Monday, July 30, 2007

MEDICINE Q's July 07 Part-1

1) What structure is located superio-posterior to pituatory fossa
Mastoid air cells
Ethmoid sinus
Sphenoid sinus

2) Which Lung function Test is diagnostic of Asthma?
FEV1
FVC
FRC
RLC

3) Bee sting, shock like condition of a child, flushed, what mechanism is involved
Type 1 reaction
Type 2
Etc

4) What sensory receptors sense VIBRATION?
Pacinion corpuscles
Ruffini
Etc

5) Cause of anemia in Pregnancy
Fall in Hb
Decreased heme
Volume Expansion.

6) Cut to the postero lateral area of FOREARM near the head of Radius, a nerve is cut, cant appose thumb, no sensory loss, difficulty (I guess extending) thumb, injury to
Radial
Median
Ulner

7) Structure not passing through FLEXOR RETINACULUM of forearm
Ulnar nerve
Median Nerve
Flexor policis longus
Etc

8)Cause of SQUAMOUS METAPLASIA in a 38yrs old lady
Multiparity
HSV infection
IUCD

9) Mild CCF symptoms, Monotherapy to be prescribed
ACE-I
Thiazide
Frusimide
Ca Channel blockers

10)Pregnancy Induced Hypertension, Rx?
Methyldopa
11) Side Effects of ACE inhibitors
Hyperkalemia
HypoKalemia
Hypercalemia
Hypocalcemia

12)BARRETT’S Esophagus, whats the cause?
Loss of Myenteric nerve plexus
Failure of relaxation of LES

13) Which is not a branch of VAGUS
Lacrimal Nerve

14) Volume of Distribution, Defination?

15) First pass Hepatic Metabolism, Basic concept.

16) Branches of BASILAR Artery

17) Vertebral Artery Branches. Like, which is a branch of it.
(Circle of Willis was a hot thing this time, more than 3 Q)

18)Which of these form Circle of Willis
Post communicating artery
Vertebral A
Basilar A

19) RENIN ANGIOTENSIN System
Mechanism of Aldosterone release, the basic concept.

20)Body concerves body water by
ADH release
Cortisol release
Aldosterone

21) METAPLASIA, Defination.

22) HYPERPLASIA Definition.

23) VOLUME DEPLETION, Which mechanism is activated
Renin angio aldo system
ADH
Etc

24) Which drug has a n ATROPINE LIKE ACTION
Physostigmine
Scopolamine

25)Old obese Diabetic, newly diagnosed, choice of Rx?
Biguanides
Biguanides plus sulphonylurea
Insulin

26) BARRETT ESOPHAGUS can lead to:
Adenocarcinoma esophagus
Adenocarcinoma Stomach
Sq carcinoma Esophagus
Stricture

27) Location of PSEUDO STRATIFIED SQUAMOUS Epithelium

28) STRATIFIED SQUAMOUS Epithelium, characters

29) Pseudo Stratified COLUMNER CILIATED Epithelium, Location?

30) Histological section of a lymphoid tissue, a cortex and a medulla seen, and some ?ducts visible, Identify.

31) Which cells cannot PHAGOCYTOSE
Kuffners cells
Mast cells
Monocytes
Polymorphs

32) SENSORY RECEPTERS in Joints

33) Complement system is activated by the interaction of ?some factor with
A (cant remember the options)
B
C

33) Most Important use of ECF
Excretion of CO2 from body
Electrolyte exchange
Cell nutrition

34) Reasons for susceptibility to infections in AIDS
Decrease in CD4 count
CD8

35) HAIRY LEUKOPLAKIA is seen in
Fungal infection
HIV
Etc

36) Following PARTIAL HEPATECTOMY, remaining part can regenerate in
10 days
15-25 days
5 weeks
7 weeks

37) Which drug binds to COX-2 recepters and not to COX-1
Aspirin
Indomethacin
Piroxicam
Meloxicam
Ibuprofen

38) What is transmitted through corpus callosum.

39) What is the result of a lesion at the OPTIC CHIASMA

40) What structure is Not related to OPTIC TRACT?
Lateral Geniculate body
Medial ~

41) Area of brain affected in BITEMPORAL HEMIANOPIA

42) CSF pressure is increased when what structure is blocked :
Internal Jugular vein
Common carotid

43)Functions of CEREBELLUM

44) Venous drainage of the HEART
Anterior cardiac sinus
Inferior vena cava
Cardiac vein

45) RIGHT HEART BORDER is formed by
RA
RA+SVC
RA+RV

46) CIRCUMFLEX ARTERY supplies
LA LV
Apex
LA
L auricle

47) Whats correct regarding HEART?
Atria and Ventricles contract simultaneously.
Contraction starts from Left apex
Left Atria is 3 times larger than Right atria.
Left atria is 1st to contract
Excitation passes from Atria to Ventricles directly.

48) What structures are present in the free border of the LESSER SAC
Cause of abdominal angina, occlusion of:
Superior Mesenteric A
Inferior Mesenteric A

49) Lymph Nodes involved in Ca CERVIX are?

50) Ca Cervix is caused by:
IUCD
HSV
HIV

51) Sympathetic stimulationof Beta recepters causes
Bronchial dilatation

52) Mix lesion of loss of pain and Temperature of one side and Proprioception of the other side, whats the cause/where is the lesion.

53) In Cervical part of spinal cord, whats deficient?
Grey matter
White matter
Anterior Horn
Lateral horm
Posterior horn.

54) In REM sleep, the following happens:
Dreams
Sleep Walking.

55) Lesion in the Broca’s area:
Can’t write
Can’t speak except in few words

56) Surfactant:
Decreases compliance
Decreases when alveolar size decreased
Has a low turnover rate

57) An athlete at rest:
Increased Stroke rate
Increased cardiac output
Increased Heart rate

58) H-K-ATPase pump is blocked by
Omeprazole
Cimetidine
Bismuth

59) Murmur of MS best heard at
Apex
Tricuspid area
Etc

60) In Hypertension, Renin release is mediated by
Renal artery dilation
Na in distal limb loop of Henle

61) Vasodilation is mediated by
Histamine

62) Tidal Volume is a part of which capacity

63) Pneumoconiosis, whats the differenciating lesion
Fibrosis
Pleural plaques

64) Mesothelioma:
Pleural Plaques

65)Asthma, which investigation is diagnostic: (BRS-Physio Page 136 to confirm)
Decreased Fev1
Decreased FRC

66) Thellasemia, Where is the defect – in Heme or Globin

67) CCF, raised Ph, carbon dioxide 44mmhg, Hco3 raised.
Whats the metabolic disorder.

68) Histology of nephron, which part is in the medulla
Loop of Henle
Collecting duct

69) Infusion of I/V dextrose, how will body respond
Decrease in insulin release
Increase in Glucagon
Cortisol release
Somatostatin release

70) Bone lesion in the elderly, bone matrix is being eroded, which hormone is responsible

71) CRF, Hypertension, which of these changes CANNOT happen:
Raised Potassium
Decreased Calcium
Decreased Hb
Decreased Po4

72) Release of ADH happens under what circumstances,
(Basic concept)

73) Acid is released in stomach when
Proteins are ingested
Fat
Carbohydrate

74) Crohn’s disease, differenciating lesion from UC:
Perianal disease
Etc

75) Appendicitis, on lab test major finding :
Raised TLC
Water levels in R Iliac fossa

76) Polypeptide hormone:
Growth Hormone
And 4 steriod hormones mentioned

77) Protein synthesis in secretory cells:
RER
SER
Golgi A

78) Peroxisomes release:
Hydrolysing enzymes

79) Hormone/s responsible for BREAST ATROPHY
E
P
E+P

80) Dumb Question>>
Which Hormone is responsible for respiration during the leutinisation phase
FSH
LH
E (Do leave a comment if you think this Q makes any sense)
P
LH

81) Hashimoto’s Thyroiditis (Scenario given), whats the cause?

82) Pheocromocytoma, whats the treatment?
Alpha blockers
Beta blockers
Both Alpha+ Beta.

83) Hypertension, Increased Na, Decreased K, whats the reason
Ans: Hyperaldosteronism

84) Non Anionic Gap Metabolic Acidosis is seen in

85) Effects of Insulin on body fat deposits/metabolism

86) Gametogenesis

87) Modes of inheritance, ( 2+ questions were there) Like which is what. Autosomal Dominant was asked

88) Autosomal Recessive disorders are:

89) Wheat contains which vitamin/mineral

90) Child having diarrhea, has been on glutin free diet for 8-10 days. Whats the diagnosis
Shigella
Whipples
Celiac disease

91) Young girl with emlarded clitoris
Androgenital syndrome
Down
Etc

92) An old man hit by car bumper> #fibula, which nerve is affected.
Ans: common paroneal

93) Knee fully extended, in a locked-in position, which nerve is affected.

94) Right foot in the air, Left pelvis sinks down, which nerve is affected?
L Superior Gluteal Nerve (correct)
R Superior Glut
L Inferior Glut
R Inferior Glut

95) About Ca Colon,
Right sided present early
Cause is increased fat intake, low fibre (correct)

96) Man, previously had a disorder in U bladder, now came for follow up and is found to have Ca, whats the cause:
Nitrosamine
Schistosoma

97) Lateral quadrant of breast drains into which group of Lymph node.

98) CA anterior 2/3 tongue, which group of lymph nodes are involved:
L anterior superior submandibular
R
L Post Sup submandibular
R post sup submandibular.

99) Chorda Tympani, course.
Option: joins lingual nerve when exits skull.

100) About Lacrimal gland,
Is located in lacrimal fossa on the lateral side
Both glands drained by single duct.

101) Lacrimal duct opens at:
Superior
Inf
Middle
Spheno ethmoidal recess

102) In pure motor stroke, which area is involved

103) Functions of Corpus callosum, Globus pallidus, Putamen.

104) A patient on a psychiatric drug, side effects mentioned, which drug is responsible.
Clorpromazine
SSRI
Etc

105) A man, around 35 brought to emergency, sweating, salivation, Heart rate 45, BP 60/40, whats the treatment.
Atropine (correct) (Organo phosphate poisoning.)
Lignocaine
Digoxin

106) This area is normally resonant to percussion
2-4 Intercostal space on Right
2-4 Intercostal space on Left
5-6 I/c space on Right
5-6 I/c space on

107) Boy, age 10, history of trauma to chin 2 years ago presents with inability to open mouth fully, cause?
Sub mucous fibrosis
Misplaced Injection
Ankylosis of TM joint

The Q's below are courtesy of 'Dr Daffodil'.

108) Vitamin raised in disturbed homocystine metabolisma.B1.b.B6c.B12
109)Vit B 6 involve ina.oxidationb.reductionc.Carboxylation
110) End product of Purinea.uric acidb.urea
111) Miscellesa. contains more Triglyseridesb.absorb fats in duodenum
112) Chemotherapy causesa.degenerationb.apoptosis

113) Corpus callosum containsa.commisural fibersassociation fibers
114) Aphasia a.paralysis of muscles of palate/toungueb.due to damage of frontal cortex in dominant hemisphere
115) Tabes dorsalis causes bladder incontinence due to a.Atonic bladderb.automaticc.neuropathic
116) Dopamine regulates a.Prolactineb.Somatostatin
117) Neurotransmitter related to emotionsa.ACHb.Norepinephrinc.glutamted.Dopamine
118) Proencephalin is abnduntly found ina.Basal ?Gangliab.Cerebellumc.Thalmus
119) Regarding pul. circulationa. resistance is (dont remember % or ratio) less than systemic circulation
120) During Ventricular ejectiona. min pressure difference b/w Lt. Vent. and Aorta
121)Facial nerve/chorda tympani?( dont exactly remember)a. supply mucus membrane of int. earb.gives secretomotor fibers to Parotid gland
122)Disease of cervix inolves lymh nodesa.Int. illiacb.Int. n ext. illiacc.depp inguinald.Para aortic
123) prostate CA which lymph nodes be involveda.Int.illiacb.Para aorticc.Deep Inguinal
124) Radiotherapy effect the most a.ovaryb. Ut. tubesc.uterusd.cervix
125)CSF showing raised neutro,proteins ,low glucose .which drug to givea.ceftriaxoneb.rifampicin
126) Insensible lossoesa.200-400b.500-600c.800-1200127) Pri. opsonin in classic pathwaya.C5ab.C3ac.IgGd.C3b

Surgery Q's July 2007 FCPS-1

1.mesothelioma is
.present in all da body cavities
.lined by simple cuboidal epi

2.surfactant is produces by
.kidney
.liver.
.pneumocytes1
.pneumocytes2

3.allantois is
.first formed blood vessels(sumthin like dat)
.remains of vitelline duct(sumthin like dat)

4.activation of one of followin occurs in kidney
.cholecalciferol
.renin

5.a pt cums 2 u wid loss of abduction of right arm upto 30degrees....but ven supported upto 30 drgrees abduction is normal,which muscle is involved?
.deltoid
.supraspinatuis
.infraspinatus
.teres major

6.how many valves r present in great saphenous vein?
.5
.10
.15
.20
.25

7.the ca head of pancreas may compress
.common bileduct
.duodenal artery
.spenic artery

8.wot structure arches over left bronchus
.aortic arch
.azygous vein

9.the central regulation of temperature occurs in
.hypothalamus
.pons
.medulla
.cerebellum

10.there was another stem regarding da temperature regulation but it was asked peripheral temp regulation...n one of da option was skin in dat plus anterior hypothamus...i dun remember da xact stem!

11.fine voluntary skilled movements of upper xtremities r conducted by
.cerebellum
.medulla
.pons
.upper motor neuron
.cortico spinal tract

12.there was another stem regardin fracture of bone n its complication...i dun xactly remember da clinical correlated stem...but one of da option was FAT EMBOLISM

13.which sensory part is involved in da flexion of knee joint? (sumthin like dat)
.s1-s2
.s3-s4
.s4-s5

14.a pt is unable 2 flex metacarpels,inability 2 abduct fingers,
and unable 2 flex wrist joint(i think)...which nerve is damaged?
.ulnar nerve above da elbow joint
.ulnar nerve below da elbow joint
.radial nerve
.median nerve

15.an unaffected stage in amoeba
.amoebic cyst
.amoebic larva
.adult amoeba (sumthin lyk dat)

16.which structure has no embryonic bacground?
.ligamentum teres
.ligamentum venosus
.median longitudnal lig
.medial longitudnal lig

17.all those structures in contact wid air hav da following epi
.stratified squamous epi
.keratinized sqamous epi
.non keratinzed sq epi
.pseudo startified sq epi

18.simple cuboidal epi is present in
. ducts of salivary glands

19.anemia,neutro penia and hepatosleenomagaly is present in
.falciparum malaria
.chagas disease

Gynae Obs Paper July 2007 Part-1

Questions sent by Dr Samra.

1. Eversion of cervix during pregnancy occur in response to:
a) Estrogen
b) Physiological change
c) Ca Cervix
d) Gonadotropins
e) Cervicitis

2. If Carcinoma involves nipple of breast which lymph nodes r likely
to involve first?
a) Pectoral
b) Apical
c) Central
d) inernal mammary

3. A Pt. came in OPD With enlarged Ant.Axillary lymph nodes and diagonosed a case of Ca Breast , which region is most likely involved?
a) Upper Outer Quadrant
b) Lower Inner Quadrant

4. More or less same question as # 3. reapeated again

5. A pt came to you with primary amenorrhoea,webbed neck,short stature diagnosed as Turner syndrome, wht is her karyotype?
a) 45XO
b) 46XY
c) 47XXY

6. A normal looking Girl came to you with primary amenorrhea,on examination she was having short blind vagina wid normal vulva, scanty pubic n axillary hairs,normal breasts,absent uterus,her karyotype is?
a) 46XY
b) 47XY
c) 47XXY

7. Wht is the best way to detect exact gestational age of fetus?
a) CRL at 8 wk.
b) Femur length at 28th wk.
c) Biparietal diameter at 18th wk.
d) Abdominal circumference at.....

8.Sperms life span in female genital tract is ?
a) 24 to 48 hrs
b) 24 to 72 hrs

9. Spermatogenesis is controlled by?
a) Testosterone
b) FSH+ Testosterone
c) LH
d) Estrogen

10. Almost same as above

11. In drug receptor relations which one is incorrect?
a) Bradycardia --- Propranolol
b) Miosis --- Pilocarpine
c) Skeletal Muscle Paralysis --- Tubocurarine
d) Bronchodilation --- Salbutamol

12. Which one of them do not pass through Lesser Sciatic Foramen?
a)Tendon of obturator internus.
b)Pudendal Nerve
c)Internal Pudendal Vessels
d)sup. & inf. gluteal vessels

13. In a motorbike accident neck of fibula fractured and lead to a loss of dorsiflexion n eversion of foot,which nerve is likely to b damaged?
a)Common Peroneal
b)Deep peroneal
c)Superficial Peroneal

14. Wht is most likely to b true about pudendal nerve?
a) Enter the ischiorectal fossa thru its lateral wall
b) Leave the pelvis thru upper part of greater schiatic notch
c) Re enter the pelvis thru lesser schiatic notch

15. If perineal body is cut which muscle likely to b damaged?
a) Bulbospongiosus + superficial Transverse Perieal
b) Deep + Superficial Transverse Perineal

16.Ureter is found at :
a) the bifurcation of common iliac artery
b) pelvic brim

17. If ovaries are removed frm ovarian fossa, wht is most likely to b damaged?
a) Internal iliac
b) uterine artery
c)Ovarian artery
d) External iliac artery

18. To reach the uterus, uterine artery crosses the:
a)Ureter
b)Fallopian Tube
c)Ligament of ovary


19. If Ca.Cervix metastasize to Labia majora which one of these is most likely responsible for spread?
a) Round lig. Of uterus
b) pubocervical ligament
c) pectineal ligament

20)which structure do not participate in forming the walls of inguinal canal?
a) Transversalis fascia
b) Internal Oblique
c) External Oblique
d) Conjoint tendon
e) Lacunar ligament

21) If after 1 hr of ceaserian section pt start b bleeding internally which one is most likely damaged?
a) Uterine artery
b) Internal iliac a.
c) Ovarian artery
d) uterine vein

22) If on lying down pt became dyspnoec wht is the cause?
a) Retrosternal goiter
b) Multinodular goiter
c)

23) If a women at 10th week pregnancy hav Hb 12;Hct 25 Normocytic Normochromic film but at 32 wk pregnancy her Hb is 10.9 ; Hct 20 with same peripheral film wht is the cause?
a) Physiological change
b) Iron deficiency
c) Folate Deficiency
d) Vit B12 deficiency

24) Ovaries are attached to broad ligament by?
a) Mesoovarium
b) Mesosalpinx
c) suspensory ligament

25) In females Neck of bladder ends :
a) above the urogenital diaphragm
b) below the urogenital diaphragm
c)

26) Most common cause of hosp. acquired infection is?
a) Indwelling catheters
b) I/V lines
c)

27) Which method is used 2 kill spores of surgical instruments?
a)dry heat at 160c for 1 hr
b)dry heat at 160 c for 4 hr
c)moist heat at 160c for1hr
d)Gension violet for 4 hrs

28) Which one is not used as insecticidal?
a) Derivatives of salicylic acid
b) Phenol
c) Sodium hypochlorite
d) Soap

29) Most common cause of subacute bacterial endocarditis is:
a) sterpt viridans
b) sterpt epidermidis
c) staph aureus

30) Food poisoning cause by staph. Is mainly due to:
a) exotoxin
b) endotoxin
c) enterotoxin

31) Now a days the best way to diagnose viral infection is:
a) ELISA
b) by detecting virus from secretion or wound
c) immunofloresence

32) If pt hav persistent pyuria all can be the cause except:
a) polycystic kidney disease
b) long standing alkaline urine at room temperature
c) Post Streptoccocus glomerulonephritis

33) wht is the least positive value for widal to diagnose typhoid?
a) 1:80
b) 1:120
c)1:360

34) Two days before ovulation LH surge rises to
a) 1 to 5 fold
b) 4 to 6 fold
c) 6 to 10 fold

35) villous surrounded by cyto n syncitiotrophoblast is:
a) Primary villous
b) secondary villous
c) tertiary villous

36)Following is not a proven cause of hirsuitism?
a) Androgen
b) PCOs
c) steven leventhal sundrome
d)

37) CO2 is transported frm blood to alveoli by :
a) Facilitated diffusion
b) Active transport
c) Diffusion

38) Active transport differs frm Passive due to:
a) depend on osmosis
b) require carriers but no energy
c) requires energy but no carriers
d) require energy by phosphate anhydride bond

39) Mean Arterial pressure is
a) difference b/w systolic and diastolic pressure
b) Diastolic + 1/3 pulse pressure
c)

40) Columnar epithelium is found in:
a) uterine tubes
b) Thymus
c) ovaries

41) Obese are at risk of all except:
a) Hyepertension
b) Diabetes
c) Thyrotoxicosis
d) IHD

42) Following will lead to Respiratory Acidosis?
a) emphysema?
b) heavy intake of NaHCO3
c) Vomiting

43) Hormone which causes an increase carbohydrate protein and lipid stores is?
a) GH
b) insulin
c) cortisol
d) Aldosterone
e) thyroxine

44) same question

45) insulin secretion is inhibited by:
a) glucagon
b) secretin
c)

46) Acellular layer surrounding an ovum is :
a) Zona pellucida
b)Granulosa layer
c) Theca interna
d) Corona radiate

47) Primordial germ cells arises frm:
a) Yolk sac

48) Highest energy containing compound is:
a) Starch
b) Glucose
c)Hexose phosphate
d) ATP

49) Which contain high triglyceride?
a) Chylomicron remnants
b) LDL
c) VLDL
d) HDL
e) IDL

50) Which is not a phospholipid?
a) Lecithin
b) ISolecithin
c) Cephalin
d) Plasmalogen

51)Low PO2 Stimulate respiratory centre thru:
a) Directly acting on medulla
b) stimulating peripheral chemoreceptor
c) acting on central chemoreceptor

52) If Rh -ve mother deliver an O +ve fetus wht is the best way to protect subsequent pregnancies?
a) Immunoglobulin

53) wht is the landmark for biscop scoring:
a) Ishial Spine
b) Ishial Tuberosity

54) In a women of craniopharyngioma wht is the best opetion to induce ovulation?
a) Clomiphen citrate
b) Menopausal Gonadotropins

55) If you give L Dopa to the pt of Parkinsonism which hormone will decrease?
a) Prolactin
b) FSH,LH
c) Testosterone

56) Which hormone convert to its active form at target tissue with the help of 5 α reductase?
a) Testosterone
b) Estrogen

57) Pt came to you with eosinopenia,polycythemia,lymphocytopenia and raised ACTH level,wht is most likely?
a) Cushing disease
b) Cushing Syndrome
c) Addisons disease

58)Wht change will not seen in a women having inc. cortsiol level?
a) Hypotension
b) Moon face
c) Buffalo Torso
d) Thin skin
e) Hirsuitism

59) Main support of uterus is:
a) Cardinal ligament

60) Rational for storage of platelet at room temp. is :
a) Optimize the platelet function
b) platelet number do not dec.

61) Women brought to you in ER in shock who had a 10 pint transfusion 10 yrs back due to PPH is most likely having:
a) Sheehan syndrome

62) Therapeutic index indicate:
a) Bioavailability
b) Efficacy
c)

63) If after 15 days of c-section due to Obstructed Labour pt. developed Urinary incontinence,wht is the most likely cause?
a) Vesicovaginal Fistula
b) Vesicouterine Fistula

64) Which one is the supporting ligament of uterus tht is palpable on Per-rectal examination?
a) Uterosacral ligament

65) If 35 yr old women developed Generalized Lymhadenopathy wht is the most likely cause:
a) Hodgkin Lymphoma
b) Nonhodgkin lymphoma
c) Malignant disease
d) CML
e) ALL

66) If women accidently exposed to radiation 3 to 4 yrs back which organ is most likely effected?
a) Cervix
b) Fallopian tube
c) Ovaries
d) Vagina

67) Wht is the best method to check bone density?
a) CT scan spine
b) MRI spine
c) Calcium Level
d) D scan of spine

68) Which drug do not cause gynaecomasia?
a) Digoxin
b) Griseofulvin
c) Cimetidine
d) Androgen
e) Estrogen

69) Pt developed Morning stiffness,Photosensitivity,rash which test will be positive?
a) RA
b) ANA
b) antimitochondrial

70) Wht is the end product of glucose breakdown ?
a) Galactose
b) Lactose
c) Fructose
d) Pyruvate

71) In a pre eclamptic pt which drug is used to lower BP before surgery?
a) Hydralazine
b) Amlodipine

72) Amniotic fluid embolism is related to:
a) DIC

73) Which hormone is necessary for brain development of fetus?
a) GH
b) Thyroid
c) Cortisol

74) If α feto protein is high wht is most likely?
a) Anencephaly
b) Spina bifida Occulta
c) Down syndrome

75) T3 , T4 raised in pregnancy due to:
a) Inc TBG
b) Inc TSH
c) Inc TRH

76) Which one is not a tumor marker?
a) HCG
b) CEA
c) α fetoprotein
d) Placental Acid phosphatase(PLAP)
e) Alkaline Phosphatase

77) Hysterosalpingography is more accurate than MRI in:
a) Adenomyosis
b) blocked tubes

78) TORCH can lead to all EXCEPT:
a) Pnuemonia
b) Cataract
c) Deafness
d) Cardiac anomalies
e) Blindness

79) DNA is:
a) Double stranded in which two strands are antiparallel to each other
b) all other wrong

80) Which antithyroid drug is given during Pregnancy?
a) Propylthiouracil

81) Tx of raised sugar in pregnancy is :
a) Insulin
b) Sulfonylurea

82) Menopause is diagnosed by:
a)Raised FSH,Raised LH,dec Estrogen
b)dec FSH n LH

83) Tuboovarian abcess caused by IUCDs…wht is the most likely causative agent?
a) Actinomycosis
b) Streptococcus

84) Which component is low in Cow`s milk as compared to mother`s milk?
a) Lactose
b) Fat
c) Calcium
d) Protein

85) Excess of Aldosterone will cause:
a) Hypokalemia
b) Hyperkalemia

86) Which method is most useful in identifying chromosomal abnormalities?
a) Karyotyping
b) U/S
c) Bar bodies

87) DIC is related to all EXCEPT:
a) Cancer
b) Amniotic fluid embolism
c) Sepsis
d) RPOCs
e) answer

88) In C-section insicion is given in subcutaneous fat suprapubically will likely to damage?
a) Superior mesenteric artery
b) Deep Circumflex iliac artery
c) Superior epigastric artery
d) inferior epigastric artery
e) Perforating arteries

89) Insulin increase absorbtion of glucose in?
a) Hepatocytes
b) Mucosa of small intestine
c) Renal tubular cells

90) Glucose is absorbed in renal tubules through:
a) Secondary Active transport
b) Facilitated diffusion
c) Diffusion


91) A pregnant women is on Phenytoin,wht is the least likely complication in fetus?
a) Bone deformity
b) Mental retardation
c) Cleft palate

92) Anticoagulants are indicated in all EXCEPT:
a) Thrombocytopenia
b) Cerebral infarction
c) Prolong bed rest
d) DVT

93) A mother brought her 8 yr old daughter in OPD with complain of vaginal bleeding,she was taller acc. To her age with well developed breasts.she was otherwise normal,wht is the cause:
a) Ovarian tumor
b) Hyperpituitrism
c) Hypothalamic disorder

94) Main function of Extracellular fluid is:
a) Transport electrolyte
b) Remove waste products
c) Provide nutrition

95) Which investigation is least likely done in a suspected case of DIC?
a) Clotting time
b) FDP
c) D-Dimer
d) Platelet count
e) PT

96) Which drug is not used in Dysmenorrhea?
a) Ibuprofen
b) Mefenamic acid
c) Aspirin
d) COX inhibitor


Questions sent By Dr.Rabeeka Khan


(Expect repetition of questions)

1)which hormone is resposible 4 storage of carbohydrate,fats,protein in body?
a)cortisol
b)growth hor
c)thyroxine

2)which hormone is responsible 4 storage of fat CHO n protein in body n called hormone of abundance?
a)costisol
b)throxine
c)grwoth hormone

3)which hormone is needed 4 brain development of fetous during intranatal life?
a)growth horm
b)thyroid
etc

4)tubo ovarian abcess in a woman using iucd is caued by?
a)actinomycosis
b)streptococi
etc

5)which component is low in cow milk as compare 2 mothr milk?
a)lactose
b)protien
c)calcium
d)fat

6)among following which is not antiseptic?
a)soap
b)salicylic acid
c)sodium hypochlorite
d)ethanol

7)4 tx of eclampsia which drug is used?
a)hydralazine
b)minoxidil
etc

8)which method is used 2 kill spore?
a)dry heat at 160c for 1 hr
b)dry heat at 160 c for 4 hr
c)moist heat at 160c for1hr

9)excess of aldosteron will cause?
a)hypokalemia
b)hyperkalemia
etc

10)structure of 2ndry villus unclude?
a)mesoderm cytotrophoblast syncytium
b)capillaries cytotrophoblast syncytium
etc

11)a 45 yrs old lady is post menopausal from last 9 months,which is most likely 2 show onset of menopause?
a)anovulatory cycle
b)atrophic uterus
etc

12)spermatogenesis is supported by?
a)FSH n testosteron
b)gonadotrophin
etc

13)germinal epithelium of ovary contain?
a)cuboidal epithelium
c)columnar
etc

14)columnar epithelium line which structure?
a)thymus
b)choroid plexus
c)uterine tubes

15)which method is most helpful in identifying chromosomal abnormalities?
a)karyotyping
b)u\s
etc

16)a normallooking female cam 4 primary amenorrhea on examination she was having short blind vagina wid normal vulva n scanty hair,her wt n ht for age were normal bt absence of uterus,she was othrwise a normal lookinggirl karyotype was xy
a)46xy
b)46xx
etc

17)DIC is related 2 all of the following except?
a)amniotic fluid embolism
b)cancer
c)gram-ve sepsis
d)retained dead fetus
e)etc(answer)

18)a women brought 2 hospital after having difficult delivery at home wid bleeding diathesis
wat is the cause
a)dic
etc etc

19)which of the following is leat likely 2 b effected by actinomycosis
a)bone
b)brain
c)oral cavity

19)which is not the manifestation of child born wid toxoplasma infection?
a)pneumonia
b)cataract
c)mental retardation
etc

20)a woman having morning stiffness of hand n pericardial effusion which lab finding woud help in dx?
a)anti nuclear DNA
b)strptolysin
c)rheumatic factor
etc

21)which structure pass thro inguinal canal from uterus 2 labium majus in female?
a)round ligament
b)broad ligament
etc

22)which ligament can b palpated on per rectal examination?
a)uterosacral
b)broad ligament
c)round ligament
etc

23)main support of uterus?
a)broad ligament
b)transverse cervical ligament
etc

24)an incision given supra pubically in a female for LSCS would damage which artery?
a)superior epigastric
b)inferior epigastric
etc

25)ovary is attached 2 back of braod ligament by?
a)mesovarium
etc etc

26)which sturcture does not form walls of inguinal canal?
a)lacunar
b)external oblique apenerosis
c)conjoint
etc

27)insulin help in absorption of glucose through?
a)musoca of small intestine
b)renal tubules
c)hepatocytes
etc

28)glucose is absorbed in renal tubules thro?
a)2ndry active transport
b)facilitated diffusion
etc

29)after lscs(c\section) a woman is bleeding intaperitonealy which artery can b damaged?
a)uterine
b)ovarian
c)internal iliac
etc

30)which organism require selective media 4 its diagnosis?
a)vibrio cholera
b)e coli
c)campylo bacter
etc

31)a pregnant woman on phenytoin, which is the least likely complication?
a)bone deformity
b)mental retardation
c)cleft palate

32)anticoagulant are contraindicated in pt wid?
a)thrombocytopenia
etc etc

33)a pt showing eosiniphilia,lymphoctytopenia polycythemia his blood levels show increase ACTH level which of following is the cause?
a)cushing syndrome
b)sudhing disease
c)addisons disease
etc

34)ca breast will effect which of the breast quadrant mostly?
a)upper n outer
b)medial
c)inner n medial
etc

35)a women having ca breast which group pf lypmh nodes is effected?
a)anterior axillay
etc

36)a mother brought her daughter wid vaginal bleeding she is 8 yrs old taller 4 her age wid well develop breast n odr wise normal which coud b the cause?
a)constitutional
b)hypothalamic
etc

37)a man wid full burns in icu develop bleeding diathesis which coud b the cause?
a)dic
b)infection
etc

38)a women brought 2 ER unconcious wid history of postpartum hemorrhage 10 yrs back which of the following is dx?
a)sheehan syndrome
b)low bp
etc

39) Main functions of extracellular fluid is?
a)transport electrolytes
b)removal of waste material
etc

40)therapeutic index show
a)drug efficacy
b)safety

More questions awaited, will be updated soon.