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CPSP DEMO QUEStiONS with CPSP KEY:
Please don’t mess with the key and memorize the way they are:
1. Blood brain barrier is formed by:
a. Capillary endothelium
b. Continuous basement membrane
c. Pericytes
d. All of above
e. None of above
Ans: a
2. Total power of the eye is 59 diopters. Main role is maintenance of this power as
performed by:
a. Anterior surface of cornea
b. Lens
c. Vitreous Humor
d. Retina
e. Posterior surface of cornea
Ans: a
3. In patient with increased bleeding time, what could be the cause of bleeding?
a. Prothrombin Deficiency
b. Hemophilia – A
c. Vitamin - K deficiency
d. Protein - C deficiency
e. Von Willebrand's disease
Ans: e
Dr M KaLiM KOOL-MEDIC
4. What is the nerve supply of tip of nose?
a. Ophthalmic nerve
b. maxillary nerve
c. Mandibular nerve
d. Fascial nerve
e. Cervical plexus
Ans: a
5. Parasympathetic stimulation caused:
a. Bronchodilation
b. Decreased gut motiilty
c. Opens intestinal sphincters
d. Constipation
e. Tachycardia
Ans: c
6. Which of the following is the site of fusion of binocular vision?
a. Optic chiasma
b. Lateral geniculate bodies
c. Retina
d. Visual cortex
e. Optic nerve
Ans: d
7. A newborn baby with hydrocephalus has a swellingin lumbosacral spinal region, which
contains neural tissue in it. What could be the probable diagnosis of this patient?
a. Spina bifida
b. Meningocele
c. Meningomyelocele
d. Meningoencephalocele
e. Meningohydroencephalocele
Ans: c
8. Which of the following is most strong antioxidant?
a. Glutathone
b. Vitamin - E
c. Vitamin - C
d. Ceruloplasmin
e. Catalase
Ans: a
9. Most early diagnosis of Vitamin-A deficiency is:
(a) Bilot spots in cornea
(b) Night blindness
(c) Keratomalacia
(d) Chielosis
(e) Hyperkeratosis
Ans: b
10. A patient presents with recurrent epistaxis. Investigation receal decreased factors II, VII,
IX, X& protein-C which of the following is most likely diagnosis of this condition?
(a) Christmas disease
(b) Hemophillia
(c) Vitamin-K deficiency
(d) Von willebrands disease
(e) Liver dysfunction
Ans: c
11. On H & E staining a student sees the hallow structure around the nucleus. What it could
be:
(a)Golgi apparatus
(b) Lysosomes
(c) Ribosomes
(d) Endoplasmic reticulum
(e) Mitochondria
Ans: b
12. Bitemproral vision loss is most commonly causedby:
(a) Piuitary tumor
(b)Crainiopharyngioma
(c) Adenoma of hypothalamus
(d) Section of optic tract
(e) Section of optic nerve
Ans: a
13. A patient has finger like projection on upper lid. Hostopathological report shows
epithelial cells along with fibrous element. What is most probable diagnosis?
Option (a) Pappiloma
Option (b) Basal cell carcinoma
Option (c) Squamous cell carcinoma
Option (d) Chalazion
Option (e) Cellulites
Ans: a
14. Parotid gland supplied by:
Option (a) GVA
Option (b) GVE
Option (c) SVE
Option (d) SVA
Option (e) GSA
Ans: b
15. Primary malignant melanoma of the choroids mostcommonly metastasizes to:
Option (a) Liver
Option (b) Lungs
Option (c) Brain
Option (d) Kidneys
Option (e) Breast
Ans: a
16. A patient develops sensory loss over left side of body. After few days his behavior for pain
is changed
& he become angry after touching. Where could be the lesion in brain
Option (a) Right thalamus
Option (b) Internal capsule
Option (c) Cerebral cortex
Option (d) Basal ganglia
Option (e) Midbrain
Ans: a
17. A middle aged male has non-healing wound for long time in presence of regular dressing,
random
blood sugar is 130 mg/dl. What could be the cause of delayed healing in this patient
Option (a) Infection
Option (b) Diabetes mellitus
Option (c) High mobility
Option (d) Foreign body in wound
Option (e) Vascular insufficiency
Ans: e
18. In a patient with sympathetic stimulation, what effect will occur on his heart?
Option (a) Decreased rate
Option (b) Coronary vasoconstriction
Option (c) Hyperpolarization of SA node
Option (d) Decreased AV nodal delay
Option (e) Decreased stroke volume
Ans: d
19. Which of the following is diagnostic of granuloma?
Option (a) Giant cells
Option (b) Epithliod cells
Option (c) Multinucleated cells
Option (d) Fibroblasts
Option (e) Caseation
Ans: b
20. Medial orbitotomey is done in a patient with tumor in orbit. Now he is complaining of
numbness at upper part of head up to vertex & medial part but medial part is intact. Which of
the following nervesis damaged?
Option (a) Supraorbital nerve
Option (b) Supratrochlear nerve
Option (c) Superior orbital nerve
Option (d) Inferior orbital nerve
Option (e) Fascial nerve
Ans: a
21. In inferior wall Myocardial Infraction, which artery should be blocked
Option (a) :Left marginal artery
Option (b) :Diagonal artery
Option (c) :Right coronary artery
Option (d) :Right marginal artery
Option (e) :Posterior Interventricular artery
Ans: d
22. Oxygen level in the blood will decrease in:
Option (a) :Hypovolumic shock
Option (b) :Anemic Hypoxia
Option (c) :Hypoxic Hypoxia
Option (d) :Congestive Heart Failure
Option (e) :Acidosis
Ans: c
23. A male patient has antibodies against FSH RECEPTORS. Which of the following will be
lower than
normal in this patient?
Option (a) :LDL cholesterol
Option (b) :Hemoglobin
Option (c) :Sperm count
Option (d) :Blood Sugar
Option (e) :Triglycerides
Ans: c
24. Brucellosis is Transmitted by
Option (a) :Files
Option (b) :Ras Fish
Option (c) :Unpasteurized Milk
Option (d) :Air Borne
Option (e) :Blood Transfusion
Ans: c
25. week pregnant women has Irregular Ulterine Contractions. Which of following drugs will
be beneficial for this lady.
Option (a) :Progesterone
Option (b) :Estrogen
Option (c) :Prolactin
Option (d) :Oxytocin
Option (e) :LH
Ans: d
26. The Diagnostic finding on investigations of Metabolic Alkalosis is:
Option (a) :HCO3 more then 24meq/L
Option (b) :CO2 more then 24meq/L
Option (c) :PH less than 7.4
Option (d) :Decreased O2 in blood
Option (e) :Increase serum carbonic anhydrase
Ans: a
27. A 6 cm Lump in the breast removed. Four Lymp nodes & skin were involved. Biopsy
declared invasive Dectal Carcinoma. This tumor is called HIGH-GRADE because:
Option (a) :Lymph node involvement
Option (b) :Skin involvement
Option (c) :Size of tumor
Option (d) :Pleomorphism
Option (e) :Duct involvement
Ans: d
28. Which of the following is the characteristic oflgM?
Option (a) :It provides mucosal barrier
Option (b) :It is in highest concentration in serum
Option (c) :It is smallest molecule
Option (d) :It is largest Molecule
Option (e) :It crosses the placenta
Ans: d
29. Which of following structures in the mouth is derived from Ectoderm?
Option (a) :Epithelium of the tongue
Option (b) :Submandibular gland
Option (c) :Mylohyoid muscle
Option (d) :Epithelium of parotid gland
Option (e) :Tonsil
Ans: d
30. A young patient's blood pressure is 150/95. hisserum Rennin level is higher than normal.
Which of the following is the STIMULUS for this increased level of rennin?
Option (a) :Essential hypertension
Option (b) :Increased delivery of sodium to Renal tubules
Option (c) :Increased sympathetic stimulation via Renal nerves
Option (d) :Vasodilatation of Renal arterioles
Option (e) :Increased blood flow to the kidneys
Ans: c
31, A young women, complains of Dry mouth & Dry eyes. Which investigation will give clue to
her diagnosis
Option (a) :ANA
Option (b) :Anti-ANA
Option (c) :RA factor
Option (d) :Anti - SS A/B
Option (e) :ANCA
Ans: d
32. Regarding SA Node:
Option (a) :Its resting membrane potential is - 65 to -85 volts
Option (b) :It automatically generates impulses, creating rhythmic heartbeat
Option (c) :Its membrane is impermeable to Na ions
Option (d) :It is supplied by left coronary artery
Option (e) :It lies in the septum
Ans: b
33. During the stretch in the Skeletal Muscle, which of the following changes will occur in the
Nuclear Bag fiber?
Option (a) :They increase impulse generation
Option (b) :They remain static
Option (c) :They decrease impulse generation
Option (d) :They increase oscillation
Option (e) :They inhibit muscle contraction
Ans: a
34. which of the following structures is produced in 3rd week of development?
Option (a) :Thyroid gland
Option (b) :Parathyroid gland
Option (c) :Genital ridge
Option (d) :Heart tube
Option (e) Tonsil
Ans: d
35. Antibodies are produced by:
Option (a) :Lymphocytes
Option (b) Plasma cells
Option (c) T-Cells
Option (d) :Neutrophils
Option (e) Endothelium
Ans: b
36. Pulmonary Artery pressure increases in:
Option (a) :Exercise
Option (b) :Hypoxia
Option (c) :Anemia
Option (d) :Hypovolumic Shock
Option (e) :Hypertension
Ans: b
37. Defect in the formation of Bulbus Cordis resultin all of following EXCEPT?
Option (a) :ASD
Option (b) :VSD
Option (c) :Hypertrophy of right ventricle
Option (d) :Congenital cyanosis
Option (e) :Transposition of great vessels
Ans: a
38. Regarding the vibration Sense all are correct EXCEPT:
Option (a) :It is lost in Diabetes
Option (b) :Its fibers are traveling in the dorsal columns
Option (c) :Its receptor is Pacinian Corpuscle
Option (d) :Its receptor is Meissener's corpuscle
Option (e) :Is highly correspond to the bony portions
Ans: d
39. A patient with aplastic anemla is given Anti Lymphocytic Globulin (ALG). One week later
he develops Skin rashes, mechanism for presentation?
Option (a) :Arthus reaction
Option (b) :Type - I Hypersensitivity
Option (c) :Type - II Hypersensitivity
Option (d) :Type - III Hypersensitivity
Option (e) :Type - IV Hypersensitivity
Ans: d
40. The most common site of Fertilization in humansis:
Option (a) :Ovary
Option (b) :Uterus
Option (c) :Fallopian tube
Option (d) :Cervix
Option (e) :Peritoneal cavity
Ans: c
41. Patients comes with deviation of tongue to right side. Decreased sense of touch and
vibrations, the artery commonly involved in brain is:
Option (a) :PICA
Option (b) :AICA
Option (c) :Anterior Spinal
Option (d) :Posterior Cerebral
Option (e) :Superior Cerebral Artery
Ans: c
42. Most common site of malignancy in patients suffering from nuclear outbreak
Option (a) :Haematopoietic
Option (b) :Thyroid
Option (c) :Lung
Option (d) :Breast
Option (e) :Bones
Ans: a
43. Least common site for ectopic pregnancy would be at:
Option (a) :Ovaries
Option (b) :Pouch of douglus
Option (c) :Greater omentum
Option (d) :Fallopian tubes
Option (e) :Cervix
Ans: a
44. Most sensitive cells to hypoxia are
Option (a) :RBCs
Option (b) :Neurons
Option (c) :Nephrons
Option (d) :WBCs
Option (e) :Platelets
Ans: b
45. Following is not a tumor marker:
Option (a) :PALP
Option (b) :CEA
Option (c) :bHCG
Option (d) :AFP
Option (e) :Acid Phospatase
Ans: e
46. tyrosine derivative does not include:
Option (a) :TSH
Option (b) :Adrenaline
Option (c) :Nor adrnaline
Option (d) :Prolactin
Option (e) :Dopamine
Ans: d
47. Organ having least chances of infarction:
Option (a) :Lungs
Option (b) :Heart
Option (c) :Kidneys
Option (d) :Liver
Option (e) :Spleen
Ans: d
48. Least chances of renal stones is associated with:
Option (a) :Hyperlipidemia
Option (b) :Hyper PTH
Option (c) :Hyper vit.D
Option (d) :Infections
Option (e) :Hyperurecemia
Ans: a
49. Patient with injury to left 8th cervical segment of spinal cord will not show following sign:
Option (a) :Decreased sense of position
Option (b) :Vibration below lesion on same side
Option (c) :Extensor plantar on left side
Option (d) :Dec power of muscles below the lesion on same side
Option (e) :Dec sense of pain and temperature belowthe lesion on same side
Ans: e
50. Patient with bone pains having normal Ca, inc Alkaline phosphatase. Most likely suffering
from:
Option (a) :Pagets disease
Option (b) :Hyper PTH
Option (c) :Hyper Vit D,
Option (d) :Bone mets
Option (e) :Osteomalacia
Ans: a
51. Bile salts are reabsorbed from the:
Option (a) :Duodenum
Option (b) :Jejunum
Option (c) :Ileum
Option (d) Colon
Option (e) Rectum
Ans: c
52. In Turner syndrome, the genotype would be:
Option (a) :XX
Option (b) :XO
Option (c) :XXY
Option (d) :XY
Option (e) :XYY
Ans: b
53. Presence of pancreatic tissue in gastric mucosa is termed as:
Option (a) :Hamartoma
Option (b) :Metaplasia
Option (c) :Neoplasia
Option (d) :Choriostoma
Option (e) :Dysplasia
Ans: d
54. Patient with old history of adenocarcinoma of colon operated for polypectomy, on
histologic evaluation pathologist labeled it as benign growth with no chances into malignant
transformation, it would be:
Option (a) :FAP
Option (b) :Villous adenoma
Option (c) :Tubular adenoma
Option (d) :Tubulovillous
Option (e) :Metaplastic polyp
Ans: c
55. Man in suffering from testicular Carcinoma, the lympahtic drainage of testicle is into
Option (a) :Para aortic Lymph nodes
Option (b) :Pre aortic
Option (c) Superficial inguinal
Option (d) :Internal iliac
Option (e) :External iliac Lymph nodes
Ans: a
56. Mesothelioma is associated with:
Option (a) :Vinyl chloride
Option (b) :Silica
Option (c) :Asbestos
Option (d) :Copper dust
Option (e) :Carbon
Ans: c
57. Foetal period starts after which week:
Option (a) :11th
Option (b) :8th
Option (c) :12th
Option (d) :16th
Option (e) :21st
Ans: b
58. Soldier comes with heavy bleeding. The ideal fluid replacement would be:
Option (a) :Packed RBCs
Option (b) :Crystallines
Option (c) :Colloids
Option (d) :Whole blood for 3 days
Option (e) :Whole blood for 18 days
Ans: d
59. Vertebrae is derived from :
Option (a) :Myotome
Option (b) :Sclerotome
Option (c) :Dermatome
Option (d) :Ectoderm
Option (e) :Endoderm
Ans: b
60. Largest total cross-sectional and surface area is of:
Option (a) :Artery
Option (b) :Arterioles
Option (c) :Capillaries
Option (d) :Venules
Option (e) :Veins
Ans: c
61. Esophagus histology
Option (a) :Covered by squamous ep
Option (b) :Has str. sq in upper 1/3
Option (c) :Has str. sq in lower 1/3
Option (d) :Has 3 layers of muscles
Option (e) :Esophageal opening acting as anatomicalsphincter
Ans: b
62. Structures entering thoracic inlet
Option (a) :Accessory nerve
Option (b) :Aorta
Option (c) :Superior vena cava
Option (d) :Azygous Vein
Option (e) :Left recurrent laryngeal nerve
Ans: b
63. Example of carrier mediated counter transport:
Option (a) Na - glucose transport
Option (b) :Active transport
Option (c) :Passive transport
Option (d) :H transport
Option (e) :Diffusion
Ans: a
64. Alpha recptors effects
Option (a) :Inc HR
Option (b) :Lipogenesis
Option (c) :Midriasis
Option (d) :Piloerector contraction
Option (e) :Bronchodilator
Ans: c
65. Hypoglycemia increases
Option (a) :SSK
Option (b) :Somatostatin
Option (c) :Gastrin
Option (d) :VIP
Option (e) :Secretin
Ans: e
66. Cushing's triad:
Option (a) :Inc ICP, HTN, Bradycardia
Option (b) :Inc ICP, hypoTN, Bradycardia
Option (c) :Inc ICP, hypoTN, Tachycardia
Option (d) :Inc ICP, HTN, Tachycardia
Option (e) :Dec ICP, HTN, Tachycardia
Ans: a
67. Somatostatin dec sec of which hormone
Option (a) :ADH
Option (b) :Insulin
Option (c) :Oxytocin
Option (d) :Prolactin
Option (e) :Thyroid hormone
Ans: b
68. Digoxin toxicity
Option (a) :Inc K
Option (b) :Inc Mg
Option (c) :Dec Ca
Option (d) :Dec Na
Option (e) :Alkalosis
Ans: e
69. Following is true regarding sterilization:
Option (a) :Repeated heating denatures polyvencyl tubings
Option (b) :Autoclaving is heating objects at 121 degC at 15 psi for 3min
Option (c) :Radiation (UV light)
Option (d) :Dry heat
Option (e) :Formaldehyde
Ans: b
70. Pt complains of chest pain for more than 30 min. ECG shows changes in V1-V4. It denotes:
Option (a) :Anterior wall MI
Option (b) :Anterolateral MI
Option (c) :Inferior wall MI
Option (d) :Lateral wall MI
Option (e) :Inferior wall MI
Ans: a
71. Depolarization of cell is maintained by:
Option (a) :Na influx
Option (b) :Ca efflux
Option (c) :Ca influx
Option (d) :K influx
Option (e) :Na efflux
Ans: a
72. Spinal cord ends at the level of lower border of:
Option (a) :L2 vertebra
Option (b) :L3 vertebra
Option (c) :L4 vertebra
Option (d) :L5 vertebra
Option (e) :S1 vertebra
Ans: a
73. Hyperoxia. All true except .
(a) :Retrolental fibroplasia
Option (b) :Atelectasis
Option (c) Dec surfactant prod
Option (d) :CV depression
Option (e) :Anemia
Ans: e
74. Pacinian corpuscles related to
Option (a) :Touch
Option (b) :Vibration
Option (c) :Pressure
Option (d) :Rapidly adapting pain
Option (e) :Slowly adapting pain
Ans: b
75. Drug that inc extracellular K (moves K out of the cell):
Option (a) :Angiotensin
Option (b) H2CO3
Option (c) :Carbonic anhydrase
Option (d) :pH
Option (e) :Exercise
Ans: a
76. Thirst is decreased by:
Option (a) :ADH
Option (b) :Aldosterone
Option (c) :Ag II
Option (d) :Baroreceptor efferent
Option (e) :Inc Hematocrit
Ans: d
77. Muscle of quiet inspiration
Option (a) :Diaphragm
Option (b) :Rectus abdominis
Option (c) :Internal intercostals
Option (d) :innermost intercostals
Option (e) :External intercostals
Ans: a
78. Dry mouth increases all except
Option (a) :Thrist
Option (b) :ADH
Option (c) :Ag II
Option (d) :Plasma osmolarity
Option (e) :Plasma vol
Ans: e
79. Gastric acid is stimulated by:
Option (a) :Gastrin
Option (b) :CCK
Option (c) :Secterin
Option (d) :GIP
Option (e) :VIP
Ans: a
80. Which of the following fungi produce life threatening infection in patients with diabetics
ketoacidosis?
Option (a) :Candida Albicans
Option (b) :Histoplasmosis
Option (c) :Mucor
Option (d) :Aspergillus
Option (e) :Blastomycosis
Ans: c
81. A patient has non-reactive HBs Ag, non reactiveHBe Ag & reactive anti HBc Ab. This stages
of patient indication what?
Option (a) :Acute infection
Option (b) :Carrier
Option (c) :Transient resolving stage of hepatitis
Option (d) :Immunized
Option (e) :Chronic active disease
Ans: c
82. A Patient has enlaged parotid gland with pain in this region. Which nerve is carrying pain
fibers from the parotid gland?
Option (a) :Auricuolotemporal nerve
Option (b) :Glossopharyngeal nerve
Option (c) :Fascial Nerve
Option (d) :Temporal nerve
Option (e) :Greater auricular nurve
Ans: a
83. A Patient has anemia, hyper-segmented Neutrophils on peripheral blood examination &
neurological manifestations. Which type of anemia he is suffering from?
Option (a) :Folic acid deficiency anemia
Option (b) :Iron deficiency anemia
Option (c) :Pernicious anemia
Option (d) :Thalasemia
Option (e) :Autoimmune hemolytic anemia
Ans: c
84. A young child has increased BP in upper limbs while decreased BP in lower limbs. Pulse in
also week. What is the probable diagnosis?
Option (a) :Preductal coarctation of aorta
Option (b) :V.S.D
Option (c) :Patent ductus arteriosus
Option (d) :Postductal coarctation of aorta
Option (e) :Transposition of great vessels
Ans: d
85. In case of typhoid fever of 06 days. Which investigation is of first choice?
Option (a) :Widal test
Option (b) :Blood culture
Option (c) :Typhi dot test
Option (d) :Bone marrow culture
Option (e) :Urine culture
Ans: b
86. In a patient with diabetes, which is the best antihypertensive drug?
Option (a) :Captopril
Option (b) :Diuretic
Option (c) :Varapamil
Option (d) :Propranolol
Option (e) :Diltiazim
Ans: a
87. Urine Examination of a patient with diabetes demonstrates. Ketone-bodies. What is the
mechanism of formation of these ketone-bodies?
Option (a) :Insulin deficiency
Option (b) :Hyperglycemia
Option (c) :Defective fat metabolism
Option (d) :Hypoalbubinemia
Option (e) :Defective glucose metabolism
Ans: a
88. After giving blood transfusion, a patient develops hypersensitivity reaction. Which type of
hypersensitivity reaction is this?
Option (a) :Type I Hypersensitivity
Option (b) :Type II Hypersensitivity
Option (c) :Type III Hypersensitivity
Option (d) :Type IV Hypersensitivity
Option (e) :A.D.C.C
Ans: b
89. A Patient develps lesion in the Caudate nucleus. Which is most common clinical feature
Indicating this lesion?
Option (a) :Chorea
Option (b) :Intentional Tremor
Option (c) :Resting Tremor
Option (d) :Hemiplagia
Option (e) :Nystygmus
Ans: a
90. Heme Binds with
Option (a) :Albumin
Option (b) :Globulin
Option (c) :Hemopexin
Option (d) :Heptoglobin
Option (e) :Macroglobulin
Ans: d
91. Best pulmonary function test for the asthma is:
Option (a) :FEV - 1
Option (b) :Residual volume
Option (c) :Tidal volume
Option (d) :Vital capacity
Option (e) :Inspiratory capacity
Ans: a
92. A pregnant lady develops pain few hours after delivery. E.C.G. shows S1, Q3 and T3. What
is another investigation most appropriate for the diagnosis of this case?
Option (a) :RF
Option (b) :X-Ray
Option (c) :Gallium Scan
Option (d) :CPK
Option (e) :Ultrasound
Ans: c
93. In a patient diarrhea are corrected after the fasting. Which is most likely type of diarrhea?
Option (a) :Infectious
Option (b) :Psychogenic
Option (c) :Osmotic
Option (d) :Metabolic
Option (e) :Toxic
Ans: c
94. A diabetic Patient is advised fasting blood glucose level. At what value doctor is confusing
& needs further evaluation with glucose tolerance test?
Option (a) :04 m mol / 1
Option (b) :05 m mol / 1
Option (c) :07 m mol / 1
Option (d) :10 m mol / 1
Option (e) :15 m mol / 1
Ans: c
95. A patient has Aphasia & Facial nerve palsy on same side. Which artery is most likely
blocked?
Option (a) :Anterior cerebral artery
Option (b) :Posterior cerebral artery
Option (c) :Middle cerebral artery
Option (d) :Anterior division of middle cerebral artery
Option (e) :Posterior division of middle cerebral artery
Ans: c
96. A young female is having Goiter. She feels difficulty in breathing while lying down. Which
type of the goiter she is having?
Option (a) :Retrosternal goiter
Option (b) :Malignant goiter
Option (c) :Toxic goiter
Option (d) :Diffuse goiter
Option (e) :Simple goiter
Ans: a
97. Regarding L & D sugars
Option (a) :D sugar has - OH on right
Option (b) :L sugar has - OH on right
Option (c) :D sugar has - OH on left
Option (d) :D sugar has no - OH
Option (e) :L sugar has no – OH
Ans: a
98. Councilman bodies are formed in the process of
Option (a) :Infection
Option (b) :Apoptosis
Option (c) :Trauma
Option (d) :Necrosis
Option (e) :Atrophy
Ans: b
99. A middle aged male presents with joint pain since one week. His serum Uric Acid level is
156 mg/dl. What is the best investigation for confirmation of the disases?
Option (a) :R.F
Option (b) :Synovial fluid for polarized light
Option (c) :Synovial fluid for Culture & Sensitivity
Option (d) :X-Ray of joint.
Option (e) :E.S.R
Ans: b
100. A patient comes to you in ill condition. His blood pH is 7.3 PCO2 is 44 mmHg & HCO3 is
17 meq/L. What diagnosis you are thinking of this patient?
Option (a) :Metabolic alkalosis
Option (b) :Metabolic acidosis
Option (c) :Respiratory acidosis
Option (d) :Compensatory acidosis
Option (e) :Compensatory alkalosis
Ans: b
101. During general anaesthesia Halothane is given in combination with which of the
following drugs?
Option (a) :Thiopentone
Option (b) :Nitric oxide
Option (c) :Enfluran
Option (d) :Phenobarbital
Option (e) Ketamine
Ans: b
102. Most common cause of the pelvic inflammatory disease is?
Option (a) :Gonococcus
Option (b) :Chlamydia
Option (c) :Anaerobes
Option (d) :Candida albicans
Option (e) :E-coli
Ans: b
103. A lady received DES during pregnancy for prevention of the abortion. Her baby will be on
the risk of:
Option (a) :Small cell of carcinoma
Option (b) :Squamous cell carcinoma
Option (c) :Carcinoma of endometrium
Option (d) :Clear cell carcinoma of Vagina
Option (e) :Uterine fibroid
Ans: d
104. Prenatal chromosomal abnormality can be detected at:
Option (a) :Booking
Option (b) :10-12 weeks
Option (c) :14-18 weeks
Option (d) :After 20 weeks
Option (e) :In second trimester
Ans: c
105. Secondary Hyperaldosteronism can occur due to:
Option (a) :Increased rennin
Option (b) :Decreased rennin
Option (c) :Increased potassium
Option (d) :Decreased potassium
Option (e) :Hypertension
Ans: a
106.All of the following mechanisms are involved in development of diabetic gangrene

EXCEPT?
Option (a) :Trophic changes due to peripheral neuritis
Option (b) :Arterioscierosis leading to reduced blood flow to foot
Option (c) :Decreased neutrophil motility
Option (d) :Excess sugar in tissues leads to reduced resistance to infection especially fingal
infection
Option (e) :Anaerobic infection is commonly encountered in this disease
Ans: b
107. A patient presents with dislocation of hip after an accident. Which of the following
muscle group is involved?
Option (a) :Gluteus Maximus + Minimus + Medius
Option (b) :Only Gluteus medius
Option (c) :Only Gluteus Maximus
Option (d) :Gluteus Maximus + Medius
Option (e) :Only Gluteus Minimus
Ans: a
108. A patient has history of recurrent abortion. Which of the following enzyme analysis will
give help to diagnosis?
Option (a) :Estrogen
Option (b) :Progesterone
Option (c) :L.H & F.S.H
Option (d) :H.C.G
Option (e) :Testosterone
Ans: b
109. A patient presents with secondary amenorrhea. One year back she has history of P.P.H
for that she received six pints of blood what is most probable cause of her menstrual
problem?
Option (a) :Pituitary Tumor
Option (b) :Sheehan's syndrome
Option (c) :Addison's disease
Option (d) :Adrenal cortex adenoma
Option (e) :Psychological problem
Ans: b
110. A patient presents with recurrent Rhinitis with Urticaria & Rashes. Which of the
following is most probably diagnosis?
Option (a) :Type - I Hypersensivity
Option (b) :Type - II Hypersensivity
Option (c) :Viral Infection
Option (d) :Arthus Reaction
Option (e) :Cell mediated reaction
Ans: a
111. A 60 years old women is brought with bleeding per vagina. She is diabetic &
hypertensive & one year back she was diagnosed as having carcinoma of breast. What can be
most probable diagnosis for this bleeding p/v?
Option (a) :Carcinoma of colon
Option (b) :Carcinoma of endometrium
Option (c) :Endometrial Hyperplasia
Option (d) :Carcinoma of cervix
Option (e) :Cervical erosion
Ans: b
112. A Patient is suffering from carcinoma of rectum. He develops pain in the posterior aspect
of thing due to involvement of nerve. Which nerve supplies the posterior aspect of thigh &
that can be involved in the malignancy of rectum?
Option (a) :Lumbosacral trunk
Option (b) :Sacral nerves
Option (c) :Obturator nerve
Option (d) :Superior hypo gastric plexus
Option (e) :Inferior hypo gastric plexus
Ans: b
113. A semiconscious patient is brought to emergency department. He has history of taking

some unknown drug. NaHCO2 reverses the action of drug. Which drug he has most likely
taken?
Option (a) :Phenobarbital
Option (b) :Phenothiazine
Option (c) :Morphine
Option (d) :Diazepam
Option (e) :Alcohal
Ans: a
114. A lady with 26 weeks gestation has uterine height of 24 weeks. On sonography there is
no fetus & snowstorm appearance. Which of the following probably associate with it?
Option (a) :Choriocarcinoma
Option (b) :Karyotype-46XX
Option (c) :47XX
Option (d) :69XXX
Option (e) :45XO
Ans: b
115. Normal female pelvis has:
Option (a) :Deeper inlet
Option (b) :Inturned spine
Option (c) :Narrow outlet
Option (d) :Round outlet
Option (e) :Oval inlet
Ans: e
116. The ascent of horse shoe shaped kidney is prevented by:
Option (a) :External iliac artery
Option (b) :Internal iliac artery
Option (c) :Superior mesenteric artery
Option (d) :inferior vena cava
Option (e) :inferior mesenteric artery
Ans: e
117. Which of the following is characteristic of polycystic ovary disease:
Option (a) :Increased L.H
Option (b) :Increased F.S.H
Option (c) :Decreased L.H
Option (d) :Decreased F.S.H
Option (e) :No change in hormones
Ans: a
118. A 20 - Week pregnant lady has blood pressure 140/95. She complains of vomiting &
headache. What is the probable diagnosis of the condition?
Option (a) :Appendicitis
Option (b) :Pregnancy induced hypertension
Option (c) :Oligohydramnios
Option (d) :Raised intracranialpressure
Option (e) :Pregnancy induced DM
Ans: b
119. Which cranial nerves carry parasympathetic fibers?
Option (a) :Third, Fourth, Ninth, Tenth
Option (b) :Third, Fourth, Fifth, Ninth
Option (c) :Second, Fourth, Fifth, Ninth
Option (d) :Third, Seventh, Ninth, Tenth
Option (e) :Fifth, Sixth, Tenth, Eleventh
Ans: d
120. Patient comes with deviation of tongue to the right side, decreased sense of touch and
vibration, the artery commonly involved in brain is
Option (a) PICA
(b) AICA
(c) anterior spinal
(d) posterior cerebral
(e) superior cerebral artery.
Ans. C
121. Nerve injured in anterior dislocation of shoulder joint is
Options (a) musculocutaneous (b) axillary (c) median (d) radial (e) suprascapular
Ans. A
122. A patient is unable to extend his metacarpophalyngeal joint, abduct and extend his
thumb, sensation is intact, which nerve is damaged
Options (a) radial nerve
(b) post interosseous nerve
(c) ulnar nerve
(d) median nerve (e)
musculocutaneous nerve
Ans. A
122. Milk is notoriously deficient in
(a) vit A
(b) Riboflavin
(c) Iron
(d) pantothenic acid
(e) vit C
Ans. D
Regards ; Tan Veer Ahmad
Good luck for exam
1
7th & 8th March-2016- Papers of all Specialties (1705 MCQS)

[ Index- Check List ] Compiled by : Amlodipine Besylate
(1) Medicine & Allied 7th March 2016 (Evening Session) by Alizay Khan (181 MCQS) Page#1
(2) Medice & Allied 8th March 2016 (Morning Session) by Dr Kunza Aslam (200 MCQS) P#15
(3) Medicine 8th March(Evening) by Dr.Tariq Khan/Mudassir Bangash (200MCQS) P#29
(4).Surgery & Allied 7th March (Evening Session) by Dr. Hasnain Afzal (197 MCQS) P#40
(5). Surgery & Allied 7th March (Evening Session) - by Dr.Xaheer Khan (185 MCQS) P#57
(6). Surgery 7th March 2016 (Morning Session) by By Dr.Haris Riaz Sheikh (156+) P#73
(7). Gyane/Obs 7th March-2016 (Morning Session) by Dr.Noor Fatima (184) P#89
(8)..Gynae / Obs; 8th March 2016 (Morning Session) Dr.Nourin Hameed (105) P#94
(9). Radiology 7th March-2016(Morning) by Dr.Asfandyar Khan Bhittani & Loa Loa(122) P#103
(10). Community Medicine 7th March 2016 (Morning) by Dr.Qaisar Javed (90+85) P#112
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
(1)Medicine & Allied 7th March 2016(evening) by Alizay Khan (181)

1. anterior cruciate ligament is damaged.direction of tibial dislocation on femur is
a. anteriolateral
b. anteromeddiaal
c. anterior (answer)
d. posterromedial
e. posterolateral
2. narrowest point in pediatric airway
a. cricoid (answer)
b. thyroid
c. trachea
d. false vocal cord
e. true vocal cords
3. regarding vertebral column
a. intervertebral disc is thickest in thoracic and lumber regions
b. cervical vertebrae are 7(answer)
c. total 31 vertebrae
d. curvature to side is caalled lordosis
e. prolapse can occur without fracutre
4. pulmonary artery supplies a. alveoli (answer)
5. if thalamus gets damaged,which is not affected
a. sense of olfacton (answer)
b. vibration
c. touch
6. dorsal nucleus of vagus nerve is present
a. upper part of pons
b. lower part of pons
c. medulla (answer)
d. midbrain
7. superior colliculus recieves which sensation
a. auditory
b. visual (answer)
c. hearing
2
8. posterior to urinary bladder

a. anal canal
b. prostate
c. denonvillers fascia (answer)
d. completely covered by peritoneum
e. covered by peritoneum in lower half only
9. dorsal column damaged,which will be least affected
a. touch
b. sterogonosis (answer-NOT SURE)
(temp and vibration were not in options)
10. nerve involved in bell's palsy
a. 7 (answer)
b. 9
c. 10
11. posterior communicating artery
a. passes below the occulomotor nerve and connects ICA and PCA (answer)
b. passes above occulomotor nerve and connects ICA to MCA
c. connects ICA to posterior cerebellar rtery
12. structure passing thru the cavernous sinus
a. CN 3
b. CN 6 (answer)
c. CN 4
13. isthumus of thyroid is situated over which tracheal rings
a. 1,2,3
b. 2,3,4 (answer)
c. 1,2
d. 2,3
14. which muscle gets paralyzed/damaged in temporomandibular joint dislocation
a. temporalis
b. masseter
c. lateral pterygoid (answer)
d. medial pterygoid
e. buccinator
15. fascia deep to parotid gland forms
a. stylomandibular ligament
b. stylohyoid ligament
c. temporomandibular ligament (answer)
16. cardiac plexus
a. formed infront of trachea
b. have preganglionic sympthetic fibers from superior cervical ganglia
c. contain both sympathetic andd parasympathetic fibers (answer)
17. 1st branch of abdominal aorta
a. inferior phrenic (answer)
b. celiac
18. LCX blocked.area affected
a. left atrium+left ventricle (answer)
19. brachial plexus block...pt still feels pain on lateral aspect of forearm.which nerve is
spared
a. axillary nerrve
b. musculocutaneous nerve (answer)
20. structure pierced during spinal tap
3
a. posteerrior longitudinal lig

b. ligamentum flavum (answer)
21. dilatation of aortic arch will compress
a. left bronchus (answer)
b. trachea
c. esophagus
(RLN was not in options)
22. muscles are connected to bones via
a. ligaments
b. tendons (answer)
23. long thoracic nerve supplies
a. lattisimus dorsi
b. serratus anterior (answer)
24. pt with spells of dizziness and diplopia,now presented with coma.what's the
diagnosis
a. subarachnoid hemorrhage
b. carotid arterry obstruction
c. basilar artery thrombosis (answer)
d. pontin hemorrhage
25. axillary artery is formedd by
a. bassilic vein and vena commitantes of brachial artery (answer)
b. cephalic vein and vena commitantes of brachial artery
26. at which level trachea starts
a. c6 (answer)
b. t?
27. jejunum is supplied by
a. SMA (answer)
b. IMA
c. pancreaticoduodenal artery
28. regarding vessels of lower limb
a. cruciate anastmosis is b/w femoral artery and external iliac artery
b. short saphenous starts from medial side of foot
c. long saphenous ends in mid thigh
d. femoral vein is lateral to femoral canal (answer)
29. injury to lateral hypothalamus will
a. increases appetite
b. no effect on hunger
c. decreases hunger (answer)
d. increases hunger for carbohydrates
30. lesion of rt lateral geniculaate body causes
a. left homonymus hemianopia (answer)
b. rt homonymus hemianopia
c. bitemporal hemianopia
31. internal carotid artery
a. ophthalmic branch enters thru superior orbital fissure
b. it enters thrusquamous paart of temporal bone
c. at bifurcation its lateral to external carotid artery then turns medially and posteriorly (answer)
d. pierces diaphragma sella medial to optic nerve
32. bundle of his is supplied by
a. RCA
b. LCX
4
c. rt marginal artery (answer)

33. lymphatic drainage of thyroid
a. deep cervical lymph nodes (answer)
34. in open laparotomy,surgeon recognizes left kidney by
a. dark color
b. begins from T12 to L4
c. anterior relation with stomach,pancrease,descending colon,spleen,jejunum (answer)
d. anterior relation with pancrease,descending colon,spleen,jejunum
35. pt suffering from appendicitis,having pain in right iliac fossa that is reffered to
umbilicus.which spinal nerve root is involved in this reffered pain
a. T10 (answer)
b. L5
36. light thrown in rt eye,direct reflex is present but absence of indirect light reflex.which
structure is involved/damaged
a. rt occulomotor nerve
b. left occulomotor nerve (answer)
c. pretectum
37. linear growth pf bone is affected if following structure is fractured
a. metaphysis
b. epiphyseal line
c. epiphyseal plate (answer)
d. diaphysis
38. abscess anteior to pretracheal fascia.infection can spread to
a. anterior mediastinum (answer)
39. beta endorphins
a. hypothalamus
40. typical scenario of sickel cell anemia with abdominal pain jaundice etc...
a. HB ss (answer)
b. HB sc
41. difference b/w sarcoma and carcinoma
a. pleomorphism
b. inc vascularity
42. ITP scenario was given.splenectomy done.which organism will cause
postsplenectomy reecurrent infections
a. hemophilis influenza
b. staph aureus (answer)
43. hepatitis scenario,viral markers negative,ALT slightly raised,on exaamination there
were some eye findings.what is the suitable dignostic test
a. serum ceruloplasmin (answer)
b. urinary copper
c. HbsAg
d. anti mitochondrial ab
44. patient comes with tender right hypochondrium,stool with occult blood.on
colonoscopy, ascending colon was involved, showing ulcers while other parts of colon
were spared.on histology/microscopy (smthng like that)what will be seen
a. necrotizing vasculitis
b. crypt abscess
c. entamoeba histolytica
d. carcinoma
45. verrrrrryyyy long stem.microscopic findings were given.2 word thats i remember from
those alien features are epithelium and rete ridges
5
a. verrocus carcinoma
b. squamous cell carcinoma(or small cell)
these two were carcinomas. remaining were sarcoma etc
46. child with history of bed wetting though toilet trained.investigations done.at one side
duplication of ureter was found and one of them was opening in vagina.what is the cause
a. early division of ureteric bud
47. coal minning,sand blaster.lon|Achg scenario
a. asbestosis
b. silicosis (answer)
d. anthracosis
48. anxiety is dec by the activation of which receptors
a. GABAa
b. glutamate
c. glucocorticoid
d. nicotinic cholinergic
e. dopamine
49. turner syndrome
a. AR
b. AD
c. gynaecomastiaa
d. short stature (answer)
50. CRF pt died.on autopsy,which organ will show hypertrophy
a. thyroid
b. parathyroid(answer)
51. which cell organelle contain double membrane
a. nucleolus
b. golgi apparatus
c. ribosomes
d. RER (answer-??)
52. fisherman with gingival hyperplasia and echymosis.which one is deficcient
a. vit B12
b. vit K
c. vit c (answer)
53. pt on immunosuppresents.abscess is formed on upper outerr half of arm.after
drainage healing process is verry slow though a month hs been passed.reason
a. dec collagen formation
b. dec neutophil migration
54. slowest growing malignant thyroid Carcinoma
a. papillary (answer)
b. follicular
55. which infusion will inc ECF to maximum extent
a. hypertonic fluid (answer)
b. isotonic fluid
56. steady pressure is detected by
a. meissners
b. ruffinis (answer)
c. pacinian
57. pt with MI.typical sign and symptoms.st elevation in leads II, III and AVF
a. anterior wall MI
b. inferior wall MI
ans: b
6
58. pt with AML undergone bonemarrow transplant....pneumonia...histology showing

large cells with intrcellular inclusions.cause is
a. CMV
b. candida
c. pneumocystic
ans: a I marked
59. child brought by mother,suffering from diarrhea.on examination,rectal prolapsed
was found(finaly a hint was given that worm with small anterior end)
A. entrobius vermicularis
b. trichuria trichuris
c. whip worm
ans: b
60. best indicator of venous return
a. end diastolic vol
b. end systolic vol
ans: a
61. MI pt after 48 hour,found collapsed,no pulse.on ECG irregular waves were seen.whats
the pathophysiology
a. dec cardiac output
b. re-entery current
ans: I marked b
62. subcapsular efferent
a. lymph nodes
b. spleen
c. thymus
ans: a
63. alveoli are kept dry because of
a. alveolar macrophages
b. tight junction b/w capillaries
c. surfactants
d. negative interstitial pressure
64. dead space does not change in
a. shallow breathing
b. deep inspiration
c. standing
ans: a
65. local edema
a. allergy
66. dec GFR
a. inc pressure in bowman's capsule
b. dec hydrostatic pressure
c. inc oncotic pressure
ans: a
67. what is more/high in venous blood as compare to arterial blood
a. PCV
68. long senario,child with hypocalcemia(or tetany),having some cardiaac problems and
lots of viral infections mentioned.
a. NADPH oxidase deficiency
b. 22q-
c. lowCD4
ans: b
7
69. cause of fatty liver in our country

a. hep B and hep C
b. alcoholism
c. fatty diet
ans: a
70. primary active transport
a. pump
b. carriers
c. channel proteins
ans: a
71. corona radiata is formed by
a. granulosa cell
b. theca interna cells
c. theca externa cells
ans: a
72. spermiogenesis
a. primary oocytes form secondary oocytes
b. secondary oocytes form sperrmatids
c. spermatidz form spermatozoa
ans: c
73. renal threshold for glucose
a. 180
b. 200
c. 250
d. 375
ans: I marked c
74. in which condition atrial repolarization is shown on ECG
a. third degree cmplt heart block
b. inspiration
c. during exercise
ans: a
75. on ECG,QRS complex represents
a. ventricular systole
b. ventricular depolarization
ans: b
76. non smoker,fever for 6 weeks and cough with small amount of blood.on xray "Coin
lesion"is seen in upperr lobe
a. small cell carcinoma
b. granulomaa
c. silicosis
77. which structure binds cytoskeleton with ECM.
a. proteoglycans
b. intermediate filaments
c. integrins
ans: a
78. a tall young girl(child) with history of secretion from breast.on microscopy of anterior
pituitary,which cells ar abundant
a. eosinophilic
b. basophilic
c. chromophobes
ans: a
8
79. which valves are most commonly involved in rheumatic heart disese
a. mitral and aortic
80. aseptic endocarditis
a. SLE
b. cancer patients
ans: I marked b
81. pt with muscle weaakness and bilateral ptosis.which investigations you will do
a. Acetylcholine receptors antibodies
b. anti smooth muscles antibodies
(EMG was not in options)
ans: a
82. farmer's lung
a. sugarcane dust
b. grain dust
c. cotton dust
d. tobacco
ans: b
83. hormone responsible for ductal growth and fat deposition in bresat
a. progesterone
b. estrogen
c. prolactin
ans: b
84. heart rate is 75,PR interval is 0.3.if heart rate becomes 225, what will be the PR
interval
a 0.1
b 0.9
c 0.05
ans: a
85. least amount of minerals are found in
a. roots
b. tubers
c. cereal
d. pulses
e. veg(leaves)
86. erythropoietin secretion iss inhibited by
a. cobalt
b. hypoxia
c. theophylline
ans: c
87. which is low in csf as compare to plasma
a. Na
b. osmolarity
c. Cl
d. Mg
e. protein
ans: e
88. cells of chronic inflammation
a. macrophages
b. lymphocytes
ans: a
89. middle aged man presented with meningitis after having lung abscess
9
a. staph aureus
90. which toxin is responsible for scarlet fever
a. exotoxin
b. erythrogenic
c. endotoxin
ans: b
91. serum sodium is regulated by
a. osmoreceptors
92. highest sodium channel conc
a. initial segment
b. node of ranvir
c. dendrites
ans: b
93. in chronic liver disease,which histological finding suggests chronicity
a. fibrosis
b. councilmann bodies
ans: a
94. FFPs used for the acute management of
a. factor 8 deficiency
b. warfarin overdose
ans: b
95. intense transfusion reaction occurs if we transfuse
a. A- to A+
b. A+ to O+
ans: b
96. which prevents muscle from tearing unde pressure
a. GTO
b. muscle spindle
ans: a
97. inverse stretch reflex
98. flexor withdrawal reflex
a. multisynaptic
99. if right atrial pressure is increased
a. increases cardiac output
b. increases intrathrocic pressure
ans: a
100. after adrenalectomy,which is preffered
a. glucose
b. NaCl
ans: b
101. in cell mem of RBCs,CL- and HCO3- exchange occurs through
a. nkyrin
b. band3
c. spectrin
ans: b
102. pt with discoid rash,arthritis and hemolytic anemia.whats most specific
investigation
a. ANA
b. ant ds DNA ab
ans: b
10
103. pt with malaise and raised bp,died b/c of hemorrhagic stroke in basal ganglia.on
autopsy bilateral small kidneys with petecheal hemorrhages,hyperplastic arteriosclerosis
and fibrinoid necrosis.whats the diagnosis
a. fibromuscular dysplasia
b. DM type II
c. systemic sclerosis
d. NSAID induced
104. which one is most pre malignant
a. compound nevus
b. intradermal nevuss
c. seborrhaic keratosis
ans: a
105. old male patient hass history of headache in temporal region.thick cord like vessels
in that area.on biopsy giant cells are seen
a. ESR more than 110
weird options...
106. presynaptic sympathetic fibers release
a. ACH
b. nor epinephrine
c. dopmine
ans: a
107. saliva prevents iron utilization by microbes via
a. lactoferrin
b. lysozymes
ans: a
108. benign tumor
a. leiomyoma
109. pt with left ventricular hypertrophy(smthng like this,finaly asked)what is the cause of
left axis deviation
a. RBBB
b. damaged myocardium of right ventricle
ans: b
110. sulfur containing aminoacids
a. cystine
111. which corneybacterium is common amongst humans
a. diphteriae
112. diphtheria toxin has sever affect on
a. heart
b. brain
ans: a
113. anemic pt, Hb 6.2 platelets 450,000 TLC normal range BME shows erythroid
hyperplasia
a. acute blood loss
b. leukemia
c. iron deficiency anemia
d. anemia of CRF
114. hyperkalemia will increase the secretion of
a. aldosterone
b. ADH
c. renin
d. cortisol
11
ans: a
115. urine osmolarity 1200(or 1400)plasma sodium 120, whats the cause
a. increase ADH
116. urine concentrated in juxtamedullary nephrons.in which part dilute urine will be
present
a. DCT
b. CT
c. thick ascending loop of henle
d. thin ascending loop of henle
ans: c
117. stab wound of chest,what will happen
a. ipsilateral lung collapses and ipsilateral chest wall springs out
b. ipsilateral lung collapses and contralaterl chest wall springs out
ans: a
118. 46 XX pseudohermaphrodite
a. adrenogenital syndrome
119. long scenario,at the end asking bout type of necrosis in brian
a. coagulative
b. liquefactive
ans: b
120. uncoupling of oxidative phosphorylation and heat production,hormone involved
a. thyroxine
121. tumor suppressor gene
a. p53
b. Ras
c. n.myc
d. c.myc
ans: a
122. young male is suffering from syphilis(i think primary mentioned).to confirm the
diagnosis, smple is taken from
a. blood sample
b. genital sores
c. buccal mucosa
ans: b
123. dec heat production during anesthesia is due to(something like this)
a. reduced activity of Na/K pump
b. reduced skeletal muscle tone
c. vasodilation
d. starvation???
124. which factor helps immune system against microbial defense
a. complement system
b. c3b
ans: I marked b
125. occupational carcinoma
a. tobacco factory worker
b. silicosis
c. asbestosis
ans: c
126. abnormalities are common in meiosis.if a complete chromosome is transferred to
haploid cell(dont remember haploid word was present or not)what this abnormality is
called
12
a. trisomy
b. meiotic nondysjunction
127. vagotomy done
a. dec gastric acid and pepsin secretion
128. commonest organism causing UTI
a. ecoli
b. candida
ans: a
129. sweat glands
a. not present in palm and sole
b. innervated by sympathetic nervous system
ans: b
130. Na is major ECF cation.its mostly balanced by which anion
a. HCO3-
b. Cl-
ans: b
131. which is more in dialysing fluid as compare to plasma
a. glucose
b. HCO3-
ans: a
132. which inhibits stomach emptying
a. gastrin
b. CCK
ans: b
133. which causes gall bladders contraction
a. CCK
b. gastrin
ans: a
134. dec gastric secretions
a. gastrin
b. secretin
c. enterogasterone
ans: b
135. what is glycocalyx
a. structural protein
b. carbohydrate moiety
c. receptors...
136. sarcoma as compare to carcinoma
a. spread to bones early
b. in the form of clusters of cells
c. more sensitive to radiotherapy
137. S2 as compared to s1 has
a. high frequency
b. longer duration
ans: a
138. in a standing person,venous return from legs i facilitated by
a. contraction of skeletal mucles
b. valves in veins
ans: a
139. gastric lymphomas
a. H.pylori
13
140. T cell receptor interacts with

a. antigen presenting cells
b. MHC
ans: b
141. median umbilical ligament is remanant of
a. urachus
142. female pt in reproductive age presents with DVT,there is history of taking some
medicine,whcih it could be
a. OCPs
143. ch 9:22 translocation
a. CML
144. dec ESR
a. inc albumin
145. cells of pancrease involved in DM I
a. alpha cells
b. beta cells
ans: b
146. primary biliary cirrhosis,typical senario of female with history of itching ,jaundice
xantoma...investigation
a. anti mitochondrial antibodies
147. hematocrit
a. rbcs+wbcs+platelets
148. achalasia cardia
dont remember options..absent gaglion or something was there which was the right option
149.
150. 2 qstns related to asthma.cant recall
151. lymphatic tumor
a. cystic hygroma
152. HIV patient...tumor
a. kaposi's sarcoma
153. HLA DR4
a. RA
154. scenario of ankylosing spondylitis..asked about association
a. HLA-B 27
155. Antibody receptors are
a. hypervariable regions of H and L chains
156. sympathetic supply to adrenal medulla
(easy qstn so dont remembr)
157. negative mantox test is seen in
a. pt taking immunosuppresents
158. postganglionic sympathetic supply to sweat gland is thru
a. muscrinic receptors
b. nicotinic receptors
159. pre-eclamptic pt,high bp,medicine given before anesthesia
a. nitroprusside
b. hydralazine
ans: I marked b
160. which antiemetic is preffered in pts of chemotherapy
a. odansterone
b. metochlopramide
ans: a
14
161. steady conc of doapmine is achieved in

a. 9 min
b. 2 min
ans: a
162. drug interaction
a. pharmacokinetic only
b. pharmacodynamic only
c. both pharmacokinetic and pharmacodynamic (answer)
163. ranitidine is different from cemitidine as
a. it has less CNS toxicity (answer)
b. less potent
164. systemic fungal infection is treated with a. amphoteracin b (answer),b. ketoconazole
165. alpha adrenergic causes a. mydriasis(answer) ,b. bronchodilation
166. 0.85% saline contains how much NACL
a. 850mg/100ml
b. 85g/L
ans: a
167. dicumarol side effect
a. platelets aggregation
b. inc clotting
c. dec clotting
d. inc bleeding time(i think it was in the options)
168. eye infecton,diagnosed as HSV conjunctivitis...treatment a. trifluridine
169. dexamethasone as compare to hydrocortisone
a. immunosuppression
b. hyperglycemia
can’t recall other options
170. vol of distribution is not affected by a. age ,b. gender (answer)
171. histamine releasing opioid a. morphine (answer),b. tramdol
172. morphine is used in -a. biliary colic -b. terminal cancer pain (answer)
173. thiazide diuretics acts on -a. DCT
174. cox 2 inhibiotor -a. meloxicam
175. antihypertensive acting directly on SA node a. verapamil(answer) b. nifidipine
176. mode of action of cephalosporin
a. dec peptidoglycan synthesis b. inhibit transpeptidase (answer)
177. 2x2 table - a. chi square
178. study conducted to check temp change with general anesthesia over time(smthg
like this)best way to calculate result
a. student t test
b. chi square
c. ANOVA
d. regression analysis
179. 2qstns regarding pts management and doctors behavious....
180. on staining,cytokeratin indicates
a. carcinoma
b. to visualize metaplasia and dysplassia
c. to visualize the contractile elements of cell
d. to visualize the cytoskeletal structures of cell with impending death
181. rt shift of Hb dissociation curve ,if there is dec in a. PH
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15
( 2)Medicine & Allied 8th March 2016 MORNING by Dr Kunza Aslam

Q no.1 : Pacinan corpuscle :
A. high frequency vibration ( ans )
B. low frrequency vibration
Q no 2 : What is used for traveller's diarrhea ?
A. metochlopramide
b. Diphenoxylate ( ans )
Q No3. plantar surface cutaneous innervation ?
A. Sural nerve
B Sephanous nerve
C. posteior tibial nerve ( ans )
Q no 4. Esophagus :
A. Passes theough right crus of diaphragm ( ans )
B. covered by peritoneum on anterior and right surface
C. grooves posterior surface of liver
Note: Peritoneum covers anterior and left side of abdominal part of esophagus. Ref: BD
Churassia
Q no 5. Aneurysm of aorta at diaphragmatic hiatus compresses
A. azygous vein and thoracic duct ( ans )
Q no 6. HR = 70 , CO 5.6 L , EDV = 160 ml ,, calculate EF ?
a. 0.5 L ( ans )
b. 0.05L
Q nO 7. female met an accident , her son and husband died , afterwards she had night mares
and amenorrhea .
A. increased ACTH ( i marked )
B. low CRH
C. low dopamine
--> It is an Asim bcq but that's key was " increased CRH"
Q NO. 8: female met an accidnt , whiplash injury ,, damaged C5 and C6. what will be affected
a. flexion at elbow ( ans)
past paper question
Q no 9 : stab wound at the right of xiphisternum at the level of 6th costal cartilage , will
penetrate which heart chamber or major venous channel ?
a. right atrium
B . Right ventricle
C. IVC
Q no 10: Fetal heart differs from adult heart by ?
A. left atrium has more pressure than right atrium
B. septum primum and secundum fuse to complete separation between common atria
C. fused endocardial cushions divide right and left atrioventricular canals (I marked )
D. sinus venosus carries blood from Pulmonary artery to arch of aorta
Q no 11. Antacid decreasing gastric motility
a. Alluminium hydroxide ( ans )
Q no. 12: lithium is a toxic antipsychotic. when should it be stopped ? ( dont remember the exact
statement )
a. when levels more than 1.2mmol
B. coarse tremrs
C. nausea and vomiting
D. hypothyroidism
16
Q no 13: causing patchy demyelination and peripheral neuropathy ?

A. Lead
B. Co
Q No 14. maximum renal tubular transport maximum (Tm) is for :
A. sulphate
B. lactate
C. urate
D. Phosphate
Q N0 15.. female breast feeds her child . what would happen due to continuous suckling ?
A. failure of primordial follicles to mature (ans)
b. decreased prolactin
Q no 16. in X ray right border ofheart is formed by
A. SVC
B. right Atrium
Q no 17. bile salts are absorbed from
A. ilium
Q no 18. severe steatorrhea will result from
A. terminal ilium resection
B. total pancreatectomy (ans )
Q no 19. amino acids are absorbed from kidney via
A. primary active transport
B. secondary active transport (ans)
Q no 20. Common btw diazepam and chlorpromazine
A.sedation
B.extrapyramidal side effects
C. Parkinsnism
D. Dependence
E. Skeletal ms relaxation
past paper q.
Q no 21. anti emetic with highest bioavailability
A. metoclopramide (ans)
B. ondansetron
Q no 22. vessel lying close to LAD , prone to injury during surgery is
A. great cardiac vein (ans )
B. middle cardiac vein
C. oblique cardiac vein
Q no 23: purine metabolism end product :
A. uric acid
Q no 24 : Pt on ATT , cant differentiate btw red and green . which drug is responsible ?
A. ethambutol ( ans )
B. INH
Q no 25 . regarding pertussis most likely ?
A. infants are susceptible from the time of birth
B. DPT has no protective value
c. Nasal and bronchial secretions are highly infectious ( I marked bcz maternal immunity is
protective for first 6 months)
Qno 26: sympathetic post ganglionic fibers release Ach :
A. sweat glands (ans )
Q no 27: chemotaxis involves
A. Migration (ans)
B. Margination
17
Q no 28: in blacks , comlication of wound healing

A. keloid formation
(past paper q )
Q no 29. most aggressive CA :
A. SCC
B. BCC
C. melanoma (ans )
Q no 30. Ventricles are completely depolarized in
A. QRS
B. ST segment (ans)
past paper q
Q no 31 : proteins dont appear in urine because of
A. basement membrane (ans )
B. mesangium
c. podocytes
(nothing about negative charge mentioned )
Q no 32. tachyphylaxis
A. rapid decrease in responsiveness to drug (ans )
B. radual decrease in response
C. shown by morphine
Q no 33. after cell injury , cellular swelling occurs due to
A. water comes inside the cell from surroundings ( ans )
B.protein accumulation in cells
C.lipofuscun accumulation
D.glycogen break down
Q no 34. RBC antigens
A. secreted in saliva ( ans )
b. are agglutnins in hemolytic reactions
nothing about glycolipid or glycosphingolipid mentioned
EXPLANATION: antigens areAgglutinoGENS
antibodies are AGGLUTININS
Q no 35 . Asian man develops asian kind of cholangitis. he is at risk of developing
cholangiocarcinoma . cause ?
A, oncocerca volvulus
B. chlonorchis sinensis ( ans )
Q no 36 . measels will cause
A. Subacute Sclerosing pan enencephalitis ( ans )
B. progressive multifocal leukoenencephalopathy
Q no 37. 22 yr old sexually active , reported to have been in contact with syphilis positive , how
would his physiciann know about him having contacted the disease ?
A. chancre on penis
B. gumma on testicular biopsy
C. condylomata accuminatum
---> answer is chancer.. although biospy would be diagnostic , but first go for non invasive
procedure.
Q no 38 . trachoma caused by
A. chlamydia trachomatis
Q no 39. Sulphur containing amino acid :
A. methionine ( ans )
Q no 40. Chandkians scenario : Dr divided some group on age bases and then randomly
allocated them in different groups
18
A. Stratified random sampling

Q n 41. Temporal lobe lesion will affect most ?
a. Memory ( ans )
B. olfaction
Q no 42 : Pt has left hand tremors and increased propensity to fall towards left side . where is
the lesion ?
A. Left cerebellar hemisphere (ans )
B. Right cerebelar hemisphere
Q no 43, primary brain vesicle
A. Diencephalon
B. Mesencephalon ( ans )
C. metencephalon
D. prosencephalon
E. myelencephalon
Q no 44. X ray shows lobar pneumonia . How to diagnose ?
A. sputum culture ( ans )
Rabia ali MCQ
Q no 45 : what is allele ?
A. non identical genes at same locus
RAbia Ali Mcq
Q no 46: hemorrahge . after compensation what will decrease ?
A. heart rate
B. cardiac contractility
C. venous capacitance ( I marked )
D . BP
Q no 47 : increase in EF decreases ?
A. ESV
Rabia ali mcq
Q no 48. what causes conversion of chondrocytes to osteocytes.. ( dont remeber the exact stem
, but it was like what increases the bone growth )
A, somatotrophs ( I marked )
B. thyroxin
Q no 49 : BMR in resting condition maintained mainly by ?
A. liver ( I marked )
B. Heart
C. Kidney
D.Brain
Q no 50 : most common cause of pulmonary infarction and DEATH ?
A. thromboembolism ( I marked as per previous discussions on group )
B fat embolism
Q no 51 : Pt post MI develops cyanosis. what is the cause ?
A. ventilation perfusion mis match
( the best option among other options which pointed towards pulmonary embolism )
Q no 52. Intervertebral discs
A. make 1/ 4th of the lengthof vertebral column ( i marked )
B. made of hyaline cartilage
c. something about annulus fibrosis composition
D. something about size of discs during day and night
Q no 53. decreased GABA in Globus pallidus and substantia nigra ?
A. Chorea
B. Athetosis( ans )
19
C. parkinsonism
Q no 54. Immunological test done for
A. hydatid cyst ( ans )
B. amoebic liver abscess
Q no 55 : Child with Down sndrome. One of the parents has chances of having ?
A. Robertsonian translocation ( i marked )
B. reciprocal translocation
C. mosaicism
Q no 56 . Central chemoreceptors respond to
A. CSF ph
B. pCO2 in cerebral veins ( ans )
Q no 57. patellar tendon tapped. what will appen ?
A. increased 1b afferent firing
B. quadriceps femoris will contract ( ans )
Q no 58 : Alpha agonistic activity will cause ?
A. contraction of radial muscles of iris ( ans )
Q no 59 : Heparin primarily works through :
A. anti thrombin 3 ( ans )
B. factor X
past paper q
Q no 60. most common site of obstruction for hydrocephalus
A. Aqueduc of sylvius ( ans )
B, inter ventricular foramen
C. foramen of Luschka
Q no 61 : Ascending reticular formation located in
a . floor of aqueduct of sylvius ( ans )
b. Cortex
C. Hypothalamus
past paper q
Q no 62. Middle meningeal artery
A. passes through foramen spinosum (ans )
B. divides at pterion
C. causes subdural hemorrhage
Q no 63. Human blood :
A. platelet more in no than RBCs
B.RBC larger than WBC
C. RBCs are biconvex
D, Iron is mainly in haemoglobin (ans)
Q no 64 : In parenchymal organs , iron is stored as
A, Ferritin ( ans )
B. hemosidrin
Q no 65 . Pt has facial congesion , lung CA diagnosed to be small cell (oat cell) CA , it will show
increased
A. ACTH ( ans )
B. PTHrP
Q no 66 : Patient taking propranolol develops increased PR interval . what is the cause ?
A. Drug induced 1st degree heart block ( ans )
Q no 67 : Pt given one litre N/S , what will happen?
A . decreased urinary osmolarity
B.increased plasma osmolarity
C. increased urinary osmolarity
20
I dont remember the rest of options. it is quite a possibilty that the right one is missing here.
osmolarity remains same , aisa koi option nahi tha. Aongst all , A looked best to me and i
marked that.
Q no68. Free nerve endings ?
A. non encapsulated
Q no 69. Osmolarity of Human plasma ?
A. Similar to 0.9 % N/S ( ans )
B. similar to 0.5 % Dextrose
Q no 70. Structures which prevent communication of un wanted materials between cells ?
A. Tight junctions ( ans )
B. zona adherens
C. desmosomes
D. gap junctions
Q no 71. Common btw skeletal and smooth muscles ?
A. increased Intra cellular Ca before contraction (ans )
B. both are striated
C. sarcomeres
Q no 72. long bone mostly fractured ?
A. tibia ( ans . bcz it is asuperficial bone , most part uncovered by muscles )
B. femur
Q no 73. post ganglionis sympathetic fibers are present in
A. cervical
B. thoracic
C. lumbar
D. sacral
E. all spinal nerves ( ans )
it is a Rabia Ali q.
Q n 74. First bone to ossify in inrauterine life ?
A. femur ( I marked )
B. Clavicle
Q no 75. Smoking is associated with
A. thromboangiitis obliterans ( ans , it is also called BUERGER disease )
B. takayasu
C.giant cell arteriti
D.wegners granulomatosis
E.PAN
Q no 76. which of these is not synthesized by post ganglionic sympathetic fibers ?
a. ach
B. dopamine
C. nor epinephrine
D. Epinephrine
E. L.Dopa ( answer )
Q no 77 : 90 % of anthrax infections are associated with
A. Cutaneous lesions ( ans )
past paper q.
Q no 78 : Bromocriptine reversed amenorrhoea . how ?
A. acts as dopamin agonist ( ans )
B. increases prolactin
Q no 79 : first factor that goes in Vit K deficiency ?
A. factror 7 ( ans )
Q no 80 : Leydig cells
21
A. make sperm testis barrier

B. mainly reside in seminiferous tubules
C. have high level of SER ( i marked )
D. cause sperm maturation
--> Sertoli cells make blood testes barrier and provide nourishment to the sperms
Q no 81 : structure that passes through posterior mediastinum ?
A. thoracic aorta ( ans )
B. SVC
C. thymus
Q no 82 : thalasemia suspected in fetus , how to diagnose ?
A. Chorionic villous sampling ( I marked )
B. maternal blood for fetal RBCs or antigen ( dont remember exactly )
C. materal urine for fetal hb
D. maternal Hb electrophoresis
no 83: Primigravida taking iron tablets , lots of fresh vegetables and juices .. what deficiency she
is at risk of developing ?
A. Ca ( i marked )
B. vit B12
C. folic acid
D. vitamin E
E. vitamin B1
Q no 84 : Pt awake with eyes closed, EEG on occipital leads will show
A. alpha waves ( ans )
Q no 85 : Fisherman only eating fish and rice , anemia. MCV 106. Some neuropathy sign.stool
shows ova. Cause ?
A. Diphylobothrium latum ( ans )
Q no 86: Scalenus anterior
A. Phrenic nerve passes anterior to it.( i marked )
B subclavian vein passes behind it
C.attached to outer border of 1st rib
Q no 87 : Main support of uterus.
A .transverse cervical ligamant ( ans )
B.round ligament
C.broad ligament
Q no 88: antioxidant vitamin
A. vit e ( ans )
B. Vit A
C: Vt C
q no 89 : not a part of natural immunity
A . plasminogen ( ans )
b. interferon
Q no 90 ; .person standing from sitting position , Heart rate increases due to
A.dec firing rate frm baroreceptor ( ans , confirm )
B. increased firing rate from baroreceptors
Q no 91 : Viruses cause cancer by doing alteration in
A . Nucleic acid ( I marked as it is another name for DNA and viruses cause cancer by altering
DNA and thus they alter protein synthesis )
B. oncogene
C. proto oncogene
Q no 92 : Pulmonary artery supplies
Primary bronchus
22
secondary bronchus
terminal bronchiole
Alveoli ( ans )
Q no 93 : septic shock caused by
A.gram negative bacteria ( ans )
Q no 94 : .hamartoma?
A.totally benign ( ans )
B. presence of gestric tissue in meckel's
Q no 95 : .myeloperoxidase present in
A.neutrophills ( ans )
Q no 96 : Thorn prick on leg. Abscess develops
A. Staph aureus ( ans )
Q no 97 : metastasis occurs due to
.1loss of E cadherin ( ans )
2. Migration of tumor cells
Q no 98 : Medical ethics
A. Moral of professional conduct ( ans )
B.same as hippocratic oath
chandkians mcq , i guess
Q no 99 : Pt with bee sting.after 4 hours , he has periorbital edema , Hypotension bp 100 by 6o.
Pulse 110(delayed anaphylactic reaction ban rha tha ) what to give ?
A. IM adreanline
B. Hydrocortisone
Q no 100 : Pulse pressure decreases in
A. Increased capacitance of arteries
B. Dec stroke volume ( i marked )
b was best amongst all.. i dont remember the rest of options
Q no 101 : Extra systole what will happen
A."Dec pulse pressure bcz of decreased stroke volume"
i cant recall the rest of optios.
Q no 102 : . Trigeminal nerve
A . Supplies temporalis ( ans )
B. Supplies angle of jaw
C. Has 3 roots
Q no 103 : blood supply of interventricular septum
.a)anterior interventricular artery ( ans , as /3rd part is supplied by it )
b)post interventricular artery
Q no 104 : Acute mild rejection of heart transplant. What will be the finding there ?
A. Inc neutrophils
B. Inc lymphocytes
cant remember the other options
Q no 105 :PPD test . Induration will have cells
A. T cells and macrophages ( ans )
Q no 106 : Increased risk of cancer in HIV positive pt
A. Uterine cervix ( ans )
Q no 107 : Pt pap smear hpv positive. After 2 years , increased nucleus size , prominent
nucleoli . What is it
A. Dysplasia
Rabia ali mcq
Q no 108 : After chemo, cancer cells die , nucleus and cytoplasm shows fragmentation. What is
the mechanism?
23
Apoptosis ( ans )
Q no 109 : .Pt cant see the left temporal and right nasal fields. Where is the lesion ?
A. Right optic tract. ( ans )
B. Left optic tract.
C. Rt optic nerve
Q no 110 : Skin related CA in HIV
A. Kaposi sarcoma
Q no 111 : . Factor 8 is synthesized by
A. Endothelial cells (ans)
B. Hepatocytes
Rabia ali mcq
Q no 112 : . Echo virus causes
A. Meningoencephalitis ( ans )
Past paper q
Q no 113 : Female swelling infront of neck.. hypothyroid. Dr orders some immunological test.
What is the diagnosis ?
A. Hashimoto thyroidits ( ans )
B. lymphoma
Q no 114 : Poliomyelitis
A. Affects anterior horn cells (ans )
B.reaches cns through nerves
Q no 115 : .Spinal cord
B. In neonates ends at L3 ( i marked )
C. Central canal extends into the filum terminale
D. Filum terminale ends at S2
Q no 116 : .Myxoid degenration
A. Mitral valve prolapse ( ans)
B. Libman sac
C. Marantic
D.infective endocarditis
Q no 119 : Correct sequence of events ?
A. Damaged valve, thrombus , perforation , emboli
B. Damaged valve , perforation , thrombus , bacteremia
C. Damaged valve , bacteremia , thrombus , perforation
D. Bacteremia , thrombus , perforation , emboli
( bht zyada resemble krti thi options )
Q no 120 : pt with cancer T4N1M1 , such that these pts have low survival rate. What will be
common to such pts ?
A. Cachexia ( i marked )
B. HCC
C. cervical CA
Q no 121 : Scenario of TB. Like X ray p kuch findings thi .. easy scenario tha. They asked about
type of hypersensitivity ?
Type 4 hypersensitivity (ans )
Q no 122 : what is the landmark for pudendal nerve block ?
1.sacral promontory
.2.ischial spine ( ans )
3.ischial tuberosity
4. Pubic tubercle
Q no 123 : Winging of scapula caused by damage to which nerve ?
Long thoracic nerve ( ans )
24
Q no 124 : Pt with portal HTN , ascites and dilated abdominal veins. What vein is involved ?
A . IVC
B. Portal vein ( I marked )
Q no 125 : Pt given oral anti coagulant. How to monitor
A . PT ( ans )
B. aptt
INR was not in options
Q no 126 : Child witj recurrent knee joint swelling and pain. Faxtor 8 was 57 % , i guess and
factor 9 was 8 % ya 18% (dont remember exacctly). What is the disease ?
A. Christmas disease ( ans)
B. Hemophilia A
C. vWb
Q no 127 : 20yrs Female with anemia , hb 6 , retics 10% , spleenomegaly ,peripheral smear
showed microspherocytes. What test to do.
A. RBC survival studies ( i marked ).
B. Uric acid test
C. Coombs test
D. G6PD assay
( Scenario is of Hereditary spherocytosis )
Q no 128 : intravascular hemolysis :
A. Dec heptoglobin levels ( ans )
Q no 129 : Ph 7.5 , hCO3 30 , pco2 40mmHg ?
A. Uncompensated metabolic alkalosis.( ans )
B. Partially compensated metabolic alkalosis
Q no 130 : Tumor due to gene amplification ?
Neuroblastoma ( ans due to amplification of N-myc gene )
Retinoblastoma
past paper q
Q no 134 : . Brain venous draiange
A. Dural sinuses( ans)
B. Diploic veinx
C. Emmissary veins
D . Internal jugular vein
E. Petrosal venous sinus
Q no 135 : At which stage nuclei disappear ?
A. Proeryhtroblast
B. Erythroblasts
C. reticulocytes ( i marked )
i dont remember the other options
Q no 145 : Carbon laden macrophages
A. Pneumoconiosis
B. Anthracosis ( i marked )
Q no 146 : Female with some resp issue , non smoker. X ray shows increased translucency.
Alpha 1 antitrypsin deficient. What will be most affected ?
A. Alveolar duct ( ans )
B. Terminal bronchiole
Baqi sare alveolar duct se oper wali respiratory divisons thi or koi alveoli ki option nahi thi
( alpha anti trypain defficiency causes panacinar COPD )
Q no 147 : obstructive pattern disease diagnosed by
A. FEV1/FVC less than 75 (ans )
25
Q no 150 : Obstructive lung disease ka scenario tha. X ray showed increased translucency .
what will increase ?
1. FRC ( i marked)
2. Vital capacity
3.FEV1 /FvC
Q no 151: Pt with septicemia, on ventilatory support. More and more ventilatory pressure
required to maintain ventilation.. x ray shows opacities.
A. Diffuse alveolar damage ( i marked )
B. Intra alveolar neutrophilic exudate
c. Patchy atelactasis
Baqi yad nahi
Q no 152 : pt with lung fibrosis has dyspnea due to
A. Dec diffusing capacity of O2. ( i marked )
B. increased airway resistance
Q no 153 : What is the mediator of allergy ?
A. 5 hydroxy tryptamine
B. Bradykinin
C. Adrenaline
Histamin was not in options
Q no 154 : .Melatonin
A. Increased in day time
B. Produced from tyrosine
C. Increases GNRH release or something like that
I cant recall other options. some say it has some role in puberty. it is better to read melatonin
from somewhere
Q no 155 : .diffusion capacity of O2
A. Less than N2
B. More than CO2
C. Decreases in exercise
D. Decreases in lung fibrosis or something like that
this question options are not properly recalled .. many people chose A but no one was sure
about it.
Q no 156 : Dr pt relationship. What is most important
A. Mutual trust
B.respect
C.clarity
D. Autonomy
E. Clarity
Q no 157 : Pt with HTN , LVH , Creatinine 0.8 , Urea ki b value di hoe thi , BSF 88mg% with
urinary sugar ++ , Na 140 , K 2.5. Cause of HTN
A. Hyperaldosteronism ( answer )
B. Essential HTN
C.diabetic nephropathy
D. Glomerulonephritis
Rabia ali bcq
Q no 158 : Cotton wool spots
A. Diabetic retinopathy (ans)
B. Hypertensive retinopathy
Q no 159 : Tympanic reflex
A. Frequency 20 decibles something like that
B. Requires continuous chain of ossicles
26
C. At very loud voices

I dont remember the other options
Q no 160: 250Hz frequency detected by
A. Pacinian ( answer)
Baqi options me baqi receptors the
Q no 161 : .4 yrs child with meningitis plus rash ( meningococcal meningitis ka scenario ban rha
tha ) treatment
A. 3rd generation cephalosporines
B. 2nd generation cephalosprns.
C. Benzylpenicillin
4. Eryhtromycin
5. 1st generation cephalosporins
Q no 162 : Kid with meningitis then develops bilateral deafness
A. Damage to the neural pathways
B. Rupture of tympanic membrane
C. Damage to organ of corti
D. Altered level of Na in scala media ,something like that
Q no 163 : CSF from normal human being
A. More potassium than plasma
B. Less glucose than plasma
C. Ph comparable with plasma
D. Something about osmolarity
Q no 164 CSF?
A. Proteins from 20 to 40mg per dl.
B. Glucose 120mg /dl
Baqi options nahi yad.
I marked A
Q no 165 : Exudate contains proteins
A. 2 to 2.5mg%
B. 2.5 to 4mg%
C. More than 4mg%
Q no 166 : Dialyzing fluid has more than plasma
A. Glucose
Thori different wording thi.
Q no 167 : . Child with loose skin (shaed, exact lafz nahi yad) with easy bruisability and
defective procollagen 3.what can be the most striking symptom / complication ?
A . Hyperextensible skin
B. Hypermobile joints
C. Problm in articular cartilage.
D. Rupture of large vessels
Q no 168 : Most common cayse of HCC in developing world
A. Hep B plus hep C
B. Hep B.
C. Hep C
Q no 169 : Vasoconstriction caused by
A. ADH ( answer)
B.aldosteron
C. Renin
Angiotensin was not in options
Q no 170 : BP increased by
A. Alpha 1 agonist
27
B. Saralasin
C. Phenoxybenzamine
Q no 172 : Active transport basically involves
A . Downhill transport
B. Uphill transport
C. Atp breakdown something
D. Carrier proteins
E. Carrier protein saturation
Q no 173 : .at site of bifuraction of common carotid , internal carotid artery related to external
carotid
A.posterior
B. Anteromedial
C. Lateral
Q no 174 : External carotid differs from internal carotid
A. Gives branches in neck
Q no 175 : Trauma to face , facial asymmetry , cant close eyes. Nerve damaged
A. Facial ( ans)
Q no 176 : Protrude jaw
A. Lateral pterygoid ( ans)
Q no 177 : Lymphoid mass with stratified sq epi
A. Palatine tonsil ( ans )
Q no 178 : Howship lacunae contain
A. Osteoclasts ( ans)
Q no 179 : intestinal basic electric rhythem
A. Alters in respone to the hormones in circulation ( ye exact statmnt nahi he)
B. Constant in duodenum and and alters in other segments
C. Diminshes during mechanical digestive movemnts
D. Or b ajeeb o ghareeb options thi.
Better to read the topic
Q no 180 : Duodenum
A. Decreases gestruc emptying in response to fatty meal
B. Secretes bile in response to fatty meal
Q no 181 : Dudenal secretions in respomse to
A. When ph less than 4.5
B. High ph
Q no 182 :Not HLA associated
A. Mysthenia
B.graves
C. Type 1 DM
D. RA
E. SS
Q no 183 : Loud S1
A. Mitral insufficuency
B.aortic stenosis
C.RBBB
D. PR interval upper normal limit ,( something like that)
E. PR interval lower normal limit ( somethng liek that)
Q no 184 : Passes infront of pulmonary artery
A. Phrenic nerve ( I marked )
B. Bronchus
C. Recuurent laryngeal nerve
28
D. Pulmonary veins
Q no 185 : Vessel damaged due to close proximity to phrenic nerve
A. Pericardiophrwnic artery
Q no 186 : Fragile X syndrome relatd to
A . Trinucleotide repeats (ans)
B. X chrmosome
Q no 188 : more selective for COX 2 than for COX 1 ?
A. Meloxicam ( ans )
B. piroxicam
celecoxib was not in options
Q no 189 : Ischemia from hepatic flexure to middle of transverse colon
A. Middle colic ( I marked )
B.ileocolic
C. Sup mesenteric artery
D. Marginal artery
Q no 190: Low Ca , high Phosphate, normal alkaline phosphatase
A. Renal failure ( answer )
Q no 191 : Boy with fracture , low Ca (6 tha shaid ). Develops carpopedal spasm on taking BP...
Ca being excreted in urine ( Some value of Ca in urine was given )
A. Vit D deficiency
B. Hypoparathyroidism ( i marked)
Q no 192 :
Superior Parathyroid gland
A. Supplied by sup thyroid artery
B. Lies at middle of posterior border/ surface of thyroid lobe at level of 1st tracheal ring (ans )
C . More variable in postion
D. Just anetrior to pretracheal fascia
Q no 193 : Pus contains
A. dead bacteria
B. dead neutrophils ( I marked )
C. dead lymphocytes
Q no 194 : peripheral nerve damaged , nerve will regenerate at the rate of
A. 0.1 mm/day
B. 0.3 mm/ day
C. 10mm/day
Q no 195 : Glucocorticoids cause
A. decrease peripheral utilization of glucose ( ans )
Q no 196 : Pannus is a feature of
A. RA (ans )
Q no 197 : Heart is most susceptible to fibrillation ?
A. during refractory period
B. peak of action potential
C. starting of action potential
D. Near the end of action potential ( I marked )
Q no 198 : Pt has pericardial friction rub with deranged RFTs . what is the cause of pericarditis ?
A. serous ,B. Fibrinous ,C. exudative
Q no 199. Pt with damaged valves develops fever , splinter hemorrhages ( scenario of IE ), what
is the cause ? A. strept viridanse (ans ) B. Staph
Q no 200: tobacco smoking affects organogenesis during ,A.1 to 3 weeks ,B.3 to 8 weeks(ans)
C.after 12 weeks
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29
(3) Medicine-8th March Evening By Dr.M Tariq Khan & Mudassir Bangash(200)
1. Which structure is embeded in temporal lobe----->>>insula
2.Pseudomembranous colitis is caused by---->>> clostridium difficle
3-Alpha-2-agonist used in ICU for sedation
a. Clonidine
b. Phentolamine
c. Phenoxybenzamine
d. Prazosin
e. Dexmedetomidine (Ans)
4-Ureteric bud is formed as a part of a. Mesonephric duct (Ans) b. Paramesonephric duct
c. Pronephros d. Cloaca e. Metanephros
5-Coccygeal ligament start at---->>> L1
6-About Cornybacterium Diphtheriae select correct One
a. Spore forming
b. Produce Exotoxin (Ans)
c. Penicilline Resistance
7-A 40 years Old man (Hafiz Ullah) from Sibi Balochistan with fever and
Lymphadenopathy with the H/O of sleeping on floor and often bite by flies. On Peripheral
bood film Unicellular structure can be seen. Dx
a. Kalazar (Ans) b. Malaria c. Infectious Mononucleosis
8-Clavulinic Acid is use with Penicilline to
a. Decrease penicilline Resistance b. It inhibit beta lactamase (Ans)
9-Cimitidine -------------->>> Inhibit Hepatic Metabolism
10-Drug that increase LES tone and Increase Gastric emptying-------->>> Metoclopramide
11-Ondasentron M/A was asked
a. Block dopaminergic in ChemoTriger Zone
b. 5-HT3 antagonist (Ans)
12- A scenarion of Man which can't differentiate between colours.Which structure will be
absent
a. Rods b. Cones (Ans) c. Retina d. Optic Tract
13-Vitamin A deficiency first sign----->>> Night Blindness cpsp demo Qx
14-Thiamine cause ------->>> Peripheral Neuropathy (Rabia Ali Qx)
15-TGs highest in ------>>> Chylomicrones
16- A dental surgeon is having pain in his back and MRI shows involvement of Sciatic
nerve. Which intervertebral diac will be involve------->>> L4L5
17- Irreversible step in Glycolysis-------->>> Glucose to Fructose-6-Phosphate
18- Regarding S3 heart sound------->>> Rapid ventricular filling
19-Regarding S4 heart sound--------->>> Atrial Systole
20- A Qx of Middle Meningeal Artery about its supply..Option was confusing can't reacall
21- A scenario of Turner syndrome. Genotype was asked----->>>XO
22-A case of Kilnefilter Karyotype------>>> XXY
23-Partial mole genotype was asked----->>> 69XXY
24-Extra-Ocular mucles of eyes are controlled by which Loop
a. Association loop
b. Orbital loop
c. Occulomotor loop (Ans)
25- Nerve asked, loss of sensation in lower teeth, chin and lower lip
a. Inferior Alveolar nerve (I did)
b. Madibular nerve
26-Retromandibular vein is formed by junction of Maxillary vein and (#PPQ April 2014)
a. Facial vein
30
b. Lingual vein
c. Maxillary vein
d. Superficial temporal vein (I did)
e. Transverse Facial
27-Intracranial and extracranial veins are joined by
a. Emissary Veins (Ans)
b. Cavernous sinus
c. Dipolic veins
28-Systamic Lupus Erythematous typical Scenario , Investigation of asked (ANA was not
in option)------>>> Anti-dsDNA
29-A women was watching a cricket match and develop malar rash. A scenario of SLE
and complication was asked------>>>
a. Pericarditis (I did)/
b. Pulmonary fibrosis
30-A 50 years Old man with arthritis from last 5 years. Left and right cardiomyopathy and
raised Ferritin. Which other investigation will help in Dx
a. Anti-centromere antibodies (I did) confirm it
b. ESR more than 75
31-A 30 years Old multigravida suffer miscarriage at GA 12 week. Whcih will be best
Regime
a. Uterine evacuation (I did) Confirm it
b. Uterine evacuation +FFP+Packed RBCs
c. FFP+Evacuation
32-A man has to undergo teeth extraction and also using Warfarin, which test to be done
a. PT,aPPT,INR (Ans , all three in one option was given) <<Ans>>
b. BT
c. aPPT
d. CT
33-Bleeding time and aPPT prolonged and PT normal--------->>> vWD
34-Another Scenarion with Only BT was prolonged-------->>> vWD
35-How Aspirin protect in Coronary disease------->>> Inhibit cyclooxigenase
36-Situation of SA node---------->>>Upper portion of Sulcus terminalis
37-Thromocytopenia in Children due to Acute Viral infection is becausw of
a. Pooling of platelets in spleen
b. Antibodies against platelets (Ans)
c. Immune Complex in blood
38- A child with Parasite infection, Which cell will increases------->>> Eosinophils
39-APC in Intestinal mucosa--------->>> M Cells
40-Secretions with high PH (Ganong BCQ)
a. Gastric juice
b. Pancreatic juice (Ans)
c. Gall bladder secretions
d. Salive
41-Esophagous epithelium was asked (cpsp demo Qx)------>>> Upper 1/3 sq.
42-Esophagous narrowest at-------->>> Cricopharyngus
43-Enocervix with squamous epithelium-------->>>Metaplasia
44-Benign tumor -a. Warthin tumor
45- Characteristic feature of Malignancy -a. Invasion (Metastasis was not in option)
46-Another Qx of Malignancy I think histopathological feature was asked
a. Pleomarphism (Ans)
b. Inc N:C ratio
31
Metastasis and invasion was not mention in that Qx

47-Alleles are -a. Non-identical gene on same locus
48-True about Nucleus
a. Eucromatin is transcribtively active and form RNA [I did]
b. Hemotoxylin is blue dye which stain nucleus
49-Most radiosensitive tumor
a. Bone
b. Cartilage
c. Lymph node (I did)
50-In long bones from secondary centre of ossification what is formed
a. Epiphyseal plate (I did) confirm it
b. Epiphysis
c. Metaphysis
51-Insulin is blocked by -a. Beta blockers
52-A young boy with undescended testis, it could lead to
a. Malignancy (Ans)
b. Impotence
53-50 years old female with normal living. What will happen post-menopausally-------->>>
Increase FSH & LH
54-Cerebral blood flow at rest
a. 25ml/100mg/min
b. 50ml/100mg/min (Ans)
c. 75ml/100mg/min
d. 100ml/100mg/min
e. 150m/100mg/min
55-Upper and lower limits of cerebral blood flow autoregulation
a. 25-150ml/min
b. 50-150ml/min (Ans)
c. 50-200ml/min
d. 75-200ml/min
56-In some children Dorsalis pedis Artery is missing congenitally. Then dorsum of foot
will be supplied by which artery
a. Plantar Arch
b. Lateral plantar artery
c. Peroneal artery (Ans)
d. Medial plantar artery
e. 1st metatarsal Artery
57-Itching will stimulate (Ganong BCQ)
a. Dorsal column
b. touch receptors
c. C fibers (Ans)
d. A alpha
e. B type fibers
58-Sensation in periphery
a. All must have to pass through reticular formation (I did) confirm it
b. Half will pass through reticular formation
c. Never pass through reticular formation
d. Depending on modalities some pass while other Bypass (???)
59-Masseteric fascia derived from
a. Carotid sheath
b. Pretracheal fascia
32
c. Prevertebral fascia
d. superficial layer of Deep cervical fascia (Ans)
e. Buccopharyngeal fascia
60-A Child got blow at elbow and elbow joint displaced. And loss of sensation over little
finger. Structure involved
a. Medial collateral ligament
b. Ulnar collateral ligament (Ans)
c. Medial meniscus
61- A 35 years old man die suddenly. Autopsy finding nill. Toxicology shows cocaine and
its metabolite in blood. Cause of death
a. Myofibrillar disarray
b. Contarctile band (Ans)
c. Myocarditis
62-Ganglion found at T7 vertebra
a. Pteregopalatine
b. Geniculate
c. Thoracocervical (Ans)
63-Edrophonium most common adverse effect
a. Diaphoresis
b. Dry mouth
c. Nausea (Ans)
d. Euphorea
e. Sweating
64-Damage to first lumbar vertebra will lead to
a. Conus Medullaris Syndrome (Ans)
b. Damage to spinal Cord
c. Damage to sympathetic system
65-In feamle neck of bladder lie
a. Lie above urogenital diaphragm (Rabia Ali BCQ)
66-Most significant cause of atheroma
a. Alcohol
b. Diastolic hypertension
c. Type 2 personality
d. Choleatatoma (I did)
67- The life style patteen of healthy persons from 20 to 30 years of age are studied. A
subset of these persons have a lifestyle characterized by consumption of a lot of pizza
and very little physical activity. Which of the following tissue changes is most likely to
develop in these subset of persons as a consequence of this lifestyle. (Qx is taken from
USMLE forum where Key is D)
a. Fatty Metamorphosis of liver
b. Pancreatic fat Necrosis
c. Fatty degeneration of myocardium
d. Hypertrophy of Steatocytes (Ans)
68-Mediators of pain in acute inflamation
a. Bradykinin and PGs (Ans)
b. IL1 and TNF alpha
c. IL6
69-A lady presented with pain in shoulder and can't ADDuct and Medially rotate
a. Teres Major (I did)
b. Teres minor
c. Supraspinatus
33
d. Infraspinatus
e. Subscapularis
70-A child with infection blood is need for lab studies. Vensection done. Which structure
will be damage
a. Saphenous vein (Ans)
b. Common peroneal nerve
c. Superficial peroneal nerve
71-A man with Bp of 200/100mmHg and glucose level of 200mg/dl, which drug you will
give
a. Linisopril (I did)
b. Furosamide
c. Amlodipine
d. Propanolol
72-Digoxin is DOC for
a. Atrial fibrillation
73-A scenario with P wave was replaced with some irregular wave and irregular R-R and
irregular pulse. Radial rate is less than apex beat
a. Atrial fibrillation (Ans)
b. AV nodal block
c. Ventricular arrythmias
d. Ventricular Fibrillation
e. Atrial fluuter
74-A lady with Hb 6, MCH 36, MHCH 29, MCV 79 fl, HbA 94% and HBA2 4%
a. Iron deficiency anemia (Ans)
b. Thalasemia trait
c. Alpha thalasemia
75-Point mutation cause
a. Sickle cell Anemia (Ans)
b. Alpha thalasemia
c. Huntington disease
d. beta thalasemia
76-In EKG Heart rate is 120/min
a. R-R interval will be 0.5 sec (Ans)
b. QRS complex will be less than 0.02 sec
c. T wave will be greater than 2 mv
77-A lady with mild fatigue since 5 years Hb 11, MCV 104 fl, AST 80 and ALT 85 all other
values are normal. Heptoglobulin 88 Reticulcytes 0.7& Billirubin1.2
a. Hepatitis C infection (I did)
b. Vit B12 deficiency
78- A man with itching and jaundice Direct billirubin was raised
a. Typical case of extrahepatic cholelithiasis
79- Mechanoreceptors of Warm----->>>Long receptive field
80-Cutaneous and Gracillis damage will result---->>>Asterognosia
81-A lady with 6 week of German measles---->>>Cataract
82-Mother gives birth to a child with cataract. Which infection she had during pregnancy-
----->>>Rubella
83-WBC adhesion molecule------>>>FLA-1
84- A Qx of transplant (nasty one)
a. if both donor and recipient with CMV antibodies positive should not be done
transplantation
b. Cyclosporin should be given after transplant to suppress CD8 cell proliferation
34
c. HLA-1 is more important than HLA-2 (Ans Ref Goljan page 41)
85-Norepinephrine is released at
a. Presynaptic nerve endings (Ans)
b. Post ganglionic sympathetic
c. Parasympathetic Preganglionic
d. Preganglionic Sympathetic
e. Presynaptic adrenal medulla
86-During wound healing strength is provide by (exact statment) ---->>>Type 3 collagen (
Ref Kaplan Anatomy)
87-Articular surface has which cartilage----->>>Hyaline
88-Elastic cartilage is found at------>>>Epiglottis
89-Preganglionic Presympathetic fibers----->>>
a. B type (I did)
b. A type
c. C type
90-Reticular connective tissue is present in
a. Tonsil (I did)
b. Dermis
c. Salivary
91- Regarding Vitamin A, Retinoic acid act as
a. Vitamin A (I did)
b. Is toxic
92-Reagarding QRS complex----->>>Occur prior to ventricular systole
93-Paraneoplastic syndrome---->>>Small cell lung Ca (I did)/ Pancoast tumor
94-Diastolic murmur and weak radial pulse---->>>Aortic Regurgitation
95-A man with chest pain from last 3-4 hours which enzyme will be raised
a. Cpk-MB (Ans)
b. CPK
c. LDH
96-Glucocorticoides does
a. Deamination of Amino Acids
b. Dec uptake of Amino acid in liver
c. Dec glucose utilization (Ans)
d. Inc fatty Acid in blood
e. Inc protein Anabolism
97-A man having Hep C on histology eosinophilic granules in cytoplasm with compact
chromatin
a. Apoptosis (Ans)
b. Necrosis
c. Fibrosis
98-Exophthalamus is due to
a. Inc TSI (Ans)
b. Inc T3T4
c. Inc thyroglobulin
99-Which microorganism cause Malignancy in GIT----->>>H.pylori
100-Apoptosis is by------>>>Activation of caspases
101-In Thyrotoxicosis (inc thyroxine) what metabolic activity happen
a. Gluconeogenesis (I did)
b. Lipogenesis
c. Protein synthesis
d. Atherosclerosis
35
102-Which drug is inducer------>>>Phenobarbitone

103-One Qx was about inhibitors----->>>Ketoconazole
104-A 2 years boy presented with pallor and bowel disturbance. No physical findings
seen. What lab investigation to be done
a. Serum Vit12???
b. Intrinsic factor (I did) confirm it
105- Benzodiazepine cause----->>>Dependence
106-Thiazide Diuretics cause------>>>Hypokalemia
107-Osmotic drugs act on------->>>PCT
108-Maximum glucose and Amino acid are reabsorbed in ----->>>PCT
109-Resection of ileum more than 100cm will cause----->>>Dec absorption of bile salts
110-Supply of midgut, Root value was asked
a. T8-T12 (I did)
b. S2S3S4
c. T6-T9
d. Greater spanchnic nerve
111-A patient with tremor, gait disturbance, bradykinesia, rigidity. Nueron affected------
>>>Substancia Nigra
112- PICA damage, blood supply of which part will be affected
a. dorslateral of medulla [Ans]
b. Pons
c. Midbrain
d. Cerebellum
113-Aphasia due to which lobe involvment [<<Frontal lobe wasn't in Option>>]
a. Temporal lobe (Ans)
b. Parietal lobe
c. Occipital lobe
114- In summer in a fasting man concentrated urine is formed due to
a. Secretion of ADH (Ans)
b. Sweating
c. Dehydration
115- In severe dehydration
a. Whole body fluid will be low (I did)
b. ECF will be low
c. ICF will be low
116-A man with heavy sweating along with that he took 2L of water. What will increase
a. IC volume (I did)
b. EC volume
c. IC osmolarity
d. EC osmolarity
117-Plasma osmolarity is decreased by
a. Vasopressin (I did)
b. Isotonic saline
c. 20% Albumin
d. Hypertonic solution
118-A boy with protein greater than 3.6g with proteinuria and edema---->>>Dec colloid
osmotic pressure
119-About neutrophils------>>>
a. Active phagocytes in blood (I did)
b. Move in and out of circulation
120-ESR decrease with ------>>>Inc Albumin (Ans)
36
121-One Qx of Autoimmune hemolytic Anemia very confusing and loooooooong one

can't recall it
122-O2 releasing from Oxyhemoglobin is decreased by----->>>Dec temperature
123-Clinical cause of cyanosis------>>>
a. Dec oxygen in blood
b. Dec Hb saturation
c. Inc conc of deOxyhemoglobin (I did) confirm it
124-A person smoker and working in construction , bilateral diaphragmatic lung lesions
on CXR------>>>Abestosis
125-In bronchoscopy which part of bronchus will be seen first
a. Right lower bronchus (Ans)
b. Upper right lobe
c. Apical bronchus
126-A person lying on his neck, aspire a foreign body. Will lodge in ----->>>Apical portion
of right lower lobe
127- A man working in tyre and repairing. Presented with carcinoma. Cause don't
remember exact scenario)
a. Alanine dye
b. Smoking
c. Aromatic amines ( Ans???)
d. Nitrates
128-Virus cause damage by------>>>>Altering protein synthesis
129-2*2 or four values are represented by----->>>Chi-square chart
130- Study of disease against non-disease and looking for risk factors---->>>Case-Control
study
131-Four basic pillar of medical ethics---->>>Autonomy, Justice, Beneficence,
non-maleficence
132- Inc blood flow to muscle----->>>Local metabolite
133-Regarding sigmoid colon 《《《Option A wrong coz continue as rectum at S3》》》
a. continue as rectum at S5
b. Is infront of pelvic brim /Begins at pelvic brim (Correct Answer)
c. It does not have tenia coli
d. Recieve inervation from S1-3
e. In sigmoid no mesocolon
134-Left renal vein is infront of----->>>Aorta (Rabia Ali BCQ)
135-NK cells------>>>Kill virus with prior sensitization
136-Structure loop around arch of aorta------>>>Left Recurrent Laryngeal
137- Left ventricular failure is caused by
a. Aortic valve disease (Ans)
b. Mitral stenosis
c. Cor pulmonale
d. Pulmonary valve disease
138-Which hormone act via cAMP Mechanism
a. Glucagon (Ans)
b. Oxytocin
c. Insulin
d. Estrogen
139-In Auscultation 3rd intercostal space left to sternum
a. Aortic A2 (I did)
b. Aortic A1
c. Pulmonary valve sound
37
d. Mitral valve
(Aortic A2=Erb point=3rd ICS Left)
140-A 25 years old boy complaining of dyspnea on lying down--->>>Retrosternal goiter.
141- A patient with COPD and Po2 55, HCO3 26, pCO2 49 and PH 7.3
a. Type I Respiratory failure with uncompansated Respiratory Acidosis
b. Type II Respiratory failure with uncompansated Respiratory Acidosis (I did)
c. Respiratory Acidosis
d. Type II Respiratory Failure with Compansated Respiratory Acidosis
e. Type I Respiratory Failure with Compansated Respiratory Acidosis
142-Value of FEV1/FEC------->>>0.8
143-In Asthmatic patients what test will be less------->>>FEV1
144- A man with symptoms of Cushing disease------>>>Adrenal Adenoma
145-Best indicator of Renal clearance--------->>>Inulin
146-Both GFR and RPF will be increased------->>>Dilation of afferent arterioles
147-A disease in which Antibodies against post-synaptic ACh receptors------->>>
Mysthenia Gravis
148-A patient got injured and pupil reduced in size can't even dilate in dark-------->>>
Lesion to sympathetic Cervical trunk
149-Severe transfusion reaction ------->>> A+ to O+
150-Atonic bladder lesion will ------>>>
a. Loss of parasympathetic efferent (I did)
b. Loss of somatic nerve supply
151-One Nasty Qx about "Voluntary" Contractions withO motor wil will be activated first
a. Gamma motor will be activated first
b. Both will be activated simultaneously (Ans) confirm it
c. Stretch reflex is inhibited
152-Vitamin required for Fatty acid synthesis ----->>>Biotin
153-Type of fibers in Preganglionic Autonomic fibers----->>>B type
154-A needle piercing mid-axillary line will not damage
a. Levator costrum (Ans)
b. Internal intercostal muscle
c. External intercostal muscle
d. Innermost intercostal muscle
155-Which structure pass through Aortic hiatus----->>>Azygous vein
156-Farmer with linear foot lesion----->>>Cutaneous Larva Migrans
157-Somites
a. Arise from both side of notochord (Ans)
b. Arise from lateral plate mesoderm
c. Arise from intermediate plate mesoderm
158-Intestinal motility is due to
a. Na+ influx due to impulses
b. Nervous stimulation of slow wave
c. Spontanous stimulation of slow wave by Ca+ (Ans) BRS GIT Unit
d. Hormonal stimulation of slow wave
e. Simultaneous summation potential due to Na+
159-In cardiac muscle pleatue is due to
a. Influx of Na+
b. Influx of Na+ and Ca+ (Ans)
c. Influx of Cl-
d. Influx of K+
e. There was no option of K+/Ca+ influx Nor Ca ions influx So B near best
38
160-Na/K pump act by

a. Pump Potassium Against the gradient (Ans)
b. Throw 3K for 2Na
c. When Ca+ increase intracellularly
d. When Na + increase intracellularly
161-Chromatid align at equatorial plate----->>>Metaphase
162-Which Cells have telomerase
a. Germ cells (I did)
b. Endothelial cells
c. Neutrophils
d. RBCs
e. Neurons
163-Regarding alveoli
a. Surfactant avoid collapse of alveoli (Ans)
b. Produce by type II pneumocytes
c. Dec compliance
164-Mean arterial Pressure is------>>>Diastolic plus 1/3 pulse pressure
165-Dermal Artery damage. What compensatory mechanism will happen--->>>
Vasoconstriction
166-Patient with DKA died. Which Oragism responsible---->>> Mucormycosis
167-Gastric HCL from parietal cells is needed for
a. Conversion of pepsinogen to pepsin (I did)
b. intrinsic factor activation
168-Perineal area innervation was asked------>>>S2-4
169-Most drugs are metablized in ------->>>Liver
170-Death due Clostridium botilinum---->>>Paralysis of respiratory muscle
171-Which drug cause HyperUrecemia------>>>Pyrazinamide
172-Hemorragic infarct in
a. Lungs (Ans)
b. Heart
c. Spleen
173-About coronary circulation which is true
a. Veins have similar names with arteries
b. Arteries runs in respective atrioventricular grooves (True)
c. Anastomosis occur at arteriolar level
174-Test for Typhoid fever in 6 days----->>>Blood culture (BASU)
175-True about Osmosis (I think 2 Options was true which are given)
a. Is passive process
b. Pressure depend upon Number of solute (I did)
176-Which of the following Aid to immune system to kill bacteria----->>
a. Complement system (I did)
b. Opsonins. {{This Qx was repeated in paper of all specialities on both 8th and 9th March}}
177-A man with no cough and fever CXR show diffuse lung fibrosis
a. Smoking
b. Organic dust
c. Inorganic dust (Ans)
d. Radon
178-If core temperature of body fall, body response will be
a. Decrease BMR
b. Shievring
c. Anterior hypothalamus activation (Ans)
39
d. Vasodilation
179-Which drug cause Hypoglycemia most rapidly
a. NPH (I did)
b. Glibenclamide
c. Metformin
d. Insulin lente
180-41% Hematocrit means----->>>Composed of RBCs, WBCs and platelets
181-Spreading of tumor to other sites-------->>>Destruction of E-Cadherin
182-Internal carotid artery
a. Choroidal artery to lateral ventricles
b. Run sidewall of cavernous sinus
c. Anterior choroidal is its branch which supplies anterior and inferior temporal lobe (Ans)
183- True about Supernumary cervical Rib----->>>Compress brachial plexus and subclavian
vessels
184-A female with blurred vision etc case of Multiple Sclerosis----->>>Demyelination of
neurons
185-Node of Ranvier------>>> Lack of Myelin sheath
186-Qx about tuberculin test (Negative)----->>>Taking immunosuppressive drugs
187-Control of ventilatory drive under drastic dec in O2------>>>Apneustic centre in medulla
(I did)???
188-MCC of global blindness
a. Bacterial infection (I did Rabia Ali Key)
b. Viral infection
c. Chlamydial infection (???)
189-Amylodosis in plasma Cells. What will appear in Urine----->>>light chain
190- I think one Qx of cell injury----->>>Glycine AA
191-Esophygeal phase of swallowing is affected in which disease---->>>Scleroderma
192-Thyroid Glands are enclosed in Which Fasica----->>>Pretracheal fascia
193-A 55 years old male with painless hematuria and Transitional cell carcinoma of
bladder---->>>Tobacco Smoking
194-Sympathetic Overactivity cause-------->>>Bronchial dilation
195- In lumbar puncture which structure will be damage----->>>ligamentum flavum
196-One Qx of Anencephaly----->>>Failure of Neural tube
197-Left Adrenal vein drain into----->>>Left Renal vein
198- A Qx of women with writing problem, site of lesion asked---->>>G.palidus
199-Tachycardia and Hipotension after Tonsillectomy (#PPQx) ----->>> Hypovolemic Shock
200-Which preserve body in state of shock "As a whole" ( famous Qx discussed on Page
many times) ---->>>CNS ischemic Response
thanks and all the best
remember us in your prayers
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
40
(4)Surgery & Allied 7th March (Evening) by Dr.Hasnain Afzal (197)

Mix paper 1 n 2 evening session
Correct Answers Marked with Asterik (*)
I have marked most of the answers. But do not consider this final. There may be mistakes.
Kindly read topics, and then follow what you think is best and seek senior’s guidance too.
Thankyou.
1. Premalignant lesion
A. Intradermal nevus
B. Compound nevus.*
C. Seborrheic keratosis
2. Regarding middle meningeal artery most appropriate....

A. Involved in extradural hemorrhage. (I marked)
B. Can be fairly located outside the skull at pterion...
C. Enters middle cranial fossa through foramen spinosum...
D. Grooves inside of skull
E. Supply supratentorial dura
MOST EASY- STILL THEY MADE IT CONTROVERSIAL All are true
3. Minerals not found in or minerals with low bioavalibility

A. Green Vegetables..
B. Cereals
C. Pulses...
D.tubers
E. Roots
4. Medial boundary of ischiorectal fossa.

A. External anal sphincter*...
B. Levator ani.
C. Ramus something(not sure)
5. Boy with h/o trauma to perineal region, swelling in scrotum and ant. Abd wall but didnt go to
thigh. Rupture of..
A. Membranous urethra. ..
B. Bulbar urethra*...
C. Neck of urethra...
D. Perineal body..
E....
6. Turner syndrome...
A. Short stature*. B. Autosomal dominant ...c. Autosomal recessive.
7. Pseudo hermaphrodite. With 46xy.....

A. Adrenogenital synd.*
41
8. Abdominal aorta.
a. Gives renal arteries at L2*. B. Lateral br. To parieties c. Present on the right of ivc...
9. Hepatic artery bile canaliculus and vein something .

exact stem not remembered.
a. Classic hepatic lobule b. Simple acinus .c. Compound acinus. C. Principal acinus
10. Stab to chest...air in pleural space will cause.

a. Lung to collapse and chest wall to sprung out.*
11. Dead space doesnt change in

A. Standing. B. Shallow breathing.*
12. Regarding 1st lumbrical.

A. Arises from 2nd metacarpal b. Bipennate. C. Attaches to radial side of index finger. D.
Attaches to proximal phalanx*
13. Lateral thenar muscles spared but other short muscles of hand paralysed. Injury?
A. Ulnar*. B. Median .c. C5 c6. D. C8 t1
14 axillary artery.
a. Lateral to pect minor. B. Post to pect minor*.c lat. To lat. Cord of brachial plexus..
15. Infection ant. To pretracheal fascia spread to .

A. Ant. Mediastinum*. B. Sup. C. Post. D. Neck maybe. E. Middle
16. Sarcomas.
A. Spread to bone.
B. Clumps/clusters
C. Radiosensitive
D. Aggressive
Read yourself- controversial
17. Primitve streak mesoderm migrates to anterior abdominal wall and around cloaca. A rupture
of this mesoderm cranially will produce
a.ectopic anal opening*
b. Imperforate anus
c. Rectovesical fistula
D. Bladder exstrophy.
E. Hypospadias.
18. Hbeab +ve, hbcab +ve. Igm -ve. Hbsag -ve

A. Acute resolving hepatitis.*
B. Chr hep. ..repeated mcq from asim shoaib iguess.
19. Systemic fungal infection .drug given.

A. Amphotericin*
b. B.ketoconazole.
42
20. Vitamin a.
A. Rhodopsin*. B. Collagen synthesis. Other options not remembered.
21. S2 in comparison to s1 sound.

A. Inc. Frequency*. B. Longer duration. Other options.....???
22. B/l recurrent laryngeal nerve cut. Muscle spared.

a. Cricothyroids*. B. All other arytenoids were in
Other 4 options.
23. Superficial cardiac plexus.

a. Contain both symp n parasympath*. B. Parasympath mainly. C. Contain fibers from all
heart/vagal?? Nerves.
24. Gastric ulcer pain.

A. Greater splanchnic*. B. Lesser splanc. C. Least splanch.
25. Appendicitis pain radiates to umblicus thru.

A. T10*
26. H/o fall bladder incontinence unable to void urine. Spinal segment involved.
a. S2s3s4.*
B.s1ss2s3.
C. L5s1s2.
27. Neck of fibula fracture. Dorsiflexion n eversion gone.

a. Common peroneal n*.
28 excessive eversion lig. Ruptured.

A. Deltoid.*
29. Person standing. Venous return from legs mainly facilitated thru.
A. Venous valves.
b. Contraction of sk. Muscles*. C. Other options...??
30. Medial side of arm stabbed. Flexion n supination affected.

A. Musculocutaneous n.*
31. Mediolateral episiotomy. Structure cut.

A. Bulbospongiosus muscle.* B. Levator ani muscle...c. .???
32. Regarding withdrawal reflex?

A. Relaxation of flexor muscles
B. Stretch of muscles(option not correctly remembered)
C. Multisynaptic*
33. Tension in the muscle is limited by

a.golgi tendon organ*
43
34. Alpha adrenergics causes.

a. Mydriasis*. B. Bronchodilation. C. Lipolysis.
35. Due to stress of surgery inc peripheral something is due to secondary action from.
a.acth*. B. Serotonin. C. Cytokines.
36. In crf unlikely

A. Hypophosphatemia*
37. Opsonin.
A. Fc igg and c3b* . B. Fab igg. C3b. C. Others like these options.
38. Tcell receptor complex bind with.

A. Mhc*. B. Apc.
39. Gluteus medius n minimus.

A. Abduct n medially rotate.*
40. Ciliary body .

A. Pigment epithelium produces aqueous humor.
b. Pigment epi of retina is cont. With pigment epi of ciliary body.*
C. Non pigment epi produces aq. Humor....
D. Supplied by short ciliary arteries
41. Isthmus infront of.

A. Rings 2 3 4*. B. Rings 3 4 . C. Rings 2 3
42. 4ml vial of 2percent lidocaine.. Total lidocaine.

A. 80mg*. B.8mg. C.2mg.
43. 0.85percent nacl is equal to.

A. 850mg/100ml* b. 85mg/1000ml...options not remembered
Correctly.
44. St elevation v4. Artery involved.

A. Lad.* B. Lt.circumflex. C. Rca.
45. Lt.circumflex artery involved in mi. Old mi with new mi. Area involved.
A. Lt. Atrium n lt. Ventricle.*
46. Bundle of his blood supply.

A. Rca*. B. Main lca. C. Interventricular br of lca. D. Marginal art.
Controversial-Read yourself
47. Most commonly involved heart valve.

A. Aortic. B. Mitral.* C. Tricuspid. D. Pulmonary.
48. Dka pt. Died. Which fungal inf.

A. Mucurmycosis.*
44
49. Stroke death. Autopsy brain. Necrosis.

A. Liquefactive.*
50. Abdominal angina. Artery involved.

.A. SMA.*
51. 50 yrs old. Hypertensive. Severe chest pain radiating to back. Died. On autopsy findings.
A. Medial necrosis of aorta*. B. Atherosclerosis
52. Median umblical lig is remnant of.

A. Urachus.*
B. Allantois
53. Premature baby born. Most common finding is

A. PDA*. B. Patent foramen ovale
54. Pulmonary arteries supply. Part of lungs.

A. Bronchioles. B. Alveoli*...other options..??
55. In adult head of femus blood supply.

A. Obturator. B. Med n lat circumflex femoral art.*
56. During l.p structure punctured.

A. Lig.flavum*
57. Return of blood during exercise from
A. Calf muscles*
58. Testosterone main funtion.

a. Grows hair on scalp. B. Inc muscle and bone growth*
59. Sertoli cells function.

A androgen binding protein*. B. Testosterone production
60. Adult female breat atrophy.

A. Estrogen*. B. Estrogen plus progesterone.
61. Carb protein fat synthesis hormone.

a. Insulin*. B.cortisol. C. Thyroid.
62. Most common salivary gland tumor is of which salviary gland.

a. Parotid*.
B. Submandibular.
C. Sublingual
63. Cervical ca. Lymph nodes involved.

A. Internal iliac*. B. Superficial inguinal.
64. Regarding rectum.

a. Starts at s1. B. 9 inches long. C. Also supplied by median sacral artery*.
45
65. Regarding anal canal.

A.supplied by both sup n inf rectal arteries*.
B. Inferior rect artery part of Portal system... Something like that. Options not remembered.
66. Pt. Started on oral anticoagulant. Test to monitor.

A. PT.* B. Bt. C. Aptt
67. Coumadin (warfarin) question.. Options.

A. Inc bleeding time. B inc coagulation time maybe.
68. Trachea commences at.

C6.*
69. Vit k not absorbed. Coagulation factor decreased ...?

a. Prothrombin*. B. factor VIII c. Options..????
70. Vit k def. First n foremost coagulation factor depleted.

A. 7 b.2 c.10 d. Protein c.*
71. Female presents with dvts . Says she has been taking some kind of pills.
a. Ocps.
72. 10 days fever. Chest pain unrelated to respiration.

A. Myocardium* b. Pericardium
73. Chr. 9/22

a. Cml* b. Aml. C. Hodgkins.
74. Breast outer quadrant .

A. Pectoral (anterior ) group*
75. Pregnant with jaudice. Went to remote village. To see her parents. Cause.
A. Hepa b. Hep b. C.
Hepc. D. Hepd. E. Hep e*
76. Liver transplant pt. I think died. Cause.

a. Cmv*.
B. Ebv.
C. Hep a.
D. Hep b.
E. Hep d.
77. Which ca rarely metastasizes.

A. Bcc*
78 bcc features. Most likely

A. Locally malignant*
46
79.which ca spreads to large vessels.

A. Clear cell ca of kidney*. B. Transitional cell ca of kidney .
C. Lung ca...
Other options not remembered.
80. Cholangicarcinoma..
A. Clonorchis sinensis.*
81. Most common ca of epiphysis.

A. Osteoblastoma*. B. Osteoma. C. Ewings. D. Osteosarcoma.
E.oteoid osteoma.
82.limb growth will be affected if fracture passes thru.

A. Epiphyseal plate*. B. P.epiphyseal line. C.
Metaphysis. D. Diaphysis.
83. Acoustic neuroma.

A. Vestibular component of cn 8*. B. Cochlear part of cn 8. C. Trigeminal n. D.
Facial.
84. Hypoglossal nrv injured.

A. Tongue deviated to same side*. B. Other side. C. Not deviated.
85. Deep part of parotid fascia forms.

A. Sphenomandibular lig. B. Stylomandibular lig*. C
Buccopharyngeal membrane.
86. Intraarticular disc of tmj involved.. Muscle paralyzed.

A. Lat.pterygoid*. B. Med pterygoid. C.
Temporalis.
87. Lung ca fungiform growth.

A. Bronchogenic ca. B. Small cell ca. C. Sq.cell ca. D. Undiff. Large
Cell ca.
88. Gastric lymphoma ass with.

A. H pylori gastritis.*
89. Terminal ileum resected more to 100 cm.

A. Less absorption of bile salts*. B. More absorption of
Bile acids. ..other options not remembered.
90. Femoral arterial pulse.

A. Mid inguinal point*. B. Mid inguinal ligament. C. Adductor canal.
91. Inguinal canal.

A. Absent in infants. B. Extends from ant.sup.iliac spine to pubic tubercle. C. Roof
Formed by conjoined tendon*.
47
92. In. Old age .

A. Vc decreases*. B. Co decreases.
93. Decrease in esr is due increase in .

A. Fibrinogen. B. Albumin*.
94. Cytoskeleton connected to ecm environment thru.

A. Intermediate fil.
b. Proteoglycan*.
C. Integrin.
D. Cadherins
95. Glycocalyx contains.

A. Carbohydrate moiety*. B. Lipid membrane.......options not clear.
96. Not electrical active transport of na occurs in.

a. Pct*. B. Dct. C. Loops .d. Collecting duct.
97. Greatest clearance is of

A. Pah*. B. Insulin-yes it was written insulin.
..
98. Rt. Testicular vein enters.

a. Ivc. *
99. Tibial nerve severed. Which muscle will still flex the knee joint.
A. Short head of biceps*.
B. Long head biceps.
C. Semitendinosus
D. Semimembranosus
100.oraganelle with double membrane.
A. Nucleus.* B. Golgi. C. Rer. D.ribosome.
101. Bupivacaine. Overdose initial symptom.

A. Unconsciousness. B. Vent arrhythmia. C. Ringing in ears*(I marked)
Other options not remembered.
102. Pt. Anesthetized heat will not produce due to a. Loss of musle tone*. B. Na/k pump
blockage.
103. 60 percent ventricle fill during .a. Rapid inflow*. B. Isovolumetric relaxation. C. Atrial
contraction.
104. Regarding post. Comm artery. A. Connects PCA to ICA above occulomotor nrv*. B.
Connect
Pca below occulomotor nev. C. Connect ica to basilar artry.
48
105. Dorsal vagal nuclei present in. A. Medulla*. B. Upper pons. C. Lower pons. D. Midbrain.
106. Which hormone causes uncoupling of

oxidative phosphorylation with increase
heat production:
a. Thyroid hormones*
b. Insulin
c. Growth hormone
d. Epinephrine
107. Patient had previous episodes of diplopia nd dizziness now acutely comatose reason...
A. Basilar artery thrombosis*, b .c .d.3 type of hemorrhages were in options, e .carotid artery
occlusion
108. Child has episodes of bleeding nd echymosis i guess since birth hb 9.8 mg/dl nd platelets
count was normal 180 x 10^3 bt prolonged...
A. Hemophilia, b.itp c.,platelet functional defect*
109. Patient given warfarin on second day had large echymosis on thigh...
a. Ttp
B. Overdose of warfarin
C. Protein c def*
110. Csf has low conc of which of the following than plasma...
A. Osmolarity,
B. Na,
C. K+,
D. Mg2+
E.proteins*
111. Corona radiata forms from.
A. Germ cells. B.theca interna. C. Theca externa d. Granulosa*
112. Surgery grade 3 tumor.
A) more than 75% cells undifferentiated
B) 50 to 75 % cells undifferentiated* (i marked)
C. 100%
D. 25% or less i guess
113. Muscle attached to bone by.

A. Tendon*. B. Ligament.
114.treponyma pallidum for intial diagnosis sample can be taken form?

A. Genital sore scrapping*
49
115. Pt with jaundice hepatosplenomegaly....complete stem not remembered. Which test to be

Performed.
A. Antimitochondrial ab*
116. 1 litre blood loss quest.

A. Inc venous tone*
117. While playing cricket got abrasions. Immediate mechanism.

A. Vasoconstriction*
Repeated mcq.
118. Highest diffusion both across resp membrane and body fluids.
a. O2.
B. Co2
C. Helium.
D CO
E. Nitrogen
118. Tumor supressor gene.

A. P53*
119. Mc cause of fatty liver in our population.

A. Hep B & C*
B. Alcoholism
120. Ecf volume can be increased by.

A. Hypertonic saline*. B. Hypotonic saline. C. Distilled water.
121. Most radiosensitive tumor.

A. Seminoma*
B. Glioma.
122. Alveolar surface dry due to.

A. Surfactant. B. Inflammatory cells. C. Negative interstitial pressure* (i marked)
controversial- better to read topic
123. Pseudomonas aureginosa. ...complete stem???

A. Endotoxin*.b. Exotoxin.
124. Corynebacterium diphtheria lethal effect on?

A. Tonsil.b. Heart*. C. Kidney.
125. Benign tumor.

A. Leiomyoma*.
126. Histoplasmosis effect on .

A. Reticuloendothelial sys*.
50
127. Highest na. Iguess.

A. Node of ranveir*. B. Axon. C. In the myelin.
128. Rectus sheath post.lower limit

A. Arcuate line*. B. Pectineal lig or line. C. Lacunar.
129. Bioavailability is not affected by?

A. Sex/gender*
130. Regardig morphine use.

A. Ternimal cancer pt.*
131. Heparin prevent.

A. Propagation*. B. Embolization. C. Dissolution. D. Organification.
132.upper motor neuron lesion??

A.fasiculation b. Increase muscle tone* c. Dec tendon reflexes
133.passes throug cavernous sinus

A. Abducent*
134.young girl,used a drug for back ache, platelets were in normal range,wbc 7000,neutropenia,
hb was 9, small imature cell in peripheral film???
A.aplastic anemia
B.acute leukemia*
C.itp
D.analgesic induced (i marked)
135.difference btween arterial nd venous blood??
A. Packed cell volume*

b. PH.
136.gastric emptying accelerated
A.gastrin*
B.secritin
137.in juxta glomerular nephron,sodium is activaly reabsorbed electrically neutral from lumen of
nephron in which segmnt of nephron???
a. Pct.* B. Dct. C. Loops.
138.about follicular ca of thyroid???
A. Psamoma bodies
51
B. Vascular invasion*
139.transplanted auto graft survives most in

A. Uremia
B. Agamaglobinemia*...
C. third degree burns ,
140 local edema
A.allergy*
141.increase in creatinine,,source??
A. Liver
B. Skelatal muscle*
142.gametogenesis,,one cell get extra than normal haploid???
A. Trisomy*
B. Monosomy
C. Non disjunction
143.chronic hepatitis histology
A.lymphocytes b. Fibrosis*
144.strongest layer-
A. mucosa,
b. Sub mucosa*
c. Longitudinal layer
d. Circular layer
145. Right atrium wala question was ,,,if presure in right atrium increases with in normal limits
what
Would happen
A. Hr inc*
B. cardiac output inc
C. Decrease venous tone (options not correctly remembered)
146. Weight bearing line in pelvis pass thru??
A.ischial tuberosity*
B. Coccyx.
C. Pubic ramus
52
147.sugar in urine will be detected if its concentration in blood becomes
A. 250mg/dl
B. 200mg/dl* (according to f.a)
C. 180 mg/dl
D. 150 mg/dl
E. 375mg/dl
148. Which of the following is ectoparasite.
A. Lice*
B. Fleas
C. Ticks
D. Bed bugs
149. Farmer organophosphate poisoning what should be given.

A. Atropine* b. Pralidoxime
150. For chemotaxis. Exact stem not remembered.

A. Lymphokones*
.b.serotonin
151. Baroreceptors responds to?

A. Dec blood pressure*. Complete options not remembered.
152. All preganglionics neurotrasmitter

A. Acetylcholine*
153. Sweat gland by.

a.sympathetic*
154. Rt upper n lower limb paralysis. Angle of mouth deviates to left while talking.
A. Internal capsule*
B. Pons.
C.cortex
155.sulfur containing aminoacid

A. Cystine*
156. Truncal vagotomy

A. Dec acid secretion and pepsin*
53
157. Insulin is inhibited by.

A. B.blockers*
B. Secretin
C. Glucagon
D.b.agonists
158. Primary active transport...

A. Enzymes b. Carriers c. Proteins d. Pumps*
159. Non bacterial thrombotic endocarditis

A. Terminal cancer* .b sle
160.mid arm circumferece.

A. Proteins* b. Fat. Options and stem not clearly remembered
161. Injury to pulmonary alveoli causing constriction of alveoli by

a.hypoxia
b.atherosclerosis
c.adenosine
d.prolonged oxygen therapy*
162. On autopsy finding... Complete stem required...

a. Hypertrophied parathyroid gland*
163. Boy. H/o taking antimalarials.

A. G6pd def*
164. Chloride shift in rbc
A. Ankyrin
B. Spectrin
C. Band 3*
165. Ppd false negative

A. Malnutrition
B. Immunosuppressant*
166. Fisherman bleeding gums

A. Scurvy*
167. Mcq related to wilsons disease
A. Ceruloplasmin*
168. Following lymphoid organ recive lymph from subscapular sinus

a.thymus
b.spleen
c. Lymph node*
54
169. Adrenectomy taste preferences?

A. Nacl*
170. Most important cell of chronic inflammation
A. Lymphocytes
B. Macrophages*
171. Test for typhoid in ist week...

A. Blood culture*
172.patient with lung abscess develops meningitis, causative organism.?
A. Staphylococcus*
173. Question regarding edema---

A. Lymphatic blockage*
174. 41% hematocrit...

A rbcs only*
b. Rbcs wbcs, platelets (i marked)
-kindly confirm it by yourself-
In ganong’s physio
“the number of red cells is also conveniently expressed as the hematocrit , or the percentage of
the blood, by volume, that is occupied by erythrocytes”
175. Low dose estrogen pill causes.....

A.breast cancer..b.dvt...c.uterine cancer...d.cervical cancer e. Hepatic adenoma*
176. Human is an intermediate host of

A. Hydatid cyst*
177. Severe transfusion rxn.

a. Apos to oneg*
B. O to bpos.
C. Apos to ab pos.
(behavioral sciences/c.med questions…)
178. 2x2 table
A. T test. B. Anova . C. Chi square.
179. Correlation of two things by which test

A. Student t-test
B. Anova test
C. Mc witneys
D. Chi square
180. How can doctor provide better management to patients:

a. By better communication *
181. Another behavioral sciences question. (see rabia ali mcqs b.sciences section )
Ans by active listening to patient.*
55
182 eeg of a patient shows

A. Increase frequency of waves in active mind than in deep sleep
B. Is symmetrical in both hemispheres
C. Small amplitude of waves in intense thinking
D. Determine intelligence
183. Regarding eeg...
184. .sodium regulation is through
A osmoreceptors*
B .sodium absorption
C .adh
D .reninangiotensin
E .aldosteron
185. Teratogenic effect in which embryonic age?

A. 2 to 8 wks*
B. 1 to 3 wks
C. After 12 wks
186. Which form of thyroxin is an active form

A. Reverse t3
B. Unbound form*
C. Bound to albumin
D. Bound to prealbumin
187. Beta receptor stimulatin causes

A. Increase heart rate*
B. Increase force of contraction
C. increase renin from kidney
D. increase lipolysis
188. Drug interaction occur

A. With drug only
B. Pharmacodynamic only
C. Pharmacokinetic only
D. Pharmacodynamic and Pharmacokindetic Both*
189. Parasympathetic effect on Heart-A. Increase PR interval*
190. DIC activated by?--A. Tissue thromboplastin*
191. Regarding PseudoHYPERparathyroidism?

A. because of Hypocalcemia
B. Because of PTHrP by various tumor*
56
C. associated with Nephritic syndrome

D. because of Vit D def
192. which of the following augment the effect of immune system?

A. Complement System*
B.opsonins
Other options not remembered
193. For sodium neutralization

A. K+
B. organic ions
c. Cl
d. Mg
e. HCO3
194. Regarding occupational diseases increase risk of problems with exposure to:
a. coalmines
b. asbestos*
c. silicons
d. textile industry
195. Regarding biceps brachi

a. insertion on humerus
b. Arises from supraglenoid tubercle*
c. pronation
d. extention of elbow
196. Inf wall MI:--A.Right marginal artery*
197..A person had an accident and there was severe bleeding from his body.He got multiple
transfusions but Ecg showed
Changes after transfusion due to
a hypocalcemia
b hyperkalemia*
c hypokalemia
d hypermagnesemia
e PH changes
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
57
( 5)-Surgery & Allied 7th March Evening-by Xaheer Khan (185 MCQS)
1.Regarding abdominal angina which artery is involved
a..inf mesentericartery
b..aorta
c..sup mesenteric artery (answer)
2......50 years old hypertensive patient presented with severe chest pain radiating to back
suddenly collased On autopsy what can be seen
a..ischemic necrosis
b.medial necrosis (answer)
c.athero sclerosis
3....Medial umbilical ligament is the remnant of
a..umbilical artery
b..umbilical vein
c.alantoise
d..urachus (answer)
4........Pulmonary artery supplies
a.alveoli (answer)
b.bronchioles
c.terminal broncioles
5......premature baby born with
a..PDA (answer)
b.patent foramen ovale
c.right atrial pressure increases
6..........2×2table........chi square test
7.......Cause of adult female atrophy.....Estrogen
8.....Which harmone causes fatty acid synthesis and protein synthesis
a.cortsole
b.thyroid
c.glucagon
d..insuline(answer)
9.Most common salivary gland....
a.salivary
b.submandibular
c.parotid(answer)
10......Lymph nodes invol vein Ca of cervix...
Internal iliac nodes (answer)
11.....Regarding rectum
a.startsatS1
b.9incheslength
c.has two lateral curves
d.covered by peritoneum all around
e.also supplied by median sacral artery(asim key) (answer)
12......Regarding anal canal
a.supplied by both sup n inf rectal artereis (answer)
b.inf rectal artery part of portalsystem
c.external anal sphincter is involuntary
d.ha stwo lateral curves
e.sup inguinal lymph nodes drain the upper half of anal canal(asim key)
13.....Patient started on anti coagulant how to moniter further
a.Aptt
58
bClottingtime
c.Pt (answer)
14.....Trachea commences at....C6

15....First clotting factor decreased in vitK deficiency
a.factor8
bfactor5
cfactors
d.Factor2 (answer)
16........Afemale of reproductive age presented with dvt.she gave history
Of taking some kind of pill what is the cause of her condition
a.thrombo embolism
b.analgesics
c..OCPs (answer)
17...........45 years old man presented with chest pain not related to respiration
myocardium (answer)
18.....9:22 translocation of grnesin
CML
19.....A fisherman presented with echymosis n bleeding from gum she is
Mostlikely suffering from
a.Vit c def (answer)
b.Vitb12def
cFolic acid def
d.Iron def
20.......A pregnant lady from remote village presented with
Mildly raised sgpt n bilirubin from 2 months what can be the cause
a.Hepd
bHepb
cHepe
d.Hep a (answer)
21.....A patient with liver transplantation there is increase risk of problems from
a.ebvvirus
b.CMV (answer)
c.Hepd
dHepaande
22......which cancer rarely metastasizes
Basal cell carcinoma (answer)
23.......The features of BCC
a.metastasis
b.beningtumor
c.bordersareundermined
d.Locally malignant(asim key) (answer)
24....cancer spreading to large vessels
a.Clear cell ca of kidneys (answer)
b.lungca
c.transitional cell ca (asim key)
25.......Acoustic neuroma invoving
a..cochlearpartof 8thnerve
b.vestibular part of 8thnerve (answer)
c.trigeminalnerve
d.fascialnerve
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26........Epiphysial bone tumor

a.osteoidosteoma
b.osteosarcoma
c.ewingssarcoma
d.Osteoblastoma (answer)
●osteoblastoma is a large group of bone tumor which also consists of ostepidosteoma.they all
involve epiphysis.They are rare tumors.The most common is Giant cell ca which was not in the
options●
27......Hypoglossal nerve paralysis can lead to

Tongue is deviated towards the leision site (answer)
28....Deep part of the parotid fascia forms
a.bucco pharyngeal membrane
b.stylomandibular lig
c.sheno mandibular lig (answer)
d.stylo hyoid lig
29.....Intra articular disc of TM JOINTgvs origin to
a.medialpterygoidmuscle
b.temporalis
c.buccinator
d.lateral pterygoid muscle (answer)
30......a 30years old heavysmoker presented with emptysis.On xray film there is a fungating
mass.Diagnosis
a.squamous cellca (answer)
bsmallcellca
c.bronchogenicca
d.mesothelioma
31......Gastric lymphoma most probable cause
a.Hpylori (answer)
b.chronicgastritis
c.duodenalulcer
d.smoking
e.analgesicuse
32.....first Lumbrical
a.bipennate
b.attached to proximal phalynx
c.origin near the radial side off first meta carpal bone (answer)
●First n second are unipennate while third n fourth are bipennate●
33....Ina surgery1 00 cms of ileum was resected. what will be the outcome
a.les absorption of bile salts (answer)
b.less absorption of bile acids
c.more absorption of bile salts
d.increase sodium loss
34.....Regarding inguinal canal
a.extends from sup iliac spine to pubic tubercle
b.roof is formed by conjoint tendon (answer)
c.lowerborderformedbyfasciatransversalis
35........In old age
a.cariacoutputincreases
b.venousreturnincreases
c.Frcincreases
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d.VC decreases (answer)

36.......decrease ESR is due to
Increase albumin (answer)
37........Cytoskeleton connected to ECM through
a.intermediatefilaments
b.cadherins
c.proteoglycans
d.integrins (answer)
●principal role of integrins is connection of cytoskeleton to extracellular matrix
Wheras e cadherins bind to both ecm n icm●
38....Neutral electric transport of Na occurs in
a.DcT
b.loopofhenle
c Pct (answer)
d.collecting ducts
39......Greatest clearance is of
PAH (answer)
40....Regarding cardiac plexus
a.formed by both symathetic n parasympathetic nerves (answer)
b.thoracic splanchnic nerves are the main nerves
c.starts at trachea bifurcation
d.present at the base of heart
e.anterior cardiac nerves are the main nerves
41....Baroreceptors
a.hypotention
b.respond to progressively increasing arteriolar pressure (answer)
c.respondsto progressively decreasing arteriolar pressure
42....Insuline is inhibited by
a.secretin
bglycogen
cbetaagonists
d betablockers (answer)
43.....Glycocalyx contains
A carbs moities(back bone of glycocalyx) (answer)
b.phospholipids
c.antigens
d.proteins
44....Biaoavailibity of minerals is lowest in
a.roots
b.green leaves
c cereals
d pulses
e.Tubers (answer)
●All others must have mineral sexcepttuberehich have less.Tubers are potatoe family rich in
starch●
45....Drug drug interaction by
Both pharmacokinetics and pharmacodynamics (answer)
46....Glucose start appearing in urine at
a.100mg
b180mg
c200mg
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d.350mg
e 250mg (answer)
●glycosuria....morethan200mg●
47....a patient suffering from lobar pneumonia causative organ
a.staphylococci (answer)
bstreptococci
c.pneumococci
48...correlation of two things by which test
a.studentt test
b anova test
c mc witneys
d.chi squared
make it clear..i did chi square
49....Regarding sweat glands
Cuboidal epithelium(ppq) (answer)
50....Bioavailibility is not affected by
a.age
b.liverdisease
c sex/gender (answer)
51........The alveoli are kept dry by
a.macrophages
b.negative intra pleural pressure
c.ventilation
d.surfactant (answer)
52........The dorsal vagal nucleus is presentin
a.medullaoblongata (answer)
b.midbrain
cpons
53.............A person present with diplopia and dizziness for the past one month suddenly went
into comma the cause lies in
a.cerebellar haemmorhage
b.pontine haemmorhage (answer)
c.thallamic hmg
d.subarachnoidhmg
54.............muscles are attached to the bones by
a.ligaments
b.aponeurosis
c.fasciae
d.tendons (answer)
55..........Dimercaprol
a.increases clotting
b.decreases clotting (answer)
c.decreases bleedingtime
56.............A young lady presented with increase bleeding time.It is due to
a.vonwilli brand factor (answer)
b.factor8
c.factor9
d.itp
e.platelet dysfunction
57.............For sodium neutralization
a..k
62
b.organicions
c.Cl (answer)
d.mg
e.hco3
58.........Amino acid containing sulphur
Cystein (answer)
59.............Sodium regulationis through
A osmoreceptors (answer)
b.sodium absorption
c.Adh
d.Reninangiotensin
e.Aldosteron
60...........Circumflex artery supplies
a.antsurfaceofheart
b.left atrium n ventricle (answer)
c.rightatrium
d.leftatrium
e.leftventricle
61...........41%haematocrit contains
a.rbcs
b.rbcs,wbcs,platelets (answer)
c.platelets......ganongsbcq
62..............arterial blood as comparedto venous blood has
a.lowph
b.more packed cell volume (answer)
c.increasepo2
d.increase ph...(asim key)
63........ During Lp which structure is ruptures......ligamentum flavum (answer)
64...........during stab injury
Ipsilateral lung collapse n ipsilateral chest expands (repeated question) (answer)
65.........a person got lacerated injury on his elbow what will be the initial affect of blood
haemostasis
vasoconstriction....rmem vessels on the top always (answer)
66..........during a one km running the venousreturn to the heart is by
a.valvesinthelegveins
b.pumpsinthelegs
c.skeletal muscles contraction (answer)
67.........right atrial pressure is increased this will lead to
a.inc cardiac output (answer)
bheartrateinc
c.inccontractionofrightventricle
68.........regarding occupational diseases increase risk of problems with exposure to
a.coalmines
b.asbestos (answer)
c.silicons
d.textile industry
69........Eversion of foot leads to ligamentum fractured
a.laterligament
b.planatarisruptured
c.Deltoid ligamentum (answer)
70.....Most common causeof fatty liver in our society is
63
HepB and HepC (answer)

71.......whichnerveleavesthethenarmusclesandallothermusclesofthehandareaffected.Thenerveinj
uryisto
a.ulnar nerve (answer)
b.median nerve
c.c8t1
d.Radial nerve...asim key
●in this question thenar muscles are spared.The answer is not c8t1 because e all the muscles
of the hand are supplied by this root
N here all muscles are not affected●
72..........A farmer while spraying suddenly got collapsed with salivation from his mouth n
broncho spasm.What is the specific antidote
a.atropine
b.neostigmine
cphysostigmine
d.Pralidoxime....asim key (answer)
73.......Seventy years oldmale develops sudden loss of power in both right upper n lower limb
with angle of mouth deviated to the
Left during talking.The most likely site of leision is in
a.internal capsule asim key (answer)
b.pons
c.medullaoblongata
d.midbrain
74..........Larynx lost its supply but its still can be contracted due to the nerve supply to
a.thyrohyoid
b.postcrici thyroid
c.cricothyroid (answer)
d.cricoarytenoid
75...........Regarding biceps brachi
a.insertion on humerus
b.supplied by musculo cutaneous nerve (answer)
c.pronation
d.extentionofelbow
76........blood supply in an adult to head of femure gets its branch from
A lateral n medial circumflex femoral (answer)
B arcuate artery
C abturator artery
d inf gluteal
e supepigastric....retinacular wasn’t ino ptions
77........A person was walking bare feet suddenly stepped upon some sharp object.he quickly
removed his leg due to which reflex
a.flexor response
b.mono synaptic reflex
c.multi synapticreflex (answer)
78......Regarding general anesthesia body temp decreases due to which mechanism
a.dec na k pump
b.dec skeletal muscle tone (answer)
c.stimulated by post hypothalamus
79........Nucleus anmbiguos is in
a.upper midbrain
b.lower midbrain
64
c.medulla (answer)
d.pons
80........inadolcentthegrowthoflongbonessuddenlystoppedduetoleisionin
A epiphyseal plate (answer)
B metaphysis
C epiphysealline
D diaphysis
81........low estrogen used by a 35 years old married femal.there is increase risk of
a.liver adenoma asim key (answer)
bthromboembolism
ccabreast
dcacervix
82.......action of gluteus medius and gluteus minimus
Abduction and medial rotation (answer)
83........Opsonization due to interaction of
FCportionofigGandC3b (answer)
84.......skinreplacementpatchissuccessfulin
a.neoplasm
b.burnpatients
c.autoimmunity
d.aggamaglobunimia (answer)
85..........Morphinisusedin
terminalcancerillness (answer)
86......Aorta
a.bifurcatesatL5
b.bifurcatesatT5
cliesattherightsideofIVC
d.GivesrenalarteriesatL2 (answer)
87......InfwallMI
Right marginal artery cpsp demo quest (answer)
88.......Bundle of hiss is suppliedby
a.LCA
bRCA
c.leftascendingbranchofLCA
d.interventricular branch of LCA (answer)
●itsacontroversialqueation.IhvalotdiscussionregardingdiswdseniorsbutstillitsindoubttheysayRCA
nmedscapenkaplan
saysLCAalsoasim keysaysLCA.sodoitonurownrisk.ididwhatmymindtoldme●
89.......double membrane bounded organnel
Golgi apparatus..endoplasmic reticulum..nucleus (answer)
these all were given now we dnt know wats cpsp key (answer)
90.........Regarding MMA
a.pterionis the surface marking
b.its branches form grooves on the under surface of skull
c.cause extradural hmg wen ruptures (answer)
d.enters skull thru foramen spinosum
●all the options were correct.And was asked about most appropriate.i did extradural hmg due to
its specificity most common adversity●
91......A female delivered a baby and she was started on warfarin as she developed dvt.The
next day she has a purplish patch on
Her right thight what can be the cause
65
A lupus anticoagulant (answer)

b.warfarin overdose
c.proteinc def
d.proteins def
92........Frst factor affected in anticoagulation
factor7 (answer)
93........Bupivacain first sign of over doze
a.arrythmias
b-ringingine ars (answer)
c.hypotention
d.death
e.decco
●it was asked initial affect so Cns excitation is the initia affects followed by CNs depression●
94........V4stelevationMidue
LAD (answer)
95.....vagotomy done for
a.decmotilityofgut
b.decgastricacidity
c.decpepsin
d.dec gastric acidity n pepsin motility of gut (answer)
96......pain of Gastric ulcer is due
Greater splanchnic nerve involvement (answer)
97.......medial wall of ischiorectal fossa is formed by
Levator ani muscles (answer)
98......most radio sensitive tumoris
seminoma》》glialglioma》》craniopharyngioma (answer)
99......Man is intermediate host in
Hydatid cyst
100........a person got fracture of neck of fibula now he cant do dors flexion n eversion
Common peroneal nerve (answer)
101.....a young man fell from two storey building and now he has urinary incotinence.leision is at
s2s3s4 (answer)
102.....s2 differs from s1 by
a..s2hasincduration
b.s2hasdecpitch
c s2 has inc frequency (answer)
ds1hasincpitch
es1hasdecduration
103..........a child presented to opd with 104 fever for th e last 4 days.He has been passing cola
colored urine for the last one
day.He has bee n on anti malarials too.His lfts are deranged wdincunconjugatedbilirubin.What is
the most probable diagnosis
a.druginducedjaundice
b.blackwaterfever
c.paroxysmalnocturnalhaemaglobinuria
dhaemolyticuremicsyndrome
e G6pd (answer)
104.............post communicating artery connects
Internal carotid artery with post cerebral artery (answer)
105..........ayoungmangotsomeinjuryandafterthattherewasswellingindascrotum
followedbyantabdominalwallswelling
66
buttherewasstrictdemarcationtothethigh.Whichstructurewasinjured
a.collesfascia
b.bulbar urethra (answer)
c.ejaculatoryduct
d.penileurethra
e.pelvicdiaphragm
106...........pseudo hermaphrodite with 46XX karyotype in
Aadrenogenital syndrome (answer)
b.turnorssyndrome
c.klenifelterssyndrome
d.45xo
107...........Turnor syndrome with
a.AR
b.AD
c shows secondary infertility
d stunted growth (answer)
108...........ECF is increased by infusion of
A hypotonic saline
bnormasaline
chypertonic saline (answer)
d dextrose water
109.........peri capsular sinuses in
a.lymph node (answer)
b thymus
c palatine tonsils
110.......weight bearing line passes through
Ischial tuberosities (answer)
111.......A14 years old girl presented with right iliac fossa pain.pain associated with vomiting and
was radiated to periumbilical
region.Which segmen is involved/or pain radiation due to
a. ilioinguinal nerve
b.iliohypogastric nerve
c.t12level
d L2level
e T10 level (answer)
112.........microscopic slide of liver shows portal vein hepatic artery and bile duct at periphery
and central vein in the centre.What is
This called
a.hepatic lobule
b portal acinus
c heatic acinus (also called liver acinus) (answer)
113...........EEG of a patient shows
A increase frequency of waves in active mind than in deep sleep (answer)
B is symmetrical in both hemispheres
C small amplitude of waves in intense thinking
D determine intelligence
114.......what is produced in muscles
A phospholipids
B creatinine (answer)
C urea
D uricacid
67
E glycogen
115.......Cervical lyph nodes drain into
Internal iliac nodes (answer)
116.........about sertoli cells
A produce testosterons
B rapidly deviding cells
C release androgen inhibiting factor (INHIBIN) (answer)
D break blood testis barrier
E reinkes crystals
117............histoplasmosis whic sytem affected mostly
A cvs
b git
c cns
d reticulo endothelial system (answer)
118...........in CRF whatcantbepresent
A lowph
b hypo phasphatemia (answer)
c enlargedparathyroids
d metabolicacidosis
ehypocalcemia
119........on autopsy of CRFpatient which organ was hypertrophied
Para thyroid glands (answer)
120..........strongest layerof smallbowel
asubmucosa (answer)
bmusoca
clongitudnallayer
dcircularlayer
elaminapropria
121..........chronic hepatitis histology on microscope shows
A fibrosis
b neutrophills
c lymphocytes asim key (answer)
dlymphokines
●remember the pre dominant feature of chronic inflammations is LYMPHOCYTES●
122..........Dilute tubular fliud in which segmentof nephron
A thick ascending limb (answer)
B thindecending limb
c distaltu bule
d macula densa
e collecting ducts
123......sarcoma is differentiated from carcinoma
A metastasis
B aggressive (answer)
C radiosensitive
●SOME says mets but mets are in both but with sarcoma through blood and carcinoma
thorough lymph nodes.Sarcoma involves
Large areas wd increase necros is increase haemmorhages n mostly creul to therapy●
124.......systemic antifungal is
Amphoterecin (answer)
125........heparin inhibits
A organization of clot
68
B retraction of cot
C dissolution of clot
D propagation of clot.....asim key (answer)
126.............During pregnancy which period affects fetus mostly
A 1to2weeks
B 2to8weeks (answer)
C 22to36weeks
D last trimester
E 7to12weeks
(organogenes is from 3 to8 week so b suits da best)
127......muscle is prevented from tearing under action of which receptor
a.muscle spindles
b GTO (answer)
c ruffinis
d meissners
e phosphate bonds
128..........max sodium entry in nerve fibre takes place at
A during depolarization
B during repolarization
C at nodes of Ranvier (answer)
D as the impulse propagates along lenth of nerve fibre
129..... Regarding Axillary artery
A it lies post to pectoralis minor muscle (answer)
B lateralchordliesposttoit
C startsatthelateralborderof pectoralis minor
D all the chords are lateral to it
130.......Primary Brain vesicleis
Mesen cephalon (answer)
131....0.85%normalsalinecontains
a.850mg/100ml
b 8.5mg/100ml
c 8.5mg/1lit
d.85gm/1lit
e 85mg/100ml
(idid option B but iam not sure about its answer.aplogies)
132......the valve which has more propensity toward diseases is
MITRALVALVE (answer)
133......marranticendocarditisleadingtomitralstenosisisdueto
A rheumaticfever
B SLE
C streptococcal glumerulonefritis
D thrombo embolism
E neoplastic diseases (answer)
●marranticisanoldnamefornonbacterialendocarditis.Marrantic means wasting away...so dats
why it is strongly related to
Diseases causing wasting■■cancers■■although also due to sle but neoplasms have stong
adherance●
134........A young lady came to ur clinic.How can u treat herina best way
A good medicalknowledge
B beneficial lab tests
C clear conversation (answer)
69
135.......23 years old boy came with mild jaundice.His hbsAg is negative...anti Hbc igM is
neg......anti Hbe positive.Whats the current situation
a acute resolving phase (answer)
b acutehepatitis
c window period
d chronic hepatitis
136.......difference between csf and cerebra capillaryis
a.incph
b carbohydrates
c incpco2
d less proteins(they are almost negligible in csf) (answer)
137.......Lower limit of rectus sheath posteriorly is
Arcuateline (answer)
138......mostbeningtumorofsmoothmusclesis
Leiomyoma (answer)
139......pseudomonas producing shock through
A TSST
b catalase
c endotoxins (answer)
d exotoxins
e lymphokines
140.....Highest diffusing capacity across respiratory membrane and in bodyfluids is
A helium
b carbonmonooxide
c carbondioxide (answer)
d nitrogen
e oxygen
141.........Tumor suppresser gene-p53
142.......upper motor neuron leision leads to
A dectendonreflexes
B fasiculations
C inc muscle tone (answer)
D flaccidparalysis
143.......which nerve passes through cavernous sinus -6th nerve
144...........premalignant growth
A sebborhickeratosis
B compoundnevus...asim key (answer)
C intradermalnevus
D dysplasia
e junctionalnevus
145..........35yearsoldgirlhasbeenusinganalgesicforbackache.Shepresentedwithplateletsinnormal
range.wbc7000
neutropenia.Herhbwas9withsmallimmaturecellsinperipheralsmear.Diagnosis
a acute leukemia (answer)
b ITP
c aplasticanemia
d druginduced
146.........vitKdeficiencyleadstodec
A proteins
B proteinc
C factor8
70
D prothrombin (answer)
147........Gastric emptyng increasesby a.secretin b.Gastrin (answer) c.Cck d.ach inhibition
148...........Grade 3 means
a.20%undifferenciated
b.30to50%undiff
c. 50to70%undiff (answer)
d. morethan70%undiff
e .100%undiff
149.......local edema cause-Allergy (answer)
150....... Exogenous antigens..(stem nt clearly remembered but answer was MHC)
151.....most lethal effect of Diphtheria is on
A cns
b neurons
c heart (answer)
d lungs
152... During meiosis abnormalities may occur.If one of the cell get san extra chromosome
instead of haploid number.The
Condition is called
A non disjunction
B monosomy
C robertsonian dislocation
D Trisomy (answer)
153.........a lady presented with yellow eye s and she has got hepato megally.Alsoxanthomas
present.What can be the cause in her
A AMA (answer)
B ANA
C sclerosing cholangitis
D lipidemia
154.....pseudo hyperparathyroisim A parathyroidharmone B pthrp (answer) c.hypocalcemia
155.......Right ovarian artery drains into IVC
156........ciliary muscle supplied by –short ciliarynerves (answer)
157.......Biceps brachi attached to -Supra glenoid tubercle (answer)
158.......Which is ecto parasite- A Lice (answer) B tics C fleas D leech E mites
159......Breast outer quadrant lymphatic drainage by A post B supraclavicular C lateral
D anterior(pectoral) (answer)
160............A 22years old man came to Opd with ALT raised viral marker s were negative.He
has got some problem in the eye and
Immunological tests were derranged.Whats the most useful investigation for him
A liverbiopsy
B HbsAg
cHCVvirology
d serum copperlevel
e cerulo plasmin level (answer)
161.......adiabeticpatientpresentedwithincreasingdegreeofprogressiveillnessinvolvingrespiratory
system.gastrointestinal.What can be the cause
a histoplasma
b acidbasebalance
c Mucormycosis (answer)
d hyperkalemia
e bloodglucose
71
162..........A person got an accident and there was h severe bleeding from his body.He got
multiple transfusios but Ecg showed
C hangesaftertransfusiondueto
A hypocalcemia
B .hyperkalemia (answer)
C hypokalemia
D hypermagnesemia
E PHchanges
163..........DIC activatedby
A lowerythropoitine
B endothelialdamage
c. thromboplastine (answer)
d clottingfactors
e septicemia
164.........Cardiac plexus has vagus nerve supplyfrom which nerve nucleus
medullaoblongata (answer)
165.......one question was regarding rhodopsin answer was VitA
166........Doctor patient relationship
Active listening (answer)
167.......lidocain vial contains 4ml normal saline of2%
a2mg
b800mg
c4mg
d.8mg (answer)
168........isthmus lies at
234 tracheal rings (answer)
169......after adrenelectomy taste preference increases for
A sweets
b.Nacl (answer)
c sour
170............60%of ventricular filling is because of
A Rapid inflow asim (answer)
B slow inflow
C diathesis
D slowejectionphase
E isovolumetricrelaxation
171..........about follicular cancer of thyroid
a.vascular invasion (answer)
b psammomabodies
c lymphaticspread
d hyperchromatism
172.......proteinon Rbc membrane for chloride exchane
a.spectrin
b.protein band3 (answer)
c.glycocalyx
173......Regarding cholangio carcinoma
chlonorcissinensis (answer)
174.......treponema pallidum initial diagnosis
amouthulcer
b.genital sore (answer)
c.tabesdorsalis
72
175.......Dead space doesnt decrease in

a.shallow breathing (answer)
b.deep breathing
c.lung diseases
d.gravity
e.tracheostomy
176.........necrosis of Brain Liquefactive necrosis (answer)
177.........chemical mediator of inflammation
a.histamine (answer)
b.serotonine
c.lymphokines
178........a young. Man while walking most of cardiac output is due to
Skeletal muscle contraction (in both papers) (answer)
179...........Adverse blood transfusion reaction occurs in
A o+toA+
B onegtoA+
C AnegtoA+
d. AB+toA+ (answer)
e AbnegtoA+
180..........regarding choroid
Choroid is continue with the pigment layer of retina (answer)
181.........Regarding un coupling of Oxygen that’s produced by
a.thyroid (answer)
b.norepinephrine
c.epiephrine
182........If a 70kg healthy adult loses one litre ofblood within 5 minutes there would be
a.decTPR
bi.ncGFR
c.inc venous tone (answer)
d.dec diastolic pressure
e.splanchnic vasodilatation
183.........injury to pulmonary alveoli causing constriction of alveoli by
a.hypoxia
b.atherosclerosis
c.adenosine
d.prolonged oxygen therapy (answer)
l84.....Primitive streakmesoderm cells migrate Round cloaca lmembranetoform antabdominal
wall cells.If this migration doesnt
happen around cloacal membrane will rupture and open cranially as
a extrophyofbladder
b imperforateanus
c ectopi canal opening (answer)
d hypospadias
185......one was that sum flexion can still be maintained after nerve injury
Answe was short head of Biceps(dnt remember clearly)
All the tough ones have been covered under the given questions
Keep in prayers feel free to discuss wish u a goodluck.......
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(6). Surgery 7th March 2016 (Morning) by By Haris Riaz Sheikh (156+)
1.Pt had anorexia diarrhea ,Alpha feto normal ,CEA raised,Bilurubin 16,GGt raised,Alt ast
normal,Diagnosis ?
a.-CA Liver b.-CA colon c.-Ulcerative colitis
2. Somatostatin dec insulin in which fashion ?
a.Endocrine b.Neuroendocrine c.Apocrine d.Holocrine e.Paracrine
3. Old age pt presented wid chest pain from last 4-6 hrx at 2AM Emergency managemnt done
Labs were Na 141 K 4.1 Sugar 103 Which will make diagnosis ?
a.Cpk b.Ldh c.Ck mb
4. Prozone phenomenon- a. inc antigen titer-b. inc antibody titer- c. Dec antibody titer
5.90 years old lady has bruise on hand n arm...she has no other complaint
A thrombocytopenia
B treatment vik k
C capilary defect
6.Pt had epidural anesthesia feeling tingling sensation in thumb
Nerve involved
C5
C6
C7
C8
7. Adaptation of receptor:
A dec sensation bcx of change in concentration to sum other sensory input
B den in sensation bcx sensory input is repeated over time
Sum other options like that dnt remember exactly
8. Regarding breast
-Tubuloalveolar glands
-2nd to 6th ICS
-15-20 lacteferous ducts
9. Extraembryonic coelomic membrane derived from

Epiblast
Hypoblast
Endoderm
10. After splenectomy child is least susceptible to following infection

A streptococcus
B H influenza
C pneumococcal
D e coli
E Neisseria
11. Ureter is posteriorly related to

Ovarian vessels
Genitofemoral nerve
Root of mesentry
Diaphragm
74
12. Regarding trachea

Moves down during deglutition
Bifurcates at T2
Fixed in children n mobile in adults
18cm in adults
Enclosed in prevertebral fascia
13. Descending thoracic aorta

A becomes abdominal aorta at L2
B Begins at upper border of body of T4
C Supplies lower 8 intercoastal spaces on both sides
D Supplies esophagus pericardium n lungs
E lies in middle mediastinum
14. Vagus nerve

Supplies longitudinal muscles in esophagus
Leaves the skull through middle of jugular foramen
15. Girl feels pain in one half of neck...pain is due study related...pain will relieve by dividing
which nerve
Phrenic
Spinal accesory
Vagus
16. Pt had nodule on ant 2/3 of tongue...lumphatic drainage to

Superior deep cervical
Inferior deep cervical
Submandibular
submental
17. In von willebrand disease

A Inc pt
B inc aptt
C Inc BT
D Thrombocytopenia
E Normal platelets count
18. Congenital cataract cardiac defects n deafness related to

A maternal rubella
19. Haesselbach triangle

Femoral hernia
Direct inguinal
Indirect inguinal
20. Internal spermatic fascia derived from

External oblique
75
Internal oblique
Transversallis fascia
21. Left shift Hb dissociation curve

A 2-3 biphosphoglycerate
B altitude
C inc temp
D HbF
E acidosis
22. Most obvious ecg changes in MI

Tall P waves
Inc PR interval
ST elevation
23. Scanty barr body

Turner
Klinefelter syndrome
24. Male wid small legs n small arms, head n trunk normal in size , intellectual normal
A autosomal dominant
B autosomal recessive
C X linked recessive
25. First sign of lidocaine toxicity

A Light headedness
B tonic clonic seizures
C nausea vomiting
26. Exposure to hydrocarbons causes

A seminomas
B acute leukemias
C bronchogenic carcinoma
27. Hypermagnecemia causes

A hyperreflexia
B dec acetylcholine
C inc acetylcholine n muscle twitching
28. Superficail temporal nerve is açcompanied

A auriculotemporal nerve
29. Second arch derivative

A stylohyoid ligament
B stylomandibular ligament
C thyroid cartilage
76
30. Lymphatic nodule not present in

A lymph node
B thymus
C spleen
31. Glucose as sole source of energy in

Neuron
Skeletal muscle
32. Following transplant most common tumour is

Renal
Hepatic
Leukemias
Skin malignancy
33. Which of the following inc GFR

Bowmann capsule pressure
Efferent arteriole constriction
Dec in plasma proteins
Constricting external urethra
34. Blood group antigens are

A polysaccharides
B glycolipids
C polypeptides
35. Which will cause severe form of steatorrhea

A gastric resection
B zolljnger ellinson syndrome
C gall bladder resection
D pancreatic resection
36. Baby at 6 weeks of age previously healthy presented first tym wid jaundice n bilirubin in wet
diaper
A crigler najjar
B gilbert
C biliary atresia
D physiologic jaundice
37. Imp in wound healing

A collagen I
B collagen ll
C collagen lll
D collagen lV
E collagen V
77
38. Glycocalx is
A role in absorption
B a glycoprotein
C has a positively charged sulphate group
39. Regarding motor neuron

A single nerve supplies many muscle fibres
B many nerve fibers supply single muscle fiber
C single nerve fiber supplies many muscle fibers
40. During appendicectomy at mcburney point the injury to

A deep circumflex artery
B inferior epigastric artey
C genitofemoral nerve
41. Rupture of bulbar urethra urine goes

A superficial perineal pouch
B deep perineal pounch
42. Levator ani supplied by

A pudendal nerve
B pudendal nerve via sacral 2
C Obturator nerve
43. Sigmoid colon supplied by

A L3,4,5
B S1,2,3
C S2,3,4
44. Pain fibers travel thru

A B fibers
B A alpha
C A delta
D C fibers
45. Presynaptic cholinergic fibers travel thru

A B fibers
B A alpha
C A delta
D C fibers
46. Cholinnergic fibers causes

A gall bladder relaxtion
B detrusor relaxtion
C ciliary muscle contraction
78
47. Which of the following causes septic sepsis

EBV
streptococci
CMV
48. Old man presented wid persistant cough n thick mucoid sputum
A mycobactrium Tuberculosis
B H influenza
C pseudomonas
D klebsiella
49. Subacute endocarditis

A spreptococcus viridians
B staph aureus
50. Scenerio of endocarditis most common organism

A staph aureus
B viridian grp
51. Female taking contraceptive pills will have inc risk of

A thromboembolism
B osteoporosis
52. Female taking estrogen to relieve post menupausal symptoms will inc risk of
A thromboembolism
B cerical carcinoma
C osteoporosis
53. Pt has dilatd umbilical veins will have portal hypertension bcx of which structure
A hepatic veins
B portal vein
C hepatic artery
D sup mesenteric artry
54. A patient has dependnt edema is diagnosed as having hepatoma caused by compression of
A portal vein
B IVC
C hepatic artery
55. 1st cervical vertebrae has which of following

A absent foramen transversarium
B has odontoid process
C lacks body
D massive body
56. Basic drugs bind preferentially with

A albumjn
79
B alpha globulin
C beta globuljn
57. In our culture support is provided by

A Volunteer
B edhi centre
C family mambers
D health care professional
58. Confidentiality can b breached when

A pt has treated priviously wid sum unknown drugs
B pt is from sum other country
C cannot afford
D when he allows to do so
59. subArachnoid space ends at

L2
L4,5
S1,2
S3,4
60. Clara cells are present in

A terminal bronchioles
B respiratory bronchioles
C larynx
D trachea
E bronchi
61. Meckel diverticulim

Vetilline ducts
62. I-CAM V-CAM

leukocyte adhesion molecules
63. Cervical epithilium stratified squamous

Metaplasia
Anaplasia
Dysplasia
64. Epithelium in lungs of a smoker

A stratified squamous continuous
B patchy stratified squamous with stratified columnar
65. Sec paristalsis will b observed when

A achalasia esophagus
B vagotomy
C distension of esophagus
80
66. Columnar epithelium in esophagus

Adenocarcinoma
67. Microscopic Diagnosis of tb

A AFB
B casseous necrosis
68. Hilar mases n non casseating granulomas

Sarcoidosis
69. Dec absorption of bile salts by resection of

A ilium
B jejunjm
C colon
70. Pleural effusion

Upper border of lower rib at the point of max dullness
71. Aneurysm descending thoracic aorta will compress

Azygous vein n thoracic duct
72. Aortic aneurysm

Medial necrosis
73. Cardiac reserve

A amount of blood that can b pump after normal flow
B cardiac out per total body surface area
74. Anaphylactic shock differs from hypovolumic shock by

A inc carfiac output
B inc peripheral resistance
C inc heart rate
75. A boy has blood loss n doctor do not find any vein for iv maintainance...ideal vein for
venesection
Great saphenous
76. A female has post partum hemorrhage n diagnosed has having acute rrnal failure...the
structure most probably affected is
A PCT
B DCT
C collecting ducts
D asc limb of loop of henle
77. Which of the following is different from plasma osmotically

A 0.9% N/S
B 5% D/w
81
C Plasma protein fraction

D Ranger lactate
78. Vasopressin n oxytocin originate in

A Hypothalamus
B ant pituitary
C post pituitary
79. Vasopressin acts via

A osmoregulation
B sympathetiv regulation
C pH
80. Cerebral blood flow is maintained by

A sympathetic discharge
B pO2
C pCO2
81. Dec in functional hemoglobin as in anemia Carbon monoxide poisoning n

methemoglobenemia will not causes hyperoxia bcx
A stimulated by central receptors
B stimultd by carotid body
C arterial pO2 remains normal
D arterial oxygen content is kept in normal range
82. Serum iron stores as

Ferritin
Transfirrin
Iron
83. Inc need of iron during pregnany is represnted by inc in

A iron
B feritin
C TIBG
84. Myxedema is caused by

A total lack of thyroid hormone
B partial lack of thyroid hormone
C lack of hypothalamic pituitary
D aldosterone
E ADH
85. Fisherman wid sensory loss

Diphylobothrium latum
86. Scenerio showing necrosis of brain

Liquifactive necrosis
82
87. Superficial temporal artey accompanies

Auriculotemporal nerve
88. Left ovarian artery is a branch of

Abdominal aota
89. Most common lesion caused by chewing bettle nuts pan

submucosal fibrosis
90. When blood is acidified

A dec bicarb excretion
B inc H reabsorbtion
C aldosterone
91. Fracture neck of femur most common complication

AVASCULAR NECROSIS
92. Pseudomembranous colitis is associated wid antibiotic use

A clindamycin
B cefulexin
C gentamycin
D erythroxycin
93. ADPKD associated wid

renal failure
Dnt remember other options
94. Calculate median in following data...

Total 8 values middle two were 25 n 30
So median was 27.5
95. During ka study of two populations in which population having risk factors in history
developing CHD n other population who do not have risk factor study is called (sumthing like
that)
A case control
B cohort
C random ampling
96. Accessory spinal nerve to sternoceidomastoid
accessory is motor supply,,,,,,C2 ,C3,,, right answers but they both were given as separate
options
97. In spermiogenesis acrosomal cap is formed by

A lysosomes
B mitochondria
C golgi complec
D Endoplasmic reticulum
83
98. A pt was prescribed tricyclic antidepressant ...its analgesic action is mediated in

A 1 day
B 3,4 days
C 3,4 weeks
D more than 6 weeks
99. There was question of cerebellum that do appropriate action of motor cortex. ..
i marled climbing n mossy fibers...statement ni hae mind mei
100. Penetrating injrury to 4th incoastal space jst on left side of sternum will damage
A right atrium
B intercoastal musvle
C intercoastal membrane
101. Posterior rectus sheath end as--Arcuate line
102. Most common breast tumour

A carcinoma in situ
B invasive ductal carcinoma
C comedocarcinoma
D lobular carcinoma
E indraductal pappiloma
103. In polycythemia vera which cells not raised

A neutrophills
B lumphocytes
C monocytes
D eosinophils
E basophills
104. Posterior relation of hip joint

A sacral nerves
B piriform bursa
105. Rupture of posterior cruciate ligament will result in

A ant displacemnt of tibia
B ant displacemnt of femur
106. Pt of hurshsprunge disease of sigmoid colon which spinal nerve supply .

S1.s2.s3
S2.s3.s4
107. Coibital fossa nidal pass which nerve demage. .

Median nerve
108. Myelin sheath is formed by

A oligodendrocytes
84
B schwann cells
C astrocytes
109. Exocelomic membrane derived from ? I marked a.hypoblast b.meso?
110. Middle meningeal artery

Foramen spinosum
111. High canc of co2 in which ..

Pulmonary vein
Pulmonary arteries
Experied air..
112. Which organ can not regenerate ?

A lens
B neuron
C skeletal muscle
113. Regarding symphysis pubis
Synarthrosis
Gomphosis
Sec ossification
114. Q abt abducting of shoulder intial 30 degree. ..

Supraspinatus
Infraspinatus
Delatiod
115. Q.abt injury to hip joint capsule ..

Ans .avascular necrosis
116. A patient is askd to lower his arm slowly from right angle but when he does so drops his
arm
Deltoid
117. Which of the following has shortest pre erythrocytic phase

A falciparum
B vivax
C malariae
D ovale
118. Post natal conjuctivitis

A Gonorrhea
B chlymadia trachomatis
C HSV
85
119. Pt having multiple polyps in colon ...his grandfather died of similar illness
Adenomatous polyps
120. Which drug cause psodo membranous colitis. .

Vencomycine
Clandamycine
121. Diagnostic of thalasemia major

A Hbf more 90%
B iron deficiency anemia
122. Pt had anorexia diarrhea

Alpha feto normal
CEA raised
Bilurubin 16
GGt raised
Alt ast normal
Diagnosis ?
-CA Liver
-CA colon
-Ulcerative colitis
Ulcerative colitis due to involvement of biliary system

Primary biliary cirrhosis
Thats y bilirubin is raised n also Ggt
123. Breast tumour (T3,N2,M0)

Stage ?
A stage ll a
B stage ll b
C Stage lll
D stage IV
E stage l
124. During thyroidectomy superior thyroid artery is ligated close to gland to save
A external laryngeal nerve
B Recurrent laryngeal nerve
C internal laryngeal nerve
125. Large amount of dextrose infusion given inhibit which hormone ? ADH
126. Phopholipase A2 is inhibited by -Corticosteroids
127. Clostridium botulinum causes Flaccid paralysis
128. Something regarding atropine ?
ANS was it counters the effectsof parasympathetic nervous system in effector orgens
86
129. Medial meniscus attachd wid -Medial colletaral ligament
130. Structure which remains in true pelvis-Middle rectal artery ?
131. Lymphatic drainage of cervix

A internal iliac
B external iliac
C deep inguinal
D superficial inguinal
132. Pt had abdominal surgery for mass for which he remained hospitalized ...he got some
cardiac abnormality...his labs shows inc potassium
Most probable cause of this inc is
A prolong antibiotic use
B postoperative infection
C prolonged bedrest
133. Antibiotic should b given

A 6 hrx before surgery
B 12 hrx before srgery
C on operating table
D after the surgery
E on first dressing
134. Substance which is maximally reabsorbed by the kidney

A Na
BK
C glucose
D urea
E bicarb
135. Most common factor for a tumor to b called malignant

Metastasis
136. Pain is reffered to shoulder by A C2,3,4, B C3,4,5
137. Hydrocephalus most commonly caused by stenosis of

A duct of sylvier
B formen lushka
C foramen mejendie
138. Very small particles in respiratory tract are cleared by

A cilia
B mass transport
C phagocytosis
87
139. Surgeon accidently removed parathyroid gland during thyroidectomy

Hypocalcemia numbness n positive chivostek sign
140. All the short muscles of hand are supplied by

A median nerve
B ulnar nerve
C radial nerve
D T1
E C5
141. Perforation of duodenum most common source of bleeding-Gastroduodenal artery
142. Hereditary spherocytosis is defect of--Structural proteins
143. Regarding RBC fragility-0.35% N/S
144. H202 present in-Peroxisomes
145. Regarding irreversible injury of cardiac cell

A Cell swelling
B clumping of chromatin material
146. 40 years old female having 4 children has cervical epithelial change--HPV
147. Golgi tendons- Tension in muscles
148. Most common cause of hyperthyroidism--Graves disease
149. Exogenous steroids will dec which one of following--Corticotropin
150. Q there was 2 q abt autosomal dominat disease --Acgondroplasia -Adult polycystic disease
151.Q was abt renal faliar hemorrhage which area of nephron effected
a.PCT,b.Collecting duct ,c.Asanding loop henle
152.old man cough with thick mucoid sputum?A ) Klebsiella, B) mycobacterium,3 pseudomonas
153. EARLIEST SIGN OF LIDOCAINE TOXICITY???,,,,A.) Lightheadedness,,,,B) Tonic clonic

seizures
154. Q: A man develops pain in calf muscles after walking for 100 yards , which settles after
taking rest.. which artery involved? Anterior perforating, popliteal , int iliac, ext iliac, common
iliac ??
155. Q was abt which type of collagen fiber take part in wound repair
Tpye 1.2.3.4 ,I mark type 1
156. Tissue taken for transplantation from identical twin...true statement

A never rejected
88
B require immunosuppesants
C always rejctd due to minor HLA incompatibility
7th March 2016 (Morning) Surgery by Umeed-eSubah
1.Prozone Phenomenon
2.In Our Culture Patient Support (Edhi, Social Voulteer, Family)
3.Basic Drug Binds (Albumin, globulin, alpha glycoprotein)
4.Portal Hypertension causing dilated Para umblical vein due to (Portal Vein, Hepatic Vein,
Inferior Vena Cava, Hepatic Artery)
5.Bulbous Urethra Rupture - Urine Extravasate into - (Deep Perineal Pouch, Superficial Pouch,
Ischiorectal fossa, urogenital diaphragm)
6. Baby Diper gets yellow due to (Gilbert, Crigller Najar, Biliary Atresia, Hemolytic disorder)
7.Fast Pain Fiber (A alpha,Beta,delta, B or C)
8.PreGanglionic Nerve Fiber (A alpha,Beta,delta, B or C)
9.Cervical Carcinoma - Lymph drains (Internal Iliac, External Iliac, deep inguinal, superficial
inguinal, paraaortic)
10. Pleural Drainage (Area of Max Dullness upper border of lower rib, Midclavicular line 2nd
intercostal upper border, lower border)
11. Azygous Vein and Thoracic Duct Accompanies Aorta
12. Aortic Aneurysm (Medial Necrosis)
13. Left Lung notch formed by (Acending , descending or arch of aorta)
14. Arachnoid space ends (L3-L4, L5, S1-S2, L2)
15. Pudendal nerve in Pudendal canal in ischiorectal fossa
16. Which does not leaves pelvis (obturator nerve, pudendal nerve, ilioinguinal nerve,inferior
gluteal )
17. Old age with gastric discomfort - bruise over hand - Treatment Vit K
18. short arms and legs - long trunk - (X Linked, dominant, recessive, Inherited)
19.Bilesalts absorb from (Ileum, jejunum, duodenum, colon)
20.CEA+, alpha feto protein, ALP Raised, ALT Normal, AST Normal ( CA Colon, Hepatoma)
21.Family history positive , 100 of polyps (Adenomatous, Hamartomatous,)
22.Esophagus Epithelium changes to columnar epithelium- Leads to (Adenocarcinoma,
Squamous cell carcinoma)
23. Cervical epithelium Stratified sqaumous ( Dysplasia, Metaplasia)
24.Tuberculosis Diagnosis (AFB+, Caseous granuloma)
25.autonomic supply from (L1,L2,L3 - S1S2S3 - L2L3L4)
26.Meckel Diverticulum (Allantois, Vitelline)
27.ICAM and VCAM- causes Leukocyte adhesion
28. Clara Cells presents in (Terminal Bronchiole, Respiratory Bronchiole, Bronchi
1. Council man bodies are found in ?

2. Barr Bodies in Klinefelte
3.Left Shift due to (Acidosis, FHb, Inc 23BPG, Inc Altitude Inc Temp)
4. hassel Bach Triangle ( Lumbar hernia, Femoral, Direct Indirect
89
=-=--=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
(7). Gyane/Obs 7th March Morning by Noor Fatima

1- 1 gram protiens give ? 4kcal
2- Regarding thyroid? Drain in deep cervical lymph node
3- Subarachnoid space ends at ? S2
4- Medial quadrant of breast drain into? Internal thoracic nodes
5- Lateral quadrant of breast drainage?anterior pectoral nodes
6- Symphysis pubis ? secondary cartilaginous joint
7- In males rectum separated from bladder by? Fascia of denonvilliers
8- 1/3rd of total body water?ecf
9- Muscle of sadness and fright which lower angle of mouth slightly downward? Platysma
10- Sacral plexus anterior division branch?a)femoral b)obturator c)post cutaneous n of thigh
d)superior gluteal e)inf gluteal
11- Portal hypertension ,vein dilated?a)inf epigastric b)inf mesenteric c)esophageal
12- Superficial temporal artry accompanied by? Auriculotemporal nerve
13- Common motor pathway?a)descending corticospinal tract b)motor cerebral cortex
14- Intratesticular temperature less than abdominal cavity by?a)1-2 b)2-3
15- Glycocalyx is? Carbohydrate moiety b)charged with sulphate group
16- Hypermagnesemia causes? Dec acetylcholine secretion(bcz it causes dec calcium,dec
presynaptic calcium entry nd so decreased ach)
17- Ureter most narrow at?a) uretropelvic b)when enter in bladder c)at pelvic brim
18- Brain primarily regulated by?A)pH B)Pco2
19- OBJECTives of health programmes are mainly? A)Qualitative statement b)quantitative
c)not influenced by wht hv achieved previously
20- Confidentiality breaks?if pt authorizes u( insurance claim was nt in option)
21- Post streptococcal glomerulonephritis?subepithelial deposits
22- Nitrous oxide safe level in operation theater per day? A)100ppm b)10ppm c)200ppm
23- Inguinal canal posterior wall formed by?cojoint tendon
24- Maternal mortality per?a) 100000 b)1000 (no option of 10,000)
25- Epidural anesthesia given,to inc its duration nd to achieve more sensory nd motor
blockage?a)inc dose b)inc conc c)give with 1;20000 epinephrine
26- 40 year male with yellow sputum b/l lung infiltrates nd left upper lobe consolidation with
air fluid level,in sputum neutrophils present?a)mycoplasma b)staph aureus c)tb
d)adenovirus
27- Motor unit? Muscle fascicle supplied by one motor nerve
28- There is no syphatetic drive nd circulatory collapse occur d/t? a)loss of vasomotor tone
b)loss of venous tone
29- Mifepristone ?antiprogestin
30- Tamoxifen ?estrogen agonist
31- Osteoblasts are multinucleated ? or uncalcified organic matrix Is called osteoid?
32- Stylohyoid ?second arch derivative
33- Pre-eclampsia triggering factr is?endothelial alteration b)fetoplacental circulation
compromised
90
34- Bite cells? G6pd def

35- Blood group antigens on rbcs are?a)glycolipid b)glycoprotein (no option of
glycosphingolipid)
36- Brain autopsy done?liquefactive necrosis
37- For transfer of radicals(atoms)from one group to another?a)oxidoreductase
b)transferase
38- For conversion of glucose 1 phosphate to glucose 6 phosphate require? A)atp
b)isomerase
39- Acute beta 2 blockage causes?a)hypoglycemia b)lipolysis )vasocons in muscles
40- Common cause of non obstetrical death in our country? A)domestic violence b)heart
disease c)tb d)asthma
41- Most common cause of maternal mortality in our country? A)sepsis b)haemorrhage
42- Eating raweggs causes?tapeworm infestation
43- Calculate median (total values were 8,nd middle two were 27,30..median will 27.5)
44- In malaria cause of anemia? A)autoimmune b)hemolysis of para sitized rbcs
45- Golgi tendon organs?muscle tension
46- Lymph node biopsy shows non caseating granuloma?a)sarcoidosis b)amebiasis
c)histoplasmmosis
47- Most frequent is?a)autosomal dominant b)aut recessive c)x-linked d)chromosomal
e)multifactorial
48- Warfarin overdose causes brain haemorrhage immediately give?a)vit k + ffp b) ffp
49- Superior sagittal sinus pressure in standing position?a)+10 b)- 10
50- After ATN which part affected most?a0pct b)loop of henle c)dct
51- Deep ring in fascia transversalis
52- Aspiration of hydrocele,needle does nt pierce?tunica albugenia
53- Councilman bodies?apoptosis
54- Preterm labor? Bacterial vaginosis
55- Breastfed recommened ?within half an hour after delivery
56- Dvt embolus goes into?pulmonary artry
57- pCO2 max in?a)expired air b)insp air c)pulmonary artry d)pulm vein
58- dec release of o2 from hemoglobin d/t? a)dec temp b)inc temp c)hypoxia
59- pain on flexing leg medialy ?pelvic appendix
60- shoulder pain reffered from pleura?c3,c4,c5
61- nerve supply of fibrous nd parietal pericardium?phrenic
62- ureter is in front of?common iliac artry bifurcation
63- ureter is?a)away from utrus b)superior to uterine vessels
64- left suprarenal drain in?left renal vein
65- lymphocyte production nd turnover regulated by?a)thyroid b)zona fasciculate
66- most toxic local anesthesia?bupivacaine
67- vagus nerve?passes through middle of jugular foramen b)beneath subclavian artry
68- burkit lymphoma in AIDS? EBV
69- screening test ?acceptable to general population
70- screening done to detect disease at early stage
71- pain from fingertips by? Abeta fibrs
91
72- NTD? Alpha fetoprotein raised

73- Aftr c section pain in lumbr region?ureter ligated
74- After ejaculation sperm may b stored into? A)ampulla of ejaculatory duct b)seminal
vesicle
75- Cervix lymph drain?internal iliac nodes
76- Boy with testicle swelling,fever ,b/l mandibular angle swelling?mumps
77- Hemophilia gene located on? X chromosome
78- Middle meningeal artrt passes through ?foramen spinosum
79- Labia majora swelling lymph passes to?superficial inguinal medial group
80- IVC commences at?L5
81- Testicular lymph drain into?paraortic nodes
82- Muscle damage in obstructed labor?levator ani
83- Symp supply of midgut?
84- Newborn baby with absent limbs?amniotic band syndrome
85- Thyroid hormone causes?inc FFA
86- Which causes dec production of prostagalndins? A)asprin b) steroids
87- Metaplasia? Functional change in epithelium
88- Vagina? St sq epi
89- Most common cause of male infertility?klinfilter synd
90- Semen analysis abnormal finding?
91- Newborn baby with abdominal swelling covered with membrane?omphalocele
92- Mensturation at 18 day?secretry phase
93- After birth ossification centr present already at?lower end of femur
94- Ist sign of vit A deficiency? Night blindness
95- Pt stand on one foot,drop on left?ritegluteus medius paralysis
96- Fallopian tube?columner epi
97- Goblet ells absent,clara cels present?a)terminl bronchiole b)trachea
98- Bulbourehral gland content of deep perineal pouch
99- Adh nd oxytocin production in?hypothalamus
100- Jaundice in pregnancy?GGT
101- In pregnancy obliteraton of utrus by?decidua basalis capsularis b) capsularis nd
parietalis
102- Memory ?hippocampus
103- Hypothyroidism drug of choice?levothyroxine
104- In diabetic postprandial?inc insulin nd inc glucose
105- Virus causes protein alteration
106- Radiation cause hange in prorto-oncogene
107- Gastric carcinoma ?h pylori
108- Inc BT ?thrombocytopenia
109- Basic drugs bind with?alpha glycoprotein
110- ICAM nd VCAM ?adhesion molecules
111- Pyogenic peritonitis>?bacteroids
112- Diff b/w benign nd malignant tumor? Metastasis
113- Microscopic fature of malignant?invasion
92
114- No lymphatic nodules in?thymus

115- Short stature? Autosomal dominant
116- Pt lying naked heat loss by?conduction
117- Congenital cataract ?rubella
118- Above hilum of left lung ?arch of aorta
119- Pt supported in our country by? A)Edhi b)family
120- Fast pain ?a delta
121- Preganglionic fibers are? B type
122- Pleural drainage site?upper border of lower rib at max dullness
123- Tb confirmation? Acid fast bacillus
124- Somatostatin act on beta cells by?a)paracrine action b)endocrine c)neurocrine
125- Ventricular filling /s3
126- Acrosome reaction by?a)golgi b)lysosomes
127- Brain uses only fuel?glucose
128- Chest pain 6 hours ago? CK-MB
129- Cns myelination?oligodedrocytes
130- LMNL ?flaccid paralysis
131- Recptr acting via phospholipase? Vasopressin mediated sk muscle contraction
132- Neck of fibula fracture? Common peroneal nerve injured
133- In standing person venous return facilitated by? Sk mucles contraction in legs
134- Fright or flight?a) Dec release of bronchial secretions b)inc git motility
135- Atrial fibrillation?pulses deficit
136- Hot sunny day person collapses? Heat exhaustion due to excessive sweating
137- C1 vetebra have no body
138- Inc gfr? Dec plasma proteins
139- Cardiac reserve?
140- Osmosis depend on ?osmoreceptors
141- Betelnut chewing?submucosal fibrosis
142- Tb antibodies are? Cell bound
143- In HIV ? dec helper cells
144- In iron deficiency wht is increased? TIBC
145- Very small particles in respiratrytract removed by?a)ciliary movement
b)phagocytosis
146- ADPKD associated with? A)cerebral haemorrhage b) renal failure
147- Nucleus containing organelle?mitochondria
148- Pseudohermaphrodite?46xxy
149- Aorta give renal artry at?L 2
150- Infection of pretracheal fascia extend to?anterior mediastinum
151- Systemic fungal infection drug of choice ?amphotericn
152- Gastric ulcer pain? Greater splanchnic nerve
153- Withdrawl nociceptive reflex/? Multisynaptic
154- Opsonin ?c3b
155- Alpha adrenergic causes?mydriasis
156- T cells bind with ?MHC
93
157- Thyroid isthumus in front of?2,3,4 tracheal rings

158- Lt circumflex involved area affected? Lt atrium nd lt ventricle
159- DKA pt died d/t? mucormycosis
160- Hypertensive pt ,severe chest pain radiating to back ,died.on autopsy? Medial
calcific necrosis
161- Abdominal angina d/t? superior mesenteric artry
162- In pre mature baby common is? PDA
163- Lumber puncture?ligamentum flavum punctured
164- Testosterone ?inc bone nd muscle growth
165- Oral anticoagulation monitored by?PT
166- Dvt d/t use of? OCPs
167- Liver transplant? CMV
168- Cholangiocarcinoma? Chlonorchis sinensis
169- Femoral artry at?midinguinal point
170- Dec ESR d/t?inc albumin
171- Max clearance of?PAH
172- Rt testicular drain into ?IVC
173- Organelle with double membrane ?nucleus
174- Post communicating?connects PCA with ICA
175- Uncoupling of phosphorylation with inc heat production by?thyroid hormones
176- P53?tumor suppressor gene
177- Most radiosensitive?seminoma
178- Corynebacterium diphtheria most lethal effect on? Heart
179- Sulfer containing amino acid? Cysteine
180- Prim active transport require?pump
181- Fisherman bleeding gums? Scurvy
182- 182-hematocrit
183- Edema due to lymphatic blockage
184- Typhoid in first week? Blood culture
185- Sodium regulation by?osmoreceptors
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94
(8) Gynae / Obs- 8th March 2016; (Morning Session) Nourin Hameed (105)
Paper A upto 70% and paper B upto 50% repeat tha.
1)Gram negative bacteria causes infection of which system
A)Urinary tract
B)Biliar tract
2)What is tachyphylaxis
A)Diminished response developing rapidy
B)Diminished response developing slowly
3. 3)Which vitamin is antioxidant
A)Vitamin A
B)Vitamin E
C)Vitamin k
4)Vein accompanying anterior inter-ventricular vein
A)Great Cardiac Artery
B)Middle Cardiac vein
C)Superior cardiac vein
5)Vessel accompained by Phrenic Nerve
A)Musculophrenic Nerve
B)Pericariophrenic artery
C)Internal carotid
D)Superior Epigastric artery
E)Internal thoracic
6)Post ganglionic sympathetic fibres are present in
A)All spinal level
B)All thoracic level
C)All cervical level
7)Patient came with vaginal dischrage,whitish curd like,causative agent
A)Chlamydia
B)Trichomoniasis
C)Candida
8)Structure in the oral cavity covered by stratified squmous epithelium
A)Palatine Tonsil
B)Thymus
9)Postganglioic sympathetic nerves doesn't release
A)Acetylcholine
B)aDRENALINE
C)Dopamine
10)Sulphur containg amino acids include
A)Methionine
B)Glutamate
C)Lysine
11)Cause of Edema
A)Decresed Hydroststic pressure
B)Decreased Colloid pressure of ECF
C)Lymphatic obstruction
12) Per mint perfusion of 100g brain tissue per minute
A)10-15 ml
B)20-30 ml
C)50-55ml
95
D)95-100 ml
E)100-105 ml
13)Glucocorticoids
a. Decrease FA uptake by liver
b. Decreasd lipolysis
c. Deceased proteolysis
d. Decrease glucose utilization by cells
14) Myxoid degeneration is mostly associated with
a) carcinoid valve disease
b) infection endocarditis
c) libman endocarditis
d) marantic endocarditis
e) mitral valve prolapsed
15)Common Longest bone fracture
Tibia
Femur
Clavical
Humerus
16)-Howship lacunae contain
Chondrocyte
Chondrblast
Osteoblast
Osteocyte
17)Internal carotid different from extrrnal carotid by
A)Branches in neck
B)More pulsatile
C)More deep in the neck
18).Disease in which immunological test is of diagnostic value
A.hydatid disease
B.amoebic liver abcess
19)First bone ossified is
A)Clavicle
B)Humerus
C)Sternum
20)Femoral Nerve root valve
A)L3,4,5
b)s1,s2
C)L2,3,4
21)Tunning fork placed on head sensations percieved by
Paccinian corp
Merkle
Messiner
22)abt trigeminal nerve
Divide in merkl cave
Hv 3 nuclei
Gives sensory brnch to angle of jaw
23)Last end of spinal cord surrounded by dura,pia,arachnoid end at the level of
A)S1
b)s2
C)L1
96
D)L2
E)Coccygeal level
24)Vein accompanying anterior interventricular artery
A)Middle Cardiac vein
B)Great cardiac vein
C)Superior Cardiac vein
25) Right border of heart on chest X-ray is partly is formed by
a- right ventricle
b- SVC
c- SVC+Rt Atrium
26)True regarding thyroid gland
A)Epitheilum changes its shape
B)Isthmus lies above cricoid cartilage
27)Breast medial/Lower compartment doesnot
A)Pectoral lymph nodes
B)Supraclavicular lymph nodes
C)Inferior phrenic lymph nodes
28)Structure present in the lateral vaginal fornex
A)Ureter
B)Fallopian tube
C)Ovaries
29)Paccinian corpuscles respond to
A)Rapidly adapting vibration
B)Slowly adapting vibration
C)Touch
D)Two point discrimination
30)Free nerve endings
A)Detect only pain
B)Are non encapsulated
31)Pus contain
A)Dead bacteria
B)Dead neutrophils
32)Structures not present in post ganglionic sympathetic fibres
A)Noe-adrenaline
B)Adrenaline
C)Dopamine
D)Acetyl Choline
33)True about CSF
A)Inc K than Plasma
B)Decreased Glucose
C)Decreased Specific gravity
D)Decreased chloride than plasma
33)Which part of brain has role in memory
A)Frontal lobe
B)Parietal lobe
34)RBCS are
A bioconvex
B nonfragile
C have nucleus
D have glycolytic enzyme activity
97
35)erythropoietin is sec by
mesengial cells
peritubular capillary
36)Factor viii is produced by:
a. hepatocytes
b. kuffer cell
c. bone marrow
d. spleen
e. Thymus
37)Patent with low Hb and had mulpitiple ulcers the body ,type of anemia
A)Sickle Cell
G6Pd deficiency anemia
38)Patient with jaudice.Had low Hb and increaed reticulocytes count.Type of anemia
A)Hemolytic anemia
B)G6PD deficiency anemia
39)Muscle hepling in opening the jaw
A)Medial Pterygoid
B)Lateral pterygoid
C)Cricothyroid
40)True about paltelets
A)4-8 micron in size
B)alpha granules release serotinin
C)Half life is about 10 days
D)Count increases after splenectomy
41)Tubular structure having tubular glands in laina adventitia and surrounded by three layers of
smooth musvles
A)Ureter
B)Urinary bladder
42)Growth hormone secretion is inhibited by
A)Sleep
B)Somatostain
C)Pubert
D)Exercise
43)Hormone causing incresed follicular growth and maturation
A)Lh
B)FSH
C)Estrogen
D)HCG
44)Pregnat lady had viral infection during pregnancy.She was worried when she read on
internet taht a type of viral infection is lethal in pregnancy.Which type of viral Infection could that
be?
A)Hep A
B)Hep B
C)Hep D
D)Hep E
45)Patient had HSV infection.Epithelium changes its shape with increased tendency of
metastasis.Type of Change?
A)Dysplasi
B)Metaplasia
C)Hyperplasia
98
46)Myeloperoxidase is present in
A)Platelets
B)Basophils
C)Neutrophils
47)Type of hypersensitivity in erythroblastosis fetalis
A)Type 1
B)Type 2
C)Type 3
D)Type4
48)Patient had sore throat and streptococcal infection.He may also be suffering from
A)Hepatitis
B)Gastroenteritis
C)Glomerulonephritis
49)Which of the fallowing is carcinogen
A)CO
B)Asbestos
C)cisplatin
50)Bladder ca is caused by
A)Schistosoma mansonin
B)Schistosoma Hematobium
51)Allele is
A)Non fragmented gene
B)Non identical gene
C)Structural gene
52)Characteristic of malignancy
A)Pleomorphism
B)Invasion
53)Hamartoma is
A)Malignant tumor
B)Totally benign
54)Protein concentration in exudate
A)1-2 gm
B)2.5-4 gm
C)Above 4 gm
55)Patient had high Calcium,low phosphate,high parathomone,Cause?
A)Primary Hypoparathyroidis
B)Secondy Hypoparathyroidism
C)Chronic Renal Failure
D)Vitamin D deficiency
56)Patient is on Glucocorticoid for long time.She will have all of the fallowing Except
A)Moon facce
B)Hpotension
C)Thin skin
D)Hypertension
57)Most important thing in doctor patient relation is
A)Mutual relation
B)To clarely explain the disease situation
58..which of the following brain vesicle first appear
A.telencephalon
B..diencephalon
C.metencephalon
99
D.myelencephalon
E.mesencephalon
59.parathyroid related question
A.supplied by superior thyroid artery
B. Present posterior to thyroid lobes
60.aortic aneurysm at aortic opening in diaphram
Which structure will b compressed
A.azygous vein
B.hemiazygous
C.azygous+thoracic duct
61..incidence ki definition was in option
62.most common prim cause of HCC in developing countries
A.hep B &C
B.hep B
C.Hep C
D.alpha 1 antitrypsin deficiency
63.a boy with fracture,serum calcium was 8.2
Excrete calcium in urine
A.vit D deficiency
B.prim hypoparathyroidism
.Bmr in resting condition maintained by
A.liver
B.brain
C.heart
65.intervertebral disc forms 1/4 of vertebral columb
66..loss of nuclei in RBCs occur at which stage
A.reticulocyte
B.proerythroblast
67..septic shock mostly due to
A.gram negative
B.gram positive
68.More than 90% patient of anthrax having manifestation of
A.skin
69..stimus fr central chemoreceptos
A.pco2
70.1 litr of normal saline infusion causes
A.inc plasma osmolarity
B.dec urine osmolarity
C.inc urine osmolarity
71.pulm embolism cause
A.thromboembolism
72.Lobar pneumonia inveatigation was asked
A.sputum culture
B.blood culture
73.cell swelling sec to hypoxic injury cause will
A.entery of water in cell
B.protein accumulation in cells
C.lipofuscun accumulation
D.glycogen break down
74.in black woumd healing was asked, healng will
A.keloid
100
B.premalignant lesio
C.premalignant change
75..thorn prick abcess
A.staph aureus
76.cell junctions dont allow movement
A.gap junction
B.tight junction
77..in human blood
A.wbcs more than rbc
B.platelets more than rbc
C.iron binds to hemoglobin
78.a terminal ill patient with t3N1M1 stage, having less than five yr survival,
What wll b seen commonly
A.cachexia
B.Hypertension
79.Not synthesized by postganglionic sympathetic
A.dopamine
B.adrenaline
C.ac
80..increased bioavailibility
A.metoclopramide
B.Cyclizine
C.Dapsone
81..medical ethics
A.same as hippocratic oath
B.code of conduct of doctor
82.True about anal canal

A)Upper part drained by superficial inguinal lymph nodes
B)Supplied by both superior and inferior Rectal arteries
C)Inferior Rectal vein drains into Infeior mesenteric vein
83.True about Second degree heart block
A)Shortening of PR interval
B)Ventricular depolarization pattern is disturbed
C)More prone to develop ventricular tachycardia
84.True about Progesteron
A)Plays no role in breast development
B)Not secreted in pregnancy
C)Increased amount results in onset of menstruation
D)Decreased amount results in onset of menstruation
E)Increased amount causes abortion
85.Young patient with peritonsillar abscess.Causative agent?
A)Diphtheria
B)Streptococcus
C)Staphlococcus
86.Aspirin and other NSAIDS work by acting on
A)Lipoxygenase
B)Cyclo-oxygenase
C)HMG Co A reuctase inhibitor
87.If ovarian cycle duration is 21-23 days ,when will the ovulation takes place
A)7-9 days
101
B)14th day
C)18-20th day
D)19-21 th day
88.Substance not increaed during pregnancy
A)Thyroid hormone
B)Growth hormone
C)TIBC
89.Drug used to treat Endometriosis
A)Danazole
B)Flutamide
C)Tamoxifen
D)Ketoconazole
90.Patient presented with butterfly rash and proteinuria.The most diagnostic investigation would
be
A)Anti-double stranded DNA
b)ASO titre
C)LE cells
91.Toxoplasmosis is
A)A parasite
B)A helminth
C)A virus
D)A bacteria
92.Trachoma is caused by
A)Candida
b)Chylymydia
C)Streptococcus
93.Sympathetic adrenergic stimulation causes
A)Contraction of radial musles of iris
B)Glycolysis
94.Increase Ejection fraction causes decrease in
A)End diastlic volume
B)End systolic volume
95.Osteocytes convert into bone cells due to the effect of which hormone
A)FSH
B)Thyroxine
C)Parathormone
96.Following has lymphoid tissue with surrounding stratified squamous epithelium ...
A.. Lymph node
B..palatine tonsil
C..spleen
D..ovary..
97.Which brain vesicle appears first
A)Telencephalon
B)Diencephalon
C)Metencephalon
D)Mesencephalon
98.Iron stored in parenchymal tissue in the form of
A)Hemosiderin
B)Ferritin
99.Which ligament has both intra as well as extrapelvic extension
A)Round ligament of uterus
102
B)Round ligament of ovary

C)Suspensory ligament
100.Microtubules are present in
A)Mitochondria
B)Centrioles
C)RER
101.Skin of scrotum is supplied by
A)Genitofemoral nerve
B)Ilioinguinal nerve
C)Femoral Nerve
102.A woman in labor room had excessive bleeding and was hypotensive.She had IUD on
ultrasound.Initial management would be
A)Evacuation
B)Fluid replacement
C)Oxygen therapy
103)the ascent of horse shoe shaped kidney is prevented by
a external iliac
b inferior mesenteric
104)urogenital diaphragm attached laterally to?
A.inferior remus of pubis and ischial ramus
B.ischial spines
C.ischial tuberosities
D.obturator internus facia
E.tip of coccyx
105)Correct sequence of events ?
A. Damaged valve, thrombus , perforation , emboli
B. Damaged valve , perforation , thrombus , bacteremia
C. Damaged valve , bacteremia , thrombus , perforation
D. Bacteremia , thrombus , perforation , emboli
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103
9. Radiology 7th March 2016 by loa loa and Asfandyar Bhittani (122)
1.Trigeminal ganglion location

2.which lies posterior to the posterior part of internal capsule- Ans.Optic radiation??
3.testicular carcinoma 1st metastases
Superfacial inguinal lymph nodes(ans)ref:robbins
Renal lymph nodes
Deep inguinal lymph nodes (paraortic was not in option)
4.anterior relation of left kidney attached directly without membrane
Spleen
Duodenum
Pancreas(ans)
Stomach
5.axons of vestibular nucleus ends at
6.lymph nodes of lower internal mammary lymph nodes into except
Pectoral nodes (ans)
Inferior phrenic nodes
Supraclavicular noded
Suprasternal nodes
7.pectrol lymph nodes drain maximum
Major part of breast
Upper part of anterior trunk(ans)
Upper part of posterior trunk
8. About vagus nerve
Leaves the skull through jugular foramen (ans)
Relaxtion of esophageal muscles
9.fragile x syndrome
Trinucleatide repeat
10.which structure passes anterior to the left lowest part of the pancreas head
Sma(ans)
Ima
11.which stucture passes through esophageal hiatus
Vagus trunk right vagus(ans)
Phrenic nerve
12.9 yr boy with joint and bone pain also anemic
Sickle cell(ans)
Beta thalessemia
13. L1 L2 ends at
Inferior hypogastric plexus(ans)
Inferior mesenteric plexus
Superior mesenteric plexus
14.detrusor nerve supply
Parasympathetic pelvic nerves (ans)
Inferior hypogastric plexus
15.portal vein tributary
Hepatic vein
Inferior epigastric vein (ans)
16. Hepatoma will early compress
Portal vein(ans)
Cystic duct
Hepatic artery
104
17.portal vein tributary

Left colic(ans)
Inferior epigastric vein
18.adrenocortical deficiency causes
Hyponatremia (ans)
Alkalosis
19.herpes zoster nerve involved
Trigeminal nerve(ans)
Facial nerve
20. Regarding inguinal canal
Roof formed by conjoint tendon(ans)
Extends from anterior superior iliac spine to pubic tubercle
21.which bronchas of lung is supplied by endartrial artey?
Middle lobe
Superior lobe
Inferior lobe
22.after chemotherapy
Apoptosis
23.cerebral blood flow regulation
Pco2(ans)
H+
Po2
24.malarial parasite transfer in which form in man
Schizont
Sporozite(ans)
25.in embyo lung is covered by mesotheliam which later form which layer
Visceral pleura( i marked)???
Parietal pleura
Costodiaphragmatic recess
26.anterior to pancreas is
Stomach
Lessar sac(ans)
Splenic vein
27. Hepatoduodenal ligament transmits
Portal vein(ans)
Pancreatic duct
28. In surgery hepatoduodenal ligament is injured which artery will be affected
Hepatic artery (ans)
Cystic artery
29.a man having echomosis.. able to stand on toes but have pain
Planteris tendon rupture(ans)ref:dr mehtab notes in group
Achiles tendon rupture
30.in hemolysis hb bind to
Haptoglobin
31.in mastectomy which nerve is damaged
Spinal accessory nerve
Long throcic nerve(ans)
32. Most common congenital anomaly of head and neck
Cystic hygroma
Cleft plate(ans)
33.extraembyonic mesoderm derived from
105
Epiblast
Hypoblast(ans)
Endoderm
35.beta thalessemia scenrio
36.right eye swelling.... radiological study of orbit is normal
Meningioma
Glial gloma
Retinal arteries obstruction
37.most commonly fructure of bone after 60 yrs
Neck of femur (ans)
Shaft of femur
36.parathyriod enlaged cells... Oxyphil , chief cells , both????
37.ques abt ankle joint..
Deltoid ligament lies behind middle maleolar
39.visual area is supplied by
Pca(ans)
Mca
40. Mandibular branch of Trigeminal nerve passes through
Foramen ovale(ans)
Foramen rotandum
41.middle cerebral artry is branch of
Internal carotid arted artery(ans)
External carotid artey
42.type 3 reaction
Arthus
43. Myelin form in cns
Oligodendrocytes(ans)
Schwan cells
44. Preganglionic fibers
B fibers
45. Cardiac reserve( rabia ali mcq)
46.Most common Inheritance pattern
A. Autosomal Dominant
B. Autosomal Recessive
C. X-linked recessive
D. Multifactorial(ans)
47.necrosis in brain
Liquefactive(ans)
Coagulative
48.fructure humate bone
Ulnar nerve(ans)
Radial artery
49.antibodies in pernicious anemia
Antiparietal antibodies (ans)
Antityroxin antibodies
Warm antibodies
50.collection of mix blood from
Pulmonary artery(ans)
Pulmonary vein
Left atrium
51. Scienerio of achondroplasia
106
Autosomal Dominant (ans)

X.linked recessive
52. ivu kidney more prominent ..
Calyces (ans)
pelvis
pyramids
53.which of the following is responsible for maintaining body in shock
Adreno sympathetic ( ans) ???
Cns ischemic response response
54.thyroid follicles that release hormone are derived frm..
Endoderm(ans)
mesoderm
56.spinal cord ends at...
L2,
lower border of l1...(ans)
57.epidural space contains....
Venous plexues
58.most common dislocation of TMJ...
Anterior
posterior
lateral...
59.sa node is pace maker bcux...
Top of rt atrium(ans)
Lower part of sulcus terminalis
Something like in between conducting pathway
60.major supprt of utreus (ligament)
Broad ligament
Transverse cervical ligament (ans)
61.thyroid
Drains to deep cervical lymp nodes
62.clostridium botulinum
Flacid paralysis
63. slow growing tumor of thyroid
Papillary carcinoma (ans)
Medullary carcinoma
65. sensry loss on lower surface of deltoid musle and femur bone fructure nerve involved
Axillary nerve(ans)
Musculocutaneus
66. fractur of neck of humrus nerve damaged
Axillary nerve
67. Regarding cephalic vein
Arises from medial side of dorsal arch
Lie between deltoid and pectoralis major muscle(ans)
68.nerve that supplies extensor of arm arises from..
Lateral cord
medial cord
posterior cord(ans)
69.a 60 yrs old man develops pain in calf muscles aftr walking 100 yards pain is due to...
Popliteal (ans)
posterior tibial
70. Ulcer 2nd part of duodenum which arty will u ligate
107
Gastroduodenal artery(ans)
Right gastric artery
71.10 yrx boy repeated visits to opd with pallor frontal bossy
thalasemia major(ans)
Thalasemia minor
Sickle cell disease
72.renal vein lies posterior to
Renal artery
Pancreas
Aorta
Sma(ans)
73.vagina and utrus epithelium frm
Endoderm
Mesoderm
Endoderm and mesoderm
74.parathyriod enlarged cells...
Oxyphil
chief cells
both
78.lumber triangle anteriorly bound by posterior border of
Extrnal oblique
quadratis lumbrm
Serratus anterior(ans)
79. Regarding sarcoma
Increased vascularity
80.icam nd vcam
Leukocyte adhesion
81.Mononucleosis. Stucture most likely to be damaged even on minor trauma
A. Liver
B. spleen(ans)
C.Gall bladder
D. Pancreas
82.Barium swallow Feathery appearance in left abdomen
A. Jejunum(ans)
B. Ileum
C. Stomach
83.Damage to middle cranial fossa. No lacrimation. damage to
A. Ciliary ganglion (ans)
B. Greater petrosal nerve
84.In spermiogenesis acrosomes are synthesized and secreted by
A. Lysosomes
B. Mitochondria
C. Golgi complex (ans)
D. Endoplasmic reticulum
E. Peroxisomes
85.Which of the following is not isotonic to plasma
A. 0.9% N/S
B. 5% D/w(ans)
C. Plasma protein fraction
D. Ranger lactate
E. 1.2% sodium bicarb
108
86.Highest Pco2 in
A. Expired air
B. Alveoli
C. Pulmonary artery(ans)reference guyton
D. Pulmonary vein
87.pregnant lady Jaundice Stone in bile duct. most important investigation
A. Ggt(ans)
B. Alkaline phosphatase
C. Alt88
D. Ast
88.Somatostatin acts on beta islet cells
A. Apocrine
B. Holocrine
C. Paracrine(ans)
D. Neuroendocrine
E. Endocrine
89.Glucocoticoids inhibit
A. Corticotropin
B. insulin
90.Most common Inheritance pattern
A. Autosomal Dominant
B. Autosomal Recessive
C. X-linked recessive
D. Multifactorial
91.Exocelomic membrane derived from?
A. Somatopleuric mesoderm
B. Splancnopleuric mesoderm
C. Hypoblast
D. Epiblast
92.Very small particles in respiratory tract are cleared by
A. Ciliary transport
B. Phagocytosis
C. Expectoration
D. Mass movement
93.Jaundice Stone in bile duct. most important investigation
A. Ggt
B. Alkaline phosphatase
C. Alt
D. Ast
94.External urethral sphincter related to which part of prostate
A. Lateral
B. Posterior
C. Base
D. Apex
95.Barium swallow Feathery appearance in left abdomen
A. Jejunum
B. Ileum
C. Stomach
96.Trauma to head. No lacrimation. damage to
A. Ciliary ganglion
B. Greater petrosal nerve
109
C. Cervical sympathetic
don't remember exactly
97.Parathyroid hyperplasia involves
A. Oxyntic cell
B. Chief cells
C. Oxyntic + chief
98.Adreno cortical insufficiency cuases
A. Alkalosis
B. Hyponatremia
C. Hypokalemia
D. Hyperglycemia
99.Most common TMJ dislocation
A. Anterior
B. Posterior
C. Inferior
D. Lateral
100.Unilateral painless bulging of eye. blood profile normal. Radiologic study normal
A. Meningioma
B. Glioma of optic nerve
C. Graves
D. Mets
E. Thyroid ophthalmopathy
101.Which of the following is not isotonic to plasma
A. 0.9% N/S
B. 5% D/w
C. Plasma protein fraction
D. Ranger lactate
E. 1.2% sodium bicarb
102.Phospholipase most likely to be inhibited by
A. Steroids
B. Aspirin
C. Streptokinase
103.Eparterial bronchus is related to
A. Right superior
B. Left superior
C. Right middle
D. Right inferior
E. Left inferior
104.First observable sign of irreversible cell injury in cardiac cell
A. Clumping of nuclear chromatin
B. Hydropic change
C. Cell Swelling
D. Contraction bands in cytoplasm
105.Lumbar triangle bounded anteriorly by
A. External abdominal oblique
B. Litissimus dorsi
106.Anterior relation of left kidney directly without intervening peritoneum
A. Spleen
B. Duodenum
C.Pancreas
110
D. Stomach
E. Jejunum
107.Uterus and vaginal epithelium derived from
A. Endoderm
B. Mesoderm
C. Endoderm + Mesoderm
D. Mesoderm + Ectoderm
108.Major support of uterus
A. Transverse cervical ligament
B. Uterosacral Ligament
C. Pelvic diaphragm
D. Urogenital diaphragm
109.IVU of kidney done. Most prominent part would be
A. Calyces
B. Pyramid
C. Medulla
D. Cortex
110.Somatostatin acts on beta islet cells
A. Apocrine
B. Holocrine
C. Paracrine
D. Neuroendocrine
E. Endocrine
111.Anterior to left renal vein
A. Inferior mesenteric vein
B. Aorta
C. Renal artery
D. Pancreas
112.Most common head and neck congenital anomaly
A. Cleft lip and palate
B. Preauricular cyst
C. Problems of ear
D. Cystic hygroma
113.Most important response as a whole
A. Sympathetic/adrenocortical stimulation
B. Brain Ischemic response
114.Highest Pco2 in
A. Expired air
B. Alveoli
C. Pulmonary artery
D. Pulmonary vein
115.Postpartum hemorrhage caused ARF. structure most likely damaged is
A. Pct
B. Dct
C. Ascending loop of henle
D. Descending loop of henle
E. Collecting duct
116.In spermiogenesis acrosomal reaction occurs by
A. Lysosomes
B. Mitochondria
C. Golgi complex
111
D. Endoplasmic reticulum
E. Peroxisomes
117.Fracture of hamate can damge?
A. Radial artery
B. Radial nerve
C. Ulnar nerve
D. Median nerve
E. Flexor carpi ulnaris
118.Detrusor muscle is supplied by
A. Pudendal (S2-4)
B. Parasympathetic (S2-4)
C. Inferior hypogastric plexus
119.Axons of vestibular nuclear complex ends at
A. Dentate
B. Granular layer
C. Cochlear
plz add options
120.Posterior most in the posterior limb of internal capsule
A. Optic radiations
B. Corticospinal tract of upper limb
C. Corticospinal tract of lower limb
121.Pain in left calf on walking relieved by rest. Involves
A. Popliteal artery
B. Post tibial
C. Ant tibial
D. Profunda femoris
E. Femoral
122.Mononucleosis. Stucture most likely to be damaged even on minor trauma
A. Liver
B. spleen
C.Gall bladder
D. Pancreas
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112
(10.) Community medicine 7th March 2016 (Morning) by Qaisar Javed (90+85)
Paper-1 (90 )MCQS
1. True about Glycocalyx - fuzz like coat on external surface??/ carrier protein/ lipid mem
2. Hypermagnesemia - Decrease release of Ach/ hyperreflexia?
3. Brain regulated by - Pco2
4. Confidentiality breach - if pt auth you
5. H202 in which organelle - peroxisomes
6. Cannot regenerate- Lens
7. True statement -osteoblasts/clast are multinucleated or Uncalcified organic matrix is called

osteoid - Question/Stems not properly recalled..
8. 2nd arch derivative- Stylohyoid
9. Liquefactive necrosis - in brain
10.Tfr of radicals(atoms) from one gp to another- oxidoreductases
11.Caculate median - 27.5 Answer
12.Golgi muscle tendon - tension /relaxation info ??
13.ILD non caseating granuloma with hilar nodes- Sarcoidosis
14.RBC antigen - Glycoprotein / Glycolipid ?
15.Most common genetic disorder - Multifactorial
16.Muscle of fright and Sadness- Platysma
17.Throid lymph Drainage- deep cervical lymph nodes
18.Temporal artey realted - Auriculotemporal nerve
19.Acute Renal failure part affected - Pct?? / loop of henle
20.Irreversible cell injury in myocardium- Contraction bands in cytoplasm?? / Nuclear chromatin

appearance
21.DVT emboli - Pulm artery?
22.Pco2 max in - Pulm Vein/ pulm artery ??/ expired air
23.Shoulder pain referred from pleura - C345
24.Lt suprarenal drain - Lt renal vein
113
25.1/3rd body water - ECF
26.Councilman bodies seen - Apoptosis
27.Basic drug binds - alphaglycoprotein
28.Case control typical scenario - disease and not diseased
29.ICAM and VCAM - adhesion molecules
30.Symphysis pubis joint - Secondary cartilaginous joint
31.Pyogenic peritonitis - Bacteroids
32.Diff Malignant and Benign tumor - Invasion? / metastasis
33.Microscopic feature Malignant tumor - invasion
34.Metaplasia - epithelium change
35.Goblet cells covert to Clara- Terminal bronchioles
36.No lymph nodules - Thymus (spleen/lymph nodes..)
37.Megalobalstic anemia invest - Intrinsic factor antibodies
38.Scenario Achondroplasia - Autosomal dominant
39.Pt lying on bed at room temp - Conduction
40.Middle meningeal artery - Foramina Spinosum
41.Incr PT and PTTK - Vit K def ?
42.Wound strength - Type III collagen
43.Decrease Gentamicin clearance in old age - Decrease renal func
44.Lower limit of subarachnoid- s2 (L2 / ..)
45.Above hilum lt lung - Arch of aorta
46.Congenital cataract- Rubella
47.Virus act by - altering proteins synthesis
48.No valves seen in - SVC (IVC/..)
49.Pt support in our culture - family
50.Fast pain fibre- A delta
114
51.Preganglionic nerve fiber- Beta fiber?
52.Pleural drainage- area of max dullness at upper border of lower rib
53.TB Dx - sputum AFB
54.Extraembryonic coelomic membrane - endoderm
55.Somatostain acts on beta cells - paracrine/holocrine/autocrine/endocrine/neuroendocrine
56.Not isotonic to plasma - 1.2% HCO3 ?
57.Ventricular filling - 3rd heart sound
58.Glucorticoids inhibit - Corticotrophin?
59.In spermiogenesis Acrosome - Lysosome/ Golgi
60.Organ which utilizes glucose - brain
61.pt came at 2am with chest pain - CKMB (No other best options were there)
62.Lower motor neuron lesion - flaccid paralysis
63.CNS myelination - Oligodendrocytes
64.Receptor action via Phospholipase C - Vasopressin induced smooth muscle contraction
65.Flight or fright Stimulation- Decrease release of bronchial secretions ( pupillary

constriction/Incr GI motility)
66.Atrial fibrillation - Pulse deficit
67.Hot sunny day, sudden collapse - Excessive sweating
68.C1 vertebra feature - lacks vertebral body
69.Pulse pressure max at - renal artery/ pulm artery/...?
70.Dec plasma proteins - Inc GFR
71.Cardiac reserve- Max % by which CO can be inc above normal
72.Osmosis depends?? - no of partices ?
73.1 litre blood loss late to adjust ?? - rbc mass/ renin/ aldosterone
74.Incr TPR ?? - ??
75.5% dextran in large amount given - adh inhibition?
76.Plasma mem - 100nm/ extent to size of membrane??
115
77.Cardiac pleural serous mem supplied by ?? - cardiophrenic/vagus
78.Betel nut -submucosal fibrosis
79.In preg jaundiced Inv performed - GGT
80.TB antibodies are - Cell bound
81.Regarding ?? - Hiv dec helper cells ?
82.Mot imp response as a whole - CNS ischemic response / sympathetic adrenal response
83.Corticosteroids anti inflammatory action by - ??
84.In Iron def anemia in pregnacy, Increased - TIBC
85.Very small particles in respt ract cleared by - ciliary / phagocytosis
86.APKD assoc - renal failure/ cerebral hrmorrhage
87.Acute glomerunephritis proteinuria- Basement mem defect / subepithelial deposit/IgG dep

Basement mem
88.Organelle having nucleus ? - Mitochondria
89.Motor unit - muscle fascicle innervated by single motor nerve fibre
90.Vagus nerve true? - passes thru middle of jugular foramin / beneath subclavian artry in neck
7th March 2016 (Morning Shift) Community Medicine Paper 2
1.Vit A dose 2 yrs age, prevention - IU
2.Riboflavin def .. staple diet.. rice?
3.Another vit def assoc with Niacin?
4.Vit A highest in ? Potato> green leafy veg
5.Scenarios related to persuation
6.motivation
7.Counselling
8.propaganda
9.Symposium
10.cause specific fatality rate scenario
116
11.Incidence formula - denominator
12.rabbit disease- tularemia
13.echinococuus granulosis- transmission dogs? sheep cattle fish
14-15.cas control scenario-- 2-3 scenarios
16-17.cohort scenario 2-3 scenarios
18.positively skewed curve - Mean>Mean>Mode
19.pinworm Rx
20.Human dev index composition
21.community participation scenario
22.Integrated health realted scenario
23.Secondary attk rate numerical
24.case fatality rate numerical
25.OCD Scenario- Personality disorder
26.Scenario- lack of awareness among community
27.MCHC succesful... comm participation
28.Primordial prevention
29.disability- tertiary prev
30.Use of helmet for motorcycle- Prim prev
31.Impairment Definition
32.neonatal mort rate- shows late fetal deaths
33.snowstorm apperance- silicosis
34.Improving working environment --- scenario
35.DM is inc in dev countries -- different suboptions
36.Vasculotoxic Russel viper? common krait
37.p value .. alpha error definition
38.pt not treated by local dr but sent to tertiary care for atls mngmnt.. First lvl referral .. other
options prim /sec/ ter prev/first lvl care
117
39.Lead time - def
40.convalescent carrier?? Definition
41.min percentage of essen fats for CHD patient- 10% of energy intake
42.mild/moderate arm circumference in anthropometric measurement
43.waterloo class for growth charts
44.PEM min protein lvl below % -- 7?
45.Obese pt , essential fats limited to - ?%
46.human milk contain protiens- 1-2 gm
47.Diphtheria immunized 2 yrs bk... again rx? Penicillin + Acitive or passive immunity
48.dewdrop lesion - chicken pox
49.mid arm circumference in children mild/moderate - 12.5-13.5cm
50.CHD and Cataract infection -- Rubella
51.TB mother .. child tuberculin positive -- rx ? BCG, BCG+ATT, INH for 3months, Ig
52. Amenorrhea and sterility --- caues?? lead, mercury , etc ?
53.rate - numerator in denominator
54.HTN & IHD in male and female --- confounding factor- female sex ?
55.sensitivity incr - specifity dec
56.Vit A def- Night blindness
57.female gathering , awareness on cancer common-- breast CA
58.non modifiable factor - cigarette smokingr
59.Alcohol and LDL assoc being studied lead to MI assoc -- this is called ?
60.Diabetes screening- urine test for glucose or BSR?
61.Viral Infec not causing congenital abnormality?? HIV, HSV, HZV, Rubella, CMV
62.IgE - hypersensitivity
63.igG - Most abundant
64.Targeted screening- workers of factory
118
65.Population doubling time for growth rate 3% - 20-25 yrs
66.Decreased population growth of country analysed by -- Inc mortalilty rate ?
67.Net reproduc rate - assoc with mortality rate
68.median in given calculations= 27.5 answer - past paper
69.Demographic Cycle- Pakistan entered 3RD STAGE
70.tetanus campaign by unicef = < 1 case per 1000
71.Worms in feces by eating pork - T.solium
72.Ozone depletion by factories- by CFC
73.Green house effect mainly by- CO2
74.Air pollution- Soiling index
75.Strength of sewage - Biochemical O2 demand
76.ILD with non caseating granuloma and hilar lymp nodes- Sarcoidosis
77.LBW < 2.5 kg weight
78.Smoking in pregnancy-- IUGR
79.Wheel of causation - main component-- HOST
80.Fecal contamination recent - e.Coli?
81.Adding saccharide in ice cream - Food additive
82.Critical Path method - Network analysis
83. Snake bite – Immobilze pt
84. Teaching Ors prep to mothers – Demonstration
85. Stratified random sampling
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The End- Compiled by : Amlodipine Besylate
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1
4th & 5th April-2016- Papers of all Specialties (1032 MCQS)

[ Index- Check List ] Compiled by : Amlodipine Besylate
(1) Medicine & Allied 4th April 2016 (Evening Session) by Miqdad Haider(200 MCQS) Page#1
(2) Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS) P#9
(3) Surgery & Allied 4th April 2016 (Evening session) by Neelum Agha (195MCQS) P#24
(4) Surgery 4th April 2016 Morning by Usman Dawar & Mir Karimshah(92+30) Page#32
(5).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#36
(6). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#50
(7). Anesthesiology 4th April 2016 Morning Aly Samnani (80) P#57
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(1)Medicine & 4th April 2016 (Evening Session) by Miqdad Haider(200)

APRIL 4, 2016 EVENING, MEDICINE AND ALLIED PAPER 1 AND 2 By: Miqdad Haider
(PCDA – Pakistani Cuban Doctor Association) Please point out errors and make errata. I have tried to mark maximum answers
(from books/this group/internet) but still wasn’t sure about some questions. So your feedback will be welcomed. It has been t ried to
put the most accurate answer, but you never k
to all members of the group who contributed in compilation of this paper by posting questions after their paper and by partic ipating in
the discussion (Esp. Med Med, Asad Saleem).
1. Labetalol acts on
a.Alpha and Beta receptors * (ans) b.Alpha receptors c.Beta receptors
2. Neuron peak of Action potential
a.Electric gradient tend to send Na into the cell* (ans)
b.Concentration gradient send Na out of the cell
c.Electric gradient tend to send K out of the cell
d.Concentration gradient send K in of the cell
e.Another option about Chloride
3. Embryological counterpart of Mullerian tubercle is:
a.Pineal body
b.Seminal colliculus* (ans)
c.Vas deferens
4. Most common acquired cause of thrombus/embolus
a.Protein c deficiency
b.Protein s deficiency
c.Antithrombin III def
d.Antiphospholipid antibody syndrome* (ans)
5. Most important clinical feature of water intoxication
a.Slow pulse* (ans)
b.Distended neck vein
c.Pulmonary edema
6. Proteins that escape into tissues from blood vessels :
a.Reabsorbed by lymphatic system* (ans)
b.Convert to be a part of defence system
c.Involve in metabolic activity
7. Thirst is decreased by
a.Increased plasma osmolarity and decreased plasma volume (ans)
b.Increased plasma osmolarity and increased plasma volume
2
c.decreased plasma osmolarity and decreased plasma volume

8. Patient with Mitral stenosis,,, and a-fib, now ischemic stroke. Pathogenesis?
a.Thrombus
b.Emboli* (ans)
9. Increased salivation by Parasympathetic system associated with vasodilation due to:
a.VIP
b.GIP
c.Ganin
d.Substance P* (ans)
10. Hypothalamus inhibits the following hormone
a.Prolactin (ans)
11. Which of the following veins drains into coronary sinus and itself becomes part of coronary
sinus?
a.Great cardiac vein* (ans)
b.Middle cardiac vein
12. Fastest conduction in heart by
a.Purkinje system (ans)
13. Most effective way to prevent heat loss
a.Stimulation of adrenaline and noradrenaline
b.Shivering
c.Cutaneous Vasoconstriction* (ans)
14. Aortic pressure lowest during
a.Atrial systole
b.Isovolumetric contraction* (ans)
c.Isovolumetric relaxation
15. Period where heart is susceptible to fibrillation
a.At the end of action potential* (ans)
b.Refractory period
c.First half of action potential
d.Later half of action potential
16. Infusion of 1 litre normal saline causes
a.Plasma osmolarity decrease
b.Plasma volume decrease
c.Decrease urine osmolarity* (ans)
d.Urine sodium increase
17. 40 year old patient of Down syndrome, has risk of Alzheimer (ans)
18. Dorsal column carries a.Proprioception* (ans),b.Temperature ,c.pain
19. Pus contains a.Dead bacteria b.Neutrophils* (ans)
20. Organism causing meningitis in adults a.Streptococcus* (ans) b.Actinomyces
21. Patient with acute promyelocytic leukemia, cell show multiple basophilic round bodies,
irregular membrane, structureless eosinophilic cytoplasm,
a.Apoptosis* (ans)
b.necrosis
c.hydrolysis
d.coagulation necrosis
22. alpha adrenergic stimulation causes a.bronchodilation b.mydriasis* (ans)
23. Important protein in RBC a.Spectrin*(ans) b.Actin c.myosin
24. Essential amino acid a.Phenylalanine* (ans) b.Glycine c.Cysteine d.Proline
25. How to disclose a bad news to a patient
a.In front of family
b.Alongwith staff
3
c.In a separate formal session* (ans)

d.At bed side
26. Confidentiality can be breached by
a.Insurance claim * (ans)
b.If patient authorizes you
27. Carcinogen for cancer of cervix a.HPV*(ans) b.Chronic irritation
28. Steroids act by a.cAMP activation b.gene alteration* (ans)
29. Women after delivery, Platelet: 70,000, aTTP normal, PT raised – DIC. (ans)
30. Tumor screening test is for - Early diagnosis of a disease. (ans)
31. Patient with tic doloreaux (Trigeminal neuraglia), analgesia given to block trigeminal
ganglion at which site :
a.Middle cranial fossa* (ans)
b.posterior cranial fossa
c.anterior cranial fossa
d.infratemporal fossa
e.pterygopalatine fossa
32. In late pregnancy the uterus is most sensitive to – Oxytocin. (ans)
33. About bicep brachialis muscle – attaches to supraglenoid tubercle of scapula. (ans)
34. Maximum area of resonance is T2-T4 of right midclavicular line. (ans)
35. True about spinal cord
a.Conus medullaris terminates in neonates at the level of – L3* (ans)
b.Dorsal and ventral roots meet 2cm beyond interbertebral foramen to form spinal nerve?
36. Cimetidine is used preoperatively because:
a.Inhibits H2 receptors competitively ,b.Decrease gastric acid* (ans)
c.Does not affect gastric motility ,d.Does not interact with induction agents To decrease gastric
volume
37. Nursing mother with herpes labialis, drug of choice a.Acyclovir b.Trifluridine* (ans)
(Above umbilicus trifluridine, below umbilicus acyclovir)
38. After feeding the baby, diarrhea develops – Gastrocolic reflex. (ans)
39. Both sides of 5th posterior intercostal spaces are supplied by: a.Thoracic aorta b.Internal
thoracic artery?
40. 2 years old child with medially rotated arm lesion in - Upper trunk. (ans)
41. Opioids produces vomiting by acting on a.Chemo trigger zone in medulla*(ans)
b.Vomiting center c.Antagonist of dopamine
42. Female with uterus cancer which travels to labia majora following which route - Round
ligament (ans)
43. Pain in epigastrium due to ulcer, transmitted by - Greater splanchnic nerve (ans)
44. Bitemporal hemianopia due to lesion of a.Optic tract ,b.Peripheral part of optic chiasm
c.Central part of optic chiasm* (ans)
45. Vesicular lesion on the right tip of nose and right eyelid – Right Ophthalmic nerve (ans)
46. Patient can’t abduct till 30 degree, which muscle is responsible – Supraspinatus
47. Nerve supply to plantar surface of foot a.Posterior tibial* (ans) b.Superficial peroneal
c.Deep peroneal d.Saphenous nerve
48. Ventral spinothalamic tract a.Coarse touch and pressure* (ans) b.Temperature
49. Vibration and touch via White matter of posterior spinal cord. (ans)
50. Brainstem reticular formation a.Unusual stimulus causes arousal*(ans) ,b.initiates REM
sleep ,c.Inhibition of neural systems causing wakefulness ,d.Does not communicate with upper
part of CNS
51. Most radiosensitive tumor ,a.Ganglioglioma ,b.Brainstem glioma
c.Craneopharyngioma*(ans)
52. Hormone increased during sleep as compare to at day wakefulness –
4
a.Cortisol*(ans) b.GH wasn’t in the options

53. Patient with intentional tremors and facial paralysis lesion at
a.Cerebellopontine angle* (ans) b.Right hemisphere Pons
54. Patient working in mine with tuberculin test positive. Cough, fever, weight loss with hilar
lymphadenopathy
a.Silicosis* (ans) b.Asbestosis c.Anthracosis d.Pneumoconiosis
55. Male working in construct factory with pleural plaques
a.Asbestosis* (ans) b.Anthracosis c.Pneumoconiosis
56. Neoplastic cells with continuous mitosis due to persistence of – Telomerase. (ans)
57. During exercise venous return is due to - Contraction of calf muscles. (ans)
58. Action of steroids as anti-inflammatory is due to - Inhibiting phospholipase.
59. Long term thiazide use causes a.Hypokalemia. (ans) b.Hypocalcemia c.Hyponatremia
60. Intermediate filaments staining with immunofluorescence to diagnose (it has something to
do with cytokeratin, don’t remember exact stem) – Carcinoma. (ans)
61. VPL nucleus of thalamus when damaged cause
a.somatosensory loss of contralateral body* (ans)
b.Loss of taste ,c.Loss of olfaction ,d.Somatosensory loss of ipsilateral body
62. Man living on side of a river, got blindness from nematode; organism –
Onchocerca volvulus. (ans)
63. MCC of HTN – Idiopathic. (ans)
64. Female with hirsutism, galactorrhea, infrequent heavy menstrual cycle. U/S both ovaries
with cystic lesions and LH:FSH :: 3:1 – PCOD (ans)
65. Female with hot flushes a.Increase FSH and LH* (ans) b.Decrease FSH increase LH
66. Injection of atropine will cause - Dryness of mouth. (ans)
67. Female with severe loss of vibration, Investigation of choice - Stomach biopsy. (ans)
68. Female with weakness and lethargy with RBCs 5.5 diameter and very thin red line of RBC in
peripheral smear
a.Microcytic hypochromic anemia* (ans)
b.Normocytic hypochromic
c,Normocytic normochromic
69. Monitoring of Hep B a.Serum glutamate-pyruvate transaminase*(ans)b.Prothrombin time
70. Female with reactive anti HBe and reactive total anti HBc along with non-reactive HB IgM
and non-reactive HepBs Ag
a.Acute recovery phase* (ans)
b.Chronic Carrier
71. Patient with obstruction jaundice; now bleeding cause a.Vit K deficiency* (ans)
b.Decrease cloting factor production due to liver problem
72. Investigation of Hashimoto thyroiditis – Antimicrosomal and anti-thyroglobulin
antibodies. (ans)
73.Cimetidine interaction with warfarin causes
a.Decrease hepatic clearance of warfarin(ans) b.Increase oral bioavailability of warfarin
74. Patient using some anti-coagulant, how will you know that anticoagulant is warfarin because
it is being monitored by a.PT* b.By giving Protamine
75. BP drops from 100mmHg to 70mmHg, it will result in a.Decrease in carotid sinus nerve
activity* (ans)
b.Increased sympathetic efferent effect on heart
c.Increased sympathetic efferent effect on heart
76. Erythropoietin is secreted from - a.Mesangial cells (?) b.Tubular epithelial cells (I did)
77. Child with machinery like murmur a.PDA*(ans) b.MS c.MVP
78. PaO2 is 100% in a.A person who used to live in high altitude b.Right to left shunt c.Left to
right shunt* (ans)
5
79. Kallmann syndrome – a.Gene defect in Kal1 gene on Y chromosome* b.Lesion in

arcuate nucleus
80. Diplamotoylphosphatidyl choline + carbohydrate + proteins is a content of
a.Surfactant* b..Alveolar endothelium interstitium
81. In asthma a.Decrease FEV1* (ans) b.Residual volume change
82. Splenectomy is most useful in
a.Hereditary spherocytosis* (ans) b.Thalassemia c.Sickle cell anemia
83. Findings in glycogen storage diseases
a.Hepatomegaly and hypoglycemia* (ans) b.Hepatomegaly and hyperglycemia
84. Corynebacterium diphtheria produces – Exotoxins (ans)
85. Common specie of Corynebacterium affecting human is – Diphtheriae. (ans)
86. CSF with increased proteins and polymorphs with decrease glucose the drug of choice
a.Ceftriaxone* (ans) b.Ciprofloxacin
87. About the pharmacology of Neiserria gonorrhea – a.Pencilin G. (ans)
88. Major histocompatibility is related to – a.HLA. (ans)
89. Kidney is transplanted, gets cyanosed in 10 minutes, type of reaction
a.Antibody mediated* (ans) b.Host Vs Graft Reaction c,Cell mediated
90. A child with Agammaglobulinemia is prone to
a.Pyogenic infections* (ans) b.Viral infections
91. Diagnostic criteria for sarcoma a.Increased vascularity*(ans) b.Pleomorphism
92. Soldier coming down from height, now with discoloration of fingers, dyspnea – Secondary
polycythemia. (ans)
93. Vitamin D acts on intestinal mucosa to increase calcium absorption by following mechanism:
a.Expression of genes*(ans) b.cAMP
94. Calcium influx via slow channels in ventricle cells causes a.Ventricular ejection*(ans)
b.Atrial systole c.Rest were relaxation phases of cardiac cells
95. Increased ‘a’ wave in JVP due to a.Mitral stenosis b.Mitral regurg c.Aortic stenosis
d.Tricuspid stenosis* e.Aortic regurg
96. Person with HR 80/min, on ECG RR interval would be - 0.75 sec. (ans)
97. Class III Antiarrhythmics – a.Amiodarone* (ans) b.Quinidine c.Lidocaine
98. Increased ASO titer a.Rheumatic fever* (ans) b.Endocarditis
99. In hypertrophic cardiomyopathy – Myocytes disarray. (ans)
100. 5 month pregnant lady with thyrotoxicosis, drug of choice Methimazol PTU* (ans)
101. 30 years old smoker, psychotic, vomiting of fluid with visible peristaltic movements on
abdomen cause - Pyloric stenosis. (ans)
102. Myenteric system of parasympathetic is potentiated by – Ach. (ans)
103. Pethidine is preferred over Morphine – a.Fast acting* (ans) b.Less addictive c.Less
potent analgesic d.More constipation
104. Philadelphia chromosome – CML. (ans)
105. Male with fever upper lobe consolidation, fever from last 3, productive cough, AST 135 and
ALT 111, alkaline phosphatase normal, bilirubin 10, he died on autopsy weight of liver increased
and with fat droplets seen on hepatocytes. Diagnosis Chronic alcoholic disease* (ans)
106. Alpha 2 macroglobulin inhibit a.Trypsin(ans) b.Secretin
107. 65 years old male with all symptoms of LV failure and pulmonary edema without any
previous illness and BP 125/85mmHg, on X-ray cardiomegaly, a febrile cause of heart failure,
liver enzymes normal Bicuspid calcified aortic valve Alcoholic cardiomyopathy*(ans)
Amyloidosis
108. Calculate Alveolar ventilation where Tidal volume is 500ml/respiration. RR 10 -
3500ml/min (ans)
109. Calculate Clearance where Urinary flow 20 ml/min, Concentration of substance in urine 10
and Plasma 10 – 20ml/min (ans)
6
110. Highest potential difference in the wall of stomach is when:

a.Aspirin ingestion* (ans)
b.HCL is not secreted and gastric mucosa is intact
c.HCL is secreted and gastric mucosa is damaged
111. Excessive eversion of foot damaged which structure - Rupture of deltoid ligament. (ans)
112. About thoracic aorta a.starts at T4 on left side*(ans) ,b.supply lungs, esophagus n
pericardium ,c.supplies last 8 intercostal spaces
113. Histology of cornea - Stratified squamous non-keratinized. (ans)
114. Left shift of HbO2 curve - CO poisoning. (ans)
115. Humans are intermediate host in a.Hydatid cyst. ,b.Filariasis
116. Micturition reflex a.Self generating (ans) b.Cerebral control c.Condition reflex
117. Hallmark of HIV disease a.Proliferation of virus in T-Cells(ans). b.Progressive immune
deficiency
118. Surgery of submandibular gland; nerve damaged - marginal mandibular branch of
facial. (ans)
119. Aspirin overdose causes a.Coma b.Alkalosis c.Hypothermia
120. Father with defective gene on one autosomal chromosome, develops disease later in his
life; chances of getting disease in children – Half of the children will be affected. (ans)
121. Thorn prick in left lower limb caused abscess - Staph aureus. (ans)
122. Lesion of parasympathetic system affects mostly - GI muscles. (ans)
123. ADH– Osmoreceptors (ans)
124. About systolic pressure which one of the following true
a.directly related to plasma Renin*(ans) b.depends on venous return c.dosnt depend on TPR
125. Superficial temporal artery relation with which nerve a- Auriculotemporal nerve. (ans)
126. Protoncogenes converted to oncogenes by a.point mutation* (ans) b.gene amplification
c.translation d.dna transcription e.chromosomal translocation
127. Oblique fissure of the lung at level - T3 to T6 Costochondral. (ans)
128. A long case scenario of Appendicitis, bottom line was pain mediated by ----
a.Prostaglandin and bradykinin* (ans) b.TNF alpha
129. Hamartroma : a.ectopic tissue b.disorganized growth of mature cell indigenous to the
site*(ans) a tumor which can metastasize a tumor with all germ layers
130. Correlation between two variables( duration and anesthesia administration I think) was
studied a.student t test ,b.chi square ,c.regression analysis* (confirm it)
131. Chemotaxis (indirect statement about an inflammation scenario) …. C5a (ans)
132. Drug drug interaction …. Morphine toxicity treated with naloxone (ans)
133. Best diagnosis for turner: a.barr body b.karyotyping (ans)
134. Inferior imaginary line in rectus sheath ---- arcuate line (ans)
135. The measurement of cardiac output by thermodilution ?
a.-Is accurate and easily repeatable b.-Involves measuring the integral of temperature change
over time
c-Involves use of the latent heat of vaporization in the calculations d-Is also known as the Fick
technique –e.May be inaccurate due to respiratory changes in the pulmonary artery
temperature(may be this one is right, please confirm)
136. Medial arcuate ligament formed by a.diaphragm b.lumber fascia c.psoas fascia* (ans)
d.quadratus lumborum
137. zinc is important in following
a.carbonic anhydrase*(ans) b.cellular oxidation c.vitamin b12 d.glycosis ketogenesis
138. Bilateral S3.4.5 cut what will result in a.labour with out pain b.painless mensis
c.anorgasmia d.rectal incontinence* (ans)
7
139. long case,90 year old female, lipofuscin pigment present in histology report of cardiac
muscles. A.cellular oxidation,b.coagulative necrosis c.apoptosis d.autophagy* ans . FA 2014
pg 228)
140. Ghon complex is characteristic of ----a.Tuberculosis (ans)
141. Immunity provided by DPT is a.artificial active*(ans) b.artifial passive
142. Glucose fasting 6.8 (124), after 2 hours 10.6 (190)
a.impaired glucose tolerance* (ans) b.Diabetes
143. Aldosterone most important stimulus a.Increase potassium*
144. Air embolism, quantity of air required to produce symptoms a.100ml* (ans) b.50 ml
145. Microscopic feature of compact bones a.Haversian canals are arranged obliquely
b.lacunae have osteoblasts ,c.Haversian canals are not interconnected collagen imparts colour
d.lamellae are regularly arranged* (ans)
146. How many white ramus communicans are there in our body a.13 b.14 * (ans) (T1-L2),c.15
d.16
147. Virus cause cancer by alteration of a.proto oncogen b.oncogen c.DNA* (ans) d.RNA
148. Hydrolysis of DNA release a.ribose sugar b.phosporic acid* (ans)
149. Pregnant lady with obstructive jaundice will have raised: a.GGT (ans)
150. Farmer with gum bleeding a.Vitamin C deficiency (ans)
151. Last mediator of septic shock a.IL 6* b.TNF c.IL 1
152. Which of the following organelle contain oxidases? A.Peroxisome (ans)
153. True about middle meningeal artery
a.Enter to brain through foramen spinosum* (ans) b.Causes subdural hemorrhages
154. Free hemoglobin bind to Hapatoglobin* (ans)
155. Transitional epithelium of bladder derived from
a.mesoderm b.endoderm* (ans) c.endoderm+mesoderm
156. Microglial cell a.phagocyte of nervous system* (ans) b.abundant in white matter
c.abundant in gray matter
157. Regarding skull of child?
A. anterior fontanelle present between 3 bones b.posterior fontanelle closes at 3 months?
c.Vault is bigger than the face
158. Postero superior relation of pituitary? related to parotid gland
a.saphenoid*(ans) b.Maxillary
159. Cervical branch of facial nerve supply a.playtsma*(ans) b.strnocledomsdtoid
160. Corneal opacity is caused by a.chloroquin* (ans) b.quinine c.ethambutol
161. To calculate the median of 40, 20,25,30,25,20,35,40(it wasn’t arranged in ascending order)
ans 27.5
162. Radiation therapy, lesions on skin due to a.Endartritis obliterans (ans)
163. Infratemporal fossa also known as
a.Parapharyngeal fossa b.tonsillar fossa c.suprasternal d.submesenteric
164. 15 yrs old boy with multiple large purpura, bleeding problem, investigation?
A.Platelets less than 20* (ans) b.Platelets less than 90 c.Factor 8 def
165. Patient has glycosuria, although serum glucose is 100mg/dl
a.he can’t absorb glucose from pct
b.he has DM
c.has abnormal absorption of glucose
d.his kidney has low glucose threshold* (ans)
166. Agammaglobunemia a.Pyogenic infections* (ans) b.Viral infections
167. Severe hypomagnesemia causes a.Hypocalcemia* b.Hypercalcemia
168. Thyroglossal cyst common location
a.Above sternum b.Thyrohyoid region* (ans) c.Intralingual
169. M bands produced by? A.b cells b.plasma cells*(ans) c.t cells d.macrophages
8
170. crus cerebri near to A,substantia nigra* (ans) b.red nucleus c.superior colliculus
d.superior cerebellar peduncle
171. 7th left pulmonary segment..what is it called?
A.Lingual lobe b.Right medial basal* (ans) c.Lateral basal d.apical
172. Both peripheral and central chemoreceptors stimulated by? A.CO2* b.H c.O2
173. Damage to precentral gyrus
a.Contralateral motor loss*(ans) b.Contralateral sensory loss
174. Area 312 damaged, symptoms a.Somatosensory loss* (ans)
175. Short half life means a.Reaches stable dose quickly* (ans) b.Rapid clearance
c.Bioavailability d.Freely filtered in glomeruli
176. Damage to ventro posterior lateral (VPL) nucleus of thalamus a.Somatic contralateral
loss* (ans)
177. RBC breakdown will result in
a.Increase biliverdin in feces b.Increase urobilinogen in urine c.Release of globulin d.Release
of iron which can be reutilized* (ans)
178. Intracellular buffer a.Bicarbonate b.Hemoglobin c.Protein* (ans)
179. Burn tissue. Which non bacterial opportunistic organism found a.Candida* (ans)
180. Baby with some red structure coming out above pubic symphasis, frequently getting wet ,
O/E epispadia and incomplete closure of pubic symphsis
a.bladder exstrophy(I marked) (ans)
b.incomplete cephalocaudal folding (confirm it)
c.incomplete lateral folding
d.failed reinforcement of the cloacal membrane by underlying mesenchyme
181. Mitral stenosis murmur best heard at a.Apex*(ans) b.Mitral valve
182. Blood supply of bones a.Flat bones supplied by nutrient artery and periosteal artery
b.Irregular bones by nutrient artery and periosteal artery
c.Long bones supplied by epiphyseal artery* (ans)
d.One about metaphyseal artery
183. Absence of surfactant in child will cause Distress syndrome (ans)
184. Ectoderm will give rise to which organ system a.GIT b.CNS* (ans)
185. Which of the following has high chances of developing into cancer a.lymphocytoma
b.Pseudocancerous c.Intraepithelial nevus d.Bowen disease* (ans)
186. Typical TB scenario, Chronic cough sputum xray shows cavity febrile. Type of immunity:
a.Antibody mediated immunity b.Cell mediated* (ans)
187. Stony dull percussion note a.Fluid in pleural cavity (ans)
188. Cytokeratin a.Glycoprotein b.Intermediate filament*(ans) c.Microtubule
189. Criteria for diagnosis of sepsis a.HR > 100 b.HR > 120 c.Positive culture
c.WBC <2000 and >15000 (not sure, I marked HR>100 but other say its positive culture.)
190. Renal column has: a.Minor calyx ,b.Arcuate arteries c.Interlobar arteries* (ans)
191. Nor epinephrine and epinephrine metabolized by MAO*(ans) COMT
192. Excessive stretch will be prevented by a.Muscle spindle* b.GTO
193. Oliguria is a.Less than 500ml* b.Between 500 and 1000ml
194. Lesion to pyramid results in --- a.Contralateral hemiplegia (ans)
195. Baroreceptor firing causes decrease in:
a. Heart rate b.Venous compliance* (ans) c.Coronary blood flow d.Cardiac Output
196. Thyroid isthmus is located a.2 3 4 tracheal rings (ans)
197. Gap junctions Allow rapid spread of action potential to all cardio myocytes* (ans)
198. A child who is apathic, peripheral edema, low albumin a.Kwashiorkor*(ans),b.Marasmus
199. Pulmonary wedge pressure used for -----Left atrium(ans)
200. In shock, most important body response
a.CNS ischemic response*(ans) b.Baroreceptor (not sure about the correct stem )
9
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(2) Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS)
Medicine paper 5 April, 2016 morning both paper 1 and 2

By Dr.Nadir Khan Orakzai…..
1, Heart shape vertebrae
a. Thoracic vertebrae
b. Lumber vertebrae
c. Sacral vertebrae
d. Coccygeal vertebrae
2, Massive RBCs destruction
a. conjugated hyperbillirubinemia
b. unconjugated hyperbillrubinemia
3, Patient with allergies, iv xylocain given
a. Tachycardia
b. Mild syncope ( IV cause bradycardia, local may cause tachycardia)
c. Rash
4, ADH acts on
a. cortical collecting tubules
b. medullary collecting ducts (Both are correct)
c. distal tubules
5, Renin inhibited by
a. inc pressure in afferent arterioles
b. aldosterone
(Both are true, pressure changes in afferent arteriole is the main mechanism by which
kidney
protects itself from high systemic pressure changes)
6, Hypercalcaemia will activate
a. 1,25 dihydroxycholecalciferol
b. 24,25 hydroxycholecaliciferol
c. Parathyroid hormone
d. 25 cholecalciferol
7, Which one will decrease potassium secretion
a. spironolactone
8, PTH reabsorbs calcium through
a. distal convoluting tubule
b. Proximal convoluting tubules
9, Increase water diuresis seen in
a. positive water clearance
b. negative water clearance
10, Good pauster syndrome
a. linear deposition
b. Sub epithelial deposits
c. Sub endothelial deposits
11, Person taking normal saline
a. increase urine sodium
b. increase plasma osmolarity
c. decrease urine osmolarity
12, A person with numbness, paraesthesia and pallor,, Hb 10, MCV high, his urine will
probably
contain
10
a. methylmelonic acid
13, Action of captopril
a. hypercalcemia
b. increase degradation of angiotensin 2
c. increase degradation of bradykinin
14, Mother rh positive and father rh negatiive, how will you counsel them
a. Antigen antibody complexes in post natal life
b. Antigen may transfer to mother circulation
c. Hemolytic disease of newborn may occur
15, Patient on antituberculous drugs, presents with pin and needle sensations , what
drug should be
stopped
a. Isonazide
b. Pyrazinamide
c. ethambutol
16, Drug of choice in actinobacter bouneii
a. Imipenem
b. Tetracycline
17, Patient having traveler’s diarrhea not responding too antidiarrheal drugs, which drug
should be
given
a. Metronidazole
b. Erythromycin
c. Norfloxacine
d. Chloramphencol
(remember, Most common organism involved in traveler’s diarrhea is E.Coli, and most
common
protozoan is Giardia, patient not responding to antimicrobial therapy means the
organism is most
commonly involved giardia, and the drug of choice is metronidazole
Persistent diarrhea means > 14 days)
18, Drug of choice in traveler’s diarrhea
a. Diphenoxylate
b. Metronidazole
c. Atropine
d. Aluminum hydoxide
19, Helminthes transmitted through mosquito
a. Filarial
b. Oncocercia
20, Most characteristic feature of actinomyces
a. Talcum granules
b. Restrictive anaerobe
c. Cause infection in immunodeficient
(Actinomyces of human species are facultative anaerobes, although Wikipedia says
anaerobe
but various books say it is facultative not restrictive anaerobe, it causes infections
usually in
immunocompatent and may be in immunudefficients, produce sulfer granules, talcum
term is used for
minerals generally)
21, Characteristic feature of hemophilia
11
a. Tissue bleeding (Reference Pathoma)

b. Epistaxis
c. Ecchymosis
22, Patient with MI, on day first trop-t was positive, on 3rd day of mi, patent collapsed
with blood
pressure down, pericardiocentises was done which shows hemorrhages, instead of good
resuscitative
measures, patent expired. What cells will you find in his pericardial cavity
a. Necrosis with neutrophils and macrophages
b. Lymphocytic infiltrates
23, Patient presents with vacuities and p-ANCA positive, what should be the cause
a. Hepatitis b
b. Hepatitis a
c. Hepatitis c
24, Child with allergies and parasitic infections, what cells will you find
a. Eosinophils
b. Mast cells
25, Right subclavian artery derived from
a. Aortic arch 1
b. Aortic arch 2
c. Aortic arch 3
d. Aortic arch 4
26, Patient with vague abdominal pain with nausea, pain was not related to any meal, no
cardaic
issues, glucose normal, endoscopy was done which showed normal stomach with no
mass or ulcers, it
was found non-specific gastritis, what is the cause
a. H.pylori
b. Pernicious anemia
c. Zollinger ellison syndrome
a. (Remember, H.Pylori is the most common cause of peptic ulcers, question was about
nonulcer
gastrtis that is non-specific gastritis)
27, Girl with epistaxis, bleeding time prolong, PT normal, APTT deranged, what is the
diagnosis
a. vWD
b. G6PD defciiency
28, Patient with asthma, pCO2 is 55 mmhg, HCO3 is 25 mmol/l, PH is 7.3, what is the
abnormality
a. Respiratory acidosis with renal compensation
b. Respiratory acidosis without renal compensation
( pCO2 elevated and PH is about normal<normal blood PH 7.4>, so it means there is
some renal
compensation)
29, Child presenting with malaise, recurrent respiratory infections, and died in age 32
years, biopsy of
lymph nodes showed germinal centers atrophy and some lymph nodes were missing,
what is the
diagnosis
a. NADPH deficiency
b. Failure of maturation of plasma cells into B cells
12
30, An old patient with weakness of muscles of upper body, hyperreflaxia of knee and
ankle joints
and history of urinary dribbling, what is the diagnosis
a. Tabes dorsalis
b. Upper motor neuron lesion
c. Lower motor neuron lesion
31, Patient presented with injury to lower legs,, it was fond that tibial part of sciatic nerve
was
damaged but still there was some flexion remained in knee, which nerve is there
a. Short head of bicep femoris
b. Long head of bicep femoris
32, Diarrhea
a. Metabolic acidosis with normal anion gap
b. Metabolic acidosis with increased anion gap
c. Metabolic alkalosis
33, Spinal hemi-section done
a. Ipsilateral loss of proprioception below section
b. Contralateral loss of pain and temperature
c. Ipsilateral loss of proprioception at c6-c7 and below
34, Morphine is given to a patient, what effect will occur
a. Contraction of gall bladder and release of bile
b. Constipation
c. Release of pancreatic secretions
35, Normal waves in basic electrical rhythms of stomach
a. 12 waves/day
b. 3 waves/day
36, Patient with hypotension and fever, on examination there were splinter hemorrhages,
something
palpable in splenic region, and needle track sign in cubital region, what is the diagnosis
a. Cholesterol >300 g/dl
b. Urea is 114 mmol/l
c. Pseudomonas aerugenosa
(Although pseudomonas does not cause infective endocardis in IV drugs users, but no
other
option fits)
37, ADH is inhibited by
a. Aldosterone
b. thirst
c. Alcohol
38, Malarial parasite is transferred into human blood in form of
a. Merozoites
b. Sporozoites
c. Shizonts
( Malarial parasite is present as sporozoite in mosquitos, transferred to human blood as
sporozoite, lives in liver cells as tissue shizont, leave liver cells as blood shiizont or
merozoite)
39, Benzodiazepines causes
a. Dependence
b. tolerance
40, Resistance develops by staph aureus can be tested by shows
a. Hemolysis
13
b. Coagulase positive
c. Coagulase negative
41, Tachyphylaxis
a. Rapid decrease to response
b. Slow decrease to response
42, Angina worsen by which drug
a. Theophylline
b. Salbutamol
c. Vasopressin
d. Verapamil
e. metoprolol
43, End product of cabohydratte metabolism
A. Fructose
B. Sucrose
C. Pyruvate
D. Glucose
44, Patient with MCH low, MCV low , MCHC low, HbA 94% and HbA2 4% diagnosis
a. Thalassemia trait
b. Iron deficiency anemia
45, Duschine muscular dystrophy, which enzyme is defected
a. Dystropin
46, Most common cause of death in rheumatic fever
a. Mitral valve
b. Myocarditis (reference Pathma)
47, Patient presents with microcytic hypochromic pattern and anisoopikylocytosis. His
another
brother is also receiving blood transfusion
a. Red cell survival
b. Osmotic fragility
c. Hemoglobin electrophoresis
48, Mean is 80, SD is 1.75
a. 94%
b. 80%
c. 84%
49, About thyroid gland
a. three paired arteries
b. Venus drainage to brachiocephalic and subclivian
c. Covered by prevertebral fascia
d. Isthmus is infront of cricoid cartilage
50, Heart
a. Diaphragmatic surface is formed by left atrium
b. Left border is formed by left atrium
51, Trachea
a. Present in midline and bifurcation occurs slightly too right side
b. Deeply present in children and mobile
52, Thyroglossal tract
a. End upto base of tongue
b. Below hyoid bone to foramen caecum
53, Duodenum
a. 1st, 2nd and 3rd part retroperiitonim
b. 3rd part related to right kidney
14
c. 25 cm long
54, A man with dyspnea and no cough, cause is
a. Smoking
b. Inorganic dust
c. Organic dust
(This MCQ is a modified form of a man with dyspnea and no fever……Past paper que…. )
55, Cause of macrocytic anemia
a. Folate and cobalamine
b.
56, Ovary
a. Lymphatic drainage to para artic nodes
b. Arteral supply by ovarian artery
(Both are true)
57, Nucleoli
a. Does not have limiting membrane
b. DNA only
c. DNA and Ribosome
(Both are true)
58, Artery remain in true pelvic
a. Superior gluteal
b. Inferior gluteal
c. Middle colic
59, About carcinogenesis
a. Proto-oncogene overexpression
60, Lady with loss of blood about 1500ml, after few days her serum ACTH level was low
and later it
was found that her adrenal gland size was reduced to 2 g( normal size 4-5) , what is the
cause
a. Atrophy of medulla
b. Atrophy of cortex
c. Ischemic infarction (Not Confirm)
61, Liver damage occurred, binucleated cells were found which are due to
a. DNA without histones
b. Histones without DNA
c. Karyoknesis without cytokinesis
62, Bronchopulmonary segment
a. Are not connected with each other
b. Aerated by primary bronchioles
c. Aerated by secondary bronchioles
d. Aerated by tertiary bronchioles
63, Right broncheal artery
a. Branch of descending aorta
b. Branch of 3rd posterior intercostal artery
64, Tumor with nerve sheet involvement
a. Carcinoma ex-plemorphic adenoma
b. Mucuepidermoid tumor
c. Hemangiopericytoma
65, Lobe of lung with two bronchopulmonary segments
a. Right medial
b. Left medial
c. Right lower
15
d. Right upper
66, Macula of utricle involved in
a. Horizontal acceleration
b. Angular acceleration
c. Malequilibrium ahead of time
d. Verticle acceleration
67, First line of defense in blood loss
a. Blood vessels
b. Platelets plug
68, EEG shows basic electrical rhythms
a. Reticular formation
b. Thalamus
69, Deep cervical artery is a branch of
a. Thyrocervical trunk
b. Costcervical trunk
70, Basal gangliia send excitatory signals too
a. Thalamus
b. Pontine reticular formation
c. Medullary reticular formation
d. Olivary nucleus
71, Old patient with tremors, gait deformity, abnormal finger nose test and
dysdidokokinesia sign,
diagnosis
a. Cerebellar lesion
b. Upper motor neuron lesion
c. Lower motor neuron lesion
72, Injury to neck on severe flexion
a. Posterior longitudinal ligament
b. Ligamentum flavum
c. Anterior longitudinal ligament
d. Ligamentum nuchea
( extension injury=Anterior longitudinal ligaments is raptured, in Flexion injury=
Posterior
longitudinal ligament is raptured)
73, Ligamentum flavum connects which parts of vertebrae
a. Lamina
b. Body
c. Spines
74, Autonomic supply of jejunum
a. Greater and lesser splanchniic nerves
b. Pelvic splanchnic nerves
c. Vagus nerve
75, Enzyme release in MI of 12 hours
a. Alkaline Phosphatase
b. AST
c. ALT
d. LDH
e. Creatinine kinase
76, Creatinin produced by
a. Liver
b. Skeletal muscles
16
c. Heart
d. Kidneys
77, splitting of S2 heart sound enhanced by
a. Delayed closure of aortic valve
b. Delayed closure of pulmonary valve
c. Early closure of aortic valve
78, CSF
a) arachnoid vallii can be seen with naked eye
b) Glucose 120 mg/dl
c) Proteins 20-40 mg/dl
79, PDA
a. Increase arterial PCO2
b. increase arterial PO2
c. Peripheral cyanosis
( PDA leads to Essenmenger syndrome and patient presents with peripheral cyanosis)
81, Reactive hyperemia is delayed by
a. Dependent position
b. Ischemia
82, Trachoma
a. Lymph-granuloma veneream
b. Cancroid
c. Condylomata leta
83, Supernormal( hyper-excitable) period of myocardium is the period
a. Ventricular hyperexcitatiion
b. Prolong relative refractory period
c. Prolong in sympathetic stimulation
( Supernormal period is the period just before the end of repolarization and this is the
stage of
relative refractive period, cells are more susceptible to excitation, even a small stimulus
can excite,
sympathetic stimulation will shorten this period coz of rapid depolarization and
repolarization)
84, Patent with productive cough, fever and dyspnea, streptococci and klebsella
infections were
found, he has history of recurrent pneumonia and has mucus gland hypertrophy,
diagnosis
a. Bronchiectasis
b. Chronic bronchitis
c. Emphysema
( This is not chronic bronchitis coz it is not mentioned that productive cough was for 3
years or
for 3 month in consecutive 3 years,, also recurrent pneumonia history is given)
85, Primordial germ cells are formed
a. At the end of 3rd week
86, Oogonia undergoes mitosis in
a) Post natal
b) Yolk sac
c) Pre natal after 3 months
d) Prenatal after 3 weeks
e) Prenatal 7 to 8 weeks
87, Dead space decreased n
17
a. Emphysema
b. Pleural effusion
c. Atelectasis
d. Hypertension
e. Pneumothorax
88, Therapeutic window
a. Therapeutic dose range
89, Acetylcholine
a. Nicotinic receptor abundant in brain
90, Type of collagen in dermis of skin
a. Type 1
b. Type 2
c. Type 3
d. type 4
e. Type 5
91, Rivastigmine
a) acetylcholine estrase inhibitor
b) mao inhibiter
c) comt inhibitor
92, Parasympathetic stimulation of heart
a. decrease cAMP
b. increase protein kinase
93, Old man with multiples bone fractures on x-ray and blue sclera
a. osteogenesis imperfacta
94, Most common chromosomal abnormality
a) down syndrome
b) fragile x
c) ptau syndrome
95, Mediator of slow pain fibers
a. substance P
b. dopamine
c. histamine
96, Hormone causing increase release of testosterone
a. leutanizing hormone
97, Growth hormone inhibited by
a. somatostatine
98, About collagen
a. lightly stain with eosin
99, Characteristic feature of sarcoidosis
a. hypercalcemia
100, Citrate affect coagulation by
a. calcium chelate
101, Secretion of ectopic thyroid hormone by
a. small cell carcinoma of lung
b. squamous cell carcinoma of larynx
102, Bifurcation of common carotid artery
a. at level of cricoid
b. superior border of thyroid cartilage
c. jugular notch
103, Characteristic sign of severe penicillin allergy
a. rash
18
b. bronchospasm
c. fever
104, Drug which when given increase effect of antiseizure drugs
a. valproate
b. phenobarbitol
c. carbamezapine
d. phenytoin
105, Acetylcestein is given in paracetamol toxicity because it
a. increase renal clearance
b. convert metabolite of paracetamol into acetylated form
106, CSF
a. daily production 500ml/day
107, Epinephrine release from adrenal medulla dilates blood vessels through
a. beta 2 agonist receptors
108, Patient with weak pulses in lower limbs than upper limbs and there is radiofemoral
delay,,
diagnosis is
a. Co-arctation of aorta
109, Femoral artery pulsations
a. mid inguinal point
b. mid point of inguinal ligament
110, Progressive prolongation of PR intervals with droops of P-wave
a. Mobitz type 1
b. Mobitz type 2
111, Gluteus maximus is supplied by
a. Inferior gluteal artery
b. Superior gluteal artery
112, RCA
a. Supply Sa-Node
b. Emerge from anterior aortic sinus
( Both Are true)
113, Muscles are strong due too
a. Multipinate
b. Bipinate
c. Strap
114, Characteristic feature f long bone
a. Mesenchymal ossification
b. Haversian canal
115, Pregnant lady with increase T3, T4 due to
a. Increase TBG
116, Skin pressed with sharp needle for sometime, redness due t
a. Histamine
b. Kinin
117, HIV associated carcinoma
a. Kaposi sarcoma
118, Blood supply of skin lies in
a. Loose areolar tissues
b. Between skin and aponeurotic layer
( There are many layers of scalp,, from outside to inside,, skin-subcutaneous connective
tissuesaponeurosis-
loose areolar connective tisues-pericranium, blood vessels and nerves lay in
19
subcutaneous connective tissues which are present between skin and aponeurotic layer,
loose areolar
tissues only contain emissary veins)
119, Doctor patient relationship
a. Active listening to every question of patient
120, Social support too patient is prviided by
a. Family members
b. Nursing staff
c. Edhi foundation
d. NGO
e. Social workers
121, When both allele’s expressed on same chromosome in heterozygous, it is called
a. Co-dominance
122, After renal transplant of CKD Patient, 3 weeks later, acute graft rejection was
noticed, it is due to
a. Vacuities and thrombosis
b. Dense lymphocytic infiltrates
c. Plasma cells
123, Tuberculin test , which cells can be found at site
a. CD4 positive cells
b. CD8 positive cells
124, Patient presents with night sweats and fever, there is swelling on left side of neck
with
discharging sinus, culture/smear negative, what is next best initial investigation
a. ZN staining
b. Biopsy
125, Tests for typhoid in second week
a. Blood culture
b. Widal and blood culture
c. Stool culture
126, Child with rectal prolapse, parasitic infection with parasite shows short head
a. Trichuris trichura
b. Ankylostoma duodenale
127, Diabetic patient with decreased distant vision, right eye visual acuity is 4/60 and left
eye 3/60,
what is the diagnosis
a. Cataract
b. Hypermatropia
( Not cataract as distant vision was mentioned, in cataract both near and distant visions
are
affected)
128, Patient with trauma admitted in ICU, there is greenish discharge from his wound,
what is the
organism
a. Pseudomonas aerugenosa
129, Schlerotome , vertebrae and nerves
a. 7,7,7
b. 7,8,7
c. 8,8,8
d. 8,7,8
130, End diastolic ventricular volume will increase with
20
a. Venous return
b. Heart rate
c. Cardaic output
131, A women presents with winging of scapula damage to which nerve
a) thoracodorsal
b) spra scapular
c) long thoracic
132, Glucocorticoids
a. decrease glucose utilization in cells
133, Secretion high in HCO3
a. pancreatic secretion
134, Intestinal motility is increased by
a. CCK
b. Gastrin
135, Vagus nerve emerge through
a. Jugular foramen
136, Old patient presents with weakness in all arms, clasp knife rigidity and hyper-
reflexia, diagnosis
a. Upper motor neuron lesion
b. Lower motor neuron lesion
137, Stage in which spindle fibers attach to centromeres and divide
a. Telophase
b. Metaphase
c. Anaphase
d. Prophase
138, Difference between ECF and ICF
a. Low potassium outside
139, At rest actin is covered in its active site by
a. Troponin
b. Tropomyocin
140, In liver cell injury, enzyme decreased is
a. ALP
b. 5-nucleotidase
c. AST
d. GGT
e. ALT
141, Baby starts bleeding from umbilical cord when cut
a. Vit-k deficiency
b. Vit B12 deficiency
c. Vit B1 deficiency
142, Patient with jaundice, direct bilirubin raised, ALP= 1600, GGT raised, diagnosis
a. Extrahepatic jaundice
143, Virus cause malignancy through
a. Alteration in proteins
144, Metastasis of cancer occur due to
a. Degradation of cadherin
145, Pseudomembranous colitis
a. Clostridium deficile
146, Most Common cause of cervical carcinoma
a. HPV
21
147, Obese person working as a Clerk with sedentary life style, was routinely checking
his blood
pressure and blood pressure was raised. He was investigated but no cause was found,
his raised blood
pressure is due to
a. Vessel tone
148, 30 years old patient weigh 70 kg presents with blood pressure 140/90 mmHg, pulse
80 bpm,
glucose 88%, urine glucose ++, Na 140 mmol/dl and K 2.4 mmol/dl, diagnosis
a. Primary hyperaldosteronism
149, Difference between arterio-venous blood
a. Hematocrit
b. MCHC
150, Arrangement of intercostal neurovascular bundle from cephalo—caudal
a. Vein, nerve, artery
b. Vein artery nerve
c. Nerve vein, artery
151, True about adrenal gland
a. It is pyramidal in shape
152, kidney
a. Adrenal gland covered with perirenal fats
b. Renal vein passes infront of both renal artery and inferior vena cava
153, which of the following drugs will increase the effect warfarin
a. Cimetidine
154, Dual nerve supply but not reciprocal
a. Sweat gland
b. Third gland
c. Cillairy body
d. Pupils
155, Thymus
a) rich in lymphocytes
b) regress after birth
c) develop from 3rd and 4th pharyngeal pouches
156, Patient With below knee amputation. After that painful scar formed
a. neuroma
b. ganglioma
157, Which of the following is a benign tumor
a. leomyoma
158, Alterobaric changes n a person during dving in deep sea
a. unequal changes in pressure n middle ear during diving
b. perilympathic fistula
159, Drug which effect thyroxine llevel
a. potassium iodide
b. prophylthiouracil
c. propranolol
160, Cause of increase pulse pressure
a. increase arterial compliance
b. stroke volume
c. total peripheral resistance
161, Left shift of O2 hemoglobin dissociation curve with hypocapnia
a. bohr effect
22
b. haldine effect
162, Glucose increasing factor release from pancreas
a. glucagon
b. Insulin
c. Secretin
163, Basilar artery ends by dividing into
a. Posterior cerebral artery
164, Secretin release when
a. HCl n stomach
b. HCl n duodenum
165, defect vWB will affect
a. Platelets adhesion
b. Platelets aggregation
166, Person chewing pan and battle, which complication may occur
a. Keratosis
b. Submucosal fibrosis
c. Ulcers
167, Strong anaphylatoxin
a. C5
b. C8
c. C7
d. C5a
168, A boy with deviation f mouth towards left side, unable too close his right eye,
dribbling of saliva
from his right angle of mouth, which nerve is involved
a. Right facial nerve
b. Oculomotor nerve
c. Left facial nerve
169, Normal ratio FEV1/FVC
a. 0.8
170, Filum terminale
a. Formed of pia matter
171, Child with rheumatic fever
a. Antibody-antigen immune complex deposit
b. Bypass low zone cross reactivity
172, Pyogenic infection
a. Proteins > 3g
b. Transudate
173, Lady with painful swelling of left lower leg
a. DVT
174, Iron bind to which proteins in blood
a. Albumin
b. Ferritin
c. Transferrin
175, Aplasia means
a. Absence of cells
176, Cause of cardiogenic shock
a. Hemorrhages
b. Septicemia
c. MI
d. Burn
23
177, Toxoplasma infection,, what antibody will be found in neonates

a. IgG-1
b. IgG-4
c. IgM
(In first week of infection there are IgM antibodies in Mother, then IgG-1 and very late but
most
strong defense by IgG-4, in neonate most specific IgM and most sensitive IgA and IgE)
178, Morphine stimulates secretion of which hormone
a. Secretin
b. Histamine
c. CCK
179, Spermatogenesis
a. Spermatids form spermatozoa
180, TNF as answer,, have forgotten the stem
181, Increase ESR more than 100 occurs in
a. Anemia
b. Polycythemia
c. Multiple Myeloma
d. porphyria
182, Scenario about Gastrocolic reflex
183, Researchers want to study relationship between MI and 24 hour activity level with
20% mild
activity 35% moderate 45% severe,, how data will be plotted
a. Bar chart
184, which nucleus is present in midbrain
a. Tractus solatarus
b. Occulmootor
185, Formation of interstitial fluids will increase in
a. Decrease plasma colloid pressure
b. Decrease plasma oncotic pressure
c. Decrease lympathics
186, A man with increase thirst. And changed behavior urine osmolarity decrease. There
is a lesion of
a) hypothalamus
b) amygadala
c) thalamus
d) cerebellum
187, Cells to cells adhesion occurs through
a. Intigrins
b. Selectins
c. Cadherin
188, Which is essential for tissue matching
a. HLA
189, Infarction a. Arterial Occlusion
190,
Cannot recall any more MCQs, don’t follow my keys unless confirmed,,
Special thanks to Dr.Alia Bukhairi, Dr.Afnan Ahmad, Dr.Merral Meral, Dr.Sa-
Node and Dr.Fcps Physiology
Regard: Dr.Nadir Khan Orakzai
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24
4th April 2016 Surgery (Evening) by Neelum Agha (94+101)
Paper-1 (94)
1)hypovolumic shock response> baroreceptor reflx , cns ischemic injury
2)fisherman swollen n bleeding gums > vit c def
3) r.b.c structure maintained by> spectrin
4)r.b.c destroyed a)iron go back for utilization b)mainly urobilinogen excreted in urine c) biliverdin in stool
5)r.b.c antigen found in saliva
6) corneal opacity > chloroquine
7) cervical part of facial nerve supply> platysma
8) middle meningeal artery> foramen spinosum
9) compensation of shock what will decrease > heart rate
10)reversal of shock> urine output will increase
11) diastolic filling depend on> venous return
12) 6 values given calculate median
13)zinc> carbonic anhydrase ,vit b12
14)non bacterial oportunistic organim after burn > pseudomonas
15) compact bone histologcl feature
16)scenario on neutrophil diapedesis > c5a
17) scenario on inc. bleeding time> platelets 20000
18) cause of cervica tumor a.chronic irritation b.iucd c.hsv ,d.hpv
19)long scenario ws given pain produced by> prostaglandin and bradykinin
20) scenario pathological fracture m band > plasma cell
21) alpha 1 adrenergic receptor> mydriasis
22) vagus cause inc. salivation nd vasodilation due to > a.vip ,b.gastrin ,c.gip.d.substance p
23) infratempotal fossa> also kown as a. parapharngeal b.tonsilar c.pretracheal d.submesenteric
24)commonest site of thyroglosal cyst a.infrahyoid ws not in options b.thyrohyoid c.suprahyoid
25)down syndrome> alzheimer disease
25
26)reliable diagnosis for turner> karyotyping bar body
27)scenario non.pregnnt lady fbs 122,rbs after 1 hour 194, after 2 hour 194> impaired glucose tolerance
28)skull of child vault greater than face ant.fontnlee formd frm 3 bones
post fntanele close at 3 months and fourth option was 'bones of vault ossify completely before birth'
something like this
29)gohn complex> t.b
30)highest chance of fibrillation> at the end of action potential
31)mitral stenosis murmur> apex of heart
32) t.b scenario > cell mediated immunity
33)protein after leakage from tisue> enter back to circulatio by lymphatics
34)hamartoma> Disorganized growth of mature cel indeginous to the site
35)breaking bad news
36) doctor patient relationship
37)pharmakodynamic drug drug relation> reverse action of morphine by nalxene
38)2 factors comparision> student t test
(ITS NOT STUDENT T TEST CORRELATION BTWN TEMP AND G>ANESTHESIA ITS OUR PAST PPR
MCQ ITS ANS IS REGRESSION ANALYSIS..................)
39) hypophysis cerbri post relation> sphenoidal sinus
40)steroid acts by> gene amplification
41)prevent heat loss> vasoconstriction
42)virus> oncogene
43)protooncogene converted to oncogene by> a.point mutation b.gene amplification
44)acute promyelocytic leukemoa scenario> apoptosis
45)cytokeratin>intermediate filament
46)thyroid isthmus> 2 3 4 tracheal rings
47)most comon cause of septic menigitis> streptococcus
48)severe hypomagnesemia> hypocalcemia
49) brain lesion involving s2 s3 s4> rectal incontinence
26
50)7th brnchopulmonry segment of LEFT lung(in previous pprs Right ws asked)

anterolateral
refrence netters atlas
51)fastest conduction velocity> purkunji fibers
52)coronary sinus is cotinuation of > great cardiac vein
53) peak of action potential> electrical na influx electrical na efflux
54)micrglia> macrophage of cns
55) organ ectodermal on origin> cns
56)tra sitionl epi of blader derived from> endoderm
57)scenario about child with spurapubic wet mass> exostrophy of bladder
58)unicellilar parasit bone infection> cant recall options
59)medial boundry of ischiorectal fossa> levator ani ecternal anal sphincter
60)hypothalamus inhibitory effect> prolactin
61)atherosclerosis fibrilation stroke due to> embolism
62)medulla decusate at pyramid> propioceptiom/ medial leminscus
63)oblique fissure of right lung>t3 to t6
64)cant diferntiate betweeb red n green> protanopia
65)nor.epi and serotonin dgrade by> comt
66)oxidases present in> peroxisome
67) number of sympathetic white mayer comunicnts a.14 b.15 c.13
68)excesice stretch> muscle spindle
69)least presure in aorta during a.isovolumtrc relxation b.isovol. contraction ,c.end of rapid filling
70)drugs with shorter half life > reach steady state earlier
71)radiation therapy for cancer > destruction of squamous epithelium
72)water intoxication sign> slow pulse
73)normal saline infusion given,dec urine osmolarity,inc. urinary sodium,inc. plasma osmolarity
74)thirst increased due to> increased plasma osmolarity dec plasma volume
74)amimo acid to be taken in diet> phenylalanine ( essential) 75)scenario relatd to lipofusin acumulation
in heart > autophagolysis ,coagultv necrosis
27
75)scenario relatd to lipofusin acumulation in heart > autophagolysis,coagultv necrosis
76)teratoma> all three germ cell layers
77)air embolism >100cc
78)aldosterone released in response to > increased potassium
79)hydrolysis of dna yield> phosphoric acid
80) pregnant lady with obstructive jaundice> gama gt
81)last mediator of shock > interleukin 6
82)scenario on peripheral edema low albumin > kwashiorkor
83)free hb binds to> haptoglobin
84)acquired deficiency< alpha 1 antitrypsin def.
85)intracellular buffer> protein
86)pus> neutrophil
87)leads to malignncy > bowen disease
88)sweat chloride test> cystic fibrosis
89) typhoid cariers> asymptomatic
90) ketamine is a good analgesic
91) cardiac muscles >,gap junctions cause increases electrcl spread
92) increases calcitonin asociatex with tumor of > thyroid
93) arterial suply of bone,long bones by epiphyseal flat bones by nutrient etc cnt recall
94)more acidic urine in dct due to> secretion of h+ ion in dct
Paper-2
1)creatinine produced by> skeletal muscle
2) pregnant lady e anemia scenario feritin not raised> cant recal other options not iron def. anemia
3) pregnant lady scenario> decrease albumin cant recal other options
4)absolute lymphocytosis> infectious mononucleosis
5) cancer therapy> apoptosis
6) sepsis diagnosis pulse > 120 tlc less than 2000 n greater thn 15000 postve bacterial culture
7)diaphragm> quiet respiration
28
8)winging scapula>long thoracic nerve
9)lower truk of brachial plexus> oponen polics
10)cubital tunnel syndrome tendon afctng ulnar nerve is > flexor carpi ulnaris
11)fracture mid.shaft radius> radial nerve damage
12)pulmonary artery wedge pressure> left aterial pressure
13)left atrium supply>circumflex artery
14)ana cervicalis relatd It ws symthng wd hypoglosal and c1 2 3?? Cant recall Its frm.past pprs i gues
15)trigone of blader
16) scenario vesicl fistula somethng dupilcate ureter due to> early diferntiation of ureter
17)hand fall on side > deltoid muscle
18)intercostobrochial trunk> anterolaterl part of thoracic aorta
19)medicine need daily monitoring> vancomycin
20) vastas medialis > suplied by femoral nerve
21)foot drop> comon peroneal nerve
22) inversion not possible tendon ruptured> tibialis posterior
23)knee joint> medial meniscus inmobile and most prone to injury
24) main supply of perineum> internal pudendal artery
25)dorsal colum lesion los of> sensory ataxia

cn recall other options
26) area 3 2 1> somatosensory
27> pt. wd blood grp a+ cnt b gvn other blood groups due to presnce ov wch antibody kell duffy
28) ffps given in> warfarin overdose
29)ptu inhibit which step of thyroid hormone synthesis> iodide oxidation
30)obstructive azoospermia non.invssive antibody>igg
31) inferior part of inguinal ligament > fascia of thigh
32)sup. thyroid artert damage> external laryngeal nerve
33) scenario on inflamed apendix

histolgcl finding fr diagnosis > neutrophil in muscularis
34)more selective cox 2 th cox1> meloxicam
29
35)post spleenectomy scenario> prolonged aptt, prolonged pt, decrease platelet nd increase fdp
36)scenario of non preggnt ldy with bleeding low plt count, prolongd aptt nd prolngd pt> dic
37) most comon cns tumor secondary to radiation> glioblastoma multifrme
38)lower lip formed by> mandibular process
39)po2 is 100% at> high altitude left to right shunt
40)scenario of megaloblastc anemia > loss of intrinsc factor
41)submandibular gland> parasympathetc prt facial nerve supply it
42)b/l temp. pain loss propioception n vibration intct at t4 to t8 > bilatera lesion of anterolateral tract at t4
to t8
43)umblicus dermatome> t.10
44) epigastric pain scenario> greater splanchnic nerve
45) parotid glnd posteriomedial relation
46) gaba def. in globus palidus nd substantia niagra athetosis parkinsonism
47) uretric constriction> sacral promontory
48)internal iliac branch on true pelvis > middle rectal
49)boil on labia lymph drained by >superficial vertical inguinal
50)nosocomial u.t.i > staph. Aureus
51)osteomylitis > staph. Aureus
52)i.v drug abuser> infective endocarditis
53)scenario old teacher ph 7.3 co2 58 hco3 24> uncomprnsated resp. acidosis
54)scenario 6 yr child in japan..( past pprz)> Kawasaki
55)scenario old man with dificultu swalowing b.p 210/ 110 ana posotive .complement level normal >
nodular scelrosis
acute glomerulonephritis
56)non.caseous granuloma> sarcoidosis
57)actinomycosis > granuloma+ abcess
58)coronar sinus drain > 2/3rd of heart

( it was most apropriate cx ant. crdiav vein n few venecomitnt drain drctly in right atrium)
59)paeu de orange>
60)lymphatics> cystic hygroma
30
61) cortisol is necesary for action of > insulin glucagon thyroxine epinephrine thyroxine aldosterone
62) hyperparathyoidsm whch age grp young adult post menopsusal womn premenopausal womn
63) autosomal dominant > familal adenomatoys polyposis
64)unicellular parasite in bone infection cant recall options
65) medial boundry of ischiorectal fossa> levator ani external anal sphincter
66)virus oncognc for> t. cell leukemia (cnt recal other options)
67)scenario of soldier in balochstan > kalazar
68) post duodnl perforation> gastroduodenal artery
69)terminl prt of bile duct relation with pancreas> embeded in it
70) stomach> most dilated part of git
71)inion> EXTERNAL ocipital protuberance
72)foramen rotandum> lie infront of foramen ovale?
73) amoeba most comnly involv > caecum
74)multiple regime anti t.b drugs > to avoid resistance
75)isoniaxid> b6 gven to aboid complications
76)steatorhea> pancreatectomy
77)appendectomy> iliohypogastric nerve most comny damgd
78)cytoplasm eosinophilic plus basophilic > apoptosis
79)dpt > artifical active artifical passive
80)glucose excretd in urine at 100mg/dl> dec. rena threshold of glucose of that person
81)femoral hernia > below n lateral to pubic tubercle
82)morphine> given in terminaly ill patients
83) oligouria < 500ml
84)pelvic mass, ascites, pleural effusion> meig's syndrome
85)dull percusion node> pleural fluid in cavity
86)preggnt lady 20week gestation fever for five days.abortion done aftr 2 days u/s amnion yolksac
present wdout villi what causes symptom > granulocyte stimulating fctor
granulocyte macrophge stimulting fctor tnf
87)renal column collecting duct interlobar artery
31
88)wrong finding of e.c.g maxe PR interval 0.1?
89)calculation of vd/vt ratio ( physiologc dead space) > paco2-peco2/ paco2
PCO2 48 tha nd PaO2 30 a. 0.5 b. 0.3
90)tumor size > 3.5cm, homocntrl nodes somthng nd metastasis> t2n1m1
91)decrease in blood vol. what increases > rennin gfr
92)pyloric sphincter resected> food imediatly pases to duodenum somthng

complince dec. acid relatd
93)surfactnnt absent in newborn> rds
94)both central n peripheral chemoreceptors respond to> increase arterial pco2
95)pulmonary wedge pressure > left atrium
96)parasmpthtc loss afct> git muscles
97) scenario from pastpprs man lives near river devlop blindnes > onchocercosis
98)sebaceous gland > hair cortex

hair folicle
mamry gmlnd is secretry glnd ov breast
99)r.b.c breakdown in spleen b/w red cord n veins b/w pulp n cord etc
100)sickle cell> beta globulin
101) oral melanoma most common site> palate

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32
4th April 2016 Surgery Morning by Usman Dawar & Mir Karimshah(92+30)
4th April 2016 Surgery Morning by Usman Dawar(92)
Some memories of 4 april morning surgry
1.surgical neck of humerus #, which artery damaged posterior circumflex

2.which muscle is flexor of forearm and supplied by radial nerve? brachiradialis
3.inferior wall MI which artery will damaged on angiogram ......Right Marginal artery
4.sinus in jaw plus yellow granules ACTINOMYSIS
5.farmer in rose garden rt lower lobe me me clacified mass 4x3 cm. aspirgilosis
6.Abduction of arm upto Upto 40 degree is lost which muscle is aafctd ?? supraspinatus
7.lateral quadrants of breast drain into which nodes apical/pectoral nodes.
8.mass of hair shaft is because of ....... cortex
9.light reflex,imoral sexual response ,no reflexes pain sensatio .....tabes dorsalis
10.pain of ovrian tumor is refered to thigh by obturatr nerve
11.neck of bladder and proximal urethra is supplied by sympathetic by hypogastric
12.deep inguinal ring is present in transversalis fascia 13.vessels of base of bladder lies in which
ligament dosrolateral
14. suprficial epigasric artry branch of... Femoral Artery
15. which one z involvd in portal hyprtnsion.. esophageal
16. regarding sciatic nerve.. present bw gratr trouchntr nd ischial tuberosity
17. median nerve damaged at carpel tunnel what will occur wasting of thiiner muscle
18. 17 ketosteroid in urine normal male
19. median nerve damaged which action of thumb will impared....... opposition
20. lymph from testis will drain into....... paraortic nodes
21. sciatic nerve damaged dorsal surface of foot still have cutenous innervation b/c of
.....sphaneous nerve
22. Pulmonary symptoms by .........ascariasis
23. Scree ning is done in cancer .....detect disease at early stage
24.Post PPH blood transfusions from sm blood bank o positive.......... hemochromotasis
25. regarding malignant melanoma..... arrange cell in chronoligical order which wil present
earlier...NK cells
26.antiobiotic given patient has deranged PT ptt and normal platelets what will you give...vit. K
27. floursent ,and resistant to antibiotic,antiseptic ......pseudomona
28.Post HIV operation theater will be cleaned by....2% gluteraldehyde
29.patient lacks coagulation factor 27910 what is deficient vit. K
30. relation ov terminal cbd with heas ov pancreas....embedded
31.Relation in the popletial fossa ...Medial
32. MC tumor in child....... meduloblastoma
33. which branch of cervical plexus supply posterior auricul area, ...Lesser occipital nerve
34. Fracture of which vertebrae , bone peice damage vertbral coulm.......axis
35. tlc 6 litr, residual volum 1 litre, calculate vital capacity.. 5
36.Mild transplant rejection myosial biopsy shows... lymphocye
37. imunocompromised pt..... angular chelitis caused by... candida
33
38. asthmna which inc........> functionl residual capacity

39. at normal condition both are equal..????.....venous return and pulmonary flow
40. Long term memory immunoglobulin..? ig G
41. loop diuretic dangrous efect... hypovolumia
42.Propofol absolute contra..? Hypersensitivity
43. Acetozomalamide(diamox) MOA..? h+ absorption, na k exceretion
44.Cranial nerve 7 9 10 taking taste sensation converge.. solitary nucleus
47.posterior tringle biopsy> damage of spinal part of acessory nerve
48. Alpha receptr on...... neck ov bladder nd proximal urethra
51. inferior thyroid> recurnt lyrngeal nerve
52. Choriostoma .....pancreatic tissue in stomach
53.patient unconcious.. Lesion on ct post central gyrus sensory area
54. Sickle cells disease protein affected ...beta globin
55. retroperitonial mass, close to psoas, no ocult blood, or intstnl obstruction...... liposarcoma
56.ron deficiancy anaemia > inc tibc
57.thiazide diuretics... early DCT
58. Part ov portal system,superior rectal vein
59. tumour cell in blood most commnly diagnosed...peripheral morphology
60.60yr old alcoholic centrilobular congestion,neck veins distended, fibrosis passive congestion
..Right heart failure
61. NSAIDS........... potent cox inhibiters
62.most rapidly adopting receptor....pacinian
63.about veins of thorax....pulmonary vein lies anterior to pulmonary artery
64.awkward posture, wide gait,can't perform rapidly alternating tasks,past pointing... cerebellar
leison
65.loop diuretics at therapeutic dose.....decrease blood volume
66.Grading... degree of anaplasia
67.pneumothorax..... ipsilateral lung collapse chest spring out
68.anterior wall MI.....LAD
70.fisherman.....diphylobothrium latum
71.posterior cranial fossa tumor....medulloblastoma
72.Appendix.... retrocecal
73.TPN......hyperglycemia
74.INR....oral anticoagulant
75.purpera no illness,drug use....ITP
76.true about AV Bundle... only pathway to transmit current from atria to ventricle
78. 0.5 cm perihilar nodule plus eosinophilia in blood sputum and biopsy?.... noinvasiv
aspergilosis/ wegnr granulomatosis
79. endothelium of vagina and endometrium derived from ..... endoderm mesoderm endoderm
plus ectoderm
80. spleenectomy, vassels present in which ligment.....lenorenal
81. Rectus sheath..... Upper intersection near xphoid process
83. Hemophilia, joint pain 6 month s, which subsntc present,, cholestrol crystals
84. Origin of diaphragm Cervical somites/septum transversm
34
85. Most common brain tumor... GBM

86.Regarding primary peristalsis.. Esophageal sphincter relax...Ahead of primary
peristalsis/when peristalsis reach
87.gastric emptying....decreased by secretin
88.positive chloride sweat test....cystic fibrosis
89.standard deviation... variability among individuals
90.great cerebral vein....cistern of ambiens
91.Hodgkin's lymphoma,cervical lymph nodes,spleen involved...stage 2E/III
92.LH acts on.....leyding cells
=-=
4th April 2016 Surgery Morning by Mir Karimshah(30)
1: artery orginate at post ext carotid in parotid near post digastrix muscle
A: facial
B: lingual
2: superficial epigastric artery is branch of
A: external iliac
B: femoral
3: blood and nerve supply to base of bladder is
A: urachus
B : medial umbilical lig
4: Gallen vein located at
A: post cestern
B: Ant cistern
5: RTA oerson die due to vertebrae fragement causing injury to spinal cord
A: Axis
B: Atlas
6: Ovarian disease pain radiating to medial thigh due to
A: obturator nerve
B: Pudendal nerve
7: bulk of hair is form by
A: basalis and spinosum
B: cuneform
8: planter surface foot sensory supply thru
A: sural nerve
B: post tibial
9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is
A:Supraspinatous
B: Trapizius
10: left lung root get sever injured spared structure will be
A: vagus nerve
B: pulmonary ligament
35
11: carpal tunnel syndrom

A: wasting of thenars
12: inf wall MI vessel involve is
A: rt marginal artery
B: PIV artery
13: ant wall MI vessel involve is
A: LAD
14: LXM artery supplies
A: lft atrium
B: lft ventricle
15: sciatic nerve
A: passes btwn greater tronchter and ischium
B: divides into superficial and deep peroneal
16: popliteal nerve in relation to vessel is at popliteal fossa
A: Ant
B: Post
17: flexor of elbow supplied by radial nerve
A: brachio radialis
B: bicep brachii
18: lysosomes
A: oxidation of long chain fatty acids
B: hydrlytic enzymes
19: scalp at post auricular surface supplies by
A: auriculo temporal
B: greater occipital
20: structur damage at post cervical lymphadenectomy
A: spinal part of accessory nerve
21: Int jugular with ant relation to as exit from skull
A: Accessory nerve spinal part
22: LH acts at testiculuar cells
A: Leydigs
B: Sertoli
23: for splenectomy renal vessel.ligation
A: gastro splenic lig
B: lenorenal lig
24: nerve supplying area below orbit anove mouth
A: maxillary division of trigeminal
B: auricular nerve
25: greater sephanous valve A: 15,B: 20, C: 25
26: calculate Vital capacity while lung volume after mxm inspiration is 6L and 1L after mxm exp. FRC is 3.5L and T.V
0.5L. A: 5,B: 4
27: gardener with rt side chest pain xray shows rounded lesion.A: hydatid cyst.B: lung abscess
28: About stomach motility ,A: delayed by secretin ,B: increased by alcohol
29: local factor for delayed wound healing ,A: vit c def,B: infection
30: breast during pregnancy and lactation,A: stromal hypertrophy,B: lobular hyperplasia
Remember me in your prays
36
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(4).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#89
Q1 CO2 cross through alveoli

a high plasma solubility
b high diffusion coefficient
c high molecular weight
i marked A but according to seniors its B choose at ur own risk
Q2 anesthesia pass through placenta

a simple diffusion ANS A
b active diffusion
c fascilitated diffusion
Q3 a female with right ovarian CA cancer ist metastasiz to
a internal illac L.N
b messenteric L.N
c left para aortic L. ANS C
Q4 mechanism of action of posphodiesterase inhiitors
a ATP to AMP
b cAMP to 5 AMP ANS B
Q5a virus hich occur in epidemic form but do not cause CLD
a hep A
b hep B
c hep C
d hep E ANS D
Q6 glucose cross through placenta via
a simple diffusion
b passive diffusion
c fascilitated diffusion ANS C
Q7 pain fibers are
a un encapsulated ANS A
b capsulated
Q8 mechanism of action of action of anesthesia

a k channel blocker
b ca channl blocker
c na channel blocker ANS C
Q9 AIDS related lymphoma
a EBV ANS A
b CMV
c SCC
Q10 iron homeostasis via
a tranferrin ANS A
b haptoglobin
c ferratin
Q11 line of zahn formed in
37
a obstructed thrombus
b primary platelet thrombus
c coraline thrombus ANS C
d post mortem thrombus
Q12 anterior boundary of pelvis in female is
a bounded by sacrotuberous n isheopubic rami ANS A
b short subpubic angel
c wider behind ten male pelvis
Q13 tractus solitarious
a ist order neuron
b seond order
c third order
i marked B but some say A some saying B
Q14 which one of the following crossing pelvic brim

a uretre ANS A
b obturator internus
c psoas muscles
Q15 a women who is nursing her baby for one year now quit breast feeding what change occured
in her breast tissue
a stromal hypertrophy
b ductal dilataion
c lobular hyperplasia ANS C
Q16 EBV is related to
a retinoblastoma
b colonic CA
c neuroblastoma
d subset of hodghkins lymphoma
here i marked C but nt sure confirm it urself
Q 17 Mullerian duct form

a rete testes cordis
b vaginal fornix n cervical upper pat ANS b
c ovaries
Q18 rapidally adapting

a pacinian ANS A
b baro recptors
c ruffians
Q19 EBV
a produce toxin to DNA
b interfere vid DNA repair ANS B
c common affrican population
Q20 pregnant lady present in clinic vid pallor and fatigue Ix of choice
a S/ferratin
38
b S/iron and TIBC ANS B

d RBCs value
c CBC
Q21 doctor recognised by
a regularity punctuality and availabity to patients
b politness and good bedside manners
some say A some say B
Q22 male in clinic presnts vid testicular CA will ist metastasizd to

a para aortic L.N ANS A
b superior messenteric L.N
Q23 in a study 40% women received HRT 20% women not received study called
a pie chart ANS A
b bar graph
b scatter
c histogram
Q24 A woman vid coneal vasularization and fissures at corners of mouth
A ribofvalin ANS A
b niacin
c biotin
Q25 A pt vid defficiency of niacin and riboflavin will have
a pellaga ANS A
b scurvy
c rickets
d osteomalcia
Q26 a multigravida having two kids presents in clinic after cholecystectomy her peripheral smear
showin microcytes cause is
A blood loss
B IDA
C haemodilution
ANS A bt few vd B
Q27 a male present in clinic vid pallor fatigue and lethargy Ix of choice
A CBC ANS A
B S/ferratin
C RBC mass
Q28 A 6 year old girl vid HB 6.2 MCV 58 FL MCHC 27 PCV 20 pallor and lethargy vid
platelets count 250,0000 and wbsc 7000
suffering from
A IDA
B thalasemia trait
i marked A cozz no hbA 2 given no history of hepatospleenomegaly so confirm it further
.Q29 Mechanism of action of GLUCAGON
a stimulate potein kinase ANS A
39
b suppressing sdenylate cyclase

Q30 non essential amino acid take alpha group from
A oxaloacetate
B glutamate ANS B
C pyruvate dehydrogenase
Q31 A women came in clinic due to faal in wash room having bone pain her x ray taken and
there found reduced mass over head of feamur and deminraliztion all over body her s/ca+2 was
12mg/dl [while normal is 10 to 11 mg /dl] there is ca+2 in urine .lady is suffering from
A hyperparathyroidism ANS A
B hypo parathyroidism
C osteoporosis
Q32 hypophysectomy which will suffer
A acini of pancreas
B chief cells of parathyoid
C principal cells of thyroid ANS C
Q33 peroxiosome arise from
A SER ANS A
B RER
C golgi
Q34 cornybacterium diphetheria
A spore forming
B G neg
C exotoxins ANS C
Q35 a young girl with bee sting which cells will involve in this kind of hypersensitivity
A eosinophils
B mucosal mast cells ANS B
C neutrophils
Q36 cerebellum is related vid
A speech
B movements
C coordination of movement ANS C
Q37 which peritoneum covering the organs of abd viseras

A parietal
B viseral ANS B
C plural
Q38 Collecting system of kidneys derive from
A mesonephric duct
B ureteric bud ANS B
C urothelium
Q39 less heat is produced in anesthsia due to
A NA/K PUMPS blockage
B decrease muscle tone ANS B
C muscle paralyss
40
Q40 OCPs C.I in

A vaginal bleed
B migrain ANS B
Q41 Second meiotic division complete in females
A fertilization ANS A
B zygote
C at birth
Q42 During L.P structure pierced
A dura matter ANS A
B pia matter
c lig nuche
Q43 micturation due to
A mehanoreceptors in bladder wall ANS A
B enteric nervous system supplied by para sympathetic N.S
C hypogastric plexsus
Q44 which clotting factor deficiency leads to thrombosis rather then bleding
A factor 12 ANS A
B factoe v laiden
C christmas factor
Q45 true hermaphrodiet
A XX
B XY
C XX/YY
D XXY ANS D its CPSP key
Q46 A beautiful looking girl came in clinic vid complaints of ammenorreha on examination
secondar sexual characteristics were present on USG there was no uterus an vid blind ended
vagina
A true hermaphrodiet
B normal
C adrenogenital synd
D testicular feminization ANS D
Q47 before giving sodium valporate to pt check
A RFTs
B LFTs ANS B
C cognitive functions
Q48 During meiosis what happens
A Exchange of genetic material in autosmomes ANS A
B chromosomes double in number
Q49 primary oocyte surrounded by zona pelucida and fluid filled cavity called
A primary follicle
B secondary follice ANS B
C tertiary follicle
Q50 IST meiotic division complete at
A before ovulation ANS A
B after ovulation
C birth
41
Q51 A pt after RTA brought to hosp after 30 min of slow bleeding

greatest reduction in bood volume will occur in
A veins ANS A
B arteries
C arteriols
D capillaries
Q52which ligament hold uterus in antevertd position and can b palpated per rectal exam
A uterosacral ANS A
B round
C broad ligament
Q53 A boy after heart and lung transplant came in clinic vid complaints of headach L.P done cs
showing increase proteins count no change on sugar there was no bacteria on culture and halos i
dnt remebr further causative agent is
A histolasmosis
B cryptococus ANS B
C aspegillus
Q54 Secondary ossification center
A diaphysis
B epiphysis ANS B
C metaphysis
Q55 common feature of sk muscle and smooth muscle
A T tubules
B branching
C transverse striation ANS C
Q56 smooth muscle feature
A Mononucleate ANS A
C multinucleate
D branching
Q57 osteon A concenteric lamella B sharpeys fibers C woven bones ANS A this is olos
controversial so choose it at ur own
Q58 All para sympathetic fibers are

A cholinergic ANS A
B adrenergic
Q59 enhance effect of halothane with
A Nitrous oxide ANS A
B thiopental
C barbiturates
Q60 virus related CA
A HTLV ANS A
B SCC
Q61 PCKD is
A autosomal dominant trait ANS A
B autosomal recessive trait
C multifactorial trait
Q62 reaction will occur
42
A O to O
B A to AB ANS B
Q63 vagina drainage
A medial group of horizontal nodes ANS A
B vertical group
C popliteal
Q64 70 year old man brought in clinic in comatosed condition his blood sugar 700 mg/dl no
ketone uria no protein uria man would b suffreing from
A DM 1
B DM2 ANS B
C M.S
Q65 male pt vid uretheritic and dysuria causative agen is
A chlamydia ANS A
B trichomonas
C neisseria
Q66 causes of hot flushes in post menopausal women is
A Increase FSH/LH ANS A
B increase estrogen
C Decrease LH
Q67 medial to femoral hernia
A Lacunar lig ANS A
B femoral A
C femoral vein
Q68 germinal follicles present in
A Cortex of lymph node ANS A
B Para cortex of L.N
C thymus
D spleen
Q69 Normal caloric vlue for an adult male is
A 70 KCAL/ day
B 25 to 30 kcal/day ANS B its asim shoaib key
Q70 Thirst is stimulated by A ECF volume expansion B ang 2 ANS B
Q71 EF increase vid decrease in A ESV ANS A B EDV
Q72 A lady vid CA breast positive had undergone lumpectomy now which drug to give
A tamoxifen ANS A B 5 flurouracil C MTX
Q73 longest incubation period is A hepB ANS A B hep A c T. B
Q74 Coccygeal ligment at A l2 ANS A as l 1 was nt given in options B SI TO S3
Q75 erythropoietin producrd from
A JG cells B peritubular capillaries ANS B
Q76 on ECG prolong PR interval called A bradycardia B ist degree H.B ANS B C 2nd degree
H.B
Q77 N20 plus O2 A good anelgesia ANS A B good anesthesia
Q78 Abdominal aorta give A renal arteries at L2 ANS A B lateral branches to parieties
43
Q79 MMR A 100,000 total births B 100,000 live births ANS B
Q80 Transfer of a redical from cone compound to another compound is called as

A transferase ANS A B oxidoreductase
Q81 lowest urin osmolairty found in A CCD B DCT ANS B C Tip of loop
Q82 In LSCS intra abdomial bleed due to
A UTERINE artey ANS A

B inf epigastric A
NOTE...
inf epigastric bleed will b outside of body but if after LSCS bleed is intra abd then it viil b from
uterine artery
Q83 after LSCS a lady came in hosp vid complaints of urinary incontinence
A VVF ANS A
B uretr ligation
C fistula
HERE i want to add more info during hysterctomy ureter is at greater risk of damage
but in LSCS bladder at higher risk of damage
Q84 protein synthesis in muscle A testosteron ANS A B DHT C DHEA
Q85 How many barr bdies in XXX A 1, B 2 ANS , C 3
Q86 narrowest part of paediatric pathway is A cricoid ANS A B hyoid
Q87 Turner syndrome A x0 ANS A B XX C XY
Q88which of the following will prevent ovaries from falling down

A broad ligament B round ligament C uterus ANS C
Q89 male accessory gland A prostate ANS A B ductus deference C epidydimis
Q90 Gold standard of breast CA A USG B mammogram ANS B
Q91 Uterus functionl layer which shed down during mensturation A capsularis and
spongiosum ANS A B capsularis and basale
Q92 Quadrant malaria A P malaria ANS A B vivax C ovale
Q93 dysplasia is recognised by A dyskeratosis B Loss of polarity and architecture of cell ANS
B C Pleomorphism
Q94 Bladder drainage via A internal illiac A. ANS A b external illiac A
Q95 Prolactin is regylated by A prolactin releasing hormone B prolactin inhibitory hormone
ANS B
Q96 a lady vid vaginal dischargecame in clinic which is suspected to be from cervix the most
44
cheap and initial diagnostic test is

A pap smear ANS A
B cone biopsy
C cervical smear
Q97 A lady at 24 week gestation presnts in clinic with fundal height greater then dates
A dudenal atresia ANS A

B horseshoe kidney
C B/L renal agenesis
Q98 CVS is useful for
A trisomy 21 ANS A
B parau synd
C Edward synd
Q99 In a pregnant lady risk of rublle increase in
A 5 TO 10 weeak ANS A
B last trimester
Q100 CRL
A 8 to 13 week ANS A
B 24 th week
Paper-1
Q101 GFR is calculated clinically best with A inuline B PAH C creatinine ANS
Q102 a 12 year boy present in clinic with the complains of bone pains and diarrhea the suffering
from
A vit B1,B biotin, C vit K ANS C

Q103 roof of the ant horn of lateral horn is formed
A body of corpus callosum ANS A
B genu of corpous callosum
Q104 cereberal blood flow depends on A CO2 ANS A.B ph,C H+
Q105 lethal effect of ECF ion on heart A K+ ,B Ca+2,C Na+
confirm it coz i marked it as B coz of Ca+2 is ECF ion can cause lethal automaticity of SA and
AV nodes but seniors pointed towards K+coz of arrythmias which is a major intracellular ion
Q106 wound healing via

A myofibroblasts ANS A
B collagen
C EPDGF
Q107 shigella toxins involved in
A endotoxins
45
B exotoxins
C invasion of mucosa ANS C
Q108 if root of left lung is severed which structure will b prevented

A vagus N ANS A
b azygous
i could nt remem the other options
Q109 typhoid fever diagnostic test in 2nd week

A blood C/S
B widal +B/C ANS B
C urine D/R
Q110 intra amniotic infection detectd via

A IL6 ANS A
B G staining
C B/C
Q111 pain of small intestine is felt in

A epigastrium
B tip of shoulder
C peri umblical ANS C
Q112 which is most effective feed back mechanism to maintain B.P

A baro receptors
B CNS cushings
confirm it fom seniors coz CNS is only involve in potent controll effective and maxiimally are
features of baro receptors
Q113 anemia in pregnant lady

A IDA
B dilutional anemia ANS B
C B12 defficient
Q114 HPV involved in A ovarian CA B cervical CA ANS B
Q115 epigastric pain is felt via A intercostobrachial N ,B greater splanchnic N ANS
Q116 in a pregnant woman with DM drug of choice

A glyburide
B insulin ANS B
46
Q117 carbamazepine S/E ANS DYSTONIA
Q118 A woman presents with discoid rash and protein ria the diagnostic test would b
A ANA ,B anti ds DNA ,ANS
Q119 After parturition size of uterus is reduced d/t A mitochondria,B lysosomes,C SER
Q120characteristic feature of ATN
A hyperkalemia ANS A B oliguria
Q121 a boy came in hosp vid complains of loss of sensation over nose and mouth extending upto
tempral region nerve involve is
A fascial N
B maxillary division of trigeminal N ANS B
Q122 hpermagnesemia cause

A hyer reflexia
B decrease ACH release ANS B
C increase ACH release

D convusions
Q123 myocardial cntractility is best correlated with intracellular concentration of

A Ca +2 ANS A
B K+
C Na +
Q124data is collected for some clinical trial based on presence or abscence of vomiting
A nominal ANS A
B ordinal
C parametric
Q125 A pt operated for CA colon now follow up with

A CEA ANS A
B beta HCG
Q126 fibroblasts form A Collagen B Reticular fibers only C amorphous substance ANS C
47
Q127 rectum A sacular ANS A B S234

Q128 boundary of mandibular triangle ant andpost belly of digastric muscle and body of
mandibe
Q129 A boy with history of fall on ground with outstretched hand cant abduct his arm initially
upto 40 degree but above this angle able to do vidout any support
dnt nw the exact words
A supraspinatus ANS A
B deltoid muscles
Q130 thalasemia trait diagnosed by CVS
Q131 after 5 year of transplant surgery there is increase incidence of

A liver malignancy
B skin makignancy
C lymphoproliferative ANS C
Q132 14 year old boy vid 8%creatinine BP 180/110 structure involved is
A JG cells ANS A,B glomerulus
Q133 platelets are derived from fragmentation of cytoplasm of megakaryocytes
Q134 hormone involved in deposition of CHO proteins and fat -INSULINE
Q 135 a boy admittetd in hosp in unconscious state his ph 7.33,CO2 44 mmhg,HCO3 18

anion gap 18
A Metabolic alkalosis ANS A ,B Metabolic acidosis,C R.F

Q136 lungs are supplied by autnomic N.S
Q137 virus cause cancer A Oncogens ANS A B proto oncogens
Q138 TBW is ICF+ECF+intercellular fluid of same composition
Q139 impair wound healing ANS infection
Q140 patent lumen of allontois
A urachal cyst B urachal fistula ANS B C urachal sinus
Q141 after tooth extraction organism causing IEC
A S aureus
B strptococcus viridians ANS B
Q142 Philtrum develop due to medial nasal processes maldevelopment
Q143 Cleft lip D/T medial nasal +maxilla fusion defect
48
Q144 neutrophil chemotactic factor LTB4
Q145One question was about standard deviation
Q146 ndividual having independent and same chancesof being selected

A Random selection ANS A
B stratifiesd random
Q147 trigeminal ganglion
A Completely bathed with CSF
B give ant and post branches
C in middle cranial fossa alongside cavernos sinus ANS C
Q148 Internal jugular vein anterior relation immediately after exiting from skull
A SCM
B ICA
C carotid sheath
D spinal part of accessory nerve ANS D plz further confirm it
Q149 Testosteon is produced from
sertoli cells
Q150 charecteristic feature of shock

A hypoxiemia
B hypoperfusion of organs ANS B
Q151 on strepcoccal pneumonia infection in a person clearnace of infection will occur via
A H2O2
B PG
C leukoterines ANS C
Q152 after radiations inflammation occur d/t

A venous thrombosis
B end arteritis obliterance ANS B
Q153 Increase interstitial hydrostatic pressure is d/t

A increase capillary permeability ANS A
B colloid oncotic pressure
Q154LXA supply left atrium
Q155 T.B granulomma contain T cells
Q156 ventricles are max filled with blood during

A rapid inflow
B atrial systol
ANS i markd A
some were saying its B
49
Q157 Diabetic nephropathy micro albuminuria
Q158 intra and etra pelvic extention of ligament

Round ligament of uterus
Q159 pelvic splanchnic nerves are parasympathetic
Q160 H/P of cancer grading and differentiation
Q161 One ques was abt water weight i.e 42 lit
Q162 pars distalis

supplied from superior hypophyseal artery
Q163 ACTH levels are high in

A Ant pituitary portal sys
B pst pituitary portal sys
C Systemic arterial blood
here some vid A some C
Q164 If a test is able to both diagnose and eliminate diseased and non diseased it is called
A specific
B sensitive ANS B,C accurate
Q165 To disclose about a recently diagnosed fatal disease ost appropriate
A tell family and pt ASAP ANS A
B crisp logical evidence based accurate info to pt and family according to deman
Q166 A person with sweating drinks 2 lit of distilled water what will hapen
A Increae ICF
B increase ECF
C dec urie osmolarity
Q167 one ques wa ADH contrl ans was urea absorption somthing
NOTE
These bcqs do not contain the exact stem with same wording neither the options nor the answers
and i might b wrong at some questions.so futher cofirm it

2ndly help me to complete total 200 ques if someone recall more que lemme knw i'll add so dat maximum ppl cn get benfit
guys CPSP bcq arent difficult rather thy are just tricky
when i was solving mcq in exam hall
in every question after ist read i olways came up with two possible ans n in second carefull read of the stem ans figured out its own
coz ans is usually hidden withinn the stem so read the stem very carefully and gynae ppl who r gonna appear in MAY attem pt must must must
read 18th nov 7th 8th march and 4th april evening morning past paper focus more on recent most ppq wish you best of luck
remember me in ur prayres
regards
Dr.Misbah Abid
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50
(5). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#103
4 April 2016 PAPER A morning shift (radiology)
1. A lady have two children now operated for cholecystectomy presnt in clinic vid pallor and
fatigue periphral blood show microcytes
IDA (Ans)
Blood loss
2. long term osmolarity control via
Aldosteron
Adh
Angiotensin
Effect of efferent vessels
3.Pt vid defficiency of niacin and riboflavin will have

Pellagra (Ans)
Scurvy
Rickets
Osteomalacia
4. which of the following is intrapelvic as well as extrapelvic ligament?

a.tranverse cardinal ligament
b.broad ligament
c.uteropelvic ligament
d.round ligament (Ans)
5. 9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is
A:Supraspinatous (Ans)
B: Trapezius
6. left lung root get sever injured spared structure will be

A: vagus nerve (Ans)
B: pulmonary ligament
7. LXM artery supplies

A: lft atrium (Ans)
8. Int jugular with ant relation to as exit from skull

A: Accessory nerve spinal part
9. local factor for delayed wound healing

A: vit c def
B: infection (Ans)
51
10. breast during pregnancy and lactation

A: stromal hypertrophy
B: lobular hyperplasia (Ans )
Remember me in your prays
11. Lateral ventricle ant horn roof made by

Genu of carpus callosum
Anterior part of Body of carpus (Ans)
PitAutry gland
12.Fibroblasts made
Collagen fibres only
Reticular only
Elastic only
Histamine
Amorphous ground substances (Ans)
13.Presynaptic sympathetic action by

All r cholinergic (Ans)
All r vagal
Afferent neurons
All r adrenergic
14. Bacteria causing meningitis ..secondly to pyogenic lung abscess

Hemephelous influenza.
Pneumcocci
Streptococci
Staphylococcus ( Ans)
15. Bar body in xxx???

A. 2 (Ans)
B. 3
C. 1
D. Zero
16.
Thirst is regulated by hypothalamus
angiotensin 2 (Ans)
Adh
Aldosterone
17. Hormone increasing muscle growth ...

A. testosterone (Ans)
B. dihydrotestosterone
C. Progesterone
52
18.Lady feeding her baby for a year no problem....what happened during pregnancy....
A. lobular hyperplasia (Ans)
B. Ductal metaplasia
C. Stromal hypertrophy
19.First meiotic decision completed during..

A. after ovulation....
B. few hours before ovulation (Ans)
20. True hermaphrodite

A. Xxy
B. Xx/xy (Ans)
21.Cardiac stroke volume

A. venous return (Ans)
22. Vomiting data 20 and 40 percent

A. Nominal (Ans)
23. Ejection fraction increases what decreases...

A. EDv
B. ESV (Ans)
24.Internal jugular vein anterior relation to which structure after exiting from skull...
A. carotid sheath...
b. internal carotid artery...
c. scm
D. Accessory nerve
25.strp pneumonia confrm so how it treat by

A. leukotriene
B. hydrogen peroxide
26.Regarding trigeminal ganglion

Bath in csf completely (Ans)
Completely coverd vid dura matter
Present in mid cranial fossa alongside cavrnous sinus
27. E max of drug

Efficacy (Ans)
Bio avilability
Potency
28. glucagon
Suppressing adenyl cyclase
Stimulete protein kinase (Ans)
53
29. Visceral pleura Sensitive to pain

Supplied by autonomic nerves supplied to lungs (Ans)
Phrenic nerve
30. L.p pierced

Pia
Ant ligamnt
Post spinal cord part
pierced dura (Ans)
31. Compliance is inversly proportional to

A. recoil force of lung
B. Fibrosis
32.Meiosis is a type of cell division in which

A. DNA synthesis takes place
B. Exchange of genetic material takes place in autosomes (Ans)
C. One cell give rise to eight spermatozoa
D. Take place in sometic cells
E. Total number of chromosomes remain same after the process is complete
33.line of Zahn
Propagated thrombosis
Emboli
34.Clinical clearance via

A. creatine clearance (Ans)
B. Inulin
35.vvitamin deficiency ...chilsis corneal ulceration glosssitis

Riboflavin (Ans)
Niacin
36. standrd deviation
37.isthmus of thyroid gland Crocoid ?
38. Osteon Concentric lamella Sharpeys fibes
39.Follicular nodular lymphoma ka scenario tha

less than 5 years
5-10 yrs (Ans)
More than 10 yrs
40.abdomina angina is caused by which artery A. SMA(Ans) B. IMA C. AORTA
54
41.c1 vertebra(atlas) lacks what of following

A. Spinous process
B. Articular facets
43. one scenario of christmas disease
44.lymph nodes of prostate gland

A. Int iliac node (Ans)
B. Ext iliac
C. Both
45.diabetic nephropthy test

A. Microalbuminuria (Ans)
46. about professionalism of doctor
47. about diagastric triangle

A. Ant n post belly of dia gastric n midline mandible (Ans)
48.which enzyme transfer radical group from one compound to another

A. transferase
B. Reductase
C. Oxidoreductase
49. Line of Zahn seen in?

Obsrtuted thrombus
Propagating thrombus
50.Myocardial contractility is the best correlated with intracellular concentration of?

A) sodium.
B) potasium.
C) calcium (Ans)
D) chloride.
E) magnesium
51.abt venous drainage of urinary bladder

Internal iliac (Ans)
Common iliac
52.If core temperature of body fall, body response will be

a. Decrease BMR
b. Shivering (Ans)
c. Anterior hypothalamus activation
d. Vasodilation
55
53.Maximum ventricle is filled during?

Atrial systole (Ans)
Ventricle systole
Isometric ventri contraction
Slow ejection phase
Rapid inflow
54. BENIGN TUMOUR

A. HAMARTOMA
B WARTHIN'S (Ans)
55. bee sting ....after 10 hour which increase.... igE (Ans) Eosinophils Mast cell
56. cardic muscle and skeletal muscle are same in ...... A. T tubules (Ans) B.sarcolemma
57. Smoth muscls are...... A. mononuclear (Ans)
58.Increase pR interval 1degree block (Ans) 2 badycardia
59. lipoxygenase wala ta chemotxtc....

A. LB4 (Ans)
B. C5a
60. Fatal disease of patient;

a. Shouldn't be told to the patient ad not the family
*b. Crisp clear information should be provided to the patient according to his needs (Ans)
c. Should be told to the relatives of the patient.
61.Ha paper 1 ka ta...regarding descending oarta...pir neechy option di ty
62.Hemostasis of iron by
A. ferritin (Ans)
B. Transferrin
63.total body water weight

A. 42 litre (Ans)
B. 60% of total body water
C. ECF,ICF N electrolyte in equal proportion
64.Persnlism wala......comunity se
65.cho.protien aur fat storage

A. Insulin (Ans)
B. Glucagon
66. CML A. 9:12
56
67.Ik purine metabolism A. Uric acid (Ans)
68.Prolong vomiting contartiion alkalosis

A. Hyponatremia (Ans)
B. Hypocalcemia
C. Hypokalsemia
69.platelets A. megakarocytes (Ans)
70.erythropiotn produced by A. peritubular (Ans)
71.Ik vomiting....jis may hypochlormc alkalosis hota hy...

A. HC03
B. Hyponatremia
C. Hypokalemia
72.intermediate filament in CA
A. Keratin.....(Ans)
B. Vimentin
C. Desmin
73.clostrdium tetani... A. exotoxin (Ans)
74.Dysarthria A. cerebellum (Ans)
75.Child with narrow air way .......
76.Ik carbamazepine A. dystonia ... (Ans)
77.Hypermagnesiumia A. Dec ach release (Ans) ,B. Dec ach uptake
78.Which factor causes thrombosis rather than bleeding A. Factor 12 ...(Ans),B. 5, C. 7
79.Tuberculin A. T cells (Ans) B. B cells
80.Conjuctivia wala... A. gonorrhea ans ta
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57
(6). 4th April 2016 Anesthesiology Morning Aly Samnani (80) P#112
Anesthesia April 2016 Paper 2
1.Function of estrogen : Sec sexual characteristic

2.Most important function of progesterone :
a.alveolar duct development
b. dec uterine contractions
c.Secretory phase of endoetrium ( somethong like this not exact wording )
3.Patient was given thiopentone he developed severe pain what should be the management :
a.Naloxone
a.Lignocaine
c.Epinephrine
4.Which of the following decrease thyroid hormone : Propyl thio uracil
5.What is the role of thiopentone in head injury : Dec oxygen consumption
6.Patient with biliary colic what should be given along morphine to reduce the pain :
a.Pethidine
b.Hyoscine butyl bromide
7.Patient underwent limb surgery now complain of moderate pain on 3rd post op day what
should be given
a.Paracetamol
b.Ketorolac
8.Lumbar puncture should be performed : abve the L4 spine
9.Capnography oxygen above zero indicate
a.Spontaneous breath in controlled ventilation
b.Rebreathing
10.Chlorthalidone causes :
a.Hypercalcemia
b.Hyperuricemia
11.Metabolic alkalosis is a prominent feature of : Hyperaldosteronisim
12.Which drug increase potassium : captopril
13.Prevention of heat loss in anesthetized person
a.Space blanket
b.Humidification of inspired air
14.Another bcq about heat loss cant recall stem and only option I remember is : heat loss can b
prevented more by humidification of inspired air than by warming inspired air
15.P02 in arterial blood is less than that in alveoli reason
a.02 req diffusion pressure to get in artery
b.Coronary arteries drain into coronary sinus (there was no option that indicated shunting of
blood )
16.Paramagnetic cylinder is used for (this is not the exact wording of stem ) :
a.N20 ,b.C02 ,c.02 ,d.Halothane
17.True about N20 : Supports combustion
18.True about cautery : amount of cutting depends upon density of current
19.Which agent releases maximum histamine
a.Tubocurarine,b.Atracurium
20.Longest acting NMB :a.Doxacurium,b.Pancuronium
21.Buffer to be most effective : pka should be near ph
22.Dead space increases in :
a.Lung collapse
58
b.Pulmonary edema
c.Hypertension
d.Hypotension
e.Atelectasis
23.3% choloroprocaine has fast onset than 2% lignocaine why :
a.Concentration
b.Ester and amid factor
b.Pka
c.Protein binding
d.Lipid solubility
24.Molecular weight of isoflurane :
a.144
b.184.5
25.E cylinder of oxygen will last for how many minutes if flow is at 6 lit / min
a.80 min,b.114 min,c.134 min
26.Nalbuphine :
a.Causes same resp depression as morphine
b.As potent as morphine
27.Mech of action of tramadol :
a.Weak meu
b.Kappa and meu
28.Septum pellucidum : weird options combo cant recall
29.Neuro muscular blockade is prolonged by : Gentamycin (Aminoglycoside)
30.Which of the drug is aminoglycoside : Amikacin
31.Patient underwent liver transplant which of the drug you will prescribe which is nephrotoxic
and doesn’t causes bone marrow depression
a.Cyclophosphamide
b.Cyclosporine
c.Prednisolone
32.True about actions of glucocorticoid : dec peripheral glucose utilization
33.Abrupt withdrawal of glucocorticoid causes : adrenal supprsion
34.The advantage of dexamehasone over hydrocortisone is it doesnot causes
a.Hyperglycemia
b.Salt retention
35.In CNS myelination is a function of : oligodendroytes
36.Which cell in the CNS resembles Schwann cells : oligodendrocytes
37.EEG synchronization is caused by :
a.non specific thalamic nuclei
b.locus cerulus
38.Oil in 02 reducing valve will cause explosion of what type : Adiabatic
39.Why high dose of non depolarizing agent is required in burn patients :
a.Increase no of receptor
b.High protein binding
40.Hyperthyroid lady with ventricular tachycardia heart rate of 180 pulse irregulary regular
treatment of choice :
a.Propanolol
b.Amiodarone
c.Verapamil
41.The volume of air remained in lung after maximal expiration is
a.1200
b.1400
59
42.Digoxin toxicity is increased by :

a.Increase intracellular potassium
a.Increase intracellular calcium
43.Antacid causing dec gastric emptying : aluminium hydroxide
44.Esophago gastric junction lies at : a.T10 ,b.T11 , c.L1
45.Venous pressure increased 8mm what will be the effect on capillary pressure :
a.Inc by 8 mm
b.Inc markedly
c.Dec by 6 mm
d.No change
e.Dec by 8 mm
46.Jejunum is supplied by : Superior mesenteric artery
47.If v/q in inc blood p02 and pc02 will be same in :
a.Expired air
b.Venous blood
c.Atmosphere
d.Arterial blood
e.Humidified inspired air
48.Low molecular weight heparin :
Inc binding to factor 10a
49.The chance of bleeding in a patient with epidural will be greatest in :
a.Patient on warfarin
b.On heparin
c. aspirin
d.On LMWH
50.More local anesthetic concentration in the blood by :
a.Epidural block
b.Caudal block
c.Spinal block
d.Brachial plexus block
51.Acetaminophen poisoning N-acetylcsytein will cause :
a.Excrete acetaminophine
b.Break into non toxic metabolites
c.Converts to acetylated metabolites
52.Edema reduced by diuretic by excretion of :
a.Na excretion
b.K excretion
c.Hydrogen excretion
53.Suxa causes tachycardia by :
a.Direc acting on muscuranic receptor of SA node
b.Act on nicotinic receptor of ANS
c.By releasing histamine
54.Test to do before starting valproate
a.Cbc
b.Lfts
c.Rfts
55.Most of posterior intercoastal arteries are braches of : thoracic aorta
56.Deep cervical artery is a branch of :
a.costo cervical trunk
b.superior thyroid
c.inferior throid
60
d.externa carotid
56-B-CSF contains :
a.20mg-40mg protein
b.120mg glucose
57.Regarding surfactant component missing is :
a.Calcium
b.Protein
c.Neutral lipid
d.Lecithin
58.Advantage of crystalloid in fluid resusitation is : improve coronary flow
59.Young girl with severe ronchi breathlessness PEFR less than 50 % of predicted
management :
a.Bronchodilators
b.Inhaled steroids
c.Ipratropium
d.Iv steroids plus bronchodilators
60.Patient having asthma treatment to be given
a.IV steroid
b.IV theophiline (no option of inhaled agent al were IV)
61.Patient solving airthematic problem EEG wave present :
a.Alpha
b.Beta
62.Levodpa given it will cause : orthostatic hypotension
63.Structure that doesn’t part thru diaphragm :
a.Lymphatics of pleura
b.Right phrenic nerve
c.Greater splanchinc nerve
64.Spinal cord ends at a.L2 b.L1
65.CVP : measure of right atrial filling pressure
66.K sparing diuretic like spiranolactone acts by :
a.Increasing GFR
b.Adh inhibition
c.Inhibtinh H/K exchange in collecting duct
67.Mid diastolic murmumr irregularly regular what will b seen :
a.Ince pressure gradient against mitral valve
b.Pmitrale
c.Increase r-r interval
68.High anion gap in : a.Uncontrolled diabetes
69.Most potent vasoconstrictor : Cocaine
70.In General anesthesia dec heat production is by :
a.inhibition of Na/K atpase
b.dec muscle tone
71.most immediate anterior relation to internal jugular vein after jugular foramen : internal
carotid artery
72.temperature at which vapour pressure is equal to atmospheric pressure : boiling point
73.Method of face mask sterilization :
a.Wash with soap and water
b.5% phenol
c.Form aldehyde
74.Method of face mask sterilization for prevention against organism :
a.Steam sterilization
61
b.Ethylene oxide gas

c.Phenol
d.Pasteurization
75.Why ranitidine is preferred over cimeteidine : low cns side effect
76.For acute blood pressure management : baroreceptor
77.Which system has maximum feedback gain in controlling cardiac pressure
a.Baroreceptor
b.Renal volume pressure mechanism
78.Warfarin dose should be adjusted in patient taking : cimetidine
79.Slow adapting receptor (not exact statement )
a.Slowly decreasing action potential
b.Absence of action potential
80.Result of ischemia on brain auto regulation :
a.Auto regulation curve shifts right
b.Curve Shift left
c.Leads to ablation of auto regulation
Special thanks to Dr. Maliha Hanif , Dr. Sana Shaikh and Dr. M. Asad Chaudhary for helping me compile this paper please
remember us all in your prayers !! best of luck
=-=-=-=-=-=-=-=-=-=-
The End
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
Compiled by : Amlodipine Besylate
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
MAY2016PAPPERS
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By pa
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aye
rs!
RADI
OLOGYMAY2016
1.Duri
ngas urgeryasur
geonni
ckhe
pat
oduode
nall
iga
ment
.Whi
chs
truc
tur
eonr
ights
idei
sli
kel
yto
bedamage d?
A.Port
alve i
n
B.Bil
ed uct(ans
we r
)
C.IVC
D.HepaticDuc t
2.GallBl
adder
A.Produce
sbile
B.Submucosaispr
ese
nt
C.Muc os
aisthr
owninext
ens
ivec
irc
ula
rfol
ds(
ans
wer
)
3.Bareare
aoflive
rislimit
edby
A.Rightandlef
ttr
iangula
rli
gament
B.Falci
for
ml i
gament
C.Ligamentt
e r
es
D.Liga
E.Cor
me
ona
ntve
r
yli
nos
ga
um
ment(ans
wer)
I C )
4.Medi
als i
deofarmissuppl
ie
dby
- MED
A.Medialcord(a
nswer)
O L
B.La
te
C.Mus
r
a
c
lc
ul
or
oc
d
ut
aneousne
rve
M ( KO
D.Medianne r
ve
aL i
5.Pe
ndula
M
rkne K
ejer
k
A.UMNl
By
B.LMNl
C.Hypot
Dr
e
e
s
s
i
i
hyr
on
on
oi
dis
m
D.Par
kinson
E.Cer
ebe l
larl
esi
on(ans
wer
)
6.I
ntercost
als pac
es
A.Ha vethreelayersofmuscle
sinbet
we e
ncost
alcar
til
age
s
B.Suppliedbyonl ysensor
yne r
ves
C.Bloods upplyfromint.Thora
cica
rte
rynthor
acicaor
ta(a
nswe
r)
D.Ne ur
o vascula
rbundleispres
enta
tupperbor
derofri
b
7.Ne
urovas
cularbundle
A.Li
esdeepinribs
B.Li
edonupperbor derofr
ibs
C.Li
esbeneat
hlowe rborde
rofri
bs(
ans
wer
)
8.Mesone phr
icductfunct
ionalr
emna
ntoruni
tis
A.Epididymis
B.Ductusde f
erens(a
ns we
r )
C.Vagina
D.Uterus
10.Met
ast
at
icCalcif
ica
ti
onofki
dne
ymos
tcommonl
yduet
o
A.Hyper
vit
aminosi
sD
B.Hyper
par
athyr
oidis
m( a
nswer
)
C.Hyper
cal
cemia
11.Mai
nsuppl
yofheadofhume
rus
A.Antci
rcumf
lexa
rte
ry
B.Postci
r c
umf l
exarte
ry
C.Arter
iesaroundrota
torcuf
f
D.Arcuat
ea rter
y(answer)
E.Subscapularar
ter
y
12.Deepcervicalar
ter
yisabr
anchof
A.Cost
ocervicaltr
unk(ans
wer)
B.Subsca
pula rart
ery
C.Aort
a1s tpa r
t
D.Intt
horacicarte
ry
13.Proximalpar
tofCBDi ss
uppl
ie
dby
A.Infme se
nteri
ca r
ter
y
B.Supme s
enter
icarte
ry
C.Cys t
icart
ery(answer)
D.Righthepati
ca rt
E.Lefthepati
carter
y
14.Apt
.gotsplee
nrupt
ureandshei
sgoi
ngt
ospl
eene
ctomy.Wha
t’she
rpe
riphe
ralbl
oodpi
ct
urer
ight
now
A.Howelj
owe lbodi
es(
answer)
B.Thr
ombocytopeni
a
I C )
15.I
nfa
nt’
ss pi
nalcor
dendsa
t
- M ED
A.BtwL1a ndL2
O L
KO
B.LowerborderofL3(a
nswer
)
C.L2
i M (
16.Es
opha
A.T11(a
goga
nswe
s
r
)
tr
i
Kcj
unc
ti
oni
sat
aL
B.T7
Dr M
By
C.L1
D.L3
17.Port
alHTN
A.Leftcol
ic(a
nswe
r)
B.Infmesent
eri
c
C.Infepi
gast
ri
c
18.Ayoung1yrol dhashydr
ocel
e
A.Scr
otalswelli
ng
B.Per
it
one a
lflui
da cc
umulat
ion(
ans
wer
)
C.Tes
ti
si nf
lamma t
ion
19.Sigmoidandde s
cendi
ngc ol
ondr
aini
nto
A.Lef tc
oli
cnode s
B.Infme se
nter
icnodes(ans
we r
)
C.Supme s
ent
ericnodes
20.Hi
pjointi
s
A.Rel
ate
dpos ttops
oasbur s
a
B.HasObtura
torext
.inf
e r
iorl
y(a
nswe
r)
C.Rel
ate
dt ofemora
lnerve
21.Femurbone
A.Later
alli
gamentat
ta
che
dtol
owe
repi
condyl
e(a
nswe
r)
B.Pla
ntari
smuscle
22.Rec
tumis
A.Str
aights
truc
tur
e
B.Hashaus
tra
ti
onsci
rcul
arf
olds
C.Pos
ttorec
tumisS3S4S5
23.De
epingui
nalr
ing&I
nfe
piga
str
ica
rte
ry
A.Medial
B.Lat
era
l(ans
wer)
24.AVbundle
A.Onlyneur
oc onne
cti
onbt
wri
ghta
tri
a&ve
ntr
icl
e(a
nswe
r)
B.Pre
senti
nrightat
ri
a
25.Pos
tinterve
ntr
icul
arar
ter
ysuppli
es
A.Bothrightandle
ftvent
ri
cle(
answer)
B.SAnode
C.Rtatr
ia
26.Mostmedia
lnuc
leusofc
ere
bel
lum
A.Fast
gial(
ans
wer)
B.Dent
a t
e
27.Defec
tinint
e r
vent
ri
cul
ars
ept
umc
aus
esora
ffe
ctswhi
chva
lvemos
t
A.Aorti
c
I C )
B.Pul
C.Tr
mona
i
cuspi
r
d
y(answer
)
- MED
D.Mitral
O L
KO
E.Coronar
ys i
nus
28.La
ter
alsi
deofbr
eas
tdr
ainsi
nto
i M (
A.Pect
ora
lLN
K aL
29.Es
opha
Dr M
gusc ons
tri
ct
eda t
By
A.Whe r
ecr os
sedbya r
chofaort
a(ans
wer
)
B.Postmediast
inum+l ef
tvent
ri
cle
C.Rtbronchus
30.Si
teofradialar
ter
ypulsei
s
A.Extpoll
ic
i sandabdpoll
ici
s(ans
wer)
B.Brach
iora
di a
lisandfl
exorcar
piul
nar
is
31.Mosti
mpa nat
omicla
rgests
ubdi
vis
ionofpr
ost
at
eis
A.Medianlobe
B.Per
iphera
lzone(answer)
C.Tra
nsit
ionalzone
32.Pa
inofvaginamedi
at
edmedi
al
lydu
eto
A.Obtur
atorner
ve(a
nswer)
B.Femoralner
ve
C.Sci
ati
cne r
ve
33.Fe
ma lepelviswi
thshor
tAPdi
ame
tera
ndl
ongt
rans
ver
sedi
ame
teri
s
A.Pla
teploid(answe
r)
B.Gynae c
oid
C.Anthropoid
34.I
ntr
insi
cfactori
ssec
ret
edf
rom
A.Gast
ricfundus(a
nswer)
B.Gast
ricantr
um
C.Less
ercurvat
ure
35.Si
ckl
ece
lld
ise
asei
sade
fec
tin
A.Be
tagl
obul
in(
ans
wer
)
B.Al
bumi
n
36.La
tera
lpopli
tea
lner
vedama
ges
cena
rioi
naf
oot
bal
le
randi
twa
sas
kedwhe
rei
tisda
mage
d
A.Neckoffibul
ar(a
nswer
)
B.Headoffi
bular
C.Anttoti
bia
37.Noofdi
vis
ionsofl
owe
rai
rwa
ys?
A.17
B.21
C.23(
answe
r)
D.26
38.Ref
luxofcecumi spre
vent
edby
A.Il
eoceca
lvalve
B.Il
eocec
alsphinc
ter(ans
wer)
39.Rightte
s t
iscanc
ersce
nar
ioandas
keda
bouti
tsdr
aina
ge
A.Para-aor
ticlymphnode(a
nswer
)
B.Intil
iaclymphnodes
I C )
40.Pr
A.I
os
nti
t
l
i
a
a
t
esomes
cnode s(
a
ce
na
ns
r
i
we
r
owa
)
sgi
vendr
ainsi
n
- MED
B.Paraaort
icnodes
O L
41.Lef
tsuprar
enalgland
M ( KO
A.Se
B.Dr
pa
ai
r
at
nsi
edf
nle
r
oml
f
tre
na
ef
tki
lve
dne
i
n(
ybype
ans
aL
wer
)
r
i
i
r
ena
lfa
sci
a
M K
42.Pa
By
B.I
r
a
A.Sups
nfs
a
s
a
l
l
i
Dr
ympa
iva
var
r
the
ynuc
yn
t
uc
i
cs
l
e
l
e
uppl
us(
us
a
yt
ns
os
we
ubma
r)
ndi
bul
argl
andi
sfr
om
C.Auric
ul ot
empor alner
ve
D.Lesse
rpe tros al
E.Great
erpe t
r os a
l
43.Postbel
lyofdigas
tri
ciss
uppl
ie
dby
A.Facialne
rve(answer)
B.Ac c
e s
sor
yne r
ve
44.Ve
rte
brae
A.Pos
tandInfspi
ne(
ans
wer
)
B.Ner
veleavesup
C.Cer
vica
lpart
45.Angi
naisma i
nlypres
enti
n
A.Abdominalaort
a
B.Supmesente
ricart
ery(a
nswer
)
46.Pos
tcurva
tur
eisl
osti
nani
nfa
nt.Thi
scondi
ti
oni
sca
ll
ed
A.Kyphosi
s(ans
wer)
B.Scol
ios
is
47.Agir
lha sprobl
eminopeni
ngmout
h.Whi
chmus
clei
sde
fec
ted?
A.Lat
eralpter
yg oi
d(a
nswer
)
B.Media
lpt er
ygoid
C.Temporali
s
D.Bucci
nators
48.Annulusfi
bros
is
A.Atta
che dmedandlatl
iga
ment
s(a
nswe
r)
B.Nos ensor
ysupply
49.Phenylal
aninec
onve
rtsi
nto
A.Tyrosine(answe
r)
B.Tyrma ine
50.St
abwoundi njur
yini nte
rcost
alspa
ce.Sur
geonne
edst
ogot
opl
eur
abyr
eac
hing
A.Extinter
cos t
alandinternali
nte
rcost
almusc
les
B.Neurovascularbundle
C.Par
ietalpl
e ura
D.Endothoracicfasc
ia(ans)
51.Ar
eaofvis
ualfi
el
dsuppl
ie
dby
A.PCA(answer)
B.MCA
52.Homonymoushe
mianopi
aca
use
dby
A.Opti
ctra
ct(a
nswer
)
B.Opti
cchia
sma
I C )
53.I
nt
A.Li
r
a
ve
ut
r(
e
a
ri
nemi
ns
wer
)
dt
ri
mes
terhe
mat
opoi
esi
soc
cur
sin
- M ED
B.Sple
e n
O L
54.Pa
ncrea
srel
a t
edant
eri
orl
y
M ( KO
A.Les
B.Spl
e
s
ers
ni
ac(
cvei
n
ans
wer)
aL i
C.Rootofmese
M K
nt
ery
By
55.Lowe
A.Arcuat
Dr
rl
el
i
i
mi
tofr
ne,(
a
e
ns
ct
uss
wer
)
he
athi
s
B.Umbi l
ic
usor
C.Lineasemil
unari
s
55.Somesc
ena
rioonlossofse
nsati
oni
nli
tt
lef
inge
randl
ossofa
bduc
ti
onoff
inge
r
A.Damaget
oulnarne
rve(ans
we r
)
56.Suplaryngealarte
rya c
compani
edby
A.Exter
nallarynge
a lnerve
B.Int
ern
allaryngealnerve(ans
wer)
57.Ost
eoporos
is
A.Reducedbonede
nsit
y(ans
wer
)
B.Reducedbonemine
ral
58.Annularpancr
easdueto
A.Ventralmesent
ery(ans
wer)
B.Dorsalme s
ente
ry
59.Ur
eterre
lat
edpost
eri
orl
yto
A.Gonadalvess
els(
ans
we r
)
B.Ute
rineart
ery
C.Commoni li
ac
60.Ga
str
icempt
yingi
sde
laye
dduet
o
A.Gast
ri
n
B.CCK( a
nswer
)
61.Oxytoci
nisse
cret
edfr
om
A.Hypothala
mus(answe
r)
B.Neurophysi
s
62.Rena
lart
erydivi
sion’ssequence
A.Segment
al,l
obar,Inter
lobar
,arcuat
e(ans
wer
)
B.Int
erl
oba
r,arc
ua t
e,lobar ,segmental
C.Segment
al,I
nterl
obar,lobar
,arcua
te
63.
Whi chloopsaroundar
chofaor
ta
A.Leftrecur
rentlar
ynge
alner
ve(ans
wer
)
B.Azygousve i
n
C.Leftvagusnerve
D.Subc l
avia
n
E.Phr
e ni
cne r
ve
64.Foetalpe
riods
tar
tsa
fte
rwhi
chwe
ek:
A.11th
B.8th(answer
)
t
h
C.12
D.16th
E.21st I C )
- M ED
65.
A.
Hypot
T3
hyr
oidpa
ti
entinont
hyr
oxi
n,b
estma
rke
rtomoni
torhi
O L
sthyr
oids
tat
usi
s:
B.
C.
T4
TSH( answer
)
M ( KO
D.T3a ndT4
aL i
E.T3,T4a
M K
ndTSHlevel
s
66.I
By Dr
FTHEREI SATUMORINTHERI
GHTSUPERI
BRONCHOPULMONARYSEGMENTMOSTLI
ORLOBARBRONCHUSTHE
KELYTOBECOLLAPSEDWOULDBE:
A.APICALSUPERI
OR(a
ns)
B.ANTERIORBASAL
C.MEDIALBASAL
D.
MIDDLELATERAL
E.
SUPERIORBASAL
67.
cha
rct
ri
sticofTBgranul
oma
A.Necr
osis
B.Epi
the
loidcell(
ans
)
C.Gia
ntcel
l
68.dif
finpl
asmaa
ndI
nte
rst
it
ia
lfl
uidos
mol
ari
ty
A.1mos m(ans
)
B.1.5mosm
C.5mos m
69.
Bodyr e
sponsei
ncol
dtor
egu
lat
ete
mp
A.Anorexi
a
B.Hunger(ans
)
C.Vasodil
at
ion
70.
Highes
tconofACTHi nstr
esssee
nin
A.Syst
emicAr t
eri
albl
ood
B.Hypophys
i a
lart
eri
es
C.Venousbl
ooddr ai
ningAntpit
uit
ary
D.Venousblooddrai
ningPost
eri
orpit
uit
ary
E.Venousbl
ooddr a
ini
nga dr
enalmedul
la
71.SCM issuppli
edby
A.Spina
la cc
essor
yNerve(
ans
)
B.C3,C4
C.Supra
s c
apular
D.Dorsalsca
pular
72.Deci
ne f
fec
ti
vec i
rcul
at
ionvolumewi
llbe.
A.Incur
inefl
owr a
te
B.IncGFR
C.INCreni
n
D.IncANP
E.INCFREEs olut
ewa t
erexc
ret
ion
73.Angiot
ensinisre
sponsef
or
A.Syst
emi ccontr
act
ionofvenul
es
B.Glome r
ularaff
ere
ntart
eri
alva
socons
tri
ct
ion
C.Reninreleas
e
D.Sti
mul a
tionofthi
rstce
nte
r
74.60yearol
dl a
dybl
uis
hspotont
highBT1a
ndc
lot
ti
ngt
ime3Di
agnos
is
A.Plat
el
e t
scount
B.Prot
hrombinti
me
I C )
75.Lymphocyt
esincr
eas
edin
- M ED
A.Polyc
ythe
miaVe ra
O L
KO
B.Cushi
ng/a
drenocor
ti
cale
xces
s
C.TB
i M (
76.Phl
a.Hear
e
t
bothrombus
K aL
b.Sma lla
Dr
rte
rM
ies
By
c.Veins( ans)
d.Adul t
e.Children
77.Mostc
ommoni mmunodefi
ci
enc
y
A.Is
ola
tedigAdef
ici
ency
B.X-Li
nkedagammaglobi
nemia
78.Spa
cebetweenspla
nchni
cnsoma
ti
cext
rac
elomi
cme
sode
rm
A.Extr
aembryoniccoel
om(ans
)
B.Amnioti
ccavi
ty
C.Blas
toc
oele
79.Apersontra
ns pl
ant
edapa
rtofl
ive
rtoot
herpe
rsonha
vinghe
pat
icf
ail
ureAf
ters
omet
imel
ive
r
si
zeincr
easedinbothduet
o
A.Dysplasi
a
B.Me t
aplas
ia
C.Hyperpla
sia(ans)
D.Tumor
E.Hypert
rophy
80.Br
ocasa r
e aa
ndit
sne
arbya
reas
uppl
ie
dby?
A.Antcere
bra l
B.Midcerebral(
ans
)
C.Antchoroidal
81.Late
ralt
oc a
roti
da r
ter
y
A.Jugula
rvein(ans)
B.Ster
nocle
idoma s
toi
d
C.Cl
avicl
e
D.Tr
achea
E.Manubr
ium
82.Proti
nemiaadver
seef
fect
a.Hypotens
ion(ans
)
b.Pul
mona ryvasoc
onst
ri
ct
ion
c.Ble
e di
ng
d.Anaphylaxi
s
83.Neutrophilc ol
le
c t
edf r
omblooda r
eanalyz
edforbur
stofoxygenconsumpti
onf
romwhi
choft
he
fol
lowinge veni nacuteinfl
ammatoryres
ponsetor
espi
rat
orybursti
sesse
ntia
l
a.Att
achme ntofe ndotheli
alcel
l
b.Incr
easepr oducti
oni nbonema r
row
c.Oppsoniaza t
ionofba cte
ria
d.Phagocytosisofba ct
eria
e.Microbialkilli
ng
84.Mos
tfr
equente
ti
ologi
calhe
pat
it
isi
nourc
ount
ry
a.Hepa
b.Hepb(a
ns)
c.Hepc
I C )
d.Hepd
- M ED
85.Humane pi
cardi
umc ons i
stof
O L
KO
a.Vis
cera
landpa ri
etall
a yer
b.Myoc
c.Vis
ce
a
r
r
a
di
ls
a
e
lc
r
ell
ouspe r
ica
rdi um
i M (
d.Ext
ernalc
onne c
Kt
iveti
s sue
aL
86.Di
arr
hea
Dr M
By
a.Met
abol
icac
idosi
swit
hnormalanionga p(
ans)
b.Met
aboli
cal
kalos
iswi
thnormalaniongap
c.Met
abol
icac
idosi
swit
habnormalaniongap
d.Met
aboli
cal
kalos
iswi
thabnor
ma laniongap
87.ECFc onnect
edtocyt
oske
let
on
a.Prote
oglyc
an(ans)
b.Inte
grin
c.Cadheri
n
d.Inte
rmediat
efi
lament
88.Newbor
nwi
thr
ecur
renti
nfe
cti
onwhi
chphys
iol
ogi
cala
nti
bodyi
smi
ssi
ng
a.i
gG
b.igM
c.i
gA
d.IgE
89.Pat
ie
ntistaki
nggluc
ocor
ti
coi
dha
veDe
cin
a.Lymphocyt
e( a
ns)
b.Neut
rophil
c.Monocyte
90.8%bl oodl
ossi
n30mi
nwi
thnoc
hangei
nat
ri
alpr
ess
urewh
ichoft
hef
oll
owi
ngha
sma
ximuml
ost
ofblood
a.Aor ta
b.Arte r
ies
c.Arte r
iol
e
d.Ca pil
lary
d.Ve ins
91.Sympa t
het
icact
iononal
pha-
adr
ene
rgi
cre
cept
or
a.In
c r
easehea
rtr
a t
e
b.Contrac
ti
onofc i
li
arymus
cle(
ans
)
c.Bronchi
aldi
lat
ion
92.Si
ckdis
eas
e
a.Pat
ie
ntnota
kingme
dic
ine
93.Autosomaldomina
nt
a.Ma r
fan(ans)
b.Phenylke
toneur
ia
c.Gaucher
d.Alkapt
onuria
94.Tumourwi t
houthor
monepr
oduc
ti
oni
s
a.Arr
henobla
s t
oma
b.Chondrs
arcoma
c.Carc
inoi
d
d.Tera
toma
e.Chori
ocar
cinoma
I C )
95.Pa
a.c
t
ie
ntwi
ompl
et
t
ehe
hEc
ar
GpRi
tbl
ock,
nt
erva
l40
-M ED
b.Mobit
ztype1
O L
KO
c.Mobit
ztype2
96.Cardiacplexusi
nsuper
iorme
dia
st
i
i
M
numr
e(
ce
ive
sinputf
rom
a.Ri
b.Le
ghtva
ftva
gus
gus K aL
c.Rightce
Dr
rvi
cM
alsympat
het
ic
By
d.Int
ernallar
yngeal
97.Fa
cialne r
vesupply
A.Tensortympani
B.Post
eriorbell
yofdigas
tri
c
C.Post
eriorauri
cula
ris
D.Puremot or
E.Chordatympa nia
ris
efromhor
izont
alpl
at
e
98.Highcar
dia
cout
putf
ail
ure
A.Niacin
B.Ribofl
avi
n
C.Thiamine
99.Ende
ffe
ctofs
eps
is
A.DIC
100.Mi t
osisandpai
ri
ngofc
hromos
ome
soc
curi
n
A.Ana phase
B.Me t
a phase
C.Propha s
e
D.Telop ha
se
E.Earl
yTe l
ophas
e
101.Flui
dindistalproximalconvol
utedt
ubul
eis
A.LowPHwhe na cidi
curineexcre
tes
B.Increa
seureathanbowma n
C.15%a bsorpt
ionisunde reff
ectofADH
D.Os molar
it
yisha lfofGFR
E.Gl
uco
sec
onc
ent
rat
ioni
ssa
met
otha
tofpl
asma
102.Sympa t
heti
ct hroughal
pha-a
dre
ner
gic
A.Controlradia
lmus cl
eofi
ris
B.Me l
atoninsynthesis
C.Bronchialrel
axa t
ion
D.Incre
aseHe artrate
E.Glycogenolysi
s
103.In60ye arma l
elef
themicol
ect
omydoneduet
oDUKEBt
umora
ndt
her
eisnol
ive
rMe
tsbe
st
prognosticl
evel
,whichshoul
dbme asur
ed
A.Bhc G
B.Bi li
rubin
C.CEA
D.AFP
E.Al kali
nephosphat
ase
104.Coagul
ati
venecrosi
s
A.ByI sc
hemia
B.Byvi r
ali
nfect
ion
C.Pinkhomogenousa r
eaunde
rli
ghtmi
cros
cope
D.Notinkidney
I C )
E.Infa
ncydise
ase
- M ED
105.1/3RD oft
ota
lbodywa
ter
O L
A.ECF
B.ICF
M ( KO
C.Inte
r s
ti
tial
aL i
D.Plasma
E.Lymph
M K
By
106.Mus
A.Plat
ys
cl
e
ma
Dr
,whic
hdepr
essmou
thc
orne
r,e
.g.s
adf
ace
B.Orbic
ulari
soc
uli
C.Bucci
nator
D.Me nt
ali
s
107.Mechanismoft
umorme t
ast
asi
s
A.Migrati
onoftumorcel
ls
B.Atta
chme ntt
omatri
x
C.Degradat
ionofE-c
adher
in
108.Quit
ei nspi
rat
ion
A.Diaphr
a gm
B.Exter
nali nt
erc
ostal
C.Pect
oralisminor
D.Int
ernalinter
costa
l
E.Scal
ene
109.I
ncrea
seWBCSi
nvi
rali
nfe
cti
on
A.Lymphoc yt
es
B.Plasmace l
ls
C.Eosi
nophils
D.Basophi
ls
110.
Glucos
eFilt
ere
dBYgl
ome
rul
usa
ndr
eabs
orbe
dfr
om
A.PCT
B.DCT
C.Loopofhenl
e
D.Coll
ecti
ngduct
s
111.25yearol
dfema
le,doi
nghe
avye
xer
cis
emor
ebodywa
terl
ossoc
curby
A.Swe a
ti
ng
B.Lungs
C.Inse
nsibl
elos
s
112.Exampleofhyper
pla
sia+hypert
rophy
A.Uterusinpr
egnancy
B.Breas
tinpubert
y
C.Skele
talmuscl
egrowthinathle
te
113.Tr
uehe
rma
phr
odi
te
A.XO
B.XXY
C.XY
D.XX/XY
114.I
nc r
easelymphoc
yte
sin-
pat
ie
ntof
A.Hayf ever
B.TB
C.Septic
emia
D.Polycythe
mi a
I C )
E.Pne umonia
-M ED
115.C1ve r
tebr
achar
acter
ist
ic
O L
KO
A.Absentforamentr
ansver
sum
B.Odont
C.Abse
oidpr
ntbody
oce
ss
i M (
D.Longs
E.Ma s
si
pi
nouspr
vebodyK oce
ss
aL
Dr M
By
116.Smoot hMuscle
sha
s
A.Ga pjuncti
ons
B.Mot orneuron
C.Sarcome re
D.T-Tubul e
E.Mot orendplat
e
117.RoughEndopl as
micret
ic
ulum
A.De t
oxif
icat
ion
B.Cholest
erolSynthes
is
C.Prote
insynthesi
s
D.Ca l
ciums t
orage
E.Phosphol
ipidssynt
hesi
s
118.I
rontra
nsporti
sca
rri
edoutby
A.Globuli
n
B.Transf
err
in
C.Albumin
D.Pri
ma ryAlbumin
E.Ferr
it
in
119.Autonomi cnervefunct
ionst
oppedbyAtropi
ne
A.Swe atgl
a ndsti
mul ati
on
B.Pupildil
atati
on
C.Dila
tionofbr onchiole
s
D.Excitemento fcardia
cmus c
lecont
rac
ti
li
ty
E.Inhi
bitgitmo ti
li
ty
120.Pl
asmame
mbr
anet
hic
kne
ss
A.7-11nm
B.4-6nm
C.12-14nm
D.14-20nm
121.Barorece pt
orissensi
ti
vet
o
A.Hypot ension
B.Hypertension
C.Flui
di ntake
D.De c
reas ear t
eri
alpuls
e
122.CSF
A.Flowfrom3rdve ntr
icl
et o4thvent
ri
cl
e
B.Draini
ntocerebrallymphatics
C.Ratenotexc
e ed100ml /24hours
D.Formedbyc horoidplexusonly
123.Athle
tedif
ferentfr
omnor malpe
rson
A.Highr e
sti
ngc a
rdiacoutput
B.Incr
easeoxygenc onsumpti
on
C.Decreasemusclema ss
D.Incr
e a
serest
inghe ar
trat
e
I C )
124.Ca r
cinoge
nofbr
onc
hoge
nicc
arc
inoma
- MED
A.As best
os
O L
B.Toba
C.Sil
ic
c
a
co
M ( KO
D.Nic kel
aL i
125.Col
la
genf
M
ors
trK
e
ngt
hinwoundhe
ali
ng
A.Type1
By
B.Type2
C.Type3
Dr
D.Type4
126.3rdventr
icl
e
A.Communi cat
ewith4thventr
icl
ethr
oughi
nte
rve
ntr
icul
arf
ora
mina
B.Inferi
orlytr
ansver
sefiss
ure
C.Pos t
eri
ortolaminaterminal
is
D.Re cess
edintoma mmillar
ybody
127.RightAtr
ium
A.Fossaoval
isinAVwa ll
B.Rel
a t
edtoDiaphra
gma tt10
C.Coronar
ysinusatpos
ter
iorpar
tofAVgr
oove
128.Whichcont
ai
nsmor
econt
entofc
arbohydr
ate
A.Rice
B.Ma i
ze
C.Sorghum
D.Cereals
129.Par
otidaci
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130.I
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oler
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,Cya
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nter
val
C.
.
.vul
vul
ardi
seas
e
53.
..
aft
erpar
tial
gas
trec
tomywhi
chwi
llhappen
A.
..
hypoc
hromi
cmegal
obl
ast
icanemi
a*
B.
.
irondef
ici
enc
yanemi
a
C.
.
nor
moc
hromi
cmegal
obl
ast
icanemi
a
54..
.ananemi
cpthavemi
croc
yticanemi
api
ctur
endhi
sel
derbr
otherhav
etr
ans
fus
ionhi
dtor
y
forsameprobl
em.whi
chI
xwilludo
A.
..
hbel
ect
rophor
esi
s*
B.
.
.ser
um f
err
iti
n
I C )
C.
.
.ser
um v
itb12
- M ED
OO L
( K
55.
..
allant
isy
chot
ics
amei
n
aL iM
A.
..
ant
iemet
icef
fec
t*
M K
D r
B.
.
.
By
ef
fic
acy
C.
.
.pot
enc
y
56.
..
ast
henur
iaduet
o
A.
..
SIADH*
B.
.
.ADH
C.
.
.ALDOSTERON
57.
..
Ney
rohepat
icmal
ignants
yndr
omeby
A.
..
Hal
oper
idol
*
B.
.
Res
erpi
ne
C.
.
cimet
idi
ne
58.
..
Drugex
cret
iondependupon
A.
..
glomer
ularf
il
ter
ati
on*
B.
.
.fats
olubl
edr
ugsi
ncr
eas
e
59.
..
adul
tAr
dswast
reat
edwi
thpor
cil
in(
sur
fac
tant
),
whtwasi
tsMOA
A.
..
decal
veol
ars
urf
acet
ens
ion*
B.
.
.i
ncr
eas
ecompl
ainc
e
C.
.
.i
ncr
eas
eint
rapl
eur
alpr
ess
ure
I C )
- M ED
60.
..
Edemaofr
enalor
igi
on
OO L
A.
..
albumi
nur
iaands
altr
etent
ion*
( K
B.
.
.sal
tret
ent
ion aL iM
M K
D r
61.
.By
.
Neur
onRMPdec
reas
esby
A.
..
k*
B.
.
.Na
C.
.
.cl
D.
.
.ca
62.
..
whi
chonei
spas
siv
elyabs
orbedf
rom r
enalt
ubul
es
A.
..
cl
*
B.
.
.NH3
C.
.
.gl
ucos
e
63.
..
obs
truc
tiv
edi
seas
eofl
ungi
ncr
eas
es
A.
..
FRC*
B.
.
.FEV1
C.
.
.VC
64.
..
abs
entAwav
eduet
o
A.
..
mit
rals
tenos
is*
B.
.
.aor
tics
tenos
is
65..
.Dubait
axidr
iverwi
thf
ever
,mal
ais
endl
ymphedenopat
hyndot
heri
mmunos
upr
ess
ive
feat
ures
I C )
A.
..
HIV*
- M ED
B.
.
.yel
lowf
ever
OO L
( K
C.
.
.mal
ari
a
aL iM
M K
D r
66.
.
By
.
Eos
inophi
la
A.
..
hogdki
nDi
seas
e*
B.
.
.nonhodgki
nD
C.
.
.tb
67.
..
LHac
tonwhi
cht
est
icul
arc
ell
smos
tly
A.
..
l
eydi
gcel
ls
*
B.
.
ser
tol
icel
ls
C.
.
.sper
mat
ogoni
a
68.
..
Neur
alc
res
tder
ivat
ive
A.
..
Sens
orygangl
ion*
B.
.
ast
roc
ytes
C.
.
oli
godendr
ocy
tes
69.
..
femal
eptpaps
mears
howss
quamousc
ell
sinendoc
erv
ix
A.
..
met
apl
asi
a*
B.
.
.dy
spl
asi
a
C.
.
.hy
per
yrophy
70.
..
2feetawayonant
imes
ent
eri
cbor
dert
her
eisadi
lat
eds
truc
tur
e
A.
..
mic
kel
,
sdi
ver
tic
ulum* I C )
- M ED
B.
.
.hus
hpr
ungdi
seas
e
OO L
C.
.
.adenoma
( K
aL iM
M K
71.
..
ri
D r
ghtbr
onc
hialar
tryi
sbr
anc
hof
A.
..By
pos
ter
ior3r
dint
erc
ost
alar
try
*
B.
.
.des
cendi
ngaor
ta
C.
.
aor
ta
72.
..
vagals
timul
ati
onc
aus
es
A.
..
i
ncr
eas
ePR*
B.
.
.i
ncr
eas
eRR
C.
.
.Dec
reas
ePR
73.
..
chi
ldhav
enonf
everdi
arr
heaf
ormaneyday
s,onmi
cros
copyc
urv
edndgr
am negat
ive
bac
teri
a
A.
..
vi
bri
o*
B.
.
.Ec
oli
C.
.
.Gi
ardi
a
74.
..
ameboi
dloc
omot
ion
A.
..
duet
oci
li
a
B.
.
.hel
psi
nger
mcel
lsmi
grat
ion*
C.
.
.
75.
..
res
pir
ator
ysy
mpt
omsby
A.
..
asc
ari
s* I C )
- MED
B.
.
.ts
oli
um
OO L
C.
.
.Adeudenal
e
( K
aL iM
M K
76.
..
Nit
r
D
ogl
ycr
er
ineMOAonv
ess
els
A.
..
c By
gmps
timul
ati
on*
C.
.
.i
nhi
bti
onofbet
arec
ept
ors
77.
..
osmol
ari
tyc
ont
rol
ledby
A.
..
feedbac
kofos
mor
ecept
or*
B.
.
.ADH
78.
..
adr
enali
nsuf
fic
ienc
ymai
nfeat
ure
A.
..
Hyper
kal
emi
a*
B.
.
.hy
pokal
emi
a
C.
.
.hy
per
nat
remi
a
79.
..
Ter
minalbr
onc
hiol
A.
..
pseudos
trat
ifi
edepi
thel
ium*
B.
.
mor
egobl
etc
ell
s
C.
.
muc
uss
ecr
eti
ngc
ell
s
80.
..
Rightki
dneyant
eri
orr
elat
ion
A.
..
ri
ghthepat
icf
lex
ur*
B.
.
.l
iv
er
C.
.
.deoudenum
I C )
- MED
81.
..
whi
chs
truc
tur
ear
chov
eraor
ta
OO L
A.
.l
eftRLN*
( K
B.
.
.l
eftbr
onc
hus aL iM
M K
C.
.
.l
ef
D
tphrr
eni
cN
By
82.
..
sec
onadar
yper
ist
als
isduet
o
A.
..
esophagusdi
lat
ati
on*
B.
.
.onl
yduet
oac
hal
asi
a
C.
.
.duet
omet
apl
asi
a
83.
..
CCkandgas
tri
nar
esi
mil
arduet
o
A.
..
samet
ermi
nalCgr
oup*
B.
.
.samef
unc
tionons
tomac
h
84.
..
fet
alhemogl
obi
n
A.
..
i
ncr
eas
eaf
fini
tyf
orO2*
B.
.
.onl
yfoundi
nfet
all
if
e
C.
.
.
85.
..
ir
onabs
orpt
ionf
rom guti
ncr
eas
esby
A.
..
i
ronf
err
ousf
orm*
B.
.
.hCO3
C.
.
.gas
tri
cac
id
86.
..
sol
dieronhi
ll
yar
eaf
or6mont
hsc
amebac
kwi
tht
hec
onpl
aintofc
yanos
is
Ndot
herf
eat
ures I C )
- M ED
A.
..
sec
ondar
ypol
ycy
themi
a*
OO L
B.
.
.pol
ycy
themi
aver
a
( K
C.
.
.met
hemogl
obi
nemi
a aL iM
M K
D r
87.
.. By
wor
kerofmi
nends
andbl
ast
erhav
edy
spnea
A.
.s
il
ic
osi
s*
B.
.
ant
hrac
osi
s
C.
.
asbes
tos
is
88.
..
whi
chi
smor
erel
atedt
omal
ignanc
y
A.
..
asbes
tos
*
B.
.
.ber
ryl
ium
C.
.
.ar
omat
icami
nes
89.
..
lef
thear
tfai
lur
eduet
o
A.
..
aor
tics
tenos
is*
B.
.
pul
monar
yHTN
C.
.
cor
pul
monal
e
90.
..
ther
mor
ecet
ors
A.
..
l
ongr
ecept
ivef
iel
d*
B.
.
.spec
ialr
ecept
ors
91.
..
S1duet
o
A.
..
i
sov
olumet
ricc
ont
rac
tion*
B.
.
.i
sov
olumet
ricr
elax
ati
on I C )
- M ED
OO L
92.
..
cal
ci
um c
hannelbl
ockerwhi
chac
( K
tonSAnode
A.
..
ver
apemi
l* aL iM
M K
B.
.
.di
lt
i
D
az
emr
C.
.
. By
nef
edi
l
93.
..
SAnodes
uppl
iedby
A.
..
RCA*
B.
.
.mar
ginalbr
anc
h
94.
..
epi
nephr
inedov
asodi
lat
ionbyac
tingonwhi
chr
ecept
or
A.
..
bet
a1
B.
.
.bet2*
C.
.
.al
pha1
D.
.
.al
pha2
95.
..
pos
tmenupaus
alwomenhav
e
A.
..
i
ncr
eas
eLHndFSH*
B.
.
.DecLHndFSH
96.
..
seduc
tiv
efemal
eptc
ameneart
oyou,
whtwi
lludo
A.
..
cal
linnur
se*
B.
.
.dontex
ami
neher
97.
..
medi
cal
ethi
cs
A.
..
codeofc
onduc
tofdrpr
ofi
si
onal
lif
e* I C )
- MED
B.
.
.doc
tor
sri
ght
OO L
( K
98.
..
thr
eeper
cent
ageswer aL
egi
ven iM
M K
Whi
chc
D
har
t r
A.
..By
piec
har
t*
B.
.
.barc
har
t
99.
..
whi
chant
iemt
icwi
llupr
eferi
nchemot
her
api
cpt
A.
..
ondens
tran*
B.
.
.met
ocl
opr
omi
de
100.
..
HIVr
elat
eds
kinc
anc
er
A.
..
kapos
i*
B.
.
.sqc
ellc
a
101.
..
Exudat
econt
ain
A.
..
i
nfl
amat
oryc
ell
s*
B.
.
inc
reas
eli
pid
102.
..
Dec
reas
eESR
A.
..
i
ncr
eas
eal
bumi
n*
B.
.
Decal
bumi
n
103.
..
vas
cul
it
isr
elat
edwi
thhepat
iti
s
A.
..
hepB*
B.
.
.hepC I C )
- M ED
C.
.
.hepE
OO L
( K
104.
..
chr
oni
chepat
iti
sisc aL
har
act
eri
s iM
edf
orhowmaneydur
ati
on
M K
A.
..
D
6mont
h*r
B.
.
. By
3mont
h
C.
.
.2mont
h
105.
..
tumor
sT4N1M1hav
ingc
ommonf
eat
ures
A.
..
cac
hex
ia*
B.
.
.wi
eghtl
oss
C.
.
.anemi
a
106.
..
thy
mus
A.
..
Ric
hinl
ymphoc
ytes
*
B.
.
.regr
essi
mmedi
atl
yaf
terbi
rth
107.
..
car
diacmus
cles
A.
..
aut
onomi
csuppl
y*
B.
.
.st
riat
ed
108.
..
Ini
ti
ali
nves
tiv
ati
onofl
epr
osy
A.
..
nas
als
crapi
ng*
B.
.
.cul
tur
e
C.
.
.bi
ops
y
109.
..
ic
uinf
ect
ionspr
event
edby I C )
- M ED
A.
..
mul
ti
plehandwas
hing*
OO L
B.
.
.us
ingf
acemas
k
( K
C.
. aL iM
M K
D r
110.
..
sBy
cener
ioofac
hil
dwi
thpet
echaendbr
uis
eswi
thbtpr
olong
A.
..
i
TP*
B.
.
.hemophi
la
C.
.
.pl
atel
etf
unc
tionaldef
ect
111.
..
pot
entant
iox
ident
A.
..
vi
tE*
B.
.
.vi
tA
C.
.
.vi
tC
112.
..
fi
bri
ll
inmut
ati
onc
aus
es
A.
..
mar
fans
yndr
ome*
B.
.
.si
der
obl
ast
icanemi
a
C.
.
.duc
hnemus
cul
ardy
str
ophy
113.
..
Lpdoneonapt
,nowhec
onpl
ainsofheadac
he
A.
..
dur
amat
erc
omr
ess
ion*
B.
.
.fal
xcer
ebr
icompr
ess
ion
114.
..r
ever
sibl
ecel
linj
ury
A.
..
membr
anebl
ebs
B.
.
.swel
li
ngofEr
eti
cul
um* I C )
- MED
OO L
115.
..
Neos
tigmi
neMOA
( K
A.
..
.
inhi
bit
orofc
hol
ines
tr aL
as
e* iM
M K
B.
.
.ant
ic
D r
hol
ines
tras
e
By
116.
..
Mit
rals
tenot
icECGc
hanges
A.
..
pmi
tral
e
B.
.
.i
rregul
arRR
117.
..
sec
ondar
ycar
til
igi
ousj
oint
A.
..
symphy
sispubi
s*
B.
.
.chos
toc
hondr
alj
iont
118.
..
ptofepi
der
misbur
nisatr
iskof
A.
..
cont
rac
tur
e*
B.
.
.gr
anul
ati
on
C.
.
.mal
ignanc
y
119.
..
hyal
inec
art
il
agei
n
A.
..
l
ary
nx*
B.
.
.ar
tic
ulars
urf
aceoft
mj
120.
..
Icam ndv
cam ar
e
A.
..
adhes
ionmol
ecul
es*
B.
.
.rbcpr
otei
ns
I C )
- MED
121.
..
wBcadher
enc
etodamageendot
hel
ial
wal
l
OO L
A.
..
mar
ginat
ion*
( K
B.
.
.mi
grat
ion aL iM
M K
D r
By
122.
..
fac
tor8pr
oduc
edby
A.
..
endot
hel
ialc
ell
s*
B.
.
.hepat
icc
ell
s
123.
..
damagerabnor
malpr
otei
nisdegr
adedby
A.
..
l
ysos
omes
B.
.
.gol
giappar
atus
C.
.
.per
oxi
somes
D.
.
.pol
yphagos
omes
124.
..
appr
opr
iat
eaboutt
hrombusf
ormat
ion
A.
..
damagev
alv
e,decbl
oodf
low,
inc
reas
evi
scos
ity
B.
.
.damagev
alv
e,decbl
oodf
low,
wbc
*
C.
.
.damagv
alv
e,wbc
,i
ncr
eas
efl
ow
125.
..
gluc
ocor
tic
oidesc
aus
es
A.
..
decper
ipher
alut
il
is
ati
onofgl
ucos
e*
B.
.
.i
ncr
eas
egl
ucos
e
126.
..
conns
yndr
ome
127.
..
aft
erMIi
nmi
nut
eswhi
choc
cur
e I C )
- M ED
A.
..
Arr
ythmi
a*
OO L
B.
.
.car
diact
emponade
( K
aL iM
M K
128.
..
r
D
es r
onanc
eonbac
kupt
o
A.
..
tBy
8*
B.
.
.t10
C.
.
t6
129.
..
ther
eiss
mal
lcy
sti
cmas
sinl
eftpar
iet
all
obewi
thi
nvol
mentofhear
tfeat
ures
A.
..
myx
oma*
B.
.
.gl
ioma
C.
.
.car
diachy
per
trophy
130.
..
whi
chi
sant
icanc
er
A.
..
appl
e*
B.
.
.choc
olat
e
C.
.
.ni
trat
edmeat
131.
..
whenmembr
anepot
ent
ialdec
reas
es
A.
..
kgoesout
*
B.
.
.i
nev
itabl
eac
tion
C.
.
.clgoesi
n
D.
.
.kgoesi
n
132.
..
Neur
otr
ans
mit
terr
eleas
edi
nchemi
calj
unc
tionby
A.
..
cai
nfl
ux* I C )
- MED
B.
.
.caef
flux
OO L
C.
.
.nai
nfl
ux
( K
D.
.
.hy
per
pol
ari
sat
ion aL iM
M K
D r
By
133.
..
Tis
suebl
oodi
ncr
eas
eduet
o
A.
..
dec
reas
ebp
B.
.
.i
ncr
eas
epO2
C.
.
.i
ncr
eas
epCO2
134.
..
heav
ybl
eedi
ngi
ntr
eac
heos
tomyduet
o
A.
..
avei
nwhi
chdr
aini
ntoj
ugul
arv
ein*
B.
.
.i
nfer
iort
hyr
oidar
try
C.
.
duet
ois
thmus
135.
..
thy
roi
dis
thmusl
ieat
A.
..
Treac
healr
ing234*
B.
.
.TRi
ng345
136.
..
gutaf
fec
tedf
rom hepat
icf
lex
uret
omi
dtr
ans
ver
scol
on,
art
ryaf
fec
ted
A.
..
midl
ecol
icar
try
*
B.
.
.i
li
ocol
icar
try
C.
.
sma
137.
..
ant
eri
ors
urf
aceofhear
tfor
medbywhi
chs
truc
tur
e
A.
..
rtv
ent
ric
le*
B.
.
.rtat
rium I C )
- M ED
C.
.
lftv
ent
ric
le
OO L
( K
138.
..
spi
nalc
ords
uppor
t aL
edby iM
M K
A.
..
dent
i
D
c r
ul
atel
igamet
*
B.
.
.tBy
r
ans
ver
sel
igament
C.
.
li
gament
um f
lav
um
139.
..
sens
eofs
mel
l
A.
..
aff
erentner
vesi
nnas
alc
avi
ty
B.
.
.audi
tor
ycor
tex
C.
.
.pas
sest
hrought
hal
amus
140.
..
femal
eptwi
thb/
lpl
eur
alef
fus
ionnddy
spneaandhav
ingpedaledema
A.
..
rec
urr
entt
hromboembol
is
m*
B.
.
.dv
t
C.
.
.chf
141.
..
axi
ll
arys
heat
hfor
medby
A.
..
prev
ert
abr
alf
asc
ia*
B.
.
.pr
etr
eac
healf
asc
ia
C.
.
.super
fic
iall
ayerofc
erv
icalf
asc
ia
142.
..
pfal
ci
par
um f
eat
ure
A.
..
blac
kwat
erf
ever
*
B.
.
.j
aundi
ce
C.
.
.fev
er I C )
- M ED
OO L
143.
..
inc
reas
ein2/
3oft
hor
aci
xdi
amet
erby
( K
A.
..
buc
kethandl
eef
fec
tofr
iaL
bs
* iM
M K
B.
.
.di
D
aghr r
agm
C.
.
. By
handl
eef
fec
tofr
ibs
144.
..
chr
oni
chepCptonmi
cros
copyc
ell
swi
theos
inophi
l
icc
ytopl
asm ndot
herf
eat
ures
A.
..
apopt
osi
s*
B.
.
.fi
bros
is
C.
.
nec
ros
is
145.
..
cyanos
isduet
o
A.
..
deox
yhemogl
obi
n5g*
B.
.
.i
ncr
eas
epCO2
C.
.
.i
ncr
eas
epO2
146.
..
chi
ldwi
thy
ell
owi
shs
cler
a
A.
..
altpl
usbi
li
rubi
n*
B.
.
.al
t
C.
.
.al
tndas
t
147.
..
diabet
icnephr
opat
hyI
x
A.
..
uri
neal
bumi
n*
B.
.
.ur
inegl
ucos
e
C.
.
.ur
inec
reat
e
I C )
- M ED
148.
..
dur
ingper
ist
als
iswhenl
oweres
ophageal
sphi
nc
OO L
t
err
elax
es
A.
..
bef
orebol
usr
eac
h
( K
B.
.
.af
terbol
usr
eac
h aL iM
M K
D r
149.
..By
whi
cht
hingi
nsal
iv
arymuc
usi
ncor
por
atemi
croor
gani
sms
A.
..
l
act
ofer
rin*
B.
.
.l
ysoz
yme
C.
.
.l
ipas
e
150.
..
whi
chi
str
uebot
habouti
mmuni
tyandal
ler
gy
A.
..
Aidsdec
reas
eTc
ell
s
B.
.
.
151.
..
GVA
A.
..
vi
scer
a*
B.
.
.gl
ands
C.
.
.ot
heror
gans
152.
..
par
oti
dgl
ands
uppl
y
A.
.GVE*
B.
.
.Gv
A
153.
..
louderS1
A.
..
mit
rali
nsuf
fic
ienc
y*
B.
.
.l
owerl
imi
tofPRi
nter
val
I C )
- M ED
154.
..
gas
tri
cul
cerpai
n
OO L
A.
..
great
ers
planc
hni
cN*
( K
B.
.
.l
ess
ers
planc
hni
cN aL iM
M K
D r
By
155.
..
greatv
einofgal
enl
ocat
edi
n
A.
..
super
ior
B.
.
.i
nfer
ior
C.
.
.mi
ddl
e
156.
..
bloodc
ell
sofbonemar
rowgets
ignal
stopr
oli
fer
atf
rom
A.
..
BM endot
hel
ialc
ell
s*
B.
.
.Bm f
atc
ell
s
C.
.
.er
thr
opoi
ti
n
C.
.
.gr
owt
hfac
tor
157.
..
SLEc
aus
edduet
o
A.
..
Bcel
ldy
sfunc
tion
B.
.
.TndBc
ell
sdy
sfunc
tion
C.
.
.i
mmunol
ogi
calr
espons
etohy
dral
azi
ne
158.
..
ins
pir
ator
yNeur
on
A.
..
apneus
tic
*
B.
.
..
pneumot
axi
c
159.
..
Nit
rogl
ycer
innotgov
enor
all
ybc
z
A.
..
ext
ens
ivei
stpas
sef
fec
t* I C )
- MED
B.
.
.bi
oav
ail
ibi
li
tyi
slow
OO L
C.
.
.cantabs
orbedf
rom gut
( K
aL iM
M K
160.
..
i
D
nAcr
utepanc
reat
iti
sper
itoni
um wi
lls
how
A.
..
fBy
atnec
ros
is*
B.
.
.wetgangr
ene
C.
.
.dr
ygangr
ene
161.
..
mos
tpot
ents
timul
usf
orer
ythr
opoi
ti
n
A.
..
hypox
ia*
B.
.
.al
dos
ter
on
C.
.
.decf
low
162.
..
11y
eargi
rlxr
ayel
bowagewi
lls
how
A.
..
l
ater
alepi
condy
l*
B.
.
.medapei
condy
le
163.
..
Maj
orbuf
ferofbl
ood
A.
..
HCO3*
B.
.
.hb
C.
.
.h2c
o3
164.
..
2*2
A.
..
chis
quar
etes
t*
B.
.
.tt
est
I C )
- MED
165.
..
aft
eradr
enel
ect
omyi
ncr
eas
etas
tef
or
OO L
A.
..
Nac
l*
( K
B.
.
.cac
l2 aL iM
M K
C.
.
.nahc
D
o3 r
By
166.
..
fort
rans
plantHLA,
Bes
tcel
lsar
e
A.
..
wbc
*
B.
.
.rbc
C.
.
.ki
dneyc
ell
s
D.
.
.hepat
icc
ell
s
167.
..
G6Pddi
sor
dermos
tcommonl
y
A.
..
drugsi
nduc
ed*
B.
.
.genet
ic
C.
.
.i
mmunogeni
c
168.
..
Mos
qui
tobi
te
A.
..
yel
lowf
ever
*
B.
.
.fi
li
ri
asi
s
C.
.
.l
eis
hmani
ais
is
169.
..
pos
tsy
phi
li
ti
cptc
antc
ons
tri
ctpupi
lonl
ight
,wi
thi
ntac
tac
comodat
ion
A.
..
argy
lrober
tsonpupi
l*
B.
.
.mas
theni
agr
avi
s
C.
.
.oc
cul
omot
erpal
sy
I C )
- M ED
170.
..
lungbas
ehav
ehi
ghper
fus
ionndv
ent
il
ati
onwhy
OO L
A.
..
highbl
oodf
low*
( K
B.
.
.l
owbl
oodf
low aL iM
M K
C.
.
.hi
D
ghdi
ffr
us
ingc
apac
ity
By
171.
..
for
ceofc
ont
rac
tionofhear
tdet
ermi
nedby
172.
..
chr
oni
cal
cohol
icwi
thnor
mal
LFTsonmi
cros
copyl
iv
erwi
lls
how
A.
..
fat
tyc
hanges
*
B.
.
.nor
mal
C.
.
.fi
bros
is
173.
..
oneaboutNeur
onRMp
174.
..
Oneaboutmot
orar
ea
175.
..
2aboutec
gRRndPRi
nter
val
s
176.
..
oneabouts
arc
oidos
is,
aski
ngaboutt
ypeofc
elli
nvol
ved
Ps
..
.Ot
her
scntr
ememberndr
ecal
l
Regar
ds.
..
DrHar
isI
qbal
.
..
..
keeepr
emembernduwaz
zz.
..
.
.
...
.Bes
tofl
uck.
..
.
I C )
- M ED
OO L
( K
aL iM
M K
D r
By
10ma y2016me dic i
nea nda lliedpa pe r(mor nings hift)
Bydr .Aye shat a riq(SMC, Sa rgodha
Cont ribut or s:ant e ede pr esse nt
1.ac hi l
dpr e sentt ouwi thoc ul aranoml ies ,
cor nea lde fec t
s ,
lensepr olaps ed.di a??
a)pot terss ynd( ANS)b) trisomy21, 13, 18
2.condi t i
onvdnor ma lpo2butde co2s atur ation. .
COpoi soning
3.hypogl yc e mi al e adt oi ncl e ve lofGl uc a gon( GI Pwa s n’tinopt ion)
4.lossoft he na re mi ne nc e,
oppos iti
onoft humb. .me di anN
5.supc a rdi acpl e xusbyl eftva gus (ans )
6.bitempor a lhe mi anopi al esi on. .c
hi asm
7.cha rctris ticofTBa )ne cros is.b)epithe loidc ell.
c )gia ntc ell
8.ACTHs e c rete dvi as ma llc e llCA
9.PERSONs ta ndi ngf oral ongt imewtde c,a)cvp. .b) adh. .c)rennin. .d)HR
10.REc ur r antl yr nge a lNa rounda )subc l
avi anve inb) liga mnt uma rtri
os um( ans)
11.de cvi sua la cui tyi nt hyr oi ddi seas eduet oopt i
cNc ompr es si
on
12.s i
c kr ol e
13.
14.
di ffi
BODYr
npl a
e
s
s
mandI
pons ei
nt
nc
er
ol
st
dt
iti
or
alf
e
lui
gul
dos
atet
mol
empa
airt
)
y1mos
anor e xi
m(
a .
c
b)
hANDKI
hunge r
.c )
ANS)
I
c C )
utva sodi l
ati
on
15.hi ghe s tc onofa c thi ns tr es sse e
ni na )s ystemi cbl
- ood.
M b. ED
hypophys i
a la rtr
ie sc)a ntpi
tui
tar
yd)
pos
16.r
te
e
r
t
i
a
orpi
rde
tut a
dbonegr
r y
owt hf ra ctur evi ae piphys eaOO L
lpl ate
17.SCM s uppl ys pi na la cc ess oryN ( K
18.mus c leoff rightpl
aL
atys ma iM
19.pr oba nd. frstpe r
MsK
onc omi ngt odoc tori ne ffe ctedf ami l
y
20.pa raz
D r
onphe nome non. .ant ibodye xc ess>>a ntige ne xc ess(pa stpa pe r)
21.
22.
s
PeBy
t
ruc
rs
tre
onc
la
a
t
e ra ltoI
ntmovehi
CA.
sf
.
a (juga
ootme
lrve
diall
inb)
y( ti
s
bi
t
e
a
r
num.
l
isa
.
c )
nt+pos
SCM
)
23.c onta ctde rma titisbyl atexgl ove st ype4hype rsens i
tivi t
y
24.type3hype rse ns i
tivt y
25.igGi nmya s the nia .
.26) ne r veda mge dt ha t’
sc ont entofc ave r
nouss inus. .abduc ent
27.vWFa )pl atle ta dhe sionb) platleta ggr ega ti
on. .28. H/ Kpumpi nhi bitionome prazole
29.c ompl e tehe a rtbl oc kf aint ingduet of a il
ureofve ntri clesc ontra cti
on
30.ps yc hophys ic ale ffc tofbr ainac tivitya )
s we atingb) pa pill
a r
yr e flex
31.DKA. muc or myc os is .
.32) nor ma ldi s t
ri butionc ur ve. .
ga ussianc urve ? ?
33.r enal >>i nter loba r>>a rcua te >>int erlobul a r
>>a ffer ent >>gl ome rulii
34.a dha ndva s oor igi na tei nhypot ha l
a mus .
35) hype roxa luriaduet ode cc alciuml eveltofor
m
compl exe svdoxa late s..36) b/ lhippoc ampusda ma ge? ?
37) mos tc ommonpr ima ryi mmunode fi sa )aga mma gl obe nimab)i gAde f
38.c hildwi thr e pe a tedi nfec tionduet ode fofa )igA. .b)igG. .
C) i
gM
39.NEUTOPHI LLa )pha goc ytos i
sb) movei na ndoutofbl ood
40.oxi da tivebur stf ra ) pha goc ytosisb) ops oniz ationc )mi crobicida lki ll
i ng
41.mus c lei nqui ter e spi ration…di aphr a gm. .42) ma xbl oodl ossve ins
43) 1/3i sECF44) a fpr a isedi ne mbr oyna lCA. 45) HEARTRATEi s40bpmc ompl t
eheart
bloc k..46) incout putf ailur eduet ot hiami nede f..
47) c hol ngi oCAor ga nis mc lonc hrissi
nesei
s
48) 4ye arboys pl enc tomydones treppne moni e>h. inf lue nz a
49.be es ti
nga )i ma dr e na l
ineb) ivhydr oc or t
isone ..50) c ya nidebl oc kc yt oc hromee nzyme
51) 6we ekba bydi ape rs t
aine dbi ll
a rya t
re sia>>r ot or. 52) lefts hiftingc ur vei ncph
53) 60yrl a dybl uis hs potont hi gh,BT1MI N,CT3mi na )
pl at
letb) PTC) RBSd) wbc
54.Ri ghts i det ouc hl fts idet e mppa inl ossr i
ghthe mi se ction. 55)r i
ghthe mi colct
omyma r
ker
10ma y2016me dic inea nda llie
dpa pe r
( mor ni ngs hi ft)
Bydr .Aye shat a riq( SMC, Sargodha
Cont r
i but ors :ant e ede pr es sent
CEA. .56) THROI DCAhi st
or ela tedl ongs c ena rioa te nda skingma rke rc al
c i
toni n
57)ba sophi il
li at oc ellonhi st
o..RER. 58) a ntic oa gul antc ontraindi nt hr mboc ytopni a
59)esopha ge alna t
ur a lc ons trict
ionvhe r ec ros se dbya or ticarch
60)prot ami nes idee ffcta )hypot ens ionB) a na phyl axisc )bleeding
61)TCAc a us est oni cc l oni cs ei
z ur es62) commonf ac t
orof fcirrhos isa )alcoholb) he pC
63)aspi rinove rdos ea lka los i
s64) ptofa sthmandHTNf rERgi vei /vni troprus ide
65)asthmavde mphys emava twi lde cf e v1/ fvc
66)mos tc ommonhe pa titisinourc ount r yhe pA
67)INobs truc tivel ungdi se asewha tvillbi nca )TVb) RVc )FEV1d) ince lasti
cr ec oil(f
rcntin
opti
on)
68)thyr oidpr etra che alf a scia69) f acialpa lsya ndba la nc epr obc e r
e bellopont inea ngl e
70)inct 4ndpti si ntol era ntt ohe a twha twi llde cTSH
71)Me ga lobl a stica ne mi adi phyl obot hr iuml a tum72) ane mi avdpi ns ,
ne e dle
sB12De f
73)
75)
br
i
oc aMCA74)
ndola cetica c i
pos13t
di nc a rci
ongues
noid76)
ens
se
a
r
t
ot
ionsl
oni ns
os tda
yndr
ma geofgl
omeTCAvdf
os sophyr
luxtIeC
i )
nge
ne
a lnuc leus
77)40yrnondi abe ticf ema l

evdogt ti nmor ning122,
- a
Mf tr1hr198, afED
tr2hr192e tcI mpa i
red
gluc
80)r
os
ega
et
r
ol
di
er
ngs
a nc e78)
ympt ht
i
i
ront
ca ct
r
i
ans
vat
por
i
tt
onwha
rans
twi
fe r
l
ri
le
ng79)
piOO L
npr
pi
i
votj
nedoa
oi
)
nta
glyc
tla
nt oa
ognol
xi
ys
a
i
l
sinl ive rb) i
ncs kel
eta
l
mus clef lowc )inhi btGI T ( K
81)FEMALEvdi rre
aL
gua l arpe ri
odsf iM
sh;lh3; 1PCOD
82)TUmourt ha tdon’
M Kts e cretea nyhor monea )chor iob) t
e ra
tomac ) chondr osarc oma
d)arehnobl
D r a stoma 83) lor dos i
sa ) ina ntc onvxb) inca ntc oncaveC) lateralcur va ture
84)
85)
a
beBy
na phyl
nz ylpe
ac t
ni
ics
c il
hoc
l
ini
kdi
nne
fff
i
ss
romhypovol
eri
a
emi ca )incHRb) i
ncCO
86.i
nf c t
ionongr ams taingr amposi nc lus te rs, doca )cloxa cill
inb) penc illi
n
87)drugr e qui rings er ummoni t
or ingva nc omyc in
88)poorpr ognos isofs e ps isisa )DI CB) di ffus et issuei njuryc )t
is s
uehypoxi a
89.DI Cl ongs ce na rio, l
a dyf romr e mot evi lla get ypic alone
90)simpl edi ffus ionnots aturable
91)lungt ra ns pla nt ,sizei ncduet ohype r pla sia
92)hype rtrophyndhype rplasiat oge the rut e rusi npr egna ncy
93)a bduc tionupt o40l os ts upra spina tus94) i nci nr ighta tr
ialpre ssur einnor ma ll i
mi t
s?? a)
dec
HRb) de cve nousr e turn
95)angi nas ympt omsi na orticste nos is96) seondr yc e nte rofos sifi
c ationi nepi phys is
97)ma li
gna nc yi ndi c atori sme t
a stasis
98)tumorme ta sta sisduet oa )degnr ati
onofEc athe dr insb) move me ntofc anc erc e lls
99)ptvddi fficul tywa l
ki ngr ais
ingl egl eftpe lvi ss inkdownA) SUPERI ORGLUTEALB) INF
GLUTEAL
100)MALEvdr egul arc he ckupb. p170/ 110di dn’ ttookt re
a t
me nta f
tronemnt165/ 110i nl
ong
runincr iskofhype rpl as tica rt
er iosc l
e ros is
101)c hroma tidr ela tedque s
tionc ntr eca ll
102)ama ni ns hops udde nlyc olla pse dhr120bpmbp90/ 60,frstha de xc ursi
a ti
ngc he stpaina)v
fibb)c ardi oge ni cs hoc k
103)a ngi ote ns ionva s oc ons trict
ion
104)a thlteteha si ncwhi c honei nnor ma ls tatei ncc ardi acout putb) i
nhr( st
rokevol umnoopt i
on)
105)ne ur ova sc ula rbundl elowe rbor derofr ib
10ma y2016me di c i
nea nda l
liedpa pe r(
mor nings hi ft)
Bydr .Aye shat ar iq(SMC, Sa r
godha
Contribut or s:ant eede pr ess ent
106)we r nicke sa re anons e ns ef l
ue ntb)ca ns pe aka ndunde rst
a ndwr ittenetcetc
107)csfque stionopt ionwe redi fficultanddi fferent
108.
mos tc ommonpl a ceofobs truc ti
oni nhydoc phl usa queduc tofs ylvius
109)crf,hype rphos pha te mi a110) fe t
alpe rioda ft
r8we eks
111)thrombophe lbi tisve ins
112)Commonhe pa ticduc tjoi nc ys ti
c
113)spa c ebe twe e ns plnc hi ca nds oma ti
cme sode rmi se xtr
ae mbr yoni c
114)thromboe mbol ismc aus a t
ivef actore ndot he l
iali njur y
115)sickr olee xc us edf romobl iga ti
ons
116)LVFbya or ticva lvel es i
on
117)ldopae ffcts t
a rtde cre asingduet oa )degr adationofr eceptorsb) decofubs t
nitianigr
af i
bers
118)gluc os ea bs orpt ionque stioni npc t
119)he pa rini nhi btc lotpr opa ga tion
120)
121)
a
a
ngi
ppe
opa
ndi
t
hya
xpos
ndne
itionr
ur
e
opa
troc
t
e
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133.
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aseofme
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134.
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136.f
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1337.
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138.
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139.
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141.
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Dr
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144.pa
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146.ne
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147.
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149.s
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.s
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151.
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157.c
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159.
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,,
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umbe
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orpt
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162.a
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163.c
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164.buc
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165.
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166.c
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167.
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168.
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169.mi
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- M ED
170.i
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171.
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172.
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e
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174.
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ve
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eepnow
11may2016mor
ning
Medi
cine&Al
li
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1.Lengt
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ans)
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2.
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er48hri
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ls
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f
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l
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s
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nkedAgammagl
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5.
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(
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6.
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fectevenabove108(
ans)
7.
Inver
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oot
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ibi
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eri
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or(
ans)
8.
Car
oti
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h
A.Behi
ndt
hei
nft
hyr
oid
B.Behi
ndphr
eni
cner
ve
C.For
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nvest
ngl
ayer(
ans)
9.
regar
dingpost
eri
ort
ri
angl
e
A.
roofi
sfor
medbyski
n
B.
basemi
ddl
ethi
rdofcl
avi
cle(
ans)
10.
tr
ueaboutneonat
eskul
l
A.
vaul
tisbi
ggert
hanf
ace(
ans)
11.
neur
olept
icmal
ignantsyndr
omecausedbydr
ug
A.Hal
oper
idol
(ans)
B.
reser
pine
I C )
12.
regar
dingadenosi
ne
- M ED
A.
causest
ransi
entt
achycar
dia(
ans)
OO L
( K
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blockbot
hsaandavnode
aL iM
C.
hal
fli
fe30sec
M K
D r
D.
t
By
heophyl
ineenhancesi
tsact
ivi
ty
13.
howsympat
het
icsyst
em ef
fect
scar
bohydr
atemet
abol
ism
A.Epi
nephr
inecausesgl
ycogenol
ysi
s(ans)
14.
ger
m cel
lreachgonadalr
idgeat
A.6weeks(
ans)
15.
.t
hrombocyt
openi
acausedby
A.
qui
nine
B.
chl
orampheni
col
(ans)
16.
mal
lor
ybodi
esseeni
n
A.
alcohol
icl
iverdi
sease(
ans)
17.
acl
imi
ti
zedper
sonadequat
eoxygensuppl
yby
A.
incHBconcent
rat
ion(
ans)
18.
pol
ydyct
aly,
micr
ocephal
yinwhi
chsyndr
ome
A.
edwar
d(chr
omosome18)
B.
pat
au(
chr
omosome13)
(ans)
19.
vomi
ti
ngcent
rei
n
A.
medul
la(
ans)
20.S4i
sduet
o
A.
atr
ialsyst
ole(
ans)
B.
vent
ri
cul
arf
il
li
ng
21.
chemoi
nducedvomi
ti
ngt
reat
ment
I C )
A.
ondenset
ron(
ans)
- MED
22.
subcl
avi
anvei
nrel
atedwi
th
OO L
( K
A.
1str
ib(
ans)
aL iM
23.
att
heendofvent
MrK
i
cul
arej
ect
ion
D r
A.
By
pul
m val
vecl
ose(
ans)
B.
aor
ti
cval
ver
emai
nopen
C.
avval
vecl
ose
24.
tur
nersyndr
omef
eat
ureswer
easked
A.
gonadal
dysgenesi
s(ans)
25.
hal
fli
fedependson
A.
drugcl
ear
ance(
ans)
B.
drugdi
str
ibut
ion
26.
regar
dingwar
far
in
A.
notgi
veni
npr
egnantwomen(
ans)
B.
immedi
atel
yant
agoni
sedbyFFP
27.
regar
dingaphasi
a(poorr
ecal
lbcq)
A.
domi
nanthemi
spher
e(ans)
28.
abnor
mall
umbarver
tebr
alcur
vat
ure
A.
lor
dosi
s(ans)
29.
vit
alcapaci
tydecr
eases
A.
TLCdecr
ease(
imar
ked)
B.
decsur
facet
ensi
on
C.
par
alysi
sofi
nspi
rat
orymuscl
es
D.
par
alysi
sofexpi
rat
orymuscl
es
30.
renalvei
n
I C )
A.
antt
oaor
ta(
ans)
- M ED
31.
aquest
ionwasr
egar
dingnephr
ogeni
OO
cdi L
abet
esi
nsi
pidus.
( K
32.
aut
osomal
domi
nantdi
sor
aL
der
iM
A.
her
idi
tar
yspher K
ocyt
M osi
s(ans)
D r
By
33.
pel
vicappendi
xscener
io
34.f
rom.
whi
char
eaofbr
ainchol
iner
gicf
ibr
esofcer
ebr
alcor
texmost
ly
ari
se
A.
nucl
eusbasal
isofmyner
t(ans)
35.
hypogl
ycemi
cef
fectofsul
phonyl
ureaenhancedby
A.
phenyl
but
azone(
ans)
36.
sodi
um r
etent
ioni
sduet
o
A.
hear
tfai
lur
e(ans)
B.
excessADH
37.
chor
ear
egar
dingquest
ion
A.
basalgangl
ia(
ans)
38.
par
asympat
het
icact
ion
A.
erect
ion(
ans)
39.scener
ioi
nwhi
chf
act
or8was85%f
act
or97%l
evel
low.APTT
prolonged
A.
chr
ist
masdi
sease(
ans)
40.
pat
ientwi
thgum bl
eed,
pet
echi
e,
advi
sedbonemar
rowbi
opsy
A.
leukemi
a(ans)
41.
deni
alscener
io.
42.
afemal
epat
ienti
ncame,
hert
onewasseduct
ive(
pastbcq)
A.
cal
lnur
se(
ans)
43.
achi
ldwi
thdecpl
atel
etcount
,af
teracut
evi
ral
inf
ect
i I
on C )
- MED
A.
ant
ibodi
est
opl
atel
ets(
ans)
OO L
B.
pool
ingi
nspl
een ( K
aL iM
C.Decbonemar
r
K
owsynt
M
hesi
s
44.
ostD r
eogenesi
simper
fect
ascener
io
A.
By
deccol
lagenyadef
ect
ivecol
lagen(
ans)
Poorr
ecal
lbutt
hiswast
heanswer
45.
bef
oreski
ll
edvol
unt
arymovemntbywhi
char
eaact
ivat
e
A.
cor
ti
cal
associ
ati
on(
ans)
B.
premot
orar
ea
C.
cer
ebel
lum
46.
pleur
alt
apdone,
speci
fi
cgr
avi
ty1.
006
A.
ccf(
ans)
B.
TB
C.
pneumoni
a
47.
basi
cdr
ugsbi
ndt
o
A.
alphagl
ycopr
otei
n(ans)
B.
albumi
n
48.
premal
ignantl
esi
on
A.
compoundnevus
B.
junct
ionalnevus
C.
int
rader
malnevus(
ans)
A&bar
ebeni
ngn
49.
LMWHact
ionwasasked
A.
act
sonf
act
or10.(
ans.
).
I C )
50.
premal
ignantl
esi
onofski
n
- M ED
A.
bowendi
sease
OO L
( K
B.
act
ini
cker
atosi
s(ans)
aL iM
51.
inf
arct
ionpost
M K
eri
or1/
3ofi
nter
vent
ri
cul
arsept
um
D r
A.
By
RCA(
ans)
B.
LAD
C.Mar
ginalar
ter
y
52.
whi
chcongeni
tal
anamol
yassoci
atedwi
thi
ncr
easer
iskofcancer
A.
bladderext
rophy(
ans)
53.
ri
ghtgast
ri
car
ter
ybr
anchof
A.Hepat
icar
ter
y(ans)
54.
ti
pofnosener
vesuppl
y
A.
opht
hal
mic(
ans)
55.
regar
dingnucl
eol
us
A.
lackmembr
ane(
ans)
B.
ri
bosomes+dna
56.
caver
noussi
nust
hrombosi
s
A.
supopht
hal
micvei
n(ans)
Not
e..
caver
noussi
nusi
nfect
ion=>i
nfopht
hal
micvei
n
57.
IgAdef
ici
encyscener
io
58.
giantcel
lar
ter
it
isscener
io
59.
fi
brobl
astf
eat
urewasasked
For
gotopt
ions:
(
60.
aquest
ionr
egar
dingskel
etalmuscl
e
A.
mul
ti
plenucl
ei
I C )
B.
- M ED
61.
tumorext
endt
oner
vesheat
h
OO L
( K
A.
car
cinomaexpl
eomor
phi
c(
aL iM
ans)
62.
mit
ochondr
iar
ecei
M K
vepr
otei
nsynt
hesi
sby
D r
A.
RER(
By
ans)
B.
ser
C.
ri
bosomes
63.
fi
brobl
astr
elease
A.
ext
racel
lul
armat
ri
x(ans)
64.
respi
rat
orysympt
omsduet
o
A.
ascar
is(
ans)
65.
mosqui
tobi
te=>f
il
ari
asi
s
66.
hypophysi
scer
ebr
irel
atedpost
eri
orl
y
A.
sphenoi
d(ans)
67.
out
ermostcover
ingofner
vesheat
h
A.
epi
neur
ium(
ans)
68.
sensi
ti
vet
estf
orSLE
A.
ANA(
ans)
69.
75teachersaver
ageBPwas80.
standr
addevi
ati
on10,
%ageof
pat
ient
shavingBPmor et
han70
A.
84%(
ans)
70.Testt
orul
eoutdi
sease
A.
speci
fi
c(ans)
B.
sensi
ti
ve
C.
accur
acy
71.
ext
rai
ronst
oredas(
scener
ioshowspat
hol
ogi
cal
stor I
age)C )
- M ED
A.
hemosi
der
in(
ans)
OO L
72.
tr
ueaboutt
hyr
oidgl
and ( K
aL iM
A.
vei
nsdr
aini
ntoi
nt
M K
er
nalj
ugul
ar&br
achi
ocephal
icvei
n(ans)
73.
parD
otir
dductopeni
ng
A.
By
upper2ndmol
art
oot
h(ans)
74.
Trueaboutcel
lmembr
ane
A.
all
owgl
ucoset
opassi
npr
esenceofi
nsul
in(
ans)
75.
vit
ami
nhel
psi
ncl
ott
ingf
act
orsynt
hesi
s
A.
vitC(
ans)
B.
vitb12
C.
vitE
D.
vitb6
76.
styl
ophar
yngeusmuscl
eder
ivedf
rom
A.
2ndar
ch
B.
3rdar
ch(
ans)
77.
lacr
imat
ionaf
terf
oodi
ntakeduet
odamageof
A.
faci
alner
ve(
ans)
B.
lacr
imal
.ner
ve
C.
tr
igemi
nalner
ve
Not
e..
alsocal
ledCr
ocodi
let
ear
s
78.
boywithrecurr
entr
espi
rat
orynGIinf
ect
ionsl
abshowsnor
mal
l
eukocyt
es,,
absenceofpl
asmacell
scause
A.
IgAdef
ici
ency
B.
CVI
D
C.
compl
ementdef
ici
ency I C )
- MED
D.
x-l
inkedagammagl
obi
nemi
a(ans)
OO L
79.
aft
er48hr
sacut
einf
lammat
ionpr
edomi ( K
nantcel
ls
aL iM
A.
neut
rophi
ls(
ans)
M K
B.
macr D r
ophages
C.
l
By
ymphocyt
es
8o.
test
icul
arf
emi
nizat
ionsyndr
omet
ypi
cal
scener
io
81.
phr
eni
cner
ver
elat
ionwasasked
A.
super
fi
cialt
oscal
enusant
eri
ormuscl
e(ans)
Thi
swasbestopt
ion
82.
aor
ti
cdi
lat
ati
onataor
ti
copeni
ngi
ndi
aphr
agm compr
esses
A.
azygousvei
n&t
hor
aci
cduct(
ans)
83.
tur
nersyndr
ome
A.
gonadal
dysgenesi
s(ans)
84.
preventpr
ogr
essi
onofat
her
oma
A.
ator
vast
ati
n(ans)
85.
fast
estf
ibr
es
(Fastest conduction fibres)
Ans.
pur
kinj
efi
bres
86.
pul
monar
yembol
ism cause
Ans.
DVt
87.
ascener
iowasofr
andomi
zedcont
rolt
ri
al
88.
pul
monar
yembol
ism goest
omostpr
obabl
y
Ans.
pul
monar
yar
ter
y
89.
byssi
nosi
s
A.
text
il
eindust
ry(
ans)
I C )
90.
str
ont
ium causes
- M ED
Ans.
ost
eosar
coma
OO L
( K
91.
aquest
ionr
egar
dingvi
rchowt
aL
ri
ad.
iM
92.
apl
asi
a
M K
D r
By
Ans.
decpr
oduct
ionofcel
ls Failure of development of cell or tissue
(ans)
93.
micr
oscopi
cfeat
ureofantpi
tui
tar
y
Ans.
smal
lestchr
omophobes
94.
secossi
fi
cat
ioncent
reaf
terbi
rt
h
Ans.
dist
alendoff
emur
95.
lossofsensat
ionofmedi
al1/
3ofdor
sal
andpal
marsi
deduet
o
damageof
Ans.
ulnarner
ve
96.
oldladygoodpast
ur esyndr
omeBPalwaysrai
sednottaki
ng
medicati
onproper
ly,
died,
onautopsyi
nchear
tsizewi
llbedueto
Ans.
hyper
trophy
97.
ossi
fi
cat
ioncent
reat11yr
sol
dgi
rl
Ans.
lat
eralepi
condyl
e
98.
test
ost
eroneact
ionwasasked
A.
lar
yngealhyper
trophy(
ans)
??
B.
pubi
chai
rincconcavi
ty
C.
dar
keni
ngofar
eol
a
99.
slowestgr
owi
ngt
hyr
oidCA
Ans.
papi
ll
arycar
cinoma
100.
knowncaseofl umbagot
ender4,
5thi
nter
cost
alspace,
chest
pai
n,car
diacenzymesnormal
Ans.
chost
ochondr
it
is
101.
li
ghtr
efl
ex I C )
- MED
Ans.
2&3ner
ve
OO L
102.
lungCAcase,
hemopt
ysi
aduet
o ( K
aL iM
Ans.
bronchi
alar
ter
K
yer
M
osi
on
103.
ver
tD
i r
calsect
ionofopt
icchi
asm
By
Ans.
bit
empor
alhemi
anopi
a
104.
aor
ti
cdi
ssect
ion
Ans.
medi
alnecr
osi
s Medial wall necrosis
105.
abscesscausedbyst
aphaur
eus,
spl
eenshowswedgeshaped
necr
osi
s
Ans.
coagul
ati
venecr
osi
s
106.St
aphaur
eus,
labdi
agnosi
s
Ans.
coagul
aseposi
ti
ve
107.Aquest
ionwasRegar
dingdi
goxi
ntoxi
cit
y
Ans.
pot
assi
um l
oosi
ngdi
uret
icuse
108.
vomi
ti
ngcent
rei
n
Ans.
medul
la
109.
drugusedi
nvomi
ti
ngaf
terchemot
her
apy
Ans.
ondanset
ron
110.
femal
etaki
ngst
eroi
ds,
herwoundi
snotheal
ingduet
o
A.
decr
easedcol
lagenf
ormat
ion(
ans)
B.
decneut
rophi
lmi
grat
ion
111.
sever
ehyper
cal
cemi
atr
eat
edwi
th
Ans.
loopdi
uret
ics
112.
drugcausi
nghi
stami
ner
elease
Ans.
mor
phi
ne
I C )
113.
int
ruepel
vis
- M ED
Ans.
middl
erect
alar
ter
y
OO L
( K
114.
aL iM
esophagealphaseofswal
lowi
ngi
sef
fect
edi
n
A.
scl
eroder
ma(
ans)
M K
D r
B.
By
myast
heni
agr
avi
s
C.
pol
io
115.
onequest
ionwascar
diovascul
arr
efl
exor
gani
zat
ionmai
ntai
ns
A.
art
eri
albl
oodpr
essur
e(ans)
B.
CO
C.
art
eri
olarr
esi
stance
D.
oxygenat
iont
oti
ssues
116.
lowermot
orneur
on
Ans.
muscl
ewast
ing
117.
UMN
Ans.
incr
easedmuscl
etone
118.
hemmor
hagi
cinf
arct
ionoccuri
n
A.
lung(
ans)
B.
spl
een
C.
hear
t
D.
kidney
Not
e..
••hemor
hagi
corr
edi
nfar
cti
nlungandgi
t
•
•Pal
einf
arctoranemi
cinf
arcti
nHSK
H=hear
tS=spl
eenK=ki
dney
119.
whi
chor
ganbl
oodsuppl
yleastaf
fect
edbyexer
cise
A.
brai
n(ans)
I C )
B.
ski
n
- MED
C.
skel
etalmuscl
e
OO L
( K
D.
kidney
aL iM
120.
rapi
dacl
imi
ti
zat
MiK
oncauses
D r
By
Ans.
pul
monar
yedema
121.
adul
tdai
lypr
otei
nrequi
remnt
Ans.
50gm
122.
regar
dingt
hymus
Ans.
ri
chi
nlymphocyt
es
123.
raynaud'
sphenomenon
Ans.
per
ipher
alvascul
ardi
sease
124.
prol
ongedPRi
nter
val
,
QRSaf
ter3Pwaves3:
1rat
io,
typeofbl
ock
Ans.
mobi
tzt
ype2
125.Thor
npr
ickabcessduet
o
Ans.St
aphaur
eus
126.
incvenousr
etur
nduet
o
Ans.
cal
fmuscl
econt
ract
ion
127.
shor
tPRi
nter
val
Ans.
WPW
128.
HB st
art
stoappeari
nwhi
chst
ageofer
ythr
opoi
esi
s
A.
proer
ythr
ocyt
e.
B.
ret
icul
ocyt
e
C.
ear
lynor
rmobl
ast
D.
pronor
mobl
ast
129.
est
rogencont
aini
ngOCP'
scauses
I C )
Ans.
DVT
- MED
130.
inMRSAr
esi
stencewhi
chdr
ugi
sgi
ven
OO L
( K
Ans.
cot
ri
maxazol
e
aL iM
131.
gonococcusdi
M K
agnosi
s
D r
By
Ans.
gram st
aini
ng
132.
vitDl
evelassessedi
nlab
Ans.
25OHchol
ical
cif
erol
133.
nucl
eust
ract
ussol
it
ari
us
Ans.
tast
efi
bres
134.
fr
agi
lex-syndr
ome
Ans.Tr
ineul
eot
ider
eapeatshi
ft
135.
aldost
eronecause
A.
Nar
eabsor
pti
on(
ans)
136.
ADHst
imul
ateby
Ans.
decpl
asma.Vol
ume
137.
goodpasur
esyndr
ome
Ans.
li
neardeposi
tsonI
F
138.Chr
oni
cpancr
eat
it
is,
steat
orr
hea,
enzymedef
ici
ency
Ans.
li
pase
139.
RTAheadi
njur
ysympt
omsofCent
raldi
abet
esi
nspi
dus
Ans.
Cent
raldi
abet
esi
nsi
pidus
140.
inani
ongapNai
smul
ti
pli
edby2ot
her
=ans.Ani
ons
141.
leukocyt
eadhesi
ont
oendot
hel
ialcel
l
Ans.
LFA-
1
I C )
142.
DIC=t
hrombopl
ast
in
- M ED
143.
reducedl
ymphat
icf
low
OO L
( K
Ans.
exer
cise
aL iM
144.
angi
otensi K
ncause
M
D r
By
Ans.
vasoconst
ri
cti
on
145.
ccki
nhi
bit
s
Ans.
gast
ri
cempt
ying
146.
gast
ri
csecr
eti
ondecr
easedby
Ans.
secr
eti
n
147.
fr
eer
ibosomes
Ans.
RER
148.
diabet
icpat
ientwi
thvi
sionpr
obl
em.
visual
acui
tyi
s3/
60&4/
60.
Ans.
cat
aract
149.
boatshapedcyst
Ans.
pneumocyst
isj
eroveci
150.
leastAVdi
ff
erence
Ans.
Hear
t
151.Est
rogensecr
etedby
Ans.
ovar
ies
152.
per
ianall
esi
on
Ans.
crohn'
sdi
sease
153.
str
ont
ium -
90.I
ncor
por
atedi
nfoodchai
n
Ans.
ost
eosar
coma
154.
BBBcr
ossexeasi
lyby
Ans.
CO2
I C )
155.
far
mer
,or
ganophoshphat
epoi
soni
ngscener
i
-
o
M ED
Dr
ugwi
llbgi
ven
OO L
( K
Ans.
atr
opi
ne
aL iM
156.
pat
i
M K
entonATT,
uri
caci
dlevelhi
gh,
duet
owhi
chdr
ug
D r
By
Ans.
pyr
azi
nami
de
157.
obl
it
erat
ionofut
erusi
npr
egnancyduet
o
A.
par
iet
ali
s&basal
is
B.
par
iet
ali
s&basal
is
C.
amni
on&chor
ion
158.
thi
azi
desi
deef
fect
Ans.
hypokal
emi
a
Not
e,•
••hyper
uri
cemi
awasnoti
nopt
ion
159.
bil
esal
tsabsor
bed
Ans.
il
eum
160.
muscl
epar
alysi
scausedbydr
ug
Ans.
Cur
are
161.
undescendedt
est
esr
iskf
act
orf
or
Ans.
mal
ignancy
162.
tet
anus=t
oxoi
d
163.
wil
sondi
seasescener
iodi
agnosi
s
Ans.
ser
um cer
ulopl
asmi
nlevel
(
rabi
abcq)
164.
tumorsuppr
essorgene
Ans.P53
165.
ext
remel
eftshi
ftofoxy-
HBcur
ve
I C )
A.
COpoi
soni
ng(
ans)
- M ED
B.
HbF
OO L
( K
166.
highestser
um conc
aL iM
Ans.
IgG
M K
D r
By
167.
onequest
ionr
egar
dingcl
onus
168.
bur
ningHott
emponski
n
Ans.
45•
c
169.
EEGwavescl
osedeyes(Awake person with closed eyes)
Ans.
alphawaves
170.
TBM scener
io
171.
pat
ientondi
alysi
s,anemi
c
Ans.
decer
ythr
opoi
ti
n
172.Hal
lmar
kofHI
v
Ans.
prol
if
erat
ionofvi
rusi
nt-
lymphocyt
es
173.
CD4.=hel
perTcel
ls
174.Adenomabeni
gnchangemostl
ikel
yshows
Ans.
glandul
arpat
ter
n
175.
muscl
ewhi
chopenmout
h
Ans.
lat
eralpt
erygoi
d
176.
pul
m congest
ion=hear
tfai
lur
e
177.
ir
ondef
ici
encyanemi
ascener
io
178.
RMPmai
ntai
nedby
Ans.
Na/
Kpump
179.
dipht
her
iasever
eef
fecton
Ans.
myocar
dium
I C )
180.
dor
salr
ami
- M ED
Ans.
ext
ensor
sofback
OO L
( K
181.
Growt
hhor
monesecr
et
aL
i
on
iM
Ans.
exer
cis
M K
D r
By
182.
epi
nephr
inecausesvasodi
lat
ionby
Ans.
Bet
a2r
ecept
ors
183.
car
oti
dsheat
hfor
medby
Ans.
invest
ingl
ayerofdeepcer
vicalf
asci
aofneck
184.
subcl
avi
anvessel
sgr
ooveover
Ans.
fi
rstr
ib
185.
gent
ami
cin
Ans.
nephr
otoxi
c
186.
int
hir
ddegr
eehear
tbl
ock
Ans.
syncopeduet
odel
ayedandi
rr
egul
arvent
ri
cul
arcont
ract
ion
187.
inor
gani
ccompoundassoci
atedwi
thmal
ignancy
Ans.
asbest
os
188.
won'
tneedar
ti
fi
cialbr
eat
hingi
flesi
oni
s
Ans.
bel
owC5
189.
tr
ueaboutf
aci
alner
ve
Ans.
postbel
lyofdi
gast
ri
csuppl
iedbyf
aci
alner
ve
190.
fi
brobl
ast
Ans.
amor
phousECM synt
hesi
s
191.Tr
uer
egar
dinghear
t
Ans.
Sanodei
nsubepi
car
dium i
nri
ghtat
ri
um
Ot
her
smadenosense
I C )
192.
rhyt
hmi
cmuscl
econt
ract
ionaf
terst
ret
chi
ng
- MED
Ans.
clonus
OO L
( K
aL iM
M K
D r
Compiled from firstt aid & usman dar posts..
By
Remember in prayers.
PAPER SURGERY 9TH MAY 2016 EVENING
DR SYED ARSALAN AKBAR GILLANI (SMC SWAT)
NOTE..TOTAL QUESTIONS 186...KINDLY DO SHARE UR PAPERS WHEN U PASS.AS IT IS A CHAIN

THAT WE SHUD NOT BREAK...
A medical student was studying a microscope slide of transitional epithelium. He noticed

unduly thick and darkly stained luminal plasma membrane of the surface cells. It is most
likely due to
A. an artefect
B. a layer of glycocalyx
C. aggregation of cytoskelatel elements
I C )
D. oblique section of plasma membrane
- M ED
E. presence of surface microvilli
OO L
( K
2. The root value of nerve supply to all short muscles of hand is
A.c6
aL iM
B.c7
M K
c. T2
D r
By
d. T1
e. T4
3.What type of tissue is critical for dividing the heart into four chambers and the outflow
tract into pulmonary and aortic channels
A. aorticopulmonary septum
B. endocardial cushions
C .conus septum
D. septum primum
E. septum secondum
4.A person developed urine infection.Urine culture plate yielded a greenish growth having
fruity smell.This organism was oxidase positive and non lactose fermenting. The most
appropriate drug in this case would be
A. Ampilcilin
B. Ceftazidime
C .Ceftriaxone
D. Ciprofloxacine
E. Gentamycin
5. The surface marking of the oblique fissure of lung would be

A. From T2 spine around thorax to 5th costochondral junction
B. From T2 spine around thorax to 6th costochondral junction
C. From T3 spine around thorax to 6th costochondral junction
D. from T4 spine around thorax to 6th costochondral junction
6. The structure most likely to be effected by pus in the adductor canal is
A. femoral vein
B. great saphenous vein
C. medial circumflex vein
E. profunda femoris vein
7. Pain impulses originating in peptic ulcer are carried by

A. 7th intercostal nerve
B. 8th intercostals nerve
C. greater splanchnic nerve
D lesser splanchnic nerve
8.To auscultate the tricuspid valve , stethoscope should be placed at the

A .left 4th intercostals space in mid clavicular line
I C )
B .left 5th intercostals space in mid clavicular line
- M ED
C .medial end of 2nd left inetrcostal space
D. medial end of 2nd right intercostal space
OO L
( K
E. Right half of lower end of body of sternum
aL iM
K
9. Loss of flexion of knee and extension of hip are caused by paralysis of
M
r
A. Rectus femoris
D
By
B Sartorius
C. Semitendinous
D. Vastus lateralis
10.Absorbtion of fluid from intestinal epithelium depends on

A. glucose and sodium in lumen combine.??????
B paracellular junction
11. Occlusion of RCA after giving marginal branch which of heart is affected
A. SA node
B. AV node
C. Right atrium
12. Lower lip bleeding on left side pressing on which artery would stop bleeding
A. angle of mouth
B, left facial artery
C. facial artery on both side
13. Osteoblastoma most common site is

A. epiphysis
B. Metaphysis
C. vertebral body
D. diaphysis
14.Nulliparous women with hair growth on face lips and oligomenhorea
B. polcystic ovarian disease
c. pituitary tumor
15. Aldosterone secretion increased by

A. hypokalemia
B. ACE inhibitors
C. dec blood volume
16.A pregnant lady having reheumatic heart disease.Its characteristics valvular lesion will
be
A.Mitral stenosis
B, Mitral regurgitation
C. Aotic stenosis
I C )
- M ED
17.Pateint is having myocardial infarction. Posterior 1/3rd on interventricular septum is
involved.which artery is affected
A.right coronary artery
OO L
B. left coronary artery
( K
aL
C. anterior descending artery iM
K
D. right marginal artery
M
D r
By
18.Anatomical structural unit of heart which characterize conduction of heart is
A .Intercalated disc??
B. Gape junction. ??????
C. Tight junction
D. Desmosomes
E. Zonula adherens
19. malignancy associated with HIV/Aids

A .leukemia
B. Kaposi sarcoma
20. During mitosis chromosomes replicate in which phase

A. prophase
B. Metaphase
C, anaphase
D. Telophase
E. Interphase
21, Type of sampling which every one has equal chance of being selected
A. systemic sampling
B. Random sampling
C. case control
D. biased sampling
22.During exercise increased blood supply to muscle is via
A. local metabolites
23.Difference between systemic and pulmonary circulation is

A. more blood flow in pulmonary circulation
B. low resistance in pulmonary circulation
C.high resistance in pulmonary circulation
24.Chemotherapy given and tumor size become small this mechanism is by

A. atrophy
B, necrosis
C. apoptosis
C. hypertrophy
25 Columnar epithelium lines

I C )
A. Rete testis
- M ED
B. germinal layer of ovaries
C. pigment epithelium of retina
OO L
D. Uterine tube
( K
aL iM
E. Epitheloid covering of choroids pluxes
M K
r
26. Clavipectoral fascia
D
By
A. invest pectoral major muscle
B. invest pectoral minor muscle
27. Structure pass through greater sciatic foramen

A. Sciatic nerve
B. obtuarter inrernus
28.Which one of the following is equal under normal physiological condition

A. coronary and cardiac output
B. Cardiac output and muscle blood flow
C. Venous return and pulmonary blood flow
29. Anterior and posterior Humeral circumflex arteries are branches of

A. Brachial artery
B. Axillary artery
C, subclavian artery
D. thyrocervical artery
30. Dorsal scapular nerve supply

A. Latissimus dorsi
B. Levator scapulae
31. Man with history of 40 pack per day smoking developed carcinoma brain which was
secondary..primary carcinoma is located in
A. Lungs. confrm it
B. Bladder
C. Liver
D, stomach
32. Occiptal nerve supply

A. rectus capitas anterior
B. rectus capitus posterior
33.A 20 year old female presented with right sided cervical lymphadenopathy. She was
completely asymptomatic .Histological examination reveal a metastatic tumor. The most
likely primary carcinoma thyroid in this patient is
A. Anaplastic
B. follicular
C. Medullary
I C )
D. Papillary
- M ED
OO L
34..A male patient after a few days of severe burns developed high grade fever .Blood
( K
culture yielded of gram negative rod. He suddenly developed a bleeding diathesis. The most
aL
likely cause in this setting is iM
K
A. Drug induced aplastic anemia
M
r
B. Hepatorenal syndrome
D
By
C. thromobocytopenia
D. Liver failure due to septicemia
E. Disseminated intravascular coagulation
35. Origin of peroxisome is from

A. rough endoplasmic reticulum
B. Golgi apparatus
C, smooth endoplasmic reticulum
D. nucleolus
36.A farmer presented with linear migratory lesion on his foot. Which parasitic infection is
most likely
A. cutanous leishmaniasis
B. hook worm
C. cutanous larva migrans
D. strongyloids stercolaris
E, dracanculus medinensis
37.A 55 year old non insulin dependent diabetic female had major abdominal
surgery. On the 8th post operative day she complained of suddent onset of
dyspnea, chest pain and haemoptysis. The most likely cause of her symptoms
would be
A. Mycocardial infarction
B. pneumonia
C. pulmonary embolism
D. septicemia
E. spontaneous pneumothorax
38.An adult alcoholic male complained of dyspepsia and loss of appetite . Liver biopsy
revealed Alcoholic liver disease because of following pathological microscopic feature
A. extensive hepatic fibrosis
B. fatty change
C. Mallory bodies
D. nutritional disturbance
E. proliferation of bile ducts
39.Increased GFR and increased blood flow occur due to
A. dilatation of efferent arteriole

I C )
B, dilatation of afferent arteriole
- M ED
OO L
40.Amniocentesis is done
( K
A. after 2 weeks
aL iM
M K
D r
B. after 14 weeks
By
C. after 4 weeks
41.Ist response against acute inflammation in tissue is
A. neutrophill
B. macrophage
C.lymphocytes
42. Pulmonary artery supply
A. primary bronchi
B. secondary bronchi
C. Tertiary bronchi
D. Alveoli
43. Most common fracture of long bone in lower limb is
A.Tibia
B. femure
C. humerus
44. 1 gm of protein gives energy
A. 2 Kcalories
B. 4 Kcalories
C.8 k calories
45.A 2 year old boy has been brought to the hospital for circumcision. There is history of excessive
bleeding from the umbilical stump at the time of birth. Two cousin bleed profusely after
circumcision by surgeon. The blood test most likely to give a clue to the diagnosis is
A. platelet count
I C )
B. Bleeding time
- M ED
C. clotting time
OO L
( K
D.prothrombin time
aL iM
M K
r
E. Activated partial thromboplastin time
D
By
46. Edema is caused by
A. decreased sodium level in serum
B. Haemoconcentration
C. Increased hydrostatic pressure
D. increased oncotic pressure
E. increased venous return
47. An antigen found in relatively high concentration in the plasma of normal

fetuses and a high proportion of patients with progressive carcinoma of the
colon is most likely
A. Alpha fetoprotein
B. Alpha interferon
C. Carcinoembryonic antigen
D. heterophil antigen
E. viral antigen
48.Which one of the following is the primary opsonin in the complement

system
A. C1 q
B. C3a
C. C3b
D. factor B
I C )
E. c5
- M ED
49.Teratomas are tumor composed of
OO L
( K
A. All types of ectodermal tissue
aL iM
M K
B. Mainly cartilage and epithelial cells
D r
By
C. Derivatives of all three germ layers
50. Edema is caused by

A. decreased hydrostatic pressure
B. Increased osmotic pressure
C. decreased permeability
D. lymphatic bloackage
51.Man is intermediate host in

A. filariasis
B. Hook worm infection
C. Hydatid disease
D. trichomoniasis
52. Right supra renal vein drain into….IVC

53. Metaplasia is characterized by
A. Variation in size and shape of cells
B.. Cloudy swelling of cells
C. A functional change in cells
D. an increase in the number and size of cells
54. P 53 is tumor suppressor gene, When it is absent or mutated it indicate

A. apoptosis
I C )
B. Cell survival
- M ED
C. DNA repair
OO L
( K
D. Mitosis
aL iM
M K
D r
Byedema fluid in acute inflammation
55. The
A. is known as transudate
B. has specific gravity 1010
C. has protein more than 3 gm /dl
D. does not contain fibrongen
56. Female with blood group A have 2 children, one with O and other with
AB, the blood group of father is
A. A group
B. O group
C. Two childrens have two fathers
D. B group
57. Most common cause of multiple fracture in adult is
A. cushing syndrome
B. vitamine D defeciency
C. Osteoporosis
D. Hyper parathyroidism
58.Protrusion of mandible occur by which muscle

A. medial pterygoid
I C )
B. buccinator
- M ED
C. lateral pterygoid
OO L
( K
a L iM
M K
r
59. Fuction of notochord
D
By
A. give rise to CNS
B. develop into spinal cord
C. Induction of ectodermal neural tissue to produce neural plate
60. Release of neurotransmitter is due to

A. release of calcium into presynptic terminal
61.Straight vessles which lie along side the loop of henle particularly in the
juxa medullary nephron and are most imp for concentrating of urine are
A. arcuate arteries
B. inter lobular arteries
C. Peritubular capillary network

D. vasa recta
62. During pharyngeal stage of swallowing

A. epiglottis remain stationary
B. soft palate moves downward
C. vocal cards are abducted
D. larynx moves up and forward
E. palatopharyngeal fold move apart
I C )
63. The most important buffering system in the body is
- M ED
A. Hco3
OO L
( K
B, hemoglobin
aL iM
M K
r
C. phosphate
D
By
D. plasma protein
64.Right border of heart on xray also visible apart of

A. SVC
B. IVC.
C. left atrium
65. During inspiration what decreases

A. heart rate
B. Venous return
C ,negative intrapleural pressure… note: negative thoracic pressure increases
D. arterial pressure
E.volume of pulse pressure

66.Most common cause of pulmonary embolism is
A. Deep venous thrombosis
B. left ventricular myxoma
C. abnormal pulmonary blood flow
67.typhoid fever, test during 1st week ix

A. blood culture
B. urine culture
I C )
C. stool culture
- MED
OO L
( K
68. Typhoid fever during 2 L
a iMix
week nd
M K
r
A. blood culture
D
By
B. blood culture and widal test
C. urine culture
D. stool culture
69. Benign neoplasm is

A. adenoma
B. heapatoma
70.which of the following structure lie in right free edge of lesser omentum
A. common bile duct,cystic duct and hepatic artery
B. hepatic vein and cystic duct
C. portal vein, common bile duct and hepatic artery
D. portal vein, hepatic artery and hepatic vein

71. Diabetic nephropathy investigation of choice
A. Ultrasound abdomen
B. urine albumin
C. serum creatinine clearance
72. Mean systemic filling pressure is regulated by

A. heart rate
B. venous return
I C )
- M ED
OO L
73. origin of oxytocin and ADH is
( K
A. post pituitary gland
aL iM
M K
r
B. Hypothalamus
D
By
74. A patient with history hemorrhage receives blood stored for 2 weeks
mainly contain
A. platelets
B. fresh frozen plasma
C, RBC
75. stress hormone in our body is
A. epinephrine
B. insulin
C. ACTH
76. A young patient with serum creatanin of 8 mg % presents with a blood
pressure of 210/130 mmhg. The structure most likely damaged is
A. cells in macula densa
B. cells in peritubular capillaries
C. cells in renal glomeruli
D. Juxta glomerulae cells
77. The sciatic nerve enter the gluteal region through foramen
I C )
A. Greater sciatic
- M ED
B. lesser sciatic
OO L
( K
aL iM
M K
78. Laborotory diagnosis of leprosy in its early stage is by
D r
By
A. Bacterial culture of blood
B. Bacterial culture of exudates
C. sputum scraping for leprae bacilii
D. Nasal scrapings for leprae bacilli
E. Mantoux test
79.A 28 year old male with history of jaundice and raised ALT. The liver
histology shows councilman bodies. These are most likely to be process of
A. coagulation necrosis
B. Apoptosis
C. enzymatic fat necrosis
80.A 20 year old female presents with cervical lymphadenopathy. The

histological examination of lymph node showed granulomata. The diagnosis of
tuberculosis in this case is strongly suggested due to
A. Epitheloid cells
B. Giant cells
C. Mantoux Test
D. Caseous necrosis
81.A 28 year Fisherman presented with slowly developing lethargy, easy

fatigue and palpitation. His diet comprises of fish and rise. On physical
examination He has pallor ,loss of touch sense. His CBC showed HB 7,5
platelet 110000.His stool report showed Ova of intestinal parasite. The most
likely causative parasite is
A. Ankylostoma duodenale
I C )
B. Ascaris lumbricoides
- M ED
C. Diphylobothrium Latum
OO L
( K
D. Taenia saginata
a L iM
M K
82.A man of 40 year old developed bilateral enlargement of cervical lymph
y D r
node. The excised lymph node biopsy revealed Hodgkin’s disease. Which one
Bfollowing type has best prognosis?
of the
A. lymphocyte depletion
B. mixed type
C. Lymphocyte predominat
D. Nodular sclerosis
83.GVE fibre of vagus arise from

A. nucleus ambiguous
B. Dorsal nucleus
84. Female with infection of HPV comes after 2 years pap smear shows
prominent nuclei and increased nucleus size. It is
A. Metaplasia
B. Dysplasia
C. anaplasia
85.Mucle of back innervated by
A. dorsal ganglion
B. Dorsal rami
86.Gamma efferent supply to

A. extrafusal fibre
B. end of intrafusal fibre
c. central of intrafusal fibre
C )
87.Child with yellow sclera and colored urine best investigation would be
I
A. bilirubin
- M ED
OO L
B. bilirubin plus ALT
( K
C. AST
aL iM
K
M shows
r
88. Standard deviation
D
By
A. size of sample
B. Reliability of sample
C. Variability among individual
D. Validity of conclusion
E. Quality of experimental design
89.Potassium is mainly regulated by

A.Angiotensin
B. epinephrine
C. Aldosterone
D. sodium
90.True hermphrodiate is
A. xxy
B. xx…..its controversial question..xx ratio is more in true hermophrodiate(54%)..some

ppl say xxy is cpsp demo qstion..but no one has ever seen this demo question…xx/xy is asim
and shoib gynae key…choose between xx or xx/xy…never choose xxy
C. xx/xy
D.xyy………
91.Phosphorylase enzyme raised to cause gylcogenolysis due to deficiency of

which hormone
A. cortisole
I C )
B. glucagon
- M ED
C. Insuline
OO L
( K
D. Epinephrine
aL iM
M K
D r
By from muscle spindle decreases when
92. Discharge
A. Muscle relaxes
B. Muscle contract
93. Large increase in blood volume occur in

A. Hypotonic Nacl
B. Hypetonic Nacl
C. distilled water
94. Nerve accompany superficial temporal artery is

A. Auricular temporal nerve
B. cervical nerve
95. Isotonic and isometric contraction. Isotonic is different by
A. consume more phosphate bonds
B. less work load
C. have more energy of recovery
D. Heat production
96. Patient with tachycardia and palpitation, TSH is low but on giving TRH,
TSH is increased. problem is in
A.primary hypothalamus
I C )
B. anterior pituitary
- M ED
C. Thyroid gland
OO L
( K
iM
97. Myocardial infarction due to blockage of left circumflex artery which will
aL
be affected
M K
D r
By
A.left ventricle and right ventricle
B. Left atrium and left ventricle
99.Highest cholesterol content is in

A. Egg
B. white meat
C. Red meat
100. Tip of scapula at body level of

A. T 6 body
B. T7 body
C. T8 body…here body is mention..never choose T7 body..choose t 7 spine or T8 body
101. About Collagen fibre

A. Abundant in ligamentum flavum
B. stained with Eosin dye
C.Have elastic recoil
D.Branching fibre
102. During procedure of Esophagectomy, the stomach is mobilized upto

esophagus, which artery will responsible for blood supply of stomach
A. Right gastric artery
B.Left gastric artery
C. right gastric epiploic artery…
I C )
D. Lest gastric epiploic artery
- M ED
103. S2 heart sound is produced by
OO L
( K
A. closure of atrioventricular valve
aL iM
M K
B. closure of aortic and pulmonary valve
D r
By
C. Ventricular filling
D. Atrial systole
104.Protein content less in glomerular filtrate occur due to

A. pore size
B, Pore size and negative charge
105. Man Got gun injury lateral side of upper leg, He is unable to dorsiflex
because of
A. Fracture head fibula
B. Fracture neck of fibula
C. Fracture of shaft of fibula
106. The most common site for amoebic ulcer in the gut is
A. Ascending colon
B. Caecum
C. Rectum
D.sigmoid colon
E.Terminal ileum
D. Fracture of condyl of tibia
107. Adult polycystic kidney disease is most closely associated with
A. cerebral hemorrhage…asim key
B. hemoptysis
C. polycythemia
I C )
D. renal failure
- M ED
OO L
108. The maximum effect achieved by a drug is measure of its
( K
A. bio availibilty
aL iM
M K
B. potency
D r
By
C. safety
D. efficacy
E. intrinsic activity
109. A 20 year old male has dyspnea on lying down. The structure most likely
to cause this is
A. Enalrged ishmus of thyroid
B. multinodular goiter
C. puberty goiter
D. retrosternal goiter
110. A 50 year old has hysterectomy for uterine myxoma.then she develop
lump in lower abdomen after 6 month.It was diagnosed as a case of incisional
hernia. The ist structure this lump is most likely to push from with in out
ward is
A.internal oblique muscle
B. transversalis muscle and transversalis fascia
C. Transversalis fascia
D. transversalis muscle
111.Whole wheat is an excellent source of

A. ascorbic acid
B.riboflavine
C. thiamine
D. Vitamina A
I C )
E. Vitamine D
- M ED
112.Foreign body most commonly lodge in
O O L
M ( K
A. left inferior lobe
aL i
M K
r
B. right inf lobe
D
By
C. carina
113. Left gastric epiploic artery is branch of

A. hepatic artery
B. spleenic artery
C. gastrodudenal artery
114. gaseous exchange occur where

A. simple squamous epithelial layer
115, Most sensitive of cardiac tissue is

A. Ckmb
B. Troponin T
C. Myoglobin
116. epinephrine released from adrenal medulla causes vasodialation by
which receptor
A B1
B alpha 1
C b2
D alpha 2
117. A girl of 8 years at terminal illness is asking to you ‘ Am I going to die”

you response shoul be
I C )
ED
A. whats your parients have told you
118. counseling is L - M
( K OO
iM
A. helping patient themselves
K aL
119.Patient injured in accident multiple fracture bo 90/60 pulse 120
D r M
By
A. fluid replacement
120. Anemic hypoxia is caused by

A. cyanide posining
B. methehemoglobinemia
121. Amoebic liver abcesss diagnosis is

A. serology
122. characteristics finding of clostridium botulinum is

A. flaccid paralysis of respiratory muscle
B. diarrhea
123. phase 1 biotransformation reaction

A. oxidation
B. reduction
124.. natural defence against cancer is

A. apoptosis
B, necrosis
125,Pateint has proteinuria greater than 6gm /dl structure demaged

A. Pct
B. Dct
C. Basement membrane
126. cells which contain sense granule and have ig E antibodies on their cell
membrane are
A. esonophills
I C )
B. macrophage
- M ED
C, Basophills
OO L
( K
aL iM
127. Lymphatic drainage from nipple of breast is
M K
r
A. central axillary lymph node
D
By
B. ant axillary lymph node
C. thoracic lymph node
128. Pain mediator is

A. bradykinin
B. histamine
C. serotonine
129. Adductor canal is formed by
A. Sartorius and femur????
B. vastus mediallis and adductor comp???
C. flxor and adductor muscle
130. nerve supply of geniohyoid

A. genioglossus
B. C1
C. anca cervicalis
131..Structure passing above piriformis muscle injured .most likely it will be

A. sciatic nerve
B. obturator nerve
C. superior gluteal vessels
132. Vagus nerve passes through

A. foramen magnum
B. jugular foramen
I C )
133. Calcitonin is tumor marker of
- M ED
OO L
A. thyroid glanad
( K
B. parathyroid gland
aL iM
K
Mlimited by
134 Bar area ofrliver
By D
A. Right and left triangular ligamnents
B. Coronary ligament
C. Falciform ligament
135.down syndrome
A. trisomy 13
B. trisomy 18
C, trisomy 21
D. monosomy 21
136.excreation of pencillin is inhbited by

A. gentamycine
B.probanecid
C.rifampine
137.Hiv after surgery cleaning of room is done by

A. 2% glutaraldehyde
B. 4% glutataldehyde
138. 5th posterior intercostals artery is branch of

A. thoracic aorta
B. Internal thoracic artery
139.Ureter is most constricted at

A. sacral promontry
B.sacroilliac joint
I C )
C. Transverse process
- MED
D. ischial spine
OO L
( K
140. arterior tibial syndromeL
a iMartery is involved
which
M K
r
A. anterior tibial artery??????
D
By
B.popliteal artery
C. dorsalis padis artery
141.Nucleus gracillis and cunateous lesion

A. Anaesthesia
B. Analgesia
C. Asterognisia
142. Cerebellar lesion causes

A. resting tremor
B. dytonia
C. Dysmetria
143.True regarding brain blood supply in brain

A. Middle cerebral artery supplies foot area
B. Arteries don’t anastomose on surface of the brain
C. Arteries don’t anastomose after entering the brain substance
D. Internal capsule is supplied by anterior cerebral artery
144. From 2 month to 6 year meningititis is caused by

A. streptococus pneumonia????
B. Nessiria meningitides
C. Hemophillia influenza
145.Usual haemoglobinopathy defect in

I C )
A. heme
- M ED
B. in heme globin binding
OO L
( K
C.. Globin structure defect
aL iM
M K
D r
D. Amino acid sequence change in Globin????
y metabolism ..ORAL
Bpass
146.ist
147. Inhalational agent which increases cerebral blood flow

A. Halothane
B, Isoflurane
D.sevoflurane????
148. Man moving down is elevator

A. Utricle
B. saccule
C. semicircular canal
149. Main support of uterus which held in position

A. Transverse cervical ligament
B. Broad ligament
C. Round ligament
150.Hypercalcemia activated
A. 1,25 dihydroxycalciferol
B. 24,25 Di hydroxycalciferol
C.25 hydroxy calciferol
151. Correct about thyroid gland gland

A.lymph drainage to deep cervical lymphnode
152. cuttin of parasympathetic system mostly

I C )
A. affect pulmonary resistance
- M ED
OO L
B affect sphincteric action
( K
A. affect GI muscles
aL iM
K
M protein combine with carbohydrate, packed and
D r
153.Orarganelle where
By
release
A.Agranular endoplasmic reticulum
B. Granular endoplasmic reticulum
C. Gogi apparatus
D. Ribosomes
154.Correct about DNA

A. DNA is single stranded
B.Euchromatin is transcriptionally active
155.Cause of delay in healing

A. infection
156.Pao2 decreased,Pco2 increased. Hydrogen ion increased manifestation is

A. hyperventilation
B. Hypoventillation
157. Thorn pick in left lower limb caused abscess
A. Staph aureus
158.Philidelphia chromosome present in

A. CML
159.Giant cell tumor histological finding

A. Soap bubble appearance
160.estrogen containing OCP causes

A. breast carcinoma
I C )
B. cervical cancer
- M ED
OO L
C. Thromboembolism
( K
aL
161, plasmodium falciparum finding iM
M K
D r
A.black water fever
By
162 massive spleenomegaly,fluid thrill
A. infectous mononucleosis
B.sickle cell anemia
C.myelofibrosis
163. Carcinoid syndrome is diagnosed by

A. VMA in urine
B. 5 hiAA(hrdoxy indole acetic acid)
164,Brain stem stroke vertebral artery dissection having dysphagia cause

A. nucleus ambiguous
B. corticocerebellar tract
C. nucleus solitarus
D. inf cerebellar peduncle
165. about cubital fossa

A.scaphoid form floor of it
B. radial artery is present in its roof
C. cephalic vein arises from its roof
166.Rheumatic fever and infective endocarditis treatment to prevent disease is

A. pencillin G
B. Vancomycin
167. About autonomic nervous system

A. parasympathetic increase salivary secretion
I C )
B. parasympathetic increase sweet gland secretion
- MED
OO L
168. PTU action
( K
aL
A. stop thyroid hormone secretion iM
M K
169. Patient inrsemiconscious condition csf shows glucose was 20 mg ,
D
Bywas 150mg 20% lymphocytes diag
protein
A. acute bacterial meningitis???
B. partially treated bacterial meningitis????
C. fungal meningitis
D. viral ..
170. estrogen effect in adult female

A. thick cervical mucus
B.. development of secondary sexual character
C. enlargement of breast
171.pulonary vasoconstriction occur due to

A. dec Po2
B. dec pco2
C. increase Po2
172. ulcer on chin and oral mucosa by
A. HCV
B.HPV???
C. EBV
D. CMV
173.Man with discharging sinus on face with yellow granules

A.streptococus
B. staphylococcus
I C )
C. Actinomycosis
- M ED
OO L
174. Gram negative bacteroid fragillis
( K
A.foul smelling
aL iM
K
M neck fracture swelling and redness of limb next what
will B y D
happen
r
175.female with femur
A.Dic
B. pulmonary thromboembolism
176. women with involuntary movement and space occupying lesion in caudate
nucleus.which is most common clinical featurebindicating this lesion
A. intentional tremor
B.resting tremors
C. chorea
D.hemiplagia
E. tonic clonic seizure
177. which one of the following increases pancreatic hco3 secretion but not
pancreatic enzyme
A. glucagon
B, cck
C,secretin
178. A smoker has dyspnea has ph 7.4 pco2 31mmhg and hco3 19 mmol/l
diagnosis is
A. mixed respiratory alkalosis and metabolic alkalosis
B. compensated respiratory Alkalosis
I C )
- M ED
OO L
( K
aL iM
M K
D r
By
179. Ischemia Of superior mesenteric artery involve
A. Duodenujejunal junction to 1/3rd of transverse colon
B. jujenum,ileum,cecum,ascending colon and 2/3rd tranverse colon
C. Duodenujejunal junction to 2/3rd of transverse colon
180.. Narrowest part of air way in neonates

A. Thyroid
B. Trachea
C. cricoid
D. Bronchi
181. most common cause of increase BT is
A. von villibrand disease
B.haemophillia
C. aspirin toxicity
I C )
M E D femoral
182. A young soldier is hit by a sharp splinter which cut through
O L - and is brought to a
artery in his left thigh. He bleed profusely from wound
( K O blood product for immediate
hospital in state of shock.The most appropriate
transfusion is
a L iM
M K
D r
A. 20 days old whole blood
By
B. fresh frozen plasma
C. platelete concentrate
D. whole blood
183. Critical type of tactile signal are transmitted through tract located
A. in posterior horn of spinal cord
B. dorsal white colum of spinal cord
C. Anterior white column of spinal cord
184. Myxoid degeneration is most likely associated with

A. Carcinoid valve disease
B. infectous endocarditis
C. Libman sack’s endocarditis
D. Mitral valve prolapsed

185. A young man presented with low grade fever for last three months. On
examination his nasal bridge was distorted and cervical lymph node were
palpable.Histology of these lymph node revealed non caseating granuloma
and positive AFB stain. Most probable diagnosis is
A. Tuberculosis
B. syphilis
C. Leprosy
D. cat scratch disease
C )
186. A19 year old male with a petechial rash other wise completely well. There
I
- M ED
is no history of bleeding, recent illness or use any medication . An examination
L
of peripheral smear is normal except for virtual absence of platelets. The most
OO
likely diagnosis in this patient is
( K
aL iM
K
A. Acute lymphocytic leukemia
M
D r
B. Drug induce thrombocytopenia
By
C. Idiopathic thrombocytopenia purpura
D. Iron deficiency anemia
E, pernicious anemia
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40.ev
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42.war
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48.i
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ater
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and
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esuper
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acer
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msf
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ter
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nfer
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nfect
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pseudomonas
d.
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.
63.f
isher
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indnes
s
64.i
ndr
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65.medi
als
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oots
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66.i
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n
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67.epi
car
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eredby
- M ED
a.s
erouslayerofmes
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itall
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erofs
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ousmes
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scer
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ayerofs
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aL iM
68,s
tat
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panc
r
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ect
omy
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69)womanwi
thmegal
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ast
s a)
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a
By
70.br
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71.r
iskf
act
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moki
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bes
tos
is
10may2016gynae&obs..
Eveni
ngSessi
on.
.shar
edbydrhayasyed.
.
1..
Barbodytesti
nsali
vai
sdi
agnost
icf
or
ans..Tur
nersyndrome
2..
severehypomagnesemi
a
ans..
hypocalcemi
a
3.
.t
estf
ordr
yeyesanddr
ytomy(
sjogr
ensyndr
omescenar
io)
I C )
ans.Ant
i-
SS
- MED
OO L
4..
aft
ermaximum inspi
rat
i ( K
onwhenmaxi
mal
lyi
nhal
ed
ans..
vit
alcapaci
ty
aL iM
M K
5.
. D r
MHCassoci
atedwi
th
By
ans.
.HLAgene
6.
.amni
oti
cmembr
ane
ans.
.non–i
mmunogeni
c
7.
.ai
dsspr eadby
a.
orofecalroute
b.
bloodt r
ansfusion(
ans)
c.
droplet
d.
mat ernalfet
alrout
e
8.
.pot
entchemot
act
icf
act
or
ans.
C5a
9..
exogenousst
eroi
dcauses
ans..
eosi
nopeni
a
NOTE..ster
oidscausesneut r
ophi
lia,
eosinopeni
aand
l
ymphopeni a.andcausesdecactivati
onofneutrophi
ladhesi
on
moleculesandi mpairmigr
ationf
rom vasculat
uretothesi
teof
i
nfl
ammat i
on. .
ref
erenceFIRSTAID
10.
.br
aindamage.Hemi
plegi
a,t
ypeofnecr
osi
s
ans.
.l
iquef
act
ivenecr
osi
s
11.
plat
eletadhesi
on
ans.
.r
oughendot
hel
ium I C )
- M ED
12.
.di
abet
icf
ootul
cer
OO L
( K
ans.
angi
opat
aL
hy+neur
opat
hy iM
M K
13.
.per
i r
odb
D et
weenS1ANDS2
By
ans.Vent
ri
cul
arsyst
ole
14.
.buccophar
yngealmembr
ane
ans.
separ
atesst
omodi
um f
rom f
oregut
15.
.f
act
ornotpr
esenti
nint
ri
nsi
cpat
hway
ans,
fact
or7
16,
.
.act
in,
myosi
nandcl
art
hinhel
psi
n
ans.
.pi
nocyt
osi
s
17.
.whi
cht
umormar
kerr
aisedi
nhydat
if
orm mol
e
ans.
.bet
a-Hcg
18.
pyogeni
cmeni
ngi
ti
s
ans.Decr
easedgl
ucosei
nCSF
19.
.doct
ort
ellaboutper
manentdi
sabi
li
tyofchi
ldt
othepat
ient
ans.
deni
al
20.
.l
esi
onofopt
icchi
asm
ans.
bit
empor
alhemi
anopi
a
21.
.r
egar
dingpi
tui
tar
ywhati
scor
rect
I C )
ans.
drai
nint
odur
alvenoussi
nus
- MED
OO L
22.
.ovar
ynotf
allduet
o
( K
aL iM
ans.
uter
us
M K
D r
yemaleinguinalcanalcontains
B
23.
.f
ans.
.r
oundl
igament+i
ngui
nalner
ve
24.
ner
vesuppl
yofvul
va
ans.
.pudendal
ner
ve
25.
.i
nci
sionalher
nia,
fi
rstl
ayert
obdi
ssect
ed
ans.
tr
ansver
sal
isf
asci
a
26.
.spi
nalshock
ans.
.l
ossofvasomot
ort
one
27.
.her
niat
ionofdi
sc
ans.
.i
nvol
vesspi
nal
ner
ve+post
.r
amus
28.
.apexofhear
t
ans.
.8cm awayf
rom st
ernum i
nmi
dcl
avi
cul
arl
ine
29.
.bl
adderpar
tdevoi
dofper
it
oneum
NOTE.
.Theupperpar
toft
hepost
eri
orsur
faceoft
hebl
adderi
scover
ed
byperi
toneum
Thelowerpartoft
hepost
eri
orsur
facei
sdevoi
dofper
it
oneum.
Thesuperiorsurf
aceofthebladderiscoveredcompletel
)
ybyper
I C it
oneum.
Al
t
ongt
hepel
hel
vi
ater
s.Thi
almargi
ns,
smeanst
theper
hatanter
i
t
i
oneum passesont
orandlater
- M
alpar
t
ot
ED
soft
helat
hebl
eralwal
l
adderar
sof
e
devoi
dofper it
oneum.
OO L
Asthebladderfi
ll
swit
huri
ne,t (
heperK
i
toneum peel
sofff
rom t
heanteri
or
wallofpel
vissot
aL
hatt
hebl iM
addercomesindir
ectcont
actwit
htheanteri
or
abdomi
M
nalwall
.K
.
D r
By
30.
.r
espi
rat
orydeadspace
ans.
humi
dif
iesandwar
msi
nspi
redai
r
31.
.SER
ans.
.det
oxi
fi
cat
ion
32,
,
breasrcar
cinoma.
prevent
ionofofost
eopor
osi
sinol
dage
ans.
ral
oxi
fen
33.
.al
dost
eronei
ncr
easessect
o
ans,
.
hyper
kal
emi
a
34.
.ADHdecby
ans.
alcohol
35.
Uwave
ans.
.hypokal
emi
a
36.
.JGcel
lssecr
ete
ans.
.r
eni
n
37..
duri
ngexer
cisedecTPR
dueto
ans.l
ocalmet
aboli
tes I C )
- M ED
38.
.cor
onar
ybl
oodf
lowr
egul
atedby
OO L
( K
ans.
.l
ocalmet
abol
it
es
aL iM
M K
39.
.car
ot
Dir
ds i
nus
By
ans.
.bar
orecept
or
40.
.oxygendecr
easesi
nar
ter
ialbl
oodt
hanal
veol
arai
rduet
o
ans.
pressur
egr
adi
ant
41.
.causeofmet
apl
asi
a
ans.
chr
oni
cir
ri
tat
ion
42.
.met
apl
asi
adef
ini
ti
on
43.
.pr
otei
nur
iaduet
o
ans,
.
glomer
ularbasementmembr
anedamage
44.
.met
abol
icaci
dosi
swi
thnor
malani
ongapi
n
ans.
.di
arr
hea
45.
.pr
otei
nur
ia,
nosel
esi
on,
vascul
it
is
ans.
.wegnergr
anul
omat
osi
s
46.
.bi
ceps
ans.
C6
47.
.MMRdef
ini
ti
on
48.
.pr
eval
encedef
ini
ti
on
I C )
49.
.cohor
tst
udy
- MED
OO L
50.
inci
dencedef
ini
ti
on
( K
aL iM
51.
.cer
vicall K
ymphdr
M ainage
D r
yghttotrachea
B
52.
ri
ans.
vagusner
ve
53,
.
.hyal
inecar
ti
lage
ans.
.novi
sibl
efi
bres
54..
gener
alsensati
onofmi
ddl
ecr
ani
alf
ossa
ans.t
ri
geminalner
ve
55.
.6yearol
dchil
dwit
hf i
nenyst
agmus,
noot
heropht
hal
mol
ogi
cal
andneurol
ogi
calsi
gn,
lesi
onin
a.
occipi
talcor
tex
b.
cerebell
um
c.
brainstem
56.
.RBCsf
ormat
i n2ndt
oni ri
mest
er
ans.
.Li
ver
57.
.Rhi
mmunogl
obul
in
ans.
.i
gG
58.
.cat
aractcausedby
ans.
congeni
talr
ubel
l
a
59.
.i
oni
zingr
adi
ati
oncauses
ans.
leukemi
a I C )
- MED
60.
.f
armerwor
kingi
nhotenvi
r
OO L
onmentsuddenl
ycol
lapsed.
Na129
mEq/l
( K
aL iM
ans.
.excessi K
vesweat
M ing
D r
yocalcauseofedema
B
61.
.l
ans.
.al
ler
gy
62.
.phr
eni
cner
veaccompani
edby
ans.
.per
icar
diophr
eni
car
ter
y
63.
.f
unct
ionall
ayerofendomet
ri
um
64.
.whi
chl
ayersheddur
ingpar
tur
it
ionandmenses
65.
.notf
oundi
ndeepper
inealpouch
ans.
..
per
inealbody
66.
.l
ymphdr
ainagebel
owhymen
ans.
.medi
algr
oupofsuper
fi
ciali
ngui
nall
ymphnodes
67.
.chi
ldr
enwi
thgener
ali
zededemai
nvest
igat
ion
ans…ur
ineal
bumi
n
68.
.f
ordi
abet
icnephr
opat
hy
ans.
.ur
inar
yal
bumi
n
69.
.cocai
ne
ans.
.vasoconst
ri
cti
on
70.
.sur
fact
antdef
ici
ency I C )
- M ED
ans.
.deccompl
iance
OO L
( K
71.
.decr
easespi
ndl
aL
efi
bref
ir iM
ewhen
M K
ans.
.
D r
muscl
est
ret
ch
By
72.
.gol
git
endonor
gan
ans.
.muscl
erel
axat
ion
73.
.mi
tochondr
ion
ans.
.mat
ernali
nher
it
ance
74.
.col
lagen
ans.
.vi
tami
nC
75.
.downsyndr
ome
ans.
.r
ober
tsoni
ant
ransl
ocat
ion
76.
.ur
emi
cnephr
opat
hy
ans.
.nor
mochr
omi
cnor
mocyt
icanemi
a
77.
.hypot
hyr
oidi
sm dr
uguse
ans.
.l
evot
hyr
oxi
ne
78.
.hasselbacht
ri
angl
e
ans.
.di
recti
ngui
nal
her
nia
79.
.f
ail
ureofovul
ati
onduet
o
ans.
.pr
olact
in
I C )
80.
.counsel
li
ngdef
ini
ti
on
- M ED
OO L
81.
.regardingRMP
( K
NOTE. .achi
aL
evedbyKeff
l iM
ux
maintai K
nedbyNa/
M Kpump
D r
ybnormaldecinestrogenand
B
82.
.a
i
ncFSH
ans.
.pr
imar
yhypogonadi
sm
83..
0.5%bupi
vacai
nei
n100ml
ans..
84..
drugwhi chr equir
emini
malabsorpt
ionshoul
dhave
a.
lowt herapeut i
cindex
st
b.
extensive1 passl i
vermet
abol
ism
85..
indiabet
espolyphagi
adueto
a.
Incglucose
b.
decsensi t
ivi
tyofsat
iet
ycent
reforgl
ucose(
ans)
86.
.ol
dagedi
abet
ict
ype2dr
ugofchoi
ce
ans.
.met
for
min
87..
pati
enthavingglabencl
ami
deandal
sohavingsever
easthmat
ic
att
acktaki
ngdr ugforthi
shavi
ngbl
oodglucose40mg,whi
chdrug
i
nteractwi
thglabenclamide
a.
sali
syl at
e
b.
chlorampheni col
c.
b.bl
ocker
d.
steroids(ans)
88.
.21-
23daysmenst
rualcycl
e,ovul
ati
onwi
ll
occuron
I C )
a.
10(
ans)
- M ED
b.
15
OO L
c.
18
( K
d.
20
aL iM
M K
89.
.TBdi
Dagr
nosi
s
By
ans.
.AFB
90..
acti
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s
ans..
granul
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91.
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perTcel
l
ans.
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92.
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a.
decinautoimmunedisease
b.
produceplasmacell
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producecytoki
nes(
ans)
93.
.endar
ter
iespr
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talor
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94..
chemicalcar
cinogen
ans..
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95..
amanhavinggonococcalinf
ect
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inf
ect
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uctur
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ogenit
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ans.
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NOTE.
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ent
96.
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ans.
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97.
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ans.
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99.
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lect
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100.
.t
otalATPi
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ans.
.38
101.
.l
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anddr
aini
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n
102.
.ur
inar
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rom
ans.
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nter
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103.
.whenur
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iccap
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.ki
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eter
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ureterwi
thoutki
dney
104.
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decT3andT4
ans.
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105.
.posi
ti
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ogen
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106.
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- M ED
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ans.
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iancancer
( K
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107.
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ermi
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M K
nbr
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orm
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ans.
108.
.HbF97%,
HbA2%.
.t
ypeofanemi
a
ans.
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hal
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amaj
or
109.
.i
rondef
ici
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ascenar
io
110..
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Hb6,TLC2.
1*10^
9.pl
atel
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and
hypocel
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ow
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s
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acutel
eukemia
111.
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nmanaf t
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ost
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it
hinur
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a
,
whichfasci
ashoul
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ans.
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ll
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asci
a
112.
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ter15daysofC-
sect
ionur
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inence
ans.
.vesi
covagi
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ula
113.
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ntr
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ial
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oni
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va
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sease
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condyloma
114.
.l
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evel
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hi
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reason
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115.
.chroni
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ogy
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osi
s
( K
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lymphocyt
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K
Mmbrane
116.
.cl r
oaca
D lme
By
a.
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m andendoder
b.
.for
mationofall
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117.
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ans.
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ddl
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alar
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y
118.
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sthr
ough
ans.
.cAMP
119.
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vicAPdi
amet
eri
smor
ethant
ransver
se
120.
.sor
bit
ol=al
coholsugar
121.
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elomer
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ion
122.
.t
est
icul
arf
emi
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omequest
ion
123.
.beni
gnt
umor
ans.
war
thi
ntumor
124.
.mi
croscopi
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ureofcancer
ans.
.i
nvasi
on
125.
.di
ff
erencebet
weenbeni
gnandmal
ignantt
umor
ans.
.met
ast
asi
s
126.
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ls I C )
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ans.
.i
nhi
bin
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( K
127.
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agnosi
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vical
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s
M K
ans.
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By
128.
.f
etaladr
enalr
eleases=DHEA
129.
.onsetofpar
tur
it
ion
ans.
.f
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ti
sol
130.
.amni
oti
cembol
ism occuri
n
a.
dur
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abour
b.
dur
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abour
,par
tur
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c-secti
on
c.
dur
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abour
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i
ntrapar
tum
131.
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.3quest
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dingbr
eastl
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ainage
132.
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ect
um post
eri
olyl
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ans.
.S1S2S3
133.
.al
phaagoni
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ans.
.mydr
iasi
s
134.
.par
asympat
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ans.
.mi
osi
s
135.
.pot
entst
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usofi
nsul
inr
elease
ans.
.GI
P
136.
.l
ipi
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elocalanaest
het
ic
I C )
ans.
.mor
epot
ent
- MED
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137.
.bupi
vacai
nsaf
edose
( K
aL iM
ans.
.150mg
M K
D r
y.morelipidsoluble
B
138.
ans.
.mor
eabsor
pti
on
139.
.6yearol
dboywi
thenl
argedscr
otum,
pai
nandi
nc17-
ket
oster
oid
a.
congenit
aladrenalhyper
plasi
a(ans)
b.
test
icul
arcarci
noma
140.
.whi
chmet
abol
it
eoff
att
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dmet
abol
ism ent
eri
ntokr
ebs
cycl
e
a.acetylCo-A(
ans)
b.ketones
141.
.i
ncancerscr
eeni
ngt
esti
simpor
tant
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abl
eforpeopl
e
b.
.ear
lydi
agnosi
s(ans)
142.
.antf
ont
anel
leandpost
eri
orf
ont
anel
ledi
ff
erence
143.
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ackwat
erf
ever=mal
ari
a
144.
.Quar
ant
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ari
a=pl
asmodi
um mal
ari
a
145.
.l
argestpr
o-er
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ocyt
est
age=pl
asmodi
um mal
ari
a
146.
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ti
plef
ract
ures,
BP90/
40.
ini
ti
alst
epofmanagement
ans.
.I
/Vf
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ds I C )
- M ED
147.
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fact
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ici
encycausesi
OO L
ncsur
facet
ensi
onanddec
compli
ance
( K
aL iM
148.
.pr
ecur
M K
sorofcat
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ami
nes
D r
Byans.tyrosine
149.
.r
egar
dinghymen=st
rat
if
iedsquamousepi
thel
ium
150.
.r
egar
dingbi
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labi
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ty=or
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e
Comiled by dr nimra ashraf.. remember in

prayers..
11t
hMa
y2016Obs
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1. Trueaboutmembranet
rans
por
tA.gl
ucos
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mpot
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ghtoff
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s
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9. Nor
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- M ED
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ubs
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pf
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By
oci
n
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11.Mi
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tofwhi
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Ans
Pr
ola
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12.Dur
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monei
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ase
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chpl
ace
nta
lha
rmone
?
Ans
Humanc
hor
ioni
csoma
tot
ropi
n
13.Fe
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14.Wh
tpe
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15.Det
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ausedby
Pel
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M ( K
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r
Doxaz
oci
n
18.Aladyhadac.
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.Whi c
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onforher
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Ans
Ser
ume
lec
trol
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,se
rumur
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Ans
Cons
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all
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Ans
Cer
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22.Ur
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li
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Ans
23.Count
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ntube
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mina
lcol
li
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24.Count
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aL i
M K
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25.As
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mal
it
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cor
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Ans
26.Oneoff oll
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ti
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Itca
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bit
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Move mnetofKi nsi
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C
27.I
mme
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tee
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ama
ti
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Dil
at
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l
28.Bl
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tha
ppe
ns
A)
Spl
nchni
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la
ti
on
B)
vas
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tri
ct
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Ans
B
29.Ef
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Ans
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oco
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ri
ct
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cel
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ti
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.Ca
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ri
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Suppli
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Ans
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32.ur
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owe
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Cl
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33.e
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ora
menr
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ti
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Sup
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ybyLi
ver
34.Truea
boutva
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Post
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um
Sup
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Rtat
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A
36.Buccophar
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Se
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37.Tru
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scer
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Devel
opspa r
tl
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omf or
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Drai
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inus
es
38.Pit
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arygl
andtruestat
eme nt
Suppl
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rhypophysialart
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arot
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Post
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arycont
ainsacidophil
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ophill
s
It
sles
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39.Supt
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achof
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Ans
Ext
erna
lCa
rot
id
40.Re
gar
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st
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,whi
ch.
..
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scor
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t
A-Compac
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cla
mel
la
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cha
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ont
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tht
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heinne
rsi
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41.Cell
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e gul
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B
42.Cs
fqua
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- M ED
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M ( K
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43.Tr
uea K
boutCSFs
M tudy
By
Ans Dr
Lowgl
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nicme
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44.Cor
rec
tas
soc
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BI
CEPSC6
45.Aor
ti
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set
s
Is
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Is
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umetr
icrel
axa
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46.2ndhear
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Aort
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yva l
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ti
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47.Onewa
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malha
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anc
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cha
nis
m
Ans
Apopt
osi
s
48.1wa
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ftvoc
alc
ordpa
ral
ysi
s..
Ans
RLN
49.re
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nghea
rttrueis
Bothart
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esa
nast
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hother
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unbetweenauri
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bul
umc
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ding)
Botart
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esha
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anche
swi t
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I C )
50.Str
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li
sisforme
dby
- M ED
Str
atumc ompa
ctumandstr
atumspongi
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51.Onewa
sadr
e
M K
noc
ort
ic
ali
nsuf
fi
ci
enc
y
By Dr
52.1aboutr
ubell
a.?
Howtoprevebntr
ubel
la
Ans
Avoi
dc on
tact
53.Aboutve
rte
bral
onge
stt
rans
ver
sepr
oce
s??
Ans
C7
54.C1a
bse
ntbody
55.Leadshi
el
dusedforpr
ote
cti
oninpr
egnantwome
ndur
ing
Xrayches
t
Pel
vimetr
y(xraype
lvimet
rywasnotwr
it
ten)
56.Afemal
ewi
thHI
vha
vec
hanc
eofwhi
chma
li
gna
ncy?
Leuke
mia
Ovari
anCA
Ans
57.Apa t
ie
ntpr e
sent
swit
hmoonf ac
e,st
ri
aonl
egs
,tr
unc
alobe
sit
ybs
l=200mg,
b.p=150/
110(
no
val
ueofacthgiven)wha
tisyourdi
agnos
is?
Crus
hingsyndrome
Crus
hingdise
ase
Ans
B
I C )
58.Aptpres
ent
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hwe a
kne
ss,ma
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se,j
ointpa
inf
or2we
-e
M
ks
.Be
sti
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Bloodf
orcol
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Bloodc
ult
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M ( K
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M K
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59.GVEFor besoftheva
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ris
efr
om
A.dor
salnuc
leus
B.Nucleusa
mbi gus
Ans
A
60.Fe malepres
ent
edwit
h104f
eve
rri
ghtl
oinpa
in,
feve
rwbc
=25000.
wha
tiat
hebe
st
invest
igat
iontobedone?
Ur i
nec ul
tur
e
Bloodc ul
ture
.
61.Ekf
oli
cac
idde
fic
ienc
ywa
labt
othakf
etusma
inki
ahogaa
nenc
epha
ly
62.I
GA%=70%
63.Ac
ti
vat
ionofc
AMPme
cha
nis
misa
nac
ti
onofA.
Rec
ept
orsB.Enz
yme
sC.
car
ri
res
64.Amongf
oll
owi
ngWhtmos
tl
yac
ti
vat
esc
ompl
eme
nts
yst
emA.
endot
oxi
nB.De
xtr
an
65.2,
Cer
ebr
alma
lri
ap.
fal
cpr
m
66.h202,
,,
per
oxys
ome
67.c
ardi
acmus
clel
ongr
.pe
riod
I C )
- M ED
OO L
68..
hea
rtmos
tli
kel
y..
..
hea
rts
ounda
nat
omi
ca
M
r
ea
( K
aL i
M K
69.Tr
By
uea
Dr
boute
pit
hel
ium
Si
mpl
esqua
mouse
pit
hel
iumi
sfoundwhe
ree
xcha
ngeofga
sest
akepl
ace
70.l
efts
hif
tcur
ve.
..
hypot
her
mia
71..
bre
asta
trophya
dul
tes
troge
nnp
roge
str
on
Ans
Est
roge
nonl
y
72..
longt
rans
ver
ses
hor
tapdi
ame
ter
..
.pl
at
ypo
idma
rkd
73.pr
ole
cti
ninhi
btova
lut
ion
74.di
cromle
nha
ncebl
eedi
ng
75..
sni
rol
estbl
ood.
..
ske
latmus
cle
76..
sni
ro.
fate
mbol
is
m
77..
scni
roa
mni
oti
cembol
is
m
78..
his
tol
ogybonewa
la
79.mos
tli
kel
yut
eri
net
ube.
.c
il
at
ede
pit
hel
ium
80..
Trueregardingbreast
I C )
ED
A)Ari
sesfr
omma mma r
ybudwi thmamma ryli
nes
B)Doesn’
taris
ef romplaceothe
rthanthor
ax
L - M
OO
C)Milcomeinsidef r
omMont gomerytuber
cle
saft
ersuc
king
D)Si
zeofbr e
astde te
rminest
heamountofmi
M ( K
l
kinit
E)Hai
rsarounda reol
aaeabnor
aL i
malandshowhormonali
nflue
nce
s
Ans
M K
A
By Dr
81.s
cni
ri
oea
ti
ngmor
esma
lfe
etnha
nd.
.pr
ide
rwl
ia
82.,
InSplee
nwor noutbl
oodc e
ll
sc omeouta
twhi
chpa
rt
A)Redpulpandsi
nuses
B)Whit
epulpandvenules
C)Pe
nici
ll
arcapi
ll
ari
esandvenules
D)Art
eri
oleandpeni
cil
arcapi
ll
ari
es
Ans
D
83.bl
oods
uppl
ytopr
ima
ryc
ort
ex
84.Asemiconsc
iouspa
ti
entas
pir
atewhi
leLYI
NGonhi
sba
ck,t
hes
egme
ntoft
hel
ung
mostl
ikel
ya f
fect
edwouldbe;
a)a
nter
iorsegmentofri
ghtupperl
obe
b)api
calse
gme ntofr
t.l
owe rl
obe
85.dopa
mines
tea
dys
tat
e:9mi
n
86.Mi
ddl
ere
cta
lar
ter
yiabr
anc
hof
Ans
I
nfe
riorve
nac
ava
87.gl
ucos
etr
ans
por
tthr
oughpl
ace
ntavi
a:f
asc
il
at
ddi
ff
usi
on
88.l
ymph
ati
cfr
omvul
va:s
upi
ngui
nall
ymphnode
I C )
- MED
OO L
89.br
eas
tcai
nvol
vesa
ntpe
ctor
algr (
ou.
M
..
uppe
rout
eK
rqua
dra
nt
aL i
90.:
2%l
i
M
gnoc
aiK
nei
n4ml:
80mg
By Dr
91.:bl
ade
rbl
oods
uppl
y:a
ntbr
anc
hofi
nte
rna
lil
ia
car
ter
y
92.Exa
mpl
eofSe
condr
yCa
rti
lge
nousJ
oint
Ans
Symphys
isPubi
s
93.mos
tcommona
nemi
ainpr
agna
ncy:di
lut
iona
lane
mia
94.53:c
rani
opha
ryngi
oma
:HMGf
oll
owe
dbyHc
g
95.a
menor
haedur
inga
cti
onduet
o:pr
ola
cti
n
96.i
ngui
nalc
ana
l:s
upboundbyc
onj
ointt
endon
97.ur
ina
rybl
adde
r:s
ti
mul
at
edbys
tre
tchr
ece
ptori
nthewa
ll
98.Ca r
oti
dbodyst
imul
at
edby
A)Incr
easeinpH
B)BloodPco2
Ans
B
99.bi
ost
at
ic:me
an&s
tanda
rde
rrorofme
an
I C )
100. Ve
sse
lda
mage
dwhe
ninc
isi
ongi
veni
nupr
apubi
car
ea
- M ED
Ans
OO L
I
nfe
riorEpi
gas
tri
car
ter
y
M ( K
aL i
M K
By
101.
A)fr
uct
Dr
os
commoni
e16bi pi
os
nt
e
pha
t
rme
et
di
of
a
r
tei
uc
ngl
t
os
ycol
ys
e6phos
is&gl
pha
te
uc
oge
nes
is:
B)Fruc
tose6phophat
etoGlucose6phopha
te
An
A
102. I
napa tientocculoc
ardi
acre
f l
exhasbeens
ti
mul
at
edc
aus
ings
eve
rebr
adyc
ardi
aand
hypot
e ns i
on.Mos ta ppropri
at
einiti
almanage
me nt
:
1.IVa tropine
2remova lofsti
mul us
3hyper ventil
ati
onofpa ri
ent
4anesthe ti
zerectusmus c
les
5Re t
robul barblock
An
2
103. s
hif
tofc
urvet
othel
eft
:hypot
her
mia
104. fe
ma l
etooktbt
rea
tme
nt10yrba
cknwpr
ese
ntswi
thge
ner
ali
sede
dema.
..
.c
aus
e:
cons
tri
ct
iveper
ica
rdit
is
105. Re
cur
renta
bsc
essbys
tapha
ure
usna
spe
rgi
ll
osi
sinfi
nyoungboyc
aus
eis
:Na
dph
defi
ci
enc
y
106. 80:r
adi
at
ioni
njur
y:f
reer
edi
cal
s
107. que
sti
onnotr
embe
rBTa
nsi
spi
echa
rt
I C )
108. Be
sts
our
ceo
fFa
ctor9:f
fp
- M ED
OO L
109. 90:Ca
lci
toni
nse
cre
ti
ngt
umorr
M
e
(la
te
K
dt
oth
yroi
d
aL i
M K
110.
By Dr
de
trus
ors
uppl
y:s
2s3s
4
111. c
hroni
cint
rava
scul
arhe
mol
ysi
s:DECh
ept
ogl
obi
n
112. c
e r
vic
aldys
pla
sia:
mult
ipa
rit
y/iucd?
????
113. ge
net
ic
s:pyl
oti
cst
enos
isc
hanc
esi
nci
nsi
bli
ngs
114. obe
sit
yhi
rsui
ti
smpi
gme
nta
ti
on:pr
ima
ryi
ncofACTH
115. hor
monet
her
apy:a
popt
osi
s
116. Whichoneoft
hes
eha
sha
sai
rbor
net
rans
mis
sionA.Myc
oba
cte
rium
B.cor
nyba
cte
rium
117. STDc
hla
yma
diayagonnor
hea
??
Ans
A
118. Gynae11t
hmayQuesti
oneveni
ng
Edemainptofc
a r
dia
cfa
il
ure,r
esul
tfr
omincr
eas
efor
mat
ionofi
nte
res
ti
ti
alf
lui
diti
s
dueto
a)decr
ease
dcoll
oidosmoti
cpres
sure
b)inc
reas
edcapi
ll
arypress
ures
econdar
ytoi
ncr
eas
edve
nouspr
ess
ure
c)sal
tandfl
uidr
estr
ict
ionbyki
dney
119. Pa
ti
entc
amei
nERwi
thc
ardi
oge
nics
hoc
k..Whtf
ir
stt
rea
tme
ntA.
dopa
mine
B.adr
ena
li
ne
120. Hor
monec
aus
ingi
ncr
eas
egl
ucos
e,f
att
yac
idit
heb
lood
I C )
Ans
- M ED
Gluc
agon
OO L
M ( K
aL i
121.
M
Be
s K
tI
xof20wksge
sta
ti
onwi
thpr
evi
oushi
st
oryofhe
mol
yti
cane
miai
nne
wbor
n
Bl
By
oodgr
Dr
oupB+
Ans
wit
hB-
IVE
122. Odont
oidpr
oce
ssofa
xisona
tl
as-
tr
ans
ver
sel
iga
ment
123. NahCO3i
sre
nalc
ompe
nsa
ti
onf
or
Respal
kal
osi
s
124. Whi
pli
kemo
veme
ntsa
rei
n
Ans
Fal
ll
opi
ant
ube
125. Monoc
yte
Ans
Cove
rtsi
nmul
ti
nuc
lea
tedgi
antc
ell
s
126. Se
nsor
ypa
ins
ens
ati
ont
out
erus
Ans
Broa
dli
gme
nt
127. P53ge
nemut
at
ionme
ans
Ans
Cel
lsur
viva
l
128. Ca
use
sofhe
pat
oce
ll
ula
rca
rci
nomai
nde
vel
opi
ngc
ount
ri
es
I C )
Ans
- M ED
Hepa
ti
ti
sBa
dnC
OO L
M ( K
aL i
129. Hi
ghc
a
MrK
di
aout
puti
n
By
Ans Dr
Ber
ibe
ri
130. Te
rmi
nalI
leumr
ese
cti
oni
nte
rfe
reswi
tha
bsor
ti
onof
A)VitD
B)Calc
ium
C)B12
An
C
131. Ac
aseofpe
opl
ewi
ths
moki
nga
ndhe
alt
hygr
oup.
Typeofs
tudy
Ans
Cas
eCont
rol
132. HRTCa
se.
Modeofpr
ese
nta
ti
onwa
sas
ked
Ans
Pi
echa
rt
133. Pr
egna
ncyc
aus
eofa
nemi
a
Ans
Dil
uti
ona
lane
mia
134. Sc
ene
rioofI
nfe
cti
vee
ndoc
ardi
ti
s
Ans
Bl
oodc
ult
ure
I C )
135. Ac
aseofha
emol
yti
cdi
sea
eofne
wbor
n.Te
stdonei
M
nmot
- her ED
OO L
An
I
ndi
rec
tCoombt
est
M ( K
aL i
M K
By
136. Dr
Aneut
ropeni
c,hypot
ens
ivepa
ti
entwasadmi
tte
dinonc
ologywa
rdwi
thi
st
oryof
dysur
ia.
Blo
odcult
ureyie
ldedPse
udomonas
.Subs
tanc
ere
kease
d?
Ans
Tumourne
cros
isf
act
or
137. Af
terradi
calpros
tac
tect
omy,ca
thet
erremove
daf
ter2we
eksa
ndpa
ti
entde
veol
ops
fec
alur
ia.
Whic
hf i
brousst
ruct
ureshoudbeefti
nta
ct
Ans
Denovi
ll
erf
asc
ia
138. Bot
hwwe
rni
cha
ndBr
ocai
nvol
veme
ntc
aus
es
Ans
Globa
lAp
has
eia
139. H2O2f
orme
dby
Ans
Per
oxi
some
s
140. Typeofne
cros
isi
nbr
aina
nds
ple
en
Ans
Coa
gul
at
ivene
cros
is
141. Shi
ver
ingc
ent
rei
sin
Ans
Pos
ter
iorHypot
hal
amus
I C )
- M ED
142. Pva
luef
or
OO L
Ans
M ( K
Pr
obabi
li
ty
aL i
M K
By Dr
143. Me
dia
n
Me
dia
nist
heonewi
the
qua
luppe
randl
owe
rnumbe
rs
144. Me
cha
inmofa
cnc
er
Ans
Expr
ess
ionofpr
oto-
onc
oge
ne
145. Doc
torbe
havi
ourwhi
cha
tt
rac
tpa
ti
ent
Ans
Mai
nta
inpa
ti
entdi
gni
ty
146. pat
ientwit
hmult
ipl
efr
act
ure
sofpe
lvi
sha
vin
glos
sofs
ens
ati
oni
npe
ria
nala
rea
.
whichner
veisspare
d?
A.ILLIOHYPOGASTRI CNERVE
b.pudenda
lnerve
c.i
lioi
ngui
nalnerve
d.podtcut
aneousner
veo
fthi
gh
Ans
A
147. Pude
nada
lkir
ootva
lve
Ans
S2,
3,
4
148. MCV=115
Ans
I C )
Ma c
roc
yti
canae
mia
- MED
OO L
149. Gl
ucoet
rans
por
tedt
opl
ace
M
nt (
avi
a K
aL i
Ans
M K
Fa
By
c
il
it
at
ae
Dr
ddi
ff
usi
on
150. Antic
holi
nergi
cdr
ugc
anbeus
edi
n
A.Ac ut
epulmona yfi
brosi
s
B.Al ergcasthma
C.chronicasthma
D.Ac utebronchospa
sm
E.acutebronchit
is
Ans
D
151. I
nint
ers
tai
lpr
esur
ebt
a
Ans
Lympha
ti
cobs
truc
ti
on
152. Ha
lfl
if
eofdopa
mine
.9mi
n/2
153. Shorthalfl
if
ewa l
a.Reachess
teadyst
atequi
ckly/lowther
apeut
icval
ue
drugha vi
ngshorthalfl
if
e..
.a)areexte
nsi
velyboundtopla
s maprot
ei
ns..b)ar
efree
lyfil
te
red
throughglomerul
i..c
)havelowther
a pe
uti
cindex,
,d)havelowvolumeofdist
ri
but
ion..
.e)rea
ch
steadysta
teconcentr
ati
onquic
kly.
..
Ans
E
154. I
ucdkabt
aoidi
dpur
ule
ntdi
scha
rgeqkwa
handur
ingi
ucdl
ikha
Ans
Squ
amousMe
tapl
asi
a
I C )
- M ED
OO L
155. Sc
ene
rioofdowns
yndr
ome
.Pl
M
ama
(rcr
eas
K
eet
c
Ans
aL i
Tr
iomy21
M K
By Dr
156. Menopauseisdueto
Ovari
anunr
esponsi
venes
Pit
uat
ryexa
uati
onduet oluet
inghor
m
Pit
uat
ryexa
uxti
onduet ofsh
Hypolt
hami
cunresponsi
veness
Ans
A
157. Fe
talme
asur
eme n7th,
ntdonei 8thwe
eksby
Ans
CRL
158. pe
rsont
aki
ngc
arbohyde
rat
ede
fic
ientdi
et?whi
chvi
ta
mins
houl
dbes
uppl
ime
nte
d?
A.THIAMI NE
b.ri
bof
lavi
n
Ans
A
159. c
ycl
icGMPwhi
chhor
monei
ncl
ude
d?
A.Ins
uli
n
B.ANP
Ans
B
160. onchar
act
ers
ti
csofTB?
a.cas
eousnec
rosi
s
b.epi
thi
loi
dcell
s
161. ptinsi
bbiba
loc
his
tan.
.c
ampingandsl
eepsonf
loor.
.fe
verwi
tI
hlC )
ympha
denopa
thy
.
.hi
st
oryoftickbit
e?
- M ED
a.kal
azarb.fil
ari
asi
sc.mal
ari
ad.Onchoc
erc
ias
is
OO L
M ( K
aL i
162.
M K
Lymphati
cdrainageofa nus
A)Ve
By
B)
r
Hor
t
i
i
z
ca
Dr
lgr
onta
oupofs
lgr
upe
oupofs
rf
i
upe
c
r
i
a
f
i
li
ci
a
ngui
li
na
ngui
ll
na
ymphnode
ll
s
ymphnodes
C)DeepInuinalLymphnode s
D)MedialgroupofSuperfi
cialI
nguin alLymphnodes
Ans
D
163. La
biama
jor
alympha
ti
cdr
aina
ge
Ans
Sup
erf
ici
alI
ngui
nalLymphnode
164. r
egardi
ngbupi
vica
n?
a.bl
ockNachannelini
oni
sedsta
te
b.morea
bsorpt
ioninnoni
onise
ds t
at
e
Ans
A
165. longe
stincub
ati
onper
iodofwhi
chmalar
ialpa
ras
it
e?
A.pla
smodi
amMa l
ari
ab.oval
ec.vi
vaxd.f
alc
ipe
rem
Ans
A
166. phar
mamc
qac
ti
onofa
nes
the
ti
cre
qui
re?
A.li
pids
olubil
it
y
167. twodif
fer
entge
net
icl
ine
sde
rive
dfr
omas
ingl
ezygot
e?
a.genomicimpri
nti
ng
b.zygot
ea crome
galy
c.mos
d.z
ai
ygot
c
s
ea
m
nomly I C )
- M ED
Ans
OO L
C
M ( K
aL i
168. Pr
ot
Me
iK
ns
ynt
hes
isi
nvol
ves
By
As Dr
Mrna
,pr
ote
in,
Traa
ndRi
bos
ome
s
169. St
ruct
urede
ept
oubma
ndi
bul
argl
and.
Pas
singde
ept
opos
ter
iorbe
elyof
st
ernoc
lei
domast
oid
Ans
Li
ngua
lNe
rve
170. Ar
ter
yjoi
ngba
sil
ara
rte
rywi
thi
nte
rna
lca
rot
ida
rte
ry
Ans
Pos
ter
iorCommuni
cat
inga
rte
ry
171. Infe
cti
onouts
idepr
etr
ach
iall
aye
rgoe
sto
A.super
iorme di
ast
inum
B.post
erior
C.ante
rior
D.
middl
e
Ans
C
172. Apr
egna
ntl
adyha
dfr
act
ureNe
ckoff
emuri
nar
oadt
raf
fi
cac
cide
nt.
Caus
eofde
ath
wouldbe
?
A)
Amniot
icf
lui
dembol
is
m
B)
FatEmbol
is
m
Ans
A
I C )
173.
A)Pleomor
Cr
phi
s
i
t
m
e
riafordi
agnosi
ngma
li
gna
ntt
umour
- M ED
B)Invasi
onofadja
c e
nttis
sues
OO L
C)Pleomorphi
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☆☆ALLI

1. Blood brain barrier is formed by:

b. Continuous basement membrane

a. Anterior surface of cornea

e. Posterior surface of cornea

e. Von Willebrand's disease

5. Parasympathetic stimulation caused:

b. Decreased gut motiilty

c. Opens intestinal sphincters

6. Which of the following is the site of fusion of binocular vision?

b. Lateral geniculate bodies

8. Which of the following is most strong antioxidant?

9. Most early diagnosis of Vitamin-A deficiency is:

(a) Bilot spots in cornea

(b) Night blindness

(a) Christmas disease

(c) Vitamin-K deficiency

(e) Liver dysfunction

(d) Endoplasmic reticulum

12. Bitemproral vision loss is most commonly causedby:

(a) Piuitary tumor

(c) Adenoma of hypothalamus

(d) Section of optic tract

(e) Section of optic nerve

Option (a) Pappiloma

Option (b) Basal cell carcinoma

Option (c) Squamous cell carcinoma

Option (d) Chalazion

Option (e) Cellulites

14. Parotid gland supplied by:

Option (a) GVA

Option (b) GVE

Option (c) SVE

Option (d) SVA

Option (e) GSA

15. Primary malignant melanoma of the choroids mostcommonly metastasizes to:

Option (a) Liver

Option (b) Lungs

Option (c) Brain

Option (d) Kidneys

Option (e) Breast

Option (a) Right thalamus

Option (b) Internal capsule

Option (c) Cerebral cortex

Option (d) Basal ganglia

Option (e) Midbrain

Option (a) Infection

Option (b) Diabetes mellitus

Option (c) High mobility

Option (d) Foreign body in wound

Option (e) Vascular insufficiency

Option (a) Decreased rate

Option (b) Coronary vasoconstriction

Option (c) Hyperpolarization of SA node

Option (d) Decreased AV nodal delay

Option (e) Decreased stroke volume

19. Which of the following is diagnostic of granuloma?

Option (a) Giant cells

Option (b) Epithliod cells

Option (c) Multinucleated cells

Option (d) Fibroblasts

Option (e) Caseation

Option (a) Supraorbital nerve