SURGERY..

Dr. Yasir Abbas

Surgery paper 1 & 2 Mix
14th Oct 2016
1. Ectoderm and endoderm unite at
Cloacal membrane
Coelom
2. Suprapubic catheterization done because bladder is not covered by
peritoneum at
Dome
Posterior
Anterior
3. Corneal opacity is due to
Ethambutol
Phenobarbital
Chloroquine
4. A difficult question regarding pons options were
Facial colliculus
Facial nuclei ventrolateral surface
5. Scenario regarding lateral rectus muscle damagelesion at
Facial colliculus
Other options I dnt remember
6. Prevertebral fascia encloses
Sternocledomastoid and trapezius
Muscle of cervical vertebrae
Trachea and esophagus
Trachea and thyroid
7. Aphasiadamage or lesion at
Parietal

Occipital
Temporal
Frontal not mentioned
8. Na is actively absorbed from
Jejunum
Ileum
Colon
Stomach
Duodenum
9. Long scenario..Bladder ca gene was asked
C-neu
Kras
Nmyc
10. Parents have 6 or 7 children..only 1 has retinoblastomawhich gene is
responsible
P53
Rb
Kras
11. Melanoma most common site
Soft palate
Hard palate
Tongue
12. Recurrent infectionsdiarrhea IgA, igG, IgE levels given..all were
low..cause?
Chronic variable agammaglobinemia
Brutons agammaglobinemia
13. Cell to cell adhesion
Integrins
Selectins
14. Ejection Fraction decreases.. what increases

ESV
EDV
15. Single dose for streptococcal infection
Ampicillin
Benzyl penicillin
Benzathine penicillin
16. Thyroid hormone at physiological condition causes
Fatty acid oxidation
Protein synthesis
17. Depression and low motivation lesion at
Midbrain
Temporal
Basal ganglia
18. Another difficult question regarding anatomy of basal ganglia options were
Below tentorium cerebelli
Midbrain pretectum part of basal ganglia
Dnt remember rest
19. Standard deviation is calculated along mean because it shows
Variability among individual values
Sample size
20. If all values fall on one point or lie within given range it is?
Rate
Frequency
Prevalence
Data
21.Glandular acini..pseudostratified columnarsmooth muscle..calcification
was also there
Prostate

Seminal vesicle
Parotid
Breast
22. Regarding Glycolysis
Hexose monophosphate shunt
Includes hexose sugars to pyruvate
Some other difficult options
23. No. of somites at 30th day
42-44
30-32
26-28
32-36
24. Linea aspera of femur joins upward and medially to
Pectineal line
Intertrochanteric line
Intratrochanteric crest
25. Main pillars of medical ethics
Autonomy, beneficence, nonmaleficence, justice (correct)
26. School students play game of breathing in a bagboy starts
hyperventilating after few minsreason?
Decrease p02
Increase pco2
27. Final motor pathway
Corticospinal tract
Alphamotor neurons emerging from anterior horn
Inhibiting fibers along alpha motor neurons
28. Egg contains protein avidin eating raw eggs will lead to deficiency which
causes
Increase transamination
Decrease phosphorylation
Decrease carboxylation
Decrease coA formation
29. Creatinine 8mg.B.P 210/110 damage to which is a cause of this
Glomerular cells
JG cells

Macula densa
PCT
30. Eversion done by
Peroneus tertius
Peroneus longus
Tibialis anterior
31. Loss of dorsiflexion and sensation on foot..damage to
Tibial nerve
Common peroneal nerve
Femoral nerve
32. Axillary vein formation
Basilica vein and vena communicante of brachial artery(correct)
33. Patient during surgery transfused with blood she develops high grade
fever, hypotension and shock in post operative periodcause?
Graft versus host reaction
Febrile non hemolytic reaction
Anaphylactic shock
Bacterial contaminated blood
34. Pyruvate between
Glucose and acetyl coA (correct)
35. Long scenariocotton wool sensation.. MCV raisedwhich deficiency
Vit b6
Vit c
Vitb12
36.A question regarding coronary supply..options dnt remember..difficult one
37. Stroke volume increaseswhat decreases
ESV
EDV
38. A patient of sickle cell anemia develops hemolysis acutely hb 4 cause?
Hemolytic crisis
Sequestration crisis

39. Increase bleeding time and apt..cause

Low platelet
Hemophilia
Vit k deficiency
Vwd
40. Patient on ATT develops hyperuricemia..which drug
Isoniazid
Pyrazinamide
Rifampin
Streptomycin
41. Lymphoid follicles are present in
Thymus
Cortex of lymph node
Spleen
42. Antibodies formed by
Plasma cells (correct)
43. 1.5L blood losslow GFR and urinary outputpart of nephron responsible
in bringing back GFR and Urinary output
PCT
DCT
Thick ascending limb
Thin ascending limb
Collecting tubule
44. Type of Ig in Myasthenia gravis
IgA
IgM
IgG
IgE
45. 2L sweating.. drinking 2L pure water causes
Increase ICF volume
Increase ECF volume
Decrease ECF osmolarity
Decrease ICF osmolarity
46. Loss of flexion and sensation of little finger..damage to
Radial nerve
Ulnar nerve
Median nerve

47. Superior thyroid artery ligation..damage to

External laryngeal nerve
Recurrent laryngeal nerve
48. Regarding infrahyoid muscles
Cause upward movement of larynx
Between sternum and hyoid
Supplied by ansa cervicalis
49. Regarding Trachea
C4-t3
C6-T4
C6-t7
50. Anterior closes at
18-24mnths
12-18
6-12
51. Medullary branch of vertebral artery occlusion causes damage to
Cnt remember options I did pyramids
52. Vibration sensed by
Pacinian
Meckel
Meissner
Ruffini
53.Regarding virus infection
Proto oncogenes
Oncogenes
54. DNA virus
RSV
Picorna
Adeno
55. Yellowish discharge from lesion
Staph aureus
Actinomyces
Pseudomonas

56. 3yrs old boy having swollen right knee with pain and redness
Streptococcus fecalis
Pseudomonas
Staph aureus
Strep viridans
57. Greenish discharge from lesion
Staph aureus
Pseudomonas
Actinomyces
58. Long scenarioparasite having narrow anterior end
Tenia solium
Trichuris trichura
Ascaris
59. Type of hypersensitivity in TB
Type 1
Type 2
Type 3
Type 4
60. Most important investigation in TB
Caseous granuloma on biopsy
AFB staining
61. During bronchoscopy first structure visible is
Upper lobe
Upper basal lobe
Lower basal lobe
Middle lobe
62. Angular cheilitis caused by
Chlamydia
Cryptosporidium
Candida
63. CD4 cells are
Cytotoxic
Helper
64. Subacute endocarditis caused by
Staph aureus
Strep viridans

Strep pyogenes
65. Cysticercosis caused by ingestion of
Ova of tenia solium
Eating raw beef
Eating raw mutton
66. HIV confirmation test in baby of HIV pos mother
Western blot
Elisa
HIV PCR
67. Light on retina causes
Increase cGMP
Increase neurotransmitter release
Increase conversion of cis retinal to all-trans retinal
68. Vit D3 is associated with
Storage form
Animal source
Plant source
Active form
69. Which of the following is essential aminoacid
Tyrosine
Cysteine
Phenylalanine
70. Most common inherited defect in hemostasis
Factor 2 deficiency
Factor VUI deficiency
Factor 1 deficiency
Factor 9 deficiency
71. Pseudomembranous colitis caused by
C. botulinum
C. difficle
C. tetani
72. Regarding Vibrio cholera
Grows at 42 C
Grows in alkaline medium
Grows in acidic medium
73. Surfactant contains compound
Dipalmitoylphosphatidylcholine(correct)

74. Regarding surfactant

Decreases compliance
Increases surface tension
Decreases surface tension
75. Lesion on noseproteinuria.. vasculitis..
Leprosy
Wegeners granulomatosis
76. Most imp test for gonococci
Blood culture
Gram stain
ZN stain
AFB
77. Baby having cataract..cause
Toxoplasmosis
Rubella
Syphilis
78. Right gastric branch of
Gastroduodenal
Splenic
Hepatic
79.Free edge of lesser omentum contains
CBD, portal vein, hepatic artery(correct)
80.LVF occurs due to malfunction or damage of
Mitral stenosis
Aortic
Tricuspid
81. Artificial pacemaker leads should be in
SA node
AV node
Bundle of his
Right ventricle was not in options
82. Regarding esophagus
It lies on right side throughout its course
Supplied by thoracic aorta only
Joins stomach at 10th costochondral junction
Has thick serosa on lower end
83. Shortest pre erythrocytic phase of which plasmodium

Malariae
Falciparum
Vivax
Ovale
84. History of pharyngitis..enlarged cervical lymph nodes..cause
Lymphoma
Burkitts lymphoma
Infectious mononucleosis
85. Most common cause of nasopharyngeal Ca
CMV
EBV
RSV
86. RCA supplies
SA,AV and bundle(correct)
87. Femoral hernia strangulation due
Inguinal ligament compression
Tight boundaries
Narrow canal
88. Inferior rectal artery branch of
Internal carotid
Internal pudendal
External carotid
Inferior mesenteric
89. Flexion of knee and extension of hip
Sartorius
Semitendinosus
Biceps femoris
90. Regarding medulla
Decussation of pyramids
Cnt recall other options
91. Superior mesenteric supplies
Till proximal 2/3rd of transverse colon(correct)
92. Regarding defecation reflex
Opening of internal anal sphincter by parasympathetic
Cnt recall other options
93. Regarding autonomic nervous system
All sympathetic nerves are adrenergic

All sympathetic nerve are cholinergic

All parasympathetic nerves are cholinergic
94. Sympathetic stimulation causes
Salivation
Mydriasis
Miosis
95. Parasympathetic nucleus of vagus
Nucleus ambiguous
Solitary nucleus
Dorsal nucleus
96. 25yrs old female has weakness,malaise and pallouroccult blood in
stools..cause
Iron deficiency anemia
Hemolytic anemia
Sideroblastic anemia
97. A difficult scenario regarding normal platelets and bleeding options were
Prolong pt..aptt and fdps
Normal pr..aptt..fdps
Some other options like these dnt remember
98.Regarding collagen
Most abundant protein in body
Is acidophilic
99. Scarlet fever
Erythrogenic toxin(correct)
100.dry mouth ..dry eyes
Anti ssa..ssb(correct)
111. protein not filtered due to
Pore size and neg charge(correct)
112. long scenariobrain necrosis was asked
Liquefactive(correct)
113. long scenario regarding anti cancerous drugs tumor regresses due to
Apoptosis

Necrosis
114. blood supply of head of humerus
Anterior circumflex
Posterior circumflex
Arcuate
115. cardiac muscle cannot b tetanized due to
Due to long refractory period(correct)
116. blood vessels innervated by
Parasympathetic
Somatic
Sympathetic
117. high catecholamines and blue cell tumor
Pheochromocytoma
Neuroblastoma
Pituitary adenoma
118. ACTH secreted through
Hypophyseal portal system
Arterial supply of ant. Pituitary
Venous supply of ant. Pituitary
119. suprachiasmatic nucleus function
ADH production
Circadian rhythm
Temperature regulation
120. testis lymphatic drainage

Bilateral para aortic

Unilateral para aortic

Inguinal nodes
121. regarding internal capsule
Medial to globus pallidus
Other options cnt recall
122. 4th pouch derivartives
Dorsal wing parafollicular cells..ventral wing superior parathyroid
Dorsal wing superior parathyroidventral wing parafollicular cells
123. small cell Ca produces
ACTH
PTHrp
B-HCG
124. sterilization( CPSP mcq)
Autoclave for 3min option correct..
125. parotid gland supplied by
GVA
SVE
GVE
SVA
126. cold intolerance..constipation,..weight gain
Hypothyroidism
Hyperthyroidism
127. which of the following is related to cancer
Silicosis
Asbestosis
128. hydrocarbons cause
Small cell ca

Mesothelioma
Bronchogenic ca
129. hypocalcemia and hyperphosphatemia
PTH
CRF
Vit D
130. structure pierced during lumber puncture
Ligamentum flavum(correct)
131. patient has fever..chest pain..not related to respiration
Costochondritis
Myocardium
132. medial lymphatic drainage of breast
Pectoral
Supraclavicular
Internal thoracic
Inferior phrenic
133. patient cannot lower his jaw muscle involved
Medial pterygoid
Lateral pterygoid
Temporalis
134. regarding popliteus
Medially rotated femur on tibia
Attached to lateral ligament
Cant recall other options
135. patient lying on ot table at 25 c80 % humidity..heat loss due to
Conduction

Radiation + conduction
Evaporation
136. selective inhibiter of COX-2
Aspirin
Celecoxib
Ibuprofen
137. GFR and renal blood flow increases by
Efferent dilatation
Efferent contraction
Afferent dilatation
138. cervical and I think supra clavicular nodes palpable were given..stage was
asked
2a
2b
3
139. phrenic nerve accompanied with
Musculophrenic artery
Pericardiophrenic artery
140. movement of glucose from higher to lower conc this type is called
Na-glucose cotransport
Simple diffusion
Facilitated diffusion
141. RER involved in
Toxin removal
Protein synthesis
142. tricuspid valve auscultation

Lower right border of sternum(correct)

143. dyspnea on lying down
Retrosternal goitre(correct)
144. therapeutic and adverse affect of loop diuretics
Alkalosis
Low blood volume
Acidosis
145. cause of menstruation
LH..FSH
Estrogen
Hormone withdrawl
Progesterone
146. in pheochromocytoma drugs given
B-blockers
A-blockers
Ca channel blockers
Both alpha and beta blockers
147. investigation in pregnant patient
GGT
ALT
148. claw hand due to
Unopposed action of extensor digitorum and flexor digitorum
profundus(correct)
149. MELAS syndrome histological finding
Red ragged fibers(correct)
150. cardiac fibrillation can occur if stimulus is given at

Peak of action potential

Start of action potential
End of action potential
151. regarding asthma
FEV1
Cnt recall other options
152. regarding nitroglycerine except
Blood vessel dilatation
Decrease pre load
Decrease HR
153. ischial spine inverted
Android pelvis( I marked)
154. temporal lesion causes loss in
Olfaction
Memory
Vision
155. short gastric artery branch of
Hepatic
Celiac
Splenic
Gastroduodenal
156. left gastroepiploic artery branch of
Gastroduodenal
Splenic
Hepatic
157. pancreatic fluid leakage accumulates in

Subhepatic space
Lesser sac
Paracolic gutter
158. optic chiasma lesion causes
Bitemporal heminopia
159. pubic symphysis
Primary cartilaginous
Secondary cartilaginous
160. malformation of diaphragm due to
Failure of fusion of lateral buds with pleuroperitoneal membrane
Cnt recall other options
161. MOA of steroid hormones
act on genes
act on cytoplasm
act on receptors in cell membrane
162. feco oral route
Hep b
Hep c
Hep e

Failure of fusion of lateral buds with pleuroperitoneal membrane

Cnt recall other options
161. MOA of steroid hormones
act on genes
act on cytoplasm
act on receptors in cell membrane

162. feco oral route

Hep b
Hep c
Hep e
Hiv
163. aortic opening in diaphragm
Azygous vein and thoracic duct
164. drug-drug interaction due to
Pharmacokinetics
Pharmacodynamics
Both
165. dislocation of shoulder which nerve damaged
Axillary(correct)
166. regarding thyroid gland
Its lobes are pyramidal in shape
Lobes are symmetrical
Lies infront of tracheal ring 1,2,3
167. maximum contribution in power of eye
Anterior surface of cornea
Lens
Iris
168. organ least likely to get infarction
Lungs
Kidneys
Liver
Spleen
169. ascent of horse shoe kidney
Superior mesenteric
Inferior mesenteric
170. phenol as compared to alcohol(poor recalled bcq)
Less painful analgesia
Cnt recall other options
171. tachyphylaxis
Diminishing action of drug developing rapidly
Cnt recall other options

172. stress hormone of body

GH
Testosterone
ACTH
Cortisol was not in options
173. heat intolerance palpitations
Hyperthyroidism(correct)
174. start of 5th week
Heart tube
Stomach rotates
Limb buds
175. starling law
Increase cardiac output with increase venous return(correct)
176. anatomical question
Ans was tail of pancreas in splenorenal ligament
177. patient on thyroxine what should b monitored
T3
TSH
T4
178. trachea bifurcates at
T4-t5
T5-T6
T6-T7
179. HCO3 reabsorption in
PCT+DCT
PCT+CT
DCT
CT
180. Functional residual capacity
RV+ERV
ERV+tidal
RV+ERV+tidal
181. patient in CCU(poor recalled bcq)
Anxietysense of loss
Cnt recall other options
182. edema in nephrotic syndrome due to

Increase blood volume

Hypoalbuminemia
Lymphatic obstruction
183. shock by injectionIg involved
IgA
IgG

OCT GYNE.2016
Gynae and obs 14 oct 2016(evening)
1.a female having two children ,after cholecystectomy she developed pallor
her peripheral blood shows microcytosis type of anemia
a blood loss
b iron deficiency
2.lowest O2 content in umblical circulation is in
a.pulm trunk
b.right atrium
c.right ventricle
d ivc
e.svc
3.The principal difference between cytotoxic type 2 n immune complex type 3
hypersensitivity is
a. Delayed hypersensitive reaction
b .The class of immunoglobulin involved
c. the participation of T cells
d. The participation of complement
e. The site where antigen antibody complexes are found
4. A female diabetic from last 4 years, anemic, admitted with pseudomonas
infection, blood sugar was normal but ater 6 days she developed shock, how
a.electrolyte imbalance
b.acid base imbalance
c.inc plasma osmolarity
d.Increased vascular permeability(ans)
5.cryptorchoidism should be treated as there is increase risk of malignancy.
6.temporomandibular joint dislocation will lead to which muscle paralysis??
lat pterygoid
7.unable to open mouth which muscle paralyse?
lat pterygoid
8. Airborne droplet infection can spread upto
1 to 2 feet

3 to 6 feet (I marked)
9.maximum ventricle is filled during
A) diastasis
B)atrial systole
C)rapid inflow
D)slow inflow
10. The neural crest cells originate at the dorsal most region of the neural
tube.
11.uterus main support pelvic diaphragm.
12.sesamoid cartilage found in
a. epiglotis
b . nasal septum
c . larynx (ans)
d. ear pinna
13.left renal vein drain into ivc.
14.left renal vein anrerior to aorta.
15.max renal clearance of PAH.
16. A boy collapsed 2 hr after tonsillectomy . what is the reason behind this
A. Hypovolumic shock (ans)
B. Septic schock
C. Neurogenic shock
D. Cardiogenix shock
E. Toxic shock
17. A patient had to undergo amputation of right leg. At the site of
amputation ha present with a mass, biopsy shows haphazard pattern.
a- neuroma (ans)
b- schwanomma
c- lymphoma
18.post ganglionic fibres found in
a - all spinal nerve
b. mid thoracic
19.diaphragmatic surface of heart form by right ventricle.
20.
way
Bar
pie
chi

In a study 40% women recived HRT 20% women have not recived HRT. the best
to represent such study is???
chart
chart
square

21.scenario case control

22. regarding free water diuresis..
A.NEGATIVE WATER CLEARANCE
B,positive water clearance, (ans)
c.plasma osmolarity

23. Pt had severe dehydration, what is the best treatment to increase body
water
a.5% dextrose
b.10% dextrose
c.Albumin
d.Normal saline
24.female presented in oncology depart hypotensive fever what is the cause of
this condition?
TNF (IL1 was not in options)
25.true hermaphrodite
a.xx (ans)
b.xxy
26. The antimotabolite which is used for nonneoplatic diseasea and is also an
immunosuppresant???
A.Azathioprime
B.cytarabine
C.Methotrexate (ans)
27. Methotrexate is a folate antagonist
28. cyclophosphamide side effect hematuria.
29.eye blunt trauma which structure will be more prone to damage= limbus??
30. progesterone is a precursor of.??
a.Aldosterone,cortisol and corticosteriods
b.hydrocortisone,pregnenolone;estriol
c.cholestrol :cortisone,cholic acid
d.aldosterone .deoxycholic acid .pregnenlone
e.corticosterone.testosterone.cholestryl sulphate
31.nipple plus lat part breast drain Into anterior axillary lymph nodes.
32.lat part breast drain into anterior pectoral nodes.
33. boil on labia majora will drain Into medial group of superficial inguinal
lymph nodes.
34.star shaped lumen
a. ureter (ans)
b.fallopian tube
35.sensitive to radiation = lymph nodes
(germ cell , git epi also v. sensitive to radiation).
36.tumour removed from ovarian fossa which structure prone to damge internal
illaic artery.
37. 45 yrs old woman has invasive ductal carcinoma of left breast with
metastasis in fpur ipsilateral axillary lymph nodes. Tumor measures 6.5cm in
its max diameter. Acc to Manchester's staging. Stage of this tumor would be
A. Stage 1
B. Stage 2B
C. Stage 2A

D. Stage 3
E. Stage 4
38.structure posterior to ureter genitofemoral nerve.
39.change of one epi to other metaplasia.
40.an anesthetic drug given to pregnant lady which conc inc in mother blood
as compared to fetus name of drug?
a. lidocaine
b. bupivaciane
41. histological section of tissue sample shows normal mitoses,pleomorphism
and hyperplastic cells are observed in different stages of cell cycle with no
invasion of basement membrane it is most likely due to
A.metaplasia
B.dysplasia (ans)
C.anaplasia
D.malignancy
42.an anesthetic given to a patient thorugh which route it given will cause
highest conc in blood
a.spinal (ans)
b. epidural
43.ovarian artery is the branch of abdominal aorta.
44.ant wall of bladder devoid of peritonium.
45.medial boundry of ischiorectal fossa by
a.ana canal
b.levator ani (mainly by it ans)
46.SLE scenario investigation of choice anti Ds DNA.
47.women developed cogulation defect on ultrasound having IUD baby
management?
evacuation
48.illiacus muscle supplied by femoral nerve.
49. ischiorectal fossa abscess drainage will result in damage to
a.inferior rectal nerve
b.sacrotuberous ligament
c.internal pudendal artery
50.female having complain of fever productive cough diagnosed case of staph
aureus pneumonia now fever perisist but gradually increased dyspnea xray
chest showed air fluid level what complication she have developed?
a.granuloma
b.fibrosis
c.abscess formation
51. sphincter urethra supplied by?
a. sacral splanchnic nerves
b.pudendal nerve

53.49 year female developed pain in right big toe with fever she had same
episode of pain 6months back in knee joint what investigation will u do
a. uric acid
b.xray
c.ANA
d.anti Ds Dna
e.rheumatoid factor
54.dont remember exact words
( The greater, lesser, and least splanchnic nerves arise from the thoracic
part of the sympathetic trunk and carry much of the sympathetic and sensory
supply of the abdominal viscera. The nerves pierce the diaphragm and reach
the celiac and aorticorenal ganglia)
55. which hernia lies medial to inferior epigastric artery??
indirect inguinal (ans)
Direct inguinal
femoral
umbilical
56.cause of epispadasis is urethral fold fusion defect.
57.hernial sac which is remanent of processus vaginalis and carry all layer
alonwith is which type of hernia
a. direct inguinal hernia
b indirect inguinal hernia
58.vagina histology shows abundant
a.collagen plus elastic
b.elastic
59. on microscopy how carcinoma diagnosed = invasion
60.cells present in epidermis which give colour pigment = melanocytes
61. in hypoxemia which will respond
a.carotid body
b carotid sinus
c.central chemoreceptors
62. A patient on hypertensive drugs presents postural hypotension. in heart
rate
while standing
is mediated by:
A. decrease fire rate of baroreceptors
B. decrese sympathtic stimulation
C. Inc vagal tone
D. Inc vasomotor tone
63.lady having carcinoma
obstruction

developed generalized edema

cause is = lymphatic

64.edema due to renal disease cause = salt retention plus albuminurea

65.common cause of
a.post operatively
b.prolong bed rest

DVT

66.old male patient case of atherosclerosis was under your treatment with
blockage of coronary artery suddenly brain ischemia occured cause =
a. thrombus
b embolus (ans)
67. a lady, known diabetic for 5 yrs. she is on Glibenclamide. she had an
acute asthma attack for which she is still taking medication. this morning
she felt dizzy her blood sugar is 40. choose the drug which interacted with
glibenclamide
a. b-blocking agents
b. steriods (ans)
68.cynosis due to = deoxyhemoglobin
69.ineffective erythropoiesis in
a. thalsemia
b.sickle cell anemia
70.when volume of water decrease all of following will increase except
a. ADH
b. aldosterone
c estrogen (ans)
71.ventilation perfusion ratio increased in
a. Pulmonary embolism
b.pleural effusion
c fibrosis
72.worst from to do immunosuppression = full body irradiation
73.girl diagnosed with rubella what ishe indication of terminating pregnancy
= presence of IGM
74.most abundant antibody = IgG
75.established autosomal dominant disease
a. heridatory tubular adenoma
b. hemochromatosis
76.automatic bladder when lesion is
a.above sacral segment
b.below sacral spine segment
77.bladder detrussor muscle contract due to = pelvic splanchnic
hypogastric plexus
78. 1 gm of normal Hb can bind a maximum of 1.34 ml O2
79.scenario of hemolytic anemia
80. A patient has hb 6 .platelets 450000 e.hypercellular
Bone marrow.diagnosis is
A. acute blood loss?
B.leukemia (ans)

plus

81.vitamin c required for which step in collagen synthesis = hydroxylation of

proline and lysine residues.
82. renal failure feature = oligourea
83.Pulmonary artery supply alveoli
84.how to differentiate b/w iron def and thalassemia . what lab investigation
will u ask
a. hb F
b. serum ferritin
c. hb electrophoresis
d. mcv
85.single best investigation for iron deficiency anemia = serum ferritin
86. pregnant lady with jaundice n bile duct stone , investigation
gamma GT
87.bleomycin = pulmonary fibrosis
88.insulin secretion increase by
a. secretin (ans)
b. somatostatin
89.vit k plus c deficiency causes = bleeding disorder
90.A 14 yr child with bleeding and alsdiarrhea no family hostry of any
bleeding disorder cause of bleeding
a. Liver faliure
b. Hemophilia
c. Vwf
d. vit k deficiency (ans)
91. Fetal brain development is caused by
a. Growth hormone
b. Thyroid hormone
c. ADH
d. Prolactin
________________________________________
Ans. b. Maturation of CNS of the fetus requires the presence of thyroid
hormone in the perinatal period. Thyroid hormone deficiency causes
irreversible mental retardation. Because there is only a brief prenatal
period when thyroid hormone replacement therapy is helpful, screening for
neonatal hypothyroidism is mandatory.
92. sertoli cell = androgen binding protein
93. mean arterial pressure = diastolic pressure plus 1/3 rd pulse pressure.
94.hormone which produce smooth muscle of git relaxation and also increase
git secretion
a. substance p
b.VIP (ans)
95.femlae presented with complain of sever headache , uncontrolled
hypertension lab shows k 3.4 most probably cause of hypertension

a. aldosterone
b.catecholamines (scenario of pheochromocytoma)
96.self replicative
a. mitochondria (ans)
b.smooth ER
c.nucleus
d RER
97.essential amino acid
a. tyrosine
b. threonine (ans)
98.PTH normal in
a. osteoprosis (ans)
b pseudohyperparathyroidism
99.total body water
a. 60% of body weight
b. ECF +ICF+ transcellular fluid (ans)
100. tetnus vaccination = toxoid is used.
101.hypervitaminosis = scally dermatitis
102.widest space =L2
103.child ribs
a. vertical
b. on cross section almost circular
104. micturation reflex = self regenrative
105. hypothyroidism = inc cholesterol level
106.malaria in which stage inactive in body
a.sporozite
b.merozite
c .shizont
d.hypnozoite (ans)
107.mother o negative blood group father o postive child devlope
erythroblastosis fetalis child blood group?
B positive
108.fibroblasts = amorphous extracellular matrix
109. scenario malaria falciparum
110. post fontanalle smaller than anterior
111.trachea divide ate c4-c5 (rest all irrelevant options).
112. chronic liver disease on microscopy
a. fibrosis
b. lymphocytic infiltration (ans)

113.in complete heart block atria and ventricle contract independently.

114. pain mediator bradykinin
115.megaloblastic anemia scenario
116. 23 year old woman regular menstrual cycle of 21 to 23 days . ovulation
is expected to occure between cycle days:
a. 10,12
b.7,9 (ans)
117. mesonephric duct develop from intermediate mesoderm.
118. alpha 1 agonist cause contraction of radial muscle of iris.
119.non healing diabetic ulcer due angiopathy and neuropathy.
120.cimitidine hepatic enzyme inhibitor
121. most common non bacterial infection developed in burn patient
is candida.
122. post ventricular branches 2 in number and supply diaphragmatic surface
heart.
123.how u differentiate chest lesion being or malignant = recurrence after
excision
124. prolactin raised with infertility what will be cause
a.microprolactinoma
b.macroprolactinoma (ans)
c.pituitary tumor
125. plasmodium malarie = quartan fever
126. highest clearance = PAH
127. gynecoid pelvis outlet = AP > transverse dia
128. bacterial vaginosis lead to preterm labour.
129.deep inguinal ring = facia transversalis
130.pituitary drain in dural venous sinuses.
131.

post sup relation of pituitary is

sphenoid.

132. pain on defecation mediated by pudendal nerve. (inf rectal was not in
options)'
133. fast pain A delta fibres
134. maximum inc cardiac ouput in pregnant lady is after delivery.
135. ocp prevent ovarian ca.
136. adrnelectomy done which replacement necessary for life

a. aldosterone (ans)
b. corticosteriod
c. epinephrine
137.how to check staph aureus virulence
a. coagulase
b. hemolysis
138. GTO prevent tearing in overstretching.
139. tension detect by golgi tendon.
140.diabetic nephropathy confirm by urine albumin
141. most common brain tumor in adult medulloblastoma.
142. uterus absent because of malformation of paramesonphric duct.
143.paramesonephric duct male remnant appendix testis.
144. second heart sound closure of Aortic and Pulmonary valve.
145.excessive hemolysis bilirubin bind with albumin and go to liver.
146.EBV associated with nasopharyngeal carcinoma.
147. antibodies againt ACH receptors = mysthenia gravis
148. first pass effect avoided by giving drug
a. IM (ans)
b. rectal
c oral
d oral suspension form
iv was not in options
149.endometriosis treatment danazole.
150. highest bioavailability metachlopromide.
dont make mind for simple one liner bcq there will be lots of big scenarios
with all five options so solve them patiently. exam is all about control of
nerves.dont panic.
all of you can do it.
Good luck !
compiled by:
Fouzia Baluch

RADIOLOGY OCT .2016

MEHWISH TABASUM
@Fibrillation commonly occur during
1) start of action potential

2)End of action potential (ans) pervios

3)Peak of action potential
4)Refractory period
@Right testes ca drans to
1)Bilateral paraortic (ans)
2)Ipsilateral pelvic
3)Bilateral pelvic
4)Bilateral paraortic and ipsilateral pelvic
5)Ipsilateral pelvic and ipsilateral paraortic
@a docter prescribe vit d3 to pt what it actually is
1)Inactive
2)1,25 dihydrocholecalciferol( ans)
3)25 hydroxycholecalciferol
4)Animal source
5)Plant source
@Difference in plasma and interstitium
1)Proteins (ans)
2)Calcium
3)Sodium
@Multigravida women presented with thigh swelling painless expansile and pulsatile below inguinal ligament
1)Femoral hernia
2)Femoral artery aneurysm (ans)
3)Saphena varix
@Tail of pancrease
Lie in splenorenal ligament
@Corneal opacities caused by
1)Ethambutol
2)Chloroquine ans
3)Quinidine
@RTA scenario presented with proptosis of eye rushing sound in ear .episcleral vessels dilated
1)Retro opthalmic hemorhage
2)Floor of or bit damage
3)Roof of orbit damage
4)Carotid cavernous fistula (ans)
@Paraneoplastic syndrome caused by
1)Small cell ca of lung (ans)
2)Adenoca stomach
3)Renal ca
4)Thyroid ca
5)Parathyroid ca
@Most potent stress hormone
1)Acth (ans)
2)Epinephrine
3)Norepinephrine
@Raw egg ingestion avidin which biochemical reaction hampered
1)Dexarboxylation (ans)
2)Transamination
@Glycolysis
1)Reversible
2)Hexose phosphate converted to lactate and pyruvate (ans)
@Sarcoidosis associated with
1)Pulmonary embolism
2)Increased calcium
3)Erythema nodosuum
4)Hepatic granuloma(ans)
@Posterior mediastinum desending aorta
Gives 9 post intercostal arteries

@Extensor and lateral rotation of hip

1)Gluteus maximus (ans)
2)Tensor fascia lata
@Lesser omentum
1)Attach to duodenum
2)Forms falciform ligament
3)Related to right renal gland
4)Left renal gland and left kidney (ans)
Note post wall related to left adrenal and upper pole of left kidney
@Extension of epidural space
1)Foramen magnum tosacrococcygeal membrane(ans)
2)Foramen magnum to s3
3) C1 TO s4
4) foraman megnum to l5
@Within kidney renal vessels run in
1)Colum of drummond
2)Columns of bertin (ans)
@10 th rib fracture scenario
Spleen damage
@Posterior boundary of epiploic foramen
Ivc (ans)
@ nystagmus loss of pain and general sensation on left side of face left sided weakness damage to
1)Pica(ans)
2)Superior cerebellar
3)Basilar
4)Post communicating artery
@Number of renal segments
1) 5 ans
@Ureter narrowest area
1)Sacral promontary
2)Sacroiliac joint
3)Ischial tuberosity
4)Ischial spine (ans)
5)Just below kidney
@Neural crest derivative
1)Ventral horn motor neurons
2)Accessory nerve (ans)
3)Retina
4)Vestibular and cochlear nerve nucleus
5)Cerebellar nuclei
@Anatomical conduction of heart
1)Intercalated disc
2)Gap junction (ans)
3)Desmosomes
4)Nerve fiber
@Prostate weight
18 gram (ans)
50 gm
5 gm
30 gm
10 gm
@Four pillar medical ethics
Beneficence autonomy non maleficence justice(ans)
@Symphysis pubis
Secondary cartilag joint ans
@Breast lies on
1)Pect major (ans)

2)Serratus anterior
3)Superficial pect major fascia
@Solider recieved shrapnel wound in neck after 3 yrs presented with swelling in neck bulges on coughing and
sneezing
1)Damage to supra plueral membrane (ans)
2)Unhealed parts of first rib
3)Damage to deep facsia in roots of neck
@Wound greenish pus discharge
Pseudomonas (ans)
@Primary sign of shock
1)Dec o2 perfusion
2)Inc pulse (ans)
3)Bradycardia
Staging depends on
Invasion ans
..(metastasis) not in options
@Important feature of malignant tumor
1)Metastasis (ans)
2)Pleomorphism
3)Invasion
4)Inc n/c ratio
@Inc mitochondrial activity occurs in apical region of
Ciliated cells(ans)
Hepatocytes
@In coronary care unit patient expected to show
1)Sedation
2)Behave calmly without psychiatric problem
@Values coming on point or range of measurement scale is called
Rate
Data
Distribution
Frequency
Prevalance
@Thirst partially inhibited by
Gastric distension
Adh
Inc blood volumes(ans)
@Tachphylaxis
Unresponsiveness develop rapidly(ans)
Unresponsiveness develop gradually
@Free nerve endings
Non.encapsulated( ans)
@Hogkin lymphoma
Contagious spread l.nodes (ans)
Extranodal stage common
Lymphocytes dec in young age
@Lesion in temporal lobe
Memory loss (ans)
@Dec calcium.dec phosphate normal pth
1)Crf
2)Inc prarthyroid
3)Vit d dec (ans)
4)Metastatic calcification
@Lesion in right parietal lobe
1)Memory loss
2)Weakness on....

3)Left right disorientation( ans)

4)Visual defects
5)Olfactory.....
@Starling law
Inc venous return leads to inc cardiac output(ans)
Inc venous return leads to inc heart rate
@Most immediate response to shock
Baroreceptors (ans)
Cns ischemic response
@Easy way to diagnose n.gonorhea in exuadate
Gram stain (ans)
Blood culture
Zn stain
@Vibrio cholera
1)Grows best at slight acidic ph
2)Nutritionally fastidious
3)Tolerance to alkaline ph
4)24 degree...
@Achalsia scenario
1)LES tone dec
2)Absent myenteric plexus(ans)
@Ca cervix drains first into
1)Parametrial lymph nodes
2)Paracervical lymph nodes
3)Internal iliac nodes(ans)
4)Superficial...
5)Paraortic
@Bitemporal hemianopia due to compression of optic chaisma b/c of anuerysm of
1)Ant communicating artery(ans)
2)Post communicating artery
3)Basilar artery
@Right conus artery supplies
1)SA node (ans)
2)Infundibulum of right ventricle
3)I/v septum
@Anterior fontanella closes at
1)12- 18 months (ans)
2)18-24
@Child presented with sudden onset of generalized purpura
1)Plt 80000
2)Plt 20000 (ans)repeat
3)Capillary damage
4)Factor 8 deficiency
5)Vwf deficiency
@During swallowing food prevented from entering to trachea by
1)Epiglottis elevation over naso pharynx
2)Close /-tight approximation of vocal cord (ans)
3)Movement of uvulva
4)Contraction of pharyngeal muscles
5)Position of tongue
@Cephalic vein
1)Pierces clavipectoral fascia
2)Lie between deltoid and pect major (ans)
3)Arise from medial side of dorsal venous arch
@Nasopharyngeal ca
Ebv (ans)

@Meningitis with rash

Meningiococemia (ans)
@Pancreatic flliud drains into
Lesser sac ( ans)
@Esophageal opening in diaphragm
T10 (ans)
@Metabolic function of thyroid at physiological state
1)Dec fatty acid synthesis(ans)
2)Inc fatty acid oxidation
3)Dec gluconeogenesis
4)Inc synthesis of protein
@Orofecal trasmission
Hep e( ans)
Hep b
Hep c
Hep d
@Peudo hyperparathyroidism
Pthrp
Inc secretions from parathyroid
Other condition secreting paratharmone secretions(ans)
@Middle age female with epigastric pain radiating to back after fatty meal and to right shoulder
Gall bladder (ans)
Pancrease
@ regarding Ovary
1) supplied by Ovarian artery(ans)
2)Drain into paraortic nodes
3)Covered by squamous epi
4)Attached to lateral margin of uterus by mesoovarium
Both a and b ok
@Infection in pretracheal fascia spread to
M.sterni
Retropharyngeal space
Anterior to pericardium in thoracic cavity (ans)
@Failure of fusion of median nasal and maxillary process
Cleft lip
Cleft palate( ans)
@Which nerve arises from trunk of brachial plexus
1)Thoracodorsal
2)Supraclavicular (ans)
3)Long thoracic n
4)Medial cutaneous nerve
5)Musculocutaneous nerve
Rotator cuff formed by
SITS
@Esinophilic infiltrates characteristics of histiocytosis x
T cell lymphoma
@Bladder
Devoid of peritonium
Drains to superficial inguinal lymph nodes
Drain to internal iliac (ans)
0@Cause of edema in nephrotic syndrome is
Hypoalbuminemia (ans)
Inc hydrostatic pressure

@Superficial petrosal sinus lie in

Falx cerebelli
Tentorium cerebella (ans)
@Disorganized cell size shape. Strucure....
Metaplasia
Dysplasia (ans)
@Tb confirm by
Acid fast ans
@Cd4+ cells
Helper t lymphos (ans)
Cytotoxic lymphos
@Dec ach function ,ptosis lethargy weakness
M.gravis (ans)
Lambert eaton syndrome
@Acute inflammtion characterized by
Neutrophils 40000 (ans)
Paratyphoid .leukocytosis
Hydrocarbons associated with
Bronchigenic ca (ans)
@Detrosor muscle contraction controlled by
Inf hypogastric plexus+parasym pelvic (ans)
@Dna virus causing respiratory. Infection
Adenovirus(ans)
Quest on surfactant,
@ bare area of liver is limited by
coronary ligament (ans )
@pt can stand on feet but hurting
1)plantaris tendon rupture(ans) mcq buk q
@,area of tricuspid auscultation
1) right side of lower body of sternum ans
,trachea bifurcation level,
1)c5_ c6(ans)
@trachea extension level,
1) t5 to c6 ans
@dependent edema scenario
1) ivc obstruction
,CRITOE scenario correct btana thA
@,somites number AT 30 DAY Of development
1) 42 to 44
,vit b12 deficency scenario person feels that she is walking on wool coton floor,
posterior cruciate ligament
tibia moves farward ans
,@nucleus of vagus,
1)Dorsal nucleus
@Obstruction in inferior vena cava superior to azygous vein leads to diversion of blood to
1)Hepatic vein
2)Ivc
3 azygous vein (ans)
@Example of delayed type 4 rxn
Tb( ans)
Leprosy

@Virus causes neoplastic changes by alteration in

Dna
Rna
Protooncogenes
Oncogenes(ans)
@Metastatic calcification
Ghon focus
Peudocyst pancrease
Atherosclerosis calcification
Nephrocalcinosis (ans)

EYE PAPER
14th oct2016....mainly eye qouestions n some medicine q.mixed
Asalamualikum..... i tried to collect qouestions
From our chat grp....ammarah and sumbal

Sir salahudin post

1.41% hematocrit means ??

is k baki options nhe yad... answr yad bus...
41 of rbcs wbcs n platelets
2.blood supply of visual cortex

3.a driver during driving test failed beacause he cnt differentate red n green...this conditio is?
protanopia (ans)
protonologous
deutrologous ...green

4. Optic nerve madeup of how much aXons..

1.2 million Ans

5.membion gland epithelium?

6. In TB granuloma characteristics feature is .paper A

Epitheloid cells (ans)
Multinucleated gaint cells

7.. anterior to posterior optic chiasma press huraha by berry aneurysm... artery involved ??
ophthalmuc
anterior communucatng
posteror communicating(mostly saying)
inrternal carotid

8.to diagnose gonorrhea simplest test:

Gram stain...i markeD
Culture

9. pesudimembranous coloits caused by: clostriidium defficile

10.child got pencillin injection n reaction occured....which immnunoglobin develope

igA,
IgE(i think)

11.a table is 3X4...totall no of box?

12 ans

12.Which aminoacid is needed in diet..?

phenylAlanine (ans)
13.contents of cavernous sinus
14.contents of sup.orbital fisure

15.p got sever blood loss by rta...which part of kidney will damage

16.in Arf which part of tubules dmage??

Pct

17.tha which hormone act through steroid like mechanism

Thyroid anser

18.collagen is :
acidiophilc
Basophilc

19.aquous humor ki productioN least likely by

active transprt of na
facilitated diffusion of glucosr
osmosis of water
passive diffusion of chloride
or ascorbic Mech..

20.gray line at the end of the eyelid due to ??

a..tarsal plate..(ans
b. orbicularis fibers
c. mucocutan junction
d. meibomian gland

21. fuchs dystrophy pt got corneal edema blurring of vision usko characteriatc feature...
Loss of endothelial cells

Explataion
qk mene parha tha is me bulla bantay n gatta ban jata or endothelial cells khtm.hujatay n then they
elongate to compensate the loss

22.bruch mem lies btween

Rpe and choroid

15/10/.
drusen in which layer!!!
options :
btwen collagenous n basemnt membranr
btwn collagenous n choroidal Vessel
btwn rpe n external limiting membranr(,ans)

24.hemophilia charactristic bleedng presentation ?

hemetamesis
hemoptysis
ecchomysus
tissue bleeding ( i marked)

25.muscle which haa minimum insertion distance from limbus...

medial rectus(ans) 5.5
superior rect
inferior rectus
lateral
superior obli

26.corneal opacity is due to ??

isoniazid

quinine
chloroquine ( i markdd)

27. ; pt on ATT... NOW complaing blurring n dec va.... cause of bluring ??

option me sab ATT k drugs...
correct : ethambutol

28.... which drug causes follicular conjunctvts ??

carbachol
timolol
brimodine(ans)
betaxolol

29.increased IOp due to ??

halothane
nitrous oxide
ketamine ( Ans )

30.increase chance of vent.fibrillation....

a. at end of action potential
b. at start of a.p(ans)
c. at peak of a.p
or irrelevant optn thay

31.or tha k seminoma ka counter in ovary

ans : dysgerminoma

32. optical vesicle develop at

: 22 days(guess)

33.
which sense systm forms/functions earliest...
a. eye (vision)
b. taste (tongue)
c. hand...touch...i thnk
d. hearing
e. smell

34.vibrio cholera :
a. need acidic envrnmnt
b. can tolerate alkaline enviornmnt (true)
c. strongly anaerobe
d. grows at 25c

35.: va 6/6... comma floaters...young patient

vit hemorehage(ans)
pvd
rd

36.retinoblastoma prevalence :
1 in 2000-5000
1 in 5000-10,000
1 in 10,000-14000
1 in 15000-170000 ans ..refernce kanski
37.cilary muscle inner layer
radial

circular (i markd)
38.patient having increase PT APTT what will we give him
Vit K
Cryo
Platelets
39. patient has blood group A+
Which group trsnfusion will b worse
A negative (discusion)

40.heart muscle does not effect by tetany ...

Due to long ref period

41.Hiv has following infectin

Cmv (ans)
Herpes simples
Ebv was not in option

42.which is transmited by feco oral route ...

Hep e
Hep A was not mentioned

43.pt got kidney transplant after some time he got cynosed..... was like thiS.

Antigen antibody med?

Or Graft vs host,?

44.b/L ataract scenario... one sibling died at 1 yr of age... invstgation.

urine for reudcing substnce

45.
Drug of choice in emergency closed angel glaucoma
pilocarpine

46.trabecular meshwrk anteriorly ends ??

schwabe line...

47.high creatinine with high b.p scenario... kidney structre most affacted ??
answr : juxtaglomerular

48.pregnant lady wd obtructive juandice investigation

ggt paper A
49.virus cause ca by alter
a. oncogene Ans.....
b protoncogen

50.Child with negative family hx,bleeding from minor trauma and chronic diarrhea: Vit k
def/thrombocytopenia /hemophilia....
Vit k.....fat soluble....

51.Young woman,no family hx,solitary thyroid nodule identified as papillary cell carcinoma. Imp risk
factor: Trauma/ childhood radiation?
.
Radiaion Ans
.
52.Shotest half life of which hormone? Thyroid , testosterone,

epinepherene. Ans

53.reversible condition ... loss of polarity and stuff... marked dysplasia

54.dpt given
allergy type 3

55.Trachea start from _____ vertebaral level to _____ vertrbaral level (opthalmo)

56.Thyroid isthemus at the level of _____ vertebra (opthalmo)

57.Increased ketogenesis due to absence of insulin

58.Crocodile tears scenario, lacrimation during eating something was in the stem, pathology was asked
(opthalmo)
59.Lens is thinnest
at posterior capsule
60.Patient lying on OT table with 80 humidity, heat loss is due to conduction and radiation was the
best choice available in options

61.To auscultate tricuspid valve, right lower sternal border (opthalmo)

62.Increase in sympathetic outflow to heart leads to decrease i AV nodal delay.
63.Increase in ejection fraction leads to decrease in end systolic volume.
(Opthalmo)

64..A drug for the treatment of raised IOP was asked. I marked timolol (opthalmo)

65.A scenario about islets of langerhan

67.Lumber puncture me konsa structure pierce hota hy. I marked LIGAMENTUM FLAVUM (Opthalmo)

68.most initial response after massive hypovolumia...

tachycardia,
baroreceptor reflex... .ans
69.GFR decreased by afferent renal artery constriction
70.A scenario about RTA leading to unilatetal proptosis and diplopia. The answer was RETROBULBAR
HAEMMORHAGE in my opinion (opthalmo)

Some other since they mentioned sounds i marked carotid fistula as it would cause bruits in head
conducted to inner ear via bone...
71.RER involved in the synthesis of PROTEINS
72.Virus cause cancer by alteration of ONCOGENE??? This is what i marked
73.
Infrahyoid muscles:
Elevate larynx
Depress larynx
Do add other options if anyone knws

74.CLD pt: Preanesthatic DoC: Ozazepam/diazepam/meperidine/fentanyl.?

75.Medullary branch of vertebral artery damage causes:

Contralateral hemiplegia
Ipsilateral vibration loss
Ipsilateral joint position loss
Ipsilateral fine touch
76
Q. Why femoral hernia strangulate commonly
A. Because lower limb keeps moving
B. Pressure from inguinal ligament
C. Femoral Vein easily strangulated

D. Inguinal/Femoral canal is ver tight

77.abundant Immunoglobulin....IgG
78.total body wt water...60%
79.EBV...nasopharngioma
80.short gastric artery branch of....Splenic/SMA/gasteroduodenal
splenic
81.fast sharp pain ....c fibers/delta fibers/beta fibers........delta
82.
Q. Number of somites on 30th day of gestation?
36-38
42-44
32-36
83.u can break pt confidentialty ...if pt allow u...insurance claim...etc....
Insuranc claim

84.DVT due to...aterosclerosis..surgery...HTN...DM...immobilizatiom

85.Pt has loss of sensation of little finger and weakness of interosseous muscle. Damage of which nerve?
Ant. Interosseous
Ulnar
Radial
Median
86.35 year old female with fatigue, wekness, complaining she feels on walking on cotton wool, cbc
shows hb= 8 mcv 112, tlc= 2.9 and plt = 120000. Most likely deficiency
A) Vitamin D
B) Folic Acid
C) B6

D) B12...ans
87.Example of delayed type 4 hypersensitivity reaction
A) TB B) Leprosy
88.Previous
Retinoblastoma in th child, father karyotyping show no genomic susceptibility for cancer, which of the
following gene mutation involve in above condition
A) P53
B) K Ras
89.Raised MCV scenario tha, aur pucha tha k kis condition me ye nahi hoga...
acute blood loss 2 days before
Total gasterctmy
Ileactomy

90.Students were playing in class.. A student holding a plastc bag, making air in and out from it. After
some time he has difficulty in breating.he was hyperventilating. what is tha cause for this
phenomenon???somethng like this
Raised pco2
Dec po2
Acidosis
91.
Regarding some line on femur, goes upward and join with
Tuberosity
Pectineal line
Quadrate line
Etc..
92
Child having joint swelling tender red, pain which organism is involed staph aureus
Stre

93.Some urothelial carcinoma ka scenario

Mutated gene ??
P53
K ras
C neu
etc...

94.Contents of free border of lesser sac:

Options with diff combinations of portal vein, Cbd, hepatic vein, hepatic arteru

95.Prevertebral fascia encloses:

Cervical vertbrl muscles
SCm and trapezius
Trachea
Thyroid

97.3 year old child with hx of sore throat and other feature of streptococcus sore throat
A) Benzyl Penicillin.

B) Benzathine Penicillin

98.A child with right eye adduction, hx of craniofacial trauma, surgeon said nothing can be done to
correct this, MRI was done leison should be in which area?
A) Arcuate B) facial colliculus c) dentate d) olive

100.Pseudocoloumnar gland, stroma, collagen and more,

a) breast b) parotid c)sweat d.mandibular e.prostate

101.Pheochromocytoma, pre op control of B.P by

a) methyldopa
B) alpha 1 and beta blocker..ans
C) beta blocker
D) ACE inhibitor

102.Hodgkin involve supraclavicular and mediastinal nodes, grade

A) I B)IIB c) IIIA D) IIIB E) IV

103.Scenario mentioning small cell tumor,cushingoid features mentiond, most likely elevated witj skin
pig
A) Epi B) ACTH ans

104.Case with giardia cyst positive in stool DR, given in tanveer notes
Ans Brutton agamma

105.During surgery lady transfused with 1 pcv, later developed high grade fever, hypotension
A) Anaphylaxi
B) hemolytic
c) febrile non hemolytic tx. reaction

Raised MCV scenario tha, aur pucha tha k kis condition me ye nahi hoga...
acute blood loss 2 days before
Total gasterctmy
Ileactomy

107.Raw Egg,
Avidin inhibits
Carboxylation
Etc...

Previous
A patient in CCU is expected to be:
Calm and quite unless he is not a psychiatric pt.
/anxiety and become gloomy as a normal psychological phenomenon
Etc...
. 108
where to put terminals of pacemaker...
right ventricle
Sa node
Av node
Etc...
109
Scenario of weber granulomatosis

110.
Pt. With splenectomy develop
High grade Fever. Tlc 40 k. What is expected:
Diffrnt combinations of optons:
Aptt prolnged,pt prolonged ,FDPs
Plat dec, aptt,pt prolonged, FDP

111
a sensitized atopic asthmatic... allergen 1st contact with what causes problem ??

a. ige
b. mast cells on mucosa(ans)
c. eiosinophils
d. alveolar macrophages

,previous
.trachea bifurcation :
t2 - t3
t5 - t6
t4-t5 (ans)

112.occulocardiac reflex caused by.. which pair of aferent effernt wil b

trigeminal n vagus

113.sub acute endocarditis organism

a. stretp
b. staph
c. viridians i markd

114.weakest wall of orbit?

Floor

115.post op greenish puss

Pseudomonas

116.starling law definitioN.

increase in cardiac output with inc ven retrn

117. hormone convrts epinephrine to norepinephrine.....
acetylcholine
dopamine(i marked(
cortisol
or ek or hormone tha....
ab qustn me hormone pocha tha or lag acetyl raha tha muje :(
s

118.temporal lobe lesion...

memory loss
119. patient has paroxysmal htn...(dnt knw exactly)
a. pheochromocytoma
b. renal stenosis
c. hyperaldosteronism

120. patient is having bleeding from ear n eye dilated pupil which nerve damage
Occulomotor

previous
crocodile Tears causes whivh nerve misdirectn
answrr auriculotemp.

121.maxillary nerve after passing thru foramen rotundum ends at ??

infratemporal fossa
pterygopalatine fossa (ans)
As from their continue as infra orbital

122..mine worker
answer : silicosis...

123.hydrocarbons causes ?
bronchogenic ca

124.
lens : thinnest posteriorly

125.cortex involve : accomodation

126.
proptosis in graves due to accumulation of : gag

127.A female diabetic from last 4 years, anemic, admitted with pseudomonas infection, blood sugar was
normal but ater 6 days she developed shock, how
electrolyte balance
acid base balance
inc plasma osmolarity
Increased vascular permeability(,ans)

128.A female of 18 years came to gynaecologist for amenorhea. Karytoping resulte 46xx/45x0
showed.....
1) Short stature with simian crease

2)Polydactyly etc...
3) Hypogonadism & gonadal dysgensis
(ans)
129.After head injury in a car accident, pt developed depression and lack of motivation due to
Occipital lobe
Temporal lobe
Globus pallidus
Frontal lobe (memory loss)
Parietal lobe

131.Hypertrophic cardiomyopathy which calicum channel blocker

Dilitazem
Nordipine
Verapamil.ans
130.A graft rejected in 6 months
Acute humoral
Acute Cell mediated
Hyperacute
Chronic

131.Donut shapped organism involved in diarrhea ...

Giardia ??
Cryptosporodosis

132.A 35 year old male pt had jaundiced 10 years back now presented with ALT 135, AST 120, Toral
bilurin 1.3, direct 0.8 .. Hb 14 the histology features were fibrosis extending from the triad ...
antitrypsing deficiency
HBsAg
Haemochomatosis??

133.Pt with myasthenia gravis on nesostigmine and atropine was doing well but now the response is
decreasing. Edrophonium given improved symptoms... What will u do
Withdraw neostigmine
increase negostimine...ans
withdraw atropine
increase atropine
increase both
134.Pt with adenocarcinoma now presented with bleeding
chronic esophagitis
barret esophagus(ans)
135.
Female 40 years old, 3 children, dyskaryotic cell types in cervical
IUCD
HPV(ans)
HSV
136.HTN pt what will be most important change in eye grade 3
artery
arterioles
capillaries
retinal nerves
pigmented layer

137.How would you differentiate a healthy person from SIADH

Water Clearance
Plasma Osmolarity..
Urine Osmolarity

138.Pt with heart rate 160, bp 130/70, CVP 8 mmhg

sympathetic stimulation...ans
atriovenous fistula
139.How both eyes respond to auditory stimulus, the pathway
Lateral Fasiculus??
Medial Fasiculus
there were more options ..........

140.A pt came in ER with dyspnea - P02 95, PCO2 30, PH 7.35, Hco3 16, CO2 40, SO2 40, SCO2 40.
Uncompensated Respiratory Acidosis.
Normal
Uncompensated metabolic alkolosis
Compensated metabolic alkalosis..ans

141.Biopsy of pt revealed villus atrophy but diarreha not settled by gluten free diet
Giardia...ans
Whipple
celiac

142.Pt with nausea, vomiting and vertigo

Vertibal artery
Vasculat accident
dorsal motor of vagus impinges on vestibular...ans

143.50 years old man came having murmur, axis of heart is 120
Tricuspid stenosis
aortic stenonis
RBBB......ans

144.Lymphocytes
Only arise from the bone marrow.

Play defense role in protecting body from cancer...ans

145.shortest pro eryhthrocytic stage of which malaria??? falciparum

146.Longest pro erythrocytic stage of which malaria??...plas..malarie

147.breast atrphy in adult....estrogen

148.Boy of 2 years age came for circumcision has history of heavy bleeding from umbilical stump at
birth. He has history of 2 cousins heavily bleed in circumcison. What will be most appropriate test
PT
APTT..ans
BT
Platelets

149.Child with ITP best investigation?

150.Nasopharyngeal carcinoma caused by?

EBV

151...dna virus adeno or respiratory syncitil..

Adeno

152.4hour fever hx..wd chils..then purpura..septic shock...which factor involve..

interlukn 1..
.tnf...Ans
153.thick curdy dischrge wd on microscope

Candida
154.Female with PPH now present with ARF which part affected?
PCT...ans
DCT
Loop of henle

155.most salient feature regarding parasympathetic nerves?

all parasympathetic supplied by cholinergic...ans
all sympathetic bt adrenergic

156.most cc second mssnger pathway

Camp
157.corticostriate fibers decussate at?
internalcapsule
pyramid

previous
Pregnant lady with gall stone?
GGT
ALT

AST

158.lidocain added wd to inc effect

epinephrine

159.Number of observation fall on set point or given scale known as?

Data
Frequency ...,ans
rate
prevalance

160.
Afemale with fever and vasculitis.on examination gram negative endotoxin present.which is the first
factor causing ths?
a.transforming growth factor beta
b.IL-1....ans
c.TNF.open
161.wound healing .... contraction of myofibroblast

162.secondry ossification .... later epichondyle wala .... 9 to 11 ryte?

163.Characteristic feature of Sarcoidosis?

Pleural effusion was the right one?

164.Which lobe of the lung has maximum segments (anterior, posterior, apical)?

165.A healthy man drinks 2L water at once. What is correct?

A. Increase ECF
B. Increase ICF .ans

C. Increase plasma osmolarity

166.Passively reabsorbed from kidney

Na
K
PO4
Urea...ans

,167.Medicine paper evening

Drug when given IV increases 50-60% chance of thrombophlebitis is ? Diazepam,
Oxazepam, 
temazepa
168.Supine position heart rate 100, pt. stands and geart rate becomes 120. Cause ?
Dec. Venous return
Dec. TPR
Vasoconstriction

169.Erythroblastosis fetalis...
immune complex mediateD

170.Drug which can be given preoperatively in pt of liver decompensation...

diazepam,
lorazepam
, fentanyl.....Ans
171.Diabetic, hypertensive and myxedematous pt.
DOC fpr HTN.
..captopril,
propranolo

172.Recurrent cervical lymphadenitis and klebsiella isolated each time...diagnosis ?

Severe combined agammaglobuninemia,
chr. Granulomatous disease
173.Diplopia and muscle weakness and mass in ant. Mediastinum...
antibody againt acetylcholine receptor..ans
174.Papillary CA thyroid...cause is radiation in childhood

175.MOA of ondansetron

176.Hemophilia scenario..
.X-linked recessive<br>
177.Short gastric arteries arise from splenic artery
178.Pt. With BP 210/160 and inc. Renin levels. Mechanism ?
Constriction of renal artery , hypervolemia,
hypertension,
Increased parasympathetic activity<br>
179.Autosomal dominant ?
Glycogen storage disease, hemochromatosis

Ans....

180.Medial most relation of lateral ventricle?

Hippocampus,
amygdala,
middle cerebral arterY
181.True hermaphrodite...xxy
182.Salicylate poisoning scenario
183.Calculate Exp. Reserve volume.<br>
184.Fluent aphasia, meaningless speech, lesion...
Wernickes area
185.2 yrs old boy with bowel disturbance and megaloblastic anemia. Test to confirm diagnosis ?

Vit. B12,
intrinsic factor antibodies
186.Combination of vitamins to prevent hemorrhage...
vit. C and vit. K

One last point : ....Crodile tears by auricotemp nerve