OUR LADY OF FATIMA UNtvERgery COLLEGE OF MEDICINE REVALIDA EXAMBNATION I pEYSioLoOY ¢ ; © MARCH T2018 Uh Alling Coent Pt etwas ml nt of mac elon This aa core tos ‘pepo oats es pes raion mally i Bc % via tending cop tnd tha rpnse? @ D- Deeripl cycle tran ‘Stimulates endocytosis ‘channels: tee the 4 Whe of te falowie paces dstingashes excitatory chemical synapses i the brain dy chansels Exciton i prodoced by lignad-gatod ag S i Pingo whee suicint munbe of volage- ped Ns e cc ation potcatials.9, A2B year old athlete is noted to have » baseline heat rate Of $5 bya, (vagal) tone. This parasympathetic effect, among ‘and AV nodes, ACh released into the AV node | cexcellert perasympathetic the ACH released in the SA Sollowing in AY fibers? ‘® Action potential amplitude b. Conduction velocity ,_K equilibrium potential 10. A.4S year old man is seen by his ae somewbat forthe lames (“enlarged bears) can compensate Taree neater retin ofthe veniclc mc els resin wich of he llowiog? Decreases flux of calcium during ventricular repolarization . Enhances reuptake of calcium by the sarcoplasmic reticulum ¢. Enhances influx of calcium during the action potential J. Enhances interaction of myosin cross-bridges with actin € Immproves conduction among muscle cells 11, A patient exhibits an elevated jugular venous pressure. This could be the direct result of we of the #77 & Decreased blood volume increased total peripheral resistance (TPR) Decreased myocardil contractility € relaxation of venous smooth muscle © Increased heart rate 12. 25 year old otherwise healthy pater in involved in a motor vehicle accident, and suffers appreciable blood loss, The cardiac outpun is filing because of «loss of blood. Asa compensatory ‘mechanism, the total peipberal resistance increases to attempt to maintain MAP. Which of the following vasculature corresponding othe fisted organ s contnibuting th least tothe elevated TPR? Brain. small intestine ¢, kidney d. skcletal muscle ¢. skin 13. A chest x-ray of a patent with left-sided heart failure indicates pulmonary edema. Ad&evona# ‘examination probably would reveal which of the following? ¢ normal artenal oxygen partial pressare ‘e neemal vital capectty © @ Jocrensed pulmonary venous presse fy 14, Apolmonary physiologist notes that the lung characteristics of individuals who lack surfactant and with {fibrosis are similar. Which of the following occurs in patients who lackpad stnty toa er inl et 108 thet igh but ci 1, he ae te ht abet canst oa net eaneke by pas wt est ical made a a so nnn ze ac Kb hg lane ear gore tvs a rn wr dprnd, ce a le cee What ely regen fr Inet plasma protein oncotie pressure leading {Decreased glomora ituan ae lading ee 40 Na" and wae retention «Stimulation of the Inahdosterune system ‘Stimulation of aldosterone section Pen leading fo Na . Davee ANP lee fade tO: St aig Nad i tio 20. The occurrence of hypocalcemia can ‘The idhey plays major role in decreasing calcium excretion, hypocalcemia is which ofthe Fld flowndoced station of calcium reabptian byte costing dict i Tanunda of ain sry love le induced activation of calcium reabsorption by the proximal 21.A2i yall nan wi punrsdoetral scan sing ih sf amc ts ‘metabolic kasi it present Which ofthe flowing mst likey to occur? ‘& The plasm bicarbonate concentration will decrease 1. HE will move fom the plasma into the cls o oe wll stimulate pulmenary ventilation nih 2 rate agar ale fanmail oe ean Ti age om Cocina pnt Hest OK ee in ce ls Inrese de or Jremesed rerum otal wide ote te Meme eanofbe es Bet 2s, 4S ld womens red he iS2 Tautin sere iia by which of the allowing? \ neal! acids 4 giucore % AS ero et we to ich the flowing fect is met ily be hypernatremia ‘ aac aaah amentay Pcparation of which ofthe following? 4 growth hormone rocepéor antagonist te cs ep galt Go receptor agonist SU-HoW does heal body tempertre hart elect ovulation? ‘© Increased basal body temperature with LH surge '. ‘Decreased basal boxy temperature with LH surge ‘Increased basal body tenpermture with decreased progesterone level ‘Inercased basal body temperature with clevated progesterone Feve! 212. Wang Metesed asa body lenipeate with increased peripheral estradiol ‘Which ofthe following receptors ceils is a primary afferent ncuron? © Autitory hur cell lfacony receptor cell «photoreceptor cell Bua ween! would: that fase sanavans 2 following observations would suggest that an — ower Eioor neuron lesion is preseat? zi ‘8 teetyichotine b. dopamine @@GABA d. came » Be ymin 7 fe wn a oot ny of bypeletetfose bp atrat: te + un merease in extraceDulay uid volume totracellaiar oxmmolarttycompat. ote isd ol wit debe pad oy who ‘ aioe rh encase se irs feted N bac pa ae rhe dn ws x coi it avy He a vestibular apparatus. 4 ic eter ne @ridlie vermis cred zone el toe cater €. pontocerebellar zone 40, Wiha the long cash < 4 thin lames ae! Contaction ofsvkeleea! moscle fiber? Aittomere @ but fe wtcomere = b, e ee is Rt ace a Sev sans ve Ub A i show 7SP wwe pe an 35 QRS waves in, whe coe RS "i iofbe oeytem ey x oven leck det armas A Oe atta) premature contractions ail perocy al ached 4 ‘he tile nis tena nk cae et ee? 8 inreaed noepicptrine levels SS octoted sie penabiy decreased tcetylchaline 6: infeed caleum peesbiiy ‘Increased synpatheie stil bart iy iret rrepiine uth eicale mph rena 4S iis eae Carma Sesaiel Soca aoe A dilted bean, 0 ‘the following eaeen's best tears Snel il ‘female pte with 200 vial arity based on 4. be sable to see the object clearly at a distance oe distance of 20 meters sof 20 meters B @ He issdbte 10 sce the objects clearly at a distance witha distance of $0 meters cof 15.2 meters a normal penon ©. Heisableto sce the object clearly at u distance son can see Hats distance of 6,1 meters additance of 6 | meters a 207 PE 4 chject clearly ata distance Hie is able to see the object ee of sets a normal Peron can distance of 15:2 meters trarond mea ° Whe i tks eds, the perlite increase chloride conductance inthe outer segme (@sereas sodiun conductance inthe outer sexpment ‘© increase potassium conductance in the inner et A decrease calcium conductance inthe inner seg on the same 53, This sreening test compares bone an ait conduction of sound vibrations ‘ndkvidvalipatient to detect presence of deafness 5 4 Schwabach’s — @Rhine's «Weber's oppenbeit tans thatthe pti as 54. Persistenee af swaying afler opening the eyes during a Romberg’ test lesion in which of the following structunes? Scercbeum b.cerebellam . brainstem @spinal cont should be mixed 55 Foran odor wo be recognized dear ean the substance in the air ewe bi the wate fl inte ofstory epithelia bya lest m cerain percentage, This is based om law/principle? leven ~ Power Law ¢, Labeled Line Principle , Weber-Fechner Law d Muller's law 56: Sweet mses recognize in which dorsal panic the tongue? ? . lateral ¢. posterior d all ofthe above °1. When & prachuist jumps fram the plane. be reaches a velocity wherein the decelerator force would: ‘racy balance the aeclerory force. This velocity is known 46 the a velocity mid ait Volocity @©erina velocity dd maxiniel velocity 8. Reason why individuals float in outer space and experience ‘weightlessness # theres bo gravity inthe ower space the gravity in the Earth ts not exerting any effect viduals in outer space Qeeeriy oft a paren exerts effects on the: ‘outer space the space shuttle is designed to float the individuals in outer space: ‘self contained un fernainy ZY REVALIDA 2018 ‘yonaple Choice Questions: Choose the BEST answer hich ofthe following i camer ~ ; cen Simple difison at pe mvs gi td a ieee ee (62, J year wis . Sympont hous Which te lowing las eid Na et Banoo i ee € Dyspnea and races «wns bioni neion janice @ falleeatin ofthe following will occur when ace choline bind ots ceo? han hypopolarng th cll, » Opening of cation B, Activation of G ~ protein coupled receptor (Gs) ncreasing cAMP . Stimulation of enzyme ~ linked receptors causing. , Release of gemma - amiao buy acid (GABA) to yperpolarite the cell acid 64 Wight he foloway CORRECTLY rae prac © Nurokinin receptor ionotropic C. GABAs receptor lonorraplc B, Nicotinic receptor: GPCR D. Glycine receptor. GPCR 65. Confirmation if child is his/her mother's son/daughter is detection of DNA ithe eine Sere at 66 Apetnteal verve channcopaty waste dhgonss ni 13 yar od gil The ros ely alee of the neuron isthe PD condting rove B. reveptive zone 67, Pudendal block is done when perfor eC and blosted. They also felt numb and. re eang the most key meebanisn OE73 Decreasing activity of Na” -K" ATPase pup wil eval in which ofthe lowing? ‘A Increase resting membvan: potectial of the anascle B. Difficulty of exiting the skeet masci to contract @ iscrease excitability of the mascle tissue D Increase conduchon time is the sarcolemma following? ‘A. Geaeraton of slow serves inthe sercolemams of smnooth muscles Activanon of spa ~ | receptors by norepinephrine Prodaction of paceseing poteotial after vessel wall sete D. Epinephrine activation of bets -2 receptors 16, Which ofthe following is/are effects of paraeympathetiestinaltion? ‘A Decrease arteriolar resisatce Increase wine formation B lacrease force of cardiac coataction @ Alef be abne ¥; adrenergic of blood vessels to skeletal muscies ne te Ore ath rel of sprees wil mat ely aba iS of the following sutonomic function? : ‘on Grinning @ Pipiloconsin:s ¢ seal containing wkd musheooen that he ‘pousea, vomiting, dintbea, uPInary UrBSOCy. 'B Blinking 80, A 48 year old an had 8 Within a few hours after eating, ‘glivation developed. Which of the taliowang 8 correct shout the@ Volume in the right ventricle js D. tinjeakaaes a oe ene tty 85, A decrease in which ofthe following wll than the fel ventricle, Recia stati filing pressure @Venous ene 16. Drugs oa D lnrthoace {om nn ee Total peripheral resisttce : De nhois| £8. a which oft ling contin wl rcp reflex atte ‘A.A drop of pressure from 90/60 mmfig 1 80 / $0 mab 1D Increasing slomen Go. The acct arehocardoapty shed tit be EDs 1m ESV is fOnl ant CO'8424 if you wil compute forte ejection action area ‘A143 Mand itis low 40 % andi is normal B. 40 %e andi is low D. 142 % and itis normal ‘91. Para ata epoanation i represented by which of te fellow R segment CST segment ‘QRS comple D.J point, ot, npaien sopeaed > havea nah venice infu. You woud investigate which of 1 Il, sVR and VE Lavi, V1 apd V3 due to which of the following?97. A 28 week AOG mother delivered her baby. I the Secithin: 2:1, what will you do to open his alveo!#? "A Decrease the ini-aveotr pressure io about 5 emull20 bce the alveoli 1D increase the intrpleurt pressure 1 alveoli oa A, ‘with eoraimunt seid pcumona CAP) as ware i te PL eer eee mony ci re wee ewe # CORPS ¢ ata. a patie wth puma secede 1? 00 den Fk 1 jen Becease in which ofthe Following? La & Pressure gradient Deep, slow respirations Dp ‘Shallow, slow resperations a ‘ventilation by stimolation of of the 0 of fatty acids om inside oxyntie'eells Tenth of the folowing when teres inert.ca ptient with aco wort epee et del ie hea rasprieuSOLT2—— facluae 112. Disruption of which oft i ) Fsciltated eitfesion tru sin a pea rn iw mpm ‘hltravon pores e ee B. Capillary fenestrae Basement membrane 113, Receptors that, __D Branches of podocytes sense sodium concentration in the trae located in the ATAL : 8. main loop of Henle Caran” renal blood flow. C. Vasoactive instil peptide released by sympathetic neurons that decreases arteriolar resistance increasing GFR. Norepinephrine i released by sympathetic newons tht increases sodium reabsorption decreasing urine 11S Inala day, provided hat eveything pysolope,he mount of pam heed by th iy A125 mi @ 90, 000m B. 7500 ml ‘D. 180,000 mi erp 116, AB is reeupenting in the ward afer complaining of dat He is pow on mainicanes ae tcereyting x alcady pyle, bow’ machV fd wil you sdinister 10 AB 0. dey its wie xp yer as 1B we eee tc, (Room teipertie 2°C) ALL 3 D.35L B22L 117. Whieh of he following wil occur in a paient with Nephrogenie Diabetes Isis? Tnctease Increase Decrease urine volume > Decrease plsma tonicity > Increase 114A patient has a heart rte of 119 bpm and «blood pressure of 80 $0 Which sf the following is CORRECT about renal events in this case? Pocreased renal blood flow * Decreased GFR ~ Decreased urine volume > Increase ADH F Decca seni blood flow 3 Decreased GFR > Devise wrine volume > Unchained ADH level eee Decreased GFR Increased urine tonicity > | __D Increased renal blood flow - Increased GFR “ Increased urine volume Writ ote lowing il bpp na perenwidak|5-fot 3 Increased ECF volume > Increace ECF tonicity > Flu shifts from intacellla ‘extracellular area > Decreased wine tonicity en B Increased ECF volume - Decreased ECF tonicity > Fluid shifts from extraceliar to, re Iced el od fw iy Pe re eoresed 2 telly Fe 0 2a “ ecard 2 coh Usted 2 ene) 2 Ne— 122. A patient with diarthea duc to V. choters has the following ABG result: pH 7.3; nog mmilg, HCO3 ~ 19 Eqs; pO2 ~93 mmilg. Respiratory rate is 23 bpm and curiae ric ‘Which of the following acid - base condition does the patient have? @ Metabolic acidosis C. Respiratory acidosis ‘ B, Mctabolic alkalosis a 123. Which of the foliowing is a function of the: - Regulates abdominal visceral activites C. Regulates spevial somatic sensations Controls special viscera! sensations DA of the above 124, Destruction of dorsal column in'Tabes dorsalis afecting the right fascaculus cuneatus will resi Ne ie I oe ey ee of vibration sense at right nipple area paraplegia ance . Loss of pain on left hand 2 'A tumor affecting the let medial sie ofthe medalla oblonga will result in which of the fltawany? ‘A. Paralysis ofthe left voeal cord ; -B Paralysis of the left tongue B. Anesthesia of the peck ie 126. A patient consulted doe to inability to move the right neck and inability to recognize pam on right face The mast likely location ofthe lesion is at the level of C muidpoas BB dorsolateral medulla oblongata _mfenor pontine sulcus 127. A tumor affecting th left parenchyma of the lower midbrain wil result in paralysis of A right superior oblique might lateral rectus B. left superior oblique ef dated ects 128 A patient presented with rwnlysic om the le ide ofthe body, Which thalamic rockers sx affected inthis case? ‘A. Antero-ventral ©. Ventro-ateral oe : 130, Tremors of the hand while writing is duc to ‘A. archicersbellam, palcocerebel B neocersbel D. AandB 131. You abservesd that the patient can see un object but is unable to describe the color and shape of the ject Ihe vast volved area is Brodmnon’s Area (BA) P endocrine glands hence will secrete hormones itary adenowna was seen thru MRI. The patiens will moet likely mainifesr with,na SBE with BP of 130/80 malig fren 120/90 malty | GE 50 Ke with blood volume of 321 from 3. with plasina Na+ of 146 mmol foes 138 mmol. 1D. ZF 50 Kg with plasaa alcoho! level of 150 gms for 7 hours 142 inmates, 5H secre sid by wc pe folowing hormone ‘A Ditydrotenoneronc habs D B, Estradiol Testosterone 143, A 2S-eok AOG mother was infected with hepatitis B. Which of de following events CORRECT? ‘Mother devetops immunoglobulin that 8 passed to the fetus ence bir wil it reune ‘vaccination at birth B. Mother develops immunoglobulin that is not passed ta te fetus hence the baby will require ‘eceination at birth C. Mother is immunocompromised wo develop imenunoghabelin hence the baby repre ‘vaccination ai birth. ‘Mother is immursocompromised to develop immuneplobulin Bence the mother immederely vaccination of runny nove wa cangesion chy ye ana high ich sums whem——— a t—e J fever You want 467 A tances hgoccas wotaen den MOORE kom platelets ae fonctoning we Yow won ‘activated partial thromboplastin time (2h rothroms tne (77 @bicesing time platelet count 148. Primary target of HV infection (none ieee @ cel: mediated immunity bscetnptntstel te Br pe = humors imi, «Ss crexntai sel hyp rch 149. Polycythemia upon ascent on 500! feet ints to! about by tent peri oxygen conte’ 8. decrease 05 ng presTE meric C02 content d. Increase ae” gastric contents. You would expect which of the 150, A patient keeps" YO™ en smogiobin dissociation curve shifts to the right hemoglobin assumes a relaxed form «oxygen immediately unbounds with hemoglobin 50% ofernoglobin Is saturated at PO of Om as