Thursday, March 15, 2012

Help me to help you guys!

Dear All,

Assalam o Allaikum.

Appologies for not updating the site for sometime, simple reason being that i did not receive more recalled questions from you guys!

I got on with my career in UK, so could not actively search for latest papers and questions. I tried my best while I could and still promise to update the pool when ever i get anything from you.

Happy preparation!

Dua ki derkhast ke saath,

Sultan.

Friday, July 23, 2010

Medicine 25th May, 2010

Hi, I am Dr. BUTTERFLY from FJMC, LAHORE.

I tried my level best to recall as many qs as I can to post it at your blog. Your blog is very much popular among part 1 candidates, thanks a lot. U r doing great job.

I wana see my name at the end of ds post at Ur blog. Plz do write my following name when u post ds paper to Ur blog, name is

‘’ DR. BUTTERFLY ’’



Thanks a lot.keep doing good work


25th may, 2010


PAPER 1 and 2.

DO CONFIRM THE ANSWERS

1
ECG changes can be seen in the following conditions EXCEPT
a) Change in body position
b) MI
c) Sleep
(http://ajpregu.physiology.org/cgi/content/full/292/3/R1320)
d) Mitral stenosis
e) Aortic regurgitation
Ans:
A:

2
About NEURAL TUBE
a) Forms primitive streak
b) Forms notochord
c) Cns develops from it
d) Forms three germ layers
e) …
Ans;
C (http://en.wikipedia.org/wiki/Neural_tube )
3
SACRALIZATION
a) Union of 1st sacral vertebra with 5th lumbar
b) Union of 5th lumbar with 1st sacral
c) Fusion of all sacral vertebra to form sacrum
d) Flexion at sacrum
e) …
Ans:
B http://wiki.answers.com/Q/What_is_sacralization_of_the_l-5
4
Stroke volume
a) Cardiac output depends on it
b) Heart rate determines stroke volume
c) Increases in haemorrhage
d) Independent of venous return
e) …
Ans;
DNT KNW EXACTLY
5
Central venous pressure
a) Inc. in haemorrhage
b) Dec in gram negative septicemia
c) Dec in heart failure
d) …
e) …
ans;
b http://books.google.com.pk/books?id=-V3k-2MnDQcC&pg=PA275&dq=cvp+is+decreased+during+gram+negative+sepsis&hl=en&ei=LSEpTPu_NMaAlAeNmY2ACA&sa=X&oi=book_result&ct=result&resnum=9&ved=0CE0Q6AEwCA#v=onepage&q=cvp%20is%20decreased%20during%20gram%20negative%20sepsis&f=false

6
What change occurs from lying to standing position?
a) Venous pressure inc
b) Arterial pressure inc
c) Sweating
d) Cutaneous vasoconstriction
e) ….
Ans;
A http://www.cvphysiology.com/Cardiac%20Function/CF017.htm

7
A simple senario of hurshspring disease
8
Which hepatitis dangerous in pregnancy
a) A
b) B
c) C
d) D
e) E
Ans;
e
9
A lady, who’s been deliverd in a remote village, presents with shock, septicemia, bleeding from venae sites.whats diagnosis

DIC
10,
Most common cause of pulmonary embolism?
a) Heart failure
b) Dvt
c) Cancer lung
d) Pneumonia
e) …
ans;
B
11,
Regarding vit. D synthesis
a) 1 hydroxylation ocurs in kidney
b) 25 ocurs in kidney
c) 1 ocurrs in liver
d) 25 in lung
e) Both in skin
Ans;
A http://en.wikipedia.org/wiki/Vitamin_D
12,
Treatment of erythroblastosis fetalis?
a) Exchange transfusion with b +ve
b) With b _ve
c) Ab +ve
d) Anti D
e) …
ans;




13,
WHICH IS NOT SUPLIED BY OCULOMOTOR N.
a) Medial rectus
b) Lateral rectus
c) Inf oblique
d) Sup rectus
e) Inf rectus

14,

About external juglar vein
a) Formed by retromandibular and ant. Auricular v.
b) Content of carotid triangle
c) Pierces deep fascia behind sternocleidomastoid
d) …
e) …
ans;
c

15,

Cephalic vein
a) Present in deltopectoral groove

16,
A lil senario of cervical rib i, e weakness and paresthesia along ulnar nerv course
17,
A qs about CSF findings, which 1 true etc

18
Diagnosis of typhoid in 1st week
Ans… blood culture

19,
Most common cause of SUBACUTE BACTERIAL ENDOCARDITIS
a) Staph aureus
b) Sterp. Viridans
c) Strep pneumonae
d) Staph epidermiditis
e) …
ans;
b
20,

Cause of gas gangrene (C. perferringens ws not givn)
a) C.botulinum
b) C. C. ljungdahlii
c) Tetanus toxin
d) C. septicum
e) …

ans;
d http://en.wikipedia.org/wiki/Gas_gangrene

21,
Type of omental necrosis?
a) Caseous
b) Gangrene
c) Fat
d) Coagulative
e) Fibrinoid
Ans;
C http://books.google.com.pk/books?id=c41BJkHrniEC&pg=PA25&dq=omental+fat+necrosis&hl=en&ei=8iopTKykIaWlsQaB9JzEBA&sa=X&oi=book_result&ct=result&resnum=4&ved=0CDYQ6AEwAzgK#v=onepage&q=omental%20fat%20necrosis&f=false

22,
Most of bicarbonate absorption ocurs in
a) Proxial c. tube
b) Distal c. tube
c) Loop of henle
d) Collecting duct
e) ….
Ans;
A http://books.google.com.pk/books?id=pekX0WUKzMoC&pg=PA414&dq=bicarbonate+reabsorption&hl=en&ei=oCspTPu0CIO0lQftobD-Bw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCYQ6AEwAA#v=onepage&q=bicarbonate%20reabsorption&f=false
23,
There were 4_5 qs about aldosterone

24,
Stimulus for aldosterone release
a) Hypernatremia
b) Hypokalemia
c) Hyperkalemia
d) Alkalosis
e) …
ans;
c

25,
Aldosterone causes
a) Hypercalcemia
b) Hyperkalemia
b) Acidosis
c) Hypernatremia
d) …
ans;
c


26,
Dec aldosterone will lead to
a) Hyponatremia

27,
ADH acts on
a) Loop of henle
b) Distal c. tube
c) Collecting duct
d) Bowman capsule
Ans
c

28,
For circardian rhythm optic nerve sends fibers to
a) Optic chiasma
b) Medial geniculate body
c) Lateral geniculate body
d) Suprachiasmatic n.
e) Upraoptic n.
Ans;
D http://en.wikipedia.org/wiki/Circadian_rhythm


29,
A person suffering from dehydration, which ion replacement is most important?
a) Ca
b) Mg
c) Na
d) K
e) Cl
Ans;
C

30,
What to give to Inc vitamen in diet
a) Nuts
b) Yougurt
c) Egg
d) Green vegetables
e) Margarine (sumthin like it)
Ans;
D

31
Natural anticoagulant
a) Heparin
b) Warfarin
c) Aspirin
d) Plasminogen
e) Fibrin
Ans;
D

32,
Endogenous pigment in chronic hemolysis
a) Hemosiderin
b) Lipofuscin
c) Anthracotic pigment
d) …
e) …
Ans
A


33,
In a ward, at a children hospital, all the children there have some permanent disabilitythe parents of such children are suffering from
a) Denial
b) Anger
c) Bargaining
d) Depression
e) Acceptance

34,
Square root of variance
a) Mean
b) Variation
c) Standard deviation
d) Median
e) Acuracy
Ans
C

35,
Mean Inc with
a) Inc in sample size
b) Dec in sample size
c) Inc in standard deviation
d) …
e) …
ans;
b http://www.stat.berkeley.edu/~stark/Java/Html/SampleDist.htm

36,
What is therapeutic index of a drug?

37,
Drug contraindicated in renal failure
a) Amikacin
b) Chloramphenicol
c) Vancomycin
d) Pencillin
e) …
ans;
a

38,
Drug for hyperthyroidism in pregnancy
a) Methimazolepropylthyrouracil
b) Ppu
c) Radioactive iodine
d) Total thyrodectomy
e) Ligol solution
Ans
B

39,
Which will not b present in a lung hamartoma (it ws senario of pulmonary hamartoma and qs ws asked at the end of senario)
a) Coin lesion on xray chest
b) Mostly asymptomatic
c) Mostly Discovered incidently
d) Benign
e) Cartilage in lesion area
Ans
E

40,

Difference BW hyperplasia and benign tumor
a) Hyperplasia invades surrounding tissues
b) Benign tumor metastasize to tissues
c) Benign tumor shows aggressive growth
d) Hyperplasia shows pleomorphisim
e) Benign tumor is surrounded by capsule
Ans
E

41,
Atrophy means
a) Dec in cell size

42,
Premalignant condition of oral cavity
a) Erythroplakia
b) Leukoplakia
c) SCC
d) Lichen planus
e) …
ans
b

43,
A senario was about sturge webber syndrome in which he gave neurological symptoms I,e seizures and convulsions then asked that what other symptom can be found in that child and ans ws GLUCOMA . Point to note that they did not talk about PORT WINE STAIN (birth mark) on face or forehead 
44,
Submucosal glands are present in
a) Stomach
b) Gall bladder
c) Duodenum
d) Small intestine
e) Pancreas
Ans
C


45,
After gastrectomy what can happen

a) Malabsoprtion
b) Steatorhea
c) Anemia
d) …
e) …
ans
c

46,
After gastrectomy B12 is not absorbed due to deficiency of
a) Parietal cells
b) Chief cells
Ans
A
47,
Gastroparesis treatment (last part1 me b tha)
a) Metoclopramide
48,
Absorption of long chain fatty acids?
a) Ileum

49,
Bile salts are absorbed where?
a) Terminal ileum

50,
Bile acids are conjugated with which amino acid to form bile salts
a) Taurine

51,
Which hormone Inc gastric contraction?
A) GASTRIN
B) CCK
C) Secretin
c) Gip
Ans
A
52,
Rupture of post wall of duodenal ulcer will damage
a) Gastroduodenal artery
53
Left renal vein relation to aorta
a) Ant
b) Post
Ans
A

54,
Final common motor pathway
a) Corticospinal tract
b) Alpha motor neurons
c) Upper motor neurons
d) Cerebral cortex
e) …
ans
b

55,
There was a qs about injury at T4,T8 level and dy askd about wat will happen , choices were not straight forward e,g askin sum tract lesion etc dts y not remeberd
56,
Stretch reflex maintains
a) Muscle tone
b) Balance
c) Length
d) …
e) …
ans
c

57,
There was qs in which options were (forgot qs)
a) Pancinian corpucles
b) Messiners corposccles
c) Ruffinis end organs
d) Golgi tendons
e) ….

58,
Regarding pulmonary wedge pressure
a) Called so cz measured by a wedge shaped catheter
b) Usually bw 10-15 mmhg
c) Measure of rit atrial pressure
d) …
e) …

ans
b

59,
During systole
a) Both ventricles contract simultaneously
b) 50% filling of ventricles occurs
c) Blod flow inc in coronary arteries
d) ..
e) ..
ans
a

60,
Fastest conducting fibers in heart
a) Purkinje
61,
Glomerular pressure inc due to
a) Afferent constriction
b) Efferent constriction
Ans
b
62,
A senario was about dijoxin toxicity
63,
Treatment of acute asthma
a) Terbutaline

64,
Isoniazid side effects can be prevented by
a) Pyridoxine

65,
Not a cause of cardiogenic shock
a) Cardiac temponade
b) Mi
c) Arrythmias
d) Hemorrhage
e) Aortic dissection
Ans
d

66,
A pt with deformed nose, AFB +ve
a) Leprosy

67,
Most imp point of exudative inflamation
a) Sp gravity < 1.020 b) Neutrophils c) Protein >2g| dl
d) .
e) …
ans
c

68,
Monocytes
a) Most abundant cells in circulation
b) Do not go out of vessels
c) Not phagocytic
d) …
e) …

69,
Tuberculous meningitis
a) Inc lymphocytes in csf

70,
Bladder ca caused by
a) Schistosoma haematobiam

71,
Which tumor does not hav bone metastasis?
a) Thyroid
b) Liver
c) Lung
d) Breast
e) Kidney
Ans
b

72,
ESTROGEN OCPs can cause
a) Breast ca
b) Ovary ca
c) Endometrial ca
Ans
a

73,
Residual vol.
a) Amount of air left in the lung after a max exhalation

74,
Vital capacity
a) After a max inspiration, max expired volume is vc

75,
Cardiac output
a) Measured by fick principle

76,
Regarding sup parathyroid gland
a) Located in close proximity to INF thyroid artery and recurrent laryngeal nerve at the level of cricothyroid junction. (Remembr that sup glands hv more constant position while INF r variable in position.that’s y dy askd about sup glands location.its imp)
77,
Digastric triangle
a) Bounded anteriorly ant. Belly of digastric, posteriorly by post. Belly

78,
Which is not covered by deep cervical fascia
a) Thyroid
b) Parotid
c) Sternocleidomastoid
d) Submandibular gland
e) Sublingual
Ans
e

79,
Circumduction
a) Combination of flexion, extension, aduction and abduction

80,
For surgery tibia should b aproached from medial side, why
a) Dnt remember choices, sory
B)
C)
D)


81,
Micturation reflex centre is located in
a) Brainstem (pontine micturation centre). There s also a sacral micturation centre but it ws not in the choices

82,
Diagnosis of pneumothorax?
a) Xray chest

83,
Approach to intercostal space for pleural effusion drainage
a) Lower part of space (neurovascular bundle in upper part os SPACE but lower part of RIB)

84,
Pt having uppr respiratory tract INF, then chest pain that relieved by sitting up
a) Pericarditis

85,

In nephron fluid which substance conc is higher than plasma
a) Na
b) Bicarbonate
c) Glucose
d) Urea
e) Albumin
Ans
d

86,

Renal plasma flow is determined by
a) PAH

87,
WHAT IS TRUE ABOUT UPPER HALF OF ANAL CANAL
A) Options wr about epithelium, nerve sup, lymph, blood suply. Dnt remember exactly

88,
Jaundice, hepatitis, diarrhea 10days after bone marrow transplant
a) Graft vs host disease
89
Erythroblastosis fetalis, type of hypersensitivity reaction?
a) 2

90,
WHICH VACCINE IS NOT LIVE
A) Measles
B) Mumps
C) Rubella
D) Yellow fevr
E) Tetanus
Ans
e

91,
Tissue for HLA typing (there were two same qs in each paper)
a) Buccal mucosa
b) Leukocytes
c) Skin
d) Bone marrow
Ans
b

92,
LP done at
a) L4-L5 (l3-l4 also correct but it ws not in choices, thanks ALLAH Dy did NT gv both choices simultaneously :-)

93,
Cauda equina
a) Collection of nerve roots and rootlets


94
Pilocarpine is nicotinic
a) Agoist
b) Antagonist

95
Diagnosis of klinefeltrs syndrome
a) Barr body

96
Which drug interers with warfarrin
a) Cemetidine

97
Adverse effect of chlorpromazine

a) Extrapyrimidal

98
Mechanism of action of captopril
a) Ace inhibitor

99
Feature of ca
a) Plomorphisim
b) Nuclear ratio
c) Hyperplasia
d) Invasion
Ans
d

100

Most cancers hav which fillament in them
a) Kerratin
b) Desmin
c) Vimentin
d) Neurofibrilary
e) …
ans
a

101
Paraneoplastic syndrome is associated with
a) Ca breast
b) Adeno ca lung
c) Small cell ca lung
d) Ca prostate
Ans
C


102
Hepatitis b INF is monitored by
a) Surface antigen
b) Srface antibody
c) Core antibody
d) E antibody

103

Hepatitis A inf, which test to perform
a) Hep A nd B VIRUS
b) Bilirubin
c) Sgpt
d) Albumin
Ans
c

104
Which hormone inhibits insulin secretion?
a) Secretin
b) Cck
c) Somatostatin
d) Glucagan
e) Vip
Ans
c
(As a general rule all git hormone stimulate insulin release and knwn as INCRETIN)
105
MOST IMP STRESS HORMONE (it was also in last part1)
a) Epinephrine
b) Insulin
c) Growth
d) Cortisol
e) Acth
Ans
d

106
In Cushing syndrome
a) Neutrophils are Inc, lymphocytes and eiosiniphils are Dec
107
A simple senario of graves disease
108
Whats pattern of antibodies in multiple myeloma (options were vry weird, nt exactly remembrd)
a) They hav igA, M, G in different ratios and %ages e, g
IgA 5gm, M 15gm, G 20gm
b) IgM: igG S 1:20

109
HLA type in RA
a) HLA DR4
110
ABSOLOUTE LYMPHOCYTOSIS NOT PRESENT IN
a) Sle
b) Inf. Mononeucleosis
c) Walders (sumthin like that) granulomatosis
d) …
e) …
ans
a (nt sure)

111

Pt with arithritis, butterfly rash, photosensitivity (these symptoms wr in the form of a simple senario), WATS diagnosis
a) SLE

112
Platelets contraindicated in
a) Splenomegaly
b) Acute immune thrombocytopenia
c) Coagulopathy
d) Dic
Ans
b

113
Water moves through
a) Pores
b) Membrane matrix
c) Protein channels
d) Fascilitated difusion
Ans
A (water channels)

114
Fascilitated diffusion
a) Passive transport trough protein channels or carier protiens

115
Which factor strenthen pt doc relationship
a) High professional skills
b) High social skills
c) Highly qualified
d) Logical answers to qs
e) Active listening
Ans
E
http://docs.google.com/viewer?a=v&q=cache:B-90RsYl_QIJ:www.racgp.org.au/afp/200512/200512robinson.pdf+active+listening+for+a+doctor&hl=en&gl=pk&pid=bl&srcid=ADGEEShL3aencNeNL6PcDL75akSth1myGNOsIBbWqXMO-BxP5X7QKVmiu16qKkAOUhwMcNerrFuT2x-kVNZ-Zz84Xr5Gy1K7AJJfrUhJoOWFb7PnEI52oZ3VXT9v3ZAKmA31w_Eh-Ea0&sig=AHIEtbTDPrtyezt44aYcvJMnrIDzau8oZw

116

Which is more aggressive (also in last part1)
a) Basal cell ca
b) Squmaous cell ca
c) Melanoma
Ans
b

117
Nissel bodies are
a) RER
b) SER
c) Mitichondria
d) Golgi bodies
Ans
a

118

Greatest area of cerebral cortex is covered by
a) Elbow
b) Knee
c) Thumb
d) Shoulder
e) Ankle
Ans
C


119

Deviation of tongue on protrusion, which N. is damaged
a) Fascial
b) Hypoglossal
c) Submandibular
d) Edenger westphal
e) …
ans
b


120

A pt with diastolic murmur in aortic area and colapsing pulse, diagnosis
a) Aortic stenosis
b) Mitral stenosis
c) Aortic R.
d) Mitral R
e) …
ans
c


121

SUB-DURAL HEMATOMA CAUSE
A) SUP CEREBRAL VEIN
B) INF CEREBRAL VEIN
C) ANT DIVISION OF MA
D) Post. Division of MA
Ans
A


122

Csf absorbed by
a) Arachnoid villi
b) Choroid plexuses
Ans
A


123
Which is pierced during LP
A) Dura matter

124
Inf spreads retroperitonealy, which will b infected
a) Spleen
b) Jejunum
c) Transverse colon
d) Descending colon
e) …
ans
d


125
Ant pituitary loss will result in Dec in size of
a) Zona glomerulosa
b) Zona fasiculata
c) Parafolicular cells of thyroid
d) Adrenal medulla
e) …
ans
b


126
Factor Dec wound healing
a) Vit c deficiency

127
How thrombocytes play role in thrombosis
a) Sorry forgotn the choices

128
Accomoation reflex intact, light reflex absent. Damage to?
a) Edenger westphal n.
b) Optic nerve
c) Optic tract
d) Optic chiasma
e) Pretectal area
Ans
E



129
Part of portal system draining esophagus
a) Azygous v.
b) Hemiazygous
c) Rit gastric
d) Lft gastric
Ans
D http://books.google.com.pk/books?id=21e4wArL7hQC&pg=PA18&dq=portal+system+draining+esophagus+is&hl=en&ei=N7w0TNLEDKjonQefitGDBA&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCkQ6AEwAA#v=onepage&q&f=false


130
Bronchopulmonary segment
a) Anatomical and functional unit iof lung

131
Temp set point is in
a) Ant hypothalamus
b) Post hypothalamus

132
Antibodies are produced by
a) Plasma cells

133
Virulence of bacteria is associated with
a) Dose
b) Duration of exposure
c) Toxin production
d) Body resistence
e) …
ans
c


134
For a blood donor what is not required (choices not well remembrd.actualy dy askd that which factor should not b there in a GENERAL HEALTHY DONOR)
a) Age
b) Sex
c) Systemic disease

135
Which one is not a epithelium tumor
a) Adenocarcinoma
b) Sq ca
c) Liposarcoma
Ans
C


136
Which receptor r involvd in acid production
a) H1
b) H2
c) Acetylcholine
d) …
e) …
ans
b


137
Which is present in slow wave sleep
a) Dopa
b) Acetylcholine
c) Serotonin
d) Norepinephrine
e) …
ans
c and d


138
Hemibalismus due to damage to
a) Subthalamic N.

139
A child having dyspnea when lyng down
a) Retrosternal goiter

140
Best buffer of body
a) Protein
b) Hb
c) Hco3
d) Phosphate
Ans
C


141
Protein utilization is chekd by
a) Urinary NO2
b) Blood NO2
Ans
A


142
A pt has fluid loss, now his urine is concentrated. It’s due to
a) Aldosterone
b) Adh
c) Acth
d) Cortisol
Ans
B


143
Ph 7.4 po2 65 pco2 33 hco3 19

a) Metabolic acidosis
b) Metabolic alkalosis
c) Compensated resp alkalosis
d) Resp alkalosis

144
What happens on mountain aclimitization?
a) Ventilation inc

145
Syphil dignosis material taken from
a) Blood
b) Urine
c) Semen
d) Genital sores (lesion)
e) Saliva
Ans
D


146
Best indicator of serum iron stores
a) Serum iron
b) Serum ferritin
c) Hemosiderin
d) TIBC
Ans
B


147
Why more oxygen goes to alveoli at apex than at base?
a) Inc compliance
b) Inc blood flow
c) In v\q
d) Inc pulmonary pressure
Ans
A


148
Urinary incontinence with overflow and excessive voiding, damage to (qs nt remembrd well)
a) S2, 3,4
b) S2, 3
c) L2, 4,s1

149
Hypospedias is due to defect in
a) Urogenital tubercle
b) Urogenital fold
c) Urachus
Ans
B


150
Cephalic vein
a) Begins in anatomical snuff box
b) Lies lat. To radial a.
c) Lat. To biceps
d) Ends in axilla
Ans
C


151
Upper part of anal canal is
a) Lined by stratified sq epi
b) Drained by sup inguinal nodes
c) Drained by inf rectal vein
d) Sensitive to touch
e) Sensitive to pain

152

Normal fetal heart rate
a) 40…. 60
b) 60…. 100
c) 100…. 120
d) 120…. 160
e) 160…. 200
Ans
D


153
One qs was about CVP.about its inc or dec in specific condition

154
Inc in systemic filling preesure causes
a) Inc venous return

155

Beta-blockers do not cause
a) Inc renin
b) Vasoconstriction
c) Bronchiodilation
d) …
e) …
ans
a

156

Lidocaine
a) Inc PR interval
b) Dec AP
c) Dec automaticity
Ans
A



157

A diabetic pt with BS 20mmole\l , obese,no complication,its 1st visit to a doc. What shold be the treatment?
a) Insulin
b) Insulin + sulphonylurea
c) Sulphonylurea
d) Biguanides
e) Biguanides +sulphonylurea
Ans
D


158

Pendulous knee jerk, cause
a) Cerebellar lesion
b) Upper motor neuron
c) Lower motor neuron
d) S2, 3,4
Ans
A


159

In which parasite the respiratory symptoms predominate?
a) Ascaris
b) Cystecercosis
c) …
d) …
e) …

160
Diagnosis of H.influnzae meningitis
a) Csf culture
b) Blood culture
c) Inc lymphocyte in csf
d) …
e) …
an
a


161
Antibody to TB bacteria is (dnt remember exact choices but they did ask regarding antibody against TB)
a) Cell bound
b) Membrane bound
c) in plasma
d) In saliva
e) …

162
In which phase os cell dividion the chromosomes are arranged in chromatids
a) Prophase
b) Metaphase
c) Anaphase
d) Telophase

163
Atrial contraction coresponds to
a) C wave
b) P wave
c) Qrs


164

Dorsal roots supply which musscles?
a) Internal intercostal
b) Externat intercostal
c) Innermost intercostal
d) Some back musscle

165

Internal spermatic fascia is derived from
a) External oblique
b) Internal oblique
c) Transvesalis fascia
d) Transversus abdominus
Ans
C

166
Inputs to cerebellum
a) From vestibular system

167
Resolving power of lens
a) That enables to see closely related subjetcs seperatly

168
Parasympathetic stimulation causes
a) Ciliary muscle contraction

169
RTA, 1.5L blood loss, skin is calm and cold due to
a) Vasoconstriction
b) Vasodilation

170

Most common manifestation of septic pt
a) Tachycardia
b) Hypotension
c) Inc GFR
Ans
B


171

Premalignant condition
a) Basal cell nevus
b) Dysplastic nevus syndrome
Ans
B


172

Tumor involving lymph vessels
a) Angiosarcoma
b) Cystic hygroma
Ans
B


173
A female having very high levels of prolactin, suffering from homonymous hemianopia. It’s due to
a) Compression of optic nerve
b) Damage to optic tract
c) Damage to optic radiation
d) Compression of upper part of optic chiasma
e) Compression of oculomotor n.
Ans
D


174

What u find in primary hyperaldosteronism
a) Inc k
b) Dec k
c) Hypotension
d) Inc renin
e) Inc angiotensin 2
Ans
B


175
Which take part in synthesis of aldosterone
a) Angiotensin 1
b) Angiotensin 2
c) Cortisol
d) …
e) …

176

Inc k causes
a) Inc aldosterone
b) Inc ADH
c) Dec aldosterone
d) Dec ADH

177
HYDROCHLORTHIAZIDE CAUSES
A) Inc k
B) Inc ca
C) Inc mg
D) Inc na

178
Hydrops fetalis occurs to RH –ve mother and RH +ve father. What type of hypersensitivity reaction occurred?
a) 1
b) 2
c) 3
d) 4
e) 5

179
Blood supply of eye except cones and rods
a) Central artery of retina

180
They gv senario of klinefeltr and askd what u will find most common
a) Gynecomastia

181

Aldosterone causes
a) Hyperkalemia
b) Hyponatremia
c) Hypercalcemia
d) Hypokalemia
e) Acidosis



Wishing all the part1 candidates GUDLUCK


DR. BUTTERFLY
FJMC,LAHORE.

Monday, September 14, 2009

MEDICINE JUNE 2009

1. H+ ion secretion in the kidney causes
bicarbonate reabsobtion
bicarbonate excretion

2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial

3. Drug used for mountain sickness
acetazolamide
scopolamine

4.Corneal opacities r caused by
ethambutol
phenothiazides


5. Captopril causes
hypokalemia
hyper kalemia

6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is
metabolic alkalosis
respiratory alkalosis
partially compensated metabolic alkalosis
partially compensated respiratory alkalosis

7. Which is P450 inducer
isoniazid
phenobarbitone
cometidine
ketoconazole

8. Which causes decreased gastric motility
Magnesium Sulphate
Aluminium Hydroxide


9. Serum gastrin levels are incresed by prolonged use of
antacids
PPI
H2 blockers
anticholinergics
beta blockers

10.Esophago gastric junction competence is maintained by
lying supine
incresed intra abdominal pressure
diaphragm paralysis
use of metoclopramadie
use of morphine

11. Patient has acute blood loss the mechanism triggered imediately is
baro receptor mechanism
renin angiotensin system

12. Carotid body receptors respond to
arterial PO2
arterail Pco2
13. propylthyouracil acts by
decreasing iodine uptake
decreasing TSH levels
decreasing thyro globulin levels

14. which is increased in first responce
Ig G
Ig M
Ig A

15. which crosses placenta
Ig G
Ig M
Ig A
Ig E

16. which is secreted in breast milk
Ig G
Ig A
Ig M

17. which has memory function
Ig G
Ig M
Ig A
Ig E

18. which drug causes abnormal differentiation between red and green colours
ethambutol
amiodarone
pyrazinamide

19. for best verbal communication skill one should hav
good vacabulary
competence in presentation
fluent speech
20. which is not caused by parasympathelic stimulation
increased GIT motility
micturation
miosis
sweating

21. ejaculation is caused by
sympathetic
parasypathetic
both

22. Alpha receptors stimulation causes
pupilaary dilation
increased heart rate
increased contractility

23. fracture of surgical neck of humerus, patinet cant raise arm and sensory loss on lateral surface of arm. damage to
axillary nerve
musculo cutaneous nerve

24. action of gluteus medius n minimus is
abduction n medial rotation
abduction n lateral rotation
adduction n medial rotation
adduction n lateral rotation

25. thymus is formed by
3rd pharangeal pouch
4th pharangeal pouch

26. bromocriptine causes decresed prolaction levels by acting on
dopamine receptors
cholinergic receptors

27. patients ecg shows increasing PR intervals and then a missed beat
first degree block
sinus arrythmia
Mobitz type 1 block
Mobitz type 2 block
3rd degree block

28. Digoxin is drug of choice in
Atrial flutter
Atrial Fibrillation
Ventricular Tachycardia
Bradycardia

29. patient after ischemic attack has ventricular tachycardia. drug that must b used is
lidocaine
amiodarone
verapamil

30. apex beat is
4th left intercostal space mid clavicular line
8cm to the left of midline in 5th intercostal space

31. young patient has bruises on the body and no other significant history n examination unremarkable. he has

idiopathic thrombocytopenic purpura
aplastic anemia
Hemophilia

32. Hemophilia is
X linked recessive
Autosomal dominant
Autosomal recessive

33. which investigation to be done in patient with hemophilia
PT
APTT
bleeding time
complete blood count

34. patient has hemoptysis and glomerulonephritis. diagnosis is
good pasture syndrome
wegeners granulomatosis
35. P falciparum causes
black water fever

36. C perferingens acts by
producine lecithinase
depleting ATP
causing hypoxia

37. Gonococcus in easily identified in exudate specimen by
gram staining
Z N staining
culture

38. which is not oncogenic
Hep B virus
Hep D virus
Herpes Simplex virus
EBV

39. Middle meingeal artery passes through
foraman spinosum
foraman lacerum
foraman rotundum
foraman ovale

40. damage to middle meningeal artery causes hematoma formation between
duramater n calvaria
duramater n arachnoid mater
arachnoid mater n piamater

50. which is present in cavernus sinus
abducent nerve

51. which cranial nerves r parasympathetic
III, VII, IX, X

52. patients right eye has moved upward n has his neck tilted to left to avoid diplopia. damage to
superior oblique
inferiour oblique

53. patient has homonymous hemianopia. lesion is at
optic nerve
optic tract
retina
optic chiasma

54. germ cells r derived from
ectoderm
endoderm
mesoderm

55. foreign body in trachea goes in which bronchus
right upper
right middle
right inferior
left inferior

56. which lobe has only 2 brocho pulmonary segments
right middle
right upper
left upper
left middle

57. during iso volumetric contraction
atrial pressure decreases
semilunar valves r open
coronary blood flow decreses
first heart sound is produced
second heart sound is produced

58. which is thick filament
actin
myosin

59. a sacromere is present between 2
Z lines
H band
A band

60. in muscle cells calcium is released from
endoplasmic reticulum
sarco plasmic reticulum
61. in kidney select the best order of arteries
renal > arcuate>interlobar>interlobular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole
renal>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>interlobar>afferent arteriole

62.after normal saline infusion
blood volume increases
Na excretion decreases
osmolality increases
renin secretion increases

63. after renal transplant which malignancy is common ???


64 babinski sign is positive in
pyramidal lesion
cerebellar lesion

65. ventral spino thalamic tract ends at
lumbar region
mid thoracic
end thoracic

66. commonest site of lumbar puncture is
L4-L5
L2-L3
S1-S2

67. which is not punctured during lumbar puncture
duramater
ligamentum flavum
longitudinal spinal ligament

68. after Rh incompatabilty what is given to the mother to prevent it next time
anti D antibodies

69. patient has blood group A+ which cannot b given to him
O+
O-
A-
AB-

70. hamartoma is
benign tumor
malignat tumor

71. medullary rays r present is
cortex
medulla

72. in Addisons disease what does not occur
hyper kalemia
hypokalemia

73. which is essential amino acid
phenyal alanine


74. which is teratogenic
alcohol

75. which is associated with cancer
methyl alcohol
propyl alcohol
76. HLA- DR4 is associated with
rheumatoid arthritis
SLE
scleroderma

77. which is present in SLE
anti DNA antibodies
anti jones antibodies
anti smith antibodies


78. which causes dysphagia
ankylosing spondylitis
scleroderma
dermatomyositis

79. iron deficincy anemia is
hypochromic microcytic

80. patients had gastrectomy , after 3 months she presents with
iron deficiciency anemia
pernicious anemia
hemolytic anemia

81. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, she is suffering from
iron deficiency anemia
megaloblastic anemia

82. which is tributary of portal vein
superior rectal
inferior rectal



83. what arches in front of the root of left lung
Arch of aorta
Azygus vein

84. selective beta blockers do not cause
broncho spasm

85. how will the effect of warfarin immediatelty reversed
vitamin K
FFP
protamine sulphate

86. RCA supplies
right atrium only
right atrium n right ventricle

87. tunica vaginalis is derived from
transversalis muscle
transversalis fascia
peritoneum
inter oblique muscle

88. turner syndrome has karyotype
45 XO
45 XX
45 XXy
45 XXX


89. which muscles divied submandicular gland in to super ficial n deep part
omohyoid
mylohyoid
anterior belly of digastric

90. patient has difficulty closin right eye and distorted facial appearance. he has damage to
right fascial nerve
left fascial nerve
right trigeminal nerve
left trigeminal nerve

91. which does not cause thenar muscle wasting
carpel tunnel syndrome
C8 neuritis
cervical rib
scalene muscle spasm
cervical spondylosis

92. a pregnat lady from hilly area presents to. fetal scan at term shows no anomaly. which of the following can still b present in the newborn
ASD
VSD
PDA
pulmonary stenosis
93. what is end product of glucose metabolism in the presence of oxygen
lactic acid
1 molecule of pyruvate
2 molecule of pyruvate


94. beetle chewing causes
submucuous fibrosis
leukoplakia
keratosis

95. which is last mediator in septic shock
IL-1
IL- 6

96. antigen antibody reactions r most reduced in
Liver failure
Low neutrophils
97. Clavulanic acid
destroys B lactamases
causes decreased penicillin excretion

98. Dose of Gentamicin is reduced in elderly due to
reduced renal function


99. GFR can b best estimated by
creatinine clearance
serum urea levels
serum creatinine levels

100. best test for diabetic nephropathy is
serum urea levels
serum creatinine levels
urinary albumin

101. which protein maintains red cell shape
integrin
secretin
spectrin

102. Cyanosis is due to
increased deoxy hemoglobin in blood
decresed PO2 in blood.
103 which of the following causes natriuresis
stretch receptors in atria
carotid bodies

104. patient has gall stones , which enzyme could b most likely raised
Alkaline Phosphatase
LDH
ALT

105. diffusion through alveoli is directly proportion to
thickness of membrane
total cross sectional area

106. transpot of materials by carrier proteins is example of
simple diffusion
facilitated diffusion
active transport

107. which does not has lymphoid follicles
speen
thymus
lymphnodes
payer patches

108. in congestive cardiac failure there is
incresed pressure in venous system

109. ventricular contraction causes which wave in JVP
a
c
v

110. site for venesection
great sephanous
short sephanous
111. which is not part of limbic system
vermis of cerebellum
amygdala
anterior thalamus
hippo campus

112. right gastric artery is branch of
gastro duadenal
right gastro epiploic

113. thiazide diuretics
donot require potassium supplemets

114. behaviour sciences is branch of science which deals with
behaviour of persons in different social , psychological conditions

115. pateint has loss of proprioception on right n loss of pain n temperature on left, lesion is
right hemisection of spinal cord
left hemisection of spinal cord

116. cerebral cortex is concerned with
voluntary movements of body

117. DVT is causes by
stasis of blood

118. lacrimal duct opens in
inferior meatus
middle meatus

119. in asthma
FEV1/FEV less than 65%
FVC is reduced

120 6 years old girl has meningitis. most common organis is
streptocossus pneomonie
Neiserria meningitidis
Hemophilus Influenzae
E Coli

121. exudate has
protein more than 3g/dl
specific gravity is less than 1.010

122. a young boy has distorted nose and cervical lymphadenopathy. lymph node biopsy shows non caseating granuloma and sputum AFB is positive, diagnosis is
TB
leprosy
sarcoidosis
syphilus

123. Lambda chain is present in
amyloidosis

124. which does not follow oro fecal route
tenia solium
trichuris trichuria
entrobius vermicularis
Ankylostroma duodenale

125. cholangio carcinoma is caused by
C Sinensis
paragonimus watermani
taenia solium


126. young boy has bilaterla parotid enlargement. diagnosis
bacterial parotitis
mumps
infectious mononuclosus

127.about Mycobacterium TB , which is false
causes disease only in humans
favors aerobic conditions
128. which is false about spores
produced under nutrient rich conditions
B Anthracis producs spores
C tetani produes spores
they r killed under 121 degree for 15 min in autoclave

129. fetal brain development is caused by
Growth hormone
thyroid hormone

130. gastric Acid increases most after taking
carbohydrate
protein
fats

131. which hormone effects carbohydrate, protein and fat metabolism
insulin
Growth Hormone

132. which is not an epithelial tumor
sq cell CA
adeno carcinoma
sarcoma

133. Bence jones protein are produced in
multipla myeloma

134. which hormone effects both nor epinephrine n serotonin metabolism
Mono amine oxidase

135. patient presents with epistaxis and bruising on body. best invertigation is
complete blood count
PT
Aptt

136. ADH acts on
Proximal tubule
Distal Tubule
Collecting Tubule

137. which is most slow growing malignancy of thyroid
Follicular CA
Medullary
Papillary
Anaplastic

138. Cerebellar lesion causes
Ataxia

139. patient with cerebellar lesion
cannot touch objects with his finger tip

140. PTH remains normal in
renal insufficiency
osteoporosis

141. Neonatal Rubella infection is screened by measuring which antibody?
IgM
IgG
IgM and IgG


also 6 -7 questions about aldosterone and blood pressure control

GYNAE OBS JUNE 2009

Gyn Obs JUNE 2009. Recalled By Syeda.


1-Etiology of cleft palate.

a-anticonvulsant
b-multiple preg
c-multifactorial
d-inc maternal age

2-left cleft palat dt malformation of.,

a-palatine shelves
b-maxillary prominence
c-med nasal prominence
d-lat nasal prominence
e-incisive foramen

3-germ cells derived from.,

a-ectoderm
b-endoderm
c-mesoderm
d-neural crest cell

4-karyotype of turner syndrom,,.......,,,,(smethng like dat exactly nt remembr)
a-45XO

5-which 1 contain granulosa cell,,

a-graffian follicle
b-,,,...,..,

6-in primary infertility,,diagnosis of failure of ovulation by ??

a-wid lower abdominal pain,,..,,
b-rise in basal body temp
c-middle of menstual cycle,,,
d-thick mucosa sec frm cx wch nt show fern pattern....

7-pentamer immunoglobulin is???

a-IgA
B-IgG
c-IgM*
d-IgD
e-IgE

8-Regarding entameba histplytica....

a-it is a nematode
b-it causes liver disease
c-occurs in both trophozoite nd cyst stage
d-it exist normally in intestine
e-..,.,.,.,.,

9-cornybacterium diphtheria..,.,

a-gm -ve bacilli
b-club shaped*
c-,,..,.,.

10-mode of cell injury by clostridium_____.....,,,,,???

a-ATP depletion.
b-.,.,.,.

11-shigella..

endotoxemia
neurotoxin
verotoxin
enterotoxin
exotoxin

12-corneal opacity caused by..

ethambutol
quinine
phenothiazine
chloroquine
.,,.,.,.,..,.....

13-drug inducer by p450 mechanism,..

cimitidine
ketokonazole
phenobarbitone
,.,.....,,,,,,,....
,.,.,.,.,.,.,.,.,.

14-last mediator of endotoxic shock...,..,

IL1
IL6
TNF ALPHA
LIPOPOLYSACHARRIDE

15-yellow fever inf occurs ,.,.,..,.,.,.,

endemic
sporadiac
pandemic
epidemic
.,.,.,.,..,.,.,

16-wall of inguinal canal Not formed by???????

ext oblique apponeurosis
lacunar lig
internal oblique
conjoint tendon
transversalis fascia


17-endocervical polyp in pregnancy,,,
Physiological
.,.,.,.,.,.,.,.,.,…

18-vaccination of mycobacterium T.B based on

Type I hypersensitivity
Type II
Type III
TYPE IV Cell mediated

19-after subdivided no of peoples into gps ,,sampling is taken a/c to age ….wat type of sampling it is
Random sampling (other options nt remember, ,,,stratified etc ,,,,,nt sure)

20-ultrasound..

4-8 weeks transabdominal u/s,, fetal heart sounds can detected
Cresenteric line seen w/h cnfirm pregnancy,,,,(smething like dat )


21-MRI
Frequencies,,,,,,,,,,,,
,nd methaemoglobin.,,,,,,,,,,, (these sort of alien words were written)

22-bone scan ,,,,,,
(name of sme disesases were written)

23-incidence,,,.,
No. of new cases in a population in a time given

24-pie chart

25-wch 1 is absent in muscles

Glucose 6 po4ase
Hexokinase


26-end product of glucose metabolism

Lactic acid
1molecule of pyruvic acid
2 molecule of pyruvic acid

27-hormone ass with glucose ,fats ,and protein storage

Insulin

28-fetal brain development

Growth hormone
Thyroid hormone

29-w/h of the following amino acid should be taken in diet

Alanine
Tyrosine
Glycine’glutamine

30-folllowing phagocytic cell present in circulation?

Monocyte
Macrophage
Lymphocyte
Neutrophils
31-morphine can be given in

Biliary cirrhosis
Terminal ill patient of cancer
Acute pancreatitis

32-functional layer of endometrium consists of

Stratum basal
Stratum compactum nd stratum spongiosum
Stratum basal nd compactum

33-maldevelopment of uro-rectal septum ,,

Rectovag fistula
Rectouterine fistula
Imperforate anus
Rectoperineal fistula

34-structure lying b/w labium majus nd minus

Urethral gland
Bulbourethral gland
Minor urethral gland

35-w/c 1 of following muscle not attached to tendon of perineal body

Ischiocavernosus
Ext urethral sphincter
Bulbospongiosus
Transverse perineal muscle

36-lymphoide nodule nt present in

Thymus
Spleen
Lymphnode



37-Notochord forms
Neural tube
Cns

38-epithelium of ovary
Simple cuboidal

39-pivot jt include

Atlanto occipital jt
Atlanto axial jt

40-sacroiliac jt
Fibrous .,.
Synovial.,.,
,,.,.,..,.,.,.,.

41-hamartoma is.,.,.,.,.,.,

42-an organ lined by stratified sq epi with inc cellularity, vascularity, nd elasticity,,tubular
glands in lamina propria
Vagina
Esophagus
Oropharynx
Duodenum

43-post relation of left ureter

Root of mesentry
Iliac vessel

44-outer lat quadrant of mamry gland drain into
Ant gp axillary lymph node

45-xerophthalmia dt
Vit A def

46-anti-oxidant
Vit E

47-w/h st having 3 layers of muscles
Fundus of stomach
Esophagus
48-fat embolism

49-regarding mammary tissues w/h is Not appropriate

Pect major, seratus ant,lie in deep relations
Can mov freely over retromammary space
Peau’d orange caused by lymphatic obstruction.,.,.,.,.,.,.,.,.
Puckering of skin dt subcut ductal infiltration.,.,.,.,.,.,.,.,.



50-lady died dt amniotic fluid embolism

During delivery
During c/s nd post partum
After post partum
During labour,delivery nd postpartum

51-pacinians corpuscles

Tactile touch
Fine touch
Temp
Pain
Vibration(I think it was nt in option nt sure)

52-H+ exchange in proximal tubules with

HCO3 reabsorption
K secretion

53-pat wid severly vomiting came wid breathlessness,,,PH=7.5,,HCO3=INC--------,,,PCO2=55

Metabolic alkalosis
Metabolic acidosis
Compensatory metabolic alkalosis

54-uterovag prolapse w/h lig is injured

Broad lig
Round lig
Transverse cx lig

55-alkaline po4ase rises in
Prostatic ca
BPH
Pancreatic ca

56-in ca mammary gland w/h drug is given in post menopausal lady

Tamoxifen
Clomiphen
.,.,.,.,.,.,.,.,.

57-in left shift O2 hbdissociation curve w/h 1 is increase
Fetal hb

58-in thalassemia there is

Poor hemoglobinization
Dyserythropoiesis
,.,.,.,.,.,.,,.,.,..


59-intravascular haemolysis diagnosed by

Reticulocytosis
Inc in hepatoglobulin binding
Inc TIBC
,.,.,.,.,.,.,.,.,……..

60-lady wid reddish cheeks, ,,arthritis,,,,,
SLE

61-in metaplasia w/h is inappropriate
Irreversible
.,,,,,,,,,,,,,.

62-acute inflammation

Transudate
Exudate
Inc protein content

63-w/h drug causing minimal GI side effects

Paracetamol
Aspirin
Ibuprofen
Ketorolac
Diclofenac

64-in 6 yrs old child meningitis occurs dt w/h organism

H-Infuenza
Ecoli
Niesseria

65-sepsis is diagnosed most appropriately by

Blood culture
Granulocyte <2000--->15000
H.R >100
HR>,.,.,…,

66-w/h is transmitted by mosquito
Yellow fever
..,.,.,.,.,.,.,.,.,

67-virus not associated with ca in human

HSV
HBV
HDV
HPV
Papova virus(papilloma vitus +polyoma virus)


68-w/h is more in human milk as compare to cow’s
Lactulose

69-gonococcus is best easily diagnosed by

Gram staining
Culture
ZN stain

70-w/h is completely covered by pretracheal fascia
Thyroid gland

71-is not an embryonic remanant

Lat umbilical ligament

72-oxytocin nd vasopressin originate frm

Hypothalamus
Neyrohypophysin
Autonomic ganglion

73-sucrose

Is a diasaccride
Metabolized into 2 glucose molecules
Reducing or non reducing (nt remember)

74-w/h of the following dis not ass with carcinoma

Lysosomal storage dis
.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.

75-rough endoplasmic reticulum
Protein synthesis

76-fragility of rbcs membrane

Spectrin
77-behavioural sciences .definition

78-verbal communication skill

Speak fluently
Education nd research training
Presentation
Good vocabulary

79-Not a function of beta blockers

-ve ionotropic
-ve chronotropic
.,.,.,.,.,.,,.
.,.,.,.,.,.,.,.,.,.

80- alpha blockers


81-centrally acting HTNsive

Clonidine
Methyldopa
.,.,.,.,.,.,.,.,.,.

82-w/h 1 decrease the muscle length

Golgi tendon organ
Muscle spindle
.,,,,,,,,,,,,,,,,,,,,,,,

83-cerebellar lesion,

Ataxia
Rigidity
Initiate muscle movement

84-pre-motor cortex lie in
Frontal lobe
85-coccygeal part of spinal cord lie at the level of w/h vertebra

C2
L2
S1
S2

86-lie in true pelvis nd crosses frm med to lat side of pelvis

Sup rectal art
Middle rectal art
Inf rect art
Internal iliac

87-inf fascia of urogenital diaghphram also called as

Perineal membrane

88-female pelvis also called as

Android
Anthropoid
Platypelloid
Mesatipellic

89-at crowning w/h muscle is cut during episotomy

Bulbospongiosis


90-lumbar puncture

L2 L3
L3 L4
L4 L5
S1 S2

91-Lactation,,,,,,
Hormones,,,wh stimulate

92-prolactin hormone
Stimulated by,.,.,.,.,.,.

93-pregnancy is diagnosed by
Gonadotrophin hormone

94-urogenital diagphram inserted on

Ishchial tuberosity
Ischial spine
Sub pubic arch
Ischial ramus

95-w/h muscle div submandibular gland into superficial nd deep part

Mylohyoid
Ant belly of diagastric

96-root of left lung
Azygous vein arched at root of left lung.

97-teratogenic

Alcohol
Caffeiene

98-carcinogenic
Methyl alcohol
Benzidine
99-pat with blood gp A should nt given

A+
A_
O
AB

100-. Regarding kidney ,w/h sequence is correct

renal art > arcuate>interlobar>interlobular>glomerular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole>glomerular
renal>glomerular>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>glomerular>interlobar>afferent arteriole


101-in muscle ca+2 release frm

sarcoplasmic reticulum
T-tubule
Sarcomere

102-sarcomere
b/w 2 z line

103-parasympathetic nerves r
3, 7, 9, 10

104-w/c is present in de cavity of cavernous sinus

Abducent nerv
Trochlear
Occulomotor

105-in haemophilia

PT INC
APTT INC
Inc bleeding time

106-gestational age estimated frm.,.,.,.,.

Abd circumference.,,.
Biparital diameter.,.,.,. wks
Crown rump length ,,, 8 weeks.

107-norepi + serotonin degraded by
MAO

108-at last trimester w/c uterus is sensitive to w/c hormone
Oxytocin

109-to prevent heat loss
Shivering
Vasoconstriction

110-inc K
Aldosterone sec

SURGERY June 2009

SURGERY JUNE 2009. Recalled By Safwan. Thankyou.

(C) Means correct.

1. Gland of cloquet is located in:

a. inguinal canal

2. Below is a carcinogen:

a. methyl alcohol
b. propyl alcohol
c. benzidine (C)

3. Incidence is:

a. number of new cases in a population (C)

4. Following is correct about femur:

a. the head is in line of medial condyle
b. the angle between the neck and shaft is average 125 degrees. (C)

5. Subclavian artery passes:

a. above the 1st rib (C)
b. below the 1st rib

6. Abdominal angina is caused due to:

a. Superior mesenteric artery (C)
b. inferior mesenteric artery
c. celiac trunk
d. abdominal aorta

7. Left Suprarenal vein drains into:

a. inferior vena cava
b. left renal vein (C)
c. phrenic vein
d. portal vein

8. Squamous cell carcinoma of urinary bladder is caused due to:

a. shistosoma (C)

9. The species which causes carcinoma in urinary bladder is:

a. shistosoma mansoni
b. schitosoma hematobium (C)

10. Oxidative breakdown of glucose during glycolysis generates:

a. 1 pyruvate
b. 2 pyruvate (C)
c. lactic acid

11. Referred pain to shoulder is via:

a. C1, 2
b. C2, 3
c. C3, 4, 5 (C)
d. C5, 6

12. Following is not palpable on per rectal examination:

a. Ureter
b. Prostate
c. Seminal vesicle
d. ??
e. ??

13. Spinal cord ends at:

a. S2
b. L1-2 (C)
c. L3
d. L5

14. Femoral sheath is composed of:

a. transversus abdominis fascia
b. internal oblique fascia
c. iliacus fascia (C)

15. Fracture at neck of fibula:

a. injury to common peroneal nerve (C)
b. superficial pernoeal nerve
c. deep perneal nerve
d. tibial nerve

16. Posterior displacement of knee is prevented by:

a. Anterior cruciate ligament
b. Posterior cruciate ligament (C)
c. Tibial collateral ligament
d. fibular collateral ligament

17. A patient had cut in the center of wrist during a suicide attempt, he has no abduction or adduction of fingers plus no abduction of the thumb, the injury is to:

a. ulnar nerve
b. median nerve
c. radial nerve

18. Lymphatic supply of mammary glands is:

a. parasternal lymph nodes
b. abdominal lymph nodes
c. axillary lymph nodes (C)

19. Defecation is because of:

a. mass reflex
b. myenteric reflex
c. S2, 3, 4 (C)
d. Parasympathetic reflex

20. Prolonged coma is because of lesion of:

a. both frontal lobes lesions (C)
b. one frontal lobes lesion
c. periaquaductal area lesion
d. midbrain lesion

21. Retrograde amnesia:

a. can be abolished via prefrontal lobotomy
b. appears in amygdala lesions and propranolol therapy

22. Projection fibers of cerebral cortex travel through:

a. internal capsule (C)
23. Regarding neural tube which one is correct:

a. Involved in CNS development (C)
b. Involved in meninges development

24. Primordial germ cells are of:

a. ectodermal origin
b. mesodermal (C)
c. endodermal

25. Urorectal septum divides the cloaca into:

a. anus and urinary bladder
b. anorectal canal and urogenital sinus (C)

26. ADH and Oxytocin are released from:

a. suprachaismatic
b. preoptic
c. adenohypophysis
d. neurohypophysis (C)

27. Termination of subarachnoid space is at:

a. L2
b. S2 (C)
c. L5
d. S4

28. Following is true about middle meningeal artery:

a. Passes through foramen spinosum (C)

29. Mass reflex is elicited by:

a. decortication
b. complete section of spinal cord
c. lesions of cervical or thoracic spinal cord (C)

30. Medial lemniscus system mediates:

a. Pain
b. Temperature
c. Tickling
d. Fine touch (C)
31. What prevents muscles from over-stretching:

a. Golgi spindles
b. muscle spindles (C)

32. Hamartoma is a:

a. neoplastic condition with no malignant potential
b. non-neoplastic condition (C)
c. completely benign
d. malignant

33. In chronic hemolysis, following will deposit in tissues:

a. bilirubin (C)
b. biliverdin
c. conjugated bilirubin
d. lipofuscin
e. iron

34. Premalignant lesion of mouth is:

a. ??
b. ??

35. Complication of betel nuts chewing is:

a. haemorrhage ??
b. ulceration ??
??
??
??

36. Cleft palate is caused due to:

a. Viral
b. carbamazepine
c. multifactorial (C)
d. antiepileptics

37. A House surgeon is operating on posterior triangle, which structure is at risk:
a. spinal portion of accessory nerve (C)
b. cranial portion of accessory nerve

38. During surgery on submandibular glands, how will you protect labial branch of facial nerve:

a. lift the deep fascia of hyoid bone
b. nerve stimulation studies
c. protecting it as it enters surgical field
d. lifting the blood vessels

39. Enzyme for breakdown of serotonin and Norepinephrine is

a. Catechol - o - methyltransferase
b. Monoamine oxidase (C)

40. Inducer of drug metabolism is:

a. ketoconazole
b. phenobarbitone (C)

41. Lesions of cerebellum causes:

a. failure of initiation
b. resting tremor
c. rigidity
d. ataxia (C)

42. Essential amino acid is:

a. Glycine
b. glutamate
c. tyrosine
d. phenylalanine (C)

43. Slow growing tumour of thyroid is:

a. papillary
b. follicular
c. adenoma

44. Following are features of thyroid tumour:

a. ??

45. Premalignant condition of colon carcinoma:
a. inflammatory polyp
b. hyperplastic polyp
c. hamartomatous
d. adenomatous (C)
46. Among the following statements about parotid gland, which is false:

a. It has two lobes
b. parotid duct arises from deep lobe
c. retromandibular vein is related to its inferior pole
d. ??
e. ??

47. Which nerve lies in the cavernous sinus cavity:

a. III, V
b. IV, VI
c. VI (C)
d. IX

48. Muscles of facial expression are all of the following except:

a. orbicularis oris
b. orbicularis oculi
c. buccinator
d. platysma
e. ?? (C)

49. Taste is sensed by all of the following except:

a. fungiform
b. filliform (C)
c. circumvellate

50. Tympanic membrane forms:

a. lateral wall of tympanic cavity

51. Thyroid gland is surrounded by which fascia:

a. investing
b. pretracheal (C)
c. prevertebral
d. deep

52. Azygous vein:

??

53. Facilitated diffusion is:

a. energy dependent
b. carrier mediated (C)

54. The most significant prepotential is that of:

a. atria
b. ventricles
c. SA node (C)

55. Best mechanism for temperature loss:

a. Vasonconstriction
b. thirst
??
??

56. Acute inflammation:

a. transudate
b. exudate (C)

57. alpha-adrenergic discharge leads to:

a. cardioacceleration
b. baroreceptor reflex

58. Which organ gets less than required oxygenation during exercise:

a. Skeletal muscle (C)
b. kidney
c. skin
d. brain
e. heart

59. H+ ion secretion is in:

a. hyperkalemia
b. acidosis (C)
c. alkalosis
60. H+ secretion is associated with:

a. excretion of bicarbonate
b. reabsortion of bicarbonate (C)
61. Central and peripheral regulation of respiration is via:

a. PCO2
b. PO2
c. pH
d. CO

62. A fisherman came to emergency department with pallor. The most probable cause for this is:

a. Diphylobothrium (C)

63. Ileal resection leads to:

a. Increased iron absorption
b. Decreased amino acid absorption.

64. Aldosterone production is stimulated via:

a. Heart failure
b. Decreased perfusion of kidney
c. Renin (C)
d. Increased Na

65. Another use of thyroid hormone is:

a. Weight loss
b. Appetite
c. Hair loss
d. ??
e. ??

66. Anabolic hormone is:

a. Insulin (C)
b. Glucagon

67. Adult Polycystic Disease is:

a. Autosomal recessive
b. X- linked recessive
c. Autosomal dominant (C)
d. X linked dominant
e. Mitochondial

68. Lymphatic supply of ovary is:

a. Internal iliac lymph nodes
b. external iliac lymph nodes
c. deep inguinal
d. lumbar/paraaortic (C)
e. sacral

69. Remnant of mullerian factor is:

a. Duct of gartner
b. Round ligament
c. Appendix of testis (C)

70. Tuberculous ulcer has which type of edges:

a. Everted
b. Punched out
c. Sliding
d. Undermined (C)
e. Elevated

71. Severe infection in a post-transplant patient is due to:

a. Influenza virus
b. Streptococcus
c. Staphylococcus
d. Cytomegalovirus (C)

72. Within 10 hours acute transplant rejection is due to:

a. Type I
b. Antibody-mediated (C)
c. Type III
d. Cytotoxic T cells
e. Type V

73. Following is true about MAI:

a. Widespread resistant to TB drugs
b. Only causes lung disease
c. Very common

74. Following is true about cryptorchidism:

a. Failure of descent of testis from abdomen into scrotal sac.

75. Definition of Behaviour sciences is:

a. Scientific study of human behaviour
b. Scientific study involving epidemiology, biostatistics, ethics, psychology, sociology. (C)

76. Good communication skills are in a person who:

a. Who does presentations (C)

77. RER function is:

a. Protein synthesis (C)
b. Transcription
c. Post-translational modification

78. Following is true about sarcomere:

a. Is formed between two intercalated discs
b. Is formed between two Z-discs (C)

79. Calcium is released into muscles via:

a. Mitochondrion
b. RER
c. Sarcoplasmic reticulum (C)

80. Lymphatic nodules are not present in:

a. Thymus (C)
b. Spleen
c. Peyers patches
d. Tonsils

81. In Pnemothorax following happens:

a. Lung collapses and chest expands
b. Lung collapses and chest indraws (C)
c. Lung expands and chest expands
d. lung expands and chest indraws
e. lung expands and chest remains same

82. Vaccine of Bacillus-Calmette-Guerin is which type of vaccine:

a. Formaline killed Toxoid vaccine
b. Heat killed organism
c. Live attenuated (C)

83. Vaccine of Bacillus-Calmette-Guerin induces which type of immunity:

a. Active (C)
b. Secondary immunity
c. Passive

84. Which one is true about corynebacterium diphtheria:

a. Produces powerful exotoxin (C)
b. Produces powerful endotoxin

85. The most common cause of pneumonia in 6 months to 2 years age group is:

a. Neisseria
b. Streptococcs pneumonia
c. E. Coli
d. Haemophilus influenza
e. Streptococcu pyogenes

86. Pseudo membranous colitis is caused by:

a. Clostridium tetani
b. Clostridium botulinum
c. Clostridium perfringens
d. Clostridium difficile

87. Clostridium perfringens causes injury via following mechanism:

a. free radicals
b. hypoxia (C)
c. Invasion

88. Neisseria best diagnosed most easily via:

a. Gram stain (C)
b. Culture

89. Ocular opacity can be caused by:

a. Ethambutol

90. Hydatid disease caused due to ingestion of:

a. Cyst
b. Eggs (C)

91. Patient is having MCV=78, MCH=28, it is:

a. Normochromic normocytic anemia
b. Normchromic microcytic
c. hypochromic microcytic
d. hypochromic normochromic

92. Patient is vomiting: ph = 7.25, PCO2=45 (35=45), HCO3=35. Cause is:

a. metabolic acidosis
b. metabolic alkalosis
c. partially compensated metabolic alkalosis

93. Most common cause of Deep Venous Thrombosis is:

a. Contraceptive pills
b. Trauma
c. Surgery
d. Immobility (C)

94. Most common cause of hospital acquired pnuemonia is:

a. Streptococcus
b. Pnemococcus
c. Pseudomonas (C)

95. Following is an important component of Counter current exchange mechanism:

a. Vasa recta (C)
b. Proximal tubule
c. Distal tubule

96. Submucous glands are present in:

a. Stomach
b. Dudenum (C)
c. Iluem
d. Large intenstine

97. Patient is having bone pains, PO4 is decreased, Ca++ is raised, most probable cause is:

a. Pagets disease
b. Osteoporosis
c. Osteopenia
d. Hyperparathroidism (C)

98. Calcitonin works by:

a. Increasing bone resorption.
b. Decreasing bone resorption (C)

99. True hermaphrodite genotype is:

a. XY
b. X0
c. XXY (C)

100. Testosterone is produced by:

a. Sertoli cells (C)
b. Leydig cells

101. The vasculature of kidney is:

a. Afferent -> glomerulus -> efferent -> vasa recta

Alongwith these there were few questions about premalignant conditions of mouth and a question about which is correct about cholesteatoma. There was a Murad MCQ about pie chart.