FCPS part-1 january 2009 ( RADIOLOGY)
Contributed by Dr. Usman ( doc82me@yahoo.com)
Well the paper consisted of paper 1 and paper 2 . although I cannot commit to my memory all the mcqs but an effort is made to recall as many possible as it can be,to benefit my colleagues in future.i have tried to give the correct answers which I have later confirmed from authenticated sources but the margin of error is still there . I hope it will be benefical. anyone requiring any advice regarding fcps 1 feel free to contact on my e mail. Looking forward for your prayers.
1. Gastric emptying inhibited by
Ans. CCK
2. Which hepatitis has the most mortality
a. hepA
b. hep B
c. hep C
d. hep D ( ans)
e. Hep E
3. Aldosterone secretion increases in response to
a. hyponatremia
b. increase ACTH
c. hyperkalemia (ans)
4. 65% Na reabsorption is in
a. PCT (ans )
b. DCT
5. osmotic pressure depends on
a. increase molecular size
b. increase no of particles (ans)
c. electric charge
6. regarding heamoglobin
a doesnot carry CO2
b. acts as a buffer (answer )
c. contains 2 alpha and 2 gamma chains
7. diffusion is inversely proportional to
a. thichness of the membrane (ans )
8. infants tend to defecate immediately after they eat because of
a. gastroileal reflex
b. gastrocolic reflex (ans)
9. cause of achlasia is
a. loss of myenteric plexus (ans )
10. appendix
a. does not have tenia coli (ans )
11. what is the energy source after 48 hrs of starvation
a. muscle glycogen
b. liver glycogen
c. muscle proteins (answer)
12. which is not the part of portal tract
a. hepatic artery
b. connective tissue
c. portal vein
d. hepatic vein (ans)
e. bileduct
13. what results after portal hypertension
a. increase portal diameter (ans )
14. Benedict test is used for
a. urine glucose
b. urine ketones (ans)
c. serum glucose
15. iron absorption increases in
a. ferrous form (ans)
16. total gasrectomy results in
a. iron def anemia
b. microcytic anemia
c. pernicious anemia (ans)
17.women with gravida 4 hb 8 occult blood in stool cause
a. iron def anemia (ans)
18.which hormone is responsible for fetal brain development
a. growth hormone
b. prolactin
c. thyroid hormone (ans)
19.adrenal cortical def results in
a. hyperglycemia
b. hypokalemia
c. hyponatremia (ans)
20. hyperPTH will be in all except
a. brown atrophy
b. dystrophic calcification (ans)
21.pseudohyper PTH is seen in
a. vit D def
b. paraneoplastic PTH release from tumours ( I think it is the answer )
22. diagnostic criteria for pre malignant condition
a. increase nuclear cytoplasmic ratio
b. pleomorphism
c. mitotic figures
23. diagnostic criteria for malignant tumours
a. pleomorphism
b. mitotic figure
c. local invasion
24. diagnostic criteria for soft tissue tumours
a. pleomorphism
b. mitotic figures
c. increase vascularity
25. patient with decrease hb, decrease platelets but increase TLC with generalized lymphadenopathy. Lymphocytes normal appearance cause
a. tuberculous lymphadenitis
b. non Hodgkin lymphoma
c. hairy cell
d. CLL
26.patient with CML develop joint pain, which investigation
a. uric acid (ans)
b. RA factor
27. most important chemotactic agent
a. leukotriene B4
b. C5 complex (ans)
c. histamine
28. heparin is released by which cells
a. mast cells
b. basophils ( I think so it is the ans )
c. platelets
d. neutrophils
29. most radiosensitive tumour
a. bone
b. lung
c. lymphnode
d. brain
30.least site of metastasis
a. brain
b. lung
c. liver
d. lymphnode
e. spleen ( ans )
31.sideeffect of theophylline
a. hypertension
b. seizures (ans)
c. nausea vomiting
d. apnea
32. most common side effect of estrogen contraceptive
a. thromboembolism ( ans)
33. which hormone decrease cholesterol
a. progesterone
b. estrogen ( ans)
34.women with lower abdominal pain on 18 day of LMP presented with secondary infertility . diagnostic D&C will show endometrium in which sage
a. ovulatory
b. secretory
c. proliferative
d. premenstrual
35. insulin def will result in
a. protein synthesis
b. glycogen syntheseis
c. ketogeneis in liver (ans)
36. which is a stress hormone
a. cortisol (ans)
b. NE
37. severe dehydration will result in
a. loss of ICF only
b. loss of ECF only
c. loss of total body water (ans)
38. most imp ICF electrolyte in excess
a. K+(ans)
b. Na
c. Cl-
d. HCO3
39. Bilesalts absorb from
a. ileum (ans)
b. jejunum
40.factor 1X def what should be given
a. cryoprecipitate
b. FFP
c. whole blood
41.heavy smoker with hoarseness vocal cord will show
a. hyperplasia (ans)
b. tumour
c. atrophy
42.what is not present in bowman capsule
a. podocytes
b. stratified epithelium (ans)
43. habitual smoker the epithelium will be
a. continuous stratified sq epi
b. pseudo stratified epi with patches of stratified sq epi
44. regarding CSF
a. produced by chroidplexus which is cauliflower in shape coverd by smooth muscle
b. daily production is 500 ml per day(ans)
45. axon doesnot contain
a. mitochondia
b. nissl substance (ans)
46. PDGF released from which organelles of platelets
a. alpha granules (ans)
b. dense granules
c. cytoplasm
d. cell membrane
47. smooth muscle is
a. striated
b. cardiac muscle is a specialized smooth muscle (ans)
48.somites are formed from
a. ectoderm
b. mesoderm (ans)
c. mesenchyma
49.pt has difficulty rising from sitting position but flexion of leg is normal, which musle is involved
a.ileopsoas
b.gluteusmaximus (ans)
c. sartorius
50.pellagra is due to
a. niacin def (ans)
51.which enzyme common to metabolism of both NE and serotonin
a. COMT
b. MAO (ans )
52. thin filament is covered by
a. titin
b. tropomyosin ( ans)
c. troponin t
53.narrowest part of urethra
a. external meatus (ans)
b. membranous urethra
c. navicular fossa
54.dorsal rami contribute to
a. extensors of trunk(ans)
b. flexors of neck
c. extensors of leg
55.diapgragm doesnot arise from
a. T10(ans)
b. 7th costal cartilage
c.9th rib
d. L1
56.bones of carpel
a. proximal row contains scaphoid, lunate,triquetral, pisiform(ans0
57.lattismus dorsi nerve supply
a. thoracodorsal n (ans)
58.artery which is adjacent to the phrenic nerve
a. internal thoracic
b. musculophrenic
c. pericardiophrenic (ans)
59.lt recurrent laryngeal n not associated with
a. arch of aorta
b.ligamentum arterisus
c. trachea and esophagus
d. sup vena cava (ans)
60.foreign body enters into rt lung because
a. it is more vertical and wider than left lung(ans)
61.enlargement of which part of the heart causes esophageal obs
a. left atrium (ans)
b. rt atrium
c. rt ventricle
62. which vein of heart is located in posterior interventricular sulcus
a middle cardiac vein(ans)
b. anterior cardiac vein
c. great cardiac vein
63.contraction of diaphragm causes
a.increase thoracic pr
b.decrease abdominal pr
c. increase thoracic volume (ans)
64.medial quadrant of breast lymph drainage
a. internal thoracic nodes (ans)
b. posterior nodes
c. axillary nodes
65. tumour of cervix will spread to labius majora via
a. roung ligament of uterus (ans )
66clavipectoral fascia
a. invests pectoral minor muscle (ans)
b. is pierced by axillary artery
c.is continuous with prevertebral fasia
67. blockage of rt marginal artery will result in interruption of blood supply to
a. SA node
b. interatrium wall
c. rt atrium (ans)
68.thoracic duct
a. passes thru aortic opening (ans)
69.structure precent b/w celiac trunk and sup mesenteric artery
a. pancrease and jejunum
b. pancrease (ans)
70. structure not lying posterior to left kidney is
a. duodenum (ans)
b. spleen
c. tail of pancrease
71. most anterior structure in popliteal fossa is
a. popliteal vein
b. common peroneal n
c. tibial n
d. popliteal artery (ans)
72. regarding autosomal recessive trait
a. chances of siblings to be affected is one in four
73. sup petrosal sinus is related to
a. diaphragmatic sella
b. tentorium cerebelli
c. sella turtica
d. falx cebri
74. middle cerebral vein drains into
a. cavernous sinus
b. straight sinus
75. proximal portion of CBD is supplied by
a. cystic artey (ans)
b. rt hepatic artery
c. left hepatic artery
76.cbd is divided in to following portions
a. retroduodenal+infraduodenal+supraduodenal+intraduodenal(ans)
77. lesseromentum is divided inti following portions
a. gastrohepatic+hepatoesophageal+hepatoduodenal+gastrodenal (ans)
78. regarding mekels diverticulum
a. it is a remanant of embryonic yolk sac (ans)
b. it is precent in 10% of population
c. it is 60cm distal to ileocecal valve
79. what is the commenest site of ureter stone obstruction in a standing male patient
a. lateral wall of pelvis
b. pelvic brim (ans)
c. upper part of ureter
80. calculate the median in following data 20,24,25,30,30,35
a. 30
b. 28.5(ans)
c. 35
81. regarding behavioural sciences , how is the professionalism of a doctor judged
a. punctuality
b. reputation
c. knowledge
82. in order to disclose news regarding fatal disease
a. patient should know fist
b. relatives should be told first
c. information should be hidden
83. two gps of patients given haemmorhoidal treatment and their effect seen with time
a. prospective cohort study(ans)
84.antibodies are produced by which cells
a. neutrophils
b. plasmacells(ans)
c. macrophages
d. lymphocytes
85fat embolism all are true except
a. take place with damage to fat tissue only (ans)
b. trauma to the breast
86.in atherosclerosis following are seen
a. foam cells (ans)
87. migratory thrombophlebitis is seen in
a. acute pancreatitis
b. chronic recurrent pancreatitis
c. pancreatic tumour (ans)
88.which structure crosses the aorta
a.left renal vein (ans)
b rt renal vein
c. left ovarian vein
Thursday, February 5, 2009
OCTOBER 08 Questions, ?subject
Contributed by Dr Farhan Karim, but forgot to tell about the subject in which he took the exam.
1.What is most lateral in cerebral hemisphere :
Insula
Pars triangularis *
Pars interemedia
Amygdala
2.Below the umblicus anterior abdomen is formed by:
External intercostal and part of Internal oblique*
Internal intercostals and part of transverse abdominis uscle
External intercostals and transverse abdominis muscle
Internal intercostals and transverse abdominis muscle
3.Pre cancerous in aids:
Cmv
Ebv*
Hsv
Hpv
4.In liver of a patient under the microscope a lesion was seen with central cheesy appearance surrounded by large cells with lymphocytes and fibroblast what type of necrosis is present
Coagulative*
Liquefative
Fatty
tuberculous
5.Which harmone of the following stimulates thirst
Adh*
Aldosterone
Renin
oxytocin
6.Which has no antigens
AB*
O-
O+
A
7.In a thyroid surgery mass was excisied which microscopically showed amyloids post surgically which marker would be taken in account
PTH
Calcitonin*
Ca
Po4
8.Which variant rises with rise in BP
TPR*
Pulse
Venous tone
Arterial tone
9.When r the ventricles most filled with blood '
Diastasis
Rapid inflow
Atrial systole
Ventricular systole
10.Example of wet gangrene
Thromboembolism
Bacterial endocarditis
Pancreatitis
11.Which of the following harmone stops ovulation during lactation
Estrogen
Progestrone
Prolactin*
Oxytocin
12Which of the follwing delays wound healing
Vit c*
vita
Immobilization
Vit E
13.feature of Downs Syndrome
Cardiac anomolies
Fallots
Hypospadiasis
Early death*
14Turner syndrome has
Chromosomal defect
Xlinked
Short stature*
Tall stature
15.X linked dominant
Pku
Alkaptonuria
Familial polyposis*
Glycogen storage
16.Which of the following tissue is most radiosensitive
Skeletal muscle
Cartilage*
Bone
17.In dorsal column lesion which of the following will be lost
Pain
Temp
Crude touch
Itch
Proprioception
18.Asthma has low
Fev1*
Fvc
Vc
Tlc
19.Pre carcinogenic is
Berryliosis
Asbestosis*
Benzethe
Pentamidine
20.Common feature in nitrates, isoprenaline . Throphylline is
Postural hypotension
Rapid pulse
Vasodlation
Venodilation
21.Midarm circumference is the measure of
Proteins*
Fats
Carbohydrates
Minerals
22.Temporal Arteritis is diagnosis by
Esr*
Biopsy
B/c
WBC count
23.In food poisoning death occur by
Exotxin of samonella
Vibro cholera *
Shigella
Endotoxin of Shigella
24.Long term granulomatous disease is
Crohn
Celiac
Sarcoidosis
Ulcerative colitis*
25.Water reabsorption through ADH is done in
Proximal
Distal
Collecting
Loop of henle
26.The organ placed retroperitoneally is
Spleen
Transverse
Bladder
Ascending*
Liver
26.Urinary bladder in male is
Completely covered by peritoneum
Superiorly covers
From rectum separated by fascia of Denon Villiers
27.Hydrocephalus occurs because of obstruction in
I/v foramen*
Sylvius
Magendie
Lushka
28.Hipocampal injury causes
Sex rage
Hunger
Loss of Memory*
Temperature disturbances
27.What organ lesion causes hypothermia
Preoptic
Lateral hypothalamus
Post hypothalamus *
Pitutary
28.Chemotactic factors functions mostly in
Diapedisis
Margination '
Migration
Acute inflammation
29. Paramesonephric duct remnant in male is
Appendice testis
Appendix
Ovary
30.Musle traversing the shoulder joint
Crochobrachilis
Sspinatus
Ispinatus
31.Blood spread of CA occurs 1st in
Metaphysis
Diaphysis
Epiphyses
Epiphyseal plate
Cortex
32.A boy presented in the ER with fracture with less seum calcium.He is suffering from
Primary hypoparathyroidism
Vit D deficiency
2ndry hypoparathyroidism
33.Example of synchondrosis is
Symphisis
Involves hyaline crtlg b/w 2 bones
Costal joint
34.Erythropoietin is secreted from
Yellow marrow
Jg complex
Macula densa
Preitubualr capillaries
Loop of henle
35. Gluteus medius , minimus
Adducts,laterally rotate
Adducts .medially rotate
Abducts, medially rotate
Abducts, laterally rotate
Flexes , medially rotate
36.Juvenile polyps are also called
Hamartomas
Rectal polyps
Internal haemorrhoids
37.TGlycerides are absorbed in
Chylomicrons
Vldl
Hdl
Ldl
38.In gastrectomy loss of following occurs
Hcl
Intrinsic facor
Fats
Vit D
39.Hb is enclosed in RBC at stage of
Normoblast
Late normoblast
Erythroblast
40.Adrenal gland is separated from kidney by
Peritoneal fascia
Renal fascia
Perinephric fat
41.About antibodies
Have varible2 heavy chains
IgM is abundant
42.Median nerve supplies
Palmar medial 1/3
Palmar and dorsal medialm1/3
Dorsal medial 1/3
Dorsal 2/3 lateral
43.About 1st lumbrical
Arises from 2nd meta carpal
Is bipennate
Supplied by median nerve
44.Lumbricals are supplied by
Median neve deep br of median n
Deep br of ulnar n
45.Lateral part of breast supplied by
Ant group
Post group
Lateral group
Central group
46.The muscle of passive inspiration is
Diaphragm
External intercostal
Internal intercostal
Scalenes muscles
47.Lymph drainage of lateral 2/3 of tongue occurs through
Sup deep cervical nodes
Inferior deep cervical nodes
Submandibular nodes
Submental nodes
48.Boil on the tip of the tongue will drain into following lymph nodes
Submental
submandibular
Submental nd submandibular
49.Posterior triangle in the neck has follwing boundries
Ant ant border of SCM post omohyoid
Post ant border of SCM and ant diagastric
Ant post border of SCM and post ant border of trapezius
50.Left recurrent laryngeal nerve has
Shorter route than right recurrent laryngeal nerve
Branch of vagus nerve
Supplies all the muscles of soft palate
Supplies all the muscles of larynx
51.Right hepatic artery is branch of
Hepatic artery
gastroduodenal artery
Ceoliac artery
Splenic artery
52.Subcapsularis sinus is present in
Spleen
Lymph nodes
Payers patches
Palatine tonsils
53.After illeal resection absorption of which of the following components does not take place
Chylomicrons
Bile
Tglyceric acid
Vit d
Vit c
54.In CRF all of following occurs except
Anemia
Hyperkalemia
Hypocalcemia
Hypoposphatemia
Hyperuricemia
55.Patient after radiation vomited for 4hrs Cl is raised, he has
Metabolic acidosis
Respiratory alkalosis wirh ion gap
Metabolic alkalosis
56.Patientt has Babinski + lesion is in
UMN
LMN
Dorsal column
Ant column
57.Inferior rectal artery is a branch of
Ext illiac
Int illiac
Sup epigastric
Int pudendal artery
Femoral artery
58.Peristalsis in the intestine inhibited by
CCK
Gastrin
Secretin
GIP
Histamine
59.Granuloma formation does not occur in
TB
Cat scratch fever
Toxoplasmosis
Pneumonia
60.One of the following is not a feature of anaerobe
Cough
Tetanus
Pus
Granuloma formation
Gangrene
61.Melanocytes originate from
Neural crest
Mesoderm
Ectoderm
62.Structures which passes through the aortic opening is
vagus and azygous vn
Azygous vn
Esophagus
Phrenic nerve
63.IJV drain in
Petrosal sinus
Sagittal sinus
Straight sinus
Sigmoid sinus
64.Liver helps in immunity by
Detoxfying noxious agents
Kupffer cells
Hepatocytes
65.Sour and hot is perceived by tongue through
Von ebner cells
Folate papillae
Pain fibers
Nociceptors
66.ADH is inhibited by
Alcohol
Angiotensin
Insulin
Renin
67.In testis seminferous tubules show following under M/S
Sertoli cells
Spermatogonia
Mixed cells
Spermatocytes
Sperms
68.Constricting afferent ducts in kidney reduces
Gfr
Rpf
Creatinine clearance
Glucose claerance
69.A boy is malnutrioned and has edema due to protien loss his
Plasma colloid pressure is decreased
Increase hydrostatic pressure
Blocked lymphatics
70.Cholestatic cholangitis is caused by
Colonercis selecans
diphyllobothrum latum
Schistosoma
Entameoba
71.After appendicectomy what may be damaged
Inguinal ligament
Superior epigastric artery
Illhypogastric nerve
Spermatic cord
72.The mc burney point indicates the presence of tip of appendix.Following is true about appendix
Appendix ha incomplete muscular coat
Appendix not attached to mesentry
Supplied by ceoliac artery
73.One of the following is not a branch of External carotid artery
Lingual A
Ophtalmic A
Occipital A
Maxillary A
Suprficial temporal A
74.Femoral artery can be palpated in
Mid inguinal lateral to pubic tubercle
Mid point of inguinal ligament
Adductor canal
75.Apex of the femoral triangle
Lies under inguinal ligament
Contains small saphenous vein
Contains nodes
Is pointed downwards
76.Medial side of hand is supplied by
Median nerve
Ulnrr nerver
Radial nerve
Axillary nerve
77.Vomiting center is persent in
Hypothalamus
Pitutary
Pons
Medulla
Midbrain
78.Patient wirh Gravida 4 Par4 Abortio 0 with anemia and occult blood in stool
Fe deficiency anemia
Pernicious anemia
Anemia of chronic disease
Sideroblastic anemia
79.Injury to the neck and head of fibula causes damage to
Sural nerve
Sciatic nerve
Tibial nerve
Common peroneal nerve
80.Nerve to ligamentum teres capitis is
Femoral n
Obturator n
Medial femoral n
Lat circumflex femoral n
81.Artery to head of femur is
Medial femoral circumflex a
Lateral femoral circumflex a
Obturator a
Femoral a
82.Muscranic receptors are present in
Postgaglionic parasympathetic
Postgaglionic sympathetic
Preganglionic parasympathetic
Preganglionic sympathetic
83.On bronchoscopy bronchoscope will 1st enter
Sup bronchus
Apical bronchus
Inf bronchus
Middle apical bronchus
84.Essential fatty acid is
Linoleic
Palmitic
Citric
Oxaloacetic
85.In tissue bleeding occurs because of
Loss of coagulation factors
Congenital disorders
Endothelial damage
dec FDF
86.Following is not a feature of DIC
Dec FDF
Dec BT
Dec PT
Dec thrombin time
Dec platelets
87.Role of middle ear bones is
Transmit sound
Amplify sound
Does not respond to low noise
Are sesamoid bones
88.Direct inguinal hernia lies
Lateral to inf epigastric a
Medial ti sup epigastric a
medial to inf epigastric a
Medial to pubic tubercle
89.Thrombosis is initiated by
Leukotrienes
Prostacyclin
Arachidonic metabolites
Thromboxane A2
90.Most drug metabolism occur in
Kidney
Liver
Spleen
Intestine
91. End artery
Spleen
Bone
Brain
1.What is most lateral in cerebral hemisphere :
Insula
Pars triangularis *
Pars interemedia
Amygdala
2.Below the umblicus anterior abdomen is formed by:
External intercostal and part of Internal oblique*
Internal intercostals and part of transverse abdominis uscle
External intercostals and transverse abdominis muscle
Internal intercostals and transverse abdominis muscle
3.Pre cancerous in aids:
Cmv
Ebv*
Hsv
Hpv
4.In liver of a patient under the microscope a lesion was seen with central cheesy appearance surrounded by large cells with lymphocytes and fibroblast what type of necrosis is present
Coagulative*
Liquefative
Fatty
tuberculous
5.Which harmone of the following stimulates thirst
Adh*
Aldosterone
Renin
oxytocin
6.Which has no antigens
AB*
O-
O+
A
7.In a thyroid surgery mass was excisied which microscopically showed amyloids post surgically which marker would be taken in account
PTH
Calcitonin*
Ca
Po4
8.Which variant rises with rise in BP
TPR*
Pulse
Venous tone
Arterial tone
9.When r the ventricles most filled with blood '
Diastasis
Rapid inflow
Atrial systole
Ventricular systole
10.Example of wet gangrene
Thromboembolism
Bacterial endocarditis
Pancreatitis
11.Which of the following harmone stops ovulation during lactation
Estrogen
Progestrone
Prolactin*
Oxytocin
12Which of the follwing delays wound healing
Vit c*
vita
Immobilization
Vit E
13.feature of Downs Syndrome
Cardiac anomolies
Fallots
Hypospadiasis
Early death*
14Turner syndrome has
Chromosomal defect
Xlinked
Short stature*
Tall stature
15.X linked dominant
Pku
Alkaptonuria
Familial polyposis*
Glycogen storage
16.Which of the following tissue is most radiosensitive
Skeletal muscle
Cartilage*
Bone
17.In dorsal column lesion which of the following will be lost
Pain
Temp
Crude touch
Itch
Proprioception
18.Asthma has low
Fev1*
Fvc
Vc
Tlc
19.Pre carcinogenic is
Berryliosis
Asbestosis*
Benzethe
Pentamidine
20.Common feature in nitrates, isoprenaline . Throphylline is
Postural hypotension
Rapid pulse
Vasodlation
Venodilation
21.Midarm circumference is the measure of
Proteins*
Fats
Carbohydrates
Minerals
22.Temporal Arteritis is diagnosis by
Esr*
Biopsy
B/c
WBC count
23.In food poisoning death occur by
Exotxin of samonella
Vibro cholera *
Shigella
Endotoxin of Shigella
24.Long term granulomatous disease is
Crohn
Celiac
Sarcoidosis
Ulcerative colitis*
25.Water reabsorption through ADH is done in
Proximal
Distal
Collecting
Loop of henle
26.The organ placed retroperitoneally is
Spleen
Transverse
Bladder
Ascending*
Liver
26.Urinary bladder in male is
Completely covered by peritoneum
Superiorly covers
From rectum separated by fascia of Denon Villiers
27.Hydrocephalus occurs because of obstruction in
I/v foramen*
Sylvius
Magendie
Lushka
28.Hipocampal injury causes
Sex rage
Hunger
Loss of Memory*
Temperature disturbances
27.What organ lesion causes hypothermia
Preoptic
Lateral hypothalamus
Post hypothalamus *
Pitutary
28.Chemotactic factors functions mostly in
Diapedisis
Margination '
Migration
Acute inflammation
29. Paramesonephric duct remnant in male is
Appendice testis
Appendix
Ovary
30.Musle traversing the shoulder joint
Crochobrachilis
Sspinatus
Ispinatus
31.Blood spread of CA occurs 1st in
Metaphysis
Diaphysis
Epiphyses
Epiphyseal plate
Cortex
32.A boy presented in the ER with fracture with less seum calcium.He is suffering from
Primary hypoparathyroidism
Vit D deficiency
2ndry hypoparathyroidism
33.Example of synchondrosis is
Symphisis
Involves hyaline crtlg b/w 2 bones
Costal joint
34.Erythropoietin is secreted from
Yellow marrow
Jg complex
Macula densa
Preitubualr capillaries
Loop of henle
35. Gluteus medius , minimus
Adducts,laterally rotate
Adducts .medially rotate
Abducts, medially rotate
Abducts, laterally rotate
Flexes , medially rotate
36.Juvenile polyps are also called
Hamartomas
Rectal polyps
Internal haemorrhoids
37.TGlycerides are absorbed in
Chylomicrons
Vldl
Hdl
Ldl
38.In gastrectomy loss of following occurs
Hcl
Intrinsic facor
Fats
Vit D
39.Hb is enclosed in RBC at stage of
Normoblast
Late normoblast
Erythroblast
40.Adrenal gland is separated from kidney by
Peritoneal fascia
Renal fascia
Perinephric fat
41.About antibodies
Have varible2 heavy chains
IgM is abundant
42.Median nerve supplies
Palmar medial 1/3
Palmar and dorsal medialm1/3
Dorsal medial 1/3
Dorsal 2/3 lateral
43.About 1st lumbrical
Arises from 2nd meta carpal
Is bipennate
Supplied by median nerve
44.Lumbricals are supplied by
Median neve deep br of median n
Deep br of ulnar n
45.Lateral part of breast supplied by
Ant group
Post group
Lateral group
Central group
46.The muscle of passive inspiration is
Diaphragm
External intercostal
Internal intercostal
Scalenes muscles
47.Lymph drainage of lateral 2/3 of tongue occurs through
Sup deep cervical nodes
Inferior deep cervical nodes
Submandibular nodes
Submental nodes
48.Boil on the tip of the tongue will drain into following lymph nodes
Submental
submandibular
Submental nd submandibular
49.Posterior triangle in the neck has follwing boundries
Ant ant border of SCM post omohyoid
Post ant border of SCM and ant diagastric
Ant post border of SCM and post ant border of trapezius
50.Left recurrent laryngeal nerve has
Shorter route than right recurrent laryngeal nerve
Branch of vagus nerve
Supplies all the muscles of soft palate
Supplies all the muscles of larynx
51.Right hepatic artery is branch of
Hepatic artery
gastroduodenal artery
Ceoliac artery
Splenic artery
52.Subcapsularis sinus is present in
Spleen
Lymph nodes
Payers patches
Palatine tonsils
53.After illeal resection absorption of which of the following components does not take place
Chylomicrons
Bile
Tglyceric acid
Vit d
Vit c
54.In CRF all of following occurs except
Anemia
Hyperkalemia
Hypocalcemia
Hypoposphatemia
Hyperuricemia
55.Patient after radiation vomited for 4hrs Cl is raised, he has
Metabolic acidosis
Respiratory alkalosis wirh ion gap
Metabolic alkalosis
56.Patientt has Babinski + lesion is in
UMN
LMN
Dorsal column
Ant column
57.Inferior rectal artery is a branch of
Ext illiac
Int illiac
Sup epigastric
Int pudendal artery
Femoral artery
58.Peristalsis in the intestine inhibited by
CCK
Gastrin
Secretin
GIP
Histamine
59.Granuloma formation does not occur in
TB
Cat scratch fever
Toxoplasmosis
Pneumonia
60.One of the following is not a feature of anaerobe
Cough
Tetanus
Pus
Granuloma formation
Gangrene
61.Melanocytes originate from
Neural crest
Mesoderm
Ectoderm
62.Structures which passes through the aortic opening is
vagus and azygous vn
Azygous vn
Esophagus
Phrenic nerve
63.IJV drain in
Petrosal sinus
Sagittal sinus
Straight sinus
Sigmoid sinus
64.Liver helps in immunity by
Detoxfying noxious agents
Kupffer cells
Hepatocytes
65.Sour and hot is perceived by tongue through
Von ebner cells
Folate papillae
Pain fibers
Nociceptors
66.ADH is inhibited by
Alcohol
Angiotensin
Insulin
Renin
67.In testis seminferous tubules show following under M/S
Sertoli cells
Spermatogonia
Mixed cells
Spermatocytes
Sperms
68.Constricting afferent ducts in kidney reduces
Gfr
Rpf
Creatinine clearance
Glucose claerance
69.A boy is malnutrioned and has edema due to protien loss his
Plasma colloid pressure is decreased
Increase hydrostatic pressure
Blocked lymphatics
70.Cholestatic cholangitis is caused by
Colonercis selecans
diphyllobothrum latum
Schistosoma
Entameoba
71.After appendicectomy what may be damaged
Inguinal ligament
Superior epigastric artery
Illhypogastric nerve
Spermatic cord
72.The mc burney point indicates the presence of tip of appendix.Following is true about appendix
Appendix ha incomplete muscular coat
Appendix not attached to mesentry
Supplied by ceoliac artery
73.One of the following is not a branch of External carotid artery
Lingual A
Ophtalmic A
Occipital A
Maxillary A
Suprficial temporal A
74.Femoral artery can be palpated in
Mid inguinal lateral to pubic tubercle
Mid point of inguinal ligament
Adductor canal
75.Apex of the femoral triangle
Lies under inguinal ligament
Contains small saphenous vein
Contains nodes
Is pointed downwards
76.Medial side of hand is supplied by
Median nerve
Ulnrr nerver
Radial nerve
Axillary nerve
77.Vomiting center is persent in
Hypothalamus
Pitutary
Pons
Medulla
Midbrain
78.Patient wirh Gravida 4 Par4 Abortio 0 with anemia and occult blood in stool
Fe deficiency anemia
Pernicious anemia
Anemia of chronic disease
Sideroblastic anemia
79.Injury to the neck and head of fibula causes damage to
Sural nerve
Sciatic nerve
Tibial nerve
Common peroneal nerve
80.Nerve to ligamentum teres capitis is
Femoral n
Obturator n
Medial femoral n
Lat circumflex femoral n
81.Artery to head of femur is
Medial femoral circumflex a
Lateral femoral circumflex a
Obturator a
Femoral a
82.Muscranic receptors are present in
Postgaglionic parasympathetic
Postgaglionic sympathetic
Preganglionic parasympathetic
Preganglionic sympathetic
83.On bronchoscopy bronchoscope will 1st enter
Sup bronchus
Apical bronchus
Inf bronchus
Middle apical bronchus
84.Essential fatty acid is
Linoleic
Palmitic
Citric
Oxaloacetic
85.In tissue bleeding occurs because of
Loss of coagulation factors
Congenital disorders
Endothelial damage
dec FDF
86.Following is not a feature of DIC
Dec FDF
Dec BT
Dec PT
Dec thrombin time
Dec platelets
87.Role of middle ear bones is
Transmit sound
Amplify sound
Does not respond to low noise
Are sesamoid bones
88.Direct inguinal hernia lies
Lateral to inf epigastric a
Medial ti sup epigastric a
medial to inf epigastric a
Medial to pubic tubercle
89.Thrombosis is initiated by
Leukotrienes
Prostacyclin
Arachidonic metabolites
Thromboxane A2
90.Most drug metabolism occur in
Kidney
Liver
Spleen
Intestine
91. End artery
Spleen
Bone
Brain
SURGERY October 2008
Dr Qasim Hussain, M.D (Semipalatinsk, Kazakhstan)
Dr.Muhammad Irfan, M.D (Semipalatinsk, Kazakhstan)
FCPS -1 SURGERY 15, OCT 2008
1. A boy with lean body mass with fracture of arm osteopenia
a) VIT D deficiency
2. Regulation of PO2 and breathing rate is controlled by
a) Carotid bodies
3. Pallor, Lithargic patient with difficulty of walking have
Hb 5, TLC 3500cm,
a) Vit B 12
4. Hot souses on tongue, taste sent co taste centre by
a) Chemoreceptor
5. Which is not a cause of anaerobic?
a) Granulation formation
6. Right Gastric artery is a branch of
a) Hepatic artery
7) GFR is increased by increase in resistance
a) Efferent arterioles
8. Atypical Tuberculosis
a) Does not responds to common Anti TB drugs
9. Which blood group have no agglutinin?
a) AB+
10. Essential fatty acid is
a) Leniolenic acid
11. If large amount of Dextrose water is given to a patient
a) Decrease ADH
12. Interstitial fluid is
a) 1/3 of TBW
13) Not includes in enzymes of necrosis
a) Protease
b)Catalase
c) Hyaluronic acid
14. In lymph nodes, seen
a) Caseous necrosis
15. Iron deficiency anemia best diagnosed?
a)Increase TIBC
b) Serum ferritin
16. Bones of Ear
a) Amplify sound waves
17) Immune mechanism of Liver lies in
a) Kuffer cells
18. in Liver Cirrhosis
a) Increase PT
19. Smell fibers from nose
a) Does not reach Thalamus
20. Heat Loss Mechanism lies in
a) Posterior hypothalamus
21. Lymph nodes of lower lip drain into
a) Submental and submandibular lymph nodes
22. Insulin deficiency
a) Ketogenesis in liver
23. Subcapsular afferent lymph is in
a) Lymph nodes
24. SA node is supplied by
a) RCA
25. SA node is located on
a) Above the sulcus terminals
26. Death from food poisoning occur with
a) C. Botulism
27. Pretracheal fascia completely covers
a) Thyroid
28. Narrowest part of male urethra is
a) External meatus
29. Which cranial nerves are parasympathetic?
ANS: CN 3, 7,9,10
30. Contusion to Lateral border of Fibula result in
a) Common peroneal nerve damage
31. What causes depolarization?
a) Na+ influx
32. Helps in diagnosis of colonic carcinoma
a) CEA
33. What is called juvenile polyp?
a) Hamartomatous
34. Which is a characteristic of Cancer?
a) Pleomorphism---ANSWER
b) Increase mitotic figure
35. Increase of Platelets aggregation is by:
a)Thromboxane A2
36. A 20 year old boy with Headache and photobphobia
With high grade fever. LP shows in CSF neutrophils 40,000
Glucose 3.5mg
a) Acute Bacterial meningitis
37. Ansa cervicalis is
a) Hpoglossal nerve and C1, 2, 3
38) Mitral valve lies between
a) Left atrium and left ventricle
39. If resected 10inch ilium,
a) Decreased bile salts reabsorption
40. Wound heals poorly if absent
a) VIT C in diet
41. High level of creatinine is seen in
a) ESRD
42. Neurogenic shock is
a) Vasomotor injury
43. In Down syndrome seen
a) Short stature
44. XXY is
a) Klinefilter syndrome
45. Patient with some pituitary tumor has infertility, possibly due to
a) Increase level of prolactin in serum
46. Cause of lymphoid tumor in HIV patient is
a) EBV
47. a patient developed HAV completely recovered. Biopsy will show
a) Normal hepatic architecture
48. Neurohypophysis contains
a) Pititicytes
49. Melanocytes are derived from
a) Neural crest cells
50. Erythropoietin is produced by
a) peri tubular capillaries
51. ADH works on
a) Collecting ducts
52. Posterior to Urinary bladder is
a) Fascia Donovillaris
53. In adults, the spinal cord ends in
a) Below L1
54. Malignant malaria is caused by
a) Falciparam malaria
55. Dorsal column damage leads to loss of
a) Proprioception
56. What is buried in lateral sulcus?
a) Insula
57. A patient can utter few words. Where is lesion?
a) Broca's area
58. Spinal cord is supplied by
a) Vertebral artery
59. Complements are decreased in
a) SLE
60. If infection of abdomen spread to retroperitonium, can reach to colon?
a) Descending colon
61. IgE is present on
a) Basophils
62. A patient has some gastric problem
a) Iron Deficiency anemia
63. If Gastric mucosal permeability is increased
a) H+ comes out in lumen of stomach and damage mucosal barrier
64. Anterior Cardiac veins into
a) Right Atrium
65. Most common cause of malignancy is
a) Asbestosis
66. in bronchial Asthma, seen
a) Eosinophilia
67. END arteries are seen in
a) Spleen
77. Medially rotate and abduct the thigh is
a) Gluteus Medius and and Gluteus Minimus
78. Source of folic Acid is
a) Vegetables
79. Neurovascular bundle is in
a) inner and innermost muscles
80. Liver transplant, the cause of hepatitis is
a) CMV
81. END diastolic volume is
a) 120ml
82. Palpable anterior Auxiliary lymph nodes, most probably due to
a) CA breast
83. 1st heart sound is best listened on
a) On Mid clavicular line, 5th ICS
84. S3 is produced by
a) Rapid filling of left ventricle
85. Berry aneurysms are mostly found in
a) cerebrum
86. Cause of edema is
a) Decreased colloidal osmotic pressure
87. Patient with bronchial asthma has
a) Decreased FEV1
88. Structure not related to Right kidney is
a) Descending colon
89) Temporal arteritis best diagnosed by
a) Temporal artery biopsy
90. Aneurysm of abdominal aorta compresses
a) Thoracic duct
91. in EAC, young patient came with fracture of arm.
On attempt to measure the B.P, tetany is seen, mostly due to
a) Vit. D deficiency
92. Remittent of paramesonephric duct in male is
a) Appendix testis
93. Direct inguinal hernia in
a) Medial to inferior epigestric artery\
94. Achalasia is due to
a) Absent ganglions in LES
95. During fasting, circumference of mid arm is decreased after one month due to
a) Decreased protein of body
96. Myelination of peripheral nerves are by
a) Schwann cells
97. Myasthenia gravis improves on taking
a) Anti cholinesterase drugs
98. Hydrocephalas occurs blockage of
a) Aqueduct salvias
99. Which structure passes through shoulder joint cavity?
a)tendon of long head of biceps
100. Impaired metabolism of purine cause in urine
a) Increased uric acid
101. Most important muscle of inspiration is
a) Diaphragm
102. Most sensitive to radiotherapy
a) Lymphocytes
103 What is branch of ICA?
ANS: Ophthalmic artery
104. Squamous cell is cervix is an example of
ANS: Metaplasia
105: Thoracic duct drain all except
ANS: cerebrum
106: Increase blood in heart chamber is
ANS: Isovolumatric relaxation
107: If Clavicle is fractured, its lateral part is pulled down by:
ANS: Subclavius muscle
108. For uncoupled oxidative phosphorylation, which hormone?
ANS: Thyroid hormone
109: Diarrhea improves on fasting is
ANS: Osmotic
110: Source of energy to brain during fasting:
ANS: Amino Acid
111: Which of the following is not antiseptic?
ANS: Acetyl Salicylic Acid
112: Aging determined by bones?
ANS: Angle of mandible is less obtuse
113: Lacrimal gland is supplied by?
ANS: Ptyrigopalatine ganglion
114: During Episiotomy, damaged
ANS: Lavator Ani muscles
115: Broadmann's area 312 is also called
ANS: somatosensory area
116: Surfactant is produced by?
ANS: Pneumocyte II
117: Sigmoid sinus is continuous with
ANS: Internal carotid artery
118: In shock, what will decrease?
ANS: Venous compliance
119: Is a sign upper motor neuron lesion?
ANS: Babinsky sign
120: If numerous epitheliod cells are surrounded by lymphocytes, called
ANS: Caseous necrosis (Granuloma)
121: Fracture of medial epicondyl of humerous, on hand lost sensations?
ANS: medial 1/3 of hand palm, and dorsal 1/3 of hand
122: Winging of scapula is due to damage of?
ANS: Serratus anterior muscle
123: Right adrenal gland is
ANS: Pyramidal shape
124: Submucosal gland is in ?
ANS: Duodenum
125: Which is true?
ANS: Right brochus is longer
126: In bronchial asthma?
ANS: increased breathing by stimulating beta –adrenergic
127: inferior rectal artery is a branch of
ANS: internal pudendal artery
128: Is not a carcinogen?
ANS: Cyclophosphamide
129: Microsomal metabolism is
ANS: Liver
130: Half life is
ANS: time to metabolism of half of drug
131: Most of the drug is metabolize in
ANS: Liver
132 Diverticulosis occurs:
ANS: sigmoid colon
133: Stimulation of RBC from bone marrow by?
ANS: Erythropoietin
134: Occult blood in stool is in
ANS: Iron deficiency anemia
135: Partial gastrectomy
ANS: Pernicious anemia
136: Fat store is increased by
ANS: insulin
137: In stress which hormone is released?
ANS: Cortisol
138: Temperature regulator centre is in?
ANS: Hypothalamus
139: In heart
ANS: Right atrium lies anterior to left atrium
140: In hypovolumic shock
ANS: Rapid intravenous fluids
141: Not seen in DIC
ANS: Thrombocytosis
142: Best method of diagnosing ectopic pregnancy
ANS: Laparoscopy
143: superior parathyroid is
ANS: supplied by superior thyroid artery
144: The supra renal gland
ANS: The supra renal gland is supplied artery which is direct branch of aorta
145: Gas gangrene is not caused by
ANS: Bacterial endocarditis
146: permeability of a substance depends on
ANS: Total crosses sectional area
147: A patient can't abduct arm, but if supported up to 30 degree, can do. What is?
ANS: Supraspinatus muscle
148: incision between umbilicus and ribs passes
ANS: external oblique, anterior fibers of internal oblique, Rectus muscle
Posterior fibers of internal oblique, transverse muscle
149: Lymph from posterior 1/3 drain into
ANS: deep superior cervical lymph nodes
150) Negative Montoux test is seen in
a) Steroid therapy
b) Immunosuppressive Therapy
151) Permeability of a substance depends on
ANSWER a) Total cross sectional area-
b) Carrier
c) Receptors
152. A patient developed type I anaphylactic reaction. Treatment of choice?
ANS: Adrenaline
153: Amputated leg is the result of
ANS: Amniotic bands
154. Widal test is positive? Don’t Know
A) 1: 80 for O antigen
B) 1:180 for O antigen
C ) 1: 100 for O antigen
D ) 1:180 for O and H antigen
E) 1:80 for H antigen
155. Actin physically binds with
A) Troponin
B) Tropomyosin-------ANS
C) Myosin
156. congenital omphaloseal?
A) Not associated with any congenital Heart diseases----- wrong
B) Associated with VSD?
c) Associated with ASD?
D) B and C?
157.Polysithemia rubra vera associated with
a) bone tumors----ANS
b) lung diseased
c)Living on Himalayan mountain
158. Ptyrigopalatine canal is supplied by
a) Deep branch of petrosal nerve- ANS OK
b) superficial branch of petrosal nerve
c) maxillary nervr branch
159. Insertion of 1st lumbrical
160. Cholangiocarcinoma caused by
a) S. mansonei
b) S. Japonicum
c) S. Colonarisa ----ok
161. What passes through ligament teres of head of femur
a) obturator nerve branch---ok
b)branch of femoral artery
162. Contraindication for platelet
a. Auto antibodies to platelets ---ok
b. DIC
c. Splenomegaly
163. InG is in Largent quantity
164. At Mac burny point located
Tip of appendix
Base of appendix
In infants, tip of conical ceacum has appendix attached—ok?
165. Appendicectomy can damage to
Inferior epigestric artery
iliohypogastric nerve ----- I wrote This answer , Don’t know exact
ilioinguinal nerve\
166. In Osteomylitis of long bones, portal entry of infection by hematogenous route
a) Through epiphysis-ok
b) Metaphysis
c)Diaphysis
167. Primary cartilageneous joint
a) Connect the to bones together- I wrote This answer , Don’t know exact
b) Present in pinna of ears
c) is fibrocartilage
168. The premalignant condition is
a) Psoriasis
b) Cervical erosion
c) myelodisplastic syndrome---------ok
d) leukoplakia
169. Common side effect of Isoprenlene, Nitroglycerine, Histamine, is- Don’t know
a) Hypertension
b) increased bronchial constriction
c)Lacrimation
d) ?
170. Muscrinic receptors respond to
a) preganglionic parasympathetic
b) Postganglionic parasympathetic---------------Sok
171. What begins with Premalignant conditions?
a)Adenocarcinoma stomach
b)
c)
172. Stratified cuboidial epithelium is present in
a) Ducts of Salivary glands------ok
b) Distal convoluted tubules of nephron
c) Lacrimal gland ducts
173. The concentration of a substance in the blood is 10mg and in in urine is 100mg. The flow rate of urine is if 2 ml / min , what is its renal clearance?
HINT: use formula UV/ p
ANS: 20
174. 35 year old female Type I diabetic got fracture due to osteoporosis. The cause?
ANS: Insulin
a) insulin
b) Estrogen
175. Autosomal Dominant is
a)
176. Amyloidosis result in
a) Adenocarcinoma stomach
177. Regarding RBC
a) buffer as accepter of oxygen
b)Only mature forms contain Hemoglobin
c) Adult hemoglobin is alpha and Gamma
d)Not transport oxygen
178. Does not cause Gangrene
a) Bacterial endocarditis
b)???? ANS
179. ADH will decrease in
a) Nausea
b) Pain
c) Anxiety
d) Decrease serum osmolrity
180. Varicose veins
a) Somewhat associated with smoking-------------ok
b) Only in lower limbs
c due to defect in adventitia
181. Primary ossification centre is
a) Epiphysis
b) Metaphysis
c) Diaphysis
182. A patient with sepsis is best diagnosed with
a) Pulse > 100
b) Pulse > 120
c) Positive bacterial culture
183. intestinal motility is decreased by
a) C C K
b) Gastrin
c) Trypsin
d)lipase
e) Insulin
184. Gross increase level of HCO3
a) Persistent vomiting
b) CRH
c) Lung fibrosis
185. Primary brain vesicle is
a) Mesencepholan
b) Telencepholan
c) Diencephalan
186. Microtubules are part of
a) Centrioles
b) Cell membrane
187. BP is increased when there is
a) Increased sympathetic output
b)Increased total peripheral resistance
188. Cardiac Muscles are
189. Femoral artery is best palpated on?
ANS: mid inguinal ligament
190. Carotid cartilage is
ANS: on base of thyroid
191. In brochhocscopy, Fist structure to be visualized is:
ANS: Right lower bronchus
193. Fatty Acids are transferred from adipose to liver in the form of?
a) Chylomicrons
b) HDL
c) LDL
d) VLDL
Dr.Muhammad Irfan, M.D (Semipalatinsk, Kazakhstan)
FCPS -1 SURGERY 15, OCT 2008
1. A boy with lean body mass with fracture of arm osteopenia
a) VIT D deficiency
2. Regulation of PO2 and breathing rate is controlled by
a) Carotid bodies
3. Pallor, Lithargic patient with difficulty of walking have
Hb 5, TLC 3500cm,
a) Vit B 12
4. Hot souses on tongue, taste sent co taste centre by
a) Chemoreceptor
5. Which is not a cause of anaerobic?
a) Granulation formation
6. Right Gastric artery is a branch of
a) Hepatic artery
7) GFR is increased by increase in resistance
a) Efferent arterioles
8. Atypical Tuberculosis
a) Does not responds to common Anti TB drugs
9. Which blood group have no agglutinin?
a) AB+
10. Essential fatty acid is
a) Leniolenic acid
11. If large amount of Dextrose water is given to a patient
a) Decrease ADH
12. Interstitial fluid is
a) 1/3 of TBW
13) Not includes in enzymes of necrosis
a) Protease
b)Catalase
c) Hyaluronic acid
14. In lymph nodes, seen
a) Caseous necrosis
15. Iron deficiency anemia best diagnosed?
a)Increase TIBC
b) Serum ferritin
16. Bones of Ear
a) Amplify sound waves
17) Immune mechanism of Liver lies in
a) Kuffer cells
18. in Liver Cirrhosis
a) Increase PT
19. Smell fibers from nose
a) Does not reach Thalamus
20. Heat Loss Mechanism lies in
a) Posterior hypothalamus
21. Lymph nodes of lower lip drain into
a) Submental and submandibular lymph nodes
22. Insulin deficiency
a) Ketogenesis in liver
23. Subcapsular afferent lymph is in
a) Lymph nodes
24. SA node is supplied by
a) RCA
25. SA node is located on
a) Above the sulcus terminals
26. Death from food poisoning occur with
a) C. Botulism
27. Pretracheal fascia completely covers
a) Thyroid
28. Narrowest part of male urethra is
a) External meatus
29. Which cranial nerves are parasympathetic?
ANS: CN 3, 7,9,10
30. Contusion to Lateral border of Fibula result in
a) Common peroneal nerve damage
31. What causes depolarization?
a) Na+ influx
32. Helps in diagnosis of colonic carcinoma
a) CEA
33. What is called juvenile polyp?
a) Hamartomatous
34. Which is a characteristic of Cancer?
a) Pleomorphism---ANSWER
b) Increase mitotic figure
35. Increase of Platelets aggregation is by:
a)Thromboxane A2
36. A 20 year old boy with Headache and photobphobia
With high grade fever. LP shows in CSF neutrophils 40,000
Glucose 3.5mg
a) Acute Bacterial meningitis
37. Ansa cervicalis is
a) Hpoglossal nerve and C1, 2, 3
38) Mitral valve lies between
a) Left atrium and left ventricle
39. If resected 10inch ilium,
a) Decreased bile salts reabsorption
40. Wound heals poorly if absent
a) VIT C in diet
41. High level of creatinine is seen in
a) ESRD
42. Neurogenic shock is
a) Vasomotor injury
43. In Down syndrome seen
a) Short stature
44. XXY is
a) Klinefilter syndrome
45. Patient with some pituitary tumor has infertility, possibly due to
a) Increase level of prolactin in serum
46. Cause of lymphoid tumor in HIV patient is
a) EBV
47. a patient developed HAV completely recovered. Biopsy will show
a) Normal hepatic architecture
48. Neurohypophysis contains
a) Pititicytes
49. Melanocytes are derived from
a) Neural crest cells
50. Erythropoietin is produced by
a) peri tubular capillaries
51. ADH works on
a) Collecting ducts
52. Posterior to Urinary bladder is
a) Fascia Donovillaris
53. In adults, the spinal cord ends in
a) Below L1
54. Malignant malaria is caused by
a) Falciparam malaria
55. Dorsal column damage leads to loss of
a) Proprioception
56. What is buried in lateral sulcus?
a) Insula
57. A patient can utter few words. Where is lesion?
a) Broca's area
58. Spinal cord is supplied by
a) Vertebral artery
59. Complements are decreased in
a) SLE
60. If infection of abdomen spread to retroperitonium, can reach to colon?
a) Descending colon
61. IgE is present on
a) Basophils
62. A patient has some gastric problem
a) Iron Deficiency anemia
63. If Gastric mucosal permeability is increased
a) H+ comes out in lumen of stomach and damage mucosal barrier
64. Anterior Cardiac veins into
a) Right Atrium
65. Most common cause of malignancy is
a) Asbestosis
66. in bronchial Asthma, seen
a) Eosinophilia
67. END arteries are seen in
a) Spleen
77. Medially rotate and abduct the thigh is
a) Gluteus Medius and and Gluteus Minimus
78. Source of folic Acid is
a) Vegetables
79. Neurovascular bundle is in
a) inner and innermost muscles
80. Liver transplant, the cause of hepatitis is
a) CMV
81. END diastolic volume is
a) 120ml
82. Palpable anterior Auxiliary lymph nodes, most probably due to
a) CA breast
83. 1st heart sound is best listened on
a) On Mid clavicular line, 5th ICS
84. S3 is produced by
a) Rapid filling of left ventricle
85. Berry aneurysms are mostly found in
a) cerebrum
86. Cause of edema is
a) Decreased colloidal osmotic pressure
87. Patient with bronchial asthma has
a) Decreased FEV1
88. Structure not related to Right kidney is
a) Descending colon
89) Temporal arteritis best diagnosed by
a) Temporal artery biopsy
90. Aneurysm of abdominal aorta compresses
a) Thoracic duct
91. in EAC, young patient came with fracture of arm.
On attempt to measure the B.P, tetany is seen, mostly due to
a) Vit. D deficiency
92. Remittent of paramesonephric duct in male is
a) Appendix testis
93. Direct inguinal hernia in
a) Medial to inferior epigestric artery\
94. Achalasia is due to
a) Absent ganglions in LES
95. During fasting, circumference of mid arm is decreased after one month due to
a) Decreased protein of body
96. Myelination of peripheral nerves are by
a) Schwann cells
97. Myasthenia gravis improves on taking
a) Anti cholinesterase drugs
98. Hydrocephalas occurs blockage of
a) Aqueduct salvias
99. Which structure passes through shoulder joint cavity?
a)tendon of long head of biceps
100. Impaired metabolism of purine cause in urine
a) Increased uric acid
101. Most important muscle of inspiration is
a) Diaphragm
102. Most sensitive to radiotherapy
a) Lymphocytes
103 What is branch of ICA?
ANS: Ophthalmic artery
104. Squamous cell is cervix is an example of
ANS: Metaplasia
105: Thoracic duct drain all except
ANS: cerebrum
106: Increase blood in heart chamber is
ANS: Isovolumatric relaxation
107: If Clavicle is fractured, its lateral part is pulled down by:
ANS: Subclavius muscle
108. For uncoupled oxidative phosphorylation, which hormone?
ANS: Thyroid hormone
109: Diarrhea improves on fasting is
ANS: Osmotic
110: Source of energy to brain during fasting:
ANS: Amino Acid
111: Which of the following is not antiseptic?
ANS: Acetyl Salicylic Acid
112: Aging determined by bones?
ANS: Angle of mandible is less obtuse
113: Lacrimal gland is supplied by?
ANS: Ptyrigopalatine ganglion
114: During Episiotomy, damaged
ANS: Lavator Ani muscles
115: Broadmann's area 312 is also called
ANS: somatosensory area
116: Surfactant is produced by?
ANS: Pneumocyte II
117: Sigmoid sinus is continuous with
ANS: Internal carotid artery
118: In shock, what will decrease?
ANS: Venous compliance
119: Is a sign upper motor neuron lesion?
ANS: Babinsky sign
120: If numerous epitheliod cells are surrounded by lymphocytes, called
ANS: Caseous necrosis (Granuloma)
121: Fracture of medial epicondyl of humerous, on hand lost sensations?
ANS: medial 1/3 of hand palm, and dorsal 1/3 of hand
122: Winging of scapula is due to damage of?
ANS: Serratus anterior muscle
123: Right adrenal gland is
ANS: Pyramidal shape
124: Submucosal gland is in ?
ANS: Duodenum
125: Which is true?
ANS: Right brochus is longer
126: In bronchial asthma?
ANS: increased breathing by stimulating beta –adrenergic
127: inferior rectal artery is a branch of
ANS: internal pudendal artery
128: Is not a carcinogen?
ANS: Cyclophosphamide
129: Microsomal metabolism is
ANS: Liver
130: Half life is
ANS: time to metabolism of half of drug
131: Most of the drug is metabolize in
ANS: Liver
132 Diverticulosis occurs:
ANS: sigmoid colon
133: Stimulation of RBC from bone marrow by?
ANS: Erythropoietin
134: Occult blood in stool is in
ANS: Iron deficiency anemia
135: Partial gastrectomy
ANS: Pernicious anemia
136: Fat store is increased by
ANS: insulin
137: In stress which hormone is released?
ANS: Cortisol
138: Temperature regulator centre is in?
ANS: Hypothalamus
139: In heart
ANS: Right atrium lies anterior to left atrium
140: In hypovolumic shock
ANS: Rapid intravenous fluids
141: Not seen in DIC
ANS: Thrombocytosis
142: Best method of diagnosing ectopic pregnancy
ANS: Laparoscopy
143: superior parathyroid is
ANS: supplied by superior thyroid artery
144: The supra renal gland
ANS: The supra renal gland is supplied artery which is direct branch of aorta
145: Gas gangrene is not caused by
ANS: Bacterial endocarditis
146: permeability of a substance depends on
ANS: Total crosses sectional area
147: A patient can't abduct arm, but if supported up to 30 degree, can do. What is?
ANS: Supraspinatus muscle
148: incision between umbilicus and ribs passes
ANS: external oblique, anterior fibers of internal oblique, Rectus muscle
Posterior fibers of internal oblique, transverse muscle
149: Lymph from posterior 1/3 drain into
ANS: deep superior cervical lymph nodes
150) Negative Montoux test is seen in
a) Steroid therapy
b) Immunosuppressive Therapy
151) Permeability of a substance depends on
ANSWER a) Total cross sectional area-
b) Carrier
c) Receptors
152. A patient developed type I anaphylactic reaction. Treatment of choice?
ANS: Adrenaline
153: Amputated leg is the result of
ANS: Amniotic bands
154. Widal test is positive? Don’t Know
A) 1: 80 for O antigen
B) 1:180 for O antigen
C ) 1: 100 for O antigen
D ) 1:180 for O and H antigen
E) 1:80 for H antigen
155. Actin physically binds with
A) Troponin
B) Tropomyosin-------ANS
C) Myosin
156. congenital omphaloseal?
A) Not associated with any congenital Heart diseases----- wrong
B) Associated with VSD?
c) Associated with ASD?
D) B and C?
157.Polysithemia rubra vera associated with
a) bone tumors----ANS
b) lung diseased
c)Living on Himalayan mountain
158. Ptyrigopalatine canal is supplied by
a) Deep branch of petrosal nerve- ANS OK
b) superficial branch of petrosal nerve
c) maxillary nervr branch
159. Insertion of 1st lumbrical
160. Cholangiocarcinoma caused by
a) S. mansonei
b) S. Japonicum
c) S. Colonarisa ----ok
161. What passes through ligament teres of head of femur
a) obturator nerve branch---ok
b)branch of femoral artery
162. Contraindication for platelet
a. Auto antibodies to platelets ---ok
b. DIC
c. Splenomegaly
163. InG is in Largent quantity
164. At Mac burny point located
Tip of appendix
Base of appendix
In infants, tip of conical ceacum has appendix attached—ok?
165. Appendicectomy can damage to
Inferior epigestric artery
iliohypogastric nerve ----- I wrote This answer , Don’t know exact
ilioinguinal nerve\
166. In Osteomylitis of long bones, portal entry of infection by hematogenous route
a) Through epiphysis-ok
b) Metaphysis
c)Diaphysis
167. Primary cartilageneous joint
a) Connect the to bones together- I wrote This answer , Don’t know exact
b) Present in pinna of ears
c) is fibrocartilage
168. The premalignant condition is
a) Psoriasis
b) Cervical erosion
c) myelodisplastic syndrome---------ok
d) leukoplakia
169. Common side effect of Isoprenlene, Nitroglycerine, Histamine, is- Don’t know
a) Hypertension
b) increased bronchial constriction
c)Lacrimation
d) ?
170. Muscrinic receptors respond to
a) preganglionic parasympathetic
b) Postganglionic parasympathetic---------------Sok
171. What begins with Premalignant conditions?
a)Adenocarcinoma stomach
b)
c)
172. Stratified cuboidial epithelium is present in
a) Ducts of Salivary glands------ok
b) Distal convoluted tubules of nephron
c) Lacrimal gland ducts
173. The concentration of a substance in the blood is 10mg and in in urine is 100mg. The flow rate of urine is if 2 ml / min , what is its renal clearance?
HINT: use formula UV/ p
ANS: 20
174. 35 year old female Type I diabetic got fracture due to osteoporosis. The cause?
ANS: Insulin
a) insulin
b) Estrogen
175. Autosomal Dominant is
a)
176. Amyloidosis result in
a) Adenocarcinoma stomach
177. Regarding RBC
a) buffer as accepter of oxygen
b)Only mature forms contain Hemoglobin
c) Adult hemoglobin is alpha and Gamma
d)Not transport oxygen
178. Does not cause Gangrene
a) Bacterial endocarditis
b)???? ANS
179. ADH will decrease in
a) Nausea
b) Pain
c) Anxiety
d) Decrease serum osmolrity
180. Varicose veins
a) Somewhat associated with smoking-------------ok
b) Only in lower limbs
c due to defect in adventitia
181. Primary ossification centre is
a) Epiphysis
b) Metaphysis
c) Diaphysis
182. A patient with sepsis is best diagnosed with
a) Pulse > 100
b) Pulse > 120
c) Positive bacterial culture
183. intestinal motility is decreased by
a) C C K
b) Gastrin
c) Trypsin
d)lipase
e) Insulin
184. Gross increase level of HCO3
a) Persistent vomiting
b) CRH
c) Lung fibrosis
185. Primary brain vesicle is
a) Mesencepholan
b) Telencepholan
c) Diencephalan
186. Microtubules are part of
a) Centrioles
b) Cell membrane
187. BP is increased when there is
a) Increased sympathetic output
b)Increased total peripheral resistance
188. Cardiac Muscles are
189. Femoral artery is best palpated on?
ANS: mid inguinal ligament
190. Carotid cartilage is
ANS: on base of thyroid
191. In brochhocscopy, Fist structure to be visualized is:
ANS: Right lower bronchus
193. Fatty Acids are transferred from adipose to liver in the form of?
a) Chylomicrons
b) HDL
c) LDL
d) VLDL
MEDICINE Oct 2008
15th OCT 2008(medicine & Allied)
BY DR.RIZWAN RIAZ
1. In type 4 Hypersensitivity mainly cells are
a. T cells+macrophages
b. B cells+macrophages
c. IGE+T cells
d. B+T cells
e. None.
2: Malignant tertian malaria caused by
a. P.falciparum
b. P.malariae
c. P.knowlasea
d. P.ovale
e. P.vivax
3: In duodenal perforation the artery involves.
A. Gastro duodenal artery
B. Lt.Gastric Artery
C. Splenic Artery
D. Rt. Gastric Artery
4: Parasite transmission e no feco-oral route
A. Ent histolytica
B. E.Vernicularis
C. Tenia solium
5: Antimalarial drug e can be used other than malaria
A. Arthemether
B. Basoquine
C. Choroquine
D. Mefloquine
E. Quinine
6: About RT adrenal gland choose correct
A. Has same size in adults & infants
B. Has 3 arterial supply
C. Pyramidal in shape
D. Separate form kidney by perinephric fat
7: Typhoid fever
A. All pts becomes carrier
B. Roth spots on 7th day
C. Organism is B-hemolytic, non_lactose
8: Melanocytes derived from
A. Endoderm
B. Ectoderm
C. Neural crest cells
D. Pharyngeal arch
E. Lateral plate
9: Most of drugs are metabolize in
A. Heart
B. Liver
C. Kidney
D. Lungs
.10: ½ life of a drug
Options not remember
11: Premalignant condition
1. Cervical erosion
2. Myeloprolefrative
12: In Cushing decrease amount of
A. Neutrophils
B. Lymphocytes
C. Basophiles
D. Monocytes
13: Babinski sign -ve in
A. UMNL
B. Sleep
C. New born
D. LMNL
14: Loss of accommodation reflex due to occulumotor nerve site of lesion
A. Pons
B. Medulla
C. Midbrain
?
15: Aspiration of gastric contents go in the
A. Rt lower lobe of lungs
16: Comatose patient are more prone to regurgitation
A. Stomach full
B. Rt lateral position
C. Lt lateral position
17: Vein that doesn’t directly drain in the inferior vena cava
A. Hepatic vein
B. Lumber vein
18: Rt kidney doesn’t relate to
A. Liver
B. Ascending colon
C. Ribs
D. Descending colon
19: Fever, headache Mydriasis associated with no option of meningitis
Options not remember
20: An I/v urograph of old boy shows Excretion of dye normal at Rt side but absence of shadow of Lt kidney instead there is a small shadow above the bladder on Lt side Most likely
i. Crossed ectopic kidney
ii. Unilateral agenesis
iii. Non rotating kidney
iv. Pelvis kidney
v. Horse shoe kidney
21: Drug with inhibit COX-1 as well as COX-2
A. Diclofenic
B. Naproxen
C. Aspirin
22: Rx of salicylate poisoning which can increase the excretion of salicylate
A. I/v NAHCO3
B. Dehydration state
C. Diuretics
D. 10% D/W
23: organ having subcapsularis & receives afferents
A. Palatine tonsils
B. Lingual tonsils
C. Thymus
D. Lymph node
E. Spleen
24: End arteries are in
A. Spleen
B. Brain
C. Kidney
D. Lungs
E. Heart
25: Fat stores in body
A. Glucagons lipogenic
B. Insulin lipolysis
C. Body fat <5 g/dl
D. Epinephrine has lipolytic effect
26: IDDM main disturbance by causing
A. Resistance to insulin
B. Receptors destruction
C. Increase ketogenesis by liver
27: Thirst increase due to
A. ADH
B. Aldosterone
C. Eryropoietin
D. Angiotensin 2
28: Sound of mitral valve is best heart at
Left 5th I.C space in midclavicular line
29: AV valve closure is responsible to
A. 1st heart sound
B. 2nd heart sound
C. 3rd heart sound
D. 4th heart sound
E. None of the above
30: During cardiac cycle ventricles are filled in
A. Atrial systole
B. Rapid ejection
C. Isovolumetric relaxation
D. Rapid inflow
31: In neurogenic stock
A. Loss of vasomotor tone
B. Decrease C.O
C. Increase C.O
32: In Hemorrhage after compensation with one of the following decrease
A. Venous Compliance
B. H.R
C. Cardiac output
33: CCF pt developed tachycardia best management of RX
OPTIONS NOT REMEMBER
34: Site of SA node
A. Lower part of Crista Terminals of R.A
B. RT auricle
C. Sulcus terminalis
D. Upper part of Crista Terminals of R.A
35: Which one is essential Fatty Acid
A. Palmitic acid
B. Len oleic
C. Saturated F.A
36: Boy having edema due to renal
A. Decrease plasma colloid osmotic pressure
B. Due to decrease interstitial fluid osmotic pressure
C. Decrease capillary pressure
37: Histamine theophyline & Aminophylline have same action
A. To increase the gastric acid secretion
38: I/v large amount of DEXTROX will inhibit
A. CORTISOL
B. ADH
INSULIN
C. THYROID
D. OXYTOCIN
39: Which 1 of the following is aggressive in nature?
A. Small cell carcinoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Nevis cell
40: CHEMOTAXIS is a feature of
A. CH.inflammation
B. AC.inflammtion
41: X-linked disorder
A. Marfan syndrome
B. Glycogen storage disease
C. Duchene muscular dystrophy
D. Cystic fibrosis
42: In factor 8 deficiency specific test is
A. PT
B. APTT
C. Plat.count
D. Thrombin time
E. Fibrin products
43: Vomiting centre located in
A. Pons
B. Medulla
C. Midbrain
D. Cerebellum
44: Arousal is controlled by
A. Hypothalamus
B. Pituat.gland
C. Reticular Formation
45: Arterial supply of spinal cord
A. Vertebral artery
B. Ant. Choroidal artery
C. Post. Choroidal artery
46: Mast cells r released 4om
A. Esinophils
B. Basophiles
C. Neutrophils
D. Lymphocytes
47: Regarding Glomerulotubular balance. Choose correct 1.
OPTIONS NOT REMEMBER
48: Regarding parathyroid gland.
A. Located anterolateral 2 thyroid gland
B. Covered by pretracheal fascia
C. Supplied by sup. Thyroid artery
D. Derived 4om 1st pharyngeal arch
49: Radiosensitive tumor
A. Bone
B. Lymph node
C. Muscle
D. Cartilage
50: Rh incompatibility related 2
Type 1 hypersensitivity reaction
Type 2 hypersensitivity reaction
Type 3 hypersensitivity reaction
Type 4hypersensitivity reaction
None of the above
51: Regarding IGG2 cells
OPTIONS NOT REMEMBER
52: Regarding Th-2 cells
OPTIONS NOT REMEMBER
53: Hypovolumic shock
A. Hot peripheries
B. Inc. C.O
C. Inc. H.R
D. Inc. Urine O.P
E. Dec. H.R
54: Regarding Microscopic feature of CASEOUS Necrosis
OPTINS NOT REMEMBER
55: Female pt. on oral contraceptive & u want to give her oral anticoagulant u must chk
A. PT
B. APTT
C. PT & aPTT
D. Thrombin
E. Fibrin products
56: Pt. came after 1 day of RTA with c/o unable of standup after seated position. Probably muscle injury.
A. G.Maximus
B. G.Minimus
C. Sartorius
D. Gracilis
E. Q. Femorus
57:Pt. feel tingling sensation on rt. Thumb during c-setion after giving epidural anesthesia. its due to.
A. C4
B. C5
C. C6
D. C7
E. C8
58:Diagnosed pt. of sciatica cam in o.p.d with c/o loss of sensation of RT. Little toe with difficulty in eversion of Rt. Foot. Injury to
A. L3
B. L4
C. L5
D. S1
E. S2
59: Below the medial epicondyle of humerus passes
A. Median nerve
B. Radial nerve
C. Ulnar nerve
D. Long thoracic nerve
E. Musculocutaneous nerve
60: Intermittent Diplopia is a classical sign of
A. Mys. Gravis
B. Inc. I.C.P
C. Horner syndrome
61: Pt. expire due to sudden inc. B.P.Autopsy shows thinning of tunica media.COZ OF DEATH
A. Berry aneurysm
B. Dissecting aneurysm
C. Marfan aneurysm
D. Temporal arteritis
62: Artery enters in cranium & becomes the principle artery of brain
A. Common Carotid
B. External Carotid
C. Internal Carotid
D. Maxillary Artery
E. Temporal
63: 1 of the following is not epileptogenic
A. flouxitin
B. Amitriptyline
C. Imipramine
64: Opoid Toxicity causes
A. Nausea & vomiting
B. Psychosis
C. Pin point pupil
D. Resp. depression
65: 1 of the following is not classified as non barbiturate hypnotic
A. Bromide
B. Choral hydrate
C. Triazolam
D. Chlormethimazole
66: In CARDIOGENIC SHOCK
A. Adrenaline
B. Dopamine & Dobutamine
C. I/V NaHCO3
D. 10% D/W
67: Coz of FATAL DIARRHEA
A. V.Cholrea
B. C.Botilinium
C. E.Coli
68: Anemia of CRF is best treated with
A. Dialysis
B. Blood transfusion
C. Folic Acid
D. Iron
E. E-poi tin
69: Pellagra is due to def. of
A. NIACIN
BIOTIN
B. Vita. C
C. Vita. B6
D. Folic acid
70: Site of constriction of esophagus. Chose correct one
A. Cricopharangeus
B. Left Bronchus crosses it
C. When enters in diaphragm
D. At cardiac end
71: Single cranial nerve which doesn’t contain parasympathetic fibers
A. 3
B. 4
C. 5
D. 7
E. 9
72: Tactile two point discrimination by
A. Pacinian
B. Ruffini
C. Free nerve endings
D. Merkel disc
73: Patient with resting tremors, rigidity, hypokinesia
A. Cerebellum
B. Parkinson disease
C. UMNL
D. LMNL
74: Motor aphasia due to lesion of
A. Wernicke’s area
B. Prefrontal gyrus
C. Sup. Temporal gyrus
D. Brocas area
75: Regarding lumber puncture which one is correct
A. Between L4 & L5
B. CSF pressure in mm of Hg
C. Spine fully extended
D. Angle of needle must be 45 degree
E. Advice to patient stands up immediately after L.P
76:Heat loose of body is controlled by
A. Lat. Hypothalamus
B. Preoptic hypothalamus (NO OPTION OF ANT. HYPOTHALAMUS)
C. Post. Hypothalamus
D. Thalamus
E. Hippocampus
77: Damage to dorsal column tract causes ipsilateral loose of
A. Pain
B. Fine touch
C. Temperature
D. Vibration
78: The first step occurs when light falls on retina
A. 11-Cisretinal to all Trans retinal
79: Lesion of mamillary body causes
A. Fear & rage
B. Hyper sexuality
C. Loose of Recent memory
D. Hyperphagia
80: Regarding facial nerve which one is correct?
A. Purely sensory
B. Give chorda tympani to posterior 1/3 of tongue
C. Supplies to middle ear
D. Supplies to stapedius muscle
81: CSF having proteins 400 mg/dl, glucose 40 & mainly lymphocytes. Diagnosis
A. Encephalitis
B. Cryptococcus virus
C. TBM
D. Bacterial meningitis
E. Viral meningitis
82: Lateral sulcus of cerebellum
A. Insula
B. Occipital lob
83: PH-7.54, O2-55 & CO2-25 cause of deranged ABG’S
A. Carbon mono oxide poisoning
B. Hysterical hypoventilation
C. Salicylate poisoning
83: Asthma diagnosed by
A. I.R.V
B. R.V
C. T.L.C
D. FEV
E. Tidal volume
84: Diagnosis of Emphysema
A. Physiological dead space
B. Physiological shunt
C. V/Q- affinity
D. V/Q-0
E. V/Q-1
85: Muscle of quite inspiration
A. Diaphragm
B. Intercostals muscle
C. Sternocladomastoid
D. Scalenius posterior
86: Muscle of forceful inspiration
A. External intercostals muscle
87: Regarding hemoglobin
A. Adult contains alpha-2 & gama-2
B. Contains iron in ferric form
C. Causes acidosis when add with H+
88: Receptors mediates increase heat rate
A. Alpha-1
B. Alpha-2
C. Beta-1
D. Beta-2
E. Nicotinic
89: Stress hormone of body called
A. ACTH
B. Epinephrine
NO OPTIONS OF CORTISOL
90: Heart muscle works as syncytium because of
A. Sarcomere
B. SER
C. Gap junction
D. Tight junction
E. Intercalated disk
91: Preload depends on
A. EDV of L.V pressure
B. EDV of R.A pressure
92: Diagnosed case of thyrotoxicosis came to you with heart rate of 190b/mn. Best treatment is
A. Digoxin
B. Lidocain
C. Verapamil
D. Propanalol
93: Saw tooth P waves in ECG associated with
A. Atrial flutter
B. A.V block
94: Captoprill (M.O.A)
Blocks ACE enzyme
95: Cyanosis due to
A. Anemia hypoxia
B. When deoxihaemoglobin is more then 5g/dl
96: Pulmonary vasculature resistance increase in
A. High altitude
97: 1/3 of total body water contains
A. E.C.F
B. I.C.F
C. Plasma
D. Interstitial
98: GFR can be calculated by
A. 24 hours urinary out put
B. S.creatinine
C. B.U.N
D. Urea
99: S/Chloride maintained by kidney through
A. Na+-K+-2Cl co transportation in thick ascending L.O.H
B. Na+ -K+ - 2Cl co transportation in thin ascending L.O.H
100: INC. Aldosterone causes commonly
A. Acidosis
B. DEC. Rennin
C. Sodium depletion
D. K+ retention
101: M.O.A spironolactone
OPTIONS NOT REMEMBER
102: A.D.H is inhibited by
A. Alcohol
B. Hemorrhagic Shock
C. Pain
D. Exercise
103: Erythropoietin secreted from
A. Peritubular cells
B. Juxtaglomerular cells
C. Macula densa
104: Hormone which causes relaxation of all G.I.T muscles
A. G.I.P
B. Gastrin
C. Secretin
D. CCK
E. V.I.P
105: Which causes diarrhea when it reaches to large colon?
A. Glucose
B. Fructose
C. Lactose
D. Sucrose
E. Maltose
106: Pt. with puffy eyes & edema with dec. TSH & when TRH given TSH slightly rises.coz of disturbance is
A. Primary Hypothyroidism due to Hypothalamus
107: Neurphyposis contains
A. Cholinergic
B. Adrenergic
C. Secretory cells
D. Puituicytes
108: In autoimmune diseases of thyroid antibodies against
A. TSH
B. Thyroglobulin
C. Follicular cells
D. C cells
109: Amniocentesis shows 47XXY
A. Turner syndrome
B. Adrenogenital syndrome
C. Klinefelter syndrome
110: In pregnancy cause of Hyper Parathyriodism
A. Prim. Hypoparathyroidism
B. Becoz estrogen causes inhibition of bone resorption
111: Estrogen doesn’t have action
A. Delayed bone loss after menopause
B. Follicular growth
C. Inc. serum Cholesterol
D.
112: HLA DR 27 associated with
A. Ankylosing spondilytis
B. Reiters Syndrome
C. R.A
D. S.L.E
113: Tumor marker of Thyroid carcinoma is
A. C.E.A
B. Calcitonin
C. Alpha fetoprotein
D. Beta H.C.G
114: Which hormone maintains body temperature by oxidative phosphorylation
A. Adrenal
B. Nor adrenaline
C. Cortisol
D. Thyroid gland
115: Hydrocele is the aculummation of fluid
A. Gubernaculums Testis
B. Scortal ligament
C. Tunica vaginalis
D. Vas deferens
E. Epidydimis
116: After gastrectomy pt. came with c/o
A. Iron def. anemia
B. Megaloblastic anemia due to folate
C. Pernicious anemia.
117: Old age Pt. came with jaundice Hb-10g/dl,S,Bili-2.8mg/dl,Retic 10%.U/S abdomen normal.whats Ur diagnosis.
A. Acute Hepatitis
B. Rotor syndrome
C. Dubin Johnson Syndrome
D. Gilbert Syndrome
E. Hepatitis B
118: IN Tumor immunity liver has a function of
A. To detoxify the toxic substances
B. Protein synthesis
C. Globulin Synthesis
119: Cholangio-Carcinoma caused by
A. Clonorchis –Sinesis
B. S.Hematobonium
C. S.Japanicum
D. Echunococcus Granuloses
120: Old age pt. Diagnosed as a case of OBSTRUCTIVE JAUNDICE & now cam With c/o bleeding tendency. Which 1 of the following cause.
A. Due to bile stones
B. Defi. Of VIT.K due to DEC. absorption from gut
C.
D.
E.
121: C.E.A is a tumor marker of
A. Breast
B. Colorectal Carcinoma
C. Testis
D. Thyroid
122: Juvenile Polyps are
A. Meckels diverticulum’s
B. Hyperplasic polyps
C. Hereditary non polpyposis
D. Colonic adenocarcinoma
123: Granuloma formation is not associated with
A. Sarcoidosis
B. T.B
C. Pneumococcal Pneumonia
124: Pt. came with distortion of nose, lymph nodes palpable, AFB +ve.whats Ur diagnosis
A. T.B
B. Sarcoidosis
C. Leprosy
D. None of the above
125: Which 1 of is not a Tumor marker
A. Alpha 1 antitrypsin
B. Vesmin
C. Desmin
126: Which 1 of the following is the diff. b/w malignant & benign tumor
A. Metastasis
127: Workers Having Increase chances 2 develop Malignancy
A. Tobacco
B. Coal
C. Asbestos worker
128: H.I.V pts. Have tendency to get infection of
A. E.B.V
B. H.P.V
C. H.S.P
D. Pneumocystitis carnii
E. Chicken Pox
129: Diagnosis of H.I.V when
A. Less CD4 cells count
B. Less CD8 cells count
130: Joint pain, Xerostomia, conjunctivitis sicca, associated with
A. Sjogran Syndrome
B. Scleroderma
131: Which 1 of the following is not associated with Dry gangrene?
A. D.M
B. Throboembolism
C. Bacterial Endocarditis
132: Platelets aggregation is due 2
A. Thromboxane A2
B. Prostaglandins
C. Cox 1
Cox 2
133: Which 1 of the following factor causes Delayed wound healing
Inc. Blood flow
Vit. C Deficiency
Vit. E deficiency
134: Diagnosed case of tuberculosis PPD or Tuberculin test found to be negative
Because of one of the following factor
A. A.T.T
B. Immunosuppressive
C. Steroid intake
135: Blood group having no antigen to A & B
A+
B+
AB+
O-
O+
136: About leukocyte adhesion factor responsible
Integrin
Selectin
138: In humans the End product of PURINE metabolism is
A. Xanthin
B. Urea
C. Uric Acid
D. Lactic Acid
E. Pyruvate
BY DR.RIZWAN RIAZ
1. In type 4 Hypersensitivity mainly cells are
a. T cells+macrophages
b. B cells+macrophages
c. IGE+T cells
d. B+T cells
e. None.
2: Malignant tertian malaria caused by
a. P.falciparum
b. P.malariae
c. P.knowlasea
d. P.ovale
e. P.vivax
3: In duodenal perforation the artery involves.
A. Gastro duodenal artery
B. Lt.Gastric Artery
C. Splenic Artery
D. Rt. Gastric Artery
4: Parasite transmission e no feco-oral route
A. Ent histolytica
B. E.Vernicularis
C. Tenia solium
5: Antimalarial drug e can be used other than malaria
A. Arthemether
B. Basoquine
C. Choroquine
D. Mefloquine
E. Quinine
6: About RT adrenal gland choose correct
A. Has same size in adults & infants
B. Has 3 arterial supply
C. Pyramidal in shape
D. Separate form kidney by perinephric fat
7: Typhoid fever
A. All pts becomes carrier
B. Roth spots on 7th day
C. Organism is B-hemolytic, non_lactose
8: Melanocytes derived from
A. Endoderm
B. Ectoderm
C. Neural crest cells
D. Pharyngeal arch
E. Lateral plate
9: Most of drugs are metabolize in
A. Heart
B. Liver
C. Kidney
D. Lungs
.10: ½ life of a drug
Options not remember
11: Premalignant condition
1. Cervical erosion
2. Myeloprolefrative
12: In Cushing decrease amount of
A. Neutrophils
B. Lymphocytes
C. Basophiles
D. Monocytes
13: Babinski sign -ve in
A. UMNL
B. Sleep
C. New born
D. LMNL
14: Loss of accommodation reflex due to occulumotor nerve site of lesion
A. Pons
B. Medulla
C. Midbrain
?
15: Aspiration of gastric contents go in the
A. Rt lower lobe of lungs
16: Comatose patient are more prone to regurgitation
A. Stomach full
B. Rt lateral position
C. Lt lateral position
17: Vein that doesn’t directly drain in the inferior vena cava
A. Hepatic vein
B. Lumber vein
18: Rt kidney doesn’t relate to
A. Liver
B. Ascending colon
C. Ribs
D. Descending colon
19: Fever, headache Mydriasis associated with no option of meningitis
Options not remember
20: An I/v urograph of old boy shows Excretion of dye normal at Rt side but absence of shadow of Lt kidney instead there is a small shadow above the bladder on Lt side Most likely
i. Crossed ectopic kidney
ii. Unilateral agenesis
iii. Non rotating kidney
iv. Pelvis kidney
v. Horse shoe kidney
21: Drug with inhibit COX-1 as well as COX-2
A. Diclofenic
B. Naproxen
C. Aspirin
22: Rx of salicylate poisoning which can increase the excretion of salicylate
A. I/v NAHCO3
B. Dehydration state
C. Diuretics
D. 10% D/W
23: organ having subcapsularis & receives afferents
A. Palatine tonsils
B. Lingual tonsils
C. Thymus
D. Lymph node
E. Spleen
24: End arteries are in
A. Spleen
B. Brain
C. Kidney
D. Lungs
E. Heart
25: Fat stores in body
A. Glucagons lipogenic
B. Insulin lipolysis
C. Body fat <5 g/dl
D. Epinephrine has lipolytic effect
26: IDDM main disturbance by causing
A. Resistance to insulin
B. Receptors destruction
C. Increase ketogenesis by liver
27: Thirst increase due to
A. ADH
B. Aldosterone
C. Eryropoietin
D. Angiotensin 2
28: Sound of mitral valve is best heart at
Left 5th I.C space in midclavicular line
29: AV valve closure is responsible to
A. 1st heart sound
B. 2nd heart sound
C. 3rd heart sound
D. 4th heart sound
E. None of the above
30: During cardiac cycle ventricles are filled in
A. Atrial systole
B. Rapid ejection
C. Isovolumetric relaxation
D. Rapid inflow
31: In neurogenic stock
A. Loss of vasomotor tone
B. Decrease C.O
C. Increase C.O
32: In Hemorrhage after compensation with one of the following decrease
A. Venous Compliance
B. H.R
C. Cardiac output
33: CCF pt developed tachycardia best management of RX
OPTIONS NOT REMEMBER
34: Site of SA node
A. Lower part of Crista Terminals of R.A
B. RT auricle
C. Sulcus terminalis
D. Upper part of Crista Terminals of R.A
35: Which one is essential Fatty Acid
A. Palmitic acid
B. Len oleic
C. Saturated F.A
36: Boy having edema due to renal
A. Decrease plasma colloid osmotic pressure
B. Due to decrease interstitial fluid osmotic pressure
C. Decrease capillary pressure
37: Histamine theophyline & Aminophylline have same action
A. To increase the gastric acid secretion
38: I/v large amount of DEXTROX will inhibit
A. CORTISOL
B. ADH
INSULIN
C. THYROID
D. OXYTOCIN
39: Which 1 of the following is aggressive in nature?
A. Small cell carcinoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Nevis cell
40: CHEMOTAXIS is a feature of
A. CH.inflammation
B. AC.inflammtion
41: X-linked disorder
A. Marfan syndrome
B. Glycogen storage disease
C. Duchene muscular dystrophy
D. Cystic fibrosis
42: In factor 8 deficiency specific test is
A. PT
B. APTT
C. Plat.count
D. Thrombin time
E. Fibrin products
43: Vomiting centre located in
A. Pons
B. Medulla
C. Midbrain
D. Cerebellum
44: Arousal is controlled by
A. Hypothalamus
B. Pituat.gland
C. Reticular Formation
45: Arterial supply of spinal cord
A. Vertebral artery
B. Ant. Choroidal artery
C. Post. Choroidal artery
46: Mast cells r released 4om
A. Esinophils
B. Basophiles
C. Neutrophils
D. Lymphocytes
47: Regarding Glomerulotubular balance. Choose correct 1.
OPTIONS NOT REMEMBER
48: Regarding parathyroid gland.
A. Located anterolateral 2 thyroid gland
B. Covered by pretracheal fascia
C. Supplied by sup. Thyroid artery
D. Derived 4om 1st pharyngeal arch
49: Radiosensitive tumor
A. Bone
B. Lymph node
C. Muscle
D. Cartilage
50: Rh incompatibility related 2
Type 1 hypersensitivity reaction
Type 2 hypersensitivity reaction
Type 3 hypersensitivity reaction
Type 4hypersensitivity reaction
None of the above
51: Regarding IGG2 cells
OPTIONS NOT REMEMBER
52: Regarding Th-2 cells
OPTIONS NOT REMEMBER
53: Hypovolumic shock
A. Hot peripheries
B. Inc. C.O
C. Inc. H.R
D. Inc. Urine O.P
E. Dec. H.R
54: Regarding Microscopic feature of CASEOUS Necrosis
OPTINS NOT REMEMBER
55: Female pt. on oral contraceptive & u want to give her oral anticoagulant u must chk
A. PT
B. APTT
C. PT & aPTT
D. Thrombin
E. Fibrin products
56: Pt. came after 1 day of RTA with c/o unable of standup after seated position. Probably muscle injury.
A. G.Maximus
B. G.Minimus
C. Sartorius
D. Gracilis
E. Q. Femorus
57:Pt. feel tingling sensation on rt. Thumb during c-setion after giving epidural anesthesia. its due to.
A. C4
B. C5
C. C6
D. C7
E. C8
58:Diagnosed pt. of sciatica cam in o.p.d with c/o loss of sensation of RT. Little toe with difficulty in eversion of Rt. Foot. Injury to
A. L3
B. L4
C. L5
D. S1
E. S2
59: Below the medial epicondyle of humerus passes
A. Median nerve
B. Radial nerve
C. Ulnar nerve
D. Long thoracic nerve
E. Musculocutaneous nerve
60: Intermittent Diplopia is a classical sign of
A. Mys. Gravis
B. Inc. I.C.P
C. Horner syndrome
61: Pt. expire due to sudden inc. B.P.Autopsy shows thinning of tunica media.COZ OF DEATH
A. Berry aneurysm
B. Dissecting aneurysm
C. Marfan aneurysm
D. Temporal arteritis
62: Artery enters in cranium & becomes the principle artery of brain
A. Common Carotid
B. External Carotid
C. Internal Carotid
D. Maxillary Artery
E. Temporal
63: 1 of the following is not epileptogenic
A. flouxitin
B. Amitriptyline
C. Imipramine
64: Opoid Toxicity causes
A. Nausea & vomiting
B. Psychosis
C. Pin point pupil
D. Resp. depression
65: 1 of the following is not classified as non barbiturate hypnotic
A. Bromide
B. Choral hydrate
C. Triazolam
D. Chlormethimazole
66: In CARDIOGENIC SHOCK
A. Adrenaline
B. Dopamine & Dobutamine
C. I/V NaHCO3
D. 10% D/W
67: Coz of FATAL DIARRHEA
A. V.Cholrea
B. C.Botilinium
C. E.Coli
68: Anemia of CRF is best treated with
A. Dialysis
B. Blood transfusion
C. Folic Acid
D. Iron
E. E-poi tin
69: Pellagra is due to def. of
A. NIACIN
BIOTIN
B. Vita. C
C. Vita. B6
D. Folic acid
70: Site of constriction of esophagus. Chose correct one
A. Cricopharangeus
B. Left Bronchus crosses it
C. When enters in diaphragm
D. At cardiac end
71: Single cranial nerve which doesn’t contain parasympathetic fibers
A. 3
B. 4
C. 5
D. 7
E. 9
72: Tactile two point discrimination by
A. Pacinian
B. Ruffini
C. Free nerve endings
D. Merkel disc
73: Patient with resting tremors, rigidity, hypokinesia
A. Cerebellum
B. Parkinson disease
C. UMNL
D. LMNL
74: Motor aphasia due to lesion of
A. Wernicke’s area
B. Prefrontal gyrus
C. Sup. Temporal gyrus
D. Brocas area
75: Regarding lumber puncture which one is correct
A. Between L4 & L5
B. CSF pressure in mm of Hg
C. Spine fully extended
D. Angle of needle must be 45 degree
E. Advice to patient stands up immediately after L.P
76:Heat loose of body is controlled by
A. Lat. Hypothalamus
B. Preoptic hypothalamus (NO OPTION OF ANT. HYPOTHALAMUS)
C. Post. Hypothalamus
D. Thalamus
E. Hippocampus
77: Damage to dorsal column tract causes ipsilateral loose of
A. Pain
B. Fine touch
C. Temperature
D. Vibration
78: The first step occurs when light falls on retina
A. 11-Cisretinal to all Trans retinal
79: Lesion of mamillary body causes
A. Fear & rage
B. Hyper sexuality
C. Loose of Recent memory
D. Hyperphagia
80: Regarding facial nerve which one is correct?
A. Purely sensory
B. Give chorda tympani to posterior 1/3 of tongue
C. Supplies to middle ear
D. Supplies to stapedius muscle
81: CSF having proteins 400 mg/dl, glucose 40 & mainly lymphocytes. Diagnosis
A. Encephalitis
B. Cryptococcus virus
C. TBM
D. Bacterial meningitis
E. Viral meningitis
82: Lateral sulcus of cerebellum
A. Insula
B. Occipital lob
83: PH-7.54, O2-55 & CO2-25 cause of deranged ABG’S
A. Carbon mono oxide poisoning
B. Hysterical hypoventilation
C. Salicylate poisoning
83: Asthma diagnosed by
A. I.R.V
B. R.V
C. T.L.C
D. FEV
E. Tidal volume
84: Diagnosis of Emphysema
A. Physiological dead space
B. Physiological shunt
C. V/Q- affinity
D. V/Q-0
E. V/Q-1
85: Muscle of quite inspiration
A. Diaphragm
B. Intercostals muscle
C. Sternocladomastoid
D. Scalenius posterior
86: Muscle of forceful inspiration
A. External intercostals muscle
87: Regarding hemoglobin
A. Adult contains alpha-2 & gama-2
B. Contains iron in ferric form
C. Causes acidosis when add with H+
88: Receptors mediates increase heat rate
A. Alpha-1
B. Alpha-2
C. Beta-1
D. Beta-2
E. Nicotinic
89: Stress hormone of body called
A. ACTH
B. Epinephrine
NO OPTIONS OF CORTISOL
90: Heart muscle works as syncytium because of
A. Sarcomere
B. SER
C. Gap junction
D. Tight junction
E. Intercalated disk
91: Preload depends on
A. EDV of L.V pressure
B. EDV of R.A pressure
92: Diagnosed case of thyrotoxicosis came to you with heart rate of 190b/mn. Best treatment is
A. Digoxin
B. Lidocain
C. Verapamil
D. Propanalol
93: Saw tooth P waves in ECG associated with
A. Atrial flutter
B. A.V block
94: Captoprill (M.O.A)
Blocks ACE enzyme
95: Cyanosis due to
A. Anemia hypoxia
B. When deoxihaemoglobin is more then 5g/dl
96: Pulmonary vasculature resistance increase in
A. High altitude
97: 1/3 of total body water contains
A. E.C.F
B. I.C.F
C. Plasma
D. Interstitial
98: GFR can be calculated by
A. 24 hours urinary out put
B. S.creatinine
C. B.U.N
D. Urea
99: S/Chloride maintained by kidney through
A. Na+-K+-2Cl co transportation in thick ascending L.O.H
B. Na+ -K+ - 2Cl co transportation in thin ascending L.O.H
100: INC. Aldosterone causes commonly
A. Acidosis
B. DEC. Rennin
C. Sodium depletion
D. K+ retention
101: M.O.A spironolactone
OPTIONS NOT REMEMBER
102: A.D.H is inhibited by
A. Alcohol
B. Hemorrhagic Shock
C. Pain
D. Exercise
103: Erythropoietin secreted from
A. Peritubular cells
B. Juxtaglomerular cells
C. Macula densa
104: Hormone which causes relaxation of all G.I.T muscles
A. G.I.P
B. Gastrin
C. Secretin
D. CCK
E. V.I.P
105: Which causes diarrhea when it reaches to large colon?
A. Glucose
B. Fructose
C. Lactose
D. Sucrose
E. Maltose
106: Pt. with puffy eyes & edema with dec. TSH & when TRH given TSH slightly rises.coz of disturbance is
A. Primary Hypothyroidism due to Hypothalamus
107: Neurphyposis contains
A. Cholinergic
B. Adrenergic
C. Secretory cells
D. Puituicytes
108: In autoimmune diseases of thyroid antibodies against
A. TSH
B. Thyroglobulin
C. Follicular cells
D. C cells
109: Amniocentesis shows 47XXY
A. Turner syndrome
B. Adrenogenital syndrome
C. Klinefelter syndrome
110: In pregnancy cause of Hyper Parathyriodism
A. Prim. Hypoparathyroidism
B. Becoz estrogen causes inhibition of bone resorption
111: Estrogen doesn’t have action
A. Delayed bone loss after menopause
B. Follicular growth
C. Inc. serum Cholesterol
D.
112: HLA DR 27 associated with
A. Ankylosing spondilytis
B. Reiters Syndrome
C. R.A
D. S.L.E
113: Tumor marker of Thyroid carcinoma is
A. C.E.A
B. Calcitonin
C. Alpha fetoprotein
D. Beta H.C.G
114: Which hormone maintains body temperature by oxidative phosphorylation
A. Adrenal
B. Nor adrenaline
C. Cortisol
D. Thyroid gland
115: Hydrocele is the aculummation of fluid
A. Gubernaculums Testis
B. Scortal ligament
C. Tunica vaginalis
D. Vas deferens
E. Epidydimis
116: After gastrectomy pt. came with c/o
A. Iron def. anemia
B. Megaloblastic anemia due to folate
C. Pernicious anemia.
117: Old age Pt. came with jaundice Hb-10g/dl,S,Bili-2.8mg/dl,Retic 10%.U/S abdomen normal.whats Ur diagnosis.
A. Acute Hepatitis
B. Rotor syndrome
C. Dubin Johnson Syndrome
D. Gilbert Syndrome
E. Hepatitis B
118: IN Tumor immunity liver has a function of
A. To detoxify the toxic substances
B. Protein synthesis
C. Globulin Synthesis
119: Cholangio-Carcinoma caused by
A. Clonorchis –Sinesis
B. S.Hematobonium
C. S.Japanicum
D. Echunococcus Granuloses
120: Old age pt. Diagnosed as a case of OBSTRUCTIVE JAUNDICE & now cam With c/o bleeding tendency. Which 1 of the following cause.
A. Due to bile stones
B. Defi. Of VIT.K due to DEC. absorption from gut
C.
D.
E.
121: C.E.A is a tumor marker of
A. Breast
B. Colorectal Carcinoma
C. Testis
D. Thyroid
122: Juvenile Polyps are
A. Meckels diverticulum’s
B. Hyperplasic polyps
C. Hereditary non polpyposis
D. Colonic adenocarcinoma
123: Granuloma formation is not associated with
A. Sarcoidosis
B. T.B
C. Pneumococcal Pneumonia
124: Pt. came with distortion of nose, lymph nodes palpable, AFB +ve.whats Ur diagnosis
A. T.B
B. Sarcoidosis
C. Leprosy
D. None of the above
125: Which 1 of is not a Tumor marker
A. Alpha 1 antitrypsin
B. Vesmin
C. Desmin
126: Which 1 of the following is the diff. b/w malignant & benign tumor
A. Metastasis
127: Workers Having Increase chances 2 develop Malignancy
A. Tobacco
B. Coal
C. Asbestos worker
128: H.I.V pts. Have tendency to get infection of
A. E.B.V
B. H.P.V
C. H.S.P
D. Pneumocystitis carnii
E. Chicken Pox
129: Diagnosis of H.I.V when
A. Less CD4 cells count
B. Less CD8 cells count
130: Joint pain, Xerostomia, conjunctivitis sicca, associated with
A. Sjogran Syndrome
B. Scleroderma
131: Which 1 of the following is not associated with Dry gangrene?
A. D.M
B. Throboembolism
C. Bacterial Endocarditis
132: Platelets aggregation is due 2
A. Thromboxane A2
B. Prostaglandins
C. Cox 1
Cox 2
133: Which 1 of the following factor causes Delayed wound healing
Inc. Blood flow
Vit. C Deficiency
Vit. E deficiency
134: Diagnosed case of tuberculosis PPD or Tuberculin test found to be negative
Because of one of the following factor
A. A.T.T
B. Immunosuppressive
C. Steroid intake
135: Blood group having no antigen to A & B
A+
B+
AB+
O-
O+
136: About leukocyte adhesion factor responsible
Integrin
Selectin
138: In humans the End product of PURINE metabolism is
A. Xanthin
B. Urea
C. Uric Acid
D. Lactic Acid
E. Pyruvate
Friday, September 19, 2008
Site updated!
Hi everyone.
Though a bit late for the october 2008 exam candidates, the pool of questions has been updated (in Surgery, Medicine,and Gyn/Obs from the March 2008 exam) . Hope it would help you guys in your preparations.
Wish you all, very best of luck!
Do remember me in your prayers.
Dr.Sultan Ahmad.
Though a bit late for the october 2008 exam candidates, the pool of questions has been updated (in Surgery, Medicine,and Gyn/Obs from the March 2008 exam) . Hope it would help you guys in your preparations.
Wish you all, very best of luck!
Do remember me in your prayers.
Dr.Sultan Ahmad.
SURGERY, June 2008
From Dr Qasim Hussain, M.D Semipalatinsk
FCPS -1 SURGERY 25, june 2008
1- Occulocardiac reflex mediated by
a)CN5
2- 1 gram of protein contains calories?
a) 4 calories
3-7th lobe of lung is called
a) medial basal
4-A marathion runner wins a race.What will be with blood insulin and Glucogan levels at the time when he crosses the win line?
5- Mandibular fracture occurs just brfore the mandibular foramen.
a) loss of taste to anterior 2/3 of tongue
b)Myelohoid muscle is unable to stabalizse mandible?
c) Loss of sensation to lower teets?
6-Head of femer
a) has anger of 125 with shaft
b)posteriorly completely covered by capsule?
c)epicondyls are in parallel line with shaft
7-Lymph nodules are present in
a)Spleen
b)Thymus
c)Lymph nobes
8-In DIC ,there is
a)decreased palatlets
9-what is inferior in perenium?
a) pereniul membrane
10)spleen is
a) mesodermal
b)endodermal
11)according to recent recommendations, recurrent MI should be treated with?
a) Anticoagulants
b) Lipid lowering drugs
c) Beta blockers
12)Stratified squamous epithelium is present in
a )palatine tonsils
b)pharynx
c)Ovary
13) Low voltage QRS comples ios seen in
a) MI
b) Bundel branch block
c)Hypertension
d)IHD
e)Pleuritis
14)Isthmus of thyroid is present at
a)C1- 2
15)Head of Humerous is supplied by
a) Anterior circumflex artery
b)Posterior circumflex artery
c)Suprescapular artery
d)Subscapular artery
16) Gene are composed of
a) RNA
b)DNA
c)Extrons
d)Introns
17) I/V dopamine is given to a patiend.followin if true about it onset of action
a) 5 min
b)5 sec
c) 60 sec
18)I/V sedation is given to a patient. Following is true about its arm-brain circulation
a)60 sec
b)5min
c)30min
d)5 sec
e)?
19) DVT is most common in
a)Femoral vein
b)popleteal vein
c)Superficial vericosed veins of leg
20) Which of the following is not a tumor marker
a)Acid phosphatase
b)PAP
c)Hcg
d)AFP
e)CEA
21) Pus contains
a)Dead bacteria
b)Dead neutrophils
22) The most common cause of fatty liver in our society is
a) Alcohol
b)Hepatitis B and C
c Drugs
23) Carotid bodies respond to
a) increase blood H+
b)Increase blood co2
24) In anterior Duodenal perforation , the contents will go to
a) Right iliac fossa
b)Left Iliac fossa
c)Anterior subhepatic space
d)posterior subhepatic space
e) small bursae
25) Metabolic alkalosis results from
a)Ingestion of ammonium chloride
b)ingestion of carbonic anhydrase inhibitors
26)A Diabetic patient fas urine ketones and urine glucose ++
the cause is ?
a)Hyperglycemia
b)Insulin difficiency
27 Response to chemotherapy is because it causes
a)Atrophy
b)Apaptosis
28)Dorsal column damage results in Ataxia because
a)loss of pathway from dorsal column to thalamus
b)Loss of proprioception input to cerebellum
c)Loss of proprioception to Thalamus
d) Loss of proprioception to Hypothalamus
29)Which of following nerve passes dorsal to brain stem?
a) 3, b) 4, c)5, d) 12, e) 9
30-A patient has hb 6, palatelet 450,000, with Hypercellular bone marrow/\
a)Due to drug he is using for anaemia
b) Leukemia
c) Iron deficiency anaemia
d)G6PD deficiency
31) The sign of cerebellar disease is
a)Adiadohakinesia
b)Static tremor
c)Hypertonia
31)Neurohypophysis drain secretions
a) Adrenergic neurons
b)cholinergic neurons
c)free nerve endings
32)CSF
a)has osmolarity <1040
b) pressure <10 mm of water
c) protein >200
33) Stimulation of Alpha adrenergic neurons
34)End arteries are present at
a)Brain
b)Heart
c)Bone
35) In Tempomandibular Joint Dislocation,What structure prevents the the joint to go back in cavity?
a) Tubercles on articular surface of mandible
b)Tempomandibular ligament
c)Lateral Ptyregoid muscle
d)Medial Ptyregoid muscle
36)Where the gangliom joining the superior petrosal nerve and inferior petrosal nerve is located?
37) A patient has hypercarboxyhemoglobin. He is breathing 100% oxygen. After how much time ,his blood will have 100% oxygen?
a) 1 min
b)2 min
c)5 sec
d) 5 min
38) FRC is?
a) TV + ERV
b)IRV + ERV
39)Aldosterone stimulate
a) Melatonin?
b)?
__________________________
40)A patient has fever 40c with flank pain ,increases frequency and chills and riggors.\
a) Blood culture
b)urine culture
c) Blood and urine culture
40)Following is not true?
a) HCV positive carriers have not been reported
41) Pulse pressure is increased in
a)Arteriols
b)capalleries
C)Aorta
42) A grand father was playing with his grandson with holding his wrist and rotation him in a circule.Suddenly the child starded crying and sit with holding his forarm in porn position. What happent ?
a) Proximal Radio ulnar joint dislocation
b)Distal Radio ulnar joint dislocation
c)Fracture of acromion
43) Regarding typhoid fever
a) Asypmtomatic
b)Carriers do not excreate causative agent in fees
c) Asypmtomtic carriers should be isolated and treated
44) Incision is given on Rt Lumbar area. The layers incised will be
a) Skin-superficial facia-deep facia- external oblique-internal oblique-transverse –Transverse fascia-exta peritoneal fat- peritoneum
b) skin- superficial fascia- extaperitoneal fat- peritinium
45) Carpus callosum
a) connects the two hemispheres
46)Most constricted part of male urethra is
a) External meatus
47)Superior Thyroid glands
a) Are located behind the Thyroid gland outside the facia
b)Have blood supply from the superior thyroid arteries
48) Which of the following is true
a) Piriformis attach to inferion trochanter
b) Schiatic nerve passes through superior sciatic foramen
49) A structure lined by cuboidal epithelium, and its center contains two calcified bodien of pink colour. What is it?
a) Prostate
50)25 cholecalciferol is not converted to 1,25 cholecalciferol in
a)Hepatic failure
b)Renal Failure
51) Which of the following is not present in posterior relations of kidney?
a) colic flexure
52) Rt border of heart is formed by
a)Rt atrium
53) In pregnancy ,Lactation does not occur because
a) Increased Level of progesterone and Estrogen
54) Which of the following have Pulmonary cycle?
a) Ascariasis
55)Causative agent of meningitis in 60 years old man is
a) St pneumonia
56) Cause of death in pneumonia bue to shock is
a)Gram –ve bacteria
b)Pseudomonas
c)st pneumonia
57) Diphtheria exotoxin hane powerful effect on
a) Larynx
b)Heart
c)Nerve endings
d)Kidneys
58) Aspiration of peanut will go in
a) Right lower bronchus
59) A female with butterfly ace,joint pain, Flank pain could have
a) SLE
60) A young patient has difficulty in swallowing
a) Sclerodermia
61) A patient with SLE have
a) Possitive ANA
b) Possitive anti SS
62) Incision on Supra pubic area caused heavy bleed. It could be
a) Damage to inferior epigestric artery?
63) In Hypoxia, cell swelling occurs due to
a) Entry of water in cell fromj surrounding
b) Entry of lipids
64)What is potent Antoxident ( Anti Aging)
a)VIT E
65) A boy is excreting meconium from rectum and has severe constipation. The rectal examination showed no ganglion cells. The condition is called
A) Intussusceptions
B) Hirschsprung’s disease
66) In what portion of nephrone, Na is absorbed totally neutrally active transport?
a) PCT
b)DCT
c)ATT
76) Cell mediated immunity is mediated by
a) T cells
b)B cells
77) Virus does not cause
a) Lipoma
b) Kaposi sarcoma
c)cervical cancer
78) Iodine is stored in thyroid follicles as
a) Thyroglobulin
b)DIT and MIT
79) A patient died due to colonic cancer.On autopsy found thousands of polyps. Patient's father also had colonic cancer. The cause could be
a)Adenomatous polyps?
80) A patient has double ureters and double pelvis. It could be
a) anomaly is due to premature separation of ureteric bud
81) Chylomicrons contains
a) Fatty acids with vitamins
82) Transudate has
a) Low Albumin
83) common mediator of Basophils and mast cells have
a)Histamine
84)In Skeletal muscle , contraction occurs due to
a) Sacromere
b) Actin
c)Myosin
88) In chronic inflammation, there is predominate
a) Fibroblasts
b)Macrophages
c)neutrophils
89)Characterics of malignant cancer is
a)Metastasis
90 )Characteristic of malignant cancer is
a) pleomorphism
91) Pretraceal fascia
a) completely encircle the Thyroid gland
b)Completely encircles trachea
92) 6 months after the resection of terminal ilium, the patient
a) iron deficiency anemia
93) A patient has sweating 2L , and he took 2 L plan water. What could be happen?
a) Increased body volume?
b) decreased intracellular osmolarity
c)Increased extracellular osmolrity
94) Inhibition of heart Rate will be in
a) Stimulation of parasympathetic nervous system
95) Aldosterone is stimulated by
a) Increase of serum K
96) Follic Acid difficiency causes
a)Megaloblastic erythropoises
b) Foliate deficiency
97) Difference B/w Plasma and interstitial fluid is
a) Protien
98) C02 is mainly carried by
a) Hco3
99) In Inguinal hernia, posterior wall is formed by a) Conjoint tendon
b)Internal oblique muscles
100) What is part basal ganglia are
a) Putamen
( 32 mistakes )
Paper 2
101) Blood supply of vertebral column is
a)Vertibral artery
102)Suprascapular nerve arises from
a) Thyrocerv ical trunk
103) Ist pharyngeal pouch forms
a) Auditory tubes
104)Diapharm is supplied by
a) c 345
105)Urachus is remnant of
a) Allantois
106)A patient had surgery of breast and he is now unable to lift his arm.
What is damaged?
a) serratus anterior muscle
107)Thurst is stimulated by
a) ADH
108) A patient has dirrhoea and developed metabolic acidosis. What is lost in feeces?
a) HCO3
109)phasic fast adaptive structure is
a) Mickle disk
b)Carotid baroreceptors
c)Rufini's carpuscles
110)The lesser omentum forms which structures?
a) Hepatoduodenal ligament, Falciparum Ligament, Gastroduodenal ligament
111) A patient can not abduct and adduct his fingers. Lost adduction of thumb also.
a) Deep branch of ulnar nerve
112)Femoral canal is formed by what fascias?
a) Fascia Lata + memberenous Layer
b)
c)
113) Organ , lined by stratified squamous epithelium, rounded structure.?
Palatine tonsils
114)Regarding the Iron requirement of a pregnant woman, following test is appropriate.
a) TIBC
b)serum ferritin
115)After gastrectomy, a patient might develop
a) Megaloblastic anaemia
116) A patient got injury in the posterior triangle of neck.there might damage
a) spinal part of accessory nerve
b) CNS part of accessory nerve
c) Vagus nerve
117)A patient in RTA came in EAC with hypovomumic shock. First what to treat?
a) I/V Fluids
118) Clostridia cause
a) Gas Gangren
119)Angiotensin 1 is converted to Angiotensin 2 in
a) Lung capillary endothelium
120) First week diagnosis of Typhoid is
a) Blood culture
121)A soldier posted at high altitude for many years came witg PVC > 40
a) Secondary polycythemis
122) Buerger's disease is strongly associated with
a)Smoking
123)Acute appendicitis is associated with
a) Neutrophelic leukocytosis
124) Medial arcuate Ligament encloses at its upper end
a)Psoas muscle
125) QRS comples is due to
a)Ventricular systole
126) The transitional epithelium have
a) Couoidial epithelium lined by more larger and rounded cells?
127) A patient have right optic tract damage. He might developed
a)Left homonymus hemianopsia
128)In Burkit Lymphome, The causative agent is
a) EBV
129)Regarding adrenal glands
a) Right is Larger than left
b)Supplied by numerous arteries ,and drained by single vein
130) Repture of middle meningeal artery cause hematoma in
a)Between the two layers of dura mater
131)Middle esophageal constriction is by
a)Arch of Aorta
b)Left bronchus
132) T- cells
a) Matured in Thymus after birth
b)Both T cells and B cells are derived by same precursors
133)Neurovascular bundle is located at ribs at
a)inferior border of ribs
134)Which of the following does not predispose the cancer?
a) Radiation
b)Bacterial products
c)virus
d)Chemicals
135)Methicilline resistant staph are
a) Usually sensitive to Vancomycin
136) Cardiac muscles can not be tetanized becosed
a)They have long refractory period
137) Severe blood transfusion reactoion occurs if transfused all except
a) A+ blood to 0+
b)A + blood to AB+
c) B+ to O+
d) B+ tp AB+
e)O +ve blood to OA+
138)Xenograft is
a) Transplant of tissues of different species
139) Lysosomes contains
a) Acid Hydrolase
140) Rt Gastro epiploic artery is the branch of
a) splenic artery
141) Right gastroduodenal artery is the branch of
a) Hepatic artery
142 )An asthematic patient may have
FEV1/FCV <75
143)Ligamentum arteriosum connect with
a) Aorta with Left pulmonary artery
144)In atrial fibrillation, therer is
a) Pulsus deficit
145)A patient lost weight , hot dry skin,RR 20, pulse 120/min, DB 120/80
a) Hyperthyroidism
146) Alpha receptors stimulation may cause
a) Lipolysis
b)Gluconeogenesis
c)glycogenolysis
d) Glycogenesis
147)Trypsinogen in the duodenum will be activated by
a) PH < 7
148) Pulmonary embolism most commonly involves
a) Left pulmonary artery
149 A patient had streptococcal infection. What blood test you will advise him after one week?
a) Anti streptolysin O titer
150)A patient developed hemolytic anaemia after blood transfusion. Hemoglobin released will be attached with
a) Heptoglobin
b) Albumin
151) A patient with itching, fever with Antimitochondrial antibody +ve
a) Primary billiary cirrhosis
152) PDA occurs in
a) Prematurity
153) Fertilization occurs in
a)Oviduct
154) Liquificative necrosis occurs in
a) Brain
155) Temperature regulatory center is in
a) Hypothalamus
156) Skin cancer occurs
a) In Sun exposed area
157) Giant cells have
a) Macrophages
158) Inflamatory mediator is
a) C5a
159) Optic tract ends in
a) Lateral geniculate body
160) Gastric motility is increased by
a) Acetylcholine
161)Wound healing is delayed by
a) infection
162)Achalasia is due to
a)loss of Aurbach plexus
163)Patient has severe chest pain with ST elevation
a) Disectening aorta
b)Pleuritis
c)Pneumothorax
d)costochondral
e)Pneumonias
164)Patient X-Ray shows hilar lymph nodes. Granuloma but no necrosis. What is the diagnosis?
A} Sarcoidosis
B} Silicosis
C} Tuberculosis
165) Strongest layer of small intestine is
a)Circular
b)longitudinal
c)Mucosa
d)Submucosa ok?
166). High output cardiac failure
a. B1
b. B2
c. B6
167)Valve less vessel is
A) Aorta
B) Pulmonary artery
C) Coronary Sinus
D) Pulmonary Trunk
E) SVC
168) 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
169) Replacement of cells of other normal site of body is called
a) Metaplasia
170)Heart sound produced by rapid ventricular filling is
A) 1st heart sound
B) 2nd heart sound
C) 3rd heart sound
D) 4th heart sound
171)Corticosteroids decrease
a) Neutrophils
b)Lymphocytes
c)Eiosinophils
d)Monocytes
e)Basophils
172) DVT occurs in females
by use of OCPs
173) Visceral Pericardium is supplied by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus
174) Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity
175) Primary spermatocyte divide by
a)Mitosis
b)Spermiosytosis
c)Primary meiotic devision
d)Sec Meiotic devision
176) The volume of distribution of drug is not influenced by
a)Sex
b)Age
c)Heart failure
d)Renal Failure
177)In Hypothyroidism
a) Increased cholesterol level
178)craniophrangioma in the center of optic chiasmata may cause
a) Bitemporal hemianopsia
179)Which one of the following most likely causes Increase in GFR?
a)Constriction of afferent arteriole
b)Constriction Of efferent arteriole
180) cardic output measured by thermodilution method
is called
a)fick law?
181. Blood flow regulation is mediated by:
a. arterioles
b. precepillary sphincter
c. capillaries
d. venules
182)Thiamine deficiency causes
A} Peripheral Neuropathy
B} Pellagra
C} Chelosis
D} Dermatitis
183) 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
184) Iron is stored in the form of
A.ferritin
B.transferrin
C.apoferritin
FCPS -1 SURGERY 25, june 2008
1- Occulocardiac reflex mediated by
a)CN5
2- 1 gram of protein contains calories?
a) 4 calories
3-7th lobe of lung is called
a) medial basal
4-A marathion runner wins a race.What will be with blood insulin and Glucogan levels at the time when he crosses the win line?
5- Mandibular fracture occurs just brfore the mandibular foramen.
a) loss of taste to anterior 2/3 of tongue
b)Myelohoid muscle is unable to stabalizse mandible?
c) Loss of sensation to lower teets?
6-Head of femer
a) has anger of 125 with shaft
b)posteriorly completely covered by capsule?
c)epicondyls are in parallel line with shaft
7-Lymph nodules are present in
a)Spleen
b)Thymus
c)Lymph nobes
8-In DIC ,there is
a)decreased palatlets
9-what is inferior in perenium?
a) pereniul membrane
10)spleen is
a) mesodermal
b)endodermal
11)according to recent recommendations, recurrent MI should be treated with?
a) Anticoagulants
b) Lipid lowering drugs
c) Beta blockers
12)Stratified squamous epithelium is present in
a )palatine tonsils
b)pharynx
c)Ovary
13) Low voltage QRS comples ios seen in
a) MI
b) Bundel branch block
c)Hypertension
d)IHD
e)Pleuritis
14)Isthmus of thyroid is present at
a)C1- 2
15)Head of Humerous is supplied by
a) Anterior circumflex artery
b)Posterior circumflex artery
c)Suprescapular artery
d)Subscapular artery
16) Gene are composed of
a) RNA
b)DNA
c)Extrons
d)Introns
17) I/V dopamine is given to a patiend.followin if true about it onset of action
a) 5 min
b)5 sec
c) 60 sec
18)I/V sedation is given to a patient. Following is true about its arm-brain circulation
a)60 sec
b)5min
c)30min
d)5 sec
e)?
19) DVT is most common in
a)Femoral vein
b)popleteal vein
c)Superficial vericosed veins of leg
20) Which of the following is not a tumor marker
a)Acid phosphatase
b)PAP
c)Hcg
d)AFP
e)CEA
21) Pus contains
a)Dead bacteria
b)Dead neutrophils
22) The most common cause of fatty liver in our society is
a) Alcohol
b)Hepatitis B and C
c Drugs
23) Carotid bodies respond to
a) increase blood H+
b)Increase blood co2
24) In anterior Duodenal perforation , the contents will go to
a) Right iliac fossa
b)Left Iliac fossa
c)Anterior subhepatic space
d)posterior subhepatic space
e) small bursae
25) Metabolic alkalosis results from
a)Ingestion of ammonium chloride
b)ingestion of carbonic anhydrase inhibitors
26)A Diabetic patient fas urine ketones and urine glucose ++
the cause is ?
a)Hyperglycemia
b)Insulin difficiency
27 Response to chemotherapy is because it causes
a)Atrophy
b)Apaptosis
28)Dorsal column damage results in Ataxia because
a)loss of pathway from dorsal column to thalamus
b)Loss of proprioception input to cerebellum
c)Loss of proprioception to Thalamus
d) Loss of proprioception to Hypothalamus
29)Which of following nerve passes dorsal to brain stem?
a) 3, b) 4, c)5, d) 12, e) 9
30-A patient has hb 6, palatelet 450,000, with Hypercellular bone marrow/\
a)Due to drug he is using for anaemia
b) Leukemia
c) Iron deficiency anaemia
d)G6PD deficiency
31) The sign of cerebellar disease is
a)Adiadohakinesia
b)Static tremor
c)Hypertonia
31)Neurohypophysis drain secretions
a) Adrenergic neurons
b)cholinergic neurons
c)free nerve endings
32)CSF
a)has osmolarity <1040
b) pressure <10 mm of water
c) protein >200
33) Stimulation of Alpha adrenergic neurons
34)End arteries are present at
a)Brain
b)Heart
c)Bone
35) In Tempomandibular Joint Dislocation,What structure prevents the the joint to go back in cavity?
a) Tubercles on articular surface of mandible
b)Tempomandibular ligament
c)Lateral Ptyregoid muscle
d)Medial Ptyregoid muscle
36)Where the gangliom joining the superior petrosal nerve and inferior petrosal nerve is located?
37) A patient has hypercarboxyhemoglobin. He is breathing 100% oxygen. After how much time ,his blood will have 100% oxygen?
a) 1 min
b)2 min
c)5 sec
d) 5 min
38) FRC is?
a) TV + ERV
b)IRV + ERV
39)Aldosterone stimulate
a) Melatonin?
b)?
__________________________
40)A patient has fever 40c with flank pain ,increases frequency and chills and riggors.\
a) Blood culture
b)urine culture
c) Blood and urine culture
40)Following is not true?
a) HCV positive carriers have not been reported
41) Pulse pressure is increased in
a)Arteriols
b)capalleries
C)Aorta
42) A grand father was playing with his grandson with holding his wrist and rotation him in a circule.Suddenly the child starded crying and sit with holding his forarm in porn position. What happent ?
a) Proximal Radio ulnar joint dislocation
b)Distal Radio ulnar joint dislocation
c)Fracture of acromion
43) Regarding typhoid fever
a) Asypmtomatic
b)Carriers do not excreate causative agent in fees
c) Asypmtomtic carriers should be isolated and treated
44) Incision is given on Rt Lumbar area. The layers incised will be
a) Skin-superficial facia-deep facia- external oblique-internal oblique-transverse –Transverse fascia-exta peritoneal fat- peritoneum
b) skin- superficial fascia- extaperitoneal fat- peritinium
45) Carpus callosum
a) connects the two hemispheres
46)Most constricted part of male urethra is
a) External meatus
47)Superior Thyroid glands
a) Are located behind the Thyroid gland outside the facia
b)Have blood supply from the superior thyroid arteries
48) Which of the following is true
a) Piriformis attach to inferion trochanter
b) Schiatic nerve passes through superior sciatic foramen
49) A structure lined by cuboidal epithelium, and its center contains two calcified bodien of pink colour. What is it?
a) Prostate
50)25 cholecalciferol is not converted to 1,25 cholecalciferol in
a)Hepatic failure
b)Renal Failure
51) Which of the following is not present in posterior relations of kidney?
a) colic flexure
52) Rt border of heart is formed by
a)Rt atrium
53) In pregnancy ,Lactation does not occur because
a) Increased Level of progesterone and Estrogen
54) Which of the following have Pulmonary cycle?
a) Ascariasis
55)Causative agent of meningitis in 60 years old man is
a) St pneumonia
56) Cause of death in pneumonia bue to shock is
a)Gram –ve bacteria
b)Pseudomonas
c)st pneumonia
57) Diphtheria exotoxin hane powerful effect on
a) Larynx
b)Heart
c)Nerve endings
d)Kidneys
58) Aspiration of peanut will go in
a) Right lower bronchus
59) A female with butterfly ace,joint pain, Flank pain could have
a) SLE
60) A young patient has difficulty in swallowing
a) Sclerodermia
61) A patient with SLE have
a) Possitive ANA
b) Possitive anti SS
62) Incision on Supra pubic area caused heavy bleed. It could be
a) Damage to inferior epigestric artery?
63) In Hypoxia, cell swelling occurs due to
a) Entry of water in cell fromj surrounding
b) Entry of lipids
64)What is potent Antoxident ( Anti Aging)
a)VIT E
65) A boy is excreting meconium from rectum and has severe constipation. The rectal examination showed no ganglion cells. The condition is called
A) Intussusceptions
B) Hirschsprung’s disease
66) In what portion of nephrone, Na is absorbed totally neutrally active transport?
a) PCT
b)DCT
c)ATT
76) Cell mediated immunity is mediated by
a) T cells
b)B cells
77) Virus does not cause
a) Lipoma
b) Kaposi sarcoma
c)cervical cancer
78) Iodine is stored in thyroid follicles as
a) Thyroglobulin
b)DIT and MIT
79) A patient died due to colonic cancer.On autopsy found thousands of polyps. Patient's father also had colonic cancer. The cause could be
a)Adenomatous polyps?
80) A patient has double ureters and double pelvis. It could be
a) anomaly is due to premature separation of ureteric bud
81) Chylomicrons contains
a) Fatty acids with vitamins
82) Transudate has
a) Low Albumin
83) common mediator of Basophils and mast cells have
a)Histamine
84)In Skeletal muscle , contraction occurs due to
a) Sacromere
b) Actin
c)Myosin
88) In chronic inflammation, there is predominate
a) Fibroblasts
b)Macrophages
c)neutrophils
89)Characterics of malignant cancer is
a)Metastasis
90 )Characteristic of malignant cancer is
a) pleomorphism
91) Pretraceal fascia
a) completely encircle the Thyroid gland
b)Completely encircles trachea
92) 6 months after the resection of terminal ilium, the patient
a) iron deficiency anemia
93) A patient has sweating 2L , and he took 2 L plan water. What could be happen?
a) Increased body volume?
b) decreased intracellular osmolarity
c)Increased extracellular osmolrity
94) Inhibition of heart Rate will be in
a) Stimulation of parasympathetic nervous system
95) Aldosterone is stimulated by
a) Increase of serum K
96) Follic Acid difficiency causes
a)Megaloblastic erythropoises
b) Foliate deficiency
97) Difference B/w Plasma and interstitial fluid is
a) Protien
98) C02 is mainly carried by
a) Hco3
99) In Inguinal hernia, posterior wall is formed by a) Conjoint tendon
b)Internal oblique muscles
100) What is part basal ganglia are
a) Putamen
( 32 mistakes )
Paper 2
101) Blood supply of vertebral column is
a)Vertibral artery
102)Suprascapular nerve arises from
a) Thyrocerv ical trunk
103) Ist pharyngeal pouch forms
a) Auditory tubes
104)Diapharm is supplied by
a) c 345
105)Urachus is remnant of
a) Allantois
106)A patient had surgery of breast and he is now unable to lift his arm.
What is damaged?
a) serratus anterior muscle
107)Thurst is stimulated by
a) ADH
108) A patient has dirrhoea and developed metabolic acidosis. What is lost in feeces?
a) HCO3
109)phasic fast adaptive structure is
a) Mickle disk
b)Carotid baroreceptors
c)Rufini's carpuscles
110)The lesser omentum forms which structures?
a) Hepatoduodenal ligament, Falciparum Ligament, Gastroduodenal ligament
111) A patient can not abduct and adduct his fingers. Lost adduction of thumb also.
a) Deep branch of ulnar nerve
112)Femoral canal is formed by what fascias?
a) Fascia Lata + memberenous Layer
b)
c)
113) Organ , lined by stratified squamous epithelium, rounded structure.?
Palatine tonsils
114)Regarding the Iron requirement of a pregnant woman, following test is appropriate.
a) TIBC
b)serum ferritin
115)After gastrectomy, a patient might develop
a) Megaloblastic anaemia
116) A patient got injury in the posterior triangle of neck.there might damage
a) spinal part of accessory nerve
b) CNS part of accessory nerve
c) Vagus nerve
117)A patient in RTA came in EAC with hypovomumic shock. First what to treat?
a) I/V Fluids
118) Clostridia cause
a) Gas Gangren
119)Angiotensin 1 is converted to Angiotensin 2 in
a) Lung capillary endothelium
120) First week diagnosis of Typhoid is
a) Blood culture
121)A soldier posted at high altitude for many years came witg PVC > 40
a) Secondary polycythemis
122) Buerger's disease is strongly associated with
a)Smoking
123)Acute appendicitis is associated with
a) Neutrophelic leukocytosis
124) Medial arcuate Ligament encloses at its upper end
a)Psoas muscle
125) QRS comples is due to
a)Ventricular systole
126) The transitional epithelium have
a) Couoidial epithelium lined by more larger and rounded cells?
127) A patient have right optic tract damage. He might developed
a)Left homonymus hemianopsia
128)In Burkit Lymphome, The causative agent is
a) EBV
129)Regarding adrenal glands
a) Right is Larger than left
b)Supplied by numerous arteries ,and drained by single vein
130) Repture of middle meningeal artery cause hematoma in
a)Between the two layers of dura mater
131)Middle esophageal constriction is by
a)Arch of Aorta
b)Left bronchus
132) T- cells
a) Matured in Thymus after birth
b)Both T cells and B cells are derived by same precursors
133)Neurovascular bundle is located at ribs at
a)inferior border of ribs
134)Which of the following does not predispose the cancer?
a) Radiation
b)Bacterial products
c)virus
d)Chemicals
135)Methicilline resistant staph are
a) Usually sensitive to Vancomycin
136) Cardiac muscles can not be tetanized becosed
a)They have long refractory period
137) Severe blood transfusion reactoion occurs if transfused all except
a) A+ blood to 0+
b)A + blood to AB+
c) B+ to O+
d) B+ tp AB+
e)O +ve blood to OA+
138)Xenograft is
a) Transplant of tissues of different species
139) Lysosomes contains
a) Acid Hydrolase
140) Rt Gastro epiploic artery is the branch of
a) splenic artery
141) Right gastroduodenal artery is the branch of
a) Hepatic artery
142 )An asthematic patient may have
FEV1/FCV <75
143)Ligamentum arteriosum connect with
a) Aorta with Left pulmonary artery
144)In atrial fibrillation, therer is
a) Pulsus deficit
145)A patient lost weight , hot dry skin,RR 20, pulse 120/min, DB 120/80
a) Hyperthyroidism
146) Alpha receptors stimulation may cause
a) Lipolysis
b)Gluconeogenesis
c)glycogenolysis
d) Glycogenesis
147)Trypsinogen in the duodenum will be activated by
a) PH < 7
148) Pulmonary embolism most commonly involves
a) Left pulmonary artery
149 A patient had streptococcal infection. What blood test you will advise him after one week?
a) Anti streptolysin O titer
150)A patient developed hemolytic anaemia after blood transfusion. Hemoglobin released will be attached with
a) Heptoglobin
b) Albumin
151) A patient with itching, fever with Antimitochondrial antibody +ve
a) Primary billiary cirrhosis
152) PDA occurs in
a) Prematurity
153) Fertilization occurs in
a)Oviduct
154) Liquificative necrosis occurs in
a) Brain
155) Temperature regulatory center is in
a) Hypothalamus
156) Skin cancer occurs
a) In Sun exposed area
157) Giant cells have
a) Macrophages
158) Inflamatory mediator is
a) C5a
159) Optic tract ends in
a) Lateral geniculate body
160) Gastric motility is increased by
a) Acetylcholine
161)Wound healing is delayed by
a) infection
162)Achalasia is due to
a)loss of Aurbach plexus
163)Patient has severe chest pain with ST elevation
a) Disectening aorta
b)Pleuritis
c)Pneumothorax
d)costochondral
e)Pneumonias
164)Patient X-Ray shows hilar lymph nodes. Granuloma but no necrosis. What is the diagnosis?
A} Sarcoidosis
B} Silicosis
C} Tuberculosis
165) Strongest layer of small intestine is
a)Circular
b)longitudinal
c)Mucosa
d)Submucosa ok?
166). High output cardiac failure
a. B1
b. B2
c. B6
167)Valve less vessel is
A) Aorta
B) Pulmonary artery
C) Coronary Sinus
D) Pulmonary Trunk
E) SVC
168) 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
169) Replacement of cells of other normal site of body is called
a) Metaplasia
170)Heart sound produced by rapid ventricular filling is
A) 1st heart sound
B) 2nd heart sound
C) 3rd heart sound
D) 4th heart sound
171)Corticosteroids decrease
a) Neutrophils
b)Lymphocytes
c)Eiosinophils
d)Monocytes
e)Basophils
172) DVT occurs in females
by use of OCPs
173) Visceral Pericardium is supplied by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus
174) Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity
175) Primary spermatocyte divide by
a)Mitosis
b)Spermiosytosis
c)Primary meiotic devision
d)Sec Meiotic devision
176) The volume of distribution of drug is not influenced by
a)Sex
b)Age
c)Heart failure
d)Renal Failure
177)In Hypothyroidism
a) Increased cholesterol level
178)craniophrangioma in the center of optic chiasmata may cause
a) Bitemporal hemianopsia
179)Which one of the following most likely causes Increase in GFR?
a)Constriction of afferent arteriole
b)Constriction Of efferent arteriole
180) cardic output measured by thermodilution method
is called
a)fick law?
181. Blood flow regulation is mediated by:
a. arterioles
b. precepillary sphincter
c. capillaries
d. venules
182)Thiamine deficiency causes
A} Peripheral Neuropathy
B} Pellagra
C} Chelosis
D} Dermatitis
183) 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
184) Iron is stored in the form of
A.ferritin
B.transferrin
C.apoferritin
Gyn Obs June 25,2008
June 25,2008
Gynaecology n obstetrics By SHEHER BANO.
1..half life of dopamine is 5 min , how much time will it take to reach the steady state concentration.
a….16 sec
b….8 sec
c….10 sec
2..wt is the circulation time b/w brachial n cerebral circulation.
a….15 sec
b….30 sec
c….60 sec
3..wt is the most potent stimuli for aldosterone release.
a….ACTH
b….Renin
4..which statement regarding adrenals is wrong.
a….size at birth is equal to adult size
5..actions of glucagons are all except
6..actions of growth hormone r all except
7..which of the following are features of type 2 hypersensitivity reaction
a….IgG
b….Ig M
c….T cells
d….B cells
8..wt is the requirement for complete sterilization
a….heating at 151 degree C for …. Min
9..energy liberated on complete metabolism of protein is
a….4.1 k cal
b….5.3 k cal
c….9.1 k cal
10..energy liberated on fat metabolism is
a….9.1 kcal
11..thyroid isthmus is at level of
a….2nd 3rd tracheal ring
b….3rd 4th tracheal ring
c….5th 6th tracheal ring
12..blood supply of spinal cord is
a….vertebral arteries
b….spinal arteries
c….internal juglar arteries
13 end arteries are present in
a….spleen
b….brain
c….lymph node
14..derivative of endoderm is
a….mesentry
15..laryngeotracheal bud appears during
a….4th week
b…5th week
c….7th week
16..muscle cut on episiotomy is
a….superficial transverse perineal + bulbospongiosus
17..patient feels pain on defecation nerve involved is
a….pudendal nerve
b….inferior rectal nerve
18..almost 10 to 15 questions on NSAIDs and prostaglandins
19..one of the following regarding levator ani is true
20..epthelial lining of ureter is
21..muscular layer of ureter in lower third is
23..derivatives of pharyngeal arches (2 to 3 questions)
24..wt makes right border of heart
a….rt atrium
b….rt ventricle
c….rt atrium + rt ventricle
25..chemoatractant for neutrophil is,
26..factors affected by vitamin K deficiency
27..lymphatic drainage of cervix is
a….int n ext iliac nodes
b….int iliac nodes
c….ext iliac nodes
28..point of meeting of intrinsic n extrinsic pathway
29..oxyhemoglobin dissociation curve (2 questions)
30..simple sqamous epithelium is present in all except
31..protein content of CSF is
32..which has highest protein content
a….plasma
b….lymph
c….CSF
33..autosomal dominant n recessive disorders (2 questions like name was give n was asked wt is wt)
34..origin of ext oblique muscle is from….
35..boundaries of inguinal triangle, the site for direct inguinal hernia, are…
36..structure palpable through lateral vaginal wall is
37..cortisol causes decrease in
a….platelets
b….RBCs
c….lymphocytes
d….neutrophils
38 difference b/w benign n malignant tumors is( 2 almost similar questions)
a….invasion
b….metastasis
c….capsule
Gynaecology n obstetrics By SHEHER BANO.
1..half life of dopamine is 5 min , how much time will it take to reach the steady state concentration.
a….16 sec
b….8 sec
c….10 sec
2..wt is the circulation time b/w brachial n cerebral circulation.
a….15 sec
b….30 sec
c….60 sec
3..wt is the most potent stimuli for aldosterone release.
a….ACTH
b….Renin
4..which statement regarding adrenals is wrong.
a….size at birth is equal to adult size
5..actions of glucagons are all except
6..actions of growth hormone r all except
7..which of the following are features of type 2 hypersensitivity reaction
a….IgG
b….Ig M
c….T cells
d….B cells
8..wt is the requirement for complete sterilization
a….heating at 151 degree C for …. Min
9..energy liberated on complete metabolism of protein is
a….4.1 k cal
b….5.3 k cal
c….9.1 k cal
10..energy liberated on fat metabolism is
a….9.1 kcal
11..thyroid isthmus is at level of
a….2nd 3rd tracheal ring
b….3rd 4th tracheal ring
c….5th 6th tracheal ring
12..blood supply of spinal cord is
a….vertebral arteries
b….spinal arteries
c….internal juglar arteries
13 end arteries are present in
a….spleen
b….brain
c….lymph node
14..derivative of endoderm is
a….mesentry
15..laryngeotracheal bud appears during
a….4th week
b…5th week
c….7th week
16..muscle cut on episiotomy is
a….superficial transverse perineal + bulbospongiosus
17..patient feels pain on defecation nerve involved is
a….pudendal nerve
b….inferior rectal nerve
18..almost 10 to 15 questions on NSAIDs and prostaglandins
19..one of the following regarding levator ani is true
20..epthelial lining of ureter is
21..muscular layer of ureter in lower third is
23..derivatives of pharyngeal arches (2 to 3 questions)
24..wt makes right border of heart
a….rt atrium
b….rt ventricle
c….rt atrium + rt ventricle
25..chemoatractant for neutrophil is,
26..factors affected by vitamin K deficiency
27..lymphatic drainage of cervix is
a….int n ext iliac nodes
b….int iliac nodes
c….ext iliac nodes
28..point of meeting of intrinsic n extrinsic pathway
29..oxyhemoglobin dissociation curve (2 questions)
30..simple sqamous epithelium is present in all except
31..protein content of CSF is
32..which has highest protein content
a….plasma
b….lymph
c….CSF
33..autosomal dominant n recessive disorders (2 questions like name was give n was asked wt is wt)
34..origin of ext oblique muscle is from….
35..boundaries of inguinal triangle, the site for direct inguinal hernia, are…
36..structure palpable through lateral vaginal wall is
37..cortisol causes decrease in
a….platelets
b….RBCs
c….lymphocytes
d….neutrophils
38 difference b/w benign n malignant tumors is( 2 almost similar questions)
a….invasion
b….metastasis
c….capsule
Medicine JUNE 2008
Contributed By Dr Noman Butt.
1) If a person came to u with infertility and azospermia what would be the best test
a) FSH+LH b) prolactin c) buccal smear d) LH e) testosterone
2) whats Hb H disease??
a) omission of 3 alpha chains of Hb
b) presence of barts hemoglobin
c) requires frequent blood transfusion
3) which one is not the part of brainstem?
a) pons
b) cerebral peduncles
c) cerebellum
d) superior colliculus
e) mesencephalon
4) Radiation affects/causes injury to......
a) cell membrane
b) nucleus
c) cytoplasm
d) mitochondria
5) cerebellar lesion causes
a) adiadokinesia
b) sensory loss
c) motor weakness
d) hypertonia
6) ovarian ca metastasizes early to......
a) lung
b) peritoneum
c) stomach
d) opposite ovary
7) Isthmus of thyroid gland lies against the tracheal rings:
a) 1st and 2nd
b) 2nd and 3rd
c) 3rd and 4th
d) 4th and 5th
e) 5th and 6th
8) Lymphoid nodules are not present in
a) spleen
b) thymus
c) tonsil
d) peyers patches
9) Most common Souce of pulmonary emboli
a) femoral vein
b) popliteal vein
c) periprostatic veins
d) periovarian veins
e) superficial saphenous vein
10) A lady suffered an injury in a RTA and became unable of flex both her leg and thigh. The muscle most likely affected
a) Biceps femoris
b) Rectus femoris
c) Semimebranosus
d) sartorius
e) semitendinosus
11) A child sufferd from repeated episodes of mild jaundice. Diagnosis after his labs showed unconjugated hyperbilirubinemia
a) Dubin johnson syndrome
b) Bile duct obstruction
c) Gilbert syndrome
d) Rotor syndrome
12) A child aspirated a peanut. In which lobar bronchus it must have lodged
a) Left upper
b) Right inferior
c) rt middle
d) rt superior
e) left inferior
13) Left 7th bronchopulmonary segment is called
a) lateral basal
b) anteromedial basal
c) lingual lobe
d) apicoposterior
e) posterior basal
14) The following does not have an associated valve
a) superior vena cava
b) inferior vena cava
c) coronary sinus
d) aorta
e) pulmonary trunk
15) The following is not present in relation to Posterior relations of left kidney
a) quadratus lumborum
b) psaos
c) colonic flexure
d) diaphragm
16) Normal quiet expiration is brought about by contraction/recoil of
a) diaphragm
b) elastic tissue in thoracic and lung wall
c) abdominal muscles
d) sternocleidomastoid
17) A child died of severe pneumonia. At autopsy, the lung shoed Warthin- fikelendenberg cells with many nuclei. causative organism:
a) Ebola virus
b) CMV
c) measles virus
d) rubella virus
e) pneumocystis carinii
18) The following disease most severely affects the esophageal phase of swallowing
a) myasthenia gravis
b) scleroderma
c) poliomyelitis
d) stroke
19) The normal esophagus is
a) 10 inches in length
b) lies entirely in the thoracic cavity
c) consists entirely of skeletal muscle
20) A 26 yr old girl 28 week of gestation developed vomiting...bilirubin 20mg/dl,SGOT 272 and SGPT 220 .2 weeks back she went to meet her parents in a remote village. she has no history of any blood transfusion or past surgery.whats her diagnosis
a) hepatitis A
b) hep B
c) hep c
d) hep d
e) hep e
21) Genes are
a) intron
b) exon
c) DNA
d) RNA
e) ribosome
22) Lymphatic drainage of medial quadrant of breast
a) axillary
b) internal memory lymph node
23) Renal excretion of a drug
a) depndnt on GFR
b) ......
24) Menopause is associated with
a) low estrogen and high FSH and high LH
b) low estrogen and high FSH and low LH
c) high estrogen and low FSH and LH
d) low estrogen and normal FSH and LH
25) A 20 yr old girl with type 1 diabetes is brought to emergency in semi comatosed condition. An injection of insulin given to her will raise her
a) blood sugar level
b) pH of blood
c) urinary excretion of ketones
26) Which one of the Following is terratogenic
a) alcohol
b) coffee
c) heroin
d) Phenothiazine
e) tobacco
27) Lamia propria of vagina is made up of
a) collgen fibres
b) reticular
c) elastic......
28) Which of the following is not forming double peritoneum layer
a) broad ligament
b) suspensory lig
c) mesovarium
d) mesosalpinx
e........
29) Richest in triglycerides
a) chylomicrons
b) LDL
c) VLDL
d) HDL
30) At the end of a marathon race, a person has
a) high insulin and low glucagon
b) high glucagon and high insulin
c) high glucagon and low insulin
d) high cortisol
31) A pts GFR dropped from 100 to 20. If the serum creatinine was 1 with GFR 100ml/min, the new serum creatinine would be
a) 0.5
b) 2.0
c) 5.0
d) 30
e) 20
32) Target tissue of Rickettsia??
a) endothelial cells
b) nervous tissue
c) macrophages
d) muscle cells
e) blood cells
33) Most effected organ by dental radiology-
a) brain
b) thyroid gland
c) lungs
d) heart
34) Which nerve is most likely to damage during 3rd molar surgical removal?
a) mandibular nerve
b) inferior alveolar nerve
c) lingual nerve
d) baccal nerve
35) A patient presented to emergency in a semicomatosed condition after an RTA with multiple long bone fractures with BP 80/50 mmHg. What will u do?
a) volume replacement
b) oral airway
c) tracheostomy
d) splinting of fractures
e)
36) Which of the following drugs is proved to be beneficial in the treatment of Subdural haematoma?
a) Atenolol
b) nifedipine.
c) losartan
d) nimodipine
37) Which of the following tumors in children is due to gene amplification?
a) Neuroblastoma
b) retinoblastoma
c) Wilms tumor
38) Chronic diarrhea can be due to
a) giardiasis
b) crohn’s disease
39) A patient presented with sore throat & fever. blood picture shows atypical lymphocytes. diagnosis is
a) aids
b) infectious mononucleosis
40) Changes in V1 & avf indicates
a) anterior wall MI
b) inferoir wall MI
41) A Patient presented with cysts in liver,cause can be
a)teania solium
b)teania echinococccus
42) 3rd heart sound is due to
a) rapid ventricular filling
b) AV valves closure
43) Following is responsible for CNS myelination
a) shwan cell
b) oligodendrocyte
44) Pt presented in emergency in unconcious sate,,,resport indiactes hematoma in right parietal region, cause is
a) internal carotid artery
b) basilar artery
c) middle cerebral artery
45) Functional residual capacity
a)can b measured by spirometry
b) RV+ERV
46) A Diagnosed case of emphysema presents in emergency with dyspnea, examination shows decreased breath sounds & hyper -resonance,investgation to evaluate cause is
a) chest x-ray
b) ABG'S
47) In adults, spinal cord ends at level of
a) L1
b) L3
c) L2
Perhaps it was middle meningeal artery in the above question
48) Upper end of esophagus is at the level of
a) C6
b) C7
c) T1
49) Fluid having 0.5gm protein/dl
a) CSF
b) Lymph
c) plasma
d) serum
50) Severe blood transfusion reaction will occur
a) A+ given to A-
b) AB+ given to O+
51) In achlasia cardia, there is
a) Decreased resting tone of LES
b) Increased no of ganglia in myenteric plexus
c) Decreased no of ganglia in myenteric plexus
52) Renal clearnace
a) depends on GFR
b) decrease in infants
53) Cerebellum lesion can cause
a) adiadokinesia
b) static tremors
c) hypertonia
d) sensory loss in body
54) A patient presented in the ER with an acute onset of severe chest pain radiating towards the left arm and jaw with a BP of 130/80 mm of Hg.ECG shows ST segment elevation; cardiac enzymes are normal.What is the diagnosis?
a) Acute MI
b) Ruptured Aortic Aneurysm
55) A patient presents with scanning speech & intention tremors, lesion is in
a) cerebellum
b) basal ganglia
56) There were 2 or 3 questions regarding acid-base balance but dont rememer the values..
57) Increase level of erythropoetin is seen in
a) lung carcinoma
b) renal CA
c) cerebellar tumor
58) A young 20yr old guy while climbing stairs had sudden sharp Rt sided chest pain. Cause
a) ventilation-perfusion mismatch
b) blockage of pulm capillary
c) Fall in PO2
d) Fall in atm pressure
e) ……..
59)A pt. on MAO inhibitor is given 1st dose of barbiturate will develop
a) coma
b) insomia
c
d
60) A lady in 3rd trimester comes with hypertension and edema . she has history of seizures . the treatment of choice will be
a) MGSO4
b) methyldopa
c) clonidine
61) Which of the following develop from endoderm ?
a)
b) gonads
c)
d) palatine tonsil
62) Cannon wave is associated with
a) tricuspid regurgitation
b) complete heart block
63) Which of the following property prevent heart muscles from tetanization?
a) rythymicity
b) prolong refractory period
64) A pt. comes to emergency with severe SOB for 4 hours,ecg shows ST elevation , serum cardiac enzymes are not raised , the most likely diagnosis is
a) MI
b) pulmonary emboli
c) retrosternal goiter
65) Jaw angle is innervated by
a )
b)
c)
66) pH 7.3 , pCO2 30 ,hco3 18 , pt. most likely to have (exact scenario not memorized)
a)
b)
67) Half life of a drug is 2 mins , how long it'll take to reach steady state concentration?
a) 4 mins
b) 9 mins
c) 16 mins
68) The pt. is suffering from UTI , the diagnosis is confirmed by
a) urine culture
b) blood culture
c) urine + blood culture
69) The most potent stimulant for erythropoietin?
a)
b) hypoxia
70) The true statement about growth hormone is
a)
b)
c)
d ) its a polypeptide
1) If a person came to u with infertility and azospermia what would be the best test
a) FSH+LH b) prolactin c) buccal smear d) LH e) testosterone
2) whats Hb H disease??
a) omission of 3 alpha chains of Hb
b) presence of barts hemoglobin
c) requires frequent blood transfusion
3) which one is not the part of brainstem?
a) pons
b) cerebral peduncles
c) cerebellum
d) superior colliculus
e) mesencephalon
4) Radiation affects/causes injury to......
a) cell membrane
b) nucleus
c) cytoplasm
d) mitochondria
5) cerebellar lesion causes
a) adiadokinesia
b) sensory loss
c) motor weakness
d) hypertonia
6) ovarian ca metastasizes early to......
a) lung
b) peritoneum
c) stomach
d) opposite ovary
7) Isthmus of thyroid gland lies against the tracheal rings:
a) 1st and 2nd
b) 2nd and 3rd
c) 3rd and 4th
d) 4th and 5th
e) 5th and 6th
8) Lymphoid nodules are not present in
a) spleen
b) thymus
c) tonsil
d) peyers patches
9) Most common Souce of pulmonary emboli
a) femoral vein
b) popliteal vein
c) periprostatic veins
d) periovarian veins
e) superficial saphenous vein
10) A lady suffered an injury in a RTA and became unable of flex both her leg and thigh. The muscle most likely affected
a) Biceps femoris
b) Rectus femoris
c) Semimebranosus
d) sartorius
e) semitendinosus
11) A child sufferd from repeated episodes of mild jaundice. Diagnosis after his labs showed unconjugated hyperbilirubinemia
a) Dubin johnson syndrome
b) Bile duct obstruction
c) Gilbert syndrome
d) Rotor syndrome
12) A child aspirated a peanut. In which lobar bronchus it must have lodged
a) Left upper
b) Right inferior
c) rt middle
d) rt superior
e) left inferior
13) Left 7th bronchopulmonary segment is called
a) lateral basal
b) anteromedial basal
c) lingual lobe
d) apicoposterior
e) posterior basal
14) The following does not have an associated valve
a) superior vena cava
b) inferior vena cava
c) coronary sinus
d) aorta
e) pulmonary trunk
15) The following is not present in relation to Posterior relations of left kidney
a) quadratus lumborum
b) psaos
c) colonic flexure
d) diaphragm
16) Normal quiet expiration is brought about by contraction/recoil of
a) diaphragm
b) elastic tissue in thoracic and lung wall
c) abdominal muscles
d) sternocleidomastoid
17) A child died of severe pneumonia. At autopsy, the lung shoed Warthin- fikelendenberg cells with many nuclei. causative organism:
a) Ebola virus
b) CMV
c) measles virus
d) rubella virus
e) pneumocystis carinii
18) The following disease most severely affects the esophageal phase of swallowing
a) myasthenia gravis
b) scleroderma
c) poliomyelitis
d) stroke
19) The normal esophagus is
a) 10 inches in length
b) lies entirely in the thoracic cavity
c) consists entirely of skeletal muscle
20) A 26 yr old girl 28 week of gestation developed vomiting...bilirubin 20mg/dl,SGOT 272 and SGPT 220 .2 weeks back she went to meet her parents in a remote village. she has no history of any blood transfusion or past surgery.whats her diagnosis
a) hepatitis A
b) hep B
c) hep c
d) hep d
e) hep e
21) Genes are
a) intron
b) exon
c) DNA
d) RNA
e) ribosome
22) Lymphatic drainage of medial quadrant of breast
a) axillary
b) internal memory lymph node
23) Renal excretion of a drug
a) depndnt on GFR
b) ......
24) Menopause is associated with
a) low estrogen and high FSH and high LH
b) low estrogen and high FSH and low LH
c) high estrogen and low FSH and LH
d) low estrogen and normal FSH and LH
25) A 20 yr old girl with type 1 diabetes is brought to emergency in semi comatosed condition. An injection of insulin given to her will raise her
a) blood sugar level
b) pH of blood
c) urinary excretion of ketones
26) Which one of the Following is terratogenic
a) alcohol
b) coffee
c) heroin
d) Phenothiazine
e) tobacco
27) Lamia propria of vagina is made up of
a) collgen fibres
b) reticular
c) elastic......
28) Which of the following is not forming double peritoneum layer
a) broad ligament
b) suspensory lig
c) mesovarium
d) mesosalpinx
e........
29) Richest in triglycerides
a) chylomicrons
b) LDL
c) VLDL
d) HDL
30) At the end of a marathon race, a person has
a) high insulin and low glucagon
b) high glucagon and high insulin
c) high glucagon and low insulin
d) high cortisol
31) A pts GFR dropped from 100 to 20. If the serum creatinine was 1 with GFR 100ml/min, the new serum creatinine would be
a) 0.5
b) 2.0
c) 5.0
d) 30
e) 20
32) Target tissue of Rickettsia??
a) endothelial cells
b) nervous tissue
c) macrophages
d) muscle cells
e) blood cells
33) Most effected organ by dental radiology-
a) brain
b) thyroid gland
c) lungs
d) heart
34) Which nerve is most likely to damage during 3rd molar surgical removal?
a) mandibular nerve
b) inferior alveolar nerve
c) lingual nerve
d) baccal nerve
35) A patient presented to emergency in a semicomatosed condition after an RTA with multiple long bone fractures with BP 80/50 mmHg. What will u do?
a) volume replacement
b) oral airway
c) tracheostomy
d) splinting of fractures
e)
36) Which of the following drugs is proved to be beneficial in the treatment of Subdural haematoma?
a) Atenolol
b) nifedipine.
c) losartan
d) nimodipine
37) Which of the following tumors in children is due to gene amplification?
a) Neuroblastoma
b) retinoblastoma
c) Wilms tumor
38) Chronic diarrhea can be due to
a) giardiasis
b) crohn’s disease
39) A patient presented with sore throat & fever. blood picture shows atypical lymphocytes. diagnosis is
a) aids
b) infectious mononucleosis
40) Changes in V1 & avf indicates
a) anterior wall MI
b) inferoir wall MI
41) A Patient presented with cysts in liver,cause can be
a)teania solium
b)teania echinococccus
42) 3rd heart sound is due to
a) rapid ventricular filling
b) AV valves closure
43) Following is responsible for CNS myelination
a) shwan cell
b) oligodendrocyte
44) Pt presented in emergency in unconcious sate,,,resport indiactes hematoma in right parietal region, cause is
a) internal carotid artery
b) basilar artery
c) middle cerebral artery
45) Functional residual capacity
a)can b measured by spirometry
b) RV+ERV
46) A Diagnosed case of emphysema presents in emergency with dyspnea, examination shows decreased breath sounds & hyper -resonance,investgation to evaluate cause is
a) chest x-ray
b) ABG'S
47) In adults, spinal cord ends at level of
a) L1
b) L3
c) L2
Perhaps it was middle meningeal artery in the above question
48) Upper end of esophagus is at the level of
a) C6
b) C7
c) T1
49) Fluid having 0.5gm protein/dl
a) CSF
b) Lymph
c) plasma
d) serum
50) Severe blood transfusion reaction will occur
a) A+ given to A-
b) AB+ given to O+
51) In achlasia cardia, there is
a) Decreased resting tone of LES
b) Increased no of ganglia in myenteric plexus
c) Decreased no of ganglia in myenteric plexus
52) Renal clearnace
a) depends on GFR
b) decrease in infants
53) Cerebellum lesion can cause
a) adiadokinesia
b) static tremors
c) hypertonia
d) sensory loss in body
54) A patient presented in the ER with an acute onset of severe chest pain radiating towards the left arm and jaw with a BP of 130/80 mm of Hg.ECG shows ST segment elevation; cardiac enzymes are normal.What is the diagnosis?
a) Acute MI
b) Ruptured Aortic Aneurysm
55) A patient presents with scanning speech & intention tremors, lesion is in
a) cerebellum
b) basal ganglia
56) There were 2 or 3 questions regarding acid-base balance but dont rememer the values..
57) Increase level of erythropoetin is seen in
a) lung carcinoma
b) renal CA
c) cerebellar tumor
58) A young 20yr old guy while climbing stairs had sudden sharp Rt sided chest pain. Cause
a) ventilation-perfusion mismatch
b) blockage of pulm capillary
c) Fall in PO2
d) Fall in atm pressure
e) ……..
59)A pt. on MAO inhibitor is given 1st dose of barbiturate will develop
a) coma
b) insomia
c
d
60) A lady in 3rd trimester comes with hypertension and edema . she has history of seizures . the treatment of choice will be
a) MGSO4
b) methyldopa
c) clonidine
61) Which of the following develop from endoderm ?
a)
b) gonads
c)
d) palatine tonsil
62) Cannon wave is associated with
a) tricuspid regurgitation
b) complete heart block
63) Which of the following property prevent heart muscles from tetanization?
a) rythymicity
b) prolong refractory period
64) A pt. comes to emergency with severe SOB for 4 hours,ecg shows ST elevation , serum cardiac enzymes are not raised , the most likely diagnosis is
a) MI
b) pulmonary emboli
c) retrosternal goiter
65) Jaw angle is innervated by
a )
b)
c)
66) pH 7.3 , pCO2 30 ,hco3 18 , pt. most likely to have (exact scenario not memorized)
a)
b)
67) Half life of a drug is 2 mins , how long it'll take to reach steady state concentration?
a) 4 mins
b) 9 mins
c) 16 mins
68) The pt. is suffering from UTI , the diagnosis is confirmed by
a) urine culture
b) blood culture
c) urine + blood culture
69) The most potent stimulant for erythropoietin?
a)
b) hypoxia
70) The true statement about growth hormone is
a)
b)
c)
d ) its a polypeptide
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