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PMDC/NEB EXAM(MBBS): PART I + II + III (SEQ/MCQ

+ OSPE).2012

PMDC / NEB EXAM (MBBS) : PART I + II + III ( SEQ / MCQ + OSPE/VIVA ) , 2012

PART 1
8-JANUARY-12 HELD AT PAK-CHINA FRIENDSHIP CENTER.ISLAMABAD

PART I SEQ,S PAPPER; 20 x 5 = 100

Q;1
A CASE OF SACROCCEGEAL TARATOMA
I-WRITE DOWN THE EMBRYOLOGICAL BASIS OF SACROCCEGEAL TERATOMA?
II-WHAT ARE THE DARIVATIVES OF NEURAL CREST CELLS?
Q;2
- DRAW A MICROSCOPIC STRUCTUER OF LAMELLAR BONE?
Q;3
I- Define Carpel tunnel syndrome?
II- What are the branches of Radial Nerve in Arm and Forearm?
Q;4
A 64 years old women fall on ground 2 hours back and brought to emergency with
clinical feature of severe pain on movement of leg. When the leg abducted and
externally rotated ,a pain slight relieved.
( Q WAS REGARDING FRACTUER OF NECK OF FEMUR AND RELATED QS)
I-What is the possible diagnosis ?
II-WHAT IS BLOOD SUPPLY OF THAT AREA?
III-PATIENT IS AT RISK OF ?
IV-WHY PT LEG LOOK SHORTENED?
Q;5
I-What are the components of Reflex Arch?
II-What is withdrawl reflex?
Q;6
I-What are the lung volumes and lung capacities?
II-What is functional residual capacity?

Q;7:
-Write a summary of ABO system of Blood Group?
Q;8
Define Following regarding ECG
1) P-Wave 2) P-R Interval 3) QRS Complex 4) Q-T Interval
5) S-T segment 6) T-Wave

Q;9
I-Define Atherosclerosis?;
II-Etiological Factors of Atherosclerosis?

III-What is the pathogenesis of Myocardial Infarction?


Q;10
I-WRITE DOWN PATHOGENESIS OF BACTERIA?
II-NAME BACTERIA CAUSE NEONATAL SEPSIS?
Q;11
-WRITE DOWN THE GROSS AND MICROSCOPIC FEATUERS OF
APPENDIX IN CASE OF APPENDICITES?
Q;12
I-Classify Calcium Channel Blockers?
II-Therapeutic uses of Calcium Channel blockers?
III- Toxic effect of Calcium channel blockers.?
Q;13
I- Name anti-malarial drugs which are Blood schizonticides?
II- What is the therapeutic use of Chloroqine?
III- What are side effects of chloroquin on Eye
Q;14
I-Define Cholesterol?
II-How cholesterols are important for the integrity of reproductive cell biology?
Q;15
I- Classify Vitamins?
II-What is the function of fat soluble vitamins?
III-Name few disorders caused by Vitamin D DEFICIENCY?
Q; 16
-How you can prevent and control AN Epidemic?
Q;17
-Prevention of Mother TO Child transmission of HIV?
Q;18
I-Classify Food?
II-What are macronutrients and micronutrients
Q;19
I- Define Bruises?
II-What ARE chemical AntidotS?
Q;20
I- What is the function of PMDC?
II- What are the privileges of registered Medical Practioner?

PART I MCQ PAPPER: 100 X 1 =100

1-MOST DEADLY FORM OF ANTHRAX IS


A-PULMONARY
B-CUTANEUS
C-GIT
D-RENAL
E-CNS
2-.IN PAKISTAN D AEDES EGYPTY CAUSE
A- degue
B- yellow fever
C-leshmaniasis
D- japenes encap
E-MALARIA
3-for the para folliculer cells in thyroid and the parathyroid cells,
best explanation is
A-calcitonin and pth
B-THYROID HORMONE
C-PTH
D-CALCITRIOL
E-CALCITONIN
4 - in yuonger childrens tetracyclin is not used bcz
A- it is hepatotoxic
B- cause bone calcification
C-NEPHROTOXIC
D- CAUSE DECALCIFICATION OF MINERALIZED STRUCTUERS
E-GROWTH RETARDATION
5-.in the adrenal gland minerelocorticoids comes from
A-. zona fasiculata
B-adrenal cortex
C-zona glumerolosa
D-ADRENAL.MEDULLA
E-ZONA RETICULARIS
6- the size of particle to cause pneumoconiosis
A-. 0.5 to 3 micron
B- 4 to 7 micron
C- 10 to 12 micron
D7-a patient with bradykinesia, this is dscrebed as
A- cerebeller lession
B- leWLey bodies
C- pakinsonism
D- substensia nigra
8-DRAINAGE OF LAT. QUADT OF BREAST IS IN
A-DELTO-PECTORAL GROUP OF L.N

B-MEDIAL
C-CENTRAL
D-LATERALINK
E-MEDIASTINAL L.N
9-CASE;IN HIV+ PT.G.STAINING OF CSF IS + WITH INDIAN PREPARATION
INFECTION IS
A-CRYPTOCCAL NEOFORMINS
B-TOXOPLASMOSIS
C-BROCELOS
D-MALARIA
E-HISTOPLASMOSIS
10-AFTER EATING DAIRY PRODUCT, CHILD PRESENT WITH BLOOD AND MUCUS IN STOOL
CAUSE IS
A-SALMONELLOSIS
B-SHIGELLOSIS
C- ROTA VIRUS
D-LEISHMANIASIS
11-CASE;GRANULOMA + INTRAPULMONARY HAEMORRAGE IS FEATUER OF
A-WEGENERS GRANULOMATOSIS
B-GOODPASTUER SYNDROME
C-SARCOIDOSIS
D-PULMONARY HAEMORRHAGE
E-SCLERODERMA
12-CECUM ?
A-HAVE MESENTRY
B-FREE FROM MESENTRY
CD13-SPLENO-RENAL LIGAMENT OCCUPY THE
A- TAIL OF PANCREASE
B-SPLEEN
C-KIDNEY
D-WHOLE PANCREASE
E-B&C
14-1N ACUTE PANCREATITIS
A-INC.AMYLASE LEVEL
B-INC GASTRIN LEVEL
C-LIPASE .
D-TRYPSINOGEM
15-CASE;GINGIVAL BLEEDING IS A FEATUER OF
A-VIT B COMPLEX DEF
B-VIT D DEF
C-VIT C DEF
D-VIT E DEF
E-VIT A DEF

16-WARM AGGLUTININ IS
A-IgG
B-IgM
C-BOTH
D-IgA
17-PHENOMENA COMONLY RELATED TO FEMORAL VEIN IS
A-EMBOLIZATION
B-THROMBOPHLEBITIS
C-PROPAGATION
D-DISSOCIATION
18- LEFT VENTRICLE IS MOSTLY OCCUPYIED BY
19 -------- IS ABSENT IN FOVEA CENTRALIS
20-FOLLOWING GLAND HAVE PUERLY SEROUS SECRATIONS
A-PAROTID GLAND
B-LINGUAL
C-SUBMANDIBULAR
D-A&C
21-FAT SOLUBLE VITAMINS ARE ABSORBED IN
A-SMALL INTESTINE
B-STOMACH
C-LARGE INTESTINE
D-CECUM
E22-COCLEAR IMPLANT IS INDICATED IN
A-PRESBYCUSIS
B-OTOSCLEROSIS
C-MENIERES DZ
D23-APPENDIX CONTAIN ---- CELLS
24-OOPHOORE REMNANT DEVELOP FROM
A- MESONEPHRIC BUD
B- METANEPHRIC
C- BOTH
D25-FOLLOWING STRUCTUER IN THE NECK ARE OCCUPIED BY PRETRACHEAL FASCIA
A-THYROID &PARATHY GLAND
B-THYROID
C-PTH
D-OESOPHAGUS

26-IN PHARYNX-----INF. CONSTRICTOR MUSCLE?


27-60 YRS OLD PT DIE ON AUTOPSY, THERE WILL BE
A-LEFT VENT HYPERTROPHY AND DILATAION
B-RT
C-COMPLETE HEART HYPERTROPHY
D-LEFT VENT HEPERTROPHY
E-LEFT VENT DILATAION
28-H.INFUENZA SYNERGISM WITH
A-STAPHLOCCUS
B-E.COLI
C-STEPTOCCUS
D29-U.BLADDER CA IS CAUSED BY
A-SHISTOSOMIASIS
B-ARSENIC
C-SHISTOSTOMA MANSONI
D.----- --JAPONICUM
E.SHISTOSTOMA HAEMATOBIUB
30-BPH INVOLVE
A-ENTIRE PROSTATE
B-POST. LOBE
C-PERIURETHRAL ZONE
D31-RENIIN-ANGIOTENSIN SYST REGULATE
A-BLOOD PRESSUER
B-ACID BASE BALANCE
C-GFR
D-GLUCOSE
E-URINE PRODUCTION
32-ERYTROPOITIN IS SECRETED BY
A-PERITUBULAR CELLS OF KIDNEY
B-KIDNEY
C-JUXTAGLOMERULUS
D-LIVER
E-B&C
33-RBF(renal blood flow) is measured with
A-GFR
B-CREATININ
C-PAH(para-amino-hippuric acid )
d-urea
E-AMMONIA
34-CASE;PROGANTHISM AND BITEMPORAL HEMIANOPIA IS C/F OF
A-ACROMEGALY
B-CUSHING SYND

C-GIGANTISM
D-DWARFISM
35-HIPPOCAMPUS LIE IN
A-MEDIAL TEMPORAL LOBE
B-INF-YEMPORAL LOBE
C-PARIETAL LOBE
D-FRONTAL LOBE
E36-IN HAEMOSTASIS ALLL OCCUR EXCEPT
A-DEGRANULATION
B-AGGREGATION
CDE37-INCUBATION PERIODE OF HCV IS
A-6 MONTH
B-9 MONTH
C-6 WK
D-2 YR
E38-TETANUS TOXOID IS
A-ACTIVE IMMUNITY
B-PASSIVE ---C-INNATED- CELLULAR
E39-INCUBATION PERIODE OF HAV IS
A-50 DAYS
B-6-MOTH
C-15 MONTHS
D-2 WKS
E40-THEOPHYLLINE ACT BY CAUSING
A-BROCHODILATATION
B-PHOPHODIESTERASE ACTIVATION
CD41-AFFECT NUCLEIC ACID SYNTHESIS
A-ACYCLOVIR
B-RIBAVIRIN
C-SAQUNAVIR
DE42-HMCO-A REDUCTASE INHIBITOR , INHIBIT
A-CHOLESTEROLE SYNTHESIS

BCD43-IN TCA CYCLE?


44-RESTRICTION ENZYME INHIBIT------45-GLUKINASE IS FORMED IN
A-LIVER AND PANCREASE
B-LIVER
C-SPLEEN
D-PANCREASE
E-KIDNEY
46-THENAR ATROPHY OCCUR IN
A-MEDIAN NERVE INJURY
B-ULNAR N
C-MUSCULOCUTANEUUS
D-RADIAL
E-B&A
47-WHICH MUSCLE HELP A MAN TO STAND FROM SITTING POSITION
A-GLUTEUS.MAXIMUS
B-GLUT. MEDIUS
C-GLUT-MINIMUS
D-VASTUS LATERALIS
E-GASTRICENIMIUS
48-INVASIE CA
A-CHORIOCARCINOMA
B---C--D49-IN PARKINSONISM WHICH PART OF BRAIN IS INVOLVED
A-BASAL GANGLIA
B-PUTAMEN
CD50-ALL ARE FEATUER OF CEREBELLUM DZ EXCEPT
A-INTENTION TREMOR
B-ATAXIA
C-DYSDIADHOKOKINASIA
D---E---51-IN ECG THERE IS NO P WAVE THAN PACEMAKER WILL BEE
A-AV NODE

B-BUNDLE OF HIS
C-SA NODE
D52-INFERTILITY IS COUNT IN A AGE
A-FEMALE 1549 YR AGE
B- IN20-55 Y
C- 11----40 YR
D53-CONTAGEUS DZ WITH LESS PATHOGENICITY SHOW----CONDITION.
A-EPIDEMIC
B-ENDEMIC
C-PANDEMIC
DE54-IN CASE OF A SNAKE BITE PRIMARY MX IS.
A-FIRSD AIS
B-ANTI-VENOM
C-TETANUS TOXOID
D-TOURNIQUTE
E55-SAFE MOTHERHOOD INCLUDE
A-MANAGE POST PARTUM HAEMORRAGE
B-ANTANATAL CARE
C-FAMILY PLANNING
D-CLEAN &SAFE DELIVRY
E-ESSENTIAL OBS CARE
56-MOST COMMON CAUSE OF HYOID BONE FX IS
A-JUDICIAL HANGING
B-TRAUMA
C-THROTTLING
D-HOMICIDE
E-SUCIDE
57-CASE;GIT SYMPTOMS WITH BLOODY DIARRHEA OCCUR IN
A- ARSENIC POISONIG
B- OP POSONING
C-CANNABIS
D-DHATURA
E--58-STRONG OPOIDE ANTI TUSSIVE IS
A-BENZOINE
B-AMMONIUM CL
C-CODEINE
D---------E--------59- in a conflict b/w two equally competence medical witness the court will fallow

A-the witness who seen the injured in the beggining


B- the witness who favour in defence
C- the witness who seen the injured in the end
--60-TOPICAL ANTIFUNGAL IS
A-CLOTRIMAZOLE
B-KETOCONAZOLE
C-AMPHOTERICIN B
D-NYSTATIN
E
61-MOST OF THE BLOOD SUPPLY OF RECTUM IS FROM
A-INF.RECTAL ARTRY
B-SUPC-----D-----62-LUCID INTERVAL IN FOUND IN
A-SUBDURAL HAEMORRAGE
B-SUB-ARACHNOIDE HAEMORRAGE
C-BRAIN HAEMORRHAGE
D-EXTRADURA; HAEMORRGE
E63-DZ PREVENTION BY VACCINATION SHOW--- LEVEL OF PREVENTION.
A-PRIMABRY
B-SECONDRY
C-TERTIARY
D-A&C
E---64- 4TH PHARYNGEAL POUCH DARIVATIVE IS
A---B---C---65-WHIPPLE DZ
A-INVOLVE SMALL INTESTINE
B-OCCUR IN CAUCASIANS
C-OCCUR IN ASIANS
D-INVOLVE SPLEEN
E-------66-CHOP WOUND IS FOUND IN
A-PISTOL WOUND
B-REVOLVER
C-RIFE
D-SHOT GUN
E- -----------67-LAT-COLLATERAL LIGAMENT ATTACH TO

A-FIBULA
B-MEDIAL MENISCI
C-LAT MENISCI
D-TIBIAL TUBERSITY
E-PATELLA
68- which of the product is recycled in urea cycle after urea is made?
A-citrulline
B-ornithine
C-arginosuccinate
D- AMMONIA
E------------

69-U.BLADDER STRETCH WHEN


A-INT SPHINCTER CONTRACT
B---- RELAX
C-DETRUSAR MUSLE CONTRACT
D--E--70-WHEN CILIARY MUSLE CONTRACT LENS
AB--71-MOST COMMON PSYCHIATRIC DISORDER IN PAKISTAN OPD IS
A-OCD
B-DEPRESSION
C-ANXIETY
D-SHIZOPHRENIA
E-DRUG ABUSE
72-B-OXIDATION OF FATTY ACIDS OCCUR IN
A-MITOCHONDRIA
B-CYTOPLASM &MITOCHONDRIA
C-CYTOPLASM
D-INTERMEMBRANOUS SPACE
E--73------ USED IN PROCESS OF GLUCONEOGENESIS
A-AMINOACIDS
B-CARBOHYDRATE
C-PHOSPHATE
D---E----74-RT SINUS VENOSUS DEVELOP INTO
A-RT-ATRIUM
B-LEFT ATRIUM
C-LEFT VENTICLE
D-RT VENTRICLE
E-SA NODE

75-FORAMEN SECUNDUM FORM IN


A-CENTRE OF SEPTUM PRIMUM
B-CENTRE OF SEPTUM SECUMDUM
C-IN FORAMEN OVALE
D-IN FOSSA OVALIS
E-AT THE EDGE OF SEPTUM SECUNDUM.

PART II
13-MAY-12 HELD AT MARGALA HOTEL,ISLAMABAD

PART II SEQS PAPPER ; 15 X 10 =150

Q;1.
A 14 years old boy has come to you from Lahore with history of fever, malaise,
generalized weakness and body ache. He has a purple rash on the shoulder. Anemia
and Jaundice are negative. No hepatosplenomegaly. Platelets: 80000/ul. TLC: 23000/ul.
i. What are the differential diagnosis?
ii. What further investigation would you advice?
iii. How would you manage the patient?
Q;2
A 25 years obese lady has come to you with blood sugar of 160mg/dl.
i. What further lab tests would you advice her?
ii. What advice will you give her about diet and exercise?
iii. What drugs can be prescribed according to the priority?
Q;3
15. A boy has come to you with severe dyspnea and wheezing. He is cyanosed and
have history of dyspnea and wheezing in the past.on examination chest is silent. He is
also having tacchycardia.
i. Write down the immediate management of this patient.?
ii. What investigations will you perform immediately?
iii. Give long term mx plan for future?
Q;4
A 4 years old female child has come with vomiting and diarrhea for 3 days. There is
also mucus and blood in the stool.

i. What is the diagnosis?


ii. What futher questions will you ask in the history?
iii. Name the organism involved.
iv. What is the best antibiotic to treat her?
Q;5
i. Write the schedule of immunization programme in Pakistan according to EPI, in a
chart form.?
ii. How can you prevent poliomyelitis in our country according to latest interventions?
Q;6
A man has come with a history of stabwound on left chest. His BP is 100/70, RR 30/min,
tachycardia and on exam breath sounds are dec . Neck veins are distended.
i. What is the diagnosis?
ii. What immediate measure will you perform?
iii. Give definitet management?
Q;7
A young lady has come to you with history of a breast lump, which is 1.5 cm. The lump
is movable and not fixed.
i. Write two differential diagnosis.
ii.what investigation you will offer?
ii. How will you manage her?
Q;8
A 55 years old man with history of anuria for 16 hours, has come to you. On
examination, the bladder is palpable.
i. What is the diagnosis?
ii. What further clinical examinations will you do?
iii. What are the drugs prescribed to him for this condition
Q;9
A young lady with 8 weeks pregnancy has come with lower abdominal pain and
bleeding per vaginum.
i.give D/D?
i. How will you investigate a case of ectopic pregnancy?
ii. What is management?
Q;10
A 25 years old lady has come with her husband to your clinic. She has not been
conceived from last two yrs .
i. Write 3 common causes of infertility?
ii. Name 3 investigations useful to know the cause?
iii. Name drug used for ovulation induciton?
Q;11
A young boy has come to you with 3 years history of alternating nasal obstruction,
itching in the nose, watery discharge from nose and sneezing, specially in the winters.
I-Give a detail management for the patient?
Q;12
A 6 years old child has come with history of mild pain and redness in his left eye. There

is also stickness in the eye.


i. What are the differential diagnosis for this condition?
ii. What is the diagnosis?
iii. How will you investigate and manage ?
Q;13
A 25 years old girl has come with history of papules and nodules on her face and back
of shoulder. There is no telangiectasia.
i. What is the diagnosis.?
ii. What is the pathogenesis and precipitating factors for this disease?
iii. How will you treat this condition?
Q;14
i.write common psychiatric problems in Pakistan?
ii. How would you manage them?

Q;15
i. What is the effect of stress on physical and psycosocial health of a person?
ii. Give non-pharmacological interventions for reducing stress.

PART II; MCQS PAPPER ; 150 X 1 =150

1-CASE:ASCENDING PARALYSIS OF LIMBS FOLLOWING


G.I INFECTION IN 13 YRS OLD BOY;OCCUR IN
A-G.B SYNDROME
B-LMN LESION
C-UMN LESION
D-TRANSVERSE MYLITIS
E-MYASTHENIA GRAVIS
2-COMMON COMPLICATION OF NASAL BONE FX IS
A-SEPTAL HAEMATOMA
B-SEPTAL ABCESS
C-SEPTAL PERFORATION
D-SADDLE NOSE DEFORMITY
E-NEOPLASIA
3-CASE:TITHTENESS OF FORHEAD SKIN+INTERSTIAL FIBROSIS
OCCUR IN
A-SYSTEMIC SCLEROSIS
B-RHANAUDE DZ
C-RA
D-REITERS SYND
E-UMN LESION

4-CASE;CSF SHOW INC NEUTROPHILS,PROTEIN AND GLUCOSE >70 OF SERUM GLUCOSE


SHOW
A-ENCEPHLITIS
B-PYOGENIC MENINGITIS
C-VIRAL
D-TB
E-FUNGAL -5-DRUR OF CHOICE IN ACUTE MX IF SBP IS
A-CEFITAXIME
B-CEFTRIAXONE
C-CIPROFLOXACIN
D-TETRACYCLIN
E-PENICILLIN
6-CASE;-- -- -ON EXAMINATION SUCCESSION SPALSH IS FOUND IN EPIGASTRIC AREA
A-C.PYLORIC STENOSIS
B-HYDROPNEMOTHRAX
C-NECROTIZING ENTEROCOLITIS
D-INT.OBSTRUCTION
E.IMPERFORATE ANUS
7-MOST COMMON COMPOSTION OF U.BLADDER STONE IS
A-MIXED
B-CA OXALATE
C-URIC ACID
D-STRUVITE CALCULI
E-PHOSPHATE
8-IN DABETIC PTWET GANGRENE IS DUE TO
A-NEUROPATHIC ULCER WITH INFCTION
B-ISCHEMIA
C-NEUROPATHY
D-INFCTION
E-------9-CASE:---HAPATOSPLENOMEGALY AND DEC GLUCOCEREBROCIDASE FOUND IN
A-GAUCHER DZ
B-GILBERT SYND
C10IN PREGNANT LADY;EPIDURAL ANESTHESIA ACTASTO
A-PRONG ANESTHESIA AFFECT IN POST OPERATIVE PERIDE
B-0NLY DURING DELIVRY
CD11-BEST INVESTIGATIN OF CHOICE FOR ANGIOFIBROMA IS
A-CT SCAN
B-MRI
C-X-RAY LAT VIEW
D---- ----- WATERS VIEW

E12-CASE;PT PRESENT WITH FITS AFTER MIDDLLE EAR INFCTION INVEST OF CHOICE
WILL BE
A-CT SCAN OF HEAD
B-MRI
C-X-RAY
D13-WHICH HERNIAL REPAIR IS GOOD TO PREVENT
ITS RECURRANCE
A-SHOULDICE REPAIR
B-BASSINI REPAIR
C-LYTE,S REPAIR
D-MESH REPAIR
E--14-IN HYPERTHYROIDISM
A-DEC.TSH,INC T3 T4
B-INC.TSH---C-NORMAL--D-DEC.T3 T4
E-INC.TSH
15-IN PANCREATIC INJURY
A- INC AMYLASE
B-INC TRYPSINOGEN
C-INC GASTRIN
D-INC CHYMOTRYPSIN
E-INC LIPASE
16-CASE:ASCENDING PARALYSIS OF LIMBS FOLLOWING
R.T.I INFECTION IN 9 YRS OLD BOY;OCCUR IN
A-G.B SYNDROME
B-LMN LESION
C-UMN LESION
D-TRANSVERSE MYLITIS
E-MYASTHENIA GRAVIS

17-CASE: IN A CHILD, BARKING COUGH AND HOARSENESS FOUND IN


A-CROUP
B-EPIGLOTTITIS
C-ACUTE LARYNGITIS
D-R.LARANGEL N INJURY
E-LUNG CA
18-F.BODY BELOW VOCAL CORDS I S SHOULD TAKEN OUT WITH
A-BRONCHOSCOPE
B-TRACHEAL--C-

D19-CASE; ABSENT PERIPHERAL PULSES ACUTLY INDICATE


A- ATHEROEMBOLISM
B-ISCHEMIA
C-RHANAUDE DZ
D-DRY GANGRENE
E-VARICOSE VEINS
20-IN A YONG BOY.CAUSE OF POST RENAL FAILUER IS ----A-POST URETHRAL VALVE
B-HAEMOLYTIC DZ
C-NEPHROTIC SYND
D-TOXINS
E-HYPOSPADIAS
21-MOST COMMON CAUSE BOWL-OBSTRUCTION IN ADULTS IS
A-HERNIAS
B-ADHESIONS
C-FECAL IMPACTION
D-GI CA
E-ING.HERNIA
22-MOST COMMONLY PERIANAL FISTULA FORMATION OCCUR -A-PERIANAL ABCESS BURST
B-IN RECTAL CA
C-F.BODY
D23-LOW FISTULA IS
A-BELOW ANORECTAL RING
B-BELOW DENTATE LINE
C-ABOVE DENTATE LINE
D-BELOW PECTINATE LINE
E-ABOVE ANO-RECTAL RING
24-MOST COMMON CAUSE OF ANAL FISTULA IN PAK IS
A-T.B
B.CROHNS DZ
C-U/COLITIS
D-HPV
E-RECTAL CA
25-TRANSIENT ERYTHEMATAUS RASH SHOW -A-WHEAL
B-PARAKERATOSIS
C-MACULE
D-PAPULE
E-ACANTHOSIS
26- ACANTHOLYSIS IS A FEATUER OF
A-PEMPHIGUS
B-B.PHEMPHIGUS

C-SUPPURATIVE HIDRANITIS
D-PSORIASIS
E-S-JOJNSAN-SYND
27-CASE;MACULOPAPULAR RASH AFTER 1 DAY TX OF R.T.I OCCUR
A-EBV
B-MEASLES
C-HERPES
D-CHICKENPOS
E-LYME DZ
28-ULCERATED ,EVERTED EDGE IS A FINDING OF
A-MALIGNANT MELANOMA
B-BCC
C-TROPHIC ULCER
D-TB ULCER
E-SCC
29-LEAST COMMON CAUSE OF TESTICULAR CA IS
A-INTERSTIAL TETRATOMA
B.SEMINOMA
C.TERATOMA
D-LYMPHOMA
E.
30-USUALLY DX OF CONGENITAL DISORDER IS DONE WITH
A-U/S
B-CVS
C-AMINOCENTESIS
D-TRIPLE SCAN
E- NUCHAL TRANSLUCENCY
31-PRANGNANT LADY PRESENT AT 8 WKS WITH PREVIOUS HISTORY O F CONGENITAL
ANOMLY WHAT INVST-- A- CVS
B-AMINOCENTESIS
C-TRIPLE SCAN
D-NUCHAL TRANLUCENCY
E---32-TRIPLE SCAN DURING PREGNANCY INCLUDEEXCEPT
A-AFP
B- ESTRIOL
C-FSH&LH
D--33-CASE;YOUNG FEMALE PRESENT WITH DYSMENOREA ,DYSPAREUNIA AND HAVE
IRREGULAR M/C.
A-ENDOMETRIOSIS
B-ADENOMYOSIS
C-FIBROIDS
D-CERVICAL CA
E----

34-PAINLESS WHITISH PLAQUE ON BUCCAL MUCOSA


A-CANDIDA ALBICANS
B-MUCOR
C-HPV
D-INF.MONONUCLEOSIS
E-ASPERGILLOSIS
35-IN HOGJKIN LYMPHOMA--- IS
A-PAINLESS SUPRACLAVICULAR L.A
B.PAINFUL----C-PAINFUL MEDIASTINAL L.A
D-PAINLESS ----E-VIRCHOWS NODE

36-PHAKOLYTIC GLAUCOMA
A-DEVELOPMENTAL
B-DUE TO CHANGE IN SHAPE OF LENS
C- --------D- --------E.
37-CASE; LYTIC LESION ON X AND X-RAY AND BONE PAIN
A-MULTIPLE MYELOMA
B-THALASSEMIA
C-M.SCLEROSIS
D-PAGETS DZ OF BONE
E-RA
38-MOSTLY TRACTIONAL RETINAL DETACHMENT OCCUR IN
A- DIABETIC RETINOPATHY
B-ROP
C-RD
D-GLAUCOMA
E----39-RECENT MX OF CHOICE FOR SENILE CATARACT IS
A-CATARACT EXTRACTION
B-PHAECOEMUSIFICATION WITH IOL IMPLATAION
C-IOL
D-DONT TX
E-INTRA CAPSULAR EXTRACION
40-INDICATION OF VACUMEFOR DELIVRY IS
A---CROWNING
B-----C----D41-20 YRS OLD PREG LADY UNDERGO OBSTRUCTED LABOUR----MX IS TO--A-PROSTAGLANDINS
B-OXYTOICIN

C-C-SECT
D-------E- ------42-20 YRS OLD LADY PRESENT WITH MENORRHAGIA,MX WILL BE -A-MAFENAMIC ACID + TRANEXAMIC ACID
B-OCP
C-TRANEXAMIC ACID
D-MAFENAMIC ACID
E- GnRH ANALOG
43-STRABISMIUS
A-MISALIGNMENT OF EYE
B- -----C- -----D44-RATIO OF MAJOR DEPRESSION IN A POPULATION IS
A-EQUAL
B-F:M 2:1
C- -----1:3
D------3:1
E45- IT IS RECOGNIZED REGARDING FOLLOWING -------- DZ TO HAVE CNS STRUCTURAL
DEFECT,
A- SHIZOPHRENIA
B-DEPRESSION
C-ANXIETY
D-PTSD
E---46-CLEFT LIP REPAIR IS DONE AT --A- 3-MONTHS
B-10 MONTHS
C-I YR
D-18 M
E-2 YR

47-REGARDING 4 PILLARS OF MEDICAL ETHICS;JUSTICE IS


A-FAIR/EQUAL DISTRIBUTION OF HEALTH RESOURCES
B-TO GIVE COMPLETE INF REGADING DZ
C-NEVER HARM
D-PT INTEREST AND HEALTH IS IMPT
E--48-COMMOM MISCONCEPTION REGARDING COUNSELLING IS
A-INVOLVE GIVING DIRECT ADVICE TO PT
B----C---D-

49-BEST MX OF CONFLICT RESOLUTION IS ITS- -A-PREVENTION


BCD50- ----------MODEL IS WIDLEY DISCOURAGED BY MODERAN DAY DOCTORS
A-NON-DISCLOSUR MODEL
B-FULL DISCLOUSUR MODEL
CD51-COUNSELLING IS --A-DEEP UNDERSTANDING,&TO HELP PEOPLE THEMSELVES
B--CD52-PT CONCERN REGARDING MX AND ITS RISK IS ASK IN --A-INFORMATIONAL CARE
B-COUNSELLING
C-FULL DISCLOUSAR
DE-

53-FOLLOWING IS CRISIS SITUATION


A-ROLE CONFUSION
B- --------------C- --------------D54-CASE DX,-----------BUDD CHIARI SYD
--55-MX OF CALCIFIED HYDATID CYST IS
A-NO TX
B-EXCISED
C-DRAIN
D-LOBCTOMY
E--------56-MX OF SPLENIC ABSCESS IS
A- DRAIN IMMEDIATELY
B-SPLENECTOMY
C-IV ABX
D-STEROIDS
E---57-CASE; BLOODY DIARRHEA OCCUR IN
A-CRHONS DZ
B-ULCERATIVE COLITIS

C- DIVERTICULITIS
D-ANAL FISSUER
E--------58-CASE;IN MENSTURATIN WOMENUNDERGO SHOCK AND ERYTHEMATOUS SKIN
ERUPTION,S CAUSE IS
A-BACTEROIDS
B-STAPH AUREUS
C-E COLI
D-PSEUDOMONAS
E- ------

59-PTH--A-MAINTAIN OSTEOBLAST AND OSTEOCLAST ACTIVITY


B-INC CA ABSORPTION FROM GI
C------D----E60-AT WHICH MONTH CHILD ADOPT PRONE PROSITION AND START PLAY FROM HAND
TO HAND
A-3 MONTH
B-6 MONTH
C-9 MONTH
D-12 --E-18--61-CASE;PARAMEDIAN VOCAL CORD PALSY,HORSENESS.IN A PT
WITH HISTORY OF SMOKING MOSTLY
A-RECURRENT LARANGEAL NERVE PALSY
B-CA BRONCHUS
C-LEFT R LARANGEAL N PALSY
D-CA STOMACH
E-----------62-ASYMETRIC-OLIGO-INFLAMATORY ARTRITIS OCCUR IN ---A-PSORIASIS
B-RA
C------------D----------E.
63-FOR CHEST TUBE DRAIN TUBE IS INSETED IN ---A-4TH ICS
B-5TH ICS
C-2ND ICS
D
64-CASE;ABORTION AT 14 WKS . MX WILL BE
A-SURGICAL EVACUATION
B-INDUCTION
C-OXYTOCIN

D-C-SECT
E------65-COMMON CAUSE OF IST TRIMESTER MISCARRIAGE IS
A-CHROMOSOMAL ABNORMALITIES
B- DRUGS
C-HPT&GDM
D---------E
66-MOST COMMON CAUSE OF PPH IS
A- RETAINED PLACENTA
B-MULTIPLE GESTAION
C- UTERINE ATONY
DE67-CASE;SUDDEN CATASTROPHIC CARDIOVASCULAR COLLPSE AND COAGULAPATHY
AFTER ACCIDENT
A-ATHEROEMBOLISM
B-GAS EMBOLISM
C-FAT EMBOLISM
D--E
68-DYSNEA ON 2ND POST OP DAY --A-ATELACTASIS
B-PNEMONIA
C-PNEUMOTHORAX
D-MI
E-PE
69-MX OF DVT INCLUDE--A-HEPARIN FOLLWED BY WARFARINB
B-COMPRESSION STOCKING
C-WARFARIN
D----E-----

70-FIXED SPLITTING OF 2ND HEART SOUND --A-VSD


B-PDA
C-MS
D-TOF
E-ASD

71-CSOM;CENTRAL PERFORATION IS IN
A-PARS TENSA
B-PARS FLACCIDA
C-ATTICO-ANTRAL
D-

E72-PHYLLOIDS TUMOUR OF BREAST.MX IS


A-WIDE EXCISIOM
B.R.MASTECTOMY
C.M.R.MASTECTOMY
D----------E.
73.PRECOUCIOUS PUBERTY---IN ---A-21 HYDROXLASE DEF
B-CONG ADRENAL HYPERPLASIA
C-DOWN SYND
D------E------74-CASE;TRAUMA TO BREAST ON EXAMINATION THERE IS THETHERING OF BREAST SKIN
DX IS
A-CA BREAST
B-FAT NECROSIS
C-FIBROADENOMA
D----E
75-CASE;PREGNANT LADY ---COAGULATION ABNORMALITY
---UNDERGO PARALYSIS OF
A-ANTI PHOSPHOLIPID SYND
B--------C--------D76-INVST OF CHOICE FOR IMMEDIATE DX OF I.E IS
A-ECHO
B-BLOOD CULTUER
C-----D
E.
77-CASE;RETROSTERNAL BURNING PAIN OCCUR IN
A-GERD
B-MI
C-GASTRITIS
D-OESOPHAGEAL SPASM
E.
78-LIVER COND CAUSE PRURITIS DURING PREGNANCY
A-CHOLESTASIS OF PREGNANCY
B-CIRRHOSIS
C-LF
D-BUDD CHIARI SYND
E-----79-FACTOR VIII DEF OCCUR IN

A- HAEMPHILIA A
B- HAEMOPHELIA B
C-SC DZ
D-WV DZ
E.WARM AB HAEMOLYTIC ANEMIA
80-CASE-MX. INDICATION FOR HAEMODYLYSIS IS
A-K>7,FLUID OVERLOAD
B--C
D

81-WILSON DZ AFFECT
A-CORNEA
B-BRAIN
C-LIVER
D-ALL ABOVE
E- KIDNEY
82-CASE;PROXSMAL HPT------DX
A-PHAECHROMOCYTOMA
B-CUSHING SYND
C-R A STENOSIS
D-----E------83-TYPICAL FEATUER OF HYPOTHYROIDISM IS
A-MENORRHAGIA IN F
B-DRY SKIN
C-COLD INTOLERANCE
D-BRADYCARDIA
E84-CASE;ACID BASE DISORDERDX
A-COMPENSATED RESPT ALKALOSIS
BC85-PYCHOLOGICAL COMPONENT OF ANXIETY IS
A-TREMOR
B-SWEATING
C-PALPITAIONS
D;TACHYCARDIA
E--86-MX OF A PT WITH COAGULATION DEFECT SHOULD
A- BLOOD TRANSFUSION
B-PCV
C-PLATLETS
D-FFP
E----

87-A SUSPECTED CASE OSF RUPTER AAA MX SHOULD


A-TAKE PT IMMEDIATELY TO E/R
B-U/S
C-WAIT
D-CT
E- ------88-RICHTER HERNIA CONTAIN
A-CIRCUMFERANCE OF A BOWL
B-WHOLE BOWL
C-PERITONIUM
D-MESENTRY
E--89- BREAST ABCESS MX
A-ABX+I&D+--B-ABX
C-I&D
D----E.
90-COMMON CAUSE OF EPISTAXIS IN ADULT IS
A- TRAUMA
B-HPT
C-HUMIDITY
D-NASAL DZ
E----91-OPTIC NEURUTIS AND HYPERURACEMIA IS A TOXIC AFFECT OF
A-ETHAMBOTOL AND PYRAZINAMIDE
B-P & ISONIAZID
C-I & STREPTOMYCIN
D-E & ISONIZID
E-E& RIFAMPIN
92-IN CASE OF A MENINGITIS IST STEP SHOULD-- -A-LP
B-CT
C-ABX
D---E.
93- CASE;LYMPHOBLAST IN PERIPHERAL BLOODIN
A-CLL
B-ALL
C-CML
D-AML
E-----94-BS;SELECTICTIVE REFLECTION INDICATE--A-TO SUMMARIZE IMPT POINT AT END O F COMMUNICATION
B-REPEATING --C--------

D------E95-COMMUNICATION IMPROVE BY--A-USING MINIMUM PROMPTS


B----C.
D
96-M.IMPT DIAMETER OF PELVIS IS --A- ANT-POST
B- ------------------C- ------------------D- ------------------E97-HYDATIDIFORM MOLE DEVELOP FROM
A- DECIDUA
B-PLACENTA
C-ENDOMETRIUM
D-----------E98-TEST TO DIAGNOSE GDM--A-GLUCOSE CHALLENGE TEST
B-GLUCOSE TOLERANCE TEST
C-RBS
D-FBS
E.-----99-FILARIASIS- --BY
A-WUCHERIA BANCROFTI
B-AEDES AGYPTI
C-SHISTOSOMIASIS MANSONI
D.SALMONELLA
E--100-MOST SPECIFIC TUMOUR MARKER FOR TERATOMA IS
A- B-HCG
B- A-FETOPROTEIN
C- PSA
D- CA 19-9
E- ACID PHOSPHATASE
101- COMMONEST SITE OF EPISTAXIS IS --A-KIESSLBACH,S PLEXUS
B- ANT. ETH ARTRY
C- POST- -D- POST ETH ARTRY
E- ------102-TWIN PREGNACY IS BEST DX WITH
A-U/S

B-PHY.EXAM
C-CT
D----E----103-COMMON CAUSE OF ACUTE CHOLECYSTITIS IS
A-GALL STONE
B- ALCOHOL
C----D
104-RADIOTHRAPY IS TX OF CHOICE FOR
A-ADVANCED CERVICAL CA
B-VAGINAL CA
C-VULVAR CA
D- OVARIAN CA
E- -----------105-DIC IS A CONDITION ASSOCATED WITH
A-PLACENTA PREVIA
B-PLACENTA ABROPTIO
C-PIH
D---E106-INC FREQUENCY OF MULTIPLE GESTAIONCAUSE--A-MODERN MEDICAL TECHNQS
B.----C-----D107-FOLLOWNIG IS NOT A RISK FACTOR FOR GAST.CA..
A-GASTRIC POLYP
B-H.PYLORI
C----D----108-CASE 8 YR OLD BOY PRESENT WITH C/F OF NEPHRITIC SYD-AFETER THROAT
INFCTION--DX
A-POSPT STREPTOCCAL GLOMERULONEPHRITIS
B-IgA NEPHROPATHY
C-------D-------109- WERNCKOSAKOFF SNYD IN ALCHOLICS, DEF OCCUR OF
A-VIT-B COMPLEX
B-VIT C
C-CA PANTOTHENATE
D-VIT A
E- THIAMINE
110-GOLD STANDARD TX FOR BPH IS
A-TURP

B-PROSTATECTOMY
C-FINASTEROIDE
D-ALFA-BLOKER
E-GnRH ANALOG

PART III :
HELD AT ISLAMABAD HOTEL,MELODY MARKET,ISLAMABAD

PMDC/NEB EXAM : OSPE/VIVA; STATION 15 X 20 =300


ACTIVE STATIONS : 15
TIME FOR EACH ACTIVE STAION : 5 MINUTS
INTERACTIVE STAIONS : 7
STATIC STAIONS : 8
REST STAIONS : 15

STAION 1 : MEDICINE INTERACTIVE

9 YR OLD BOY WAS LYING ON BED.


-EXAMINER ASK TO CHECK LOWER LIMB REFLEXES
THEN ASK RELATED QUESTIONSIS ,LIKE
-REFLEXES ARE NORMAL?
-ROOT VALUES OF REFLEXES
-C/F OF UMN LESION
-WHEN WE SAY PLANTAR REFLEX IS POSITIVE?
-AND SOME OTHER Q

STAION 2 : MEDICINE INTERACTIVE

16 YRS OLD BOY WITH VALVULAR HEART DZ.


-AUSCULTATE THE PRECORDIUM

-WHAT IS FINDING ON AUSCULTAIONPANSYSTOLIC MURMUR


-PANSYSTOLIC MURMUR?
-HOW WILL YOU DIFFERENTIATE B/W MURMUR OF MR AND VSD
ACCORDING TO SITE,INTENSITY,AND RADIATION.
-WHAT INVEST YOU WILL DO-ECHO
-WHAT CAN BE COMPLICATION.
AND SOME OTHER Q

STAION : 3 MEDICINE STATIC

A-WRITTEN CASE OF SEVERE ASTHAM IN A 16 YRS OLD BOY.


I-WHAT IS ACID-BASE DISORDER--- RESP.ACIDOSIS
II-WHAT INVEST YOU WILL DO?
III-WHAT IS IMMEDIATE TX?
B-A PICTUER OF A CHILD WITH SQUINT.
I- DX?
II-WHAT IS THE CAUSE IN THIS AGE GROUP?
III-WHERE CAN BE LESION IN CASE OF ADULTS?

STAION : 4 PAEDIATRIC INTERACTIVE

11 YR OLD GIRL WAS LYING ON THE BED


--DO GPE
-WHAT IS FINDINGPALLOR
-CAUSE IDA
-WHAT ARE OTHER CAUSES OF IRON DEF ANEMIA.
-HOW YOU CLINICALL & IN LAB DIFFERENTATE B/W THAL.MAJOR AND MINOR.
-INVESTGATION?
-MX OF THALASSEMIA MAJOR?
-COUNSELLING OF FAMILY.
AND SOME OTHER Q
.
STATION 5 : PAEDIATRIC STATIC

A-A PIC OF FACE A CHILD WITH A HYPOTHYROIDISM.


I-DX.
II-WRITE 3 FINDING IN FACE REGARDING DX?
III-INVESTGAION?
B-A NEONATE AT A DAY 2 PRESENT WITH JITTRENESS.RBS IS 40mg/dl
I DXNEONATAL HYPOGLYCEMIA.
II-INVESTGAION?
III-MX?

STAION 6 : PYCHIATRY / BEHAVIOURA SCIENCE STATIC

A-WRITTEN CASE OF DEPRESSION WITH ITS C/F.


I-DX.?
II-DRUG GROUP USED FOR MX?
III-ITS SIDE AFFECTS?
B-A WRITTEN Q A PT BRING A EXPENSIVE GIFT FOR YOU AT YOUR CLINIC?
I-WILL YOU RECEIVE IT?
II-IF YES WHAT SHOULD BE PROPER TIME?

STAION 7 : SURGRY INTERRACIVE

32 YR OLD FEMALE WERE SITTING ON A BED WITH ENLARGED


SWELLING IN FRONT OF NECK.
-DO COMPLETE EXAM OF SWELLING IN NECK
. CASE WAS GOITER.
AND ASK OTHER RELATED Q i.e REGARDING DX,INVST&MX

STATION : 8 SURGRY INTERACTIVE

45 YR OLD MAN WAS LYING ON THE BED ---WITH


INGUNO-SCROTAL SWELLING.
-EXAMINE THE INGUNO-SCROTAL SWELLING.--. CASE WAS INDIRECT INGUINAL HERNIA
- AND ASK OTHER RELATED Q i.e REGARDING DX AND ANATOMY.
STAION 9 : SURGRY STATIC

A-A WRITTEN CASE OF SCROTAL SWELLING OF 4 LINES.


I-D/DX ?
II- INVESTIGATION ?
B-FOLEY,S CATHETER
I-IDENTFY?
II-INDICATION?

STATION : 10 ENT INTERACTIVE

A- A PIC OF A 60 YRS OLD MALE WITH SWELLING NEAR ANGLE OF MANDIBLE.


I-DXPLEOMORPHIC ADENOMA
II-NAME OTHER DZ,CONDITION WHICH CAN OCCUR IN HERE.
III-TX?
IV-INVEST?
V-COMPLICATION OF SURGRY AT IN THIS AREA?

B-EXAMINER ASK TO. EXAMINE THE NOSE.


-FINDING ---DNS AND ASK OTHER RELATED Q
STAION : 11 X-RAR/INST/ECG

A-CXR PA VIEW
I-WRITE THREE ABNORMAL FINDING IN X-RAY.
-FINDING WERE CARDIOMEGALY,TRACEAL DEVIATION,P.E
II-GIVE 2 D/D?
III-INVEST FOR DZ EVALUATION?
B-INSTRUMENT
I- IDENTIFYINST WAS. TRUE CUT BIOPSY NEEDLE.
II- ITS USES IN SURGRY?
C-ECG
I-DXMI
II-WHAT IS HR?
III-WHAT IS PR INTERVAL?
IV-WHAT IS AXIS?

STAION :12 EYE INTERACTIVE

A- A PICT OF A HYPOPYON CORNEAL ULCER


I-DX?
II-WHAT ORGANISMS CAN CAUSE & COMPLICATE IT?
III-INVEST?
IV-MX?
B-EXAMINE THE VISUAL FIELD.

STAION : 13 DERMATOLOGY STATIC

A-WRITTEN CASE OF A 25 YR OLD GIRL WHO COME WITH HISTORY OF PAPULES AND

NODULAR SWELLING ON FACE. WITH PICTUER.


I-DX---ACNE VULGARIS
II-PRECIPETATING FACTOR?
III-PATHOGENESIS
IV-TOPICAL TX ?
B-A PIC OF A CASE OF PSORIASIS INFRONT OF KNEE AND SHIN.
I-DX?
II-INVEST FOR CONFORMATION?
III-WRITE VARIANT OF A THIS DZ?
IV-MX?

STATION : 14 GYNE/OBS STATIC

A-WRITTEN CASE OF SEVERE PRE-ECLAMPSIA WITH C/F OF EDEMA HEADACHE,


BLURRED VISION,AND BP 160/110mm of HG.
I-DX?
II-INVST?
III-MX?
B-WRITTEN CASE OF 49 YR FEMALE WITH POST C-SECT, URINARY INCONTINECE
AFTER,OBSTRUCTED LABOUR .
I-DX?
II-CAUSES?
III-WHAT CHANGE OCCUR BY WHICH U.INCONTINECE DEVELOP?
IV-MX

STATION : 15 GYNE/OBS

A-WRITTEN CASE OF 34 WKS PREGNANT LADY PRESENT WITH P/VAGINAL BLEEDEING


ON EXAMINAION ABDOMEN IS TENDER AND TENSE---ON BED
-CASE WAS PLACENTA ABRUPTIO.AND MADAM FURTHER ASK ABOUT.
I-D/DX?
II-INVESTIGATIONS?
III-MX?
AND OTHER RELATED Q

HEBEI NORTH UNIVERSITY,2006 BATH

EACH MED.GRADUATE CAN PASS PMDC EXAM COMFORTABLY WITH HAVING SOME PAIN.
PREPARE YOURSELF MENTALLY AND PHYSICALLY FOR SUCCESS IN EXAM.
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WHOEVER WILL STRUGGLE.
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HEBEI NORTH UNIVERSITY,2006 BATH
Last edited by nasir ali zaki on Thu Jul 05, 2012 12:19 pm, edited 1 time in total.

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