PREPARED BY: DR:MUHAMMAD SHEERAZ AKHTAR SOOMRO
1] Which one of the following is COX-II INHIBITOR?
A} Aspirin
B} Ibuprofen
C} Indomethacin
D} Meloxicam
E} Piroxicam
2] Which one of the following vitamin deficiency causes HOMOCYSTENURIA?
A} Vitamin B1
B} Vitamin B2
C} Vitamin B6
D} Vitamin B12
E} Biotin
3] Which one of the following structures is present at free edge of LESSER OMENTUM?
A} Bile duct, cystic artery, portal vein
B} Bile duct, hepatic artery, portal vein
C} Hepatic vein, hepatic artery, portal vein
4] A 16 year old boy was given CO-TRIMAXAZOLE for fever, after few hours he developed red color urine, likely abnormality is in
A} Glucose-6-Phosphate deficiency
B} Immune hemolysis
C} Paroxysmal Nocturnal Haemoglobinuria
D} Malaria
E} Sickle cell disease
5] Thiamine deficiency causes
A} Peripheral Neuropathy
B} Pellagra
C} Chelosis
D} Dermatitis
6] Milk is notoriously deficient in
A} Vitamin C
B} Iron
C} Riboflavin
D} Pantothenic acid
E} Vitamin A
7] Dry heat kills the bacteria by
A} Coagulation of proteins
B} Cell lysis
C} Free radical formation
D} Direct killing
E} Oxidation
8] Virus damage the cell by
A} Making the pores in cell membrane
B} Forming free radicals
C} Altering the formation of proteins
D} Nuclear damage
E} using energy for their own metabolism
9] Which one of the following lipoprotein has highest protein content?
A} HDL
B} LDL
C} VLDL
D} IDL
E} CHYLMICRONS
10] All are related to PLATELET FUNCTION EXCEPT
A} Capillary resilience test
B} BT
C} Clot retraction
11] ALLELLE is:
A} Fragmented genes
B} Non-identical genes
C} Structural genes
D} Regulatory gene
E} Autosomal Dominant gene
12] D.I.C is stimulated by:
A} Factor X
B} Factor XII
C} Thromboplastin
D} Factor IX
E} Fibrinogen
13] In parenchymal cells Iron is deposited in the form of
A} Tranferrin
B} Ferritin
C} Heamatin
D} Heamoglobin
E} Lipifuscin
14] a mother is having blood group A+(Ao, DD), father is having blood group B+(Bo, Dd). Which of the following blood group cannot be inherited by their children?
A} A+
B} B+
C} AB+
D} AB-
E} O+
15] The person has suffered the injury to spinal cord leading to HEMISECTION of the cord, the IPSILATERAL sign will be
A} Loss of pain
B} Loss of temperature
C} Loss of sensation of touch and vibration
D} Lower motor neuron paralysis
E} Upper motor neuron paralysis
16] Valve less vessel is
A} Aorta
B} Pulmonary artery
C} Coronary Sinus
D} Pulmonary Trunk
E} SVC
17] A lady has undergone colostomy is now on the TPN. She is prone to develop:
A} Hyperglycemia
B} Hypocalcaemia
C} Hypophosphatemia
D} Hyperviscosity
E} Hypoglycemia
18] Turner syndrome
A} XXY
B} 45XO
C} 46XY
D} XXX
E} 69XX
19] Regarding Von Willbrand disease
A} Autosomal Dominant
B} Autosomal Recessive
C} Some family members have low level of Factor IX
D} Some family members have abnormal level of Factor IX
E} has positive family history
20] Which of the following condition is related to lymphatics?
A} Angiosarcoma
B} Rhabdomyosarcoma
C} Cystic hygroma
21] The condition in which pulmonary trunk fails to divide leading to
A} PDA
B} Truncus arteriosus
C} TOF
22] Basal Cell Carcinoma is located at
A} Lower lip
B} Upper lip
C} Tongue
D} Hard palate
E} Soft palate
23] All are branches of Vagus Nerve except
A} Auricular Nerve
B} Lacrimal Nerve
C} Recurrent Larengeal Nerve
D} Internal Larengeal Nerve
24] Permanent Atrophy is caused by
A} Loss of Innervation
B} Hormonal Deficiency
C} Immobilization
D} Nutritional deficiency
E} blockage of arterial supply
25] Which of the following is not Carcinogen?
A} Alcohol
B} Benzathracine
C} Cyclophosphamide
D} Benzidine
E} Dimethylsulfate
26] The Initial step in APOPTOSIS is
A} Inhibition of P53 genes
B} Activation of BCL-2
C} Activation of Caspases
D} pores formed by lymphocytes
27] Which of the following is content of Cavernous Sinus?
A} Oculomotor
B} Trochelear
C} Abducent
D} Trigeminal (V3)
28] Which part of kidney produces ERYTROPOITEN
A} Macula Densa
B} Peritubular Capillary
C} PCT
D} DCT
E} LOH
29] A patient with signs and symptoms of megaloblasstic anemia. The likely cause is
A Decreased GIT motility
B} Deficiency of intrinsic factor
C} Malabsorption
30] Stimulation to increase Serum Calcium is
A} Hypo-phosphatemia
B} Paratharmone
C} Decreased ECF
31] Malnutrition causes all of the following EXCEPT
A} Pitting Edema.
B} Loss of subcutaneous fat.
C} Failure to thrive.
D} Skin pigmentation
E} Thrombocytopenia
32] Liver biopsy from a patient shows a lesion which comprises of central collection of structure less material surrounded by epitheliod cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen. The most likely change in central area would be:
A} Caseous necrosis
B} Coagulation necrosis
C} Fatty changes
D} Hydropic changes
E} Liquefective necrosis
33] A 28 year fisherman presented with slowly developing lethargy, easy fatigue and palpitations. His diet comprises of fish and rice only. Physical examination: Pallor, Loss of touch sense in both feet and legs Hb: 7.5 gm/dl, Platelet count: 110 x 10 9/L. Reticulocyte count: 0.5%. Stool DR: Ova of Intestinal parasite. The most likely causative parasite is
A} Ankylostomata Duodenale
B} Ascris Lumbricoidis
C} Diphylobothrium Latum
D} Strangyloids Stercoralis
E} Taenia Saginata
34] A 40 year old male after road traffic accident had received massive blood transfusion. He is expected to have all EXCEPT
A} Hypocalcaemia
B} Hypokalemia
C} Hypothermia
D} Left shift of Oxyheamoglobin dissociation curve
E} Metabolic acidosis
35] The endothelial molecules ICAM-1 & VCAM-1 are responsible for
A} Direct endothelial injury
B} Endothelial cell contraction
C} Junctional retraction
D} Leukocyte adhesion
E} Leukocyte margination
36] Eating raw or under cooked meat can cause infestation by
A} Dracunculous Medinensis
B} Echinecoccus Granulosis
C} Liver Fluke
D} Schistosomiasis
E} Tape Worm
37] A pt: has sustained burn that is very painful with blisters. Healing of this burn will take place from which of the following layers of the skin
A} Basal layer of epidermis
B} Keratinized layer
C} Layer of upper dermis
D} Lower dermis
E} Subcutaneous layer
38] A 40 year old male presented with jaundice and generalized itching. His LFT shows Direct Billirubin 11 mg/100 ml, SGPT 75U/L, Alkaline Phosphate 2300 IU/L 500IU/L. The most likely cause is
A} Drug induced jaundice
B} Extra hepatic Cholestasis
C} Autoimmune Hepatitis
D} Alcoholic Hepatitis
E} Intrahepatic Cholestasis
39] The tissue damage by Ionization Radiation is due to
A} Damage to Golgi bodies
B} Formation of free radicals
C} Hydropic degeneration
D} Metaplasia of cell
E} Swelling of cells
40] Formation of free radicals cause by
A} Ionization Radiation
41] Edema of renal origin is most likely due to
Albuminuria & sodium retention
B} Decreased water excretion
C} Hypertension
D} Renal stone
E} Sodium retention by the kidney
42] Increase in Light Chain Immunoglobulins Is the characteristic feature of
A} Endocrine type Amyloidosis
B} Hereditary Amyloidosis
C} Localized type Amyloidosis
D} Reactive Amyloidosis
E} Systemic type Amyloidosis
43] Chemotaxis is caused by
A} C5a
B} C5b
C} Lymphokines
D} Leucotriene B3
E} Opsonins
44] Following are the actions of Archidonic acid metabolites in inflammation EXCEPT
A} Chemotaxis
B} Increased vascular permeability
C} Thrombosis
D} Vasoconstriction
E} Vasodilatation
45] A 65 year old male pt: presented with chest pain for last 30 mins. And has ST segment elevation in LEADS V1 to V4. He is most likely to have
A} Anterior infarction
B} Anterolateral infarction
C} Anteroseptal infarction
D} Inferior Infarction
E} True Posterior infarction
46] A female at 30 wks of gestation has Hb: 9.0 g/dl with normocytic normochromic picture. The blood condition is most likely due to
A} Iron deficiency
B} Decreased bone marrow activity
C} Folic acid deficiency
D} Increased placenta size
E} Plasma Volume Expansion
47] The Sensations of Anterior Triangle of the neck is mediated through
A} C1, C2, C3
B} C1, C2, C3, C4
C} C2, C3, C4
D} C2, C3s
E} C1, C2
48] All are features of IRREVERSIBLE cell injury EXCEPT
A} Karyolysis
B} Karyorhexis
C} Autolysis
D} Shrinkage of mitochondria
E} Appearance of myelin figure
49] A young athlete has difficulty in flexion of knee and extension of hip. Which of the following muscle is likely paralyzed
A} Rectus femoris
B} Sartorius
C} Semitendinosus
D} Vastas lateralis
E} Popliteus
50] In the Aortic opening I the Diaphragm is constricted, which of the following structure will be compressed along with Aorta
A} Azygous vein and Vagus nerve
B} Thoracic duct and Vagus nerve
C} Thoracic duct and Azygos vein
D} Azygos vein and both phrenic nerves
E} Inferior vena cava
51] When the bulbur urethra wil injure, urine will leak into
A} Deep Perineal Pouch
B} Superficial Perineal Pouch
C} Fascia lata
D} Scrotum
E} Ischiorectal fossa
52] The most common site of fertilization in humans is
A} Ovary
B} Uterus
C} Fallopian tube
D} Cervix
E} Peritoneal cavity
53] The initial event in the transfer of RBC to site of inflammation
A} Margination
B} Emigration
C} Pavementation
D} Diapedesis
E} Phagocytosis
54] A semiconscious patient is brought to the emergency room. He has history of taking some unknown drug. NaHCO3 reverses the action of the drug. Which drug the pt. has likely taken:
A} Phenobarbital
B} Phenothiazine
C} Morphine
D} Diazepam
E} Alcohol
55] Within 1 hr of the Acute M.I, which of the following enzyme will be raised?
A} CK-MB
B} LDH
C} Alkaline Phosphatase
D} AST
E} Troponin T
56] Which organelle is not present at axon hillock
A} Microtubules
B} microfilaments
C} Mitochondria
D} RER
E} SER
57] Which is not related to embolus?
A} Liquid
B} Gas
C} Thrombus
D} Amniotic fluid
E} Fat
58] Which of the following muscle compensate for supinator?
A} Biceps Brachi
B} Brachialis
C} Brachioradialis
59] A patient presented with anterior wall M.I Artery involved is
A} LAD
60] Which of the following molecule easily crosses Blood Brain Barrier?
A} CO2
B} H2O
61] Hypervitaminosis A cause
A} Ataxia
B} Anemia
C} Scaly Dermatitis
62] Hypertrophy indicates
A} Increase in size of cell
B} Increase in no. of cell
C} Decrease in no. of cell
D} Decrease in size of cell
63] Diabetic patient using Roziglitazone and metformin. Which investigation for follow up
A} Lipid profile + Renal profile
B} Renal profile + Hepatic profile
C} Renal profile + Hepatic profile + Cardiac
64] If the whole movement of Abduction of arm is lost the likely damage is in the Brachial Plexus
A} Upper trunk + Posterior cord
B} Upper trunk + Medial cord
C} Lower trunk + Posterior cord
D} Lower trunk + Medial cord
65] Cords of Brachial Plexus are named according to Relation with
A} Axillary artery
B} Subclavian artery
66] Myelination in CNS is done by
A} Schwann cells
B} Oligodendrocytes
C} Astrocytes
D} Microglia cells
67] Captopril
A} can be given in large doses in hypertensive crisis
68] Which of the nucleus is NOT related to Facial Nerve?
A} Main Dorsal Nucleus
B} Nucleus of Tractus Solitarius
C} Nucleus Ambiguas
D} Sensory nucleus
69] Platelets
A} Are formed from precursor cells in the bone marrow
B} Has no nucleus
70] Primary auditory cortex is present in
A} Occipital lobe
B} Superior Temporal Gyrus
C} Frontal lobe
D} Prefrontal lobe
71] Patient is suffering from factor VIII deficiency
A} Genetically Engineered Factor VIII is available
72] Most Common cause of Thyrotoxicosis
A} Graves disease
B} Solitary nodule
C} Toxic nodular goiter
D} Diffuse goiter
73] Which of the following is involved in maintaining RESTING MEMBRANE POTENTIAL?
A} Outward Potassium current
B} Outward Sodium current
C} Inward Sodium current
D} Inward Chlorine current
E} Sodium/potassium ATPase Pump
74] Heart sound produced by rapid ventricular filling is
A} 1st heart sound
B} 2nd heart sound
C} 3rd heart sound
D} 4th heart sound
E} 5th heart sound
75] A patient presented with vertical diplopic, head tilting, and also difficulty coming downstairs the likely nerve damaged is
A} Oculomoter nerve
B} Trochlear nerve
C} Trigeminal nerve
D} Optic nerve
E} Abducent nerve
76] Substance has to cross semi permeable membrane in simple diffusion
A} Is not saturable
B} Require carriers
C} Require energy
77] Carcinoma prostate drain into
A} Para-aortic nodes
B} External iliac nodes
C} Internal iliac nodes
D} External and internal iliac nodes
78] Pulmonary capillary wedge pressure is so
A} Catheter used is wedge shaped
B} Is direct measurement of left atrial pressure
C} Is direct measurement of Right atrial pressure
Saturday, May 10, 2008
Sunday, November 18, 2007
RADIOLOGY OCT 2007
BY KASHIF NADEEM
NISHTAR HOSPITAL,MULTAN
1-The muscle involved in unlocking of knee joint is:
Poplitus,Rectus femoris,Plantaris.Soleus
2-Adult derivative of notochord is:
Nucleus pulposis,Annulus fibrosis,Vertebre,Vertebral canal
3-Vertebrae is derived from:
Myotome,Sclerotome,Dermatome,Ectoderm,Endoderm
4-Memory centre is located in:
Insula,Parietal lobe,Temporal lobe,Frontal lobe
5-The most commom type of salivary gland tumor is:
Salivary glands,Parotids,Submandibular,Sublingual
6-Distruction of Ant.pituatary gland causes dec.functioning of
Glom.fasiculata,Glom.granulosa,Medulla,Adrenal cortex
7-Least chances of renal stones is associated with:
Hyperlipidemia,HyperPTH,Hyper vit.D,Infections,Hyperurecimia
8-Nerve supply to extensors of arm is supplied by:
Lat.cord,Medial cord,Post cord,Lateral and medial cord
9-Nerve injured in Ant.disloacation of Shoulder joint is:
Musculocutaneous,Axillary,Median,Radial,Suprascapular
10-Damage to scaphoid bone causes injury to:
Radial A.Ulnar A.Brachial A,Ant.interosseous A.
11-Common site of fracture at rib is:
Angle,Shaft,Costochondral joint,tubercle
12-Following is not a tumor marker:
PLAP,CEA,bHCG,AFP,Acid Phospatase
13-Most common histology found in lung tumors is:
Squamous,AdenoCA,Mixed,Small CA
14-Patients comes with Rt.deviation of tongue,Dec.sense of touch and vibartions,the artery
commonly involved in brain is:
PICA,AICA,Ant.Spinal,Post.Cerbral,Sup.Cerbral A.
15-Soldier comes with heavy bleeding,the ideal fluid replacement would be:
Packed RBCs,Crystallines,Colloids,Whole blood for 3 days,Whole blood for 18 days
16-Maxillary sinus opens into:
Sup.meatus,Inferior meatus,Middle meatus,Nasal septum
17-Patient having increased levels of IgE,most probably suffering from:
Bacterial inf,Viral inf,Parasitic inf,Fungal inf.
18-Autospy done on the patient having CRF,most prabable finding would be:
Hypertrophied PTH gland,Hypertrophied adrenals,Hypertrophied pituatry,Hypertrophied thyroids
19-Excitation of post.pituatary would cause:
Sweeting,Stress,Shivering,Hunger pangs
20-Foetal period starts after which week:
11th.8th,12th,16th,21st
21-Patient having dec levels of factorII,VII,IX,X,most likely have:
Dec.antithrombin III,Dec Vit.K
22-Young pt.having Hb:6.0,TLC:3.5/ul,Plts:1lac is suffering from:
Iron def.,Folate def.,Vit B12 def.,Aplastic anaemia
23-Nucleus ambigus supplies to:
Teeths,Jaw,Tongue,Lyrnx
24-Olfactory area is present in:
Ant.perforating material,Occipital lobe,Inf.temporal gyrus,Parietal lobe
25-Patient with injury to left 8th cervical segment of spinal cord will not show following sign:
Dec sense of position,vibration below lesion on same side,Extensor plantar on left side,Dec
power of muscles below the leson on same side,Dec sense of pain and temprature below the
lesion on same side.
26-Feature of Rickets and Osteomalacia is:
Inc.Vit D,Inc.Ca,Inc PTH,Dec.bone density
27-Most common site of malignancy in pts suffering from nuclear outbreak
Haematopoitic,Thyroid,Lung,Breast,Bones
28-Virus acts on cells by:
Damaging cell membrane,Damaging nuclear membrane,Invloving protien synthesis
29-Most sensitive cells to hypoxia are:
RBCs,Neurons,Nephrons,WBCs,Platelets
30-Myelin in CNS is formed by:
Microglia,Schawan cells,Oligodendrocytes,Astrocytes
31-Feature not associated with irreversible cell injury is:
Mylein figures,Karyolysis,Karyorrehxis,Mitochondrial shrinkage
32-Ureter isnot constricted at:
Pelvic brim,at PUJ,Psoas muscle,Openning at bladder
33-Common relation of ureter is:
Ant.to gonadal vessels and post.to iliac A.,Post.to gonadal vessels and ant.to iliac A.
34-Patient feels pain after she underwent surgery for fibroids,structure injured would be:
Ureters,Ovaries,Fallopian tubes
35-Least common site for ectopic pregnancy would be at:
Ovaries,Pouch of douglus,Greater omentum,Fallopian tubes,Cervix
36-Gall bladder is supplied by:
Cystic A and Left gastrcA.,Cystic A and Left Hepatic,Only Cystic A.
37-Venous drainage of urinary bladder is into:
Internal Iliac V.,External Iliac V.,Commom Iliac V.,Internal and external V.
38-Hypothyroid patient in on thyroxine,best marker to monitor his thyroid status is:
T3,T4,TSH,T3 and T4,T3,T4 and TSH levels
39-Patient having hyperplastic bone marrow,anaemia,Inc Platelets is probably suffering from:
Aplastic anaemia,Megaloblastic,Myelofibrosis,Leaukemia
40-Stimulus for Eryrthropoiten secreation is:
Hypoxia
41-Erytropoiten is always raised in:
Polycythemia vera,Primary polycythemia,Sec.polycythemia
42-Following vein would be dilated in portal HTN:
Inf.epigastric,Gonadal,Renal vein,Left colic V.
43-Patient after gastrectomy is on VitB12,the cells lost in the gastrectomy are:
Mucous,parietal,cheif,Goblet cells.
44-Fat tags attached to the walls of large intestine are known as:
Taenia coli,Hausstral folds,Appendeces epiplocea
45-Bile salts are reabsorbed from the:
Duedenum.Jejunum,Ileum,Colon,Rectum
46-Following is an autosomal disease is:
Cystic fibrosis,Hereditary spherocytosis,Thalasemia,Sickle cell anaemia
47-Type of defect in Heredetary spherocytosis is:
Enzymatic defect,Structural defect
48-Patient with jaundice,anaemia,high reticulocyte count is having:
Folate def.,Iron def.,VitB12 def.,Hemolytic anaemia
49-Ejaculatory duct opens into:
Ureter,Ureteric crest,Bladder,Prostatic urethera
50-Terminal part of CBD in relation to pancrease is:
Embeded into pancrease,lie posteriorly,lie anteriorly
51-Following would ause massive infarction and destruction leading to patient death:
Thrombus,Embolus,Fatty thrombus,Thromboembolism
52-22yrs female pt.with 13th week of pregnancy after having crush fractures in RSA dies after 3
days,most likely cause of death is:
Amniotic fluid embolism,Air embolism,Fat embolism
53-Patient with old history of adenoCA of colonis operated for polypectomy,on histologic evaluation
pathologist labelled it as benign growth with no chances into malignant transformation,it would be:
FAP,Villous adenoma,Tubular adenoma,Tubulovillous,Metaplastic polyp
54-Tyrosine derivateve doesnt include:
TSH,Adrenaline,Nor adrnaline,Prolactin,Dopamine
55-Precursor of steriod hormone is:
Progesterone,Pregnenolone,Cholesterol
56-Capsule of liver in known as:
Disse,Glissons
57-Most common site of thyroglossal cyst is:
Suprahyoid,Infrahyoid,Hyoid
58-Wasting of thenar eminence,loss of sensation over thumb and index finger,nerve involved is:
Median,Axillary,Radial,Ulnar
59-The base of urinary bladder is made by:
Post surface,Ant surface,Inferolateral,Superior surface
60-Shock without having vasodilation is likely associated with:
Burns,Gram positive inf,Gram negative inf.,Superantigen infection
61-Following doesnt form the layer of inguinal canal:
External oblique,internal oblique,transversus,rectus abdominus.
62-Femoral sheath is formed by:
Fascia transversalis,Fasica trans.and Fasica iliaca,External oblique,Internal oblique
63-Patient with bone pains having normal Ca,inc Alk.phosp.most likely suffering from:
Pagets,HyperPTH,Hyper VitD,Bone mets,Osteomalacia
64-External spermatic fasica is formed by:
External oblique,Internal oblique,Cremastric muscle,Transversus muslce
65-In Turner syndrome,the genotype would be:
XX,XO,XXY,XY,XYY
66-Organ having least chances of infarction:
Lungs,Heart,Kidneys,Liver,Spleen
67-Type of necrosis in brain infarction:
Couglative,Liquefactive,Fat,Traumatic
68-Pt.with cervical lymphadenopaty,+ve AFB sputum,sign to look for TB on microscopy is:
Chronic inflammation.caseous necrosis,lymphocyctic infiltartion
69-Thyroid gland moves with swallowing because it is enclosed in:
Pretracheal fasica,Investing fasica,Vertebral fascia,Carotid fascia
70-Neurovascular bundle in chest wall lies between:
External and Internal intercostal mucles,Internaland Innermost layers,Innermost and enothoracic
fasica,Beneath Endothoracic fascia
71-Fibrous pericardium and medicatinal pleura is supplied by:
Vagus N.,Intercostal N.,Phrenic N.,Autonomic N.
72-Man is suffering from testicular ca,the lympahtic drainage of testicle is into:
Para aortic L.nodes,Pre aortic,Superficial inguinal,Internal iliac,External iliac L.nodes
73-In exercise,the venous blood returns to the heart by:
Muscle pump in calves
74-Circulation in heart is maintained by:
Symphthatic sys,Parasymphthetic sys,Local mechanism
75-Fisherman is presented with gingival bleeding and ecchymosis,he is suffering from:
Folate def.,Iron def.,Vit B12 def.,Vit C def.
76-Facor affecting collagen synthesis during healing is:
Infections,Vit C,Foriegn body
77-Mesothelioma is associated with:
Vinyl chloride,Silica,Asbestos,Copper dust,Carbon
78-Child having meckels diverticulum is having bleeding per rectum,it is due to:
Volvulus,Interssusption,Ectopic gastric tissue
79-During lactation,Amenorrhea is due to:
Inhibition of LH and FSH thru Prolactin,Dec.prolactin,Dec oestrogen
80-Presence of pancratic tissue in gastric mucosa is termed as:
Hamartoma,Metaplasaia,Neoplasia,Choristoma,Dysplasia
81-Main difference between primary and secondary intention wound healing is:
Granulation tissue,Wound contraction,Inflammatory cells
82-Child with sore throat after 3 weeks developed oedema,haemturia,cause would be:
Minimal change disease.post streptococcal GN,IgA nephropathy,Focal segmental GS.
83-Microscopic feature of polyarterites nodusa is:
Granuloma,Fibrinoid necrosis
84-Angiotension II exerts its effects by activating:
Renin,Angiotension I,Aldosterone,ANF
85-Tumor compressing optic chiasma would cause:
Binasal haemianopia,Bilateral haemianopia,Bitemporal haemianopia,Complete blindness
86-Growth hormone is maximally rasies in:
Sleeping,Excercise,Hunger,Anxiety
BY KASHIF NADEEM
NISHTAR HOSPITAL,MULTAN
NISHTAR HOSPITAL,MULTAN
1-The muscle involved in unlocking of knee joint is:
Poplitus,Rectus femoris,Plantaris.Soleus
2-Adult derivative of notochord is:
Nucleus pulposis,Annulus fibrosis,Vertebre,Vertebral canal
3-Vertebrae is derived from:
Myotome,Sclerotome,Dermatome,Ectoderm,Endoderm
4-Memory centre is located in:
Insula,Parietal lobe,Temporal lobe,Frontal lobe
5-The most commom type of salivary gland tumor is:
Salivary glands,Parotids,Submandibular,Sublingual
6-Distruction of Ant.pituatary gland causes dec.functioning of
Glom.fasiculata,Glom.granulosa,Medulla,Adrenal cortex
7-Least chances of renal stones is associated with:
Hyperlipidemia,HyperPTH,Hyper vit.D,Infections,Hyperurecimia
8-Nerve supply to extensors of arm is supplied by:
Lat.cord,Medial cord,Post cord,Lateral and medial cord
9-Nerve injured in Ant.disloacation of Shoulder joint is:
Musculocutaneous,Axillary,Median,Radial,Suprascapular
10-Damage to scaphoid bone causes injury to:
Radial A.Ulnar A.Brachial A,Ant.interosseous A.
11-Common site of fracture at rib is:
Angle,Shaft,Costochondral joint,tubercle
12-Following is not a tumor marker:
PLAP,CEA,bHCG,AFP,Acid Phospatase
13-Most common histology found in lung tumors is:
Squamous,AdenoCA,Mixed,Small CA
14-Patients comes with Rt.deviation of tongue,Dec.sense of touch and vibartions,the artery
commonly involved in brain is:
PICA,AICA,Ant.Spinal,Post.Cerbral,Sup.Cerbral A.
15-Soldier comes with heavy bleeding,the ideal fluid replacement would be:
Packed RBCs,Crystallines,Colloids,Whole blood for 3 days,Whole blood for 18 days
16-Maxillary sinus opens into:
Sup.meatus,Inferior meatus,Middle meatus,Nasal septum
17-Patient having increased levels of IgE,most probably suffering from:
Bacterial inf,Viral inf,Parasitic inf,Fungal inf.
18-Autospy done on the patient having CRF,most prabable finding would be:
Hypertrophied PTH gland,Hypertrophied adrenals,Hypertrophied pituatry,Hypertrophied thyroids
19-Excitation of post.pituatary would cause:
Sweeting,Stress,Shivering,Hunger pangs
20-Foetal period starts after which week:
11th.8th,12th,16th,21st
21-Patient having dec levels of factorII,VII,IX,X,most likely have:
Dec.antithrombin III,Dec Vit.K
22-Young pt.having Hb:6.0,TLC:3.5/ul,Plts:1lac is suffering from:
Iron def.,Folate def.,Vit B12 def.,Aplastic anaemia
23-Nucleus ambigus supplies to:
Teeths,Jaw,Tongue,Lyrnx
24-Olfactory area is present in:
Ant.perforating material,Occipital lobe,Inf.temporal gyrus,Parietal lobe
25-Patient with injury to left 8th cervical segment of spinal cord will not show following sign:
Dec sense of position,vibration below lesion on same side,Extensor plantar on left side,Dec
power of muscles below the leson on same side,Dec sense of pain and temprature below the
lesion on same side.
26-Feature of Rickets and Osteomalacia is:
Inc.Vit D,Inc.Ca,Inc PTH,Dec.bone density
27-Most common site of malignancy in pts suffering from nuclear outbreak
Haematopoitic,Thyroid,Lung,Breast,Bones
28-Virus acts on cells by:
Damaging cell membrane,Damaging nuclear membrane,Invloving protien synthesis
29-Most sensitive cells to hypoxia are:
RBCs,Neurons,Nephrons,WBCs,Platelets
30-Myelin in CNS is formed by:
Microglia,Schawan cells,Oligodendrocytes,Astrocytes
31-Feature not associated with irreversible cell injury is:
Mylein figures,Karyolysis,Karyorrehxis,Mitochondrial shrinkage
32-Ureter isnot constricted at:
Pelvic brim,at PUJ,Psoas muscle,Openning at bladder
33-Common relation of ureter is:
Ant.to gonadal vessels and post.to iliac A.,Post.to gonadal vessels and ant.to iliac A.
34-Patient feels pain after she underwent surgery for fibroids,structure injured would be:
Ureters,Ovaries,Fallopian tubes
35-Least common site for ectopic pregnancy would be at:
Ovaries,Pouch of douglus,Greater omentum,Fallopian tubes,Cervix
36-Gall bladder is supplied by:
Cystic A and Left gastrcA.,Cystic A and Left Hepatic,Only Cystic A.
37-Venous drainage of urinary bladder is into:
Internal Iliac V.,External Iliac V.,Commom Iliac V.,Internal and external V.
38-Hypothyroid patient in on thyroxine,best marker to monitor his thyroid status is:
T3,T4,TSH,T3 and T4,T3,T4 and TSH levels
39-Patient having hyperplastic bone marrow,anaemia,Inc Platelets is probably suffering from:
Aplastic anaemia,Megaloblastic,Myelofibrosis,Leaukemia
40-Stimulus for Eryrthropoiten secreation is:
Hypoxia
41-Erytropoiten is always raised in:
Polycythemia vera,Primary polycythemia,Sec.polycythemia
42-Following vein would be dilated in portal HTN:
Inf.epigastric,Gonadal,Renal vein,Left colic V.
43-Patient after gastrectomy is on VitB12,the cells lost in the gastrectomy are:
Mucous,parietal,cheif,Goblet cells.
44-Fat tags attached to the walls of large intestine are known as:
Taenia coli,Hausstral folds,Appendeces epiplocea
45-Bile salts are reabsorbed from the:
Duedenum.Jejunum,Ileum,Colon,Rectum
46-Following is an autosomal disease is:
Cystic fibrosis,Hereditary spherocytosis,Thalasemia,Sickle cell anaemia
47-Type of defect in Heredetary spherocytosis is:
Enzymatic defect,Structural defect
48-Patient with jaundice,anaemia,high reticulocyte count is having:
Folate def.,Iron def.,VitB12 def.,Hemolytic anaemia
49-Ejaculatory duct opens into:
Ureter,Ureteric crest,Bladder,Prostatic urethera
50-Terminal part of CBD in relation to pancrease is:
Embeded into pancrease,lie posteriorly,lie anteriorly
51-Following would ause massive infarction and destruction leading to patient death:
Thrombus,Embolus,Fatty thrombus,Thromboembolism
52-22yrs female pt.with 13th week of pregnancy after having crush fractures in RSA dies after 3
days,most likely cause of death is:
Amniotic fluid embolism,Air embolism,Fat embolism
53-Patient with old history of adenoCA of colonis operated for polypectomy,on histologic evaluation
pathologist labelled it as benign growth with no chances into malignant transformation,it would be:
FAP,Villous adenoma,Tubular adenoma,Tubulovillous,Metaplastic polyp
54-Tyrosine derivateve doesnt include:
TSH,Adrenaline,Nor adrnaline,Prolactin,Dopamine
55-Precursor of steriod hormone is:
Progesterone,Pregnenolone,Cholesterol
56-Capsule of liver in known as:
Disse,Glissons
57-Most common site of thyroglossal cyst is:
Suprahyoid,Infrahyoid,Hyoid
58-Wasting of thenar eminence,loss of sensation over thumb and index finger,nerve involved is:
Median,Axillary,Radial,Ulnar
59-The base of urinary bladder is made by:
Post surface,Ant surface,Inferolateral,Superior surface
60-Shock without having vasodilation is likely associated with:
Burns,Gram positive inf,Gram negative inf.,Superantigen infection
61-Following doesnt form the layer of inguinal canal:
External oblique,internal oblique,transversus,rectus abdominus.
62-Femoral sheath is formed by:
Fascia transversalis,Fasica trans.and Fasica iliaca,External oblique,Internal oblique
63-Patient with bone pains having normal Ca,inc Alk.phosp.most likely suffering from:
Pagets,HyperPTH,Hyper VitD,Bone mets,Osteomalacia
64-External spermatic fasica is formed by:
External oblique,Internal oblique,Cremastric muscle,Transversus muslce
65-In Turner syndrome,the genotype would be:
XX,XO,XXY,XY,XYY
66-Organ having least chances of infarction:
Lungs,Heart,Kidneys,Liver,Spleen
67-Type of necrosis in brain infarction:
Couglative,Liquefactive,Fat,Traumatic
68-Pt.with cervical lymphadenopaty,+ve AFB sputum,sign to look for TB on microscopy is:
Chronic inflammation.caseous necrosis,lymphocyctic infiltartion
69-Thyroid gland moves with swallowing because it is enclosed in:
Pretracheal fasica,Investing fasica,Vertebral fascia,Carotid fascia
70-Neurovascular bundle in chest wall lies between:
External and Internal intercostal mucles,Internaland Innermost layers,Innermost and enothoracic
fasica,Beneath Endothoracic fascia
71-Fibrous pericardium and medicatinal pleura is supplied by:
Vagus N.,Intercostal N.,Phrenic N.,Autonomic N.
72-Man is suffering from testicular ca,the lympahtic drainage of testicle is into:
Para aortic L.nodes,Pre aortic,Superficial inguinal,Internal iliac,External iliac L.nodes
73-In exercise,the venous blood returns to the heart by:
Muscle pump in calves
74-Circulation in heart is maintained by:
Symphthatic sys,Parasymphthetic sys,Local mechanism
75-Fisherman is presented with gingival bleeding and ecchymosis,he is suffering from:
Folate def.,Iron def.,Vit B12 def.,Vit C def.
76-Facor affecting collagen synthesis during healing is:
Infections,Vit C,Foriegn body
77-Mesothelioma is associated with:
Vinyl chloride,Silica,Asbestos,Copper dust,Carbon
78-Child having meckels diverticulum is having bleeding per rectum,it is due to:
Volvulus,Interssusption,Ectopic gastric tissue
79-During lactation,Amenorrhea is due to:
Inhibition of LH and FSH thru Prolactin,Dec.prolactin,Dec oestrogen
80-Presence of pancratic tissue in gastric mucosa is termed as:
Hamartoma,Metaplasaia,Neoplasia,Choristoma,Dysplasia
81-Main difference between primary and secondary intention wound healing is:
Granulation tissue,Wound contraction,Inflammatory cells
82-Child with sore throat after 3 weeks developed oedema,haemturia,cause would be:
Minimal change disease.post streptococcal GN,IgA nephropathy,Focal segmental GS.
83-Microscopic feature of polyarterites nodusa is:
Granuloma,Fibrinoid necrosis
84-Angiotension II exerts its effects by activating:
Renin,Angiotension I,Aldosterone,ANF
85-Tumor compressing optic chiasma would cause:
Binasal haemianopia,Bilateral haemianopia,Bitemporal haemianopia,Complete blindness
86-Growth hormone is maximally rasies in:
Sleeping,Excercise,Hunger,Anxiety
BY KASHIF NADEEM
NISHTAR HOSPITAL,MULTAN
Saturday, November 3, 2007
OBST&GYNEA FCPS-1(OCT 23 07) Q & A’s- contributed by Dr.Ashh & Dr.Huma
1.Which of the following does not form the wall of perineum
A.coccyx
B.pubic symphsis
C.ishcial tuberosity
D.sacrotuberous ligament
E.sacrospinous ligament
2.A pt presented with pain on defecation after severe constipation.pain in constipation occurs due to ?
A.autonomic nerves
B.Internal pudendal artey
C.pudendal nerve
D.perineal nerve
E.inguinal nerve
3.Lymph drainage of perianal skin is from one of the following
A.internal iliac nodes
B.external iliac nodes
C.lateral group of horizontal superficail nodes
D.medial group of horizontal superficail nodes
E.vertical group of nodes
4.Lesser omentum
A.connects with deudenum
B.forms falciform ligament
C.related to left adrenal gland
D.related to left kidney
E.related to rt kidney
5.A young girl of 25 yrs went with her husband on honey moon after one month of marriage.she suddenly experianced severe spasmotic pain in her rt iliac fossa.n presented in emergency in state of shock.most probable diagnosis is
A..acute appendicitis
B.renal colic
C.intestinal obstruction
D.ectopic Pregnancy
E.acute cholecystitis
6.which of the following structure is not palpable through vagina
A.cervix
B.rectum
C.ureteric stone
D.retrouterine pouch
E.vesicouterine pouch
7.The peritoneum covers the anterior abdominal wall which is continous with the perineum.it has fascia which has superior n inferior layers.the inferior fascial layer also called as
A.colle's fascia
B.scarpe fascia
C.perineal membrane
D.....fascia
E......fascia
8.If a known hypertensive pt took some diuretic n died in 6 hours.wat is the cause
A.acute renal failure
B.chronic renal failure
C.diuretic use
D.hypophosphatemia
E.hypokalemia ?
9.Which of the following is not a feature of shock
A.decrease cardiac output
B.muslce weakness
C.increased urine output
D.tachycardia
E.restlessness
10.supply of sphincter urethra comes from
A.ilioinguinal nerver
B.pelvis splanchnic nerves
C.sacral splanchnic nerves
D.autonomic nerves
E.Pudendal nerves
11.Rt ovarian vein drains the following
A.inferior vena cava
B.superior mesenteric
C.inferior mesenteric
D.rt renal vein
E.left renal vein
12.What is most appropiate about uterine tube
A.moves laterally to open medialy in the ovaries
B.present at the base of broad ligament
C.is 6cm long in adults
D.has an abd ostiium which is 0.5mm when dilated
E.extend above the fundus of uterus
13.Genital tubercle in females give rise to
A.labia majora
B.labia minora
C.clitoris
D.vestibular glands
E.bulbourethral glands
14.urachal cyst is the remnant of
A.allantois
B.mekel's diverticulum
C.........
D.....
E.........
15.Thymus develops from
A.ectoderm of 2nd brachial pouch
B.endoderm of 2nd brachial pouch
C.ectoderm of 3rd brachial pouch
D.endoderm of 3rd brachial pouch
E.mesoderm of 3rd brachial pouch
16.A pt presented with an opening in the ant wall of sternocledomastoid muscle with pussy discharge coming out of it.this problem occured due to abnormality in one of the following
A.1st pharyngeal cleft
B.2nd pharyngeal cleft
C.1st pharyngeal pouch
D.2nd pharyngeal pouch
E.3rd pharyngeal cleft
17.Diaphragmatic hernia occurs due to
A. absence of pleuro-pericardial membrane
B. absence of septum transversum
C. absence of pleuro-peritoneal membrane
D. absence of central tendon
E. absence of arch?
18.Erythropoises occurs in middle trimester mainly from
A.liver
B.kidney
C.spleen
D.bone marrow
E.both liver n kidney
19.Superior parathyroid gland develops from
A.1st brachial arch
B.2nd brachial arch
C.3rd brachial pouch
D.4th brachial pouch
E.3rd brachial cleft
20.In cervical carcinoma,wat is the lymph drainage
A.internal iliac
B.external iliac
C.both internal n external iliac
D.superficial inguinal
E.deep inguinal
21.RT coronary artery
A.arises from anterior aortic sinus
B.enters the rt heart border after passing through sulcus on posterir surface
C. supplies both ventricles
D. supplies S.A node
E. supplies left atrium
22.Fat deposition n ductal development of breast is the function of which hormone
A.estrogen
B.progesterone
C.prolactin
D.oxytocin
E.hcG
23.Inhibition of ovulation is the function of which hormone
A.progesterone
B .prolactin
C.dopamine
D.estrogen
E.GnRH
24.Thirst is least stimulated by
A.decrease blood volume
B.angiotension 2
C.salt depletion
D.decrease plasma volume
E.blood pressure
25.Most imp hormone involve in gluconeogenesis is
A.growth hormone
B.insulin
C.thyroxine
D.cortisol
E. Glycogen
26.A pt presented with rt iliac fossa pain. he is diagnosed to have acute appendicitis on flexing his rt thigh inward n medially he cries with pain.wat is the type of appendicitis he has
A.paracolic
B.retrocolic
C.pelvic
D.paracecal
E.subcecal
27.which of the following structure has both intra n extra pelvic extension
A.broad ligament
B.ovarian ligament
C.transverse cervical ligament
D.round ligament of ovary
E.round ligament of uterus
28.Stab wound above the piriformis muscle will damage which structure
A.superior gluteal nerves?
B.inferior gluteal nerves
C.sciatic nerve
D.tendon of obturator internus
E.inguinal nerves
29.Nerve supply of rectum
A.hypogastric plexus
B.greater splanchnic nerves
C.pelvis splanchnic nerves
D.short spanchnic nerves
E. inferior mesenteric plexus
30.One slide of a specimen shows stratified squamous epithelium with vascular smooth muscle and elastic fibres most probably the specimen is
A.cervix
B.uterine tube
C.vagina
D.uterus
E.anus
31.Apoptosis is inhibited by
A.capsases activation
B. Bcl-2 inhibition
C. Activation of P-53
D. apoptosis related protein ??
E…
32.Most potent chemotactic factor is
A.C3a
B.C5a ?
C.IL-1
D.viruses
E.arachdonic acid metabolites
33.what is the most appropiate answer
A.C3a is opsonin
B.C5a is potent anaphylactic
C.C5a is a potent chemotactic agent
D.C3b n C5a are anaphylactant
E.......
34.Low serum complement seen in which condition
A.SLE
B.ankylosing spondiolitis
C.rheumatid arthritis
D.multiple sclerosis
E.dermatomiositis
35.Pt presented with photosensitivity,rash n joint pain.which is the daignostic in this case
A.anti SS antibodies
B.anti DS antibodies
C.RA
D.anticentromere antibodies
E.antimitochondrial antibodies
36.Most dangerous Side effect of estrogen therapy is
A. suppression of lactation
B. hirsutism
C.thrombophlebitis
D.osteoporosis
E..........
37.If a pt is on long term corticosteroid therapy.she wil most probably hav increased risk of
A.repeated infections
B.decrease wound healing
C.osteoperosis n fractures
D.........
E....
38.Platelets r stored at room temprature because
A.to optimise its function?
B.to maintain its number
C.to avoid allergic reaction
D. to increase number
E.....
39.Which is most imp indicator of muscle protein loss
A.urea
B.ammonia
C.none of above
D.uric acid
E. ?
40.wat is true about DNA
A.Double stranded in which two strands are antiparallel to each other
B. a single turn of DNA is 2nm
C.Can exist as helix in single stranded form as well as in Double stranded form
D.
E.
41.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
D.45XO
45.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
D.46XX
E.......
46.Hydrolysis of DNA gives
A.proline
B.ribose
C.phosphoric acid?
D...
E...
47.Which of the following has highest cholesterol content
A. Chylomicron remnants
B. LDL
C. VLDL
D. HDL
E. IDL
48.Which hormone convert to its active form at target tissue with the help of 5 a reductase?
A. Testosterone
B.Estrogen
C.dihydoepiandosterone
D.Progesterone
E...
49.Which drug do not cause gynaecomasia?
A.Digoxin
B.Griseofulvin
C.Cimetidine
D.Androgen
E.spironolactone
50.Which is the best option in identification of Turner's syndrome
A.ultrasound
B.barr bodies
C.karyotyping
D.Ct scan
E...
51.Pyruvic acid is used as intermedite in which step of cell metabolism
A.carbohydrate to acetyl co A
B.glucose to acetyl co A
C.acetic acid to acetyl co A
D.......
E..
52.Epinephrine,norepinephrine n dopamine are derivatives of which aminoacid
A.alanine
B.arginine
C.proline
D.tyrosine
E.phenylalanine
53.End product of purine metabolism is
A.urea and water
B.uric acid
C.glucose
D.water and ammonia
E.ammonia
54.Erythropoitin is secreted from
A.liver cell
B.peritubular interstitium of kidney
C.macula densa of kidney
D...
E...
55.ESR is decreased with
A.temprature
B.albumin is decreased
C.globulin is decreased
D.decreased blood volume
E.decreased plasma volume
56.RBC's are
A.biconvex
B.nonfragile
C.have nucleus
D.largest of all cells
E.have glycolytic enzyme activity
57.Tamoxifen has effect on which system
A.CVS
B.CNS
C.breast
D.liver
E.kidney
58.Which of the following drug is most notorious for causing renal toxicity
A.cisplatin
B.cyclophosphamide
C.vincristine
D.blephamide
E.....
59.Commonest Cause of PDA
A.drugs
B.toxin
C.permaturity
D.congenital abnormality
E..infection
60.Most common Cause of metaplasia is
A.ultrasonography
B.chronic irritation
C.infections
D.radiations
E...
61.Wat is the differentiating point of hyperplasia fron hypertrophy
A.increase in size of cell
B.increase in size n no of cell
C.is reversible
D.is premalignant ?
E.involve viscera only
62.Dysplasia is seen mainly seen in
A.bone marrow
B.cartilage
C.epithelia
D.fibrous tissue
E.deep tissue
63.Wat is the differentiating feature of hyperplasia from benign tumor
A.increase in no of cell
B.are the same as parental cell
C.cytplasm n nucleus ratio is derranged
D....
E...
64.What is the most true among following
A.mRNA has a codon
B.mRNA has anticodon
C.rRNA is most abundant n involve as ribosomes on endoplasmic reticulum
D.tRNA is largest
E.tRNA involve in protein synthesis
65.deficiency of THAIMINE(B1)causes all except
A.cardiac anomalies
B.muscle wasting
C.defects in alcohlics
D.subacute degenaration of spinal cord
E.cns abnormalities in alcoholics
66.AIDS is associated with all of the following except
A.kaposi sarcoma
B.lymphoid tumors
C.primary tumor of brain
D.STD
E.leukemia
67.VITAMIN involve in collagen synthesis is
A.ascorbic acid
B.biotin
C.thiamine
D.pyridoxine
E.niacin
68.Neural tube defects occur due to deficiency of
A.iron
B.folic acid
C......
69.Iron is stored in the form of
A.ferritin
B.transferrin
C.apoferritin
70.CO2 is tranported in lungs through
A.simple diffusion
B.fasilitated diffusion
C.active transport
D.carriar proteins
E.channels
71.HSV is associated with
A.CA cervix
B.CA vulva
C.vaginal wart
D.vulval papules?
72.If a pt has presented with the wart on lateral wall of introitus.the most probable daignosis will be
A.fibroepithelial lesion
B.squamous cell CA of skin
C.polyp
D.squamous CA of vagina
E.HPV
73.Pt presented on 18th day of menstrual cycle her normal cycle is such dat she ovulates on day 14. Which phase will she be in?
A.follicular
B.ovulatory
C.pre mestural
D.proliferative
E.secretory?
74.Optic groove appears on left side of forebrain on day
A.12
B.22
C.32
D.42
E.52
75.Germen measles causes which abnormality. What is the most appropriate answer
A.congenital cataract
B.congenital deafness?
C,cardiac anomalies?
D.limb deformaties
E........
76.A newborn with anterior abd wall swelling and umbilical cord attached to it.wat is the condition called
A.omphalocele
B.gastroschiaosis
C.umblical hernia
D.omentocele
E.intestinal malformation
77.PT has exophthalmos n his T3 n T4 are increased.wat is the option for treatment of exophthalmos
A.drugs blocking the action of T4?
B.direct suppresion of T4
C.hypophysectomy
D.administration of testosterone
E.partial parathyroidectomy
78.Treatment of diabetes in pregnant lady is
A.sulphonyl urea
B.insulin
C.biguanides
D.suphonylurea n biguanides
E...
79.Statistical average applicable to the measurement of a population is
A.mean?
B.mode
C.median
d.standard deviation
e.central
80.Two groups one with CHD and associated risk factors is compared to another group with CHD but no associated risk factors. What type of study is it?
A. case control
B. cohort
C. prospective
D. retrospective
E. random
81.Oxytocin is given to a pt in labour.it has effect on:
A. oxytocin receptors on cervix
B.oxytocin receptor on myometrium and endometrium
C.dec prostaglandin recp on cervix
D.dec prostaglandin recp on myometriun
82.Beta lactum acts through
A.cell membrane
B.cell wall
C.DNA
D.30S
E.50S
83.side effect of streptomycin
A.impairment of hearing
B.
C.
D.
E.
84.Which of the following is opportunistic organism
A.E coli?
B.salmonella
C.shigella
D.klebsella
E.chlostridium
85.Psudomembranous colitis is caused by
A.Cl.difficile
B.Cl.tetani
C.CL perfiranges
D.Cl.botulinum
E..
86.About aspargillosis which is not correct
A.is caused by fungal
B.usually seen in preexisting lung diseases?
C.is caused by long term antibiotic use.
D...
E........
87.Most common cause of puerperal sepsis is
A.bacteriodes
B,E coli
C.trichomonas
D.chalymadia
E.gonorrhea
88.Another question associted with aspargilosis
89.Inutero infection is not caused by
A.syphlis
B.mumps
C.cytomegalovirus
D.HIV
E.rhinovirus
90.A pt with cervical lymphadenopathy. he has granuloma on histopathology.wat is the diagnostic finding in this case for T.B
A.AFB
B.caseous necrosis
C.montoux test
D.x-ray
E.......
91.A 25 yrs old multiparaous presented with lower abd pain.on histology it showed solid n cystic areas intermixed but on laproscopy it was semi solid with brown centre.wat is the most probable daignosis
A.dermoid cyst
B.endometrial cyst
C.ovarian CA
D.enodmetrial CA
E.teratoma
92.A pt presented with primary amennorhea.well developed secondary sexual characterstics,present breast but absent uterus.the organ not found is due to abnormal development of
A.mesonephric duct
B.paramesonephric duct
C.genital tubercle
D.........
93.A woman presented with vulvar itching n pinkish purulent discharge.wat is the cause
A.trichomanas vaginilis
B.chlamydia
C.gonorhea
D.lactobacillis
E....
94.presense of delta antigen shows( HDV)
A.Infectivity
B.recovery
C.Chronicity
D. Acute phase
E.Measure of severity/fatality of the disease
95.Most common organism involve in post operative abdominal & gynaecological infection is
A.E coli
B.bacteroides
C.chlamydia
D.trichomonas
E.gomorrhea
96.A pt presented with lower abd pain n purulent white dischrge.om laproscopy fallopian tubes were sticked together n ruptured during operation.wat is the condition involved
A.acute salpingitis
B.chronic salpingitis
C.pyosalpinx
D.hydrosalpinx
97.Pt has a history of infection 4 weeks back.now he developed same pain again.wat type of cell will present at this time of disease
A.neutophils
B.eosinophils
C.lymphocytes
D.basophils
E.mast cells
98.What is the drug of choice for DVT in ist trimester of pregnancy
A.aspirin
B.heparin
C.warfarin
D.indomethacin
E.mefanamic acid
100.Deficiency of Vit K will effect all of the following except
A.factor 7
B.factor 5
C.factor 9
D.fibrinogen
E.prothrombin
101.At which step intrinsic n extrinsic pathways converge
A.activater 10
B.activated 11
C.activated 12
D.prothrombin
E.activeted 9
102.Type 2 hypersensitivity reaction includes
A.erythroblastis fetalis
all other options were wrong
103.Transfusion reaction will not occur in a pt if we transfuse the
A.group A with O
B.group A with AB
C.group AB with A
D.group B with O
E.group O with B
104.Which of the following does not cross placenta easily
A.glucose
B.amino acid
C.Ig G
D.Ig M
E.CO2
105.Which drug is used in the treatment of hirsutism
A.antiandrogens
B.estrogen
C.testosterone
D.cryptoterone acetate
E.diacrone
106.Most common organism involved in infection caused by IUCD
A.actinomycosis
B.E coli
C.bacteroide
D.gonorrhea
E.trichomonas
107.ECF differ from ICF in
A.high conc. of Na n Ca
B.high K low Na
C.low Na n Ca high K
D. high conc. Of K & Ca with low Na
E.Volume …
108.diffrence of smooth n skeletal muscle
A.Ca-Calmodulin complex is present in smooth muscles
109.In partial mole,karyotype is
A.46XX
B.45XO
C.47XX
D.47XY
E.69XXY
110.If carbohydrate is separated from proteins wat will be the fate
A.aggregation n precipitation
B.eliminate fron kidney?
C.increase uptake int muscle
111.Lysozome contains
A.glucose
B.Ca
C.Na
D. hydrolases
E.alkaline phosphate
112.Which of the following does not have sulpha group
A.cysteine
B.cystedine
C.homocystine
D.methionine
E.threonine
113.What is not true about levator anni muscle
A.supplied by L1 n L2
B.puborectalis forms part of it
114.What is not true about ureter
A.enter the pelvis infront of common iliac artery
B.enter the bladder on superio lateral surface of trigone
C.not hav sphincteric valve at opening into bladder
D.can be palpated at pelvic brim
E.??
115. MCQ on Significance
A.
116. If a test is able to both diagnose and eliminate diseased and non-diseased wht is it called?
A.Specific
B.Accurate
C.Sensitive
D…
117. From a population two groups are selected on age basis and then subgroups are assigned randomly for the study.wht type of sampling is it?
A.Multistage sampling
B.Stratified sampling
C.Random stratified sampling
D.simple random sampling
118. Metabolic Alkalosis is caused by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN
119.Q on Metabolic acidosis
120.Q on compensated respiratory alkalosis
121. For Rh blood transfusion to the anemic baby
A.crossmatch blood to babys plasma
B.Crossmatch blood to mothers plama
C.Crossmath blood to mothers blood
D.give wbc depleted transfusion
E.Give red cell concentrates crossmatched wid fetal blood
122. Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa
123. Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum
124. About K - Regulation , following is correct
a) K is 98% in the cells
b) normally completely reabsorbed in Distal tubule
c) increase water affects K-balance?
d) decrease in D.K.A
125.On examination of a female,a plaque like lesion seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart?
1.Which of the following does not form the wall of perineum
A.coccyx
B.pubic symphsis
C.ishcial tuberosity
D.sacrotuberous ligament
E.sacrospinous ligament
2.A pt presented with pain on defecation after severe constipation.pain in constipation occurs due to ?
A.autonomic nerves
B.Internal pudendal artey
C.pudendal nerve
D.perineal nerve
E.inguinal nerve
3.Lymph drainage of perianal skin is from one of the following
A.internal iliac nodes
B.external iliac nodes
C.lateral group of horizontal superficail nodes
D.medial group of horizontal superficail nodes
E.vertical group of nodes
4.Lesser omentum
A.connects with deudenum
B.forms falciform ligament
C.related to left adrenal gland
D.related to left kidney
E.related to rt kidney
5.A young girl of 25 yrs went with her husband on honey moon after one month of marriage.she suddenly experianced severe spasmotic pain in her rt iliac fossa.n presented in emergency in state of shock.most probable diagnosis is
A..acute appendicitis
B.renal colic
C.intestinal obstruction
D.ectopic Pregnancy
E.acute cholecystitis
6.which of the following structure is not palpable through vagina
A.cervix
B.rectum
C.ureteric stone
D.retrouterine pouch
E.vesicouterine pouch
7.The peritoneum covers the anterior abdominal wall which is continous with the perineum.it has fascia which has superior n inferior layers.the inferior fascial layer also called as
A.colle's fascia
B.scarpe fascia
C.perineal membrane
D.....fascia
E......fascia
8.If a known hypertensive pt took some diuretic n died in 6 hours.wat is the cause
A.acute renal failure
B.chronic renal failure
C.diuretic use
D.hypophosphatemia
E.hypokalemia ?
9.Which of the following is not a feature of shock
A.decrease cardiac output
B.muslce weakness
C.increased urine output
D.tachycardia
E.restlessness
10.supply of sphincter urethra comes from
A.ilioinguinal nerver
B.pelvis splanchnic nerves
C.sacral splanchnic nerves
D.autonomic nerves
E.Pudendal nerves
11.Rt ovarian vein drains the following
A.inferior vena cava
B.superior mesenteric
C.inferior mesenteric
D.rt renal vein
E.left renal vein
12.What is most appropiate about uterine tube
A.moves laterally to open medialy in the ovaries
B.present at the base of broad ligament
C.is 6cm long in adults
D.has an abd ostiium which is 0.5mm when dilated
E.extend above the fundus of uterus
13.Genital tubercle in females give rise to
A.labia majora
B.labia minora
C.clitoris
D.vestibular glands
E.bulbourethral glands
14.urachal cyst is the remnant of
A.allantois
B.mekel's diverticulum
C.........
D.....
E.........
15.Thymus develops from
A.ectoderm of 2nd brachial pouch
B.endoderm of 2nd brachial pouch
C.ectoderm of 3rd brachial pouch
D.endoderm of 3rd brachial pouch
E.mesoderm of 3rd brachial pouch
16.A pt presented with an opening in the ant wall of sternocledomastoid muscle with pussy discharge coming out of it.this problem occured due to abnormality in one of the following
A.1st pharyngeal cleft
B.2nd pharyngeal cleft
C.1st pharyngeal pouch
D.2nd pharyngeal pouch
E.3rd pharyngeal cleft
17.Diaphragmatic hernia occurs due to
A. absence of pleuro-pericardial membrane
B. absence of septum transversum
C. absence of pleuro-peritoneal membrane
D. absence of central tendon
E. absence of arch?
18.Erythropoises occurs in middle trimester mainly from
A.liver
B.kidney
C.spleen
D.bone marrow
E.both liver n kidney
19.Superior parathyroid gland develops from
A.1st brachial arch
B.2nd brachial arch
C.3rd brachial pouch
D.4th brachial pouch
E.3rd brachial cleft
20.In cervical carcinoma,wat is the lymph drainage
A.internal iliac
B.external iliac
C.both internal n external iliac
D.superficial inguinal
E.deep inguinal
21.RT coronary artery
A.arises from anterior aortic sinus
B.enters the rt heart border after passing through sulcus on posterir surface
C. supplies both ventricles
D. supplies S.A node
E. supplies left atrium
22.Fat deposition n ductal development of breast is the function of which hormone
A.estrogen
B.progesterone
C.prolactin
D.oxytocin
E.hcG
23.Inhibition of ovulation is the function of which hormone
A.progesterone
B .prolactin
C.dopamine
D.estrogen
E.GnRH
24.Thirst is least stimulated by
A.decrease blood volume
B.angiotension 2
C.salt depletion
D.decrease plasma volume
E.blood pressure
25.Most imp hormone involve in gluconeogenesis is
A.growth hormone
B.insulin
C.thyroxine
D.cortisol
E. Glycogen
26.A pt presented with rt iliac fossa pain. he is diagnosed to have acute appendicitis on flexing his rt thigh inward n medially he cries with pain.wat is the type of appendicitis he has
A.paracolic
B.retrocolic
C.pelvic
D.paracecal
E.subcecal
27.which of the following structure has both intra n extra pelvic extension
A.broad ligament
B.ovarian ligament
C.transverse cervical ligament
D.round ligament of ovary
E.round ligament of uterus
28.Stab wound above the piriformis muscle will damage which structure
A.superior gluteal nerves?
B.inferior gluteal nerves
C.sciatic nerve
D.tendon of obturator internus
E.inguinal nerves
29.Nerve supply of rectum
A.hypogastric plexus
B.greater splanchnic nerves
C.pelvis splanchnic nerves
D.short spanchnic nerves
E. inferior mesenteric plexus
30.One slide of a specimen shows stratified squamous epithelium with vascular smooth muscle and elastic fibres most probably the specimen is
A.cervix
B.uterine tube
C.vagina
D.uterus
E.anus
31.Apoptosis is inhibited by
A.capsases activation
B. Bcl-2 inhibition
C. Activation of P-53
D. apoptosis related protein ??
E…
32.Most potent chemotactic factor is
A.C3a
B.C5a ?
C.IL-1
D.viruses
E.arachdonic acid metabolites
33.what is the most appropiate answer
A.C3a is opsonin
B.C5a is potent anaphylactic
C.C5a is a potent chemotactic agent
D.C3b n C5a are anaphylactant
E.......
34.Low serum complement seen in which condition
A.SLE
B.ankylosing spondiolitis
C.rheumatid arthritis
D.multiple sclerosis
E.dermatomiositis
35.Pt presented with photosensitivity,rash n joint pain.which is the daignostic in this case
A.anti SS antibodies
B.anti DS antibodies
C.RA
D.anticentromere antibodies
E.antimitochondrial antibodies
36.Most dangerous Side effect of estrogen therapy is
A. suppression of lactation
B. hirsutism
C.thrombophlebitis
D.osteoporosis
E..........
37.If a pt is on long term corticosteroid therapy.she wil most probably hav increased risk of
A.repeated infections
B.decrease wound healing
C.osteoperosis n fractures
D.........
E....
38.Platelets r stored at room temprature because
A.to optimise its function?
B.to maintain its number
C.to avoid allergic reaction
D. to increase number
E.....
39.Which is most imp indicator of muscle protein loss
A.urea
B.ammonia
C.none of above
D.uric acid
E. ?
40.wat is true about DNA
A.Double stranded in which two strands are antiparallel to each other
B. a single turn of DNA is 2nm
C.Can exist as helix in single stranded form as well as in Double stranded form
D.
E.
41.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
D.45XO
45.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
D.46XX
E.......
46.Hydrolysis of DNA gives
A.proline
B.ribose
C.phosphoric acid?
D...
E...
47.Which of the following has highest cholesterol content
A. Chylomicron remnants
B. LDL
C. VLDL
D. HDL
E. IDL
48.Which hormone convert to its active form at target tissue with the help of 5 a reductase?
A. Testosterone
B.Estrogen
C.dihydoepiandosterone
D.Progesterone
E...
49.Which drug do not cause gynaecomasia?
A.Digoxin
B.Griseofulvin
C.Cimetidine
D.Androgen
E.spironolactone
50.Which is the best option in identification of Turner's syndrome
A.ultrasound
B.barr bodies
C.karyotyping
D.Ct scan
E...
51.Pyruvic acid is used as intermedite in which step of cell metabolism
A.carbohydrate to acetyl co A
B.glucose to acetyl co A
C.acetic acid to acetyl co A
D.......
E..
52.Epinephrine,norepinephrine n dopamine are derivatives of which aminoacid
A.alanine
B.arginine
C.proline
D.tyrosine
E.phenylalanine
53.End product of purine metabolism is
A.urea and water
B.uric acid
C.glucose
D.water and ammonia
E.ammonia
54.Erythropoitin is secreted from
A.liver cell
B.peritubular interstitium of kidney
C.macula densa of kidney
D...
E...
55.ESR is decreased with
A.temprature
B.albumin is decreased
C.globulin is decreased
D.decreased blood volume
E.decreased plasma volume
56.RBC's are
A.biconvex
B.nonfragile
C.have nucleus
D.largest of all cells
E.have glycolytic enzyme activity
57.Tamoxifen has effect on which system
A.CVS
B.CNS
C.breast
D.liver
E.kidney
58.Which of the following drug is most notorious for causing renal toxicity
A.cisplatin
B.cyclophosphamide
C.vincristine
D.blephamide
E.....
59.Commonest Cause of PDA
A.drugs
B.toxin
C.permaturity
D.congenital abnormality
E..infection
60.Most common Cause of metaplasia is
A.ultrasonography
B.chronic irritation
C.infections
D.radiations
E...
61.Wat is the differentiating point of hyperplasia fron hypertrophy
A.increase in size of cell
B.increase in size n no of cell
C.is reversible
D.is premalignant ?
E.involve viscera only
62.Dysplasia is seen mainly seen in
A.bone marrow
B.cartilage
C.epithelia
D.fibrous tissue
E.deep tissue
63.Wat is the differentiating feature of hyperplasia from benign tumor
A.increase in no of cell
B.are the same as parental cell
C.cytplasm n nucleus ratio is derranged
D....
E...
64.What is the most true among following
A.mRNA has a codon
B.mRNA has anticodon
C.rRNA is most abundant n involve as ribosomes on endoplasmic reticulum
D.tRNA is largest
E.tRNA involve in protein synthesis
65.deficiency of THAIMINE(B1)causes all except
A.cardiac anomalies
B.muscle wasting
C.defects in alcohlics
D.subacute degenaration of spinal cord
E.cns abnormalities in alcoholics
66.AIDS is associated with all of the following except
A.kaposi sarcoma
B.lymphoid tumors
C.primary tumor of brain
D.STD
E.leukemia
67.VITAMIN involve in collagen synthesis is
A.ascorbic acid
B.biotin
C.thiamine
D.pyridoxine
E.niacin
68.Neural tube defects occur due to deficiency of
A.iron
B.folic acid
C......
69.Iron is stored in the form of
A.ferritin
B.transferrin
C.apoferritin
70.CO2 is tranported in lungs through
A.simple diffusion
B.fasilitated diffusion
C.active transport
D.carriar proteins
E.channels
71.HSV is associated with
A.CA cervix
B.CA vulva
C.vaginal wart
D.vulval papules?
72.If a pt has presented with the wart on lateral wall of introitus.the most probable daignosis will be
A.fibroepithelial lesion
B.squamous cell CA of skin
C.polyp
D.squamous CA of vagina
E.HPV
73.Pt presented on 18th day of menstrual cycle her normal cycle is such dat she ovulates on day 14. Which phase will she be in?
A.follicular
B.ovulatory
C.pre mestural
D.proliferative
E.secretory?
74.Optic groove appears on left side of forebrain on day
A.12
B.22
C.32
D.42
E.52
75.Germen measles causes which abnormality. What is the most appropriate answer
A.congenital cataract
B.congenital deafness?
C,cardiac anomalies?
D.limb deformaties
E........
76.A newborn with anterior abd wall swelling and umbilical cord attached to it.wat is the condition called
A.omphalocele
B.gastroschiaosis
C.umblical hernia
D.omentocele
E.intestinal malformation
77.PT has exophthalmos n his T3 n T4 are increased.wat is the option for treatment of exophthalmos
A.drugs blocking the action of T4?
B.direct suppresion of T4
C.hypophysectomy
D.administration of testosterone
E.partial parathyroidectomy
78.Treatment of diabetes in pregnant lady is
A.sulphonyl urea
B.insulin
C.biguanides
D.suphonylurea n biguanides
E...
79.Statistical average applicable to the measurement of a population is
A.mean?
B.mode
C.median
d.standard deviation
e.central
80.Two groups one with CHD and associated risk factors is compared to another group with CHD but no associated risk factors. What type of study is it?
A. case control
B. cohort
C. prospective
D. retrospective
E. random
81.Oxytocin is given to a pt in labour.it has effect on:
A. oxytocin receptors on cervix
B.oxytocin receptor on myometrium and endometrium
C.dec prostaglandin recp on cervix
D.dec prostaglandin recp on myometriun
82.Beta lactum acts through
A.cell membrane
B.cell wall
C.DNA
D.30S
E.50S
83.side effect of streptomycin
A.impairment of hearing
B.
C.
D.
E.
84.Which of the following is opportunistic organism
A.E coli?
B.salmonella
C.shigella
D.klebsella
E.chlostridium
85.Psudomembranous colitis is caused by
A.Cl.difficile
B.Cl.tetani
C.CL perfiranges
D.Cl.botulinum
E..
86.About aspargillosis which is not correct
A.is caused by fungal
B.usually seen in preexisting lung diseases?
C.is caused by long term antibiotic use.
D...
E........
87.Most common cause of puerperal sepsis is
A.bacteriodes
B,E coli
C.trichomonas
D.chalymadia
E.gonorrhea
88.Another question associted with aspargilosis
89.Inutero infection is not caused by
A.syphlis
B.mumps
C.cytomegalovirus
D.HIV
E.rhinovirus
90.A pt with cervical lymphadenopathy. he has granuloma on histopathology.wat is the diagnostic finding in this case for T.B
A.AFB
B.caseous necrosis
C.montoux test
D.x-ray
E.......
91.A 25 yrs old multiparaous presented with lower abd pain.on histology it showed solid n cystic areas intermixed but on laproscopy it was semi solid with brown centre.wat is the most probable daignosis
A.dermoid cyst
B.endometrial cyst
C.ovarian CA
D.enodmetrial CA
E.teratoma
92.A pt presented with primary amennorhea.well developed secondary sexual characterstics,present breast but absent uterus.the organ not found is due to abnormal development of
A.mesonephric duct
B.paramesonephric duct
C.genital tubercle
D.........
93.A woman presented with vulvar itching n pinkish purulent discharge.wat is the cause
A.trichomanas vaginilis
B.chlamydia
C.gonorhea
D.lactobacillis
E....
94.presense of delta antigen shows( HDV)
A.Infectivity
B.recovery
C.Chronicity
D. Acute phase
E.Measure of severity/fatality of the disease
95.Most common organism involve in post operative abdominal & gynaecological infection is
A.E coli
B.bacteroides
C.chlamydia
D.trichomonas
E.gomorrhea
96.A pt presented with lower abd pain n purulent white dischrge.om laproscopy fallopian tubes were sticked together n ruptured during operation.wat is the condition involved
A.acute salpingitis
B.chronic salpingitis
C.pyosalpinx
D.hydrosalpinx
97.Pt has a history of infection 4 weeks back.now he developed same pain again.wat type of cell will present at this time of disease
A.neutophils
B.eosinophils
C.lymphocytes
D.basophils
E.mast cells
98.What is the drug of choice for DVT in ist trimester of pregnancy
A.aspirin
B.heparin
C.warfarin
D.indomethacin
E.mefanamic acid
100.Deficiency of Vit K will effect all of the following except
A.factor 7
B.factor 5
C.factor 9
D.fibrinogen
E.prothrombin
101.At which step intrinsic n extrinsic pathways converge
A.activater 10
B.activated 11
C.activated 12
D.prothrombin
E.activeted 9
102.Type 2 hypersensitivity reaction includes
A.erythroblastis fetalis
all other options were wrong
103.Transfusion reaction will not occur in a pt if we transfuse the
A.group A with O
B.group A with AB
C.group AB with A
D.group B with O
E.group O with B
104.Which of the following does not cross placenta easily
A.glucose
B.amino acid
C.Ig G
D.Ig M
E.CO2
105.Which drug is used in the treatment of hirsutism
A.antiandrogens
B.estrogen
C.testosterone
D.cryptoterone acetate
E.diacrone
106.Most common organism involved in infection caused by IUCD
A.actinomycosis
B.E coli
C.bacteroide
D.gonorrhea
E.trichomonas
107.ECF differ from ICF in
A.high conc. of Na n Ca
B.high K low Na
C.low Na n Ca high K
D. high conc. Of K & Ca with low Na
E.Volume …
108.diffrence of smooth n skeletal muscle
A.Ca-Calmodulin complex is present in smooth muscles
109.In partial mole,karyotype is
A.46XX
B.45XO
C.47XX
D.47XY
E.69XXY
110.If carbohydrate is separated from proteins wat will be the fate
A.aggregation n precipitation
B.eliminate fron kidney?
C.increase uptake int muscle
111.Lysozome contains
A.glucose
B.Ca
C.Na
D. hydrolases
E.alkaline phosphate
112.Which of the following does not have sulpha group
A.cysteine
B.cystedine
C.homocystine
D.methionine
E.threonine
113.What is not true about levator anni muscle
A.supplied by L1 n L2
B.puborectalis forms part of it
114.What is not true about ureter
A.enter the pelvis infront of common iliac artery
B.enter the bladder on superio lateral surface of trigone
C.not hav sphincteric valve at opening into bladder
D.can be palpated at pelvic brim
E.??
115. MCQ on Significance
A.
116. If a test is able to both diagnose and eliminate diseased and non-diseased wht is it called?
A.Specific
B.Accurate
C.Sensitive
D…
117. From a population two groups are selected on age basis and then subgroups are assigned randomly for the study.wht type of sampling is it?
A.Multistage sampling
B.Stratified sampling
C.Random stratified sampling
D.simple random sampling
118. Metabolic Alkalosis is caused by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN
119.Q on Metabolic acidosis
120.Q on compensated respiratory alkalosis
121. For Rh blood transfusion to the anemic baby
A.crossmatch blood to babys plasma
B.Crossmatch blood to mothers plama
C.Crossmath blood to mothers blood
D.give wbc depleted transfusion
E.Give red cell concentrates crossmatched wid fetal blood
122. Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa
123. Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum
124. About K - Regulation , following is correct
a) K is 98% in the cells
b) normally completely reabsorbed in Distal tubule
c) increase water affects K-balance?
d) decrease in D.K.A
125.On examination of a female,a plaque like lesion seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart?
Saturday, October 27, 2007
Medicine October 2007
Q.1 Paracetamol.....
a) increases PT
b) its overdose causes Nephrotoxicity
c) is a poor anti-inflamatory
d) is more stronger than codeine
e) causes met-Hb.emia more frequently than Phanacetin
Q.2 ATN is associated with...
a) Hyperkalemia
b) conc. urine in initial stages
c) increase in s.urea but normal s.creatinnine
d)
Q.3 Congenital cataract is associated with
a) chiken pox
b) chromosomal abnormality
c) small pox
d) Rubella
Q.4 MS is characterized by...
a) Lewy bodies
b) Patchy demylination & white fiber gliosis
c) axonal neuropathy
d)
Q.5 All of the following have ability of phagocytosis EXCEPT
a) Microgila
b) Lymphocytes
c) Kuffer cells
d) Neutrophils
Q.6 Pulmonary Arterial pressure increases with..
a) Essential HPTN
b) Sympthatic stimulation
c) Nitroglycerine
d) Excercise
e) Hypoxia
Q.7 in an Asthamtic female,immeditae treatment of HPTN during intra-operative HPTN, is
a) sublingual glycerine trinitate
b) intra.venous nitroglycerine
c) propranalol
d)
Q.8 During giving local anaestheia, the long needle goes far into greater palatine canal,causing anaesthesia of an autonomic ganglion,as a result along with dryness of nasal mucosa also occurs
a) decreased secretions of Parotid
b) decreased secretion of Submandibular & sublingual glands
c)
Q.9 Tissue which has in-ability to replace dead cells
a) Heart
b) Kidney
c) Liver
d) Bone
e) Bowl Mucosa
Q.10 Non-essential amino acid includes
a) Leucine
b) Iso-leucine
c) Methionine
d) Tyrosine
Q.11 Metabolic Alkalosis is caued by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN
Q.12 Glucronide conjugation of drugs
a) causes inactivation of drug
b) is Type 1 reaction
c) makes drug insoluble in water
d) increases its effects
Q.13 A patient having generalized body weakness & numbness,
on investigation he is having Un-conjugated Bilirubinemia,
Hb= 7.4 md/dl MCV..> 120 fl,
the anemia is due to ....
a) Hemolysis
b) Vit B 9 def.
c) Vit B 12 def.
d) Hypersplenisim
Q.14 Tissue with Dual autonomic supply but not reciprocal suuply is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle
Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism
Q.16 In summer,in a fasting man the cause of concenterated urine is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle
Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism
Q.16 In summer,in a fasting man the cause of concenterated urine is
a) ADH
b) No Oral intake
c) Aldosterone
d) increased sweeting
Q.17 A 35 yr old man is having bilateral ptosis of eye during evening since last few weeks,the confirmatory test of the diagnosis will be
a) Tensilon Test
b) Ach Receptor Antibody Test
c) blood culture
d) CT scan Brain
Q.18 if a High Dextrose water is infusion given to a person,it inhibits
a) Cotisol
b) ADH
c) Aldosterone
d) Insulin
Q.19 Parasympthatic supply of Sigmoid Colon is
a) Sacral segments S2,S3,S4
b) Pelvic splanchnic Nerves
c) vagus nerve
d)
Q.20 which does not take part in inflamatory reactions
a) Adrenaline
b) Histamine
c) 5-hydroxy tryptamine
d) Dopamine
Q. 21 Parietal & Visceral Pericardium is supplied by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus
Q.22 A young man had sinjury to the neck with sum sharp object,3 yrs ago,
Now he notices a bulging swelling above the clavicle on sneezing & coughing,
this swelling most probably due to...
a) Injury to deep fascia of neck
b) demage to supra-pleural membrane
c) Un-united first Rib Fracture
Q.23 Middle meningeal artery if ruptured while meinges are intact,the Haemorrhage will be
a) Epidural
b) Subdural
c) Intracranial
d)
Q.24 Dorsal Rami of the cervical nerves innervates
a) Abductor Pollices
b) Extensors of Limbs
c) Extensors of Trunk
d) Stabilizers of Shoulder
Q.25 Muscles of Hand supplied by
a) ventral rami of C-8
b) Ventral branches of T-1
c) Median Nerve
d) Ulnar Nerve
e) Radial Nerve
Q.26 A person has sharp knife injury to upper medial aspect of arm,
after which He is unable to Flex his elbow & having loss of cutaneous sensations on lateral aspect of forearm,
the nerve injured is
a) Median Nerve
b) Axillary nerve
c) Radial Nerve
d) Musculocutaneous Nerve
Q. 27 A Transplant from identical twin is
a) Allograft
b) Heterograft
c) Homograft
d) Isograft
e) Xenograft
Q.28 Therapeutic Index of a drug indicates its
a) Effectivity
b) Efficacy
c) Potency
d) Toxicity
Q.29 Pharmakokinetic interaction among drugs is examplified by :
a) Shortening of action of Procaine by Adrenaline
b) increase peripheral toxicity of Levodopa with Carbidopa
c) increase toxicity of Methotrexate by Aspirin
d) prevention of Nitroglycerine induced tachycardia by Propranolol
e) blokade of acetylcholine receptors by atropine
Q.30 A 30 years old 75 kg Diabetic man with recent diagnosis of Hypertension,
On ECG : Left Ventricular Hypertrophy
s.Urea -- 20 mg/dl s.Creatinine -- 0.7 mg/dl
s.Uric Acid-- 7.5 mg/dl s.Na -- 140 mmol
s. K-- 2.5 mmol s.Cl --- 103 mmol
s.HCO3 -- 23 mg/dl 24 Hr Urinary Proteins-- 30
& Fasting BSL--- 80 mg/dl
The cause is.......
a) Essential HPTN
b) Diabetic Nephropathy
c) Pheochromocytoma
d) Addison Disease
e) Primary HyperAldosteronism
Q.31 Acute Tubular Necrosis is characterized by
a) Hyper-kalemia
b) Initially concenterated urine
c) Metabolic Alkalosis
d) s.Urea is increased & s.creatinine is normal
Q.32 GFR is measured by clearance of
a) Inulin
b) Creatinine
c) Urea
d) Glucose
Q.33 Sarcoidosis is diagnosed microscopically by
a) Granuloma with Asteroid
b) Non-caseating Granuloma
c) Caseating Granuloma
d) Macrophages & Giant cells
Q.34 Multipule sclerosis is characterized by...
a) Lewy Bodies in Neucleus
b) Ptachy demylination with white fiber gliosis
c) Axonal degeneration
d)
Q.35 What is INAPPROPRIATE about Vagus Nerve..
a) its longest Cranial Nerve
b) passes in between IJV & ICA
c) passes posterior to Carotid Sheath
d) Gives Recurrent Laryngeal Nerve
e) gives Superior Laryngeal Nerve
Q.36 Thymus is
a) Rich in Lymphocytes
b) Present at birth but shorly regree after birth
c) derived from 4th Pahryngeal Pouch
d) is a part of Thyroid
e) Lies posterior to Trachea
Q.37 True statement about Down Syndrom is
a) Trisomy 23
b) contains single X chromosome
c) more chances with increasing maternal age
Q.38 Kleinifilter syndrome
a) contains single X chromosome
b) less chances of Mental retardation
c) phenotypically female
Q.39 Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa
Q.40 At 35 weeks of Gestation,in sample taken from amniocentesis,
there is increased Alpha-Fetoprotein,its most probable cause is..
a) Down syndrome
b) Turner syndrome
c) Spina Cystica
d) Hydrocephalous
e)
Q.41 Thoracic Duct....
a) recieves Lymph from both right & left sides
b) lies in posterior mediastinum
c) passes just right to the thoracic aorta
d) extends from upper abdoment to neck
e) has a dilatation called Cisterna
Q.42 Rate of passage of food in esophagus depends upon
a) Gravitational Force
b) Neuromuscular excitation different @ upper & lower oesophagus
c) progressive peristalsis in esophagus
d) Acidity
Q.43 @ Leprotomy Retroperitoneal Abscess was found,the site woud be
a) Stomach
b) Sigmoid Colon
c) Transverse Colon
d) Ascending Colon
e) Small intestine
Q.44 Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum
Q.45 A patient having Facial deviation along with loss of sensations on anterior 2/3 rd of tongue,the leision lies in
a) Facial Canal
b) Internal auditary meatus
c) Facial Nerve Nucleus
d) Stylomastoid Foramen
Q.46 All are the branches of Vagus nerve EXCEPT
a) Auricular
b) Lacrimal
c)Pharyngeal
d) Recurrent Laryngeal
Q.47 Following nerve lies in the Cavernous Sinus
a) Opthalmic
b) Occulomotor
c) Abducent
d) Trigeminal
Q.48 In a Pituitary Adenoma,the Bitemporal Hemianopia occurs due to leison of
a) Central part of Optic chiasma
b) Optic Nerve
c) Optic Tract
d) peripheral Part of Optic chiasma
e) Lateral Geniculate body
Q.49 Muscle of Forced Expiration is
a) Internal Intercostal
b) External Intercostal
c) Sternoceidomastoid
d) Scalenus Anterior
e) Scalenus Medius
Q.50 Na Retension is associated with
a) Dehydration
b) increase ADH
c) Decreased Aldosterone
d) Heart Failure
e) Hyperthyroidism
Q.51 Von-Willebrand Disease is
a) Autosomal Dominant
b) Autosomal Recessive
c) in some family members asoociated with Factor IX deficiency
d) in some family members associated with normal Factor IX
Q.51 A male wd A+ (Ao,DD) Blood group, married to a female having
B+ (Bo,Dd ) blood group,children can have all blood gp EXCEPT
a) AB +ve
b) AB -ve
c) A + ve
d) B +ve
e) O -ve
Q.52 Vital Capacity
a) measured directly by Spirometry
b) is decreased in some Lung diseases
c) is the sum of Tidal Volume+ERV+IRV
Q.53 When a branch of Pulmonary Artery is blocked by embolus,following Lung function increases
a) Alveolar Co2
b) Alveolar O2
c) Pulmonary artery O2
d) Pulmonry artery Co2
e) Ventilation Perfusion
Q.54 Difference between Adenoma & Hyperplasia is
a) increase in size of cell
b) increase in No. of cells
c) Capsule
d)
Q.55 In a CLD patient presenting with Haematemesis,the preferred immediate treatment is
a) Octeriotide
b) Vit K
c) formed Platelet Conc.
d) PPI
e)whole blood
Q.56 Among most important initial steps in apoptosis
a) Activation of Bcl-2 Receptors
b) Activation of Caspases
c) Water influx into the cell
d)
Q.57 After a trauma, a person has inability to stand from sitting position,
the nerve demaged is
a) Infragluteal
b) Supragluteal
c) Schiatic
d) Femoral
e) Obturator
Q.58 About K - Regulation , following is correct
a) K is 98% in the cells
b) normally completely reabsorbed in Distal tubule
c) increase water affects K-balance
d) decrease in D.K
Q.59 A man with persistant fits without regaining consciousness for 30 minutes,
the immediate treatment is with
a) Carbamazepine
b) Valporate
c) Lorazepan
d) .......
Q.60 An unconsious man with pin-point pupils not responding to Naloxone,the probable cause is
a) Heroin
b) Hasheesh
c) Morphine
d) Phenobarbitone
Q.61 Stomach gets its arterial supply from all EXCEPT
a) Ceiliac artery
b) Splenic Artery
c) Superior Mesenteric Artery
d) Hepatic Artery
Q.62 The Hormone which stimulates release of HCO3 from Pancreas without stimulating pancreatic enzyme secretions,is
a) CCK
b) Secretin
c) Gastrin
d) Pepsin
e) Mucin
Q.63 Supra-Renal Gland arterial supply
a) recieves all braches directly from Aorta
b) recieves blood from 3 sources
c) recieves branches from both renal arteries
d) recieves blood from inferior phrenic artery
Q.64 Stenson's duct
a) arises from posterior surface of Parotid
b) pierces the Buccinator muscle
c) opens in the oral cavity against ....
Q.65 Which infection is not caused by DNA virus
a) Chicken Pox
b) Herpes Simplex
c) Herpes Zoster
d) Mumps
e) Small Pox
Q.66 On examination of a female,a plaque like leision seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart
Q.67 About CSF most appropriate statement is
a) it is ultrafilterate of Plasma
b) has more glucose than blood
c) has cushioing effect
d) absorbed in Choroid Plexus
Q.68 On standing from a sitting position,@ apex of lung there is increase in
a) Blood Flow
b) Ventilation
c) pO2
d) pCO2
Q.69 Metastatic Calcification occurs mostly in
a) Kidney
b) Bone
c) Lung
d) Intestine
e) Pancreas
Q.70 Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity
Q.71 A female underwent Gastrectomy for Zollinger-Ellison Syndrome,given Parenteral Vit B-12,
the inability to absorb B-12 is due to loss of...
a) Parietal Cells
b) Gastric Cells
c) Cardiac Ceells
a) increases PT
b) its overdose causes Nephrotoxicity
c) is a poor anti-inflamatory
d) is more stronger than codeine
e) causes met-Hb.emia more frequently than Phanacetin
Q.2 ATN is associated with...
a) Hyperkalemia
b) conc. urine in initial stages
c) increase in s.urea but normal s.creatinnine
d)
Q.3 Congenital cataract is associated with
a) chiken pox
b) chromosomal abnormality
c) small pox
d) Rubella
Q.4 MS is characterized by...
a) Lewy bodies
b) Patchy demylination & white fiber gliosis
c) axonal neuropathy
d)
Q.5 All of the following have ability of phagocytosis EXCEPT
a) Microgila
b) Lymphocytes
c) Kuffer cells
d) Neutrophils
Q.6 Pulmonary Arterial pressure increases with..
a) Essential HPTN
b) Sympthatic stimulation
c) Nitroglycerine
d) Excercise
e) Hypoxia
Q.7 in an Asthamtic female,immeditae treatment of HPTN during intra-operative HPTN, is
a) sublingual glycerine trinitate
b) intra.venous nitroglycerine
c) propranalol
d)
Q.8 During giving local anaestheia, the long needle goes far into greater palatine canal,causing anaesthesia of an autonomic ganglion,as a result along with dryness of nasal mucosa also occurs
a) decreased secretions of Parotid
b) decreased secretion of Submandibular & sublingual glands
c)
Q.9 Tissue which has in-ability to replace dead cells
a) Heart
b) Kidney
c) Liver
d) Bone
e) Bowl Mucosa
Q.10 Non-essential amino acid includes
a) Leucine
b) Iso-leucine
c) Methionine
d) Tyrosine
Q.11 Metabolic Alkalosis is caued by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN
Q.12 Glucronide conjugation of drugs
a) causes inactivation of drug
b) is Type 1 reaction
c) makes drug insoluble in water
d) increases its effects
Q.13 A patient having generalized body weakness & numbness,
on investigation he is having Un-conjugated Bilirubinemia,
Hb= 7.4 md/dl MCV..> 120 fl,
the anemia is due to ....
a) Hemolysis
b) Vit B 9 def.
c) Vit B 12 def.
d) Hypersplenisim
Q.14 Tissue with Dual autonomic supply but not reciprocal suuply is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle
Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism
Q.16 In summer,in a fasting man the cause of concenterated urine is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle
Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism
Q.16 In summer,in a fasting man the cause of concenterated urine is
a) ADH
b) No Oral intake
c) Aldosterone
d) increased sweeting
Q.17 A 35 yr old man is having bilateral ptosis of eye during evening since last few weeks,the confirmatory test of the diagnosis will be
a) Tensilon Test
b) Ach Receptor Antibody Test
c) blood culture
d) CT scan Brain
Q.18 if a High Dextrose water is infusion given to a person,it inhibits
a) Cotisol
b) ADH
c) Aldosterone
d) Insulin
Q.19 Parasympthatic supply of Sigmoid Colon is
a) Sacral segments S2,S3,S4
b) Pelvic splanchnic Nerves
c) vagus nerve
d)
Q.20 which does not take part in inflamatory reactions
a) Adrenaline
b) Histamine
c) 5-hydroxy tryptamine
d) Dopamine
Q. 21 Parietal & Visceral Pericardium is supplied by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus
Q.22 A young man had sinjury to the neck with sum sharp object,3 yrs ago,
Now he notices a bulging swelling above the clavicle on sneezing & coughing,
this swelling most probably due to...
a) Injury to deep fascia of neck
b) demage to supra-pleural membrane
c) Un-united first Rib Fracture
Q.23 Middle meningeal artery if ruptured while meinges are intact,the Haemorrhage will be
a) Epidural
b) Subdural
c) Intracranial
d)
Q.24 Dorsal Rami of the cervical nerves innervates
a) Abductor Pollices
b) Extensors of Limbs
c) Extensors of Trunk
d) Stabilizers of Shoulder
Q.25 Muscles of Hand supplied by
a) ventral rami of C-8
b) Ventral branches of T-1
c) Median Nerve
d) Ulnar Nerve
e) Radial Nerve
Q.26 A person has sharp knife injury to upper medial aspect of arm,
after which He is unable to Flex his elbow & having loss of cutaneous sensations on lateral aspect of forearm,
the nerve injured is
a) Median Nerve
b) Axillary nerve
c) Radial Nerve
d) Musculocutaneous Nerve
Q. 27 A Transplant from identical twin is
a) Allograft
b) Heterograft
c) Homograft
d) Isograft
e) Xenograft
Q.28 Therapeutic Index of a drug indicates its
a) Effectivity
b) Efficacy
c) Potency
d) Toxicity
Q.29 Pharmakokinetic interaction among drugs is examplified by :
a) Shortening of action of Procaine by Adrenaline
b) increase peripheral toxicity of Levodopa with Carbidopa
c) increase toxicity of Methotrexate by Aspirin
d) prevention of Nitroglycerine induced tachycardia by Propranolol
e) blokade of acetylcholine receptors by atropine
Q.30 A 30 years old 75 kg Diabetic man with recent diagnosis of Hypertension,
On ECG : Left Ventricular Hypertrophy
s.Urea -- 20 mg/dl s.Creatinine -- 0.7 mg/dl
s.Uric Acid-- 7.5 mg/dl s.Na -- 140 mmol
s. K-- 2.5 mmol s.Cl --- 103 mmol
s.HCO3 -- 23 mg/dl 24 Hr Urinary Proteins-- 30
& Fasting BSL--- 80 mg/dl
The cause is.......
a) Essential HPTN
b) Diabetic Nephropathy
c) Pheochromocytoma
d) Addison Disease
e) Primary HyperAldosteronism
Q.31 Acute Tubular Necrosis is characterized by
a) Hyper-kalemia
b) Initially concenterated urine
c) Metabolic Alkalosis
d) s.Urea is increased & s.creatinine is normal
Q.32 GFR is measured by clearance of
a) Inulin
b) Creatinine
c) Urea
d) Glucose
Q.33 Sarcoidosis is diagnosed microscopically by
a) Granuloma with Asteroid
b) Non-caseating Granuloma
c) Caseating Granuloma
d) Macrophages & Giant cells
Q.34 Multipule sclerosis is characterized by...
a) Lewy Bodies in Neucleus
b) Ptachy demylination with white fiber gliosis
c) Axonal degeneration
d)
Q.35 What is INAPPROPRIATE about Vagus Nerve..
a) its longest Cranial Nerve
b) passes in between IJV & ICA
c) passes posterior to Carotid Sheath
d) Gives Recurrent Laryngeal Nerve
e) gives Superior Laryngeal Nerve
Q.36 Thymus is
a) Rich in Lymphocytes
b) Present at birth but shorly regree after birth
c) derived from 4th Pahryngeal Pouch
d) is a part of Thyroid
e) Lies posterior to Trachea
Q.37 True statement about Down Syndrom is
a) Trisomy 23
b) contains single X chromosome
c) more chances with increasing maternal age
Q.38 Kleinifilter syndrome
a) contains single X chromosome
b) less chances of Mental retardation
c) phenotypically female
Q.39 Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa
Q.40 At 35 weeks of Gestation,in sample taken from amniocentesis,
there is increased Alpha-Fetoprotein,its most probable cause is..
a) Down syndrome
b) Turner syndrome
c) Spina Cystica
d) Hydrocephalous
e)
Q.41 Thoracic Duct....
a) recieves Lymph from both right & left sides
b) lies in posterior mediastinum
c) passes just right to the thoracic aorta
d) extends from upper abdoment to neck
e) has a dilatation called Cisterna
Q.42 Rate of passage of food in esophagus depends upon
a) Gravitational Force
b) Neuromuscular excitation different @ upper & lower oesophagus
c) progressive peristalsis in esophagus
d) Acidity
Q.43 @ Leprotomy Retroperitoneal Abscess was found,the site woud be
a) Stomach
b) Sigmoid Colon
c) Transverse Colon
d) Ascending Colon
e) Small intestine
Q.44 Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum
Q.45 A patient having Facial deviation along with loss of sensations on anterior 2/3 rd of tongue,the leision lies in
a) Facial Canal
b) Internal auditary meatus
c) Facial Nerve Nucleus
d) Stylomastoid Foramen
Q.46 All are the branches of Vagus nerve EXCEPT
a) Auricular
b) Lacrimal
c)Pharyngeal
d) Recurrent Laryngeal
Q.47 Following nerve lies in the Cavernous Sinus
a) Opthalmic
b) Occulomotor
c) Abducent
d) Trigeminal
Q.48 In a Pituitary Adenoma,the Bitemporal Hemianopia occurs due to leison of
a) Central part of Optic chiasma
b) Optic Nerve
c) Optic Tract
d) peripheral Part of Optic chiasma
e) Lateral Geniculate body
Q.49 Muscle of Forced Expiration is
a) Internal Intercostal
b) External Intercostal
c) Sternoceidomastoid
d) Scalenus Anterior
e) Scalenus Medius
Q.50 Na Retension is associated with
a) Dehydration
b) increase ADH
c) Decreased Aldosterone
d) Heart Failure
e) Hyperthyroidism
Q.51 Von-Willebrand Disease is
a) Autosomal Dominant
b) Autosomal Recessive
c) in some family members asoociated with Factor IX deficiency
d) in some family members associated with normal Factor IX
Q.51 A male wd A+ (Ao,DD) Blood group, married to a female having
B+ (Bo,Dd ) blood group,children can have all blood gp EXCEPT
a) AB +ve
b) AB -ve
c) A + ve
d) B +ve
e) O -ve
Q.52 Vital Capacity
a) measured directly by Spirometry
b) is decreased in some Lung diseases
c) is the sum of Tidal Volume+ERV+IRV
Q.53 When a branch of Pulmonary Artery is blocked by embolus,following Lung function increases
a) Alveolar Co2
b) Alveolar O2
c) Pulmonary artery O2
d) Pulmonry artery Co2
e) Ventilation Perfusion
Q.54 Difference between Adenoma & Hyperplasia is
a) increase in size of cell
b) increase in No. of cells
c) Capsule
d)
Q.55 In a CLD patient presenting with Haematemesis,the preferred immediate treatment is
a) Octeriotide
b) Vit K
c) formed Platelet Conc.
d) PPI
e)whole blood
Q.56 Among most important initial steps in apoptosis
a) Activation of Bcl-2 Receptors
b) Activation of Caspases
c) Water influx into the cell
d)
Q.57 After a trauma, a person has inability to stand from sitting position,
the nerve demaged is
a) Infragluteal
b) Supragluteal
c) Schiatic
d) Femoral
e) Obturator
Q.58 About K - Regulation , following is correct
a) K is 98% in the cells
b) normally completely reabsorbed in Distal tubule
c) increase water affects K-balance
d) decrease in D.K
Q.59 A man with persistant fits without regaining consciousness for 30 minutes,
the immediate treatment is with
a) Carbamazepine
b) Valporate
c) Lorazepan
d) .......
Q.60 An unconsious man with pin-point pupils not responding to Naloxone,the probable cause is
a) Heroin
b) Hasheesh
c) Morphine
d) Phenobarbitone
Q.61 Stomach gets its arterial supply from all EXCEPT
a) Ceiliac artery
b) Splenic Artery
c) Superior Mesenteric Artery
d) Hepatic Artery
Q.62 The Hormone which stimulates release of HCO3 from Pancreas without stimulating pancreatic enzyme secretions,is
a) CCK
b) Secretin
c) Gastrin
d) Pepsin
e) Mucin
Q.63 Supra-Renal Gland arterial supply
a) recieves all braches directly from Aorta
b) recieves blood from 3 sources
c) recieves branches from both renal arteries
d) recieves blood from inferior phrenic artery
Q.64 Stenson's duct
a) arises from posterior surface of Parotid
b) pierces the Buccinator muscle
c) opens in the oral cavity against ....
Q.65 Which infection is not caused by DNA virus
a) Chicken Pox
b) Herpes Simplex
c) Herpes Zoster
d) Mumps
e) Small Pox
Q.66 On examination of a female,a plaque like leision seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart
Q.67 About CSF most appropriate statement is
a) it is ultrafilterate of Plasma
b) has more glucose than blood
c) has cushioing effect
d) absorbed in Choroid Plexus
Q.68 On standing from a sitting position,@ apex of lung there is increase in
a) Blood Flow
b) Ventilation
c) pO2
d) pCO2
Q.69 Metastatic Calcification occurs mostly in
a) Kidney
b) Bone
c) Lung
d) Intestine
e) Pancreas
Q.70 Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity
Q.71 A female underwent Gastrectomy for Zollinger-Ellison Syndrome,given Parenteral Vit B-12,
the inability to absorb B-12 is due to loss of...
a) Parietal Cells
b) Gastric Cells
c) Cardiac Ceells
Thursday, October 18, 2007
Welcome friends!
Assalam o Allaikum everybody.
Now that the july 23 exam date is just around the corner I wish you all success and good luck! May we all shine and rise in all our endeavours.
May I request you all who have benefited from this website in any way to kindly post your own recalled questions soon after the October exam (all specialities). Out of experience, I can say that after the 1st few days of exam, one is not able to jog the memory and reproduce much. So, kindly do make sure to send your recalled stems/q's so future candidates could benefit from them.
Please leave comments at the end of the posts or at the extreme end of this page regarding feedback and suggestions.
And send your recalled stuff to medguru88@gmail.com
Jazakallah.
p.s. Do remember me in your prayers as I am writing the oct exam aswell.
Now that the july 23 exam date is just around the corner I wish you all success and good luck! May we all shine and rise in all our endeavours.
May I request you all who have benefited from this website in any way to kindly post your own recalled questions soon after the October exam (all specialities). Out of experience, I can say that after the 1st few days of exam, one is not able to jog the memory and reproduce much. So, kindly do make sure to send your recalled stems/q's so future candidates could benefit from them.
Please leave comments at the end of the posts or at the extreme end of this page regarding feedback and suggestions.
And send your recalled stuff to medguru88@gmail.com
Jazakallah.
p.s. Do remember me in your prayers as I am writing the oct exam aswell.
Sunday, October 14, 2007
Gyn Obs July 07 By Dr Ayesha Bisharat
GYN OBS Questions JULY 2007
Hi just got to know of dis site through cpsp community otherwise would have mailed u questions way back anyways great effore am mailing fcps part 1 obs gynae mar n jul 2007
question no 1:eversion of endocervical epithelium in pregnancy is due to:
a)physiological change
b)chronic cervicitis
c)carcinoma in situ
d)estrogen stimulation
e)epidermadization of epithelium
2:primary oocyte surrounded by a non cellular layer:
a)theca interna
b)theca externa
c)corona radiata
d)cumulus oophurus
e)zona pellucida
question no 3:
simple columnar epithelium is the lining of:
a)epithelium lining the ducts
b)cornea
c)testis
d)uterine tubese)
question no 4:48 years lady has carcinoma cervix that has involved the cervix and has involved the vagina but not its lower third and has not extended onto pelvic walls stage of ca:
a)stage 1ab)stage 1bc)stage 11d)stage 111e)stage 4
question no
5:38 years lady has endometrial ca that has involved upto half the tickness of myometrium and ovaries are normal stage:
a)stage 1a
b)stage 1b
c)stage 1c
d)stage 11
e)stage 111
question no 6:20 yrs old girl has been raped,she has now watery vaginal discharge,has painful red papules n ulcers on vagina and vulva has fever and tender inguinal lymph nodes,causative organism:
a)bacteroides
b)chlamydia
c)herpes simplex
d)gonococcus
e)trichomonas vaginalis
7: a married woman has right sided tubulo ovarian abscess which was removed in a surgery had an iucd placed before,causative organism:
a)chlamydia
b)gardenella
c)tuberculous
d)bacteroides
e)gonococcus
8.the late secretory phase of menstrual cycle is not characterised by:
a)the spongy layer becomes thick
b)corpus luteum secretes estrogen n progesterone
c)the endometrial thickness is doubled
d)endometrial cells have subnuclear vacuolations
e)endometrial glands become tortuous
9.just 2 days before ovulation,LH is increased:
a)2 fold
b)2 to 4 fold
c)2 to 6 fold
d)6 to 8 fold
e)8 to 10 fold
10.menopause is characterised by:
a)atrophy of uterus
b)decrease in ovarian size
c)derease estrogen increased FSH AND LH
d)decreased estrogen increased FSH decreased LH
11.sperms stay active in female genital tract:
a)12 hours
b)12 - 24 hours
c)12 -36 hours
d)24 - 48 hours
e)24 - 72 hours
12.the volume of distribution of a drug is not influenced by:
a)age
b)sex
c)cardiac failure
d)renal failure
13.the bioavailability of a drug determines :
a)efficacy
b)efficency
14.paracetamol:
a)is more potent analgesic than codeine
b)is a weak anti inflammatory agent
c)overdosage can cause nephrotoxicity
question no 15:anticoagulants are contraindicated in:
a)cerebral infarction
b)thrombocytopenia
16.20 yrs lady has endotoxic shock after septic abortion,which of the following investigation is least likely to benefit:
a)clotting time
b)FDPs
c)prothrombin time
d)platelet counte)serial fibrinogen levels
17.30 yrs male has dyspnea on lying down,examination revealed:
a)multinodular goitre
b)retrosternal goitre
c)colloid goitre
d)cold nodule
18:cortisol:
a)increases amino acids n glucose in blood
b)is a glucocorticoid
c)is found in circulation bound to proteins
d)metabolised in liver
e)formed from cholesterol
19.JVP is differentiated from carotid pulse:
a)does not change with abdominal pressure
b)does not change with posture
c)does not change with respiration
d)pulsation varies with respiratione)prominent outward movement
20.a multigravida admitted with labour pains examination revealed os 6 cm dilated,baby cephalic,and head at zero station,the point of reference is:
a)ischial tuberosity
b)pubic arch
c)pubic symphysis
d)ischial spines
e)sacral promontory
21.at LSCS the artery damaged in superficial fat in suprapubic incision:
a)inferior epigaSTRIC artery
b)superior epigastric artery
c)internal iliac artery
22.following is not a tumor marker:
a)acid phosphatase
b)beta hCG
c)alpha fetoproteins
d)CEA
e)placental alkaline phosphatase
23.question o 23:beta hCG:a)it is a polypeptideb)it has action similar to FSHc)it prevents involution of corpus luteumd)e)
24:adrenal medulla will selectively secrete norepinephrine in the condition:a)exerciseb)sleepc)cold exposured)hemorrhagee)
25:cardiac output is decreased in:a)pregnancyb)standing or sitting from lying positionc)exercised)e)
26:cardiac output is decreased in all except:a)sleepb)starvationc)sittingd)e)
27:epinephrine will selectively onstrict muscles in:a)arteriolesb)bronchiolesc)ciliary muscled)pupilse)intestinal walls
28:spores should be disinfected by:a)dry heat at 100cb)dry heat at 60cc)dry heat at 160cd)cidex solutione)moist heat
29:following is not a disinfectant:
a)derivatives of salicylic acid
b)alcohol
c)soap
d)
e)
question no 30: that she had urinary incontinence,due to injury and communication in:
a)ureter n bladder
b)ureter n vagina
c)bladder n cervix
d)bladder n vagina
e)bladder n uterus
question no 31:perineal body is injured,muscle damaged is:
a)bulbospongiosis n superficial perineal muscles
b)superficial n deep perineal muscles
c)external anal sphincter n deep perineal muscles
d)ischiocavernosus n sphincter urethrae
e)sphincter urethrae n deep perineal muscles
32:pudendal nerve:
a)formed from ant primary rami of second third n fourth sacral spinal nerves
b)crosses the ischial spine medial to internal pudendal artery
c)enters the pudendal canal on the lateral side of ischiorectal fossa
d)leaves the pelvis by passing through the upper part of greater sciatic foramen
e)reenters the pelvis through lesser sciatic foramen
33:following does not form wall of inguinal canal:
a)aponeurosis of external oblique
b)internal obliquec)conjoint tendon
d)lacunar ligament
e)fascia transversalis
34:following does not pass through lesser sciatic foramen:
a)inferior gluteal vessels
b)tendon of obturator internus
c)nerve to obturator internus
d)pudendal nervee)internal pudendal artery
35:after LSCS patient had peritoneal hemorrhage she was reopened bleeding most likely from:
a)branch of ovarian artery
b)branch of uterine artery
c)internal iliac artery
d)obturator artery
e)external iliac artery
no 36:left ovarian artery is a branch of:
a)abdominal aorta
b)left renal artery
c)uterine artery
d)left inferior mesenteric arterye)obturator artery
question no 37:patient had laparotomy for ovarian mass mass was burried in ovarian fossa artery likely to be injured is:a)common iliac vesselsb)internal iliac vesselc)external iliac vesseld)ovarian arterye)obturator artery
questoion no 38:insulin stimulates transport of glucose into:
a)renal tubular cells
b)neurons of cerebral cortex
c)skeletal muscled)intestinal cells
e)liver
question no 39:the secretion of following is not increased in pregnancy:
a)cortisol
b)growth hormone
c)thyroid hormone
d)prolactine)PTH
question no 40:a patient had hypophsectomy for pituitary tumor she has amenorrhea for 8 months ovulation induction can be done in her by:
a)clomiphene citrate
b)pulsatile hCG
c)hMG
d)hMG followed by pulsatile hCG
question no 41:following does not occur in pregnancy:
a)increase in fasting blood sugar
b)increase in uric acid level
c)increase in serum urea level
d)decrease in serum albumine)decrease in serum proteinse)decrease in nitrogen levels
question no 42:respiratory acidosis occurs in:
a)emphysema
b)hyperventilation
c)ingestion of excess amount of sodium bicarbonate
d)starvatione) vomiting
question no 43:CO2 is transported from the alveoli of lungs into blood in lungs via:
a)diffusion
b)active transport
c)facilitated diffusion
d)secondary active transporte)osmosis
question no 44:O2-Hb dissociation curve delivering O2 in normal limits will have:
a)PaO2 40mmHg SO2 60%
b)PaO2 68mmHg SO2 78%
c)PaO2 96mmHg SO2 90%
d)PaO2 123mmHg SO2 98%
e)PaO2 256mmHg SO2 99%
question no 45:b-hCG has alpha n beta units,each unit has aminoacids:a)102 alpha 210 betab)100alpha n 160 betac)92 alpha n 156 betad)e)
qyuestion no 46:mothers milk differs from cows milk in that it contains:a)calciumb)lactosec)proteinsd)vitamin D
question no 47:pelvic outlet:
a)can b increased in supine position
b)begins at the level of ischial spines
c)dimensions change by movements of coocyx
d)contracture is more common than mid cavity probleme)
question no 48:patient has endocrine disorder has metabolic alkalosis and hypokalemia,he has excess of:a)ACTHb)aldosteronec)cortisold)estrogene)progesterone
question no 49:hormone that stores carbohydrates, lipids n proteins in cells is also known as hormone of abundance:a)growth hormoneb)cortisolc)thyroid hormoned)estrogene)progesterone
question no 50:hyperglycemia is caused by:a)insulinb)glucagonc)estrogend)progesteronee)growth hormone
question no 51:ketoacidosis is caused by:
a)increased production of glucose
b)decreased production of glucpoose
c)decreased utilisation of carbohydrate in body
d)insulin excess
question no 52:insulin secretion is stopped by:a)glucagonb)decreased k levelsc)somatostatind)e)
question no 53:hormone that stores carbohydrates,lipids n proteins in body is:a)growth hormoneb)thyroid hormonec)cortisold)insuline)PTH
question no 54:8 yrold girl has vaginal bleeding she is taller than her age and examination revealed an abdominal mas arising from pelvis she is suffering from:
a)constitutional; symptoms
b)hypothalamic tumors
c)hypothalamic mass
d)granulosa cell tumor
e)adrenal gland tumor
question no 55:least positive titre for widal test isa)1:80b)1:160c)1:260d)1:320e)1:156
question no 56:all of the following can b stored at 4c except:a)shigellab)vibrio cholerac)d)e)
question no 57:vaccine is available for all except:a)EBVb)typhusc)pneumococcusd)e)
question no 58:patient has presented with fever n generalised lymphadenopathy, bone marrow exam normal,weight loss positive,he is suffering from:a)metastatic carcinomab)hogkins lymphomac)non hogkins lymphomad)CMLe)
question no 59:patien is taking glucocorticoids for 10 days,she wont suffer from:a)moon faceb)hypotensionc)thin skind)e)
question no 60:gestational age can best be estimated from:a)abdominal circumference at 36 wksb)biparietal dia at 28 wksc)crown rump length at 8 wksd)femur length at 32 wkse)
question no 61:turners syndrome,most definitive diagnostic test:a)presence of barr bodyb)chromosomal analysis
question no 62:14 yrs girl has primary amenorrhea,normal breast development,secondary sexual characteristics normal,short blind ending vagina,slight pubic hair,usg revealed absent uterus,underlying cause:
a)congenital adrenal hyperplasia
b)chromosomal defect
c)failure f development of genital tubercle
d)defect of paramesonephric duct
question no 63:the lumen of uterine cavity is obliterated by fusion of:
a)decidua basalis n spongy layer
b)decidua basalis n decidua capsularis
c)decidua capsularis n decidua parietalis
d)decidua parietalis n decidua basalise)
question no 64:a woman has been exposed to radiation in young life,now she has visited a gynaecologist after some years,organ most likely to b affected:a)fallopian tubesb)cervixc)ovaryd)endometriume)vagina
question no 65:repeated blood transfusions (AB n Rh compatible) in an individual will lead to:a)haemochromatosis of liverb)hypocalcemiac)haemoglobinuriad)transfusion reactione)
question no 66: Rh incompatibility occurs in a mother if she has:a)Rh negative fetusb)Rh positive fetusc)d)e)
question no 67:the best way to prevent Rh isoimmunisation in a woman who has given birth to Rh positive fetus:a)blood transfusionb)platelet transfusionc)serumd)Rh immunoglobulinse)
question no 68:a person brought in er had burns,he was admitted later on he developed fever and bleeding diathesis,he is suffering from:a)DICb)hepatorenal failurec)hepatic failure of prothrombin productiond)renal failuree)
question no 69:following is not a cause of DIC:a)pre eclamsiab)amniotic fluid embolismc)cervical carcinomad)abruptio placentaee)PPH
question no 70:following is not a cause of DIC:a)abruptio placentaeb)burnsc)malignant tumorsd)e)
question no 71:multigravida P9+0 delivered a boy in a village 2 hours later she started bleeding profusely had oozing from gums she was brought to hospital her labs showed hb 6 TLC 15000/ul platelets 30000/ul she is suffering from:a)DICb)PPHc)clotting disorderd)bleeding diathesise)ITP
question no 72:27 year old female had profuse vaginal bleeding 2 hrs after delivery her labs showed hb 6 TLC 15000/ul plt 30000/ul peripheral blood film showed burr bodies,she is suffering from:
a)DIC
b)PPH
c)ITP
d)von willebrand disease
question no 73:vit k directly influences d reaction:a)conversion of fibrinogen to fibrinb)prothrombin to thrombinc)activation of factor 7d)formation of fibrinogen
question no 74:intrinsic n extrinsic pathways converge upon:a)activation of factor 7ab)activation of factor 5ac)factor 12ad)prothrombine)tissue factor
question no 75:bacteria that grow at 42c:a)vibrio cholerab)gonococcusc)shigellad)Ecolie)salmonella
question no 76:following is not true about endocarditis:a)blood cultures for causative organisms r usually negativeb)is caused by streptococcus group of bacteriac)is more common in elderly groupd)valvular involvemente)
question no 77:cause f subacute bacterial endocarditis:a)H.influenzaeb)Ecolic)streptococcus viridansd)e)
question no 78:interferon:a)binds to DNAbbinds to RNAc)is a protein derivatived)inhibits protein synthesis n their phosphorylation
question no 79:highest energy compound:a)ATPb)glucosec)hexose phosphated)starche)glycogen
question no 80:the end product of carbohydrate metabolism:a)fructoseb)glucosec)galactosed)starche)pyruvate
question no 81:L-dopa taken by a patient will decrease :a)estrogenb)progesteronec)prolactind)cortisole)
question no 82:isoniazid:a)cant b administered with rifampicinb)is contraindicated in nephropathyc)pyridoxine is used prophylactically to prevent its neurotoxic effectsd)e)
question no 83:hepatitis b following is not true:a)has an incubation period less than that of hep ab)caused by sexual contactc)caused by DNA virusd)e)
question no 85:actinomyces does not cause disease in:a)boneb)lungc)brain
question no 86:disseminated coccidiodomyces following is not true:a)infection will not provide life time immunityb)c)d)e)
question no 87:middle aged man crossing the road stumbled n hit by a car he fell down had injury to neck of fibula of his left leg was taken to hosp examination revealed that he is unable to dorsiflex and evert his left foot the injury is to:
a)common peronel nerve
b)tibialis post
c)superficial peroneal nerve
d)deep peroneal nervee)
question no 88:ECF:a)provides nutrients to cellsb)provides glucose to cellsc)bathes the cellsd)takes away electrolytese)takes away wastes
question no 89:spermatogenesis is stimulated by:a)FSHb)testosteronec)LHd)FSH n testosteronee)
question no 90:patient brought in shock in er successful fluid replacement will b indicated by:a)decrease in tachcardiab)increase in bpc)increase in urine outputd)e)
question no 91:cardoiac cycle:a)60% of ventricular filling occurs in diastoleb)end diastolic left ventricular vol is 100 mlc)ejection fraction is 75%d)the notch of d pulse is due to atrial systolee)
question no 92:a man has a pulse rate of 72/min impulse originates in:a)AV nodeb)SA nodec)left bundle branchd)purkinje fibrese)
question no 93:muscles r derived from:a)mesodermb)ectodermc)endoderm
question no 94:in our country d cause of cell inujury is:a)alcoholb)hypoxiac)ischemiad)ionising radiatione)malnutrition
question no 95:in our country cause of fatty liver is:a)alcoholismb)amoebiasisc)due to hep b n cd)increase intake of fatsdecreased protein utilisation
question no 97:in d female d neck of urinary bladder is located :a)in front of rectumb)below d urogenital diaphramc)in d urogenital diaphramd)above d urogenital diaphrame)behind symphsis pubis
question no 98:the highest content of triglycerides is in:a)chylomicron remnantsb)HDLc)LDLd)
IDLe)VLDL
question no 99:following is not a phospholipid:a)cephalinb)lysolecithinc)lecithind)plasminogene)sphingolipid
question no 100:a human being can survive without:a)calciumb)proteinsc)carbohydratesd)lipidse)
question no 101:patient has pyuria but has negative urine culture for organisms this happens in all conditions except:
a)acute post streptococcal glomerulonephritis
b)polycystic kidneys
c)urine stored at room temp for long
d)alkaline urinee)vesical calculus
question no 102:broad ligament a double layered fold of peritoneum ,ovary is attached to it by:
a)mesoovarium
b)suspensory ligament of ovary
c)round ligament of ovary
d)cardinal ligament
Hi just got to know of dis site through cpsp community otherwise would have mailed u questions way back anyways great effore am mailing fcps part 1 obs gynae mar n jul 2007
question no 1:eversion of endocervical epithelium in pregnancy is due to:
a)physiological change
b)chronic cervicitis
c)carcinoma in situ
d)estrogen stimulation
e)epidermadization of epithelium
2:primary oocyte surrounded by a non cellular layer:
a)theca interna
b)theca externa
c)corona radiata
d)cumulus oophurus
e)zona pellucida
question no 3:
simple columnar epithelium is the lining of:
a)epithelium lining the ducts
b)cornea
c)testis
d)uterine tubese)
question no 4:48 years lady has carcinoma cervix that has involved the cervix and has involved the vagina but not its lower third and has not extended onto pelvic walls stage of ca:
a)stage 1ab)stage 1bc)stage 11d)stage 111e)stage 4
question no
5:38 years lady has endometrial ca that has involved upto half the tickness of myometrium and ovaries are normal stage:
a)stage 1a
b)stage 1b
c)stage 1c
d)stage 11
e)stage 111
question no 6:20 yrs old girl has been raped,she has now watery vaginal discharge,has painful red papules n ulcers on vagina and vulva has fever and tender inguinal lymph nodes,causative organism:
a)bacteroides
b)chlamydia
c)herpes simplex
d)gonococcus
e)trichomonas vaginalis
7: a married woman has right sided tubulo ovarian abscess which was removed in a surgery had an iucd placed before,causative organism:
a)chlamydia
b)gardenella
c)tuberculous
d)bacteroides
e)gonococcus
8.the late secretory phase of menstrual cycle is not characterised by:
a)the spongy layer becomes thick
b)corpus luteum secretes estrogen n progesterone
c)the endometrial thickness is doubled
d)endometrial cells have subnuclear vacuolations
e)endometrial glands become tortuous
9.just 2 days before ovulation,LH is increased:
a)2 fold
b)2 to 4 fold
c)2 to 6 fold
d)6 to 8 fold
e)8 to 10 fold
10.menopause is characterised by:
a)atrophy of uterus
b)decrease in ovarian size
c)derease estrogen increased FSH AND LH
d)decreased estrogen increased FSH decreased LH
11.sperms stay active in female genital tract:
a)12 hours
b)12 - 24 hours
c)12 -36 hours
d)24 - 48 hours
e)24 - 72 hours
12.the volume of distribution of a drug is not influenced by:
a)age
b)sex
c)cardiac failure
d)renal failure
13.the bioavailability of a drug determines :
a)efficacy
b)efficency
14.paracetamol:
a)is more potent analgesic than codeine
b)is a weak anti inflammatory agent
c)overdosage can cause nephrotoxicity
question no 15:anticoagulants are contraindicated in:
a)cerebral infarction
b)thrombocytopenia
16.20 yrs lady has endotoxic shock after septic abortion,which of the following investigation is least likely to benefit:
a)clotting time
b)FDPs
c)prothrombin time
d)platelet counte)serial fibrinogen levels
17.30 yrs male has dyspnea on lying down,examination revealed:
a)multinodular goitre
b)retrosternal goitre
c)colloid goitre
d)cold nodule
18:cortisol:
a)increases amino acids n glucose in blood
b)is a glucocorticoid
c)is found in circulation bound to proteins
d)metabolised in liver
e)formed from cholesterol
19.JVP is differentiated from carotid pulse:
a)does not change with abdominal pressure
b)does not change with posture
c)does not change with respiration
d)pulsation varies with respiratione)prominent outward movement
20.a multigravida admitted with labour pains examination revealed os 6 cm dilated,baby cephalic,and head at zero station,the point of reference is:
a)ischial tuberosity
b)pubic arch
c)pubic symphysis
d)ischial spines
e)sacral promontory
21.at LSCS the artery damaged in superficial fat in suprapubic incision:
a)inferior epigaSTRIC artery
b)superior epigastric artery
c)internal iliac artery
22.following is not a tumor marker:
a)acid phosphatase
b)beta hCG
c)alpha fetoproteins
d)CEA
e)placental alkaline phosphatase
23.question o 23:beta hCG:a)it is a polypeptideb)it has action similar to FSHc)it prevents involution of corpus luteumd)e)
24:adrenal medulla will selectively secrete norepinephrine in the condition:a)exerciseb)sleepc)cold exposured)hemorrhagee)
25:cardiac output is decreased in:a)pregnancyb)standing or sitting from lying positionc)exercised)e)
26:cardiac output is decreased in all except:a)sleepb)starvationc)sittingd)e)
27:epinephrine will selectively onstrict muscles in:a)arteriolesb)bronchiolesc)ciliary muscled)pupilse)intestinal walls
28:spores should be disinfected by:a)dry heat at 100cb)dry heat at 60cc)dry heat at 160cd)cidex solutione)moist heat
29:following is not a disinfectant:
a)derivatives of salicylic acid
b)alcohol
c)soap
d)
e)
question no 30: that she had urinary incontinence,due to injury and communication in:
a)ureter n bladder
b)ureter n vagina
c)bladder n cervix
d)bladder n vagina
e)bladder n uterus
question no 31:perineal body is injured,muscle damaged is:
a)bulbospongiosis n superficial perineal muscles
b)superficial n deep perineal muscles
c)external anal sphincter n deep perineal muscles
d)ischiocavernosus n sphincter urethrae
e)sphincter urethrae n deep perineal muscles
32:pudendal nerve:
a)formed from ant primary rami of second third n fourth sacral spinal nerves
b)crosses the ischial spine medial to internal pudendal artery
c)enters the pudendal canal on the lateral side of ischiorectal fossa
d)leaves the pelvis by passing through the upper part of greater sciatic foramen
e)reenters the pelvis through lesser sciatic foramen
33:following does not form wall of inguinal canal:
a)aponeurosis of external oblique
b)internal obliquec)conjoint tendon
d)lacunar ligament
e)fascia transversalis
34:following does not pass through lesser sciatic foramen:
a)inferior gluteal vessels
b)tendon of obturator internus
c)nerve to obturator internus
d)pudendal nervee)internal pudendal artery
35:after LSCS patient had peritoneal hemorrhage she was reopened bleeding most likely from:
a)branch of ovarian artery
b)branch of uterine artery
c)internal iliac artery
d)obturator artery
e)external iliac artery
no 36:left ovarian artery is a branch of:
a)abdominal aorta
b)left renal artery
c)uterine artery
d)left inferior mesenteric arterye)obturator artery
question no 37:patient had laparotomy for ovarian mass mass was burried in ovarian fossa artery likely to be injured is:a)common iliac vesselsb)internal iliac vesselc)external iliac vesseld)ovarian arterye)obturator artery
questoion no 38:insulin stimulates transport of glucose into:
a)renal tubular cells
b)neurons of cerebral cortex
c)skeletal muscled)intestinal cells
e)liver
question no 39:the secretion of following is not increased in pregnancy:
a)cortisol
b)growth hormone
c)thyroid hormone
d)prolactine)PTH
question no 40:a patient had hypophsectomy for pituitary tumor she has amenorrhea for 8 months ovulation induction can be done in her by:
a)clomiphene citrate
b)pulsatile hCG
c)hMG
d)hMG followed by pulsatile hCG
question no 41:following does not occur in pregnancy:
a)increase in fasting blood sugar
b)increase in uric acid level
c)increase in serum urea level
d)decrease in serum albumine)decrease in serum proteinse)decrease in nitrogen levels
question no 42:respiratory acidosis occurs in:
a)emphysema
b)hyperventilation
c)ingestion of excess amount of sodium bicarbonate
d)starvatione) vomiting
question no 43:CO2 is transported from the alveoli of lungs into blood in lungs via:
a)diffusion
b)active transport
c)facilitated diffusion
d)secondary active transporte)osmosis
question no 44:O2-Hb dissociation curve delivering O2 in normal limits will have:
a)PaO2 40mmHg SO2 60%
b)PaO2 68mmHg SO2 78%
c)PaO2 96mmHg SO2 90%
d)PaO2 123mmHg SO2 98%
e)PaO2 256mmHg SO2 99%
question no 45:b-hCG has alpha n beta units,each unit has aminoacids:a)102 alpha 210 betab)100alpha n 160 betac)92 alpha n 156 betad)e)
qyuestion no 46:mothers milk differs from cows milk in that it contains:a)calciumb)lactosec)proteinsd)vitamin D
question no 47:pelvic outlet:
a)can b increased in supine position
b)begins at the level of ischial spines
c)dimensions change by movements of coocyx
d)contracture is more common than mid cavity probleme)
question no 48:patient has endocrine disorder has metabolic alkalosis and hypokalemia,he has excess of:a)ACTHb)aldosteronec)cortisold)estrogene)progesterone
question no 49:hormone that stores carbohydrates, lipids n proteins in cells is also known as hormone of abundance:a)growth hormoneb)cortisolc)thyroid hormoned)estrogene)progesterone
question no 50:hyperglycemia is caused by:a)insulinb)glucagonc)estrogend)progesteronee)growth hormone
question no 51:ketoacidosis is caused by:
a)increased production of glucose
b)decreased production of glucpoose
c)decreased utilisation of carbohydrate in body
d)insulin excess
question no 52:insulin secretion is stopped by:a)glucagonb)decreased k levelsc)somatostatind)e)
question no 53:hormone that stores carbohydrates,lipids n proteins in body is:a)growth hormoneb)thyroid hormonec)cortisold)insuline)PTH
question no 54:8 yrold girl has vaginal bleeding she is taller than her age and examination revealed an abdominal mas arising from pelvis she is suffering from:
a)constitutional; symptoms
b)hypothalamic tumors
c)hypothalamic mass
d)granulosa cell tumor
e)adrenal gland tumor
question no 55:least positive titre for widal test isa)1:80b)1:160c)1:260d)1:320e)1:156
question no 56:all of the following can b stored at 4c except:a)shigellab)vibrio cholerac)d)e)
question no 57:vaccine is available for all except:a)EBVb)typhusc)pneumococcusd)e)
question no 58:patient has presented with fever n generalised lymphadenopathy, bone marrow exam normal,weight loss positive,he is suffering from:a)metastatic carcinomab)hogkins lymphomac)non hogkins lymphomad)CMLe)
question no 59:patien is taking glucocorticoids for 10 days,she wont suffer from:a)moon faceb)hypotensionc)thin skind)e)
question no 60:gestational age can best be estimated from:a)abdominal circumference at 36 wksb)biparietal dia at 28 wksc)crown rump length at 8 wksd)femur length at 32 wkse)
question no 61:turners syndrome,most definitive diagnostic test:a)presence of barr bodyb)chromosomal analysis
question no 62:14 yrs girl has primary amenorrhea,normal breast development,secondary sexual characteristics normal,short blind ending vagina,slight pubic hair,usg revealed absent uterus,underlying cause:
a)congenital adrenal hyperplasia
b)chromosomal defect
c)failure f development of genital tubercle
d)defect of paramesonephric duct
question no 63:the lumen of uterine cavity is obliterated by fusion of:
a)decidua basalis n spongy layer
b)decidua basalis n decidua capsularis
c)decidua capsularis n decidua parietalis
d)decidua parietalis n decidua basalise)
question no 64:a woman has been exposed to radiation in young life,now she has visited a gynaecologist after some years,organ most likely to b affected:a)fallopian tubesb)cervixc)ovaryd)endometriume)vagina
question no 65:repeated blood transfusions (AB n Rh compatible) in an individual will lead to:a)haemochromatosis of liverb)hypocalcemiac)haemoglobinuriad)transfusion reactione)
question no 66: Rh incompatibility occurs in a mother if she has:a)Rh negative fetusb)Rh positive fetusc)d)e)
question no 67:the best way to prevent Rh isoimmunisation in a woman who has given birth to Rh positive fetus:a)blood transfusionb)platelet transfusionc)serumd)Rh immunoglobulinse)
question no 68:a person brought in er had burns,he was admitted later on he developed fever and bleeding diathesis,he is suffering from:a)DICb)hepatorenal failurec)hepatic failure of prothrombin productiond)renal failuree)
question no 69:following is not a cause of DIC:a)pre eclamsiab)amniotic fluid embolismc)cervical carcinomad)abruptio placentaee)PPH
question no 70:following is not a cause of DIC:a)abruptio placentaeb)burnsc)malignant tumorsd)e)
question no 71:multigravida P9+0 delivered a boy in a village 2 hours later she started bleeding profusely had oozing from gums she was brought to hospital her labs showed hb 6 TLC 15000/ul platelets 30000/ul she is suffering from:a)DICb)PPHc)clotting disorderd)bleeding diathesise)ITP
question no 72:27 year old female had profuse vaginal bleeding 2 hrs after delivery her labs showed hb 6 TLC 15000/ul plt 30000/ul peripheral blood film showed burr bodies,she is suffering from:
a)DIC
b)PPH
c)ITP
d)von willebrand disease
question no 73:vit k directly influences d reaction:a)conversion of fibrinogen to fibrinb)prothrombin to thrombinc)activation of factor 7d)formation of fibrinogen
question no 74:intrinsic n extrinsic pathways converge upon:a)activation of factor 7ab)activation of factor 5ac)factor 12ad)prothrombine)tissue factor
question no 75:bacteria that grow at 42c:a)vibrio cholerab)gonococcusc)shigellad)Ecolie)salmonella
question no 76:following is not true about endocarditis:a)blood cultures for causative organisms r usually negativeb)is caused by streptococcus group of bacteriac)is more common in elderly groupd)valvular involvemente)
question no 77:cause f subacute bacterial endocarditis:a)H.influenzaeb)Ecolic)streptococcus viridansd)e)
question no 78:interferon:a)binds to DNAbbinds to RNAc)is a protein derivatived)inhibits protein synthesis n their phosphorylation
question no 79:highest energy compound:a)ATPb)glucosec)hexose phosphated)starche)glycogen
question no 80:the end product of carbohydrate metabolism:a)fructoseb)glucosec)galactosed)starche)pyruvate
question no 81:L-dopa taken by a patient will decrease :a)estrogenb)progesteronec)prolactind)cortisole)
question no 82:isoniazid:a)cant b administered with rifampicinb)is contraindicated in nephropathyc)pyridoxine is used prophylactically to prevent its neurotoxic effectsd)e)
question no 83:hepatitis b following is not true:a)has an incubation period less than that of hep ab)caused by sexual contactc)caused by DNA virusd)e)
question no 85:actinomyces does not cause disease in:a)boneb)lungc)brain
question no 86:disseminated coccidiodomyces following is not true:a)infection will not provide life time immunityb)c)d)e)
question no 87:middle aged man crossing the road stumbled n hit by a car he fell down had injury to neck of fibula of his left leg was taken to hosp examination revealed that he is unable to dorsiflex and evert his left foot the injury is to:
a)common peronel nerve
b)tibialis post
c)superficial peroneal nerve
d)deep peroneal nervee)
question no 88:ECF:a)provides nutrients to cellsb)provides glucose to cellsc)bathes the cellsd)takes away electrolytese)takes away wastes
question no 89:spermatogenesis is stimulated by:a)FSHb)testosteronec)LHd)FSH n testosteronee)
question no 90:patient brought in shock in er successful fluid replacement will b indicated by:a)decrease in tachcardiab)increase in bpc)increase in urine outputd)e)
question no 91:cardoiac cycle:a)60% of ventricular filling occurs in diastoleb)end diastolic left ventricular vol is 100 mlc)ejection fraction is 75%d)the notch of d pulse is due to atrial systolee)
question no 92:a man has a pulse rate of 72/min impulse originates in:a)AV nodeb)SA nodec)left bundle branchd)purkinje fibrese)
question no 93:muscles r derived from:a)mesodermb)ectodermc)endoderm
question no 94:in our country d cause of cell inujury is:a)alcoholb)hypoxiac)ischemiad)ionising radiatione)malnutrition
question no 95:in our country cause of fatty liver is:a)alcoholismb)amoebiasisc)due to hep b n cd)increase intake of fatsdecreased protein utilisation
question no 97:in d female d neck of urinary bladder is located :a)in front of rectumb)below d urogenital diaphramc)in d urogenital diaphramd)above d urogenital diaphrame)behind symphsis pubis
question no 98:the highest content of triglycerides is in:a)chylomicron remnantsb)HDLc)LDLd)
IDLe)VLDL
question no 99:following is not a phospholipid:a)cephalinb)lysolecithinc)lecithind)plasminogene)sphingolipid
question no 100:a human being can survive without:a)calciumb)proteinsc)carbohydratesd)lipidse)
question no 101:patient has pyuria but has negative urine culture for organisms this happens in all conditions except:
a)acute post streptococcal glomerulonephritis
b)polycystic kidneys
c)urine stored at room temp for long
d)alkaline urinee)vesical calculus
question no 102:broad ligament a double layered fold of peritoneum ,ovary is attached to it by:
a)mesoovarium
b)suspensory ligament of ovary
c)round ligament of ovary
d)cardinal ligament
SURGERY July 07
Contributed By Dr Ahsan Siraj.
FCPS Part 1
SURGERY AND ALLIED
5TH JULY 2007
Note: Only correct answers are given as choice “A”. Some questions do contain other choices but you consider “A” the right choice.
ANATOMY
01. A 10 year old boy with shoulder injury lost abduction of his shoulder up to 30 degree which muscle is lost:
Supraspinatus
Deltoid
02. A boy is brought to a hospital with injury at elbow joint lost extension of medial 4 fingers at MTP joint, abduction of thumb with intact sensation due to:
Injury to Radial nerve at elbow
03. Which of the following muscle is not supplied by median nerve:
Adductor polices.
04. Regarding palm:
Superficial palmer arch is below palmer apeneurosis.
05. Which of the following muscle have dual nerve supply from median and ulner nerve:
Flexor digitorum profundus.
06. Infection of the first pulp space lymph nodes will first drained.
Epitrochlear lymph nodes.
07. Which of the following muscles is flexor at hip and extensor at knee:
Sartorius.
08. In an injury to knee joint a man is unable to extend his knee the root value affected:
L3-L4.
09. In the injury to neck of fibula the artery damaged:
Ant. Tibial artery.
Peroneal artery.
10. Regarding post. Triangle:
Base is form by middle 3rd of clavicle.
11. Bifurcation of common carotid artery:
Beneath the any. Border of sternocladomastoid at the sup. Border of thyroid cartilage.
12. Great saphenous vein has how many valves:
20.
13. Vertebral venous plexus:
Has no communication with cerebral sinuses.
Lies in epidural space.
Is formed by two vertebral veins.
14. A 40 years old man feels pain in his gastrocnemeus muscle after he walks 100 meter which relieves when he stops walking is likely due to obstruction of:
A. Post. Tibial artery.
15. Subclavian artery grooves over:
A. 1st rib.
16. What is inappropriate about azygus vein.
A. It enters the thoracic cavity thru esophageal opening.
17. Which of the following structure arches over root of left lung:
A. Arch of aorta.
18. Weakest point of rib is:
A. Angle of the rib.
19. A pathologist wants to pass dye to the liver he will reach thru:
A. Ligamentum Teres.
20. Internal spermatic fascia is a continuation of:
A. Transversalis fascia.
21. The branch of internal carotid artery which remains in true pelvis throughout its course:
A. Middle rectal artery.
22. During a per rectal examination the examiner will not reveal:
A. Ureter
23. Parasympathetic nerves supplying the urinary bladder are:
A. Pelvic splanchnic nerves.
24. Nerve supply to the lower airways:
A. T3-4
25. During an injury to the bulbar part of urethra the urine will extravasate to:
A. Superficial perineal pouch.
26. Nerve supply to the distal scrotum is thru:
Illioinguinal nerve.
Illiohypogastric nerve.
Genitofemoral nerve.
27. During surgery of right colon for carcinoma which structure would not be injured:
A. Aorta.
28. Slow growing tumor of head of pancreas will compress:
A. Common Bile Duct.
29. Tumor of the head of pancreas will compress:
A. Common Bile Duct.
EMBYROLOGY.
1. Regarding Decidua:
A. Decidua basilis forms the maternal part of placenta.
2. Embryonic period is:
A. 3-8 weeks.
3. Which of the following is a derivative of neuro ectoderm:
A. Sphincter pupili muscle.
4. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
5. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
6. Regarding Allantois:
……
7. left umbilical vein will regress to:
A. Ligamentum Teres.
8. Which of the following structure is not an Embryological remnant:
A. Lateral umbilical ligament.
9. Regarding Mesothelium:
A. Lines the body cavities.
10. Physiological hernia occurs in between:
A. 6-10 weeks.
11. What will happen immediately after birth:
Anatomical closure of Ductus arteriosus.
Anatomical closure of Ductus venosus.
Anatomical closure of foramen ovale.
Obliteration of Left umbilical vein.
Obliteration of Right umbilical vein.
12. Which of the following bone is derived from 2nd Pharyngeal arch:
A. Styloid process.
13. Muscles innervated by hypoglossal nerves are derived from:
A. Occipital Somites.
14. Primordial Germ cells are derived from:
A. Yolk sac endoderm.
NEUROANATOMY
1. In adults spinal cord ends at the intervertebral disc between:
A. L1-2.
2. Injury to L1 vertebra will directly damage which of the following spinal structure:
A. Conus Medullaris.
3. Which of the statement regarding Lateral Horn of spinal cord is inappropriate:
A. It is present at the cervical portion of spinal cord.
4. Regarding Trapezoid Body:
A. It is related to the auditory pathway.
5. Loss of Fine and skilled movements of the hand is due to damage of:
A. Corticospinal Tract.
6. What is inappropriate regarding Glossopharyngeal nerve:
A. It is entirely sensory.
7. Loss of temperature regulation is due to damage at:
A. Anterior Hypothalamic Nucleus.
8. Temperature regulation centre is located in:
A. Hypothalamus.
9. In spinal tap the needle which will go across:
A. Epidural Space è Dura Matter è Sudural Space è Arachnoid Matter è Subarachanoid space.
10. Regarding spinal cord what is inappropriate: A. Its dura matter has two layers
HISTOLOGY
1. Simple columner epithelium is present:
A. Choroidal plexus of ventricles.
2. Cytoskeleton:
A. Maintains the integrity of the cell.
3. Mast cell.
……….
4. Newly formed Elastic cartilage looks yellow & dense because of:
A. Large no: of Elastin fibers.
5. Compact bone contains:
A. Osteoblast cells in the lacuner spaces.
6. Which part of the respiratory tract contains mucous glands:
A. Nasal cavity.
7. Skeletal muscles have:
A. Multiple nuclei located at their periphery.
8. Surfaces which are prone to great amount of friction have:
A. Straitifed Squamous Keratinizing Epithelium
.
PHYSIOLOGY
1. Pulmonary Wedge Pressure:
A. Indirectly measures left atrial pressure,
2. Ventricular Depolarization on ECG strip is represented by:
A. QRS Complex.
3. Ventricular preload is measured by:
A. LVEDV.
4. Blood flow to the left ventricles is increase by:
Acetylcholine infusion.
Sympathetic stimulation
5. Bain Bridge reflux.
……………
6. IPSP is generated by opening of:
A. Cl- channels.
7. During Depolarization:
A. There is rapid influx of Na+.
8. Blood group antigen:
A. Will not found in any other tissue than blood.
B. Will be inherited by Autosomal recessive pattern
9. If father’s blood group is B+ve & mother’s blood group is AB+ve there child can not have which of the following blood group:
A. O+ve.
10. ESR will increase with the decrease in:
A. Albumin.
11. ADH will act on:
A. Distal Tubules.
12. Renal absorption of glucose thru secondary transport with sodium occurs at:
A. Proximal Tubules.
12. Simple Diffusion depends on all of the following factors except:
A. Magnetic field.
13. What is the suitable I/V fluid for the patient of acidurea:
Normal Saline.
Dorrow`s solution.
Ringer lactate.
5% dextrose
10% dextrose.
14. Which of the following causes Hyperkelemia:
Zollinger Ellison syndrome.
Cushing syndrome.
Conn`s syndrome.
Pyloric stenosis.
15. Which of the following hormone is called STRESS HORMONE:
A. Cortisol.
16. Inhibitory factor released by hypothalamus against which of the following hormone:
Prolactin
Growth hormone.
17. Bile of the Liver differs from the GB bile because GB bile contains decrease amount of:
A. Water.
18. Which of the following cell can never reproduce:
Erythrocyte.
Neuron.
Skeletal muscle.
Smooth muscle.
19. Which of the following is the NOT non dividing cell:
A. Hepatocytes.
20. Heat loss mainly depends on:
Temperature of the surrounding.
Evaporation.
21. Cortisol decreases which of the following cell:
A. Lymphocyte.
22. Resection of distal ileum will impair the absorption of:
A. Bile Salts.
23. Regarding Bradykinin:
It formation is activated by killkeran.
24. Regarding Interferon:
……….
25. Surfactant is released by:
A. Type II pneumocytes.
26. Increase peripheral resistance is due to:
A. Increase vasomotor tone.
27. Chloride shift means:
A. Transfer of Cl- in erythrocytes in exchange of HCO3.
28. Cardiac muscles are prevented by tetanization due to its:
Rythmicity
Automaticity
Conductivity
Long refractory period.
29. Sustained rhythmic reflex tremors induce by sudden movements is:
A. Clonus.
30. Most active form of thyroid hormone present in circulation is:
A. T3.
31. Regarding conduction of visual pathways:
………..
32. Regarding olfaction:
A. Sharp odors have the quality of water & lipid solubility.
33. Unilateral Anosmia is due to:
A. Affection of Nasal mucosa.
GENERAL PATHOLOGY
1. Irreversible cell injury starts with:
A. Rupture of the Lysosomal membrane.
2. Which of the following is not a mediator of acute inflammation:
A. Dopamin.
3. ICAM & VCAM mediates:
A. Leukocyte Adhesion.
4. Fever in inflammation is caused by:
A. IL1 & TNF α.
5. A 36 years old women presented with acute abdomen. At laparoscopy most of the bowl loops were dark purple black. Her mesenteric veins were patent. The most probable underlying pathological process is:
A. Wet Gangrene.
6. Superimposed infection on necrosis is called:
A. Gangrenous Necrosis.
7. Fluid accumulates in acute inflammation contains:
A. Proteins >3gm/dl.
8. Fat necrosis occurs in:
A. Acute pancreatitis.
9. What is inappropriate about fat necrosis:
A. Only caused by trauma to the fat tissue.
10. A 25 year old lady with 14 weeks pregnancy had a road traffic accident brought to the emergency department with a large open wound on thigh and femur fracture. After 2 days of accident she suddenly collapsed & died. The most probable pathological process involve in her death:
A. Fat Embolism.
11. Regarding Fat Embolism:
It is Fetal in >80% of cases.
IT manifest within 12 hours.
12. A 30 year old women brought to emergency department with bleeding…..
13. A 16 years old boy deeply jaundiced presented with gum bleeding due to:
A. Vitamin K deficiency.
14. A patient presented with enlarge lymph nodes, the diagnosis of Tuberculosis in this patient is confirmed by:
A. Presence of caseous necrosis in lymph nodes.
15. An 18 year old girl came to family doctor complaining of primary amenorrhea, on examination she found to have well formed breasts, blind ended vagina with no uterus & ovary. Her probable Karyotype is:
A. 46 XY.
16. Edema due to increase hydrostatic pressure is seen in:
A. Congestive cardiac failure.
17. Which of the following is a benign tumor:
A. Warthin`s tumor.
18. Which of the following is a premalignant condition:
A. Leukoplakia.
B. Erythroplakia.
19. Which of the following is a premalignant condition:
Condyloma
Metaplasia Endocervix.
Cystic hyperplastic endometrium
20. Metaplasia does not occur in:
Brain.
Vitamin A deficiency.
21. The primary source of Creatinin is:
Liver.
RBC.
Skeletal muscles.
Cardiac muscles.
Lungs.
22. Dystrophic Calcification is seen in all of the following except:
Malarial parasite.
Dead fetus.
Hydatid Cyst.
23. Maximal tensile Strength of a wound is attained in.
3 Months.
Over an unpredictable period of time.
1 Year.
6 days.
10 days.
24. Regarding autosomal recessive disorders:
………………
25. Which of the following are not non-dividing cells.
A. Hepatocytes.
26. In a patient there is atrophy of submandibular gland due to its duct obstruction. Atrophy of the gland is because of:
A. Apoptosis.
27. The mechanism of injury of ionization radiation is:
A. Free radical formation.
28. LASER act by:
Cutting.
Biochemical changes
29. A patient admitted to the hosp. diagnosed as case of gas gangrene dies due to:
A. Toxic shock
30. Which of the following is the confirmatory test of AIDS:
Western blot.
ELISA.
SPECIAL PATHOLOGY
1. Hepatic hemengioma is associated with:
A. Vinyl Chloride.
2. Which of the disease is common in I/V drug abusers:
A. Infective Endocarditis.
3. Typhoid carriers are:
A. Usually asymptomatic.
4. Intestinal metaplasia due to reflux esophagitis leads to:
A. Adenocarcinoma.
5. Embryological marker that reappears in circulation in Ca Colon is:
A. CEA.
6. Which of the following is peculiar for crohn`s disease is:
A. Perianal Lesions.
7. Anemia of pregnancy is due to:
A. Increase plasma volume.
8. Major complication of severe burn:
Formation of granulation tissue.
Carcinoma formation.
9. What is Inappropriate about hyper parathyroidism:
A. There is increase PO4 renal absorption.
10. A 25 year old lady complaining of palpitations, heat intolerance on examination her pulse is 112b/min, BP 120/80, R/R 20 br/min. She is most probably a case of:
A. Hyperthyroidism.
11. Resection of Anterior lobe of pituitary will lead to:
A. Decrease glucocorticoids.
12. A 6 year old boy is complaining of proximal muscular weakness was found to be Ca++ channel antibodies positive. The most probable diagnosis is:
Lambert Eaten Syndrome.
Mysthenia Gravis.
13. In pulmonary embolism, respiratory failure is due to:
A. Ventilation / perfusion mismatch.
14. Left ventricular failure will lead to:
A. Increase pulmonary arteriolar Pressure.
15. Immediate effect after injury to a vessel is:
Vasoconstriction
16. Effects of hyper parathyroidism in Ca. lung is due to:
Parathyroid like protein
Parathyroid hormone
17. Spleenectomy will help in treating which type of anemia:
A. Hereditary Spherocytosis.
18. Malignant Tumor that will not metastasize:
A. Basal cell carcinoma.
19. Achlasia is due to:
A. Absence of Myenteric plexus.
20. After a traffic accident a lady is brought to a hosp the IMMEDIATE step you do:
A. Clear airway.
21. Ameobic infection reaches lungs via:
Direct extension from liver.
By aspiration of ova of Entameoba histolitica.
By aspiration of trophozoits of Entameoba histolitica.
Via Portal vein.
22. In Hypothyroidism there is increase in:
A. Cholesterol
23. In thyroid disease the antibodies are directed against:
A. Thyroglobin.
24. A 50 years old man is awakened in the middle of the night with acute pain & tenderness of the right knee. He has a low grade fever. His knee is hot, tender & swollen. Analysis of fluid from right knee shows: leukocytes 70,000/mm3 with 75% neutrophils, crystal analysis = negative birefringent, gram stain = negative. The most likely diagnosis is:
A. Gout.
B. Pseudo gout.
C. Septic arthritis.
PHARMACOLOGY
1. Which of the following blocks α and β receptors:
A. Labetalol.
2. Ketamin is used as anesthetic in repeated dressings of burn patient because:
A. It relieves pain as well.
3. Drug that decreases the tone of lower esophageal sphincter & increases gastric emptying:
A. Metaclopromide.
4. Which of the following is suitable antihypertensive for asthma & IHD patient during surgery:
I/V sodium nitroprusside.
I/V nitroglycerin.
5. Which of the following is drug of choice for patient of status asthematicus:
I/V aminophylin
Oral steroid
I/V salbutamol.
6. During surgery antibiotics should be given at:
A. At the time of induction of anesthesia.
7. Heparin will inhibit:
A. Clot propagation.
B. Clot organization.
8. Acid suppression is done by blocking:
A. H2 Receptor.
9. Drug of choice for acute pancreatitis.
Pethidine.
Morphine.
Paracetamol
FCPS Part 1
SURGERY AND ALLIED
5TH JULY 2007
Note: Only correct answers are given as choice “A”. Some questions do contain other choices but you consider “A” the right choice.
ANATOMY
01. A 10 year old boy with shoulder injury lost abduction of his shoulder up to 30 degree which muscle is lost:
Supraspinatus
Deltoid
02. A boy is brought to a hospital with injury at elbow joint lost extension of medial 4 fingers at MTP joint, abduction of thumb with intact sensation due to:
Injury to Radial nerve at elbow
03. Which of the following muscle is not supplied by median nerve:
Adductor polices.
04. Regarding palm:
Superficial palmer arch is below palmer apeneurosis.
05. Which of the following muscle have dual nerve supply from median and ulner nerve:
Flexor digitorum profundus.
06. Infection of the first pulp space lymph nodes will first drained.
Epitrochlear lymph nodes.
07. Which of the following muscles is flexor at hip and extensor at knee:
Sartorius.
08. In an injury to knee joint a man is unable to extend his knee the root value affected:
L3-L4.
09. In the injury to neck of fibula the artery damaged:
Ant. Tibial artery.
Peroneal artery.
10. Regarding post. Triangle:
Base is form by middle 3rd of clavicle.
11. Bifurcation of common carotid artery:
Beneath the any. Border of sternocladomastoid at the sup. Border of thyroid cartilage.
12. Great saphenous vein has how many valves:
20.
13. Vertebral venous plexus:
Has no communication with cerebral sinuses.
Lies in epidural space.
Is formed by two vertebral veins.
14. A 40 years old man feels pain in his gastrocnemeus muscle after he walks 100 meter which relieves when he stops walking is likely due to obstruction of:
A. Post. Tibial artery.
15. Subclavian artery grooves over:
A. 1st rib.
16. What is inappropriate about azygus vein.
A. It enters the thoracic cavity thru esophageal opening.
17. Which of the following structure arches over root of left lung:
A. Arch of aorta.
18. Weakest point of rib is:
A. Angle of the rib.
19. A pathologist wants to pass dye to the liver he will reach thru:
A. Ligamentum Teres.
20. Internal spermatic fascia is a continuation of:
A. Transversalis fascia.
21. The branch of internal carotid artery which remains in true pelvis throughout its course:
A. Middle rectal artery.
22. During a per rectal examination the examiner will not reveal:
A. Ureter
23. Parasympathetic nerves supplying the urinary bladder are:
A. Pelvic splanchnic nerves.
24. Nerve supply to the lower airways:
A. T3-4
25. During an injury to the bulbar part of urethra the urine will extravasate to:
A. Superficial perineal pouch.
26. Nerve supply to the distal scrotum is thru:
Illioinguinal nerve.
Illiohypogastric nerve.
Genitofemoral nerve.
27. During surgery of right colon for carcinoma which structure would not be injured:
A. Aorta.
28. Slow growing tumor of head of pancreas will compress:
A. Common Bile Duct.
29. Tumor of the head of pancreas will compress:
A. Common Bile Duct.
EMBYROLOGY.
1. Regarding Decidua:
A. Decidua basilis forms the maternal part of placenta.
2. Embryonic period is:
A. 3-8 weeks.
3. Which of the following is a derivative of neuro ectoderm:
A. Sphincter pupili muscle.
4. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
5. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
6. Regarding Allantois:
……
7. left umbilical vein will regress to:
A. Ligamentum Teres.
8. Which of the following structure is not an Embryological remnant:
A. Lateral umbilical ligament.
9. Regarding Mesothelium:
A. Lines the body cavities.
10. Physiological hernia occurs in between:
A. 6-10 weeks.
11. What will happen immediately after birth:
Anatomical closure of Ductus arteriosus.
Anatomical closure of Ductus venosus.
Anatomical closure of foramen ovale.
Obliteration of Left umbilical vein.
Obliteration of Right umbilical vein.
12. Which of the following bone is derived from 2nd Pharyngeal arch:
A. Styloid process.
13. Muscles innervated by hypoglossal nerves are derived from:
A. Occipital Somites.
14. Primordial Germ cells are derived from:
A. Yolk sac endoderm.
NEUROANATOMY
1. In adults spinal cord ends at the intervertebral disc between:
A. L1-2.
2. Injury to L1 vertebra will directly damage which of the following spinal structure:
A. Conus Medullaris.
3. Which of the statement regarding Lateral Horn of spinal cord is inappropriate:
A. It is present at the cervical portion of spinal cord.
4. Regarding Trapezoid Body:
A. It is related to the auditory pathway.
5. Loss of Fine and skilled movements of the hand is due to damage of:
A. Corticospinal Tract.
6. What is inappropriate regarding Glossopharyngeal nerve:
A. It is entirely sensory.
7. Loss of temperature regulation is due to damage at:
A. Anterior Hypothalamic Nucleus.
8. Temperature regulation centre is located in:
A. Hypothalamus.
9. In spinal tap the needle which will go across:
A. Epidural Space è Dura Matter è Sudural Space è Arachnoid Matter è Subarachanoid space.
10. Regarding spinal cord what is inappropriate: A. Its dura matter has two layers
HISTOLOGY
1. Simple columner epithelium is present:
A. Choroidal plexus of ventricles.
2. Cytoskeleton:
A. Maintains the integrity of the cell.
3. Mast cell.
……….
4. Newly formed Elastic cartilage looks yellow & dense because of:
A. Large no: of Elastin fibers.
5. Compact bone contains:
A. Osteoblast cells in the lacuner spaces.
6. Which part of the respiratory tract contains mucous glands:
A. Nasal cavity.
7. Skeletal muscles have:
A. Multiple nuclei located at their periphery.
8. Surfaces which are prone to great amount of friction have:
A. Straitifed Squamous Keratinizing Epithelium
.
PHYSIOLOGY
1. Pulmonary Wedge Pressure:
A. Indirectly measures left atrial pressure,
2. Ventricular Depolarization on ECG strip is represented by:
A. QRS Complex.
3. Ventricular preload is measured by:
A. LVEDV.
4. Blood flow to the left ventricles is increase by:
Acetylcholine infusion.
Sympathetic stimulation
5. Bain Bridge reflux.
……………
6. IPSP is generated by opening of:
A. Cl- channels.
7. During Depolarization:
A. There is rapid influx of Na+.
8. Blood group antigen:
A. Will not found in any other tissue than blood.
B. Will be inherited by Autosomal recessive pattern
9. If father’s blood group is B+ve & mother’s blood group is AB+ve there child can not have which of the following blood group:
A. O+ve.
10. ESR will increase with the decrease in:
A. Albumin.
11. ADH will act on:
A. Distal Tubules.
12. Renal absorption of glucose thru secondary transport with sodium occurs at:
A. Proximal Tubules.
12. Simple Diffusion depends on all of the following factors except:
A. Magnetic field.
13. What is the suitable I/V fluid for the patient of acidurea:
Normal Saline.
Dorrow`s solution.
Ringer lactate.
5% dextrose
10% dextrose.
14. Which of the following causes Hyperkelemia:
Zollinger Ellison syndrome.
Cushing syndrome.
Conn`s syndrome.
Pyloric stenosis.
15. Which of the following hormone is called STRESS HORMONE:
A. Cortisol.
16. Inhibitory factor released by hypothalamus against which of the following hormone:
Prolactin
Growth hormone.
17. Bile of the Liver differs from the GB bile because GB bile contains decrease amount of:
A. Water.
18. Which of the following cell can never reproduce:
Erythrocyte.
Neuron.
Skeletal muscle.
Smooth muscle.
19. Which of the following is the NOT non dividing cell:
A. Hepatocytes.
20. Heat loss mainly depends on:
Temperature of the surrounding.
Evaporation.
21. Cortisol decreases which of the following cell:
A. Lymphocyte.
22. Resection of distal ileum will impair the absorption of:
A. Bile Salts.
23. Regarding Bradykinin:
It formation is activated by killkeran.
24. Regarding Interferon:
……….
25. Surfactant is released by:
A. Type II pneumocytes.
26. Increase peripheral resistance is due to:
A. Increase vasomotor tone.
27. Chloride shift means:
A. Transfer of Cl- in erythrocytes in exchange of HCO3.
28. Cardiac muscles are prevented by tetanization due to its:
Rythmicity
Automaticity
Conductivity
Long refractory period.
29. Sustained rhythmic reflex tremors induce by sudden movements is:
A. Clonus.
30. Most active form of thyroid hormone present in circulation is:
A. T3.
31. Regarding conduction of visual pathways:
………..
32. Regarding olfaction:
A. Sharp odors have the quality of water & lipid solubility.
33. Unilateral Anosmia is due to:
A. Affection of Nasal mucosa.
GENERAL PATHOLOGY
1. Irreversible cell injury starts with:
A. Rupture of the Lysosomal membrane.
2. Which of the following is not a mediator of acute inflammation:
A. Dopamin.
3. ICAM & VCAM mediates:
A. Leukocyte Adhesion.
4. Fever in inflammation is caused by:
A. IL1 & TNF α.
5. A 36 years old women presented with acute abdomen. At laparoscopy most of the bowl loops were dark purple black. Her mesenteric veins were patent. The most probable underlying pathological process is:
A. Wet Gangrene.
6. Superimposed infection on necrosis is called:
A. Gangrenous Necrosis.
7. Fluid accumulates in acute inflammation contains:
A. Proteins >3gm/dl.
8. Fat necrosis occurs in:
A. Acute pancreatitis.
9. What is inappropriate about fat necrosis:
A. Only caused by trauma to the fat tissue.
10. A 25 year old lady with 14 weeks pregnancy had a road traffic accident brought to the emergency department with a large open wound on thigh and femur fracture. After 2 days of accident she suddenly collapsed & died. The most probable pathological process involve in her death:
A. Fat Embolism.
11. Regarding Fat Embolism:
It is Fetal in >80% of cases.
IT manifest within 12 hours.
12. A 30 year old women brought to emergency department with bleeding…..
13. A 16 years old boy deeply jaundiced presented with gum bleeding due to:
A. Vitamin K deficiency.
14. A patient presented with enlarge lymph nodes, the diagnosis of Tuberculosis in this patient is confirmed by:
A. Presence of caseous necrosis in lymph nodes.
15. An 18 year old girl came to family doctor complaining of primary amenorrhea, on examination she found to have well formed breasts, blind ended vagina with no uterus & ovary. Her probable Karyotype is:
A. 46 XY.
16. Edema due to increase hydrostatic pressure is seen in:
A. Congestive cardiac failure.
17. Which of the following is a benign tumor:
A. Warthin`s tumor.
18. Which of the following is a premalignant condition:
A. Leukoplakia.
B. Erythroplakia.
19. Which of the following is a premalignant condition:
Condyloma
Metaplasia Endocervix.
Cystic hyperplastic endometrium
20. Metaplasia does not occur in:
Brain.
Vitamin A deficiency.
21. The primary source of Creatinin is:
Liver.
RBC.
Skeletal muscles.
Cardiac muscles.
Lungs.
22. Dystrophic Calcification is seen in all of the following except:
Malarial parasite.
Dead fetus.
Hydatid Cyst.
23. Maximal tensile Strength of a wound is attained in.
3 Months.
Over an unpredictable period of time.
1 Year.
6 days.
10 days.
24. Regarding autosomal recessive disorders:
………………
25. Which of the following are not non-dividing cells.
A. Hepatocytes.
26. In a patient there is atrophy of submandibular gland due to its duct obstruction. Atrophy of the gland is because of:
A. Apoptosis.
27. The mechanism of injury of ionization radiation is:
A. Free radical formation.
28. LASER act by:
Cutting.
Biochemical changes
29. A patient admitted to the hosp. diagnosed as case of gas gangrene dies due to:
A. Toxic shock
30. Which of the following is the confirmatory test of AIDS:
Western blot.
ELISA.
SPECIAL PATHOLOGY
1. Hepatic hemengioma is associated with:
A. Vinyl Chloride.
2. Which of the disease is common in I/V drug abusers:
A. Infective Endocarditis.
3. Typhoid carriers are:
A. Usually asymptomatic.
4. Intestinal metaplasia due to reflux esophagitis leads to:
A. Adenocarcinoma.
5. Embryological marker that reappears in circulation in Ca Colon is:
A. CEA.
6. Which of the following is peculiar for crohn`s disease is:
A. Perianal Lesions.
7. Anemia of pregnancy is due to:
A. Increase plasma volume.
8. Major complication of severe burn:
Formation of granulation tissue.
Carcinoma formation.
9. What is Inappropriate about hyper parathyroidism:
A. There is increase PO4 renal absorption.
10. A 25 year old lady complaining of palpitations, heat intolerance on examination her pulse is 112b/min, BP 120/80, R/R 20 br/min. She is most probably a case of:
A. Hyperthyroidism.
11. Resection of Anterior lobe of pituitary will lead to:
A. Decrease glucocorticoids.
12. A 6 year old boy is complaining of proximal muscular weakness was found to be Ca++ channel antibodies positive. The most probable diagnosis is:
Lambert Eaten Syndrome.
Mysthenia Gravis.
13. In pulmonary embolism, respiratory failure is due to:
A. Ventilation / perfusion mismatch.
14. Left ventricular failure will lead to:
A. Increase pulmonary arteriolar Pressure.
15. Immediate effect after injury to a vessel is:
Vasoconstriction
16. Effects of hyper parathyroidism in Ca. lung is due to:
Parathyroid like protein
Parathyroid hormone
17. Spleenectomy will help in treating which type of anemia:
A. Hereditary Spherocytosis.
18. Malignant Tumor that will not metastasize:
A. Basal cell carcinoma.
19. Achlasia is due to:
A. Absence of Myenteric plexus.
20. After a traffic accident a lady is brought to a hosp the IMMEDIATE step you do:
A. Clear airway.
21. Ameobic infection reaches lungs via:
Direct extension from liver.
By aspiration of ova of Entameoba histolitica.
By aspiration of trophozoits of Entameoba histolitica.
Via Portal vein.
22. In Hypothyroidism there is increase in:
A. Cholesterol
23. In thyroid disease the antibodies are directed against:
A. Thyroglobin.
24. A 50 years old man is awakened in the middle of the night with acute pain & tenderness of the right knee. He has a low grade fever. His knee is hot, tender & swollen. Analysis of fluid from right knee shows: leukocytes 70,000/mm3 with 75% neutrophils, crystal analysis = negative birefringent, gram stain = negative. The most likely diagnosis is:
A. Gout.
B. Pseudo gout.
C. Septic arthritis.
PHARMACOLOGY
1. Which of the following blocks α and β receptors:
A. Labetalol.
2. Ketamin is used as anesthetic in repeated dressings of burn patient because:
A. It relieves pain as well.
3. Drug that decreases the tone of lower esophageal sphincter & increases gastric emptying:
A. Metaclopromide.
4. Which of the following is suitable antihypertensive for asthma & IHD patient during surgery:
I/V sodium nitroprusside.
I/V nitroglycerin.
5. Which of the following is drug of choice for patient of status asthematicus:
I/V aminophylin
Oral steroid
I/V salbutamol.
6. During surgery antibiotics should be given at:
A. At the time of induction of anesthesia.
7. Heparin will inhibit:
A. Clot propagation.
B. Clot organization.
8. Acid suppression is done by blocking:
A. H2 Receptor.
9. Drug of choice for acute pancreatitis.
Pethidine.
Morphine.
Paracetamol
Tuesday, August 21, 2007
More Surgery July 07
Contributed by Dr Irfan Bhatti.
Surgery July 2007.
1 trapezious body relating to
auditory pathway
MLF
dorsal column-medial leminiscus
laterl column
2 which one of these cells is not a non dividing cell
neurons
nerve cells
myocardiocytes
hepatocytes
3 papillary muscle derived from
ectoderm
endoderm
mesoderm
neuroectoderm
4 LASER works by
cutting
thermal
crystalization
5 which of the followings is the benign tumor
wilms tumor
mesothlioma
hamartoma
6 internal cremastaric fascia dervied from
fascia tranversalis
fascia internal oblique
fascia tranversus abdominis
7 Regarding bone
regular lamellae
irreagular lamellae
horizontal canals
oblique canals
8 ADH works at
distal convulated tubule
collecting tubule distal convulated n collecting ttubule
proximal convulated tubule
9 commonly rib fractures
at angle neck shaft body
10 right umblical artery becomes
left medial umblical ligament
right median umblical ligament
left medial umblical ligament
median umblical ligament
Surgery July 2007.
1 trapezious body relating to
auditory pathway
MLF
dorsal column-medial leminiscus
laterl column
2 which one of these cells is not a non dividing cell
neurons
nerve cells
myocardiocytes
hepatocytes
3 papillary muscle derived from
ectoderm
endoderm
mesoderm
neuroectoderm
4 LASER works by
cutting
thermal
crystalization
5 which of the followings is the benign tumor
wilms tumor
mesothlioma
hamartoma
6 internal cremastaric fascia dervied from
fascia tranversalis
fascia internal oblique
fascia tranversus abdominis
7 Regarding bone
regular lamellae
irreagular lamellae
horizontal canals
oblique canals
8 ADH works at
distal convulated tubule
collecting tubule distal convulated n collecting ttubule
proximal convulated tubule
9 commonly rib fractures
at angle neck shaft body
10 right umblical artery becomes
left medial umblical ligament
right median umblical ligament
left medial umblical ligament
median umblical ligament
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