.Basal cell carcinoma
HCO3- exchange occurs through Ans: : aa
a. ankyrin 14 OCTOBER MED N ALIED
b. band3
c. spectrin EVENING PAPER
Ans: : bb 1. A patient undergoes kidney transplant
94. patient with discoid rash arthritis and
hemolytic anemia whats most specific on first day he was unable to produce
investigation urine there is also tenderness at transplant
a. ANA site
b. anti ds DNA antibdy A} Graft versus host rejection
c. RNA studies {b} hyper acute graft rejection
Ans: : bb {c} blockage of ureter
95. patient with malaise and raised BP {d} renal artery stenosis
died because of hemorrhagic stroke in {E} thrombus at the side of transplant
basal ganglia. on autopsy bilateral small ANS.D
kidneys with petechial hemorrhages,
2. Blood supply interrupted to a tissue
hyperplastic arteriosclerosis and fibrinoid
necrosis. whats the diagnosis which type of necrosis will occur
a. fibromuscular dysplasia {a} coagulative necrosis
b. DM type II {b} fibrinoid necrosis
c. systemic sclerosis {c} caseous necrosis
d. NSAID induced ANS.A
Ans: : aa 3. what are present at thin loop of henle
96. which one is most pre malignant {a} brush border
a. compound nevus {b} mitochondria
b. intradermal nevus
{C} flat epithelium
c. seborrhaic keratosis
d. dysplastic nevus ANS.C
Ans: : dd Flat epithelium is correct as there are no
97. Old male patient has history of brush borders in thin descending loop but
headache in temporal region thick cord few mitochondria are present
like vessels in that area on biopsy giant
cells are seen
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4. one scenario about dislocation of 10. a patient presented with hypotension
acetabulum posterio superior which bone he is cool and tachycardiac he was asked
dislocate to stand up on standing his heart rate is
{a} sacrum ilium increases why
{b} pubis sacrum {A} decrease in total peripheral resistance
{c} ischium sacrum {B} decrease after load
{D} ilium ischium {C} decrease venous return
ANS.D {D} increase venous compliance
5. At which point in ecg more Ca ions ANS.C
enter in ventricular muscle cell 11. vagal trunk cut what happens
{a} p wave {A} incomplete gastric emptying
{b} r wave {B} augmented gastrin secretion
{c} s-t segment {C} augmented pepsin
{D} p-r interval {D} augmented enterogastric reflex
ANS.C ANS.A
6. even in the absence of ADH 65% of 12. most abundant IG in adult body
water is absorbed where this absorption {A} igG
occur {B} igA
{a] pct {C}igM
{B} thick loop of henle ANS.A
{C} thin loop of henle 13. in 3rd degree block what is true
{d} collecting ducts {A} atrium beat independently of ventricles
ANS.A( yaad rakhen bcqs me absence ho {B} there fixed ratio of between atria and
ya presence of ADH max water PCT me ventricles
he absorb hoga ref ganong) Ans:A
7. A diabetic patient has unhealing ulcer 14. ECG of patient showed absent p wave
on the foot what is correct normal QRS complex n T wave , where
{A} angiopathy should b the pacemaker?
{B} neuropathy {A} SA node
{C} poor sugar control {B} AV node
{D} neuropathy and angiopathy {C} purkinji fibers
ANS.D {D}ventricular muscle
8. spinal part of accessory nerve ANS.B( ideally rt ventricle is ans but it was
{A} passes below transverse process of atlas not in options)
{B} passes through the substance of 15. Gravida 2 first pregnancy normal ,
sternocledomastoid 2nd boy delivered at 32 weeks with
ANS.B hydrops fetalis , icteric phase , exchange
9. patient had severe dehydration what is transfusion done what is the type of
the best treatment immunity?
{A} 5% dextrose {A} type 4 hypersensitivity
{B} 10% dextrose {B} complement mediated hypersensitivity
{C} albumin {C} antireceptor antibody
{D} normal saline {D} self tolerance
ANS.A ( ganong 22nd edition bcq key is A {E} autoimmune complex formation
there) ANS.B
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16. which one is essential amino acid? 24. defecation carried out by?
{A} serine {A} sacral parasympathetic nerves
{B} tyrosine {B} myentric plexes
{C} therionine {C} mass movements
{D} proline ANS.C
ANS.C 25. A patient undergoes tonsillectomy he
17. regarding cemitidine effect ? became hypotensive after 2 hours why?
{Ans } inhibit the hepatic enzyme {A} blood loss
18. A diabetic patient smoker with {B} vasovagal shock
myxedema which drug u will give for {C} hypovolumic shock
hypertension? {D} due to trauma
{A} nifidipine Ans:C
{b} b bloker 26.. diagnostic test for diabetic
{C} captopril nephropathy?
{D} varapamil {A} cretinine clearance rate
ANS.C {B} serum cretinine
19. commn cause of thromboembolism? {C} blood urea nitrogen
{Ans} prolonged immobilization {D} microalbuminurea
20. female with infection pap smear ANS.D
shows prominent nucleoli n increased 27. A patient with thyrotoxicosis heart
nuclear size irregular architecture? rate 145 per mint BP 160/90 which drug
{A} dysplasia should be given
{B} metaplasia {A} B-blocker
ANS.A {B} ca channel blocker
21. a group of people studied for effect of {C} digoxin
a drug and compared to a control group ANS.A
they are followed longitudinally over a 28. EBV cause which carcinoma
period of time what type of study is? {A} bronchoalveolar
{A} case control {B} nasopharryngial
{B} cohort study ANS.B
{C} randomized control trials 29. difference between skeletal and
ANS.C smooth muscle?
22. edema due to renal cause can be due {A} scattered myofibrils
to? {B} ca calmodulin present in smooth muscle
{A} albuminurea {C} specialized cells for forceful contraction
{B} glomerulonephropathies ANS.B
{C} Na retension 30. which hormone is responsible for
{D} Na retension and albuminurea multiple fracture in pt on dialysis?
ANS.D {A} PTH
23. Which organelle inside the cell can {B} cortisol
replicate? {C} low vitamin D
{a} mitochondria {D} epiandristenedione
{B} centriole ANS.A
{C} nucleolus
ANS.A
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31. which enzyme responsible for 38. A patient after accident talks
degradation of norepinephrine and excessively but talk irrelevant and
serotonin? purpose less which area damaged?
{A} COMT {A} brochas area
{B} MOA {B} wernick
ANS.B {C} motor sensory
32. on chest p/A view sternocostal surface ANS.B
is formed by? 39. posterior surface of heart is supplied
{A} right atrium by how many arteries?
{B} right ventricle {A} usually two in numbers
{C} left ventricle {B} usually three in numbers
ANS.B {C} ant descending supply anterior surface
33. true about blood? {D} interventricular artery
{A} wbc most abundant cells {E} right coronary artery
{B} pletelets are more then rbcs ANS.A
{C} iron in blood is mainly in hemoglobin 40. Organophosphate poisoning
ANS.C treatment?
34. which of the following donot causes {Ans} atropine
acid secretion {pralidoxime was not in option
{A}stretching of antrum 41. true about left renal vein?
{B} alcohol Ans. anterior to aorta
{C} acidic antrum 42. in carbon monoxide poisoning
{D} peptides hyperpnoea does not occur why?
ANS.C {A} paO2 is normal
35. Ansa cervicalis supplies to? {B} paCO2 is normal
{A} omohyoid {C} blood flow increased
{B} strnohyoid ANS.A
ANS.A 43. systemic arterioles vasoconstriction
occurs if local concentration rises?
36. CLD with upper GI bleeding best {A} ANP
treatment? {B} NO
{A} transamine {C} angiotensin2
{B} vit k ANS.C
{C} octriotide 44. 4 n 5 brachial arch give rise to?
ANS.C (if terlipressin is in option then click {A} hyoid
it hre its c) {B} thyroid
37. one question was about that there was {C} cricoid cartilage
no elevation of neural tissue below ANS.C
45. which drug if given intravenous
lumbosacral region what the condition causes 60% thrombophlebitis
called {A} oxazepam
{A} meningomylocele {B} i/v diazepam
{B} Rachishesis with myloschisis {C} midalozam
{C} occulta {D} triazolam
ANS.C ANS.B
46. which drug can be given
preoperatively to a patient with liver
decompensation?
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{A} lorazepam {A} herpes virus
{B} oxazepam {B} measles
{C} diazepam {C} mumps
{D} Phenobarbital {D} varicella
{E} fentanyl ANS.B
ANS.A 54. one scenario about hemophilia
47. A boy with recurrent chest infection , platelets 350000,family history of
lymphadenopathy, klebsiella at each increased bleeding ,what investigation
occasion diagnosis? first to performed?
{A} chronic granulomatous disease {A} coagulation studies
{B} x-linked agammaglobulinemia {B} platelet function test
ANS.A {C} iron studies
48. hyperthyroid patient with pulse 180, ANS.A
syncope, palpitation treatment ? 55. second heart sound produced by?
{A} digoxin {A} closure of mitral and tricuspid
{B} varapamil {B} closure of aortic and pulmonary
{C} lignocaine {C} rapid filling of ventricles
{D} propranolol ANS.B
ANS.D 56. Again scenario on hemophilia,
49. A patient developed atrial fibrillation pattern of inheritance?
he was treated accordingly but same
patient died due to occlusion of vessel in {A} autosomal dominant
brain why? {B} autosomal recessive
{A} arrhythmia {C} x linked recessive
{B} thrombus {D} x linked dominant
{C} embolism {E} multifactorial
{D} hypotension ANS.C
ANS.C 57. which vitamin take part in the
50. one question was there is a coin lesion formation of clotting factors?
in lung , how to differentiate between {A} vit A
granuloma and tumor?
{A} autonomous growth {B} VIT K
{B} growth at increased rate {C} Vit E
ANS.A {D} vit C
51. A multipara women presented to ANS.B
doctor with pulsatile mass below inguinal 58. A farmer visited a clinic for some
ligament what is it ? chest related problem on x-ray a round
{A} psoas abscess ball was seen in chest?
{B} femoral hernia {A} aspergilloma
{C} femoral artery aneurysm {B} bronchogenic carcinoma
{D} saphenous varix
{E} lymphadenopathy ANS.A
ANS.C 59. vital capacity 5L, inspiratory capacity
52. again question was about 3.5,tidal volume 500 expiratory reserve
nasopharyngeal Ca caused by? volume was asked?
{A} EBV {Ans} 1.5
{B} HPV 60. IN tabes dorsalis urinary bladder?
ANS.A {A} atonic
53. A rash first started on a child near {B} hypersensitive
ears then spread to face neck and trunk {C} hyposensitive
diagnosis?
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{D} spastic neurogenic 67. a pregnant lady visited gynecologist
ANS.A for dilatation n curettage on microscopic
61. A patient comes to u with chest pain examination which type of precancerous
what question will give u maximum change will be indication for
information? hysterectomy?
{A} tell me about pain {A} squamous
{B} any history of heart disease in your {B} complex hyperplasia
family {C} simple hyperplasia
{C} point to the location of pain in your {D} metaplasia
chest ANS.B
{D} have you ever visited doctor for heart 68. lesion at left optic tract causes which
complain in past 6 months lesion?
ANS.C {A} right homonomous hemianopia
62. in complete heart block pace maker is {b} left homonomous hemianopia
placed? ANS.A
{A} left atrium 69. A young girl finds it hard to hear at
{B} Right ventricle low frequencies of sound which type of
{C} right atrium conduction ?
{D} SA node {A}sensory
{B} due to ear wax
{E} AV groove {C} conductive
ANS.B {D} mixed
63. confidentiality can be breached? ANS.C
{A} when patient authorizes you 70. patient presented to dentist with tooth
{B} insurance claim problem the dentist referred him back to
ANS.A the physician coz pt had resting tremors
64. A male complains of pain at penis, where is problem?
urine culture negative for N.gonorrhea {A} hippocampus
but leukocyte are positive in urine D/R {B} substancia nigra
ANS.B
which organism can cause this infection? 71. A patient presented with mental
{A} E.coli retardation, protruded tongue , umbilical
{B} Chlamydia hernia and he is hypermobile and
{C} HPV dystonic which trisomy this is?
ANS.A {A} 13
65. organophosphorus poisoning , {B} 21 DOWN SYNDRO
characteristic feature? Ans B
{A} dry skin 72. saesamoid bone is present where?
{B} flaccid paralysis {A} ala of nose
{B} epiglottis
{C} pinpoint pupil ANS.A
ANS.C 73. oneconfusing scenario about vertebral
66. lesion at the median region in optic fracture?
chiasma causes which lesion? {A} axis
{A} bitemporal hetronomous hemianopia {B} atlas
{b} bitemporal homonomous hemianopia {c} c7 vertebra fracture
ANS.B ANS.B
74. bifurcation of trachea?
{Ans} t4,5 in normal supine person
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75. ventricular filling in which phase? {A} griseofulvin
{A} atrial systole {B} Androgen
{B} rapid inflow ANS.B
{C} slow ejection phase 86. hydroxlation of proline and lysine
ANS.B done by?
76. which substance in earth crust causes {Ans} vit C
pulmonary fibrosis? 87. pregnant lady with jaundice went to
{A} silicon remote village to see her parents.
77. one question was about middle {A} hep E
meningeal artery ? {B} hep A
{A} it passes through foramen spinosum {c} hep D
{B} causes subdural hematoma ANS.A
ANS.A 89. salicylate toxicity causes what?
78. what arises from intermediate {A} alkalosis
mesoderm {B} acidosis
{A} mesonephrone and mesonephric duct {C} hyperventilation
{B} epithelium of gut ANS.A
ANS.A 90. which one occur on breast?
79. true hermaphrodite ? {A} hypertrophy
{Ans} XXy {B} hyperplasia
80. A patient visit Pakistan first time {C} hypertrophy and hyperplasia
develop fever ,headache n then coma ANS.B
{A} plasmodium falciparum 91. which one is more sensitive to pain
{B} dengue something like that scenario
ANS.A {A} visceral
81. most widest part of Dural space? {B} parietal
{A} L2 ANS.B
{B} s2 92. which intercellular junction is like a
ANS.A spot weld between cell and the base?
82. jaw trauma cant open mouth {A} hemi desmosome
something like that scenario {B} adhering junction
{A} orbicularis oris {C} desmosome
{B} lateral pterygoid ANS.A
ANS.B 93. In a person with PH 7.49, hco3 level
83. agammaglobulinemia person is more 30, pCO2 is 50, pO2 95
prone to? {A} compensated respiratory acidosis
{A} pyogenic infection {B} partially compensated respiratory
{B} viral infection acidosis
ANS.A {C} partially compensated metabolic
84. young sexually active male presented acidosis
with painful micturation urine showed 20 {D} partially compensated metabolic
to 30 wbc with no penile lesion ,N alkalosis
gonorrhea negative most likely organism ANS.D
is 94. A male patient having unilateral
{A} HPV undescended testis if not treated what will
{B} CMV occur?
{C} herpes {Ans} neoplastic change
{D} Chlamydia 95. Regarding cimetidine?
ANS.D {Ans} inhibit hepatic enzymes
85. which drug does not cause 96. a big scenario patient having aplastic
gynaecomestia ? anemia which type of hypersensitivity?
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{A} type 4 106. function of fibroblast ?
{B} type 3 {A} secrete collagen only
{C} type 2 {B} secrete elastin only
{D} type 1 {C} amorphous extracellular matrix
ANS.C ANS.C
97. first sacral spine level is at 107. child eat coin Its location on x-ray?
{A} c1 (a) Right lower segment
{B} T1 (b) right Lower bronchus.
{c} l2 ANS. A
{d} s1 108. One bcq related with golgi tendon???
ANS.D Ans. causes relaxation
98. the histology of thin ascending limb of 109.. Patient awake eyes closed waves on
loop of henle? ECG?
{A} brush border Ans: Alpha waves
{B} flat epithelium 110. A climatize patient increase HB due
{c} mitochondria to ??
ANS.B Ans: Secondary polycythemia
99. one question was about CSF finding 111. branches of right coronary artery
meningitis? Ans: Sa nodal artery
100. high fiber diet benefit?
{A} causes diarrhea
{B} decrease GI motility
{C} causes constipation
{D} Lowers cholesterol MEDICINE 7 NOVEMBER
ANS.D
101. Neural crest cell arise from?
MORNING
{A} neural tube 1) Articular cartilage most commonly?
{b} neural plate A. Belongs to category of elastic cartilage
{C} ectoderm B. Can easily repair after injury
ANS.C C. Cells orderly arranged in column
102. coccygeal segment of spinal cord lie D. Covered by perichondrium
at the level of? E. On epiphysis of long bones in synovial
{A} L1 joints
{B} c1 Ans is E
{c} s2 2)Most imp in irreversible cell injury ???
ANS.A A. Damage to cell memb
103. maximum clearance in kidneys B. Loss of co enzymes
{A} creatnine C. Massive Ca ion influx
{B} PAH D. Lysosome swelling
{C} inulin E. Mitochondrial swelling
ANS.B Ans is C
104. inversion and eversion at a joint? 3)Acute MI,post 1/3rd Interventricular
{A} ankle joint septum,artery involved
{B} subtalar joint A. Ant descending
ANS .B B. Circumflex
105. which structure passes through C. Left coronary
esophageal hiatus? D. Marginal
{A} vagus nerve E. RCA
{B} azygous vein ANS IS E
{C} thoracic duct 4)Lesion at rt precentral gyrus
ANS .A A. Exaggerated knee jerk on left
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B. Rr hemiplegia developed sudden dyspnea, chest pain n
C. Loss of voluntary control on left hemoptysis. Cause
D. Normal plantars on rt A. hiatus hernia
E. Rt side sensory loss B. MI
Ans:A C. pneumonia
5)Multinucleated giant cells least likely D. Pulmonary embolism
present in E. Spontaneous pneumothorax
A. Blastomycosis Ans:D
B. Cat scratch disease 12)Horners syndrome. If sympathetic
C. Sarcoidosis fibers to eyes are involved. What happens
D. Leprosy ??
E. Strep pneumoniae A. Absent sweating on same side
Ans is E B. Eye lid drooping same side
6)Urine flow rate 1ml/min. Lowest C face flushing same side
osmolarity in which part D. Same side xerosis n anhydrosis
A. Beginning or pct E. Common in younger age group
B. Dct Ans:A
C. End of cortical collecting tubule 13)Lysosomes??
D. End of cortical papillary collecting tubule A. Oxidation of long chain fatty acids
E. Tip of loop of henle B. Formed by smooth endoplasmic reti
Ans B C. Cant digest worn out cell components
7)At the end of ventricular D. Variety of Hydrolytic enzymes
contraction,what happens E. Oxidative enzyme
A. Aortic valve opens Ans:D
B. Av valve close 14)Long scenario regarding rectal
C. Pulm valve close carcinoma. Or end pe pucha tha most imp
D. Av valve open microscopic finding for malignant ca ??
E. Aortic opens A. Pleomorphism
Ans C B. Inc N/C ratio
8)BT increased in C. Invasion
A. Vwb Ans:C
B. Hemophilia 15)Oral (buccopharyngeal) membrane
Ans:aaaaaaaaaaaa separates???
9)Drug tolerance due to ??? a. Amniotic sac from yolk sac
A. Dec degradation of enzymes in liver B. Larynx from pharynx
B. Inc degradation of enzymes in blood C. Nasal cavity frim oral cavity
C. Failure to take med on time D. Proctoderm from oral hindgut
D. Dec effect of drug upon repeated E. Stomodeum from foregut
administration Ans is E
Ans D 16)Thoracolumbar outflow composed of
10)What stimulates thirst? A. ANS
A. Dec plasma osmolarity and inc plasma B. CNs
vol C. Parasympathetic
B. Inc plasma osmolarity n dec plasma vol D. PNS
C. Dec plasma osm n vol E. Sympathetic
D. Inc plasma osm n vol Ans is E
E. Injecting vasopressin into hypothalamus 17)Difference of primary n secondary
Ans:B healing
11)55 yrs old female,non insulin Ans. Contraction Of wound
dependant diabetes. Had 18)Corpus callosum?
cholecystectomy. 3rd post op day she A. Connected to fornix by septum
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pallucidum B. Zinc
B. Most fibers interconnect symmetrical Ans:B
areas of cerebral cortex 27)Spinal se parasympathetic outflow
C. Related superiorly to falx cerebi A. L1,L2
D. Fibers of genu curve into frontal lobe as B. S2 3 4
forceps minor C. S3
E. Rostrum connects genu to lamina Ans:B
terminalis 28)Clically GFR is calculated by??
Ans:B Asn:creatinine Clearance
19)Achondroplasia ka scenario tha with 29)Shift to left due to hypocarbia. Which
short limbs waghera . Genetics puchi thi effect
>? A. Bohr effect
Ans:Autosomal dominant is B. Haldane effect
20)Dorsal ramus of 2nd cervial nerve? C. Ficks law
A. Greater auriculad Ans:B
B. Greater occipital 30)Ek tha us men bht sari values thi.
C. Lesser occipital Meds ki prices thi like 2.5, 4, 4.5,9. Is
D. Supraclavicular tarah ker k. Us men pucha tha best
E. Tranverse cervical measure of central tendency
Ans:B A. Mean
21)Which receptors undergo rapid B. Median
adaptation? C. Mode
A. Baroreceptors D. Standard deviation
B. Cold receptors Aaaaa or bbbb stll to confirm
C. Muscle spindles 31)Duchene muscular dystrophy ki
D. Pain rec defective protein???
E. Touch Ans:dystrophin
Ans:A 32)Exposure of what causes demylination
22)Baroreceptors ka function tha and injury ti peripheral nerves ??
A. Respond to inc b.p A. CO
B. Respond to.dec b.p Baki kuch respond to B. Lead
heart rate C. Benzene
Ans:B D. Silica
23)Parasympathetic ka effect on heart E. Asbestosis
A. Inc CO Ans: B
B. Inc SV 33)Ek inorganic dust wala scenario men.
C. Inc PR interval Old baba. No cough. B/L lung men kuch.
Ans:ccccccccccccc ?
24)PTH ka effect on kidneys Ans :was inorganic duct (From past papers)
Ans: Increased ca reabsorption i marked 34)Post MI death. On 4th day findings on
Dont remember the site biopsy of lefr myocardium ???
25) Ek tha EEG records electrical activity A. Edema, loss of striation
of brain during sleep area of brain?? B. Transmural collagen deposit
Ans:Reticular formation C. Lymhocytes
25) Max speed on conduction in heart D. Necrosis, neutophils,macrophages
tissue----??? E. Perivascular n interstitial amyloid
Ans Purkinje Fiber deposits
26)Ek tha pt on total parenteral nutrition. Ans:D (macrophages replace neutrophils)
Develops alopecia and dermatitis. Likely 35)Most common cause of death in
cause ? rheumatic fever???
A. Riboflavin Ans:myocarditis
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37)Increase BT and PTT………?? B. Erhythema nodosum
Ans:vWD C. Hepatic granuloma
36)Iron deficiency anemia ………??? D. Hypercalcemia
Ans: hypochromic microcytic can occur E. Pleural effusiom
38)Pregnant female. Anemic. MCV n Ans:D
MCH low. HbA 96% or HbA2 4%?? 47)12 yrs old afghan boy. Fever. Night
A. Alpha thalassemia sweats,On rt side neck discharging sinus.
B. Beta thalassemia trait No growth revealed on routine culture.
C. Sickle cell waghera Most appropriate initial single step
Ans:B investigation ??
39)Wohi hypochromic wala scenario. A. Biopsy
Elder bro has blood transfusion hx B. ZN staining
Best investigation ?? C. Mycobacterium culture
Ans:Hb electrophoresis Ans: B
40)Hemophilia ka characteristic bleeding 48)Drug for actinobactee boumanii ??
pattern Ans: imipenem
A. Ecchymosis 49)Captopril. Can cause ??
B. Petechiae Ans:hyperkalemia
C. Bleeding in tissuesAns 50)Gluteus maximus ??
Ans: C A. Covers pyriformis
41)16 yrs old girl. Epistaxis. B. Arises from gluteal tubercle
Menorrhagia. Raised BT. Bht zeada C. Supplied by inferior gluteal nerve
raised aptt tha. Normal pt. Platelets 280. Ans:C
Dx 51)Duodenum??
A. Vwb A. Ampula of vater opens in posterolateral
B. Glanzman thrombasthenia B. 25 cm long
C. Factor 9 deficiency C. Feathery something (which cant be...ye
Ans:A jejunum men hota shayad)
42) . Old age man. Epigastric pain for 3 D. Retroperitoneal parts are 1st,3rd n ye wo
yrs not relieved by antacid. Gastric Ans: B
antrum ki biopsy men kuch erythema 52)Filum terminale??
waghera tha. Non specific gastritis. Cause A. Ends at 2nd sacral vertebra
??? B. Composed of pia
A. Adenocarcinoma C. Composed of arachnoid
B. Zollinger ellison D. Has some central canal thing
C. H.pylori Ans:A It is also a modification of pia
D. Duodenal ulcer 53)Hemisection spinal cord rt side???
ANs Cccccc (hint h pylori is present in A. Same side ki proprioception lost
antrum) B. Same side ki pain temp lost
43) Drug which alters thyroid hormone Ans:A
levels in pregnancy , crosses placenta? 54) Man has atrophy of left leg.
Ans:. PTU for sure Atrophied calf muscles and lateral side of
44)Child with rectal prolapse. Worm with foot.??
some chota ant end. ?? Sensations ka kuch nai mentioned tha.
Ans:Trichuris Lesion
45)Chronic cough for more than 5 yrs. A. LMN
Copious amounts of sputum. ?? B. UMN
Ans:Chronic bronchitis C. LMN
46)Characteristic feature of sarcoidosis Ans:C
?? 55)70 yrs female diabetic. Difficulty in
A. Diabetes insipidus seeing distant objects. VA reduced in both
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eyes ???? Uracil
A. Cataract Ans:A
B. Hypermetropia 63). Damage to tibial nerve. But some
Ans: Aaaaaaaaaa flexion still present at knee joint. due to
56)PDA ??? which muscle ???
A. Inc arterial pco2 A. Long head of biceps femoris
B. Dec arterial po2 B. Short head of biceps femoris
C. Peripheral cyanosis Ans: B
D. Inc systemic pressure 64)Macule of utricle ka function. ??
E. Inc pulmonary pressure Ans:Acceleration Linear / horizontal ans.
Ans:C 65)Breast atrophy in old age due to
57)Regarding split of S2. Split can be A. Dec estrogen,progest
enhanced by ?? B. Dec estrogen
A. Early closure of aortic valve C. Dec progesterone
B. Delayed closure of aortic valve Ans: B
C. Early closure of pulm valve( also delayed 66) The scenario was 40 yrs old female.
closure of pulmonary valve but it was not in Pregnancy. Inc vol of urine (most
options both r rite) probably). Inc thirst. Relatives also
Ans:A compaint of her Behavioural changes (jo
58)40 yrs ka obese male with sedentary k unka kaam hy))...Fasting glucose was
lifestyle. Bp 140/100. Pulse 80. Cause??? 108 (normal). Passing large amounts of
A. Increased diastolic pressure dilute urine. Lesion will be at????
B. Inc SV A. Thalamus
C. Inc CO B. Hypothalamus
D. Inc vascular tone C. Caudate
Ans:D D. Basal ganglia
59). Child with itching. Worms. Raised Ans:B
cells-??? 67)Boy with fracture arm after bout of
Ans:eosinophilis fight with sister ( kuch is tarah tha)
60)3 yrs old child with repeated bacterial withBlue sclera ??
infections since infancy. At 32 yrs he A. Osteogenesis imperfecta
developed SLE. Wbc 7850. IgG ki koi B. Marfans
values theen. Lymph node biopsy ki ajeeb Ans:aaaaaaaaaaaaaaa
si findings thi i dont remember those alien 68)Basic electrical rhythm of brain is
terms. Cause???? located in????
A. Something NADPH A. Reticular formation
B. Dec of adenine deaminase may be. Dont B. Thalamus
remember C. Cerebellum
C. Decreased cd4 lymphocytes Ans: A
D. Failure of b cells to become plasma cells 69)Deep cervical artery arises from which
Ans:D ( past paper mcq ) Ans:Costocervical trunk
61)Ek classical scenario abt cerebellar 70)Right brachiocephalic is a branch
lesion.??? of???
A Gait disturbance. Ans Right aortic arch
B .Past pointing. 70)toxoplasmosis pregnant female. She
C.Rapid movements delivered a baby. To check acute infection
Ans:A in neonate, which Ig to be done On elisa
62)Degradation of deoxynucleic acid ???
releases? A. IgG
A. Phosphoric acid B. IgG4
B. Ribose C. C. IgM
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Ans:C
71)Minutes after bee sting a woman 79)ADH suppressed by.??
develops wheeze, sob n ye wo. It is due to Ans:Alcohol (imp Bcq)
which??? 80)Morphine ??
A. Histamine A Increased GIT secretions
B. Bradykinin B.Inc gut peristalsis
Ans:A C.Constipation
72) Typical scenario post streptococcal. 12 Ans: cccccccccccccc (All opiods causes
yrs old girl,pehle sore throat. Uske baad constipation)
post streptococcal walay sign n symptoms. 81)Endotoxin??
This is due to??? A. Heat labile
A. Antibody to immune complexes B. Released when pathogen dies
B. Antigen-antibody complexes deposit in Ans:bbbbbbbbb
tissues 82)In pus.
Ans:B Ans: Dead Neutrophils
73). Neutropenic patient. Admitted to 83)In acute renal transplant rejection. On
oncology ward. C/o ear pain n fever. microscopy which of the following will
Causative organism pseudomonas. Which show something worse?
of the following shows why these A. Interstitial lymphocytes
symptoms have developed??? B. Vasculitis and thrombosis
A IL1 Ans B
B TNF 84)Goodpasteurs. ??
Asn :A Ans:IgG k depositions in basement
74) Aeobaric vertigo in divers is due to?? membranes
A.BAro trauma 85) Normal fev1/fvc ki value ??
B. Perforated tympanic membrane Ans:80%
C.Some ear plugging thing 86)Actinomyces?
D. Unequal pressures in middle ear during Ans:Talcum granules
ascent 87)Female with vaginal discharge.
Ans D Metaplasia of cervix due to ??
75)Haan ek wo cricoid cartilage wala ?? A.HPV
A. Incomplete ring B HSV
B. At c4 Ans: Aaaaaaa
C. Vocal cords attached to it 88.Irreversible step of glucose
D. Inferior pharyngeal constrictor attached metabolism???
to it Ans:G6p to f6p
Ans:D 89) Benzodiazepenes …… ??
76 trachea ki bifurcation Ans:Lead to dependence
A. At t2 90) which drug shud be avoided in
B. Trachea in is midline but bifurcates a angina???
little to the right A. Beta blockers
ans: B B.CCBs
80) right bronchiole ka size pucha tha?? C. Theophylline
ANs: 2.5 cm Ans:C
77) Goblet cells change to clara cells in?? 91)Increased t3 and t4 in pregnancy due
Ans: terminal bronchiole to ??
78) Giving large amounts of normal saline A. Inc TBG
will cause?? B. Inc TSH C.
A. Dec urinary Na excretion Inc TRH
B. Inc plasma vol Ans:A
Ans: Bbbbbbbbbb
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92)Regarding CO2 ??? B. FSH
A. High solubility in plasma C. Prolactin
B. High diffusion coefficient Asn:A
Ans:B 104)About ovaries ??
93) Muscle membrane is relatively A. Lymphatic drainage into para aortic
permeable to??? lymph nodes
A. Water B. Koi 6 something million ova at the time
B. Electrolytes of birth
C. Amino acids C. Supplied by ovarian artery
Ans: C Asn:A
94)Ek tabes dorsalis ka typical scenario 105)Atrial systole
tha. Dribbling urine. Unable to see in A. During “a” wave
dark. Something with light reflex and B. PR segment
pupils Cause?? C. dicrotic notch
Ans: syphilis Ans:A
95)Hypercalcemia effects the formation 106)About thymus ??
of? A. Regresses shortly after birth
A. 1,25 dihydroxycholecalciferol B. Contains lymphocytes
B. 24,25 dihyroxycholecalciferol C. Derived from thyroid
C. 25 cholecalciferol Ans:bbbbbbbbbbbb
Ans:B 107)Ectopic Thyroid hormone produced
96)Tumor metastasis ?? by ??
Ans:loss of e cathedrins . Ans:Sq cell CA larynx (ref MRCP notes)
97 which of them causes adhesion 108)Pre malignant lesion
AnsA. Integrins Ans. Leukoplakia
98)Dietary fibers contain what??
A. Starch 109)Medial lamniscus men decussation ??
B. Glycoprotein
Ans:AA Ans:Post limb of internal capsules
99.Organelle which has cisterns n concave
surface faces nucleus???? 110)Patient on ATT pins and niddle
A. Golgi sensation??
B. Smooth endoplasmic reticulum Ans:isoniazid
C. Mitochondria 124)ADH n oxytocin??
Ans:A Ans: originated from hypothalamus
100)Regarding mitochondrial mutations 111)Decreased intestinal motility ?
??? A. Secretin
A. Can cause fragile x syndrome B. CCK
B. Only transmitted from mother C. Gastrin
C. From paternal side D. Somatostasin
D. Prader wili syndrome Ans:D
Ans:B 112)Vagus nerve leaves skull through ??
101)Neuron ……..?? A. Foramen spinosum
Ans: Axonal hillocks where axons leave B. Jugular foramen
from cell body Ans:BBBB
102)Spermatogenesis ?? 129)Severe transfusion reaction ???
Ans:Spermatids into spermatozoa Ans: A+ to O+
103). Most imp and acute effect on 113)Secretin relased in response to???
testosterone production is of?? A. Hcl in stomach
A. LH B. Hcl in duodenum
C. Fat in duodenum
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Ans:BBBBB 124)Dead space is decreased in???
114)Effect of hyperactivity of sympathetic A Emphysema
system ??? B. Tracheostomy
A. Inc gut motility C. Pleural effusion
B. Inc gut secretions Ans:BBBBBBB
C. Bronchodilation 125)Red infarcts occur in??
D. Construction of pupils A. Where venous blockage alongwith
Ans:CCCCCCCCCCC arterial
115)Hormone increased in stress??? B. Only arterial blockage
Ans: Cortisol C. Supplied by more than one arteries
116)Middle thyroid vein drains Ans:C
into……….. ??? 126)Gangrene in diabetes ??
Ans:internal jugular vein A. Dry
133)Pellegra treatment ?? B. Wet
Ans: niacin vit b3 Ans: A (if asked complication then b)
117)Superexcitability (hyperexcitability) 127) Parasitic infection spread by
of heart is ???? mosquito bite??
A. Longer than relative refractory period A. Filariasis
B. Ventricles are hyperexcitable B. Onchocerca
C. Ventricle are less excitable C. Tapeworm
Stem not cleared … aaaa may be right Ans: A
118.)Within 12 hrs of MI best 128)Which drug/antipsychotic enhances
marker?????. the efficiency/activity (dont remember
A. ALT exact word ) of others A. Valproate
B. ALP B. Phenytoin
C. AST C. Phenobarbital
D. LDH Ans: Controversial
E. CK 129) Warfarin effect increased.?
Asn:E Ans: Cimetidine
119:Creatinine released from……………..
Asn:skeletal muscles 130)Vasodilation with hypotension ??
120:Insulin inhibited by ??? Ans:Septic shock
Ans:Beta receptor antagonist 131:Drug tolerance due to ???
Ans:decrease effect of drug upon repeated
121)Best about kidneys and regarding administration
structures?? 132:Metabolic alkalosis is feauture of??
A. Perinephric fat is outside renal fascia a.pancreatic fistula
B. Adrenals not covered in fascia b.hyperaldosteronism
C. Left renal vein is anterior to aorta and Ans:B
renal artery 132:Anterior cerebral artery supply??
Ans:CCCCCCCCCCC A.brocas
122)Pain referred from diaphragm to b.wernickes
shoulder c.paracentral lobule
ANs: C3 4 5 Ans:C
138.Pt Aptt raised by antibiotic use 133:Blood supply of thalamus ??
treatment a.anterior crebral artery
a..FFP b.middle cerebral artery
b.Vitamin k c.posterior communicating n
Ans:B Ans: cc
123:Medullary thyroid cancer marker 134:Patient on antihypertensive drug ..ER
Ans:Calcitonin collapse.. Potassium 6 cause is 1 cause??
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A.Diuretic intake Ans.Diadinosine
B.Acute renal failure 11. Epithelium of small intestine
Ans:B a simple columner
135: years old boy..generalized b simple coloumner non ciliated
edema..first line of investigation???? ans is b
a.albumin globulin ratio 12. Utricle detects??
b.serum creatinine A.horizontal acceleration
c.urinary protein B.velocity of horizontal acceleration
Ans:C (exclude nephrotic syndrome) C linear accelaration
9-NOV-2016 MED & ALLIED Ans is C
13. Regarding Active transport
(MORNING SHIFT) A.require carrier proteins that are enzymatic
1.Taenia solium pork worm doc tx? in nature
a Niclosamide B.uphill transport
b praziquental Ans is B
c albendazole 14. Imunologic test diagnostic for which
d mebendazole ....????
Ans B (ref Katzung) a.amebic liver abcess ...
2. Hyaline cartilage b.hydatid disease
A present in nasal septum Ans is B
B pinna 15. Dopamine n ach imbalance in corpus
striatm leads???
C TMJ articulation a.Chorea
D epiglottis b.Hemibellismus
e. menisci of knee c,Parkimson
Ans A d.athetosis
3. Propranol contraindication ans is c
Ans. Asthma 16.Minimun amount of caloric required
4. MAP for man??
Ans .Diastolic plus 1\3rd of Pulse pressure Ans 25_30
5. Blood suply of head of humerus 17. Heparin acts by binding to??
A.Arcuate a.anti thrombin3 factor 10
B.anterior circumflex c post circumflex b.Factor xa only
ANS B>A c.. V|||
6. Aluminium Hydrooxide ans a
Ans.Dec Gastric Emptying 18.Tumour in brain compressing
7. A structure that is formed by oculomotor nerve that area venous
aponeurosis of External oblique Muscle drainage into
Extending from Anterior superior iliac a.straight sinus
spine upto pubic tubercle is called b superior sagital sinus
Ans. Inguinal Ligament c inferior sagital sinus
8. Common in CRF +Conns + d cavernous sinus
pheochromocytoma Ans is D
Ans: HTN 19.Internal jugular vein when it passes
9. Patient having Plt count 1 lac 8000 with from jugular foramen its imediate
increased bleeding time??? relation with
Ans ws Platelet Functional Defect ( A. Sternocledomastoid
Qualitative Disorder ) B.Trocher nerve
10. .A drug that in given in C.Acessory nerve
imunocompromised patients causes ans C
peripheral Neuropathy and Pancreatitis
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20.Dec/shortest ventricular muscle fiber 30.Which is high amount in tear ?
length in which one of the following ?? a.Na
a.Inc venous return b.K
b.contracetion of priphral muscles ans a
c.Dec intra thoracic pressure 31.Tall T wave
d.Inc intra pericardia pressure Ans Hyperkalemia
Ans D 32. long term bp control by
21. Submandibular gland location? Ans.renin angiotensin system
Ans mendible above n ant post belly of 33.Pt had cut on dorsal surface of wrist
digastric muscle and now failure to abduct n adduct
22. A 30 year old woman in azad kashmir fingers with intact sensations??
was injured mildly in an earthquakethat Ans deep branch of ulnar
killed 34. 5 yr old girl wid Sob no cough..for
many people apart from her distant three months..presente with temp 38.7 F
uncle. She would most probably be in ..R/R 25.sputum clear negativ culture
A. Social crisis with ordinary media..Ana neg..On Cxr
B. Personal crisis hilar Lymphadenopathy and right lowr
C. Situational crisis lobe infiltrates.
D. Developmental crisis A.Bronchogenic carcinoid CA
ans is c B.Pnemonia
23. 4x4 table? C.Tb
a.student t test, D. Sle.
b.chi square tes ans is b
Ans B 35. S1 loud
24.Shivering???? Ans. Lower limit of pr interval
Ans Post hypothalamus 36.”V” wave on cardiac cycle?
25. Patients whose small gut is resected A .diastole
due to any disease, they present B.isovolumic contraction
e "hyperoxaluria". The cause of this cond C.isovolumic relaxtion
is...? ans is c
A. Dec blood calcium to form calcium 37. Old patient Excretion of drug is
oxalate decreased bcz of ?
B. There is increaed abs of oxalate from gut Ans. dec renal threshhold of drugs excretion
C. There is increased phosphate in blood 38. Cardiac muscle cant be teranized
Ans C Ans long refrectry period
26.CNS myelination by which cells... 39..Stress hormone
Ans . oligodendrocyte Ans acth
27.Prostatic CA metastize to skull (no cortisol in option)
through. 40.Thyroxine causes
Ans.Vertebral plexus Ans. Fetal brain development
28.Internal jugular vein just coming out 41.Insulin
of skull whats anterior to it. Ans. anabolic for cho, lipid nd protein
a.ICA 42.Councilmen bodies
b. phrenic nerve Ans apoptosis
c.. sternocleidomastoid 43. Microscopic feature of compact bone
d accessory nerve A haversian canal arranged obliquely
Ans is c B lacunae have osteoblast
29.Cause of edema in renal dysfunction. C haversian canal are not interconnected
A. Salt retention collagen
B. Hypoalbunemia nd salt retention D lamellae are regularly arranged
ans is b Ans is D
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44.Mask like faces C.xx
Ans. Parkinson disease ans B
45. Scalenius ant grooves over ….. 59. On complete removal of colon wat
ans 1st rib happens death
46. Patient serum glucose 100 mg/dl but A..malnutrition
inspite of that glucose apears in urine B.electrolyte imbalance
Ans.low renal threshold Ans is B
47,. C3a and C5a both 60. Patient having zollision ellisin
A..opsonins syndrome for that gastrectomy done ,
B..anaphylotaxins which will occur?
C..chemotactic factors Ans B12 deficiency
ans is B 61.Btructure lying with LAD having risk
48. Tb patient pleural effusion what to of damage during surgery……… ??
do.drain from?? Ans.Great cardiac vein.
A. 4 to 6th intercostal upper border mid 62. Sodium nitropruside mechanism of
axial line action
B. 9th intercostal lower border anter axilary Ans.dilation of vessels
line 63. Life span of sperm at body temp
C.9th upr border mid clavicular A.24-48 hr
D.9th uwpr border ant axillary B.24-72 Hr
Ans aa ref oxford med ans is A
64.Cerebral blood flow regulated by
49.Denticulate ligament………??? a.pco2
Ans.Lateral extension of pia matter btw b.ph
ventral n dorsal roots Ans Is A
50.Subacute endocarditis 65. Hypoglosal nerve damage……… ??
organism……………?? Ans. Ttongue deviate same side
Ans..Strep viridans 66. Adrenal gland..supply…… ??
51.Transitional cell ca risk factor of Ans.Thoraxic sympathetic plexus
bladder ………..??? 67.Tyre workshop worker and smoker,
a.smoking has squamous cell carcinoma cause???
b. schistosomiasis a.aromatic amine
Both r right go wid bbb b.smoking
53.Diabtes inspidius treatment. ……??? Ans is B ref Goljan pathology
Ans.Desmopressin 68.One regarding atlas vertrbra
54. Hep B and C caused by ……….. ?? a.Have no spinous process
Ans.Contaminated needles b.Have no ant arch
55. Platelets formed from ………..?? c.Hve no lateral mass
Ans.Megakaryocytes Ans A
56.Erythropoietin secretion is inhibited 69.Regarding arithematic average. .
by Ans mean
a. cobalt 70. Pt have Headache Vomiting Stiff
b. hypoxia Neck On Lp Csf contain Blood
c. theophylline A.Epidural
ans is C B.SubDural
57. Erythropoeuin secretion increased by C.Subarachniod
Ans hypoxia ANs is C
58.True hermaphrodite 71. Hemophilia
A.xx/xy Ans. X linked reccesive
B.xxy 72. Inc ejection fraction what dec….. ??
Ans.esv
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73. Stomach circular muscle become more 85. A child wid reccurnt respiraty tract
thicker infctn n etc etc also having kartnegr
a fundus syndrome??
b antrum A.dynin arm
C cardiac B.actin
d Pylorus C.mysoain
Ans D D.cell microtube
74. Down Syndrome…. ? ans is A
ans.Trisomy 21 86.A surgicaly removed ovary showed
75. Man had Fasting Lipid Profile After aggregate of epitheloid with lympho these
eating junk food, after centrifugation aggregate called
plasma becomes milky white?? A.Graffian follicle
A.Chylomicron b.Granulation tissue
B.VLDL c.Granuloma pyogenicum
C.HDL D. Granulomata formation
D.LDL E.Granulosa cell tumor
E.IDL Ans is d
Ans A 87. Malignant Quarten Malaria
76. Preganglionic sympathetic A. plasmodium Falciparum
secrete…??. B.plasmodium vivax
Ans.Ach c.plasmodium malaria
77.Golgi tendon decreases ….?? d.pasmodium ovale
Ans.Tension Ans is A
78. Ankylsing spondylitis ……..? 88. K level 3.0 n ph 7.54 due to whch
Ans.HLA B27 hormone effct
79. About cholera ?? A.cortisol
A..Treated by parentral antibiotics B.aldo
B..treated by fluids only C.testo
C..ransmitted by water n food D.progstrn
d.Cl- ans CAMP has role Ans is b (aldo causes decrease in
Ans is D potassium dat leads to alkalosis)
80.SA node located ………… 89. Factry worker..neuropathy …… ??
Ans.Epicardium sulcus terminalis Ans lead
81 Strontium 90 is associated with which 90. HIV drug causing pancreatitis???
ca……. Ans …..Didanosine
Ans.ousteosarcoma 91. 29 yr old went remot area develop
82. Chronic rhinitis mild watry diarrhoea for 1 wk.no accult
a.mast cells blood.r resolved after 2 wks couses??
b. eosinophill A.Amoeba
c.lymphocytes B.Vibrio
ans A C.Rota
82. Histamine type 2 receptor antagonist.. D.Shigella
…… E.Giardia
ansCimetidine Ans A
83. Macrophage...... 92. Hyaline cartilage..
ans.scavenger cells Ans endochondrial ossification
84. Homonomous hemianopis 93. Viral neoplasm…...
A.gwniculate body Ans.T cell leukemia
B.Optc tract 94. Pain , temperature, from face
c.Optc chaisma a anterlateral spinal
Ans b
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b trigeminothalamic B.Primary hyperaldosteronism
c dorsal culumn medial leminscs Ans is B (Conns syndrome)
d trigeminal leminuscus 105. Pt had accidental damage to neck of
ans is A fibula and now presnt with foot drop?
95. Dignostic creteria for sof tissu Ans common peroneal nerve
tumour ?? 106. Patient having blood group A
a.Inc vascularity Ans:.B Antibody
b.Local invasion 107. Defect of thalasemia?
Ans B Ans defect in chain
96. ACE inhibitor produce bradykinin 108. Sjgorens sydrome patient..ANA
by?? positive..most serious long term
a Dec angiotensin2 complication?
b increase/activate kallikrein A.Glomerulonephritis
Ans b B.Pulmonary interstitial fibrosis
97. Mast cell Ans B
a produce heparin,histamin,protease 109. .A lady who got rash on face after
b function like eosinophils going in sun.the biopsy of lesion show igG
C Have IgA surface receptor with surrounding area clear. No other
Ans A abnormality. Ana negative.what is the
98. Local anesthetic…. cause?
Ans.A delta fibre A.Contact dermatitis
99. In carcinoma which filaments are B.Focal Sle
most likely present C.Discoid sle
a. keratin filaments d. Dermatomyositis..
b.vimentin filaments Ans D (controversial bcq)
c.desmin filaments 110. Brush border in which part of
Ans A nephron
100 Gastric emptying is observed thru A.Pct
A.Radioisotope scan B.Thck loop
B.Repeated xray after barium enema C.Thin loop
Ans b D.Dct
101. Child had generalized edema due to Ans is A
A..Dec hydrostatic pressure 111. Nalbuphine
B>Dec plasma colloid oncotic pressure A.Effect comparable to morphine
C.Lymphatic obstruction B.1/7 of morphine
Ans B Ans A
102. Parietal cell secrete 112. Pulmonary emboli of left lung.what
A.Hcl+ intrinsic factor finding????
B.Hco3+ intrinsic factor A. Ventilation perfusion ratio infinity
ans A B. Vent pro ratio dec
103. Iron deficiency C. Alveolar o2 equal to atmospheric o2
A.Persistent blood loss D. Alveolar o2 equal venous o2
B.Defected globin chain ans A
CTreated by iv iron 113. Dec/shortest ventricular muscle fiber
DMegaloblast length in which one of the following
Ans IS A A.Inc venous return
104. 70 kg male 30 yr old hypertensive. B.Contraction of priphral muscles
Na 140.k 2.5.urae normal .s creatinine C.Dec intra thoracic pressure
normal. Total cholesterol 200. D.Inc intra pericardia pressure
A.Essential hypertension ans is A
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114. Vastus medialis? C. 250 msec
A. Supplied by femoral branch D.10-20 msec
B. Attacdfhed to intertrichantetic line ans c
C.attached to petala 124. Scenario of pt with completely
D.attached to medial tubrcl with vasts blocked blood flow to left lung, which of
intermedius and adductr magns following is true
Ans is A A. v/Q ratio in left lung will be zero
115. A young girl during exercise B. systemic arterial Po2 will be elevated
develops dyspnea,she has developed the C. V/Q ratio in left lung will be lower than
left sided heart failure n havnig Rt lung
pulmonary edema wat is the cause of D. Alveolar Po2 in left lung will be approx.
developing dyspnea during exercise equal to Po2 in inspired air
a.ryt heart failure E. Alveolar Po2 in rt lung will be equal to
b.left ventricles pump failure Po2 in venous blood
Ans b Ans is d
116. What could be damaged in surgery 125. An old man playing with his
of superficial submandibular gland grandson in garden got trauma, pt fibrile,
A.Hypogastric nerve redness in the toe, C- reative protein
B.Mandibular nerve positive, culture negative, negative
CTrigeminal nerve biferengence, some values of uric acid
D.Marginal Brach of facial given diagnosis
Ans is D A. Septic Arthritis
117. Cytokeratin pigment is used to B. Acute Gout
diagnose?? C. chronic gout
A.Diff sarcoma and carcinoma D. pseudogout
B.Diff be metaplasia and dysplasia Ans B (Hint is inc CRP which is always in
ans is B acute condition)
118. Fat necrosis due to ….. 126..Peroxisome contain ………….???
ans .breast trauma Ans.oxidases
119.Coagulatie necrosis ..... 127 Regarding Beta thalassemia
ans due to ischemia… A.mutation in promoter region of beta gene
120. In brain type of necrosis ………… B.Point mutation in beta gene
ans.liquefactive necrosis C.Large deletion in beta gene
121.Hairy leukoplakia D. Small deletion in beta gene
A.fungal growth Ans A reference Robins
B. smoking 128. . Patient of renal transplant on
c associated with hiv immunosuppressive drug.cns symptoms
D leukemia culture negative.lympho increased sugar
Ans is c normal.oval cell with halo found
122.The most common cause of infarction A.Cryptococus
in vicera???? B.Tb
A.Air embolism C.Influenza
B.amebic ulcer Ans A
C.Anemia 129. A pregnant diabetic lady gave a
D.Atheroma birth to a child apgar score 4 and 6 in 1
E.Thrombosis and 5 min. Child with respiratory
Ans is D distress. What will you give patient before
123. . What is time period of absolute delivery to prevent the condition?
refractory resting period of heart A.Hydricostisone
A.100milli sec b.Testosterone
B. 150 msec CProstaglandin
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D.Estrogen BInf colliculus
Ans A CSup olivary
130. Survey of pts having melanoma, D.Inf olivary
blood sample taken which of the following Ans A
cells would be present initially(First) 137. Chlorpromazine exhibits anti
A. NK Cells pyschotic effects by???
B. Machrophages A..alpha agonist action
C. Lyfmpho B..act on dopamine receptors
D. Eosinophills ans B
Ans A 138. Which doesnt cause esoniphilia
131. Dec unloading of o2 in peripharl A...igM
tissue duet B.igE
A.pH C.parastic infestations
BBmr D.asthma
CTemp Ans A
D2,3bpg 139. One qst k person while fighting gets
Ans A a blow on temporal side of the
132. Complete trasaction of brain stem head,internal bleeding occurs due to
above pons would damage to which vessels??
A. Result in cessation of all breathing A.middle meningeal atery
movements B.MCA
B. Prevent any voluntary holding of breath Ans B
C. Prevent control of central chemoreceptors 140. .local factor causing delayed wound
from exerting any control over ventilation healing
D. Prevent peripheral chemoreceptors from a infection
exerting any control over ventilation b vitmin c
E. Abolish hering breuer reflex Ans A
Ans B 141. lymphatic nodule not present in
133. Which of following is not related to Ans. Thymus
pain transmission??? 142.Pyogenic bacterial
A. Thalamus peritonitis………..???
B. Substantia gelatinosa ANS .Bacteroid
Ans A 143.lipoma on thigh ,local anesthetic
134. Hypothalamic hypophysial portal xylocaine is given which will be 1
syestem connects hypothalamus to?? affected??
A. Adenohypophysis a.B fibers
B. Neurohypophysis B.c fibers
Ans A c.A delta fibers
135. Scenario of pt with congestive Ans C (for details of general anesthesia
cardiac failure with pulmonary edema, see section in Gynae obs theory)
now in acute distress appropriate 144. Presence of st squamous epithelium
treatement at this stage would be?? in endocervix is called?????
A. High flow O A..neoplasia
B. Fuoseamide B..metaplasia
C. Nitroglycerin C..dysplasia
D. Dopamine D..anaplasia
E. Adrenaline Ans C
Ans B 145.Patient having hemoptysis and
136. Movement of body in response to developed heamaturia cause….. ???
visual stimulus...structure involved? Ans .Goodpasture syndrome
A.Sup colliculus
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146.Skeletal muscle protein 155. Ascaries causes………….??
synthesis………… ?? Ans. respiratory system(causes pneumonia)
Ans CPK 156. Transplant best donor….???
153.Pus contain… Ans.Identicle twin
a. Dead Neutrophil 157. Steroid mechanism of action………..
b.active bacteria ??
Ans A Ansexpression on genes
147.Vit c causes….. ??? 158. Gfr clinically measured by,…… ?
ans.hydroxiltion of proline Anscreatinine clearance
148. Supra renal gland relation .. 159. Cholestrol synthesis …………. ??
a.rt suprarenal is one centrla tendon Ans:Liver
b.Left one is realted anteriorly to pancreas 160. Tractus solitarius …… ??
c.Left is on central tendon.(poor recall) Ans. Taste sesation
Ans is Bb 161. Secondary ossification
149. Protrusion of mandible ………….? center………??
ans .lateral ptyrgoid AnsEpiphysis
150. Which one dec blood supply to brain 162. Recurent larngeal nerve hooks
A.Inta ventricular epinephrine around………. ???
B.Inhalation off 17% co2 AnsLigamentum arteriosum
C.Siezures 163. Benign tumour ………..??
D.Hyeperbaric O2 Ans WarthinTumor
Ans is B 164. Pt undrgone tonsillectomy and
151. Which harmone is NORMALLY presented with signs of shock its due
secreted in pregnanc to(cant recall exact but it was also easy
A.Pth one)
BGH Ans Hypovolemia..
CThyroxin 165. Acetylcholine is formed by
D.Cortiosl A acetyl co A nd choline
asn is D B preganlianic nerve end
152 Enterococcus fecls tx Ans A
A.Ampicilin 166. Cricoid level?
B.Metronidazole A. At division of common carotid
C.Co trimezol B. Cervical 6 vertebrae
D.Aztreonem C.Junction of pharax and oesophagus
E.Imepenem D. Isthumus of thyroid
Ans A Ans B
153. In cardiac cycle atrial fibrillation 167. Patient after RTA losses 2 liters of
occurs blood, which of the following will
A at start of QRS occur???
B at end of QRS A. Increase venous tone
C at peak of QRS B. slight stimulation of sympathetic syestem
D.at the lower end of PR interval c. Increase heart rate
Ans D d. Negative feedback compensation
154. Hypoxic pulmonary vasoconstriction All are right Best is AAAA
is accentuate by??/?? 168. phrenic nerve damage resulting in:
A. Increase Po2 (RABIA ALI BCQ)
B. Decrease Po2 A.loss of sensations from central part of
C. Increase pco2 diaphragm..
D. Decreased pco2 B.loss of respiratory reflex
Both B and C r right choice is yours Ans A
169 linear deposit……….. ??
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Ans.good pasture syndrome ANS. A
Medicine 9th November, 2016 6. Patient with backpacks, diarrhea,
fatigue. Stool culture shows binucleate
Evening Shift (194 MCQs) organism with 5 flagella. Which drug
1. HLA-B27 associated with you'll give?
A. Type 1 DM A. Stibogluconate
B. Juvenile rheumatoid arthritis B. Metronidazole
C. Addison disease C. Sulphadoxine
D. Graves disease D. Quanidine
E. Multiple sclerosis ANS. B
ANS. B 7. Fenestration in choriocapillaries
2. Longest acting insulin numerous and large in
A. Human lente A. Equatorial plate
B. Procine NPH B. Around optic disc
C. Procine lente C. Ora serata
D. Bovine ultralente D. Sub macular kuch tha
E. Bovine semilente ANS. C
ANS. D 8. Latent tetany seen in
3. Information care session is for: A. Hyperparathyroidism
A. Take informed consent for the procedure B. Graves disease
the patient will undergo C. Addison disease
B. Clear the myths and misconceptions of D. Con's disease
the patient and relatives about the disease E. Cushing disease
C. Tell the patient and family about new ANS. D
advances in treatment of the disease 9. A 50 years patient who used to drinks
D. Take informations from the family and from 20 years. His labs are Bilirubin 5
friends of the patient about the disease times raised than normal, ALT 2 times
E. Tell the patients about the facilities and ALP 3 times. His histopathology of
available to in the hospital for the treatment liver will show?
of the disease A. Piecemeal necrosis
ANS. B B. Bridging necrosis
4. A boy while playing was hit to right C. Councilman bodies
elbow. He developed swelling and bruise. D. Periportal Lymphocytosis
What is the cause of swelling? ANS. A
A. Carbohydrates 10. Antipsychotic effect of phenothiazine
B. Proteins due to:
C. Fats A.Block muscarinic receptors in corpus
D. LDL striatum
E. Water and electrolytes B. Block dopamine receptors in corpus
ANS. B striatum
5. For a substance X GFR 125mg/ml, Tm C. Block dopamine receptors in limbic
125mg/mint, plasma concentration is system
200mg/100ml, What will be the filtration, D. Block adrenrgic receptors
reabsorption and excretion of substance E. Block Serotonin receptors in limbic
X? system
A. 250 filtration, 125 reabsorption and 125 ANS.C
excretions 11. Rexed lamina 3, 4 present in
B. 125 filtration, 125 reabsorption and 0 A. Lateral Gray horn
excreted B. Posterior Gray horn
C. 200 filtration, 125 reabsorption and 75 C. Anterior Gray horn
excreted D. Gray commissure of spinal cord
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ANS. B A. Causes tachycardia
12. A patient had non-productive cough B. Causes vasoconstriction
for 2 months. Now presented with blood C. Has long action when given orally
streaked sputum. Left Lung has 5 cm D. Has synergetic effect on calcium
hilar mass. Sputum shows hyper channels
chromatic, pleomorphic cells with scanty ANS. C
cytoplasm. Cause of this condition? 18. Normal ECG do not record electrical
A. Silicosis activity of
B. Asbestosis A. AV node
C. Smoking B. SA node
D. Passive smoking C. Ventricles
E. Radon exposure D. Left atrium
ANS. C E. Right atrium
13. A person visited Thailand, now ANS. B
presented with fever, chills, body aches 19. Counter part of mesonephric duct
and postural hypotension. What is the A. Appendix
most probable diagnosis? B. Ejaculatory duct
A. Syphilis C. Round ligament
B. Malaria D. Seminal vesicle
C. Dengue ANS. B
D. Chagas disease 20. Axons:
ANS. B A. Carry impulses toward the cell bodies
14. A tourist 2 weeks after returning from B. Carry impulses away from the cell bodies
another country presented with fever, C. Carry pain impulses
generalized lymphadenopathy, and rash. D. Are several in numbers for multipolar
Atypical Lymphocytes on peripheral neurons?
smear. Most probable diagnosis? E. Are found primarily in the gray matter
A. HIV (seroconversion) ANS. D
B. Falciparum Malaria 21. Basement membrane of lung alveoli:
C. Chagas disease A. Comprises of type 2 collagen
D. Lyme disease B. Contributes in the formation of surfactant
ANS. A C. Has chondrotin sulphate as a constituent
15. Fibres arises from main sensory component
nucleus of spinal cord D. It is a mucopolysaccharide
A. Fasciculus gracilis E. Separates epithelium from endothelium in
B. Lateral spinothalamic tract alveolar wall
C. Posterior spinothalamic tract ANS. E
D. Anterior spinothalamic tract 22. Cardiovascular change in geriatric
ANS. A A. Systolic hypotension
16. Regarding HPV: B. Diastolic hypotension
A. Serotype 16,18, 31 associated with C. Decrease elasticity of myocardial
dysplasia and cervical carcinoma ANS. C
B. Serotype 11 associated with ca cervix 23. Blood vessel valve present in
C. More than 100 genotypes A. Large size veins
D. Vaccination effective only after infection B. Medium size veins
E. Vaccination at 20-23 years age is C. Muscular arteries
recommended D. Fenestrated capillaries
ANS. A ABS. B
17. Nifedipine causes refectory 24. Highest oxygen tension in:
hypotension when given with halothane A. Pulmonary capillaries
due to B. Arterial blood
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C. Venous blood pressure and blood pressure was raised.
D. Left ventricle He was investigated but no cause was
E. Right Atrium found, his raised blood pressure is due to?
ANS. A A. Increase Vessels tone
25. Circumduction is: B. Decrease diastolic blood pressure
A. Abduction/adduction & flexion/extension C. Increase heart rate
B. Medial rotation/lateral rotation & ANS. A
flexion/extension 32. Lesion of caudate, putamen and loss
C. Flexion and extension of GABA neuron in substantia nigra and
D. One axis movement gollibus pallidus. Patient is suffering from
ANS. A which disease
26. Plateau occurs due to A. Parkinsonism
A. Na influx B. Hemiballismus
B. Na and calcium influx C. Chorea
C. Potassium channels opens D. Athetosis
D. Chloride channels E. Ballismus
ANS. B ANS. C
27. Ischio-pubic ramus fuse at the age of 33. Retic count decrease in
A. 7 years A. Chronic renal disease
B. 1 years B. Hereditary spherocytosis
C. 24 years C. Bleeding from gut
D. 21 years D. Polycystic kidney disease
E. 14 years ANS. A
ANS. E 34. A patient after CVA has loss of
28. During isovolumetric contraction appetite to food and drink and tendency
what will happen: to throw. Cause of his decrease thirst?
A. Decrease coronary blood supply A. Vasopressin
B. First heart sound splits B. Stimulation of lateral hypothalamus
C. Semilunar valve open ANS. A
ANS. A 35. Muscle tone of axial ans paraxial
29. True about Venous return: antigravity muscles control by
A. Will become zero when all circulatory A. Rubrospinal tract
responses abolish B. Pontine reticulospnal
B. Will increase when mean systolic C. Medullory reticulospinal
pressure falls ANS. A
C. Is decrease when right atrium pressure 36. A 12-year-old boy with hemophilia A
decreases? has had episodes of pain about his knees
ANS. A for the past 6 years. Over time, there has
30. The axillary artery: been an increase in size of his knee joints,
A. Lies posterior to pectoralis minor with deformity. Laboratory studies show
B. Lies lateral to the lateral cord of brachial decreased levels of coagulation factor
plexus VIII activity. Which of the following
C. Lies lateral to the short head of bicep materials is most likely to be seen within
D. Extends to the lowest border of pectoralis the joint space following episodes of pain?
major A. Lipofuscin
ANS. A B. Russell bodies
31. Obese person working as a Clerk with C. Neutrophils
sedentary life style, was routinely D. Cholesterol crystals
checking his blood E. Anthracotic pigment
ANS. D
37. Enterococcus faecium:
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A. Resistant to ampicilin ANS. C
B. Resistant to carbapenams 43. Proto oncogene converted to oncogene
C. Usually Sensitivity to aminoglycosides A. Point mutation
D. Catalase positive B. Translation
E. Frequent cause of pyogenic infections C. DNA transcription
ANS. A ANS. A
38. Vertigo with nausea and vomiting 44. Viruses cause malignant lesion by
associated with? alternation in:
A. Dorsal vagus nucleus juxtaposted to A. Oncogene
vestibular nuclei B. Proto oncogene
B. Vertebral artery ischemia C. DNA
C. Vagus and glossopharyngeal nucleus ANS. B
ANS. A 45. Which fibres sensation will be lost
39. Secretry Granules of neurohypophysis first after administration of local
are present at anesthetic agent?
A. Nerve endings A. A delta
B. Pituocytes B. B fibers
C. Sinusoids C. C fibers
ANS. A D. A beta
40. A case of Androgen insensitivity ANS. A
syndrome was referred to your clinical. 46. Alkalosis can cause:
What investigation you Wil NOT do in A. Hypokalemia
this case? B. Hyperkalemia
A. Serum 17 OH progesterone C. Hyponatremia
B. Testosterone level after stimulation with D. Hypernatremia
HCG ANS. A
C. Dihydrotestosterone after stimulation 47. An isolated complete rupture of
with HCG anterior cruciate ligament will result in
D. FSH and LH instability of tibia over femur. The
E. Ultrasound abdomen direction of instability will be
ANS.C A. Anterior
41. Polysaccharide antigen conjugated to B. Antero medial
increased immunity with vaccine C. Antero lateral
A. Meningococcal D. Postero lateral
B. Pertusis E. Postero medial
C. Chlamydia ANS. A
D. Vibrio 48. Which of following tumor in children
ANS. A is due to gene amplification?
42. A neutropenia, hypotensive patient A. Neuroblastoma
was admitted in oncology ward with B. Retinoblastoma
history of dysuria and high grade fever. C. Wilms tumor
His blood culture yielded growth of D. Nasopyryngeal carcinoma
pseudomonas aeruginosa. The disease as E. Burkitt lymphoma
a result of excessive release of the most ANS. A
likely. Bacterial product in the blood is? 49. From a population 2 groups were
(Asim Shoaib Medicine BCQ) selected on age basis and then
A. Retiulocyte macrophage stimulating subgrouped are assigned randomly for
factor study. Type of sampling is:
B. Granulocyte stimulating factor A. Random stratified sampling
C. Tumor necrosis factor(TNF) B. Simple random sampling
D. IL 1 ANS. A
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50. Most effective in preventing DVT? 58. TB is important because it is:
A. Intermittent Pneumatic compressions A. Type 4 Hypersensitivity reaction
B. Low dose of LMWH B. Type 3 HSR
C. Low dose of unfractioned heparin C. Type 1 HSR
ANS. A D. Type 2 HSR
51. Vitamin A deficiency most important ANS.A
A. Xerophthamia 59. Which vessel is involved in portal
B. Increase predisposition to skin cancer hypertension?
C. Increase predisposition to lung cancer A. Portal vein
D. Infertility B. SMA
ANS. A C. IMA
52. Ribosomes D. IVC
A. Protein synthesis ANS.A
B. In human composed of two equal 60. Symphysis pubis is which type of
subunits of S50 and S40 joint?
C. Attach to endoplasmic reticulum and A. Secondary cartilaginous joint
synthesize cytoplasmic protein B. Primary cartilaginous joint
ANS. C C. Ghamphosis
53. Characteristic feature of infarction: D. Syndesmosis
A. Frequently occurs due to pressure E. Plane synovial joint
B. In kidney is associated with red infarct ANS.A
C. In liver it produces suppuration 61. Which of the following acts through
D. Is a usual consequence of TB cAMP?
E. Usually seen with the arterial occlusion A. TSH
ANS. E B. Insulin
54. Basillar artery give rise to? C. Thyroxine
A. Posterior cerebral arteries D. GnRH
B. Anteriorly cerebral arteries E. Aldosterone
C. Posterior communicating arteries ANS.A
D. Anterior communicating arteries 62. In Normal physiological conditions
ANS.A Thyroxine causes?
55. Most abundant glial cells in gray A. Dec fatty acid oxidation
matter B. Dec gluconeogenisis
A. Fibrous astrocytes C. Inc fatty acid oxidation
B. Protoplasmic astrocytes D. Ca deposition to bone
C. Microglial E. Inc protein synthesis
D. Oligodendrocyte ANS.A
E. Ependymal 63. Most common pattern of inherited
ANS.B diseases?
56. Which test you'll do for diagnosis of A. X linked recessive
Typhoid fever during the second week? B. Autosomal dominant
A. Blood culture only C. Multifactorial
B. Blood culture plus Widal D. Autosomal recessive
C. Stool culture E. X linked dominant
D. Urine culture ANS.C
ANS.B 64. Child with generalized edema and
57. Test for definitive diagnosis of TB? proteinurea 6g per day. Which part of the
A. Demonstration of AFB kidney involved?
B. Caseous granuloma A. Interstitium
C. Epitheliod cells B. Basement membrane
ANS.A C. Collecting tubules
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D. Proximal convulated tubules B. Hemophilia A
E. Distal tubules C. VWb disease
ANS.B ANS.A
65. True about Alpha motor neuron 72. A person working in coal mine. His
A. Myelinated work is stone polishing and sand blasting.
B. Unmyelinated He might can develop which of the
C. Ends at motor end plate following disease in the future?
D. Terminate in intrafusal fibre of A. Asbestosis
neuromuscular spindle B. Silicosis
ANS.A C. Anthracosis
66. If root of left lung is injured which ANS.B
structure will be spared? 73. Transient adhesion is caused by?
A. Vagus nerve A. Integrin
B. Azygous vein B. Selectin
C. Phrenic nerve ANS.B
D. Pulmonary ligament 74. A person goes from standing to supine
ANS.A position. What will happen?
67. The structure which arches over the A. Increase in stroke volume
root of left lung. B. Increase leg muscles pressure
A. Azygous vein C. Dec firing of baroreceptors
B. Left recurrent l nerve ANS.A
C. Phrenic nerve 75. An African girl who has history of
D. Arch of aorta anemia since birth and history of multiple
ANS.D blood transfusion and episodes of chest
68. Vagal stimulation of the heart causes: and abdominal pain..presented with non
A. Increased heart rate healing leg ulcer, What will her blood
B. Increase PR interval shows?
C .Increase force of heart contraction A. Sickle cells
D. Increased cardiac output B. Schistocytes
ANS.B C. Heinz bodies
69. Only nerve affected in Multiple ANS.A
Sclerosis is : 76. Jejunum is recognised by?
A. Optic A. Single or double arcade arteries
B. Trigeminal B. Narrow luman
C. Olfactory C. More Fat in the mesentery
D. Occulomotor D. Thin mucus with less blood supply
E. Abducent ANS.A
ANS.A 77. Which of the following shows an
70. Most important event in initial Left to Right shunt before
IRREVERSIBLE cell injury reversal?
A. Damage to cell membrane A. Eisenmenger complex
B. Loss of co enzyme B. Transposition of great vessels
C. Massive calcium influx C. Persistent Truncus arteriosis
D. Swelling of lysosomes D. Ebstein anomaly
E. Swelling of mitochondria E. TOF
ANS.C ANS.A
71. Child with recureent knee joint 78. During which phase of the cardiac
swelling and pain. Factor 8 was 90% and cycle 2/3 of ventricular filling occurs and
factor 9 was 8%. What is the disease child 3rd heart sound is produced?
suffering from? A. Rapid inflow
A. Christmas disease B. Atrial contraction
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C. Slow ejection A. Small cell carcinoma of lung
D. Isovolumetric relaxation B. Renal cell carcinoma
ANS.A Other options were irrelevant
79. Which heart sound is produced due ANS.A
vibration of the ventricles during rapid 88. Most important cause of death in
inflow? Rheumatic fever?
A. 3rd heart sound A. Myocarditis
B. 4th heart sound B. Pericarditis
C. Ist heart sound C. Mitral stenosis
D. 2nd heart sound ANS.A
ANS.A 89. Thyroidectomy was done in left lower
80. Most abundant spingolipids in Gray lobe. Artery was ligated which supply this
matter of the brain? area. Which nerve have more chances to
A. Spingomyelin be damaged during the operation?
B. Cerebroside A. Recurrent laryngeal nerve
C. Globoside B. External branch of superior laryngeal
ANS.A nerve
81. Parasympthetic flow to heart via???? C. Internal branch of superior laryngeal
A. vagus nerve nerve
B. Superficial cardiac plexus ANS.A
C. Deep cardiac plexus 90. Prolong use of which of the following
D. T1-T5 will cause increase in gastrin level
E. T1-T4 A. Omeprazole/PPIs
ANS.A B. H2 blockers
82. Drug given in HOCM C. Sucralfate
A. Verapamil D. H1 blockers
B. Diltiazem ANS.A
C. Amlodipine 91. Which of the following disease with
D. Nifedipine raised ALT most commonly?
ANS.A A. Acute viral hepatitis
83. Axillary Fascia derived from? B. Hepatic malignancy
A. Prevertebral fascia C. Sclerosing cholangitis
B. Pretracheal fascia ANS.A
C. Superficial layer of Cervical fascia 92. A child having purpura in all over the
ANS.A body, otherwise normal. Cause of
84. Most potent pain mediator? pupura?
A. Prostaglandin A. Decrease platelate count by 20,000
B. Histamine B. Decrease platelets count by 90,000
C. Bradykinin C. Factor 8 deficiency
ANS.C D. VwB disease
85. Denticulate ligament: ANS.A
A. Lateral extension of pia matter 93. Ventral spinothalmic tract carry?
B. Extension of filum terminale A. Itch and tickle
ANS.A B. Pain
86. Superficial inguinal ring present in? C. Temperature
A. External oblique aponeurosis D. Vibration
B. External and internal oblique muscles E. Proprioception
C. Fascia transversalis ANS.A
D. Conjoined tendon 94. QRS complex produced prior to?
ANS.A A. Ventricular contraction
87. Paraneoplastic syndrome is caused by: B. Atrial contraction
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C. Isovolumetric relaxation E. Ipsilateral lung collapse and contralateral
ANS.A spring out
95. Married man had no children for few ANS.A
years and was diagnosed as sterile with 101. Deficiency of pulmonary surfactant:
azospermia. what is investigation of A. increases surface tension, increases
choice? compliance
A. Serum FSH and serum LH B. increases surface tension, decreases
B. Serum prolactin compliance
C. Serum testosterone C. decreases surface tension, decreases
D. Semen analysis compliance
ANS.A D. decreases surface tension, increases
96. Which of the following drains into compliance
jugulodiagastric nodes? E. increases surface tension, no effect on
A. Palatine tonsils compliance
B. Pharyngeal tonsils ANS.B
C. Submandibular gland 102. A patient presents to the emergency
D. Sublingual glands department with 6 hours history of severe
ANS.A central chest pain and dyspnea. Which of
97. A person lying naked in a room at the enzymes would be elevated?
temperature of 25°C. His heat loss will be A. SGOT
through? B. SGPT
A. Radiation plus conduction C. LDH
B. Convection D. Alkaline phosphatase
C. Conduction E. CPK
D. Evaporation (CK-MB, Trop were not in the options)
E. Sweating ANS.E
ANS.A ref Ganong 103. Organism associated with bladder
98. Formation of Interstitial fluid squamous cell carcinoma
increases with decreased in? A. Schistosoma hematobium
A. Capillary hydrostatic pressure B. Schistosoma Mansoni
B. Capillary permeability C. Schistosoma Japanicom
C. Interstitial fluid colloid osmotic pressure ANS.A
D. Lymphatic flow 104. Not a part of natural immunity
E. Plasma colloid osmotic pressure A. Plasminogen
ANS.E B. Interferon
99. A patient has nodule on vocal cord. ANS.A
The least likely mechanism? 105. Smoking affect organogenesis during
A. Hyperplasia which period of gestation?
B. Atrophy A. 3-8 weeks
C. Hypertrophy B. 4-10 weeks
ANS.B C. 12-15 weeks
100. 30 yrs old person has stab wound on D. 1-2 weeks
right side of chest. what will happen? ANS.A
A. Ipsilateral lung collapse and ipsilateral 106. Open wound healing includes:
chest wall spring out A. Contraction of myofibroblast
B. Ipsilateral lung collapse and contralateral B. Fibroblast
chest wall collapse C. Macrophages
C. No change in chest wall D. Lymphocytes
D. Contralateral lung collapse and ipsilateral ANS.A
chest wall collapse 107. Basal rhythm of small intestine?
A. Synchronized with stomach
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B. Decrease when mechanical activity start ANS.A
C. Variable effect by hormone 114. Frequency distribution
D. Constant in duodenum variable else A. Tells distribution of value appear in data
where B. Tells distribution of value which is
ANS.D missing
108. Exotoxin: C. Gives percentage of values
A. Corynebacterium diphtheria D. Can’t be used for data from different
B. Staph aureus categories.
C. Strep pyogen ANS.A
D. Clostridium tetani 115. Most potent response in massive
ANS.A hemorrhage?
109. Which among following is a chemical A. CNS ischemic response
carcinogen? B. Baroreceptors
A. Alpha 1 antitripsin C. Peripheral chemoreceptors
B. Benzidine D. Brain bridge reflex
C. Ethyl alchohol ANS.A
D. Alfatoxin 116. Difference between septic and
ANS.B hypovolumic shock?
110. Regarding Glycolysis which one is A. Temperature
correct: B. Cardiac output
A. Reversible C. Heart rate
B. Hexose phosphate converted to lactate ANS.A
and pyruvate 117. Regarding pharyngeal phase of
C. Same as Hexose monophosphate shunt deglutition which is appropriate?
D. Includes hexose sugars to pyruvate A. Vocal cords strongly approximate
ans>D B. Larynx moves downward
111. 55-year-old woman with insulin C. Esophageal sphincter is contracted
dependent diabetes of 40 years’ duration D. Palatopharyngeal fold moves downward
complains of severe bloating and ANS.A
abdominal distress, especially after meals. 118. The effect which a drug causes on
Evaluation is consistent with diabetic body is called?
gastroparesis. The drug you would be A. Pharmacodynamics
most likely to recommend is B. Pharmacokinetics
A. Docusate C. Bioavailability
B. Dopamine ANS.A
C. Loperamide 119. Parasympathetic origin in spinal
D. Metoclopramide cord
E. Sucralfate A. S2 S3 S4
ANS.D B. S1 S2 S3
112. Most specific for diagnosis of SLE C. S3 S4 S5
A. Anti dsDNA D. L1-L2
B. ANA ANS.A
C. Anti SSA 120. True about Ulnar nerve
D. Anti histone antibodies A. Loss of abduction and adduction of
ANS.A fingers
113. Patient presented with dryness of B. Loss of opposition of thumb
eyes and mouth. Which of the following C. Wrist drop
would be most helpful in the diagnosis? D. Thenar muscles wasting
A. Anti SSA ANS.A
B. Anti drNA
C. ANA
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121. Epileptic drug which increases the D. Estrogen nd progesterone
effect of other Antiepileptics when given E. Progesterone
together is ANS.C
A. Valproic 129. Women using OCPs are most
B. Phenytoin common at risk for
C. Carbamazepine A. Thromboembolism
ANS.A B. Osteoporosis
122.Drain is inserted in chest wall at the C. Osteomalesia
lower border of rib. Which structure will ANS.A
be damaged first ? 130.One of the following is related to the
A. Intercostal nerve diagnosis of asthma in 20 yr old male?
B. Intercostal vein A. FEV1/FVC <65
C. Intercostal artery B. PO2 =40 mmHg
ANS.A C. Respiratory rate=12
123. Which vein drains into the left D. Tidal volume 500 ml
brachiocephalic vein? E. Vital capacity= 3.0
A. Inferior thyroid vein ANS.A
B. Superior thyroid vein 131. Male infertility due to testicular
C. Middle thyroid vein cause?
ANS.A A. Cryptorchidism
124. Preganglionic autonomic fibres are? B. Hypospadiasis
A. B fibres C. Kliinefilter syndrome
B. C fibers D. Varicocele
C. A beta ANS.A
D. A delta 132. Metabolic rate is increased by:
ANS.A A. Thyroxine
125. Avidin binds with B. Decrease body temperature
A. Biotin ANS A
B. Vit B12 133. A 65 Year old mate patient Presented
C. Vit C with chest pain for last 30 mins. And has
D. Vit D ST segment elevation in leads V1 to V4.
E. Riboflavin He is most likely to have
ANS.A A. Anterior infarction
126. In pancreatic fistula somatostatin B. Anterolateral infraction
helps by C. Lateral infarction
A. Decreasing output of secretions D. Inferior infarction
B. Increasing ph of secretions E. Posterior Infarction
C. Increasing blood flow of gland ANS.A
D. Inhibiting enzymes 134. Which of the following is not directly
ANS.A caused by cortisol in Cushing's
127. Which is present just lateral to the syndrome?
trachea? A. Buffalo hump
A. Vagus nerve B. Thin lower limb
B. Phrenic nerve C. Hirsutism
C. RLN D. Pendulous Abdomen
ANS.A ANS.C
128. Usual cause of atrophy of breast in 135. In bone new matrix and fibres are
adult female is deficiency of? form by?
A. Gonadotropin A. Fibroblast
B. Growth hormone B. Osteoclast
C. Estrogen C. Osteoblast
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D. Osteocytes B. T Lymphocytes enter into the blood
ANS.C stream through post capillary venules
136. Blood Antigens: C. Is a lobulated organ
A. Present in saliva D. One option was about something
B. Called agglutinins collagen (Can’t recall)
ANS.A ANS.B
137. Anemia of chronic disease 144. Small emboli from veins is most
A. Serum transferin saturation is low commonly lodged in
B. Iron is mirror for Bonemarrow ferritin A. Lungs
C. Iron not coming out of monocytic B. Heart
macrophage C. Brain
Cant recall other 2 options D. Kidneys
ANS.C E. Liver
138. Q fever is caused by which ANS.A
organism? 145. Lobar pneumonia diagnosis
A. Rickettsiae A. Sputum culture
B. Rick B. Sputum staining
C. Virus C. Blood culture
D. Parasite ANS.A
ANS.A 146.True about Kidney:
139. Primary Center of Ossification at A. Cuboidal epithelium in parietal layer of
Epiphysis of Long bone at Birth? bowman capsule
A. Lower end of Femur B. Podocytes on visceral layer of bowman
B. Lower End of Humerus capsule
C. Upper End of Fibula C. DCT longer than PCT
D. Upper End of Tib D. Glomerulus has single arteriole
ANS.A Ans>B
140. Patient with Hypotension, shouldnot 147. Aphasia due to lesion in
give benzodiazepine in which case? A. Temporal lobe
A. Hypovolumic B. Parietal
B. Obese C. Occipital
C. Age > 65 ANS.A
D.Pregnancy 148. Plasma half life of a drug depends
ANS.A upon:
141. Autoimmune hemolytic anemia is A. Rate of clearance
diagnosed by B. Volume of distribution
A. Positive antiglobin C. Dose
B. Splenomegaly D. Rate of absorption
C. Spherocytosis E. Route of administration
D. Reticulocystosis ANS.A
E. Erythroid hyperplasia 149. Prozone phenomenon?
ANS.A A. Antigen excess
142. Right iliac fossa pain reffered to B. Antibody excess
umbilicus??? C. Antigen depletion
A. T 10 D. Antibody depletion
B. T 8 ANS.B
C. L 1 150. Gonorrhea DOC?
ANS.A A. Penicillin G
143. Regarding Thymus B. Ceftriaxone
A. Supplied by internal thoracic and inferior C. Gentamycin
thyroid artery ANS.A
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151. Dose of which of the following drug 158. Parasympathetic effect on heart
should be reduced in renal impairment: increases permeability in SA node to
A. Gentamicin A. Sodium
B. Rifampicin B. Potassium
C. Penicillamine C. Calcium
D. Phenytoin D. Potasium and sodium
ANS.A E. Sodium and calcium
152. Primary brain vesicle ANS.B
A. Mesencephalon 159. A hematocrit of 41% means:
B. Telencephalon A. 41% formed elements in blood are RBCs
C. Diencephalon B. 41% blood in plasma
D. Metencephalon C. 41% of blood in serum
E. Mylencephalon D. 41% of formed elements in blood
ANS.A compromises of RBCs, WBCs, platelets
153. Diabetic gangrene: ANS.D ref ganong
A. Atheromas in arteries 160. GFR is decreased by
B. Always start as moist necrosis A. stone in ureter
C. A/V fistula develop B. Angiotensin 2
D. Large arteries are always responsible C. Afferent arterioles dilation
ANS.A ANS.A
154. Most common cause of sex 161. Ziinc is important essential element
chromosome abnormality???? in one of the following:
A. Hermaphrodite A. Carbonic anhydrase
B. Klinefelter syndrome B. Cellular oxidation
C. Downs Syndome C. Vitamin B12
D. Multi X female D. Glycolysis
Ans>C E. Ketogenesis
155. Which of the following veins drains ANS.A
into coronary sinus and itself becomes 162. The most usual complication of
part of coronary sinus? wound healing in black population
A.Great cardiac vein is?????
B. Middle cardiac vein A. Hemorrhage
C. Anterior cardiac vein B. Keloid formation
D. Small cardiac veins C. Malignant change
ANS.A D. Metaplasia
156. A 24 years old female with 12 weeks E. Premalignant change
of amenorrhea presents with frequent ANS.B
burning micturation and high grade 163. In a healthy alert adult sitting with
fever. Diagnosis? eyes closed, the dominant EEG pattern
A. DM with electrodes over the occipital lobe?
B. Early pregnancy A. Alpha
C. Urinary bladder stone B. Theta
D. UTI C. Delta
E. Urethral stricture D. Beta
ANS.D E. Fast irregular low voltage activity
157. Sodium reabsorption in baso lateral ANS.A
membrane occurs through: 164. Paracetamol
A. Gucose co transport A. Weak anti inflammatory property
B. Na K pump B. Nephrotoxic
ANS.B ANS.A
165. Cerebellar lesion
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A. Ataxia B. ZN stain
B. Rigidty C. Culture
C. Difficulty in initiating movement D. PCR
D. Resting tremors ANS.A
ANS.A 174. Glucagon secretion is increased by?
166. Cause of cyanosis: A. Exercise
A. Decrease O2 in the blood B. secretin
B. Decrease Hb C. Somatostatin
C. Increase concentration of deoxy D. Fatty acid
hemoglobin E. Increase Glucose
ANS.C ANS.A
167. Secondary oocyte is surrounded by 175. Most common premalignant lesion of
corona radiate, Which of the following the skin?
layer contribute to the formation of A.Sebhorric keratosis
corona radiate? B.Intrdermal Nevus
A. Granulosa cells C.Junctional Nevus
B. Theca interna cells Ans>A
C. Theca externa cells 176. Inhibitory factor released by
ANS.A hypothalamus against which one of the
168. Gas gangrene. Cause of death? following?
A. Septecemia A. Prolactin
B. Bacteremia B.Oxytocin
C. Toxemia C. ADH
ANS.C D. Growth Hormone
169. Decreased ESR is due to increase in ANS.A
A. Fibrinogen 177. Medial lemiscus formed by
B. Plasma albumin ANS. Nucleus gracilis and cuneatus
ANS.B 178. One question about Autosomal
170. Which of the following protein binds dominant
free hemoglobin in plasma ??? A. Incomplete penetrance
A. Alpha 2 macroglobulin B. Both genes are mutated
B. Transferin C. Early presentation
C. Heptoglobin ANS. A
ANS.C 179. Patient with eyelid dropping, muscle
171. Difference between malignant and weakness, anterior mediastinal mass.
normal cells such that malignant cells What is seen?
repair the shortening of chromosome so ANS. Antibodies against acetylcholine
that they can continue dividing. Enzyme receptors
responsible? 180. After hemorrhage which will return
A. Telomerase last to normal?
B. Reverse transcriptase ANS. Red blood cells in peripheral smear
C. Isomerase 181.Hearing is best perceived at?
ANS.A Ans> Superior temporal gyrus
172. Cimetidine is not used frequently 182.Stress Hormone?
because it causes??? Ans>Cortisol
A. Decrease hepatic metabolism 183. Most common cause of gastric
B. Nausea and vomiting malignancies?
ANS.A Ans>H pylori
173. Gonorrhea can be easily diagnosed 184.After feeding the baby, diarrhea
by: develops. Cause?
A. Gram stain Ans>Gastrocolic reflex
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185. Ectoparasite? 2. Narcotic with the lowest pKa is:
Ans?Lice* a. Sufentanil
186. Pituitary mass? b. Morphine
Ans>Bitemporal hemonopia c. Fentanyl
187.One about Graft rejection.. ?? d. Meperidine
Ans>Associated with HLA Ans: B (Alfentanil > Remifentanil >
188. One was about knee jerk/When hit Morphine > Sufentanil > Fentanil >
patellar tendon?? Meperidine) Ref. Lippincott Clinical
Ans>Contraction of quadricep muscles Anesthesia, 6th ed, chp 19, page 469
189. Highest renal clearance? 3. 19 year old girl presents with history of
Ans>PAH weakness and lethargy. On examination
190. Potassium gradient inside and she is pale. Hb is 6.2g/dl MCV 62 MCHC
outside the cell is maintained by? (---reduced---). Diagnosis?
Ans> Na/K pump a. Anemia of chronic disease
191. Which cells form collagen and b. Iron deficiency anemia
amorphous substance? c. Thalassemia
Ans> Fibroblasts Ans: B
4. Pregnant lady with yellow sclera and
192. Fatal disease of a patient dark colored urine… Obstructive
A. Should not be told to the patient and his jaundice… What is the appropriate
family investigation in this patient?
B. Tell the patient and his family as soon as a. Serum glutamyltransferase
possible b. alkaline phosphatase
C. Crisp clear information should b provide c. Gamma glutamyl transferase
to the patient according to his need Ans: C
D. Should be told the relatives of that patient 5. A young boy underwent spleenectomy.
ANS.C After the procedure he gets repeated
193. One was about meningitis..MCC? infections. The most likely organism
Ans>Streptococcus (No age etc were involved is:
given) a. Streptococcus pneumonia
194. Sternum ossify at the age of? b. HemophilusInfluenzae
Ans>21 Years c. Staphylococcus aureus
Regards d. Streptococcus Pyogenes
Dr. Irshad Hussain Ans: A
Remember me in your prayers. 6. Dermatome distribution around
November 12, 2016 umbilicus is at the spinal level of
10TH NOVEMBER, 2016 a. T7
b. T12
MORNING SHIFT MEDICINE & c. T10
d. L1
ALLIED (PAPER I & II) Ans: C
1. Amount of urine excreted by a normal 7. Thoracolumbar outflow is:
adult in a day a. Sympathetic
a. 500 ml b. Parasympathetic
b. 1000 ml c. Cranial nerves
c. 3 litre Ans: A
d. 2200 ml 8. Pudendal nerve block can be given by
e. 5 litre feeling which of the following landmarks?
Ans: B here ( Normal range is 800-2000ml a. Ischial tuberosity
per 24 hrs) b. Ischial spine
Ans: B
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9. True about facial nerve 16. True about neutrophils:
a. Arises from upper part of pons a. Produced in spleen and lymph nodes
b. Lesion compresses vestibular part of b. Migrate in and out of blood
cranial nerve 8 c. Actively phagocytose microbes in plasma.
c. exits skull through foramen rotundum Ans: C
d. receives upper motor fibers from 17. History of abdominal pain, bloating,
contralateral cortex only fatigue, weakness, pallor. Stool
e. contains secretomotor fibers. examination reveals some eggs. Most
Ans: E likely organism is:??
10. levato rani muscle takes motor supply a. Ascaris lumricoides
from b. Ankylostoma duodenale
a. Pudendal nerve Ans: A (Their eggs are visible in feces
b. Iliohypogastric nerve under microscope)
Ans: A 18. An 8 month old baby boy has history
11. Cervical rib of repeated attacks of sinusitis, rhinitis,
a. compresses brachial plexus and diarrhea and 2 episodes of pneumonia.
Subclavian artery On investigations his B lymphocytes are
ans A reduced with deficiency of all types of
12. True about descending thoracic aorta immunoglobulins. Diagnosis?
a. supplies lower 8 intercostal spaces a. Isolated IgA deficiency
b. supplies pericardium, lungs and b. Common variable immunodefeciency
esophagus c. X linked agammaglobulinemia
c. pierces diaphragm at L1 and unites with Ans: C
abdominal aorta 19. Out of these, a benign tumor is
Ans: B a. Wilm’s tumor
13. Progesterone works in contraceptive b. Neuroblastoma
pills by c. Hepatoma
a. spermicidal action? d. Warthin tumor
b. induces uterine contraction Ans: D
c. inhibits ovulation 20. Secretion of gastrin is inhibited by
d. inhibits maturation of ovarian follicles a. Acetylcholine
Ans: C here (The progesterone only pills b. Somatostatin
work by thickening the mucus in the neck of Ans: B
the womb, so it is harder for sperm to 21. A man after long marathon race will
penetrate into the womb and reach an egg show blood level changes as follows
and sometimes it may also prevent a. Increase Insulin and decrease glucagon
ovulation-depends upon the type of b. increase Insulin and increase glucagon
progesterone pills) c. decrease insulin and decrease glucagon
14. Regularly placed lamella are seen on a d. decrease insulin and increase glucagon
histopathological slide. Such an e. no change
arrangement is present in Ans: D
a. Cancellous bone 22. Vitamin required for the dietary fatty
b. Compact bone acids to undergo beta oxidation in cells
c. Dentine a. Thiamine
Ans: B b. Biotin
15. When activated, C3a and C5a cause?? Ans: B
a. Vasodilation and anaphylactogenic 23. Hormone which uncouples oxidative
response. phosphorylation is:
b. cytolysis by MAC a. Growth hormone ?
c. PhagocytoseIgG coated bacteria b. Cortisol
Ans: A c. Glucagon
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d. thyroxine 30. A 20 year old gardener with
e. epinephrine symptoms of respiratory tract. Chest x-
Ans: D ray shows a 4 x 3 cm mass in Right lobe of
24. A female patient has history of the lung. Most likely diagnosis is:
thromboembolism/DVT. She is started on ans. Aspergillosis
oral anticoagulant therapy. Which test 31. A student carries a study in a
will be helpful in monitoring the effects of population comparing symptoms in
oral therapy? diseased individuals against lack of those
a. Platelet count symptoms in non-diseased people. This
b. Prothrombin time study is called
c. clotting time a. Cohort
d. activated partial thromboplastin time b. Cross sectional
e. bleeding time c. Interventional Cohort
Ans: B d. Case control
25. Patient has a lesion of the L4 nerve Ans: D
root. He will feel pain at: 32. A young farmer was working
a. Anterior upper part of thigh continuously on a sunny day for several
b. Back of thigh hours. He collapsed suddenly, labs show
c. Front of knee sodium 120 mEq/L. Reason?
d. Upper part of calf ans. Excessive sweating
e. lower calf 33. High pitch frequency in relation to
Ans: C basilar membrane strikes
26. Only nerve involved in multiple a. round window
sclerosis b. intermittently throughout the length of
a. Optic nerve basilar membrane
b. occulomotor nerve c. Base of cochlea
Ans: A d. Apex of cochlea
27. Different conditions are associated Ans: C
with different HLA types. For instance a 34. Structure affected by a mass in the
disease of the spine which leads to fusion posterior mediastinum will compress
of vertebrae i.e. Ankylosing spondylitis is a. Arch of aorta
associated with which HLA type? b. ascending aorta
a. HLA DR3 c. descending aorta
b. HLA B8 Ans: C
c. HLA B27 35. A neonate was brought to the
d. HLA DR2 emergency with history of fever, neck
e. HLA DR4 rigidity. Organism likely to be the
Ans: C causative agent:
28. A malignant tumor is seen on a. Hemophilus influenza
microscopy. It will show following b. Streptococcus Pyogenes
features: c. E. coli
a. Invasion d. Staph aureus
b. Increase nuclear cytoplasmic ratio e. Streptococcus pneumonae
c. Pleomorphism Ans: C (MCC of meningitis in new
Ans: A born/neonates is Group B strep and 2nd MC
29. Scanty Barr bodies will be present in: is E.coli)
a. Testicular feminization syndrome 36. Left shift of the hemoglobin
b. Klinefelter syndrome dissociation curve occurs due to
c. Turner syndrome a. hypothermia
Ans: C b. increase in temperature
c. acidosis
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Ans: A Ans: B
37. In a person with meningococcal 46. Which of the following statements is
meningitis and in the event of no known correct regarding middle meningeal
drug allergy the medicine preferred will artery?
be a. can be felt at pterion
ans. Penicillin G b. Enters the skull through foramen
38. cAMP is formed in the cell by the spinosum
action of Ans: B
a. Enzymes 47. Heart failure is commonly (associated
b. Receptors with/due to?) which of the following
c. Cholesterol conditions?
Ans: A a. Fibrinous pericarditis
39. Substance which induces the flow of b. Hemopericardium
saliva c. Pericardial effusion
a. Motilin d. Chylopericarditis
b.VIP Ans: A
c. Substance P 48. Main arterial supply of the
DAcetylcholine Interventricular septum is:
Ans: d a. Anterior Interventricular artery
40. Low pressure in the carotid sinus will b. Posterior Interventricular artery
cause? c. left coronary artery
ans. increase in heart rate and contractility d. left circumflex artery
41. Bleeding time is prolonged in?? e. Right coronary artery
a. Hemophilia Ans: A
b. von Willibrand disease 49. A young boy presented with a
Ans: B globular swelling in the midline of neck.
42. Atrial fibrillation shows following The swelling moved up & down with
clinical signs: swallowing. This is because the structure
ans. Pulse deficit that caused this swelling is in:
43. True about Rh blood group system, ans. Pre-tracheal fascia
Rh agglutinins 50. Histamine release causes:
a. Are absent in Rh negative mother in first a. Venodilation
pregnancy with Rh positive baby b. Vasoconstriction
b. All agglutinins are IgM variety c. Muscarinic receptor activation
c. All Rh negative people have anti Rh d. Arteriolar dilation
antibodies. Ans: A
Ans: A 51. Left recurrent laryngeal nerve is
44. Cardiac output is mainly determined related to:
by which of the following? a. Brachiocephalic trunk
a. Venous Return. b. Arch of Aorta
b. Stroke Volume. c. Azygous vein
c. Heart Rate d. Subclavian
d. EDV in the left ventricle e. Esophagus
e. ESV in the left ventricle Ans: D
Ans: A 52. Acrosome cap of the sperm is formed
45. At what point in the cardiac cycle does by which of the following organelles?
T wave appear on ECG? a. Peroxisome
a. Beginning of the refractory period. b. Golgi Bodies
b. Ventricular repolarization. c. Lysosomes
c. End of an action potential. Ans: B
d. Ventricular depolarization
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53. A patient for --- underwent liver 60. Class III anti-arrythmics include:
transplant surgery. After 5 years this a. Procainamide
patient would be at a risk of developing b. Disopyramide
a. Skin Cancer c. Flecainide
b. Lympho proliferative disorders d. Quinidine
Ans: A (In the first yr after transplant  e. Dofetilide
Lymphoproliferative disorders and After 5 Ans: E (Other drugs of this group are
yrs  Skin cancer common. Ref Bailay & Amiodarone, Ibutilide and Sotalol)
Love) 61. Why is cimetidine given before
54. One of the following fungus acts by surgery?
involvement of the Reticulo endothelial a. to decrease gastric motility
system b.to block H2 receptors
a. Histoplasma c.to decrease gastric acid secretion
b. Blastomycosis Ans: C
c. Cryptococcus 62. A patient was taking cimetidine
d. Candida &sucralfate simultaneously for GERD
Ans: A but he was advised to stop taking them
55. Characteristic feature of the both together. Why was he advised this?
cerebellar disease is: a. Cimetidine decreases absorption of
a. Shuffling gait Sucralfate
b. Ataxia b.Cimetidine increases the potency of
Ans: B sucralfate
56. Propranolol acts on: C. Cimetidine increases the levels of
a. Muscarinic receptors Sucralfate because of decrease degradation
b. Beta 1 receptors Ans: C
c. Beta 2 receptors 63. A neonate born prematurely has a
d. Alpha receptors deficiency of surfactant. She is at a risk of
Ans: B (Although it is a non-selective beta developing
blocker and acts on both B1 and B2) a. Lung hypoplasia
57. Notochord gives strength to the post b. Respiratory distress syndrome
natal adult body as it becomes one of the c. Asthma
following structures Ans: B
a. Vertebral bodies 64. Superficial temporal artery is related
b. Annulus fibrosis to which of the following nerves?
c. Nucleus pulposus ans. Auriculotemporal nerve
Ans: C 65. Nerve that supplies Trapezius muscle
58. A 2 years old child has the history of a. Radial Nerve
premature birth. He is most likely to have b. Cranial part of Accessory nerve
the followingcongenital anomaly except c. Spinal part of Accessory nerve
a. Patent ductus venosus Ans: C
b. Patent ductus arteriosus 66. Which nerve supplies the parietal &
c. Patent foramen ovale outer layer of serous pericardium?
Ans: A a. Phrenic
59. Potassium level in blood is most likely b.Vagus nerve
to be increased due to Ans: A
a. Diarrhea 67. Which of the following enzymes is
b. Spironolactone therapy involved in the transfer of radicals from
c. Metabolic Acidosis one compound to another?
d. Metabolic Alkalosis a. isomerases
Ans: C > B b. oxidoreductases
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c. transferases c. Cytoplasmic contraction bands
Ans: C d. Cell swelling
68. Which of the following is a must for Ans: C
the diagnosis of sepsis? 75. Which of these is a malignant brain
a. TLC <2000 or >15000 tumor?
b. SBP <70 mmHg a. Meningioma
c. Blood culture positive for bacteria b. Ependymoma
d. HR >120/min c. Pseudolymphoma
e. HR >100/min d. Glioma
Ans: C ( SIRS criteria is absolete now so Ans: D
ans is CC) 76. When a stimulus reaches an excitable
69. The most common cause for membrane, it causes:
formation of deep venous thrombosis is: a. Always generates action potential
a. Prolonged immobilization b. reverses the resting membrane potential
b. Protein C deficiency c. Chloride influx
Ans: A d. Potassium influx
70. Which of the following statements is Ans: B
unlikely to be true about H+ in the renal 77. True regarding a normal adult heart
tubules? is that purkinje fibers have fastest speed
a. it can bind with NH4+ of conduction. This is because these fibers
b. It can bind with HPO4- have
c. It can bind with HCO3- a. high no. of gap junctions
d. It is secreted by H+ ATPase pump b. threshold near resting membrane potential
e. It can exist as free H+ c. highest no. of intercalated discs
Ans: A ( H+ can bind with NH3+ not d. largest diameter
NH4+) e. maximum number of sodium channels
71. Granulocyte cell is: Ans: C
a. Neutrophil 78. Regarding doctor – patient
b. Platelet relationship, confidentiality of the patient
c. Lymphocyte can be breached in which scenario?
d. Monocyte a. after the death of the patient
e. Red blood cell b. for an insurance claim
Ans: A c. when the patient authorizes you
72. What will be the labs in primary Ans: C..( if u r taking USMLE then prefer B
hypothyroidism? coz insurance has got more importance in
a. Low TSH USA)
b. High TSH 79. A doctor can ensure better
c. High TSH & high T3, T4 communication with his patient by
Ans: B a. Prescribing many medications
73. Which of the following statements is b. Decorating his office beautifully
correct regarding CSF? c. Asking many questions
a. it is reabsorbed by ependymal cells d. Active listening
b. same pH & constitution as plasma Ans: D
c. Flows above dura mater 80. Which is true regarding the
d. Reabsorbed by arachnoidal villi withdrawal reflex?
Ans: D a. it is a monosynaptic reflex
74. Which of the following is the b. includes input from higher centres
characteristic feature of irreversible cell c. Multisynaptic
injury? Ans: C
a. Hydropic degeneration 81. Role of lidocaine as an anti-arrythmic
b. Clumping of nuclear chromatin drug is due to its action on?
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a. prolonging action potential b. Pyramidal cells of cerebral cortex
b. Inhibition of the generation of a new c. Purkinje cells of cerebellar cortex
potential Ans: C
Ans: B 88. Malaria is associated with?
82. Opioids cause vomiting by? a. Lymphocytosis
a. Direct activation of vomiting center b. Hemolytic anemia
b. Activating the chemoreceptor trigger zone c. Thrombocytosis
Ans: B Ans: B
83. A chronic smoker is working in tire 89. An old lady has 5 years history of
factory for (>10 years) develops fatigue. Investigations reveal Hb = 12
hematuria. A diagnosis of transitional cell g/dl, MCV = 120. Bilirubin = 12, AST =
carcinoma is made on histology. Which 70, ALT = 80.Haptoglobin = 80. Cause of
carcinogen led to the development of this her lethargy is?
cancer in him? a. Iron deficiency anemia
a. Nicotine b. Megaloblastic anemia
b. Nitrates & Nitrites c. Hepatitis C
c. Aromatic Amines Ans: B
d. Aniline dyes 90. A 9 year old boy presents to you with
e. Smoking the history of yellow sclera & dark colored
Ans: E (Tar in cigarette smoke causes urine. Most appropriate investigation would
cancer while nicotine doesn’t cause cancer, be?
it is an addictive agent which may keep you a. SGPT
smoking.) b. SGOT
84. A patient underwent surgery for c. Bilirubin
mitral valve replacement. After 8-12 d. SGPT & bilirubin
months of the surgery, she develops Ans: D
complains of pallor & dark colored urine. 91. On antero-posterior view of chest
What is the likely cause? radiograph, the sternocostal surface of
a. Anemia of chronic disease heart is made of:
b. Iron deficiency anemia a. Right atrium
c. Infective endocarditis b. Right ventricle
d. Microangiopathic hemolytic anemia c. Left ventricle
Ans: D d. Left atrium
85. Regarding black water fever, the Ans: B
correct statement is: 92. An old man developed severe chest
ansz. associated with falciparum malaria pain in an event & died in a few minutes.
86. A young patient presents to you with Cause of death was established to be
fever, neck rigidity. Diagnosis of dissecting aortic aneurysm. The autopsy
meningitis is made. Gram stain of CSF finding in this man would be:
reveals pus cells & cocci. Likely organism ans.Medial necrosis
is: 93. Which structure passes in front of the
a. Streptococcus pneumonia root of Right lung?
b. Streptococcus Pyogenes a. Azygous vein
c. Neisseria meningitides b. Hemiazygous
d. Staphylococcus Aureus c. Phrenic Nerve
Ans: A Ans: A
87. The strongest inhibitory signals in 94. A 12 year old child has dwarfism due
central nervous system come from which to short limbs & normal height of the
neurons? trunk. There are no signs or symptoms
a. Substantia nigra suggestive of mental retardation. Pattern
of development of dwarfism in this child
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would have been: 101. The distinctive arrangement of
a. Autosomal dominant inheritance collagen fibers in the skin is
b. Autosomal recessive inheritance predominantly found in
c. X linked dominant a. Reticular layer
d. X linked recessive b. Dermis
e. Not inherited c. Hypodermis
Ans: A (Achondrioplasia) d. Papillary Layer
95. Linear growth of the body will be e. Epidermis
affected by a fracture of the bone that Ans: B
passes through: 102. Which vaccine shall be given to the
a. Epiphyseal plate patient who has undergone
b. Metaphysis spleenectomy?
c. Diaphysis a. H. influenzae
d. Epiphyseal line b. Hepatitis B
Ans: A c. Streptococcal
96. A diagnosis of malignant melanoma is d. Pneumococcal
made on a patient. The first line cells Ans: D
which fight this tumor are: 103. During quite breathing, the
a. Monocytes expenditure out of total body energy is:
b. B cells a. 1%
c. Macrophages b. 5%
c. 10%
d. Cytotoxic Lymphocytes d. 15%
e. NK cells e. 20%
Ans: E Ans: B
97. Athetosis is 104. Most appropriate statement
a. due to defect in chromosome 4 regarding middle meningeal artery
B. slow continuous writhing movements a. can be located at the pterion
c. Jerky movements b. Is commonly involved in the extradural
Ans: B hematoma
98. Thrombocytopenia develops in a child c. Leaves impression on skull through its
who has suffered an acute viral infection course
recently. The cause of low platelet count d. Enters skull through foramen spinosum
would be: Ans: D
a.Platelets were consumed during the 105. After suffering head trauma, patient
infection is being examined. Pulsations appear in
b. antibodies are formed against platelets the orbit with heartbeat, this
Ans: B phenomenon is due to relation of:
99. Which of the following amino acids is a. Cavernous sinus & ICA
not formed in the body & has to be taken b. cavernous sinus & ECA
in diet? c. ophthalmic nerve & ophthalmic artery
a. Phenylalanine d. cavernous sinus & optic artery
b. alanine e. ICA & ophthalmic nerve
c. tyrosine Ans: A ( Ref. Snell Neuroanatomy)
d. glycine 106. Old man has a history of stroke.
Ans: A Later he develops reduced motivation &
100. Shaft of hair is mainly composed of depression. He has a lesion in
a. Stratum corneum a. Basal Ganglia
b. Stratum basale b. temporal lobe
c. Corneum &basale c. parietal lobe
d. Cortex of hair d. occipital lobe
Ans: D e. frontal lobe
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Ans: E premalignant condition:
107. Which of the following tracts is a. Solar keratosis of skin
involved in carrying out finely controlled b. Nodular hyperplasia of liver
point to pint movements by a miniature c. Pneumonia
artist? d. Bronchial asthma
a. Cortico-spinal tract Ans: A ( aka actinic keratosis)
b. Cortico-rubro-spinal tract 114. Characteristic feature of
c. Vestibulo-spinal tract malignancy?
d. Cerebello-spinal tract a. Invasion
e.olivo-pontine tract b. Vascularity
Ans: A c. Pleomorphism
108. Left half of pons is related to d. Increase nuclear-cytoplasmic ratio
a. left olivary nucleus & Ans: A
b. left cerebellar hemisphere & right basal 115. Diagnostic feature of a dead cell is:
ganglia a. Pyknosis of nucleus
c. right cerebellar hemisphere & left basal b. Karyorrhexis
ganglia c. Karyolysis
d. anterior vestibular nuclei d. Cell shrinkage
e. right cortical tract & left olivary nucleus e. Hydropic change
Ans: E Ans: A
109. Anterior & posterior spinal arteries 116. GFR in a normal adult male is:
are the branches of: a. 90
a. PICA & vertebral arteries respectively b. 125
b. AICA & vertebral arteries respectively c. 300
c. ICA & vertebral arteries respectively Ans: GFR over
d. vertebral & posterior cerebral arteries 90mls/min/1.73m2 is normal.
respectively 117. “foot drop” is due to injury of:
Ans: A ( Ref. RJ Last) a. common peroneal nerve
110. Maximum percentage of carbon b. deep peroneal nerve
dioxide in the blood is found as Ans: A
a. Bicarbonate 118. Right suprarenal vein drains into:
b. Carbaminohemoglobin a. IVC
c. Carboxyhemoglobin b. Right renal vein
Ans: A c. Right hepatic vein
111. Inhibitors of carbonic anhydrase will Ans: A
cause: 119. Which of the following is absorbed in
a. Reduced urine ileum? (bile wasn’t in the options)
b. Increased formation & reabsorption of a. fatty acids
HCO3- b. vitamin B12
c. Acidosis c. amino acids
d. Decreased Potassium d. water
e. Increase pH Ans: B
Ans: C 120. After successfully performing two
112. Surfactant deficiency causes adrenalectomies (removal of the adrenal
respiratory distress. It was either “due gland), the surgical resident was
to” or “because normal action of disappointed to learn that he would be
surfactant is” merely assisting at the next one. The chief
a. Decrease alveolar pressure of surgery told him: "I'm doing this one,
b. Role in immunity since the one on the right side may be a
c.. Reduce surface tension over alveoli little too difficult for you." The difficulty
Ans: C he envisioned stems from the fact that the
113. One of the following is a right suprarenal gland is partly overlain
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anteriorly by the: 127. Lymphatic drainage of the lower lip
A. aorta is into
B. inferior vena cava a. Jugulo digastric nodes
C. left hepatic vein b. Submental& submandibular nodes
D. right crus of the diaphragm c. Submandibular &Jugulo-digastric nodes
E. right renal artery d. Parotid nodes
Ans: B e.Submandibular nodes
121. True statement regarding kidneys is: Ans: B ( Central part of the lower lip drains
a. is wrapped in a fascial sheath alongwith into submental while remaining into
its adrenal gland submandibular nodes)
b. Hilum is at the level of L4 128. True about the sensation of taste:
c. pelvis of ureter lies between the renal a. salty taste is perceived at the lateral aspect
artery & renal vein at the hilum. of tongue
d. related posteriorly to ribs b. adapts within seconds
Ans: A (Ref RJ Last) c. is a chemical sensation
122. Diameter of bronchi & bronchioles Ans: A
is: a. person ascends > 1500 feet
a. mainly under the control of sympathetic b. expiration to residual volume
nervous system c. moderate exercise
b. under muscarinic control d. inspiration to total lung capacity
c. narrowed due to local stimuli Ans: C (Ref. Guyton)
Ans: A
123. Which of the following tumors of 130. True statement about the
CNS is caused by radiation? physiological dead space is:
a. Glioma a. Is not diffusion dependent.
b. Meningioma b. is equal to anatomical dead space in a
c. Lymphoma normal adult
d. Ependymoma c. does not include anatomical dead space
Ans: B d. Decreases with exercise
124. Weil felix test is done for the Ans: B
identification of? 131. First part of duodenum is posteriorly
a. Klebsiella related to:
b. Rickettsia a. Gastroduodenal artery
c. Pseudomonas b. Hepatic artery
ANs: B c. Gastric artery
125. A patient has irregularly irregular Ans: A
pulse on examination. ECG shows many 132. During pregnancy, obliteration of
abrupt P waves & the QRS complexes uterine cavity occurs due to fusion of:
occur irregularly. What is the diagnosis? A. Amnion & decidua capsularis
a. Ventricular fibrillation b. Decidua Parietalis& decidua capsularis
b. WPW syndrome c. Chorion& amnion
c. Atrial fibrillation d. Decidua basale& Capsularis
d. Atrial flutter Ans: B
e. Ventricular tachycardia 133. A drug is given by error that causes
Ans: C further increase in calcium level in blood.
126. Best index of preload is: The drug is:
a. Pulmonary artery wedge pressure a. Loop diuretic
b. Central venous (pressure/volume) b. Thiazide diuretic
c. EDV in left ventricle c. Calcitonin
d. ESV in left ventricle d. Etodine
Ans: C (LVEDV) Ans: B (Thiazide diuretics cause
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Hypercalcemia while Loop diuretics are d. Deep peroneal nerve
used in Hyperclacemia) e. Tibial nerve
134. Which of the following substance is Ans: D
more concentrated at the end of proximal 140. A 50 years old man who has previous
convulated tubule as compared to history of diabetic retinopathy & MI
beginning of proximal tubules? presented with chest pain… coronary
a. bicarbonate occlusion occurs commonly due to:
b. glucose a. Vasospasm
c. calcium b. Embolism
d. sodium c. Stasis of blood
e. creatinine d.Hypercoagulable state
Ans: E (because no reabsorption of e. Thrombosis
creatinine occur in PCT but others occur Ans: E
along with water so creat conc increases) 141. A 25 year old man presented with the
135. Eosinophilia is likely to occur in: complaint of post prandial bloating &
a. Leishmaniasis abdominal cramping. He has history of
b. Atopy passing foul smelling stool. Which
c. Hodgkin’s lymphoma investigation will give us multiple
Ans: C information regarding the problem?
136. True about laxatives a. Stool C & S
a. Lactulose is digested by gut bacteria b. Stool DR
b. Ispaghol husk is bulk forming laxative c. Serum lipid profile
c. Senna stimulates GI within 30 minutes d. Ultrasound abdomen
d. Lactulose is a sugar Ans: B (Stool R/E)
e. Excessive use can lead to metabolic 142. A young girl (15-25 years) develops
alkalosis & colonic atony rash on cheeks & nose when she goes in
Ans: B sun. There is no other complaint & the
137. A young boy has complaint of rash subsides when she is indoors. Biopsy
diarrhea & abdominal bloating. Stool of the skin reveals IgG deposits in the
examination shows rod shaped bacteria rash but the surrounding skin is normal.
that are slightly curved. Organism Serum ANA is negative. Most probable
involved is: diagnosis is:
a. Salmonella a. Discoid lupus
b. Shigella b. SLE
c. E coli c. Progressive systemic sclerosis
d. Campylobacter jejuni d. Contact dermatitis
Ans: D Ans: A
138. 50 years old diabetic woman 143. 45 years old lady developed
complains of abdominal bloating after pericardial effusion & pleural effusion.
meals. A diagnosis of diabetic Effusion fluid was examined & it turned
gastroparesis is made. What is the best out to be Transudative. (Normal baseline
treatment for her symptoms? investigations)… Anti-DS titer was 1:560.
a. Antacids Urine nitrogen was > 55. (Renal) biopsy
b. Loperamide will show:
c. Omeprazole a. Amyloidosis
d. Metochlopramide b. anti-GBM antibodies
Ans: D c. Glomerular deposits
139. Anterior tibial artery runs inferiorly d. Immune complex deposition
down the leg along with e. Chronic Vasculitis
a. Medial plantar nerve Ans: D
b. Lateral plantar nerve 144. When a person encounters an
c. Sural nerve obnoxious stimulus, he reflexively
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withdraws his limbs & body away from 150. During which stage of sleep do theta
the stimulus. Most appropriate statement waves appear on the EEG?
regarding this reflex is: a. Stage I
a. is monosynaptic b. Stage II
b. is absent in lower animals c. REM
c. Remains for many months after complete d. Stage III
cord transection e. Stage IV & V
d. weak stimulus prolongs it Ans: A
e. is a superficial reflex 151. A middle aged man came back from
Ans: C Cairo & developed painless hematuria…
145. 70 years old man presents with Likely diagnosis is?
myalgia, rash & arthralgia. Joints a. Squamous cell carcinoma of the urinary
examination reveal no abnormality. bladder
Motor power is 5/5 . ANA is positive with b. Transitional cell carcinoma of the urinary
speckeled appearance. If anti- bladder
ribonucleoprotein RNP is also positive c. Transitional cell carcinoma of the prostate
then the diagnosis is Ans: A ( Cairo is the capital of Egypt and is
a. Mixed connective tissue disorder endemic for schistosomiasis which causes
b. Dermatomyositis SCC of the urinary bladder)
c. SLE 152. Difference between primary &
d. Polymyositis secondary intention wound healing is?
Ans: A ans. Contraction of myoblast
146. During last seven months of 153. Feature of primary shock is
pregnancy, estrogen and progesterone are a.hypovolemia
secreted by 2.? b.bradycardia
ans. placenta c. tachycardia
147. A patient with history of chronic d. initial hypertension
liver disease is brought to the emergency e. lower peripheral vascular resistance
with the complaint of upper GI bleeding. Ans: C
Drug of choice in the emergency is: 154. Total peripheral resistance is
a. Octreotide determined by?
b. Vitamin K infusion a. Venous compliance
c. Tranexamic acid b. Vasomotor tone
Ans: A Ans: B
148. Hypoglossal i.e. CN XII injury on the 155. Acute inflammation is
right side will cause a. Local response of the tissue
a. Left tongue paralysis with atrophy b. Systemic response
b. Left tongue paralysis without atrophy Ans: A
c. Right tongue paralysis with atrophy 156. A young boy was playing in the
d. Right tongue paralysis without atrophy ground. He fell down & got abrasions on
Ans: C the knee. Important local response will
149. True regarding sperms of men above be:
70 years of age a. Chemotaxis
a. are asthenospermic b. Platelet plug formation
b. many lack forward progressive motility c. Vasoconstriction
c. count ">" (some figure) as they are Ans: C
oligospermic 157. Most immediate step that occurs in
d. reduced quantity of semen because their the scenario of bleeding is:
seminal vesicles atrophy a. vasoconstriction
e. can fertilize ovum b. increase tissue permeability
Ans: A c. drop in blood pressure
Ans: A
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158. Triple assessment for congenital fetal b. Malignancy
anomalies include one of the following: Ans: B
a. Estradione E2 166. A young girl has history of SOB &
b. Estrione E1 wheezing. Investigations reveal C1
c. Estriol E3 deficiency & she lacks an esterase
Ans: C required by the body. Most likely
159. Important cause of epithelial diagnosis is:
metaplasia is: a. Angioedema
a. Ultraviolet rays b. Myeloperoxidase deficiency
b. Gamma radiation c. SLE
c. Chronic irritation 167. Which of the following structures
Ans: C cannot regenerate?
160. One of the following drugs is found a. Lens
to play a beneficial role in subarachnoid b. Skin
hemorrhage c. Intestinal mucosa
a. Propranolol Ans: A
b. Nifedipine 168. Regarding Anti-tuberculosis therapy,
c. Verapamil correct statement is:
d. Nimodipine a. . INH produces adverse effects that can be
e. Labetalol reversed with pyridoxine
Ans: D 169. Pulse pressure is determined by
161. Carbon laden macrophages develop (confusing options)
in a. Mean arterial pressure – central venous
a. Silicosis pressure
b. Pneumoconiosis b. Stroke volume
c. Anthracosis Ans: B
d. Asbestosis 170. A man injured his wrist by falling
Ans: C (Ref Goljan) with outstretched hand over pieces of
162. Characteristic of TB granuloma is: broken glass. Which structures of the
a. non- caseating wrist will be damaged that run superficial
b. caseation to flexor retinaculum?
c. cavitation a. Ulnar nerve & artery
Ans: B b. Flexor digitorumprofundus
163. Temperature center of the body is c. Median nerve &?
located in d. Ulnar & flexor digitorumsuperficialis
a. Hippocampus Ans: A
b. Hypothalamus 171. true about conjoint tendon:
Ans: B a. formed by fused aponeuroses of internal
164. Severe dehydration will bring about oblique &transversus muscles
following change: b. Forms medial most fibers of inguinal
a. Total body water will decrease ligament
b. Only ECF will decrease c. prevents indirect inguinal hernia
c. Only ICF will decrease Ans: A ( Ref RJ Last)
d. Systolic BP will rise 172. Which of these statements is correct
e. Heart rate will decrease about triglycerides?
Ans: A a. are carried by lipoproteins
165. Unilateral undescended testes should b. contain fatty acids attached to glucose
be placed in the scrotum surgically Ans: A
because if not corrected & left in the 173. In the chest wall, neurovascular
abdomen, it can lead to: bundle lies between:
a. Infertility a. External & internal intercostal muscles
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b. Internal & innermost intercostal muscles 182. True about the features of JVP:
Ans: B a. ‘a’ wave occurs during ventricular systole
174. Adult hemoglobin is composed of: b. ‘c’ wave occurs during atrial systole
a. 2 alpha & 2 gamma chains c. ‘a’ waves appear as giant
b. 2 beta & 2 gamma chains Ans: C ( Read the full topic, Very Imp)
c. 2 alpha & 2 beta chains 184. Increase in bleeding time. Probable
d. 2 alpha & 2 delta chains diagnosis?
Ans: C a. von Willibrand disease
175. Which of the following structures b. Christmas disease
prevents flow of unwanted substances c. Hemophilia A
between cells? d. Vitamin K deficiency
a. Tight junctions Ans: A
b. Gap junctions 185. Pregnant lady gets pain, swelling &
c. Desmosomes redness in the left leg. Which drug should
Ans: A be prescribed to prevent the adverse
176. (History of TB, ATT & some eye complications?
signs. Drug involved was asked) a. Aspirin
a. Streptomycin b. Clopidogrel
b. Ethambutol c. Warfarin
c. INH d. Heparin
d. Pyrizinamide Ans: D (IV Heparin)
e. Rifampicin 186. A young boy has history of painful
Ans: B burning micturition. Urine contains pus
177. (Something about the most beneficial cells& few epithelial cells. What further
drug in the event of acute coronary investigation will you advise?
syndrome) a. Urine culture
a. Heparin b. Urinalysis
b. Warfarin c. Serum unconjugated bilirubin
c. Aspirin Ans: B
d. Streptokinase 187. During wound healing, collagen is
e. Atorvastatin laid down. The process that goes on
Ans: C within the cell includes:
178. A tumor that contains all germ layers a. Laminin
is: b. Collagen
a. Teratoma c. Fibronectin
179. Radial Nerve supplies which of the d. Tyrosine kinase
following muscles: Ans>Controversial
a. Biceps brachii PAPER - I MEDICINE & ALLIED
b. Triceps
c. Flexor digitorumprofundus 10 NOVEMBER 2016 EVENING
d. Palmaris longus 1. Potassium is mainly regulated by -
Ans: B Aldosterone.
180. Prolonged use of corticosteroids lead 2. Tip of scapula at level – T7.
to: 3. Oblique fissure of the lung at level - T3 to
a. Neutrophilia T6 Costochondral.
b. Lymphopenia 4. Decussating of medial lemniscuses -
c. Eosinopenia Internal Arcuate Fibers.
d. Thrombocytopenia 5. Superficial temporal artery relation with
Ans: A which nerve - Auriculotemporal nerve.
181. What happens in a patient suffering 6. Correct about Thyroid gland - lymph
from HIV? drainage to deep cervical lymph nodes.
a. Decrease in helper T lymphocytes
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7. Anemic hypoxia occur in – 31. Diabetic nephropathy investigation -
Methemoglobulenemia. Urine albumin.
8. In cerebral circulation brain arteries do 32. Young boy with generalized edema and
not anastomise - once entered in the proteinuria - Lesion of basement
brain subtance membrane.
9. Phase 1 of transformation of drug 33. Lesion of parasympathetic system
metabolism – Oxidation. affects mostly - GI muscles.
10. Standard deviation shows - Variability 34. Stress hormone of our body - ACTH.
of individual observation. 35. S2 sound heard on - Closure of aortic
11. Counseling in patients is - To help and pulmonary valve.
themselves. 36. A patient with history hemorrhage
12. A young girl who is going to die and (trauma) receives a bag stored for 2 weeks
asks you “Am I going to die?” Doctor mainly contains – RBCs.
response should be – “What your 37. Due to inspiration – Decreased negative
parents have told you?” intrapleural pressure.
13. In whole wheat – Thiamine. 38. Important buffer of blood - HCO3-
14. Cholesterol enriched diet – Egg 39. Max increase in ECF due to infusion of -
15. 1g protein gives energy – 4 kcalories Hypertonic NaCl.
16. Organelle where protein combines with 40. Auscultation of tricuspid valve best
carbohydrates, packed and released - Golgi heard at – Right lower end of the body of
complex. sternum.
17. Correct about DNA – Euchromatin is 41. GVE vagus nerve for preganglionic fiber
transcriptionally active. arises from – Dorsal nucleus.
18. ADPKD associated with – ) Cerebral 42. Thorn prick in left lower limb caused
haemorrhage abscess - Staph aureus.
19. Cause of delay in healing – Infections. 43. Diabetic female after abdominal surgery;
20. PaO2 decreased, PCO2 increased, dyspnea and cough - Pulmonary embolism.
hydrogen ion increased; manifestation- 44. MCC of pulmonary embolism – DVT.
Hypoventilation. 45. Typhoid fever 1st week test – Blood
21. PCO2 31, HCO3 19, pH increased culture
(Metabolic alkalosis scenario) - 46. Typhoid fever 2nd week test – Blood
Hyperventilation culture and Widal test.
22. Person with tachycardia, and heat 47. Typical feature of falciparum - Black
intolerance with low level of TSH, on giving water fever.
TRH; level of TSH and thyroid hormones 48. Alcoholic patient with deranged LFTs;
increases. Diagnosis – Hyperthyroidism on biopsy – Mallory bodies.
with thyroid problem. 49. Councilman bodies seen in – Apoptosis.
23. Origin of oxytocin and ADH – 50. Natural self-defense against tumors –
Hypothalamus. Apoptosis.
24. Difference between systemic and 51. P53 gene absent results in - cell
pulmonary circulation - Low resistance in survival.
pulmonary circulation. 52. Pain mediator - Bradykinins.
25. Mean systemic filling pressure is 53. Metaplasia – Functional change in
regulated by - Venous return. cells.
26. Systolic pressure is directly related to 54. Female with infection of HPV, comes
which one of the following – Renin. after 2 years, Pap smear shows prominent
27. ADH responds to – Osmolarity. nucleoli and increased nucleus
28. Osmoreceptors – ADH. size – Dysplasia.
29. Right border of heart on X-ray also 55. Gas exchange occur - Simple squamous
visible a part of – SVC. epithelial layer.
30. In MI sensitive cardio marker –
Tropinin T.
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56. Patient with granulomatous disease, 80. Genetically true hermaphrodite –
biopsy done. Microscopic finding that XX/XY.
suggests TB – Epitheloid cells. 81. DNA replication occur in – Interphase.
57. The spindle fibers will decrease in 82. Glycogenolysis caused by deficiency of
discharge of impulses when - Muscle which hormone - Insulin
contracts (vs) When efferent gamma 83. Investigation for liver amoebic abscess –
discharge occur -muscle contracts Serology.
58. Diagnosis for leprosy, initial 84. Adult female with breast atrophy due to
investigation - Nasal scrapping. dec. in - Estrogen and progesterone
59. Benign neoplasm – Adenoma. 85. Child with yellow sclera and coloured
60. 3 germ layers tumor – Teratoma. urine, best investigation - Bilirubin & ALT
61. When adrenalin release from medulla, 86. Patient with all symptoms of cushing
causes vasodilation by acting on - Beta 2 with increased ACTH cause- Cushing
adrenergic receptors. Disease
62. Increased GFR and increased plasma 87.Typical symptom of food intoxication by
flow occur due to - Dilation of afferent Clostridium Botulinum - Flaccid paralysis
arteriole. 88. If left circumflex artery occluded -
63. Charateristic of cerebellar lesion - Infarction of left atrium and left ventricle.
Dymetria 89. MCC of multiple fractures in adult –
64. Emax of a drug depends on – Efficacy Osteoporosis.
65. Study in which every person of a 90. Patient with fracture of many bones and
population has equal chances of being low BP immediate treatment - Volume
selected – Random sampling. replacement.
66. Amniocenthesis is done - After 14th 91. Most common fracture of long bone -
weeks. Tibia.
67. 1st response against acute inflammation 92. Collagen fibers –lightly stained with
in tissue – Macrophages. Eosin
68. In dark granules containing cells; IgE 93. Gamma efferent supply to – Intrafusal
attaches to – Basophils. muscle spindles..
69. Opsonization - C3b. 94. Isotonic and isometric contraction
70. Exudate - more than 3g of proteins. difference is that isotonic contraction –
71. About active transport of drug all are consumes more phosphate bond.
true except - All drugs pass via active 95. Autonomic nervous system –
transport. parasympathetic increase salivary secretion.
72. Pulmonary artery supply to – Alveoli. 96. Protrusion of mandible – Lateral
73. Muscles of back innervated by - Dorsal pterygoid
rami. 97. peroxisome made from --------------->
74. In young boy dyspnea produced on lying SER
- Retrosternal goiter. 98 clot retraction is mediated by --------------
75. Most important cause of bronchogenic ---> Thrombosthenin
cancer – Smoking. PAPER II MEDICINE & ALLIED
76. Edema caused by - Increased
hydrostatic pressure. 10 NOVEMBER 2016 EVENING
77. Edema caused by - Lymphatic 1. Acute warfarin toxicity immediately
blockage. treated with –
78. BP 210/180mmHg and creatinine 8% a. FFP
damaged part – Juxtaglomerular b.Vit k
apparatus. Ans A
79. Female with blood group A, have 2 2. Patient unable to supinate forearm,
children one with O and other with AB, injury to:
blood group of father is –B A.Radial nerve
B. Median Nerve,
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C. Musculoskletal and Radial nerve D. sufentanyl
D. Ulnar Nerve E. Alfentanyl
Ans c Ans b
3. Thumb plus Deltoid Plus Bicep tendon 10 About fetal Heart:
affected, Nerve root: A. Foramen ovale blood regurgitate from
a. C4 left atrium to right atrium
b. C5 B. Oxygenated blood comes from Arteries
c. C5,6 like that
d. C6 C. Majority blood through truncus arteriosus
ans c from pulmonary trunk to aorta
4. Back Muscles Supplied By D. large Muscular and small membranous
A Dorsal primary Rami interventricular septum
B ventral primary Rami Ans d
Ans a 11 A young Boy with dyspnea on lying
5. During Inspiration, there is decerease down
in A Retrosternal goiter
A arterial Plus volume , B multinodular goiter
B. Heart rate , C colloid goiter
C- Negative Intrapleural pressure Ans a
Ans c 12 How to differentiate between
6 Woman with respiratory symptoms that obstructive lung disease and restrictive
improve on her vacations, lung disease
bronchoplumonary biopsy shows increase A. Fev1/FVC
in lymphocytes, some esosinophils and B PFFR
nuetrophils, also allergic alveolitis and C FEv
some hilar nodes, what will be the history Ans a
findings 13 Anterior Intercostal arteries are
a. she crack cocain Branches of:
b. She has pigeons/parrots in basement A. Posterior thoracic arteries
c. tobacco smoke B. internal thoracic arteries
d. house has lead composition Ans B
ans b 14 In anesthesized patient most common
7 Woman goes to Sunlight, Malar rash nerve damage:
appears with proteinuria, hematuria ( A. femoral Nerve
SLE case), what other finding you will see B. Sural Nerve
in this patient: C. Common peroneal Nerve
A. glomerulonephritis D. Obturator Nerve
b. Pericarditis Ans C
C. Pulmonary fibrosis 15. Thoracic duct passes through
Ans A A Aortic Opening in diaphragm
8. Creatinine Clearance when urinary B inferior vena caval opening
[]=196mg/ml , Urine flow rate = 1ml/min C esophageal opening
& Plasma [] = 1.4mg/ml Ans a
A 140 16. The slow growing Tumor:
B 1.96 A. papillary ca
C 125 B. Medullary ca
Ans a C. Follicular ca
9 MAO inhobitors cause fatal excitation Ans a
with which Opioid : 17. Pathogenesis of Diphtheria
A. morphine a Exotoxin
B. Pethidine b enterotoxin
C. fentanyl , c endotoxemia
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ans a B. Aldosterone
18. Reinfection with what causes Fever C. testosterone
and Hemorrhagic manifestations: D. Cortisone
A. CMV E. Androtendione
B. Meseals Ans a
C. Dengue 29. A diagnosis of Complete hyadatiform
D. Mumps mole is done what further to know more:
Ans c A. triploid like 2 ovum 1 sperm
19. Only helminth that spreads through B moderate HCG
Mosquito Bite C genotype. 46xx parental origin
a Filariasis Ans b
b ascariasis 30. Mid-leuteal Hormone increase
c ochronosis A. LH
ans a B. FSH
20 .Ingestion Eggs of what Causes C. estrogen
Cystecercosis D. Progesterone
A. Taenia Solium E. Estrogen + progesterone
B. T. Saginata Ans d
Ans a 31. Hypotension due to Benzodiazepenes
21 IV Drug Abuser : with given in
A. Infective endocarditis A. Diabetic
B. Limb sacks Endocarditis B. Hypovolemia
Ans a C. Old age > 65
22. T4 in the blood Mostly binds with D. Pregnancy
which plasma protien Ans b
A TBG 32. Afferent of Carotid Sinus:
B thyroglobulin A. Vagus Nerve
Ans a B. Glosopharyngeal Nerve
23. Merkel Diverticulum C. acessay Nerve
Ans 2 feet from ileocecal Valve Ans b
33. Hypersensitivity reaction in hydrops
24. ALT raised with fever and malaise fetals
A Viral Hepatitis a type 2
B alcoholic hepatitis b type 3
Ans a c type 4
25. Bile salts Absorb in: ans a
A. Ileum 34. Acute treatment of acture severe
B. Stomach Ulcerative colitis:
C. Jejunum A. Methotrexate
D. Ascending Colon B. Sulphasalazine C.
Ans A c IV Hydrocortisone
26. Drug , 1st order reaction like that D. Azathioprine
A. Oral Ans c
B. IV 35. Trochlear Nerve damage will cause:
C. I.M A. Loss of upward gaze and adduction
Ans a B. Loss of downward gaze and abduction
27. FRC : c. Loss of downward gaze and adduction
A. ERV + RV d. loss of lateral gaze
B. Cant be measured by spirometer ans b
Ans a 36. Most effective disease modifying agent
28. Not secreted from zona Reticularis in Rheumatic Arthritis
A. cortisol A. Azathoprine
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B. Methotrexate B. Sideroblastic Anemia
C. Cyclophosphamide C. Sicklemia
Ans B D. Thalasemic Trait
37. A boy with respiratory and GIT Ana d
infections with normal lymphocytes but 48 QRS complex
decrease or absent plasma cells: A Ventricular Depolarization
A. Isolated IgA Def B ventricular repplarization
B. Common variable immunodeficiency Ans a
c. DeGorge 49. Feeding Centre Located In
ans b : A. Temporal
38. Patient works in a mine with all B Lateral hypothalamus
symptoms of TB : Ans b
A Asbestosis 50. A patient with Pleural Effusion on
standing u will see effusion in:
B. Silicosis A costodiaphragmatic recess
Ans c B. Cardiac Notch
39. Brunner Glands present in C. Oblique fissure
A submucosa of Duedenum D. Horizental Fissure
B ileum Ans a
Ans a 51 Pernicious Anemia dx :
40. H2 Blocker is A antismith antibodies
A Cimetidine B. Antinuclear antibodies
B metronidazole C. Anti intrinsic factor antibodies
C carbimazole Ans c
Ans a 52. Palmar Arch Innervation :
41. Rx of Nausea and Vomiting: A. Median Nerve
A. H1 Blockers Only B. Deep branch radial
B. Steroides C. Deep branch ulnar .
C. Metochlorpomide is less effective in D Superficial Ulnar
cytotoxic induced emesis as compared to Ans c
Ondasterone 53. Surfacant :
Ans c A. Secreted after 36th week
44. Chenoxycholic acid decrease turnover B. Colesterol
in: C Dec. surface tension of water in alveoli
A. Cholesteryamine ans c
B. ileal resection 54. Zollinger Ellison Syndrome :
Ans b A. Dec. gastrin
45. Blood Transfusion : B. increase Insulin
A. Hep C C. Peptic ulcer disease
B. HIV Ans C
c Hep B 55. Truncal vagotomy will cause:
ans b A. Gastrin secretion augmented
46. Abscess of tracheal area and deep B. HCl Secretion augmented
investing layer drains into: C. Delay gastric emptying
A. Retropharyngeal space Ans C
B. In thorax cavity anterior to precordium 56. Parasympathetic Action of vagus on
C. at mid of sternal manubrium SA node due to :
Ans a A. Potassium
47. Female 16 week pregnant with Hb 8, B. Calcium
MCH & MCV Low, HbA=96% C. Sodium
HbA2=4%: D. Potassium and Sodium
A. Iron deficiency anemia Ans a
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57. “ A” Wave A. prerthroblast
A Atrial Depolarization B. early Normoblast
Ans A C. Intermediate Normoblast
56. Postural Tone of antigravity Muscles D. late Normoblast
is maintained by constant stimulus by: E. reticylocyte
A. Cerebellum Purkinji fibers Ans d
B. Cortocospinal fibers 63. Hormone have short half life in blood
C. Lateral vestibular fibers A. Aldosterone
D. Fibers of Red Nucleaus B. LH
Ans d C. Fsh
57. Oral propanolol contraindicated In D. Testosterone
: A. Asthma E. GnRH
B. HTN Ans e
Ans a 64. Regarding testosterone :
56. 2 year Boy from AZAD kashmir with A. regulated by FSH
failure to thrive for 6 month comes with B. has receptors on membrane
Hepatosplenomegaly and pallor, plus C. Decend testis inlate fetal life
pancytopenia and ESR 80, dx D abundentaly secreted by adrenal cortex
A. Visceral Lesihmaniasis Ans c
B. Gaucher disease 65 cortical oocyte release :
C. A.L.L A. Lh
Ans a B. FSH
57. Structure that connects Hipocampus C. Progesterone
to hypothalamus : D. Estrogen
A. Fornix E. Act as lysosomal vesicle
B. Amygdala Ans e
c. Sria Terminalis 66. Cornea Innervation
D. Superachiasmatic : A. Optic Nerve
Ans a B. Abducen Nerve
58 Patient with HTN preoperative drug . C. Occulmotor Nerve
decrease BP rapidly D. Tochlear Nerve
A. Hyralazine E. Trigeminal Nerve
B. Metoprolol Ans e
C. Glyverl Trinitrate 67 Patient with problem in posterior
D. Nicardipin tongue taste and in elevation of shoulders,
Ans a these affected nerves pass through:
59. Digoxin effect increased by: A. foramen rotundum
A. K _ Loosing diuretics B. formen ovale
B. Hypocalcemia C. foramen spinosum
Ans a D. Jugular Foramen
60. V/ Q Increase Ans D (hint acessary nerve is damaged)
: A. inadequate Ventilation 68. A 32 year old patient with fever 100
B. Increase dead space fh, dry cough, joint pain WBCs 7.5 with
C. Change in composition of alveolar gas 70% neutrophils, cause :
Ans c A. Strep. Pneumoniae
61. A obstructed labour will damage in B. Stap. Aureus
Pelvic Diaphragm structure: C. Mycoplasma Pneumoniae
A. Lavator ani Ans c
B Sphincter urethae 69. small saphenous vein runs along with
C anal sphincter :
Ans a A. Saphenous Nerve
62. Hb synthesis is active in B. Radial Nerve
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C. Sural nerve A Bone marrow study
D. Common peroneal Nerve B cbc
Ans c Ans a
70. Regarding Ear and Hearing: 80. Absent P wave, pacemaker is in
A. High frequency waves/ sounds in apical A AV node
portion of choclea like that B purkinje fibers
B. Stapedial foot at oval membrane Ans a
C. Pressure in ear affects sound 81. A patient with Pneumonia cell present
Ans b A Neutrophils
71 Bladder carcinoma in workers exposed Ans A
to: 82. G6Pd
A. zinc A Self Limiting
B. Niclke B autosomal dominant
C. Arylamine Ans a
D silicon 83. Systemic Fungi treatment
Ans c A Amphotericin B
72. Initial marker of MI B ketoconazole
: A. CKMb Ans a
B. Myoglobin 84. A patient is on radiotherapy after
C LDH that DNA damage A gene which arrest in
Ans b G1 phase progression defective
73. S2 sound heard unregulated growth occurs due to which
a Closure of aortic and pulmonary valve A. K-ras
b closure of mitral and tricuspid valve B. n-myc
ans a c. P53
74. GVE carried in vagus nerve for D. Bcl-2
preganglionic fibers arise from Ans d
A dorsal nucleus 85. In Nucelus
B solitary nucleus A Bar-body is inactive x chromosome in
Ans A male
75. Old RBCs are removed in: B . Hematoxylin stains the nucleus pruple or
A. Capillaries and red pupl blue
B. capillaries and splenic cord Ans b
c. Capillaries and sinusides 86. Dosral Coulmn fibers of lower body
d. Cord and sinusides related to upper body at cervical level
ans a A. Medial to lateral
76 Release of Neurotransmittor due to B. Lateral to media
A Influx of calcium in presynaptic fibers C. Dosral to ventral
Ans a D. Rsotral to caudal
77. Half Life of Kanamycin in perilymph Ans a
A 2 hours 87. About Climbing Fiber
B 4 hours A Inferior olivary Nucelus
C 30mint, ANS A
D 12hours, 88 Rheumatoid arthritis in pregnancy
E 20hours A MR
Ans b B MS
78. Digoxin act by C pulmonary regurgitation
A block Na/Ca exchanger Ans B
B increase intracellular ca+ 90 Bile salts absorbe from
Ans a A terminal iieum
79. A patient with low hb with B colon
pancytopenia investigation C duodenum
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Ans (a)
91; Concentrated solution of quinidine
applied on tongue as compared to distild
water sensation via
A trigeminal nucleus
B VPM of thalamus
Ans B (controversia Bcql)
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SURGERY PAPERS 2016

SEPTEMBER, OCTOBER, NOVEMBER
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5TH SEPTEMBER SURGERY 20. Conduction aphasia = arcuate
fasciculus.
MORNING 21. Delayed language issue, can speak
1. 1/3 of total body water= but not propulsive speech= lesion of
extracellular fluid. angular gyrus.
2. Which hormone will be less after 22. Apoptosis show = councilman
drinking water =antidiuretic bodies.
hormone. 23. Irreversible injury sign-=
3. Phospholipase c is activated by contraction band necrosis.
which hormone = antidiuretic 24. Brain perfusion depends on =Pco2.
hormone (action on blood vessels by 25. Middle meningeal artery = foramen
Gq proteins and causes spinosum.
vasoconstriction. 26. Labyrinthine artery is branch of
4. Maximum blood pressure in =renal =anterior inferior cerebellar
arteries. artery.
5. Basic drug binds with alpha- 27. Association of adult polycystic
glycoprotein. kidney disease is with = cerebral
6. Left shift of oxygen saturation curve hemorrhage.
= HbF 28. A patient came in night 2o’clock
7. Maximum potassium shift from with chest pain from last 4 hours all
intracellular to extra cellular baseline was normal what to do
compartment = strenuous exercise. next= ckmb.
8. C nerve fibers = carry temperature. 29. Middle wall , roof formed by
9. All preganglionic fibers = carry b =tegmen tympani.
fibers. 30. Position of vocal cords after bilateral
10. Esophagus starts at level of = cricoid recurrent laryngeal nerve damage=
cartilage. Paramedian
11. Nerve supply of posterior 1/3 of 31. Muscles not supplied by bilateral
tongue = 9th cranial nerve. recurrent laryngeal nerve =
12. Thyroid lymph drainage into = deep cricothyroid muscle.
cervical lymph nodes. 32. Contents of posterior triangle
13. Dislocation of temporo mandibular =subclavian artery and 3trunks of
joint = anteriorly. brachial plexus.
14. Glucose is main and only source of 33. Muscles of anxiety and sorrow that
energy for = RBC if asked organ pulls the angle of mouth downwards.
than brain if asked cell or as a = platysma muscle.
whole glucose is main and only 34. Contents of internal auditory canal =
source of energy so its rbc and if its facial nerve and vestibulo cochlear
not in option click neuron. nerve.
15. Extra embryonic coelom forms from 35. Atropine cause =dry mouth.
=hypoblast. 36. Subarachnoid space ends at =S2.
16. Main parasympathetic supply to 37. Upper motor neuron type of lesion
=parotid gland. Babinski positive = damage to
17. Right sided tongue atrophy and medullar pyramid.
wrinkling =12th cranial nerve. 38. Clostridium botulism= Respiratory
18. Main myelinating cells in CNS are muscle failure.
=oligodendrocytes. 39. At c7 level = Cervico thoracic
19. Oxytocin and antidiuretic hormone ganglia located.
originate in =hypothalamus. 40. Anemia causes= Atrophic glossitis.
41. Hyper magnesemia causes =
Neuromuscular junction problem.
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42. Patient with bleeding time increase 64. Bacteriostatic Tb drug =
and anemia= Platelet function Ethambutol
defect. 65. Prostaglandins inhibit by =
43. Case of achondroplasia = Corticosteroids.
Autosomal dominant. 66. Left adrenal vein drain into= Left
44. Most common type of genetic disease renal vein.
= Autosomal dominant. 67. Case of renal failure after post-
45. Long term steroid use = partum hemorrhage damage in
Osteoporosis and fractures. kidney= Proximal convoluted
46. GMP or GTP related hormone = tubules.
Atrial natriuretic peptide. 68. More in endolymph in ear =
47. Metastatic calcification of kidney = Potassium.
Hyperparathyroidism. 69. Nerve supply to infra hyoid muscles
48. Nerve supply to maxillary sinus = = Ans:a cervicalis.
Superior alveolar branch of 70. Inferior thyroid artery = Related to
maxillary division of trigeminal. recurrent laryngeal nerve.
49. Nerve supply to pinna= Greater 71. 2nd pharyngeal arch derivative =
auricular nerve. Stlyohyoid ligament.
50. Which nerve accompany superficial 72. Nerve supply to fibrous pericardium
temporal artery = Auriculotemporal = Phrenic nerve.
nerve. 73. Commonest presentation of vitamin a
51. Patient with acute asthma 1st deficiency = Night blindness.
treatment = Inhalational 74. Acrosome of sperm formed by =
salbutamol. Golgi complex.
52. Case of pneumonia after bone 75. Simian crease= Trisomy 21.
marrow trAns:plant inclusion bodies 76. Goblet cells replaced by clara cells in
in cell = Cytomegalovirus. = Terminal bronchioles.
53. Tumor that stains with vementin = 77. Case of aspergillous eosinophilia in
Sarcoma. blood and bronchial secretion =
54. Septic meningitis caused by = Noninvasive aspergillious.
Streptococcus. 78. Glycocalyx = Carbohydrate moiety.
55. 4ml of 2% lidocaine = 80 mg of 79. Resistance in inspiration = 2/3 by
lidocaine. small bronchioles and bronchi (
56. Patient on table without clothes loss intermediate size bronchioles was not
of heat by = Radiation & in option)
Conduction. 80. Supply of esophagus = Inferior
57. Mother gave birth to a child having thyroid artery.
congenital cataract = Rubella 81. Valve less structure = Superior vena
infection during pregnancy. cava.
58. Grave disease scenario = Anti 82. Trachea = little shift to right side is
thyroid stimulating antibodies. normal.
59. Animal as reservoir = Influenza. 83. Root of lung relation = Descending
60. Action of propylthiouracil stop aorta.
oxidation of= Iodide. 84. Pancreatic secretion increase and
61. Kid with edema problem in kidney = increase calcium influx = Hormone.
Basement membrane damage. 85. Enzymes needed to activate
62. H+ ions more in urine = Secretes trypsinogen = Enterokinase.
plasma secretion. 86. Maxillary sinus opens in = Middle
63. Carbon laden macrophages = meatus.
Anthracosis. 87. Case of COPD but no history of
smoking or any risk factor fev1
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decrease neutrophils will clear which 109. type of necrosis in brain =
particles = Carbon. liquefactive necrosis
88. Heme binds in blood with = 110. function of ICAM and VCAM =
Hepatoglobin. neutrophils adhesions
89. Cardiac reserve decreases in 111. viruses effect cells by = altering
=Athletes. protein synthesis
90. Systemic sclerosis = Excessive 112. metaplasia = replacement of one
fibrosis. type of epithelium with another
91. Pleural effusion case from where to type of normal
take sample of fluid = Upper border epithelium.
of the rib at area of highest 113. papillary carcinoma of thyroid
dullness. spread by = lymphatic invasion
92. H2o2 is present in = Peroxisomes. 114. atrial fibrillation = many p waves
93. Wound healing strength given by = followed by QRS
Collagen type 1 . 115. GFR will be more when protein in
94. Commonest etiology of genetic blood is= less
disease = Multifactorial. 116. which tissue does not regenerate =
95. Difference between malignant and lens
benign tumor = Metastasis. 117. labor working in heat sodium is 125
96. On histology of malignant tumor = lost his consciousness cause =
Pleomorphisum. excessive
97. Cause of pyogenic peritonitis = sweating
Bacteriods. 118. ionizes calcium = parathormone
98. Mycobacterium is = Acid fast secretion regulated
bacilli. 119. somatostatin inhibit insulin
99. LMN type of lesion = Flaccid secretion = paracrine way
paralysis. 120. pregnant lady with jaundice = ggt
100. Caseof Tb granuloma was 121. corrosive intake = squamous cell
given. Best way to confirm the carcinoma of esophagus
diagnosis = Acid fast 122. iron stored in tissue in the
bacilli. parenchyma as = Ferritin.
101. Case of two years child with fever 123. red blood cell a and b antigens =
and anemia Hb 5 mcv 107. How to glycoproteins
confirm 124. hydrocarbons cause = bronchial
diagnosis = vit B12 carcinoma
102. Angular cheliosis in patient with 125. hyperplastic bone marrow =
renal trAns:plant cause in = candida leukemia
albicAns: 126. polycythemia vera = neoplastic
103. A 10 yr. old kid with neck swelling proliferation in bone marrow
solid mass present = lymphoma 127. trapezoid body = role in hearing
104. Beetle nut history girl 20 years
trismus = sub mucosal fibrosis Surgery paper 2016 – 5th Sep
105. site of antigen binding in antibody =
hyper variable regions on l and h 2016 EVENING
chains 1. Lymphatic from the lateral quadrant
106. in pregnant female which will be of the breast mainly drain into the
increased =TIBC A. Inferior deep cervical lymph node
107. immunity effected in = HIV B. Inter pectoral lymph node
infected helper t cells C. Pectoral (anterior) lymph node
108. posterior triangle is supplied by = c2 D. Retrosternal lymph node
c3.
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E. Supra clavicular lymph node
Ans:: cc
2. A student wanted to study
relationship between increase in
temperature and duration of surgery,
to evaluate results which statistical
test he should apply?
A. Student t test
B. Anova test
C. Mc witneys
D. Chi squared
E. Regression Analysis
Ans:: ee
3. Action of Gluteus Medius & Minimus
A. Abduct the hip joint & Rotate the
thigh medially
B. Adduct the hip joint and rotate the
thigh laterally
C. extend the hip joint
D. flex the hip joint
E. helps in sitting in squatting position
Ans:: aa
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4. Heavy smoker complains of dyspnea c. Anterior Interventricular
chest pain cough hemoptysis since 3 d. LCX
months. Bronchoscopy reveals fungating e. Diagonal
mass obstructing medium sized bronchus. Ans:: aa
Which type of tumor? 11. Which of the following is Ectoparasite
A. squamous cell carcinoma a. Lice
B. small cell carcinoma b. Fleas
C. large cell carcinoma c. Ticks
D. Bronchiolar carcinoma d. Bed Bugs
Ans:: aaa Ans:: aa
5. Skeletal Muscles are attached to Bones 12. Before final composition of
by: Concentrated Urine, which part of
a. Anchoring filaments Tubular fluid contains least osmolar
b. Fascia solution?
c. Ligaments a. PCT
d. Tendons b. Collecting Duct
Ans:: dd c. Ascending loop of Henle
6. Sugar in Urine will be detected if its d. Descending loop of henle.
concentration in blood becomes e. Distal Convoluted Tubule.
a. 250mg/dl Ans:: eee
b. 200mg/dl 13. Best Term to describe to describe a
c.180 mg/dl condition when a cell gets extra number
d. 150 mg/dl of chromosome other than haploid
e. 375mg/dl a. Non disjunction
Ans:: bb (refrence ganong) b. Trisomy
7. Dorsal Nucleus of Vagus Nerve lies at c. Euploid
a. Pons Lower Lower Part d. Aneuploid
b. Medulla e.Polyploidy
c. Pons Upper part Ans:: bb
d. Midbrain 14. Alveolar Surface is kept dry because
Ans:: bb of
8. 2% solution of 4ml lidocaine will a. Tight Junctions
contain How much Lidocaine b. Surfactant
a. 80 mg c. Negative Interstitial Pressure
b. 160 mg d. Macrophages
C. 8 gm. Ans:: cc
D. 40 mg 15. Histoplasmosis affects which system
Ans:: aa mainly
9. 0.85% Nacl Solution contains how a. Respiratory
much NACL b. Reticuloendothelial
a. 85mg/100ml c. Cardiac System
b. 85 mg / 1000 ml d. Nervous System
c. 850 mg/100ml Ans:: bb
d. 8.5 mg/100 ml 16. A female delivered a baby and she was
Ans:: cc started on warfarin as she developed dvt.
10. A person with Chest pain having ST The next day she has a purplish patch on
Elevation in Lead V4 only. which artery her right thigh what can be the cause
involved A. lupus anticoagulant
a. LAD b. warfarin overdose
b. RCA c.protein c deficiency
d.proteins deficiency
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Ans:: cc 25. In VIT K deficiency, which factor will
17. Grade 3 Tumor, % of undifferentiated be depleted first and foremost
cells is: a. Factor 7
a. 25 % b. Factor IX
b. 50-75% c. Factor 10
c. >75% d. Protein C
Ans:: bb e. Protein S
18. In a Pre-OP patient after inducing Ans:: aa
General Anesthesia, heat will not be if asked factor then its factor 8 and if
produced due to: asked protein then its protein c)
a. Muscle tone is lost 26. SKIN GRAFT will be most successful
b. Na/K Pump Blocked in which of the following conditions
Ans:: aa a. Excessive Burns
19. Initial symptoms of Bupivacaine b. Agammaglobenemia
Overdose c. Terminal cancer patient
a. Arrhythmia d. Liver failure
b. Unconsciousness Ans:: bb
c. ringing of ears 27. Which cancer invades large blood
Ans:: cc vessels?
20. Cytoskeleton communicates with a. Clear cell ca of Lungs
Extracellular environment through b. Clear cell ca of Kidney
a. Intermediate Filament c. Bronchogenic Ca
b. Integrins d. TrAns:itional cell Ca
c. Cadherins Ans:: bb
Ans:: bb 28. In Old what happens
21. True about Glycocalyx: A. Decrease Vital Capacity
a. Carrier Protien B. Increase Cardiac Output
b. Carbohydrate Moiety Ans:: aa
c. Lipid Membrane 29. Neutral absorption of sodium occurs
Ans:: bb at which part
22. Acoustic Neuroma is a tumor of a. Proximal convuated tubule
a. Cochlear part of CN 8 b. Thick ascending limb of loop of hence
b. Vestibular part of CN 8 c. Thick descending limb
c. Facial Nerve d. Cortical collecting duct
d. Trigeminal nerve e. Distal convulated tubule
Ans:: bb Ans:: aa
23. In young age, Limb growth will be 30. Breast Atrophy in elderly females,
affected if fracture passes through Major cause
a. Epiphysial Plate a. Estrogen & Progesterone deficiency
b. Epiphysial Line B. estrogen deficiency
d. Diaphysis Ans:: bb
d. Metaphysis 31. Major cause of fatty liver in our
Ans:; aa society
24. Cause of Death after Liver a. Hep B & Hep C
trAns:plantation due to which pathogen b. alcohol
a. CMV c. increase fat intake
b. HBV Ans:: aa
c. HDV
d. HCV 32. Unable to evert and dorsiflex, which
e. HEV structure injured
Ans::aa a. Common peroneal nerve
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b. deep peroneal nerve c. External Iliac
Ans:: aa Ans:: aa if the option doesnot contains both
33. Scrotal Swelling after injury, contents then select Internal Iliac nodes.
of swelling extends up to abdomen but not 40. Dec in ESR due to
thigh, most common cause of this swelling a. Increase Fibrinogen
in scrotum b. Increase Albumin
a. Injury to Bulbar Urethra Ans:: bb
b. injury to penile urethra 41. Recurrent Laryngeal nerve injured on
c. membranous urethra both sides, which muscle still intact
d. neck of urethra a.thyrohyoid
Ans:: aaa ( urine extravasation rembered b.postcricio thyroid
by NMEMONIC c.cricothyroid
BUS : Bulbar urethra rupture  Scrotum d.cricoarytenoid
MUD: Memranous urethra rupture DEEp Ans:; cc
pereaneal pouch 42. Gastric Lymphoma due to
PUS : Penile urethra  superficial a. H Pylori
pereneal pouch ) b. CMV
34. Mediolateral Episiotomy, which part Ans::aa
at risk of being getting injured 43. The features of BCC
a. External Anal sphincter a. metastasis
b. Bulbospongiosis b. benign tumor
c. levator ani muscle C. borders are undermined
d. perineal body d. Locally invasive.
Ans:: bb Ans:: dd
35. Axillary Artery 44. Posterior wall of Rectus sheath b/w
A it lies post to pectoralis minor muscle Symphisis pubis & Abdomen
B lateral chord lies posterior to it a. Arcuate line
C starts at the lateral border of pectoralis b. Linea semilunaris
minor c. Linea semicircularis
D all the chords are lateral to it Ans:: aa
Ans:: aa 45. Bundle of His Blood supply
36. Ecchymosis and bleeding history in a. RCA
fisherman b. LCA
a. Vit C Deficiency c. LAD
b.Vit b12 def d. Circumflex
c. Folic acid deficiency Ans:: cc Reference : snell
d. Iron deficiency 46. Head of Femur Blood supply
Ans:: aa a. Medial & Lateral Circumflex Arteries .
37. Chromosome 9:22 abnormality B . Retinacular.
a. CML Ans:: B> A
b. CLL 47. Major Cause of Epiphyseal Tumor
c. AML a. Osteoblastoma
d. ALL b. Osteosarcoma
Ans:: aaa c. Osteoid Osteoma
38. Function of Vitamin A d. Ewing Sarcoma
a. Forms Rhodopsin Ans:: aa
b. Not required for night vision . 48. DIC is initiated by
Ans:: aa a. Tissue Thromboplastin
39. Lymph drainage in Cervical CA b. fibrinogen
a. External & Internal Illiac lymph nodes Ans:: aa
b. Internal ilaic
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49. Seventy years old male develops 56. Pregnant lady with raised SGPT,
sudden loss of power in both right upper history of visit to Remote village, which
n lower limb with angle of mouth hepatitis
deviated to the left during talking. The a. Hep A
most likely site of lesion is in b. Hep E
a.Internal capsule c. Hep B
b.pons d .Hep C
c.medullaoblongata Ans:: bb
d.midbrain 57. Which Ca will not metastasize
Ans:: aa a. Basal Cell Ca
50. Sciatic nerve injured which structure b. Squamous cell ca
will still flex the knee Ans:: aa
a. Short head of biceps femoris 58. Isthmus of trachea lies in front of
b. long head of bicep femoris A. 2nd 3rd and 4th Tracheal Ring
c. popliteus B. Rings 3, 4
Ans:: aa C. Rings 2, 3
51. Patient died of Stroke, which type of Ans:: aa
necrosis 59. 50 years old hypertensive patient
a. Liquificative necrosis presented with severe chest pain radiating
b. Caseous necrosis to back
c. coagulative necrosis suddenly collapsed On autopsy what can
Ans:: aa be seen
52. Median Umbilical Ligament is a. Medial Necrosis of Aorta
remnant of b.ischemic necrosis
a. Urachus c..atherosclerosis
b. umbilical artery Ans:: aa
c. umbilical vein 60. Abdominal Aorta
d. allantois a. Gives Renal Arteries at L2
Ans:: aa b. bifurcates at L5
53. Which structure will be damaged in c. bifurcates at T5
Lumbar Puncture d. lies at the right side of IVC
a. Ligamentum Flavum Ans:: aa
b. Posterior longitudinal ligament 61. Loss of Supination & Flexion after
c. Anterior longitudinal ligament Stab Injury to Inner Arm
d. Pia matter a. Musculocutaneous
Ans:: aa b. ulnar
54. Scenario with Vitamen K deficiency, c. radial artery
Vitamin K not absorbed, which factor d. axillary artery
decreased Ans:: aa
a. Prothrombin 62. Regarding Ciliary body
b. Protein C A. Pigment epithelium produces aqueous
c. Protein S humor.
d. Factor VIII b. Pigment epithelium of retina is
Ans:; aa continuous With pigment epithelium of
55. Low estrogen pills will cause ciliary body
a. Breast Ca C. Non pigment epithelium produces aq.
b. Lungs Ca Humor
c. Endometrial Ca D. Supplied by short ciliary arteries
d. Deep venous thrombosis Ans:: cc
e. Hepatic Adenoma 63. Minerals are least found in
Ans:: ee a. Pulses
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b. Cereals c.parotid
c. Tubers Ans:: cc
d. Green Vegetables. 72. Regarding anal canal
Ans:: cc a.supplied by both superior n inferior rectal
64. Patient had previously Episodes of arteries
Dizziness and Diplopia, patient presented b.inferior rectal artery part of portal system
now in Acute Comatosed state, Cause : c.external anal sphincter is involuntary
a. Carotid Artery Thrombosis d.has two lateral curves
b. Basilar Artery Thrombosis e.sup inguinal lymph nodes drain the upper
c. Arachnoid Hemorrhage half of anal canal
Ans:: bb Ans:: aa
65. Which of the following lymphoid 73. Patient started on anti coagulant how
organ receives lymph via to monitor further
SUBCAPSULAR SINUS A. Aptt
a. Thymus B. Clotting time
b. spleen C. Pt
c. Lymph node Ans:: cc
Ans:: cc 74. Trachea commences at
66. True regarding rectum is : A. C4
a. lies in front of S1. B.C5
b. is 9 inches long C. C6
c. is biconvex wall in front of s2,3,4 D. C1
d. also supplied by median sacral Artery Ans::cc ( lower border of C6)
Ans:: dd 75. A female of reproductive age
67. Infection anterior to pretracheal presented with DVT. She gave history
fascia will spread to: Of taking some kind of pill what is the
a. Anterior Mediastinum cause of her condition
b. Superior mediAns:tinum a. Thrombo embolism
c. Middle Midiastinum b. Analgesics
Ans:: aa c..OCPs
68. Regarding abdominal angina which Ans:: cc
artery is involved 76. 45 years old man presented with chest
a..inferior mesenteric artery pain not related to respiration
b..aorta a. Myocardium
c..superior mesenteric artery b. Pericarditis
Ans:: cc c. chostochondritis
69. premature baby born with Ans:: aaa,,, if th pain aggravates eith
a..PDA changing posture its pericarditis,, if it is
b.patent foramen ovale related to respiration that feels pain with
c.right atrial pressure increases breathing then its costochondritis
Ans:: aa 77. Tongue is deviated towards right side ,
70. Which hormone causes fatty acid lesion is
synthesis and protein synthesis a. Right hypoglossal nerve
a.cortisol b. Left hypoglossal nerve
b.thyroid c. Rt. Vagus
c.glucagon d. Lt. vagus
d..insulin Ans:: aa
Ans:: dd 78. Deep part of the parotid fascia forms
71.Most common salivary gland tumor a. bucco pharyngeal membrane
a.salivary b.stylomandibular ligament
b.submandibular c.sheno mandibular ligament
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d.stylo hyoid ligament 86. Bioavailibity of minerals is lowest in
Ans:: bb a.roots
79. first Lumbrical b.green leaves
a.bipennate c cereals
b.attached to proximal phalynx d pulses
c.origin near the radial side of first meta e.Tubers
carpal bone Ans:: ee
Ans:: cc 87. Drug drug interaction by
a. Both pharmacokinetics and
80. In a terminal resection of ileum 100 pharmacodynamics
cms of ileum was resected. What will be b. only pharmackokinetics
the out come? c. only pharmacodynamics
a.less absorption of bile salts Ans: : aa,, as they havnt mentioned whether
b.less absorption of bile acids the interaction is by the drug on the body or
c.more absorption of bile salts by the body on the drug so we select both.
d.increase sodium loss 88. Regarding sweat glands
Ans:: aa a. Cuboidal epithelium
81. Regarding inguinal canal b. Columnar epithelium
A. Absent in infants. Ans:: aa
B. Extends from anterior superior iliac 89. Bioavailibility is not affected by
spine to pubic tubercle. a.age
C. Roof formed by conjoined tendon b.liverdisease
Ans:: cc c sex/gender
82. Greatest clearance is of Ans:: cc
a. PAH 90. Dimercaprol
b. insulin a.increases clotting
c. Glucose b.decreases clotting
d. Creatinine c.decreases bleeding time
Ans:: aa D. Increase bleeding time
83. Regarding cardiac plexus Ans:: dd
a.formed by both symathetic n 91. For sodium neutralization
parasympathetic nerves a. k
b.thoracic splanchnic nerves are the main b. organic ions
nerves c. Cl
c.starts at trachea bifurcation d. mg
d.present at the base of heart e. hco3
e.anterior cardiac nerves are the main nerves Ans::cc
Ans:: aa 92. Amino acid containing sulphur
84. Baroreceptors a. Cysteine
a.hypotention b. Phenylalanine
b.respond to rapidly increasing arteriolar c. Leucine.
pressure Ans:: aa
c.respond to rapidly decreasing arteriolar 93. Sodium regulation is through
pressure A osmoreceptors
Ans:: cc refrence BRS phsiology b.sodium absorption
85. Insulin is inhibited by c.Adh
a. secretin d.Reninangiotensin
b. glycogen e.Aldosteron
c. beta agonists Ans:: aa
d. beta blockers 94. Circumflex artery supplies
Ans::dd a.anterior surface of heart
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b.left atrium n ventricle 102. Eversion of foot leads to ligamentum
c.right atrium fractured
d.left atrium a.lateral ligament
e.left ventricle b.planataris ruptured
Ans:: bb c.Deltoid ligament
95. 41%haematocrit contains Ans:: cc
a.rbcs 103. A farmer while spraying suddenly
b.rbcs,wbcs,platelets got collapsed with salivation from his
c.platelets mouth and
Ans:: bb broncho spasm. What is the specific anti
96. Venous blood as compare to arterial dote
blood has a.atropine
a.low ph b.neostigmine
b.more packed cell volume cphysostigmine
c.increasepo2 d.Pralidoxime
d.increase ph. Ans:: dd
Ans:: bb 104. A person was walking bare feet
97. During stab injury suddenly stepped upon some sharp
a. Ipsilateral lung collapse n ipsilateral chest object. He quickly
wall spring out. removed his leg due to which reflex
b. ipsilateral lung collapse n contralateral a.flexor response
chest wall spring out b.mono synaptic reflex
c. contralateral chest collapse and c.multi synaptic reflex
contralateral chest wall spring out Ans:: cc
Ans:: aa 105. Opsonization due to interaction of
98. A person got lacerated injury on his a. FC portion of igG and C3b
elbow what will be the initial affect of b. C5a
blood c. C3b
a. haemostasis d. C3a
b. vasoconstriction Ans:: aa
Ans:: bb 106. Morphine is used in
99. during a one km running the venous a. Terminal cancer illness
return to the heart is by b. Pain of gastric ulcer
a.valves in the leg veins valves c. UTI
b.pumps in the legs Ans:: aa
c.skeletal muscles contraction 107. Inferior wall MI
Ans:: cc a. Right marginal
100. right atrial pressure is increased this b. RCA
will lead to c. LAD
a.inc cardiac output d. LCA
b.heart rate inc . Ans:: aa (cpsp demo)
c.inc contraction of right ventricle 108. Most appropriate about Middle
Ans:: aa meningeal Artery
101. Regarding occupational diseases a.pterion is the surface marking
increase risk of problems with exposure b.its branches form grooves on the under
to surface of skull
a.coalmines c. Involved most commonly in Subdural
b.asbestos Hematoma
c.silicons d.enters skull thru foramen spinosum .
d.textile industry Ans:: dd
Ans:: bb 109. vagotomy done for
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a.decrease motility of gut 117. a child presented to opd with 104
b.decrease gastric acidity fever for the last 4 days. He has been
c.decrease pepsin passing cola
d. decrease gastric acidity n pepsin motility colored urine for the last one day. He has
of gut bee n on anti malarials too. His LFTs are
Ans:: dd deranged with increase unconjugated
110. pain of Gastric ulcer is due bilirubin. What is the most probable
a. Greater splanchnic nerve diagnosis
b.Lesser Splanchnic nerve a.drug induced jaundice
Ans:: aa b.black water fever
111. medial wall of ischiorectal fossa is c.paroxysmal nocturnal haemaglobinuria
formed by dhaemolytic uremic syndrome
a. Levator ani muscles e G6pd
b. external anal sphincter Ans:: ee
Ans:: bb 118. 46XX associated most probably with
both are correct refrence rj last which of the following conditions
112. Double membrane bounded a. Adrenogenital Syndrome
Organelle b. Mixed Gonadal dysgenisis.
a. Nucleolus c. Congenital Adrenal Hyperplasia
b. RER Ans:: aa
C. Mitochondria 119. Turnor syndrome with
d. ribosomes a.Autosomal dominant
Ans:: bb ( no option of mitochondria and b.Autosomal recessive
nucleus was present) c shows secondary infertility
113. Most radio sensitive tumor is d stunted growth is the main feature
a. seminoma Ans:: dd
b. glialglioma 120. ECF is increased by infusion of
c. craniopharyngioma A hypotonic saline
Ans:: aa B norma saline
114. Man is intermediate host in C hypertonic saline
A. Hydatid cyst d dextrose water
B. Beef tapeworm infestation Ans:: cc
c. trichomoniasis 121. Peri capsular sinuses in
d. filiriasis a.lymph node
e. hook worm b thymus
Ans:: aa c palatine tonsils
115. a young man fell from two storey Ans:: aa
building and now he has urinary 122. Weight bearing line passes through
incontinence. lesion is at a. Ischial tuberosities
a. s2s3s4 b. pubic crest
b. l2 l3 l4 c. ischial spines
c. s1,s2,s3 Ans:: aa
Ans:: aa 123. A 14 years old girl presented with
116. S2 differs from S1 by right iliac fossa pain. pain associated with
a..s2 has increase duration vomiting and was radiated to peri
b.s2 has decrease pitch umbilical region. Which segment is
c. s2 has increase frequency involved/or pain radiation due to
d s1 has increase pitch a. ilioinguinal nerve
e s1 has decrease duration b.iliohypogastric nerve
Ans:: cc c.t12level
d L2level
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e T10 level C longitudinal layer
Ans:: ee D circular layer
124. microscopic slide of liver shows E lamina propria
portal vein hepatic artery and bile duct at Ans:: aa
periphery and central vein in the centre. 131. chronic hepatitis histology on
What is this called microscope shows
a.hepatic lobule A fibrosis
b portal acinus b neutrophills
c hepatic acinus (also called liver acinus) c lymphocytes
d Simple acinus d lymphokines
Ans:: cc Ans:: aa
125. EEG of a patient shows 132. sarcoma as compare to carcinoma
A increase frequency of waves in active a. spread to bones early
mind than in deep sleep b. in the form of clusters of cells
B is symmetrical in both hemispheres c. more sensitive to radiotherapy
C small amplitude of waves in intense d. Clumps/Clusters
thinking e.Aggressive
D determine intelligence Ans:: ee
Ans:: aa 133. Systemic antifungal is
126. what is produced in muscles a.Amphoterecin b.
A. phospholipids b.Ketokonazole
B. creatinine c.Nystatin
C. urea Ans:: aa
D. uric acid 134. Heparin inhibits
E. glycogen A organization of clot
Ans:: bb B retraction of cot
127. About sertoli cells C dissolution of clot
A produce testosterons D propagation of clot
B rapidly dividing cells Ans:: dd
C release androgen inhibiting factor 135. During pregnancy in which period
D break blood testis barrier teratogen affects fetus mostly
E reinkes crystals A 1 to 2weeks
Ans:: cc B 3 to 8 weeks
128. In Chronic renal failure what is least C 22 to 36weeks
likely to be presented? D last trimester
A .low ph E 8 to 12weeks
b . hypo phosphatemia Ans:: bb
c . enlargedparathyroids 136. muscle is prevented from tearing
d. metabolicacidosis under action of which receptor
e. hypocalcemia a.muscle spindles
Ans:: bb b GTO
129. On autopsy of CRF patient which c ruffinis
organ was hypertrophied d meissners
A. Para thyroid glands e phosphate bonds
b. adrenal glands Ans:: bb
c. thyroid glands 137. maximum sodium entry in nerve
d. pituitary gland fibre takes place at
Ans::aa A during depolarization
130. Strongest layer of small bowel B during repolarization
A submucosa C at nodes of Ranvier
B musoca
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D as the impulse propagates along length of C carbon dioxide
nerve fibre D nitrogen
Ans:: cc E oxygen
138. The valve which has more propensity Ans:: cc
toward diseases is highest diffusion capacity across respiratory
a. Mitral Valve membrane is of carbon dioxide while
b. tricuspid valve affinity of carbon monoxide is greatest
c. pulmonary valve 145. Tumor suppresser gene
Ans:: aa a. p53
139. Non bacterial endocarditis due to b. ras
A rheumatic fever c. c-myc
B SLE Ans:: aa
C streptococcal glumerulonephritis 146. upper motor neuron lesion leads to
D thrombo embolism A decrease tendon reflexes
E neoplastic diseases B fasiculations
Ans:: ee C inc muscle tone
140. 23 years old boy came with mild D flaccid paralysis
jaundice. His hbsAg is negative, anti Hbc Ans:: cc
igM is Neg, anti Hbe positive. Whats the 147. which nerve passes through
current situation cavernous sinus
a Acute resolving phase A. abducent nerve
b acute hepatitis b. trigeminal nerve
c window period c. occulomotor nerve
d chronic hepatitis Ans:: aa
Ans:: aa 148. premalignant growth
141. Difference between CSF and cerebral A sebborhic keratosis
capillary is B compound nevus
a. increase ph C intradermal nevus
b carbohydrates D dysplastic nevus syndrome.
c increase pco2 e junctional nevus
d less proteins Ans:: dd
Ans:: dd 149. 35 years old girl has been using
142. Benign tumor among following is analgesic for backache. She presented
a. Leiomyoma with platelets in normal range.wbc 7000
b. Hamartoma neutropenia. Her hb was 9 with small
c.Choristoma immature cells in peripheral smear.
Ans:: aa Diagnosis
143. Hypotensive pt admitted in ward wd a acute leukemia
h/o dysuria and high grade fever. His b ITP
blood culture is positive for pseudomonas. c aplastic anemia
The disease is due to release of d drug induced
A. endotoxin Ans:: aa
B. exotoxin 150. Gastric emptying increases by
C proteases a.secretin
D. Toxic shock syndrome toxin. b.Gastrin
Ans:: aa c.Cck
144. Highest diffusing capacity across d.ach inhibition
respiratory membrane and in body fluids Ans:: bb
is 151. local edema cause
A helium a.Allergy
B carbon monooxide b. Flare
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c. hyperresposiveness c Mucormycosis
Ans:: aa d hyperkalemia
152. Exogenous antigens acted by e blood glucose
interacting with Ans:: cc
a. MHC class II 159. A person got an accident and there
b. APC was severe bleeding from his body. He got
Ans:: aaa multiple trAns:fusios but Ecg showed
153. A lady presented with yellow eyes Changes after trAns:fusion due to
and she has got hepato megaly. Also A hypocalcemia
xanthomas B .hyperkalemia
present. What can be the cause in her C hypokalemia
A AMA D hypermagnesemia
B ANA E PH changes
C sclerosing cholangitis Ans:: bb
D lipidemia 160. Doctor patient relationship
Ans:: aa a. Active listening
154. Regarding b. Having sound medical knowledge
PseudoHYPERparathyroidism? c. Updating skills
A. because of Hypocalcemia d. good bedside manners
B. Because of PTHrP by various tumor Ans:: aaa
C. associated with Nephritic syndrome 161. after adrenelectomy taste preference
D. because of Vit D deficiency increases for
Ans:: bb A sweets
155. Right ovarian vein drains into b.Nacl
a. IVC c sour
b.Lt. adrenal vein Ans:: bb
Ans:: aa 162. 60% of ventricular filling is because
156. Regarding biceps brachi of
a. insertion on humerus A Rapid inflow
b. Arises from supraglenoid tubercle B slow inflow
c. pronation C Atrial systole
d. extention of elbow D slow ejection phase
Ans:: bb E iso volumetric relaxation
157. A 22 years old man came to Opd Ans:: aa
with ALT raised viral markers were 163. about follicular cancer of thyroid
negative. He has got some problem in the a.vascular invasion
eye and Immunological tests were b psammoma bodies
derranged. Whats the most useful c lymphatic spread
investigation for him d hyperchromatism
A liver biopsy Ans:: aa
B HbsAg 164. protein on Rbc membrane for
C HCV virology chloride exchange
D serum copper level a.spectrin
E Sr. cerulo plasmin level b. band 3
Ans:: ee c.glycocalyx
158. A diabetic patient presented with Ans:: bb
increasing degree of progressive illness 165. Regarding cholangio carcinoma
involving respiratory system. a. Chlinorcis sinensis
Gastrointestinal. What can be the cause b. Tinea saginata.
a histoplasma Ans:: aa
b acid base balance 166. primary syphilis initial diagnosis
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a. mouth ulcer membrane will rupture and open
b.genital sore cranially as
c.tabes dorsalis a extrophy of bladder
Ans:: bbb b imperforate anus
167. Dead space does not decrease in c ectopic anal canal opening
a.shallow breathing d hypospadias
b.deep breathing Ans:: cc
c.lung diseases 174. Diptheria toxin will affect most
d.gravity lethally on which organ
e.tracheostomy a. Larynx
Ans:: aa b. Heart
168. chemical mediator of inflammation c. Kidney
a.histamine Ans:: bb
b.serotonine 175. Sparing of the lateral part of the
c.lymphokines thenar eminence with conspicuous
Ans:: aa ,,, prostaglandin is prefered if wasting of other small muscles of the
avaialble in options hand suggests a lesion of:
169. Adverse blood trAns:fusion reaction A. Ulnar
occurs in B. Median
A o+ to A+ c. C5 and C6 spinal cord segments
B o neg to A+ D. C8 T1 spinal cord segments
C A neg to A+ e. Radial nerve
d. AB+ to A+ Ans:: aa
e Ab neg to A+ 176. Blockage of beta adrenergics will
Ans:: ddd result in
170. Regarding un coupling of Oxygen a. Decrease heart rate
that’s produced by b. heart contractility
a.thyroid c. insulin production from islet of pancreas
b.norepinephrine d. lipogenesis
c.epiephrine Ans:: aa
Ans:: bbb reference ganong physiology 177. Due to stress of surgery what will
171. If a 70kg healthy adult loses one litre increase and cause vaso constriction
of blood within 5 minutes there would be A. ACTH
a.decrease TPR B. Serotonin
bi.ncrease GFR C. Cytokines.
c.increase venous tone D. increase level of circulating
d.decreasse diastolic pressure catecholamines
e.splanchnic vasodilatation ANS:: AA
Ans:: cc 178. Intraarticular disc of tmj involved..
172. injury to pulmonary alveoli causing Muscle paralyzed.
constriction of alveoli by A. Lateral pterygoid
a.hypoxia B. Medial pterygoid
b.atherosclerosis . C.Temporalis.
c.adenosine Ans:: aa
d.prolonged oxygen therapy 179. Femoral arterial pulse.
Ans:: dd A. Mid inguinal point
173. Primitive streak mesoderm cells B. Mid inguinal ligament.
migrate Round cloacal membrane to form C. Adductor canal.
anterior abdominal wall cells. If this Ans:: aa
migration does not happen around cloacal 180. Regarding posterior Communicating
artery
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A. Connects PCA to ICA above D. Bound to prealbumin
occulomotor nerve Ans:: bb
B.Connect Pca below occulomotor nerve 190. Parasympathetic effect on Heart
C. Connect ica to basilar artery. A. Increase PR interval
Ans:: aa Ans: : aa
181. Child has episodes of bleeding and 191. which of the following augment the
echymosis since birth hb 9.8 mg/dl And effect of immune system?
platelets count was normal 180 x 10^3 BT A. Complement System
prolonged B.opsonins
A. Hemophilia
B. itp Ans:: aa
C. platelet functional defect 192. For chemotaxis
Ans:: cc A. Lymphokines
182. Corona radiata forms from B. serotonin
A. Germ cells. Ans::aa
B.theca interna. 193. Testosterone main function
C. Theca externa a. Grows hair on scalp
d. Granulosa B. Inc muscle and bone growth
Ans:: dd Ans:: bb
183. All preganglionics neurotrAns:mitter
A. Acetylcholine 194. Sweat gland by.
Ans:: aa a.sympathetic
184. Ppd false negative Ans:: aa
A. Malnutrition 195. Primary active trAns:port
B. Immunosuppressant A. Enzymes
Ans:: bb b. Carriers
185. Most important cell of chronic c. Proteins
inflammation d. Pumps
A. Lymphocytes Ans:: dd
B. Macrophages
c. neutrophils 196. Question regarding edema---
Ans:: bb A. Lymphatic blockage
186. patient with lung abscess develops Ans: : aa
meningitis, causative organism.? 197. Primary Brain vesicle is
A. Staphylococcus a. Mesen cephalon
B. Streptococcus Ans::aa
Ans:: aa 198. Test for typhoid fever in first week
187. 2x2 table a. Blood culture
A. T test. Ans:: aa
B. Anova .
C Chi square
Ans:: cc
188. How can doctor provide better
management to patients:
a. By better communication
Ans:: aa
189. Which form of thyroxin is an active
form
A. Reverse t3
B. Unbound form
C. Bound to albumin
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Surgery paper 2016 – 5th Sep
2016
1. Diptheria toxin will affect most lethally 11. Breast Atrophy in females, Most
on which organ common cause
a. Larynx a. Estrogen deficiency
b. Heart b. Estrogen & Progesterone deficiency
c. Kidney Ans:: aa
Ans:: bb 12. Most Common cause of fatty liver in
2. Histolplasmosis affect which system our country
a. Reticulo endothelial a. Hep B & Hep C
3. 2% of 4m Lidocaine solution, how b. HCV
much lidocaine c. Hbv
a. 80 ml Ans:: aa
b. 160 ml 13. Glycocalyx :
c. 400 ml a. Carbohydrate Moiety
d. 200 ml b. Helps in defence against microbes
Ans:: aa Ans:: aa
4. 0.85% of Nacl contains how much Nacl 14. Unable to evert and dorsiflex, which
a 850mg/100 ml structure injured
Ans:: aa a. Common Peroneal Nerve
5. Prevents muscle from tearing b. Superficial peroneal nerve.
a. GTO Ans:: aa
b. muscle spindle 15. Scortal Swelling after injury, contents
Ans:: aa of swelling extends upto abdomen but not
6. Skin Graft successful in thigh, Most common cause of this swelling
a. Excessive Burns in scrotum
b. Agammaglobenemia a. Injury to Bulbar Urethra
Ans:: bb b. Injury to Penile urethra
7. Follicular Thyroid Ca, Microscopic Ans:: aa
feature 16. Episiotomy, which part at risk of
a. Psamomma bodies being getting injured
b. Vascular Invasion a. External Anal sphincter
Ans:: bb b. Bulbospongiosis
8. Which cancer invades large blood Ans:: bb
vessels 17. Axillary Artery
a. Clear cell ca of Lungs a. Lies lateral to Biceps tendon
b. Clear cell ca of Kidney b. Present behind pectoralis minor
c. Bronchogenic Ca c. Extends to lateral border of Pectoralis
Ans:: bb minor
9. In Old what happens Ans:: bb
a. Decrease Vital Capacity 18. Anal Canal Blood supply
b. Increase Cardiac Output a. Superior & Inferior Rectal Arteries
Ans:: aa b. Internal Iliac artery
10. Neutral absorption of sodium occurs Ans:: aa
at which part 19. Ecchymosis and bleeding history in
a. PCT fisherman
b.DCT a. Vit C Deficieny
Ans:: aa b. Vit e deficincy
Ans:: aa
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20. Which clotting factors Depletes early a. Osteoblastoma
a Factor 7 b. Osteosarcoma
b. Factor 5 c. Osteoid Osteoma
Ans:: aa d.Ewing Sarcoma
21. Chromosome 9:22 abnormality Ans:: aa ,, if osteoclastoma ( giant cell
a. CML tumor) in options prefer that.
b. ALL 33. DIC by
Ans:: aa a. Tissue Thromboplastin
22. Function of Vitamin A b. Factor 3
a . Forms Rhodopsin Ans:: aa
b. Not essenial for dark adaptation 34. Jaw deviation to Left and paralysis on
Ans::aa Right Side, Lesion is in
23. Lymph drainage in Cervical Ca a. Pons
a. External & Internal Illiac b. Internal Capsule
Ans:: aa Ans:: bb
24. Decrease in ESR due to 35. Dorsal Nucleus of Vagus
a. Increase Fibrinogen a. Medulla
b. increase Albumin b. Pyramid
Ans:: bb Ans:: aa
25. Double membrane bounded 36. Sciatic nerve injured which structure
Organelle will still flex the knee
a. Nucleolus a. Short head of biceps femoris
B RER b. Long head of biceps.
c.SER Ans:: aa
Ans:: bb ( there was no option of 37. Patient died of Stroke, which type of
mitochondria or nucleus in cpsp exam ) necrosis
26. Recurrent Laryngeal nerve injured on a. Liquificative ncrosis
both sides, Which muscle still intact b. Coagulative necrosis
a. Cricothyroid Ans:: aa
Ans::aa 38. Median Umbilical Ligament is
27. Gastric Lymphome due to remnant of
a. H Pylori a. Urachus
Ans:: aa b. Umblical arteries
28. Locally Malignant Cancer Ans:: aa
a. Basal Cell Ca 39. Which structure will be damaged in
Ans:: aa Lumbar Puncture
29. Posterior wall of Rectus sheath b/w a. Ligamentum Flavum
Symphisis pubis & Abdomen b. Posterior Longitudnal ligament.
a. Arcuate line Ans:: aa
b.Linea semilunaris 40. Scenario with Vit K def, Vitamin K
Ans:: aa not absorbed , which factor decreased
30. Bundle of His Blood supply a. Prothrombin
a. LAD b. Protein C
b. RCA c. Protein S
Ans:: aa refrence Kaplan. d. Factor VIII
31. Head of Femur Blood supply Ans:: aa. If factor 7 in options prefer that.
a.Medial & Lateral Circumflex Artries 41. Low estrogen pills will cause
b. Retinacular a. Breast Ca
Ans:: B> A b. Lungs Ca
32. Most common cause of Epiphyseal c. Endometrial Ca
Tumor d. Hepatic Adenoma
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Ans:: dd Ans:: aaa
42. Pregnant lady with raised SGPT, 52. Radiosensitive Tumor
hiatory of visit to Remote village, which a. Seminoma
hepatitis b.Lymphoma
a. Hep A Ans:: aa
b. Hep E 53. T cell Receptor Binds with
c. Hep B a. MHC
d. Hep C b. Antigen presenting cells
Ans:: bb Ans:: aa
43. Which Ca will not metastasize 54. Breast Atrophy in adult female is due
a. Basal Cell Ca to
b. SCC a. Estrogen
Ans:: aa b. Estrogen & Progesterone
44. Which of the following in most Ans:: aa
unlikely to occur in CRF 55. Outer quadrant of Breast is drained
a. Hypophospatemia by which lymph nodes
b. Anemia a. Pectoral (Anterior Axillary)
Ans:: aa b. Central group
45. Action of Gluteus Medius & Minimus Ans:: aa
a. Abduct & Medially Rotate the thigh at 56. Loss of Supination & Flexion after
hip Stab Injury to Inner Arm
b. Adduct & Laaterally rotate a. Musculocutaneous
Ans:: aa b. Axillary
46. Isthmus of trachea lies in front of Ans:: aa
a. 2nd 3rd and 4th Tracheal Ring 57 Chemical mediator of inflammation
b. 2nd and 3rd Tracheal ring. a. Lymphokine
Ans:: aa b. Serotonin
47. ECG changes only in lead v4, due to Ans:: aa
which Artery 58 Femoral artery palpated
a. Left anterior descending a. Mid inguinal point
b. RCA b. Mid inguinal ligament
Ans:: aa Ans:: aa
48. Bund of HIS, blood supply 59 Pseudomonas causing fever etc
a. Right coronary artery a. Endotoxins
b. Left anterior descending b. Erythrotoxin
c, Left circumflex artery Ans:: aa
d, Left Main Coronary Artery 60 Cholangiocarcinoma
Ans:: bb reference Kaplan B.D churasia a. Choloronicus sineses
49. History of Hypertension & Chest pain Ans:: aa
radiating to back, patient died. Findings 61 Lateral Thenar muscles spared but
on Autopsy in such patient short muscles of the hand paralyzed ..
a. Medial Necrosis of Aorta where is the Lesion?
b. MVP a. C8, T1,
Ans:: aa b. Ulnar Nerve
50. Sertoli Cells inhibit what c. Median Nerve
a. Androgen binding protein d. Radial Nerve
b. FSH Ans:: bb
Ans:: aa 62 which of the following lymphoid organ
51. Abdominal Aorta receives lymph via SUBCAPSULAR
a. Gives Renal Arteries at L2 SINUS
b. gives Lumbar branches at T 8 a. Thymu
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b. spleen
c. Lymph node
Ans:: cc
63 Regarding first lumbrical
a. Bipennate
b. attached to proximal phalanx of index
finger
c..attach to radial side of first phalanx
Ans:: cc
64 Patient having severe chest pain died,
Autopsy says it was dissecting aortic
aneurysm... Most likely cause:
a. Medial Necrosis of Aorta
b. Saccular Berry Aneurysm
Ans:: aa
65 heparin prevents
a. propagation
b. embolization
c. organization
Ans:: aa
66 Patient had previously Episodes of
Dizziness and Diplopia, patient presented
now in Acute Comatosed state.. Cause :
a. Carotid Artery Thrombosis
b. Basilar Artery Thrombosis
Ans:: bb
67 Regarding Ciliary body
a. Outer Epithelium Pigmented and Inner
Not
b. Pigmented layer is a continuation of
pigmented layer of Retina.
Ans:: bb ,, if there is option : non-
pigmented epithelium secretes aqueous
humour then select that …
68 Superficial Cardiac Plexus contain.
a. Both sympathetic and parasympathetic
b. Sympathetic
c. Parasympathetic
Ans:: aaa
69 In VIT K deficiency, which factor will
be depleted first and foremost
a. Factor 7
b. Factor IX
c. Factor 10
d.Protein S
Ans:: aa
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SURGERY 6 SEP Morning

1. low frequency – meissner’s corpuscle
2 .256 HZ – pacinian corpuscle
3. pudendal block – ischial spine
4 phrenic nerve – pericardiophrenic artery
5 trigerminal nerve – temporalis
6 brain vein – drain into dural sinuses
7 ant relation of ant scalene muscle –phrenic nerve
8 sub acute endocarditis – strep viridiAns:
9 carotid sinus – decrease discharge in hypovolemia
10 CNS (CSF) – decrease glucose
11 parathyroid – post medial of thyroid
12 tongue ant 2/3 nodule – metastasis to submental?
13 prevent unwanted trAns:port- tight junctions
14 protrusions – lateral pterygoid
15 superior parathyroid artery – external laryngeal nerve
16 myxiod degeneration- mitral valve prolapse
17 medial necrosis- dissection of aorta
18 thyroid- epithelial changes with activity
19 myxedema- complete lack of thyroxine
20 smokers epithelium –squamous metaplasia
21 free nerve ending – unencapsulated
22 fracture – avascular necrosis of femur head
23 haversion lacunae- osteoclasts.
24 mid trimester hematopoises- liver
25 polycythemia vera cbc shows – lymphocytes count are normal
26 ADH inhibited by –alcohol
27 anemia in pregnancy – dilutional.
28 maxium absorption in kidney pct – glucose
29 secondary active trAns:port – amino acid in pct
30 microtubules – centrioles
31 neck pain of young girl specially during study which nerve damage – spinal accessory
32 cause of hyperthyroidism – graves
33 short muscle of hand – t1
34 levator ani – pudendal + s4
35 sigmoid colon – s234
36 pheochromocytoma – alpha 1 + beta blocker
37 meckal diverticulum - vitelline duct
38 ureter post relation – genitofemoral nerve/internal ilaic artery
39 pudendal nerve – pudendal canal
40 post duodenal ulcer- gastrodueodenal artery
41 breast- pregnancy changes alveoli secretory
42 hipjoint inferior relation – obtruator externus
43 antibiotic use, causing bleeding – give vitamin k
44 benign – hemartoma
45 hemarthorosis – factor 8 assay
46 b- thalassemia major – HBF
47 chondrocytes to osteocytes – sammatomamotrophin.(GH)
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48 normal basal metabolic rate by – liver
49 myleoperoxidase – neutrophil
50 glycoytic loaded – mitochondria.
51 hereditary spherocytosis – membranous defect
52 metastasis - loss of e cadherin’s
53 fish tap worm diphylobotharium Latium – fish in diet of fisher man
54 antioxidant – vitamin e
55 adenocarcinoma – adenomatous polyp
57 increase bilirubin 16 alkaline phosphatase 300 carcinoembryonic antigen 200, diarrhea due to
psc and colon ca, - ca colon
58 virus – oncogenes
59 pus – dead neutrophils
60 t3 n2 m0 breast – stage 3
61 throne prick – stap. aureus
62 sulphur containing – cysteine methionine, valine (cmv)
63 most common breast ca – invasive ductal
64 cervix stratified squamous epithelium - metaplasia
65 estrogen in post menopausal women - endometrial ca
66 artery remain in pelvis – middle rectal
67 rbc nucleus absent in – reticulocytes
68 left 4th intercostal space stabe- intercostal membrane
69 accompany lad – great cardiac vein
70 ascaris – respiratory symptom
71 amoebic liver abscess – serology
72 mc Burney point – ilio hypogastric nerve – direct inguinal hernia
73 hassel bechs triangle– direct inguinal hernia
74 bulbous urethra – superficial perianal pouch
75 aortic aneurysm at opening – thoracic duct azygous vein
75 aorta – branches to esophagus, pleura pericardium
76 abducted arm drops at once – deltoid damaged
77 loss of abduction upto 30 – supraspinatus
78 thumb tingling – c6 nerve
79 young boy with fracture decrease serum calcium increase urine calcium – vitamin d deficiency
80 medial meniscus attached to – medial cruciate ligament
81 below umbilicus rectus sheath – arcuate line
82 bile salts decrease – after resection of ileum
83 pseudomonas colitis – clindamycin
84 vancomycin – drug monitoring
85 atropine – decrease acetylcholine binding
86 sweat glands – cholinergic symptoms
87 parasympathetic effect – ciliary muscle contraction
88 radial muscle contraction – alpha 1
89 not secreted of nerve terminal in ANS:- l- dopa
90 allergy – bradykinin (histamine was not in option )
91 prozone phenomena – increase antibody titer
92 Rbc antigen – secreted in saliva
93 infective endocarditis – damaged valves > bacteremia> thrombus>perforation
94 cataract+ deafness + cardiac defects – rubella
95 Sexually trAns:mitted disease leading to neonatal conjectivitis after vaginal delivery –
gonorrhea
96 most common malignancy after radiotherapy – hematopoeitic.
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97 for trAns:plant specimen – wbc
98 old man cough with thick sputum – klebsiella
99 teratogen – alcohol
100 septic meningitis ( fatal) – streptococcus
101 smoking teratogen during – 3-8 weeks
102 isograft ( identical twins ) late rejection due to minor hla antigen
103 csf different from plasma – dec glucose
104 septum supply mainly – LAD (2/3)
105 trachoma – chlamydia
106 myocardial infarction sign on ecg – st elevation
107 after MI patient in ICU suddenly become dyspneic and cyanosis – vent perfusion mismatch
108 vein effected in portal hypertension - portal vein
109 cirrhotic patient with diated umblical veins developed edema in lower limb most effected –
inferior vena cava.
110 right heart border on x ray – superior vena cava
111 lobar pneumonia – sputum culture
112 specific of shock – tissue hypoxia
113 lidocaine side effect – dizziness and light headedness
114 difference between anaphylactic shock and hypovolemic shock – temperature.
115 barret esophagus – adenocarcinoma esophagus
116 steatorrhea most due to – pancreatic resection
117 5cm painless purpura in old lady ( senile purpura) – due to capillary wall fragility and defect
118 primary brain vesicle – mesencephalon
119 posterior cruciate ligament – prevent ant dislocation of femur
120 same in skeletal and smooth muscle – calcium influx before contraction
121 collagen atrophy
122 temporal lobe – memory
123 external carotid difference to internal carotid – gives off branches in neck
124 partially alleviate thirst – GIT distention
125 ADH regulation – osmoreceptors
126 Parathyroid surgically surgically removed – tetany + troussieurs sign
127 increase parathyroid hormone – chronic renal failure
128 residual volume – left air
129 left shift of – HBF
130 normal blood pressure 120/80 mmhg
131 second peristalsis – esophageal distention
132 anthrax – 90% skin lesion
133 negros – keloid
134 lymph nodes with stratified squamous epithelium – palatine tonsils
135 scanty barr body – turner syndrome
136 edema – lymphatic obstruction
137 clara cells – terminal bronchioles
138 pulmonary artery supply – alveoli
139 vertebral disc – ¼ of column
140 cubital fossa injection which nerve will be damaged- median nerve
141 most common fracture – tibia
142 first bone to ossify -clavicle
143 venous cut down – great saphenous
144 iron stores as – ferritin
145 aplastic anemia – fat in bone marrow
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Surgery paper 1 & 2 Mix 7. Aphasia…damage or lesion at
A. Parietal
14th Oct 2016 B. Occipital
1. Ectoderm and endodermunite at C. Temporal
A. Cloacal membrane Ans:C
B. Coelom 8. Na is actively absorbed from
Ans:A A. Jejunum
2. Suprapubic catheterization done B. Ileum
because bladder is not covered by C. Colon
peritoneum at D. Stomach
A. Dome E. Duodenum
B. Posterior Ans:C
C. Anterior 9. Long scenario…..Bladder ca gene was
Ans:C asked
3. Corneal opacity is due to A. C-neu
A. Ethambutol B. Kras
B. Phenobarbital C. Nmyc
C. Chloroquine HRAS>KRAS>NRAS
Ans:C Ans:B
4. A difficult question regarding pons 10. Parents have 6 or 7 children. only 1
options were has retinoblastoma…which gene is
A. Facial colliculus responsible
B. Facial nuclei ventrolateral surface A. P53
facial motor nucleus is located ventrolateral B. Rb
to abducent nucleus and facial colliculous. C. Kras
The facial colliculous is an elevated area Ans:B
located on the dorsal pons in the floor of the 11. Melanoma most common site
4th ventricle. It is formed by fibers from the A. Soft palate
motor nucleus of facial nerve. So both B. Hard palate
correct C. Tongue
5. Scenario regarding lateral rectus Ans:B
muscle damage…lesion at 12. Recurrent infections…diarrhea…
Ans. Facial colliculus IgA, igG, IgE levels given..all were
Facial colliculous is facial nerve which low..cause?
loops around abducent nerve nucleus. A. Chronic variable agammaglobinemia
Patient with facial colliculous syndrome will B. Bruton’s agammaglobinemia
demonstrate an ipsilateral horizontal gaze Ans:B
palsy with an ipsilateral lower motor neuron 13. Cell to cell adhesion
pattern of facial weakness. The horizontal A. Integrins
gaze palsy is secondary to a lesion that is B. Selectins
effecting the CN 6 necleus that is C- cadherin>selectin
responsible for abduction of the ipsilateral Ans:A
eye by sending projections to the ipsislateral 14. Ejection Fraction decreases. what
lateral rectus muscle. increases
6. Prevertebral fascia encloses A. ESV
A. Sternocledomastoid and trapezius B. EDV
B. Muscle of cervical vertebrae Ans:A
C. Trachea and esophagus 15. Single dose for streptococcal infection
D. Trachea and thyroid A. Ampicillin
Ans:B B. Benzyl penicillin
C. Benzathine penicillin
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Ans:C 18. Another difficult question regarding
16. Thyroid hormone at physiological anatomy of basal ganglia options were
condition causes A.Below tentorium cerebelli
A. Fatty acid oxidation
B. Protein synthesis B.Midbrain pretectum part of basal ganglia
Ans:A Ans( Controversial)
17. Depression and low motivation lesion 19. Standard deviation is calculated along
at mean because it shows
A. Midbrain A. Variability among individual values
B. Temporal B. Sample size
C. Basal ganglia
Ans:C
Ans:A B. Increase pco2
20. If all values fall on one point or lie Ans:B
within given range it is? 27. Final motor pathway
A. Rate A. Corticospinal tract
B. Frequency B. Alphamotor neurons emerging from
C. Prevalence anterior horn
D. Data C. Inhibiting fibers along alpha motor
Ans:B neurons
21. Glandular acini pseudostratified Ans.B
columnar epithelium with smooth muscle 28. Egg contains protein avidin… eating
calcification raw eggs will lead to deficiency which
A. Prostate causes
B. Seminal vesicle A. Increase transamination
C. Parotid B. Decrease phosphorylation
D. Breast C. Decrease carboxylation
Ans:A D. Decrease coA formation
22. Regarding Glycolysis Ans.C
A. Hexose monophosphate shunt 29. Creatinine 8mg….B.P 210/110…
B. Includes hexose sugars to pyruvate damage to which is a cause of this
Asn:A A. Glomerular cells
23. No. of somites at 30th day B. JG cells
A. 42-44 C. Macula densa
B. 30-32 D. PCT
C. 26-28 Ans.B
D. 32-36 30. Eversion done by
Ans.D A. Peroneus tertius
24. Linea aspera of femur joins upward B. Peroneus longus
and medially to C. Tibialis anterior
A. Pectineal line Ans.B
B. Intertrochanteric line 31. Loss of dorsiflexion and sensation on
C. Intratrochanteric crest foot..damage to
Ans:A A. Tibial nerve
25. Main pillars of medical ethics B. Common peroneal nerve
Ans. Autonomy, beneficence, C. Femoral nerve
nonmaleficence, justice (correct) Ans.B
26. School students play game of 32. Axillary vein formation
breathing in a bag…boy starts A. Basilica vein and vena communicante of
hyperventilating after few mins, reason? brachial artery
A. Decrease p02 ANS:a
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33. Patient during surgery transfused A. Plasma cells (correct)
with blood… she develops high grade Remember Antibodies formed IN spleen
fever, hypotension and shock in post formed BY plasma cells.
operative period…cause? 43. 1.5L blood loss…low GFR and
A. Graft versus host reaction urinary output…part of nephron
B. Febrile non hemolytic reaction responsible in bringing back GFR and
C. Anaphylactic shock Urinary output
D. Bacterial contaminated blood A. PCT
ANS.D B. DCT
34. Pyruvate between C. Thick ascending limb
A. Glucose and acetyl coA (correct) D. Thin ascending limb
35. Long scenario…cotton wool E. Collecting tubule
sensation.. MCV raised…which Ans.C
deficiency 44. Type of Ig in Myasthenia gravis
A. Vit b6 A. IgA
B. Vit c B. IgM
C. Vitb12 C. IgG
ANS .C D. IgE
36. A question regarding coronary Ans.C
supply..options dnt remember..difficult 45. 2L sweating..drinking 2L pure water
one causes
37. Stroke volume increases…what A. Increase ICF volume
decreases B. Increase ECF volume
A. ESV C. Decrease ECF osmolarity
B. EDV D. Decrease ICF osmolarity
Ans.A Ans.A
38. A patient of sickle cell anemia 46. Loss of flexion and sensation of little
develops hemolysis acutely hb 4… cause? finger. damage to
A. Hemolytic crisis A. Radial nerve
B. Sequestration crisis B. Ulnar nerve
Ans.A C. Median nerve
39. Increase bleeding time and appt cause Ans.B
A. Low platelet 47. Superior thyroid artery ligation.
B. Hemophilia damage to
C. Vit k deficiency A. External laryngeal nerve
D. Vwd B. Recurrent laryngeal nerve
ANS.D Ans.A
40. Patient on ATT develops 48. Regarding infrahyoid muscles
hyperuricemia..which drug A. Cause upward movement of larynx
A. Isoniazid B. Between sternum and hyoid
B. Pyrazinamide C. Supplied by ansa cervicalis
C. Rifampin ANS.C
D. Streptomycin 49. Regarding Trachea
Ans.B A. C4-t3
41. Lymphoid follicles are present in B. C6-T4
A. Thymus C. C6-t7
B. Cortex of lymph node Ans.B
C. Spleen 50. Anterior suture closes at
Ans.B A. 18-24mnths
42. Antibodies formed by B. 12-18
C. 6-12
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Ans.B ANS.B( discussed thousands time in group
51. Medullary branch of vertebral artery ans was b)
occlusion causes damage to 61. During bronchoscopy first structure
Ans:pyramids visible is
52. Vibration sensed by A. Upper lobe
A. Pacinian B. Upper basal lobe
B. Meckel C. Lower basal lobe
C. Meissner D. Middle lobe
D. Ruffini Ans.C
Ans.A 62. Angular cheilitis caused by
53. Regarding virus infection A. Chlamydia
A. Proto oncogenes B. Cryptosporidium
B. Oncogenes C. Candida
Ans.B ANS.C
54. DNA virus 63. CD4 cells are
A. RSV A. Cytotoxic
B. Picorna virus B. Helper
C. Adeno virus ANS.B
ANS.C 64. Subacute endocarditis caused by
55. Yellowish discharge from lesion A. Staph aureus
A. Staph aureus B. Strep viridans
B. Actinomyces C. Strep pyogenes
C. Pseudomonas Ans.B
Ans.B 65. Cysticercosis caused by ingestion of
56. 3yrs old boy having swollen right knee A. Ova of tenia solium
with pain and redness… B. Eating raw beef
A. Streptococcus fecalis C. Eating raw mutton
B. Pseudomonas Ans.A
C. Staph aureus 66. HIV confirmation test in baby of HIV
D. Strep viridans pos mother
Ans.C A. Western blot
57. Greenish discharge from lesion B. Elisa
A. Staph aureus C. HIV PCR
B. Pseudomonas ANS.C
C. Actinomyces 67. Light on retina causes
Ans.B A. Increase cGMP
58. Long scenario…parasite having B. Increase neurotransmitter release
narrow anterior end C. Increase conversion of cis retinal to all-
A. Tenia solium trans retinal
B. Trichuris trichura ANS .C
C. Ascaris 68. Vit D3 is associated with
Ans.B A. Storage form
59. Type of hypersensitivity in TB B. Animal source
A. Type 1 C. Plant source
B. Type 2 D. Active form
C. Type 3 Ans.B
D. Type 4 69. Which of the following is essential
ANS.D aminoacid
60. Most important investigation in TB A. Tyrosine
A. Caseous granuloma on biopsy B. Cysteine
B. AFB staining C. Phenylalanine
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ANS.C ANS .C
70. Most common inherited defect in 80. LVF occurs due to malfunction or
hemostasis damage of
A. Factor 2 deficiency A. Mitral stenosis
B. Factor 5 deficiency B. Aortic
C. Factor 1 deficiency C. Tricuspid
D. Factor 9 deficiency Ans.B
Ans.B 81. Artificial pacemaker leads should be
71. Pseudomembranous colitis caused by in
A. C. botulinum A. SA node
B. C. difficle B. AV node
C. C. tetani C. Bundle of his
Ans.B Ans.B( ideal ans is right ventricle which is
72. Regarding Vibrio cholera CPSP key,but it was not in our paper)
A. Grows at 42 C 82. Regarding esophagus
B. Grows in alkaline medium A. It lies on right side throughout its course
C. Grows in acidic medium B. Supplied by thoracic aorta only .
Ans.B C. Joins stomach at 10th costochondral
73. Surfactant contains compound junction
Ans. D. Has thick serosa on lower end
Dipalmitoylphosphatidylcholine(correct) Ans.C
74. Regarding surfactant 83. Shortest pre –erythrocytic phase of
A. Decreases compliance which plasmodium
B. Increases surface tension A. Malariae
C. Decreases surface tension B. Falciparum
ANS.C C. Vivax
75. Lesion on D. Ovale
nose…proteinuria..vasculitis.. Ans.B
A. Leprosy 84. History of pharyngitis..enlarged
B. Wegeners granulomatosis cervical lymph nodes..cause
ANS.B A. Lymphoma
76. Most imp test for gonococci B. Burkitts lymphoma
A. Blood culture C. Infectious mononucleosis
B. Gram stain ANS.C
C. ZN stain 85. Most common cause of
D. AFB nasopharyngeal Ca
Ans.B A. CMV
77. Baby having cataract cause B. EBV
A. Toxoplasmosis C. RSV
B. Rubella Ans.B
C. Syphilis 86. RCA supplies
Ans.B Ans. was all SA,AV node and
78. Right gastric branch of bundle(correct)
A. Gastroduodenal 87. Femoral hernia strangulation due
B. Splenic A. Inguinal ligament compression
C. Hepatic B. Tight boundaries
ANS.C C. Narrow canal
79. Free edge of lesser omentum contains ANS .C
A. CBD 88. Inferior rectal artery branch of
B. portal vein A. Internal carotid
C. hepatic artery B. Internal pudendal
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C. External carotid Ans. Erythrogenic toxin(correct)
D. Inferior mesenteric 100. dry mouth ..dry eyes
Ans.B Ans. Anti ssa..ssb(correct)
89. Flexion of knee and extension of hip 101. protein not filtered due to
A. Sartorius Ans. Pore size and neg charge(correct)
B. Semitendinosus 102. long scenario…brain necrosis was
C. Biceps femoris asked
Ans.B Ans. Liquefactive(correct)
90. Regarding medulla 103. long scenario regarding anti
Ans. Decussation of pyramids cancerous drugs… tumor regresses due to
91. Superior mesenteric supplies A. Apoptosis
Ans. Till proximal 2/3rd of transverse B. Necrosis
colon Ans.A
92. Regarding defecation reflex 104. blood supply of head of humerus
Ans. Opening of internal anal sphincter A. Anterior circumflex
by parasympathetic B. Posterior circumflex
93. Regarding autonomic nervous system C. Arcuate
A. All sympathetic nerves are adrenergic Ans.A
B. All sympathetic nerve are cholinergic 105. cardiac muscle cannot b tetanized
C. All parasympathetic nerves are due to
cholinergic Ans. Due to long refractory period(correct)
ANS.C 106. blood vessels innervated by
94. Sympathetic stimulation causes A. Parasympathetic
A. Salivation B. Somatic
B. Mydriasis C. Sympathetic
C. Miosis ANS.C
Ans.B 107. high catecholamines and blue cell
95. Parasympathetic nucleus of vagus tumor
A. Nucleus ambiguous A. Pheochromocytoma
B. Solitary nucleus B. Neuroblastoma
C. Dorsal nucleus C. Pituitary adenoma
ANS.C Ans.B
96. 25yrs old female has weakness, 108. ACTH secreted through
malaise and pallor…occult blood in A. Hypophyseal portal system
stools. What is the cause? B. Arterial supply of ant. Pituitary
A. Iron deficiency anemia C. Venous supply of ant. Pituitary
B. Hemolytic anemia ANS.C
C. Sideroblastic anemia 109. suprachiasmatic nucleus function
Ans.A A. ADH production
97. Cervical Epithelium Stratified B. Circadian rhythm
Squamous C. Temperature regulation
A. Metaplasia Ans.B
B. Anaplasia 110. testis lymphatic drainage
C. Dysplasia A. Bilateral para aortic
Ans: A B. Unilateral para aortic
C. Inguinal nodes
98. Regarding collagen Ans.A
A. Most abundant protein in body 111. regarding internal capsule
B. Is acidophilic Ans. Medial to globus pallidus
Ans.A 112. 4th Arch derivartives
99. Scarlet fever Ans:Cricothyroid Muscle
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113. Small cell Ca produces B. Lateral pterygoid
A. ACTH C. Temporalis
B. PTHrp Ans.B
C. B-HCG 124. regarding popliteus
Ans.A A. Medially rotated femur on tibia
114. sterilization( CPSP mcq) B. Attached to lateral ligament
Ans. Autoclave for 3min option correct.. C. laterally rotates femur on tibia
115. parotid gland supplied by ANS.C
A. GVA 125. patient lying on ot table at 25 c…80
B. SVE % humidity..heat loss due to
C. GVE A. Conduction
D. SVA B. Radiation + conduction
Ans.C C. Evaporation
116. cold intolerance, constipation, weight Ans.B
gain 126. selective inhibiter of COX-2
A. Hypothyroidism A. Aspirin
B. Hyperthyroidism B. Celecoxib
Ans.A C. Ibuprofen
117. which of the following is related to Ans.B
cancer 127. GFR and renal blood flow increases
A. Silicosis by
B. Asbestosis A. Efferent dilatation
ANS.B B. Efferent contraction
118. Hydrocarbons cause C. Afferent dilatation
A. Small cell ca ANS.C
B. Mesothelioma 128. cervical and I think supra clavicular
C. Bronchogenic ca nodes palpable were given..stage was
ANS.C asked
119. hypocalcemia and A. 2a
hyperphosphatemia B. 2b
A. PTH C. 3
B. CRF ANS.C
C. Vit D 129. phrenic nerve accompanied with
Ans.B A. Musculophrenic artery
120. structure pierced during lumber B. Pericardiophrenic artery
puncture ANS.B
Ans:Ligamentum flavum(correct) 130. movement of glucose from higher to
121. patient has fever..chest pain..not lower conc… this type is called
related to respiration A. Na glucose cotransport
A. Costochondritis B. Simple diffusion
B. Myocardium C. Facilitated diffusion
ANS.B Ans.B
122. medial lymphatic drainage of breast 131. RER involved in
A. Pectoral A. Toxin removal
B. Supraclavicular B. Protein synthesis
C. Internal thoracic ANS.B
D. Inferior phrenic 132. tricuspid valve auscultation
Ans.C Ans. Lower right border of
123. patient cannot lower his jaw muscle sternum(correct)
involved 133. dyspnea on lying down
A. Medial pterygoid Ans. Retrosternal goitre(correct)
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134. therapeutic and adverse affect of B. Celiac
loop diuretics C. Splenic
A. Alkalosis D. Gastroduodenal
B. Low blood volume ANS.C
C. Acidosis 146. left gastroepiploic artery branch of
Ans.B A. Gastroduodenal
135. cause of menstruation B. Splenic
A. LH..FSH C.Hepatic
B. Estrogen ANS.B
C. Hormone withdrawl 147.Pancreatic fluid leakage accumulates
D. Progesterone in
ANS.C A. Subhepatic space
136. in pheochromocytoma drugs given B. Lesser sac
A. B-blockers C. Paracolic gutter
B. A-blockers ANS.B
C. Ca channel blockers 148. optic chiasma lesion causes
D. Both alpha and beta blockers Ans. Bitemporal heminopia
ANS .D 149. pubic symphysis
137. investigation in pregnant patient A. Primary cartilaginous
A.GGT B. Secondary cartilaginous
B. ALT ANS.B
ANS.A 150. malformation of diaphragm due to
138. claw hand due to A. Failure of fusion of lateral buds with
Ans.Unopposed action of extensor pleuroperitoneal membrane
digitorum and flexor digitorum A. act on genes
profundus(correct) B. act on cytoplasm
139. MELAS syndrome histological C. act on receptors in cell membrane
finding ANS.A
Ans. Red ragged fibers(correct) 151. feco oral route
140. Cardiac fibrillation can occur if A. Hep b
stimulus is given at B. Hep c
A. Peak of action potential C. Hep e
B. Start of action potential D. Hiv
C. End of action potential ANS.C
ANS.C 152. aortic opening in diaphragm
141. Regarding asthma Ans. Azygous vein and thoracic duct
Ans. FEV1 153. drug-drug interaction due to
142. Regarding nitroglycerine except A. Pharmacokinetics
A. Blood vessel dilatation B. Pharmacodynamics
B. Decrease pre load C. Both
C. Decrease HR ANS.C
ANS.C 154. dislocation of shoulder which nerve
143. ischial spine inverted damaged
Ans. Android pelvis Ans. Axillary(correct)
144. Temporal lesion causes loss in 155. regarding thyroid gland
A. Olfaction A. Its lobes are pyramidal in shape
B. Memory B. Lobes are symmetrical
C. Vision C. Lies infront of tracheal ring 1,2,3
ANS.B ANS.A
145. Short gastric artery branch of 156. maximum contribution in power of
A. Hepatic eye
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A. Anterior surface of cornea 168. HCO3 reabsorption in
B. Lens A. PCT+DCT
C. Iris B. PCT+CT
ANS.A C. DCT
157. organ least likely to get infarction D. CT
A. Lungs ANS.B
B. Kidneys 169. Functional residual capacity
C. Liver A. RV+ERV
D. Spleen B. ERV+tidal
ANS.C (cpsp key although lungs is also C. RV+ERV+tidal
correct) ANS.A
158. ascent of horse shoe kidney 170. patient in CCU
A. Superior mesenteric A. Anxiety
B. Inferior mesenteric B. sense of loss
ANS.B ANS.A
159. phenol as compared to alcohol(poor 171. edema in nephrotic syndrome due to
recalled bcq) A. Increase blood volume
Ans. Less painful analgesia B. Hypoalbuminemia
160. tachyphylaxis C. Lymphatic obstruction
Ans. Diminishing action of drug ANS.B
developing rapidly 172. shock by injection…Ig involved
161. stress hormone of body A. IgA
A. GH B. IgG
B. Testosterone C. IgE
C. ACTH D. IgM
D. Cortisol was not in options ANS.C
ANS.C 173. question regarding parts of
162. heat intolerance palpitations duodenum
Ans. Hyperthyroidism A. Retroperitoneal
163. start of 5th week B. 1st2nd intraperitoneal
A. Heart tube ANS.B
B. Stomach rotates 174.most common fractured carpal bone
C. Limb buds A. Lunate
ANS.B B. Scaphoid
164. starling law C. Pisiform
Ans. Increase cardiac output with ANS.B
increase venous return(correct) 175. immediate reflex after acute blood
165. anatomical question loss
Ans. tail of pancreas in splenorenal A. Baroreceptor
ligament B. CNS ischemic
166. patient on thyroxine what should b C. Renin angiotensin
monitored D. ADH
A. T3 ANS.A
B. TSH 176. regarding staging
C. T4 Ans. Used to detect spread of tumor
ANS.B 177.difference btw interstitial and plasma
167. trachea bifurcates at fluid
A. T4-t5 A. Protein
B. T5-T6 B. Electrolytes
C. T6-T7 C. Osmolarity
ANS.A ANS.A
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178. open wound healing 181.free nerve ending
A. Contraction of myofibroblasts Ans. Un encapsulated(correct)
179. highest mitochondria at apex 182. Raised ICP which drug cannot be
Ans. Cilia(correct) given
180. calcitonin secreted by Ans. Ketamine
Ans. Thyroid ca
• D)Nose
7TH NOVEMBER MORNING • E)Tongue
Ans:: C
SURGERY 10)Maximum reabsorbed from renal tubule
1)Cervical branch facial nerve supply. to plasma?
A)Plytsma A)chloride sodium potassium glucose
b)Masseter Ans:: A
Ans:: a 11)Sensory supply of uterus travels in
2)Lateral half of thenar spared, root injury A)Round Ligament
involved. B)Uterosacral Ligament
a) ULNAR C)Tranverse Cervical Ligament
Ans:: A D)Broad Ligament
3)Retrograde mamory loss.. Ans:: D
a)Brain stem lesion 12) 62 years old female with change in
b)Precentral frontal lobatomy_ bowel habits. DRE negative and
Ans:: B sigmoidoscopy shows 6cm mass near
4.Pendular knee jerk?? caecum. Diagnosed by pathologist as
Ans:: Cerebellar lesion Adenocarcinoma. Most likely
5)Chorda tympanea nerve.. a) -K-RAS with neoplastic cells
a)autonomous function b) I CAM VCAM
b).innervate ant 2 3rd of tongue .. Ans:: A
.C)branch of mandibular nerve 13)Subcostal incision. Rectus abdominis not
Ans:: B necrosed even after damage of superior
6)Supinator muscle paralysis...function epigastric artery because it anastamoses
replace by which muscle with ??
( A)bicep brachii A) deep circumflex iliac :
B)brachialis B) inf Epigastric artery
C)brachiradialis C)subcostal artery
Ans:: A external pudendal artery
7)I/V drug abuser most likely develop Ans:: B
A)Marantic Endocarditis 14) 256Hz tuning fork Wala.
B)Libman Sac Endocarditis A) Pacinian
C)Rheumatic Disease B) Meissonier
D)Infective endocarditis Ans: A
Ans:: D) 16.Which of the following receive max
8)Wat causes inc aldosteron secretion drainage from arachnoid granulations.
A)Hyperkalemia A) Straight sinus
b)FLUID OVERLOAD B) Sup sagital sinus
ANS:A C) cavernous sinus
9)-The Characteristic Lesion Of Prmiary Ans: B
Heridator Telangectesia Is On 17. 8 years old boy with difficulty in
• A) Palate swallowing and mass on left side of
• B)gingivae esophagus. Desmin negative and Vimentin
• C)Lips + . He had a history of fetal alcohol
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syndrome and not doing well in school. b)appendicitis
Most likely c) minor surgery
A)-Wilms tumour Ans:: A
B)-Rhabdomyosarcoma 26) Trichnomus vaginalis??
C)-Metaplastic Lymphoma a)STD
D)-Retinoblastoma b)blood borne
Ans: B Ans: A
18.Rejection of trAns:plantion WITIHIN 27) Lateral rectus muscle ?question
MINUTES? A) abducent nerve
A) cell mediated b) trochler
b) preformed antibody c) optc
c) immune complex Ans: A
d ) blood group 28.Which of following is tetrogenic?
Ans: B a) coffee
19..Endothelum histolgy? b) alcohol
simple squamous cells Ans: B
Ans:: A 29.Grl wth type 1 diabetes hve mostly
20..Feco oral route which ? hyperglycemia in morning .whixh is
a)hep E appropriate option?
b)hep C a)regular insulin before meal shrt acting
c) hep b insulin
Ans:: A b)twice b4 meal long acting insulin twice a
21..In Emergency deprtmnt ? day
a)Doctr relation patient options given? c)b4 meal long acting nd intermediate insulin
b)Social skills twice a day
c)Family shld b outside ER d) intermediate insulin twice a day
d)Active listening Ans: B
Ans:: c 30..3 yr old child had fever ,flushy face nd
22.Pt wth pulmonary t.b case ...change in tachycardia aftr eye drops instillation
urine nd one symptom given..which of ...which drug cause above characteristics?
following drug is responsible ? a) atropine )
a) RIFAMPICIN b)phenlnephrine related wth othr
b) ethambutol c)tropine trponide
c) pyrazynamide Ans: ;A
d) inh 31)Fatty acid oxidation by which Vitamin
Ans: A a)Biotin
23.Pt hve 1 week typhoid ? Which b)vit d
investigation wil do? c) riboflavin
a) urine Ans:; A
b)stool 32..mechanism of action blockage of
c) blood cultue steroids ?
d)widal A;Cyclocygenase
Ans: C B)Phospholipase A2
24.Neurons in Spinothalamic are not Ans: b )
involved in ? 33.urine coming out of umblical vein
a)temp A)Patent vitalline duct
b) pain, b) PDA
c) cordination c}malrotation
Ans: C d) bladder extrophy
25.Morphine used ? Ans: ;A
a)In terminal stage of cancer pt
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34.There was a fistula after 12 day of c sec a)Exercise
between bladder and vagina ? b)in stress
A)vv fustula due to obstructed labour c) severe pain
Ans:;a Ans: 'A
35..women with edema till knees, lungs had 44.Superficial inguinal ring..
pleural effusion,heart border visible,liver b ..Ans:..in fascia of ext oblique
kharab tha 45) Microscopic characteristic feature of
a) recurrent thrombophlebitis metastatic carcinoma???
b) itp a)Invasion
c) copartment syndome b)Pleomorphism
Ans: A c) shape
36..Tumour of unrinary baldder cause by.. Ans: ; A
A ) schistosomiasis 46..Post op wound infection aftr 72 hrs
b) trichomonas what will help neutrophlis in process of
c) h pylori inflamation?
Ans:; A a)C3b
37)Which hormone is responsible to change b)C5a
proto oncogene to oncogene.? c)Complements c5 to c9
------------controversial bcq---------------------- d)Fc portion of IgG
------------ Ans:;C
38( A scenario was like a man need blood 47..Heparin prevents..
trAns:fusion but no cross match with any a)propagation of thrmbus
type of blood. Which antigen is present in?? b)clot formation
A) DUFFY c) coagulation
B)kelly Ans:;A
C) RH 48..Hormone therapy given size of tumor
Ans: ; A reduced by the process of
39) Standard deviation,,, a) Atrophy
A) Individual observation b)Apoptosis
b)Variation among individual Ans: B
Ans: b ) 49..Myxoid degeneration in?
40) high cardiac output failure a)Mitral valve prolapse
A) Thiamine deficiency b) aortic regurgitation
b) vit c excess c) tricuspid stenosis
c) b12 def Ans: ;A
D).iron overload 50..After hepatic reaection which helps in
Ans: ;A regeneration ?
41)Area of gaseous exchange .... A)Hepatocyte growth factor
A)respiratory bronchiole till alveoli b)TGF
B ) bronchiole Ans:A
c} trachea 52)Ek tha jis ka Ans: was
Ans: ; A a}caseating granuloma
42,,Which moves potassium out of cell... Ans: a
A) insulin 52) Glycolysis ..
b)salbutamol a)hmp shunt ......reversible
c)exercise Ans: A
Ans: ;c 53)Colon carcinoma metastasis first to
43..Boy was busy in a well ventilated room a) mesocolic lymph node
temp 26 degree C , sweating.,bp was 150 b)liver
/95,pulse 120. he was Ans:; B
54)Achondroplasia scenario
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a) autosomal dominant b) posterior surface of lower end has right
b)autsomal recessasive vagus
c) not heridatary c) upper end has smooth muscle
Ans: ; A nonkeratinized
55) Cancer causing d) stratified squamous epi
a)benzidine (Ans: d ref kaplan)
b) cooking oil 66)Wilson disease???)
Ans: A Ans:>Ceruloplasmin level
56)Accomudation lost scenerio??? 67)Which Pleura supplied by phrenic only
A) mid brain ???
Ans: A A)Diaphragmatic parietal pluera
57)Left leg UMNL, LEFT face LMNL,left B) viscreal
homonymous hemianopia,,lesion at Ans: A
a}Lat pons (aica) 68)Disease vs non disease
b)cerebellum A) nominal
Ans: A .. ref FA Ans: A
58)Spleen feature 69) Elastic fibres with interlinked collagen
A) accesory spleen in 25% fibers A A)dermis
b)12 cm normal size b)epidermis reticular layer
c)lax ligament cause wandering spleen Ans: B
Ans: B 70)Severe trAns:fusion reaction
59..Steroid like mechanism hormone a) A+ to O+
a) glucagon b) o neg to b pos
b)insulin Ans: A
c) THYROXIN 71)Good analgesic but not a good anesthetic
Ans: C A)nitrous oxide
60)Uterus major support to b)ketamine
A)PELVIC DIAPHRGM Ans: A
Ans: a 72)true about heart..
61)Unilateral orchidectomy Lymph will A)Great cardiac vein starts at interventricular
drain to sulcus
A)bilateral paraaortic b)small veins drain to rt atrium
B)ipsilateral para aortic and c)Other options not remembered
C)ipsilateral pelvic Ans: B
Ans: A 73)One was about some peripheral smear
62..Basilar artery thrombosis jis ma spherocytes n polychromasia ,
fainting comatose patient tha aik wo bhi A)G6pd
A. locked in syndrome b) IDA
B . cerebellum Ans: A
Ans: A 75..Blue cells catecholamine high
63,,Adult female breast atrophy abdominal
A ;estrogen estrogen mass<
b)progesterone A) nephroblastoma
Ans: A) b)Neuroblastoma
64) Breast lies in front of Ans: A
A)pect minor
B)pect major fascia 76)Ca head of pancreas compress??
.Ans: B a)Portal Vein
65) Regarding esophagus b) duodenum
A) t12 Ans: A
77)4th part of dudonum
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A)Retroperitoneum 86)ulceratd mass in cecum with tubular
b) intraperitoneal glads what is relevantMembr of family has
Ans: ..A adenomatus polip and aur option
78)Caecum cancer feature A) FAP
A) keratin b)crohns
Ans: a c) uc
79)Qrs Ans: A
A) before ventricular systole 87)Friction rub on auscultation,creatitine 9
B ) during sytole ,urea bhi raise tha kafi pericarditis ??
c) after systole a)Uremic pericarditis> fibrinous
Ans: A Ans: ;A
80)wound on Toe lympyh nodes involved 88.Night secretion increases and inhibition
A)Vertcal inguinal group of gnrh >a)tsh
B )horizontal inguinal group b)melatonin
Ans: ;A Ans: B
81)Ak tha diagnostic test tb stem aur tha 89)Pericarditis type in arf?
but matlab yhi tha😎 A)Fibrinous
A) Afb (Ans: .uremic coverts to fibrinous)
b) blood culture 90)Extra embryonic coelome
c ) x ray A)Hypoblast
Ans: A Ans: A
82)A typical senario About 91)Physiologic herniation >
pulmnry artry athetosclerosis. A) clockwise
((( An old aged pt having increased b) 4 6 week
trAns:luency of lungs in upper fileds c) around celiac trunk
flattened diaphgrams no evidenece of Ans: A
infiltration prominent both pulmonary 92)Peristalsis of pharynx slow as compared
arteries and prominent right border of to small intestine
heart no hx of fever what is likely findings a) troposin vs calmodulin
in pulmonary arteries? b) k vs ca
a)granulomatous vasculitis Ans: A
b)atherosclerosis 93)Level of thyroxin altered by >
c)aneurysm A) TRH
d)medial dissection B) GH
Ans: B )) Ans: A
83)Some defect with vision ct done 94)Thyroid epithelium >
occulsion of what artry ? A)change with change in secretory function
A) central retinal artery b) constant lifetime
b) optic Ans: A
Ans: A 95)Farmer with cushing syndrome
84)Sub dural hematoma a)adrenal adenoma
a).briding vein b) copd
b)Superior cv Ans: A
c)Inf cv 96)Virus alters >
Ans: A a)Dna
85)EFFECT ON CARDIAC CYCLE? b) RNA
A)HEART RATE CHANGE CHANGES C) gene
LENGTH OF CYCLE Ans: A
Ans: A 97)Kidney activates>
A)cholicalciferol
b) ACE
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c) riboflavin 109)Difference BT interstitium n cell tha
Ans: ;a kuch
98)Meningitis after lung abscess > A) I marked 1 mosm
a)staphylococcus aures Ans:
b) s pneumona 110)One was about cecum adenocarcinoma?
Ans: A A)K-RAS Mutation
99)Severe dehydration Ans: A
A) nacl 0.9 % 111)Black water fever wala scenario >
B) 5 % dextrose A)falciparum
c) hemacell b) ovale
Ans: ref Ganong Bcq c) plasmodium malaria
100)Nasopharyngeal CA Ans: 'A
a)rhinovirus 112)G6pd
b)adenovirus A) Heinz body
c) ebv Ans: A
Ans: C 113)Hco3 calculation >
101)Receptor drug effect > A)urine flow × hco3
A)bradycardia causing atenolol Ans: A
B) hyperglycemia due to insulin 114)TrAns:fer of radicals>
Ans: A A)trAns:ferase
102)Abt parasympathetic b) mutases
A) All parasympthtc post all muscurinic Ans: A
b)all sympathetic post all muscurinic 115)Yolk sac tumor >>
Ans: A A) AFP raised
103}Sarcomere b) b hcg raised
A) Z band Ans: A
b) i band 116)Portal hepatis tumor >
Ans: a Ans:>portal vein obstruction
• 104)Intraorbital 117)Icam vcam >
• a) br of maxillary a)leucocyte adhesion
• Ans: A b) RBC adhesion
• 105)Atonic bladder > Ans: A
• a) parasympathetic efferent damage 118) Child coronary aneurysm >
• b) symp out flow A)kawasaki
• Ans: A b) wegner
106)Filiform > Ans: A
A)cover whole dorsum of tongue 119) Median atlanto axial joint?
Ans: A a)pivot
107)rubella in pregnancy?? Ans: a
A) cataract 120)Colon carcinoma >
b) river blindness A) kras
Ans: A b) afp
108)Patient with acute hepatitis trAns:fused Ans: A
with 1 pint cross matched,,after week 121)Inversion>
trAns:fused again A)tibialis ant n post
with 1 pint cross matched Ans: A
Week later present with HB 7,coombs 122)Gaba wala substantial nigra damage
positive,reticulocyte 10% >A)chorea
A) drug induced hemolysis b) rigidity
B ) delayed hemolytic trAns:fusion reaction Ans: A
Ans: A 123)Chromatid allign<
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a) metaphase b)serratous pos
b) anaphase Ans: A
c)telophase 135.Cervical facial >
Ans: A a) platysma
124)One was hx of family bleeding bt raisd b)stylohyoid
and aptt raisd Ans: A
A) .vwd 136.Left side fall >
b) vit k def a)left cerebellum
c)thalasemia b) right hemisphere
Ans: A Ans: A
125).nerve danage in tonsilectomy 137.Medullary pyramid lesion
a ) 8th A) propioception
b) 11 B ) taste
c) 9 nerve Ans:. a
Ans: C 138.. 51 years old female having iron def
126) Anorectal reflex > anemia and esophageal carcinoma... wheres
a)defecation lymph drainage ??
b) urination A)celiac nodes..
Ans: a B)deep cervical
127)Thiamine cause Ans: B{upper 1/3 esophagus}
A)Subacute degeneration of neurons 139..old man admitted in oncology ward
b) choreoathetosis has ear ache and fever pata nae doosra b
Ans: a kuch infection hua tha head n neck region
128)Defecation reflex< ka.. culture revealed pseudomonas
a)rectoanal aeruginosa and cbc neutropenia.. this is
Ans: A because of.
129) Asthma . a IL5,
a)fev/fvc more than 75 b.TNF
b)fev/fvc less than 75 c. granulocyte stimulating factor
Ans: B d. granulocyte macrophage factor
130)oral ulcers > Ans: B-
a)candidiasis 140)Microscopic feature of compact bones
b) ebv a)Haversian canals are arranged obliquely
c) kissing disease b) lacunae have osteoblasts
Ans: A c)Haversian canals are not interconnected
131)Kidney difference collagen imparts colour
a)structure in hilum d).lamellae are regularly arranged
b) arteries Ans: d
Ans: a 142.. Food entring in larynx prevented by
132) Lateral thenar spared, short muscles A)Pharyngeal muscle contraction
of hand paralysed b)Approximation of vocal cords
a) radial Ans: B
b)long thoracic 143..study on sexually trAns:mitted
c) ulner n damaged disease,one group of boys had penile ulcers
Ans: C and the other group had no ulcers,non
133) Overhead abduction > ulcerating leisons were d/t?
a)subscapular nerve A.treponema paliidum
b) infraspinatous B..chlamydia
Ans: A C.HPV
134)LONG THORACIC NERVE supplies D.ducreyi
A)SERRATUS ANTERIOR E.Gonorhea
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Ans:; B 154)Anterior compartment syndrome of lower
144..Regarding physiological herniation limb nerve involved
A)On IMA axis A) common perronal
B)Clockwise b)femorral
C)Herniates in extra embryonic celoem c) sciatic
DMidgut connected to allantois Ans: A
Ans: B 155) Spleen
• A)12 cm
145.Infra orbital artery is terminal branch • b)accessory spleen in 25 %
of • Ans: A
a)Facial 156) Left leg UMNL,left face LMNL,left
b),Maxillary homonymous hemianopia area damaged ??
c)TrAns:verse facial • a)cerebrum
Ans: B • b).lateral pons
146.Anterior surface of duodenum • c)medulla
perforate, fluid will accumulated in? • Ans: b
a) Right iliac fossa 157) Steroid acts on??
b)Right posterior subphrenic space Ans:> via Gene
Ans: A 158) Post triangle biopsy>
147.Testicular ca drains into a)spinal acessry
a)Ipsilateral pevic and contralateral p.a nodes b) long thoracic
b).lateral pelvis c) 12th
c)Ipsilateral p.a nodes Ans: A
d)Bilateral paraaortic nodes 159)Carcinogenic>
Ans: D a)benzidine
148)Femoral pulsation cab be feel at b) alcohol
a)Mid inguinal point Ans: A
b).Mid point of inguinal ligament 160)uterus main support >
Ans: A a)trAns:verse cervical
149)Regarding Sephanous vein b)broad lig
A)Ascend in front of medial malleolus Ans: A
b)Pierce s.f faci a 161)River blindness
c)Connect with deep veins of calf A)Oncoceriosis
d)Start from medial venous arch b) schistosomiasis
Ans: A Ans: a
151)One q characteristics feture of well def 162)Microscopic feature Tb lymph node >
sq cell ca A)caseous necrosis
A)Keratin perls Ans: A
b)Pleomorphism 163)Factor 8 >
c)Polarity a)cryoprecipitate
Ans: A b) ffp
Ans: A
152.Regarding heart supply 164.Immunologic test related question
A)great cardiac vein start from apex run in A)Amobic liver disease
interventricular grove b)Hydatid cyst
Ans: A Ans: a
153..Which harmone released at night cause 165.Human is intermediate host of.
block of gnrh A) hydatid
A)Melatonin b) malaria
B) tsh Ans: A
Ans: A
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166.Increase hydrostatic pressure related c) Deposited first in wound healing... Collagen
question...... III
a).Constriction afferent arteriole d)Collagen I takes 3 weeks or more
b)Constriction efferent arteriole 176 Right border of heart??
Ans: B Ans:> Right atrium
167)Which is pivot joint 177.l-dopa inhibit ..
A)Atlantoaxial joint a)prolectin
b) pubic b)oxytocin
Ans: A Ans: A
168)C7 vertebra specific feature 179..Primary perstalsis different from
A)Longest Spine secondry in
b) body a)Orophargeal phase
Ans: A Ans: a
169)Decrease osmotic pressure . 180..Virus in cell cause alter.......
......infusion A)DNA
a)Isotonic saline b)Oncogen
b)20% albumin solution Ans: A
c) .Distilwater 181.60 year gardner present with caushing
d)10% glucose syndrom
Ans: c[ distalled water is istonic bec no a.renal cell carcinoma
salute) b.adrenal adenoma
170.Person come to pakistan and develop c.Thyroid carcinoma
fever from 2 days and become unconcious Ans:wer B
a)P .falciperum 183.Heanz body presnt in
b) p ovale • a)hereditry spherocytosis
Ans: A • b)sickle cell
171.athlete has infection of big toe..there is • c).G6pd
tenderness in groin.. which nodes involve. • Ans: C
a. seperficial inguinal horizental. 184.Methicilin resistance staph aureus
b..Ans: superficial inguinal vertical.. sensitive to .a).vancomycin
.c. deep inguinal b) gentamycin
d.. node of cloquet c)lincomycin
Ans: B Ans: A
172.Acute renal failure related question 185..Mineralocorticoid....Adlosteron
which part of tubule involve..... secretion stimulate raise ..related question
a) PCT tha
b) Dct A)Potassium
c) Loop of Henle b)Renin
Ans: A Ans: A
173)Wound strengthing collegen 186..Staff nurse and hospital acquired
Type infection related question..
a) type 1 .A. Left Gloves on floor after blood sample
b.type 2 B.) Not hand washing after glove removed
c.type3 Ans: B
d.type4 187..superior parathyroid lies superficial to
Ans: A .A).pretracheal fascia
175.Imprtnt regarding wound... Ans: A
aCollagen points 188..CSF related question
a)Inc wound tensile strength.... Collagen I a) Drain arachnoid villi
b)Imprtnt in wound healing III b) Absorb choroid plexus
Ans: A
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189,filiform papillae of tongue 7) Histology slide shows rete ridges with
a.. mushroom like nuclear atypia and nuclear pleomorphism
b imparts red colour to tongue with infiltrating malignat epithelial cells
c.. mostly present on tip a-Verroceous Carcinoma
Ans: a b-Squamous Carcinoma
8TH NOVEMBER 2016 c-Transitional Cell carcinom
Ans;B ref robbins
SURGERY PAPER -1 AND 2 8) Three days after delivery a women died
because of pulmonary thrombo -
MORNING embolism. There was blockage at
1) Pretracheal fascia completely covers pulmonary artery which result in
a-Thyroid a-V/Q ratio achieve infinity
b-Trachea b-V/Q ratio becomes zero(shunt)
c-Esophagus c-V/Q ratio is unchanged
d-Laynx d-Shunting of the alveoli occurs
e-Pharynx Ans:B ref brs
Ans:A(ref snell) 9)A substance freely filtered and actively
2) Long scenerio of fibroadenoma reabsorbd by the nephron
showing features of firm fibrous mass. a-Clearance will be increased in prescence
Gross appearance of fibroadenoma of metabolic poison
a-Metaplasia -b-Clearance will be decreasd in presence of
b-Dysplasia metabolic poison
c-Desmoplasia c-It's concentration in urine is more than
d-Aplasia plasma
-Anaplasia (It is a feature of d-It's concentration in urine is less than
Carcinoma) plasma
Ans:C Ans:D
3) Proto oncogenes converted to 10) Low grade fever with cervical
oncogenes lymphadenopathy. Histology shows
a-Gene amplification diffuse infiltrating macrophages with
b-Point mutation spaces and increased mitotic index
(ans:B ref robbins) a-Tuberculosis
4) Tumour Metastasis: b-Burkitt lymphoma
A. migration c-Lymphocytic Lymphoma
B. degradation of extracellular matrix d-Sarcoidosis
C.degradation of "E-cadherin" Ans:B ref first aid
D. loss of attachment of tumor cells 11) 24 years old male presents with fever
with each other and weakness. Non-lactose fermenting
Ans:c organism isolated with greenish metallic
5) Sertoli cells-remove blood testis barrier colonies
(exact words) -a-Pseudomonas Aeuroginosa(answer)first
a-produce androgen binding protein aid
b-secrete testosterone b-Staphlococcus Aeureus
Ans:A ref first aid c-Streptococcus
6) Regarding parotid gland d-Klebsiella
a-contain serous acini Ans:A ref first aid
B- duct opens in the second molar 12) Histolgy slide shows circular and
tooth(oposite upper 2nd molar tooth) longitudional arrangement with skeletal
C-pierces masseter(pass over messater chaned into smooth muscle fibres
pierces buccinator) a-Upper esophagus
Ans:A ref first aid+klm b-Middle esophagus
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c-Pharynx a-Mitochondria
d-Palatine tonsil b-Golgi Bodies
e-Lower esophagus c-Endoplasmic Reticulum
Ans:B d-Nucleolus
12) Patient presents with signs of low Ans:A ref guyton
grade fever, non- healing ulcer on tongue 19)Which of the following is absent from
and cervical lymphadenopathy. Biopsy the axon
shows epitheliod cells with casseous a-Mitochondria
necrosis b-Nissil Bodies
a-Tuberculosis c-Microfilament
b-Sarcoidosis d-Microvilli
c-Burkit Lymphoma Ans:B ref kaplan
d-Lymphocytic Lymphoma 20) ECF and ICF
Ans:A ref robbins and first aid a-Na and Ca inc in ECF as compared to ICF
13) The functional residual capacity ??? b-ECF more than ICF
a is the sum of residual volume and c-ECF has high K and Na concentration
inspiratory reserve volume Ans:A ref guyton+brs
b. Volume of air in the lungs at the end of 21)Blood Group A+ receipient cross
tidal expiration matched blood group with every other
c. Vital Capacity + Expiratory Reserve blood group.
Volume Cross matching failed due to the presence
d. Expiratory capacity +tidal volume of antivodies
e. Can be measured by spirometry a-Anti-M
Ans:B ref brs b-Anti e
14) Scenerio of Hemorrhage , patient was c-Anti gG
transfused with 150mmol/L Normal d-Kell
Saline. Most likely change occurs e-Duffy
a-Inc in ECF Na level Ans:E
b-Inc in intracellular volume 22)Nerve damage resulting in loss of
c-Inc Urinary osmolarity sensations in lateral three and a half
d-Inc ICF Osmolalite finger.
Ans:B a-Ulnar
15)28 years lady presented with vaginal b-Median
bleeding and show signs of cervical c-Musculocutaneous
hyperplasia d-Accessory
a-Inc estrogenic stimulation e-Axillary
b-Dec estrogenic stimulation Ans:B ref snell
c-Inc leutinizing Hormone Note:If dorsum of hand and lat 3 and ½
Ans:A fingers than choose superficial branch of
16)Potassium secretion decreases in radial nerve.
-Inc dietary potassium(low k diet) 23) Greater tuberosity of humerus
-Inc aldosterone secretion(true) a-Medial side of shoulder
-Decrease Na absorption b-Short head of bicep arise from it
Ans:B c-Attachment of Sub-scapularis
17)Sodium is primarily regulated via d- Embedded beneath Teres major
a-Osmoreceptors e-tere minor attached at inferior facet of
b-Aldosterone(reabsorption) greater tubercle
c-Renin Ans:E ref snell
Ans:A 24)Girl with type 1 diabetes hve mostly
18)Which of the following has the hyperglycemia in morning .which is
capacity of regeneration appropriate option?
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a-regular insulin before meal D-4
B- shrt acting insulin twice b4 meal E-8
c- long acting insulin twice a day b4 meal Ans:C
D-long acting and intermediate insulin twice 31)35 year old man bilateral crepts, on
a day xray chest heart fills completely ,mass in
E-intermediate insulin twice a day RT ventricle , What will be the main
Ans:D cause
25) Breast Carcinoma undergo surgery a.mesothelioma
with axillary clearance done during b.rhabdomyosarcoma
surgery. Winging of scapula scenario due c.angiosarcoma
to surgery complication. Nerve damage d.myxoma
a-Thoracodorsal Ans:D ref cmdt
b-Long Thoracic 32) Organism associated with bladder
c-Dorsal Scapular squamous cell carcinoma
d-Sub-scapular A-Schistosoma hematobium
Ans: B ref Snell B-Schistosoma Mansoni
26)Sciatic nerve severed, dorsum of foot Ans:A ref robbins +cmdt
supplied by which nerve?? 33)26 years old boy presents with pallor
a.saphenous nerve and weakness. Fever of 101°F. Echymosis
b.Sural nerve and Bruises were there. Patechial leision
c.Common peroneal nerve was mentioned. Definitive diagnosis via
Ans:A ref snell investigation ? Options were
27)After hemorrhage which of the A-Serology
following is the last to return to normal B-CBC
a-RBC in peripheral smear C-Bone marrow aspiration
b-Hemoglobin D-Molecular biology
c-Reticulocytes Ans:B
Ans:A 34) Infratemporal fossa is also known as
28) Circle of Willis is formed by Ans> #Parapharyngeal #Space
A-Vertebral artery and Middle cerebral 35) Hematopoetic function of
B-2 internal carotid and Basilar endothelium??
artery(answer) A-machanical barrier
c-Basilar artery with external Carotid B) synthesis of fibronectin
D-Anterior cerbellar with Posterior C) synthesis of anti plasminogen inhibitor
Communicating artery factor
E-Between 2 vetebral arteries and internal D) synthesis of prostacycline
carotid arteries Ans:D
Ans:B ref kaplan 36) 62 years old lady presents with
==>I check again and again Posterior backache. 30% monoclonal plasma cells
cerebral was not in the option. with features of joint pain. Most likely
29)Vitamin C deficiency diagnosis
A-Defective Collagen Formation A-Multiple Myeloma
B-Decreased Collagen Formation B-Waldernstorm
C-Fibrillin/Collagen ratio deranged -C-Monoclonal gammopathy
Ans:A ref lippncott D-Plasmacytome
30)Fetal movement detected by mother in Ans:A ref robbins and cmdt
which month 37) Extensive Lesions in the cerebrum
A-6 with involvement of brocas and wernicke
B-7 area
C-5 -A-Global Aphasia
-B-Transcortical Aphasia
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C-Sensory-Motor aphasia left is crescent. Supplied by three arteries
ANS:A ref kaplan and one vein. Only suitable option is D.
38)A patient presents with type 2 diabetes 43) A patient presents in E.R with a
mellitus. Most likely complication in limb hemorrhage. Blood loss (500m/l).
will be Compensatory mechanisms were
A-Dry Gangrene activated. Which will decrease after
B-Wet Gangrene compensation
C-Raynaud's Phenomenon A-HeartRate
Ans:B B-Venous Capacitance
Diabetes=Dry C-Urine Output
Diabetes with complication=Wet Ans:A
39)Absolute contraindication of propofol What inc and what decreases( Decided on
:- group) :-
-A-Hypersensitivity reaction Hemorrhage During compensation
-B- Cardiac problems 1)venous capacitance decrease 2)urine
- c-Porphyria output decreases 3) h.rate increases due to
D-Pregnancy sympathetics.
Ans:A ref katzan After compensation 1)h.rate decreases and
39)Xylocaine given to a patient with returms to normal. 2)urinary output
multiple drug allergy. Sign of increase increases and returns to normal
sensitivity? 3)v.capacitance increases and returms to
a Rash. normal.
b Inc blood pressure 44) A patient had difficulty in abducting
c Rise in temp and adducting his fingers and has lost
d Syncope abduction of his thumb. The nerve most
e Tacchycardia likely involve
Ans:D ref lippncott A)Sup. Branch of Ulnar Nerve
40)Regarding neutrophil, correct B)Deep. Branch of Ulnar Nerve
statement is C)Dorsal Branch of Ulnar Nerve
A. Migrate into and out of the blood D)Median Nerve
B. Phagocytic in bloodstream E)Anterior Cutaneous branch
C. Decrease in infective conditions Ans:B
D. Decrease when corticosteroids were Rabia ali Page 30 MCQ No 12 with little
given changed option.
Ans:B ref guyton 45)Non-Pregnant , 26 years lady
41)Rt kidney differentiated from lft presented with FBS:122mg/dl, After one
kidney by..? hour 198mg/dl, After two hours 194mg/dl.
A. Relation of structure within hilum Most likely
B. Surface and pole A-Normal Glucose Toleramce
Ans:A ref snell B-Overt Diabetes
Rest of the Options were changed but A is C-Secondary Diabetes
the most appropriate one ! D-Gestational Diabetes
42)Adrenal gland E-Lag storage curve
A -has same size in adult n infants Ans:B
B- arterial supply from 2 arteries 46) No of somite at 30th day
C -pyramidal in shape A’25-30
d -has seperated from kidney by perinephric B-32-34
fat. C-34-35
Ans:D ref snell D-42-44
Question was only about adrenal gland. E-44-46
Right adrenal gland is pyramidal in shape,,
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Ans:A (21-29 somites on 30th day ref keet ANS:A ref snell
moor embryo) Rabia ali mcq no 23 page 31
47)Which one is essential amino acid? 54) Increased bleeding time scenerio.
{A} serine Von willebrand disease.
B} tyrosine 55)Most common cause of inc bleeding
C} Phenylalanine time
D} proline -Aspirin ingestion(past paper bcq)
Ans:C ref lippncott 56)Bundle of HIS. Blood supply
48)Best example of pharmacodynamics A-Right marginal branch of LCA
drug drug interaction: B-LCA
a: tetracycline with calcium C-Interventricular branch of LCA
b: toxicity of lithium with thiazide diuretics D-Right Marginal branch of RCA
c:reverse the action of aspirin by NAHCO3 E-RCA
d:reverse the action of morphine by Ans:E ref snell
naloxone 57) Patient on ATT. Develop narrow
Ans:D ref lippncott vision amd difficulty in night vision. Drug
49)Regarding the cardiac reserve responsible
A. Decreases in atheletes A-Ethambutol
B. Increases in vitamins deficiency B-INH
C. Is increased in ischemic heart disease C-Rifampicin
D. Is the maximum percentage by which D-Diazepam
cardiac output can be increased above Ans:A ref cmdt
normal. 58) 3 years old child presents with rash,
Ans:D facial flushing and tacchycardia after eye
50)Individuals have the independent and drop instillation. Fever of 101°C . Drug
same chance of being selected: responsible
Asimple random sampling A-Atropine
B.stratified sampling B-Homoatropine
C.systemic sampling C-Tropicamide
Ans:A past paper bcq D-Pilocarpine
51)Fatty acid oxidation is helped by? E-Hyoscine
-A-Biotin Ans:C
B-vit c Tropicamide eye Drops causes rash, facial
C-vit D flushing and tachycardia.
D-vit B12 Atropine eye drops causes blurred vision,
Ans:A ref lipncott eye pain and stinging amd hypotension.
52)Most likely about PONS 59)A nursing mother presents with herpes
-A-Facial colliculus formed by facial nerve labialis. Drug of choice
nucleus A-Acyclovir
B-nuclei of pons in on ventrolateral area B-Triflouridine
C-spinal leminiscus originates from C-Ranitidine
tegmemtum D-Amantadine
_Poor ReCALL Ans:A
53) If the whole movement of abduction 60)Most likely feature present in
of arm is lost, the most likely damage part spinothalamic tract but absent in dorsal
of brachial plexus will be column medial leminiscus
A-Upper trunk and posterior cord -Long receptive field
B-Upper trunk and Medial Cord A- sensory rapidly adatping or slow
C-Lower trunk and medial cord adapting but never both
D-Lower Trunk and Posterior cord B-cam supply 1 or more than 1 limbs
It’s a poor recall.
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61)Resection of ileum absorption effected D-Aspartate Aminotransferase
A-Zinc E-Alkaline Phosphatase
B-Iron Ans:E
-C-Vit b12 70)Most likely in Sarcoidosis
Ans:C past paper bc1 A-Erythema Nodosum
62)At the start of fifth week B-Hypercalcemia
A-Stomach rotates C-Hepatic granuloma
B-Limb formation occurs D-Pleural effusion
C-Definitive heart is formed Ans:B ref cmdt
D-Ventral mesentry ka koi chakar tha :-P Erythema nodosum only 7%
Ans:A 71)Bronchogenic Crcinoma. Most likely
63)Left sixth aortic arch forms cause
A-Ligamentum venosum -Benzidine
B-Ligamentum arteriosum -Tobacco(robbins+cmdt)
C-Subclavin artery -Asbestosis
-D#None of the above 71)Sympathetics via alpha adrenergic
Ans:B ref first aid effect
64) Drug absorption in gut is increased by A-Vasodilation
-A-Inc gut motility B-Bronchodilation
B-ionized state of drug C-Pupillary dilation
C-Lipid solubility(lippncott) D-lipolysis
Ans:C Ans:C ref brs n kaplan
65) Ear ossicles are the example of 72)A six year old girl with history of fever
A-Flat bone and sorethroat. Cultures reveal tiny
B-Irregular bones colonies with complete hemolysis on blood
C-Sesamoid Bones sheap agar plate. Organism responsible
D-small bones A-Beta hemolytic group A
Ans:D ref snell Streptococcus(strept.pyogens:bacitracin
66) Infant's joint between two mandible is sensitive)
A-Gomphosis B-Staphloccus Aureus
B-syndosmosis C-Bordetella
C-synchondrosis D-Klebsiella
D-symphysis E-Corynebacterium diphtheria
Ans:D ref snell Ans:A ref first aid
67) 42 years old women with metaplasia 73)Normal angle is 125° with shaft in
cervix. Organism responsible lower limb. In Cox Vera
A-HSV-2 A-Head Neck Shaft Angle increases
B-HPV B-Head Neck Shaft Angle decreases
C-Trichomonas Vaginalis C-Head Neck Shaft remain same
D-Gonorrhea D-Head of femur displaced laterally
Ans:B ref snell Ans:B
68) Most rapidly adapting receptors Cox vera:angle dec 《120
A-Touch 74) Patient unable to turn eye laterally.
B-Alph-1 Most likely cause
Ans:A A-Infection of right cavernous sinus
69) 45 years old female with biliary colic, B-Tumour of left cavernous sinus
rash and cholelithiasis. Enzyme most C-tumour of pituitary gland
likely raised D-tumour of anterior cranial fossa
AAlanine aminotransferase Ans:A
B-Glutamate Dehydrogenase
CLDH
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75)The characteristic lesion in primary C-Pundendal nerve relaxes external sphinter
hereditary telengiectasia is on D-atonic bladder result from filling
A-Palate sensation
B-gingivae Ans:both A and B correct
C-Lips 82) Subcostal incision. Rectus abdominis
D-Nose not necrosed even after damage of
E-Tongue superior epigastric artery because it
Ans: C (ref cmdt ref taken from a dentistry anastamoses with
mcq book. Key was LIPS there). A-deep circumflex iliac
76) I/V drug abuser most likely develop B-inf. Epigastric artery
A-Infective endocarditis C-subcostal artery
B-Marantic Endocarditis D-external pudendal artery
C-Libman Sac Endocarditis Ans:B ref snell
-D-Rheumatic Disease 83)Which hormone is responsible for
Ans:A ref cmdt as marantic occurs in brain maturation of fetus??
cancer patients and limbman in sle A-Thyroxine
77)Most common nerve injury in lower B-Growth Hormone
limb in anesthesized patient C-Cortisol
A-Ant. Tibial Ans:A
B-Saphenousnerve 84) Which hormone stores carbohydrates
C-Common Peroneal Nerve and protein??
D-Femoral A-Insulin
E-Obturator B-Cortisol
Ans:C ref snell Ans:A
78)Sensory supply of uterus travels in 85) Biopsy of endocervix shows squamous
A-Broad Ligament epithelium. this is called.
B-Round Ligament A Dysplasia
C-Uterosacral Ligament b. Metaplasia
D-Tranverse Cervical Ligament c Anaplasis
Ans:A ref snell Ans:B ref robbins
79)62 years old female with change in 86) Maximal level of urinary 17
bowel habits. DRE negative and ketosteroids is presnt in???
sigmoidoscopy shows 6cm mass near -normal male(ans)
caecum. Diagnosed by pathologist as 87)Ovarian cancer will first metastas to
Adenocarcinoma. Most likely whch lymph node??
-K-RAS with neoplastic cells(cmdt 2016) Para-aortic Lymph Node(snell+past paper
This is true as K-RAS and B-raf associated bcq)
with CA Colon. 88)Shoulder pain referred due to??
H-RAS with Bladder Cancer. c3 c4 c5(ans:snell)
80) Slow growing and longstanding 89)A patient with T4N1M0 with a very
tumour of parotid gland long stem(long stem was to distract) they
A-Pleomorphic adenoma wanna ask wat else could be seen...
B-Warthin A. Cardiac murmur
C-Mucoepidermoid tumour B. Cachexia
D-Mucous Cystic adenocarcinoma Ans:B past paper bcq
Ans:cmdt 90) Uterine artery branch of illiac artery
81)Regarding urinary bladder crosses which structure
A-Sympathetic causes relaxation of bladder A-Ureter
muscle wall(brs +lippncot) B-Kidney
B-Parasympathetic causes relaxation of Ans:A past paper bcq
internal sphincter(lippmcott+brs) 91) Head of pancreas lie anteriorly to
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A-Inferior Vena Cava Supplied by cystic artery, branch of right
B-Aorta hepatic artery(snell)
C-Sup. Mesenteric Artery 98) regarding small intestine
D-Inferior Mesenteric Artery A. jejunum thin wall n is longest
Ans:A ref snell B drain by both celiac n sup mesenteric
92)Regarding Cardiac Cycle c. Small intestine is suplied by both sma and
A- P wave is before ventricular ima
contraction(p for atrial depolarization:ref d. none of it is retroperitoneal
first aid) Ans:B ref snell
B- Second heart sound corresponds to t 99)Myocardial Ischemia
wave A-contraction band(12-24 hours)first aid
C- first heart is during iso-volumetric B-Clumping of nuclear chromatin
contraction(ref brs) Ans:A》B
Ans:Both A and C appears to be true. 100)RBC have
93) 30 years old female, with fever 101 F , A-Biconvex
with pus cells in urine, ct kidney showed B-Glycolytic activity
parenchymal changes , diagnosis Ans:B guyton
A. Acute tubular necrosis 101)peroxidation of lipids
B. Necrotizing A amyloid
C. Chronic pyelonrphritis b lipofuscin
D. Acute on chronic Ans: B
Ans:C 102)Recurrent laryngeal nerve passes
94) 30 years old female, with fever 101 F, between
fever unresponsiveness for weeks with A-Cricoid and thyroid
pus cells in urine, ct kidney showed B-Thyroid and hyoid
parenchymal changes, , diagnosis Ans: B
A. Acute tubular necrosis 103) Relation of common peroneal nerve
B. Necrotizing nephritis with biceps femoris in politeal fossa
C. Chronic nephritis A.anteroir
D. Chronic acute nepritis B-posterior
Ans:D C- Medial
95)Aldosterone secretion increasd by : D- Lateral(to peroneus longus)
A-hypokalemia Ans:C
B-hyperiosmolality 104)study presented in 2×2 table
C-dehydration Chi test(past paper bcq)
D-Ace inhibitors 105) Facial nerve enters into mastoid part
E. Dec plasma volume of temporal bone via
Ans:E A-Stylomastoid foramen
96)Anterior Abdominal Wall between B-carotid canal
subcostal and umbilicus C-petrous temoral bone
A-External oblique and anterior layer of D-foramen spinosum
internal obliquE E-Internal acoustic meatus
B-Anterior layer of internal oblique with Ans:E
transversalis muscle 106)Most appropriate about hyperacute
C-External oblique aponeurosis rejection
D-Outer fibres of external oblique A-occurs within minutes
Ans:A ref keet moor B-by preformed cytotoxic T cells
97)Regarding gall bladder C-treated with immunoglobulin
Has squamous epithelium Ans:A
Fundus lies at edge of 6th costal cartilage
Completely covered by peritoneum
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107)Enzyme used in break down of non 113) Subcostal incision. Rectus abdominis
epinephrine and serotonin secretion not necrosed even after damage of
1.MAO superior epigastric artery because it
2.COMT anastamoses with
3 dopamine A-deep circumflex iliac
Ans:A ref lipncott B-inf. Epigastric artery
108) Right Coronary artery blockage C-subcostal artery
after giving marginal artery. Which is D-external pudendal artery
affected Ans:B
A-AV node 114) Iritant receptor in airway
B-SA node A-cause coughing and broncho-constriction
C-Purkinjee fibres B-among epiyhelium
D-IV septum -rapidly adapting
Ans:A past paper bcq C-Only response to chemical irritants
109) sub mucosal glands in. Ans:A
ileum. 115)Abdominal angina likely cause of
A-duedonum narrowing
B-jejenum. Superior Mesenteric artery(snell:past paper
C-Stomach bcq)
Ans:A past paper bcq+snell 116)Removal of gastric antrum, what
110)8 years old boy with difficulty in happens
swallowing and mass on left side of A-Decrease emptying time for solids
esophagus. Desmin negative and B-Dec gastric compliance
Vimentin + . He had a history of fetal Ans:B
alcohol syndrome and not doing well in Discussed on group
school. Most likely Remove fundus- Decrease receptive
A-Wilms tumour Relaxation
B--Rhabdomyosarcoma Remove Gastric Antrum- Dec gastrin
C-Metaplastic Lymphoma release and decrease gcompliance
D-Retinoblastoma Remove Pylorus- Inc emptying time for
Ans:B solids
Rhabdomyosarcoma is desmin and vimentin 117) intercostal muscle supplied by
positive, associated with fetal alcohol :ventral rami.(snell)
syndrome but mass in the neck is 118)Trichmonas vaginalis :is sexually
controversial. transmitted.(first aid)
Wilms tumour is desmin negative and 119)Maximum reabsorbed from renal
vimentin positive but it is common in 2-5 tubule to plasma
years of age and is a renal tumour. A-Glucose
Nothing wrong in the stem and options. B-Sodium
111)Rearding seminal vesicles C-Potassium
A- Storage of sperms Ans:A ref brs
B-opens with ejaculatory duct into prostatic 120) Free nerve ending
urethra A- encapsulated
C-Anterolateral to ureter B-un-encapsulated
Ans:A snell Ans:B ref kaplan)
112)Property of cardiac muscle that 121) fecal oral route sy spreading.
prevent genesis of hep E* (Hep A not in options)
A-tetanisation 122)Chorda tympani nerve
B-Refractory Period a- AutoNomic function(preganglionic
Ans:A its automaticity parasympathetic secretomotor fibers for
submandibular and salivary gland)
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b- post 1/3 rd of tongue(ant 2/3rd) Ans:C ref cmdt
c- pain fibers from middle ear 133)Tunica Vaginalis is derived from
d- supplies stapedius A-External Oblique aponeurosis
Ans:A ref snell B-Internal Oblique and Transversalis Fascia
123) Medical meniscus of knee C-Peritoneum
attachement Ans:C ref :(snell:it is expanded part of
A-Medial collateral ligament process vaginalos which is detived from
B-Anterior cruciate Ligament peritoneal folds)
C- Posterior Cruciate Ligament 134) Aldosterone is increasd by
Ans:A ref snell A:Hypokalemia
124)Supinator alternative or secondary B: Increasd plasma osmolarity
role C.low blood volume
A-Bicp Brachii Ans:C
B-Brachialis 135)Left recurrent laryngeal nerve
c-Extensor Carpi Ulnaris Ans:-Branch of Vagus Nerve(snell)
(Brachioradialis was not in the options) 136)Diarrhea
Ans:A ref snell -Alkalosis(it causes acidosis)
125)Widdrawal of cerebrospinal fluid -increased Sodium(cmdt)
needle moves in through 137)DELTA ANTIGEN...
Epidural-dura-sub dural-arachnoid(ans) a -acute resolvinng hep
126) About polycythemia rubra vera B- previous infection of hep
A-Person goes to himalyas C- chronic hep
B- Cancer of lung. Ans:C ref first aid)
C- myloproliferative disorders 138) 36 Years old woman with high grade
Ans: C ref cmdt fever and chills. Prescribed anti-malarial
127)Septic meningitis presents with cola coloured urine. Hb
A-chlymidia. 6mg/dl. A single test was done and was
B-streptococcus diagnosed as
Ans:B ref first aid) A-G6PD
128)Posterior inferior cerebellar artery B-Malaria Falciparum
blockage. Part of brain affected Ans:A past paper bcq
A-Dorsolateral part of medulla 139)45 yr old basiines man travelng far
B-Lateral area of Pons east complaing of abdominal discomfort.
Ans:A ref kaplan Tip of spleen palpable hilar
129)Retrograde amnesia lymphadenopathy and caseating
A:Trauma or blow to head granuloma in lungs
B:Damage to limbic system Ans-Wegners Granulomatosis
C:Can be reduced by dopamine agonist 140) A young boy presents in OPD with
Ans: B? Not sure cholesterol deposits (something like that)
130)Surgically lobes of breast on extensor surfaces of arms.
Ans:Separated by interlobar septa/stroma Serum cholesterol was 800. Family history
131) type of collegn in dermis of skin. of same problem was also present.
A-1 Mutations in gene of which protein involved
B-2 in cholesterol METABOLISM
C-3 A-HDL
D-4 B-LDL
Ans:A ref first aid C-Chylomicron
132) most imp buffer of body. Ans:B ref first aid type 2 familial
A-phosphate. hypercholestrolemia
B-protein 141)Correct sequence of events ?
C-hco3
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A. Damaged valve, thrombus , perforation , Ans:A past paper bcq
emboli 148)Skin disinfection
B. Damaged valve , perforation , thrombus , -Wash hands with alcohol plus
bacteremia chlorhexidine(past paper bcq)
C. Damaged valve , bacteremia , thrombus , 149) Temperature regulatory centre is
perforation present in
D. Bacteremia , thrombus , perforation , A-Thalamus
emboli B-Hypothalamus
Ans:A C-Basal Ganglia
142) LCX blocked. M.I in affected area Ans:B ref kaplan
A- ant surface of left venticl 150- Regarding thyroid
B- ant surface of right ventrical a)parathyroid lies posterior to anterior
C- posterior surface of left ventricle b)epithelium changes shape acording to
d-anterior 2/3 of IV septum function
Ans:C ref snell lat and post wall of left c)collecting ducts are present in gland
ventricle epithelium
143) perinephric fat and kidney is Ans:B past paper bcq
enclosed by. 151) Anemia in pregnancy is due to:
a.triangular ligament. hemodilution(past paper bcq)
b.gillsons fascia. 152)In Emergency
c.gerotas fascia A-Only patient should stay, family outside
d.peritoneum. B-Physchosocial support to the patient and
e.coronary ligament. family plays an imp role
Ans:C ref snell gerotas fascia is called renal Ans:B
fascia 152)Urachus---Patent Allantois(first aid)
144)350 plasma osmolality, urine 1250 153)Cerebral Blood Flow regulation
A-SIADH A-Low systemic pCO2
B-Water Deprivation B-Low pH
C-Diabetes Insipidus C-High Systemic PO2
D-Central Diabetes Insipidus Ans:A
E-dehydration 154)open wound healing=>Myofibroblast
Ans:A ref cmdt 155)Clostridium Tetani
145)Surfactant secreted from A-Lethal exotoxin
A-Type 2 pnemocytes B-Chronic reaction
B-Type 1 pneumocytes Ans:A past paper bcq
Ans:A ref guyton+brs+first aid 156) Eating Raw or undercooked Meat
146) Left 6th Aortic arch derivative. -Tapeworm ingestion(first aif:taenia solium)
A-hemizygous vein 157)Regarding thirst
B-Ductus venousum A-Inc plasma volume and dec osmolarity
C-Ductus arteriosum B-Dec Plasma volume
D-coronary sinus Ans:B past paper bcq)
E-none 158)Change in nuclear size, shape and
Ans:C polarity
147)A+ blood group. Transfusion -Dysplasia(past paper bcq)
reaction will occur with which blood 159) Open woumd healing
group Contraction of Myofibroblast
A-Ab- 160) Antigen-Antibody complex. T-cells
B-A+ reacts with
C-A- A-Antigen presenting cells
D-O+ B-Major Histocompatibility Complex
E-O- Ans:B
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161Patient wth renal stones of 169-Discharging Sinus , yellow colour pus
A-furosamide, -A-Actinomycosis
B-Hydrochlorohiazide B-Staph Aureues
C-Acetazolamide. C-E.Coli
Ans-B past paper bcq Ans:A ref first aid+past paper bcq
161) Most common cause of HCC 170-Patient Doctor Relation strengthen's by
-Both hep B and C "Active Listening"(rabia bcq)
Africa and asia hep b》hep c for hepatoma 171-Urine dribbling from anterior
In usa and western countries hep c》hep b abdominal wall defect
for hepatoma ref cmdt 2016 page 1595 A-Patent urachus
162)Hep B most common transmission is B-Patent Allantois
via C-Median Umbilical Ligament
A-Through Contaminated Needles Ans:B
B-Orofecal route 172)Teratogenic among following
Ans:A ref cmdt A-Coffee
163) Medial Leminiscus B-Alcohol
-Nucleas Cuneatus and Gracilis(kaplan) Ans:B ref first aid fetal alcohol syndrome
164-A patient comes in ER in shock. 173-Morphine is used in "Terminal Cancer
Initial feature Patient Pain"
A-Bradycardia 174-Patient presented with weakness,
B-Rapid Pulse lethargy. Lab shows HB 5.6mg/dl, WBC
C-Increase Respiration 3.5, Platelets 12000. Diagnosis
Ans:B past paper bcq -A-Aplastic anemia
165-Pt with cancer T4N1M1 , weak, B-Iron Deficiency Anemia
lethargic and pallor +, such that these pts C-Thalassema Major
have low survival rate. What will be Ans: A ref first aid n cmdt
common to such pts ? 175)Lysosomes Contain "Hydrolyic
A. Cachexia Enzymes"(past paper bcq
B. HCC 176-A player injured his foot. First step to
C. cervical CA stop bleeding
Ans:A past paper bcq Ans-Vasoconstriction
166-Peroxidation of lipids 177)Pt has pain between upper lip and
A-Amyloid lower eyelid. Nerve involved
b-Lipofuscin Ans-Maxillary branch of trigeminal
C-Hemosiderosis SURGERY 7.11.16 EVENING
D-Melanin or Melatonin 1. Osteocyte
Ans:B a. periosteum for osteocyte for injury in
167)A businessman travels to fareast, bone
develops abdominal discomfort, jaundice, Ans:::: A
spleen just palpable? 2. Microscopic feature of compact bone
A-Tropical Spleenomegaly Syndrome A haversian canal arranged obliquely
B-Tropical Sprue B lacunae have osteoblast
C-Infectious Mononucleosis C haversian canal are not interconnected
D-Ulcerative Colitis collagen
Ans:A D lamellae are regularly arranged
168-Surgically Lobes of breast are? Ans::: D
A-Glandular tissue 3.which one is pivot joint
B-Stroma containing Gland a.median atlantoaxial joint
C-Separated by interlobar stroma/septa b.sternoclavicular
Ans:C ANS::: A
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4.Difference b/w pharyngeal and smooth 14.Sparing of thenar eminence all muscle
muscle of esophagus. paralysed nerve damage?
a. ca bind to troponin C in pharyngeal a. radial nerve
muscle b. c8-t1
b.smilar Ans::: b[c8 t1 is same as ulnar]
ANS::: A 15.Tumor in superior lobe of lung may
5.Mylenation in CNS involve which bronchopulmonary
a.Oligodendrocyte segment?
b.kuffer cells a. apical superior
ANS::: A b. superior basal
6.Postganglionic parasympathetic nerve (Ans::: a)
receptor are 16.Phrenic nerve supply
a. Cholinergic a. mediastinal pleura
b. adrenergic Ans::: A
ANS::: A 17.SA Node located at
7. During surgical removal of axillary A. upper part of sulcus terminalis [koch
lymph node a nerve damage, pt is unable triangle]
to flex and supinate at elbow? b. entrance of ivc
A. Radial nerve [Ans::: A]
b. axillary nerve 18.Superficial inguinal ring formed by
ANS::: B a. aponeurosis of external oblique
8.During surgical removal of lymph node b. internal oblique
in post triangle f neck, nerve injured? Ans: A
a. spinal Accessory nerve 19. In anterior duodenal perforation the
b.12th contents will go to
ANS::: . A A. right iliac fossa
9.After tonsillectomy , pt can’t taste B. left iliac fossa
senatation of post 1/3 of tongue which C. anterior subhepatic space
nerve damage D. posterior subhepatic space
a. glossopharyngeal E. small bursae
b.7th Ans::: A[if posterior lesser sac ]
ANS::: A 20.4th part of duodenum
10.After fall pt can’t abduct above the a. completely retroperitoneal
head which muscle paralysed b. partial retroperitoneal
a. supraspinatus muscle Ans::: A. ref FA
b .infraspinatus 21.Appendicular artery
Ans::: .A a. lies posterior to cecum
11.Dermtome of medial 1/3 of hand b. enter in mesoappendix
a.C8 ANS::: b
b.T1 22.right gastroepiploic artery branch of
C.C6 a. Gastrodudenal artery
D.C7 b. proper hepatic artery
(Ans::: a) Ans::: A
12.C8 contribute to 23.In porta hepatic which structure
a. lateral cord damage by compression of hepatoma
b. posterior cord/ a. Portal vien
(Ans::: b.posterior and medial mainly) b. cbd
13.Breast lie on Ans::: A
A Pectoralis minor 24.Tumor at head of pancrease
b. superficial pectoral major fascia compress??
(Ans::: b] a.portal vein
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b.. CBD ANS::: A
ANS::: b 34.Major support of uterus
25.Oblique fissure at lung a. cardinal ligament
a.T3-T6 b. broad ligament
b.. t2..t4 ANS::: A[also known as trAns:::vers
ANS::: A cervical ligament ]
26.How to differentiate between right and 35.Aftr surgical procedure at uteus
left kidney female develops the urinary incontinence
a. by arrangement of structure most likely due to
b. no of vessel a. urinary bladder and vaginal fistula
ANS::: A[or by the length of renal vein b.fecovaginal
..left is longer ] ANS::: A
27.spleen true statement 36.injury at back pt unable to void , nerve
a. Length is 12 cm damage may be
ANS::: A a.S234
28.Regarding esophagus appropriate b. L5s1
stem ANS::: A
a. contain rt vagal trunk posteriorly 37.Atonic bladder due to
ANS::: a a. loss of inhibitory signal from midbrain
29.Regarding CSF true b. damage of pelvic splanchnic nerve
a. Drain into subarchnoid villi (Ans::: b)
b. absorbed by ependymal cells 38.rt testicular ca dain into
ANS::: A a. b/l paraaotic lymph node
30.Regarding the Filliform papillae: b. ipsilateral inguinal and ipsilateral aortic
a. These have no fibrous core ANS::: A
b. These are present at dorsum of tongue up 39.yolk sac tumor marker
to the tip[upper anterior 2/3] a. HCG
c. These are covered by soft epithelium b. afp
d. These are mushroom like in shape c. ldh
e. These are present on posterior 1/3 of ANS::: B
tongue 40.sympathetic function
ANS::: .b a. bronchodilation
31.During procedure at the b. bradycardia
submandibular nerve damage ANS::: a
a. Marginal branch of facial nerve 41.facial nerve cervical branch supply to
b. mandibular a. platysma
ANS::: A b .sternocleidomastoid
32. During swallowing food prevented ANS::: a
from entering to trachea by 42.infraorbital artery is the terminal
1) Epiglottis elevation over naso pharynx branch of
2) Close /-tight approximation of vocal cord a. facial artery
3) Movement of uvulva b. maxillary artery
4) Contraction of pharyngeal muscles c. sup temporal artery
5) Position of tongue (Ans::: b)
ANS::: B 43.sarcomere
33. true about superior parathyroid gland a. b/w two z lines
A. is at mid of posterior border of thyroid at b. A band
first tracheal ring ANS::: A
B. its position changing 44.fiber for fast pain
C. is not enclosed in pretracheal fascia a. A delta
D. all of above b.c fiber
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ANS::: A 54.patient is unable to invert damage may
45.tuninng fork 256 hz frequency occur
vibration perceive by a. posterior and anterior tibial muscle
a. pacinian corpuscle b.gastrocenamius
b. miessner corpuscle ANS::: A
ANS::: A 55.true about great saphenous nerve
46.Most important response in shock as a a. passes in front of medial malleolus
whole b. passes in front of lat malleolus
a. CNS ischemic response ANS::: A
b. carotid body 56.Nerve supply of anterior scalneus
ANS::: A muscle
47.Carotid sinus a. Ans:::a cervicalis
a. sense rapidly decreasing arterial pressure b. brachial plexus
b. dec in volume c. C6,C7,C8
ANS::: A ANS::: [They are innervated by the fourth,
48.In action potential , depolarization by fifth, and sixth cervical spinal nerves (C4-
a. k efflux C6).]
b.Rapid Na influx 57.nerve damage in ant tibial
ANS::: B syndrome???
49.In cardiac cycle QRS complex prior to a. common perroneal
onset of b. sciatic
a. Isovolumetric relaxation Ans::: A
b. Atrial systole 58.Lymphatic drainage of toe
c. ventricular systole a. verticle group of sup inguinal
ANS::: c b. medial group of sup inguinal
50.Most important body mechanism in (ANS:::)a
maintaining te,prature in cold 59.which molecule trAns:::ported by
a. tachycardia secondry active trAns:::port
b. sweating a. glucose
c. Shivering b. protien
ANS::: c [Ans::: A..protein is a part of trAns:::porter
51. During treadmill exercise if heart ]
rate is increased to double the normal 60.If a man loss 1 liter blood in 5 min
rate, then cardiac cycle time will be: most important body response
A. 0.2 second a. inc vasomotor tone
B. 0.4 second b. inc heart rate
C. 0.8 second Ans::: is a
D. 1.2 second 61.sound produce by ventricular
E. 1.6 second vibration during rapid inflow
(ANS::: b will be half ] a. s4
52.parasympathetc action of heart b. s3
a. increase PR interval Ans::: b
b. increase systole time more than diastole 62.Most important stimulant for release
ANS::: A of aldosterone
53.fracture at greater trochanter after 7 a. Renin
days developed lower leg swelling ,pain b. k
and edematous most likely next ANS::: b
complication 63.substance dec the plasma osmolarty
a. fever a. dec vasopressin
b.pulmonary thromboembolism b. aldosterone
ANS::: B ANS::: A.inc plasma water content
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64.hormone act ia steroid mechanism ANS::: b…. majority of all stuff is
a. gh absorbed in pct even water…
b. t4 74.GFR
Ans::: b a. increased by afferent arteriolar
65.tidal volume 500ml r-r 10 calculate constriction
alveolar ventilation? b, increased by efferent arteriolar
a.3200 constriction
b.3500 ANS::: b..[ gfr inc and plasma flow dec ]
c.4200 75.41% ht emeAns:::
ANS::: b a. 41% rbc ,wbc and platelet
66.in bronchial asthma b.59 prcnt RBC
a. fev1/fvc<75 ANS::: A
b. residual volume decreased 76.In severe dehydration volume would
ANS::: A be replaced by
67.O2 –hb dissociation curve shift to left a.0.9 % n/s
a. acidosis b.ringer lactate
b. inc temp c.5 % glucose
c. alkalosis ANS::: C ganong bcq key is c there
ANS::: C 77.19 y ear boy sitting in well ventilated
68.main factor that shift k from room at temp 26degree he has sweating
intracellular and extracellular ,increase heart rate , main factor for these
a. sternous exercise changes
b. insulin a.exercise
ANS::: A b heat stroke
69.major intracellular buffer c.high bp
a. hb ANS::: A
b. protein 78.complement help in phagocytoss
c. po4 a.c3b
Ans::: B protein …. … The most important b.c5
buffer in the ECF and the body is HCO3- ANS::: A
(bicarbonate) which combines with excess 79.pt receiving chemotherapy for cancer
H+ ions to form carbonic acid. most imp mechanism to reduce the size of
70.pt died due to CRF , autopsy show tumor
which hormone function is increase a. apoptosis
a. pth b. atrophy
b. erythropoiten ANS::: A
ANS::: A 80.cushing syndrome by
71.kidney important in activation of? a. adrenal adenoma
a.b12 b. lung cancer
b. cholecalciferol ANS::: A..ref FA
ANS::: b 81.ant pituitary tumor
72.most important part of nephron a. are chromphobes
affected in shock ANS::: a
a.pct 82.dopamine given in parkinsonism will
b.dct inhibit
c.loop of henle a. prolactin
ANS::: A[ pct is the most susceptible to b. oxytocin
ischemic and toxic injury] ANS::: a
73.60% na reabsorbed in 83.after partial hepatetomy important
a.dct early hisytologic statement
b.pct a.inc GH alpha
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b.EGF 93.most important prerequisite for renal
ANS::: ..B trAns:::plant
84.During defecation imp reflux is a. HLA compatibility
A. rectoanal b. ABO comptabilty
b. mass movement Ans::: b
ANS::: A 94.young girl with parasites , rashes
85.major diff in b/w primary and which type of allergy
secondary peristalsis a. TYPE 2
a. in primary oropharyngeal phase occur b. type 1
b. speed ANS::: B
ANS::: A 95. a pt undergoes
86.icam and vcam are kidney trAns:::plant on first day he was
a. leukocyte adhesion unable to produce urine there is also
b. antigen tenderness at trAns:::plant site
ANS::: a A} Graft versus host rejection
87.in heamophilia if cryoprecipitate is not {b} hyper acute graft rejection
available , alternative source of factor viii {c} blockage of ureter
a.FFP {d} renal artery stenosis)
b. stored blood {E} thrombus at the side of trAns:::plant
ANS::: a ANS::: b
88.a mother brought a boy for 96. young girl with ambiguous genitalia
circumsission he has history of bleeding having karyotype 46 xx , diagnosis
during umblical cord cut in both male a. androgen insensitivity syndrome
and female , on investigation PLT normal b. adrenocortical hypersensitivity
, bt is normal , only APTT increased , c. mixed gonadal dysgenesis
diagnosis Ans::: b… while in androgen insensitivity
a. vwb karyotype will b XY)
b. Heamophilia 97. chemical carcinogen
ANS::: b a. propyl alcohol
89.heparin actionas an anticoagulant it b. methyl alcohol
inhibits clot c. benzidine
a. propagation Ans::: c
b.formation 98.nasopharyngeal ca caused by
ANS::: A a. rhinovirus
90.a young boy short limbs ,normal trunk b.EBV
,normal intellectual what would be the ANS::: b
pattern of inheritance 99.A young boy complain of abdominal
a.autosomal dominat pain , investigation show haing mass with
ANS::: A blue cells and inc level of
91.mediator of allergy catecholamines,dianosis
a. 5ht a. neuroblastoma
b. lymphokines .b.adrenal adenoma
c. serotonin Ans::: a
d. bradykinin 100.ca colon 1 metastasize to
ANS::: A a.liver
92.A pt admitted in oncology ward with b.mesentric lymph node
hypotention with investigation on he has Ans::: a
positive blood cultutre of pseudomonas 101.virus act by oncogenesis by acting on
which is mediator for his condition A.rNA
a. tnf alpha B.DNA
ANS::: A C.protooncogen
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Ans::: b 113.sqamous cell ca feature
102.54 year old male came with dyspnea a. keratin
with h/o cogh ,trAns:::lucency of upper 114.pregnant lady infected with rubella ,
lobe , no infiltration prominent baby born will have risk of
pulmonary arterial marking a.cataract
a.arteriosclerosis b.imperforate anus
Ans::: A Ans:::a A
103.10 year old boy while playing 115. Data is collected for some clinical
suddenly collapsed and died what will be trial based on presence or absence of
diagnosis Vomiting. What type of data it is:
a.kawasaki disease A. Nominal
b.gian cell arteritis B. Ordinal
ANS::: a C. Parametric
104.ECG changes on lead v4 ,which Ans::: A
artery will infarct 116.type of collagen in reticularis
a. LAD a.type 2
b.rca b. type 3
Ans::: A… septal infarct ANS::: b
105.Case of infective endocarditis, 117.down syndrome trisomy
definitive diagnosis by a.21
a. blood culture ANS::: A
ANS::: a 118.Thiamine deficiency cause
106.myxometous degeneration seen in a. Wernicke korsakoff syndrome
A. aortic valve b. polyateritis
B .Mitral valve prolapse ANS::: a
ANS::: b 119.high cardiac output failure
107.2 year boy raised mc 109 , lethargic , a. thiamine deficiency
fatigue , diagnosed by b. b12 def
a. serum b12 ANS::: a
b. antiintrinsic antibody 120.Glycolysis
Ans::: A a.in aerobic glycolysis pyruvate is an
108.multiple drug therapy in tb due to intermediate b/w gglycolysis and TCA
a. dec side effect b. energy isnt produced
b.decreas resistant Ans::: A
Ans::: b 121.daily requirement of helathy man of
109.pt with deranged lfts and ring in eye 70 kg
a. Wilson disease a.25-30kcal
Ans::: A ..keyer fishcher ring.. b.15-20 kcal
110.a sexulay active male complainof Ans::: a
burning micturition , no ulcer on penis 122.1 gm of hb bind to
urine culture negative for n gonorrhea a.1.34 ml of o2
a. candida ANS::: a
b. chlaymdia 123.clostridia is
Ans::: b a. spore forming
111.hormone inhibit release of gnrh b. easy to destory
release in darkness’ Ans::: A
a. melatonin 124.pt live at river and got eyes problem
Ans::: a ,which nematode involve
112.sarcoma feature a. oncocerca volvulus
a. vimentin b. leshmania
Ans::: A ANS::: A… o for optic
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125.regarding MRSA a. all postganglionic parsympathic
a. sensitive to vancomycin b.. all preganglionic
b. not treatable ANS::: a
Ans::: a 131.Melanocyte develop from
126.regarding aminoglycoside a. neural crest cell
A .monitor in elderly pt with renal problem b. endothelium
b. high safety profile ANS::: a
Ans::: A 132.left sided lower limb paralysis with
127.NSAIDS left face and left sided homonomys
A. Inhibits cox pathway hemianopia lesion at
b. inhibit phospholipase a.midbran
Ans::: a b.pons
128.Drug receptor interaction c.medulla
A. heparin with protamine calcium ANS::: b
b. manitol diuresis 133.tremor at end of movement in left
ANS::: b heparin antidote is protamine hand , hypotonia of left hand with ataxia
sulphate Lesion at
129.male siting with eyes closed which a. left cerebellar hemisphere
waves dominant on EEG Ans::: A
a. alpha wave 134.loss of GABA b/w G.pellidus and
b. beta sustantia nigra
c.theta a.athetosis
ANS::: A..ref FA b.hemibalismus
130.cholinergic fiber Ans: a
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GYNAE/OBS

2016 PAPERS
SEPTEMBER, OCTOBER, NOVEMBER

Gynae and Obs 7th September c.Acetate

d.protien
2016 (evening) e.phosphate
1.Lateral attachment of urogenital Ans: : bb
diaphragm; 4.Content of fat in male is?
a. Sarum n coccyx a.10%
b. Obturator internus membrane b.15%
c. Inferior ramus of the pubis and ischial c.40%
ramus d.60%
d.ischial tuberosities e.17%
e. tip of coccyx Ans: : bb
Ans: : cc 5. Erythropoetin is secreted by?
2. The most appropriate therapy for a. endothelial cells of the peritubular
endometriosis is capillarie
a.Danazol b. jg cells
b.Norgesterol c. adrenal cortex
c.Oral androgens d. glomerulus
d.Oral contraceptive e. loop of henle
e.Raloxifine aAns: : aa
Ans: : aa 6. 1.The richest source of vitamin ...?
3. important buffer of blood? a. whole milk
a. Hb b. butter
b.hco3 c. margarine
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d. liver cord oil c.hepatotoxicity
Ans: : dd d.nausea , vomiting
7. concentration of which of the following Ans: : aa
hormone doesnt increase during 14.How does body adapt to cold
pregnancy: temperature in long term.
a) PTH a .Internal pyrogens
b) cortisol b .Chemical thermogenesis
c) GH c. Formation of brown fat
d) prolactin d. peripheral vasodilation
Ans: : cc e.pheripheral vasoconstriction
8. Size of ureter is Ans: : c
a. 20-25 cm 15.which of the following factor deficiency
b.25-30 cm cause coagulation?
c.30-35cm a.5
d.35-40 cm b.7
e. 15-20cm c.8
Ans: : bb ( 25 cm is correct ) d.10
9.Blood supply in midline of flap of e.12
forehead ?? Ans: : aa
a.frontal branch of frontal artery 16. hyperbaric oxygen treatment is most
b. paired supra trochlear artery useful in?
c. optahlmic branch of trigeminal artery a.CO poisoning
d.facial artery b.Anemia
e. paired Supra orbital artery c.Polycythemia
Ans: : Bb d.decompression sickness
10.A fetus was aborted .it was sent to e.Gas gangrene
forensic lab .how can the viability be Ans: : aa
checked .that for how long the fetus was 17. 2 feet away from ileocolic junction at
viable.? antimesentric border
a.Fetus weight 200g a.urachal fistula
b.Eyes laterally b.meckel diverticulum
c.Fetus CRL >250 mm Ans: : bb
d.Absence of wrinkles 18. tunica albuginea
e.Absent toe nails a.Contain testes only
Ans: : cc b.Derivative of parietal peritoneum
11.what is absent in C1? c.derivative of visceral peritoneum
a.Spinous process d.covers ductus deferens
b.Archc.trAns:verse process Ans:: a & b both correct
d.Lateral mass 19. Costo diaphragmatic recess
Ans: : aa a.seen only on left side
12. difference between roots of right lung b.Wide open space in centre
from left lung? Option missing
a.No of primary bronchi 20. deep ring of inguinal canal attaches
b.No of arteries a.Fascia tranvesalis
c.No of veins b.Tranversua abdominus
d.No of nerves plexus c.External oblique
Ans: : aa d.internal oblique
13. cisplatin has the following side effect Ans: : aa
a.Nephrotoxicity 21.An anesthetist wants to give his patient
b.Neurotoxicity most potent muscle relaxant who is about
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to undergo cesearation so that she may d. virus
relax completly.he would give e.Fungi
a.Bupivacaine Ans: : a
b.Lidocaine 29.Virus acts on cells by:
Ans: : aa a:Damaging cell membrane,
22. Root value of femoral nerve b:Damaging nuclear membrane,
a.L2 ,L3, L4 c:Invloving protien synthesis,
b.L2,L3,L4,L5,S1,S2 d:Changing protien structures.
c.L1 ,L2 e:Changing protien metabolism
Ans: : aa Ans: : c
23. A patient complains of arthritis and 30. Aspirin and other NSAIDS work by
discoid rashes. Which of the following acting on
would be specific? a.Lipoxygenase
a. Ds DNA b.Cyclo-oxygenase A2
b. ANA c.HMG Co A reuctase inhibitor
c. AMA Ans: : b
d.Anti ccp 31. Which of the following is a spore
Ans: : aa forming bacteria?
24. At the end of marathon race , a person a. clostridium
has ? b.cornybeacterium
a. high insulin low glucagon c. Chlamydia
b. high glucagon & low insulin Ans: : a
c. high cortisol 32. microscopic feature of malignancy
d. high insulin and glucagon a.Invasion
e.low insulin and glucagon b.Pleomorphism
Ans: : bb c.N/C ratio
25. A 25 years old married female came to Ans: : a
you with history of amnoerhea for 3 33. A patient with pulmonary embolism
weeks her beta hcg shows that her and extensive tissue injury. What is the
pergnanacy test is negative. What could most probable cause of his dx.
be the cause? a. Dvt
a. ectopic pregnancy b. Thromboembolism
b. anovulation c. Atril myxoma
c. primary hypothalamic disorder Ans:: bb
d.Anorexia Nervosa/ normal ? 34. Aldosterone acts on?
Ans:: dd a. Collecting duct
26.test for difference of two meAns: b. Dct
A. T – test c. Cortical collecting tubule
B. SNOVA Ans: : aa
c. ANOVA 35.Plasma proteins return to normal after
Ans:: aa a.2 -3 days
27. In Tuberculosis, antibodies are b..7-8 days
a. cell bound c.10-12 days
b. inside cell d.12-14 days
c. absent Ans: : c
Ans: : a 36. An abnormally tall boy of 14 year age
28. Toxoplasmosis is consults his physician for his abnormal
a. parasite height and secretions from his mammary
b helminth gland. X ray skull shows enlarged
c.bacteria pituitary gland. Histological examination
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of pituitary is likely to show: management
a. Decreased number of pituicytes A.blood TrAns:fusion
b. Hessing bodies seen in karge number. B. Evacuation of uterus
c. Increased no of basophill cells. C.platelet trAns:fusion
d. Increased no of chrimophobes d.iv heparin
e. Increased no of eosinophills Ans: : a
Ans: : e 43. Platelets
37. prolactin raised with infertility what a.half life of 10 days
will be cause b. Increase after spleenectomy
a.microprolactinoma c.granules contain serotonin
b.macroprolactinoma c. Stimulated by growth hormones
c.pituitary tumor Ans: : b( remember half life is 4to 5 days
Ans: : bb life span is 10 days a big differnce)
38. Diagnostic test for typhoid in 2nd 44.The ascent of kidney is prevented by
week is : A.external iliac artery
a.Blood culture and widal test . B.internal iliac artery
b. blood culture C.superior mesenteric art
c. stool culture D.ivc
d.widal test E.inferior mesentric artery
e. urine culture Ans: : e
Ans: :aa 45.which of the following structure has
39. Substance which act as both hormone both intra & extra pelvic extension
and nurotrAns:mittor? A.broad ligament
a. adrenaline B.ovarian ligament
b.cortisole C.trAns:verse cervical ligament
c . acetylcholine D.round lig of ovary
d. thyroid E.round ligament of uterus
e. Aldosterone Ans: : e
Ans: : aa 46.most potent chemotactic factor
40.Stimulation of parasympathetic nerves A.c3a
to the heart decreases heart rate by B.c5a
a. Increase in permeability of K thru C viruses
ventricles D.arachidonic acid metabolites
b. Incraese in permeability of k through sa Ans:: b
node 47.Rbcs are
c. prolonging of AV nodal delay A.biconvex
Ans: : cc B.nonfragile
41..Starling's law of the heart: C.largest of all cells
a.Does not operate during exercise D.have glycolytic enzyme activity
b.Is not obeyed by the failing heart Ans: :d
c.Explains the increase in heart rate during 48.lysosome contains
exercise A.glucose
d.Explains the increase in cardiac output B.Na+
when venous return increases C.ca +
e.Explains the increase in cardiac output due D.acid phosphatase
to sympathetic stimulation E. Water
Ans: : d Ans: : d
42.A lady presented with per vaginal 49.gram -ve infection causes septic shock
bleeding,history of bleeding disorder and in which of the following tracts
having a dead fetus ..first step of A.biliary tract
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B.colon C.3 Mosm/L
C.small bowel D.5 Mosm/L
D.urinary tract E.no difference
E.genital tract Ans: : a
Ans: :d 56local cause of delayed wound healing
50.flexor reflex by A.infection
A.Muscle spindle B.ischemia
B.Monosynaptic C.vit c deficiency
C.messner corpuscle D.cortisol
D.noxious stimulus Ans: : a
E. By Tapping with hammer 57.tricuspid auscultation area
Ans: : d A.2nd right intercostal space
51.study on sexually trAns:mitted B.4th left intercostal space
disease,one group of boys had penile C.mitral area
ulcers and the other group had no D.lower half of right border of sternum
ulcers,non ulcerating leisons were d/t? Ans: :d
A.treponema paliidum 58.aortic hiatus aneurysm compresses
B.chlamydia A.thoracic duct and vagus nerve
C.HPV B.ayzgous vein
D.ducreyi C.phrenic nerve
E.Gonorhea Ans: : b
Ans: : ee 59.pulmonary wedge pressure
52..barr body test in saliva is diagnostic A.measure of pulm artery pressure
for B.measure of rght atrial pressure
A.klinfelter syndrome C.measure of left atrial pressure
B.gonadal dysgenesis Ans: :c
C.turner syndrome 60.about csf
Ans: : c A.It is an ultra filtrate of plasma
53..You are testing efficacy of unknown B.provides nutrition to cns
unnamed drug A and drug B in an C.formed by arachnoid granulation
infection...then randomnly allocated to D.separated from interstitial fluid by blood
pts recieving both of them..it is an brain barrier
example of Ans: :d
A.double blind/placebo 61.growth hormone stimulation
B.single blind A.rem sleep
C.triple blind. B.wakeful condition
D.cross sectional study C.hypoglycemia
Ans: : a ( RCT is selected in the case when D.free fatty acids
a new drug is being tested for its efficacy ) Ans: : c
54.anemia of maturation 62.which one of the following is
failure..immature cells in periphery mesenchymal in origin
A.iron def anemia A.choristoma
B.normocytic B.hemartoma
C.pernicious anemia C.sarcoma
D.microcytic anemia D.carcinoma
Ans: : c E. Choriocarcinoma
55.the difference of osmolarity b/w Ans: : c
interstitial fluid and plasma is 63.in the first step of thyroid hormone
A.1mosm/L synthesis iodine attach with
B.1.5Mosm/L A.albumin
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B.thyroxin B.GH
C.thyroglobulin C.vit D deficiency
D.tyrosine Ans: : a
E.hb 70.lysosomal storage disease with mental
Ans: : d retardation and blindness
64.tumor with all three germ layers A.taysachs disease
A.teratoma B.granulomatous disease
B.adenocarcinoma Ans: : a
C.hamartoma 71.measured by spirometry
D.sarcoma A.residual volume
E.seminoma B.Total lung capacity
Ans: : a C.residual volume
65.female child,breast fed developed D.vital capacity
jaundice on 2nd day hb 9 bilirubin 8 Ans: : d
unconjugated 72.the obsteteric nerve block cause
A.mother is RH Postive urinary incontinence,anaesthetized
B.breast fed jaundice muscle is located in
C.physiological jaundice A.pelvic diaphragm
Ans:: c B.urogenital diaphragm
66..bifurcation of common carotid artery C.superficial perineal pouch
is felt at D.none of the above
A.anterior border of sternocleidomastoid at Ans: : b
the superior border of thyroid cartilage 73 true about superior parathyroid gland
B. post border of sternocleidomastoid in A.is at mid of posterior border of thyroid at
posterior traingle first tracheal ring
C.at level of trapezius B.its position changing
D. post border of sternocleidomastoid at the C.is not enclosed in pretracheal fascia
level of hyoid D.all of above
Ans: : a Ans: :a
67.an adult in sitting position,resonance 74.which structure has 3 layers of muscels
can be auscultated from back of the chest A.fundus of stomach
till B.esophagus
A.6th rib C.one of the above
B.8th rib D.all of the above
C.10th rib Ans: : a
D.11th rib 75.which of the following is an example of
E.12th rib primary active trAns:port
Ans: :bb ( clinical methods: Bedside) A.H+K pump
68.rbcs B.Na glucose co trAns:port in intestine
a.lack mitochondria C.Na-Amino acid co trAns:port in intestines
b.half life of 180days D.none of the above
c.released from bone marrow as mature Ans: : a
erythrocyte 76.alpha receptors effects
d. Present on mhc 2 A.contraction of radial muscle of iris
e.are the largest cells of the body B.vasodilation in skeletal muscle
Ans: :a C.increase in activity of gut
69.scenario of increase serum D.decreased heart rate
calcium,irregular bone,also bone Ans: : aa
pain...which of the following causing it 77.regarding parasympathetic supply of
A.PTH heart
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A.Left superficial cardiac plexus 84.A man with bee sting,develop swelling
B.vagus nerve and acute infalmaation.mediator for it?
C.sympathetic system a.Histamine
D.Left deep cardiac plexus b.Bradykinin
Ans: : b c.prostaglandin
78.which of the following supresses d.leukotrine
growth hormone release e. Esinophills
A.Puberty Ans: : a
B.sleep 85. severe blood reaction occur
C.somatomedin a.A+ To 0+
D.starvation b.O+ To B+
E.stress c.A- To A+
Ans: : c Ans: : a
79.A female with regular cycle of 21 to 23 86. Pregnant lady with mitral stenosis,
Days will most likely be ovulated on pt.developed dysponea.orthopnea and
which of the following days difficulty to breath. Most probable cause
A.12-14 would be?
B.14-18 a.Right heart failure
C.7-9 b.Pulmonary htn
D.10-12 Ans: : Bb
Ans: : c 87.on a study about diabetes between 2
80.trypsinogen is activated by groups it was found
A.enterokinase Women with mean 200±50
B.peptidase Men with mean 205±10, this meAns:’
C.amylase a. Women with low mean and high standard
D.acid phosphatise deviation
E. HCL b.Man with high mean and low standard
Ans: : aa deviation
81.most early sign of vit A deficiency is c.Both have no link
A.keratomalacia d. Case control
B.cheilosis e. Cross Sectional study
C.hyperkeratosis Ans:: aa
D.diminshed dark adaptation/night blindness 88. which is obsevatinal study
Ans: : d a.Case control
82.a female presents with jaundice her lab b.Cohort
reports show Alt 17,alk phosp.75 and c.cross sectional study
retics 10.cause of jaundice Ans: : b
A.hemolytic anemia 89. breast outer quadrant lymph drainage
B.pernicious anemia a.Ant./pectoral
C.iron def anemia b.central
D.all of the above c. apical
Ans:: a d. posterior
83.true regarding cavernous sinus Ans: :a
A.occulomotor trochlear and opthalmic of 90. testicular lymph node drainage
trigeminal present in lateral wall a. Paraaortic
B.connected posteriorly to facial vein b. superficial inguinal
C.drain directly into straight sinus c. deep inguinal
D.has abducent nerve in medial wall d. para umbilical
E.Related Laterally to sphenoid Sinus Ans: : a
Ans:: aa
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91. superficial perineal poch content 100. Sympathetic autonomic system true
a.Bulbourethral gland is....
b.Perineal nerve a.Adrenergic preganglionic
c.Sup.trAns:verse perineal muscle b. Thoracolumbar outflow
d. internal pedundal vessels c.Short postgang fibres
Ans: : c d.pre and post ganglionic short fibres
92. branchial cleft Ans: : b
a.Open laterally 101. Most common bacteria involved in
b.Open laterally ant.to sternocleido mastoid STDs is
Ans: : b a.hpv
93. draining sinus and granuloma is the bChylmydia
feauture of c.Gonnorhea
a. aspergillus d.Hsv
b. nocardia Ans: : b
c. actinomycosis 102. Person wid bloating abdominal pain
Ans: : c very foul smelling stools .First
94. Which of the following helps in Investgation would be
formation of the bones? a.Cumplete stool d/r
a. osteoblast b.Stool cs
b.osteoclast c.Lipid profile
c.osteoprogenitor cells Ans: : a
d.fibroblast 103.most Comon mediator of fever
Ans: : a a.1L-1
95. more central value of no. In series b.Tnf.
a.Mean c.. IL 6
b.Median Ans: : a
c.Mode 104. increase in ECF osmolarity Lead to
Ans: : b a. stimulate plasma vol and osmoreceptors
96. A child since he was born was having And stimulate adh
problem of urine leaking from ventral b. Inc adh and also nhibit osmoreceptors nd
surface it may be due to? vol
a. Epispadiasis c.inhibits adh and stimulate vol and
b. Failure of urogenial folds to close osmoreceptors
Ans: : b d.stimulate adh and inhibit vol and
97. Lacunar ligamnt forming medial osmoreceptors
boundary , fibres enrolled from Ans: : a
a.Inguinal ligament 105. Person having history of trauma on
b.TrAns:verse ligament the left upper arm he develop swelling in
c.Relected ligament arm that was painful for 3months it was
Ans: : a well circumscribed 4 cm and on xray
98. Malignacy is caused by which of the appeared bright then it gradually
following deceased in one year most Likely ....
a.Silicosis a.Metaplasia ...
b. Asbestosis b. Hyperplasia ....
c.Smoking c,.Neoplasia .....
Ans: : b d.Dysplasia ...
99. ADH is inhibited by e.Hypertrophy
A.Alchol Ans: : e
B.increase Body water 106. Irregular growth of bone is due to
Ans: : a the effect of which of the following?
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a.leydig cells .... c.bovine Ultra lente
b.Ant pituary hormone effct d. glargine
c.Pth Ans: : d ( if glargine not in option select
d.GH Ultralente)
Ans: : d 8. 7yrs child anemic for two years with
PAPER B GYNAE blood investigations shows decreased hb
6.5 also Hbf 97% , Hba2 4% no history of
1.Drug via oral route having aqueous blood trAns:fusion . spleen palpable
absorption .... a.Thalasemia major
a.Digoxin b.thalasemia trait
b.ephidrine c.herditory sphero
c.Phenobarbital d. hereditary persistence of Hbf
d.diazepam Ans: : a
e.carbamizapine 9.Female wid Warty lesion on vulva.
Ans: :a a.condyloma
2.Cerebellum .... b.Papilloma
a.Iniates movemnt .... c.Herpes
b.stabalizes movement and coordination Ans: : b
Ans: : b 10.Long tubular structure having mucosa
3.Most common cause of bronchogenic and trAns:itional epithelium
carcinom a.ureter
A Tobacco b.kidney
B Asbestos c.urethra
Ans: : a Ans: : a
4.Female pale lethargic .didnot take any 11.During sexual act secretion from vagin
antenatal care .... During delivery she are effect of
bleeded heavily .... Which nutrient a.Bombesin
deficiency would be present in both baby b.Relaxin
And mother ? c. Progsterone
a .Vit k d.gnrh
b.Iron e. Parasympathetic stimulatiom
c.calcium Ans: : e
Ans: : b 12.Measurement of amount of lead in
5. permeation is defined as body
a.tumor invasion to blood vessels a.absorbed from git
b.tumor invasion to lymphatics b.absorbed from respiratory tract lower
c.tumor spread to adjacent tissues lobes.
d.distant metastasis c.absorbed from skin
Ans: : b d.absorbed from nasal passages.
6.Pt presented wid leg ulcer and severe Ans: : a
pain And on blood examination howell 13.About zygote implantation
jolly bodies present wats the diagnosis ? a.28cell stage.
a.Sickle cell b.3-4days after fertilization
b.Hereditory spherocytosis c.invasion of endometrium by
c.beta thalasemia syncitiotrophoblast
d.alpha thalasemia Ans: :c
Ans: : a 14.trigone of bladder
7.Longst acting insulin ? a.ureters entering as oblique slits
a.Porcine lente b.devoid of peritoneum.
b.Human lente .... Ans: : a
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15. Carbonic anhydrase act on which c.cohort
part of kidney d.meta analysis
a.pct. Ans: :d
b.early dct 23. cerbral metabolic rate of oxygen
c.cortical collecting ducts a.15-20ml/min/kg
d.calyces. b.2-3 ml/min/kg
Ans: : a c.3-4ml/min/kg
16. person given NaCl one litre infusion Ans: :c
wat will happen 24. hyaline disease of new born
a.osmolality increases in plasma a.maternal diabetes
b.osmolality decreases in urine b.maternal eclampsia
c.na increases in plasma c.prematurity
d.na increases in urine Ans: :c
Ans: : D 25. urea is formed by liver in the body to
17. isonizid not metabolised in people get rid of
with deficiency of a.ornithine
a.glucoronyl tranferase b.arginine
b.hyloroinidase c.ammonia
c.pseudocholinesterase Ans: :c
d.xanthine oxidase 26. fracture of clavicle inner side and
e. amine oxidase medial half , upward displacement takes
Ans: : a place it is due to which muscle
18. cells having oxident stress as oxygen a.sternocleidomastoid
radicals were produced which one of the b.subclavicular
following can decrease this effect c.trapizius
a.nadph oxidase d.perctoralis major
b.glutathione oxidase e.deltoid
Ans: : b Ans: : a
19. In end stage renal failure whats 27. inner medial lower quadrant of breast
affected on prolong basis doesnt drain into
a.erythropoeitin decreased a.anterior axillary
b.thyroid hormone decreased b.inf phrenic
Ans: : a c.supraclavicular
20. propofol contraindicated in Ans: : a
a.hypersensitivity 28. which nerve in urogenital triangle is
b.renal disease damaged
c.cardiac disease a.post cutaneous nerve of thigh
Ans: : a b.ilioinguinal
21. Toxic effect of lignocaine? c.genitofemoral
a. Prolong seizures for 9-7 hours d.femoral
b.hypotension e.Pudental nerve
c.Perioral anesthesia Ans: E
d.rash 29. protamine side effect
Ans::aa a.hypotension
22. data from smaller study on one group b.bleeding tendency
of people is combined with data from Ans: : b
larger study what type of data is this 30. after abdominal hysterectomy on 3rd
a.case control day post op there is serosanguinous
b.randomised control trial amount of fluid from the wound wats the
cause
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a.wound infection c. doenot increase icp
b.wound dehiscence d. doesnot cause rebound hypertension
c.wound hematoma Ans: : a
Ans: : b 38. bladder ca
31. 7yrs old child with coughing and a.schistosomia hematobium
mucus inc eisoniophills plug on xray it b.japonicum
shows hyperinflation and infiltrates whats c.mAns:oni
the diagnosis Ans:: a
a.cystic fibrosis 39.Cotisol decreases....
b.bronchial asthma a...glucose utilization in tissues
c.gastric aspiration Ans:: aa
d. hypersensitivity pnumonitis 40. before Ovulation maturation of
aAns: : b follicles occur by action of
32. normal menstrual blood flow is less a.Fsh
than b.Estradiol
a.80ml c.Gnrh
b.120ml d.Lh
c.40ml Ans:: a
d.60ml 41. Superior and inferior mesenteric
Ans: :a arteries anastomose on
33. women during menstruation uses a. marginal artery
tampons presents .she develops vomiting b. colic
diarrhoeahypotension high grade c. left ileocolic
fever.which organism is involved in it? d. sigmoidal arteries
a.staph aureus Ans: : a
b.e colli 42. after amoebic infection , rectal biopsy
c.gardnerela vaginalis was done now to confirm which test
d.chlaymidia would be done
e.gonnorhea a. pas
Ans: : a b. electron microscope
34. remnant of epiphiseal plate c. perl reaction
a.cortical bone d. antibodies against amoeba
b.trabecular bone Ans: : d
c. spongy bone 43. lethal hepatitis in pregnancy.
Ans:: c a. Hep E
35. locally malignant cancer 44. Thickish white curdy discharge.
a.melanoma a. Candidasis
b.adrenoblastoma 45. Erythroblastosis. ........
c.pleomorphic adenoma of parotid a. Type 2 Reaction
d. Adenoid cystic Carcinoma 46. HCG secreted by
e. BCC a. Syncytotrophoblast
Ans:: ee b. Cytotrophoblast
36. blood pumped by heart per min Ans:: aa
a.750ml/min 47. trachea ?
b.6lit a. related ant to thyroid.
c.5lit b.fibrocartilagenous ring
Ans: :c c. Ends by dividing at the lower border of
37. esmolol is given in anesthesia because T4
a.its selective beta blocker effect Ans: : c
b.decreses pain’ 48. Blood supply to rectum is from....
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a. superior and inferior rectal arteries. 58.Paramyxovirus; in control group
49. Captopril... mechanism of action? causes for which aso titre was being done
a. Inhibits angiotensin II a.Glomerulopnephritis
b. ACEI b.Sydenham chorea
Ans:: bb c.Arthritis
50.Tetanus d.Carditis
a.exotoxin has lethal effect e.erythema marginatum
b.exotoxin afect on cerebral Ans:: cc
c.no role of active immunity 59. New anti hypertensive drug want to
d.trismus is rare. check potency.
Ans:: a a.RCT/ Metaanalysis
51 Which one is precancerous condition b. Double blind
a..myelodisplastic syndrome Ans:: aa
b.cervical erosion 60.Stroke volume increases?
c.osteoporosis a.Venous dilation
d.psoriasis b.Inc in heart rate at constant cardiac output
Ans: : a c.venous compliance
52.Parasympathetic effect on lungs d.inc in blood volume
a.inc compliance Ans::dd
b.inc restrictive work 61. a 7 years old boy had pharyngitis with
c.inc anatmicl dead space halitosis and peritonsillar abcess
d.inc elastic work a. cornybacterium diphtheria
Ans:: b b. streptococcus
53. cell responsible for innate immunity c.staphylococcus
are activated most commonly by Ans::b
a carbohydrate seq in bacterial cell wall 62.Spinal cord with dura arachnoid and
b cytopasmic protein of bacteria pia mater in adults terminates at the level
c eosinophil of lowr border of: L1
d glucocorticoid 63. coccygeal ligament at the level of?
e pollen a.L1
Ans:: a b.L2
54.regarding cilia: c .S1
a) stereo cilia are a type of cilia d.coccyx
b) can be seen on light microscopy Ans::a
c) can be seen on electron micscopy 64. u did a study and it rejected null
d) has absorptive function hypothesis it mean
e) cannot be seen under light microscopy a.There z difference
Ans:: d b. there z no difference.
53.Tb is closely associated with .... c. study of research is not valid.
a. .hypersensitivity 4 d. ur research is not powerful enough
56. Alpha adrenergic antagonist... Ans::a
a. doxazocin 65.Abducent arise from
b. clonidine a.midbrain
Ans:: a b.pons
57. intermediate mesoderm give rise to c.medulla
a. Somites Ans::b
b.Muscle 66.Which structure connects skeletal
c.Heart tube muscle to bone ?
d. genitourinary system a.Tendon
Ans::d b.ligament
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c.joints Ans:: aa
Ans::a 78 Reactive hyperemia
67.true about spinal nerve ? a. red infarct
a. derived entirely from nueral crest b. white infarct
b. pas trough intervertebral formina Ans:: aa
c. dorsal root contain both sensory n motor 79 lysosomal storage disease
supplies a.tay sach disease
Ans: :b Ans:: aa
68.Notochord forms: 80 regarding superficial parathyroid
a.Nucleus pulposis a. located at mid of thyroid posteriorly at 1st
b.Annulus fibrosis tracheal ring
Ans:: aa Ans:: aa
69. In females neck of urinary bladder 81. S1 = isovolumetric contraction
a.lies above urogenital diapgrahm 82 man with progressive dyspnea,
b.lies above urogenital triangle bilateral pitting edema upto knee ,
Ans:: aa bilateral crypts, bilateral pleural effusion
70 nerve damage in surgical neck of on x ray what will be the lab finding
humerous fracture a. increase Na
a. Axillary b. decrease Na
b. Radial Ans:: aa
Ans:: aa 83 Superficial perianal pouch
71 Regarding carcinoma tissue used for a. perineal body
staining and for diagnosis 84 Ip3 mechanism is example of
a. Cyto keratin a. Adh
b. Vimentin Ans:: aa
Ans:: aa 85 Content of superficial perineal pouch
72.Mensturation occurs when a. perineal body
a. progesterone decreases b. bulbourethral glands
b. progesterone increases c. membraaneous urethra
Ans:: aa d. internal pudendal nerve
73 Lateral relation of lower vagina
a. ureter e.perineal body
b.uterin tube Ans: E
Ans:: aa
74 most common cause of bronchogenic
carcinoma
a. tobacco GYNAE OBS 14TH OCT
b. Asbestos MORNING
Ans:: aa
75 Regarding lignocaine Q1.During surgery ovary removed from
a. causes Na channel blockage body in which lymph nodes ovary drain?
b. causes Cl channel blockage A)External iliac
Ans:: aa B)Internal iliac
76 osmotic diuretic acts on C)Para aortic
a. proximal convulated tubules D)Sup.inguinal nodes
b. DCT ANS..C
Ans:: aa Q2.UroRectal septum divides into?
77 NO derived from A) Rectum and urogenital sinus
a. ornithine , arginine, citruline b) Anus and urogenital sinus
b. leucine,isoleucine, lysine ANS…A
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Q3.Levator ani supplied by? ALP=275,SGPT=178,ALK=258.She visit
A) Hypogastric plexus a remote village 6 weeks back where
B)Pudendal nerves sanitation not proper.what’s the causative
ANS..B factor?
Q4.Bladder supplied by? A)Hep A
A) Superior hypogastric plexus B)Hep B
B) Inferior hypogastric plexus C)Hep C
ANS…B D)Hep D
Q5.Detrusor muscle control by? E)Hep E
A) Pudendal nerve ANS….E
B) parasympathetic and pelvic nerve Q13.Which of the following hepatitis
C) ilioinguinal nerve leads to chronic liver disease?
ANS….B A)Hep B
Q6.Toxoplasmosis is? B)Hep C
A) Parasite ANS….B
B) Bacteria Q14.Most initial sign of bupivacaine
ANS….A toxicity?
Q7.Pseudomembranous colitis caused by? A) Nausea
A) Cl.difficile B) Ringing in ears
B) Cl.botulism ANS….B
ANS….A Q15.Regarding acute inflammation which
Q8.Detrusor supplied by? is true?
A) Sup inguinal A) WBC increase upto 40,000
B) Pudendal nerve B) Eosinophil not change
ANS….B C) Steroids cause no change in eosinophils
Q9.In a female during during labour D) Lymphocytes decrease
mediolateral episiotomy performed which ANS…..A
muscle cut? Q16.Regarding immunological response?
A) Bulbospongiosis A)Palatine tonsils covered by simple
B) Levator ani squamous epithelium
C) Sup transverse perineal muscle B)Antibodies produce and release by plasma
ANS…..A cells
Q10.Structure damage close to phrenic ANS….B
nerve? Q17.Hymen epithelium?
A) Pericardiophrenic artery A) Stratified squamous epithelium
B) Musculocutaneous nerve B) Simple squamous epithelium
ANS….A ANS…..A
Q11.An 11 year old boy present with Q18.A boy on examination a structure
fever for 5 days.He also c/o malaise and which is fail tu develop on ventral surface
nausea for 2 weeks.He recently visit to of penis.In girls which is similar to this
village few days back where sanitation not structure develop?
proper.which causative factor? A)Labia majora
A)Hep A B)Labia minora
B)Hep B C)Clitoris
C)Hep C ANS..B
D)Hep D Q19.A female has low
E)Hep E MCH,MCV,MCHC.What type if anemia
ANS….A is?
Q12.A female at 38 weeks of gestation A)Iron def anemia
with fever nausea B)Megaloblastic anemia
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ANS…A Q30.A man with subfertility has Anti
Q20.Regarding B-thalassemia? FSH antibody against FSH
A)Defect in globin chain receptors.which of the following increase
B)Defect in globin ratio in plasma?
ANS….A A) Anti mullerian
Q21.In 60 year old man chronic diarrhea B) Inhibin
for 6 weeks causes? C) Testosterone
A) Alkalosis rather then acidosis ANS….B
B)K is predominant increase Q31. Increase protein synthesis in muscle
C)Osmolality increase caused by?
ANS…A A) Testosterone
Q22.Vitamin D3? B) Progesterone
A)Animal vitamin ANS……A
B)1,25 cholecalciferol Q32.Uterus is prolapsed but membrane
C)Plant vitamin intact.which is due to?
D)25.hydroxy cholecalciferol A) Pelvic diaphragm
ANS….B B) Broad ligament
Q23.Rough endoplasmic reticulum ANS….A
involved in? Q33.Cervix drain by?
Ans)Protein synthesis A) Internal iliac nodes
Q24.In a boy B.P270/180 & creatinine B) External iliac nodes
8%.which structure is damaged? ANS…..A
A)Macula Q34. Bladder drainage due to?
B) JG cells A) Hypogastric plexus
ANS….B B) Inf.phrenic nodes
Q25. GFR dec due to? C) Internal iliac nodes
A) Afferent arteriolar constriction ANS….. C
B)Efferent arteriolar dilatation Q35.Corticostriate fibers contain
ANS….A A) Dopamine
Q26. Which metabolic effect caused by B ) GABA
thyroid? C) Glycine
A) Dec gluconeogenesis D) Epinephrine
B) Protein synthesis E.Glutamate
C) Dec fatty acid oxidation ANS….E
D) Dec fatty acid synthesis Q36.In a pregnant female with sugar level
ANS….C 340mg/dl.what is the treatment?
Q27. Which effect caused by reduction of Ans) Insulin
p450 mechanism? Q37. Due to hydrocarbon which occur?
A) Acetylation of isoniazid A)Aplastic anemia
B) Oxidation of phenytoin B)Bronchogenic carcinoma
ANS….A ANS…..B
Q28.Glucocorticoid causes? Q38. A man working in mine with hilar
A)Dec peripheral glucose utilization lymphadenopathy.
Q29. Increase respiratory effect in A) Silicosis
pregnant women due to? B) Asbestosis
A) Estrogen ANS….A
B) Progesterone Q39.Man with pleural plaques show
C) LH malignancy.
ANS….B A) Asbestosis
Q40. Principle of ethics?
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A)Autonomy,beneficence,non-malificence Q49.Most likely feature in HELLP
and justice Syndrome?
Q41.A female pt presented in ER in state A)Hemolysis,elevated liver enzyme and low
of shock.she had transfused 10 pints of platelet count
blood 2 yrs back.B.P80/50,pulse 60/min. Q50.Amino acid which is not produced in
A)Sheehan’s syndrome body but essential in diet?
B)Addison’s disease A)Phenylalanine
ANS….A Q51.Resection of pons causes?
Q42. A female present with fever and A)Ceasation of respiration
chills.No h/o burning micturition.On B)Dec rate of respiration
staining gram –ve organism seen. C)Loss of respiration
A)E.Coli ANS….A
B)N.gonorrhea Q52.Corticostriate fibers decussate at?
ANS…..B A) Pyramid
Q43.In a female major breast duct B) Internal capsule
terminate into terminal ducts from ANS….A
terminal ducts it forms? Q53. Cushing syndrome in old age due
A) Lactiferous duct to?
B) Lactiferous sinus A) Thyroid adenoma
ANS….B B) Adrenal adenoma
Q44.A female with vasculitis and fever.on ANS…..A
examination gram –ve endotoxin Q54.Most salient feature regarding ANS:
present.which is most likely causes ths A)All parasympathetic supplied by
condition. cholinergic
A) TNF B)All sympathetic by adrenergic
B) TGF-B C)All parasympathetic by vagus nerves
C) IL-1 ANS….A
ANS…..C Q55.A female with PPH now present with
Q45. Number of observation fall on a set Acute renal failure.Defect present in?
point or on given scale known as? A) PCT
A) Data B) DCT
B) Distribution C)Loop of henle
C) Rate ANS….A
D) Frequency Q56.A person lose 2L water in sweat then
ANS…..D he takes 2L of tap water.what occur?
Q46.In a child diphtheria vaccine is A) Inc ICF
given.what type of hypersensitivity B) Inc ECF
present? C) Inc osmolality
A) Type 1 ANS….A
B) Type 2 Q57.A pt with CO2=44,pH=
C) Type 3 7.33,HCO3=19,What acid base
ANS….C abnormality?
Q47.Tranfusion reaction to A+ve if we A)Metabolic acidosis
transfuse with B)Acute resp acidosis
A) AB –ve C)Metabolic alkalosis
B)O+ve ANS…. A
ANS….A Q58.Most characteristics features of TB?
Q48. Pregnant lady with gall stones? A)Caseating granuloma
A) GGT B)Multinucleated giant cells on microscopy
ANS…..A
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Q59.Which is DNA respiratory virus? Q69.A female met an accident had lost
A)Resp syncitial virus her son and husband.Afterward she had
B)Adenovirus amenorrhea due to?
C)Herpes virus A)Inc ACTH
ANS….B B)Low CRH
Q60.Most closely related to lymphocytes? C)Low dopamine
A) Only arise from bone marrow ANS…..C
B) Play major role against cancer in body Q70.Breast atrophy in adult male due to?
ANS….B A) Estrogen
Q61.Regarding heart: B) Estrogen and progesterone
A) RCA supply SA node,AV node,bundle of ANS….A
HIS,purkingi fibers and its branches Q71. Correct about thyroid gland?
B) LCA divide into Left circumflex artery A) Drain into deep cervical lymph nodes
and anterior interventricular artery Q72. Longest pro-erythrocyte stage?
ANS…B A)P.Malaria
Q62.In a patient dec calcium,inc B)P.Falciparum
phosphate,inc PTH and normal alkaline C)P.ovale
phosphatase? ANS….A
A)Osteomalacia Q73.Shortest pro-erythrocyte stage?
B) CRF A)P.Falciparum
C)Vit D deficiency B)P.Malaria
ANS…..B C)P.ovale
Q63.During surgery of colon CA first site ANS….A
of metastasis into? Q74. A girl with fever and black water
A) Liver urine?
B) Lung A) G6pD deficiency
ANS…..A B) Plasmodium falciparum
Q64. A female with narrow subpubic arch ANS….B
and inverted ischial spine.what type of Q75. Origin of oxytocin and vasopressin?
pelvis? A)Post.hypothalamus
A) Anthropoid Q76. Auscultation of tricuspid valve best
B) Android at?
C) Gynecoid A) Right lower end of sternum
ANS…..A Q77.GVE fiber of tenth nerve contain
Q65.Nasopharangeal CA associated with? which nucleus?
A) EBV A) Nucleus ambigus
B) CMV B) Dorsal nucleus
C)HPV ANS….B
ANS…..A Q78.A female with infection of HPV
Q66.Cervical CA due to? comes after 2 years.Cell shows prominent
A)HPV nucleoli and in size?
B)HSV A) Dysplasia
ANS….A B) Metaplasia
Q67.HIV female pt with associated with ANS….A
malignancy? Q79.Virus which cuases metaplasia then
A)Cervical CA dysplasia?
Q68.Major stress hormone during A) HPV in cervix
surgery? Q80.Benign neoplasm:
A)ACTH A) Adenoma
B)Hepatoma
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ANS….A A)Stratified squamous non-keratinized
Q81.In dark granules containing cell IgE epithelium
attaches to? Q96.Women after delivery,platelet
A) Basophils 70,000.APTT normal PT normal.Diagnosis?
Q82. Pulmonary artery supply to? A)DIC
A) Alveoli B)ITP
Q83. In young boy dyspnea on lying ANS…A
down? Q97.Mechanism of DIC?
A) Retrosternal goiter A)Degradation of fibrinolytic products
Q84.DNA replication occur in? B)Dec platelet function
A)Interphase C)Vit K deficiency
Q86.Collagen fibers? ANS….A
A)Acidophils Q98.Pyruvic acid is used in intermediate
B)Basophils in which step of cell cycle?
C)Major elastic tissue in body A)Carbohydrate to Acetyl co A
ANS….C B)Glucose to Acetyl co A
Q87. Protrusion of mandible by? ANS….B
A)Lateral pterygoid Q99.A female diabetic and hypertensive
Q88.Isotonic and isometric difference is best drug of Rx?
that? A)Captopril
A) Isotonic contain more phosphate bond Q100.Cataract in newborn due to which
Q89.A boy with lesion on nose.He also has maternal infection?
granuloma with vasulitis.what is the A)Rubella
cause? Q101.Aphasia due to lesion in?
A) Lepsrosy A)Frontal lobe
B) Wegener’s granulomatosis B)Parietal lobe
ANS…..B C)Hippocampus
Q90. Pt with intensional tremors and ANS….A
facial paralysis lesion at? Q102.Virus cuase cancer by mutation in?
A)Pons A)DNA
B)Cerebello pontine angle B)RNA
ANS…..B C)Proto oncogene
Q91.Major best investigation in ITP? D)Oncogene
A)APTT ANS….C
B)CBC Q103.Sub acute endocarditis cuased by?
C)Platelet count A)Strep.viridans
D)BT Q104.At day 30 fetal life,number of
ANS…..B somites?
Q92.A female with CRF.she has been A)40-44
advised renal transplant from twin Q105.Boy after RTA,diplopia and
sister.The most important pre requisite proptosis?
for matching is? A)Basilar artery thrombosis
A)HLA compatibility Q106.High cardiac output in?
B)ABO compatibility A)Just after delivery
ANS….B B)In labour
Q93.Steroids cause its action on cell by? C)In first trimester
A)Activation of genes ANS….A
Q94.Class 3 Anti arrhythmic? Q107.Thyroid gland
A)Amiodarone A)Both lobes symmetrical
Q95.Histology of cornea?
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B)Tracheal ring lie at level of cricoid A)G6PD deficiency
cartilage Q122.Ovary held in position by?
ANS..A A) Broad ligament
Q108.Delayed type hypersensitivity seen Q123. Hallmark of HIV?
in? A) Immunodeficiency
A)TB B) Proliferation of virus inside T
Q109.Method detecting Gonococcus lymphocytes
infection? ANS…..B
A)Gram staining Q124.A baby born with erythroblastosis
B)ZN staining fetalis with blood group A+ve.He should
ANS…A treat with?
Q110.10% formaldehyde is used for A)A+
sending biopsy specimens why? B)AB+
A)To prevent autolysis C)A-
B)Sterilization ANS…..A
C)To denature protein Q125.Starling law of heart?
ANS…..C A)Explain the inc in cardiac output when
Q111.In female thick whitish curd like venous return increases
discharge present.causative organism? Q126.In inferior wall MI artery involved?
A)Candida albicans A)Right marginal artery
Q112. Cause of edema? Q127.On x-ray right border of heart
A) Lymphatic obstruction formed by?
Q113. Tachyphylaxis? A)SVC
A)Diminshed response developing quickly Q128.Drug to drug interaction?
Q114. A diabetic pt with organ A)Both pharmacokinetic and
involvement cause of death? pharmacodynamic
A)Mucor Q129.In diabetic nephropathy best
115.During surgery management of acute investigation?
high BP? A)Urine albumin
A)Hydralazine Q130.Highest diffusion capacity across
Q116.Epidural anesthesia given to across respiratory membrane?
increase its duration? A)CO2
A)Inc dose Q131.Plasma protein return to normal
B)Inc conc. in?
C)Give with 1:20000 epinephrine A)10-12 days
ANS….C Q132.Patient with lower backache and
Q117.Ureter most narrow at? pain at posterior thigh.DR tells him that
A)Ischial spine longest nerve of the body is involved?
B)Ischial tuberosity A)Lumbosacral plexus
C)Sacral promontory B)Sacral nerve
ANS…A ANS….A
Q118.Artery remain in true pelvis? Q133.Heart prone to fibrillation?
A)Middle rectal artery A)At the end of action potential
Q119.Symphysis pubis: Q134.Donut shaped organism in HIV?
A)Sec.cartilagenous joint A)Cryptococcus
120.Female with low MCV,MCH,MCHC 135.Person taking normal saline?
and sr.ferritin.what the next best A)Inc urine sodium
investigation? B)Dec urine osmolarity
A)Sr.iron & TIBC ANS….B
Q121.Heinz bodies present in?
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Q137.A female on ATT taking ANS…B
contraceptive but still got pregnant due Q150.A pt in CCU:
to? A)feel terror and discomfort
A)Rifampicin B)Behave vigorously and shout on everyone
Q138.Corneal opacity in a person due to? C)Keep calm and cooperate with family
A)Chloroquine members and staff
Q139.Glucose transport across membrane ANS..C
due to its conc.difference is called? Q151.Mesonephric duct functional
A)Simple diffusion remnant?
B)Facilitated dissusion A)Ductus deference
ANS…A B)Uterus
140.Cradiac muscle can’t tetanized becoz ANS…..A
it has? Q152.At the beginning of 5th week?
A)Long refractory period A)Limb bud appers
Q141.Artery arises on substance of B)Stomach rotates
parotid gland and lies at posterior body of ANS…..B
digastrics? Q153.Which of the following not receive
A)Lingual artery innervations from pudendal nerve?
Q142. Breast upper and outer quadrant A)Posterior fornix of vagina
drainage? Q154.Inferior rectal artery branch of?
A) Anterior axillary nodes A)Internal pudendal artery
B) Pectoral nodes Q155.Needle inserted at 4th intercostals
ANS….A space it pierces?
Q143.Radiation causes cancer? A)Intercostal muscle
A)5-10 years B)Intercostal membrane
Q144.Hematocrit of 41%means? ANS…..B
A)RBC Q156. A young female with secondary
B)WBC infertilitycome to you on 18th day of his
C)RBC,WBC,Platelets LMP for D & C.In which phase?
ANS…C A)Secretory
B)Luteal
Q145.Drug not causes gynecomastia? ANS…..A
A) Griseofulvin Q157.Vibrio cholera
B) Androgen A)Grow best at 25 C
ANS….B B)Grow best in acidic medium
Q146.In female offspring clear cell C)Resistant to alkaline medium
carcinoma of vagina due to? ANS…C
A) DES Q158.A 60 year pt suffering from
Q147. Bladder Carcinoma due to which generalized lymphadenopathy for last 8
organism? months.Hb=6g/dl,platelet and wbc low.
A)Schistosoma hematobium A) CLL
Q148. Simple columnar partly ciliated B) Hairy leukemia
and non ciliated epithelium? C)Hodgkin lymphoma
A) Fallopian tube ANS….C
Q149.48 Years old lady has CA cervix Q159.Trachea terminate at?
that involved cervix and vagina not lower A)C6
third,lymph nodes palpable and some B)C4
suspicion of metastasis.what stage? C)T4
A) T2N1MO ANS….C
B) T2NIM1 Q160.Anterior fontanelle closes at?
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A)12-18 months 2.lowest O2 content in umblical
Q161.During fetal life kindney infected circulation is in
due to which drugs? a.pulm trunk
A)ACE inhibitors b.right atrium
Q162.In fetus carotid artery gets blood c.right ventricle
from? d ivc
A)Aorta e.svc
B)Ductus arteriosus Ans |e
ANS….B 3.The principal difference between
Q163.In female after some antibiotic use cytotoxic type 2 n immune complex type 3
develop bad taste,thin watery discharge hypersensitivity is
and extreme itching.which antibiotic was a. Delayed hypersensitive reaction
cause of itching and bad mouth taste? b .The class of immunoglobulin involved
A)Metronidazole c. the participation of T cells
Q164.After breast surgery best d. The participation of complement
chemotherapeutic drug given to pt? e. The site where antigen antibody
A)Tamoxifen complexes are found
Q165.Most common organ affected by Ans E
SLE? 4. A female diabetic from last 4 years,
A)Kidney anemic, admitted with pseudomonas
B)Lung infection, blood sugar was normal but
C)Eyes ater 6 days she developed shock, how
D)Joints a.electrolyte imbalance
ANS…..A b.acid base imbalance
Q166.Most common 2nd messenger c.inc plasma osmolarity
pathway?? d.Increased vascular permeability
A)AMP Ans D
B)ADP 5.cryptorchoidism should be treated as
C)ATP there is increase risk of??
ANS…A ANs> malignancy.
Q167.Cervix drain by? 6.temporomandibular joint dislocation
A)Internal iliac nodes will lead to which muscle paralysis??
Q168.A farmer working in field become Ans>lat pterygoid
unconscious frothing from mouth.which 7.unable to open mouth which muscle
drug u give? paralyse?
A) Atropine Ans>lat pterygoid
Q169. A child with severe diarrhea and 8. Airborne droplet infection can spread
bleeding.no family history.Cause? upto
A)Vit K deficiency a.1 to 2 feet
Gynae and obs 14 oct b.3 to 6 feet
ANS b
2016(evening) 9.maximum ventricle is filled during
1.a female having two children ,after A) diastasis
cholecystectomy she developed pallor her B)atrial systole
peripheral blood shows microcytosis type C)rapid inflow
of anemia D)slow inflow
a blood loss Ans>C
b iron deficiency 10. The neural crest cells originate at the
Ans B dorsal most region of the???
Ans> neural tube.
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11.uterus main support ?? c.plasma osmolarity
Ans>pelvic diaphragm. Ans>B
12.sesamoid cartilage found in 23. Pt had severe dehydration, what is the
a. epiglotis best treatment to increase body water
b .nasal septum a.5% dextrose
c .larynx b.10% dextrose
d. ear pinna c.Albumin
Ans>C d.Normal saline
13.left renal vein drain into ??? Ans>A
Ans>ivc.
14.left renal vein anrerior to??? 24.female presented in oncology depart
Ans> aorta. hypotensive fever what is the cause of this
15.max renal clearance of ??? condition?
Ans>PAH. Ans >TNF (IL1 was not in options)
25.true hermaphrodite
16. A boy collapsed 2 hr after a.xx
tonsillectomy .what is the reason behind b.xxy
this Ans>B
A. Hypovolumic shock 26. The antimotabolite which is used for
B. Septic schock nonneoplatic diseasea and is also an
C. Neurogenic shock immunosuppresant???
D. Cardiogenix shock A.Azathioprime
E. Toxic shock B.cytarabine
Ans>A C.Methotrexate
17. A patient had to undergo amputation Ans>C
of right leg. At the site of amputation ha 27. Methotrexate is??
present with a mass, biopsy shows Ans> a folate antagonist
haphazard pattern. 28. cyclophosphamide side effect ??
a- neuroma Ans>hematuria.
b- schwanomma 29.eye blunt trauma which structure will
c- lymphoma be more prone to damage=??
Ans>A Ans> limbus??
18.post ganglionic fibres found in 30. progesterone is a precursor of.??
a - all spinal nerve a.de oxycortisone,Aldosterone,cortisol and
b. mid thoracic corticosteriods
Ans>A b.hydrocortisone,pregnenolone;estriol
19.diaphragmatic surface of heart form c.cholestrol :cortisone,cholic acid
by??? d.aldosterone .deoxycholic acid
Ans> right ventricle. .pregnenlone
20. In a study 40% women recived HRT e.corticosterone.testosterone.cholestryl
20% women have not recived HRT. the sulphate
best way to represent such study is??? Ans>A
Bar chart 31.nipple plus lat part breast drain Into
pie chart ???
chi square Ans>anterior axillary lymph nodes.
Ans>B 32.lat part breast drain into ??
21.scenario was of case control Ans>anterior pectoral nodes.
22. regarding free water diuresis.. 33. boil on labia majora will drain Into?
A.NEGATIVE WATER CLEARANCE Ans> medial group of superficial inguinal
B,positive water clearance, (ans) lymph nodes.
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34.star shaped lumen Ans>B
a. ureter 43.ovarian artery is the branch of ???
b.fallopian tube Ans>abdominal aorta.
Ans>A 44.Ant wall of bladder devoid of??
Ans> peritonium.
45.medial boundry of ischiorectal fossa by
35.sensitive to radiation = lymph nodes a.ana canal
(germ cell , git epi also v. sensitive to b.levator ani
radiation). Ans>B
36.tumour removed from ovarian fossa 46.SLE scenario investigation of choice ??
which structure prone to damge ?? Ans>anti Ds DNA.
Ans>internal illaic artery. 47.women developed cogulation defect on
37. 45 yrs old woman has invasive ductal ultrasound having IUD baby
carcinoma of left breast with metastasis in management?
fur ipsilateral axillary lymph nodes. Ans>evacuation of fetus
Tumor measures 6.5cm in its max 48.illiacus muscle supplied by ??
diameter. Acc to Manchester's staging. Ans>femoral nerve.
Stage of this tumor would be 49. ischiorectal fossa abscess drainage will
A. Stage 1 result in damage to
B. Stage 2B a.inferior rectal nerve
C. Stage 2A b.sacrotuberous ligament
D. Stage 3 c.internal pudendal artery
E. Stage 4 Ans A
Ans>D 50.female having complain of fever
38.structure posterior to ureter ??? productive cough diagnosed case of staph
ans>genitofemoral nerve. aureus pneumonia now fever perisist but
39.change of one epithelium to other is ?? gradually increased dyspnea xray chest
Ans>metaplasia. showed air fluid level what complication
40.an anesthetic drug given to pregnant she have developed?
lady which conc inc in mother blood as a.granuloma
compared to fetus name of drug? b.fibrosis
a. lidocaine c.abscess formation
b. bupivaciane ans>C
Ans>B 51. sphincter urethra supplied by?
41. histological section of tissue sample a. sacral splanchnic nerves
shows normal mitoses,pleomorphism and b.pudendal nerve
hyperplastic cells are observed in Ans>B
different stages of cell cycle with no 53.49 year female developed pain in right
invasion of basement membrane it is most big toe with fever she had same episode of
likely due to pain 6months back in knee joint what
A.metaplasia investigation will u do
B.dysplasia a. uric acid
C.anaplasia b.xray
D.malignancy c.ANA
Ans>B d.anti Ds Dna
42.an anesthetic given to a patient e.rheumatoid factor
thorugh which route it given will cause Ans>A
highest conc in blood
a.spinal 54.dont remember exact words
b. epidural
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( The greater, lesser, and least splanchnic Ans lymphatic obstruction
nerves arise from the thoracic part of the 64.Edema due to renal disease cause ??
sympathetic trunk and carry much of the Ans> salt retention plus albuminurea
sympathetic and sensory supply of the 65.common cause of DVT
abdominal viscera. The nerves pierce the a.post operatively
diaphragm and reach the celiac and b.prolong bed rest
aorticorenal ganglia) Ans>B
55. which hernia lies medial to inferior 66.old male patient case of atherosclerosis
epigastric artery?? was under your treatment with blockage
indirect inguinal of coronary artery suddenly brain
Direct inguinal correct this one is answer ischemia occured cause =
femoral a. thrombus
umbilical b embolus
Ans>A Ans>B
56.cause of epispadasis is urethral fold 67. a lady, known diabetic for 5 yrs. she is
fusion defect. faulty position of genital on Glibenclamide. she had an acute
tubercle asthma attack for which she is still taking
57.Hernial sac which is ramanant of medication. this morning she felt dizzy
processus vaginalis and carry all layer her blood sugar is 40. choose the drug
alonwith is which type of hernia?? which interacted with glibenclamide
a. direct inguinal hernia a. b-blocking agents
b indirect inguinal hernia b. steriods
Ans>B Ans>B
58.vagina histology shows abundant 68.cynosis due to ??
a.collagen plus elastic Ans> deoxyhemoglobin
b.elastic 69.Ineffective erythropoiesis in
Ans A a. thalsemia
59. on microscopy how carcinoma b.sickle cell anemia
diagnosed = ?? Ans>A
Ans> local invasion 70.when volume of water decrease all of
60.cells present in epidermis which give following will increase except
colour pigment =??? a. ADH
ANs> melanocytes b. aldosterone
61. in hypoxemia which will respond c estrogen
a.carotid body Ans>C
b carotid sinus 71.ventilation perfusion ratio zero in
c.central chemoreceptors a. Pulmonary embolism
Ans>A b.pleural effusion
62. A patient on hypertensive drugs c fibrosis
presents postural hypotension. in heart Ans>A
rate
while standing 72.worst from to do immunosuppression
is mediated by: ??
A. decrease fire rate of baroreceptors Asn>full body irradiation ( poor recall of
B. decrese sympathtic stimulation statement but ans was full body radiation)
C. Inc vagal tone 73.girl diagnosed with rubella what ishe
D. Inc vasomotor tone indication of terminating pregnancy ??
Asn>A Ans: presence of IGM
63.lady having carcinoma developed 74.most abundant antibody ??
generalized edema cause is ?? Ans:IgG
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75.Established autosomal dominant disease C.GIP
a. heridatory tubular adenoma familial Asn:C
adenomatous 89.vit k plus c deficiency causes ??
b. hemochromatosis Ans: bleeding disorder
Asn:A 90.A 14 yr child with bleeding and also
76.automatic bladder when lesion is diarrhea no family hostry of any bleeding
a.above sacral segment disorder cause of bleeding
b.below sacral spine segment a. Liver faliure
Asn:A b. Hemophilia
77.bladder detrussor muscle contract due c. Vwf
to ?? d. vit k deficiency
Ans:pelvic splanchnic plus hypogastric Ans:D
plexus 91. Fetal brain development is caused by
78. 1 gm of normal Hb can bind a a. Growth hormone
maximum of?? b. Thyroid hormone
Ans: 1.34 ml O2 c. ADH
79.scenario of hemolytic anemia d. Prolactin
80. A patient has hb 6 .platelets 450000 ____________________________________
e.hypercellular ____
Bone marrow.diagnosis is Ans. b. Maturation of CNS of the fetus
A. acute blood loss? requires the presence of thyroid hormone in
B.leukemia the perinatal period. Thyroid hormone
Ans:B deficiency causes irreversible mental
81.vitamin c required for which step in retardation. Because there is only a brief
collagen synthesis ?? prenatal period when thyroid hormone
Ans: hydroxylation of proline and lysine replacement therapy is helpful, screening for
residues. neonatal hypothyroidism is mandatory.
82. Renal failure feature ?? 92. sertoli cell??
Ans: oligourea Ans: androgen binding protein
83.Pulmonary artery supply?? 93. Mean arterial pressure ??
Asn: alveoli Ans: diastolic pressure plus 1/3 rd pulse
84.How to differentiate b/w iron def and pressure.
thalassemia . what lab investigation will u
ask 94.Hormone which produce smooth
a. hb F muscle of git relaxation and also increase
b. serum ferritin git secretion
c. hb electrophoresis a. substance p
d. mcv b.VIP
Ans:C Ans:B
85.Single best investigation for iron 95.Femlae presented with complain of
deficiency anemia ??? sever headache , uncontrolled
Ans: serum ferritin hypertension lab shows k 3.4 most
86. pregnant lady with jaundice n bile probably cause of hypertension
duct stone , investigation?? a. aldosterone
Ans:GGT b.catecholamines (scenario of
87.Bleomycin ?? pheochromocytoma)
Ans: pulmonary fibrosis Ans:B
88.insulin secretion increase ?? 96.self replicative
a. secretin a. mitochondria (ans)
b. somatostatin b.smooth ER
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c.nucleus a. fibrosis
d RER b. lymphocytic infiltration
97.essential amino acid asn:B
a. tyrosine 113.In complete heart block ??
b. threonine Ans:atria and ventricle contract
Ans:B independently.
98.PTH normal in 114. pain mediator ??
a. osteoprosis Ans:bradykinin
b pseudohyperparathyroidism 115.Megaloblastic anemia scenario was
Ans:A there ans was megaloblastic anemia.
99.Total body water 116. 23 year old woman regular
a. 60% of body weight menstrual cycle of 21 to 23 days
b. ECF +ICF+ transcellular fluid .ovulation is expected to occure between
Ans:B cycle days:
100. Tetanus vaccination ?? a. 10,12
Ans:Toxoid is used. b.7,9
101.Hypervitaminosis ?? Ans:B
Ans:Scally dermatitis 117. Mesonephric duct develop from ??
102.Widest space in vertebral coulm?? Ans:intermediate mesoderm.
Ans:L2( dis question has come many times 118. Alpha 1 agonist cause ??
in exam) Anscontraction of radial muscle of iris.
103.child ribs 119.Non healing diabetic ulcer due to??
a. vertical Ans: angiopathy and neuropathy.
b. on cross section almost circular 120.Cimitidine ??
Ans:b Ans:Hepatic enzyme inhibitor
104. Micturation reflex ?? 121. Most common non bacterial infection
Ans: self regenrative developed in burn patient??
105. Hypothyroidism ?? Ans: candida.(ref Goljan patho)
Ans: Inc cholesterol level 122. Post ventricular branches 2 in
106.malaria in which stage inactive in number and supply ??
body Ans:diaphragmatic surface heart.
a.sporozite 123.How u differentiate chest lesion being
b.merozite or malignant??
c .shizont Ans = recurrence after excision
d.hypnozoite 124. prolactin raised with infertility what
Ans:D will be cause
107.mother o negative blood group father a.microprolactinoma
o postive child devlope erythroblastosis b.macroprolactinoma
fetalis child blood group? c.pituitary tumor
Ans:B positive Ans:b
108.Fibroblasts ?? 125. plasmodium malarie ??
Ans: amorphous extracellular matrix Ans= quartan fever
109. Scenario of malaria, black water 126. Highest clearance ??
fever?? Ans: PAH
Ans: falciparum 127. Gynecoid pelvis outlet ??
110. Post fontanalle?? Ans= AP > transverse dia
Ans: smaller than anterior 128. Bacterial vaginosis lead to ??
111.Trachea divide at c4-c5 (rest all Ans:preterm labour.
irrelevant options). 129.Deep inguinal ring ??
112. Chronic liver disease on microscopy Ans: facia transversalis
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130.true about pituitary?? iv was not in options
Ans:Pituitary drain in dural venous sinuses. 149.Endometriosis treatment danazole.
131. other was about pitutary ans was 150. Highest bioavailability
Post sup relation of pituitary is sphenoid. metachlopromide.
132. pain on defecation mediated by GYNE OBS 8TH NOVEMBER
pudendal nerve. (inf rectal was not in
options)' 2016
133. fast pain A delta fibres 1- Tumor suppressor gene
134. maximum inc cardiac ouput in A.N-myc
pregnant lady is after delivery. B.C-myc
135. ocp prevent ovarian ca. C.P 53
136. adrnelectomy done which D. C- erb
replacement necessary for life E.ras
a. aldosterone Ans:C
b. corticosteriod 2-Shortest acting local anesthetic
c. epinephrine A.Procaine
Ans:B>A B.Lignocaine
137.How to check staph aureus virulence C.Ropivacaine
a. coagulase positive Ans:A3-Risk measurements, exposed
b. hemolysis group vs non exposed
Ans:A A.Cohort study
138. GTO prevent B.Case control
Ans:tearing in overstretching. C.Prospective
139. Tension detect?? D.None of above
Ans: by golgi tendon. Ans:A
140.Diabetic nephropathy confirm ?? 4-Data from smaller study on one group of
Ans:by urine albumin people iscombined with data from larger
141. most common brain tumor in ?? study.what type of data is this
Ans:adult glioblastoma multiform A.Case control
142. uterus absent because of B.Cohort
malformation of ?? C. Randomized control trial
Ans:paramesonphric duct. D.Metaanalysis
143.paramesonephric duct male remnant Ans:D
a? 5-Chi square is used to measure
As:ppendix testis. A.Statistical analysis
144. second heart sound ?? B.Confidennce interval
Ans:closure of Aortic and Pulmonary C.Sensitive
valve. D.Specificity
145.excessive hemolysis bilirubin bind E.Valadity
with albumin and go to liver. Ans: A
146.EBV associated with ?? 6-Automatic blader cause
Ans:nasopharyngeal carcinoma. A.lesion above sacral segment
147. Antibodies againt ACH receptors = ? B.lesion below sacral segment
Ans:mysthenia gravis C.Frequentmictuiration
148. first pass effect avoided by giving D.loss of sensory supply
drug Ans:A
a. IM (ans) 7-..Increase in respiration during luteal
b. rectal phase of menstrual cycle is due to
c oral A. Fsh
d oral suspension form
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B.lh C.pudendal nerve
C. Estrogen Ans:C15-Contents of superficial
D.Testosterone perinealpoch
E.Progesterone A. Perineal body.
Ans E B. Pudendal vessels
8.Regarding lesser pelvis C. Bulbo urethral glands
A.has a cavity whose post wall is much Ans:A
shorter than ant 16-Pt with pallor... mcv raised cause
B.Outlet is bounded by sacrotuberousand A.folic acid deficiency .
sacrospinous B. Sideroblastic anemia
C. has relatively longer antposterior C.IDA
diameter at the inlet Ans:A
D.has a small sub pubic angle 17-On histopathology partially celiated,
E. Is generally circular in cross section partially non ciliated
Ans:B A.Uterus
9-Effect of estrogen on cervix B.Cervix
A.Cervicaladenosis C.Uterine tubes
B.Sqamous cell metaplasia. Ans:C
Ans:A10-Pt on ot table heat loss through 18-Breast milk secretions contain
A.Conduction and radiation A.IgA
b.Conduction B.Igg
c.Radiation C.IgM
d.Evaportion D.Igd
e.Convenction. E.IgE
Ans:A Ans:A
11-Pt having butterfly rash n multiple 19-At what age the head of fetus become
miscarriage half of CRL length
a..sle A.3rd week
b.rehmatoid arthritis B.strt 3rd month
c. scleroderma C.strt 4th month
d. rheumatic fever D.6th month
e.sjogren syndrome E. 7 month
Ans:A Ans:c
12-True about implantation of zygote 20-Inflamation of the portal triads which
A. Occurs 3-5 days after fertilization spills into adjacent lobules bands of
B. Occur when 128 cells structure inflammation extending between portal
something formed areas and terminal hepatic veins and foci
C.invasion of endometrium by of liver cell necrosis throughout the lobule
syncitiotrophoblast is most likely pic of.
D.progesterone inhibit implantation by A.chronic acute hepatitis
acting on corpus luteumAns:c (asim bcq). B.cirrohsis
13-Pregnat female at 20 weeks gestation C.chronic passive congestion
withhyperthyroidism.best treatment D.chronic persistent hepatitis
A.propylthiouracil E. fulminant hepatits
B.thyrodectomy AnsA:
C.no treatment till delivery 21-Stucture between tranverselismuscle
Ans:A and extraperitoneal fat
14-Nerve supply of levatorani A.internal oblique
A.hypogastric B.ext oblique
B.illioinguinal C. Fascia transverselis.
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D.skin widest transverse diameter is less than the
E. Sup Fascia anteroposterior (obstetrical) diameter.
Ans:C Platypelloid: Flat inlet with shortened
22-Pt given harmonal therapy for obstetrical diameter).
metatstatic cancer. 28-Niacin deficiency...
A .Apoptosis A.Plegrra
B. Atrophy B.Dermatisis
C.hypertrophy C.Chelosis
D. necrosis D.Periperal neuropathy
Ans:A Ans: A
23-Virus causing alteration in 29-Plataeu is formed due to
A.DNA A. Na and CaChAnnels
B. RNA B.Voltage gated Na channel.
C. Proto oncogene c.k channels.
D. Oncogene Ans:A(ca chaneels wasn’t in options)30-
Ans: C which part of blood test should be sent for
24-Diaphragmatic hernia is associated matching histocompatibility of the
with recipient and donar
A.lung aplasia A.Wbc
B.surfactant deficiency B.Rbc
Ans: A25-Trachoma.. C.Sserum
A.chlymadia D.Bone marrow
B.crcinoid E.Plateles
C.condyloma Ans:a
D.lymph granuloma venerum, 31-cortisol req for ?
Ans:A A. Thyroxine
26-Pt with bicornuate uterus. Associated B. Epinephrine
anomalies are C.Glucagon and Epinephrine
A.git Ans: c
B.cvs 32-Increase glucose, fatty acid and
C.resp protein in serum
D.utI A.Insulin .
E.Renal B.Growth hormone.
Ans:E C.Cortisol
27-Pt in labour for 2 hours.on pv inverted Ans:c
spines,narrowsubpubic arch and sacral 33-Well differentiated sq cell tumor
promontory not reachabletype of pelvis a.Loss of polarity.
A.Gynaecoid b. Keratin or something.
B. Android Ans.B
C.platypalloid 34-Maximally filling ventricle with blood
D.anthrapoid.. during which phase
Ans:b A. Diastasis
Explanation :(Traditional obstetrics B.Rapid inflow
characterizes four types of pelvises: C.Atrial systole
Gynecoid: Ideal shape, with round to D.isovolumetriccontraction
slightly oval (obstetrical inlet slightly less Ans:B
transverse) inlet: best chances for normal 35-Atropine same action.
vaginal delivery. Android: triangular inlet, A.physostigmine
and prominent ischial spines, more B.Scopolamine
angulated pubic arch. Anthropoid: the Ans: B
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36-lack of lymphoid nodules 45-step which is same in glycogeneolysis
A.thymus and glycogenesis??
B.spleen A. glucose6 phosphate
C.lymph node B.fructose 6 to 1,6 bi phosphate...
Ans: A Ans:B
37-most common cause of malignancy in 46-Pelvic outlet most appropriate
workers A. AP diameter more than transverse
A,tobacco industry B.Tranverse diameter more than AP
b.silicone diameter
C.asbestosis Ans:a
Ans: A38-maximum bioavailability ? 47-Stratified squamous epithelium
A.I\M A. renal tubular cells
B.sublingual B.duct of salivary gland
C.per rectal C.corneal epithelium
.D.Orall D.bulbular conjunctiva
Ans:B(i/v wasn’t in option) E.ovarian follicle
39-most common cause of fatty liver in Ans: B
our country 48-sympathetic stimulation causes??
A, hep b and c A. bronchodilation..
B.alcohol B. vasodilation of skin
C.fatty food Ans:A
D.protein malnutrition 49-Which is the content of superficial
Ans:D perineal pouch
40-Lacunar is extension of inguinal A. perineal body
ligament..notreflectd B. membranous part of urethra
41-poliomyelietis . C.bulbuourethralsphincture
A.anterior horn cell injury D.internalpudenal vessels
B.Virustraveles along peripheral nerve. Ans:A
Ans:A 50-Radiation effect.
42.Ocp A.Protooncogenes
A.inhibiting LH B.Oncogenes
B. inhibition of ovulation C.DNA
C.thickening cervical muous D.RNA
D.hepatic adenoma Ans: A51-Uterine artey arises from
Ans:b... internal ilac artery cross above?
43-In pregnancy A.ureter..
A.muscle bulk increase cz hypertrophy B.fallapion tube
andhyperplasia C.ligament of ovary
B. uterus remain relaxed till labour D. urinary bladder
C.breast size inccoz of prolactin Ans:A
D.BMR increases by 10% 52 most commonuti...
Ans: A A.staphlococci
44-Infection from pretacheal region can B.Echoli
travel to... C.streptococci
A.superior mediastinum Ans:B
B. anterior.mediastinium. 53-structure posterior to ureter?
C. Middle mediastinum A.genitofemoral nerve..
D. posterior mediastium B. gonadal vessels
Ans:B C.illeocoelicvessesls
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D.left colic vessels B.Damaged of epithelium
E.root of mesentry Ans:A
Ans:A 63-Endocervix epithelium change.
54-Platelets ridges/lines of zahn are A. Metaplasia
present in B. dysplasia
A.Propagated clot C.hpv
B.Coraline thrombus.. D.papilloma
Ans: B E.carcinoma
55-platelets . Ans:A
A.fragments of megakarocytes 64-Radio sensitive
Ans:A A.Ovary
56-Prostacyclin formed from B.Cervix
A.edothelial cells C.Endometrium
B.plateles D.Lymph node.
C.peyerpathes Ans:D
D. mast cell 65.secondary center of ossification in long
E. fibroblast bones develop in.
Ans: A57-cardiac output increase by A.epiphysis
A. venous compliance B.metaphysis
B.Inrease Blood vol... C.epiphysis plate
C.Increase interstitial fluid D.diaphysis
D. increase oncotic pressure. E.synovial joints
E.increase capillary permeability Ans:A
Ans: B 66-Structure developing from neural
58-Length of adult ureter. crest??
A.25-30cm A. Autonomic ganglion
B.20-25cm B. adrenal gland
C.30-35cm C. Neural plate
D.35-40 cm D.sensory ganglion
E.15-20 cm Ans:A
Ans:A (kLM) 67-Inc mean systemic filling pressure with
59-Herniation of meninges from skull A.decreased venous resistance
A.craniomeningeocele B.exercise.
B.anencephaly C. Hypothermia
C.cranioschisis D. temperature
D.craniosynostosis Ans: A
E. encephalocele 68-Mostly growth factor receptors
Ans A present on
60-Oxygen hemoglobin curve shift to A.plasma membrane(via tyrosin kinase)
right side? B.Neuleus
A.alkalosis C. DNA
B.acidosis D.Roughenoplasmic reticulum
Ans:B E.mitochondial
61-Oxygen hemoglobin curve shift to left Ans:A
in 69-Highest PO2 is in
A. Hyperthermia A.arterial blood
B. CO poisining B.venous blood
C. Ans.B C.right atrium
62-Radiation late effect..... D.left ventricle
A.endarteritis obliteration.
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E.pulmonary capillaries B. serum ferritin
Ans:D C. TIBc
70-Oliguria... D. Ferritin n TIBC
A.less than 500ml Ans: D
B.less than 50 ml
C.less than 100 ml 79-Structure between peritonial
D.0.5 to 1 L connective tissue and transversus muscle
Ans:A is
71-Left supra renal vain drain into A. abdominis fascia
A.left renal vein B.transversalis fascia
B.Abdominal aorta C. TRAnverses muscle
C. Iva Ans:B
D. Azygous vein 80-Ectopic thyroid is secreted in which
Ans:A carcinoma
72-Regarding CSF..
A.Provide nutrition A.sqauamous cell ca larynx
B.prevent brain injury by cushion effect B. small cell carcinoma of lung
Ans:B C.Small cell carcinoma of larynx
73-Internal oblique apponeurosis forms? D. adenocarcinoma of colon
A.Conjoint tendon Ans:A
B.Internal spermatic fasica 81-Milk not produced in pregnancy
C. Transcersalis fascia despite increased
Ans:A prolactin hormone inhibiting it
74-Drug similar in physiological functions isA..estrogen
like Atropine
A.scopolamine b.progesterone
B.physostigmine c.oxytocin
Ans:A Ans:B
75-Coccygeal ligament most superior 82-Triglycerides high in
border where all three meningeal layers A.chylomicrons
present A.L1 B. HDL
upper border. C .LDL
B. lower border of L1 D. vLDL
Ans: B76-Structure not Pierced Ans:A
A.tunica albuginia
B.skin 83-Acidosis
C.cremasteric fascia A. Increases ventilation
D.internal muscle and colles fascia B.decreases ventilation
E. internal spermatic fascia Ans: A
Ans:A 84-Nissel granules absent in
77-In hypothyroidism... A. axon
A. TSH B. hillock
B. T3 C. dendrite
C. T4 D.cell bodies
D.T3 & T4
Ans:A Ans:B
78-In pregnancy iron deficiency 85-Hypokalemia causes
anemiadiagnostic investigation A.Increased h ion in plasma.
A.serum iron B. decreased ph of plasma.
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C. increased negative base in plasma. chorion and placenta have neutrophilic
D .increased bicarbonate in plasma. infiltration, cause by which organism?
Ans: D A. Mycobac
86-Cervical malignacny. B. Hsv
A.hpv C,Toxoplasmosis
B.hsv Trponema
C.cancer E. E.coli
D. metaplasia Ans: E
E.dysplasia 93-vulva is supplied by
Ans:A A. Pudendal nerve
87-Pt with rigors n fever suprapubic pain, B.illioinguinal nerve
gram negative rods on stainA.E.coli Ans:A
B.streptococci 94-potassium depletion is associated
C.H. influenza with??
D.Nesseriamenigitidies A. bakers dystrophy
Ans:A B. mysthenia gravis
88-Circle of willis C.duschene muscular dystrophy
A.Post. Communicating artery connect D. Familial periodic paralysis
basilar to internal carotid Ans: D
Ans:A 95-blood pic shows macrocytosis
89- Cerbral cortex is supplied by which hypochromic pic? dx is?
artery A. folate deficiency
A. anterior and middle cerebral arteries B.irondeficiency
B.ant and post cerebral artery C.sideroblastic anemia
C.basillar artery. D.megaloblastic anemia
D.vertebral artery Ans:D
E.middle and posterior cerebral 96-Pt with blood grp A has...
Ans:A A.Anti A antibodies
90-Autosomal dominant= B.Anti AB antibodies
A. both parent of affected child have disease C.anti B antibodies
B.only 1 parent of affected child have D.no antibodies
disease Ans:c
C.only males are affected 97-messeter is supplied by which nerve..
D. only females are affected .A. mandibular v3
Ans:B B. maxillary nerve
91-diaphragmatic hernia is associated C. facial nerve
with D. trigerminal nerve
A. pulmonary agenesis Ans: A98-.which one has transient
B.Surfactant deficiency adhesive property.
C.Bronchial obstruction A. cytokines
Ans:A B. imunoglobins
92-Primigravida 2nd trimister, gelt C. c5-9
sudden lower abd severe cramp followed D. integrins
by watery foul smelling discharge, after 2 E. selectin
days deliverd a still born child. On ex Ans:E
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99- 2 liter fluid loss in sweat and person A. ureter
takes 2 liter distilled water what will B.fallopian tube
happen..A.decicv C.oesophagus
B.dec intracellular osmolarity D.stomach
C.inc intracellular osmolarity Ans:A
D.inc ecfvoloume 106-call exner bodies present in
E.dececfosmolarity a.sertoli cell tumor
Ans:E100- Severe dehydration causes.. b. ledying cell tumor
A.total body water loss c.granulosa cell tumor
B.loss of ecf volume d.dysgerminoma
c.Loss of icf volume Ans:C
D.acidosis Ans:A 107-12yr old grl passes pieces in
101-Abnormal over growth and irregular menstrual flow...worried about tiny piece
thickening of bone caused by of tissues she passed in her menstrual
A.chief cells of parathyroid flow.she is reassured and explain that
B. Cells of adenohypophysis thsese piece are likely to be
C.cells of parsintermedia A.endometrial sheds
D. Leydig cells B. Unfertilized ovum
AnsB102-Foramen Ceacum is embryonic C.small clots
derivative of? D.cervicalepithjelium
A. Thyriod. E. pieces of spiral artery
B.Thymus Ans: A108-Collagen type in skin
C. Ant pituitary A. 1
D. Post pitutry B.2
Ans:A C.3
103-lady, known diabetic. she is on D.4
Glibenclamide. she had an acute asthma Ans.A
attack for which she is still taking 109-Free nerve endings ...
medication. this morning she felt dizzy A.non encapsulated receptors....
her blood sugar is 40. choose the drug B. detect pain only
which interacted with glibenclamide C. type of special visceral enteroceptor
A.-blocking agents D.found in volountry muscle
B. steriods E. not present in epidermis of skin
C.insulin Ans: A
D.beta blockers 110-Lymphatic drainage around anus.
Ans:B A.Medial group of horizontal superficial
104-Tb vaccination…. nodes
A. hypersenstivity type 4 B. lateral group of horizontal superficial
B. cell mediated group
C.antibody mediated C. vertical group of node
D.type 3 Ans:A D.internal iliac nodes
105-Tubular structure with star shaped E.external iliac nodes
lumen lined by transitional epithelium.. Ans: A111-Which hormone regulate
prolactin .....
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A.dopamine(Prolactin inhibitory hormone) E.4
B.cortisol Ans:a
C.growth hormone 119-Avidin
Ans: A A.Biotin
112-Pregnent lady 34weeks with vaginal Ans:A
bleeding and coagiulation problem . frist 120-Esr increase in
step of managment was A. anemia
A.. evacuation of uterus B,polycythemia,
B.blood transfusion C.infection
C.heparin therapy D.ccf
D.platelates transfusion Ans:C
E.streptokinase 121-Structure arches over Root of left
Ans: A113-Uterine tube epithelium. lung
.A. ciliated columnar ans.A A. Aorta
114.secreti0n of prostate contains B.azygous vein
a. Acid ph0sphatase C.phernic nerve
B. Alkaline ph0sphatase D.vagus nerve
C.Fructose Asc0rbic acid Ans:A
Ans: A 122-2% lidocaine
115-HCG has alpha and beta units.each A. 4ml
unit has amino acids B.8ml
A.Alpha subunit 92 and beta 145 C.20ml
B.alpha 102 and beta subunit 210 D .10ml
C. 100 alpha and 160 beta Ans:B
Ans:A 123-48 hrs child meningitis ?
116- Tenth intrc0stal nerve enter in rectus A e.coli
sheath through B.Gp A strep
A. Xiph0id pr0ces Ans A GBS was not in option so ECOLi
B.Pubictubercle here
C.Pyramidalismuscle It is ASIM SHOAIB Mcq
D.umbilicus 124-Oestrogen increase risk of
Ans:D A. thromboembolism
117-male narrowest part of urethra B.dvt
A. externa meatus C.hepatic carcinoma
B.prostatic part D. adenoma
C.membranous part Ans:A
D.pelvic brim 125-Beta thalasemia trait
Ans:A A.5%...
118-One molecule of glucose how many B.10%
atp C.1%
A.38 D.15%
B.30 Ansa:A126-Purpra on whole body
C.10 A.Defect in capillary permeability
D.20 B. Dec. Platelet count LESS THAN 90000
C.dec platelets less than 20000
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D. itp B.his records
Ans:C C.good bedside manners and polite behavior
127-Baby born..apnoicspells.no breath D.punctuality
sounds on left sideimprove on upright Ans:C
postureA.pDA B.VSD 134-Severe mg deficiency causes..
C.Diaphragmatic hernia A. hypocalcmia
D.ASD B.Hypophosphate
E.TOF C.Hypokalemia
Ans:E Ans: A135-Regarding thyroid drain into
128-1st enzyme to appear after 2 hr after A.deep cervical lymph nodes
mi. B.superficial cervical lymph node
A. ckmb C.submental lymph node
B. LAD Ans:A
C.tropinin T 136-Upper lateral quadrant of breast is
D.tropnin I drained by which grp of nodesA.anterior
E. alkal;aine phosphate axillary lymph node
Ans: A129-Muscle of mastication B.post group of axillary lymph node
A. ant and post belly of diagastric C.internal mammary lymph node
B.stylohoid D.postintercostals lymph node
C Lateral Ptergoid Ans:A137-Symphysis pubis
D.stapedus A.secondry cartilaginous joint
E.tensor tympani B.primary cartilaginous joint
Ans:C C.fibrocartilagenous
130-Milk has excessive. D.syndesmosis
A. igA E.synarthrosis
B..igg Ans:A
C.ig m 138-Costochondral joint
D. ig e A.primary cartilaginous joint
Ans:A B.fibrocartilagenous joint
131-True abt testes C.secondarycartilahenous joint
A. para aortic node Ans:A
B.superficial inguinal node 139-Sensations of urinary bladder before
C.internal iliac node emptying is carried by which tract...
D.celiac node A.Anteriorspinothalamic track
Ans:A B.Postspinothalamic track
132-Chemotectic factor Is C.Dorsal col medial
A.nitrous oxide D.leminicus lateral
B. C3b E.lateral sphinothalamic tract .
C. C5-9 complex Ans:E
D. leukotrine B4 140-Superficial temporal artery is
E.histamine accompanied by which nerve=
Ans: D133-Abt doctor patient relation A.auriculotemporal nerve
and how good a doctor is known by= B.glossopharngeal nerve
A.his degree C.deeppetrosal nerve
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D.vagus nerve A.thyroxine
Ans:A B.Insulin
141-Pt having chills n fever 2 days later C.GH
she complained of weakness and passage Ans:A
of black colouredurine.Amobile health 148-neurogenic shock
team was in the area .did a sample test A.dec vasomotor tone
and diagnosis it as the most likely cause B.occur in comatose pt
A. falciparum malaria C.tachycardia
B.renal stone Ans:A
C. G6ph deficiency 149-BP 80/50 ,Inc LDH, DEC CVP
D.paroxymal nocturnal hamoglobinuria A.Hypovolemic shock
E.poststrtetococcalglomerculonepharitis B.Septic shock
Ans:A C.Pericardialtamponade
142-Which is benign C.CCF
a.Lymphoma D.cardiogenic shock
b. Leiomyoma Ans:A
c.Melanoma 150- Patient with some haematological
d.hepatoma disorder developed dyspnea after pronged
Ans:B hospital stay
143-Double peritoneal ligament is On choincpulm gradient something The
A.round ligament primary cause is
B.BroadLiagamnet A.MI
C.ovarian ligament B.Primaryhaematological disorder
D.tranverse cervical (cardinal ) liagament . C.Pulm.HTN
Ans:B Ans:C
144-During hypoxia changes will 151-increase ICP
occur??? A.Halothane
A. Increase oxidative phosphorylation B.Isoflurane
B. Reduced pH due to acidosis C.Sevoflurane
C. all the processes will be blocked due to ANS:A
lack of ATP or due to hypoxia 152- follicle with oocyte surrounded by
D. anaerobic glycolysis forming lactic acid. zonapellucida and multiple granulosa
Ans:D layers plus antrum containing fluid
145-Tumour regression by A.Primordial
A.necrosis B.Primary follicle
B.Infraction C.Sec follicle
C.apoptosis D.Tertiary follicle
D.ischemia Ans:C
Ans:C 153-how to prevent congenital rubella
146-maternal mortality calculation 50 A. avoiding contact
mother died n 10000 thousand live births B. vaccination in young females
A.MMR=5/1000 live births C.vaccine to babies
ans:A (asim bcq) D. family education
147-which has anabolic action and Ans:B
increases lipolysis and gluconeogenesis 154- Gfrdec in
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A.afferentartiole constriction A.A alpha fiber
B.afferentartiole dilatation B.Abeta fiber
C.efferent arteriole constriction C.B fiber
D.dec angiotensin D.C fiber
Ans:A E.A gamma fiber
155-Lysosomes Ans:c
A.Hydrolytic enzymes 163-Dec plasma osmolarity by infusion of
B. oxidase enzyme A.NS
C.produce from golgi B.VASOPRESSIN
D. formed from ribosome C.aldosterone
Ans:A Ans:B
156-regarding fetal heart 164-MOST IMP SOURCE OF
A.Endocardial cushions divide it into rt and CREATININE
left atriovencular chambers A.SKELETAL MUSCLE
Ans:A B.Kidney
157-chorioamniotis cause C.Heart
A. E.COLI D.liver
B. toxoplasma Ans:A
Ans:Aq 165-B12 Absorption in
158-destroyed in substantianigra A. Terminal Ileum
A.Dopamine B.colon
B.Acetycholine C.jejunum
C.epinephrine and norepinephrine Ans:A
ANS:A 166-Twave appear
159-actinomycin D mechanism of action A.ventricular repolarization
A.Binds DNA with hydrogen bond B.ventricle repolarization
B.Inhibits mRNA and RNA Polymerase C.atrial systole
C.Inhibits t RNA D.ventricle systole
D.Inhibits ribosomal RNA Ans:A
Ans:A 167-milk is notoriously deficient in
160-Gonorhea easy method of detection A.pantothenic acid
A.gram stain B. vitamin c
B.z N stain C. vitamin a
C. biochemical method D.iron
D.il6 E.riboflavin
Ans:A ANS:a (cpsp key)
161-sepsis diagnosis Criteria 168- There is variation in incidence of pre
A.Wbc<3000 or >15000 eclampsia .most significant change in fall
B.Blood culture postive of dis is d/t A. Dec
C.Heart>100 induction of labour
D.Heart<100 B.dec edema of preg women
Ans:b C.fall in maternal and perinatal mortality
162-preganglionic fibres D.inc c/s rate
E. unanimous definition of disease
Ans:c
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169-c AMP mediated mechanism in E. B cell maturation occur in thymus
membrane Ans:c
A.Receptors 182- Sub arachnid space contain
B.Pumps A. s2 s3
C.Carrier proteins B.S1-S2-
D.Enzymes C.S3-4
Ans:a Ans.A
170-erytropoitein synthesis 175.pregnant lady in her late trimester
A.cells in peritubular capillary came to opd …pale…noprevious
B.maculadensa antenatal checkups done..to find out type
C.juxtaglomuler cells of anemia which ix. Is best
Ans:a a.ferritin
171- 30 years old lady after b.tibc
cholcystectomy..she complains that her c.hb electrophoresis
wound is not healing. Her diet contains Ans. B
increase protein intake and lacks fruits 176.least role in healing
and vegetables. .factors responsible for A.proteins
delayed wound healing b.vit c
A. Dec formation of granulation tissue c.ascorbic acid
B. Dec synthesis of type 3 collagen d.factor 7,9Ans.A
C. Dec tensile strength of collagen 177.side effect of antihyperlipemic drugs
Ans:c A.gi effects
172- of 20 women with neonates getting b.peripheral neuropathy
tetanus 19 had not taken a tetanus toxiod 178.50 yr old para7 hving 3rd degree
vaccine and of 40 whose babies did not prolapsed ..weakness of which ligament
have tetanus.30 had taken two tetanus A.transverse cervical ligament
toxiod shots during pregnancy .the odd B.pelvic diaphragm
ratio will be?? C.uterosacral ligament
A.10 Ans: B
B.11 179.longest pro erythrocytic time
C. 7 A.vivax
D. 8 B.malaria
E.9 C.falciparam
Ans:e Ans.B
173-highest resistance in 180.decrease venous return
A.Arteries A.leg muscles paralysed
B.Veins Ans.A
C.Arterioles 181.muscles derived from
D.Capillaries A.mesoderm
Ans:c B.,ectoderm
174- thymus C.endoderm
A. regress after birth Ans.A
B.formed by 4th pharyngeal arches 182.sriatum
C.produced T cell A.putamen plus caudate
D.none of above B.putamen plus globus pallidus
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C.caudate plus globus pallidus B.exotoxin
Ans.A C.erythrogenic toxin
183.dynamic support of uterus d.toxic shock syndrome
A.pelvic diaphragm, Ans. B
B.transverse cervical ligament GYNAE 9 NOVEMBER
C.uterosacral ligament
Ans.A MORNING PAPER
184.female with vaginal discharge given Q1. Irritant receptors in the airways
treatmentnow presented with bad mouth a.carries by myelinated fibres
taste and thick vaginal discharge with b.rapidly adapting
itching drug given was? c.stimulate cough and bronchoconstriction
A.metronidazole ANS: C
B.clindamycin Q2.a 45 years man, smoker working in
Ans.A tyre factory developed transitional cell ca.
185.respiratory symptoms cause
A.ascariasis A.smoking
Ans.A b.aromatic amines
186.Good analgesic bad anaesthetic ANS:.A
A.NO Q3.cimitidine main side effect
Ans.A a.effect liver mtabolism (Ans:)
187.depletion of potassium in body Q4.ovary lymph drainage
A.inc.Na2co3 a.paraaortic lymph nodes
Ans.A(asim bcq) b.iliac nodes
196.pacinian corpuscle c.inguinal nodes
A.pressure ANS:.A
B.high frequency vibration Q5.epithelium in intestine
C.touch a.simple columnar non ciliated epi
Ans.B b.ciliated columnar epi
188.roof of ant.horn of lateral ventricle c.stratified columnar
A.body of corpus callosum ANS:.A
Ans.A Q6.True hermaphrrodite
189.volume of distribution not affected by a.xxy
A.age b.xx/xy
B.sex c.xx
Ans.B d.yy
190.pregnant lady using antihypertensive ANS:. A CPSP KEY
drugs..fetal kidney affected..drug used Q7.Increase carbohydrate consumption
A.captopril requires
Ans.A a.thiamine
191.incidence b.riboflavin
A.noof new cases in a total population at c.biotin
risk ANS:.A
Ans.A Q8.Man had lipid profile after having
192- Pseudomonas toxin burger and fatty food.. his blood shows
A.endotoxin whitish frothy appearence
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a.chylomicron a.1
b.vldl b.2
c.Hdlp c.3
ANS:.A d.4
e.8
Q9.Cervix lymph drainage ANS:.A
a.internal iliac Q17.structure to ryt side of trachea in sup
b.paraaortic mediastinum????
ANS:.A a.Right vagus
Q10.max effect of 5% lignocaine in spinal b.aorta
anaesthesia can b achieved by c.lymph nodes
a.injecting while pt is sitting ANS:.A
b.coughing Q18.location of submandibular gland in
c.giving adrenaline neck
ANS:.C a.bounded by two bellies ofdiagastric and
Q11.amount of o2 binding to 1g of hb mandible
a.1.34gm b.other options were anterior n posterior
b.2g triangle boundries
c.2.34g ANS:.A
ANS:.A Q19.after emerging from jugular
Q12.safe dose of fio2 in pregnant lady foramina immediate relation of internal
a.0.5 jugular vein
b.0.65 a.accesory nerve
c.0.8 b.carotid sheath
Ans:>A ANS:.A
Q13.L1-L2 forms Q20. granulosa cell tumor contain
a.inferios hypogastric plexus Ans:.call exener cells
b.mesenteric plexus Q21.safest site of pleural effusion
c.lumbar plexus drainage
ANS:.A a.lower border of intercostal space in mid
Q14.detrousor muscle contraction is axilary line
controlled by?????? b.lower border of intercostal space in ant
a.parasympthetic from pelvic sphlanchic axilary line
b.pudendal s1 s2 s3 c.upper border of intercostal space in mid
ANS:.A axilary line
Q15.In RTA due to trauma to sacrum d.lower border of intercostal space in mid
and ischeal spine it can rupture which clavicular line
viscera??? ANS:.A
a.urethra Q22.pudendal nerve root valu
b.urinary bladder a.s1 s2 s3
c.anal canal b.s2 s3 s4
d.rectum c.l1 l2 l3
ANS:.A ANS:.B
Q16.no of functional ova after 2nd Q23.pregnant lady e- fever chills rigors
meiotic division and black urine cause
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a.plasmodium falciparum c.hemolytic anemia
b.G6pd dficiency ANS:.C
ANS:.A Q32.thelesemia trait investigation
Q24.nitrous oxide when given wid o2 in a.dec MCH MCV
50:50 best acts as B.INC HBF
a.good analgesics C.normal HBA2
b.good anasthetic D.decrease ferritin
------------------------------------------------------ AND.A
----------------------- Q33.Hormone given as adjuvant in
c.relaxes uterus well depression therapy????
ANS:.A a.ACTH
Q25.in theory ur null hypothesis is B.Cortisol
rejected it meAns: c,.thyroxin
a.there is difference btw observed values d.prolactin
b.there is no difference btw observed values ANS:.C
ANS:.A Q34.about left kidney
Q26.relation of left kiidney posteriorly a.separated from psoas by quadratus
a.body of pancreas lumborum
b.Diaphram b.PCT lined y cuboidal epithelium
Ans:>b An>A
Q27.relationship of supra renal gland Q35.oocyte surrounded by cell layer
a.supplied by thoracis sympthetic/ called
b.left lies on left central tendon a.zona pellucida
c.right lies on right central tendon b.comulus oophorus
Ans:>A ANS:.A
Q28.period btw remission and Q36.a long scnerio asking at the end b/w
reappearence of symptms trAns:versus muscle n parietal
a.recovery peritonium structure
b.incubation a.trAns:versus fascia
c.latent b.internl oblique
ANS:.C c.visceral peritonium
Q29.malignant tertian malaria ANS:.A
a.falciparum Q37.specific side effect of
b.malarae cyclophosphamide
c.vivax ANS:.hematuria
ANS:.A Q38.ramnant of urachus
Q30.etiologic agent of disease best ANS:.allantois
determined by Q39.birth canal is supplied by
a.incidence a.pudendal nerve
b.prevalence b.parasympthetic
c.disease index c.obturator nerve
Ans:>C ANS:.A
Q31.systemic hemosiderosis due to Q40.urogenital triangle is supplied by
a.excessive iron intake a.ilioimguinal nerve
b.decrease iron utilization b.pudendal nerve
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c.obturato pregnacy
ANS:.A a.high prolactin level
Q41.inferior rectal artery is branch of b.high estrogen and progestrone
a.internal pudendal c.high level oh HPL
b.internal iliac D.low growth harmone
.femoral ANS:.B
ANS:.A Q61.HCG is
Q42. anterior interventricular artery is a.91 ,145 aminoacids
accompanied by b.44,67
a.greater cardiac vein ANS:.A
b.lesser cardiac vein Q62.what effects the positive predictive
ANS:.A value
Q43.ca ovary ..surgically ovary removed a. incidence
contains epithiliod cells and lymphocytes b.prevalence
a. granuloma pyogenes c.specifity
b.granulomata formation d.sensitivity
Ans:>B ANS:.B
Q44.non caseating necrosis.cause Q63.2+2 (2 into 2)is
ANS:.Sarcoidosis a.chi-square
q.45.tractus solitarios carries b.t table
ANS:.taste fibres c.student test
Q46.bp falls belo 50 mmhg .main control ANS:.A
by Q64.histolgy of tissue shows partly
Ans:>Cns ischmic response ciliated and some non ciliated columnar
Q47.Proliferative epithelium containing epithelium the tissue is
tortous glands thickened epithelium a.uterine tubes
which phase b.uterine cervix
a.secretory phase c.cervix
b.proliferative phase d.intestine
ANS:.A ANS:.A
Q48.mid luteal phase surge Q65. A test which help in diagnosis n
a.LH eliminating ths disease
b.progeterone a.sensitive
ANS:.A b.specific
Q49.scnerio young girl ulcers on body c.positive predictive
,howell jolly bodies/ prevalence
a.sickle ceell anemia ANS:.A
b.thalasemia Q66.lymph drainage of upper outer
ANS:.A quardrant of breast
Q50.patient lost2 litres of blood what will a.pectoral lymph nodes
decrease b.anterior axillary
a.stroke volume c.internal thoracis
b.vascular resistance d.clavicular
ANS:.A ANS:.B
Q60. What prevents lactation during Q67.medial quadrant of breast drains
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into b.osteoarthritis
a.internal thoracis nodes c.hypertension
b.anterior axillary d.diabetes
c.infraclavicular nodes Ans:>C
ANS:.A Q76.in dehydration which will have low
Q68.necrosis in brain concentration in body
a.coagulative a.ADH
b.liquefective b.water concentration
c.fat necrosis c.ANP
ANS:.B d.aldosterone
Q69.most common cause of pulmonay ANS:.C
embolism Q77.locally malignant tumor
a.DVT a.adenoid cystic carcinoma
b.mural thrombus b.pleomorphic adenoma
c.MI ANS:.A
d.surgery Q78.Toxin produce in scarlet fever
ANS:.A a.erythrogenic toxin
Q70.in chronic hmolysis b.exotoxin
ANS:..decrease heptoglobin c.endotoxin
Q71.the antihypertensive best to use in d.invasive
diabetics ANS: A
a.captopril Q79.lypmhocytes provide protection
b.b blockers against
c.ca channel blockers a.bacteria
ANS:.A b.cancer cells
Q72.about vibrio cholera ANS:.B
a.vaccination provides specific protection Q80.structure present above pirformis
b.trAns:mitted by contaminated water and muscle
food(Ans:) a.inferior gluteat
c.not dangerous b.superior gluteal
ANS:.B c.pudendal nerve
Q73.cause of edema in renal dsease d.femoral nerve
a.dec albumin and salt retention ANS:.B
b.inc hydrostatic pressure Q81.lymphocytes provide protction
c.dec hydrostatic pressure against
ANS:.A a.exogenous factors
Q74 .cause of NA retention b.endogenous factors
a.kidney failure ANS:.A
b .heart failure Q82.what is absent in 1st cervical
c.liver failure vertebrae
ANS:.B a.spine
Q75 .long scnerio asking both obese and b.foramina trAns:verserum
non obese has the equal risk of developing c.antereior arch
which disease d.posterior arch
a.cirrhosis ANS:.A
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Q83.deep inguninal ring is formed by c.bcz of rapid clearence froom liver
a.internal oblique muscle metabolism
b.trAns:versus muscle ANS:.A
c.fascia trAns:versalis Q91.sceondary centre of ossification is
d.externl oblique present in
Ans:>C a.metaphysis
Q84.hairy leukoplakia is characteristic of b.epiphysis
a.HBV c,diaphysis
B.HCV d.cotrex
C.HIV ANS:.B
D.squamos cell ca Q92.cardiac muscle doesnotdevelop
ANS:.C tetany because
Q85.about tendineous insertion of linea a.long duration of action potential
alba b.long pleateu phase
a.one is present at xiphoid process c.increase amount of calcium in cardiac cells
b.total in no d.decrease amount of calcium in cadiac cells
c.present at symphysis pubis ANS:.B
ANS:.A Q93.about compact bone
Q86why atropine is given before a.lamellae are regularly arranged
anasthesia b.haversian canal are present in medullary
a.to dec heart rate rays
b.to decrease tone of muscle c.rich blood supply
c.to provide good analgesia ANS:.A
d.to decrease the secretion of GIT tract Q94.breastr milk is rich in
e.to decrease the tone of git sphincter a. immunoglobins
ANS:.D b.calcium
Q87.MMR definition c.vit c
a.no of materna deaths/1000 population d.vit k
b.no of maternl deaths /100000 ANS:.A
c.no of maternal deaths /100 Q95.tumor causing homonymous
ANS:.B hemianopia is present in
Q88.pseudomona infection (stem not a.middle of chiasma
remembered exactly) b.lower part of optic chiasma
a.TNF c.upper part of optic chiasma
Q89.thiopentene action remains for only ANS:.C
15 mintues Q96.etilogy of cervical carcinoma
a.bcz of renal excretion a.HPV
b.bcz it is rapidly distribued throughout the B.herpes virus
body c.chronic irritation
c.bc zof liver metabolism d.cervical metaplasia
ANS:.B ANS:.A
Q90.in elderly dose of gentamycin is Q97.metaplasia is
reduced bcz a.functional change in one normal tissue to
a.because of decrease renal clearence other
b.because of decrease distribution of action b.increase in nuclear cytoplasmic ratio
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c.[pleomorphism central and peripheral chemoreceptors
d.irreversible a.PH
ANS:.A B.oxygen
Q98.histological examination shows c.co2
squamous cells is d.hypoxia
a.dysplasia ANS:.C
b.ca in situ cervix Q105.blood flow through brain is
c.metaplasia regulated by
d.ca cervix a.oxygen
ANS:.C b.PH
Q99.a lady lost his family in an earth c.co2
quake she would be having d.acidosis
A.situational crisis e.hypoxia
b .depression ANS:.C
c.anxiety Q106.a long scnerio with woman with
ANS:.A hyperpigmentation moon face central
Q100.about hyaline cartilage obesity. What will be increased in this
a.present in knee meniscus women
b.present in pinnae a.ACTH
c .not present in nose b.cortisol
d.develop from enchondral ossification c.aldosterone
e.larynx d.renin
Ans:>E ANS:.A
Q101.most potent stimulus for Q107 about active trAns:port
erythropoitin secretion a.NA is always involved
A.hypoxia b. is uphill movement
b.anemia c.requires co trAns:porte
c.acidosis d.counter trAns:port
d.erythrocytosis ANS:.B
ANS:.A Q108.Erythropoitin is released by
Q102.uterus is prolapsed but anus is in its a.peritubular capillary cells
positiion due to intact b.juxtaglomerular cells
a.urogenital diaphargm c.cuboidal cells
.b.pelvic diaphragm d.mesangial cells
c.perineal body ANS:.A
d.levator ani Q109. Inferior vena cava commences at
ANS:.B a.l5
Q103.minimum caloric requirment in b.l4
adult male is c.s5
a.25-30 cal d.l1
b.30-60cal ANS:.A
c.40-80 cal Q110 ) epithelium of vagina and uterus is
d.80 -100 cal derived from
Ans:>A a. endoderm
Q104.which of following acts on both b. ectoderm
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c.endo plus mesodem ANS:..antagonising naloxone on morphine
d.ecto plus mesoderm Q119.scnerio of young male child
ANS:.C presented with dark colour urine
Q111.cause of necrosis in most of tissues anemia,no hx of fever cause
a. atheroma a.GG6PD Deficincy
b. thrombosis b.malaria
c. mechanical ANS:.A
ANS:.B Q120chromosome are arranged of
Q112.protrusion of jaw by equator in which phase
a.lateral pterygoid a.prophase
b. medial pterygid b.anaphase
c. temporalis c. metaphase
d.stylomastoid d.telophase
ANS:.A e.prometaphase
Q113 a person sustained a temporal blow ANS:.C
with rupture of artery, artery damage is q121 thiamine deficiency will cause
a.middle meningeal artery .a.subacute combined degnration of spinal
b. anteriorr cerebral artery cord
c.posterior cerebral artery b.peipheral neuropathy
d.lateral cerebral c.mallory bodies
ANS:.A ANS:.B
Q114.most imp factor causing delayed Q122. Regarding platelets what is true
wound healing a. fragmentation of megaaakaryocyte
a.ischemia b eosinophils has half life of 1 month
b.infecton c. platelets are increased in bacterial
c.thrombosis infections
d.metabolic ANS:.A
ANS:.B Q123 biguanides side effects
Q115.location of SA node a. flaulance and bloating stomach
a.upper part of crista terminalis b. hypoglycemia
b.lower part of crista terminalis c.metabolic alkalosis
ANS:.A ANS:.A
Q116.pyogenic meningitis cause Q124.NeurotrAns:mitter present at
a.bacterial I presynaptic cleft??
b.viral a. calcium
c.fungal b.acetycholine
d.protozoal c.epinephrine
ANS:.A d.dopamine
Q117increase ejection fraction what Will ANS:.B
decrease??? Q125.which surface of bladder not
a.EDV covered wid peritonium
B.ESV a.anterior
ANS:.B b.superior
Q118 best example of drug c. posterior
pharmakokinetic ANS:.A
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Q126 paramesonephric duct forms will be increase
a.uterus uper part of vagina and uterine a. lipases
tubes Q135 vasoconstrictor
b.lower part of vagina a. cocaine
ANS:.A b.lignocaine
Q127.Part of segmental bronchi with its ANS:.A
artery is called Q136. Local anasthesia given which fibrs
a.broncho pulmonary segment will be anasthesized first
b.tertiary bronchi a. A-DELTA
c.secondary bronchi b. A-beta
ANS:.A c. c fibres
Q128.Regardind micturation reeflex??? ANS:.A
a.intergrated in sacral segment of spinal cord Q137 vit c causes
b. once begin is self regenrative ANS:.hydroxylation reaction in collagen
c.control by pudendal nerve formation
ANS:.B Q138.1st bone to ossify
a.clavicle
Q129.Flight and fight response will b.femur
cause??? c.tibia
a.brochoconstrion ANS:.A
b.pupilary constriction Q139. Cause of septic meningitis
c.bronchodilation a.Streptococcus
ANS:.C b.h influenza
Q130.lymphoid follicle is present in c.crypococcus
a.cortex of lymph nodes ANS:.A
b.spleen Q140 fats proteins and lipid deposit
c.medulla pf lymph node harmone involve is
thymus a. insulin
ANS:.A b.glucagon
Q131. regarding mast cellls c.corticosteroid
a.it release histamine ANS:.A
b.increase in acute in flammatory response Q141 CNS myelination is caused bby
ANS:.A a. oligodendrocytes
Q132.mid gut supply b. schwan cells
a.t12-l2 c, astrocytes
b.l2-l4 ANS:.A
c.t8-t10 Q142.Pus contains
ANS:.A a.dead bacteria
Q133scnerio of molar pregnancy what b.dead neutrophils
will increased thn normal pregnancy ANS:.B
a. b-HCG Q143 smoking plus asbestos has highest
b.alpha-HCG risk of
c.alpha fetoprotein a.mesothelioma
ANS:.A b. bronchogenic carcinoma
Q134 scnerio of acute panctreatitis ,wht ANS:.B
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Q144 microscopy of malignant tumor c.help doctor to treat pt
a. invasion of othr tissue ANS:.A
b.pleomorphism Q153most commn cause of hep b and c
ANS:.A a. needles
Q145 characteristic of malignant tumor b.blood
a.metastasis c. mother to fetus
b.pleomorphism ANS:.A
c.inc nucler cytoplasmic ratio Q154.Immunological test is done fr
ANS:.A a.amebic cyst
Q146 skeletal muscle cannot sythesize b. hyadatid cyst
glucose bcz it lack which enzyme ANS:.B
a.glucose 6 phosphorylase Q155. Glucose appear in urine of pt at
b.glucose phosphatase blood sugar level of 100mg/dl, cause
ANS:.A a. dec renal threshold fr glucose
Q147 old lady wid ca endometrium cause b.decrease reabsorption of glucose
a.exogenous estrogen c. diabets mellitus
b.HPV d.impaired glucose tolerane
C.HSV ANS:.A
d.irradiation Q156.Pt presented with ammenorhea and
ANS:.A weight gain cause???
Q148 .LP done containing blood cause a.hypperthyroidism
a.subarachnoid hemmorhage b.hypothroidism
b.extradural hemmorhage c.hypoparathroidism
c. mengitis ANS:.B
ANS:.A Q157 leprosy initial investigation sample
Q149 counterpart of labia major is taken from
a.scrotum a.blood
b. testis b.urine culture
c.penis c.nasal scrapings
ANS:.A ANS:.C
Q150.scnerio of iron deficiency anemia, Q158 which closely covers the viscera
cause a.visceral peritoneum
A.chronic blood loss b.parietal peritonium
b.folic acid deficiency c.fascia
C.vit B12 def ANS:.A
ANS:.A Q159. Scnerio od emphysema etilogy
Q151 eosinphils are raiseed in all except ANS:..dec alph 1antitrypsin
a.igE 7TH NOVEMBER MORNING
b.asthma RADIOLOGY
c.iGM 1. infraorbital artery is a branch of
d.parasite A) Maxillary artery
ANS:.C B) Superficial temporal artery
Q152counselling C) Mandibullar artery
a.help patient themselves ANS A
b. help family 2. Sacral hiatus is located at
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A) In S5 and S1 ANS C.(both RCA n circumflex can cause )
B) Between S1 and S2 9. Most important chemical mediator in
C) Between S5 to coccyx allergy is
ANS C A) Interleukins
The sacral hiatus corresponds to the B) Bradykinin
posterior caudal opening at the end of the C) Monocytes
sacral canal, which usually D.Histamine
occurs at the fifth sacral vertebra (S5), at the ANS D
posterior surface of the sacrum. 10. Oblique fissure of lung is located at
3. Superior parathyroid gland location A) T3 spine to T5 costochondral junction
A) Anteior to thyroid gland B) T3 spine to T6 costochondral junction
B) posterio lateral to thyroid gland ANS B
c) posterio inferior to thyroid gland 11. patient with flu like symptoms with
ANS B fever, test for infectious mononucleosis is
4. function of baroreceptors in blood positive likely ??
pressure is ANS monospot test
A) To decrease arterial pressure 12. most potent chemical carcinogen is
B) to increase arterial pressure A) Methyl alcohol
C) hypertension B) ethyl alcohol
D) hypotension C) xylol
ANS A ANS B
5. In brain, major blood vessels are located 13. patient with low grade fever, night
in sweats , weight loss shows
A) Subdural space A) Caseous granuloma
B) sub arachnoid space B) macrophages
C) within pia C) epithelial cells
D) extradural space ANS A
ANS B 14. Structure passing through aortic opening
6. Melanocytes in skin are derived from of diaphragm is
A) ectoderm A) vagus nerve
B) emdoderm B) thoracic duct
C) mesenchyme C) Recurrent laryngeal nerve
ANS A ANS B
7. In anterior wall MI artery damage is 15. important feature of 7 cervical vertebrae
A) Right coronary artery is
B) left coronary artery A) massive body
C) Left Anterior descending artery B) heart shaped body
D) circumflex artery C) short cervical spine
ANS C ANS All incorrect
8. In inferior wall septum myocardial 16. Lymphocytes Have
infarction artery damage is A) important role to prevent body against
A) Anterior coronary artery cancer
B) posterior coronary artery B) convert to monocytes
C) circumflex artery ANS A? (poor recall of dis bcq)
D) left anterior descending artery 17. Pendular knee jerk is present in
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A) upper motor neuron lesion C) inferior mesentric artery
B) lower motor neuron lesion D) deep circumflex iliac artery
C) cerebellar dysfunction ANS D
ANS C 25. Patient is suffering from meningitis
18. function of ICAM and VCAM is organism involved after causing pygenic
A) direct endthelial injury lung abscess and then
B) margination spread to brain is
C Adhesion/tight binding A) Ecoli
Ans :C B) Streptococcus
19. In CNS myelin sheath is formed by C) staph aureus
A) schwan cells D) pnumococcus
B) glial cells ANS C
C) oligodentrocytes 26. Virus that causes cancer are likely to
ANS C cause damage to
20. the potent intracellular buffer is A) RNA
A) Phosphate B) protooncogenes
B) bicarbonates C) Oncogenes
C) CO2 D) DNA
D) Hb ANS C
ANS A 27. Respiratory zone is situated
21. Contents present at free border of lesser A) Between terminal bronchioles and
omentum alveoli
A) CBD, cystic duct, hepatic artery B) Between bronchioles and alveoli
B) CBD, cystic duct , hepatic artery C) Between alveolar ducts and alveoli
C) CBD, hepatic artery, portal vein ANS B
ANS C 28. Patient with markedly decrease TSH
22. Patient with whole body patechea, increase T3 What is the diagnosis
platelets decrease, rest of labs normal with A) Hypothyroidism
no previous history ??? B) Hyperthyroidism
A) thrombocytopenia C) hyperparathyroidism
B) hemophilia D) hyperparathyroidism
C) thalessemia ANS B
D) ITP 29. Patient with occasional diplopia
ANS A dizziness suddenly collapsed.
23. patient who got injury and his arm hangs A) hemianopia
on the side winging of scapula nerve B) basillary artery thrombosis
damage is C) pontine hemorrhage
A) Suprascapular nerve ANS C
B) axillary nerve 30.Location of SA node in right atrium
C) long thoracic nerve A) Subepicardium
ANS C B) Subendocardium
24. Appendiectomy done, at MC burneys C) endocardium
point artery likely to be damage is ANS A
A) iliiohypogastric nerve 31. IN which lobe of the lung has 3
B) inferior epigastric artery beonchopulmonary segments
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A) right upper lobe side vibration and position sensation is lost
B) Left lower lobe on the opposite
C) right lower lobe side
D) right medial lobe B) Only vibration ans position sense is lost
ANS A on the same side
32.Hemochromotosis diagnosed by C) Pain and temperature is lost on opposite
A) Ceruloplasmin level side and vibration and position sense is lost
B) antimitochondrial antibodies on same side.
C Serum Ferritin+transferrin saturation ANS C
ANS C 40. one gram of Hb carry how much O2
33. WILSON disease is diagnosed by A) 7.34 ml
A) Urinary ceruloplasmin level B) 5.34 ml
B) serum ceruloplasmin level C) 3.34 ml
ANS B D) 1.34 ml
34. Worst reaction presents by transfusion of ANS D
A) A- TO A+ 41. Penetrating wound at left side of margin
B) A+ TO AB- of sternum, structure damage is
C) O+ TO A+ A) Right atrium
D) O+ TO B+ B) right ventricle
ANS A C) intercostals membrane
35. Caput medussa is formed by D) Intercostals muscle
A) abdominal vein to paraumblical veins ANS C
B) portal vein to greater splancnic vein 42 IN anterior duodenal ulcer perforation
ANS A fluid will accumulate in
36. vascular segment of kidney is A) Right illiac fossa
A) 5 B) pouch of dougles
B) 7 C) hepatoduodenal pouch
C) 4 ANS A
D) 6 43. Apoptosis
ANS A A) Councilman bodies
37. In which disease splenectomy is best ANS A
responded 44. ambigious genitalia with 46 XX
A) hemophilia karyotype diagnosis is
B) thalessemia A) klinefelter syndrome
C) G-6PD deficiency B) turner syndrome
D) Hereditary spherocytois C) mixed gonadal dysgenesis
ANS D ANS c?
38. Beta -thalassemia 45. A 50 years is short stature due to short
A) deficient synthesis of alpha chain limbs but intellegence is normal this
B) decrease synthesis of beta chain disorder is
C) increase synthesis of beta chain A) autosomal dominant
D) deficient synthesis of beta chain B) autosomal recessive
ANS B C) X linked
39. In brown sequard syndrome ANS A
A) pain an temperature is lost on the same 46. lesion at optic chiasma its effect will be
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A) bitemporal hemianopia A) testicular lymoh node
B) binasal hemianopia B) iliohypogastric lymph node
ANS A C) Para aortic
47. Trauma at medial epicondyle results in ANS C
ulnar nerve damaged, loss of function is 55. In young males mobile cilia are present
A) medail 1/3 of palmer surface of hand in???
B) medial 1/3 of palmer and dorsal surface A) ductus difference
of hand B) epidydmis
C) lateral 2/3 of dorsal surface of hand C) testis
ANS B? D) seminal vesicle
48. Location of sternal angle ANS B
A) at meaniburo sternum 56. IN males narrowest part of urethra is
B) in accordance with costocondral joint A) bulbous
ANS A B) penile
49. A 40 year old female has prominent C) memberanous
neck swelling, hoarseness of voice D) prostatic
A) Throid scan ANS C
B) T4 stimulation 57. A 6 year old child while playing
C) biopsy suddenly falls down and died on the spot on
ANS A autopsy there is fresh
50. Male with sterility due to azospermia thrombosis in coronary artery, all cardiac
what is dignostic test chambers are normal
A) FSH and LH A) subacute endocarditis
B) Prolactin B) Kawasaki disease
C) Testosterone ANS B
D) progesterone 58. Location of cruciate ligament of knees
ANS A A) subcapsular
51.On Xray right Border of heart?? ANS A
A..SVC 59. IN adult female breast atrophy is caused
B..right atrium by
Ans A A) prolactin
52. blood supply of left atrium B) estrogen and progesterone
A) Left circumflex artery C) estrogen
B) left anterior descending artery D) progesterone
C) right anterior descending artery ANS C
ANS A 60.in RTA there is fracture of left 8TH rib,
53. A 55 Year old female with cervical the fracture most likely to damage
cancer, lymph node involved. A) left kidney
A) external iliac lymph node B) spleen
B) inguinal lymph node C) Pancreas
C) internal iliac lymph node D) Stomach
D) external and internal lymph node ANS B
ANS D 61. In splenectomy the surgeon seperates
54. A 60 year old man with testicular tumor which structure to reach spleen
lymph node first involved are ??? A) transverse mesocolon
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ANS A ANS C
62. secondary active transport which 70. QRS complex occurs prior to
substance is transported A) atrial depolarization
A) glucose B) ventricular depolarization
B) Sodium ANS B
C) Co2 71. Highest caloric value is of
D) bicarbonates A) proteins
ANS B B) carbohydrates
63. Immunological test done for diagnosis of C) Fats
A) Liver abscess ANS C
B) hydated cyst of liver 72. Kidney activates which substance
C) hemoochromatosis A) erythropoietin
ANS B B) renin
64. 41% hematocrit means there are C) Carbohydrates
A) 41% of rbc is present ANS B
B) 41% of platelets and Rbc are present 73. Most common carpal bone fracture
C) 41% of rbc wbc and platelets are present A) Scaphoid
ANS C B) lunate
65. abccess in first web space drainage is C) Trapezium
A) supra clavicular Lymph node D) Pisiform
B) infraclavicular luymph node ANS A
C) Axillary Lymh Node 74. Which antigen is common in featus and
D) supratrochlear lymph node adult with colonic cancer ????
ANS C A) CEA
66. feature of malignant Tumor B) alpha fetoprotein
A) Pleomorphism ANS A
B) metastasis 75. in terminal ileum resection there is loss
ANS B of ??
67. IN a severely dehydrated patient fluid A) iron
replacement is done by B) B 12
A) 5% glucose solution C) Calcium
B) 10% glucose solution ANS B
C) Isotonic saline solution 76. in a 70 kg man minimun caloric
D) distilled water requirement per day is
ANS C A) 25-30 g/Kg
68. During wound healing strength to wound B) 35-50 g/Kg
is given by C) 50-60 g/Kg
A) type 3 collagen D) 70 g/ Kg
B) type 1 collagen ANS A
C) type 2 collagen 77. example of piviol joint is
ANS B A) shoulder joint
69. part of pleura supplied by phrenic nerve B) axial joint
A) Visceral pleura ANS B
B) parietal pleura 78 how will you break bad news?
C) Diaphragmatic pleura Ans:Separatel session with close relative or
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close friend ANS A
79. diabetic patient on a diuretic presented 89. Nasopharygeal carcinoma caused by
with hyperkalemia and coma Cause A) EBV
A) diuretic intake ANS A
B) insulin 90. in surgery supply to to molar lower lip
ANS B.(lack of insulin can present with and alveolar arch of one side is gone nerve
DKA and hyperkalemia) involved is
80. At cold exposure bodys first reaction to A) inferior alveolar nerve
heat production is by ANS A
A) piloerection 91.Narrowest part of constriction of ureter
B) Increase release of catecholamines A Ishcial spine
C) shivering B Ishcial tuberosity
ANS C C. Sacroiliac joint|
81. boy presents in room temperature 28c Ans C
pulses 120/min, BP 150/ 95 mmhg with 92.Fastest conduction fibres of heart
hyperventilation ?? Ans: purkinje
A) hyperthyroidism 93.Scenerio of Cervical CA,lymphatic
B) Excercise drainade first to which node..???
ANS A A.Paracervical nodes
82. lymphatic drainage of greater curvature B.Intrnal iliac nodes
of stomach is Ans>B
A. celiac node 94.Bare area of liver not having ??
ANS A ans)peritonium
83. inguinal canal posterior wall reinforced 95.Regarding lesser omentum?
by Double layered
A) conjoint tendon 96.Thoracic wall formed by which muscles
ANS A ??
84.Phrenic nerve origin A internal intercostal
A) c4 B diaphargm
ANS A Ans>A
85.Carcinoma which filaments involve 97.Weight of liver
A) desmin Ans>1.5 kg
B) keratin 98.Right bronchus measurement
ANS B Ans>2.5cm
86. svc and ivc drain into 99.Structure between celiac trunk n superior
A) right ventricle mesenteric ..
B) left atrium Ans>Pancreas
C) right atrium 100,Celiac trunk arteries Right
ANS C gastroepiploic is branch of???
87.Two ureter and two calyses are due to Ans> gastroduodenal
A) premature divison of mesonehric duct 101.Select true statement regarding blood
ANS A supply of stomach:
88. Structure pierced lateral to sternum Ans>right gastroepipoloic artery is branch
A) intercostal membrane of gastroduodenal artery
B) intercostal muscle 102.First branch of abdominal aorta ???
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Ans> inferior phrenic C7. T1
103.Surgeon recongnize the left kidney??? C5. 6
A.brown colour AnsA
B.anterior relation with 115.Stop bleeding of internal carotid at???
stomach,pancrease,descending Ans: C6
colon,spleen,jejunum 116.Lateral calf muscle weaknes wd los of
Ans >B reflaxes
104.Thoracodorsal supplies? Lmn
Ans>Latismus dorsi Umn
105.Rhomboid supply? Lmn wd ant cells
Ans> Dorsal sapular Ans:C
106.12 year old boy with obesity 116:In hypertension .. Sensory loss ta
hyperphagia short stature mental retardation shayad .. Which area affected repeat q
(some other things) Ant part of post limb wd genu
A.Turner Post part of ant limb wd genu
b.Klinefelter Ans:A
c.Prader villi 117:Total No of Lower pulmonary airways?
d.Angleman Ans: 23
Ans C 118.Lunate fractured,nerve demaged is??
107.Relation of structures in femoral Ans: ulnar
triangle from medial to lateral?? 119.Footballer was hit by ball on Right side
Ans>Femoral vein, femoral artery femoral of head on x-ray parietal bone fracture and
nerve. hematoma at temporal region.?????
108.Structures below inguinal ligament , Structure damaged
from medial to lateral ? Asn:Middle meningeal artery
Ans.Femoral Vein artery and nerve 120.Rapidly adapting sensory receptora?
109.Lymphatic drainage of upper outer A. Baroreceptors
quadrant of breast..??? B.touch receptors.
Ans>Ant axillary C.pain receptora
110.Hdl which lipoproteins??? Ans:A
Ans.B100 121.Embryo se...neural tube is formed in ???
111.Reticulocytes decreased in ? Ans:4th to 5th week
A.Chronic renal disease 122.Radial nerve damage?
B.Bleeding from gut Asn: loss of extension of wrist joint
Ans A 123.Child with edema of lower limbs. best
112.Which tumor invades nerve sheath ? initial investigation
A.Adenocarcinoma A.Urine for proteins
B.Expiliomorfic carcinoma B.Serum album i
c.Adinoid cyctic carcinoma Ans:A
Ans:B 124.Axon hillock related..?
113.About highest level of iliac Crest. Asn:absence of ribosomes
Asn:Lies at the level of l4 125:Regardin Optic canal ,whic structure
114.Triceps reflax lost wd index and large passing???
fingees parestesia Ans:Opthalmic artery n nerve
C6. 7 126.Maxillary nerve exit from rotandum
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then enter into b.Aromatic Amines
A.Temporal fosa ans:a (ref goljan patho)
B.Infra temporal 138.Regarding abdominal aorta
C.Pterygopalatin fosa Ansinf phrenic is 1st branch
Ans :C 139.Highest transverse point?
127.Which fatty acids have coronary A.Pubic tubercle
risk...something like that was asked? B.Poster sup iliac spine
A.Omega f.a, Ans:B
B. polyunsaturated, 140.Narrowest part of airway in child
C momunsaturated, a.Cricoid
D.transaturated b.Nostrils
Ans:C c.Vocal cord
128.Regarding post cord of brachial plexus Ans:A
branches suppy ? 141.Microscopic featire of malignant tumor
Ans:Extensors was asked?
129.Zinc def leading ??? AnsInvasion.
Ans:scaly dermatitis 141.Transmission of herpea simplex...
130.S.A node..located ?? Ans.droplets
Ans:in upr part of R.A 142.Bitemporal hemianopia aneurism is
Which structure recieves input from cerebral at???
cortex but don't give input to cerebral cortex Ans:anterior communicating artey
in return(something like that) 143.Hormone release in stress ?
Ans:Caudate nucleus A.Gh
131.Steroid has anti inflammatory action B.Catcolamn
mechanism?? C cortisol
Ans:Inhibit phospholipase Ans:C
132:Regarding Lesser sac ? 144.Strongest ligament??...
Asn:Hep artery and portal vein Ans:illeofemoral
133:Surgeon operting lower part of ureter , 145.Middle thyroid vein drains into
surface marking like that A.Internal jugular
Asn:common iliac artery bifurcation B.External jugular
134:Inferior surface of central portion of C.Anterior jugular
diaphragm is supplied by. Ans:A
Ans:Phrenic nerve 145.Genital fold ??
135.Urethral Sphincter is located at Ans:clitoris in female
a.above prostate 146:Irreversible cell injury??
b.sup perineal pouch Ans:Massive influx of calcium.
c.deep perineal pouch 147.Medial arcuate ligament formed by?
Ans:C A.Lumbar facia
136:Hypotension amd vasodilation in which B.Rectus abdom muscle
shock? C.Diaphragm
Ans:Septic Ans:C
137.Transitional cell Ca in a smoker 147.Edema in CCF??...
working in tyre factory due to Ans:inc hydrostatic pressure
a.Tobacco 148.One regarding spleen
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a.length of spleen 12cm A.Sup mess art
b.more echogenic than liver on UsG b.Left colic
Asn:A C.Ivc
149.Cornary sinus drains ? Ans A
Ans:Rite atrium 161.Theophylline
150.Ek cervical lymphadenopathy, aur on most commonly causes
biopsy kuch follicles lkha tha, aur mutation a.nausea
poochhee thee, I did 8:14 b. seizures
151.Adh is stimulated by ...?? c. apnea
Ans:inc plasma osmolarity amd dec plasma Ans:A
vol 162.Foot turns inward?
152.HEAT STROKE..CONTRIBUTING Ans: Tib ant and Tib post
FACTOR 163.Co2 passes more readily actoss cell
A.EXCESS SWEATING membrane thn o2 because
B.DECREASED SWEATING I did diffusion co efficient
C.POSTERIOR HYPOTHALAMUS 164.Sartorias supply by ??
UNRESPONSIVE Ans:femoral nerve
Ans:c 165.Superficial Dorsal vein of penis drains
153.Fungal sinusitis in nose most common?? into
Ans: aspergillus.. ASantorini's plexus
154.A baby boy..recurrent resp inf...dec b b(Superficial or great) saphenous vein
cells and dec immunoglobulins? Ans:b
a. x linked agamaglobinemia 166.Atrial systole ?
b. brutons agaamaglobulinemia Ans:”a’ wave on JVP
Ans:B 167.Thoracolumbar nerves ...
155.Ligamentum teres...?? Ans.Sympathetic NS
Ans:umbilical vein 168.Ek pregnant lady wid obstructive
156.Viral infection? jaundice best test ??
Ans:Inc lymphocytes Ans :GGT
157.During intrauterine life testosterone 168.Parasympathetic outflow frm segents
secretion by stimulated by a.L1 L2
A.FSH b.S2 S3 S4
B.LH c.S1 S2 S3
C.Placental estrogen Ans:b
D.Androstenedione 169.One mcq of horner syndrome chooses
E.Placental Hcg one
ans:B A.Anhydrosis
158.Arterial supply to cbd ? b.Anhydrosis and Ptosis
Asn:gastroduodenal and hepatic ANS:b
159.Letral upper breast drain ? 170.Sensation of distention from rectum "
A.Anterior axilary 1. Parasympathetic afferents.
b.Lateral axilary 2. Superior rectal nerve
Ans:A 3. Inferior rectal nerve
160.Infront of lower part of head of 4. Middle rectal nerve
pancreas? Ans.3
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171.Achpndroplasia ( autosomal dominant
scenerio)
172.One question on cause of hydrocele in 1
year old child :
A. Filariasis
B Testicular inflammation
C. Scrotal wall something
Ans:A
173.Electrolyte whose variability in Ecf
affects heart the most???
a.Ca
b.K+
Ans:B
174.Diff b/w primary and sec intention
healing
a.keloid
b.Granulation tissue
c.Wound contraction
Ans:C
175.Cingulate gyrus is supplied by
Ans anterior cerebral artery
176. touch n vibration by
AVentral spinothalamic
bSpinothalamic
CMedial laminiscus
Ans:C
177.Unlocking of knee joint by???
Ans: popliteus
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RADIOLOGY
2016 PAPERS
SEPTEMBER, OCTOBER, NOVEMBER
3. Hypermagnesemia causes
a. decreased Ach release
b. increased Ach release
c. tetany
RADIOLOGY 5 SEP MORNING d. arrhythmia
Ans:: aa
2016 4. Origin of thyroid follicular cell is
1. Earliest sign of Vitamin A deficiency a.Endoderm
is b.Mesoderm
a.Night Blindness. c.Ectoderm
b.Keratitis Ans:: aa
c. Bitot’ spots. 5. Epithelium of Uterus and Vagina is
Ans:: aa derived from
2. Young boy with pain less swelling of a.Endoderm and Mesoderm.
right orbit, other eyeis normal , what is b.Mesoderm alone
the Dx ? c. Endoderm alone
a. Optic nerve glioma. Ans:: aa
b. Retinoblastoma. 6. A woman had fallopian tube ligature,
c. Cataract she is found to be in shock after 6 hours,
d.Syphilis Laparotomy is done and intraperitoneal
Ans:: aa
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hemorrhage is found. bleeding is most 13. Posterior most fibers in posterior part
likely from branches of of the rim of internal capsule contain a.
a. uterine artery optic radiations
b. common iliac vessels b. corticospinal fibers of upper limb c. CS
c. external iliac vessels fibers of lower limb
d. aorta d. frontopontine fibers
Ans:: aa e. thalamocortical tract.
7. A man walks 100 yards and felts pain Ans:: ee
in calf, relieved after stopping, artery 14. Man during running develops aching
involved is pain in ankle, next days when he wakes up
a. Popliteal artery. he founds ecchymosed around ankle joint,
b.Peroneal artery. he can stand on tip toes but it hurts.
c. Posterior tibial artery. a. Ruptured Plantaris tendon.
Ans:: aa b. Ruptured Achiles tendon.
8. Left renal vein is posterior to Ans:: aa
a. head of pancreas 15. structure anterior to pancreas,
b. 3rd part of duodenum A. hepatoduodenal ligament b. left colic
c. aorta d. IVC c. portal vein
e. Portal vein d. superior mesenteric vessels
Ans:: bb e. splenic vessels
9. Nick during surgery on right side of Ans:: dd.
hepatoduodenal ligament will cause 16. vessel dilated most likely in portal
damage to HTN
a. Cystic duct a. Left colic vein
b. IVC b. inf. epigastric vein
c. hepatic veins Ans:: aa
d. hepatic artery 17. Neurons of vestibular nuclei ends at a.
e. portal Vein . cortex
Ans: : E b. dentate nucleus
10. Mass at portal hepatis will compress c. granular layer of cerebellum
a.Cystic duct. d. cochlear nucleus
b.IVC. Ans:: cc
c.Hepatic vein 18. Irreversible change in MI is
d.Hepatic artery. a. Contraction bands
e.Portal vein, b. appearance of neutrophils
Ans:: ee c. Mac callum patch formation.
11. Regarding Cephalic vein Ans:: aa
a. starts from medial dorsal surface of hand 19. Feathery appearance in
b. connects with basilic vein in elbow. a.Jejunum .
c. Runs in deltopectoral groove b.Duodnum
d. pierces Clavipectoral fascia c. Ileum
Ans:: cc Ans:: aa
12. which cranial nerve nuclei lies lateral 20. Child of 2 years age presents in opd
to rhomboid fossa/sulcus limitAns: a. with Fever, diarrhea and pallor for 2
dorsal vagal nucleus days. Hob 5.6%, MCV
b. CN 6 c. CN 3 107 MCHC inc. Inv of choice is a.
d. CN 11 e. CN 9 trAns:cobalamin levels
Ans:: aa b. intrinsic factor antibodies assay
c. serum b12 level
d. rbc folate.
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Ans:: bb , b. situated in membranous part of IV septum
( if it were an adult than Ans:wer would be near atrioventricular junction
ccc). Ans:: bb
21. Right testicular CA 1st metastasizes to 28. most prominent structure during IVU
A. Aortocavolumbar nodes b. renal hilar of kidney is
nodes a.Calyces
c. sup. inguinal d. common iliac b.Renal pelvis.
e. paraortic Ans:: aa
Ans:: ee 29. Amino glycoside half life is increased
22. Extra embryonic coelom is derived in Old age patients due to
from a. hepatic metabolism is decreased
a. Epiblast b. dec renal function
b.Hypoblast c. dec Vol of distribution
Ans:: bb ( langmann embryo). Ans:: bb
23. True about Trigeminal ganglion 30. A patient comes with swelling of big
A. lies in Ant. cranial fossa near crista galli toe on right side of foot. no pain wae
B. lies in apex of petrous part of temporal there,, what investigation would you do
bone in middle cranial fossa ??
c. covered in ganglion d. bathes in CSF a. serum uric acid
Ans:: bb ( if bb option not present prefer b. serum urea and uric acid c. microscopy of
dd) joint fluid d. urine uric acid
24. Young adult involved in RTA, got e.Synovial fluid for polarized light.
injury to middle cranial fossa, bleeding Ans:: ee
from internal ear. After recovery presents 31. Clara cells are present in a.terminal
with loss of tear formation. Injury to Bronchioles
which structure during RTA caused this b. alveoli.
a. Greater superficial petrosal nerve c. alvelar duct.
b. deep petrosal nerve Ans:: aa
c. interaortocaval plexus d. cilliary ganglion 32. Forehead is formed from A. Fronto
e. carotid plexus Nasal Process B. maxillary process
Ans:: aa c. palato nasal process
25. A man presents with gradual loss of Ans:: aa
vision, radiological studies show growing 33. A footballer gets injured during
clot in a vessel, the most likely involved match, presents in ER with limb
vessel is instability. O/E there is swelling in pre-
a. vertebral artery b. basilar artery patellar region and his Tibia is drawn
c. MCA forward on Femur. The structure most
d. PCA likely injured is
e. posterior communicating artery A. Anterior Cruciate Ligament
Ans:: dd b.Posterior cruciate ligament tear.
26. A woman presents with bleeding with Ans:: aa
superficial cuts. O/Inv. only BT time is 34. 8 patients were reported in a case
prolonged. defect is due to study, their age was 20,25,25,30,40,20,30.
a. thrombocytopenia The median of values is
b. factor 8 def c. factor 9 def a.27.5
Ans:: aa b.25
27. Regarding most correct statement c.20
about bundle of HIS Ans:: aa
a. only pathway conducting impulses from median is calculated with values put in
atria to ventricles ascending order and if odd no. then the
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central one is median. If even no. then 42. Man with lymphoma was being
middle two values average, in this case( treated with anti cancer drugs, biopsy of a
25+30)/2 is Ans: lymph nodes shows clumping of nuclear
35. Regarding anatomy of Inguinal Canal material and fragmentation. The most
a. lies from ASIS to pubic tubercle likely mechanism is
b. Superior boundary formed from conjoint A.Apoptosis
tendon b.necrosis
Ans:: bb Ans:: aa
36. A study in which diseased people are 43. In infectious mononucleosis organ at
compared to non diseased healthy people, risk of rupture is
looks for prior exposure for a risk faactor a.Spleen.
is called b.Liver
a. cross sectional Ans:: aa
b. cohort 44. P. Malaria trAns:mits to human in
c. case control d. RCT form of
Ans:: cc a.Sporozoite
37. In growing embryo, the mesothelium b.Merozoite
covering the Lung forms Ans:: aa
a. pleuroperitoneal membrane 45. A male from Baluchistan presents
b. pleuropericardial membrane c. parietal with lethargy, joint pains and leg ulcers.
pleura Diagnosis will most likely
d. visceral layer of pleura A. sickle cell
e. fibrous pericardium b. thalassemia major c. HbC
Ans:: dd Ans:: bb
38. Food Intake/reflex 46. A child presents with pallor, lethargy
a. is promoted if hunger center is damaged b. and dec activity. O/I shows dec Hb dec
is inhibited if satiety center is damaged MCV and Bone changes are prominent on
c. inhibited by leptins secreted from Face
adipocytes d. inhibited by leptins secreted a. thalassemia major b. sickle cell disease c.
from myocytes thalassemia alpha
Ans:: cc Ans:: aa
39. A patient presents with cough. CXR 47. Regarding RBC antigen on surface
shows B/L peri-hilar infiltrates. Biopsy of A. glycolipids
skin lesions shows granulomatous B. Glycoprotein
inflammation. Diagnosis most likely is c.Glycosphingolipids
a. silicosis b. TB Ans:: cc
c. sarcoidosis 48. Regarding ankle joint
d. asbestosis a. surface covered from fibro cartilage
e. histoplasmosis b. deltoid ligament on MALLEOLAR SIDE
Ans:: cc (medial) was not written c. superficial
40. Extensor muscles of arms are supplied peroneal nerve is only supply to it
by d. talofibular ligament is on medial side
a. Posterior Cord Ans:: bb
b. Medial cord 49. You are allowed to breach patient’s
Ans:: aa confidentiality when
41. In fracture of hamate, which is a. patient allows to do so b. insurance claim
involved? Ans:: bb
a. ulnar artery b.ulnar nerve 50. A patient presents with central chest
Ans:: bb pain for 4-6 hours. Pain is radiating to
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arm and jaw. Best marker to confirm MI c. posterior ureteral valves
at this stage is d. vesico ureteric reflux
a. CPK Ans:: cc
b. CK MB 56. A patient had an Accident with
c. LDH fracture of surgical neck of humerus.
Ans:: bb( Trop T was not in options). Most likely involved nerve is
51. A patient had heart-lung a. axillary
trAns:plantation and was on b. radial
immunosuppressive drugs now presents Ans:: aa
with high grade fever, neck rigidity +ve 57. Lymph node of inner breast drains
kernig. CSF studies show an organism into all except
with clear cytoplasm with a halo around a. inf phrenic nodes
it. b. supraclavicular nodes
a. CRYPTOCOCCUS c. internal thoracic nodes d. pectoral nodes
b. EBV Ans:: dd
c. staph aureus d. klebsiella 58. Most common fracture of femur at
e. CMV age of 60 is
Ans:: aa A. femur head fracture
52. In Shock which is the most important b. intra capsular fracture
mechanism which conserves the organism c. neck of femur fracture
as d. shaft fracture
a whole a. baroreceptor Ans:: cc
b. sympathoadrenergic system 59. Epidural Space Ends at a. S2
c.CNS ischemic response Ans:: aa
Ans:: bb,,,,,, is best bcz it conserves 60. Left gastric artery is a branch of
perfusion to vital orgAns: while CNS a. Celiac Artery
ischemic response comes at b.Hepatic artery
end stage when perfusion to brain is low, it Ans:: aa
causes widespread vasoconstriction, which 61. Structure accompanying esophagus in
causes organ failure. diaphragm is
53. Remnant of Umbilical Vein is a. left vagus
a. falciform ligament b. right vagus/vagal trunk
b. ligament of teres c. phrenic nerves
Ans::bb d. azygous vein
54. Patient had hypovolemic shock, Ans:: bb
presents with signs of Acute Renal failure. 62. Inhibitors of Prostaglandins are
Most likely damage to which part of the A. Corticosteroids
nephron is greatest b. aspirin
a. PCT Ans:: aa
b. descending c. ascending 63. Hall mark of Adreno cortical
d. DCT insufficiency is
e. Collecting duct a. Hyponatremia
Ans:: aa b. hypokalemia
55. A school going boy develops Right c. metabolic alkalosis d. hypocalcemia
sided flank swelling and lumbar pain, US Ans:: aa
shows Hydronephrosis of the right kidney 64. Fast Pain travels by
while the other is normal. Which of the A. A delta fibers
below is most likely the cause of it b.C fibers
a. Urethral stricture Ans:: aa
b. ureteral stricture
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65. Sympathetic nerves ending at Inferior A. Cilia in terminal bronchioles.
hypo gastric plexus have root value of B. Macrophages
A. L1-L2 . Ans:: bb
B. L3-L4 75. Highest PCO2is in which vessel
Ans:: aa a. Pulmonary artery
66. Detrusor muscle of bladder supplied b. IVC
by c. SVC
A. pelvic Splanchnic nerves Ans:: aa
Ans:: aa 76. Not isotonic to plasma is a. 5%
67. Pectoral group of axillary nodes drain dextrose water
a. Upper half of trunk 77. Lumbar triangle anteriorly bound by
b. Upper half of upper limb a. Posterior border of External Oblique
c. Major part of the breast Ans:: aa Refence Snell
d. Lower half of trunk 78. Ulcer 2nd part of duodenum at
Ans:: cc posterior side artery eroded is a. Gastro
68. Regarding Vagus Nerve duodenal artery
a. Exits through passing middle part of Ans:: aa
jugular canal 79. Slowest growing tumor of thyroid
b. Exits thorax by passing with Aorta A. Papillary carcinoma
Ans:: aa Ans:: aa
69. Fragile X syndrome is 80. Commonest dislocation of TMJ is
a. Trinucleotide repeat disorder A. Anterior
Ans: ; aa Ans:: aa
70. Most common cause of congenital 81. A man has short trunk and longer
inherited defects arms, this disease is ?
a. Multifactorial a. Autosomal dominant disorder
b. Autosomal dominant Ans:: aa
Ans:: aa 82. Type 3 reaction is
71. A patient presents in OPD with a. Arthus reaction
vesicular eruptive rash which is starting Ans:: aa
from left temporal side and ends near 83. Myelin formation in CNS is from
medial side of left eye. Rash is painful, a. Oligodendrocytes
diagnosis of Shingles is made. Which of b.Schwann cells
the following nerve may be involved Ans:: aa
a. Ophthalmic nerve 84. Mandibular branch of trigeminal
b. Superior orbital nerve nerve exits cranial cavity through a.
c. Supra trochlear nerve d. Maxillary Forman ovale
e. Mandibular nerve Ans:: aa
Ans:: dd 85. Heme in blood binds with
72. Acrosome is formed by a. Golgi a. Haptoglobulin
bodies b. Hemopexin
b. Endoplasmic reticulum. Ans:: aa
Ans:: aa 86. Cerebral blood flow is regulated by
73. External urethral sphincter related to a. PCO2 in venous blood
prostatic:
a. Apex b. Base b. pH of CSF
c. Posterior Ans:: aa
d. anterior side 87. Eparterial bronchus is a. Rt superior.
Ans::bb Ans:: aa
74. Small particles are cleared by 88. Epidural sinus in spinal canal
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a. Longitudinal venous plexus a.G6PD
b. CSF 100. 2 year old child was playing with
c. Is between Dura and arachnoids space toys when he suddenly become suffocated
Ans:: aa and cyanosed for few seconds. Mother
89. Most common congenital anomaly of took him a hospital on CXR he had ate a
head is a. Cleft lip & palate . small coin, where will it be lodged most
Ans:: aa likely
90. A woman head Radical mastectomy A. Rt lower basal segment.
after recovery unable to raise arm above Ans:: aa
her head, structure damage is Ans:: aa
a. Long thoracic nerve 101. A young child inhaled a peanut
Ans:: aa where it will be lodged most likely
91. Anterior relation of left kidney which Ans:. Lower lobe of right lung
is directly in contact with kidney without 102.Intrinsic factor is secreted from
any membrane a. Lesser sac a.Gastric fundus
b. Pancreas Ans:: aa
c. Duodenum 103.Virus causes
d. Left colic flexure. a.Alteration of protein synthesis.
Ans:: bb Ans:: aa
92. Structure passing above lower head of 104.Moral support to patient in our
Pancreas a. SMA . society comes from
Ans:: aa a.Family
93. ICAM and VCAM are. b.Eidhi.
a. adhesion molecules . Ans:: aa
Ans:: aa 105.A patient is binge drinker of Alcohol
94. Derivative of 2nd arch is a. Stylohyoid presents to ER with C/O RT side
Ans:: aa hypochondrial pain. US
95. Adverse effect in long term use of shows fatty liver, Biopsy shows councilman
glucocorticoids is a. Osteoporosis bodies in hepatocytes. A. Apoptosis
Ans:: aa Ans:: aa
96. Branches of brachiocephalic trunk 106.Feature of Atlas is
are. a.Absent Body
a. Rt common carotid and Rt Subclavian Ans:: aa
97. If LCX is occluded what will be the 107.A patient is being evaluated for TB.
effect The best investigation which will diagnose
a. Posterior of left ventricle be more affected TB is
b. SA nodal block will occur a. Caseous necrosis on Biopsy
c. Post interventricular septum 1/3 will be b. Epitheloid Cells
infarcted c. Demonstration of Acid fast bacilli on ZN
Ans:: aa stain
98. SA node is pacemaker of heart Ans:: cc
because 108.Middle meningeal artery
A. It lies at the bottom of atrioventricular Enters cranial Cavity through foramen
junction b. It lies at the top of RT atrium Spinosum
c. It has a plateau
d. Its fibers have fastest conduction. 109.What parameter is increased in
e.it has automaticity n generates impulses at Pregnant women
a faster rate. a. TIBC
Ans:: e b. Serum ferritin c. PCV
99. Heinz bodies are present in d. Hb
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Ans:: aa 121.Basic drug binds with Ans:: Alpha
110.Nerve supply to pericardium is from glycoprotein
a.phrenic Nerve 122.Thyroid drains to
Ans:: aa a. deep cervical nodes.
111.Highest energy compound is Ans:: aa
a. Fats 123.Pregnant women with viral hepatitis.
112.Pubic bones join anteriorly by Best inv. to detect is
a. Secondary cartilaginous joints A. GGT
113.Vein having no valves is Ans:: aa
a.SVC 124.1/3rd of TBW is
114.Following vein is a tributary of Portal A. ECF
vein Ans:: aa
a. Superior rectal vein 125.Which hormone level will fall after
b. Hemiazygous vein c. Inf epigastric vein d. drinking water
Left renal vein a. ADH
e. Lumbar veins b. Angiotensin
Ans:: aa Ans:: aa
115.A lady has difficulty in standing from 126.Maximum blood pressure is at a.
a sitting position but can walk normally. Renal artery
Muscle involved is Ans:: aa
a. Gluteus Maximus 127.Most common cause of K shift from
Ans:: aa ICF to ECF A. Vigorous exercise
116.A detached embolus from deep veins Ans:: aa
of leg will go first to 128.Glucose is main source for a. Neurons
a. IVC b. Liver
b. Rt Atrium c. Lt ventricle Ans:: aa
d. Pulmonary veins 129.Oxytocin and ADH originate in a.
e. Pulmonary artery . Hypothalamus
Ans:: ee 130.Most common association of ADPKD
117.Defect of RBCs in Hereditary is
Spherocytosis a. Renal failure
a. Cytoskeleton abnormality b. Cerebral hemorrhage
b.Defect in spectrin and ankyrin Ans:: bb ,, cause of death is renal failure.
Ans:: aa 131.Muscle that causes sadness
118.Mixed venous blood sample can be a. Platysma
obtained from 132.Clostridium botulinum causes
a. SVC a. Flaccid paralysis
b. IVC 133.Nerve accompanying superficial
c. Rt atrium temporal artery is
d. Rt ventricle Auriculo-Temporal nerve.
e. Pulmonary arteries 134.Sarcoma differs from Carcinoma in
Ans:: ee. Increased Vascularity
119.Long term glucose control can be best 135.Patient on table heat loss mainly by
detected by a. Conduction
Ans:. HbA1C b. Radiation c. conduction and radiation.
120.Glycocalyx is Ans:: cc
a. Polysaccharide moiety on bacterial cell 136.Acidic urine in Tubules will cause a.
wall
b. Carbohydrate chain on cell wall increased secretion of CL-
Ans:: bb.
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b. Decreased HCO3- 148.Carcinoma compared to adenoma has
a. Capsule
c. Dec K+secretion b. Invasion
d. Reduced H+ reabsorption c. No loss of differentiation d. Vascularity
e. Aldosterone inc Ans:: bb
Ans::dd 149.TB resists immunity. In this case
137.Baby born with congenital cataract, Antibodies are found
mother had most likely which a. Attached to cell
intrauterine infection b. Bound to organism.
A. Rubella c.No ntibodies.
138.Left adrenal vein drains to left renal Ans:: cc
vein 150.Iron is stored in parenchyma under
139.Lower Esophageal Veins drain to normal conditions is
A. Portal Vein Ferritin
140.Left lung has groove for a. Ascending 151.Regarding saliva
aorta a. Has inc Na as compared to plasma
b. Descending aorta c. Arch of aorta b. Low K & HCO3 in comparison to plasma
d. Azygous vein c. Hypo tonicity is more than plasma.
Ans:: cc Ans:: cc
141.Deep vein thrombus 1st lodges in 152.Osmotic pressure depends upon
a. Branches of pulmonary artery a. No of particles
b. Rt atrium b. Diffusion potential
c. Rt. Ventricle d. IVC c. Charge on membrane on either side
Ans:: aa Ans:: aa
142.Patient had TB, developed pleural 153.Diffusion potential depends upon
effusion. Needle inserted will be along a. Surface area of membrane
upper border of lower rib b. Charge on membrane.
143.Cause of pyogenic peritonitis is c. Charge on either side
a. E. Coli d. From low conc. to high conc.
b. Bacteriodes c. Klebsiella Ans:: aa
d. Staph aureus 154.From 3rd to 9th month of pregnancy,
Ans:: aa source of estrogen is
144.Metaplasia is a. Corpus luteum
one cell type replaces other with functional b. Granulosa cells c. Placenta
change Ans:: cc
145.A patient had a coronary bypass 155.Strength provided to wound during
developed A-fib now presents in ER with healing is by
signs of stroke. Brains shows which type a. Collagen 1
of necrosis b. Collagen 3.
a. Liquefactive Ans:: bb ,, if only mentioned tensile strength
146.HIV affects than it is type 1
CD-4 Cells T 156.Granulosa cells are found in
147.Labor working in hot weather a. Corpus luteum
collapses. Most likely abnormality found b. Ground substance
in him will be c. Graffian follicles
a. Hyponatremia d. Follicular epithelium.
b. Hypervolemia c. Hyperkalemia d. Ans:: cc
Hypercalcemia 157.Esophageal constriction is by
Ans:: aa due to excessive sweating. a. Left atrium
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158.Regarding Rt Atrium a. Stimulation causes relaxation of ano-rectal
a. Forms lower border of sternocostal sphincter
surface b. Contraction of longitudinal muscle group
b. Is the posterior most structure for peristalsis
c. IVC Ans: SVC junction is visible at outer c. Decreased acid secretion
surface d. Is supplied by LCX d. Constriction of oddi sphincter
Ans:: aa Ans:: bb
159.Regarding bone formation 170.In case of Anterior duodenal
A. Newly laid bone is in the form of osteon perforation, fluid will go to
160.Vibrations during Rapid Ventricular a. Left paracolic gutter
filling produces b. Rt sub hepatic space
A. 3rd heart sounds c. Rt subphrenic space
d. Rt Para colic gutter
b. 4th heart sound Ans:: dd,, if this is not in option than rt. Iliac
Ans:: aa fossa.
161.TPR is directly related to a.
Capacitance 171.In case of posterior perforation of 1st
b. HR part of duodenum, fluid will be collected
c. Vasomotor tone into
Ans:: cc a. Lesser sac
162.Exposure to hydro-carbons cause b. Rt subphrenic space
a. Acute non lymphocytic leukemia b. CML c. Rt Sub hepatic space
c. AML d. Rt paracolic gutter
d. Liver cancer Ans:: bb
e.Bronchogenic carcinoma. 172.Antibodies are formed by
Ans:: ee Ans:. Plasma cells
163.Cause of mesothelioma is 173.Glucocorticoids cause
Asbestos a. Increased production of protein b. Hepatic
164.Sub acute bacterial endocarditis is gluconeogenesis
caused by c. Dec amino acid metabolism
A. Strep viridiAns: Ans:: bb
165.Cornayae diphtheria mode of 174.Which hormone acts through
trAns:mission is a. Oro-fecal phospholipase C
b. Respiratory droplets a. Hormone causing increased blood flow in
c. Skin contact d. From spores penis b. Causing water reabsorption in
Ans:: bb kidneys Adh V2
166.Inhibin is produced by a. Sertoli cells c. Constriction of vasculature by ADH V1
167.Lymphatic nodules absent in d. ANP
A. Thymus e. Angiotensin causing vasoconstriction
B. Spleen Ans:: cc
c. Payer’s patches 175.Sensory supply to skin over lower half
Ans:: aa of deltoid is supplied by
168.Rapidly adopting fibers are. a. A. Axillary nerve
Pacinian 176.Preganglionic autonomic fibers are
b. Meissners c. Merkel A. B fibers
d. Ruffini 177.Cells which are enlarged in adenoma
e. Free nerve endings of parathyroid a. Chief cells
Ans:: aa b. Oxyphil cells c. Both
169.Regarding vagus nerve in GIT Ans:: aa
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178.Genital branch of genito-femoral 3)Lymph drainage to superior mesenteric
nerve nodes?
a. Passes through deep inguinal ring Stomach
b. Gives branches to anterior scrotal wall. Duodenum
Ans:: aa Jejunum ANS:
179.Characteristic of IgM Liver
A. Is a large molecule (pentamer) 4)Regarding lymph drainage of testes?
180.Highest triglycerides % is in Intrtnal iliac nodes
A. Chylomicrons Preaortic nodes
181.Efficiency of a drug is External iliac nodes
a. Efficacy Paraaortic nodes ANS:
b. Potency 5)Regarding posterior communicating
Ans::a artery what is correct?
182.Tension in muscle is sensed by a) Connects ICA to basilar artery
A. Golgi tendon b) Connects ICA to posterior cerebellar
183.A patient presents to you in artery above occulomotor nerve ANS:
emergency. His pH is 6.95 HCO3 4, c) Connects ICA to posterior cerebral
glucose 500mg/dl. You administer artery below occulomotor nerve
insulin d) Connects ICA to posterior
A. Regular insulin communicating artery
184.Isthmus of uterine tubes is 6)Blood trAns:fusion reaction will occur
A. Below the fundus if we trAns:fuse?
b. Is the narrowest part of tube. a) O+ to A+
Ans:: bb b) A+to AB+
185.Genioglossus supplied by c) B- to AB+
A. C1 fibers through hypoglossal nerve d) AB+ to A+ ANS:
186.Chondorcytes change into osteocytes 7)Pain of ovary on medial side of thigh is
A. Thyroxin felt by?
b. Somatotrophs a) Femoral nerve
Ans:; bb b) Illiohypogastric nerve
187.Patient with lower backache and pain c) Obturator nerve ANS:
radiating to posterior thigh. The most d) Sural nerve
likely cause is 8)Lady with hepatoma and dilated
A. Disc herniation at L4-L5 abdominal veins?
b. Disc herniation at L5-S1 a) IVC obstruction ANS:
Ans::bb b) Internal iliac vein obstruction
Radiology Paper 5 September c) Superior mesenteric vein obstruction
9)Structure connects ECM to
2016 Evening Session Cytoskeleton?
1)Structure in right free margin of lesser a) Inermediate filament
omentum? b) Integrin ANS:
Bile duct,hepatic vein,portal vein c) ProteoglycAns:
Bile duct,hepatic artery,hepatic vein 10)Lymph drainage of prostate?
Bile duct, hepatic artery,portal vein ANS: a) Internal iliac ANS:
2)Parts of bile duct? b) External iliac
Supraduodenal,infraduodenal,retroduodenal, c) Internal iliac+External iliac
intraduodenal ANS: 11)Which of the following structure is
Supraduodenal,retroduodenal,intraduodenal drained to inguinal nodes?
Supraduodenal,infraduodenal,retroduodenal a) Cervix
b) Ovary
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c) Part of body of uterus ANS: 21)Child with eating disorder,represents
d) Urinary bladder with weight gain and hypogonadism,the
12)Patient can stand on toes with severe most likely due to?
pain which of the following is ruptured? a) Craniopharyngioma ANS:
a) Achillis tendon b) Basal ganglia disorder
b) Plantaris ruptured ANS: c) Cerebral disease
c) Fracture of medial melleolus 22)arch of aorta compresses?
13)Hormone required for conversion of Azygous vein
bHcg to estradiol? a) Esophagus
a) FSH ANS: b) Left bronchus ANS:
b) Gonadotropins c) Trachea
c) LH 24)Abdominal aorta at diaphragmatic
14)Blood supply of shaft of humerus by? opening compresses?
Radial artery a) Phrenic nerve and Thoracic duct
a) Profunda brachii artery ANS: b) Azygous vein and Thoracic duct ANS:
b) Ulnar artery c) Inferior vena cava and azygous vein
15)Main supply of head of femur by? 25)Inferior vena cavastarts at the level of?
Femoral artery a) L3
a) Medial and lateral circumflex artery b) L4
b) Retinacular artery Ans: c) L5 ANS:
c) Obturator artery d) L6
16)Loss of suppination and flexion of 26)Superficial temporal artery
arm..nerve damaged? accompanies in parotid gland?
a) Axillary nerve a) Lesser occipital nerve
b) Median nerve b) Facial nerve
c) Musculocutaneous nerve ANS: c) Buccal nerve
d) Ulner nerve d) Auriculotemporal nerve ANS:
17)Loss of sensation on medial half of 27)Submandibular gland surgery
hand in front and behind.the structure done,which nerve is damaged?
damaged is? a) Cervical nerve
a) Supracondylar fracture b) Facial nerve ANS:
b) Fracture of medial epicondyle ANS: c) Maxillary nerve
c) Fracture of shaft of humerus d) Submandibular nerve
d) Fracture of scaphoid bone 28)In axilla which part of brachial plexus
18)Physiological fuction of vit A? is present?
Rhodopsin ANS: a) Trunks
a) Other options were weired dnt recall b) Devisions
those. c) Cords ANS:
19)Dorsal nucleus of vagus is located in? d) Roots
Midbrain e) All of above
a) Pons 29)Spastic paralysis occurs in?
b) Medulla oblongata ANS: a) Upper motor neuron lesion ANS:
c) Cerebellum b) Lower motor neuron lesion
20)Remanant of urachus? c) Cerebellar lesion
a) Medial umbilical ligament d) Cerebral lesion
b) Mickels diverticulum 30)Pendular knee jerk is present in?
c) Median umbilical ligament ANS: a) Cerebellar lesion ANS:
d) Medial arcuate ligament b) Basal ganglia disorder
c) Upper motor neuron lesion
d) Cerebrum lesion
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31)Counter part of rete testes cords is? c) Splenic artery
a) Mullerian ducts ANS: d) Left renal vein
b) Mesonephric ducts 41)Fracture of neck of fibula which
c) Ductus deference structure damages?
32)Femoral triangle does not contain? a) Ulner nerve
a) Femoral nerve b) Brachial nerve
b) Obturator nerve ANS: c) Common peroneal nerve ANS:
c) Lymphatics d) Radial nerve
d) Adductor magnus 42)Biceps Brachii attaches to?
33)Muscle which flexes knee and extends a) Medial epicondyle of humerus
hip? b) Lateral epicondyle
a) Sartorius c) Supraglenoid tubercle of scapula ANS:
b) Tensor fascia lata 43)Aortic area is present in?
c) Semitendinous ANS: a) Left 2nd intercostals space
34)Vessel which runs obliquely upward in b) Right 2nd intercostals space ANS:
parotid gland? c) At lower border of sternum
a) Facial artery d) Right 3rd intercostals space
b) Maxillary artery 44)What causes hypercalcemia in renal
c) Lingual artery ANS: failure?
d) Occipital artery a) Hypervitaminosis D
35)Optic canal is present in which part of b) Parathyroid adenoma ANS:
fascial bone? c) Thyroid cancer
a) Lesser wing of sphenoid 45)Metastatic calcification occurs in?
b) Greater wing of sphenoid ANS: a) Follicular adenoma thyroid
c) Vomer b) Tuberculosis
d) At junction of sphenoid and ethmoid c) Malarial parasite
36)Germ cells incorporate at? d) Normal kidney ANS:
a) 3rd week 46)About esophagus what is correct?
b) 6th week ANS: a) Cardiac orifce at 10th costal cartilage
c) 3rd month b) Lies on right side throughout its course
d) 6th month c) Serosa is thickened at lower end ANS:
37)Drainage of bare area of liver into? d) Supplied by thoracic aorta only
a) Celiac nodes 47)About intercostals nerves what is
b) Posterior mediastinal nodes ANS: correct?
c) Lymph nodes in porta hepatis a) Supply skin of whole body wall
38)In tetralogy of fallot what is present? b) 12 in number ANS:
a) Overriding of right ventricle c) Supply abdominal muscles only
b) Ventricular septal defects ANS: d) Part of sympathetic chain
c) Left ventricular hypertrophy 48)Patient with sciatica compression on
d) Pulmonary hypertension 5th lumber segment causes?
39)Behind head of pancrease which a) Absent ankle jerk
structure is present? b) Absent babinski
a) Superior mesenteric artery c) Brisk ankle
b) Lesser omentum d) Weak dorsiflexion ANS:
c) Inferior vena cava ANS: e) Weak plantar flexion
d) Aorta f) Confirm it by yourself.
40)In front of uncinate process which 49)About spleen what is correct?
structure passes? a) Develops in ventral mesogasrium ANS:
a) Aorta b) Tail of pancrease is related to its lower
b) Superior mesenteric artery ANS: border
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c) Cant recall other options,bohat ajeeb aur a) Paracolic gutter
confusing options thay. b) Subphrenic space
50)Another question about spleen? c) Lesser sac ANS:
a) On CT concave surface on medial side I d) Subdiaphragmatic space
did 59)Question about hemophilia?
b) Can’t recall other options bohat he a) X chromosome ANS:
confusing aur fazul options then.bus aik b) Y chromosome
isi ki sense ban rahe the… c) Chromosome 6
51)What is correct about bile duct? 60)A patient has history of myocardial
a) 6 inches long infarction one year back…which artery
b) Present on right side of hepatic artery in supplies the inferior portion of posterior
hepatogastric ligament ANS: interventricular septum?
c) Present on left side of portal vein a) LCA
52)Arterial supply of jejunum is by? b) LAD
a) Celiac artery c) RCA ANS:
b) Splenic artery 61)Which segment of kidney has more
c) Superior mesenteric artery ANS: diluted urine?
d) Inferior mesenteric artery a) Proximal convoluted tubule
53)Sciatic nerve passes through? b) Distal convoluted tubule ANS:
a) Lesser sciatic foramen c) Thick ascending limb of loop of henle
b) Greater sciatic foramen ANS: d) Collecting ducts
c) Obturator foramrn Behind inguinal 62)Lymph drainage from nipple of breast
ligament is to?
54)Number of segments of kidney are? a) Posterior axillary nodes
a) 5 ANS: b) Apical nodes
b) 6 c) Anterior axillary nodes ANS:
c) 7 63)What is correct about inferior vena
d) 8 cava relations?
55)Sequence of renal artery? a) Lies close to 3rd part of duodenum I DID
a) Lobar artery-Arcuate artery-Interlobar b) Crosses by illeal mesentry
artery c) Related to left side of aorta
b) Segmental artery-Lobar artery- 64)What lies close to subepicardium?cant
Interlobar artery-Arcuate artery- recall rest of scenario…
Interlobular artery ANS: a) SA node ANS:
c) Lobar artery-Interlobular artery-Arcuate b) AV node
artery-Interlobar artery c) Bundle of HIS
56)Length of thoracic duct? d) Purkinje fibers
a) 38cm 65)Breast atrophy in adult female is due
b) 40cm ANS: to?
c) 45cm a) Estrogen ANS:
57)Patient unable to turn foot medially b) Progesteron
but can turn laterally…muscles c) Estrogen and Progesteron
paralyzed? 66)Cause of fatty liver in Pakistan?
a) Tibialis anterior and extensor hallusis a) Hep B and C ANS:
longus b) Fatty diet Malnutrition
b) Tibialis anterior and tibialis posterior 67)A patient is taking fatty diet…which
ANS: organ is most likely effected?
c) Tibialis posterior and flexor hallusis a) Kidney
longus b) Skin
58)Pancreatic fluid accumulates in? c) Brain
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d) Liver ANS: b) Para aortic nodes
68)What lies posterior to periequiductal c) Porta hepatis nodes ANS:
grey area? 77)Inferior epigastric artery lies lateral
a) Substantia nigra to?
b) Red nucleus a) Direct inguinal hernia ANS:
c) Tectum ANS: b) Inguinal hernia
d) Pineal glnd c) Indirect inguinal hernia
e) Colliculus 78)Patient with sensory loss of left side of
69)At what level glucose begins to appear face and left side of body…lesion is at?
in urine? a) Thalamus ANS:
a) 180 b) Pons
b) 200 c) Internal capsule
c) 250 ANS: d) Medulla
70)Maximum number of sodium channels 79)Motor loss of right side of
are present in? body,something like that?Lesion is at?
a) Initial segment of axon a) Anterior limb of internal capsule
b) Node of ranvier ANS: b) Genu+Posterior part of posterior limb of
c) Collecting tubules internal capsule
d) Distal convoluted tubules c) Genu
71)Most important cells of chronic d) Anterior part of posterior limb of
inflammation? internal capsule
a) Lymphocytes e) Genu+Anterior part of posterior limb of
b) Macrophages ANS: internal capsule ANS:
c) Eiosinophils 80)Radial artery is accompanied by?
d) Neutrophils a) Median nerve
72)Surgery of parotid gland is done,which b) Musculocutaneous nerve ANS:
muscle will be paralysed? c) Deep branch of radial nerve
a) Medial pterygoid d) Superficial branch of radial nerve
b) Lateral pterygoid 81)A structure at L1 level having coils
c) Buccinator ANS: with grey colour at outer side and black
d) Temporalis Maseter colour in middle?
73)Content of anterior mediastinum? a) Colon
a) Trachea b) PYLORUS of Stomach ANS:
b) Vagus nerve c) Jejunum
c) Phrenic nerve d) Ieium
d) Thymus ANS: 82)The following organism is resistant to
74)Bundle Of His is supplied by? stomach acid?
a) LCA ANS: a) Vibrio cholera
b) RCA b) Pneumococcus
c) Carotid artery c) Mycobacterium Tuberculosis
75)A very very long scenario ended up by d) h.pylori ANS:
asking parasympathetic supply of 83)Multifactorial inheritance?
descending and sigmoid colon? a) Sickel cell anemia
a) L4 L5 b) Cystic fibrosis
b) S1 S2 S3 c) Omphalocele ANS:
c) S3 S4 S5 d) Alkaptonuria
d) S2 S3 S4 ANS: 84)a patient while walking…pelvis sink to
76)Lymphatics of gall bladder will first left side is due to?
drained into? a) Right side of gluteus maximus and
a) Pre aortic nodes medius
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b) Right sided gluteus maximus medius C) Peak of action potential
and minimus ANS: D) Refractory period
c) Left sided gluteus medius and minimus ANS B
d) No separate option of right sided gluteus 2) Right testes ca drans to
medius and minimus is present there.. A) Bilateral paraortic
85)A patient having strangulated B) Ipsilateral pelvic
hernia,strangulation occurs due to? C) Bilateral pelvic
a) Excessive movement of lower limb D) Bilateral paraortic and ipsilateral pelvic
b) Pressure by inguinal ligament E) Ipsilateral pelvic and ipsilateral paraortic
c) Less space of femoral canal ANS: ANS A
d) Tight boundaries of femoral ring 3) a docter prescribe vit d3 to pt what it
86)About right brachiocephalic vein,what actually is
is correct? A) Inactive
a) Begins behind right sternoclavicular B) 1,25 dihydrocholecalciferol
joint C) 25 hydroxycholecalciferol
b) No valves D) Animal source
c) Shorter than left E) Plant source
d) Vertical ANS: ANS B
e) More than one options are correct. 4) Difference in plasma and interstitium
87)Descending thoracic aorta passes A) Proteins
behind? B) Calcium
a) Median arcuate ligament C) Sodium
b) Lateral arcuate ligament ANS A
c) Medial arcuate ligament ANS: 5) Multigravida women presented with
88)A very very long confusing scenario is thigh swelling painless expansile and
given,only hint of 9:21 chromosome is pulsatile below inguinal ligament
given… A) Femoral hernia
a) CML ANS: B) Femoral artery aneurysm
b) Mylodysplastic syndrome C) Saphena varix
c) Muscular dystrophy ANS B
d) 9:21 6) Tail of pancrease
89)A patient with history of RTA,CT scan Ans) Lie in splenorenal ligament
shows a mass in petrous part of temporal 7) Corneal opacities caused by
bone..where such mass is present? A)Ethambutol
a) Base B)Chloroquine
b) Inferior surface C)Quinidine
c) Apex ANS B
d) Anterior surface 8) RTA scenario presented with proptosis
e) Roof ANS: of eye rushing sound in ear .episcleral
90)Superficial dorsal vein of penis drains vessels dilated
into? A)Retro opthalmic hemorhage
a) Great sephanous vein ANS: B)Floor of or bit damage
b) Internal iliac vein C)Roof of orbit damage
c) Femoral vein D)Carotid cavernous fistula
d) Santorini plexus ANS D
RADIOLOGY OCT 2016 9) Paraneoplastic syndrome caused by
A) Small cell ca of lung
1) Fibrillation commonly occur during B) Adenoca stomach
A) start of action potential C)Renal ca
B) End of action potential D)Thyroid ca
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E)Parathyroid ca 19) 10 th rib fracture scenario
ANS A A) Spleen damage
10) Most potent stress hormone ANS. A
A) Acth 20) Posterior boundary of epiploic
B)Epinephrine foramen
C)Norepinephrine ANS. Ivc
ANS A 21) nystagmus loss of pain and general
11) Raw egg ingestion avidin which sensation on left side of face left sided
biochemical reaction hampered weakness damage to
A)Decarboxylation A)Pica
B)Transamination B)Superior cerebellar
ANS A C)Basilar
12) Glycolysis D)Post communicating artery
A)Reversible ANS .A
B)Hexose phosphate converted to lactate 22) Number of renal segments
and pyruvate A). 5
ANS B 23)Ureter narrowest area
13) Sarcoidosis associated with A)Sacral promontary
A)Pulmonary embolism B)Sacroiliac joint
B)Increased calcium C)Ischial tuberosity
C)Erythema nodosuum D)Ischial spine
D)Hepatic granuloma E)Just below kidney
ANS D ANS. D
14) Posterior mediastinum desending 24) Neural crest derivative
aorta A)Ventral horn motor neurons
Ans) Gives 9 post intercostal arteries B)Accessory nerve
C)Retina
15) Extensor and lateral rotation of hip D)Vestibular and cochlear nerve nucleus
A)Gluteus maximus E)Cerebellar nuclei
B)Tensor fascia lata ANS. B
ANS A 25) Anatomical conduction of heart
16) Lesser omentum A)Intercalated disc
A) Attach to duodenum B)Gap junction
B) Forms falciform ligament C)Desmosomes
C) Related to right renal gland D)Nerve fiber
D) Left renal gland and left kidney ANS. A
ANS D 26) Prostate weight
Note …post wall related to left adrenal A)18 gram
and upper pole of left kidney… B) 50 gm
17) Extension of epidural space C)40 gm
A)Foramen magnum to sacrococcygeal D)30 gm
membrane E)10 gm
B)Foramen magnum to s3 ANS .A
C) C1 TO s4 27) Four pillar medical ethics
D) foraman megnum to l5 A) Beneficence autonomy non maleficence
ANS A justice
18) Within kidney renal vessels run in ANS. A
A)Colum of drummond 28) Symphysis pubis
B)Columns of bertin A)Secondary cartilag joint
ANS. B ANS. A
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29) Breast lies on B) Unresponsiveness develop gradually
A)Pect major ANS A
B)Serratus anterior 39) Free nerve endings
ANS. A A) Non.encapsulated
30) Solider recieved shrapnel wound in ANS A
neck after 3 yrs presented with swelling in 40) Hogkin lymphoma
neck bulges on coughing and sneezing A) Contagious spread Lymph nodes
A)Damage to supra plueral membrane B) Extranodal stage common
B)Unhealed parts of first rib C) Lymphocytes dec in young age
C)Damage to deep facsia in roots of neck ANS A
ANS. A 41) Lesion in temporal lobe
31) Wound greenish pus discharge A) Memory loss
A) Pseudomonas ANS A
ANS. A 42) Dec calcium.dec phosphate normal
32) Primary sign of shock pth
A) Dec o2 perfusion A) Crf
B) Inc pulse B) Inc prarthyroid
C) Bradycardia C) Vit d dec
Ans. B D) Metastatic calcification
33) Important feature of malignant tumor ANS C
A) Metastasis 43) Lesion in right parietal lobe
B) Pleomorphism A) Memory loss
C) Invasion B) Weakness on
D) Inc n/c ratio C) Left right disorientation
ANS. A D) Visual defects
34) Inc mitochondrial activity occurs in E) Olfactory
apical region of ANS C
A) Ciliated cells 44) Franks Starling law
B) Hepatocytes A) Inc venous return leads to inc cardiac
ANS. A output
35) In coronary care unit patient expected B) Inc Venous return leads to inc heart rate
to show ANS A
B)Behave calmly without psychiatric 45) Most immediate response to shock
problem A) Baroreceptors
ANS I marked b B) Cns ischemic response
36) Values coming on point or range of ANS A
measurement scale is called 46) Easy way to diagnose n.gonorhea in
A) Rate exuadate
B) Data A) Gram stain
C) Distribution B) Blood culture
D) Frequency C) Zn stain
E) Prevalance ANS A
ANS. D 47) Vibrio cholera
37) Thirst partially inhibited by A) Grows best at slight acidic ph
A) Gastric distension B) Nutritionally fastidious
B) Adh C) Tolerance to alkaline ph
C) Inc blood volumes D) 24 degree
ANS C( see renal chapter for details) ANS A
38) Tachphylaxis 48) Achalsia scenario
A) Unresponsiveness develop rapidly A) LES tone dec
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B) Absent myenteric plexus 57) Meningitis with rash
ANS B A) Meningiococemia
49) Ca cervix drains first into ANS A
A) Parametrial lymph nodes 58) Pancreatic fluid drains into
B) Paracervical lymph nodes A) Lesser sac
C) Internal iliac nodes ANS A
D) Superficial 59) Esophageal opening in diaphragm
E) Paraortic A) T10
ANS C ANS A
50) Bitemporal hemianopia due to 60) Metabolic function of thyroid at
compression of optic chaisma b/c of physiological state
anuerysm of A) Dec fatty acid synthesis
A) Ant communicating artery B) Inc fatty acid oxidation
B) Post communicating artery C) Dec gluconeogenesis
C) Basilar artery D) Inc synthesis of protein
ANS A ANS B
51) Right cornary artery supplies 61) Orofecal transmission
A) SA node A) Hep e
B) Infundibulum of right ventricle B) Hep b
C) I/v septum C) Hep c
ANS A D) Hep d
52) Anterior fontanella closes at ANS A
A) 12- 18 months 62) Peudo hyperparathyroidism
B) 18-24 A) Pthrp
ANS A B) Inc secretions from parathyroid
53) Child presented with sudden onset of C) Other condition secreting paratharmone
generalized purpura secretions
A) Plt 80000 ANS C
B) Plt 20000 63) Middle age female with epigastric
C) Capillary damage pain radiating to back after fatty meal
D) Factor 8 deficiency and to right shoulder
E) Vwf deficiency A) Gall bladder
ANS B B) Pancrease
54) During swallowing food prevented ANS A
from entering to trachea by 64) regarding Ovary
A) Epiglottis elevation over naso pharynx A) supplied by Ovarian artery
B) Close /-tight approximation of vocal cord B) Drain into paraortic nodes
C) Movement of uvulva C) Covered by squamous epithelium
D) Contraction of pharyngeal muscles D) Attached to lateral margin of uterus by
E) Position of tongue mesoovarium
ANS B E) Both a and b
55) Cephalic vein ANS E
A) Pierces clavipectoral fascia 65) Infection in pretracheal fascia spread
B) Lie between deltoid and pect major to
C) Arise from medial side of dorsal venous A) M.sterni
arch B) Retropharyngeal space
ANS B C) Anterior to pericardium in thoracic cavity
56) Nasopharyngeal ca ANS C
A) Ebv 66) Failure of fusion of median nasal and
ANS A maxillary process
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A) Cleft lip A.Lecocytosis
B) Cleft palate ANS A
ANS B 77) Detrosor muscle contraction
67) Which nerve arises from trunk of controlled by
brachial plexus A) Inf hypogastric plexus+parasym pelvic
A) Thoracodorsal ANS A
B) Supraclavicular 78) Dna virus causing respiratory.
C) Long thoracic nerve Infection
D) Medial cutaneous nerve A) Adenovirus
E) Musculocutaneous nerve ANS A
ANS B 79) bare area of liver is limited by
68) Rotator cuff formed by A) coronary ligament
A) SITS ANS A
ANS A 80) pt can stand on feet but hurting
68) Esinophilic infiltrates characteristics A) plantaris tendon rupture
of ANS A(see my post in details for dis)
Ans) Parasitic infestation 81) area of tricuspid auscultation
69) Bladder Ans) right side of lower body of sternum
A) Devoid of peritonium 82) trachea bifurcation level,
B) Drains to superficial inguinal lymph A) c5_ c6
nodes ANS A
C) Drain to internal iliac 83) trachea extension level,
ANS C A) t5 to c6
70) Cause of edema in nephrotic ANS A
syndrome is 84) dependent edema scenario
A) Hypoalbuminemia A) ivc obstruction
B) Inc hydrostatic pressure ANS A
ANS A 85) somites number AT 30 DAY Of
71) Superficial petrosal sinus lie in development
A) Falx cerebelli A) 42 to 44
B) Tentorium cerebella B) 32-36
ANS B ANS B
72) Disorganized cell size shape. Strucure 86) vit b12 deficency scenario person
A)Metaplasia feels that she is walking on wool coton
B) Dysplasia floor, posterior cruciate
ANS B A) ligament tibia moves forward
73) Tb confirm by ANS A
A) Acid fast 87) nucleus of vagus,
ANS A A) Dorsal nucleus
74) Cd4+ cells 88) Obstruction in inferior vena cava
A) Helper t lymphos superior to azygous vein leads to
B) Cytotoxic lymphos diversion of blood to
ANS A A) Hepatic vein
75) Dec ach function, ptosis lethargy B) Ivc
weakness C) azygous vein
A) M.gravis ANS C
B) Lambert eaton syndrome 89) Example of delayed type 4 reaction
ANS A A) Tb
76) Acute inflamation characterized B) Leprosy
by??? ANS A
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90) Virus causes neoplastic changes by B) Peudocyst pancrease
alteration in Dna Rna C) Atherosclerosis calcification
A) Protooncogenes D) Nephrocalcinosis
B) Oncogenes ANS D
ANS B
91) Metastatic calcification
A) Ghon focus