Anaesthesia, Nov 2011 paper 2

Anaesthesia FCPS 2011,November paper 2

Please Note: The contributor of these questions requests your prayers if you find them useful. But have not provided their name. 

1. what is true about critical temperature:
 a. applies on mixture of gas.
 b. of co2 is 31c
 c. of oxygen is 121c
 d. of nitrogen is 21c
 e. is temperature below which pressure can keep gas liquid

 2. Humidity in OT should be
 a.27
 b.45
 c.37

 3. Ropivacaine is used for epidural anaesthesia instead of bupivacaine during labour,because
 a. it is less toxic
 b. no effect on fetus
 c. recovery is quick
 d. prolonged action

 4. half life of pseudocholine esterase is
 a. 2 hours
 b. 1 week
 c. 3 days
 d. 12 hours

 5. regarding phosphodiestease inhibitor (I can just recall there was some option regarding its inactivation of cAMP,,which I ticked..but don’t remember exactly now what the other options were )

 6. volume of distribution depends on following except
 a. age
 b. gender
 c. lipid solubility of a drug

 7. what is true about FRV volume.
 a. increased in shallow breathing
 b. nitrogen breath test can measure it
 c. it is part of minute ventilation
 d. can be measured by helium dilution metho

 8.regarding coanda effect what is true
 a. can explain ischemia of myocardium
 b. do not explains vascular flow
 c. explains unequal distribution of air in alveoli

 9. regarding flow of gas in a tube,directly proptional to
 a. radius
 b. pressure difference
 c. viscosity

 10.flow of inhalational gases across memebrane is directly propotional to..
 a. surfactant produced
 b. transalveolar pressue
 c. hypoxia

 11. which one of following anti emetic has max bioavalability
 a- ondansteron
 b- cyclizine
 c- droperidol
 d- metoclopramide
 e- porcholrperazine

 12.which one of following drug worsens angina
 a.verapamil
 b.isossorbide dinitrate
 c.propanolol
 d.lisinopril

 13.which one of following used in CCF but is not a vasodilator…
 a.verapamil
 b.nifedipine
 c.nimodipine
 d.metoprolol
 e.diltiazem

 14.drug of choice in prizmental angina
 a.isosorbide dinitrate
 b.nitoglycerine
 c.diltiazem

 15.nitous oxide is a .. a.analgesic,, b.vasodilator

 16. regarding paracetamol what is true…
 a.increases PT…
 b.is nephrotoxic
 c.not an anti inflammatory
 d.more potent analgesic than codeine
 e.causes met-Hb.emia more frequently than Phanacetin

 17.child with burn 6 hour back brought to ER for dressing. Family history of sibling died under GA is positive…you are cautious regarding using succinylcholine in this patient why?
 a. Chances of malignant hyper thermia increases
 b. hyperkalemia
 c. due to increased risk of prolonged muscle contractions

 18.sensory supply of dura is by all except
 a.trigeminal nerve
 b.cervical nerves
 c.vagus nerve
 d.hypoglossal nerve

 19.Mac of isoflurane is a.0.3 b.0.5 c.1.2 d.1.5

 20.mac is reduced in…
 a. duration of anaesthesia
 c. hypoxia,

 22. which one irritates larynx..
 a. desflurane
 b. isoflurane
 c. sevoflurane
 d. nitrous oxide

 23.isoflurane effects cardiac activity by: (options don’t remember exactly,but the main theme was how isoflurane actually suppresses cardiac activity,mechanism of action )
 a. decreasing AV conduction
 b. inhibiting intracellular phospateases
 c. bidirectional block (something like that ,exact term don’t remember but it was bi- )
 d.

 24. all of the following are tributaries of internal jugular vein except:
 a. sigmoid sinus
 b. lingual vein
 c. superior thyroid
 d. oocipital vein

 25. After induction of anesthesia by 10 mg/kg thiopentone, pt is hypotonic. Cause ?
a. hypersensitivity
b. dec HR
c. dec contractility

 26.which one of following has steroid nucleus.
 a.ketamine
 b.profol
 c.thiopental
 d.midazolam

 27.which one is potent bronchodilator,can be used in asthmatic patients
 a.ketamine
 b.propofol

 28.regarding isoflurane one correct statement..
 a.recommended for anaesthesia induction,,
 b.
 c.

 29.thiopental effects on cvs:
 a.transient fall in bp
 b.

 30. ketorolac drug of choice in…
 a.. a patient of thoracotomy wid oozing wounds
 b. diabetic patient undergoing hemicolectomy
 c.
 d.

 31. correct statement regarding inferior vena cava …
 a.commences at L5
 b.tributaries similar to aorta
 c.lies posterior to right adrenal gland
 d.is related to bare area of liver

 32. regarding left adrenal vein drains into…
 a. inferior vena cava
 b. left renal vein

 33. adrenaline is added to local anaesthetic to restrict its…
 a.toxicity

 34. regarding cvp whats true….
 a. always low in all types of shock.
 b. give accurate measurement when catheter in rt atrium
 c. gives clue about pulmonary edema
 d. reading 5cm H2o is equal to 10 mmhg

 35.patient in ot undressed..heat loss is by
 a.radiation n conduction

 36.if ventillation increasd.
 a.dead space develops

 37.laminar flow what is true….
 a. directly proportional to viscosity

 38. transducer is…
 a .convert one energy form into another

39.patient on htnsive drug now comes in shock ,known hypertensive,, Serum Potassium is 5..Diagnosis? a.hemolysis
 b.CRF
 c.ARF

 40. whats true about montoux test..
 a.reaction type is type 4

 41.prednisolone..( cant recall what they asked,just remember there was a question regarding it as well ) 

42.in sternous exercise wats not increased….
 a.heart rate
 b.cardiac output
 c.respiratory rate
 d.blood pressure

 43.pulse pressure
 a. is differance of systolic and diastolic pressures
 b. decreases in old age

 44. cardiac index is..
 a. cardiac output to body surface area (BSA),
 b.difference of end systolic volume and end diastolic volume

 45. lysosomes
 a. produced by golgi apparatus
 b. has hydrolases n catalases
 c. has oxidases

 46.regarding carotid sheath,correct statement is:
 a.contents are carotid artery,vagus nerve,internal jugular vein
 b.formed by condensation of pretracheal fascia 

46.adenosine mode of action… a.

47.dopexamine

 48.bronchial tone circadian rhythm max at …a.early morning

 49.3rd space fluid loss.fluid of choice is…
 a. blood,plasma
 b.10%dextrose
 c. ringers lactate
d. normal saline

 50.class three antiarhythmic name
 a. quinidine
 b. pilocarpine
 c. lidocaine

 51.10-15% blood loss,,replace by ..
 a. whole blood
 b. three times normal saline
 c. ringers lactate
 52.pulmonary ligament is
 a. in which lung root sinks during respiration
 b. a recess in parietal pleura
 c.formed by condensation of Sibson fascia

 53.supra pleural fascia is …..
 a.thickining of pretrachial fascia
 b.attached to first rib
 c.moves with respiration,
 d.subclavian vessels crosses it superiorly

 54. chorda tympani,select one false…..
a. supplies posterior 2/3 of tongue,
b .leaves through styloid mastoid foramen.
. c. passes over upper part of medial side of tympanic membrane

 55.all are mesoderm derivative except… .

56.road traffic accident ,patient now having bleeding from left ear n left eye pupil dilated,which cranial nerve damaged
 a.occulomotor
 b.trigeminal
c.trochlear
d.facial

 57.thoracic part of sympathetic trunk supplies all except..
 a. heart,
 b. lungs,
 c. aorta,
 d. parietal pleura 

58.respiratory quotient is
 a.carbondioxide produced per oxygen utilization

 59.mac of sevoflurane with 60% N2O
 a. 0.66-0.68

 60.which of following joint is immoveable
 a.manubrosternal
 b.sternoclavicular
 c.symphsis pubis
 d.shoulder joint

 61.dorsal rami of cervical spinal nerves supply

 62.regarding bronchopulmonary segments correct statement is
 a.has a segmental bronchus
 b.anatomical ,surgical,functional unit of lung

 63.which of following organism causes menigites sec. to pyogenic lung abcess
 a.streptococcus
 b.staphyllococcus
 c.h.influenza
 d.neisseria

 64.true regarding trachea
 a. contains macrophages in alveoli
 b. incomplete cartilages in airway tract tubes
 c. cilliated epithelium uptil terminal bronchus

 65.nitrogen breath test can be used for a.measuring dead space .

 66.regarding right brachiocepahilc vein,what is true
 a. has valve
 b. right is longer than left
 c. commences at level of t4
 d. is vertical

 67.filling of ventricle produces which heart sound .

 68.lymph is drained into
 a.spleen
 b.thymus
 c.lymph node 

69.regarding inferior vena cava,what is true ..
 a.commences at L5
 b.lies posterior to right renal gland
 c.related to bare area of liver
 d.has tributaries similar to aorta 

70.regarding internal jugular vein
 a.continuation of sigmoid sinus,
 b.hypoglossal nerve crosses it anteriorly,,
 c.lingual nerve is its tributary,

 71.anterior inferior cerebellar artery is a branch of
 a.pica
 b.basillar artey
 c.vertebral artery
 d.posterior cerebral artery

 72.which of following doesn’t have any sensory supply
 a.hypoglossal nerve,
 b.vagus nerve,
 c.occulomotor nerve,,
 d.trochlear nerve

 73.a patient is inducted with an inhalational agent,he develops bronchospasm n airway irritation, (I think in question it was also mentioned about mac of that agent and it was < 0.1 ,,don’t remember exactly ) which agent is responsible for this:
 a.isoflurane
 b.desflurane
 c.halothane
 d.sevoflurane

 74.what is true about amide local anaesthetics: a.they are bound to albumin

 75.regarding ropivacaine what is true
 a.less cardiotoxic
 b.long duration of action
 c.equally effective than bupivacaine
 d.pKa is equal to that of bupivacaine

 76.most toxic local anaesthetic is: a.bupivacaine b.ropivacaine c.lidocaine d.dimethocaine 

77.suxamethonium causes tachycardia in a patient ,,what is the mechanism ?
a.it blocks nicotinin receptors at post synaptic junction
b.it blocks nicotinic receptors at autonomic ganglia
c.it blocks muscarinic receptors at postsynaptic terminal

 78.you have given a dose of suxamethonium in a patient ,now u have to give another dose,you are very cautious regarding second dose,why ?
 a.because of hyperkalemia
 b.because of hypocalcemia

 79.regarding ropivacaine what s true:
 a.low ph increases its shelf life
 b.more toxic than bupivacaine
 c.it is a recemic mixture

 80.piperacurium is preferred over pancuronium because
 a.renal excretion is less
 b.cardiovascular stability is more

 81.which local anaesthetic causes methaemoglobinemia:
 a.lidocaine
 b.bupivacaine
 c. Prilocaine d.

 82.half life of pseudocholinesterase is:
 a.12-16 weeks
 b.3 hours
 c.2 days

 83.orifice of a tube is small,flow of gas through small orifice affected by which parameter
: a.presseure difference
 b.density
 c.radius

 84.what is true about viscosity? a.it decreases on increasing temperature

 85.in pregnancy respiratory rate increases which hormone is responsible for that : a.estrogen b.prolactin c.thyroid d.progesterone

 86.in huntingtons chorea succinyl choline is contraindicated ,why? a.pseducholine esterase is deficient

 87.ace inhibitor acts in ccf by .. a.reducing cardiac out put .b.by decreasing av conduction c.by decreasing SA and AV conduction

 88.which one of following is correct : a. po2 90 spO2 1OO% b. po2 60 spO2 90% c. po2 50 spO2 60%

89.in how many percentage of population malignant hyperthermia chances exist? a.<50% b. 60% c. 80%

90.cis atrecurium is preferred over atricurium why? a.due to less production of metabolites b.dosesnot release histamine 91.preganglionic sympathetic supply to sublingual gland is transmitted along which cranial nerve

92.regarding why nitrous not used in abdominal surgeries correct statement is: a.distends intestine

 93. ECG of a patient shows progressively increasing PR intervals followed by dropped beat. What is the condition? a) Third degree heart block b) Mobitz Type 1 c) Sinus arrhythmia d) Mobitz Type 2

94.one case scenerio was given in which ph was 7.4,,pCO 2 was 60,,and HCO3 was 26 a.respiratory acidosis b.type 1 respiratory failure and compensated respiratory acidosis c.type 2 respiratory failure and compensated respiratory acidosis d.metabolic alkalosis

 95.best indicator of preload is: a.pulmonary capillary wedge pressue b.ventricular end diastolic volume c.end systolic volume d.organ perfusion

 96.All are the branches of Vagus nerve EXCEPT a) Auricular b) Lacrimal c)Pharyngeal d) Recurrent Laryngeal

 97.About CSF most appropriate statement is a) it is ultrafilterate of Plasma b) has more glucose than blood c) has cushioing effect d) absorbed in Choroid Plexus

 98.sodium in blood is electrically balanced by .chloride ion .bicarbonate .rest options don’t remember 

99.maximum map is in a.ivc b.svc c.pulmonary artery d.capillaries

 100.glucose tranports across membrane due to its concentration difference,it is called: a.diffusion b.facilitated diffusion c.active tranport d.sec. active tranport

 101.cell is in complete depolarization phase in : a.qrs complex b.QT interval c.ST segment d.T wave 

102. Muscle relaxant that can be given to an asthmatic pt a. atracurium b. tubocurare c. cisatracurium d. suxa 

103.Regarding Laudanosine,all true except (exact options don’t remember but I guess they were like this ) a.metabolite of atra and cis curium b.less conc . produced by cis than atracurium c. crosses blood brain barrier d.cns depression

 104.regarding intracranial part of facial nerve what is true: a.give rise to greater petrosal nerve b.nerve to submandibular gland c.nerve to tensor tympani

Help me to help you guys!

Dear All,

Assalam o Allaikum.

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

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

Happy preparation!

Dua ki derkhast ke saath,

Sultan.

Medicine 25th May, 2010

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

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

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

‘’ DR. BUTTERFLY ’’



Thanks a lot.keep doing good work


25th may, 2010


PAPER 1 and 2.

DO CONFIRM THE ANSWERS

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

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

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

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

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




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

14,

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

15,

Cephalic vein
a) Present in deltopectoral groove

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

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

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

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

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

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

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

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

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


26,
Dec aldosterone will lead to
a) Hyponatremia

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

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


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

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

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

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


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

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

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

36,
What is therapeutic index of a drug?

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

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

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

40,

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

41,
Atrophy means
a) Dec in cell size

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

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


45,
After gastrectomy what can happen

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

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

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

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

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

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

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

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

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

ans
b

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

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

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

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

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

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

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

69,
Tuberculous meningitis
a) Inc lymphocytes in csf

70,
Bladder ca caused by
a) Schistosoma haematobiam

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

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

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

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

75,
Cardiac output
a) Measured by fick principle

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

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

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

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


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

82,
Diagnosis of pneumothorax?
a) Xray chest

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

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

85,

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

86,

Renal plasma flow is determined by
a) PAH

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

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

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

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

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

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


94
Pilocarpine is nicotinic
a) Agoist
b) Antagonist

95
Diagnosis of klinefeltrs syndrome
a) Barr body

96
Which drug interers with warfarrin
a) Cemetidine

97
Adverse effect of chlorpromazine

a) Extrapyrimidal

98
Mechanism of action of captopril
a) Ace inhibitor

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

100

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

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


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

103

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

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

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

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

111

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

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

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

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

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

116

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

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

118

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


119

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


120

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


121

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


122

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


123
Which is pierced during LP
A) Dura matter

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


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


126
Factor Dec wound healing
a) Vit c deficiency

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

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



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


130
Bronchopulmonary segment
a) Anatomical and functional unit iof lung

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

132
Antibodies are produced by
a) Plasma cells

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


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

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


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


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


138
Hemibalismus due to damage to
a) Subthalamic N.

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

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


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


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


143
Ph 7.4 po2 65 pco2 33 hco3 19

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

144
What happens on mountain aclimitization?
a) Ventilation inc

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


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


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


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

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


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


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

152

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


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

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

155

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

156

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



157

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


158

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


159

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

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


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

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

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


164

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

165

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

166
Inputs to cerebellum
a) From vestibular system

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

168
Parasympathetic stimulation causes
a) Ciliary muscle contraction

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

170

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


171

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


172

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


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


174

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


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

176

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

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

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

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

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

181

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



Wishing all the part1 candidates GUDLUCK


DR. BUTTERFLY
FJMC,LAHORE.

MEDICINE JUNE 2009

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

2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial

3. Drug used for mountain sickness
acetazolamide
scopolamine

4.Corneal opacities r caused by
ethambutol
phenothiazides


5. Captopril causes
hypokalemia
hyper kalemia

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

7. Which is P450 inducer
isoniazid
phenobarbitone
cometidine
ketoconazole

8. Which causes decreased gastric motility
Magnesium Sulphate
Aluminium Hydroxide


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

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

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

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

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

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

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

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

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

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

21. ejaculation is caused by
sympathetic
parasypathetic
both

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

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

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

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

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

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

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

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

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

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

idiopathic thrombocytopenic purpura
aplastic anemia
Hemophilia

32. Hemophilia is
X linked recessive
Autosomal dominant
Autosomal recessive

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

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

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

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

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

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

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

50. which is present in cavernus sinus
abducent nerve

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

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

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

54. germ cells r derived from
ectoderm
endoderm
mesoderm

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

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

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

58. which is thick filament
actin
myosin

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

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

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

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


64 babinski sign is positive in
pyramidal lesion
cerebellar lesion

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

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

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

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

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

70. hamartoma is
benign tumor
malignat tumor

71. medullary rays r present is
cortex
medulla

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

73. which is essential amino acid
phenyal alanine


74. which is teratogenic
alcohol

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

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


78. which causes dysphagia
ankylosing spondylitis
scleroderma
dermatomyositis

79. iron deficincy anemia is
hypochromic microcytic

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

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

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



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

84. selective beta blockers do not cause
broncho spasm

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

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

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

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


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

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

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

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


94. beetle chewing causes
submucuous fibrosis
leukoplakia
keratosis

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

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

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


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

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

101. which protein maintains red cell shape
integrin
secretin
spectrin

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

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

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

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

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

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

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

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

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

113. thiazide diuretics
donot require potassium supplemets

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

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

116. cerebral cortex is concerned with
voluntary movements of body

117. DVT is causes by
stasis of blood

118. lacrimal duct opens in
inferior meatus
middle meatus

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

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

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

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

123. Lambda chain is present in
amyloidosis

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

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


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

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

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

130. gastric Acid increases most after taking
carbohydrate
protein
fats

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

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

133. Bence jones protein are produced in
multipla myeloma

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

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

136. ADH acts on
Proximal tubule
Distal Tubule
Collecting Tubule

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

138. Cerebellar lesion causes
Ataxia

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

140. PTH remains normal in
renal insufficiency
osteoporosis

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


also 6 -7 questions about aldosterone and blood pressure control

GYNAE OBS JUNE 2009

Gyn Obs JUNE 2009. Recalled By Syeda.


1-Etiology of cleft palate.

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

2-left cleft palat dt malformation of.,

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

3-germ cells derived from.,

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

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

5-which 1 contain granulosa cell,,

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

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

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

7-pentamer immunoglobulin is???

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

8-Regarding entameba histplytica....

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

9-cornybacterium diphtheria..,.,

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

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

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

11-shigella..

endotoxemia
neurotoxin
verotoxin
enterotoxin
exotoxin

12-corneal opacity caused by..

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

13-drug inducer by p450 mechanism,..

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

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

IL1
IL6
TNF ALPHA
LIPOPOLYSACHARRIDE

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

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

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

ext oblique apponeurosis
lacunar lig
internal oblique
conjoint tendon
transversalis fascia


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

18-vaccination of mycobacterium T.B based on

Type I hypersensitivity
Type II
Type III
TYPE IV Cell mediated

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

20-ultrasound..

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


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

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

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

24-pie chart

25-wch 1 is absent in muscles

Glucose 6 po4ase
Hexokinase


26-end product of glucose metabolism

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

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

Insulin

28-fetal brain development

Growth hormone
Thyroid hormone

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

Alanine
Tyrosine
Glycine’glutamine

30-folllowing phagocytic cell present in circulation?

Monocyte
Macrophage
Lymphocyte
Neutrophils
31-morphine can be given in

Biliary cirrhosis
Terminal ill patient of cancer
Acute pancreatitis

32-functional layer of endometrium consists of

Stratum basal
Stratum compactum nd stratum spongiosum
Stratum basal nd compactum

33-maldevelopment of uro-rectal septum ,,

Rectovag fistula
Rectouterine fistula
Imperforate anus
Rectoperineal fistula

34-structure lying b/w labium majus nd minus

Urethral gland
Bulbourethral gland
Minor urethral gland

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

Ischiocavernosus
Ext urethral sphincter
Bulbospongiosus
Transverse perineal muscle

36-lymphoide nodule nt present in

Thymus
Spleen
Lymphnode



37-Notochord forms
Neural tube
Cns

38-epithelium of ovary
Simple cuboidal

39-pivot jt include

Atlanto occipital jt
Atlanto axial jt

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

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

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

43-post relation of left ureter

Root of mesentry
Iliac vessel

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

45-xerophthalmia dt
Vit A def

46-anti-oxidant
Vit E

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

49-regarding mammary tissues w/h is Not appropriate

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



50-lady died dt amniotic fluid embolism

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

51-pacinians corpuscles

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

52-H+ exchange in proximal tubules with

HCO3 reabsorption
K secretion

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

Metabolic alkalosis
Metabolic acidosis
Compensatory metabolic alkalosis

54-uterovag prolapse w/h lig is injured

Broad lig
Round lig
Transverse cx lig

55-alkaline po4ase rises in
Prostatic ca
BPH
Pancreatic ca

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

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

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

58-in thalassemia there is

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


59-intravascular haemolysis diagnosed by

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

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

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

62-acute inflammation

Transudate
Exudate
Inc protein content

63-w/h drug causing minimal GI side effects

Paracetamol
Aspirin
Ibuprofen
Ketorolac
Diclofenac

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

H-Infuenza
Ecoli
Niesseria

65-sepsis is diagnosed most appropriately by

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

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

67-virus not associated with ca in human

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


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

69-gonococcus is best easily diagnosed by

Gram staining
Culture
ZN stain

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

71-is not an embryonic remanant

Lat umbilical ligament

72-oxytocin nd vasopressin originate frm

Hypothalamus
Neyrohypophysin
Autonomic ganglion

73-sucrose

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

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

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

75-rough endoplasmic reticulum
Protein synthesis

76-fragility of rbcs membrane

Spectrin
77-behavioural sciences .definition

78-verbal communication skill

Speak fluently
Education nd research training
Presentation
Good vocabulary

79-Not a function of beta blockers

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

80- alpha blockers


81-centrally acting HTNsive

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

82-w/h 1 decrease the muscle length

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

83-cerebellar lesion,

Ataxia
Rigidity
Initiate muscle movement

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

C2
L2
S1
S2

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

Sup rectal art
Middle rectal art
Inf rect art
Internal iliac

87-inf fascia of urogenital diaghphram also called as

Perineal membrane

88-female pelvis also called as

Android
Anthropoid
Platypelloid
Mesatipellic

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

Bulbospongiosis


90-lumbar puncture

L2 L3
L3 L4
L4 L5
S1 S2

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

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

93-pregnancy is diagnosed by
Gonadotrophin hormone

94-urogenital diagphram inserted on

Ishchial tuberosity
Ischial spine
Sub pubic arch
Ischial ramus

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

Mylohyoid
Ant belly of diagastric

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

97-teratogenic

Alcohol
Caffeiene

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

A+
A_
O
AB

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

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


101-in muscle ca+2 release frm

sarcoplasmic reticulum
T-tubule
Sarcomere

102-sarcomere
b/w 2 z line

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

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

Abducent nerv
Trochlear
Occulomotor

105-in haemophilia

PT INC
APTT INC
Inc bleeding time

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

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

107-norepi + serotonin degraded by
MAO

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

109-to prevent heat loss
Shivering
Vasoconstriction

110-inc K
Aldosterone sec

SURGERY June 2009

SURGERY JUNE 2009. Recalled By Safwan. Thankyou.

(C) Means correct.

1. Gland of cloquet is located in:

a. inguinal canal

2. Below is a carcinogen:

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

3. Incidence is:

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

4. Following is correct about femur:

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

5. Subclavian artery passes:

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

6. Abdominal angina is caused due to:

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

7. Left Suprarenal vein drains into:

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

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

a. shistosoma (C)

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

a. shistosoma mansoni
b. schitosoma hematobium (C)

10. Oxidative breakdown of glucose during glycolysis generates:

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

11. Referred pain to shoulder is via:

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

12. Following is not palpable on per rectal examination:

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

13. Spinal cord ends at:

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

14. Femoral sheath is composed of:

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

15. Fracture at neck of fibula:

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

16. Posterior displacement of knee is prevented by:

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

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

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

18. Lymphatic supply of mammary glands is:

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

19. Defecation is because of:

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

20. Prolonged coma is because of lesion of:

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

21. Retrograde amnesia:

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

22. Projection fibers of cerebral cortex travel through:

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

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

24. Primordial germ cells are of:

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

25. Urorectal septum divides the cloaca into:

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

26. ADH and Oxytocin are released from:

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

27. Termination of subarachnoid space is at:

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

28. Following is true about middle meningeal artery:

a. Passes through foramen spinosum (C)

29. Mass reflex is elicited by:

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

30. Medial lemniscus system mediates:

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

a. Golgi spindles
b. muscle spindles (C)

32. Hamartoma is a:

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

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

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

34. Premalignant lesion of mouth is:

a. ??
b. ??

35. Complication of betel nuts chewing is:

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

36. Cleft palate is caused due to:

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

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

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

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

39. Enzyme for breakdown of serotonin and Norepinephrine is

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

40. Inducer of drug metabolism is:

a. ketoconazole
b. phenobarbitone (C)

41. Lesions of cerebellum causes:

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

42. Essential amino acid is:

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

43. Slow growing tumour of thyroid is:

a. papillary
b. follicular
c. adenoma

44. Following are features of thyroid tumour:

a. ??

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

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

47. Which nerve lies in the cavernous sinus cavity:

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

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

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

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

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

50. Tympanic membrane forms:

a. lateral wall of tympanic cavity

51. Thyroid gland is surrounded by which fascia:

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

52. Azygous vein:

??

53. Facilitated diffusion is:

a. energy dependent
b. carrier mediated (C)

54. The most significant prepotential is that of:

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

55. Best mechanism for temperature loss:

a. Vasonconstriction
b. thirst
??
??

56. Acute inflammation:

a. transudate
b. exudate (C)

57. alpha-adrenergic discharge leads to:

a. cardioacceleration
b. baroreceptor reflex

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

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

59. H+ ion secretion is in:

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

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

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

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

a. Diphylobothrium (C)

63. Ileal resection leads to:

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

64. Aldosterone production is stimulated via:

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

65. Another use of thyroid hormone is:

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

66. Anabolic hormone is:

a. Insulin (C)
b. Glucagon

67. Adult Polycystic Disease is:

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

68. Lymphatic supply of ovary is:

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

69. Remnant of mullerian factor is:

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

70. Tuberculous ulcer has which type of edges:

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

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

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

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

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

73. Following is true about MAI:

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

74. Following is true about cryptorchidism:

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

75. Definition of Behaviour sciences is:

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

76. Good communication skills are in a person who:

a. Who does presentations (C)

77. RER function is:

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

78. Following is true about sarcomere:

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

79. Calcium is released into muscles via:

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

80. Lymphatic nodules are not present in:

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

81. In Pnemothorax following happens:

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

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

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

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

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

84. Which one is true about corynebacterium diphtheria:

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

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

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

86. Pseudo membranous colitis is caused by:

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

87. Clostridium perfringens causes injury via following mechanism:

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

88. Neisseria best diagnosed most easily via:

a. Gram stain (C)
b. Culture

89. Ocular opacity can be caused by:

a. Ethambutol

90. Hydatid disease caused due to ingestion of:

a. Cyst
b. Eggs (C)

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

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

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

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

93. Most common cause of Deep Venous Thrombosis is:

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

94. Most common cause of hospital acquired pnuemonia is:

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

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

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

96. Submucous glands are present in:

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

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

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

98. Calcitonin works by:

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

99. True hermaphrodite genotype is:

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

100. Testosterone is produced by:

a. Sertoli cells (C)
b. Leydig cells

101. The vasculature of kidney is:

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

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

RADIOLOGY JANUARY 2009.

See the june papers below the January papers.


By 'Bolanian'. Correct answers are marked >> * <<

1. Most imp. stress hormone
ACTH*
Epinephrine
Norepinephrine
Growth hormone

2. wat is not in relation with right kidney
decending colon*
ascending colon
duodenum
spleen

3. wat is not in relation with pitutary gland
Facial nerve*
Abducent nerve
Sphenoid sinus
Trigeminal

4. tributery of external carotid vein
Anterior jugular vein*
Facial vein


5. side effect of thophyllin
nausea and vomiting*
hypertension
bradycardia
seizures

6. Nor-epinephrine & serotonin degration by
MAO*
COMT



7. chemotaxic factor
leukoterine B4*
C3b
C5 complex
histamine


8. wat is not in post. relation with left kidney
Deudenum*
Ascending colon
Descending colon



9. wat is in between celeiac trunk and superior messentry artery
Pancreas*
Pancreas + jujenum
Transverse colon + ilium



10. what is secreted in breast milk
Ig G*
Ig A
Ig M
Ig D
Ig E



11. wat cannot pass placenta
Ig G
Ig A
Ig M*
Ig D
Ig E

12. ant and post spinal arteries arise from

vertebral artery gives anterior spinal, PICA gives post. Spinal*
Internal carotid
Vertebral artery and ant cerebellar artery



13. from which foramen facial nerve enters temporal lobe
internal accustic meatus*
stylomastoid foramen
foramen ovale
foramen spinosum



14. When r the ventricles filled with blood
Diastasis*
Atrial systole
Rapid in flow

15. A boy had behavior problem, loss of memory but resolve …..he is agressive in his mood, where is damage
Mammillory bodies
frontal lobe*
temporal lobe
parital lobe
occipital lobe

16. a new born presented with obstructive jaundice,,,,, gall bladder looks ok in U/s, cause
Atresia of CBD*
Atresia of entire extra hepatic apparatus
Atresia of hepatic duct
Choledochal cyst

17. A man with noticed weakness of left side of the body, hypotonia of the left limb, he swangs to left side, where is the lesion
Cerebral hemisphere
Left cerebellum *
superior c puduncle
Red neucleus

18. adrenalcortical insuficancy causes
hypokelimia
hyponatremis
hypoglycemia*
alkalosis

19. In resting stage actin is attached to
tropomyocin
troponin
titin
myosin


20. if there is damage to sciatic nerve, supply to the dorsum of foot is by
sephenous nerve*
Sural nerve
Common peroneal
Deep peroneal

21. patient with difficulty in standing from sitting postion....
Gluteus Maximum*
Gluteus medius
Tensor fascia lata
Quadricep femoris

22. wat is not in relation with left recurrent nerve
SVC*
Arch of aorta
Lig arteriousum
Trachea
Esophagus

23. stucture compressing Esophagus
Left bronchus (correct)
Left Venticle
Right Atrium
Right ventricle
Thymus

24. Esophagus constriction at
Aortic arch*
Left ventricle
Rt atrium

25. wat vein run with Post. interventricle artery
great cardiac vein
middle cardiac *
small cardiac

26. utrine cancer spread to labia majore via
Round ligament*
utrosacral ligament

27. Basalic vein .
drain in axillary ven*
runs on radial side
starts from palmar surface


28. median nerve
supply lateral 2 lumbricals*
causes wrist drop

29. injury of neck of the humerus, nerve damage
Axillary nerve*
Musculocutaneous
Radial
Ulnar

30. wat is in proximal layer of carpal bone, true
Scaphoid, lunate triqutral & pisiform*


31. broncopulmonary segment wat is true
anatomical, fuctional n unit of the lung*
contains lobar bronchus
pulmonary veins run in intersegmental tissue


32. urinary bladder, wat is true
supplied by anterior division of internal iliac*
separated from uterus by pouch of Douglas
in males has seminal vesical above and vas deferens below


33. sephenous nerve wat is true
drain into femoral 3.5cm inferior n lateral to pubic tubercle*
has only 1 tributary
connected to short sphenous by perforators


34. down syndrome
trisomy 21*
18
15
13

35.Which of the following tissue is most radiosensitive
Skeletal muscle
Cartilage*
Bone




36. diagnostic test for strptococuss is
ASO titer
Blood culture*
Urine Dr


37. 65% of Na and water reabsorbed from
PCT*
DCT
Loop of Henle
Collecting duct

38. injury to hippocampus
Memory loss*

40. .Erythropoietin is secreted from
Yellow marrow
Macula densa
Preitubualr capillaries*
PCT

41. medial part of breast supply which node
internal thoracic*
lateral grp
ant grp
medial grp

42. diapharam contraction cause
increase in thoracic pressure
increase in thoracic diameter

43. thoracic duct
passes with aorta *


44. sypathetic supply by alpha receptors
dilator pupilary musscle of eye*
brochoconstriction
cardioacceleration


45. parasympathetic supply
inc. secretioin of slivary gland*

46. gastric emptying delayed by
CCK*
Secretin
Gastrin
Vagus




47. A boy has edema due to protien loss of 3.5g in urine..., wat is the cause of edema
Plasma colloid pressure is decreased*
Increase hydrostatic pressure
Increased capillary permeability


48. wat is not supplied by internal thoracic artery
Inferior portion of rectus muscle*
Ant abd wall upto umbilicus
Pericardium
Thymus


49. Patient Gravida 4 with anemia and occult blood in stool
Iron deficiency anemia *
Sideroblastic anemia
Thalassemia
Megaloblastic anemia

50. iron absorb in
ferruos form*
oxalate


51. Bile salt absorb from
Ileum*
Proximal jejunum
Distal jejunum
doudenum

52. Trachea start from ….wat is true
C6*
C4
C5
Cricoid cartilage

53. wat is true abt CSF
secreted at rate of 500 ml/day*
choroid villi are seen by naked eye
aqueduct transmits CSF from 4th ventricle to spine


54. blood supply to Bundle of His.
Circumflex artery a br. Of left coronary artery
Posterior interventricular artery
Main Left coronary artery
Main right coronary artery

55. metastatic carcinoma least common site
brain
lung
liver
spleen(correct)

56. premotor area , which artery supplies
Anterior and middle cerebral (correct)
Anterior
Middle
Middle and post. Cerebral
Anterior and pst. Cerebral

57. arterial supply to primary visual area
PCA*
ACA
MCA
PICA

58. A boy defecate just after he takes meal, wat the reflex
gagtrogastric reflex
gastro coic reflex (correct)


59. Median of 20,20,25,25,30,30.35,40
25
20
27.5*
30

60. nerve supply to latismus dorsi
thoracodorsal*
subscapular
long thoracic

61. Right bronchus as compare to left
is longer
ant to pul artery
right bronchus is more vertical than left*

62. A surgeon did a study on patients with heamorroids
he included 100 pt in grpA and treated them surgicall
whil kept the other 100pt on high fiber diet
he interviewd them after 12mons and found that the grp with surgical treatment had a better response…… wat type of study is this?
Case control
Cohort
Prospective
Randomized control trial

63. Doctor patient relations and how good a doctor is known by
his degrees
his records
his pleasant behavior and bed side manners*

64. if a patient develops a fatal disease it is best to
hide it from him
tell it to him and his family as soon as possible*

65.Benedicts test is done for
blood sugar
urinary glucose
urinary reducing sugars*

66.sup parathyroid gland
is related to sup thyroid artey*
lies outside the pretracheal fasciae
lies anterolatral to thyroid

67.MHC complex is
related to HLA typing*
blood grp antigens
same in identical twins

68. first part of axillary artery ends at
border of pectoralis major
border of pec minor *
border of teres major

69.Esophagus is related to which structure whose dilatation can cause dysphagia
l atrium*
left vent
SVC
Rt atrium

70. If RCA is occluded distal to the origin of right marginal artery which part of the heart will be affected most?
Rt atrium
SAnode
AVnode*
Apex of the heart

71. Myleination of the brain wat is most inappropriate?
Starts at birth
Occurs hapharzadly
Sensory neuros are myelinated first
Occurs by oligodendrogliocytes

72. A patient with multiple fractures and BP 90/60 pulse 60/min wat is the most appropriate initial treatment?

IV fluids*
Reduction os fractures





73. Factor 9 def wat is the appropriate treatment?

Cryoppt*
FFP
Whole blood
WBC


74. DIC most inappropriate

low FDP*
consumptive coagulopathy
treated with heparin
low platelets

75. Kleinfelters syndrome
chromosomal deficiency
autosomal dominant
autosomal recessive
extra X chromosome*
extra Y chromosome

76. Fat embolism most unlikely
urinary test is diagnostic*
occurs due to trauma to fatty tissues
caused bt acute pancreatitis

77. Highest mortality rate
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E

78. Diphtheria is transmitted by
sexual contact
respiratory *
feco oral


79.which organ has least chance of metastasis
lung
bone
liver
kidney
spleen*

80. which organism causes meningitis secondary to pyogenic lung abscess?
Strep
Staph
Pneuococcus
h.influenzae

81. thromboembolism is most common in?
leg*
liver
brain
kidney

82. OCP increase the risk of
breast cancer
endometrial cancer
thromboembolism*
osteoporosis

83. Osteoporosis is less in premenopausal women due to effect of
estrogen*
testosterone
progesterone
androgens

84. A trauma patient in shock with stab wound along left 10th rib which organ is damaged?
Liver
Spleen*
Colon
Duodenum

85. in autosomal recessive disease
all siblings are affected
both parents are affected
only mother is affected
all siblings have a chance of one into four of contracting the disease*

86.which of these is not caused by bacteria
histoplasmosis*

87. Most likely finding in CSF

inc glucose in fungal meningitis
dec glucose in viral meningitis
lymphocytosis in aseptic meningitis
dec glucose in pyogenic meningitis

88. most imp for wound contraction
myoblasts
fibroblasts
myofibroblasts*
epithelium
collagen

89. smooth muscles are
striated
voluntary
mostly arranged in circular and longitudinal layers *

90. hyperparathyroidism causes least likely
hypertension
dystrophic calcification*
inc PTH




91. Ductus deferens ends into
Prostate
u.Bladder
S.vesicles
Prostatic urethra
Ejaculatory duct*

92. About large gut
descending colon has no haustra
appendix has no tenia*
all large gut is supplied by inf mesenteric artery
ascending colon has a mesentry

93. most probable abt gall bladder.
Has thick submucousa
Mucousa has extensive folds*

94. a patient with known HBV infectio comes with
HBSAg + HBe ab+ HBV DNA + HBC IGM ab+
Wat is the diagnosis?
Acute dis *
Chronic carrier
Chronic active

95. Which HBpathy presents with crises
sickle cell trait
sickle cell disease*
thalassemia
Hb C

96. unconjugated bile is carried by which protein?
Albumin *
Pre albumin
A globulin
B globulin
Fibrinogen

97.After gastrectomy patient will develop
iron def anemia
megaloblastic anemia due to folic acid def
pernicious anemia*
sideroblastic anemia




98. 60 yr male with lymphandenopathy and low hb low platelets and increased wbc
microscopy show large mature cells wats the diagnosis?

CLL*
Burkitts
Follicular
NHL



99. what Is true abt Hb
consisits of alpha and gamma chains in adults
imp buffer of H+ *
not assoc with CO2 transport

100.PDGF is secreted from which part of platelets
alpha granules
dense bodies
cytoplasm
lysosomes

101. which cells produce antibodies
plasma cells*
T cells
Bcells
Platelets

102. Heparin is released from which cells.
Mast cells*
Eosinophils
IgE

103. Epitheloid cells in granulomas are formed by which cells
macrophages
lymphocytes
langerhans cells*

104. thyroid is invested in which fascia?
Pretracheal*
Deep cervical
Prevertebral

105. wat is true abt thyroid
consists of collecting ducts and acini
epi changes shape according to state of activity.*
Has parthyroids ant to it

106. wat is true abt pituitary
ant pitutiary derived from neurons
no portal vessels btw hypothalamus and post pituitary*



107. Satiety center is located in which part of hypothalamus
anterolateral
VPL
VL
Medial*

108. D & C at 18 days after LMP endometrium will show which stage of uterine cycle?
Follicular
Ovulatory
Secretory*
Proliferative

109. at the end of pregnancy uterus is most sensitive to which hormone?
Estrogen
Progesterone
Prolactin
Oxytocin*

110. Most abundant phagocytic cells in circulation
basophils
monocytes
macrophages
neutrophils*

111. ICF & ECF differ in

inc K+ in ICF


112. most potent stimulus for release of aldosterone is

inc K+ *
inc Na+
inc glucose

113. Pallegra is due to def of
riboflavin
thiamine
niacin *
vit C

114. Trauma to the middle meningeal artey causes
subdural hemorrhage
epidural hemorrhage*
SAH

115. patient with loss of fine touch proprioception and vibration injury to which part of spinal cord?
Fasiculus gracilis
Fasiculus cuneatus
Post white column*
Lateral white column

116. in females which structure lies btw ureter and peritoneum
uterine artery*
inf vesicle artery


117. which of these muscles is a part of the pelvic diaphragm
deep transverse perinei
puborectalis*
bulbospongiosus
ischeocavernosus


118. wat is not true abt adrenal gland
fetal gland is 1/3 size of the adult gland
it is invested by renal fascia
adrenal cortex is derived from mesoderm

119. which structure is most ant in popliteal fossa
popliteal vein
politeal artey *
tibail nerve
bicep femoris
gastrocnemeus

120.tendon of which of these muscles is intracapsular
bicep femoris
plantaris
popliteus*
semitendinosus

121. which of these are the major resistance vessels
arteries
veins
capillaries
arterioles*
venules

122. patient losses 1 litre of body fliud in 1 hour wat will happen first
inc PR
inc BP
inc veno spasm*

123. a person in a room with optimum enviormental conditions how will the heat loss occur

convections
sweating
breathing
radiation and conduction*
voiding



124. major part of energy utilized during breathing is to overcome
elastic recoil of lungs*
resistance of chest wall
large airway resistance
small airway resistance

125. a bullet pierces the intercostals space which layer will it come after the intercostals muscles

parietal pleura
visceral pleura
endothoracic fascia*
pleural cavity

126. which vessel will be damaged if the phrenic nerve is cut

musculophrenic
int thoracic
pericadiophrenic*

127. which of these is not a branch of internal iliac
sup rectal*
middle rectal
inf vesicle
sup vesicle

128. lymphatic of uterus do not drain into
int iliac nodes
ext iliac nodes
sup ing nodes
inf mesenteric nodes*

129. a patient with hoarseness and lyrangeal nodule which is most unlikely
atrophy *
nodule
hypertrophy
hyperplasia

130. pseudo hypoparathyroidism.
Due to inc ca
Dec vit D
PTHrP

131. wat is seen in dysplasia
pleomorphism
inc NC ratio*
inc mitosis





132. metastatic tumors are identified by

invasion of other structures*
pleomorphism
inc NC ratio
inc mitosis

133. sarcomas have
rapid growth
inc vascularity*
capsule
benign

134. epi of a smoker will show

inc ciliated epi
mixture of st sq and pseudostratified cells*
dec goblet cells


135. most unlikely abt glomerulus is

has urinary space btw 2 layers
is cup shaped
is blind ended part of tubule
has stratified epi*
has podocytes

136. which vessel is involved and dilated in portal HTN

portal vein*
hepatic artey
hepativ vien
SMV

137. most unappropraite abt liver
has dual blood supply
hepatic artey gives only 35% of O2
portal vein has 70% O2 *

138. not part of the portal tract

portal vein
hepativ artery
bile duct
hepatic vein*

139. not a part of axillary nodes
ant grp
medial grp
apical grp
central grp
deep cervical*

140. Clavipectoral fascia
completely covers pectoralis minor*
forms suspensory lig of breast
forms axillary tail

141. in males uretric stones mostly lodge at which point
just below kidney*
at crossing of ext iilac vessels
at pelvic brim
at ischeal spine

142. if there is fracture of the acetabulum post and superiorly which bones r inv
ileum and ischium *
ileum and pubis
isschium and pubis


143. most constricted part of the male urethra?
Ext meatus*
Infandibukum
Navicular fossa

144. at the level of second part of duodenum wat is unlikely

aorta at the right of SVC*
left renal vein

145. pain of the ovary is transmitted to the medial side of thigh thru which nerve
femoral
obturator*
ilioinguinal

146. left ventricle does not contain
supraventricular crest
chordae tendinae
aortic vestibule
papillary muscles

147. epidural space
contains venous plexus*
contiues into skull at foramen magnum
attached to dorsal coccyx
upto S2

148. Otic ganglion lies under

foramen ovale*
foramen spinosum
maxillart nerve
stylomastoid foramen



149. middle menigeal artery enters thru which foramen?

Foramen spinosum*
Foramen rotundum
Foramen ovale

150. Superior petrosal sinus lies in
falx cereberi
fakx cerebelli
tentorium cerebellli*
diaphragma sella

151. Great cerebral vein does not drain
deep cerebral vein
sup cerebral vein
basal vein
thalamic vein

152.which of these is not a basic tissue of the body
epi
nerve
muscle
blood
CT

153. Osmotic pressure depends on
electrical equivalence
conc gradient
yenp
no of particles
mol size

154. chemoreceptors respond to
inc PCO2*
dec PO2
inc Ph
inc temp

155. Processus vaginalis
covers testis only*
covers ductus deferens
forms ext spermatic fascia
arises from parietal peritoneum
arises from visceral peritoneum

156. Dorsal rami of nerves supply
ext of trunk
ext of limbs




157. which vessel lies ant to IVC
left renal vein
left renal artery
right renal vein
right renal artery
right testicular vein*

158. if inguinal canal of a female is opened wat does it contain

round ligament and ilioinguinal nerve


159. lymphatic drainage of testis is into

para aortic nodes
sup ing nodes
int iliac nodes
ext iliac nodes