MEDICINE JUNE 2009 use of morphine

1. H+ ion secretion in the kidney causes 11. Patient has acute blood loss the mechanism
bicarbonate reabsobtion triggered imediately is
bicarbonate excretion baro receptor mechanism
renin angiotensin system
2. which is pivot joint
temporomandicular 12. Carotid body receptors respond to
atlanto occpital arterial PO2
Atlanto axial arterail Pco2
13. propylthyouracil acts by
3. Drug used for mountain sickness decreasing iodine uptake
acetazolamide decreasing TSH levels
scopolamine decreasing thyro globulin levels

4.Corneal opacities r caused by 14. which is increased in first responce

ethambutol Ig G
phenothiazides Ig M
Ig A

5. Captopril causes 15. which crosses placenta

hypokalemia Ig G
hyper kalemia Ig M
Ig A
6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is Ig E
metabolic alkalosis
respiratory alkalosis 16. which is secreted in breast milk
partially compensated metabolic alkalosis Ig G
partially compensated respiratory alkalosis Ig A
Ig M
7. Which is P450 inducer
isoniazid 17. which has memory function
phenobarbitone Ig G
cometidine Ig M
ketoconazole Ig A
Ig E
8. Which causes decreased gastric motility
Magnesium Sulphate 18. which drug causes abnormal differentiation
Aluminium Hydroxide between red and green colours
ethambutol
amiodarone
9. Serum gastrin levels are incresed by prolonged use pyrazinamide
of
antacids 19. for best verbal communication skill one should
PPI hav
H2 blockers good vacabulary
anticholinergics competence in presentation
beta blockers fluent speech
20. which is not caused by parasympathelic
10.Esophago gastric junction competence is stimulation
maintained by increased GIT motility
lying supine micturation
incresed intra abdominal pressure miosis
diaphragm paralysis sweating
use of metoclopramadie
21. ejaculation is caused by
sympathetic he has
parasypathetic
both idiopathic thrombocytopenic purpura
aplastic anemia
22. Alpha receptors stimulation causes Hemophilia
pupilaary dilation
increased heart rate 32. Hemophilia is
increased contractility X linked recessive
Autosomal dominant
23. fracture of surgical neck of humerus, patinet cant Autosomal recessive
raise arm and sensory loss on lateral surface of arm.
damage to 33. which investigation to be done in patient with
axillary nerve hemophilia
musculo cutaneous nerve PT
APTT
24. action of gluteus medius n minimus is bleeding time
abduction n medial rotation complete blood count
abduction n lateral rotation
adduction n medial rotation 34. patient has hemoptysis and glomerulonephritis.
adduction n lateral rotation diagnosis is
good pasture syndrome
25. thymus is formed by wegeners granulomatosis
3rd pharangeal pouch 35. P falciparum causes
4th pharangeal pouch black water fever

26. bromocriptine causes decresed prolaction levels 36. C perferingens acts by

by acting on producine lecithinase
dopamine receptors depleting ATP
cholinergic receptors causing hypoxia

27. patients ecg shows increasing PR intervals and 37. Gonococcus in easily identified in exudate
then a missed beat specimen by
first degree block gram staining
sinus arrythmia Z N staining
Mobitz type 1 block culture
Mobitz type 2 block
3rd degree block 38. which is not oncogenic
Hep B virus
28. Digoxin is drug of choice in Hep D virus
Atrial flutter Herpes Simplex virus
Atrial Fibrillation EBV
Ventricular Tachycardia
Bradycardia 39. Middle meingeal artery passes through
foraman spinosum
29. patient after ischemic attack has ventricular foraman lacerum
tachycardia. drug that must b used is foraman rotundum
lidocaine foraman ovale
amiodarone
verapamil 40. damage to middle meningeal artery causes
hematoma formation between
30. apex beat is duramater n calvaria
4th left intercostal space mid clavicular line duramater n arachnoid mater
8cm to the left of midline in 5th intercostal space arachnoid mater n piamater

31. young patient has bruises on the body and no 50. which is present in cavernus sinus
other significant history n examination unremarkable. abducent nerve
 arteriole
51. which cranial nerves r parasympathetic renal>interlobar>interlobular>arcuate>afferent
III, VII, IX, X arteriole
renal>arcuate>interlobular>interlobar>afferent
52. patients right eye has moved upward n has his arteriole
neck tilted to left to avoid diplopia. damage to
superior oblique 62.after normal saline infusion
inferiour oblique blood volume increases
Na excretion decreases
53. patient has homonymous hemianopia. lesion is at osmolality increases
optic nerve renin secretion increases
optic tract
retina 63. after renal transplant which malignancy is
optic chiasma common ???

54. germ cells r derived from

ectoderm 64 babinski sign is positive in
endoderm pyramidal lesion
mesoderm cerebellar lesion

55. foreign body in trachea goes in which bronchus 65. ventral spino thalamic tract ends at
right upper lumbar region
right middle mid thoracic
right inferior end thoracic
left inferior
66. commonest site of lumbar puncture is
56. which lobe has only 2 brocho pulmonary L4-L5
segments L2-L3
right middle S1-S2
right upper
left upper 67. which is not punctured during lumbar puncture
left middle duramater
ligamentum flavum
57. during iso volumetric contraction longitudinal spinal ligament
atrial pressure decreases
semilunar valves r open 68. after Rh incompatabilty what is given to the
coronary blood flow decreses mother to prevent it next time
first heart sound is produced anti D antibodies
second heart sound is produced
69. patient has blood group A+ which cannot b given
58. which is thick filament to him
actin O+
myosin O-
A-
59. a sacromere is present between 2 AB-
Z lines
H band 70. hamartoma is
A band benign tumor
malignat tumor
60. in muscle cells calcium is released from
endoplasmic reticulum 71. medullary rays r present is
sarco plasmic reticulum cortex
61. in kidney select the best order of arteries medulla
renal > arcuate>interlobar>interlobular>efferent
arteriole 72. in Addisons disease what does not occur
renal>interlobular>interlobar>arcuate>efferent hyper kalemia
hypokalemia reversed
vitamin K
73. which is essential amino acid FFP
phenyal alanine protamine sulphate

86. RCA supplies

74. which is teratogenic right atrium only
alcohol right atrium n right ventricle

75. which is associated with cancer 87. tunica vaginalis is derived from
methyl alcohol transversalis muscle
propyl alcohol transversalis fascia
76. HLA- DR4 is associated with peritoneum
rheumatoid arthritis inter oblique muscle
SLE
scleroderma 88. turner syndrome has karyotype
45 XO
77. which is present in SLE 45 XX
anti DNA antibodies 45 XXy
anti jones antibodies 45 XXX
anti smith antibodies

89. which muscles divied submandicular gland in to

78. which causes dysphagia super ficial n deep part
ankylosing spondylitis omohyoid
scleroderma mylohyoid
dermatomyositis anterior belly of digastric

79. iron deficincy anemia is 90. patient has difficulty closin right eye and
hypochromic microcytic distorted facial appearance. he has damage to
right fascial nerve
80. patients had gastrectomy , after 3 months she left fascial nerve
presents with right trigeminal nerve
iron deficiciency anemia left trigeminal nerve
pernicious anemia
hemolytic anemia 91. which does not cause thenar muscle wasting
carpel tunnel syndrome
81. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, C8 neuritis
she is suffering from cervical rib
iron deficiency anemia scalene muscle spasm
megaloblastic anemia cervical spondylosis

82. which is tributary of portal vein 92. a pregnat lady from hilly area presents to. fetal
superior rectal scan at term shows no anomaly. which of the
inferior rectal following can still b present in the newborn
ASD
VSD
PDA
83. what arches in front of the root of left lung pulmonary stenosis
Arch of aorta 93. what is end product of glucose metabolism in the
Azygus vein presence of oxygen
lactic acid
84. selective beta blockers do not cause 1 molecule of pyruvate
broncho spasm 2 molecule of pyruvate

85. how will the effect of warfarin immediatelty

94. beetle chewing causes facilitated diffusion
submucuous fibrosis active transport
leukoplakia
keratosis 107. which does not has lymphoid follicles
speen
95. which is last mediator in septic shock thymus
IL-1 lymphnodes
IL- 6 payer patches

96. antigen antibody reactions r most reduced in 108. in congestive cardiac failure there is
Liver failure incresed pressure in venous system
Low neutrophils
97. Clavulanic acid 109. ventricular contraction causes which wave in
destroys B lactamases JVP
causes decreased penicillin excretion a
c
98. Dose of Gentamicin is reduced in elderly due to v
reduced renal function
110. site for venesection
great sephanous
99. GFR can b best estimated by short sephanous
creatinine clearance 111. which is not part of limbic system
serum urea levels vermis of cerebellum
serum creatinine levels amygdala
anterior thalamus
100. best test for diabetic nephropathy is hippo campus
serum urea levels
serum creatinine levels 112. right gastric artery is branch of
urinary albumin gastro duadenal
right gastro epiploic
101. which protein maintains red cell shape
integrin 113. thiazide diuretics
secretin donot require potassium supplemets
spectrin
114. behaviour sciences is branch of science which
102. Cyanosis is due to deals with
increased deoxy hemoglobin in blood behaviour of persons in different social ,
decresed PO2 in blood. psychological conditions
103 which of the following causes natriuresis
stretch receptors in atria 115. pateint has loss of proprioception on right n loss
carotid bodies of pain n temperature on left, lesion is
right hemisection of spinal cord
104. patient has gall stones , which enzyme could b left hemisection of spinal cord
most likely raised
Alkaline Phosphatase 116. cerebral cortex is concerned with
LDH voluntary movements of body
ALT
117. DVT is causes by
105. diffusion through alveoli is directly proportion stasis of blood
to
thickness of membrane 118. lacrimal duct opens in
total cross sectional area inferior meatus
middle meatus
106. transpot of materials by carrier proteins is
example of 119. in asthma
simple diffusion FEV1/FEV less than 65%
FVC is reduced
130. gastric Acid increases most after taking
120 6 years old girl has meningitis. most common carbohydrate
organis is protein
streptocossus pneomonie fats
Neiserria meningitidis
Hemophilus Influenzae 131. which hormone effects carbohydrate, protein
E Coli and fat metabolism
insulin
121. exudate has Growth Hormone
protein more than 3g/dl
specific gravity is less than 1.010 132. which is not an epithelial tumor
sq cell CA
122. a young boy has distorted nose and cervical adeno carcinoma
lymphadenopathy. lymph node biopsy shows non sarcoma
caseating granuloma and sputum AFB is positive,
diagnosis is 133. Bence jones protein are produced in
TB multipla myeloma
leprosy
sarcoidosis 134. which hormone effects both nor epinephrine n
syphilus serotonin metabolism
Mono amine oxidase
123. Lambda chain is present in
amyloidosis 135. patient presents with epistaxis and bruising on
body. best invertigation is
124. which does not follow oro fecal route complete blood count
tenia solium PT
trichuris trichuria Aptt
entrobius vermicularis
Ankylostroma duodenale 136. ADH acts on
Proximal tubule
125. cholangio carcinoma is caused by Distal Tubule
C Sinensis Collecting Tubule
paragonimus watermani
taenia solium 137. which is most slow growing malignancy of
thyroid
Follicular CA
126. young boy has bilaterla parotid enlargement. Medullary
diagnosis Papillary
bacterial parotitis Anaplastic
mumps
infectious mononuclosus 138. Cerebellar lesion causes
Ataxia
127.about Mycobacterium TB , which is false
causes disease only in humans 139. patient with cerebellar lesion
favors aerobic conditions cannot touch objects with his finger tip
128. which is false about spores
produced under nutrient rich conditions 140. PTH remains normal in
B Anthracis producs spores renal insufficiency
C tetani produes spores osteoporosis
they r killed under 121 degree for 15 min in
autoclave 141. Neonatal Rubella infection is screened by
measuring which antibody?
129. fetal brain development is caused by IgM
Growth hormone IgG
thyroid hormone IgM and IgG