MEDICINE MARCH 2013 1.grade IV encephalopathy caused by a paracetamol b ethylene glycol 2.

ptnt on ATT develop joint pain nd have inc. uric acid level which drug? a pyrazinamide b rifampacin c ethambutol 3. phenoromone are a cant detect by human due to low threshhold of olfaction b relase among members of diff. species c elecit a special behaviour response 4. ptnt with ATT now develop visual field abnormalty nd eye changes which drug? a ethambutol b inh c rifampacin 5. which nerve not present in carotid sheath? a X b XI c XII d Ix e auditory 6. hairy leukoplakia assoc. with a HIV 7. T 9:22 dislocation occurs in a cml b aml c cll 8. most common cause of fatty liver in our region? a hep a nd b b alcohol c inc fat intake d protien def 9. basal ganglia complex have? a high ca b high magnesium c low ca 10. peripheral blood of patnt show marked anisocytosis nd poikilocytosis with in c. mcv a pernicious anemia b anemia of chronic disease c thalasemia 11. vit b12 normally absorb in a ileum b duodenum c stomach 12. a ptnt with fracture of femur died after 2 days cause?

a fat embolism 13. ptnt with butterfly rash nd protienuriamost initial screening test? a ana b anti dna 14. old male farmer with ascites on ascitic fluid have malignant cell nd on biop sy angiosarcoma cause? a afalatoxin b vinyl chloride c arsenic 15. a 4 year boy with failure to thrive recurrent sinusitis otitis media nd RTI nd family history of such complains to cnfrm diagnosis? a choloride sweat test b fat absorption test jejunal biopsy 16.most potent protien synthesis in skeletal muscle? a testosterone b dht c progesterone d estradiol 17. child has surgery of terminal ileum which vitamin not absorbed? a b12 b vit c 18. baby with recurrent cervical lymphadenopathy klebsiella pneumonia is isolate d from lesion which immun deficiency? a chronic gran. disease b severe combine agamma c t cell function defect 19. most potent chemotactic agent a c5a 20. 40 year male with skin pigmentation nd disturbance in balance. anemic, mcv 1 26fl serum ferritin 600ng/ml? a IDA b megaloblastic c anemia of chronic disease 21. angina worsens by giving? a captopril b vasoopressin c b blocker 22. IHD with or without MI features? a stable angina b unstable angina c MI d prazimental angina 23. edema of nephrotic synd? a hypoalbumin 24. best example of autoimmunity against single organ? a hashimoto thyr b poly arteritis

c sle d RA 25. 60 YEAR OLD MALE 8 MNTH HISTORY OF PROGRESIVe genrelisd lymphadenopathy hb 9 .8 tlc 59x10`9 peripheral show mature lymphocyte? a CLL b Hairy cell leukemia c sarcoidosis 26. boy with loss of apetite vomiting high color urine nd yellow sclera? a bilirubin + alt b hep a nd b c liver biopsy 27. type of TYPE III hypersenstvty? a post streptococal gmnephritis 28. klienfelter karyotype? a XO b XX c XXY 29. diagnosis of typhoid in 2nd week? a blood culture + widal b widal c blood culture 30. first symptom of hypopitutrism sec. to pitutiary tumor? a DI b DM c hypogonadism 31. myxoid degeneration assoc with a mitral prolapse b inf. endocarditis c marantic endocard 32. insulin inc entry of glucose in a skeletal muscle b neurons c mucosa of small intestine 33. blockade of dopa receptor by l.dopa causes all except a ammenorhea glactorhea syndrome b antiemetic c parkinsonism d antipshycotic 34. aspirin given to decrease chance of IHD will cause? a dec pltlt agregation 35. digoxin related question in which toxicity in? a given with quinidine b hyperkalemia c hypermagnesimia d hypocalcemia 36 hepatic pedicle consist of? a hepatic artery b br. of portal vein

c hepatic artery portal vein common hepatic duct 37 diff b/w cimetidine nd ranitidine s that ranitidine? a less effective b less CNS side effects c dec gastric motility 38 distance for respiratory droplets to cause infection? a 1-2 feet b 3-6 feet 39 artery of foregut? a celiac b SMA c IMA 40 body first mechanism to produce heat against cold? a shivering 41 presence of scanty barr body? a turner b klienfelter c TFS d downsyndrome male 42 regarding thalamus? a control emotion 'b control body water c recieve all somatic nd sensory information 43 structure passing foramen ovale? a maxillary b mandibular c meningeal artery 44 baby prefering bottle milk over breast milk? a cleft soft palat b cleft soft nd hard palate c dec hormones d weak larynx muscle e nose blokade 45 fracture of shaft of humerus nd ptnt cant raise arm? a axilley nerve 46 ptnt cant evert his foot damage to? a tibialis ant b tibialis post c peroneus longus d flexor digitorum' 47 stucture not forming wall of inguinal canal a aponeurosis of EO b IO c lacunar ligament d cojoint tendon e fascia transversalis 48 structure which prevent movement of unwanted material from passing from one e pithelium cell to other?

a b c d e

tight junc gap junc desmosome zona adherens internuclear material

50 regarding metaplasia chose inappropriate? a is irreversible 51 most common thing causing tumor is? a non lethal mutaion in gene b mutation of proto oncogene 52 cause of inc. BT a vwf def b liver disease c vit k def 53 malignancy with autosomal dominant heritance a child retinoblastoma b ovarian ca c breast ca 54 child treated for malaria develop anemia nd dark urine? a g6pd def 55 neurotransmitr in slow wave sleep a Ach b serotonin c enkephalin 56 oxytocin nd adh originate from? a hypothalamus b post pitutiary 57 2nd pharyngeal pouch derv.? a rami of mandibule b stylohyoid ligament c stylomandibular ligament 58 damage to hypothalamus which hormone will inc? a prolactin b GH c ACTH 59 lung xray show multiple opacities on bronchial wash have plasma cells lymphoc yte epitheloid macrophage what organism? a mycobacterium t.b 60. rupture to bulbous urethra urine accumulate in? a superfical perineal pouch b rectovesical pouch 61. breast tumor of upper outer quadrnt lymph drainage? a apical b anterior 62. knife injury to mitd axillary area in 4th intercostal space damage to? a internal intercostal memb b internal intercostal muscle

c atria 63. hypertrophic cardiomyopathy assoc with? a myocyte disarray 64. receptor for withdrawl reflex? a nocciceptor b pacinian c miesner 65. Fast Pain Mediated by which Fibers ? a A alpha b A delta c C fibers d Highly Myelinated Fibers 66. positive predictive value is? a proportion of true positive in all positive b same as senstivity c same as specificity 67. receptor for vibration sense? a pacinian b ruffini c misener 68. receptor for pressure on skin? a pacinian b ruffini c hair follicle 69. which is benign tumor? a adenoma b hepatoma c melanoma 70. child treated for 1% permitherin and also other child with same problem most best? a sarcoptes scabie 71. child with parotid swelling have right testis enlarge other family member al so same complain ? a mumps 72. osmotic pressure of interstitial fluid is difr from plasma by?? a.1 osmol/kg water b.1.5 c.3 d.5 73. carbidopa given with levodopa to ? a help dec peripheral inactivation b to help in entering brain 74. PTH hormone regulate calcium by? a inc. its reabsorption in distal tubule 75. on ecg PR nd QRS with ratio of 3:1? a mobitz 1 b mobitz 2

c complete block 76. which is not a bacterial inf.? a histoplasmosis other options were bacterial 77. not given for candida infection? a ketoconazole b clotrimazole c amphotericin b d griseofulvin e nystatin 78. muscle arising from femur damage to which causes instable knee joint? a vastus lateralis b rectus femoris c sartorius 79. healthy individual Na balance by ? a osmoreceptor 80. which dec heart rate? a brain bridge reflex b oculocardiac reflex 81. regarding midbrain appropriate? a duct of midbrain is cerebral aqueduct b substantia nigra divide cerebral peduncle into tectum nd crus cerebri c have to colliculi posterirly d CN IV originate anteriorly 82. poisioning not relieved by naloxone? a morphine b pheno c pethidine d heroin 83. high altitude acclimization causes? a dec erythropoitn b inc pulmonary ventilation c pulmonary vasodilation d metabolic acidosis 84. in isotonic exercise which doesnot inc? a heart rate b systolic BP 85. type 2 hypersenstivity example? a erythroblastosis fetalis 86. arthus reaction example of ? a type III hypersenstivity 87. growth hormone most appropriate? a is polypeptide b inc growth of bone nd cartilage thru somatomedins 88. blood supply of brain regulated by? a paco2 b pao2

89. which organ form peptide which help in bone growth? a kidney b liver c brain d intestine 90. which is least malignant? a FAP coli 'b tubulo villous c villous d metastatic polyp e tubular adenomatous polyp 91. enzyme for serotonin nd epinephrine metabolism? a MAO b compt 92. synapse least likely to present in? a sympathetic chain ganglia b dorsal root ganglia c dorsal horn d ventral horn e lateral horn 93. PDA is remanant of left? a ventral aorta b dorsal aorta c 6 aortic arch d 5 aortic arch 94. woman with 1 year immune disorder develop right cervical lymphadenopathy wha t is it? a AIDS b SLE 95. Subcapsular afferent lymph vessel is feature of ?? a Spleen b Thymus c Lymph node 96. Which carcinogen causes bronchogenic ca. ? a Tobacco smoke b asbestosis c silicosis 97. which is not a liver granuloma? a gumma b lipogranuloma c sarcoidosis d silicosis 98. which is slow growing thyroid tumor? a follicular b pappilary 99. ADH effect most is on? a medullary colecting duct b cortical colecting duct c distal tubule

100. erythropoitn sec by? a macula densa b cell of proximal tubule c mesengial cell d cell of renal tubul 101. third trimester pregnant lady dec cardiac output is in left lateral positio n to avoid compression of which abdominal structure? a IVC B right lung c liver d spleen 102. related to abd. aorta chose incorect? a on right side of chisterna chyli b on left to IVC c divide at l4 d give lateral pair branches to parietes 103. which immunological test is used for the following conditions? a gonnococal inf b hydatid disease c giardiasis 104. in asthma allergen attach to? a mast cell on bronchi mucosa 105. identification or difference of left and right kidney ? a relation of stucture in hilum b size nd weight c coverings 106. Eating a Inhibited b inhibited c increased d increased behaviour by leptin secreted by adipocyte by leptin secreted by muscle by stomach distension by destroying hunger centre

107. short term regulation of B.P a baroreceptor b renin angiotensin c ADH 108. Tractas solitarius a Carries first order neurons for taste sensations b Carries second order neurons for taste sensations c motor nucleus for tounge muscle 109. The single most important local factor affecting wound healing a b c d -infection ischemia foriegn body vit c

110. About Active transport: a Always involves Sodium-Potassium pump b Uphill transfer of molecules in a few cells.

c Require Glucose d protien carriers are needed 111. The cells forming the coronata radiata are: a Theca Interna b Theca Externa c Granulosa cells 112.Two groups of Smokers & non-smokers, 500 each to study the effects of Smokin g...what is the study? a case-control b Cohort c Cross-sectional 113. Which of the following is a poor prognostic lastfactor for sepsis? a dic b vasodilation c diffuse tissue injury 114.A 75 year old man with COPD is bedridden and develop tacyhcardia & shortness of breath, what is the diagnosis? a Pul.Embolism b MI 115. Regarding Fibrocartilage a It has a prechrondrium b It is found in the Pinna c It is found in the Interverterbal disc 116. prepotential iS MOST significant in which of the following a S A node b Atrial muscle cells c Bundle of his d Purkinje fibres e Ventricular muscle cells 117. The digastric triangle is formed by: a The anterior Belly of digastric muscle, post. belly of digastric nd mandible 118.A 30year old fireman got severe burns. Which of the following complications is he at likely to have? a Dehisce b Contracture c Keloid 119. ptnt with hemicolectomy no liver metastasis how to monitor? a CEA b alpha fetoprotien 120.regarding ant. pitutiary microscopic findings? a 50% corticotroph b somatotroph appear as small basophilic cells other options dont remember

121. regarding scaleni ant. muscle? a ant. to subclavian vien b phrenic nerve passes in front c give post. relation to roots of brachial plexus d attach sup. to c3-c6 vertebra 122. regarding vertebra? a c7 has long spine b lumbar vertebra have heart shape body c thoracic have foramen transversarium d ventral nd neural cure same 123. which inc. metabolic rate? a inc. thyroxine levels b anxiety state C. Increase activity growth hormone 124. most probable to relieve exophthalmus do? a hypophysectomy b thyroidectomy c give drugs to reduce t cell activation d testosterone 125. which structure arches over root of right lung? a azygous b hemiazygous c arch of aorta {(SOME MORE RECALLS HERE, 1) eversion of foot is caused by 2) healthy induvidual Na balance by 3)which decrease heart rate .. oculo cardic reflex 4)regarding mid brain 5)regarding syndromes caused by iron 6)cimetidine n ranitidine 7)steady touch 8)poisioning not relieved bynaloxone 9)acclimitaztion causes 10)istonic exercise 11)phreomnes 12)regarding jaundice 13)child with jaundice n dark color urine..test? 14)withdrawal reflex receptor? 15)regarding basal ganglia ANSWERS OF THESE: (1)peroneus longus 2)osmoreceptors 3)atrial reflex ........ANP 4)red nucleus 6)ranitidine ........ less CNS effects?? 5)iron ??? 8)methadone 9)increase vetilatory effort 10)work done ......... decrease in periferel resistance 11)metabolites secreted by animals not well developed in humans 12)peelia ...... ....... gilbert syndrome 13)ALT & bilirubin 14)nociceptor 15)high magnesium ????? (no idea))}

ANSWERS 1 A 2 a 3 C 4 A 6 A 7 A 8 HEP C 10 and hypersegmented neutrophils an A 11 A 12 A 13 MOST sensitive screening test ans A 14 B 15 A 16 statement was a bit different PROBABLY ANS WAS B 17 A 18 A 19 A 20 B or C plz confirm 21 B 23 A 24 A 26 A 27 A 28 C 29 C 30 C 31 mitral valve prolapse 32 A 34 Statement was aspirin is given in IHD as it (and was dec. syntesis of thrombo xane) 35 A 36 C 37 B 39 A 40 A 41 B 42 C 43 B 45 fracture at surgical neck A 46 C 47 C 48 A 50 A 52 A 53 A 54 A 55 B 56 A 57 B 58 A 59 A 60 A 61 B 62 intercostal membrane A 64 A 65 B 66 A 67 A 68 sustained pressure on body B

69 A 70 A 71 A 73 A 74 A 75 progressive increase of pr interval and 3:1 ans A 76 A 77 B 78 A 79 A 81 C 82 B phenobarbitone 85 A 86 A 87 A 88 A 89 C 90 E 91 A 92 C 93 C 96 B 98 A 99 B 100 C125 A 124 B 123 A 119 A 118 B 117 A 116 A 115 C 114 A 113 question was a bit different.ans. was A 112 in the statement the risk of smoking was given so most likely it was B 110 ans. was involves proteins with enzymatic activity 109 A or B not confirm 107 A 106 A 105 A 104 Statement was in a sensitized patient allergen first interacts with..... not confirm maybe A 103 statement was like in which diseases immunological test is done... A or C 101 statement was a pt on dentist chair fainted so the doctor raised her legs an d tilted her to the left lateral position to avoid compression of which abdomina l structure. i think C