MEDICINE JANUARY 2009

By 'Crack Smart'.

Medicine paper (Jan 2009)


Q#1.a 45 yr old male comes with the complaint of acute abdominal pain with migratory thrombophilibitis. what is the diagnosis?


a. Acute pancreatitis

b. Chronic relapsing pancreatitis

c. C.a pancrease (ans)

d. D.M


Q#2.Iron is stored in parenchyma as:

a. Ferritin

b. Hemosiderrin

c. Transferrin


Q#3. Least site of metastasis is:

a. Spleen

b. Liver

c. Lung

d. Kidney

e. Lymph nodes


Q#4.Major stress hormone is:

a. ACTH

b. Epinephrine

c. Norepinephrine


Q#5. Benedict test is used for:

a. renal glycosuria

b. urinary ketone.

c. urine glucose test


Q#6.A lady with hepatitis B; Serology shows: HbsAg +, HbeAg +ve,Anti HBe -ve, Hbv Dna +ve. Anti HBc IgM +ve...what does it show?


a. Acute Hepatitis B (ans)

b. Chronic hepatitis B

c. Viral load is decreasing

d. Immunized


Q#7.A healthy baby comes apparently with the complaint that he does not take breast milk instead he prefers the bottle feed. What is the diagnosis?


a. Cleft hard and soft palate (ans; most probably)

b. Cleft soft palate

c. Hormonal deficiency

d. Nasolacrimal duct block

e. Laryngeal weakness


Q#8.Penetrating injury in left 4th ics will damage which of the following structure?

a. Intercostal membrane

b. Intercostal muscle

c. left lung

d. left ventricle

e. Left atrium


Q#9.In Hyperglycemia, which 1 will increase:


a. Epinephrine

b. Cortisol

c. Glucagon

d. Insulin (ans)


Q#10.Regarding polycystic kidney:


a. It is autosomal dominant

b. It is autosomal recessive

c. Genetic mutation

d. Only females suffer

e. Only male suffer


Q#11.After 3 months to gastrectomy, Pt will develop:


a. Microcytic hypochromic anemia

b. Microcytic hyperchromic anemia

c. Megaloblastic anemia (ans)

d. Hemolytic Anemia

e. Macrocytic Anemia


Q#12.Non-myelinated nociceptor fibre directly synapses with:


a. Dorsal spinothalamic tract..................sorry cant remember other options


Q#13.Somites are derived from

a. Mesoderm





Q#14.Pseudomembranous colitis is caused by


a. Clostridium difficile (ans)

b. C.perferinges

c. Helicobacter pylori


Q#15.A 2 yr old child (premature); which cardiovascular anomaly will most likely develop:


a. Coarctation of aorta

b. Failure of closure of foramen ovale

c. PDA (ans)


Q#16.Which is the major circulating phagocyte?


a. Neutrophil

b. Mast cell

c. Monocyte

d. Macrophage (ans)


Q#17.ICF differs from ECF in:


a. Has increased Na+

b. Has increased K+ (ans)

c. Has increased Ca+


Q#18.Neurotransmitter of corticostriatal fibres is


a. Glycine

b. Dopamine

c. Ach

d. GABA


Q#19.Bile salts are normally absorbed from


a. Duodenum

b. Jejunum

c. ileum

d. Stomach


Q20. S1Q3T3: ......cant remember options for this Qz


Q#21.Antidote for Morphine:


a. Nalaxone (ans)


Q#22.which of the following is absent in Axon hillock


a. R.E.R (ans)

b. S.E.R

c. Microtubules

d. Microfilaments

e. Mitochondria


Q#23.Glucronide conjugation of drugs


a. Cause inactivation of drug

b. Is type 1 reaction

c. Makes drug insoluble


Q#23.Dorsal rami of cervical nerves innervate


a. Abductor pollices

b. Extensors of limbs

c. Extensors of trunk

d. Stabilizers the shoulder


Q#24.Upper end of esophagus is at the level of


a.C6


Q#25.Which part of kidney produces Erythropoiten:


a. MACula densa

b. pertubular capillary (ans)

c. Pct

d. DCT

e.Loop of henle


Q#26.Liver biopsy from a pt shows a lesion which is comprised of central collection of structureless material surrounded by epitheloid cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen.The most likely change is:


a. Caseous necrosis

b. Coagulation Necrosis

c. Fatty change

d. Hydropic change

e. Liquefective necrosis


Q#27.Tissue damage by Ionization Radiation is due to:


a. Damage to Golgi bodies

b. Formation of free Radicles

c. Hydropic change

d. metaplasia of cell

e. swelling of cell


Q#28.Side effects of thiopental

a. Nausea

b. Seizure


29.Posterior belly of diagastric is supplied by:


a. Glossopharngeal nerve

b. Facial nerve

c. Trigeminal


Q#30.Which immunoglobulin has pentameric structure:


a. IgA

b. IgM

c. IgD

d. IgE

e. IgG


Q#31.Which is highest in human milk?


a. IgM

b. IgA

c. IgE

d. IgD

e. IgG


Q#32.Blood supply of Visual area:


a. Ant:Cerebral Artery

b. Middle cerebral Artery

c. Posterior cerebral artery




Q33.Aneurysm of arch of aorta will most like compress


a. Esophagus

b. Left main bronchus

c. Phrenic nerve

d. Thoracic duct


Q34.Gastroduodenal artey arises from


a. Celiac

b. Hepatic

c. Splenic

d. Superior mesentric


Q35. Slow growing tumor of thyroid is:


a. Anaplastic

b. Medullary

c. Follicular

d. papillary


Q36.Which does not lead to Pre-malignancy


a. Iodine deficiency

b. HIV

c. HBV

d. Melanosis


Q37.A 34yr old man can’t abduct his arm due to fracture of humerus. which nerve is damaged?

a. Axillary

b. Median

c. Radial

d. Ulnar

e. Musculocutaneous


Q38.Aldosterone will increase with:


a. Increased serum K+

b. Increased serum Na+

c. decreased plasma volium

d. Increased ACTH




Q39.A 14 yr Boy comes with the complaint of his abnormal Height and secretion from mammary glands. Histology of pitutary will show;


a. Increased Chromophobes

b. Increased Acidophilic cells (most probably diz was the ans)


Q40.A 35 yr old female is protected against osteoporosis due to


A. Estrogen (ans)

B. Progestron


41.Which is not “ Major Basic tissue”


a. Epithelium

b. Nerve (ans)

c. Bone

d. Blood

e. Muscle