Professional Documents
Culture Documents
a. leukemia
b. von wilbrand disease
c. hiv
19. a lady using diethylesterbestrol what should be most likely in her
daughter
a. squamous cell carcinoma
b. clear cell carcinoma
20. Lady with osteoporosis,having family h/o cardiac disease and
breast ca. Treated by
a. Calcium plus vit D b. Raloxifene c. bisphosphonates d. HRT
21. Which disease involves a carrier stage ?
a.Measles b.Mumps c.Polio d.Typhoid 22. H+ ion
secretion in proximal tubule is related with?
A. Bicarbonate reabsorption B. Bicarbonate excretion C. K secretion D.
Na secretion
23. Hamartoma is ;
A. A Metaplasia B. A neoplasia C. Has a capsule D. Same as
cholestoma
E. Totally benign
24. 40 yr old woman, middle class,3 kids ,pap smear shows cervical
dysplasia..cause
A HPV B IUCD
25. 10% Formaldehyde is used for sending Biopsy
specimens,Why?
a. Sterilisation b.To prevent autolysis c. TO stain cells
d. TO denature proteins e. to cause lysis of cell
26. Metastatis occur in all except
a.Liver b. Brain d. Spleen d. lung
27.Fast, sharp pain from mechanical origin is mediated by which fibers;
A. A alpha B. A delta C. C fiber D. High myelinated
28. Fat necrosis occurs in ; A. Acute pancreatitis B. Heart C. Liver
29. Which tumor is derived from all the 3 germ layers;
A. Adenoma B. Teratoma C. Rhabdomyosarcoma D. Chancroid
30. A 20yr old male has dyspnea on lying down. The structure most
likely to cause this is ;
A. Enlarged isthmus of thyroid B. Puberty C. Retrosternal goiter
31. A FISHER MAN PRESENTED WITH SLOWLY DEVELOPING
LETHARGY, EASY FATIGUE AND
PALPITATIONS. HIS DIET COMPRISES OF FISH AND RICE
MOSTLY PHYSICAL EXAM SHOWED PALLOR
AND LOSS OF TOUCH SENSATION IN BOTH FEET AND LOWER
LIMB. HIS CBC SHOWED HB 7.5G/DL MCV
132, PLATELETS 110 AND WBC 3450 . MOST LIKELY CAUSATIVE
PARASITE:
A.ANKYLOSTOMA DUODENALE
B.DIPHYLLOBOTHRIUM LATUM
C.STRONGYLOID STERCOLIS
D.ECHINOCOCCUS GRANULOSIS
E. TAENIA SAGINATA
32. Long term elevated BP is due to
a.cardiac output
b.renal function
c.TPR
33. The vitelline duct forms;
A. Ductus venosus B. Duodenum C. Meckel, s diverticum D. Portal
vein E. Urachus
34. Which is correct Regarding Axillary artery
a-It Lies behind pectoralis minor
b-Extend upto the lower border
of pectoralis major
35. a. the components of the cell containing microtubules in there
structure are;
a. cell membrane b. centrioles c. endoplasmic reticulum d. lysosomes
e. mitrochondria
36. a chronic smoker from 30 years working in a tyre factory presented
with painless hematuria n on
histopathology transitional cell carcinoma of bladder causative agent is
..?
a.aromatic amines b.tobaco smoking c.nitrites/nitratesd.shistosomia
hematobium
37. most common manifestation of autoimmune
disease ;
a. Fever b.arthralgia c.haematologic symptoms. d.fatigue
38. ACTH effectively controls ?
a. Aldosterone
b. Adrenal androgens
c. Adrenal estrogen
d. Hydrocortisone
a. Sodium Valporate
b. Lisinopril
c. Atrovastatin
d. Nifedipine
e. Carbamazipine
EXPLANATION: Anti-psychotic drug which causes gingival hyperplasia
is Phenytoin NOT Valproate or Carbamezipine. Calcium channel
blockers (especially Nifedipine can also cause gingival hyperplasia)
83. What is the physiologic basis of a barrel chest?
a. Increased fibrosis of lungs
b. Increased residual volume
c. Decreased compliance
d. Decreased FEV1
Answer b. Increased residual volume
As air becomes trapped in the lungs, the diaphragm flattens and the
chest enlarges. These increased volumes are all residual volume, or
the part of the air that cannot be exhaled. This is all a sign of increased
total lung capacity, but not usable lung. The usable part of lung
volume, the FEV1 and FVC, both diminish.
84. The Most common cause of death in Adult polycystic kidney
disease is?
A. Berry Aneurysm B. Renal Cell Carcinoma C. Chronic Renal failure
D. Splenic Rupture E. Liver Cirrhosis
Answer: CRF (Ref: Goljan Kidney Diseases Chapter)
85. All of the following will cause Right shift of Oxygen dissociation
curve, EXCEPT:
A. Increase pCO2 B. Increase Temp C. Decrease pH D. Chronic
Acidosis
E. Increase 2.3-GDP Answer: D (In Option D will remain Same No
shift, as initial acidosis will cause Right shift but with pessage of time
the level of 2.3-GPD inside RBCs will decrease which move AWAY
Curve toward LEFT and the result will no NO Shift )
86. A 41-year-old woman was taken to the emergency department
after being involved in a motor vehicle accident. Neurologic
examination showed that the papillary light reflex was absent in both
eyes when light was shone in the left eye, but was normal in both eyes
when light was shone in the right eye. At which location could a lesion
account for this pattern of deficit in the pupillary light response? A.
Left occulomotor nerve (CN III) B. Left optic nerve C. Right EdingerWestphal nucleus D. Right visual cortex E. Superior colliculi
B: The absence of both the direct and consensual light reflex response
when light is shone in the left eye indicates a problem with the afferent
part of the pupillary light reflex pathway on the left. A normal response
on both sides when light is shone in the right eye demonstrates that
the efferent parts of the reflex pathway, including the Edinger Westphal
nucleus and cranial nerve III, are unaffected. The superior colliculus
and visual cortex are not involved in the pupillary light reflex.
87. Why does Mycoplasma not appear on Gram stain?
a. No cell wall
b. Intracellular
c. Too small
d. No stainable DNA
Answer a. No cell wall
Mycoplasma does not have a true cell wall. Mycoplasma is encased in
a cell membrane that does not pick up Gram stain. Chlamydia and
viruses are intracellular. Gram stain does not stain DNA, it stains the
cell wall
88. Which of the following parts of the eye has the greatest
concentration of rods? A. Ciliary body B. Iris C. Optic disk D. Fovea
E. Parafoveal region
Answer: EEEE (Ganongs MCQ)
89: Which of the following is the principal buffer in interstitial fluid? A.
Hemoglobin B. Other proteins C. Carbonic acid D. H 2 PO 4 E.
Compounds containing histidine
Answer: CCCCC (Ganongs MCQ)
90: Compared to hepatic bile, gallbladder bile contains a reduced
concentration of which of the following?
A. Bile acids B. Sodium ions C. Protons D. Glucose E. Protons
Answer: BBBBB (Ganongs MCQ)
91. Which of the following parameters is decreased during moderate
exercise? A. Arteriovenous O
2
22. a patient known case of lambago comes with sudden left side
chest pain.. Cardiac enzymes r normal.. No retrosternal pain also not
radiated.. But tenderness at 5,6 intercostal spaces at posterior side..
MI Costochondritis Aortic aneurysm Pleuritis
23. There is lesion of upper trunk.. All wil occur except (Asims MCQ)
adduction of arm
medial rotation of arm Sensory loss over forearm Elbow extension
Supination
24. Typhoid diagnose in 2nd week best by :
widal blood cs
blood cs plus widal only widal
stool cs
25. Pt with nose lesion , granuloma, proteinuria leprpsy wegner's
26. Which hormone not required for growth of sperm:
GH bHCG Prolactin FSH
27. Steatorrhea due 2 chronic pancreatitis occur due to deficient:
1,amylase 2.lipase
28. Female with lush push bodyline , well develped brest ,,
complained amenorrhoea since puberty , short vagina , uterus not
palpable, testes in inguinal region.
male psuedohermaphrodite female pseudoherma testicular
feminization
29. Dissection of aorta:
medial necrosis (Cystic Medical Necrosis Rubins Pathology)
30. Subclavian artery arches over: (Asims MCQ)
clavicle 1st rib 2nd rib
31. Whats the hallmark of aids:
progressive immune-depression opportunistic infections Proliferation
of virus inside Tlymphocytes
32. in tractus solitarius A. 1st order neuron of taste (ant 2/3 tongue)
B. 2nd order neuron of taste (ant 2/3 tongue)
33. wound healing
ascorbic acid
34. Autosomal dominant. whats wrong:
50% offspring effected complete penetrance 50% females effected
Variable expression
35. radiation causes cancer usually in : A. 5-10 yr
B. more than 10 yr36.
what white blood cells are raised in acute viral infection A.
Neutrophils
B. Lymphocytes
37. protein fat carbohydrates deposition by A. GH
B. glucagon C. insulin
70 yeard old lady...vision not clear A. Cataract
B. Stabismus C. Astigmatism
inappropriate about adrenal gland
neonate adrenal is same the size of adult adrenal gland
Artificial respiration is not necessary if lesion occur at.. A.c2 B.c3
C.above c5 D.below c5
An immunocompromize pt developed s/s of pneumoia BAL fluid
revealed boat shaped cyst organism (Nov 2013 Medicine paper MCQ
= repeated) Pt unable to invert his foot while the lateral rotation is
intact structure
involved
A. tibialis ant & tibialis post
B. tibials ant & fallicus H longus
38. Appendix ..pain in flexion & Medial Rotation of hip. (Asim &
Shoaib MCQ) A. Pelvic
B. Retrocecal C. Preileal
D. Post ileal
39. body utilizs nutrients in what order:
CHO, fats , protein fat, prot CHO
cho Prot fat
40. myasthenia gravis Pt, Dr gv some medication due to which Pt
conditions improved. Whats mode of action of medication:
anticholinesterase chlonergic anticholinergic
41. Skeletal muscles
A. are innervated by somatic nervous system B. are non straited
C. intercalated disc
42. Shock characteristic: tissue hypoxia
low BP tachycardia
43. Scenario about nerve supply to tip of the nose Opthalmic
division of trigeminal nerve
44. Neurogenic shock mediated by:
loss of vasomotor tone
heart pumping decrease
45. Scenario on lacrimation while eating like that Facial nerve
4)pt when asked to look left,his left eye showed internal squint indicate
injury of
trochlear
5)pathogenesis of venouse thrombosis in a60 year old female after
major abdominal
operation
endothelial injury and stasis
6)tumor with longest recurrence period is
malignant melanoma of uveal tract
7)tumor which s not apudomas
Gastrinoma
8)..common biological agent for carcinoma of bronchus
cmv
9)which drug dont cause gynecomastia
androgen
(If androgen could cause Gynecomastia then every man will have it)
10).oblique fissure
t3 to t6
11).gastric motuility increased by
Ach
12)Muscle forming inf relation wd hip joint
.obturator externus
13)Radiationz usualy cause cancer aftr
B. 5- 10yrz
14)LP shud b done at which level..
L3 -4 (BOTH L3/L4 or L4/L5 are correct but L3 is landmark, so select
the option with L3)
15)Brain abscess common in
Frontal > temporal (Answer: FRONTAL)
16)synapses are absent in
dorsal root ganglion
17)Sperms live in females body for
24-48 hrz (Controversy is there, Kaplan physio says 48-72 hours, but
Moore Parsaud says
sperm live upto 48 hours. The thing is Sperm live for 4-5 days but its
capability to fertilize
ovum is upto 48 hours. BOTTOM Line is: Select 24-48 hours but 48-72
hours option is also
correct)
Fat (Triglyceride)
(Remember:
For Strep INFECTION Culture
For Strep infection COMPLICATIONS (Post-Strep GN or Rheumatic
Fever) ASO titer
-Pus contains------- Neutrophils
_Enzymes release from Neutrophils ( lysosomal enzymes).
Ans: d
7. A newborn baby with hydrocephalus has a swelling in lumbosacral
spinal region, which contains neural tissue in it. What could be the
probable diagnosis of this patient?
a. Spina bifida
b. Meningocele
c. Meningomyelocele
d. Meningoencephalocele
e. Meningohydroencephalocele
Ans: c
8. Which of the following is most strong antioxidant?
Ans: a
2. Total power of the eye is 59 diopters. Main role is maintenance of
this power as performed by:
a. Glutathone
b. Vitamin - E
c. Vitamin - C
d. Ceruloplasmin
e. Catalase
Ans: a
Ans: a
3. In patient with increased bleeding time, what could be the cause of
bleeding
a. Prothrombin Deficiency
b. Hemophilia A
c. Vitamin - K deficiency
d. Protein - C deficiency
e. Von Willebrand's disease
Ans: e
4. What is the nerve supply of tip of nose?
a. Ophthalmic nerve
b. maxillary nerve
c. Mandibular nerve
d. Fascial nerve
e. Cervical plexus
Ans: a
Ans: c
11. On H & E staining a student sees the hallow structure around the
nucleus. What it could be:
(a)Golgi apparatus
(b) Lysosomes
(c) Ribosomes
(d) Endoplasmic reticulum
(e) Mitochondria
Ans: e
18. In a patient with sympathetic stimulation, what effect will occur on
his heat?
Ans: b
12. Bitemproral vision loss is most commonly caused by:
(a) Piuitary tumor
(b)Crainiopharyngioma
(c) Adenoma of hypothalamus
(d) Section of optic tract
(e) Section of optic nerve
Ans: d
Ans: a
Ans: a
14. Parotid gland supplied by:
Option (a) GVA
Option (b) GVE
Option (c) SVE
Option (d) SVA
Option (e) GSA
Ans: b
20. Medial orbitotomey is done in a patient with tumor in orbit. Now he
is complaining of numbness at upper part of head up to vertex &
medial part but medial part is intact. Which of the following nerves is
damaged?
Option (a) Supraorbital nerve
Option (b) Supratrochlear nerve
Option (c) Superior orbital nerve
Option (d) Inferior orbital nerve
Option (e) Fascial nerve
Ans: b
15. Primary malignant melanoma of the choroids most commonly
metastasizes to:
Option (a) Liver
Option (b) Lungs
Option (c) Brain
Option (d) Kidneys
Option (e) Breast
Ans: a
21. In inferior wall Myocardial Infraction, which artery should be
blocked
Option (a) :Left marginal artery
Option (b) :Diagonal artery
Option (c) :Right coronary artery
Option (d) :Right marginal artery
Option (e) :Posterior Interventricular artery
Ans: a
16. A patient develops sensory loss over left side of body. After few
days his behavior for pain is changed & he become angry after
touching. Where could be the lesion in brain
Ans: d
Ans: a
Ans: c
17. A middle aged male has non-healing wound in patient for long time
in presence of regular dressing random blood sugar is 130 mg/dl. What
could be the cause of delayed healing in this patient
Ans: c
Ans: c
25. week pregnant women has Irregular Ulterine Contractions. Which
of following drugs will be beneficial for this lady.
Option (a) :Progesterone
Option (b) :Estrogen
Option (c) :Prolactin
Option (d) :Oxytocin
Option (e) :LH
Ans: d
26. The Diagnostic finding on investigations of Metabolic Alkalosis is:
Option (a) :HCO3 more then 24meq/L
Option (b) :CO2 more then 24meq/L
Option (c) :PH less than 7.4
Option (d) :Decreased O2 in blood
Option (e) :Increase serum carbonic anhydrase
Ans: a
30. A young patient's blood pressure is 150/95. his serum Rennin level
is higher than normal. Which of the following is the STIMULUS for this
increased level of rennin?
Option (a) :Essential hypertension
Option (b) :Increased delivery of sodium to Renal tubules
Option (c) :Increased sympathetic stimulation via Renal nerves
Option (d) :Vasodilatation of Renal arterioles
Option (e) :Increased blood flow to the kidneys
Ans: c
31, A young women, complains of Dry mouth & Dry eyes. Which
investigation will give clue to her diagnosis
Option (a) :ANA
Option (b) :Anti-ANA
Option (c) :RA factor
Option (d) :Anti - SS A/B
Option (e) :ANCA
Ans: d
32. Regarding SA Node:
Option (a) :Its resting membrane potential is - 65 to -85 volts
Option (b) :It automatically generates impulses, creating rhythmic
heartbeat
Option (c) :Its membrane is impermeable to Na ions
Option (d) :It is supplied by left coronary artery
Option (e) :It lies in the septum
Ans: b
27. A 6 cm Lump in the breast removed. Four Lymp nodes & skin were
involved. Biopsy declared invasive Dectal Carcinoma. This tumor is
called HIGH-GRADE because:
Option (a) :Lymph node involvement
Option (b) :Skin involvement
Option (c) :Size of tumor
Option (d) :Pleomorphism
Option (e) :Duct involvement
33. During the stretch in the Skeletal Muscle, which of the following
changes will occur in the Nuclear Bag fiber?
Option (a) :They increase impulse generation
Option (b) :They remain static
Option (c) :They decrease impulse generation
Option (d) :They increase oscillation
Option (e) :They inhibit muscle contraction
Ans: a
Ans: d
28. Which of the following is the characteristic of lgM?
Ans: d
Ans: d
Ans: b
36. Pulmonary Artery pressure increases in:
Option (a) :Exercise
Option (b) :Hypoxia
Option (c) :Anemia
Option (d) :Hypovolumic Shock
Option (e) :Hypertension
Ans: c
42. Most common site of malignancy in patients suffering from nuclear
outbreak
Option (a) :Haematopoietic
Option (b) :Thyroid
Option (c) :Lung
Option (d) :Breast
Option (e) :Bones
Ans: a
Ans: b
37. Defect in the formation of Bulbus Cordis result in all of following
EXCEPT?
Option (a) :ASD
Option (b) :VSD
Option (c) :Hypertrophy of right ventricle
Option (d) :Congenital cyanosis
Option (e) :Transposition of great vessels
Ans: a
44. Most sensitive cells to hypoxia are
Ans: b
38. Regarding the vibration Sense all are correct EXCEPT:
Option (a) :It is lost in Diabetes
Option (b) :Its fibers are traveling in the dorsal columns
Option (c) :Its receptor is Pacinian Corpuscle
Option (d) :Its receptor is Meissener's corpuscle
Option (e) :Is highly correspond to the bony portions
Ans: b
45. Following is not a tumor marker:
Ans: d
39. A patient with aplastic anemla is given Anti Lymphocytic Globulin
(ALG). One week later he develops Skin rashes, mechanism for
presentation?
Option (a) :Arthus reaction
Option (b) :Type - I Hypersensitivity
Option (c) :Type - II Hypersensitivity
Option (d) :Type - III Hypersensitivity
Option (e) :Type - IV Hypersensitivity
Ans: d
40. The most common site of Fertilization in humans is:
Option (a) :Ovary
Option (b) :Uterus
Option (c) :Fallopian tube
Option (d) :Cervix
Option (e) :Peritoneal cavity
Ans: c
Ans: e
46. tyrosine derivative does not include:
Option (a) :TSH
Option (b) :Adrenaline
Option (c) :Nor adrnaline
Option (d) :Prolactin
Option (e) :Dopamine
Ans: d
47. Organ having least chances of infarction:
Option (a) :Lungs
Option (b) :Heart
Option (c) :Kidneys
Option (d) :Liver
Ans: d
Ans: a
49. Patient with injury to left 8th cervical segment of spinal cord will not
show following sign:
Option (a) :Decreased sense of position
Option (b) :Vibration below lesion on same side
Option (c) :Extensor plantar on left side
Option (d) :Dec power of muscles below the lesion on same side
Option (e) :Dec sense of pain and temperature below the lesion on
same side
Ans: e
50. Patient with bone pains having normal Ca, inc Alkaline
phosphatase. Most likely suffering from:
Option (a) :Pagets disease
Option (b) :Hyper PTH
Option (c) :Hyper Vit D,
Option (d) :Bone mets
Option (e) :Osteomalacia
Ans: a
51. Bile salts are reabsorbed from the:
Ans: c
55. Man in suffering from testicular Carcinoma, the lympahtic drainage
of testicle is into
Option (a) :Para aortic Lymph nodes
Option (b) :Pre aortic
Option (c) Superficial inguinal
Option (d) :Internal iliac
Option (e) :External iliac Lymph nodes
Ans: a
56. Mesothelioma is associated with:
Option (a) :Vinyl chloride
Option (b) :Silica
Option (c) :Asbestos
Option (d) :Copper dust
Option (e) :Carbon
Ans: c
57. Foetal period starts after which week:
Option (a) :11th
Option (b) :8th
Option (c) :12th
Option (d) :16th
Option (e) :21st
Ans: b
Ans: c
52. In Turner syndrome, the genotype would be:
Option (a) :XX
Option (b) :XO
Option (c) :XXY
Option (d) :XY
Option (e) :XYY
58. Soldier comes with heavy bleeding. The ideal fluid replacement
would be:
Option (a) :Packed RBCs
Option (b) :Crystallines
Option (c) :Colloids
Option (d) :Whole blood for 3 days
Option (e) :Whole blood for 18 days
Ans: b
Ans: d
53. Presence of pancreatic tissue in gastric mucosa is termed as:
Option (a) :Hamartoma
Option (b) :Metaplasia
Option (c) :Neoplasia
Option (d) :Choriostoma
Option (e) :Dysplasia
Ans: d
54. Patient with old history of adenocarcinoma of colon operated for
polypectomy, on histologic evaluation pathologist labelled it as benign
growth with no chances into malignant transformation, it would be:
Ans: b
60. Largest total cross-sectional and surface area is of:
Ans: c
61. Esophagus histology
Ans: b
Ans: b
62. Structures entering thorasic inlet
Option (a) :Accessory nerve
Option (b) :Aorta
Option (c) :Superior vena cava
Option (d) :Azygous Vein
Option (e) :Left recurrent laryngeal nerve
Ans: b
Ans: e
69. Following is true regarding sterilization:
Option (a) :Repeated heating denatures polyvencyl tubings
Option (b) :Autoclaving is heating objects at 121 degC at 15 psi for
3min
Option (c) :Radiation (UV light)
Option (d) :Dry heat
Option (e) :Formaldehyde
Ans: a
Ans: b
70. Pt complains of chest pain for more than 30 min. ECG shows
changes in V1-V4. It denotes:
Option (a) :Anterior wall MI
Option (b) :Anterolateral MI
Option (c) :Inferior wall MI
Option (d) :Lateral wall MI
Option (e) :Inferior wall MI
Ans: c
Ans: a
71. Depolarization of cell is maintained by:
Option (a) :Na influx
Option (b) :Ca efflux
Option (c) :Ca influx
Option (d) :K influx
Option (e) :Na efflux
Ans: e
66. Cushing's triad:
Ans: a
Ans: a
Ans: e
74. Pacinian corpuscles related to
Option (a) :Touch
Option (b) :Vibration
Option (c) :Pressure
Option (d) :Rapidly adapting pain
Option (e) :Slowly adapting pain
Ans: b
75. Drug that inc extracellular K (moves K out of the cell):
Option (a) :Angiotensin
Option (b) H2CO3
Option (c) :Carbonic anhydrase
Option (d) :pH
Option (e) :Exercise
Ans: c
81. A patient has non-reactive HBs Ag, non reactive HBe Ag & reactive
anti HBc Ab. This stages of patient indication what?
Option (a) :Acute infection
Option (b) :Carrier
Option (c) :Transient resolving stage of hepatitis
Option (d) :Immunized
Option (e) :Chronic active disease
Ans: c
Ans: a
76. Thirst is decreased by:
Option (a) :ADH
Option (b) :Aldosterone
Option (c) :Ag II
Option (d) :Baroreceptor efferent
Option (e) :Inc Hematocrit
Ans: d
77. Muscle of quiet inspiration
Option (a) :Diaphragm
Option (b) :Rectus abdominis
Option (c) :Internal intercostals
Option (d) :innermost intercostals
Option (e) :External intercostals
Ans: a
78. Dry mouth increases all except
Option (a) :Thrist
Option (b) :ADH
Option (c) :Ag II
Option (d) :Plasma osmolarity
Option (e) :Plasma vol
82. A Patient has enlaged parotid gland with pain in this region. Which
nerve is carrying pain fibers from the parotid gland?
Option (a) :Auricuolotemporal nerve
Option (b) :Glossopharyngeal nerve
Option (c) :Fascial Nerve
Option (d) :Temporal nerve
Option (e) :Greater auricular nurve
Ans: a
83. A Patient has anemia, hyper-segmented Neutrophils on peripheral
blood examination & neurological manifestations. Which type of
anemia he is suffering from?
Option (a) :Folic acid deficiency anemia
Option (b) :Iron deficiency anemia
Option (c) :Pernicious anemia
Option (d) :Thalasemia
Option (e) :Autoimmune hemolytic anemia
Ans: c
84. A young child has increased BP in upper limbs while decreased BP
in lower limbs. Pulse in also week. What is the probable diagnosis?
Option (a) :Preductal coarctation of aorta
Option (b) :V.S.D
Option (c) :Patent ductus arteriosus
Option (d) :Postductal coarctation of aorta
Option (e) :Transposition of great vessels
Ans: e
79. Gastric acid is stimulated by:
Option (a) :Gastrin
Option (b) :CCK
Option (c) :Secterin
Option (d) :GIP
Option (e) :VIP
Ans: d
85. In case of typhoid fever of 06 days. Which investigation is of first
choice?
Option (a) :Widal test
Option (b) :Blood culture
Option (c) :Typhi dot test
Option (d) :Bone marrow culture
Option (e) :Urine culture
Ans: a
80. Which of the following fungi produce life threatening infection in
patients with diabetics ketoacidosis?
Option (a) :Candida Albicans
Option (b) :Histoplasmosis
Ans: b
86. In a patient with diabetes, which is the best antihypertensive drug
Option (a) :Captopril
Option (b) :Diuretic
Option (c) :Varapamil
Option (d) :Propranolol
Ans: a
87. Urine Examination of a patient with diabetes demonstrates.
Ketone-bodies. What is the mechanism of formation of these ketonebodies?
Option (a) :Insulin deficiency
Option (b) :Hyperglycemia
Option (c) :Defective fat metabolism
Option (d) :Hypoalbubinemia
Option (e) :Defective glucose metabolism
Ans: a
88. After giving blood transfusion, a patient develops hypersensitivity
reaction. Which type of hypersensitivity reaction is this?
Option (a) :Type I Hypersensitivity
Option (b) :Type II Hypersensitivity
Option (c) :Type III Hypersensitivity
Option (d) :Type IV Hypersensitivity
Option (e) :A.D.C.C
Ans: c
93. In a patient diarrhea are corrected after the fasting. Which is most
likely type of diarrhea?
Option (a) :Infectious
Option (b) :Psychogenic
Option (c) :Osmotic
Option (d) :Metabolic
Option (e) :Toxic
Ans: c
94. A diabetic Patient is advised fasting blood glucose level. At what
value doctor is confusing & needs further evaluation with glucose
tolerance test?
Option (a) :04 m mol / 1
Option (b) :05 m mol / 1
Option (c) :07 m mol / 1
Option (d) :10 m mol / 1
Option (e) :15 m mol / 1
Ans: b
89. A Patient develps lesion in the Caudate nucleus. Which is most
common clinical feature Indicating this lesion?
Option (a) :Chorea
Option (b) :Intentional Tremor
Option (c) :Resting Tremor
Option (d) :Hemiplagia
Option (e) :Nystygmus
Ans: a
Ans: c
95. A patient has Aphasia & Facial nerve palsy on same side. Which
artery is most likely blocked?
Option (a) :Anterior cerebral artery
Option (b) :Posterior cerebral artery
Option (c) :Middle cerebral artery
Option (d) :Anterior division of middle cerebral artery
Option (e) :Posterior division of middle cerebral artery
Ans: d
Ans: a
92. A pregnant lady develops pain few hours after delivery. E.C.G.
shows S1, Q3 and T3. What is another investigation most appropriate
for the diagnosis of this case?
Option (a) :RF
Option (b) :X-Ray
Ans: c
96. A young female is having Goiter. She feels difficulty in breathing
while lying down. Which type of the goiter she is having?
Option (a) :Retrosternal goiter
Option (b) :Malignant goiter
Option (c) :Toxic goiter
Option (d) :Diffuse goiter
Option (e) :Simple goiter
Ans: a
97. Regarding L & D sugars
Option (a) :D sugar has - OH on right
Option (b) :L sugar has - OH on right
Option (c) :D sugar has - OH on left
Option (d) :D sugar has no - OH
Option (e) :L sugar has no OH
Ans: a
98. Councilman bodies are formed in the process of
Option (a) :Infection
Option (b) :Apoptosis
Ans: b
Ans: c
99. A middle aged male presents with joint pain since one week. His
serum Uric Acid level is 156 mg/dl. What is the best investigation for
confirmation of the disases?
Option (a) :R.F
Option (b) :Synovial fluid for polarized light
Option (c) :Synovial fluid for Culture & Sensitivity
Option (d) :X-Ray of joint.
Option (e) :E.S.R
Ans: b
100. A patient comes to you in ill condition. His blood pH is 7.3 PCO2
is 44 mmHg & HCO3 is 17 meq/L. What diagnosis you are thinking of
this patient?
Option (a) :Metabolic alkalosis
Option (b) :Metabolic acidosis
Option (c) :Respiratory acidosis
Option (d) :Compensatory acidosis
Option (e) :Compensatory alkalosis
Ans: b
101. During general anaesthesia Halothane is given in combination
with which of the following drugs?
Option (a) :Thiopentone
Option (b) :Nitric oxide
Option (c) :Enfluran
Option (d) :Phenobarbital
Option (e) Ketamine
Ans: b
102. Most common cause of the pelvic inflammatory disease is?
Option (a) :Gonococcus
Option (b) :Chlamydia
Option (c) :Anaerobes
Option (d) :Candida albicans
Option (e) :E-coli
Ans: a
108. A patient has history of recurrent abortion. Which of the following
enzyme analysis will give help to diagnosis?
Option (a) :Estrogen
Option (b) :Progesterone
Option (c) :L.H & F.S.H
Option (d) :H.C.G
Option (e) :Testosterone
Ans: b
Ans: b
103. A lady received DES during pregnancy for prevention of the
abortion. Her baby will be on the risk of:
Ans: d
110. A patient presents with recurrent Rhinitis with Urticaria & Rashes.
Which of the following is most probably diagnosis?
Ans: e
117. Which of the following is characteristic of polycystic ovary
disease:
Ans: a
111. A 60 years old women is brought with bleeding per vagina. She is
diabetic & hypertensive & one year back she was diagnosed as having
carcinoma of breast. What can be most probable diagnosis for this
bleeding p/v?
Ans: b
113. A semiconscious patient is brought to emergency department. He
has history of taking some unknown drug. NaHCO2 reverses the
action of drug. Which drug he has most likely taken?
Option (a) :Phenobarbital
Option (b) :Phenothiazine
Option (c) :Morphine
Option (d) :Diazepam
Option (e) :Alcohal
Ans: a
114. A lady with 26 weeks gestation has uterine height of 24 weeks.
On sonography there is no fetus & snowstorm appearance. Which of
the following probably associate with it?
Option (a) :Choriocarcinoma
Option (b) :Karyotype-46XX
Option (c) :47XX
Option (d) :69XXX
Option (e) :45XO
Ans: b
115. Normal female pelvis has:
Option (a) :Deeper inlet
Option (b) :Inturned spine
Option (c) :Narrow outlet
Option (d) :Round outlet
Option (e) :Oval inlet
Ans: e
116. The ascent of horse shoe shaped kidney is prevented by:
Option (a) :External iliac artery
Option (b) :Internal iliac artery
Option (c) :Superior mesenteric artery
Ans: d
Before blood is transfused into newborns or patients with Tcell deficiencies, it must be irradiated to kill donor
lymphocytes. This prevents the patient from developing a
graft-versus-host reaction or a CMV infection.
b. Blood pressure
c. Cardiac contractility
d. RBC in peripheral smear
e. Pulse pressure
13. Antibodies are produced by
a. Lymphocytes
b. Plasma cells
c. T-Cells
d. Neutrophils
e. Endothelium
14. 15 year old male had history of right iliac fossa pain for 18 hours
and was operated for
appendicitis, histopathology will show which cell
a. Lymphocytes
b. Macrophages
c. Neutrophils
15. Which of congenital malformation is most common
a. ASD
b. VSD
c. TS
16. Male with transmural infarction died suddenly in washroom after 8
days.
a. Atrial fibrillation
b. Ventricular Fibrilation
c. Cardiac Temponade
d. Pulmonary embolism
17. After trauma Female with sudden acute chest pain, Dyspnoea,
hemoptysis and shock and
then death.
a. Fat embolism
b. Air Embolism
c. Peunomionia
18. G1P2 female after delivery develops sudden chest pain and
difficulty in breathing and
hemoptysis, ECG shows S1 Q3 T3 pattern which is most appropriate
test.
a. LDH
b. SGO?PT
c. X-Ray
d. CPK
19. In complete Glucose metabolism number of ATP
a. 30
b. 32
c. 38
d. 46
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
20. Male breathing with Tidal volume 500ml and RR of 10/m what will
be the volume.
a. 1000
b. 1200
c. 2500
d. 4800
e. 5000
21. After forced expiration residual volume will be
a. 500
b. 1000
c. 1200
d. 2400
22. A female with regular cycle of 21 to 23 days what will be the
ovulation days
a. 12 14
b. 14 18
c. 7 9
23. A 46 year old farmer with history of discharging sinus on foot,
smear shows red granule
and filaments 1-3 microns, which is most appropriate
a. Actinomyces
b. Cornibacterium
c. Medurula mycetom
24. 15 year gardner with history of chest pain, no other symptoms, XRay was done which
showed Round mass which is calcified
a. Aspirgilosis
b. Tuberculosis
c. Sarcoidosis
d. Hydatid cyst
42. How much pressure is required for the opening of aortic valve.
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
a. 50
b. 100
c. 60
d. 80
43. Trigeminal ganglia
a. Anterior portion lies in trimiginal canal
b. Is along side cavernous sinus
c. Has branches from anterior and posterior parts
44. Fastest conduction in
a. A alpha
b. A beta
c. A delta
d. B Fibres
e. C Fibres
45. Isthamus of thyroid gland lies at
a. Thyroid cartilage
b. 2-3-4 tracheal ring
46. Phonation is produced by
a. Vocal cords
b. Folds of vocal cords
47. Pharyngeal part of Deglutination
a. Voluntary
b.
48. Foramen cecum represents embryological structure.
a. Thyroid
b. thymus
49. AFP is raised in
a. HCC
b.
50. Patient presented with inappropriate Speech
a. Brocas
b. Wirnickie
c.
51. Amoebic liver abscess test done to diagnose
a. X-Ray
b. CT
c. IHA
52. Trauma to Pterion will cause bleeding of
a. Middle meningeal artery
53. Female with cholelithiasis which enzyme
a. AST
b. ALT
c. Alkaline Phosphatase
d. GGT
54. Increased GFR is caused by
a. Decreased arterial pressure
b. Increase thickness of glomerular membrane
c. Aldosterone?
d. Decreased Oncotic pressure.
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
55. HIV+ patient surgery done then which antiseptic to use after
surgery to clean floor
a. 1% hypochlorite
b. 4% hypochlorite
c. Gluteraldehyde
d. Soap and water
e. Water
56. Submendibular gland surgery will cause damage to
a. Lingual nerve
b. Hypoglossal nerve
57. Patient having progressive facial weakness for 3 months and
hemiplegia lesion is in.
a. Pons
b. Cereberum??
c. Supranuclear
d. Cerebello-Pontine Angle
58. Which amino acid is essential
a. Phenylalinine.
59. Renal flow is measured by.
a. Inulin
b. Para aminohippurate
60. Gustatory sweating is caused by.
61. Regarding facial nerve
62. Heparin action on DVT, it prevents
a. Emboliztion
b. Organization
c. Propagation
63. Which of the following is primary cartilaginous joint.
a. Costochondral
b. Symphyses pubis
c. Sutures of skull
64. Boy with lymphadenopathy painless, biopsy large cells with
multiple mytoses,
appropriate diagnosis by
a. Lymphocytosis on peripheral semear
b. Immunehistochemistry of leukocytes
65. Female with fever, mailase enlarged cervical lymphnodes biopsy
reveals granulamotous
lesions, appropriate diagnosis
a. Chest X-Ray
b. AFB demonstration
66. Person from sibbi Baluchistan with history of fever, anorexia and fly
bite, examination
showed hepatosplenomegaly, lymphadenopathy.
a. Kala-azar
b. Malaria
67. Lymphoma with cervical enlargement and splenic involvement
stage.
a. Stage I
b. Stage IIa
c. Stage IIb
d. Stage III
e. Stage IV
68. Regarding spleen
a. Related to Rib 5 and 6
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
b. Related to right colic flexure in lower pole
c. Developed from venteral messentary
69. flexer sheath of thumb contains
a. flexor pollicis longus
b. flexor polisis longus and abductor policis longus?
c. Flexor policis brevis
d. Flexor policis longus
e. Flexor policis longus, synovial membrane and valla
something..???
70. truncal vagotomy causes
a. decreased motility
b. decreased acid secretion
c. decreased pepsin secretion
71. Histopathology grade of poorly differentiated tumour
a. 25% undefrentiated
b. 25 - 50 % undefentiated
c. 50 75 % undefrentiated
d. More than 75 % undefrentiated
72. Idiopatihc thrombocytopenic purpura lab test
a. aPTT
b. PT
c. BT
d. CT
e. Thrombin time
73. Factor IX is not available what is next best choice.
a. Cryoprecepitate
b. FFP
c. Platelets
d. Whole Blood
74. Factor VIII is not available what is next best choice.
a. Cryoprecipitate
b. Platelets
c. Whole Blood
d. PCV
75. Epiploc Appendiges are on
a. Duodenum
b. Ileum
c. Jeujenum
d. Sigmoid colon
e. Stomoch
76. Female after delivery has developed sepsis and DIC which test is
NOT appropriate
a. Fibrin degradating products
b. Bleeding time
77. Which of the following is most malignant
a. Leukoplakia
b. Erythroplakia
c.
78. Estrogin containing pills are associated with
a. Breast cancer.
b.
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
79. Female with right ovarian fibrosis, surgery is done which artery is
most likely to be
damaged.
a. External iliac
b. Internal iliac
c. Uterine artery
80. Testicular tumour will first drain to
a. Exernal iliac nodes
b. Internal iliac nodes
c. Para aortic nodes
81. Regarding pempaniform plexus
a. In inguinal canal
82. Hernia medial to inferior epigastric artery.
a. Indirect
b. Direct
c. Femoral
83. Regarding kidney
a. Kidneay and surrounding fat coverd by gerrota fascia
b. Giliasons capsule
84. Spinal cord anteriorly attached to
a. Alar ligament
b. Filum terminale
85. Regarding spironolactone
a. IV dose 100mg
b. Is steroid
86. Which of the following disease in pregnancy will cause cataract
a. Measles
b. Rubella during pregnancy
c.
87. Tumour in right upper lobe will cause collape of
a. Right upper apical
b. Right lower
c.
88. Bronchogenic carcinoma
a. Smoking
b. asbestosis
89. 1 year boy with anaemia showing microcytic cells, failure therive,
elder brother regular
blood transfusion
a. Hemophelia
b. Sickle cell anemia
c. Thelesemia
d.
90. Two brothers having hemophelia and but sister does not have what
is inheritance
a. Autosomal Dominant
b. Autosomal Recessive
c. X-Linked Dominant
d. X-Linked Recessive
91. Left circumflex artery supplies
92. Diabetic Ketoacidosis patient managed but dies, infection
a. Mucur
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
93. Patient developed SCC of bladder 8 years back had
granulomatous appearance of bladder
biopsy.
a. Schistosoma
b. Tuberculosis
c. Bladder stone
d. Nitrosamines
e.
94. Vien of heart which itself converts to coronary sinus.
a. Great cardiac vein
b. Middle cardiac vein
95. Female with high grade fever, anemia and hematuria
a. P.falciparum
96. Carpus Stritum
a. Lentiform + globus pallidus
b. Caudate + globus pallidus
c. Caudate + lentiform
d. Amagdaloid + globus
e.
97. Most common intracellar buffer
a. HCO3
b. Hemoglobin
c. PO4
d. Na
e. Cl
98. Oxygen storage in muscle
a. Myoglobin
99. What causes osmotic diuresis
a. Manitol
100. Pharmocodynamica Drug-Drug interaction
a. Thiazide and lithium
b. Morphine and naloxone
101. Pus of follicle contains
a. Dead bacteria
b. Dead Neutrophils
102. Basic drug binds to
a. Albumin
b. Globulin.
c. A1glycoprotein
d. Protein
103. Chromosome lines in center in
a. Metaphase
b. Prophase
c. Anaphase
d. Telophase
e. Prometaphase
104. Question regarding apoptosis
105. Male presents with dull right sided chest what is the cause
a. Pleural effusion.
b. Pneumonia
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
106. Male died after adenocarcinoma, autopsy showed thousands of
polyps in colon, type
of polys.
a. Adenomatous
b. Hyperplastic
c. Hemartomous
d. Metaplastic
107. Which of the following is blood supply of head of femur
a. Medial circumflex humural
b. Lateral cirumflex humural
c. Obturator
d. Nutrient
108. Flexor of knee
a. Sartorius
b. Gastrocnemius
c. Adductor magnus
d. Biceps femoris
109. Major Breast lymphnodes, to parrelel???
a. Along Axillary vessels apical nodes.
b. Along intercostal vessels to posterior thoracic node,
c. Along internal thoracic to internal thoracic nodes???
110. Biopsy of tissue shows Lymphoid tissue with stratified squamous
epithelium
a. Palatine tonsils
b. Lymphnodes
c. Pyers patches
d. Thymus
111. Basophilia is caused by
a. Nucleus
b. Ribosomes
c. Cytoplasm
d. Endoplasmic reticulum
112. Regarding spinal nerves
a. Exit from intervertebral foramen
b. Derived from neural crest only?
113. Female having complains of dysphagia, and weakness labs show
hb 6.2 MCV 68
a. Iron deficiency anemia
114. Cervical cancer increased risk in
a. Chronic irritation
b. IUCD
c. HPV
115. Female with cushing disease came for investigations, her cortisol
level is <1 what is
most important question to ask
a. Having Headache
b. Taking any Oral prednisolone
116. Patient with crf on dialysis with anemia what should be given
a. Erythropoietin
117. Regarding trachea
a. C-shaped rings with cavity anteriorly
b. 15 cm
118. Painful defecation nerve supply
a. Pudenal nerve
119. Boy with high grade fever and tender abdomen, X-Ray shows
pneumoperitoneum,
before surgery antibiotic should be given
a. Ceftrizime?
b. Gentamycin
120. Patient with C.Botulinum food poisoning, characteristic feature will
be
a. Diarrhoeab. Vomitingc. Respiratory muscle depression
121. Following muscle does not attach to humerous
a. Pectoralis major
b. Pectoralis minor
c. Teres minor
d. Subscapularis
e. Supraspinatus
122. Patient with Tobacco chewing showing ulcer on iner lip margin
which is indurated and
pale is
a. Squamous cell carcinoma
b. Basal cell carcinoma
c. Melanoma
123. Medial longitudinal arch piller
a. Tallus
b. Calcaneum
c. Navicular
124. Structures posterior to medial malleolus except.
a. Tibial nerve
b. Post tibial artery
c. Flexor halluces longus
d. Flexor halluses bravis
e. Tibialis anterior
gynea august 2014
1. A Female during develivery looses blood and requires blood. Her
blood sample is reactive
blood agglutinates with anti sera B and anti sera D. which blood is
suitable for transfusion.
a. A+
b. B RH Positive
c. O +
d. AB +
2. Following arches over left lung root.
a. Thoracic ductb. Arch of aortac. Azygus vein
3. Patient IVC is blocked just above the emergence of azygus vein,
where blood will divert.
a. Right gastric arteryb. Hepatic veinc. Hepatic arteryd. Umbilical
arterye. Splenic artery
4. Internal Jugular vein is related
a. Anterior to Carotid arteryb. Medially to Carotid Arteryc. Laterally to
Carotid arteryd. Posteriorly to Carotid arterye. Internal Carotid Artery
posteriorly
5. Rapid adaptation receptors
a. Free nerve endingsb. Meckels diskc. Pacinian corpusclesd. Ruffinis
corpuscles
6. Hypermeagnesemia causes
a. Hyperreflexiab. Dec acetyl choloine uptake
7. Best example against single organ?
a. Hashimoto thyroiditisb. PANc. SLEd. RA
8. Hormone required for brain development
a. Thyroid hormoneb. Growth hormonec. Cortisold. Androgene. Insulin
9. Ketamine used in repeated burn dressings because
a. It does not cause hypotention
b. Causes profound analgesia
c. It can be given IV
d. It does not causes addiction
a. Prolactinoma
b. Melanocytic tumour???
c. Increased CRH
d. Incresed Gonadotrophic hormones.
39. Type 2 heart Block
40. Nerve supply of dorsum of hand just near thumb
a. Median nerve
b. Radial nerve
c. Axillary nerve
41. Cystic artery is branch of
a. Gastroduodenal
b. Left gastroepiploic
c. Right hepatic
42. How much pressure is required for the opening of aortic valve.
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
a. 50
b. 100
c. 60
d. 80
43. Trigeminal ganglia
a. Anterior portion lies in trimiginal canal
b. Is along side cavernous sinus
c. Has branches from anterior and posterior parts
44. Fastest conduction in
a. A alpha
b. A beta
c. A delta
d. B Fibres
e. C Fibres
45. Isthamus of thyroid gland lies at
a. Thyroid cartilage
b. 2-3-4 tracheal ring
46. Phonation is produced by
a. Vocal cords
b. Folds of vocal cords
47. Pharyngeal part of Deglutination
a. Voluntary
b.
48. Foramen cecum represents embryological structure.
a. Thyroid
b. thymus
49. AFP is raised in
a. HCC
b.
50. Patient presented with inappropriate Speech
a. Brocas
b. Wirnickie
c.
51. Amoebic liver abscess test done to diagnose
a. X-Ray
b. CT
c. IHA
52. Trauma to Pterion will cause bleeding of
a. Middle meningeal artery
53. Female with cholelithiasis which enzyme
a. AST
b. ALT
c. Alkaline Phosphatase
d. GGT
54. Increased GFR is caused by
a. Decreased arterial pressure
b. Increase thickness of glomerular membrane
c. Aldosterone?
d. Decreased Oncotic pressure.
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
55. HIV+ patient surgery done then which antiseptic to use after
surgery to clean floor
a. 1% hypochlorite
b. 4% hypochlorite
c. Gluteraldehyde
d. Soap and water
e. Water
56. Submendibular gland surgery will cause damage to
a. Lingual nerve
b. Hypoglossal nerve
b. Platelets
c. Whole Blood
d. PCV
75. Epiploc Appendiges are on
a. Duodenum
b. Ileum
c. Jeujenum
d. Sigmoid colon
e. Stomoch
76. Female after delivery has developed sepsis and DIC which test is
NOT appropriate
a. Fibrin degradating products
b. Bleeding time
77. Which of the following is most malignant
a. Leukoplakia
b. Erythroplakia
c.
78. Estrogin containing pills are associated with
a. Breast cancer.
b.
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
79. Female with right ovarian fibrosis, surgery is done which artery is
most likely to be
damaged.
a. External iliac
b. Internal iliac
c. Uterine artery
80. Testicular tumour will first drain to
a. Exernal iliac nodes
b. Internal iliac nodes
c. Para aortic nodes
81. Regarding pempaniform plexus
a. In inguinal canal
82. Hernia medial to inferior epigastric artery.
a. Indirect
b. Direct
c. Femoral
83. Regarding kidney
a. Kidneay and surrounding fat coverd by gerrota fascia
b. Giliasons capsule
84. Spinal cord anteriorly attached to
a. Alar ligament
b. Filum terminale
85. Regarding spironolactone
a. IV dose 100mg
b. Is steroid
86. Which of the following disease in pregnancy will cause cataract
a. Measles
b. Rubella during pregnancy
c.
87. Tumour in right upper lobe will cause collape of
a. Right upper apical
b. Right lower
c.
88. Bronchogenic carcinoma
a. Smoking
b. asbestosis
89. 1 year boy with anaemia showing microcytic cells, failure therive,
elder brother regular
blood transfusion
a. Hemophelia
b. Sickle cell anemia
c. Thelesemia
d.
90. Two brothers having hemophelia and but sister does not have what
is inheritance
a. Autosomal Dominant
b. Autosomal Recessive
c. X-Linked Dominant
d. X-Linked Recessive
91. Left circumflex artery supplies
92. Diabetic Ketoacidosis patient managed but dies, infection
a. Mucur
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
93. Patient developed SCC of bladder 8 years back had
granulomatous appearance of bladder
biopsy.
a. Schistosoma
b. Tuberculosis
c. Bladder stone
d. Nitrosamines
e.
94. Vien of heart which itself converts to coronary sinus.
a. Great cardiac vein
b. Middle cardiac vein
95. Female with high grade fever, anemia and hematuria
a. P.falciparum
96. Carpus Stritum
a. Lentiform + globus pallidus
b. Caudate + globus pallidus
c. Caudate + lentiform
d. Amagdaloid + globus
e.
97. Most common intracellar buffer
a. HCO3
b. Hemoglobin
c. PO4
d. Na
e. Cl
98. Oxygen storage in muscle
a. Myoglobin
99. What causes osmotic diuresis
a. Manitol
100. Pharmocodynamica Drug-Drug interaction
a. Thiazide and lithium
b. Morphine and naloxone
101. Pus of follicle contains
a. Dead bacteria
b. Dead Neutrophils
102. Basic drug binds to
a. Albumin
b. Globulin.
c. A1glycoprotein
d. Protein
103. Chromosome lines in center in
a. Metaphase
b. Prophase
c. Anaphase
d. Telophase
e. Prometaphase
104. Question regarding apoptosis
105. Male presents with dull right sided chest what is the cause
a. Pleural effusion.
b. Pneumonia
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
106. Male died after adenocarcinoma, autopsy showed thousands of
polyps in colon, type
of polys.
a. Adenomatous
b. Hyperplastic
c. Hemartomous
d. Metaplastic
107. Which of the following is blood supply of head of femur
a. Medial circumflex humural
b. Lateral cirumflex humural
c. Obturator
d. Nutrient
108. Flexor of knee
a. Sartorius
b. Gastrocnemius
c. Adductor magnus
d. Biceps femoris
109. Major Breast lymphnodes, to parrelel???
a. Along Axillary vessels apical nodes.
b. Along intercostal vessels to posterior thoracic node,
c. Along internal thoracic to internal thoracic nodes???
110. Biopsy of tissue shows Lymphoid tissue with stratified squamous
epithelium
a. Palatine tonsils
b. Lymphnodes
c. Pyers patches
d. Thymus
111. Basophilia is caused by
a. Nucleus
b. Ribosomes
c. Cytoplasm
d. Endoplasmic reticulum
112. Regarding spinal nerves
a. Exit from intervertebral foramen
b. Derived from neural crest only?
113. Female having complains of dysphagia, and weakness labs show
hb 6.2 MCV 68
a. Iron deficiency anemia
114. Cervical cancer increased risk in
a. Chronic irritation
b. IUCD
c. HPV
115. Female with cushing disease came for investigations, her cortisol
level is <1 what is
most important question to ask
a. Having Headache
b. Taking any Oral prednisolone
116. Patient with crf on dialysis with anemia what should be given
a. Erythropoietin
117. Regarding trachea
a. C-shaped rings with cavity anteriorly
b. 15 cm
118. Painful defecation nerve supply
Disclaimer: questions are incomplete and MAY NOT INCLUDE
CoRRECT ANSWERS
a. Pudenal nerve
119. Boy with high grade fever and tender abdomen, X-Ray shows
pneumoperitoneum,
before surgery antibiotic should be given
a. Ceftrizime?
b. Gentamycin
120. Patient with C.Botulinum food poisoning, characteristic feature will
be
a. Diarrhoea
b. Vomiting
c. Respiratory muscle depression
121. Following muscle does not attach to humerous
a. Pectoralis major
b. Pectoralis minor
c. Teres minor
d. Subscapularis
e. Supraspinatus
122. Patient with Tobacco chewing showing ulcer on iner lip margin
which is indurated and
pale is
a. Squamous cell carcinoma
b. Basal cell carcinoma
c. Melanoma
123. Medial longitudinal arch piller
a. Tallus
b. Calcaneum
c. Navicular
124. Structures posterior to medial malleolus except.
a. Tibial nerve
b. Post tibial artery
c. Flexor halluces longus
d. Flexor halluses bravis
e. Tibialis anterior
1ST JAN 2015 SURGERY AND ALLIED:
1. Most appropriate about Clavipectroral Fascia:
A. Above the clavicle connects wid Pretracheal FaciaB. Part of
Endothorac FasciaC. Covers Pectoralis MajorD.Covers Pectoralis
Minor
2. If Lateral Cord of Brachial Plexus will damage which muscle will get
paralysed most likely:
A. Pectoralis MajorB.Pectoralis MinorC. Teres MajorD. Teres Minor
3. Patient with fluid loss now show metabolic acidosis e hypokalemia.
most fluid loss will be through:
A. StomachB. Colon C. PancreasD. DuodenumE. Jujenum
4. Fracture of surgical neck of Humerus damage to:
A. Axillary Nerve
5. Inversion of foot by which muscle:
A. Peronues LongusB. Peroneus BrevisC. Peroneus tertiusD. Tibialis
Posterior
6. Pain from Gallbladder felt in Anterior Triangle of neck, this
mechanism of Reffered Pain appropraite statement is:
A. Vagus Nerve has wide distribution in thorax and most of abdominal
organsB. Accersory nerve gives fibers to GallbladderC.
Parasympathetic something
7. Lateral foot dermatome:
A. S1B. S3c. L4
8. Regarding jerks corresponding with spinal segments:
A. Biceps- C6B. Tricep- C8
All other options were wrong but didnt know what to choose among
above two.
9. MELAS syndrome histological finding:
A. Loflar bodiesb. Inclusion bodiesC. Granulomas
D. CystE. Red ragged fibers
(some says inclusion and some say LOFLAR)
10. Giant Cell Tumors histo finding:
A. Spotted calcificationsB. Soap Bubble appearance
11. Blast Cells in peripheral blood:
A. Iron deficiency anemiasB. Erythroblastosis fetalisC. Folate
deficiencyD. Bone marrow depression
12. Most common cause of Hepatocellular CA in developing countries:
A. HEP B, CB. Hep Cc. Hep B
13. Young adult with raised ALP, jaundice and decreased Hb Scenario
A. Cholesterol StonesB. Pigment StonesC. CholangioCAD. Hepatitis
14. Regarding Lymph drainage of breast except:
A. ApicalB. Supraclavicular NodesC. Pectoral NodesD. Inferior Phrenic
Nodes
15. Closure of lips involve: or unable to close lips which muscle
involved:
1. Depressor anguli oris2. Depressor labii inferioris3. Depressor labi
superioris4. Orbicularis oris ans5. Lateral pterygoid
16. Superior Thyroid artery arise from:
A. First branch of Subclavian ArteryB. External Carotid ArteryC.
Internal Carotid Artery
17. Incubation period of which disease is longest:
1. Measles2. Rubella3. Chicken pox4. Infectious mononucleosis 5.
Mumps
18. Chronic Fungal infection with rhinosinusitis causing medial erosion
and granulomas:
1. Cryptococcosis2. Mucormycosis3. Rhinophycomycosis4.
Histoplasmosis5. Aspergillus
19. Which of following has highest chances of developing endometrial
cancer
1. Simple hyperplasia2. Complex hyperplasia without atypia3. Complex
hyperplasia with atypia4. Squamous metaplasia
5. Chronic endometritis
20. Regarding CSF
1. Formed by ependymal cells2. Formed 500ml/day3. Formed only
30percent by chorioid plexus4. Arachnoid villi are visible
There were two questions about CSF.
21. Age estimation at fifth to 12th week is done through:
A. Biparietal diameterB. Crown rump length C. Crown heel lengthD.
Abdominal circumference
22.A sprinter during running had injury to his ankle. He can stand on
his toes but with severe pain.. There is a visible ecchymoses around
ankle joint:
A. Plantaris tendon
23.Otic ganglion is between mandibular nerve and tensor tympani. It's
superior border is formed by:
A. Foramen lacerumB. Foramen ovale C. Foramen rotundumD. Styloid
process
24. Amoeba causes lesions in which part of gut:
A. Terminal ileumB. CecumC. Ascending colonD. Transverse colonE.
Sigmoid and rectum
25. A young boy with inc appetite weight gain and sleep problems. On
examination he is having genitals hypoplasia:
A. HypothyroidismB. Pineal tumorC. CraniopharyngiomaD.
NarcolepsyE. Cushing disease
26. Sensory supply of uterus passes through which ligament:
1. Broad ligament2. Round ligament3. Cardinal ligament4. Uterosacral
ligament5. Uterocervical ligament
27. Highest number of alpha resceptors are present in:
1. Trigone2. Neck of bladder and proximal urethra3. Penile urethra4.
Membranous urethr5. External urethral opening
28. Regarding elbow joint:
1. Capsule deficient posteriorly2. Covered all around by muscles3.
Hinge joint4. Supination occurs here5. Joint between humerus, radius,
ulna
29. A needle when inserted 2cm below and lateral to pubic tubercle will
be closely related to on:
A. Obturator nerveB. Ilioinguinal nerveC. Sciatic nerveD. Femoral
nerve
30. Regarding Pterygopalatine Raphe:
A. BuccinatorB. Inferior constrictorC. Parts from all constrictorsD.
Middle constrictor
31. Most important characteristic of Glycogen Storage diseases are:
A. Hyperglycemia with HepatomegalyB. Hyperglycemia with
splemomegalyC. Hypoglycemia with HepatosplenomegalyD.
Hypoglycemia with Hepatomegaly
32. Buccopharyngeal Membrane:
A. Stomodium from ForegutB. Nose from Pharynx
33. PTU:
A. inhibits synthesis of thyroid hormonesB. inhibits release of thyroid
hormones
34. Most common position of appendix:
A. RetrocecalB. Pelvic
35. Pretracehal fascia infections spreads to:
A. Anterior mediastinumB. Posterior mediastinum
36. Sensations from tip of fingers by:
A. a fibers
B. a beta fibers
C. a delta fibersD. c fibers
37. Shivering center is located in:
A. Anterior hypothalamus
B. Posterior hypothalamus
38. Which tumor involves extension to nerve sheath:
1. Myxomas2. Adenomas3. Hemangiopericytoma4. Carcinoma
expleomorphic adenoma
39. Anterior epithelium of cornea is:
1. Stratified squamous keratinized2. Simple squamous3. Simple
columnar4. Stratified Squamous non keratinized
40. A 30 year old woman in azad kashmir was injured mildly in an
earthquake that killed many people apart from her distant uncle. She
would most probably be in
1. Social crisis2. Personal crisis3. Situational crisis4. Developmental
crisis
41. While a surgery on submandibular gland which has more chances
of injury:
1. Superior thyroid artery2. Lingual nerve3 Mandibular nerve4. Facial
nerve
60. Scenario bif on Marfans wid mitral valve prolapse died and on
autopsy is prolapse this was due to defect in
A. Fibrillin
B. Spectrin
A. Part of pterion
B. Posteroinferior prominent part of occipital bone
C. Posterior to frontal bone
D. Internally to occipital bone
61. Group of young men bathing n beech next day develop blisters on
back shoulder limbs region cause is:
A. Mast cell destruction B. Endothelium venules destruction
A. Carbohydrate metabolism
B. Endothelial protection
C. Skin integrity
D. Germinal epithelial protection (seniors confirmed)
82.Heterophile antibody is seen in:
A. Infectious mononucleosis
B. Herpes simplex
C. Gonorrhea
83.Deep to post digastric and near palatoglossus a structure runs
obliquely upwards
A. Facial artery
B. Lingual artery
C. Maxillary artery
D. Sup thyroid
(all of the options were very close and with slight shuffling)
80.Inion is:
A. Respiratory failure
106. Poliomyelitis:
A. Anterior horn cell defect
A. Paraaortic LN
118. Regarding Lower Limb:
A. Short Saphenous Vein form from superficial arch something.
B. Long Saphenous ends at mid of thigh
(so hard to recall this question options, they were weird n confusing.
better to read the topic)
119. Antiseptic for skin:
A. Phenol with clorhexidine
Cant recall other statements but i guess i have seen this question
somewhere.
107. Scenario about CHF than asked about reason for edema:
A. Dec Colloid osmotic pressure
108. Regarding P Value:
A. Checks probability
B. Percentile something..
109. Regarding H2 Blockers:
A. Inhibits both gastric acid secretion and parasympathetic
110. Mechanism of Vibro cholera:
A. Cl channelB. dec HCO3C. IP3 something
Cant really recall correct statements about this questions so its better
to read the topic and save it in ur mind if question comes again you
can choose da correct one :)
(The cholera toxin (CTX or CT) is an oligomeric complex made up of
six protein subunits: a single copy of the A subunit (part A), and five
copies of the B subunit (part B), connected by a disulfide bond. The
five B subunits form a five-membered ring that binds to GM1
gangliosides on the surface of the intestinal epithelium cells. The A1
portion of the A subunit is an enzyme that ADP-ribosylates G proteins,
while the A2 chain fits into the central pore of the B subunit ring. Upon
binding, the complex is taken into the cell via receptor-mediated
endocytosis. Once inside the cell, the disulfide bond is reduced, and
the A1 subunit is freed to bind with a human partner protein called
ADP-ribosylation factor 6 (Arf6).[13] Binding exposes its active site,
allowing it to permanently ribosylate the Gs alpha subunit of the
heterotrimeric G protein. This results in constitutive cAMP production,
which in turn leads to secretion of H2O, Na+, K+, Cl, and HCO3 into
the lumen of the small intestine and rapid dehydration. The gene
encoding the cholera toxin was introduced into V. cholerae by
horizontal gene transfer. Virulent strains of V. cholerae carry a variant
of temperate bacteriophage called CTXf or CTX.)
C. is a bilayer structure
120. Cardiac disease scenario wad there and they asked about the
fluid accumulation, proteins more than 3.2 g/dl:
A. Exudative
B. Transudative
123. Scenario was given about massive splenomegaly:
A. Leishmanias
B. Chornic Malaria
(Both does so choose da option on ur own risk :)
124. Repeat mcq from asim regarding gray matter foot processes:
A. Protoplasmic Astrocytes
125. Most important renal tubular buffer is:
A. hB
B. hC03
C. Protein
D. Phosphate
126. Cause of global blindness:
A. Herpes SimplexB. RubellaC. Chlamydia Trochamatis
127. Which is normal HB:
A. HbAB. HbFC. HbC
128. Thalesemia carrier percentage in Pakistan:
A. 5%B. 10%C. 15%
Cruciate Anastamosis
Pituitary Tumour
1.
31.. 12yrs old girl..hw to assess age by ossification centre of which part
of humerus
A.medial epiB.trochleaC.capitulum...lateral epi
32.. abt quadrate lobe,true is
A.lies bw ivc and lig venosum
B.functionally part of rt lobe
C.drains by left hepatic duct
33.. Safe mother hood
a..component of reproductiv health
b..related to mother health only
C..related to child n mother health only
d..dec meternal mortality
34.. 4ml of 2% lignocaine vail contain??
80mg
35.. Jugler vein coresponding on ecg
A a wave for atrial depolarization
B a c wave coresponds to pr interval on ecg
36.. primigravida 28 weeks gestation came with puffy face and
hypertensive n hypoalbuminuria
a acute glomerulonephritis
b lipoid nephritis
c..pre eclamsia
37.. epidural anestheisa failed in second stage..n dose of anesthetic
was repeated.. the cause of failure is due to which segment not
undergone anesthesia
t10l1,l2s1,s2.s3,s4
38.. stress hormone not in surgery procedure
a acth..b Adhc Glucagon;;;d Insulin
39.. Occulomotor nerve supplies
A all extta occiler muscles
B trigeminal ganglion
C sup n inf fibers pass thru sup n inf orbital fissures????
D compltely parasympathetic to cilliary muscles
40.. Pain on deffecation..
a..pudendal nerveb..inferior rectal nerve
41.. Heavy smoker small noduls on vocal cord may include all except
A.hyperplasiaB.neoplasiaB.atrophy
42.. Regarding spermatogenesis
A. Starts at birth..B. Capicitation occur in epidydmus
c..take directional movement in seminiferous tubules
43.. Lymphatic drainage of labia majora
B. Superficial inguinal nodes
44.. Parturition caused by
A. Fetal cortisol
45.. Female exposed to bomb blast radiations..whch effected most
A. Haematopoitic tissue
B. Kidney
46.. Possitiv predictive value affected by
a..prevelance of disease
b..incidence of diseas
c..mortality
47.. Patient wid fever,joint pain..receive diphtheria vaccine 2 weeks
ago..which type of hypersenstivity?
A.type1B.type2Ctype3Dtype4
48.. All cause of uti exceptasim gynae
a..ecolib..dudercin bassilusc..tuberculous
49.. Cervical cancer common causea..hpvb.hsvc..chlamydia
50..hsv 2
acervical carcionoma
b..endometrial cac..ovarian ca
51.. Pudendal nerve supply all exceptasim gynae
a..ischiocavernosis..b..levator ani;;;c..post fornix of vagina
52.. While doing LP what structure is damaged
A dura matter
B pia matter
C vertebral ligament
d ant longitudnal ligament
53.. newborn meningitis
a nesseria meningitis.b ecolic cryptococus neoformans
54Following has high clearance value
A inulin..B pahaC glucoseD Na
80.. esmolol
not a b seletive beta blocker
short acting???
99...HLA DR4
Ant fontanele
Rheumatoid arthritis
Posterior fontanale
Palatine tonsilTongue..Palate
119true about spermatogenesisasim gynae
102..true about supra renal gland
Supplied by inf pherenic artry
Uterine artry
106..bitemporal hemianopia
Wet gangrene
GGTALT
Olygouriam.i.hypotension
112..vitamin b12 deficiency with mouth ulcers n perineal ulcers
a..vit b12.b..iron
114..hb 6 dysphagia platlet normal
Iron def anemia
115..spleenomegaly splinter hemorrhages fever
Blood culture
Blood cp
Urine culture
136..glucagon increase by
117..adh causes
ExcersciseGlucose
Contraction of vesels
137..osteogenesis
2..10ml/l
3.15l/lt
150.. Fio2 max dose which does not cause fetolental adrenoplasia:)
0.5
1
2.5
.26
Fraction of inspired oxygen (FiO2) is the fraction or percentage of
oxygen in the space being measured. Medical patients experiencing
difficulty breathing are provided with oxygen-enriched air, which means
a higher-than-atmospheric FiO2. Natural air includes 20.9% oxygen,
which is equivalent toFiO2 of 0.21. Oxygen-enriched air has a
higherFiO2 than 0.21, up to 1.00, which means 100% oxygen. FiO2 is
typically maintained below 0.5 even with mechanical ventilation, to
avoidoxygen toxicity
141..medullary rays
By collecting ducts
142..not supplying scalp
Occipital arteries
Maxillary artery
Posterior cerebral
143..pregnancy with antituberculous drugs instead of taking ocps
Ethambutol
Pyrazinamide
Rifampicin
144..epileptic women on antiepileptics become pregnant what should u
advise
Add valproic asid
Change to phenol barbitone
145..highest protein content
HDL
146.. In emergency department
a..physian should discourge the anger of pt n atendents againt
departmentI mark this
b...only pt should allow to come inaftr discussion
c..phycological therapy should b imp for pt and atendents n family
147.. Post synaptic sympathatic mainly secretes
a..nor epinephrine
b...Acetylecholine
c..adrenalline
148.. Prevelence is,,,,a..new cases.b..all cases..c..group
149.. A man with 70 cardiac output 60mmhg po2 8mg/dl hb
o2 bind
1.21ml/l
tubercle will be on
2. Ilioinguinal nerve
Choriocarcinoma4 Teratoma
Following is true
1.
1. Paracecal
2. Retrocecal ans
3. Pelvic appendix
1.
3. Supraclavicular nodes
5. Apical nodes
1. Myxomas
2. Adenomas
3. Hemangiomas
#18.Lesser omentum
1.
Transverse colon
1.
ans
Biparietal diameter
1. Locus ceruleus
2. Tractus solitarius
3. Nucleus ambiguous ans
4. Nucleus raphe
#23.Function exclusively linked with vit E
1. Carbohydrate metabolism
2. Endothelial protection
3. Skin integrity
4. Germinal epithelial protection ans
#24.While a surgery on submandibular gland which has
more chances of injury
1.
4. Abdominal circumference
#33.MELAS syndrome
LoflarInclusion..GranulomaCystraggede reddd fibers
#34.Highest number of alpha resceptors are present in
1. Trigone
2. Neck of bladder and proximal urethra ans
3. Penile urethra
4. Membranous urethra
5. External urethral opening
###35.Loss of inversion
1. Paroneus longus
2. Paroneus brevis
3. Flexor digitorum
4. Tibialis posterior ans
atlas
nuchae
#28.Inion is
2. Personal crisis
4. Developmental crisis
2. Simple squamous
3. Simple columnar
pterygoid
IMPORTANT POINTS::
1. Simple hyperplasia
2. Complex hyperplasia without atypia
.
Important topics:
-Opening in diaphragm.
-Respiratory capacities.
-celiac truk and branches
-type of hyaline cartilage
-cnsrecepters
-epithelium
-pharyngeal pouches,clefts
-epithelium derivatives
-skull foramina
-cytochrome inducers and inhibitors.
-heart blood supply
-page 600 azimshaikh
Radial nerve:
-bones of hand
-tumor markers
Axillary nerve:
-type of errorsbiostat
-reflexes values
-cardiac enzymes
-chlorpromazine can cause parkinsonism
-carotid sheath content
-parkinsonism is aggrevated by Haloperidol
-chemorecepter and baroreceptor
-Digoxin toxicity can increase by chlorothiazide
-hormones second messengers
-centraly acting antihypertensive is methyldopa
-T and B cells CD numbers
-Amino acids derivatives
-joint classifications.
Inverters:
-cartilage types(hyaline,fibrocartilage,elastic
-tibialis anterior
---examples)
-tibialis posterior
-bones classifications
Everters:
-LBB__RCA+LCA
ECG diagnosis of MI:
A.Anteriorwall(LAD):v1-v4
-Ulnar nerve:
1.anteroseptal__LAD (v1-v2)
>Descends on Medial side of axillary artery and brachial
artery.
2.anteriolateral__LAD or LCX(v4-v6)
B.Lateralwall(LCX)__I,aVL
C.Inferiorwall(RCA)__II,III,aVF
-GH adenomaacidophil
_heparin____monitoraptt
-ACTH adenoma---basophil
_warfarin___monitorpt
-TSH adenomabasophil(chromophobe)
*in axilacords of brachial plexus
*base of neck----roots
*posterior triangle of neck---trunk and division
*detoxification of drugs---ESR
-hypocalcemia
-hyperkalemia
-hypothermia
-metabolic acidosis
Amiodarone>lidocaine>procainamide
Lymph drainage:
*labia majora and glans penis---superior inguinal L.N
*cervixinternal and external iliac L.N
*prostate__internal iliac L.N
*Urinary bladder__internal and external iliac L.N
-allantois__Urachus__median umblical ligament
-Somatotropic (acidophilic) adenoma__gigantisim
-circumvillatebitter taste
Stretch reflex:
-monosynaptic
-Dysgerminomashrilerduval bodies
Vestibular,vagal,abducent,hypoglossal.
-groove for subclavian artery is at first rib.
-spinal cord ends:
-azygos vein enters thorax inlet
*in infants:L3
-right middle lobe has 2 bronchopulmonarysegment
*in adults:lower border of L1
-diaghragm is not attached to T 10
-Subarachinoid space ends at (S2-S3)
-Tendon of popletial muscle is intracapsular
-internal capsule---projection fibres
-DIFFICULTY in:
-at the level of superior colliculusocculomotornerve
nucleus-midbrainred nucleus
-narcolepsydefect in hypothalamus
1STWEEK.BLASTOCYST IMPLANTATION
Lymph drainage of
4TH WEEK..
-lateral handinfraclavicular
-connections of cerebulum
---medial handepitrochlear
-lateral ventricle roof formed by body of corpus callosum
-dermatome of perineal region is S3S4
-CVAheart sounds in JVP
C wave first sound
V wave 2nd
A wave 4th
5TH WEEK
Weeks 34-38
DEVELOPS
7WEEK.BEGINS TO DIFFERENTIATE
6TH WEEK
FOR LUNGSSS;
7-16 WEEK.PSUDOGLANDULAR PERIOD
16-24WEEK.CANALICULAR PERIOD
7TH WEEK;
FCPS Part 1 Gynae/Obs Questions (Feb 12th, 2014)
LIMB ROTATIONS BEGINS
8TH
WEEK.
Urinary tract
14.Epidural block 3% chlorpromazine is more rapid than
2% lidocaine. Reason
a. Lipid solubility b. Ester vs amide c. PKa d.
Concentrati
15.Non carcinogen
a. Methylsulfate b.
Radiation
c.
Cyclophosphamide d.
Alcohol
16.Post op wound causes greenish pus discharge . Which
organism is involved;
a. Pseudomonas b. Klebsiella c.
E. Coli
17.Abortion performed by dai, hematoma formed by
a. Ovarian Artery b. Ovarian venous plexus
c.
Uterine Artery d. Broad ligament
18.Atonic bladder is caused by; a.
Parasympathetic
cut down supply b. Somatic efferent c. visceral afferent
19.Characteristic of Graves disease;
a. TSH decrease
b. T4 decrease
c. T3 decrease
d. Increase in the above
20.Insulin is inhibited by;
a. Glucagon
b. Beta adrenergic blockers
c. Acetylcholine
21.Compression of S1 nerve root results in ;
a. Loss of ankle jerk
b. Postive Babinski sign
c. Sensory loss on sole and medial aspect of foot
22.Uterus remains in position by;
a. Broad ligamen
b. Transverse cervical ligament
c. Urogenital diaphragm
23.Reaction after diphtheria vaccine;
a.
Anaphylaxi b.
Type 1 c. Type2
d.
Type3 e. Type4
24.Baby after delivery;
a. RBC increase in number
b. lung compliance increases
c. Billirubin level increases in 7-14days after birthd.
Weight increases in 1st week
25.A 50 yr old smokers works in a tyre factory, diagnosed
as transtional cell CA, what is the cause of this disease;
a. Aromatic amines
b. Smoking
c. Nitrosomines
26.Regarding Breast the following is not true;
a. coopers ligament attaches it firmly to the
underlying chest wall b.
extends from mid
sternum to midclavicular line
27.Uterus prolapsed but anus in position which
intactligament is intact;
a. Cardinal ligament b.
Broad Ligament c.
Pelvic diaphragm d.
Round
ligament e.
Outer anal sphyncter
28.Percentage can be calculated as
a. By dividing the number by the total number of
items and multiplying by 100
29.After the birth of a baby the perinatal mortality rate and
Still birth can be calculated in;
a. Death within 1 mon b.
1 yr
c. 1 week d.
1 day
30.10% Formaldehyde is used for sending Biopsy
specimen, Why? a. Sterilisation b.
To
prevent
autolysis c.
To stain cells d. To
denature
proteins e.To prevent autolysis of cell
31.Anal canal extent; a.
Between levator anni and
Anus
32.Collagen; a.
Formed by chondroblast
b. Present in all types of connective tissue
33.Stroke Volume increase by;
a. Increase in HR at constant Cardiac Output
b. No change
34.Growth hormone secretion is increased ;
a. Exercise b.
Hperglycemia
35.Severe transfusion reaction occurs when A+ blood is
given to ;
a. A- b.
AB- c. O36.Hormonal therapy against malignant condition acts by;
a. Apoptosis b.
Degeneration
c.
liquefactive necrosis
37.After 48 hours starvation, the source of energy for the
body is;
a. Muscle glycogen
b. Muscle protein
c. Liver glycogen
d. Triglycerides
38.The following is true about acute Inflammation;
a. Local response to injury
b. Systemic response to injury
39.Pressure in aorta least during;
a. T wave
b. Isovolumic relax
c. Isovolume contraction
40.A woman with chest pain and history of fever, that
becomes worse on lying down
a. Myocarditis
b. Pericarditis
c. Pleuritis
41.Regarding septic shock does not include;
a. high dose steroids get benefit
42.Local anesthesia crosses placenta through;
a. Active transport
b. Bulk fl0w
c. Facilitated diffusion
d. Passive diffusion
43.Edema is caused by;
a. hydrostatic pressure
b. osmotic pressure
c. Lymphatic obstruction
44.Preganglionic fibers release ;
a. Acetylcholine b.
Norepinephrine
c.
Dopamine
45.Clinically GFR is measured by;
a. Creatinine b.
Inulin
46.During 2nd week which is appropriate test for typhoid
fever ;a. Widal+Blood culture b.
Blood c. culture
only d. Stool culture e.
Bone marrow
47.Stilbestrol in first trimester of pregnancy;a.
Vaginal
cyst b. Clear cell carcinoma of vagina
48.Glucose transport across a membrane is directly
proportional to concentration graddient . Type of transport
is a.
Simple diffusion b. Facilitated Diffusion
c.
Active Diffusion d. Na co-transport
49.Barr bodies;
a. Always inactive b. Heterochromatin c. Have Xchromosome d.
It can be seen under light
microscope
50.Hormonal therapy causes regression of tumour by;
a. Atropy b. Degeneration c. Apoptosis
51.In neonate the spinal cord terminates at the level of;
a. L1 b.
L2 c.
L3 d.
L4 e.
T12
52.Turner Syndrome a.
45XO
53.Klienfelter Syndrome a. 47XXY
54.Which antib0tc safe in pregnancy in 8th month
a. Tetracyclin b.
Augmentin
c.
Coamoxiclave d. Nitrofurantoin
e.
Cotrimaxazole
55.Amniocentesis vs trans-cervical chorionic villous
sampaling before 14 weeks
a. 1% Decrease chance of miscarriage
b. 10% increase risk of fetal talipes
56.Amniocentesis done in a pregnant lady at term
pregnancy and the baby's head at -2 station. The needle
will pierce;
a. Anterior fontenelle
b. Posterior fontenelle
c. Sagital suture
57.After 48 hr of starvation, wht will be broken down to
provide energy; a. Carbohydrate b. Fat
58.
45 yr female patient presented with hirsutism on
the body and is shy to show her hands to the physician.
G6PD deficiency
HS
Sickle cell disease
Portal vein
Bile duct
IVC
Hepatic Duct
Qs 3. Gall Bladder
A.
B.
C.
Produces bile
Submucosa is present
Mucosa is thrown in extensive folds
C.
D.
Ligament teres
Ligament venosum
UMN lesion
LMN lesion
Hypothyroidsm
Parkinson
Hyptonia ( dont rem if this option was given)
Qs 7. Intercostal spaces
A.
B.
C.
Qs 8. Neurovascular bundle
A.
B.
C.
A.
B.
C.
D.
Epididymis
Ductus deferens
Vagina
Uterus
Hypervitaminosis D
Hyperparathyroidism
Hypercalcemia
Costocervical trunk
Subscapular artery
Aorta 1st part?
Int thoracic artery?
A.
B.
C.
D.
E.
Other kidney
Lesser sac
Upper part of greater sac
Lower part of greater sac
Deep pelvis
Howeljowel bodies
Thrombocytopenia
Btw L1 and L2
Lower border of L3
L2
T11
T7
L1
L3
Scrotal swelling
Peritoneal fluid accumulation
Testis inflammation
A.
B.
C.
Fascia transversalis
Aponeurosis of transvers abdominus
Aponuerosis of ext oblique
Gastroduodenal artery
Splenic artery
Gastroepoploic artery
A.
B.
C.
Qs 27. Rectum is
A.
B.
C.
Straight structure?
Has haustrations circular folds?
Post tp rectum is S2S4S5??
Qs 28. Infepigastric artery & deep inguinal ring (qs was only
this with no extra words or hint)
A.
B.
Medial (ans?)
Lateral
Qs 29. S1 lesion
A.
B.
Qs 30. AV bundle
A.
B.
Pectoral LN
Median lobe
Peripheral lobe
Transitional lobe (ans???)
?
Plateploid
Gynaecoid
Anthropoid
Infhypogastric
Sup hypogastric
Pelvic splanchinic
Gastric fundus
Gastric antrum
Fastgial
Dentate
A.
B.
C.
Uterine tubes
Ovaries
Mesentry of abdomen
Aortic
Pulmonary
Tricuspid
Mitral
Coronary septum?? Dont rem the option and
neither understand the qs
A.
B.
A.
B.
C.
17
21 (ans???)
23
26??
C.
Ileocecal valve
Ileocecal sphincter (ans)
Testis (ans)
Scrotum?
Skin of gonads
Vagina
A.
B.
Kyphosis
Scoliosis
Lateral pterygoid
Medial pterygoid
Temporalis
Buccinators
Tyrosine (ans)
Tyrmaine
A.
B.
Prematurity (ans)
Infections
Facial nerve
Accessory nerve
Qs 55. Vertebrae
A.
B.
A.
B.
C.
LGB
Geniculocalcarine tract (ans?)
A.
Sinus venosus
rt atria (ans)
no options remembered
A.
B.
Ligamentumvenosum (ans)
Ligarteriosum
PCA
MCA
A.
B.
C.
D.
Lesser sac
Spleen
Splenic vein
SMA
Optic tract
Optic chiasma
Liver (ans)
Spleen
Dec P02
Inc CO2
IncPh
Pagets disease
Cirrhosis of liver
AIDS
Osteoporosis??
Some breast disease too
More in male
Lymphocyte depletion has some prognosis??
Marfan syndrome
Qs 77. Pulmonary TB
A.
B.
6. Adenoma has
Glandular cells ( answer)
7. Anterior SURFACE of the heart is formed by Right
Ventrilcle (anwser)
( remember the question was about surface NOT about
borderanterior border of heart is formed by Right atrium)
8. A scenario of VMA found in yrine Pheochrocytoma
(ANSWER)
9. Ovarian cancer markerCA 125
10. A scnerio of 5 hydroxyindoleacetic acid Carcinoid
tumor
11. A young man having dysphagia, horness of voice
.case of medullary cell carcinomamarker is
CALCITONIN
B) tachycardia
C) bradycardia
D) increase in cardiac out put
Answer C
39) the extrapyramidal system is not concerned with
A) stretch reflex B) righting reflex C) spasticity D)
sensation of viscera Answer D
40) epiphyseal closure is regulated by
A) calcitonin B) somatomedians C) 1,25
dihydroxycholecalceferol D) thyroxine Answer B
41)..A 43 years old Diabetic suffering from Stroke,His
desire for drinking water is obtunded since he
recoverd.Which of the following is appropriate in this
patient.
a.watershad Infarcts of Post Hypothalamus.
b.Lesions involving posterior commuinating
artery
c.Lesions involving Middle ceebral artery
d.Lesions involving anterior Communicating
artery.
e.0.9%NaCl Infusion therapy Intravenously
(Answer is Dlesion involving Anterior
communicating artery Inhibits or Obtund the intake of
drinking water since it supplies area concered with
ThirstGanong Page no 310..24th Ed)
42.All of the following events in Humans are initiated by
Heat Except.a.Anorexia b.Increase in Respiration
c.Cutaneous Vasodilatation d.Apathy e.Incesed levels of
Epinephrine in Blood
(Ans is E.Referance Ganong Page No 319 24th
Ed)
Q No 43.The insensible loss of water in humans is
a.10mL/h b.20mL/h c.30mL/h d.40mL/h e.50mL/h
(Answer is Ereference is Ganong Pg no 318 24th
ed)
Q No 44.Most Common metabolic finding in Humans with
Hypothalmaic disease is.
a.Anorexia b.Bulemia c.Diabetes insipidus d.Precocious
puberty
e.Hypogonadism
(Ans is DRef Ganong page no 316 24th Ed)
Q No 45.A drug abuser of Heroin is presented with
Hypertension,What is appropriate.
a.His Serum TSH levels are normal to decreased.
b.His serum TSH levels are normal to increased
c.His serum T3 levels are decreased
d.His serum T3 levels are increased
e.He is clinically Euthyroid
(Ans is E..Ref Ganong page No 344 24th Ed)
46.Delta waves in ECG are charecterstically found in
a.AV junctional rhythum
b.Wolf- Parkinson-white syndrome
c.Lown-ganong-Levine syndrome
d.Brugada Sybdrome
e.Hyperkelemia
(Answer is B Reference essential revision Notes
Karla 3rd ed )
47. Metabolic cause of Proarrythmic Abnormal
repolarization (ST-T changes) is.
a.Hpercalcemia b.Hypernatremia C.Hyperthermia
d.Hyperkaelemia e.Hpothyroidism
(Ans is EReference essential revision Notes
Karla page no 29 3rd ed)
48.Gastrin secretion is inhibited by all Except
a.increased Serum Somatostatin concentration
b.increased Luminal Somatostatin concentration
c.Incresed Serum (VIP) vasoactive intestinal peptide
concentration
d.Increased Luminal gastric acid concentration.
e.Increased serum concentration of Glucagon
(Answer is Areference Ganong Page No 471 24th
Ed)
49.Regrading Secretion of Renin,which is most appropriate.
a.Intra renal Baroreceptors mechanism Increases it
Ans: B
Q.82 : aortic opening transmits A/E : A : aorta B : thoracic
duct C : vagus nerves D : azygos vein Ans: C
Q.83 : The urogenital diaphragm is formed by the following
structures except : A : Deep transverse perineal muscle B
: Perineal membrane C : Sphincter urethrae D : Colles
fascia Ans: D
Q.84 : The following structures pass posterior to the flexor
retinaculum except : A : Flexor digitorum superficialis
tendons B : Median nerve C : Ulnar nerve D : Flexor
pollicis longus tendon Ans: Cs
85)Pain of ovarian carcinoma is referred to
a) Back of thigh b) Gluteal region c) Anterior surface of
thigh d) Medial surface of thigh Ans: b
86)Causes of primary amenorrhea are A/E a) Rokitansky
syndrome b) Sheehan syndrome c) Kallman syndrome
d) Turner syndrome Ans: b
87) Which of the following treatments for menorrhagia is not
supported by evidence?
a) Tranexemic acid b) Ethamsylate c) Combined OCP
d) Progesterone Ans:b
87)Lady undergoes total radical hysterectomy for Stage Ib
Ca Cervix. It is found that Ca extends to lower part of body
of uterus and upper part of cervix. Next step of
management
a) Chemotherapy b) Radiotherapy c) Chemoradiotherapy
d) Follow-up
Ans:c
88)Ideal contraceptive for lactating mothers
a) Barrier method b) Combined OC c) Lactational
amenorrhoea d) Progesterone only pills Ans:d
89) A pregnant lady had no complaints but mild cervical
lymphadenopathy in 1st trimester. She was prescribed
spiramycin but she was non compliant. Baby was born with
hydrocephalus &
intracerebral calcification. Which of these is likely cause
a) Toxoplasmosis b) CMV c) Cryptococcu d) Rubella
Ans:a
90) The presence of increased levels of which of the
following in amniotic fluid is an indicator of open neural tube
defect in the fetus?
a) Phosphatidylesterase b) Acetylcholinesterase
c) Pseudocholinesteras d) Butyrylcholinesterase Ans:b
91) Vaginal delivery can be allowed in A/E
a) Monochorionic monoamniotic twins b) Mento-anterior
c) Extended breech d) Dichorionic twins First vertex,
second breech Ans:a
92)A lady with placenta previa delivered a baby. She had
excessive bleeding. After resuscitation most likely
complication is
a) Galactorrhoea b) Diabetes insipidus c) Loss of
menstruation d) Cushings syndrome Ans:c
93) Which organ is the primary site of hematopoiesis in the
fetus before midpregnancy ?
A) Bone
B) Liver
C) Spleen
D) Lung
Ans:b
94) Choline esterase in fetus most specific for ?
A) Open spina bifida
B) Gastrochisis
C)
Exomphalos
Ans:a
95) Perinatal transmission of Hepatitis B is maximum when
infection in mother occurs in ?
A) At implantation
B) 1st trimester
C) 2nd
trimester
D) 3rd trimester
Ans:d
96) The shape of cervical canal leading to preterm delivery
is ?
A) T shaped
shaped
Ans:c
B) Y shaped
C) U
A)
B) Dilatation of Cervix
C)
Station of head
D) Interspinous diameter
Ans:d
98) External cephalic version is contraindicated in ?
A) Anemia
B) Flexed Breech
C) PIH
Ans:c
99) An ovarian cyst is identified in the immediate postpartum period. What should be the timing of surgery ?
A) 2 weeks
B) 6 weeks
C) 8 weeks
D)
Immediately
Ans:d
100) The type of pelvis which is associated with increased
incidence of 'face to pubis' delivery is ?
A) Android pelvis
Gynaecoid pelvi
B) Anthropoid pelvis
D) Platypelloid pelvis
C)
Ans:b
D) O shaped
a. nominal data b. ordinal data c. interval data d. ratio
D.
except?
D.
Masseter
C.Anterior cortex
Correct answer
: C.Anterior cortex
due to?
Staphylococcus epidermidis
monophosphate shunt
Correct answer
: C. It is a coenzyme for alpha
T cells B cells
Streptococcus Staphylococcus
retinoblastoma?
effect profile
deal
Correct answer
: B. Antidepressants should be given
scan
pigmentosa
except?
Uvea
schizophrenia is?
Drug toxicity
Suicide
B. Nosocomial infection
C. Homicide
D.
Correct answer
: D. Suicide
D. Mandible
24.False about Argyll Robertson Pupil is?
A. Accommodation reflex normal
Correct answer
: C. Indirect
Correct answer
: D. Intracerebral haemorrhage
ETIOLOGY OF INTRACRANIAL HAEMORRHAGE
C. Hormonal cycle
D.
D. Vasoconstriction
Correct answer
: B. Relaxation of gastrointestinal
smooth muscle
27.Reabsorption of water in the GIT is maximum in?
Duodenum B. Jejunum C. Ileum
D. Colon Correct
answer
: B. Jejunum
C. HCV
HCV infection
35..Anti LKM (Liver Kidney Microsomal) antibodiesare of 3
C.
answer
: A. COPD
types:
Anti LKM 1 Autoimmune hepatitis type II and
Chronic hepatitis C
Anti LKM 2 Drug induced hepatitis
Anti LKM 3 Chronic Hepatitis D
Alpha 2 macroglobulin
correct is D.
Behcets syndrome
Primary biliary
IX and X
III and V
VI and VII
inhibitory neurotransmitter.
Excitatory neurotransmitters Glutamate, Aspartate
Inhibitory neurotransmitters Glycine, GABA (Gamma
Amino Butyric Acid)
: A.Bronchodilation
C.staph aureus
4.
11.
13.
14.
b.inc
15.
16.
17.
18.
19.
a. abd enlargement is
3.
9.
12.
2.
8.
10.
1.
6.
7.
a.LH B.FSH
5.
20.
21.
22.
23.
24.
25.
26.
27.
28.
140.
141.
142.
143.
144.
145.
146.
147.
148.
149.
150.
151.
152.
153.
154.
155.
156.
157.
158.
159.
160.
161.
162.
163.
164.
165.
166.
167.
168.
169.
170.
171.
172.
173.
174.
175.
176.
177.
178.
179.
180.
181.
182.
183.
184.
185.
186.
111. gastric Ca ?
A. h pylori
112. adenoma ?
A. glandular cells
113. brain ischemia ?
A. liquifictive necrosis
114. milk ejection ?
A. oxytocin
115. menopause ?
A. dec response from ovary
116. difference of rbc in veins and artries ?
A.inc HCO3 in veins b. inc cholride ions in veins c. small
size rbc in vein d. more viscocity in artries e. more oxygen
in veins
117. hyline cartilage ?
a. menisci b. pinna c. epiglottis d. something related to
articular surface
118. anal triangle lymph drainage ?
a. medial group of superficial inguinal lymph nodes
119. labia majora drainage ?
a. sup inguinal lymph nodes
120. middle rectal artery is a branch of ?
A. INTERNAL ILLIAC ARTERY
121.regarding bupivican ?
a. block Na channel in ionised state
b. more absorption in non ionised state
c.
122. confidence interval can be find out by ?
A. MEAN AND STANDARD ERROR OF MEAN
123. sternocostal and anterior surface of heart formed by ?
A. RIGHT VENTRICLE
124. post 1/3 of interventricle groove supplied by ?
A. RIGHT CORONARY ARTERY
125. tertiary bronchus/segmental bronchus supplies part of
lung ?
A. bronchopulmonary
126. scarlet fever toxin ?
A. exotoxin A b. enterotoxin c.
127. part of brain receive excitatory input from brain but
doesnot send back axon ?
a. ventroanterior thalmus nucleus b. vlt c. s.nigra d. globus
palidus e. caudate
128. spleen squestration of rbcs and old rbcs phagocytosis
in which part ?
a. red pulp sinosoids and marginal sinosides
129. during surgery from where can surgeon reach to
pouch of douglas by one nick ?
a. post fornix
130. vagina ?
a. post rectovaginal fascia
131. epiploic foramen ?
a. posteriorly aorta B. SUPERIORLY CAUDATE LOBE c.
gastrosplenic ligament on the right side
132. bladder control ?
A. s2, s3 , s4 b. L1 and L2
133. after prostectamy rectourethral fistual can be
prevented by ?
a. bucks fascia B. DENOVILLERS FASCIA c. scarpa fasia
d. walder fascia
134. golgi tendon organ involved in ?
a. muscle tension
135. female in labour , station 2 on pv , ishial spines
inverted , arch less triangular , sacral promontry un
reachable , which type of pelvis is this ?
a . anthropoid b. android
136. in chronic intavascular hemolysis ?
A. DEC HEPTAGLOBIN b. hemoglobinemia c.
hemoglobinuria d. reticulocytosis
137. most common cause of anemia in pregnancy ?
A. HEMODILUTION b. iron deficiency c. folate deficiency