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**7th September 2016 (Evening ) Gynae & Obs Paper **

62 % Repeated Paper [125 MCQs Repeated]
Compiled by : Amlodipine Besylate
Contribution by: Dr.Hafiza Binish ,Dr Tara Ahmed ,Ayesha Noor ,
Stubborn Veena, , Dr.Anum Naseer Dr. Shafaq Mahmood, Round
Ligament Eesha Aziz, Drshazeen Dahri ,Mano Mano ,Gyne Khan,
Bareerah Ahmed ,Faiza Khan, Zahra Hussain ,DrZahra Batool Mahrawish
Malik ,Saira Gul
1. A 25 years old women presents with infertility and glactorrhea her serum
prolactin level is 6500 MIU/L (normal less than 600 miu/l) this level is
consistent with? ?(Repeated-1)
a.hypothyroidism
b.macro prolactinoma (Answer)
c.micro prolactinoma
d.polycysttic ovarian disease
e.idiopathtic
2. Laterally the Vagina in its Lower Part is releated to ? (Repeated-2)
A.Anterior fibers of levator ani
b.bulb of the vestibule
c.perineal body
d.Ureter
e.Urogenital Diaphragm and bulb of vestibule(Answer)
3.Most frequent Granuloma associated with Suppuration is most likely due
to ?(Repeated-3)
A.Amoeba

b.asperggilus
c.Nocardia Fungus(Answer)
d.ricketisia
e.virus
4.A 20 year old patient presents with abdominal bloadting following meals
,several foul smelling frothy stools per day he also c/o weakness.the useful
investigation would be? ?(Repeated-4)
a.barium meal follow through
b.lipid profile
c.stoll c/s
d.stool detailed report- (Answer)
e.ultrasound of abdomen
5.the most common cause of gram negative infection in a patient with
septic shock is the infection in? ?(Repeated-5)
a. billiary tract
b.colon
c.small bowl
d.tracheobronchal tree
e.urinary tract- (Answer)

6.Urogenital Diaphragm is attached laterally to the? ?(Repeated-6)

a. inferior ramus of the pubis and the ischial ramus-(Answer)
b.ischial spine

c.ischial tuberosities
d.oturato internus facisa
e. tip of coccyx

7. a women with mitral stenosis is 28 weeks pregnant she is getting worse

with increasing dyspnoea and orthopena the most likely cause of
detroriation in her condition is? ?(Repeated-7)
a.increase blood volume
b.increase systolic blood pressure
c.inferior vena cava compression
d.pulmonary hypertension-(Answer)
e.right heart failure
8.Starling law of the Heart? ?(Repeated-8)
a. does not operate in the failing heart
b.does operate during excerice
c.explains the increase in cardiac output that occurs when venous return is
decreased
d.explains the increase in cardic output when sympathetic nerves
supplying heart are stimulated (Answer)
e.explains increase in heart rate produced by inspiration
Option D was increase in cardic output with inc in venous return
9.Toxic Effect of Lignocaine overdose causes? ?(Repeated-9)
a. convolusions ... Mostly said

b. fever urtecaria and laryngeal edema

c.perioral paraesthesia
D.averted by 2% solutions only
E.managed by hydrocortisone- (asim-Answer)
a. Prolong seizures for 9-7 hours
b.hypotension
10 During sexual excitement in female fluids are secreted by vaginal walls
mainly due to the action of ? ?(Repeated10)
a.adrenaline
b.bombesin
c.GnRH
D.Relaxin
E.Parasympathetic Answer ???
F.progesterone
Note:- VIP option was not Given
11.A 16 year old married women complains that she is 4 weeks late for her
period. Her past medical history is negative and the physical exam is within
normal limits. the pregnancy test is negative.The most likely
diagnosis?(Repeated11)
A.Anorexia Nervosa
b.Anovulation- Answer
c.Ectopic Preganacy
d.Gonadal Failure
e.Hypothyrodism

12.A 23 year old owmen had regular menstrual cycle of 21 to 23 days.

Ovulation is expected to occour between cycle days. Repeated12
a.10 & 12
b.13&15
c.16 & 18
d.19 & 21
e.7 & 9 =ANSWER
Comments:Simply subtract 14 from regular cycle .. As 21 to 23 -14=7 -9days .. Ans A ..
As ovulation is at 14th day of norm cycle

13.a full term female baby develops jaundaice 2nd day afterdelivery the
baby is breast fed her total bilirubin is 9 mg/dl and indirect bilirubin is 8
mg. the mother blood is b positive the most likely cause of her jaundice is?
?(Repeated13)
a.abo blood group incompatability
b.breast milk jaundice
c.physiological januandice=ANSWER
d.RH incompatibility

14.the biopsy report of a warty growth of vulva suggests a viral etiology the
most likely growth is? ?(Repeated14)
a. condyloma acuminatum Answer asim gynae key
b.fibroepithelial polyp

c.lipoma
d.sq. cell carcinoma
e.squamous papiloma
f.Papilloma ....
g.Herpes
15. One of following pneumoconiosis is known to lead to maliganacy?
?(Repeated15)
A.Antracosis
b. asbestosis= ANSWER
c.Beryllosis
d.inhalation of Carbon monooaxide
e.silicosis

16.Erythropoietin is Secreted by ? ?(Repeated16)

a.cells in macula densa
b.cells in white bone marrow
c.cells in PCT
d.cells in peritubular capillary bed =answer
e.alveolar type 2 epithelial cells
NOTE Mesangial was not in options

17.Cells responsible for innate immunity are activated most commonly by?
?(Repeated17)

a. carbohydrate sequences in bacterial cell walls- answer

b.cytoblasmic protein of bacteria
c.eosinophils
d.glucocorticoids
e.pollen

18.a 70 kg man of 30 years is recently diagnosed as a case of

Hypertension on investigation his ECG showed Left ventricular hypertrophy
his s.cretinin was 0.8 mg blood urea was 20 mg uric acid was 7.5,NA-140
,K-2.5, CL-103, HCO3-23, 24 HOURS urnary protein 30 mg urinary sugar
++ , 24 hours s.cholesterol 200 mg,Fasting sugar was 88 mg, which is
most probale cause of of his high blood pressure? ?(Repeated18)
A.Primary Hyper Aldosteronism- answer
b.essnetial hypertension
c.glomeulonephritis
d.pheochormocytoma
e.diabetic nephropathy
19.A)breast outer quadrant lymph drainage
Ant.pectoral

19-B.Lymph from upper lateral quadrant of the breast drains mainly into?
?(Repeated19)
a.anterior axillay group- answer
b.deltapectoral

c.internal thoracic
d.lateral axxillay
e.posterior axillary

20.a 22 years old women with gnorrheaal infection complains if lower

abdominal quadrant pain if there is infiltration of the space between
inferior facia of urogental diaphragm and the superficial perinial fascia
which of the following structures is most likely to be inflamed?
?(Repeated20)
A.Superficial transverse perinial muscles-answer
b.bulbouretehral gland
c.proaste gland
d.sphincter uretherae
e.memernaous urethera

21.. Most appropriate therapy for Endmetriosis is? ?(Repeated21)

A.Danazole- answer = ASIM BCQ
b.norgestreal
c.oral androgens
d.oral contraceptive
e.raloxifine
22.Rough Endoplasmic reticulumn is an important cell organell it is?
?(Repeated22)
A. Called digestive system of the cell

b.concerned with lipid syntheissi

c.concerned with ATP
d.present in RBC
E.the site of protein syntheisis-asim key-answer
23. most important diagnostic microscopic criteria for malignanat tumor is?
?(Repeated23)
A.high n-c radtio
b.invasion of adjacent tissues(metastasis)-answer-asim key
c.mitotic figures
d,necrosis
e.pleomorphism

24.Platlets ? (Repeated24)
a.are small 4-8 microns in diamneter
b.contain alpha granules which screte serotonin
c.dense granules which secreted PDGF
D. count increase after splenectomy-answer-asim key
e.have normally half life about 10 days-

25..Man is intermediate host in? ?(Repeated25)

A.Beef tapeworm

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B.Filariasis
C.Hookworm
D.hydatid disease- ANS- ASIM KEY
E.trichomoniasis
26..Synthesis of urea in the Liver is important because it removes from the
blood? urea is formed by liver in the body to get rid of ?(Repeated26)
A.Alpha Ketoglutaric acid
b.aminoacids
c.ammonia- ASIM KEYd.citrulin
e.ornitine
b.arginine
c.ammonia
Note but question was urea cycle is to remove ornithine or ammonia other
options too..
27. Processus vaginalis(Repeated-27)
A covers testis only... in past papers
B covers ductus differens
C forms external spermatic cord
D arrises from parietal peritoneumE arrises from visceral peritoneum
28 . A histopathologist receives a slide of a patient suffering from
carcinoma of Git under the microscope, he observes three layers of smooth
muscle in the wall of that organ. Which is the most likely organ of GIT
involved? (Repeated28)
A. Duodenum

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B. Esophagus
C. Fundus of stomach (answer)
D. Ileum
E. Jejunum
29.cisplastin commonest side effect ? (Repeated29)
A.neurotoxicity
B.nephrotoxicity =ans
c.hepatotoxicity
d.nausea , vomiting
30... adult normal Males % of fat ? (Repeated30 Rabia Ali)
a,60 %.
b.15 % =ANSWER
c.20 %
D.25%,
E.7%,
F.40%
31.fracture of clavicle inner side n medial half , upward displacemnt by
which muscle ? (Repeated31)
a.Sternocleidomastoid (Answer)
b..subclavicular
c.trapizius
d.perctoralis major

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e.deltoid
32.aortic opening tumor compresses ? (Repeated32)
A.thoracic duct and vagus nerve
B.vagus nerve
C.azygous vein+thorcic duct =ANSWER
D. inferior vena cava
33.old bcq on peritonsillar abscess ? a 7 years old boy had pharyngitis with
halitosis and peritonsillar abcess (Repeated33)
a.staph aureus
b.strep pneumonia (answer)
c.diphtheria
34.which nerve in urogenital triangle is damaged ? (Repeated34)
A.Pudendal- =AnswerB.post cut nerve of thigh
C.ilioinguinal
D.genitofemoral
femoral
35. trigone of bladder ureters entering as? (Repeated35)
A. oblique slits old bcq
B.devoid of peritoneum.

36. Growth hormone secretion is inhibited by? (Repeated36)

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a.sleep
b.hypogycemia
c.stress
d.somatomedins (somatostatin) Repeated
e.puberty
37..investigation of typhoid in 2nd week ? (Repeated37)
a.blood culture
b.blood + widal Answer
c.urine culture
d.bone marrow
38..SLE investigation ? A patient complains of arthritis and discoid rashes.
Which of the following would be specific? (Repeated38)
a.anti ds dna =ANSWER
b.anti centromere
c.anti ss antibodies
d. Ana
e. Ama
e.Anti ccp

39. Comon cause of bronchogenic Carcinoma ? .... [Repeated39]

a.Ciggrate smoke .... answer
b.Asbestos

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40..bar body test in saliva is test diagnostic for? [Repeated40]

A.klinfelter syndrome
B.gonadal dysgenesis
C.turner syndrome i marked
d.Down Syndrome

41..protamine side effect ? [Repeated41]

a.hypotension Answer
b.bleeding tendency

42.Anemia of maturation failure ? [Repeated42]

A. Pernicious =answer
B.Ida....
C.Sickle cell microcytosis
D.Macrocytic Anemia
E.Hemolytic Anemia
43.What is not present in first cervical vertebra atlas? Repeated43
A.Spinous process- Ans
B.Arch
C.Lateral mass- ( body was not in options)
D. Later all mashes
E. Inferior articular facet
F. Superior articular facet

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44. prolonged (long term adapataion) response to cold in the body is ?

Repeated44
a.conversion to brown fats - Widespread brown fat deposition-answer
b.peripheral vasodilation
c.endogenous thermogens
d.Internal pyrogens
e,Chemical thermogenesis
45.Locally malignant cancer ? Repeated45
a.melanoma
b.adrenoblastoma... i marked
c. pleomorphic adenoma of parotid
d. Adenoid cystic Carcinoma
46..esmolol is given in anesthesia because ? Repeated46
a. its selective beta blocker asnwer

b.decreses pain
C. doenot increase icp
d. doesnot cause rebound hypertension
47..Long Scenerio on person stung by bee rash all over the body which
mediator involved? Repeated47
A.histamine - answer
B.bradykinin C.prostaglandin

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48. Blood loss from body plasma proteins will return in how many days ?
Repeated48 rabia ali bcq
A.1-2 days
B.3-4days
C.10-12 days -ANSWER

49.ADH inhibited by ? [Repeated49]

A. Alcohol=answer
B. Aldosterone
C. Renin
50. A 30 year man participated in marathon race the most common
hormone changes you will find [Repeated50]
a. Low Insulin, High Glucagon =answer
b. Low Insulin, Low Glucagon
c. High Insulin, High Glucagon
d. High Insulin, Low Glucagon
51.A- true regarding cavernous sinus[Repeated51]
A.occulomotor trochlear and opthalmic of trigeminal present in lateral wall
Answer
B.connected posteriorly to facial vein
C.drain directly into straight sinus
D.has abducent nerve in medial wall
E.Related Laterally to sphenoid Sinus

51--All of following are present in lateral wall of cavernous sinuses except

1.Occulomotor
2.Trochlear

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3.Maxillary div of trigeminal

4.Mandibular div of trigeminal Answer

52..testicular drainage ? [Repeated52]

A.para aortic =ANSWER
b. superficial inguinal
c. deep inguinal
d. para umbilical
53 .Blood supply of central forehead or in midline of flap of forehead ??
[Repeated-53]
a.frontal branch of frontal artery
b. paired supra trochlear artery Answer
c. optahlmic branch of trigeminal artery
d.facial artery
e. paired Supra orbital artery
54.hyperbaric oxygen therapy used in or most useful in ? [Repeated-54]
A.decompression sickness =ANSWER
B.co poisoning
C.anemia
D.polycythemia
55. Structure found 2 feet away from Ileo- cecal junction , at Antimesenteric border , is most likely ? [Repeated-55]

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a) Omphalocele
b) Meckels diverticulum =ANSWER
c)Volvulus
d) Gastoschisis
e) Intussuception
56. permeation is defined as? [Repeated-56]
A. tumor invasion to blood vessels
B.tumor invasion to lymphatics / Spread of tumor along lymph
vessels=ANSWER?
C.tumor spread to adjacent tissues
D.distant metastasis
E.Spread of tumor along nerves
F.Spread of tumor along fascial planes

57.Vitamin D Richest Source? [Repeated57]

.A.Butter
B.Whole milk,
C. Liver cord oil ,ans
D.Margarine
58. Following factors causes thrombosis instead of bleeding?
[Repeated58]
Asked in #april2016
A.factor 5 laiden-ANSWER
B.factor 8

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C.factor 9
D.vonwillibrand
E.Cristmas factor
F.Factor 12
59.. Tubular structure having a small lumen lumed by transitional
epithelium supported by connective tissues laminae n 3 layers of smootj
muscle with adventitia as outermost layer. . [Repeated59]
a.Urethra
b.ureter(ANSWER )
c.prostate
d.renal pelvis
60.True.Regarding Trachea? [Repeated60]
A.Fibrocartilaginous ring in walls not mentioned c shaped rings
B.Bifurcate at T2
C. Ends at T4- Ends by dividing at the lower border of T4 i marked
D.Thyroid Ganld Related Anteriorly

61. Which of the following volumes can be measure through spirometry..?

[Repeated61]
A) Residual volumeRV
B)Functional residual capacityFRC
C) Total lung capacityTLC
D) Vital capacityVC) Answer
E. Physiological dead space
62. in TB antibodies ? [Repeated62]

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a.antibody is bound to cell-ANSWER

b.antibady is inside cell
63..bladder carcinoma ? [Repeated63]
A.schistosomia hematobium =ANSWER
B.japonicum
C.mansoni
64.Aspirin & NSAIDS acts via ? Repeated64 [8TH March gynae]
A.cyclooxygenase =ANSWER
B.lipoxygenase
C. HMG CO A REUTASE INHIBITOR

65.tricuspid auscultation area? Repeated65

A.2nd right intercostal space
B.4th right intercostal
C.lower border of sternum Answer
D.mitral area

66.Toxoplasmosis is ? Repeated66
A:PARASITE = ANSWER
B:HELMINTH
C:VIRUS
D:BACTERIA
67. Which of the structure has both intra n extra pelvic extension?
Repeated

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A.Broad ligament
B.Ovarian ligament
C.Transverse cervical
D.Round ligament of ovary
E.Round ligament of utetus Answer

68.. which one of the following is mesenchymal in origin? Repeated68

A.choristoma
B.hemartoma
C.sarcoma (ANSWER)
D.carcinoma
Carcinoma -epithelial Sarcoma- mesenchymal Ref: FA G.patho
69. osmotic diuretics act on which part of kidney ? Repeated69
a. Proximal tubules= answer
b. Thick ascending loop of henle
c. Colecting ducts
d. Distal tubules DCT
e. Glomerular filtering membrane
70..femoral Nerve root value? Repeated70
A.L2 - L4
B.L1L2
C.L2L3L4 -ans
D.L4L5
71.superficial perineal pouch content ?
A.bulboueethral gland
B.perineal body

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C.perineal nerve
D.bartholin gland
E.Sup.transverse perineal muscle
F.internal pudendal vessel
G.Mem urethra
Nerve or vessel .... ??? May sy aik answer ....

72. Longst acting insulin ?

A.Porcine lente ....
B.Human lente ....
C.bovine Ultra lente
D.bovine semi lente
E. NPH Answer searched from net
73.long scenario of 7yrs child with blood investgations decreased also Hbf
97% ... Hba2 2% (HBA1 3%) ,no history of blod transfusion ....
(Repeated71 )
a.Thalasemia major i marked
b. thalasemia trait
c.herditory sphero
d.sickle cell
e.thalasimia minor

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74. pulmonary wedge pressure ? Repeated72

A.measure of pulm artery pressure
B.measure of rght atrial pressure
C.measure of left atrial pressure=answer

75. The first step in thyroid hormone synthesis is? Repeated 73

a) iodination of tyrosine
b) formation of diiodotyrosine
c) oxidation of free iodine
d) coupling of iodotyrosines
e) oxidation of iodide=answer
76. Lysosome contains ? (Repeated74 )
A.Na
B.H2o
C.Ca
D.Acid phosphatase i marked
E.Glucose
77. A version -- A 40 year man diagnosed with advanced stage lung ca,
how to break the news [Repeated75]
A in private session and isolated envoinment=ANSWER
B take permission from pt close relative
C tell the bad news to patient relative and he will break news at home
D in a normal session at bed side
E never tell the pt about his disease
Feb 2014 past paper- rabia ali
77. -B version - Fatal disease of a patient
A.should not b told pt and not the family
B.crisp clear information should b provide to the pt a/c to his
need=ANSWER
C.should b told the reletvs of that pt
=-=-

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78. Drug via oral route having aqueos absorption .... (Repeated76 )

A.Digoxin ...
B.ephidrine .. ..
C.Phenobarbital
D.diazepam
E.carbamizapine
//Drug giving orally absorbed by aquous diffusion ? :
A : benzo
B : pheno
C ethanol
D : ephidrine
E : chlorpromazine//

79.. 6th cranial nerve present in ? (Repeated77 )

A.pons ANSWER
B.mid brain
C.medulla
D.cerebellum
CRANIAL NERVES RELATED.
CN 1& 2====Cerebral cortex.
CN ---2===Mostly terminates in LGB.
Some fibres=== occipital visual cortex.
CN--1=== olfactory cortex===Postero--inferior temporal lobe.

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CN 3& 4====MIDBRAIN.
CN 5 6 7 8=== PONS.
CN 9 10 11 12 ====MEDULLA.

80.A Version- cerbral metabolic rate of oxygen ? (Repeated78 )

A.15-20ml/min/kg
B.3-4ml/min/kg
C.40ml/min/kg

80-B-Version-.Normal cerebral metabolic rate for oxygen in adult is

?[Repeated]
A. 1-2 ml /100gm/m
B. 10 to 13
C. 15 to 20
D. 3 to 4 (Coorect)
E. 6 to 8
2015 past paper
Note =
Oxygen consumed by brain(Cerebral Cortex) per minute
=3.5ml/mint/100gm of brain...
=81. the obstetric nerve block cause urinary incontinence anasthesized
muscle is located in (Repeated79)
A pelvic diaphragm
B.urogenital diaphragm- answer//

26

c.pouch of douglas
d.uterovesical pouch
=-82.the difference of osmolarity b/w interstitial fluid and plasma is
(RPEATED80)
A.1mosm/L=answer
B.1.5Mosm/L
C.3 Mosm/L
D.5 Mosm/L
E.no difference
=-=83 : Rbc .... ?
A.Present to mhc 2 ....
B.Produced as mature erythrocytes from marow ....
C.Biggest cells of body Lack mitochondria
84..Ureter length ....?
A.15-20cm....
B.20-25....
C.30-35....
D.10-15

85. Sympathetic autonomic system?

A.Adrenergic preganglionic ....
B.Thoracolumbar outflow .... I marked
C.Short postgang fibres ....

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D.pre and post ganglionic

86. Comon cause of STD organism ? repeated 81

A.trachomona vaginalis..
B.HPV
C.chlamydia- i marked
D.nesseria gonorrhea
E.Hsv ....
87..Comon cause of fever ?
A.1L-1 ....
B.Tnf .... I marked
C. il6

88 ECM osmolarity inc Lead to?

A.stimulate plasma vol and osmoreceptors nd stimulate adh . Answer
B.Inc adh and also nhibit osmoreceptors nd vol
C.inhibits adh and stimulate vol and osmoreceptors
D.stimulate adh and inhibit vol and osmoreceptors
89..Measurement of amount of lead in body ? (Repeated82)
a.absorbed from git=ANSWER
b.absorbed from respiratory tract lower lobes.
c.absorbed from skin
d.absorbed from nasal passages.

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90. Person with History of trauma on the left upper arm he develops
swelling in arm that was painful for 3 months it was well circumscribed 4 cm
and on xray appeared white then it gradually decreased in one year most
Likely?
1. Metaplasia ?
2. Hyperplasia
3.Neoplasia
4.Dysplasia
5 Hypertrophy i marked

91. Irregular thickening and inc growth of bone .....

scenario of increase serum calcium,irregular bone,also bone pain...which of
the following causing it
A.leydig cells ....
B.Ant pituary hormone effct ....
C.Pth i marked
92. Spore forming bacterium.... ?
A.Clostridiam, Answer
B.mycobacterium,
C.st aureus ,
D.mycoplasma

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93. Regarding cerebellum (Repeated-83)

A. Controls coordination=answer
B. Controls fine movements
C. Control gross movement s
D. Lesion cause hyperreflexia n bibinski sign
94.. Female pale lethargic not took any antenatal care .... During delivery
bleed a lot .... Which nutrient deficiency in both baby nd mother .... ?
A.Vit k ???
B.Iron
C.Calcium
95. Pt presented wid leg ulcer and severe pain nd on blood examination
howell jolly bodies present wats the diagnosis ...? (Repeated-84)
A. Sickle cell ... .
B.Hereditory spherocytosis
C.beta thalasemia
D.alpha thala

96. A-Version= Bloodd brain barrier ... ?

A.Separates interstitial fluid from CSF
B.has low osmolarity than plasma

96. B-Version= Regarding CSF ?

A.It is an ultra filtrate of plasma
B.provides nutrition to cns

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C.formed by arachnoid granulation

D.separated from interstitial fluid by blood brain barrier ???

97. In Epidural anesthesia wich anesthetic agnt having more muscle

relaxant activity ?.... potent muscle relaxant? An anesthetist wants to give
his patient most potent muscle relaxant who is about to undergo
cesearation so that she may relax completly.he would give
A.Bupiva caine.... I marked
B.Ropiva caine ....
C.Procaine ....
D.Lidocaine
98-A-VERSION. Lacunar ligamnt forming medial boundary ,
A.fibres enrolled to form. Inguinal ligamnt
B.Reflected inguinal
C. Pectineal
98-B-VERSION-)Lacunae ligament is part of?
A.Inguinal ligament
B.Inguinal ligament ki folding type tha much
C.Transverse ligament
99. Scenerio about abortion aborted mass,tell how will you know fetus can
be viable alive or not ? to check viability which of flowing parameter is
used ? 30yrs old mutigravida in utero baby death, was sent for confrmation
of viable age ,came out to be of viable age how we know dat the baby is of
viable age?
A. Eyes present laterally
B. Crl 250cm

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C. Weight
D absence of nail toes
e. Fetus weight 200g
f. Absence of wrinkles
G. Fetus CRL >250 mm
100. Parents came in ER with 6 week neonate having urninary problem on
exam the urtheral openining is on venteral aspect of shaft of penis likely
cause?

A.Epispadias
B. Hyposspadiasi
C.Abnormal urtheral folds closure or Failure of urogenial folds to
close Answer

101..about zygote implantation ?

A. 28 cell stage.
B. 3-4- days after fertilization - ANSWER
C.invasion of endometrium by syncitiotrophoblast
102.1 liter normal saline given to normal person What will happen
osmolality ? REPEATED85
A.increases in plasma osmolality
B. increases in urine na
C. increases in plasma na

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D. increases in urine
E. Decrease urine osmolarity (Answer)
F. Decrease plasma osmolarity

103..long scenario on a child with lysosomal storage disease with mental

retardation and blindness
A.taysachs disease-ANSWER86
B.granulomatous disease
c.cystic fibrosis
d.some other irrelevant options too
104- .Isoniazid toxicity occur due to deficiency of ? isonizid not metabolised
in people with deficiency of
A. Glucorynl transferas-ANS
B. Psedocholinesterase
C. Acetyl transferase ???
D. Xanthine oxidase
E. Amine oxidase
b.hyloroinidase
105. cells having oxident stress as oxygen radicals were produced which
one of the following can decrease this effect ?
A.nadph oxidase
B.glutathione oxidase Answer

33

C.some other enzymes were given too

106.in end stage renal failure wats affected on prolong basis
A.erythropoitin decreased -ANSWER
B.thyroid hormone decreased
some other options
107..propofol contraindicated in ? (Repeated-87)
A.hypersensitivity ans
B.renal disease
C.cardiac disease
108.T test is used for . ?
A.measuring standard error of mean
B.measuring the coefficint of differnce between two means
c.Data is in forms of catagories
D.ONE intitial TEST
E.Assumption must not be violated
109..data from smaller study on one group of people is combined with data
from larger study what type of data is this ?
A. case control
B.randomised control trial
C.cohort
D. meta analysis ???
110.Hyaline disease of new born?

34

A. maternal diabetes
B.maternal eclampsia
C.prematurity Answer
111.iodide oxidation to t4 formation occurs in
A. parafollicular cells of thyroid
B. parathyroid cells principle cells of thyroid
112. severe blood transfusion reaction occur REPEATED88
A.A+ To 0+ ANS
B.O+ To B+
C.A- To A+
D.a+ to ab+
E.a- to a+
113..inner medial lower quadrant of breast doesnt drain into ?
REPEATED89
A,anterior axillary
B. inf phrenic i marked
C.supraclavicular

114.after abdominal hysterectomy on 3rd day post op there is

serosanguinous amount of fluid from the wound wats the cause?
a.wound infection
b.wound dehiscence i marked
c.wound hematoma

35

115. 7yrs old child with coughing and mucos plug , inc eisoniophills ,on
xray it shows hyperinflation and (not infiltrate?? ) infiltrates wats the
diagnosis ?
a.cystic fibrosis
b.bronchial asthma i marked
c.gastric aspiration
d. hypersensitivity pnumonitis
116.. 26 yrs old girl with 3days history of jaundice is presented in
emergency deptt hb 6.5 wbc count was 3500 (was within 5000 ki range)
platelet 180000 tlretic count 10% total and direct bilirubin raised wats the
likely diagnosis ? [[Band 3 mono low and lmpbho?]]
a.hemolytic anemia Answer
b.gall bladder stone
c.cholycystitis
d.ca head pancreas
e.infectious hepatitis
117..normal menstrual blood flow is
90ml
less than 80ml i marked
120ml
40ml
60ml

36

118..women during menstruation uses tampons presents with vomiting

diarrhoea hypotension high grade fever wats the organism involved ?
a.staph aureus
b.e colli
c.gardnerela vaginalis
d.chlaymidia
e.gonnorhea
119.remnant of epiphiseal plate ?
a.cortical bone
b.trabecular bone
c. spongy bone (this is a poor recall)
some other options
EPIPHYSEAL LINE (REMNANT OF EPIPHYSEAL PLATE) =Junqueira's
Basic Histology: Text and Atlas, 12th Edition
120. male having non ulcerative lesion what organism invloved ?
//Male having sexual contact tha kuch kuch % males ko ulcer hwy genitals
p kuch ko nhy hwy .. jin ko non ulcer hwy un ka organism kun sa//
A.traponema
B.gonorhea
C.staph ayreus
D.hpv
E.chalymidia. trachomonas
F. HERPES

37

G.ducreyi
121.blood pumped by heart per min
A.750ml/min
B.6lit
C. 5lit answer
122.which one is observational study ? Rabia bcq Repeated90
A.cohort =Answer
B.case control =also correct
C.randomised control trial
D. Case reports
123..two group of men n women were studied men having mean rbs
205+/-10mg% women with 200 +- 50mg % wat does this mean past paper
bcq( 23 rare )
A.women with low mean and high variation
B.men with low mean high variation
C.both hav no links
D..Man with high mean and low standard deviation
E..Both have no link
F. Case control
G. Cross Sectional study
H.Male has more difference from mean as compared to standard deviation
I. there is no difference between two

38

124.cells of bone formation ? New Bone+ Matrix Formed by ?

//cells of bone formation and fibrous tissue( ya pta NI fibrosis. OR .bone
cell + fiber formation?//
A.osteroblasts
B.osteoclasts
C.fibroblast
D. osteprogeniotor cells
125. embolism scenario most comon
A.air embolism
B.fat embolism
C.amniotic fluid embolism
D.thromboembolism

126.. A patient with pulmonary embolism and extensive tissue injury. What
is the most probable cause of his dx.
a. Dvt
b. Thromboembolism
c. Atril myxoma
127. Flexion Reflex occurs because ?
A.antagonist action of muscles
B.extensor action
C.Muscle spindle
D.Monosynaptic

39

E.messner corpuscle
F.noxious stimulus i marked
G. By Tapping with hammer

128..reactive hyperemia reduced by (Repeated91)

A.ischemia =answer
B.Infection
C.Capillary
129.most potent chemotactic factor - Repeated
A.c3b
B.c5a =ANSWER
C.viruses a
D.rachdonic acid metabolites
130-estrogen is bound
20% to shbg
albumin
131.an adult in sitting position resonance can b felt from the back of the
chest on (Repeated92)
8th rib Answer
10th rib
11th
6th

40

12th
132-True abt Superior Parathyroid Gland ? REPEATED93
Arelated to superior thyroid artery
B...lies anterolateral to thyroid gland
C...lies anteromedial//
D.Posterior to middle of thyroid gland i marked
133. Difference between roots of right & left lung?
A.No of bronchi i marked
B.No of arteries
C.No of veins
D.No of nerve
F.pulmonary vein
G.pulmonary artry

135)branchial cleft- Open laterally

Open laterally in neck ant.to sternocleido mastoid i marked
136)=1- Costo diaphragmatic recess
A.Only on left side
B.Wide open space in center
C.(Other option don't remember even that one which I marked in this

136=2=Costodiaphragmatic recess lies b/w

A diaphragm nd parietel pleura

41

B diaphragm nd visceral pleura

137)more central value of no. In series
Mean
Median i marked
Mode
138...deep inguinal ring attachment or formed by REPEATED-94
A.fascia transversalis. answer
B.conjoint tendon bith transversalus fascia and conjoint tendon
C.external oblique
139.Aldosteron site of action? (Repeated-95)
a. Collecting duct ???
b. Dct
c. Cortical collecting tubule
140)thyroid antibodies ?
Cell bound
Intracellular
141)Virus acts on cells by: Protein alteration? (Repeated96)
a;Damaging cell membrane,
b;Damaging nuclear membrane,
c:Invloving protien synthesis,
d;Changing protien structures.
e;Changing protien metabolism
142..Long term corticosteroids not produce ?
A. Thin skin
B. Hypotenshion Answer
C. Hypertension

42

143-.Ameoba test - after amoebic infection . rectal biopsy was done now to
confirm which test would be done // pt ko amoebic infection hwa ha ... pta
kesai lgy ka kun sa hai kis test hai k thru?//
A. Antibodies I marked
B. Pearl test
C. electron Microscopy
D .Pus
144 -superior mesenteric and inferior mesenteric artery anostomose in .
a.marginal artery
b.straight artery
c. Left ileocolic artery
b. colic
d. sigmoidal arteries
Read the topic ....
145.most imp local cause of delayed wound healing ? REPEATED 97
A.infection=ans
B.ischemia
C.zinc def
D.vit c def
e.cortisol
146-.we reject null hypothesis mean REPEATED 98
A)There z difference
B) there z no difference.=ans
C) study of research vl b cancelled.
D.study of research is not valid.
D. ur research is not powerful enough

43

Read this topic ... As stem contains rejection of null hypothesis .... I think
there is difference

147- stem was ... notochord forms nucleus pulposis what nucleus pulposis
forms
a.Annular finrosis
b.Cns s kuch option tha
c.its remnant jesa ek option tha jo i marked
d, intervertebral disc
ADULT DERIVATIVE OF THE NOTOCHORD IS
A..ANNULUS FIBROSUS
B..NUCLEUS PULPOSUS Answer
C..VERTIBRAL BODY
D..ALL

148=lateral boundary of deep inguinal canal is formed by.

A)-fascia transversal is
b)-fascia transversal is and CT
149-.Alpha adreno receptor action ?
A.contraction of radial muscle of pupil i marked
B.vasodilation in skeletal muscle
C.increase in activity of gut
D.decreased heart rate
150. True about spinal nerve ?
a.derived from nueral crest ,
b.pas through intervertebral formina,
c.dorsal root contain both sensory n motor supplies
151.Which is derived from intermediate mesoderm
A.excretory pathway of kidney
B.Bones and muscle
C.Somites
D.Muscle

44

E.Heart tube
F.Genitournry system Answer

152..precancerous condition .. REPEATED99

a..myelodisplastic syndrome i marked
b.cervical erosion
c.osteoporosis
d.psoriasis
e.breast fibroid,

153..Peak expiratory flow?

450 to 650
Capnometer like something
Baqi options yaad nhi i marked

154..Which structure connects skeletal muscle ? REPEATED100

a.Tendon Answer
b.Ligaments
c.joints
155.Which is Alpha Blocker? REPEATED101
A. doxazacin
B.clonidine
C.lasinopril
D.amiodrone
D.diltazem

156.hormone level not effected by pregnancy? REPEATED102

A.growth hrmn
B.cortisol

45

C.estrogen
D.parathyroid

158.Nerve supply of heart?

vagus ???
Superficial cardiac
Deep cardiac
159-A.regarding parasympathetic supply of heart
A.Left superficial cardiac plexus
B.vagus nerve ???
C.sympathetic system
D.Left deep cardiac plexus

160-B. Stimulation of parasympathetic nerves to the heart decreases heart

rate by
a. Increase in permeability of K thru ventricles
b. Incraese in permeability of k through sa node
c. prolonging of AV nodal delay Answer

161.Spinal cord with dura arachnoid and pia mater in adults terminates at
the level of lowr border of L1
OR S2?
162..Ek sawl tha do grouup hai A ko pharyngitis hai us ka bad comlications
hwy hain class B ko paramyxovirus ka infection hai ab btain Class B ko kia
complication hogi- sath anti-DNAase ka refrence b tha - Paramyxovirus; in
control group causes for which aso titre was being done
A.syndenhum chorea
B.carditis

46

C.migratory
D.glumeronephritis
c.Arthritis
e.erythema marginatum

163..Regarding Rbcs ?
A,dont have mitochondria
B.half life 180 days
C.have glycolytic enzymes
D.Biconvex or Hla2
E. 15mm
F.presented to MHC-2
164..New anti hypertensive drug want to check potency.. Method use
were? REPEATED103 asim gynae bcq
A.double blind,
B.placebo
C.Sequential trial-answer
d. case control study
E. Bioassay ...

165.Ovulation occur by action of (this was lyk before ovulation granular

follicles maturation lyk stem ...)
Question was before ovulation follicle mature by - Before ovulation follicles
growing.. it was prolifertive phase and i did fsh
a.Fsh
b.Estradiol
c.Gnrh
d.Lh

166.One iss early sign of vitamin A deficiency? REPEATED104

47

A) corneal ulceration.
B) keratosis malachi
C) bitot spot
D) Dark adaptation decresd (ANSWER)
Coz night blindness wasnt in options-Defective dark adaptation and night
blindness is same thing

167-.Lethal hepatitis virus in pregnancy REPEATED105

Hep e

168-.Erythroblastosis fetalis... REPEATED106

A.. Type 1 Hypersensitivity
B.. Type 2 Hypersensitivity -ANSWER
C.. Type 3 Hypersensitivity
D.. Type 4 Hypersensitivity

169- mechanism / Action of captopril - REPEATED107

A inc degradation of angiotensin 2
B inc degradation of bradykinin
C hypercalcemia
Inhibits angiotensin 2

170-..Correct about Tetanus... REPEATED108- February 17, 2014

A.exotoxin has lethal effect
B.it is chronic disese
C.tetnus toxoid do not give full immunity
D.do not cause trismusE. trismus is rare
F.exotoxin afect on cerebral
G.no role of active immunity

48

171.Parasympathetic effect on lungs ?

a.inc compliance
b.inc restrictive work i marked
c.inc anatmicl dead space
d.,inc elastic work
172-.Carbonic anhydrase inhibitors Acetazolamide act on which part of
kidney ? Repeated
a.early pct.=answer
b.early dct
c.cortical collecting ducts
d.calyces.
e.. Early PCT
f.. Late PCT
g.. Thick ascending loop of henle
h.. Principal cells of DCT
i.. Intercalated cells of DCT
173.. coccygeal ligament at the level of? REPEATED109
a.L1 Answer
b.L2
c .S1
d.coccyx
174. regarding cilia: ?
a)stereo cilia are a type of cilia
b)can be seen on light microscopy
c)can be seen on electron micscopy
d)has absorptive function
e. cannot be seen under light microscopy

49

175) Blood supply to anal canal is from.... (REPEATED110) ?

superior and imferior rectal arteries
note- Rectum: middle rectal, inferior rectal [inferior rectal is the end of
pudendal].
176. A female patient of age 30 presents with white Curd Discharge with
H/O no bleeding,Most likely organs REPEATED111
A.Candida Albicans Answer
B.Trichomonas
C.Chlamydia trachomatis
177.Citerated Blood Action in Blood- Repeated 112-11 june
A.Citrate anticoagulation
B.Ca++ chelation=
C.Vit k binding
D.Delay metabolism
Note that Citrate causes hypo calcemia .hypocalcemia causes tetany
178. Regarding Coronary Blood Supply?
Collaterals ?
Vasodilation?

//Regarding coronary arteries which is inappropriate

A. Eg of vasa vasorium
B. Freely anastomose in wall of heart
C. When blocks cause infarction of the area supplied
D. Arise from aorta as first pair of branches
E. Receives blood in diastole//
179..important buffer of blood? (Repeated113 )
a. Hb
b.hco3 Answer
c.Acetate

50

d.protien
e.phosphate
180. growth hormone stimulation (Repeated114 )
A.rem sleep
B.wakeful condition
C.hypoglycemia-ANSWER
D.free fatty acids
Note : here hypoglycemia is correct but order is Exercise>>>4 & 3rd
phase of N-REM Sleep .. not increased in REM sleep
181.tumor with all three germ layers (Repeated115 )
A.teratoma=ans
B.adenocarcinoma
C.hamartoma
D.sarcoma
E.seminoma
182. .Carotid Pulse Palpate at ? or bifurcation of common carotid artery is
felt at ?
A.anterior border of sternocleidomastoid
B. post border of sternocleidomastoid in posterior traingle
C.at level of trapezius
D. post border of sternocleidomastoid at the level of hyoid
E. at the superior border of thyroid cartilage=correct
F. E & A Correct =ANS
// -According to RJ Last The common carotid artery usually bifurcates at the
level of the upper border of the lamina of the thyroid cartilage (upper
border of C4 vertebra) into the external and internal carotids; it may do so
higher near the tip of the greater horn of the hyoid bone (C3 vertebra).//
183. which of the following is an example of primary active transport
REPEATED116

51

A.H+K pump
B.Na glucose co transport in intestine
C.Na-Amino acid co transport in intestines
D.none of the above
184.. trypsinogen is activated by (Repeated117)
A.enterokinase - answer
B.peptidase
C.amylase
D.acid phosphatise
E. HCL
185.. Stroke volume increases?
a. Venous dilation
b.Inc in heart rate at constant cardiac out put
c. venous compliance
d.inc in blood volume Answer
e. inc cardiac reserve
f. inc output
186.. You are testing efficacy of unknown unnamed drug A and drug B in
an infection...then randomnly allocated to pts recieving both of them..it is an
example of
A.double blind/placebo
B.single blind
C.triple blind.
D.cross sectional study
E. Cohort-answer ???

187-An abnormally tall boy of 14 year age consults his physician for his
abnormal height and secretions from his mammary gland. X ray skull
shows enlarged pituitary gland. Histological examination of pituitary is likely
to show: [Repeated118]
a. Decreased number of pituicytes

52

b. Hessing bodies seen in karge number.

c. Increased no of basophill cells.
d. Increased no of chrimophobes
e. Increased no of eosinophills=answer tanveer notes
188.Substance which act as both hormone and nurotransmittor?
(Repeated119 )
a. adrenaline=ans
b.cortisole
c . acetylcholine
d. thyroid-thyroxin
e. Aldosterone
f.vasopression
189...A lady presented with per vaginal bleeding,history of bleeding
disorder and having a dead fetus ..first step of management (Repeated120
)
A.blood Transfusion
B. Evacuation of uterus Answer
C.platelet transfusion
d.iv heparin
190.. The ascent of (horse shoe shaped )kidney is prevented
(Repeated121 )
A.external iliac artery
B.internal iliac artery
C.superior mesenteric art
D.ivc
E.inferior mesentric artery Answer

53

191.. Cotisol decreases....... (Repeated122)

glucose utilization in tissues
1.Best known metabolic effect of cortisol is to:
Decrease plasma amino acid level
Decreased mobilization of fatty acids
decreases glucose utilization -=answer
Promote protein deposition in the body
Stimulate process of gluconegenesis

2.Which one of the following is not a function of Cortisol

A ) dec. Glucose utilization
B ) Up regulation of alpha1 receptors
C )inhibit proliferation of T lymphocytes
D ) Dec . synthesis of Lipocortin=answer
E ) inhibit Arachidonic acid synthesis

192.. tb is closely associated with .....or- vaccination of mycobacterium T.B

based on (Repeated123 )
a. Type I hypersensitivity
b. Type II hypersensitivity
c. Type III hypersensitivity
d. TYPE IV hypersensitivity Cell mediated (Answer)
193..Urinary bladder supplied by ? (Repeated)
a. Sypatahetic and parasympatatic
Note that The parasympathetic nerves supplying the urinary bladder are
pelvic splanchnic nerves (S1, S2, S4) Sympathetic supply to urinary
bladder comes from lower thoracic lumbar splanchnic nerves (T11 L2)
=-=194. Regarding Pleura? (Incomplete recall )

54

A.Merge at thoracic inlet

intercostal nerve nerve sullpy to al except (Incomplete recall )

195. Heinz Bodies are Seen in? (Repeated124)

A.beta thalasemia major
B.sideroblastic anemia
C.G6PD deficiency Answer
D.Sickle cell anemia
e.Heradity Spherocytosis
196..Regarding 3rd Never Occulomotor ?
a.Have both sympathetic and parsympathetic fibers to pupils
197.. . Part of Portal system (Repeated125)
A. Superior rectal vein-answer
B. Inferior rectal vein
C. Inferior epigastric vein
D. Left renal vein
E. Adrenal vein
196.Renal Volume Conserve by ?
Increase rennin secretion
197.Cutaneious Sensation of Prenium ?
Pudendal Nerve

198. Ca of thyroid arise from?

Principle cells of thyroid

55

***The End ***