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Paper 2005:

Paper-1
1- Occulocardiac reflex mediated by
a)CN5
2- 1 gram of protein contains
calories?
a) 4 calories
3-7th lobe of lung is called
a) medial basal
4-A marathion runner wins a
race.What will be with blood insulin
and Glucogan levels at the time when
he crosses the win line?
5- Mandibular fracture occurs just
brfore the mandibular foramen.
a) loss of taste to anterior 2/3 of
tongue
b)Myelohoid muscle is unable to
stabalizse mandible?
c) Loss of sensation to lower teets?
6-Head of femer
a) has anger of 125 with shaft
b)posteriorly completely covered by
capsule?
c)epicondyls are in parallel line with
shaft
7-Lymph nodules are present in
a)Spleen
b)Thymus
c)Lymph nobes
8-In DIC ,there is
a)decreased palatlets

recommendations, recurrent MI
should be treated with?
a) Anticoagulants
b) Lipid lowering drugs
c) Beta blockers
12)Stratified squamous epithelium is
present in
a )palatine tonsils
b)pharynx
c)Ovary
13) Low voltage QRS comples ios
seen in
a) MI
b) Bundel branch block
c)Hypertension
d)IHD
e)Pleuritis
14)Isthmus of thyroid is present at
a)C1- 2
15)Head of Humerous is supplied by
a) Anterior circumflex artery
b)Posterior circumflex artery
c)Suprescapular artery
d)Subscapular artery
16) Gene are composed of
a) RNA
b)DNA
c)Extrons
d)Introns
17) I/V dopamine is given to a
patiend.followin if true about it onset
of action
a) 5 min
b)5 sec
c) 60 sec

10)spleen is
a) mesodermal
b)endodermal

18)I/V sedation is given to a patient.


Following is true about its arm-brain
circulation
a)60 sec
b)5min
c)30min
d)5 sec
e)?

11)according to recent

19) DVT is most common in


a)Femoral vein

9-what is inferior in perenium?


a) pereniul membrane

b)popleteal vein
c)Superficial vericosed veins of leg
20) Which of the following is not a
tumor marker
a)Acid phosphatase
b)PAP
c)Hcg
d)AFP
e)CEA
21) Pus contains
a)Dead bacteria
b)Dead neutrophils
22) The most common cause of fatty
liver in our society is
a) Alcohol
b)Hepatitis B and C
c Drugs
23) Carotid bodies respond to
a) increase blood H+
b)Increase blood co2
24) In anterior Duodenal perforation ,
the contents will go to
a) Right iliac fossa
b)Left Iliac fossa
c)Anterior subhepatic space
d)posterior subhepatic space
e) small bursae
25) Metabolic alkalosis results from
a)Ingestion of ammonium chloride
b)ingestion of carbonic anhydrase
inhibitors
26)A Diabetic patient fas urine
ketones and urine glucose ++
the cause is ?
a)Hyperglycemia
b)Insulin difficiency
27 Response to chemotherapy is
because it causes
a)Atrophy
b)Apaptosis
28)Dorsal column damage results in
Ataxia because
a)loss of pathway from dorsal column

to thalamus
b)Loss of proprioception input to
cerebellum
c)Loss of proprioception to Thalamus
d) Loss of proprioception to
Hypothalamus
29)Which of following nerve passes
dorsal to brain stem?
a) 3,
b) 4,
c)5,
d) 12,
e) 9
30-A patient has hb 6, palatelet
450,000, with Hypercellular bone
marrow/\
a)Due to drug he is using for anaemia
b) Leukemia
c) Iron deficiency anaemia
d)G6PD deficiency
31) The sign of cerebellar disease is
a)Adiadohakinesia
b)Static tremor
c)Hypertonia
31)Neurohypophysis drain secretions
a) Adrenergic neurons
b)cholinergic neurons
c)free nerve endings
32)CSF
a)has osmolarity <1040
b) pressure <10 mm of water
c) protein >200
33) Stimulation of Alpha adrenergic
neurons
34)End arteries are present at
a)Brain
b)Heart
c)Bone
35) In Tempomandibular Joint
Dislocation,What structure prevents
the the joint to go back in cavity?
a) Tubercles on articular surface of
mandible
b)Tempomandibular ligament
c)Lateral Ptyregoid muscle
d)Medial Ptyregoid muscle

36)Where the gangliom joining the


superior petrosal nerve and inferior
petrosal nerve is located?
37) A patient has
hypercarboxyhemoglobin. He is
breathing 100% oxygen. After how
much time ,his blood will have 100%
oxygen?
a) 1 min
b)2 min
c)5 sec
d) 5 min
38) FRC is?
a) TV + ERV
b)IRV + ERV
39)Aldosterone stimulate
a) Melatonin?
b)
39)A patient has fever 40c with flank
pain ,increases frequency and chills
and riggors.\
a) Blood culture
b)urine culture
c) Blood and urine culture

c) Asypmtomtic carriers should be


isolated and treated
44) Incision is given on Rt Lumbar
area. The layers incised will be
a) Skin-superficial facia-deep faciaexternal oblique-internal obliquetransverse Transverse fascia-exta
peritoneal fat- peritoneum
b) skin- superficial fasciaextaperitoneal fat- peritinium
45) Carpus callosum
a) connects the two hemispheres
46)Most constricted part of male
urethra is
a) External meatus
47)Superior Thyroid glands
a) Are located behind the Thyroid
gland outside the facia
b)Have blood supply from the
superior thyroid arteries

40)Following is not true?


a) HCV positive carriers have not
been reported

48) Which of the following is true


a) Piriformis attach to inferion
trochanter
b) Schiatic nerve passes through
superior sciatic foramen

41) Pulse pressure is increased in


a)Arteriols
b)capalleries
C)Aorta

49) A structure lined by cuboidal


epithelium, and its center contains
two calcified bodien of pink colour.
What is it?

42) A grand father was playing with


his grandson with holding his wrist
and rotation him in a circule.Suddenly
the child starded crying and sit with
holding his forarm in porn position.
What happent ?
a) Proximal Radio ulnar joint
dislocation
b)Distal Radio ulnar joint dislocation
c)Fracture of acromion

a) Prostate

43) Regarding typhoid fever


a) Asypmtomatic
b)Carriers do not excreate causative
agent in fees

50)25 cholecalciferol is not converted


to 1,25 cholecalciferol in
a)Hepatic failure
b)Renal Failure
51) Which of the following is not
present in posterior relations of
kidney?
a) colic flexure
52) Rt border of heart is formed by
a)Rt atrium

53) In pregnancy ,Lactation does not


occur because
a) Increased Level of progesterone
and Estrogen
54) Which of the following have
Pulmonary cycle?
a) Ascariasis
55)Causative agent of meningitis in
60 years old man is
a) St pneumonia
56) Cause of death in pneumonia bue
to shock is
a)Gram ve bacteria
b)Pseudomonas
c)st pneumonia
57) Diphtheria exotoxin hane
powerful effect on
a) Larynx
b)Heart
c)Nerve endings
d)Kidneys
58) Aspiration of peanut will go in
a) Right lower bronchus
59) A female with butterfly ace,joint
pain, Flank pain could have
a) SLE
60) A young patient has difficulty in
swallowing
a) Sclerodermia
61) A patient with SLE have
a) Possitive ANA
b) Possitive anti SS
62) Incision on Supra pubic area
caused heavy bleed. It could be
a) Damage to inferior epigestric
artery?
63) In Hypoxia, cell swelling occurs
due to
a) Entry of water in cell fromj
surrounding
b) Entry of lipids

Aging)
a)VIT E
65) A boy is excreting meconium from
rectum and has severe constipation.
The rectal examination showed no
ganglion cells. The condition is called
A) Intussusceptions
B) Hirschsprungs disease
66) In what portion of nephrone, Na
is absorbed totally neutrally active
transport?
a) PCT
b)DCT
c)ATT
76) Cell mediated immunity is
mediated by
a) T cells
b)B cells
77) Virus does not cause
a) Lipoma
b) Kaposi sarcoma
c)cervical cancer
78) Iodine is stored in thyroid
follicles as
a) Thyroglobulin
b)DIT and MIT
79) A patient died due to colonic
cancer.On autopsy found thousands
of polyps. Patient's father also had
colonic cancer. The cause could be
a)Adenomatous polyps?
80) A patient has double ureters and
double pelvis. It could be
a) anomaly is due to premature
separation of ureteric bud
81) Chylomicrons contains
a) Fatty acids with vitamins
82) Transudate has
a) Low Albumin
83) common mediator of Basophils

64)What is potent Antoxident ( Anti

and mast cells have


a)Histamine
84)In Skeletal muscle , contraction
occurs due to
a) Sacromere
b) Actin
c)Myosin
88) In chronic inflammation, there is
predominate
a) Fibroblasts
b)Macrophages
c)neutrophils
89)Characterics of malignant cancer
is
a)Metastasis
90 )Characteristic of malignant
cancer is
a) pleomorphism
91) Pretraceal fascia
a) completely encircle the Thyroid
gland
b)Completely encircles trachea
92) 6 months after the resection of
terminal ilium, the patient
a) iron deficiency anemia
93) A patient has sweating 2L , and
he took 2 L plan water. What could be
happen?
a) Increased body volume?
b) decreased intracellular osmolarity
c)Increased extracellular osmolrity
94) Inhibition of heart Rate will be in
a) Stimulation of parasympathetic
nervous system

a) Protien
98) C02 is mainly carried by
a) Hco3
99) In Inguinal hernia, posterior wall
is formed by a) Conjoint tendon
b)Internal oblique muscles
100) What is part basal ganglia are
a) Putamen
( 32 mistakes )

Paper 2 (2005)
101) Blood supply of vertebral
column is
a)Vertibral artery
102)Suprascapular nerve arises from
a) Thyrocerv ical trunk
103) Ist pharyngeal pouch forms
a) Auditory tubes
104)Diapharm is supplied by
a) c 345
105)Urachus is remnant of
a) Allantois
106)A patient had surgery of breast
and he is now unable to lift his arm.
What is damaged?
a) serratus anterior muscle
107)Thurst is stimulated by
a) ADH

96) Follic Acid difficiency causes


a)Megaloblastic erythropoises
b) Foliate deficiency

108) A patient has dirrhoea and


developed metabolic acidosis. What is
lost in feeces?
a) HCO3
adaptive structure is
a) Mickle disk
b)Carotid baroreceptors
c)Rufini's carpuscles

97) Difference B/w Plasma and


interstitial fluid is

110)The lesser omentum forms which


structures?

95) Aldosterone is stimulated by


a) Increase of serum K

a) Hepatoduodenal ligament,
Falciparum Ligament, Gastroduodenal
ligament

121)A soldier posted at high altitude


for many years came witg PVC > 40
a) Secondary polycythemis

111) A patient can not abduct and


adduct his fingers. Lost adduction of
thumb also.
a) Deep branch of ulnar nerve

122) Buerger's disease is strongly


associated with
a)Smoking

112)Femoral canal is formed by what


fascias?
a) Fascia Lata + memberenous Layer
b)
c)
113) Organ , lined by stratified
squamous epithelium, rounded
structure.?
Palatine tonsils
114)Regarding the Iron requirement
of a pregnant woman, following test
is appropriate.
a) TIBC
b)serum ferritin
115)After gastrectomy, a patient
might develop
a) Megaloblastic anaemia
116) A patient got injury in the
posterior triangle of neck.there might
damage
a) spinal part of accessory nerve
b) CNS part of accessory nerve
c) Vagus nerve
117)A patient in RTA came in EAC
with hypovomumic shock. First what
to treat?
a) I/V Fluids
118) Clostridia cause
a) Gas Gangren
119)Angiotensin 1 is converted to
Angiotensin 2 in
a) Lung capillary endothelium
120) First week diagnosis of Typhoid
is
a) Blood culture

123)Acute appendicitis is associated


with
a) Neutrophelic leukocytosis
124) Medial arcuate Ligament
encloses at its upper end
a)Psoas muscle
125) QRS comples is due to
a)Ventricular systole
126) The transitional epithelium have
a) Couoidial epithelium lined by
more larger and rounded cells?
127) A patient have right optic
tract damage. He might developed
a)Left homonymus hemianopsia
128)In Burkit Lymphome,
The causative agent is
a) EBV
129)Regarding adrenal glands
a) Right is Larger than left
b)Supplied by numerous arteries
,and drained by single vein
130) Repture of middle meningeal
artery cause hematoma in
a)Between the two layers of dura
mater
131)Middle esophageal constriction is
by
a)Arch of Aorta
b)Left bronchus
132) T- cells
a) Matured in Thymus after birth
b)Both T cells and B cells are derived
by same precursors

133)Neurovascular bundle is located


at ribs at
a)inferior border of ribs

skin,RR 20, pulse 120/min, DB


120/80
a) Hyperthyroidism

134)Which of the following does not


predispose the cancer?
a) Radiation
b)Bacterial products
c)virus
d)Chemicals

146) Alpha receptors stimulation may


cause
a) Lipolysis
b)Gluconeogenesis
c)glycogenolysis
d) Glycogenesis

135)Methicilline resistant staph are


a) Usually sensitive to Vancomycin

147)Trypsinogen in the duodenum


will be activated by
a) PH < 7

136) Cardiac muscles can not be


tetanized becosed
a)They have long refractory period
137) Severe blood transfusion
reactoion occurs if transfused all
except
a) A+ blood to 0+
b)A + blood to AB+
c) B+ to O+
d) B+ tp AB+
e)O +ve blood to OA+

148) Pulmonary embolism most


commonly involves
a) Left pulmonary artery
149) A patient had streptococcal
infection. What blood test you will
advise him after one week?
a) Anti streptolysin O titer

138)Xenograft is
a) Transplant of tissues of different
species

150)A patient developed hemolytic


anaemia after blood transfusion.
Hemoglobin released will be attached
with
a) Heptoglobin
b) Albumin

139) Lysosomes contains


a) Acid Hydrolase

151) A patient with itching, fever with


Antimitochondrial antibody +ve

140) Rt Gastro epiploic artery is the


branch of
a) splenic artery

a) Primary billiary cirrhosis


152) PDA occurs in
a) Prematurity

141) Right gastroduodenal artery is


the branch of
a) Hepatic artery

153) Fertilization occurs in


a)Oviduct

142 )An asthematic patient may have


FEV1/FCV <75

154) Liquificative necrosis occurs in


a) Brain

143)Ligamentum arteriosum connect


with
a) Aorta with Left pulmonary artery

155) Temperature regulatory center


is in
a) Hypothalamus

144)In atrial fibrillation, therer is


a) Pulsus deficit

156) Skin cancer occurs


a) In Sun exposed area

145)A patient lost weight , hot dry

157) Giant cells have


a) Macrophages
158) Inflamatory mediator is
a) C5a
159) Optic tract ends in
a) Lateral geniculate body
160) Gastric motility is increased by
a) Acetylcholine
161)Wound healing is delayed by
a) infection
162)Achalasia is due to
a)loss of Aurbach plexus
163)Patient has severe chest pain
with ST elevation
a) Disectening aorta
b)Pleuritis
c)Pneumothorax
d)costochondral
164)Patient X-Ray shows hilar lymph
nodes. Granuloma but no necrosis.
What is the diagnosis?
A} Sarcoidosis
B} Silicosis
C} Tuberculosis
165) Strongest layer of small
intestine is
a)Circular
b)longitudinal
c)Mucosa
d)Submucosa ok?
166). High output cardiac failure
a. B1
b. B2
c. B6
167)Valve less vessel is
A) Aorta
B) Pulmonary artery
C) Coronary Sinus
D) Pulmonary Trunk
E) SVC e
168) Within 1 hr of the Acute M.I,
which of the following enzyme will be

raised?
A) CK-MB a
B) LDH
C) Alkaline Phosphatase
D) AST
E) Troponin T
169) Replacement of cells of other
normal site of body is called
a) Metaplasia
170)Heart sound produced by rapid
ventricular filling is
A) 1st heart sound
B) 2nd heart sound
C) 3rd heart sound c
D) 4th heart sound
171)Corticosteroids decrease
a) Neutrophils
b)Lymphocytes b
c)Eiosinophils
d)Monocytes
e)Basophils
172) DVT occurs in females
by use of OCPs
173) Visceral Pericardium is supplied
by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus
174) Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity
175) Primary spermatocyte divide by
a)Mitosis
b)Spermiosytosis
c)Primary meiotic devision
d)Sec Meiotic devision
176) The volume of distribution of
drug is not influenced by
a)Sex
b)Age
c)Heart failure

d)Renal Failure
177)In Hypothyroidism
a) Increased cholesterol level
178)craniophrangioma in the center
of optic chiasmata may cause
a) Bitemporal hemianopsia
179)Which one of the following most
likely causes Increase in GFR?
a)Constriction of afferent arteriole
b)Constriction Of efferent arteriole
180) cardic output measured by
thermodilution method
is called
a)fick law?
181. Blood flow regulation is
mediated by:
a. arterioles
b. precepillary sphincter
c. capillaries
d. venules
182)Thiamine deficiency causes
A} Peripheral Neuropathy
B} Pellagra
C} Chelosis
D} Dermatitis
183) Which of the following is not a
feature of shock
A.decrease cardiac output
B.muslce weakness
C.increased urine output
D.tachycardia
E.restlessness
184) Iron is stored in the form of
A.ferritin
B.transferrin
C.apoferritin

July 2007
ANATOMY
01. A 10 year old boy with shoulder
injury lost abduction of his shoulder
up to 30 degree which muscle is lost:
Supraspinatus
Deltoid
02. A boy is brought to a hospital with
injury at elbow joint lost extension of
medial 4 fingers at MTP joint,
abduction of thumb with intact
sensation due to:
Injury to Radial nerve at elbow
03. Which of the following muscle is
not supplied by median nerve:
Adductor polices.
04. Regarding palm:
Superficial palmer arch is below
palmer apeneurosis.
05. Which of the following muscle
have dual nerve supply from median
and ulner nerve:
Flexor digitorum profundus.
06. Infection of the first pulp space
lymph nodes will first drained.
Epitrochlear lymph nodes.
07. Which of the following muscles is
flexor at hip and extensor at knee:
Sartorius.
08. In an injury to knee joint a man is
unable to extend his knee the root
value affected:
L3-L4.

09. In the injury to neck of fibula the


artery damaged:
Ant. Tibial artery.
Peroneal artery.
10. Regarding post. Triangle:
Base is form by middle 3rd of clavicle.
11. Bifurcation of common carotid
artery:
Beneath the any. Border of
sternocladomastoid at the sup. Border
of thyroid cartilage.

20. Internal spermatic fascia is a


continuation of:
A. Transversalis fascia.
21. The branch of internal carotid
artery which remains in true pelvis
throughout its course:
A. Middle rectal artery.
22. During a per rectal examination
the examiner will not reveal:
A. Ureter
23. Parasympathetic nerves supplying
the urinary bladder are:
A. Pelvic splanchnic nerves.

12. Great saphenous vein has how


many valves:
20.

24. Nerve supply to the lower


airways:
A. T3-4

13. Vertebral venous plexus:


Has no communication with cerebral
sinuses.
Lies in epidural space.
Is formed by two vertebral veins.

25. During an injury to the bulbar part


of urethra the urine will extravasate
to:
A. Superficial perineal pouch.

14. A 40 years old man feels pain in


his gastrocnemeus muscle after he
walks 100 meter which relieves when
he stops walking is likely due to
obstruction of:
A. Post. Tibial artery.
15. Subclavian artery grooves over:
A. 1st rib.
16. What is inappropriate about
azygus vein.
A. It enters the thoracic cavity thru
esophageal opening.
17. Which of the following structure
arches over root of left lung:
A. Arch of aorta.
18. Weakest point of rib is:
A. Angle of the rib.
19. A pathologist wants to pass dye to
the liver he will reach thru:
A. Ligamentum Teres.

26. Nerve supply to the distal scrotum


is thru:
Illioinguinal nerve.
Illiohypogastric nerve.
Genitofemoral nerve.
27. During surgery of right colon for
carcinoma which structure would not
be injured:
A. Aorta.
28. Slow growing tumor of head of
pancreas will compress:
A. Common Bile Duct.
29. Tumor of the head of pancreas
will compress:
A. Common Bile Duct.
EMBYROLOGY.
1. Regarding Decidua:
A. Decidua basilis forms the maternal
part of placenta.
2. Embryonic period is:
A. 3-8 weeks.

3. Which of the following is a


derivative of neuro ectoderm:
A. Sphincter pupili muscle.
4. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid
gland.
5. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid
gland.
6. Regarding Allantois:

7. left umbilical vein will regress to:


A. Ligamentum Teres.
8. Which of the following structure is
not an Embryological remnant:
A. Lateral umbilical ligament.
9. Regarding Mesothelium:
A. Lines the body cavities.
10. Physiological hernia occurs in
between:
A. 6-10 weeks.
11. What will happen immediately
after birth:
Anatomical closure of Ductus
arteriosus.
Anatomical closure of Ductus
venosus.
Anatomical closure of foramen ovale.
Obliteration of Left umbilical vein.
Obliteration of Right umbilical vein.
12. Which of the following bone is
derived from 2nd Pharyngeal arch:
A. Styloid process.
13. Muscles innervated by
hypoglossal nerves are derived from:
A. Occipital Somites.
14. Primordial Germ cells are derived
from:
A. Yolk sac endoderm.
NEUROANATOMY

1. In adults spinal cord ends at the


intervertebral disc between:
A. L1-2.
2. Injury to L1 vertebra will directly
damage which of the following spinal
structure:
A. Conus Medullaris.
3. Which of the statement regarding
Lateral Horn of spinal cord is
inappropriate:
A. It is present at the cervical portion
of spinal cord.
4. Regarding Trapezoid Body:
A. It is related to the auditory
pathway.
5. Loss of Fine and skilled movements
of the hand is due to damage of:
A. Corticospinal Tract.
6. What is inappropriate regarding
Glossopharyngeal nerve:
A. It is entirely sensory.
7. Loss of temperature regulation is
due to damage at:
A. Anterior Hypothalamic Nucleus.
8. Temperature regulation centre is
located in:
A. Hypothalamus.
9. In spinal tap the needle which will
go across:
A. Epidural Space Dura Matter
Sudural Space Arachnoid Matter
Subarachanoid space.
10. Regarding spinal cord what is
inappropriate: A. Its dura matter has
two layers
HISTOLOGY
1. Simple columner epithelium is
present:
A. Choroidal plexus of ventricles.
2. Cytoskeleton:
A. Maintains the integrity of the cell.
3. Mast cell.
.
4. Newly formed Elastic cartilage
looks yellow & dense because of:
A. Large no: of Elastin fibers.
5. Compact bone contains:
A. Osteoblast cells in the lacuner
spaces.
6. Which part of the respiratory tract

contains mucous glands:


A. Nasal cavity.
7. Skeletal muscles have:
A. Multiple nuclei located at their
periphery.
8. Surfaces which are prone to great
amount of friction have:
A. Straitifed Squamous Keratinizing
Epithelium
.
PHYSIOLOGY
1. Pulmonary Wedge Pressure:
A. Indirectly measures left atrial
pressure,
2. Ventricular Depolarization on ECG
strip is represented by:
A. QRS Complex.
3. Ventricular preload is measured by:
A. LVEDV.
4. Blood flow to the left ventricles is
increase by:
Acetylcholine infusion.
Sympathetic stimulation
5. Bain Bridge reflux.

6. IPSP is generated by opening of:


A. Cl- channels.
7. During Depolarization:
A. There is rapid influx of Na+.
8. Blood group antigen:
A. Will not found in any other tissue
than blood.
B. Will be inherited by Autosomal
recessive pattern
9. If fathers blood group is B+ve &
mothers blood group is AB+ve there
child can not have which of the
following blood group:
A. O+ve.
10. ESR will increase with the
decrease in:
A. Albumin.
11. ADH will act on:
A. Distal Tubules.
12. Renal absorption of glucose thru
secondary transport with sodium
occurs at:
A. Proximal Tubules.
12. Simple Diffusion depends on all of
the following factors except:
A. Magnetic field.
13. What is the suitable I/V fluid for

the patient of acidurea:


Normal Saline.
Dorrow`s solution.
Ringer lactate.
5% dextrose
10% dextrose.
14. Which of the following causes
Hyperkelemia:
Zollinger Ellison syndrome.
Cushing syndrome.
Conn`s syndrome.
Pyloric stenosis.
15. Which of the following hormone is
called STRESS HORMONE:
A. Cortisol.
16. Inhibitory factor released by
hypothalamus against which of the
following hormone:
Prolactin
Growth hormone.
17. Bile of the Liver differs from the
GB bile because GB bile contains
decrease amount of:
A. Water.
18. Which of the following cell can
never reproduce:
Erythrocyte.
Neuron.
Skeletal muscle.
Smooth muscle.
19. Which of the following is the NOT
non dividing cell:
A. Hepatocytes.
20. Heat loss mainly depends on:
Temperature of the surrounding.
Evaporation.
21. Cortisol decreases which of the
following cell:
A. Lymphocyte.
22. Resection of distal ileum will
impair the absorption of:
A. Bile Salts.
23. Regarding Bradykinin:
It formation is activated by killkeran.
24. Regarding Interferon:
.
25. Surfactant is released by:
A. Type II pneumocytes.
26. Increase peripheral resistance is
due to:
A. Increase vasomotor tone.
27. Chloride shift means:
A. Transfer of Cl- in erythrocytes in

exchange of HCO3.
28. Cardiac muscles are prevented by
tetanization due to its:
Rythmicity
Automaticity
Conductivity
Long refractory period.
29. Sustained rhythmic reflex tremors
induce by sudden movements is:
A. Clonus.
30. Most active form of thyroid
hormone present in circulation is:
A. T3.
31. Regarding conduction of visual
pathways:
..
32. Regarding olfaction:
A. Sharp odors have the quality of
water & lipid solubility.
33. Unilateral Anosmia is due to:
A. Affection of Nasal mucosa.
GENERAL PATHOLOGY
1. Irreversible cell injury starts with:
A. Rupture of the Lysosomal
membrane.
2. Which of the following is not a
mediator of acute inflammation:
A. Dopamin.
3. ICAM & VCAM mediates:
A. Leukocyte Adhesion.
4. Fever in inflammation is caused by:
A. IL1 & TNF .
5. A 36 years old women presented
with acute abdomen. At laparoscopy
most of the bowl loops were dark
purple black. Her mesenteric veins
were patent. The most probable
underlying pathological process is:
A. Wet Gangrene.
6. Superimposed infection on necrosis
is called:
A. Gangrenous Necrosis.
7. Fluid accumulates in acute
inflammation contains:
A. Proteins >3gm/dl.
8. Fat necrosis occurs in:
A. Acute pancreatitis.
9. What is inappropriate about fat
necrosis:
A. Only caused by trauma to the fat
tissue.

10. A 25 year old lady with 14 weeks


pregnancy had a road traffic accident
brought to the emergency department
with a large open wound on thigh and
femur fracture. After 2 days of
accident she suddenly collapsed &
died. The most probable pathological
process involve in her death:
A. Fat Embolism.
11. Regarding Fat Embolism:
It is Fetal in >80% of cases.
IT manifest within 12 hours.
12. A 30 year old women brought to
emergency department with
bleeding..
13. A 16 years old boy deeply
jaundiced presented with gum
bleeding due to:
A. Vitamin K deficiency.
14. A patient presented with enlarge
lymph nodes, the diagnosis of
Tuberculosis in this patient is
confirmed by:
A. Presence of caseous necrosis in
lymph nodes.
15. An 18 year old girl came to family
doctor complaining of primary
amenorrhea, on examination she
found to have well formed breasts,
blind ended vagina with no uterus &
ovary. Her probable Karyotype is:
A. 46 XY.
16. Edema due to increase hydrostatic
pressure is seen in:
A. Congestive cardiac failure.
17. Which of the following is a benign
tumor:
A. Warthin`s tumor.
18. Which of the following is a
premalignant condition:
A. Leukoplakia.
B. Erythroplakia.
19. Which of the following is a
premalignant condition:
Condyloma
Metaplasia Endocervix.
Cystic hyperplastic endometrium
20. Metaplasia does not occur in:
Brain.
Vitamin A deficiency.
21. The primary source of Creatinin

is:
Liver.
RBC.
Skeletal muscles.
Cardiac muscles.
Lungs.
22. Dystrophic Calcification is seen in
all of the following except:
Malarial parasite.
Dead fetus.
Hydatid Cyst.
23. Maximal tensile Strength of a
wound is attained in.
3 Months.
Over an unpredictable period of time.
1 Year.
6 days.
10 days.
24. Regarding autosomal recessive
disorders:

25. Which of the following are not


non-dividing cells.
A. Hepatocytes.
26. In a patient there is atrophy of
submandibular gland due to its duct
obstruction. Atrophy of the gland is
because of:
A. Apoptosis.
27. The mechanism of injury of
ionization radiation is:
A. Free radical formation.
28. LASER act by:
Cutting.
Biochemical changes
29. A patient admitted to the hosp.
diagnosed as case of gas gangrene
dies due to:
A. Toxic shock
30. Which of the following is the
confirmatory test of AIDS:
Western blot.
ELISA.
SPECIAL PATHOLOGY
1. Hepatic hemengioma is associated
with:
A. Vinyl Chloride.
2. Which of the disease is common in
I/V drug abusers:
A. Infective Endocarditis.
3. Typhoid carriers are:
A. Usually asymptomatic.

4. Intestinal metaplasia due to reflux


esophagitis leads to:
A. Adenocarcinoma.
5. Embryological marker that
reappears in circulation in Ca Colon
is:
A. CEA.
6. Which of the following is peculiar
for crohn`s disease is:
A. Perianal Lesions.
7. Anemia of pregnancy is due to:
A. Increase plasma volume.
8. Major complication of severe burn:
Formation of granulation tissue.
Carcinoma formation.
9. What is Inappropriate about hyper
parathyroidism:
A. There is increase PO4 renal
absorption.
10. A 25 year old lady complaining of
palpitations, heat intolerance on
examination her pulse is 112b/min,
BP 120/80, R/R 20 br/min. She is
most probably a case of:
A. Hyperthyroidism.
11. Resection of Anterior lobe of
pituitary will lead to:
A. Decrease glucocorticoids.
12. A 6 year old boy is complaining of
proximal muscular weakness was
found to be Ca++ channel antibodies
positive. The most probable diagnosis
is:
Lambert Eaten Syndrome.
Mysthenia Gravis.
13. In pulmonary embolism,
respiratory failure is due to:
A. Ventilation / perfusion mismatch.
14. Left ventricular failure will lead
to:
A. Increase pulmonary arteriolar
Pressure.
15. Immediate effect after injury to a
vessel is:
Vasoconstriction
16. Effects of hyper parathyroidism in
Ca. lung is due to:
Parathyroid like protein
Parathyroid hormone
17. Spleenectomy will help in treating
which type of anemia:
A. Hereditary Spherocytosis.
18. Malignant Tumor that will not

metastasize:
A. Basal cell carcinoma.
19. Achlasia is due to:
A. Absence of Myenteric plexus.
20. After a traffic accident a lady is
brought to a hosp the IMMEDIATE
step you do:
A. Clear airway.
21. Ameobic infection reaches lungs
via:
Direct extension from liver.
By aspiration of ova of Entameoba
histolitica.
By aspiration of trophozoits of
Entameoba histolitica.
Via Portal vein.
22. In Hypothyroidism there is
increase in:
A. Cholesterol
23. In thyroid disease the antibodies
are directed against:
A. Thyroglobin.
24. A 50 years old man is awakened
in the middle of the night with acute
pain & tenderness of the right knee.
He has a low grade fever. His knee is
hot, tender & swollen. Analysis of
fluid from right knee shows:
leukocytes 70,000/mm3 with 75%
neutrophils, crystal analysis =
negative birefringent, gram stain =
negative. The most likely diagnosis is:
A. Gout.
B. Pseudo gout.
C. Septic arthritis.
PHARMACOLOGY
1. Which of the following blocks and
receptors:
A. Labetalol.
2. Ketamin is used as anesthetic in
repeated dressings of burn patient
because:
A. It relieves pain as well.
3. Drug that decreases the tone of
lower esophageal sphincter &
increases gastric emptying:
A. Metaclopromide.
4. Which of the following is suitable
antihypertensive for asthma & IHD
patient during surgery:
I/V sodium nitroprusside.
I/V nitroglycerin.

5. Which of the following is drug of


choice for patient of status
asthematicus:
I/V aminophylin
Oral steroid
I/V salbutamol.
6. During surgery antibiotics should
be given at:
A. At the time of induction of
anesthesia.
7. Heparin will inhibit:
A. Clot propagation.
B. Clot organization.
8. Acid suppression is done by
blocking:
A. H2 Receptor.
9. Drug of choice for acute
pancreatitis.
Pethidine.
Morphine.
Paracetamol
Some random question:
1.mesothelioma is
.present in all da body cavities
.lined by simple cuboidal epi
2.surfactant is produces by
.kidney
.liver.
.pneumocytes1
.pneumocytes2
3.allantois is
.first formed blood vessels(sumthin
like dat)
.remains of vitelline duct(sumthin like
dat)
4.activation of one of followin occurs
in kidney
.cholecalciferol
.renin
5.a pt cums 2 u wid loss of abduction
of right arm upto 30degrees....but ven
supported upto 30 drgrees abduction
is normal,which muscle is involved?
.deltoid
.supraspinatuis
.infraspinatus
.teres major

6.how many valves r present in great


saphenous vein?
.5
.10
.15
.20
.25
7.the ca head of pancreas may
compress
.common bileduct
.duodenal artery
.spenic artery
8.wot structure arches over left
bronchus
.aortic arch
.azygous vein
9.the central regulation of
temperature occurs in
.hypothalamus
.pons
.medulla
.cerebellum
10.there was another stem regarding
da temperature regulation but it was
asked peripheral temp regulation...n
one of da option was skin in dat plus
anterior hypothamus...i dun
remember da xact stem!
11.fine voluntary skilled movements
of upper xtremities r conducted by
.cerebellum
.medulla
.pons
.upper motor neuron
.cortico spinal tract
12.there was another stem regardin
fracture of bone n its complication...i
dun xactly remember da clinical
correlated stem...but one of da option
was FAT EMBOLISM
13.which sensory part is involved in
da flexion of knee joint? (sumthin like
dat)
.s1-s2
.s3-s4
.s4-s5

14.a pt is unable 2 flex


metacarpels,inability 2 abduct
fingers,
and unable 2 flex wrist joint(i
think)...which nerve is damaged?
.ulnar nerve above da elbow joint
.ulnar nerve below da elbow joint
.radial nerve
.median nerve
15.an unaffected stage in amoeba
.amoebic cyst
.amoebic larva
.adult amoeba (sumthin lyk dat)
16.which structure has no embryonic
bacground?
.ligamentum teres
.ligamentum venosus
.median longitudnal lig
.medial longitudnal lig
17.all those structures in contact wid
air hav da following epi
.stratified squamous epi
.keratinized sqamous epi
.non keratinzed sq epi
.pseudo startified sq epi
18.simple cuboidal epi is present in
. ducts of salivary glands
19.anemia,neutro penia and
hepatosleenomagaly isunday, january

March 2008:
1] A newborn child has abdominal
swelling on the right side of the
umbilical cord. It is not covered with
amnion. The condition is
A} Gastroschisis
B} omphalocele
2] Which of the following is not
related to Meckels Diverticulum?

A} is remnant of urachas
B} lies 60 cm proximal to illeocecal
Valve
3] A boy is excreting meconium from
rectum and has severe constipation.
The rectal examination showed no
ganglion cells. The condition is called
A} Intussusceptions
B} Hirschsprungs disease
4] Regarding somites
A} They develop on both sides of
notochord.
B} they develop from lateral plate
mesoderm
5] Regarding diaphragmatic hernia
the most likely is
A} Absence of septum transversum
B} Failure of pluiroperitoneal
membrane

E} ligamentumvenosum
8] The part of mouth derived from
ectoderm is
A} Epithelium of parotid salivary
gland
B} Epithelium of Tongue
C} Floor f mouth
D}
E}
9] A male with Gynaecomastia, small
testes, diagnosed as Klienfelters
syndrome. The karyotype involved is
A} 45 XO
B} 46 XX
C} 47 XXX
D} 47 XXy
E} 47 XX
10] Somites are derived from
A} Intermediate mesoderm

6] Which one of the following is not


the derivative of 1st (mandible)
pharyngeal arch?
A} Incus
B} Malleus
C} Stapes
D}
E}
7] Embrologically, Which one of the
following is not the developmental
remant
A} lateral umbilical ligament
B} Medial umbilical ligament
C} Median umbilical ligament
D} ligamentumteres

B} Paraxial mesoderm
C} Lateral plate mesoderm
D} Ectoderm
E} Endoderm
11] An I/V Urograph of 8 year old boy
shows Excretion of dye normal I
kidney but absence of shadow on left
side. Instead there is a small shadow
just above the bladder on the left
side. Which one of the following is
most likely?
A} Horse shoe kidney
B} Constricted ectopic kidney
C} Pelvis kidney
D} Non rotating kidney
E} Unilateral renal agenesis

E}
12] Which one of the following is not
formed from urogenital sinus?
A} Bartholins gland

17] Patient X-Ray shows hilar lymph


nodes. Granuloma but no necrosis.
What is the diagnosis?

B} Urethral glands
C} Para urethral glands

A} Sarcoidosis

D} Seminal vesicle

B} Silicosis

E}

C} Tuberculosis
D}

13] Virus damage the cell by

E}

A} making the pores in cell


membrane

18] In women the most common form


of necrosis after trauma is due to

B} Forming free radicals


C} Altering the formation of proteins

A} Trauma to fatty tissue

D} Nuclear damage

B}

E} using energy for their own


metabolism

C}
D}
E}

14] The tissue damage by Ionization


Radiation is due to
A) Damage to Golgi bodies

19] Dystrophic calcification is present


in which of the following

B} Formation of free radicals


C} Hydropic degeneration

A} Acute pancreatitis

D} Metaphase of cell

B} Malaria

E} Swelling of cells

C} Tuberculosis

15] All are features of IRREVERSIBLE


cell injury EXCEPT

D}
E}

A} Karyolysis
B} Karyorhexis
C} Autolysis
D} Shrinkage of mitochondria

20] Which one of the following is


most likely feature of reversible
injury?

E} Appearance of myelin figure


16] Which one of the following is
least likely involved in increasing
Osteoporosis

A} Cell swelling
B} Karyorhexis
C} Decreased glycogen
D} Myelin figures

A} Increased wt: on bone


B} Renal cell carcinoma
C} Carcinoma prostate
D}

E}

21] A person fell on road and got an


abrasion on elbow the first event
likely occur would be
A} Vasoconstriction
B} Platelet adhesion
C} Platelet aggregation
D}

A} Aspirin
B} Celocoxib
C} Indomethacin
D} Meloxicam
E} Piroxicam
26] In case of pulmonary embolism
extensive infarction causes sudden
death due to

E}
A} Air embolism
22] Which one of the following
facilitates phagocytosis in
neutrophils?
A} C5a
B} C3a
C} C3b
D} C3 - C5 complex
E}
23] Which one of the following is
potent antioxidant?

B} Fat embolism
C} Thromboembolism
D}
E}
27] A patient was operated for
abdominal surgery. A few days after
he developed pain and swelling in his
right leg. Which one of the following
is most likely?
A} endothelial injury
B} hypercoagubility

A} Vitamin A

C} stasis and endothelial injury

B} Vitamin C

D}

C} Vitamin E

E}

D} Transferrin
E}
24] Which one of the following among
Arachidonic acid metabolite is most
likely function mediated in
phagocytosis?

28] A soldier has profuse bleeding. He


was admitted in the hospital. Which
one of the following should be given
immediately?
Fresh frozen plasma
B} 20 days old blood

A} Chemo taxis

C} 3 days old blood

B} Diapedisis

D}

C} Transmigration

E}

D}
E}
25] Which one of the following is
potent COX-II INHIBITOR?

29] A boy was born with the condition


of polycystic kidney disease. Which
one of the following is correct?
A} Autosomal Dominant disorder

B} Autosomal recessive disorder

C} PCR

C} X- linked disorder
D}

D} Increased levels of HIV in T


lymphocytes

E}

E}

30] In a renal transplantation, which


one of the following is single most
significant test to be done?

34] A 10 year old boy was operated


for gastrectomy, which one of the
following type of anemia is developed
postoperatively

A} ABO blood grouping of donor and


recipient

A} Megaloblasticanemia

B} HLA typing and matching

B} Iron deficiency anemia

C} Donor and recipient should be


close relatives

C} Normocytic norm chromic anemia

D}

E}

D}

E}
31] A organ was transplanted to the
patient, but within 10 mins the organ
failed. Which one of the following is
likely etiology?
A} Antibody mediated
B} T-Cell mediated
C} Preformed antibodies
D}

35] Autoimmunity is not involved in


which one of the following
A} Pernicious anemia
B} Graves disease
C} Diabetes mellitus
D} Hashimotos thyroiditis
E} Thymoma

E}

36] In case of hashimotos thyroiditis,


which one of the following is seen?

32] AIDS occur in the presence of

A} Anti thyroglobulin
B}

A} Kaposis sarcoma

C}

B}

D}

C}

E}

D}
E}
33] A 2 year old boy is suspected as
HIV positive, which one of the
following is the confirmatory test in
the boy

37] To differentiate Chrons disease


from Ulcerative colitis, which one of
the following is likely significant
regarding Chrons disease
A} has increased frequency to cancer

A} ELISA test

B} Involves both small and large


intestine

B} Western Blot test

C}

D}

C} Circular layer

E}

D} Serosa
E} Longitudinal layer

38] Regarding alcoholic hepatitis,


following is finding

42] Regarding adrenal medulla which


one of the following is true?

A} Mallory bodies
B}
C}

A} Secretes epinephrine and


Norepinepinephrine in 80/20 ratio

D}

B}

E}

C}
D}

39] A 20 year old girl has developed


Galactorrhea due to prolactinoma.
Bromocriptine is given to treat it the
drug causes
A} Inhibition of prolaction from
pituitary gland

E}
43] R.E.R most likely
A} Synthesizes protein
B} Synthesizes lipids

B} Decreased prolaction from


hypothalamus

C}

C} Inhibition of prolaction from


breast

E}

D} Stimulation of prolaction of
anterior pituitary

44] Half life of insulin is

E}
40] An unconscious patient presented
in ED does not respond to Naloxone.
Which of the following drug has been
taken by this patient?
A} Morphine

D}

A} 5 mins
B} 90 mins
C} 120 mins
D}
E}
45] Insulin

B} Heroine
C} Pethidine

A} Converts glycogen to glucose

D} Phenobarbital

B} Stimulates protein synthesis

E}

C} Stimulates lipolysis
D}

41] Strongest layer of small intestine


is

E}

A} Mucosa

46] Which one of the following most


likely contains abundant cholesterol?

B} Sub mucosa

A} VLDL
B} LDL
C} Chylmicrons

51] Steady pressure on skin is


perceived by

D} HDL
E}

A} Pacinians corpuscle
B} Ruffinis corpuscle
C} Meisseners Corpuscle

47] Which one of the following most


likely causes Increase in GFR?

D} Golgi tendon organs

A} Constriction of afferent arteriole

52] Which one of the following is


related to pain?

B} Constriction Of efferent arteriole

E}

C}
D}

A} Serotonin

E}

B} Substance P
C}

48] Gastric emptying is delayed by

D}
E}

A} Gastrin
B} Secretin
C} CCK
D}
E}
49] Which one of the following
pancreatic enzyme is most likely
involved in fat absorption
A} Amylase
B} Lipase

53] Free nerve endings have receptor


for
A} Light touch
B} Pressure
C} Pain
D} Vibration
E}
54] Which one of the following has
highest pressure?

C}
D}

A} Pulmonary artery

E}

B} Left atrium
C} Right atrium

50] Smooth muscle

D} SVC
E}

A} Contain sarcomere
B} T-tubules are present
C} Gap junctions are present
D} Forms motor end plate
E}

55] Flow of current through junctions


in the muscle
A} Smooth muscle
B} Skeletal muscle

C} Cardiac muscle

A} Atrial contraction

D}

B} Distensibility of ventricles

E}

C} Duration of diastole
D} Venous return

56] A profusely bleeding patient


develops hypotension, which one of
the following would be immediate
mechanism to maintain B.P
A} Baroreceptor reflex
B} Chemoreceptor reflex
C} Secretion of ADH
D} Aldosterone
E} Renin angiotensin mechanism
57] Water enters into the cell by

E}
61] Mean electrical axis of heart is
deviated to left if
A} Heart is angulated on right side
B} Pulmonary stenosis
C} Right bundle branch block
D} COPD
E}
62] Pulse Oxymeter measurement
gives error in the reading if

A} Pinocytosis
B} through pores

A} Pt. is dark skin

C} Simple diffusion

B} Increased conc: of Hb A

D} Facilitated diffusion

C} Increased Conc: of Hb F

E} Active transport

D} Aortic stenosis
E}

58] Insulin secretion is controlled by


A} Glucagon

63] Secretion of potassium by distal


collecting tubule decrease by

B} increased glucose
C} Decreased glucose

A} Increase in potassium in diet

D}

B} Hyperaldosteronism

E}

C} Metabolic alkalosis
D} Spironalactone intake

59] Systolic B.P is highest in

E} Thiazide diuretic

A} Pulmonary arteries
B} Cerebral arteries
C} Renal arteries
D} Brachial arteries

64] Absorption of iron is markedly


affected by

E}
A} Ingestion with meal
60] End diastolic volume depends on

B} Partial gastrectomy
C} Trivalent form

D}
E}
65] Patient with pancreatitis has
developed steatorrhea due to
deficiency of
A} Lipase
B} Pepsin

15, OCT 2008:


1. A boy with lean body mass with
fracture of arm osteopenia
a) VIT D deficiency
2. Regulation of PO2 and breathing
rate is controlled by
a) Carotid bodies

C} Amylase

3. Pallor, Lithargic patient with


difficulty of walking have

D} Renin

Hb 5, TLC 3500cm,

E}

a) Vit B 12

66] Absorptive surface of small


intestine is

4. Hot souses on tongue, taste sent co


taste centre by
a) Chemoreceptor

A} 50

5. Which is not a cause of anaerobic?

B} 100

a) Granulation formation

C} 200
D} 350

6. Right Gastric artery is a branch of

E} 500

a) Hepatic artery

67] Daily dietary protein for 70 kg.


Man is

7) GFR is increased by increase in


resistance
a) Efferent arterioles

A} 12 gm
B} 120gm

8. Atypical Tuberculosis

C} 200 gm

a) Does not responds to common Anti


TB drugs

D} 150 gm
E}
68] Source for metabolic fuel for liver
in post absorptive state is

9. Which blood group have no


agglutinin?
a) AB+

A} Glucose

10. Essential fatty acid is

B} Ketones

a) Leniolenic acid

C} Glycerol
D} Fatty acids
E}

11. If large amount of Dextrose water


is given to a patient
a) Decrease ADH
12. Interstitial fluid is

a) 1/3 of TBW

23. Subcapsular afferent lymph is in


a) Lymph nodes

13) Not includes in enzymes of


necrosis

24. SA node is supplied by

a) Protease

a) RCA

b)Catalase
c) Hyaluronic acid

25. SA node is located on


a) Above the sulcus terminals

14. In lymph nodes, seen


a) Caseous necrosis

26. Death from food poisoning occur


with

15. Iron deficiency anemia best


diagnosed?

a) C. Botulism

a)Increase TIBC

27. Pretracheal fascia completely


covers

b) Serum ferritin

a) Thyroid
16. Bones of Ear

28. Narrowest part of male urethra is

a) Amplify sound waves

a) External meatus

17) Immune mechanism of Liver lies


in

29. Which cranial nerves are


parasympathetic?
ANS: CN 3, 7,9,10

a) Kuffer cells
18. in Liver Cirrhosis

30. Contusion to Lateral border of


Fibula result in

a) Increase PT

a) Common peroneal nerve damage

19. Smell fibers from nose

31. What causes depolarization?

a) Does not reach Thalamus

a) Na+ influx

20. Heat Loss Mechanism lies in

32. Helps in diagnosis of colonic


carcinoma

a) Posterior hypothalamus
21. Lymph nodes of lower lip drain
into
a) Submental and submandibular
lymph nodes

a) CEA
33. What is called juvenile polyp?
a) Hamartomatous

22. Insulin deficiency

34. Which is a characteristic of


Cancer?

a) Ketogenesis in liver

a) Pleomorphism---ANSWER
b) Increase mitotic figure

35. Increase of Platelets aggregation


is by:

46. Cause of lymphoid tumor in HIV


patient is

a)Thromboxane A2

a) EBV

36. A 20 year old boy with Headache


and photobphobia

47. a patient developed HAV


completely recovered. Biopsy will
show

With high grade fever. LP shows in


CSF neutrophils 40,000

a) Normal hepatic architecture

Glucose 3.5mg
a) Acute Bacterial meningitis

48. Neurohypophysis contains


a) Pititicytes

37. Ansacervicalis is

49. Melanocytes are derived from

a) Hpoglossal nerve and C1, 2, 3

a) Neural crest cells

38) Mitral valve lies between

50. Erythropoietin is produced by

a) Left atrium and left ventricle

a) peri tubular capillaries

39. If resected 10inch ilium,

51. ADH works on

a) Decreased bile salts reabsorption

a) Collecting ducts

40. Wound heals poorly if absent

52. Posterior to Urinary bladder is

a) VIT C in diet

a) Fascia Donovillaris

41. High level of creatinine is seen in

53. In adults, the spinal cord ends in

a) ESRD

a) Below L1

42. Neurogenic shock is

54. Malignant malaria is caused by

a) Vasomotor injury

a) Falciparam malaria

43. In Down syndrome seen

55. Dorsal column damage leads to


loss of

a) Short stature

a) Proprioception
56. What is buried in lateral sulcus?

44. XXY is

a) Insula

a) Klinefilter syndrome

57. A patient can utter few words.


Where is lesion?

45. Patient with some pituitary tumor


has infertility, possibly due to
a) Increase level of prolactin in serum

a) Broca's area
58. Spinal cord is supplied by
a) Vertebral artery

59. Complements are decreased in

a) Rapid filling of left ventricle

a) SLE

85. Berry aneurysms are mostly found


in

60. If infection of abdomen spread to


retroperitonium, can reach to colon?

a) cerebrum

a) Descending colon

86. Cause of edema is

61. IgE is present on

a) Decreased colloidal osmotic


pressure

a) Basophils
62. A patient has some gastric
problem

87. Patient with bronchial asthma has

a) Iron Deficiency anemia

88. Structure not related to Right


kidney is

63. If Gastric mucosal permeability is


increased

a) Decreased FEV1

a) Descending colon

a) H+ comes out in lumen of stomach


and damage mucosal barrier

89) Temporal arteritis best diagnosed


by

64. Anterior Cardiac veins into

a) Temporal artery biopsy

a) Right Atrium

90. Aneurysm of abdominal aorta


compresses

65. Most common cause of


malignancy is
a) Asbestosis
66. in bronchial Asthma, seen
a) Eosinophilia
67. END arteries are seen in
a) Spleen
77. Medially rotate and abduct the
thigh is
a) Gluteus Medius and and Gluteus
Minimus

a) Thoracic duct
91. in EAC, young patient came with
fracture of arm.
On attempt to measure the B.P,
tetany is seen, mostly due to
a) Vit. D deficiency
92. Remittent of paramesonephric
duct in male is
a) Appendix testis
93. Direct inguinal hernia in

78. Source of folic Acid is

a) Medial to inferior epigestric artery\

a) Vegetables

94. Achalasia is due to

79. Neurovascular bundle is in

a) Absent ganglions in LES

a) inner and innermost muscles

95. During fasting, circumference of


mid arm is decreased after one month
due to

80. Liver transplant, the cause of


hepatitis is
a) CMV
81. END diastolic volume is
a) 120ml
82. Palpable anterior Auxiliary lymph
nodes, most probably due to
a) CA breast
83. 1st heart sound is best listened on
a) On Mid clavicular line, 5th ICS
84. S3 is produced by

a) Decreased protein of body


96. Myelination of peripheral nerves
are by
a) Schwann cells
97. Myasthenia gravis improves on
taking
a) Anti cholinesterase drugs
98. Hydrocephalasoccurs blockage of
a) Aqueduct salvias
99. Which structure passes through
shoulder joint cavity?

a)tendon of long head of biceps

116: Surfactant is produced by?

100. Impaired metabolism of purine


cause in urine

ANS: Pneumocyte II

a) Increased uric acid

ANS: Internal carotid artery

101. Most important muscle of


inspiration is

118: In shock, what will decrease?

a) Diaphragm

117: Sigmoid sinus is continuous with

ANS: Venous compliance


119: Is a sign upper motor neuron
lesion?

102. Most sensitive to radiotherapy

ANS: Babinsky sign

a) Lymphocytes
103 What is branch of ICA?

120: If numerous epitheliod cells are


surrounded by lymphocytes, called

ANS: Ophthalmic artery

ANS: Caseous necrosis (Granuloma)

104. Squamous cell is cervix is an


example of

121: Fracture of medial epicondyl of


humerous, on hand lost sensations?

ANS: Metaplasia

ANS: medial 1/3 of hand palm, and


dorsal 1/3 of hand

105: Thoracic duct drain all except


ANS: cerebrum
106: Increase blood in heart chamber
is

122: Winging of scapula is due to


damage of?
ANS: Serratus anterior muscle

ANS: Isovolumatric relaxation

123: Right adrenal gland is

107: If Clavicle is fractured, its lateral


part is pulled down by:

ANS: Pyramidal shape

ANS: Subclavius muscle

ANS: Duodenum

108. For uncoupled oxidative


phosphorylation, which hormone?

125: Which is true?

ANS: Thyroid hormone

126: In bronchial asthma?

109: Diarrhea improves on fasting is


ANS: Osmotic

ANS: increased breathing by


stimulating beta adrenergic

110: Source of energy to brain during


fasting:

127: inferior rectal artery is a branch


of

ANS: Amino Acid

ANS: internal pudendal artery

111: Which of the following is not


antiseptic?

128: Is not a carcinogen?

ANS: Acetyl Salicylic Acid

129: Microsomal metabolism is

112: Aging determined by bones?

ANS: Liver

ANS: Angle of mandible is less obtuse

130: Half life is

113: Lacrimal gland is supplied by?


ANS: Ptyrigopalatine ganglion

ANS: time to metabolism of half of


drug

114: During Episiotomy, damaged

131: Most of the drug is metabolize in

ANS: LavatorAni muscles

ANS: Liver

115: Broadmann's area 312 is also


called

132 Diverticulosis occurs:

ANS: somatosensory area

124: Submucosal gland is in ?

ANS: Right brochus is longer

ANS: Cyclophosphamide

ANS: sigmoid colon

133: Stimulation of RBC from bone


marrow by?

ANS: external oblique, anterior fibers


of internal oblique, Rectus muscle

ANS: Erythropoietin

Posterior fibers of internal oblique,


transverse muscle

134: Occult blood in stool is in


ANS: Iron deficiency anemia
135: Partial gastrectomy
ANS: Pernicious anemia
136: Fat store is increased by
ANS: insulin
137: In stress which hormone is
released?
ANS: Cortisol
138: Temperature regulator centre is
in?
ANS: Hypothalamus
139: In heart
ANS: Right atrium lies anterior to left
atrium

149: Lymph from posterior 1/3 drain


into
ANS: deep superior cervical lymph
nodes
150) Negative Montoux test is seen in
a) Steroid therapy
b) Immunosuppressive Therapy
151) Permeability of a substance
depends on
ANSWER a) Total cross sectional
areab) Carrier
c) Receptors

ANS: Rapid intravenous fluids

152. A patient developed type I


anaphylactic reaction. Treatment of
choice?

141: Not seen in DIC

ANS: Adrenaline

ANS: Thrombocytosis

153: Amputated leg is the result of

142: Best method of diagnosing


ectopic pregnancy

ANS: Amniotic bands

ANS: Laparoscopy

154. Widal test is positive? Dont


Know

140: In hypovolumic shock

143: superior parathyroid is


ANS: supplied by superior thyroid
artery

A) 1: 80 for O antigen

144: The supra renal gland

C ) 1: 100 for O antigen

ANS: The supra renal gland is


supplied artery which is direct branch
of aorta

B) 1:180 for O antigen


D ) 1:180 for O and H antigen
E) 1:80 for H antigen

145: Gas gangrene is not caused by

155. Actin physically binds with

ANS: Bacterial endocarditis

A) Troponin

146: permeability of a substance


depends on

B) Tropomyosin-------ANS
C) Myosin

ANS: Total crosses sectional area


147: A patient can't abduct arm, but if
supported up to 30 degree, can do.
What is?

156. congenitalomphaloseal?

ANS: Supraspinatus muscle

B) Associated with VSD?

148: incision between umbilicus and


ribs passes

c) Associated with ASD?

A) Not associated with any congenital


Heart diseases----- wrong

D) B and C?

167. Primary cartilageneous joint


157.Polysithemiarubravera associated
with

a) Connect the to bones together- I


wrote This answer , Dont know exact

a) bonetumors----ANS

b) Present in pinna of ears

b) lung diseased

c) is fibrocartilage

c)Living on Himalayan mountain

168. The premalignant condition is

158. Ptyrigopalatine canal is supplied


by

a) Psoriasis

a) Deep branch of petrosal nerveANS OK

c) myelodisplastic syndrome--------ok

b) superficial branch of petrosal


nerve

d) leukoplakia

b) Cervical erosion

159. Insertion of 1st lumbrical

169. Common side effect of


Isoprenlene, Nitroglycerine,
Histamine, is- Dont know

160. Cholangiocarcinoma caused by

a) Hypertension

a) S. mansonei

b) increased bronchial constriction

b) S. Japonicum

c)Lacrimation

c) S. Colonarisa ----ok

d) ?

161. What passes through ligament


teres of head of femur

170. Muscrinic receptors respond to

c) maxillarynervr branch

a) obturator nerve branch---ok


b)branch of femoral artery

a) preganglionic parasympathetic

162. Contraindication for platelet

b) Postganglionic parasympathetic--------------Sok

a. Auto antibodies to platelets ---ok


b. DIC
c. Splenomegaly
163. InG is in Largent quantity

171. What begins with Premalignant


conditions?

164. At Mac burny point located

a)Adenocarcinoma stomach

Tip of appendix

b)

Base of appendix

c)

In infants, tip of conical ceacum has


appendix attachedok?
165. Appendicectomy can damage to

172. Stratified cuboidial epithelium is


present in

Inferior epigestric artery


iliohypogastric nerve ----- I wrote
This answer , Dont know exact
ilioinguinal nerve\
166. In Osteomylitis of long bones,
portal entry of infection by
hematogenous route
a) Through epiphysis-ok
b) Metaphysis
c)Diaphysis

a) Ducts of Salivary glands------ok


b) Distal convoluted tubules of
nephron
c) Lacrimal gland ducts
173. The concentration of a substance
in the blood is 10mg and in in urine is
100mg. The flow rate of urine is if 2
ml / min , what is its renal clearance?

HINT: use formula UV/ p

b) Metaphysis

ANS: 20

c) Diaphysis

174. 35 year old female Type I


diabetic got fracture due to
osteoporosis. The cause?
ANS: Insulin

182. A patient with sepsis is best


diagnosed with
a) Pulse > 100
b) Pulse > 120
c) Positive bacterial culture

a) insulin
b) Estrogen

183. intestinal motility is decreased


by

175. Autosomal Dominant is


a)

a) C C K
b) Gastrin

176. Amyloidosis result in

c) Trypsin

a) Adenocarcinoma stomach

d)lipase

177. Regarding RBC

e) Insulin

a) buffer as accepter of oxygen


b)Only mature forms contain
Hemoglobin

184. Gross increase level of HCO3

c) Adult hemoglobin is alpha and


Gamma

a) Persistent vomiting

d)Not transport oxygen


178. Does not cause Gangrene
a) Bacterial endocarditis
b)???? ANS
179. ADH will decrease in
a) Nausea
b) Pain
c) Anxiety
d) Decrease serum osmolrity
180. Varicose veins
a) Somewhat associated with
smoking-------------ok
b) Only in lower limbs
c due to defect in adventitia

181. Primary ossification centre is


a) Epiphysis

b) CRH
c) Lung fibrosis
185. Primary brain vesicle is
a) Mesencepholan
b) Telencepholan
c) Diencephalan
186. Microtubules are part of
a) Centrioles
b) Cell membrane
187. BP is increased when there is
a) Increased sympathetic output
b)Increased total peripheral
resistance

188. Cardiac Muscles are

189. Femoral artery is best palpated


on?

C.PROTZOA

ANS: mid inguinal ligament

Q5.T.B ULCER MARGIN?

190. Carotid cartilage is

A.EVERETED

ANS: on base of thyroid

B.INVERTED

191. In brochhocscopy, Fist structure


to be visualized is:

C.INDIFINE

ANS: Right lower bronchus

D.INDURATED

193. Fatty Acids are transferred from


adipose to liver in the form of?

Q6.SECTRION OF HARMONE
INCREASE AS DARKNESS
INCREASING?

a) Chylomicrons

A.CORTISOL

b) HDL

B.GROWTH HARMONE

c) LDL

C.MELATONINE

d) VLDL

D.INSULIN
Q7.INDICATION OF SPLEENECTOMY?

JUNE 2009:

A.AUTOIMMUNE HEMOLYTIC ANEMIA


B.SICKEL CELL ANEMIA

Q1.WHICH LOBE OF LUNG HAS 2


SEGMENT

C.G SIX PHOSPATES DIF


D.THROMBOCYTOPENIA

A.RT;UPER LOBE
B.RT LOWER LOBE

Q8.RBC CELL MEMBRANE?

C.RT MIDDLE LOBE

A.ACTIN

D.LEFT LOWER LOBE

B.MYOCIN

E..LEFT UPPER LOBE

C.SPECTRIN
D.HEMOGLOBIN

Q2.EARLIEST SIGN OF ASPIRIN OVER


DOSE?
A.TINNITUS
B.GASTRIC UPSET
C.METABOLIC ALKLOSIS
Q3.MAIN SIDE EFFECT OF LIDOCAINE
A.ARRTHYMIA
B.TONIC CLONIC SEZIRES

Q9.CLOSTRIDIUM DIFFIC?
A.CAUSES LOCAL HYPOXIA
B.AEROBES
C.ALPHA TOXIN
D.CONVERSVATIVLY TREAT.
Q10.INGUINAL HERNIA?

C.NAUSEA VOMITING

A.INDIRECT PASSES ONLY


SUPER;RING

Q4.ENTAMOBEA HISTOLYTICA?

B.DIRECT PASSES THROUGH HESSAL


BECH TRIANGLE

A.DOES NOT HAVE CARRIER


B.LIMITED TO G.I.T

C.DIRECT LYING ON MEDIAL SIDE OF


INF:EPIGASTIC ARTERY

Q11.CONTENT OF INGUINAL HERNIA?


A.INF:EPIGASTRIC ARTERY

Q17.SECOND HEART SONUD?

B.LYMPH OF FUNDUS OF UTERUS.

A.CLOUSER OF TRICUSPID VALVES

C.OVARIAN ARTERY.

B.FILLING OF VENTRICLE

D.FEMORAL ARETY

C.CLOSURE OF SEMILUNAER VALVES

Q12.DIALYSING FLUID COMPOSTION


SAME AS PLASMA AXCEPT WHICH
ONE HIGH?

Q18.BLADER CA?

A.GLUCOSE
B.UREA
C.K*
D.CA
Q13.COMMON ORGAINSM INFECTION
IN LIVER TRANSPLANT PT:
A.HEP.B
B.HEB C
C.CYTOMEGALO VIRUS
D.INFLUENZA

A.TRANSITIONAL CELL CA.


B.Sq: CELL CA
C.EPITHOID CA
Q19.CALCITONIN?
A.INCREASE BLOOD CA LEVEL
B.INC;ABSORTION OF CA INTESTINE
C.INC:ABSORTION FROM RENAL
TUBULES
D.INC:BONE REABSORBATION
Q20.AFTER MULTIPULE BLOOD
TRANSFUSION?
A.HYPOKALEMIA

Q14.RT:CORNOARY ARETY?

B.HYPERKALEMIA

A.RISES FROM RT:POST AROTIC


SINCUS

C.HYPOCALCEMIA

B.SUPPLY BOTH ARTIUM


C.RUN IN POST INTERVENTRICULAR
GROOVE
D.BR:CIRCUMFELX
Q15.BRUN PT;
HYPOTENSION,TACYCARDIA?
A.D.I.C
B.INFECTION

D.RAISED BUN
Q21.COMPENSATION AFTER MILD
BLOOD LOSS?
A.TACYCARDIA
B.DEC: COMP OF VEIN
C.NORMAL B.P
Q22.IN ALL TYPE OF SHOKE?
A.HYPOVOLEMIA
B.TACYCARDIA

Q16.BOY WITH INCREASE BLEEDING


TIME AFTER CIRCUMCISION,HIS
COUSIN ALSO HAVE SAME PROBLEM?

C.UNCONSIOUS

A.BT

A.SYPMTOMS AFTER 12 HRS

B.CLOTTING TIME

B.80% FATAL

C.APTT

C.COMON CAUSE
THROMBPHILIBITIES

D.PT

Q23.FAT EMBOLSIM?

D.BREAST TRUMA

A.FASICA ILISCA
B.FASICA TRAVERSALIS

Q24.CHILD
THIN,DEPIGMENTED,APATHY

C.FASCIA TRANSVERSALIS AND


ILISCAP

A.MARASMUS
B.KASHIKOR

Q31.LOCALLY MALIGNANT TUMOR?

C.DIARREHA

A.CHOLESTATOMA
B.NEUROBLASTOMA.

Q25.PT:WITH GRANULOMATOUS
LESION IN BLADDER DEVELOPED
CA.CAUSE?
A.SHISTSOMIA MANSONI

Q32.COMMON SIGN OF OF
AGRUNLOSYTOSIS CAUSES BY
ANTIEPILEPTICS?

B.CIGGRATE SMOKING

A.WT:LOSS

C.SHIS;HEMATOBOIUM

B.SORE THOART

D.DIYES

C.BLEEDING
D.GIT UPSET

Q26.RETROGRADE AMNEISA?
A.FRONTAL LOBECTOMY
B.AGGREVATE BY TEMPORAL LOBE
TRUMA

Q27.METAPLASIA,INCORRECT?
A.IRREVERSIBLE
B.BRONCHIAL EPI;
C.GASTRO ESOPHAGEAL JUNCTION
D.CERVIAL JUNCTION

Q33.DURING OPERATION OF
POST;CERVICAL LYMH NODE BIOPSY?
A.CRANIAL PORTION OF ACCERY
NERVE.
B.SPINAL PORTION OF ACCESSRY
NERVE.
C.AXILLARY NERVE
D.LOWER CORD OF BRACHIAL
PLEXUSES
E.PHERINIC NERVE.

Q28.APPENDIC EPIPLOIC PRESENT


IN?

Q34.PT: WITH ROAD TRAFFIC


ACCEDIENT,UNABLE DORSIFLEX AND
EVERT FOOT?

A.DEUDENUM

A.SUPER; PERONEAL NERVE

B.RECTUM

B.DEEP PERONEAL NERVE

C.JEUJENIUM

C.COMON PERNEAL NERVE

D.ILIUM

D.TIBEAL NERVE

Q29.COMMON COMPLICATION OF
BETAL NUTS?

Q35.ESTABLISHED ANTIOXIDANT?

A.SUBMUCOSAL FIBROSIS

B.VIT D

B.EPITHEIAL POLYP
C.CA; EPITHILIUM
Q30.FEMORAL SHEATH?

A.VIT A
C.VIT E
D.VIT C
E.VIT B

Q36.URORECTAL SEPTUM?

C,INC ABSORBATION OF FAT

A.SEPRATE RECTUM AND URINARY


BLDER

D.DEC; IRON ABSORBATION

B.SEPRATE RECTUM AND


UROGENITAL SEPTUM

Q41.COMA(DEMAGE OF PART OF
BRAIN)

C.SEPRATE RECTUM AND SIGMOID


COLON

A.NUCLEUS CERULOSIS

D.SEPRATE RECTUM AND URETHRA

B.RETICULAR FORMATION AREA


C.AREA POSTREMA

Q37.70% OXYGEN EXTRACT IN


RESTING CONDITION IN WHICH
TISSUE?

Q42.TRUE HERMOPHADISM?

A.HEART

B.XXY

B.BRAIN

C.XXX

C.KIDNEY

D.XYY

A.XX/XY

D.LUNG
E.SK;MUSLES
Q38.PT: WITH THE S/S OF
PANCREATITIS BUT NORMAL
AMYLASE,WHAT NEXT DIAGNOSTIC
TEST?
A.LFT
B.CHLESTROL
C.GLUCOSE

Q43.AFTER
APENDICTOMY,PT;DEVELOPED
CHRONIC WOUND ABBCESS AND
DRAING SINUS,CONTAING YELLOW
GRANULES?
A.NOCARDIA
B.ACTINOMYCOSIS
C.H.PYLORI
D.E.COLI

D.AST/ALT

E.ENT.HISTOLYTICA

Q4930 YRS OLD PERSON AHS STAB


WOUND ON RT;SIDE OF CHEST?

Q44.RT:TESTIS LUMPH NODE


DRAINGE?

A.IPSILATERAL LUNG COLLPASE AND


IPSILATERAL CHEST WALL SPRING
OUT

A.DEEP INGUINAL NODE


B.SUP:MEDIAL GROUP INGUINAL
NODE

B.IPSILATERAL LUNG COLLAPSE AND


CONTRALATERAL CHEST WALL
COLLAPSE.

C,PARAORTIC LYMPH NODE

C.NO CHANGE IN CHEST WALL


D.CONTRALATERAL LUNG COLLAPSE
AND IPSELATERAL CHEST WALL
COLLAPSE
Q40.DURING OPERATION ILIUM
REMOVE?
A.DEC;ABSORTION OF AMINO ACID
B.DEC ABS:OF WATER

Q45.FAT,CHO AND LIPID DEPOSTION


BY WHICH HARMONE?
A.INSULIN
B.GLUCAGON
C.CORTISOL.
D.GROWTH HARMONE
Q46.MICROCYTIC,HYPOCROMIC
ANEMIA?
A.IRON DEF;ANEMIA

B.CHORNIC BLOOD LOSS

A.LONG HIGHT

C.SICKEL CELL ANEMIA

B.MENTAL RETARDATION

D.HEMOLYTIC ANEMIA

C.CARRING ANGLE REDUCED


D.HIGHT 4.5CM

Q47.CYNOSIS?
A.DEC CONTENT OF HB%
B.INC:CONCENTRATION OF
DEOXY;HEMOGLOBIN
C.ANEMIA

Q54PELVIC DIAPHAGRM FORMED BY


MUSCLES EXCEPT?
A.COCCYGUS
B.PYriformus MUSCLES
C.ILOCOCCGUS

Q48.UNLOCKING MUSCLES?
A.POPLITIUS

Q55.STD CAUSES ULCER ACCPET?

B.SEMITANDANNIOUS

A.SYPHILIS

C.SEMIMEMBRANOUS

B.HERPES

D.SARTORIUS

C.GONOCOCCUS

Q49.URETER
CONSTRICTION?INCORRECT
B.PELVIC BRIUM

Q56.PT WITH HYPOVOLEMIC


SHOKE,TREATED.WHAT WILL BE
DECREASE?

C.CROSS THE COMON ILLIC ARTERY

A.HEART RATE

D.RUN ON PSOS MUSCLE

B.urine OUTPUT

A.PUJ JUNCTION

C.B.P
Q50.COMON SITE OF RIB FRACTURE?
A.HEAD OF RIB
B.ANGLE OF RIB
C.BODY OF RIB
Q51.INCREASE BLEEDING TIME
CAUSE BY?ACCEPT
A.HENOCH,SHIL:PUPURA

Q57.after 48 HRS OF
STRAVATION,WHT WILL BE
BREAKDOWN TO PROVIDE ENEGRY
A.CHO
B.FAT
C.PROTIEN

C.DEC PLATELETS

Q58.CHRONIC HEMOLYSIS AND


INTRACELLULAR PIGMENT
ACCUMULATION?

D.THROMBOCYTOSIS.

A.BILIRUBIN

B.CIROHSIS

B.HEMOSIDRIN
Q52.SLOWEST GROWING TUMOR?

C.BIVIRDIN

A.PAPILLARY CA
B.MEDULLARY CA

Q59.BASCILIC VEIN?

C.FOLLICULAR CA

A.RUN OF RADIAL SIDE OF FORARM

Q53.TURNER SYNDROME?

B.FORM ON THE PALMER SURFACE OF


HAND

C60.CONTINUE AS AXILLARY VEIN

A.STYLOPHARAGEUS MUSCLES
B.MYLOID

Q.DRUG LEAST NEPHROTOXIC

C.STYLOGLOSSIUS

A.GENAMYCIN
B.NEOMYCIN
C.CLINDAMYCIN

Q67.PT:CANNT ABDUCT THE ARM


UPTO 30 DEGREE?
A.INFRASPINATUS

Q61.ANT:DISLOCATION OF
SHOULDER JOINT WHICH NERVE
DEMAGE?

B.SUPRA SPINATUS

A.AXILLARY

Q68.MAJOR INSPIRATORY MUSCLES?

B.RADIAL

A.INTERNAL INTERCOSTAL MUSCLES

C.MUSCULOCUTANEOS

B.EXT:INTERCOSTAL MUSCLES

D.MEDIAN

C.DIAPHGRAM

C.DELTOID

E.LOWER BRACHIAL PLUXES


Q62.TESTOSTERONE PRODUCED BY ?

Q69.LEFT SUP:RENAL VEIN DRAIN IN


WHICH VEIN?

A.LYDING CELL

A.RENAL VIEN

B.EPIDYDEMUS

B.AZYGOS VIEN

C.SRTOLI CELL

C.HEMIAZYGOS VIEN
D.ACCESSARY AZYGOS VIEN

Q63.APEX OF HEART?
A.3RTH INTERCOSTAL SPACE.
B.TOWARDS RIGHT

Q70.PARASYMPATHATIC SYS CAUSES


ALL OF FOLLWING AXCEPT?

C.8CM FROM MID LINE

A.SPINCTER CONSTRICTION
B.DILATE THE PUPIL

Q64.AFLATOXIN B1 CAUSES CA?

C.EMPTY BLADDER

A.HEPATOCELLUAR CA
B.BLADDER CA
C.LEUKEMIA
D.SKIN CA
Q65.BLOOD GROUP CAUSES
REACTION?
A.B+
B.A+
C.ABD.O+
Q66.MUSCLES DIVIDE
SUBMEDIBULAR GLAND?

Q71.PT:LOSS OF ABDUCTION,
ADDUCTION OF FINGERBUT NO LOSS
OF SENSATION?
A.MEDIAN NERVE
B.ULNER NERVE.
C.RAIDAL NERVE
D.DEEP BR;OF ULNER NERVE
Q72.MALE WITH T4N1M1 SERVIVAL
RATE LESS 50%,S/S?
A.CACHXIA
B.ANEMIA
C.ARRTHEYMIA

Q77.FUNCTION OF LIMIC SYS


AXCEPT?
A.MEMORY

Q84.THYROXINE CAN BE USE OTHER


THEN THYROID TREATMENT?

B.AGGRESTION

A.WEIGHT LOSS

C.SPINAL REFLAX

B.INCREASE APPEPITTE.
C.BMR

Q78.STRONGEST LIGAMENT?
A.ILIOFEMORAL

Q85.THYMUS?

B.ISCHEO FEMORAL

A.REGRESS AFTER BIRTH

C.DELTA LIGAMENT/MEDIAL
LIGAMENT

B.FORMED BY 4TH PHARENGEAL


ARCHES
C.PRODUCED T CELL

Q79.SHORT GASTRIC ARTERY BR:OF


A.SUP:EPIGASRIC ARTERY

Q86.GROOVE OF SUBCLAVIN ARTERY?

B.HEPATIC ARTERY

A.1ST RIB

C.SPLENIC ARTERY

B.2ND RIB
C.3RD RIB

Q80.TYMPANIC MEMBRANE?

D.CLAVICLE

A.FORMED LATERAL WALL OF


TYMPANIC CAVITY

Q87.PIVOT JOINT?

B.SUPPLY BY VAGUS AND


TRIGEMINAL NERVE

A.ATLANTOAXIAL JOINT

C.OPENING OF AUDITARY TUBE IN


POST WALL.

C.ELBOW JOINT

Q81.HEPARIN
A.EMBOLISM
BSECRTED BY .BASOPHIL
C.DISLODGMENT
D.DISOLVMENT OF CLOT
Q82.VERBAL COMUNICATION?

B.MANDIBULAR JOINT

Q88.CA REALSE FROM SKETAL


MUSCLES FROM?
A.SARCOPLASMIC RETICULIUM
B.MITOCHONDRIA
C.LYSOSOME
D.T-TUBULES

A.BY PRESENTATION

Q89.PROJECTION FIBERS PRESENT


IN?

B.INVOLVE IN RESEARCH WORK

A.CORPUS CALOSUM
B.INTERNAL CAPSULES

Q83.37%POST MENUPOSAL WOMEN


TAKING HRT,63 WOMEN TAKING NO
MEDICATION,HOW YOU SHOW IN
CHART
A.BAR CHART
B.PIE CHART
C.PICTORIAL CHART

C.RETICULAR FORMATION
Q90.PERIPHERAL AND CENTRAL
CHEMO RECPTORS BOTH RESPONES
TO?
A.PCO2
B.PO

C.OXYGEN CONCENTRATION

A.GIVE 1 MOLECULES OF PYRUVATE

D.H+

B.2 MOLECULE OF GLUCOSE

Q91.ESSENTIONAL AMINO ACID

Q98.THICK FILAMENT?

A.TYROSINE

A.MYOSIN

B.ALANINE

B.ACTIN

C.ARGININE

C.ACTOMYOSIN

D.PHENYALANINE
Q92.LUMBER PUNCTURE?

Q99.ORGAN TRANSPLANT REJECTED


IN 10 MIN

A.L2 TO L3

A.CELL MEDIATED IMUNITY

B.L4 TO L5

B.ANTIBODY

C.POST;SUP;ILIC SPINE

C.PLASMA CELL
D.NATURAL KILLER CELL

Q93.CEREBRAL CORTEX
A.RECEIVE NO SENSORY
INFORMATION

Q100.WHICH FOLLOWING CHEMICAL


EXPOSURE CAUSES CA?

B.PRESENT ONLY IN FRONTAL LOBE

A.METHYL ALCOHAL

C.ESSENTIONAL FOR INITATION OF


VOLUENTRY MOVEMENT

B.BENZENE

Q94.WATER ABSORBTION IN
PROXIMAL CONVULATED TUBULES?

Q101.CRANIAL NERVES CARRINYING


PARASYMPATHATIC FIBERS?

A.55% ABSORED

A.3,7,8,10

B.ASECNDING LIMB IS PERMIALE FOR


WATER

B.3.7.9.10

C.WATER ABSORED THORUGH


FASCILITED DIFFUSION

Q102.DURING PREGNANCY HICH


DRUG SAFEST IN HYPOTHYRIOD PT:

C.CARBON TETRACHLORIDE

C.4,7,9,10

A.BETA BLOCKERS
Q95.SUBARCHANID LYER END AT?

B.DIAZEPAM

A.L2

C.PROPYTHIORACIL

B.S2

D.CARBAMAZIPINE

C.S5
Q103.ARCHES OF LEFT LUNG?
Q96.DORSAL COLUMN MEDIAL
LAMINUSCUS COTAIN?
A.FINE TOUCH
B.CROUDE TOUCH
C.PAIN
D.TEMP
Q97.GLYCOLYSIS?

A.AZYGOS VEIN
B.THORACIC DUCT
C.ARCH OF AORTA
Q104.DIAPHGRAM SUPPLY BY?
A.C,3,4,5
B.INTERCOSTAL NERVE

C.C 2,3.4
Q105.WHICH DRUG CAUSES CORNEAL
OPACITY
A.CHLOROQUINE
B.ERTHROMYCIN

C.INTENSTION TREMORS

Part-1 Surgery, 2010


1.WATER ABSORBTION IN PROXIMAL
CONVULATED TUBULES?
A.55% ABSORED

Q106.CAVERNOUS SINUS COTAIN?


A.TROCHLER NERVE
B.INTERNAL JUGULAR VEIN

B.ASECNDING LIMB IS PERMIALE FOR


WATER
C.WATER ABSORED THORUGH
FASCILITED DIFFUSION

C.ABDUCENT NERVE
2.ESSENTIONAL AMINO ACID
Q107.WHICH DRUG INCREASE CYTO
P450 SYS

A.TYROSINE

A.BARBITURATES

C.ARGININE

B.SULFA DRUGS

D.PHENYALANINE

B.ALANINE

C.ISONIAZID
D.KETOKANAZOLE

3.CRANIAL NERVES CARRINYING


PARASYMPATHATIC FIBERS?

Q108.EASIEST METHOD TO
DIAGNOSED MENINGOCOCCUS?

A.3,7,8,10

A.CULTURE

C.4,7,9,10

B.3.7.9.10

B.STAINING
C.SERUM ANTIGEN

4.OXYTOCIN AND ADH ORIGENATED


BY?

Q109.BALCK WATER FEVER CAUSES


BY?

A.POST PITUTARY

A.PLAS;MALARIA

C.ANT PITUTARY

B.HYPOTHALAMUS

B.PLAS:FALCIPARUM
C.QUATRUN MALARIA
Q110.OXYTOCIN AND ADH
ORIGENATED BY?

5.EARLIEST SIGN OF ASPIRIN OVER


DOSE?
A.TINNITUS

A.POST PITUTARY

B.GASTRIC UPSET

B.HYPOTHALAMUS

C.METABOLIC ALKLOSIS

C.ANT PITUTARY
6.T.B ULCER MARGIN?
Q111.CEREBLLAR DISORDER?

A.EVERETED

A.UNABLE TO PERFORM
VOL;MOVEMENT

B.INVERTED

B.STATIC TREMORS

D.INDURATED

C.INDIFINE

7.APEX OF HEART?
A.3RTH INTERCOSTAL SPACE.
B.TOWARDS RIGHT
C.8CM FROM MID LINE
8.ORGAN TRANSPLANT REJECTED IN
10 MIN
A.CELL MEDIATED IMUNITY
B.ANTIBODY

2. Surfactant contained within the lamellar


which is released via exocytosis.Best
method to detect malignancy
A- Cytology
B- Histopathology
C- Immunochemical
3. HIV diagnosis is through

C.PLASMA CELL
D.NATURAL KILLER CELL
9.CONTENT OF INGUINAL HERNIA?
A.INF:EPIGASTRIC ARTERY
B.LYMPH OF FUNDUS OF UTERUS.
C.OVARIAN ARTERY.

A- western blot
B- Elisa
C- CD count >300
4.Vitamin D causes:

D.FEMORAL ARETY

A- increased renal Ca re-absorption


10.AFTER MULTIPULE BLOOD
TRANSFUSION?
A.HYPOKALEMIA
B.HYPERKALEMIA
C.HYPOCALCEMIA
D.RAISED BUNs present in
.falciparum malaria
.chagas disease

B- increased serum phosphate levels


5.Antithrombin
A- Has a structure similar to thrombin
B- is a valine protease inhibitor
C- When binds to protease action is
increased by heparin

2011 :
1. Lamellar bodies are found in:
A- Clara cells
B- Type 1 alveolar cells
C- Type 2 alveolar cells
D- Macrophages

(it is a serine protease inhibitor. In


antithrombin III deficiency heparin's
anticoagulant effect is decreased.)
6.Head injury causes paraplegia with no
sensory loss which are is involved?
A- Cerebral cortex
B- Spinal cord at T10 level
C- Pons

D- Medulla

11.A kidney transplant immediately turns


blue and is rejected within minutes:

(Tricky! I guess what they are referring to is


the involvement of motor cortex!)!

A- type 4 sensitivity

7.ADH

B- Ab. mediated

A- Has double size compared to oxytocin

C- Cytotoxic rejection

B- Released on decreased osmolarity

D- GVHD

C- Is transported down attached to


neurohypophysin

(a question of hyper-acute rejection.)

8.HIV infection in female will cause

12.Which of the following causes viral


mediated host DNA transfer:

A- vulvar cancer

A- Transduction

B- endometrial cancer

B- Transformation

C- cervical CA

C- Conjugation

D- leukemia

13.Which of the following most probably


has an animal reservoir?

9.Following is not a sign of irreversible cell


injury:

A- influenza

A- Karryorhexis

B- measles

B- Karyolysis

C- smallpox

C- Mitochondrial shrinkage
D- myelin figures
10.still reversible at this stage, but if the
conditions don't improve irreversible injury
will develop.Type of necrosis in omentum:

14.Vitamin K deficiency following is


unusual:
A- coumarin therapy
B- Bile duct obstruction

A- liquefactive
C- red meat ingestion
B- coagulative
C- gangernous

D- in newborn due to lack of transport


through placenta

D- fat necrosis

15.Liquid dysphagia is due to:

A- hypoglossal nerve palsy

C- passive hyperemia

B- plummer-vinson syndrome

D- parasympathetic stimulation

C- palatal palsy

20.Testosterone is secreted by interstitial


cells of leydig it

D- neuromuscular incoordiantion
A- increases hair growth on scalp
16.Heinz bodies are found in
A- autoimmune hemolytic anemia

B- increase protein synthesis in bones and


muscles

B- G-6-P-D deficiency

C- inhibits secretions of sebaceous glands

C- hereditary spherocytosis

D- it is 17-ketosteroid

D- post splenectomy

E- is converted into androsterone in target


cells

17.Hemolytic anemia is a feature of


A- acute myeloid anemia

21.Para amino hippuric acid is used to


determine

B- cirrhosis

A- GFR

C- mycoplasma

B- renal blood flow

D- SLE

C- renal plasma flow

18.Necrosis in omentum is

D- renal creatinine clearance

A- fat necrosis

22.Earliest side-effects of aspirin over-dose

B- caseous necrosis

A- tinnitus, vertigo

C- gangrenous necrosis

B- vomiting

D- fibrinoid necrosis

C- seizures

19.When a question is asked from a student


during lecture, he becomes red faced. This is
due to
A- active congestion

23.A scenario of child having serum


cholesterol of 600mg/dl, his father, mother
and elder brother are all having this high
level of cholesterol in their blood.What gene
mutation is responsible for this condition?

B- active hyperemia

A- apoE

B- HDL receptors
C- LDL receptors

25.A scenario of patient having Factor VIII


deficiency. The genes responsible for this
disease are at chromosome?

D- basal chylomicron transport proteins

A- 21

E- VLDL receptor

B- 14

24.A scenario of child having Hb 6gm/dl,


WBC is 5200 and platelets 150000/mm3. his
elder brother also has a history of repetitive
blood transfusions. Now you come to a
diagnosis for this child?

C- 11

A- CBC

C- Electrophoresis

26.A surgical patient is transfused 3-5 units


of blood before and after surgery. He
develops abnormal ECG changes not
consistent with ischemia. What is the cause
of the ECG changes?

D- Sickling test

A- metabolic alkalosis

E- Fragile test

B- hypercalcemia

25.Diagnosis of a tumor is made by

C- hyperkalemia

A- cytological examination

27.Glucagon increases glycogenolysis in


liver while ACTH does not due to?

B- Immunocytochemistry

D- X
E- Y

B- histopathological examination
A- ACTH increase plasma glucose
C- immunochemical assay
D- enzyme assay

B- glucagon has different guanyl cyclase


than ACTH

E- tumor marker

C- liver has different receptors for ACTH

24.80% of oxygen is extracted by which


organ?

D- ACTH is readily degraded by the liver


enzymes

A- heart

(ACTH via cortisol causes gluconeogenesis)

B- skeletal muscle
C- lungs

If celiac trunk is blocked which of the


following will not suffer from ischemic
injury28.?

D- brain

A- liver

B- pancreas

A- caused by salivatory nucleus of


medulla/pons

C- spleen
B- increases during sleep
D- gall bladder
C- inhibited by pilocarpine
29.Head of pancreas is in front of of aorta
A- inferior vena cava

D- increases in response to Beta-adrenergic


stimulation

B- celiac trunk

32.Beta adrenergic stimulation causes

C- aorta

A- mydriasis

D- renal arteries

B- increased blood flow to skeletal muscles

E- superior mesenteric artery

C- increase peristalsis

30.Carcinoma breast metastasizes to

33.Which organism is found in urine sample

A- lung

A- paragonimus westermani

B- bone

B- wuchereria bancrofti

C- brain

C- schistosoma hematobium

D- kidney

34.Which pus forming organism in lung also


causes meningitis?

E- liver
A- streptococci
30.Lung contains metastatic tumor,
histopathology reveals clear cells. Most
commonly this tumor has metastasized from

B- staphylococci
C- bacteriodes

A- kidney
D- pneumococci
B- liver
E- psuedomonas
C- bone
D- adrenal

35.Common premalignant condition of


mouth in adults

E- breast

A- lichen planus

31.Regarding salivation

B- hyperkeratosis

36.Most lethal premalignant condition is

c) increase estrogen

A- lichen planus

d) increase progestron

B- leukoplakia

4. Q.. In the first step of thyroid harmone


synthesis iodine attach with

C- erythroplakia
a) Albumin
D- solar keratos

20th NOVEMBER
2012
Q. Which neurocyte play an important role
in blood brain barrier
a) Astrocyte
b)Ependmyls
c) Microglia
d) Oligodenroglia
e) Macroglia
2. Q.. I respiratory tract exchange of gasses
occur at
a) respiratory bronchioles
b) Alveolar duct
c) alveoli
d) alveolar Sac
e) alveolar duct
3. Q..At the time of Ovulation

b) thyroxin
c) thyroglobulin
d) hb
5. Q.. Antibodies formed in
a) Thymus
b) Plasma cells
c) Lymphocytes
d) Spleen
e) liver
6. Q.. A man lying naked at operation table
with room temprature 21.5 C and 80%
humidity by which mechanism heat transfer
from body
a) By Veporization
b) Radiation and conduction (ans)
c) sweating
d) respiration
e) urine

a) increase body temprature

7. Q..what is the best way of communication


between a patient and doctor

b) corpus luteum form on the ovary

a) A clean room

b) Active Listening (ans)


c ) speak Loudly
d) well furnished clinic
8. Q.. A man is diagnosed by a fatal illness
which has v poor prognosis as a doctor what
will u do
a) Hide every thing
b) tell the nature of illness to patients
family only
c) tell the nature of illness to patient and his
family only
d) tell the nature of illness only to the
patient
e) Give crispy and evidence based whole
information of the illness to patient (ans)
9. Q.. features distinguishing between
benign from maliganant tumor is
a)metastasis (ans) b)invasive n infiltrative
margins c)analpsia d) Metaplasia e)
Hyperplasia 10. Q..Child with skin
itching..stool examination reveal worms..
presence of which cell will aid in diagnosis
a)basophils b)eosinophils (ans)
c)lymphocytes d) Granulocyte e) Neutrophil
11. Q)which carcinoma do not SPREAD to
bones a) thyroid medullary carcinoma
b)breast c)prostate d) lung e) Liver (ans) 12.
Q..A patient receives radiotherapy for
Squamous Cell Carcinoma, some time later
the there is scarring & ulceration to the skin
because of: a- Damage to the squamous
epithelium b- Endarteritis obliterans cinfection d- venous thrombosis e. 13. Q..A
tumor with all germ layer involved: a)
Teratoma (ans) b) Adenocarcinoma c)
Hamartoma d) Sarcoma e) Seminoma

14.Q..The most significant agent in causing


Cerebral Malaria: a)P.vivax b)P.Falciparum
(ans) c)P.malarae d)P.Ovale e)P.Vivax + P.
Ovale 15.Q.The vibration produced in
intraventricular septum during rapid filling
of the ventricle is the: a)1st Heart sound
b)2nd Heart Sound c)3rd Heart Sound (ans)
d)Murmur e)4th heart sound 16.Q..Patient
with terminal ileum resection will have: aloss of bile salts (ans) b- large volumes of
water in stool c- decrease absorption of
aminoacids d-Decrease absorption of Protien
e) Iron deficiency 17.Q.. Which of these are
Permanent Cells
a- Myocardial Cells (ans) b- glial cells chepatocytes d) lymphocytes e) Osteocytes
18.Q.Athlete is unable to rotate his foot
medially bt turns easily laterally.cause is
damage to... a.ext haluucis longus nd flexr
hallucis longus b.tibialis anterior nd hallucis
longus c.tibialis posterior nd extnsr hallucis
longus d.tibialis ant nd flexr hallucis longus
19.Q..In which hemolytic amenia
splenectomy is the treatment a) autoimmune
hemolytic anemia b) G6PD deficiency c)
heridatory Sephirocytosis d) Sickle cell
anemia 20.Q..cardiac muscle cannot be
tetanized because it has a) action potential
with plateau b) gap junctions C) long
duration of contraction d) long refractory
period e) automaticity 21.Q..A patient with a
lesion in the nose,granulomas n proteinuria
with vasculitis histology show nacrosis,most
likely lesion? A) Wegner's granulomatosis
B) leprosy c) sarcoidosis D ) TB 22.Q. To
calculate plasma Osmolarity Na is multiply
by 2 for what a)Anoins b) Other Catoins
c)Protiens d) Glucose e) Aminoacid
23.Q..Morphine causes ? A) bradypnea &
miosis B) bradypnea & mydriasis C)
tachypnea & miosis D) tachypnea &
mydriasis 24.Q.Which of the following bone
is first to ossify ? A) sternum B) clavicle C)
humerus D) femur 25.Q. Anterior fontanela

close at ? A) 6 - 12 months B) 12- 18


months C) 18- 24 months
D) 24- 30 months 26.which of the following
is not in ant. relation to left kidney a)
diaphram b) pancreas c) stomach d) spleen
e) Splenic flacture of colon 27..Q.Cyclic
Amp represents ? A) protein pump B) Ion
channels C) receptors D) hormone 28.Q.
LIver held in its position with ant.
Abdominal wall By? A) diaphgram B)
peritoneal ligaments C) inferior vena ceva
D) Hepatic Vien 29.Q.Cause of right shift of
oxygen dissociation curve ? A) carbon
monooxide B) fetal hemoglobin C) decrease
PH D) increase PH 30.Q. Which componant
of food has highest caloric value ? A)
carbohydrates B) protiens C) fats D) starch
31.Q. Specificity of a test represants ? A)
true positive B) true negative C) false
positive D) false negative 32.Q..A 80 yr old
male comes to surgical OPD ,with complaint
of watery discharge coming out from
umbilicus ,he has a prostatic enlargement for
the last 5 yrs ,what is the cause ? A)
prostatic cancer B) patent vitelointestinal
duct C) patent urachus D) constriction of
uretheric sphnicter E) constriction of ureter
33.Q..Post operative Pyrexia may occur
secondary to: (A): Subphrenic Abscesss (B):
Deep Vein Thrombosis (C): Urinary Tract
Infection (D): Atelactasis (E): Blood
Transfusion 34.Q..Aneamic pt ,hb 6.0,
increased PLT count & hyperplastic bone
marrow .Cause ? a) acute blood loss b)
hemolytic anemia
c) iron deficeincy d) leukemia 35.Q..In
anterior Duodenal perforation , the contents
will go to a) Right iliac fossa b)Left Iliac
fossa c)Anterior subhepatic space
d)posterior subhepatic space e) small bursae
36.Q..pt can survive without mechanical
ventilation if the lesion is at: a) Above C 2 B
at C 3 C) at C4 D) Below C 5 37.Q..60 year
old man has bilaterall enlarged lymph node

in neck. biopsy revealed hodgkin


lymphoma. which type of hodgkin has good
prognosis? a) lymphocytes deplited B)
lymphocyte predominant C) nodular
sclerosis D) mixed cellularity 38.Q..old pt
admitted in ICU with CVP passed in
subclavian, developed fever. for that one
blood cs sent from periphery and second in
cvp tip for cs. after 2 days initial report came
positive for gram +ve cocci in cvp. which
antibiotic would b best for this pt. a)
imepenem b) penicillin with culvanic c)
vacomycin d) cefelosporins 39.Q..increased
parasympathetic stimulation wiil cause
relaxation of a.gut walls b.brochial smooth
msc c.GIT shincters d.urinary bladder msc
e.pupillary shincter 40.Q.the fibrous
pericardium and serous pericardium receives
innervation from a)vagus nerve b)phrenic
nerve C).intercostal nerves d) Long
Thoraxic nerve 41.Q.Posterior relation of
Arch of Aorta? brachiocephalic vein sup
vena cava right phrenic nerve left phrenic
nerve pulm artery 42.Q..leison of pyramid at
medulla cause . Balancing .motor loss
.propeception . Discrimination loss
43.Q.secondery transport a. urea b. protien
c. amino acid d. glucose 44.Q..Disinfectant
use for surgical scrub and plan is a.
cholhexidine b.alcohol C. spirit d) 45.Q.Gall
bladder epithelium is a) Pseudostratified
columner epithilia b) Simple saquamos c)
Simple columner d) Simple Cuboidal 46.Q.
bleeding disorder associated with deficiency
of factor VIII, and absolute F vIII is not
availibe what will u give a. platelet
transfusion b.cryoprecipitate c.fresh whole
blood transfusion d.Albumine 47.Q.thymus
a. contains lymphos b. regresses soon after
birth c. forms from 4th pouch d. drive from
pretracheal fascia 48.Q. Triglycerides a.
transported by lipoproteins b. 3 fatty acids
having glucose 49.Q. Which type of joint is
Pubic Symphysis 1. Sydesmosis 2.
Fibrocartilagenous 3. diarthrosi 4. ? 5. ?

50.Q.First bone to ossify in embryo is 1.


clavicle 2. femur 3. Sternum 4. Humerus 5.
Tibia 51Q.What is correct regarding
surfactant 1. Highest concentration in
amniotic fluid is in last trimester 2. It
decreases lung compliance 3. It forms a
layer between maccro molecules 4. it is
produced by Type 1 pneumocytes in the last
trimester of pregnancy 52.Q. Its production
decreases as the size of alveoli
decreasesprostacyclin is produced by 1.
Peyer patches 2. Mast Cells 3. Fibroblasts 4.
Endothelial Cells 5. Platelets 53.Q.Which
activates thirst center
1. ADH 2. Aldosterone 3. Renin 4.
Angiotensin 5. ANP 54.Q. Heparin is
produced by 1. Plasma Cells 2. Basophils 3.
Mast Cells 4. Mesenchymal Cells 5.
Fibroblasts 55.Q.Which one of the following
is the pre cursor of malignancy 1. Barret
Oesophagus 2. Duodenal Ulcer 3. Gastirc
Ulcer 4. Angiodysplasia 5. Haemmorhoids
56.Q.In ECG what represents a T wave. 1.
refractory period 2. ventricular re
polarization 3. atrial systole 4. Ventricle
diastole 5. Atrial re polarization 57.Q. A
new borne presented with tachypnea O/E
there is decrease breath sound on left side
normal breath on right side, chest x ray
show gut loops in left side of the pleural
cavity what is the likely cause? a) defective
pleuropericardial membrane b) atresia of
lower esopahagus c) defective
pleuroperitoneal membrane d) Hitus hernia
e) Dextrocardia 58.Q.A patient with tumor
in the Right Superior bronchus which
segment is likely to be collapsed: a- Apical
Superior b- Apical Basal c- Superior Basal
d- Left apical lobe 59.Q.Pt presented with
severe burns ,and comes few days later with
Infection and blood diathesis, brusis on the
body and died What was cause of death: aLiver failure due to septecimia b- DIC cDehydration d-Renal Failure e- 60.Q.a
soldier from balochistan with fever since 3

months and hepatsplenomegaly gives h/o of


sleeping on ground and often biten by flies a
kala azar b fliariasis c malaria d.
Schistosomias 61.Q. Child with vomitting,
yellow discolaration of sclera,dark coloured
urine. Most appropriate investigation
will be ... a)hep A n B Serology b)serum
bilirubin n ALT c)Alkaline phosphatase
d)Total bilirubin 62.Q. CSf reabsorption
most appropriate a- Arachnoid vili bChoroid plexus 63.Q. A person has
glucosuria but his blood sugar is 100
mg/dl.what was the cause ,... a. decreased
absorbtion of glucose from proximal
convulated tubules b.dec thershold for
glucose in kidney c.pt is diabetic d.
abnormally decreased reabsorption of glucos
64.Q. main supply of head of femur in adults
a- obturator artery b- medial and lateral
circumflex femoral c- d- e- 64.Q. In
stress,level of all hormones increases except
a,growth b,adh c,cortisol d,aldosteron e)
Insuline 65.Q.Difference b/w septc and
hypovolumic shock., . temperature heart rate
respiratory rate pallor hypotension 66.Q. A
female was found to hav decreased calcium
levels and increased phosphate and serium
parathyroid hormone increased and alk.
Phosphate is normal. cause may be
a,hypoparathyroidisam b, chronic renal
failure c) Osteomalacia e,
psudohypoparathyroidsm 67.Q. isolated
damage to anterior cruicate ligament leads to
displacement of tibia on femur in which
direction? a anterior b anteriomedial c
anterolateral d posterior. 68.Q. foot drop nd
loss of snesation on dorsum of foot
following fracture of neck of fibula a.tibial n
b,commen peronial nerve c.post tibial n
d,sciatic nerve 69.Q.patient with anemia and
jaundice has raised alkaline phophatase in
his blood ...diagnosis a cholestrol stones b
pigment stones

c cholengiocarcinoma d acute hepatistis e.


blood malignancy 70.Q.14 year old girl with
menorhagia and pale looking has presented
with purpura her labs show platelete 20k and
bone marrow shows megakaryocytic
hyperplasia Dx a. ITP b. TTP c ... d ... e ...
71.Q.therapeutic as well as toxic effect of
loop diuretics is a metabolic acidosis b
hyperkelemia c decrease bld pressure d.
Increase in Na+ e........... 72.Q.a patient with
pyogenic lung abscess develops meningitis
causative agent? a streptococcus b
staphylococcus c klebsiella d haemophilus
influ e. pneumococci 73.Q.What is most
appropriate abt thyroid gland...
a)parathyroid lies on superolateral surface
b)epithelium change acc to function
c)isthmus lies above cricoid cartilage d).. * ..
74.Q. which of the following structure is
buried in lateral sulcus of brain ?
a.sebiculum B.operculam C.pars triangulris
d. Insula e. splenium 75.Q.external jugular
vein ... a. it pireces investing layer of deep
cervical fascia at border of
sternocleidomastoid b. It doesn t receive any
tributaries ... c. formed behind angle of
mandible Form on surface of
sternocleidomastoid behind angle of jaw d.
form by union of post div of
retromandibular vein n postauricular vein
76.Q.organism with florescent pigment and
resistant to antibiotics and disinfectants a
pseudomona b bacteroides c trepnema d......
e......... 77.Q.Median urachal ligament is a
remanant of a)umblical artery b)umblical
vein c)urachus d) mesonephric duct 78.Q.
Subarachnoid space end at level of a)L1-L2
b)L3-L4 c)L5
d)S2-S3 79.Q.A disorderly growth with
change in size shape maturation. Which is
also reversible a)anaplasia b)metaplasia
c)dysplasia d)neoplasia 80.Q. which of the
following is responsible for the net
reabsorption of sodium in the kidney? a.
aldosterone b. atrial natriuretic peptide c.

Renin angiotensin system d. aldosterone and


ANP 81.Q.which is the short term iportant
effect of angiotensin II? a. vasoconstriction
b. stimulation of the thirst center
83.Q.asthmatic pt ph 7.33, co2 48, hco3 25 ?
a repiratory acidosis with renal
compensation b resp alk c met aci d met alk
e respiratory acidosis without renal
compensation 84.Q.a women is given
multiple transfusions of blood before and
after the surgery, what will the ECG
changes, her ECG doesn t show any
ischemic changes? a hyperkalemia b
hypercalcemia c Infrective endocarditis d
85.Q.Regarding epithelia and glands a) An
endocrine glands is marked by the presence
of number of ducts b) The simple squamous
epithelium found at places where exchange
of gases take place c) Halocrine type of
secretion in mammary gland d)Most of
respiratory tract is lined by transitional
epithelium 86.Q.pulmonary capillary wedge
pressure a)indirectly measures left atrial
pressure b)indirectly measures right atrial
pressure c)is named because of wedge shape
of catheter d) Increase pressure across
tricuspid valve 87.Q.In autosomal dominant
disease a).both parents of affected child
have the disease b)only one parent of
affected child has the disease c)only male
are affected from diseased parent 88.Q. Bioavailability is a factor, which route of
administration of drug highly affects? a-oral
b-iv c-sc d-im
e-sub lingual 89.Q. edema is caused by :
a)Decreased hydrostatic pressure
b)Increased osmotic pressure c)lymph
obstruction 90.Q.most of the lymph is
filtered by : a)peyer's patches b)lymph nodes
c)spleen d)thymus 91.Q.Volume of
distribution of drug not affected by a)age
b)gender c)Sex d)cardiac failure
e)pregnancy 92.Q.Infusion of large amount
of dextrose in water.wht wd b inhibited
a)ADH b)aldosterone c)vasopressin

d)cortisol e)insulin 93.Q.The transitional


epithelium lining the urinary bladder is
derived from (A) ectoderm (B) endoderm
(C) mesoderm (D) endoderm and mesoderm
(E) neural crest .. 94.Q.clostridium
botulinum specific symptoms in food
poisoning... a.diarrhoea b.flacid paralysis of
respiratory muscles c.projectile vomitng
d.Convulsions 95.Q.ant triangle of neck is
supplied by... a. C1. b.C2 nd C3 c.C3 nd C4
d,C4 96.Q.cavernous sinus cavity contains
which nerve... a. Optic Nerve b.
Occulomotor nerve c. Troclear Nerve d.
Abducent Nerve
e. Glossopharyngeal nerve 97.Q.41 percnt
hematocrit means a) 41% of formed
elements r rbcs. b) 41% of blood volume is
rbcs,wbcs n platelets.. c) 41% of blood
volume is serum. d).41% of blood volume is
plasma e) 41% of blood is hb 98.Q.in severe
dehydration... a.ecf decreases b.icf decrease
c.both ecf nd icf decreases d.pH decreases
99.Q.A woman is injected a PPD s/c. 48 hrs
later she developed 14mm ,which cell other
thn macrophages is formed... a.neutrophils
b.T cell c.B cell d.lymphocytes.
100.Q.thromboxane A2 is secretd by...
a.platelets b.endothlial cells c.basophils
d.basophils 101.Q.a pregnant lady of 15
weeks developed thyrotoxicosis which drug
is treatment of choice a) beta blocker b)
PTU c) MgSO4 102.Q..avidin has greatest
affinity to one of following a) B12 b) Biotin
c) vitamin A d) vitamin C 103.Q.regarding
Actinomyces infection wat is true a. forms
pus b. forms pus and granuloma c. form non
caseating granuloma d. form caseating
granuloma e necrosis 103.Q.a know
hypertensive on drug therapy..present in
emergency with collapse..her plasma K is
6.1..what is the likely cause of collapse
A..ARF B..CRF c...infection D..diuretics
E..coushing 104.Q.blood antigens

a)agglutins b)secreted in saliva 105.Q. A


baby with history of delayed passage of
meconium, and on rectal biopsy there is
absence of ganglion cells. What is the
diagnosis. a. Cystic Fibrosis b. Hirschsprung
disease c. ? d. ? 106.Q. A patient had cut in
the center of wrist during a suicide attempt,
he has no abduction or adduction of fingers
plus no abduction of the thumb, the injury is
to: a. ulnar nerve b. median nerve c. radial
nerve 107.iron store in paranchyma of organ
a)ferritin b)hemosedrin c)transferrin 108.Q.
A gynecologist is treating UTI in her
patients, She divided her patients in 2
groups, and 2 antibiotics were selected
amoxicillin and ciprofloxaicn. each group is
given 1 drug without letting them know the
real name of the drug. what type of this
study is. a. Double Blind b. Retrospective c.
Cross Sectional d. Placebo e. Case Control
109.Q. Adult polycystic kidney disease,
which of the following is correct a.
Autosomal Dominant b. Autosomal
Recessive c. X Linked d. Multifactorial e.
Mitochondrial 110.Q. Which of the
following test is best described for GFR
kidney a. Serum Urea b. Urine Osmolality c.
Hippuric Acid Test d. Insulin Clearance e.
Creatinine clearance 111.Q.Which of the
following beta blocker should be given with
no vasodilation but lowers BP a. Captopril
b. Hydralazine c. Nifedipine d. Atenolol e.
Verapamil 112.Q. Peritonitis is caused by a)
Bacteroids b) E-Coli c) Proteus d) Steph
113.Q. An alcoholic patient has h/o loss of
appitite, addominal distension ,on liver
histopathology a) mailiory body appearance
b)
114.Q. child with purpura on investigation
he has a) paleteles 90000 b) platelets 20000
c) factor 8 deficincy d) protien c deficiency
e) protien S deficiancy 115.Q.6 yr child with
peripheral edema decrese albumin level ,
skin lesions what is the cause a. kawashkior
b.marasmus c)beri beri d)vit c deficiency

116.Q. anitbodies against tb present a.is


complete b..attached to bacteria c.Serum d.
lymphoctes 117.Q. Blow on jaw cause
RAmus fracture just above the mandibular
foramin at mandibal ,lesion causes.
a.mylohyoid b.skin of chin anesthesia
c.lower teeth anesthesia d. 118.Q.Which
activates thirst center a). ADH b)
Aldosterone c) Renin d) Angiotensin e)
ANP 119.Q. Which of the following helps in
regulation of sodium absorption a). Atrial
Natriuretic peptide b) ADH c) Aldosterone
d) Aldosterone + Atrial Natriuretic peptide
e) Renin 120.Q. Stimulus for aldosterone
secretion a)hypekalemia b)renin
c)hypernatremia 121.Q. Which of the
following disease is caused by the bite of
mosquito a) Ochronosis b) Filariasis c)
Whipple d) Ascariasis 122.Q. Enzymes
which transfer radical from one molecule to
another a)hydrolases b)oxidoreductases*
c)transferases d) Oxidation

D)
3)UNDERCOOKED MEAT IN DIET
CAUSES
A)LIVER FLUKE
B)SCHISTOSTOMA
4)ADULT DERIVATIVE OF
MESONEPHRIC DUCT
A)DUCTUS DEFERENS
B)EPIDIDYMIS
5)HISTOLOGICAL FEATURE OF TB
GRANULOMA
A)CASEATING NECROSIS
B)EPITHELIOD
6)ATIVE TRANSPORT

SURGERY 7TH MARCH


2013

A)NA/K PUMPS ALWAYS PRESENT


B)CARRIER PROTEINS REQUIRED

1) CUTANEOUS NERVE SUPPLY OF


FOOT?
A)SURAL NERVE

C)GLUCOSE...

B)POST.TIBIAL

7)STUDY BETWEEN SMOKERS N NON


SMOKERS TO STUDY RELATIONSHIP
BETWEEN SMOKING N LUNG CANCER

C)OBTURATOR

A)CASE CONTROL

D)COMMON PERONEAL

B)COHORT

2)REGARDING CRUCIATE LIGAMENT

8)WHICH CAUSES BRONCHOGENIC


CARCINOMA

A)INSIDE THE JOINT CAVITY


A)ASBESTOSIS
B)ATTACHED TO TIBIA
B)SILICOSIS
C)
C)BRUCELLOSIS

D)SMOKING TOBACCO

LATERAL POSITION TO AVOID


PRESSURE ON

9)OLIGURIA
A)IVC
A)LESS THAN 100ML
B)RT LUNG
B)LESS THAN 500ML
C)LIVER
C)BETWEEN 0.5L TO 1 L
10)OXIDASES ARE PRESENT IN

15)IN A DIABETIC PATIENT


ORGANISM FOUND IN INFECTION

A)PEROXISOMES

A)MUCOR

B)LYSOSOMES

B)HISTOPLASMA

11)ECTOPARASITE

16)SUBCAPSULAR SINUS WITH


AFFERENT LYMPHATICS FOUND IN

A)BED BUG
A)SPLEEN
B)LEECH
B)PEYERS PATCHES
C)LICE
C)LYMPH NODE
D)TICK
D)TONSIL
12)PATIENT HAS
PNEUMONIA....AFTER 6 DAYS IN
SHOCK DUE TO

17)JUNCTIONS PREVENTING
HARMFUL SUBSTANCES IN MOVING
TO ADJACENT CELLS

A)ELECTROLYTE IMBALANCE
A)GAP JUNCTIONS
B)INC INTERSTITIAL CAPILLARY
PERMEABILITY
13) AIR BORNE DROPLET INFECTION
CAN SPREAD

B)TICHT JUNCTIONS
C)DESMOSOMES

A)1 TO 2 FT

18)IN CARCINOMA FILAMENTS


FOUND

B)3 TO 6 FT

A)VIMENTIN

C)8 TO 10 FT

B)KERATIN

14)PREGNANT LADY 3RD


TRIMESTER ASKED TO LIE IN LEFT

C) DESMIN

19)PAIN CARRIED BY
A)A DELTA FIBRES

23)CHILD COMES FOR


CIRCUMCISION.....FAMILY HISTORY
POSITIVE OF PROLONGED BLEEDING
...TEST PERFORMED

B)B FIBRES
A)APTT
C)C FIBRES
B)PT
D)A BETA FIBRES
C)BT
E)MYELINATED FIBRES
20)CIMETIDINE AND SUCRALFATE
GIVEN TOGETHER

24)CARBIDOPA AND LEVODOPA


GIVEN IN PARKINSONISM
A)INCREASE ABSORPTION

A)DECREASE ABSORPTION
B)ENTRY INTO BRAIN CELLS
B)ANTAGONISE EFFECTS
C)PROLONGED EFFECT
C)INHIBIT FUNCTION
25)REGARDING PSOAS MUSCLE
D)DELAYED EFFECT
21)VITAMIN B12 ABSORBED IN
A)ILEUM

A)INSERTED ON GREATER
TROCHANTER OF FEMER
B)ARISES FROM LUMBAR
VERTEBRAE

B)JEJUNUM
26)SECOND ARCH DERIVATIVE
C)DUODENUM
A)STYLOHYOID
D)STOMACH
B)STYLOMANDIBULAR LIGAMENT
E)COLON
22)SLE IS GENETIC DISEAS
STATEMENT SUPPORTING IT

27)REGARDING CLAVIPECTORAL
FASCIA
A)ENCLOSES PEC MINOR

A)FEMALES MORE AFFECTED


B)PIERCED BY ARTERY
B)FAMILY MEMBERS HAVE
AUTOANTIBODIES

C) FORMS BREAST SUSPENSORY


LIGAMENTS

C) D)MORE IN ASIANS
28)LATERAL VENTRICLES HAVE IN
BETWEEN THEM

A)FALX CEREBRI

A)LINGUAL NERVE OF
GLOSSOPHARYNGEAL

B)AMYGDALA
B)CHORDA TYMPANI OF FACIAL
C) SEPTUM PELLUCIDUM
C) VAGUS
29)DORSAL COLUMN DOESNOT TAKE
WHICH SENSATION

34)PEPTIC ULCER PAIN CARRIED BY

A)TOUCH

A)GREATER SPLANCHNIC

B)PAIN

B)LESSER SPLANCHNIC

C)JOINT POSITION

C)GASTRIC

D)VIBRATION

35)CILIA LIKE PROJECTIONS IN

30)8MONTHS CHILD.....DYSPNEA
CYANOSIS.....ABSENT BREATH
SOUNDS ON RT SIDE......LOOPS OF
INTESTINE IN CHEST

A)OLFACTORY CELLS
B)UTRICLE
C)FALOPIAN TUBES

A)HIATUS HERNIA
D)SPERMATOZOA
B)INCOMPLETE PLEUROPERITONEAL
MEMBRANE

36)WHICH NERVE NOT IN CAROTID


SHEATH WHEN LEAVING SKULL

31)3RD PART OF DEGLUTITION


A)9
A)GRAVITY DEPENDANT
B)10
B)VAGALLY STIMULATED
C)11
C)SURFACE OF FOOD BOLUS
D)12
32)WINGING OF SCAPULA
E)AURICULAR
A)TRAPEZIUS
B)SERRATUS ANT

37)REGARDING EXTENAL
INTERCOSTAL

C)DELTOID

A)ARISES FROM T7 TO T12

33)TASTE LOSS FROM POST 1/3RD OF


TONGUE

B)ARISES FROM LOWER 4 RIBS

C)FROM XIPHISTERNUM TO COSTAL


CARTILAGE

B)SELF EXAMINATION SOURCE OF


DETECTION

D)

C)

38)BLOOD TRANSFUSION REACTION


WITH RASH FEVER

D)
42)HAMARTOMA

A)TYPE 1 HYPERSENSITIVITY
A)INVOLVES DIFERENT CAVITIES
B)TYPE 2
B)BENIGN
C)TYPE 3
C)
D)TYPE 4
D)
39)SWEAT CHLORIDE TEST
POSITIVE....RECURRENT
RESPIRATORY INFECTIONS.....INC
FAT CONTENT OF STOOL WICH WILL
NOT BE ABSORBED
A) VIT D

43)HEPATIC PEDICLE
A)HEPATIC ARTERY POTAL VEIN
COMMON BILE DUCT
B) HEPATIC ARTERY HEPATIC VEIN
......

B)IRON
C)
C)FOLIC ACID
D)
D)B1
44)PICK TRUE STATEMENT
40)HB 6 BILIRUBIN 10.........CAUSE OF
JAUNDICE

A) 100-200 MILLION SPERMS MADE


EACH DAY

A)HEMOLYTIC ANAEMIA
B)FSH REQUIRED
B)GALL STONES
C)
D)

C)SPERMATOGONIA UNDERGO
MEIOSIS
D)28 DAYS REQUIRED TO MAKE NEW
SPERMATOZOA

41)FALSE ABOUT BREAST CA


45)END PLATE HAS
A)MORE IN MULTIPAROUS THAN
NULLIPAROUS

A)CHOLINESTERASE

B)

A)INFECTION

C)

B)VIT C DEFICIENCY

D)

C)ISCHEMIA

46)2WEEKS BEFORE TOXOID


INJCTION NOW PRESENTS WITH
REACTION

D)
50)PAIN IN AREA OF NOSE....BELOW
EYE ABOVE MOUTH

A)TYPE 1 HYPERSENSITIVITY
A)MAX. DIV OF TRIGEMINAL
B)2
B)FACIAL
C)3
C)GLOSSOPHARYNGEAL
D)4
D)
E)CYTOTOXIC T CELLS
47)ON ATT PATIENT HAS JOINT
ACHES

51)2ND WEEK TYPHOID


FEVER....MOST APPROPRIATE TEST
A)BLOOD CULTURE

A)INH
B)WIDAL TEST C)STOOL CULTURE
B)RIFAMPIN
C)A N C
C)ETHAMBUTOL
D) B N C
D)PYRIZINAMIDE
E)STREPTOMYCIN
48)KLINEFELTORS SYNDROME
KARYOTYPE

52)SUPERIOR TO FLEXOR
RETINACULUM
A)PALMARIS LONGUS

A)47XXY

B)FLEXOR DIGITORUM
SUPERFICIALIS

B)47XYY

C)FLEXOR DIGITORUM PROFUNDUS

C)46XXX

D)

D)

53)OXYTOCIN AND ADH ORIGINATE


IN

49)LOCAL FACTOR CAUSING DELAY


IN WOUND HEALING

A)HYPOTHALAMUS

B)ADENOHYPOPHYSIS

C)INC FFA INC INSULIN D)INC FFA


DEC INSULIN

C)NEUROHYPOPHYSIS
58)TO MOVE LEFT FOOT OFF GROUND
D)
A)RT GLUTEUS MEDIUS
54)ENLARGED PAROTID SWELLING
PAINFUL BECAUSE COMPRESSING

B)LT GLUTEUS MEDIUS

A)AURICULOTEMPORAL

C)

B)FACIAL

D)

C)

59)REGARDING LOCAL ANAESTHESIA

D)

A)RASH..........

55)LOSS OF DORSIFLEXION OF FOOT

B)SEIZURES BEFORE CARDIAC


TOXICITY

A)COMMON PERONEAL
C)
B)ANT TIBIAL
D)
C)POST TIBIAL
D)
56)TASTE FIBRES FROM POST 1/3RD
ARE CARRIED TO

60)DIARRHEA NOT RESPONDING TO


GLUTEN FREE DIET
A)GIARDIASIS
B)

A)SUP SALIVATORY NUCLEUS


C)
B)TRACTUS SOLITARIUS
D)
C)
61)PATIENT MEETS DOCTOR......
D)
A)CLOSED ENDED Q ASKED
57)IN DIABETIC PATIENT POST
PRANDIALLY

B)OPEN ENDED Q ASKED

A)INC FFA INC GLUCAGON

C)ASK NAME AGE ADRESS

B)INC FFA DEC GLUCAGON

D)

62)DEC NA INC K.......REST OF THE


LABS NORMAL .....PATIENT SUFERING
FROM

66)TRICUSPID CAN BE BEST HEARD


AT
A)LEFT 2ND INTERCOSTAL

A)ADDISONS
B)RT 2ND INTERCOSTAL
B)
C)APEX D)LT 5TH INTERCOSTAL
C)
D)

67)DEC HB.....ANAEMIC PALE


PETECHIAE PRESENT INVESTIGATION
OF CHOICE

63)WHICH IS NON MALIGNANT


A)CBC
A)HEP B
B)BONE MARROW
B)HEP C
C)
C)EPSTEIN BAR
D)
D)HPV
68)THIAZIDES CAUSE
E)HERPES
A)HYPOKALEMIA
64)REGARDING GROWTH HORMONE
B)HYPERKALEMIA
A)POLYPEPTIDE
C) HYPOCALCEMIA
D)SOMATOMEDINS INC BONE AND
CARTILAGE GROWTH
C)

D)HYPERCALCEMIA
69)DIGASTRIC TRIANGLE IS
BOUNDED BY

D)
65)QRS COMLEX OCCURS JUST
BEFORE

A)ANT AND POST BELLY OF


DIGASTRIS AND MANDIBLE
B)

A)ATRIAL SYSTOLE
C)
B)VENTRICULAR SYSTOLE
D)
C)
70)ARTERY OF FOREGUT
D)
A)COELIAC TRUNK

B)SUP MESENTERIC

C)C.DIFFICILE

C)INF MESENTERIC

D)

D)

75)POSITIVE PEDICTIVE VALUE

71)APPENDICULAR ARTERY IS A
BRANCH OF

A)ALL TRUE POS IN ALL POS


B)ALL TRUE NEG IN ALL NEG

A)ANT CAECAL
C)
B)POST CAECAL
D)
C)
76)9 22 GENE TRANSLOCATION
D)
A)ALL
72)HAEMOPHILIA ALL MALES
AFFECTED BUT NOT FEMALES
BECAUSE

B)AML
C)CML

A)X LINKED RECESSIVE


D)
B)AUTOSOMAL DOMINANT
77)PCT ABSORBS 100%
C)AUTOSOMAL RECESSIVE
A)BICARB
D)
B)CHLORIDE
73)NEPHROTIC SYNDROME DUE TO
C)WATER
A)HYPOALBUMINEMIA
D)SODIUM
B)INC CAPILLARY HYDROSTATIC
PRESSURE

78)MYXOID DEGENERATION SEEN IN

C)

A)MITRAL VALVE PROLAPSE

D)

B)INFECTIVE ENDOCARDITIS

74)NOT FOOD BORNE

C)

A)MYCOBACTERIUM AVIDUM
INTERCELLULARE

D)

B)C.BOTULINUM

79)IN MI RISE OF ENZYME WITHIN 1


HR

A)CK MB

B)INC VOL OF DISTRIBUTION

B)TROPONIN

C) DEC HEPATIC ACTIVATION

C)LDH

D)

D)

84)AT BIRTH....FULL
TERM.....EPIPHYSEAL CENTRE IN

80)MEDIOLATERAL EPISIOTOMY
DAMAGES

A)PROXIMAL PART OF TIBIA

A)LEVATOR ANI

B)DISTAL PART OF FEMER

B)BULBOSPONGIOSUS

C)DISTAL PART OF TIBIA

C)PERINEAL BODY

D)

D)

85)PATIENT CANNOT SPEAK MORE


WORDS

81)MOST VESSELS FOUND IN


A)BROCA
A)SUB ARACHNOID
B) WERNIKE
B)SUBDURAL
C)FRONTAL LOBE
E)EPIDURAL
D)
D)
82)PATIENT CANNOT BLOW
WHISTLE.....FOOD CHEWING
DIFFICULT

86)DIFFERENCE BETWEEN RT AND


LFT KIDNEY
A)SIZE AND WEIGHT

A)FACIAL

B)COVERINGS

B)

C)RELATIONS

C)

D)

D)

87)ARCHES OVER ROOT OF LUNG

83)AMINOGLYCOSIDE IN
ELDERLYDOSE ADJUSTED

A)AZYGOUS VEIN
B)THORACIC DUCT

A)DEC RENAL CLEARANCE


C)

D)

A)INC FATTY FOOD

88)THORACIC DUCT BLOCKED


WHICH WILL NOT SWELL

B)ALCOHOL
C)DEC PROTEIN INTAKE

A)ARMS
D)
B)LEGS
93)MOST RADIOSENSITIVE TUMOUR
C)LUNG
A)BONE
D)CEREBRAL TISSUE
B)LYMPH NODE
89)RESPONSE TO COLD IMMEDIATE
C)
A)PILOERECTION
D)
B)SHIVERING
C)

94)BURNS...DEEP LAYER OF
DERMIS....HANDS.....COMPLICATION

D) .

A)CONTRACTURE

90)KETOROLAC ANALGESIA USED IN

B)DEHISCENSE

A)THORACOTOMY

C)KEOID

B)ELECTIVE COLECYSTECTOMY

D)

C)

95)STORED BLOOD

D)

A) INC HEMOLYSIS

91)NORMAL FEV1/FVC RATIO

B)FACTORS 2 5 7 PRESENT

A)0.8

C) PLATELETS UPTO 5 DAYS


FUNCTIONAL

B)0.6
96)regarding tpn which is correct?
C)
D)
92)CAUSE OF FATTY LIVER IN OUR
SOCIETY

a)all calories provided by glucose


b)aminoacids present
c)
d)

97)bmr is increased in

b)crus cerebri and tegmentum divided


by.......

a)inc thyroxine
c)
b)
d)
c)
102)propylthiouracil acts by
d)
a)inhibiting production of thyroid hormone
98)micturation involves
b)blocking iodination
a)s2 s3 s4
c)
b)l2 l3 l4
d)
c)l1
103)true regarding humerus?
d)
a)lesser trochanter attaches subscapularis
99)correct regarding ureter
a)duplicated in 4%

b)lesser trochanter forms medial most part


of joint

b)narrowest part where ureter leaves kidney

c)teres minor attached on lesser trochanter

c)

d)

d)

104)flexion of elbow joint and supination


lost....nerve involved

100)in radical neck dissection which nodes


are spared?

a)musculocutaneous

a)occipital

b)median

b)ant cervical

c)radial

c)

d)ulnar

d)

e)axillary

101)which is correct about midbrain?

105)poor prognosis

a)aqueduct of sylvius is the cavity of


midbrain

a)hbsag pos hbcab pos


b)hbsag pos hbeag pos

c)hbsag neg hbeab pos

a)wegeners granulomatosis

d)

b)takayasu arteritis

106)pubic bones have a joint which is

c)giant cell

a)symphesis

d)

b)syndesmosis

110)epinephrine release from adrenal


medulla involves ans part

c)synchondrosis
a)parasympathetic muscuranic
107)to break bad news to patient
b)parasympathetic nicotinic
a)psychologist
c)
b)attending doc in exclusivity
d)
c)attending doc in presence of relatives
121)poor prognosis in sepsis
d)
a)dic
107)true about coronary arteries
b)vasodilatation
a)run in their respective atrioventricular
groove

c)diffuse tissue........

b)accompanied by veins of the same name

d)

c)anastomose at arteriolar level

122)true about vertebrae

d)

a)lumbar have heart shaped body

108)osmotic pressure difference between


interstitial fluid and plasma

b)
c)

a)1mosm/kg
d)
b)1.5
c)3

123)accident and fracture of femer......dies 2


days after

d)5

a)pulmonary embolism

109)related to cigerette smoking

b)fat embolism

(B) Blocks the synthesis of thyroid

c)
d)
124)patient has inc urinary
frequency...suprapubic pain.................
a)e.coli
b)klebsiella
c)
d)
125)needle inserted at
a)lower rib area of max dullness
b)upper rib
c)

JUNE 2013
1. Which artery does not form the blood
supply of SCAPL
(A)
(B)
(C)
(D)
(E)

Maxillary
Superficial Temporal
Occipital
Supratrochlear .
Supraorbital

2. Location of Sinoatrial node


(A)
(B)
(C)
(D)
(E)

Auricle
Superior portion of sulcus terminalis
Inferior part of crista terminalis
Interatrial septum
Tricuspid valve

3. Mechanism of action of Propyl Thio


Uracil (PTU), antithyroid drug
(A) Inhibits iodide pump

hormone
(C) Blocks the synthesis of thyroglobulin
(D) Inhibits hormone release
(E) Controls hypothalamic temperature
set point
4. The most important embryological
structure regarding the formation of heart,
responsible for separating the aorta and
pulmonary artery and also for the division of
various heart chambers is,
(A)
(B)
(C)
(D)
(E)

Conus septum
Endocardial cushion
Aorticopulmonary septum
Bulbous cordis
Aortic vestibule

5. A person after the thorn prick presents in


the emergency with the localized abscess of
left leg. The organism responsible for
abscess most likely is
A) Pseudomonas aeruginosa
(B)
(C)
(D)
(E)

Staphylococcus aureus
E. coli
Streptococcus pyogenes
Staphylococcus epidermidis

6. A person has weakness in adduction and


medial rotation of arm. Muscle which can
perform these actions is most likely
(A)
(B)
(C)
(D)
(E)

Teres major
Teres minor
Supraspinatous
Subscapularis
Latissimus dorsi

7. Pre-ganglionic autonomic neurons contain


which type of fibers
(A) A alpha
(B) A beta

(C) A delta
(D) Beta
(E) C fibers

8. Which statement regarding medulla


oblongata is correct

(E) Lymphoma

13. The structure most likely to be damaged


while making incision on Mc Burney point
(A) Ilioinguinal nerve

(A) Olives are situated most medially


(B) Upper portion of medulla has

(B)Genitofemoral nerve

relation with fourth ventricle posteriorly


(C) Located between pons and
cerebellum
(D) Pyramids cross above medulla
(E) None of them is correct

(C..Iliohypogastric nerve

9. Zinc is important as essential element in


(A)
(B)
(C)
(D)
(E)

Carbonic anhydrase
Cellular oxidation
Glycolysis
Glycogenolysis
Ketogenesis

(D)Deep circumflex femoral artery


(e)None of them
14. Diphtheria toxin has most serious effect
on
(A)
(B)
(C)
(D)
(E)

Nerves
Heart
Vessels
Throat
None

10. Drug of choice for Gas gangrene


(A)
(B)
(C)
(D)
(E)

Ciprofloxacin
Penicillin (CORRECT)
Aminoglycosides
Cefhalosporins
Macrolides

11. Which of the following is nucleotide


(A)
(B)
(C)
(D)
(E)

Adenine
Guanine
Adenosine
Ribose 5 Phosphate
Inosine

12. The slowest developing carcinoma of


thyroid is
(A)
(B)
(C)
(D)

Papillary
Follicular
Anaplastic
Medullary

15. Which one of the following tissues is not


found in teratoma
(A)
(B)
(C)
(D)
(E)

Muscle
Salivary gland
Fat
Teeth
Hair

16. A 32 year old man presents in the


emergency with the bleeding from the left
lower lip. At which site you will compress
the face to stop bleeding
(A)
(B)
(C)
(D)
(E)

Angle of left side of mouth


Angles of both sides of mouth
Below the left lower lip
Over the left chin
None of the above

17. After amputation, a patient presents to


you with a painful firm nodule over his left

leg. On biopsy nerve cells are seen to be


arranged in haphazard manner. Your
diagnosis is
(A)
(B)
(C)
(D)
(E)

Ganglion
Neuroma
Ganglioneuroma
Ganglioma
Neurofibroma

18. During forced expiration, the most likely


statement regarding the physiology of
respiratory system
(A) Bronchi collapse during expiration (
(B) There is dynamic collapse of

respiratory bronchioles due to thin walls


(C) The volume after forced expiration is
called tidal volume
(D) Vital capacity is the sum of
inspiratory plus expiratory reserve
volumes
(E) None of the above is correct
19. Radiations usually cause cancer after
(A)
(B)
(C)
(D)
(E)

1 year
2 years
5 years
5- 10 years
More than 10 years

20. During the late stages of pregnancy the


maternal blood passes to the fetus via the
following
(A)
(B)
(C)
(D)

Syncytiotrophoblasts only
Cyto trophoblasts only
Fetal endothelium
Fetal endothelium + Cyto
trophoblasts
(E) Syncytiotrophoblasts and Cyto
trophoblasts
21. Earthquake is

(A)
(B)
(C)
(D)
(E)

Social crisis
Situational crisis
Emotional crisis
Developmental crisis
None of them

22. The hormone responsible for the brain


development in fetal life
(A)
(B)
(C)
(D)
(E)

Thyroid hormone
Growth hormone
ACTH
Prolactin
TSH

23. The differentiating feature of


Kwashiorkor from Marasmus
(A)
(B)
(C)
(D)

Muscle wasting is not present


Pitting edema
Fat loss
None of them

24. Which is true regarding Resting


Membrane Potential
(A) Depends upon equilibrium potential

of K+
(B) Depends upon equilibrium potential
of Na+
(C) Is achieved after thresh hold
potential
(D) Is zero in most cases
(E) None of them is correct
25. Lipoproteins synthesized by the liver are
poured first into which structure
(A)
(B)
(C)
(D)
(E)

Biliary canaliculi
Space of Diss
Portan vein
Hepatic sinusoids
Hepatocytes

26. Urorectal septum divides cloaca into

(A)
(B)
(C)
(D)
(E)

Anus and urinary bladder


Anorectal canal and urogenital sinus
Urachus and bladder
Cloaca and bladder
Rectum and anal canal

27. During the first minute of apnea the


PCO2 raises up to
(A)
(B)
(C)
(D)
(E)

10 mmHg
12 mmHg
8 mmHg
4 mmHg
2 mmHg

(B)
(C)
(D)
(E)

Lumbar spinal nerves


Cervical spinal nerves
Lumbar spinal nerves
Every spinal nerve

32. Which statement regarding CSF is


correct
(A)
(B)
(C)
(D)
(E)

Has cushion like effect


Produced in blood brain barrier
Absorbed in ventricles
Derived from lymph
None is correct

33. Which cell is not present in CNS


28. Total number of vascular segments of
kidney
(A)
(B)
(C)
(D)
(E)

4
5
6
7
8

29. A vessel is called arteriole when its size


approaches
(A) 0.3 mm and just visible with the

naked eye
(B) 0.5- 1.0 mm
(C) 1.0-2.0 mm
(D) 3.0-5.0 mm
(E) None of them
30. Which substance is released from
sympathetic pre-synaptic neurons mainly
(A)
(B)
(C)
(D)

Acetylcholine
Epinephrine
Nor epinephrine
Dopamine

31. Post ganglionic sympathetic neurons are


present in
(A) Thoracic spinal nerves

(A)
(B)
(C)
(D)
(E)

Astrocyte
Oligodandrocyte
Schwann cell
Neuroglial cell
Microglia

34. The lymphatic drainage from the upper


and outer most quadrant is first to
(A)
(B)
(C)
(D)
(E)

Central axillary
Lateral axillary
Medial axillary
Apical axillary
Posterior axillary

35. The substance which will cross blood


brain barrier first
(A)
(B)
(C)
(D)
(E)

CO
CO2
O2
Blood
None of them

36. Actinomycosis does not produce


infection in
(A) Brain
(B) Bone
(C) Skin

(D) Sinus
(E) Soft tissue

(E) Kenoneuria

42. Source of creatinine


37. Most common site of Anthrax infection
(A)
(B)
(C)
(D)
(E)

Lung
Skin
Liver
Intestine
Nose

38. Buergers disease has the most important


feature of
(A)
(B)
(C)
(D)

Occurs in old age


Common is smokers
Associated with flaccid paralysis
Also called thrombophlebitis
obliterans
(E) A and B
39. The most common vascular mediator of
acute inflammation
(A)
(B)
(C)
(D)
(E)

Prostaglandin (PGI2)
serotonin
Substance P
Lipoxins
None of them

40. Correct statement regarding Frequency


distribution
(A)
(B)
(C)
(D)
(E)

Gives percentages of values


Has importance only in demography
Mean can be expressed with this
Limited to a specific value
All are true

41. The most sensitive indicator of diabetic


nephropathy
(A)
(B)
(C)
(D)

Albuminuria
Raised BUN
Glycosuria
Hematuria

(A)
(B)
(C)
(D)
(E)

Fat
Muscle
Spleen
Liver
kidney

43. The most important clinical feature of


pure water intoxication
(A)
(B)
(C)
(D)
(E)

Edema
Engorged neck vein
Thirst
Alert behavior
Slow pulse

44. In a patient of pure water depletion , the


fluid most likely to be administered
(A)
(B)
(C)
(D)
(E)

Normal saline
5% Dextrose water
Hypotonic saline
Hypertonic saline
5% Dextrose saline

45. Slow pain is not transmitted via


(A)
(B)
(C)
(D)
(E)

Lateral laminiscus
Dorsal column
Spinal cord fibers
Substance P
Any of them

46. A lady after surgery presents in the ward


with the swollen legs bilaterally. DVT is
suspected. The pathology is
(A)
(B)
(C)
(D)
(E)

Endothelial injury
Endothelial injury + Blood stasis
Blood stasis
Coagulopathy + Blood stasis
Coagulopathy

47. The muscle forming the inferior relation


with hip joint
(A)
(B)
(C)
(D)
(E)

Piriformis
Obturator exturnus
Obturator internus
Gemmilus inferior
Quadratous femoris

48. Triglycerides are maximum in


(A)
(B)
(C)
(D)
(E)

VLDL
LDL
Chylomicron
HDL
IDL

49. Anterior choroidal artery is branch of


(A)
(B)
(C)
(D)
(E)

External carotid artery


Internal carotid artery
Anterior cerebral artery
Middle cerebral artery
Anterior communicating artery

50. Standard deviation means


(A)
(B)
(C)
(D)
(E)

Difference of mean
Difference of each value from mean
Percentage of each value
Standard error minus mean
Standard error minus median

51. The structure pass just posterior to the


medial mellolus
(A)
(B)
(C)
(D)

Posterior tibial artery


Tibial nerve
Tibialis posterior
Flexor hallucis longus

52. Which part of brachial plexus is found


on the borders of axilla
(A) Roots
(B) Divisions

(C) Cords
(D) Trunks
(E) Suprascapular nerve

53. Which is correct regarding parathyroid


gland
(A) Superior parathyroid gland is

supplied via superior thyroid artery


(B) Inferior parathyroid gland is supplied
via superior thyroid artery
(C) Thymus develops with superior
parathyroid gland
(D) Thymus develops with inferior
parathyroid gland
(E) A and D
54. Parathyroid hormone may increase
during pregnancy. Pick the correct
mechanism
(A) Low levels of free serum calcium

level
(B) Effect of estrogen in pregnancy
(C) Hypomagnesaemia
(D) Metabolic alkalosis
(E) May be any of them
55. Patient presents with hematuria and
hemoptysis, the likelt diagnosis is
(A)
(B)
(C)
(D)
(E)

Good pasture syndrome


Lung abscess
Nephrotic syndrome
Wegener granuloma
None of them

56. Regarding stomach the correct statement


is
Its the most dilated part of GIT
Its volume is 1 liter
Is a retroperitoneal organ
Supplied mainly via superior
pancreaticoduodinal artery
(E) All of them are correct
(A)
(B)
(C)
(D)

57. Least likely statement regarding


cardiogenic shock
(A)
(B)
(C)
(D)
(E)

Hypovolemia
Decreased cardiac contractility
Decrease stroke volume
Increase in HR
Decrease BP

58. If the movement of glucose molecule


across a membrane is dependent on
concentration gradient, its an example of
(A)
(B)
(C)
(D)

Facilitated diffusion
Primary active transport
Secondary active transport
Simple diffusion

59. A child comes in the emergency with


cough and respiratory obstruction.
Emergency tracheostomy is planned. You
will confirm the diagnosis with
(A)
(B)
(C)
(D)
(E)

Blood culture
Throat culture
Urine culture
Complete blood count
All of them

62. Dependence does not develop to which


one of the followings effects of opoids
(A)
(B)
(C)
(D)
(E)

Pupillary constriction
Pupillary dilatation
Effect on CVS
Respiratory depression
Both C and D

63. Which is true regarding esophageal


opening in diaphragm
(A) Located at T8 vertebral level
(B) Present in the left crus of diaphragm

with a sling from right sided crus


(C) Transmits right phrenic nerve
(D) Present in right crus
(E) Can act as a sphincter
64. Which is example of secondary
cartilaginous joint
(A)
(B)
(C)
(D)
(E)

Inferior tibio fibular joint


Costochondral joint
Radio ulnar joint
Pubic symphysis
None of them

65. Lumbar puncture is done at which level


60. Mechanism of action of aspirin
(A)
(B)
(C)
(D)
(E)

Aggravates thromboxanes
Activates platelets
Stabilizes the vascular endothelium
Irreversibly blocks COX
All of them

61. Which is correct statement regarding the


anaesthetic agents
(A)
(B)
(C)
(D)
(E)

Thiopental decreases heart rate


Ketamine is bronchodilator
Thiopental increases heart rate
Halothane is safe in CLD
None of the is correct

(A)
(B)
(C)
(D)

L2- L3
L4-L5
S1-S2
L5-S1

66. Which is correct statement regarding


CSF picture in bacterial meningitis
(A)
(B)
(C)
(D)
(E)

Protein count remains near normal


Sugar is elevated
Sugar count remains normal
Neutrophils are the main cells visible
None of them

67. GFR decreases as the result of

(A)
(B)
(C)
(D)
(E)

Constriction of efferent arteriole


Constriction of afferent arteriole
Dilatation of afferent arteriole
All of them
None of them

68. Which structure doesnt form the


anterior relation of left kidney
(A)
(B)
(C)
(D)
(E)

Stomach
Spleen
Rib
Pancrease
Colic flexure

69. Correct statement regarding Oogenesis


(A) First meiotic division starts during

fetal life
(B) Graffian follicle contains primary
oocyte
(C) Secondary meiotic division
completes just before fertilization
(D) Adult ovary has columnar epithelium
(E) None of them is true
70. Vitamin K deficiency increases
(A)
(B)
(C)
(D)
(E)

PT
APTT
Both
None
Platelet counr

71. Prothrombin times increases in all


except
(A)
(B)
(C)
(D)
(E)

Aspirin toxicity
Functional platelets defect
HS purpura
None of them
All of them

72. An old lady presents to your office with


three month history of pallor, increased
respiratory rate, mild to moderate edema. On

investigations, creatinine is 3.8 mg/dl, urea


is 180 mg/dl and Hb is 7.3 g/dl. The most
likely cause in your opinion
(A)
(B)
(C)
(D)
(E)

Acute renal failure


CCF
Erythropoietin deficiency
Nephritic syndrome
None of them

73. A child after valvular surgery presents


with mucosal bleeding. His Hb is 6.8 mg/dl.
The most likely diagnosis is
(A)
(B)
(C)
(D)
(E)

Idiopathic
Trauma
Purpura
Thrombocytopenia
Hypersensitivity

74. Most important diagnostic feature of


ileum on biopsy
(A)
(B)
(C)
(D)
(E)

Brunners glands
Langerhans cells
Paneths cells
Lymphoid tissue in submucosa
Lymphoid tissue in mucosa

75. Mechanism of diarrhea after


jejunostomy
(A)
(B)
(C)
(D)
(E)

Increased CCK
Secretory diarrhea
Osmotic diarrhea
Secretory + Osmotic both
Increased Secretin

76. Upper GI endoscopy taking up to 28cm


distance. The most likely type of cancer is
(A)
(B)
(C)
(D)
(E)

Adenocarcinoma esophagus
Squamous cell carcinoma esophagus
Adenocarcinoma stomach
Small cell carcinoma
None of them

77. Damage to mandibular foramen causes


injury to which structure
(A)
(B)
(C)
(D)
(E)

Inferior alveolar nerve


Mandibular nerve
Nerve to mylohyoid
Facial nerve
None of them

78. Broder classification of tumor is based


on
(A)
(B)
(C)
(D)
(E)

Degree of mitosis
Structure of stroma
Tissue of origin
Grading on histopathology
Total number of mitosis and grading

79. Correct statement regarding inguinal


canal

(C) Median nerve


(D) Deep branch of radial nerve
(E) Palmer cutaneous nerve

82. At which level spinal cord injury does


not affect respiration
(A)
(B)
(C)
(D)
(E)

At C5
Above C5
Below C5
Above C3
Below C3

83. Extravasation of urine in case of rupture


of penile urethra
(A)
(B)
(C)
(D)
(E)

Deep perineal pouch


Superficial perineal pouch
Thigh
Scrotum
None of them

(A) Absent in infants


84. Which statement is correct
(B) Conjoint tendon makes superior

border
(C) Inguinal ligament forms superior
boundary
(D) Lacunar ligament do form a border
(E) None of them is correct
80. Injury to the neck of fibula cause
damage to

(A) Lower limit of rectum is defined by

mucosal folds
(B) Anal canal starts from levator ani
level and ends into anus
(C) Upper part anal canal is drained to
systemic veins
(D) All are correct
85. Regarding pudendal canal

(A)
(B)
(C)
(D)
(E)

Common fibular nerve


Deep fibular nerve
Tibial nerve
All of them
None of them

81. A patient presents in the emergency with


loss of sensations over the fingertips of
lateral 2 fingers. The most likely nerve to be
damaged is
(A) Ulnar nerve
(B) Radial nerve

(A)
(B)
(C)
(D)

Anal sphincter forms medial relation


Is same as obturator canal
Fat here is richly supplied with blood
Obturator internus forms posterior
relation
(E) All above are correct
86. In which portion of bladder/urethra
maximum number of alpha receptors are
present
(A) Neck

(B)
(C)
(D)
(E)

Trigone
External urethral sphincter
Membranous urethra
prostate

87. Gastric lymphoma is most strongly


associated with
(A)
(B)
(C)
(D)
(E)

H. pylori
Peptic ulcer disesse
Curling ulcers
Gastritis
None of them

88. Natural anticoagulant in body


(A)
(B)
(C)
(D)
(E)

Warfarin
Heparin
Herudin
Heparin and Warfarin
All of them

89. Diagnostic feature of Measles


(A)
(B)
(C)
(D)
(E)

Maculopapular rash
Koplicks spots (correct)
Coryza
Post auricular lymphadenopathy
None of them

90. Basophilia is due to which cellular


organelle
(A)
(B)
(C)
(D)
(E)

Golgi apparatus
Mitochondria
Ribosomes
Lysosomes
Chromatids

91. Which of the followings is Autosomal


recessive
(A)
(B)
(C)
(D)

Achondroplasia
Marfan syndrome
Alpha 1 antitrypsin deficiency
Neurofibromatosis

(E) None of them

92. Structure found with nuclear membrane


(A)
(B)
(C)
(D)
(E)

Mitochondria
Smooth endoplasmic reticulum
Rough endoplasmic reticulum
Ribosomes
All of them

93. The structure which prevents muscle


from tearing under a constant pressure
(A)
(B)
(C)
(D)
(E)

Ruffinis endings
Golgi tendon organ
Merkle cells
Muscle spindle
Pacinians corpuscles

94. Which is not a direct effect of cushing


syndrome
(A)
(B)
(C)
(D)
(E)

Thin limbs
Buffalo hump
Muscular weakness
Facial hair growth
None of them

95. The drug used most likely in acute


pulmonary which has also some effect on
smooth muscles
(A)
(B)
(C)
(D)
(E)

Thiazide diuretic
Spironolactone
Loop diuretics
Triametrine
Acetazolamide

96. A virus can cause cancer with the


underlying mechanism of
(A)
(B)
(C)
(D)
(E)

Having oncogenes
Having proto oncogenes
Proteins particles
Nuclear integration
All of them

97. Which of the following does not drain


into internal jugular vein
(A)
(B)
(C)
(D)
(E)

Lingual vein
Facial vein
External jugular vein
Thyroid veins
None of them

98. An unconscious patient brought to


hospital after 1 hour of severe hemorrhage.
His BP is 50 mmHg, pulse is rapid, cool
and clammy skin, which mechanism is most
active at this stage
(A)
(B)
(C)
(D)

Chemoreceptor reflex
Baroreceptor reflex
Both of them simultaneously
Both of them at different times

102. Aneurysm of the arch of aorta does


not compress
(A)
(B)
(C)
(D)
(E)

Phrenic nerve
Azygous vein
Recurrent laryngeal nerve
Subclavian artery
None of them

103. Foreign body in supine position will go


in respiratory segment
(A)
(B)
(C)
(D)
(E)

Left lower lobe


Right lower lobe
Left upper lobe
Right upper lobe
None of them

104. Which statement is correct about


cyanosis

99. Hand muscles are supplied by


(A) When deoxygenated hemoglobin
(A)
(B)
(C)
(D)
(E)

C1
T1
T2
T1 and T2
T1, T2 and T3

100. The structure arches over the root of


left lung
(A)
(B)
(C)
(D)
(E)

Azygous vein
Left recurrent laryngeal nerve
Phrenic nerve
Arch of aorta
None of them

101. Maxillary artery is the artery of


(A)
(B)
(C)
(D)
(E)

Ist brachial arch


Second brachial arch
Third brachial arch
Fourth brachial arch
Sixth arch

exceeds 2 mg %
(B) When deoxygenated hemoglobin
exceeds 5 mg %
(C) When deoxygenated hemoglobin
exceeds 10 mg %
(D) When carboxyhemoglobin is present
in blood
(E) None of them is correct
105. ADH acts on
(A)
(B)
(C)
(D)
(E)

PCT
DCT
Macula densa
Medullary collecting tubule
Cortical collecting tubule

106. Inside nephron tube , least concentrated


urine is found at
(A)
(B)
(C)
(D)

PCT
DCT (CORRECT)
Macula densa
Medullary collecting tubule

107. The most effective mechanism of


prevention of heat loss
(A)
(B)
(C)
(D)
(E)

Shivering
Vasoconstriction (CORRECT)
Vasodilatation
Conduction
Vaporization

108. Patient presenting with enlarged


tongue, joint problems and impaired glucose
tolerance. The problem in pituitary is in
(A)
(B)
(C)
(D)
(E)

Acidophils (CORRECT)
Basophils
Both of them
Panhyper pituitarism
None of them

109. Nerve accompanies with superior


thyroid artery is
(A) External laryngeal nerve

(CORRECT)
(B) Internal laryngeal nerve
(C) Superior laryngeal nerve
(D) Recurrent laryngeal nerve
(E) None of them
110. Pseudogout has following one type of
crystals
(A) Needle shapes
(B) Sodium pyro phosphate
(C) Calcium pyrophosphate

(CORRECT)
(D) Calcium hydroxyappatite
(E) None of them
111. Which is best as skin antiseptic
(A)
(B)
(C)
(D)
(E)

Soap
Alcohol
Pyodine
Chloehexidine (CORRECT)
None of them v

112. In second degree heart block, which


statement is correct
(A) Stroke volume is decreased
(B) Ventricular rate is greater than atrial

rate
(C) Atrium has greater rate than ventricle

(CORRECT)
(D) Cardiac contractility is increased
(E) None of them is correct
113. The last thing to be returned to normal
on hemorrhagic shock
(A)
(B)
(C)
(D)

Heart rate
Blood pressure
Cardiac contractility
RBCs in peripheral smear
(CORRRECT)
(E) Pulse pressure
114. Internal spermatic fascia is derived
from
(A)
(B)
(C)
(D)

Cremasteric fascia
External oblique
Internal oblique
Fascia transversalis (CORRECT)

115. 8 years old child presents to you with


recurrent opportunistic infection with
Klebsiella. Most likely immune deficiency
state is
(A) Severe combined immunodeficiency

syndrome
(B) A gammaglobulinemia
(C) Chronic granulomatous disease
(CORRECT)
(D) Pseudohypoparathyroidism
(E) None of them
116. The structure which connects pons with
cerebellum

(A) Middle cerebellar peduncle

(CORRECT)
(B) Superior cerebellar peduncle
(C) Inferior cerebellar peduncle
(D) Crerbral pedencle
(E) None of them

d).all f the above


e)none f the above
121.regarding trachea all r correct EXCEPT
a.begins at the level f cricoid cartilage

117. In which one of the followings ,


confidentiality of the patient can be
breeched

b.divides into bronchi at sternal angle


c.has length f 10 cm(CORRECT)

(A)
(B)
(C)
(D)
(E)

Patient allows you (CORRECT)


Insurance claim
Serious disease like cancer
Patient is psychotic
Non organic disease

118. Smooth muscle are characterized by


having

d.has incomplete cartilage


e.commences in the midline and ends just to
the right of midline.
122.which is a fibrous joint
a.pubic symphysis

(A) Outer circular layer


(B) Multiple nuclei
(C) Inner circular and outer longitudinal

(CORRECT)
(D) All of them
(E) None of them
119. Which is correct for the time of
appearance of ossification centre in elbow
(A)
(B)
(C)
(D)
(E)

Capitulum -11 years


Radius - 9 years
Medial epicondyle - 5 years
Trochlea - 2 years
Olecranon 1 year

120.a young boy in a closed room


,AC is ON,no previous history of renal
,cardiac or respiratory problem has sudden
inc in blood pressure of 150/80.cause

b.superior radioulnar joint


c.inferior radioulnar joint(CORRECT)
d.joint between first rib and manubrium
e.both b and c
123.fibres to the spinal nerves are coming
from
A.grey rami communicantes(CORRECT)
b.white rami communicantes
c.dorsal root ganglion
d.anterior horn
e.none

a).MI
B).anxiety(CORRECT)

124.in case f loss f supinator muscle its


function is replaced by which muscle

c).essential hypertension

a.biceps brachialis

b.biceps brachii (CORRECT)

2. arches over left lung root.

c.brachioradialis

A. Thoracic duct

125.each spinal nerve supply different areas


called dermatome except

B. Arch of aorta
C. Azygos vein

a.C2
D. .
B.C1(CORRECT)
E. .
C.S3
D.C7

3. Patient IVC is blocked just above the


emergence of azygos vein, where blood will
divert.

126.Unmyelinated fibres carrying pain


sensations are

A. Right gastric artery

a.Adelta

B. Hepatic vein??

b.A beta

C. Hepatic artery

c.C fibres (CORRECT)

D. Umbilical artery

d.corona radiatta

E. Splenic artery

e.substance P

F. abdominal veins

November 2013

4. Internal Jugular vein is related

1. A Female during delivery loses blood and


requires blood. Her blood sample is reactive
blood agglutinates with anti-sera B and antisera D. which blood is suitable for
transfusion.
A. A+
B. B RH Positive
C. O +
D. AB +
E. .

A. Anterior to Carotid artery


B. Medially to Carotid Artery
C. Laterally to Carotid artery
D. Posteriorly to Carotid artery
E. Internal Carotid Artery posteriorly
5. Rapid adaptation receptors
A. Free nerve endings
B. Meckels disk

C. Pacinian corpuscles

A. It does not cause hypotension

D. Ruffini's corpuscles

B. Causes profound analgesia

E. barorecceptors

C. It can be given IV

6. Hyper-magnesaemia causes

D. It does not causes addiction

A. Hyperreflexia

E. Its not narcotic

B. Dec acetylcholine uptake

10. Hanging causes death by

C. Increase acetylcholine release

A. Fracture of odontoid process

D.
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B. Fracture of atlas
C. .

E. .
D. .
7. Best example against single organ?
E. .
A. Hashimoto thyroiditis
11. Mechanism of action of propylthiouracil
B. PAN
A. Inhibition Iodine pump
C. SLE
B. Blocks the synthesis of thyroid hormone.
D. RA
C. Blocks the synthesis of thyroglobulin.
E. .
D. Inhibits hormone release
8. Hormone required for brain development
E. Decreases TSH
A. Thyroid hormone
B. Growth hormone

12. Last thing to be returned normal after


losing a litter of blood

C. Cortisol

A. Heart rate

D. Androgen

B. Blood pressure

E. Insulin

C. Cardiac contractility??

9. Ketamine used in repeated burn dressings


because

D. RBC in peripheral smear


E. Pulse pressure

F. Volume

A. Atrial fibrillation

13. Antibodies are produced by

B. Ventricular Fibrillation

A. Lymphocytes

C. Cardiac Tamponade

B. Plasma cells

D. Thromboembolism

C. T-Cells

E. Pulmonary oedema

D. Neutrophils

17. After trauma Female with sudden acute


chest pain, Dyspnoea, haemoptysis and
shock and then death.

E. Endothelium
14. 15 year old male had history of right
iliac fossa pain for 18 hours and was
operated for appendicitis, histopathology
will show which cell

A. Fat embolism
B. Air Embolism
C. Pneumonia

A. Lymphocytes
D. .
B. Macrophages
E. .
C. Neutrophils
D. .
E.
15. Which of congenital malformation is
most common

18. G1P2 female after delivery develops


sudden chest pain and difficulty in breathing
and haemoptysis, ECG shows S1 Q3 T3
pattern which is most appropriate test.
A. LDH
B. SGO?PT

A. ASD
C. X-Ray
B. VSD
D. CPK
C. TS
E. gallium scan
D.
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19. In complete Glucose metabolism number


of ATP

E. .
A. 30
16. Male with Trans-mural infarction died
suddenly in washroom after 8 days.

B. 32

C. 36
D. 44

23. A 46 year old farmer with history of


discharging sinus on foot, smear shows red
granule and filaments 1-3 microns, which is
most appropriate

E. 48
A. Actinomyces
20. Male breathing with Tidal volume
500ml and RR of 10/m what will be the
volume.

B. Corynebacterium
C. Medurula mycetoma

A. 1000
D. Actinomyces pellettieri
B. 3500
E. .
C. 3000
D. 4800
E. 5000
21. After forced expiration residual volume
will be

24. 15 year Gardner with history of chest


pain, no other symptoms, X-Ray was done
which showed Round mass which is
calcified
A. Aspergillosis
B. Tuberculosis

A. 500
C. Sarcoidosis
B. 1000
D. Hydatid cyst
C. 1200
E. .
D. 2400
E. ?? volume remaining in the lungs after
forced expiration.

25. Young boy with 3 week history of facial


weakness and nasopharyngeal sinusitis, on
examination bilateral facial weakness, with
drooling on mouth

22. A female with regular cycle of 21 to 23


days what will be the ovulation days

A. H. Influenzae

A. 12 14

B. Corynebacterium

B. 14 18

C. .

C. 7 9

D. .

D. 10-12

E. .

E. .

26. Patient with defect in lumen of allantois

A. Meckel's diverticulum

C. Breast Carcinoma

B. Umbilical Sinus/fistula?

D. Bronchial Carcinoma

C. Urachal Fistula

E. neuroblastoma

D. Urachal Cyst

F. RCC?

E. Urachal Sinus

30. Common peroneal nerve is related to

27. A 59 female Non-Insulin dependent


diabetes and HTN on antihypertensive
brought to the emergency with semi
collapsed state, K+ is 6.1 what is the cause?

A. Biceps femoris medially


B. Biceps femoris laterally
C. .

A. ARF
D. .
B. CRF
E. .
C. Diuretics
D. Heart Failure?

31. Drug that is contraindicated in


Intracranial HTN

E. .

A. Ketamine

28. Male brought to the ER with critical


condition, ABGs showed PH 7.25 PCO2 65
and HCO3 24.

B. Thiopental

A. Acute Respiratory Acidosis

D. Midazolam

B. Respiratory alkalosis

E. .

C. Partially Compensated Respiratory


Acidosis

32. A healthy man with severe dehydration


can be differentiated from SIADH

D. Partially Compensated Respiratory


Alkalosis

A. Plasma osmolarity

C. Fentanyl

B. Urine Osmolarity
E. Respiratory and metabolic Acidosis
C. ADH Level
29. Which of tumours does not metastasize
D. Free Water Clearance
A. Basal cell carcinoma
E. Corticopapillary Osmotic Gradient
B. Squamous cell carcinoma

33. A patient had resection of terminal


ileum, what will result

C. Urea
D. Ca

A. Decreased Amino acid absorption


E. Glucose
B. Increased water content in stool
F. NH3?
C. Increased enterohepatic circulation
D. decreased absorption of iron

37. Regarding sarcoplasm of muscle fibre is


between

E. .

A. Two Z-Lines

34. A sharp object touches the foot patient


withdraws.

B. Transverse tubules
C. H-Band

A. Multisynaptic reflex
D. A-Band
B. .
E. .
C. .
D. .

38. Young male comes to you with the


history of problem in erection and is
embarrassed by his enlarged breasts.

E. .
A. Prolactinoma
35. Ejaculatory duct opens at
B. Mineralocorticoid tumour???
A. Prostatic urethra
C. Increased CRH
B. .
D. Increased gonadotrophic hormones.
C. .
E. .
D. .
39. Type 2 heart Block
E. .
A. Distorted ECG Complexes
36. Regarding renal tubular absorption
which of the following is passively
absorbed.

B. Atrial rate is greater than ventricles


C. ventricular rate is greater than atria

A. Na
D. .
B. Cl
E. .

40. Nerve supply of dorsum of hand just


near thumb

D. Has branches from anterior and posterior


parts

A. Median nerve

E. .

B. Radial nerve

44. Fastest conduction in

C. Axillary nerve

A. A alpha

D. .

B. A beta

E. .

C. A delta

41. Cystic artery is branch of

D. B Fibres

A. Gastroduodenal

E. C Fibres

B. Left gastroepiploic

45. Isthmus of thyroid gland lies at

C. Right hepatic

A. Thyroid cartilage

D. .

B. C2-C3-C4 tracheal ring

E. .

C. Above Cricoid

42. How much pressure is required for the


opening of aortic valve?

D. C4-C5
E. .

A. 50
46. Phonation is produced by
B. 100
A. Vocal cords
C. 60
B. Folds of vocal cords
D. 80
C. vibration of vocal cords
E. .
D. .
43. True regarding Trigeminal ganglia
E. .
A. Completely covered by Dura
47. Pharyngeal part of Deglutition
B. Anterior portion lies in trigeminal canal
A. Voluntary
C. Is lies beside cavernous sinus
B. .

C. .

A. X-Ray

D. .

B. CT

E. .

C. IHA

48. Foramen cecum represents


embryological structure.

D. Amoeba in stool
E. .

A. Thyroid
52. Trauma to Pterion will cause bleeding of
B. Thymus
A. Middle meningeal artery
C. .
B. .
D. .
C. .
E. .
D. .
49. AFP is raised in
E. .
A. HCC
B. .

53. Female with cholelithiasis which


enzyme

C. .

A. AST

D. .

B. ALT

E. .

C. Alkaline Phosphatase

50. Patient presented with inappropriate


Speech

D. GGT
E. .

A. Bocas
54. Increased GFR is caused by
B. Wernicke
A. Decreased arterial pressure
C. .
D. .

B. Increase thickness of glomerular


membrane

E. .

C. Aldosterone?

51. Amoebic liver abscess test done to


diagnose

D. Decreased Oncotic pressure.

E. decreased glomerular pressure

A. Phenylalanine.

55. HIV+ patient surgery done then which


antiseptic to use after surgery to clean floor

B. .
C. .

A. 1% hypochlorite
D. .
B. 4% hypochlorite
E. .
C. Glutaraldehyde
59. Renal flow is measured by.
D. Soap and water
A. Inulin
E. Water
B. Para aminohippurate
56. superficial incision in Submandibular
gland surgery will cause damage to

C. Glucose

A. Lingual nerve

D. Na

B. Hypoglossal nerve

E. .

C. .

60. Gustatory sweating is caused by.

D. .

A. superficial parotid gland surgery

E. .

B. .

??The marginal mandibular nerve

C. .

57. Patient having progressive facial


weakness for 3 months and hemiplegia
lesion is in. He is also with intention tremors

D. .

A. Pons

61. Regarding facial nerve

B. Cerebrum??

A. .

C. Supranuclear

B. .

D. Cerebello-Pontine Angle

C. .

E. .

D. .

58. Which amino acid is essential

E. .

E. .

62. Heparin action on DVT, it prevents

B. AFB demonstration

A. Embolization

C. .

B. Organization

D. .

C. Propagation

E. .

D. .

66. Person from sibbi Balochistan with


history of fever, anorexia and fly bite, and
examination showed hepatosplenomegaly,
lymphadenopathy.

E. .
63. Which of the following is primary
cartilaginous joint.

A. Kala-azar

A. Costochondral

B. Malaria

B. Symphysis pubis

C. Loiasis

C. Sutures of skull

D. .

D. .

E. .

E. .

67. Lymphoma with cervical enlargement


and splenic involvement stage.

64. Boy with lymphadenopathy painless,


biopsy large cells with multiple mitoses,
appropriate diagnosis by

A. Stage I
B. Stage IIa

A. Lymphocytosis on peripheral smear


C. Stage IIb
B. Immunohistochemistry of leukocytes
D. Stage III
C. .
E. Stage IV
D. .
68. Regarding spleen
E. .
A. Related to Rib 5 and 6
65. Female with fever, malaise enlarged
cervical lymph nodes biopsy reveals
granulomatous lesions, appropriate
diagnosis
A. Chest X-Ray

B. Related to left colic flexure in lower pole


C. Developed from ventral mesentery
D. .

E. .

B. PT

69. flexor sheath of thumb contains

C. BT

A. flexor pollicis longus

D. CT

B. Flexor pollicis longus and abductor


pollicis longus?

E. Thrombin time

C. Flexor pollicis brevis

73. Factor IX is not available what next best


choice is.

D. Flexor pollicis longus

A. Cryoprecipitate

E. Flexor pollicis longus, synovial


membrane and valla something.???

B. FFP
C. Platelets

70. truncal vagotomy causes


D. Whole Blood
A. decreased motility
E. .
B. decreased acid secretion
C. decreased pepsin secretion

74. Factor VIII is not available what next


best choice is.

D. .

A. Cryoprecipitate

E. .

B. Platelets

71. Histopathology grade of poorly


differentiated tumour

C. Whole Blood
D. PCV

A. 25% undifferentiated
E. FFP
B. 25 - 50 % undifferentiated
75. Epiploic Appendages are on
C. 50 75 % undifferentiated
A. Duodenum
D. More than 75 % undifferentiated
B. Ileum
E. .
C. Jejunum
72. Idiopathic thrombocytopenic purpura
which of the following is prolonged

D. Sigmoid colon

A. aPTT

E. Stomach

76. Female after delivery has developed


sepsis and DIC which test is NOT
appropriate

B. Internal iliac

A. Fibrin degrading products

D. .

B. Bleeding time

E. .

C. clotting time

80. Testicular tumour will first drain to

D. .

A. External iliac nodes

E. .

B. Internal iliac nodes

77. Which of the following is predisposing


oral condition of mouth for malignancy

C. Para aortic nodes

C. Uterine artery

D. .
A. Leukoplakia
E. .
B. Erythroplakia
81. Regarding pempaniform plexus
C. lichen planus
A. In inguinal canal
D. .
B. Liver
E. .
C. Spleen
78. Oestrogen containing pills are associated
with

D. Kidney

A. Breast cancer.

E.

B. Thromboembolism

82. Hernia medial to inferior epigastric


artery.

C. .
A. Indirect
D. .
B. Direct
E. .
C. Femoral
79. Female with right ovarian fibrosis,
surgery is done which artery is most likely
to be damaged.

D. .
E. .

A. External iliac
83. Regarding kidney

A. Kidney and surrounding fat covered by


gerota fascia

E. .

C. Peritoneum

87. If there is a tumour in the right superior


lobar bronchus the Bronchopulmonary
segment most likely to be collapsed would
be:

D. .

A. Apical superior

E. .

B. Anterior Basal

84. Spinal cord anteriorly attached to

C. Medial Basal

A. Alar ligament

D. Middle lateral

B. Filum terminale

E. Superior Basal

C. .

88. Bronchogenic carcinoma

D. .

A. Smoking

E. .

B. Asbestosis

85. Regarding spironolactone

C. .

A. IV dose 100 mg

D. .

B. Is steroid

E. .

C. .
D. .

89. 1 year boy with anaemia showing


microcytic cells, failure thrive, elder brother
regular blood transfusion

E. .

A. Haemophilia

86. Which of the following disease in


pregnancy will cause congenital cataract

B. Sickle cell anaemia

B. Gleasons capsule

C. Thalassemia
A. Measles
D. .
B. Rubella during pregnancy
E. .
C. .
D. .

90. Two brothers having haemophilia and


but sister does not have what is inheritance

A. Autosomal Dominant

E. .

B. Autosomal Recessive

94. Vein of heart which itself converts to


coronary sinus.

C. X-Linked Dominant
A. Great cardiac vein
D. X-Linked Recessive
B. Middle cardiac vein
E. .
C. .
91. Left circumflex artery supplies
D. .
A. .
E. .
B. .
C. .

95. Female with high grade fever, anaemia


and haematuria

D. .

A. P. falciparum

E. .

B. .

92. Diabetic Ketoacidosis patient managed


but dies, infection

C. .
D. .

A. Mucur
E. .
B. Pseudomonas
96. Corpus Striatum
C. TB
A. Amygdaloidal nucleus + Globus Pallidus
D. .
B. Caudate nucleus + Globus pallidus
E. .
93. Patient developed SCC of bladder 8
years back had granulomatous appearance of
bladder biopsy.

C. Amygdaloidal Nucleus + Lentiform


Nucleus
D. Amygdaloidal Nucleus + Putamen

A. Schistosoma

E. Caudate Nucleus + Putamen

B. Tuberculosis

97. Most common intracellular buffer

C. Bladder stone

A. HCO3

D. Nitrosamines

B. Haemoglobin

C. PO4

A. Dead bacteria

D. Na

B. Dead Neutrophils

E. Protein

C. Exudate

98. Oxygen binding protein in muscle

D. Monocytes

A. Myoglobin

E. .

B. haemoglobin

102. Basic drug binds to

C. troponin

A. Albumin

D. tropomyosin

B. Iron

E. actin

C. Blood Cells

99. An Osmotic Diuresis results from

D. A1 Glycoprotein

A. Mannitol

E. Protein

B. Aldosterone

103. Chromosome lines in centre in

C. Furosemide

A. Metaphase

D. Hyperinsulinism

B. Prophase

E. Ingestion of Alcohol

C. Anaphase

100. Pharmacodynamics Drug-Drug


interaction

D. Telophase
E. Prometaphase

A. Thiazide and lithium


104. Signs of Apoptosis
B. Morphine and naloxone
A. Karyolysis
C. Procaine and Adrenaline
B. .
D. Phenobarbital and warfarin??
C. .
E. .
D. .
101. Pus that accumulates in boils or abscess
is mainly composed of

E. .shrinkage

105. Male presents with Stoney dull


percussion on right sided of chest what is the
cause

C. Adductor Magnus

A. Pleural effusion.

E. .

B. Pneumonia

109. Major Breast lymph nodes, to


parallel???

D. Biceps femoris

C. Thickened parietal Pleura


A. Along Axillary vessels apical nodes.
D. Pneumothorax
E. .
106. Male died after adenocarcinoma,
autopsy showed thousands of polyps in
colon, type of polys.

B. Along intercostal vessels to posterior


thoracic node,
C. Along internal thoracic to internal
thoracic nodes???
D. .

A. Adenomatous
E. .
B. Hyperplastic
C. Hamartomatous

110. Biopsy of tissue shows Lymphoid


tissue with stratified squamous epithelium

D. Metaplastic

A. Palatine tonsils

E.

B. Lymph nodes

107. Which of the following is blood supply


of head of femur

C. Peyer's patches
D. Thymus

A. Medial circumflex humeral


E. .
B. Lateral circumflex humeral
111. Basophilia is caused by
C. Obturator
A. Nucleus
D. Nutrient
B. Ribosomes
E. .
C. Cytoplasm
108. Flexor of knee (except)
D. Endoplasmic reticulum
A. Sartorius
E. .
B. Gastrocnemius

112. Regarding spinal nerves

C. .

A. Exit from intervertebral foramen

D. .

B. Derived from neural crest only

E. .

C. Ventral horn contains ganglion

116. Patient with CRF on dialysis with


anaemia what should be given

D. Motor supply from dorsal root


A. Erythropoietin
E. .
B. .
113. A 25 years old Female having
complains of dysphagia, and weakness labs
show hb=6.2 mg/dl MCV=68 fl and target
cells in peripheral film, what is the diagnosis

C. .
D. .

A. Iron deficiency anaemia

E. .

B. Anaemia of chronic disease

117. Regarding trachea

C. Thalassemia

A. Gaps in the C-shaped Cartilage rings lie


anteriorly

D. .
B. Total length of trachea is 15 cm
E. .
C. It commences at lower border of cricoid
114. Cervical cancer increased risk in
A. Chronic irritation

D. It is attached to the upper margin of


cricoid cartilage

B. IUCD

E. Recurrent laryngeal nerve lie anteriorly

C. HPV

118. Painful defecation nerve supply

D. .

A. Pudendal nerve

E. .

B. .

115. Female with Cushing disease came for


investigations, her cortisol level is <1 what
is most important question to ask

C. .

A. Having Headache

E. .

B. Taking any steroid

D. .

119. Boy with high grade fever and tender


abdomen, X-Ray shows pneumoperitoneum,
before surgery antibiotic should be given

B. Basal cell carcinoma

A. Cefotaxime?

D. .

B. Gentamycin

E. .

C. Augmentin

123. Medial longitudinal arch pillar

D. .

A. Talus

E. .

B. Calcaneus

120. Patient with C. Botulinum food


poisoning, characteristic feature will be

C. Navicular

C. Melanoma

D. .
A. Diarrhoea
E. .
B. Vomiting
C. Flaccid paralysis of respiratory muscles

124. Structures posterior to medial malleolus


except.

D. Convulsions

A. Tibial nerve

E. .

B. Post tibial artery

121. Following muscle does not attach to


humerus

C. Flexor hallucis longus


D. Flexor hallucis brevis

A. Pectoralis major
E. Tibialis anterior
B. Pectoralis minor
125. Ribosomes
C. Teres minor
A. Site of protein synthesis
D. Subscapularis
E. Supraspinatus
122. Patient with Tobacco chewing showing
ulcer on inner lip margin which is indurated
and pale is

B. Attached with ER and synthesize


cytoplasmic protein
C. Present in cytoplasm and synthesize
protein
D. Synthesize messenger RNA

A. Squamous cell carcinoma


E. .

126. Sarcomere lies between

E. .

A. Z disc

130. A young boy deteriorated drastically 2


hours after tonsillectomy. He has
tachycardia and hypotension. Most likely
pathogenesis is?

B. H lines
C. M lines

A. Anaphylaxis shock
D. .
B. Cardiogenic Shock
E. .
C. Hypovolemic Shock
127. Disease not transmitted by Blood
Transfusion?

D. Septic Shock

A. Hepatitis A

E. Traumatic Shock

B. CMV

131. Regarding thyroid Gland

C. EBV

A. Comprises of acini drained by collecting


ducts

D. .
E. .
128. Disease transmitted by blood?

B. Epithelium changes its shape depending


on the stage of activity
C. Has parathyroid glands lying on
anterolateral surface

A. Hepatitis B
D. .
B. Salmonella
E. .
C. Mycobacterium Tuberculosis
D. Vibrio Cholera
E. .

132. Regarding arterial supply of heart all


statements are true except that
A. left Coronary Artery is larger than Right
Coronary Artery

129. Philadelphia chromosomes


A. CML
B. ALL

B. Right Coronary artery arises from


anterior aortic sinus
C. Left Coronary Artery is the first branch
of arch of aorta

C. Hodgkin's lymphoma
D. AML

D. Right Coronary Artery supplies both


ventricles

E. Interventricular septum is supplied by left


coronary artery

B. A Beta Fibres
C. A gamma Fibres

133. Most fatal type of pulmonary embolism


that causes extensive pulmonary necrosis,
shock and then death

D. B Fibres
E. C Fibres

A. Fat Embolism
B. Thromboembolism
C. Air Embolism

137. Regarding Information care session


what is appropriate?
A. Myths regarding disease of patient are
cleared

D. Amniotic Embolism
E. .

B. Updated information regarding the


disease and its treatment advancements are
communicated

134. Free Nerve endings


A. are non-encapsulated receptors

C. Friends of patient are questioned about


patients conditions

B. Are found in voluntary muscles

D. .

C. Are a type of special visceral


enteroreceptor

E. .

D. Are not present in the epidermis of skin

138. When is confidentiality of patient


breached

E. Detect only pain

A. Patient dies

135. Renal cell Carcinoma Metastasis by

B. Insurance Purposes

A. Renal Arteries

C. Psychiatric Illness

B. Renal Veins

D. .

C. Lymphatic

E. .

D. .

139. Most commonly hypertrophy occurs in

E. .

A. Skeletal muscles

136. Autonomic Fibres are

B. Thyroid Gland.

A. A Alpha fibres

C. Ovaries

D. Breast

143. which of the following is NOT


associated with hormonal secretion

E. Testis
A. Chondrosarcoma
140. After road traffic accident patient is
suffering from memory loss, which part of
brain is involved

B. Teratoma
C. Bronchiogenic Carcinoma

A. Hippocampus
D. ArrhinoBlastoma
B. Parietal Lobe
E. Small Cell Carcinoma Lungs
C. Temporal Lobe
D. .

144. Which of the following is most


important cause of Fat necrosis in peritoneal
cavity

E. .
A. Acute pancreatitis
141. A female had bilateral silicon breast
implant placements, now she has arrived
with inflammation, which cells will be
demonstrated?

B. Gut gangrene
C. Brain

A. Lymphocytes

D. .

B. Giant Cells

E. .

C. Plasma cells

145. Which one the following is only


capable of utilizing glucose

D. Neutrophils
A. Brain
E. Eosinophil
B. Heart
142. Vomiting centre is located in
C. Liver
A. Medulla Oblongata
D. Skeletal Muscles
B. Cerebral Cortex
E. .
C. Cervical Spinal cord
D. Internal capsule

146. Down syndrome is associated with at


the age of 40

E. Hypothalamus

A. Alzheimers disease
B. Parkinsons

C. .

A. A- to A+

D. .

B. O to AB

E. .

C. A to AB

147. Regarding Placenta

D. .

A. Separates at the level of spongiosum


level of uterus

E. .
151. Staging of tumour is related with

B. Covered with amnion on foetal side


A. Invasive extent
C. Is also called feto-chorionic
B. Cellular atypia
D. .
C. Hyperchromasia
E. .
D. Mitotic Bodies
148. Eosinophilia is not associated with
E. .
A. IgM
152. Venous return is decreased by
B. Ascariasis
A. Skeletal muscle paralysis
C. Asthma
B. Venoconstriction
D. Hay Fever
C. Increased Blood Pressure
E. IgE
D. Increase Cardiac Output
149. 15 year old boy presented with purpura
E. .
A. Platelets 20 x 10^9
B. Platelets 90 x 10^9
C. Deficiency of calcium

153. During Increase in Heart Rate which of


the following occurs
A. Diastolic Period decreases more as
compared to Systolic Pressure

D. Deficiency of factor viii


E. .

B. Systolic pressure decreases more as


compared to Diastolic pressure

150. Which one produces severe transfusion


reaction

C. Diastolic and systolic pressure remains


constant

D. Systolic pressure decreases as diastolic

157. Which is the neurotransmitter involved


in slow wave sleep.

E. No Change.
A. Acetylcholine
154. Most appropriate function of
Sternocleidomastoid muscle
A. turns the neck to opposite side against
resistance

B. Dopamine
C. Adrenaline
D. Serotinin

B. Turns the neck to the same side against


resistance
C. Flexes the neck
D. Extends the neck
E. .

E. GABA
158. Diastolic blood pressure is distributed
normally in a group lady teachers (N=75).
Mean was 80 mmHg and standard deviation
of 10, approximately what percentage of
teachers have diastolic blood pressure of 70
mmHg or greater?

155. CO2 diffusion in lungs is greater than


O2 because

A. 16 %

A. Greater solubility coefficient

B. 34%

B. Increased CO2 Partial pressure in lungs

C. 48%

C. .

D. 84%

D. .

E. 96%

E. .

12TH feb 2014 :

156. An acute decrease in arterial pressure


elicits which of the following compensatory
changes?

1. Percentagedividing unit by total units and


multiply by 100

A. Decrease Firing rate of carotid sinus.

2. Confidentiality can be breached.when


patient allow it

B. Increase parasympathetic outflow to the


heart.

3. patient developed a fatal diseasegive clear


crisp evidence based information according to
patient need

C. Decrease heart rate.


D. Decrease contractility
E. Decreased mean systemic pressure.

4. Glycolysisglucose breakdown to pyruvate


aerobically and lactate anaerobically
5. True about collagen.present in all type of
connective tissues

6. turner.44xo
7. klinefilters syndrome..46XXY

26. vein accompanying LAD artery..great


cardiac vein

9. ESR..increase in infection

27. pain between eye and angle of mouth and


temporal.maxillary division of trigeminal
nerve

10. BSF=122 1hr gtt=192..impaired GTT

28. EBV cause.nasopharyngeal carcinoma

11. diagnostic test of beta hemolytic


streptococcusASO titre/ blood culture

29. microtubules present in.centrioles

8. vitamin in oxidation of fatty acids.biotin

12. not of epithelial originliposarcoma

30. stretch of muscle resulting


relaxation.golgi tendon

13. decrease B.Pdecrease carotid sinus firing

31. fast sharp pain carried by.A delta fibers

14. dysarthria is feature of lesion in


.cerebellum/ brocas area

32. 3rd ventricle.lateral boundary by ant 2/3


rd of thalamus

15. secondary center of ossification


represent.epiphysis

33. parasympathetic cranial nervesIII,VII,IX,X

16. common complication of diabetes in


limb..dry gangrene
17. definition of acute inflammation.local
response of living tissue to injury/systemic
response to injury

34. 16 yr female mcv 78, mch 25,


MCHC..MICROCYTIC HYPOCHROMIC
35. Right shift of hb-O2 curve in .acidosis
36. fever,pain on lying down..pericarditis
37. primary opsoninC3b

18. 1st heart sound during.isovolumetric


contraction

38. symphisis pubissec.


cartilaginous joint

19. cause of oedema..lymphatic


obstruction

39. pain from both fibrous and parietal


pericardium byphrenic

20. supply of sternocleidomastoid.acessary


nerve

40. least metastasis to.spleen

21. most drugs metabolized in.liver

41. fat necrosis.acute pancreatitis

22. dyspnea on laying.retrosternal goiter

42. severe hypomagnesemia


cause.hypocalcemia

23. cause of edema in


nephrotichypoproteinemia

43. H+ secretion in PCTs coupled with.bicarb


reabsorption

24. better hearing in noisy


environment.otosclerosis

44. compression of S1 rootloss of ankle jerk

25. sebaceous gland not in which hairless area


of skin..palm and sole

45. not related to rt. Kidney..descending


colon
46. heat lost in an uncovered pt. in OTat
23C..radiation and conduction

47. 67.S2,S3,S4 lesion.rectal incontinence


48. tumour comprising all the germ
layersteratoma.
49. at rest actin covered bytropomyosin
50. GFR in clinical setting.creatinine
clearance
51. greenish discharge from wound..
pseudomonas
52. cause of death in gas
gangrene.toxemia
53. diagnosis of typhoid in 2nd week widal
test + blood cultures
54. antibodies formed by ..plasma cells
55. plasmodium falciparum..black water
fever
56. langarhans giant cells..T.B
57. hamartomatotally beningn
58. nodule on voccal cord unlikely..atrophy
59. alkalinization of urine done in overdose
of..phenobarbitone

68. left suprarenal vein drain in.left renal


vein
69. PAIN OF PLEURA to shoulder..C3 4 5
70. fastest B.P Control
mechanismbaroreceptor regulation
71. severe reaction when A+ patient transfused
with.AB72. single common local factor delaying wound
healinginfection
73. energy fuel after 48hrs of
starvation..triglycerides/liver glycogen
74. 2L of volume lost in sweat and 2L distilled
water given result is .inc ICF volume
75. most active gluconeogenesisis
from..proteins
76. compact bone histologylamella regularly
arranged
77. 60 yr chronic smoker working in tyre factory
and transitional S C..cigarette
smoking/aromatic
amines

60. pre ganglionic sympathetic fibers


secreteAch

78. false about statistics.statistical values have


not influence practical values

61. parasympathetic promotesalivary gland


secretions

79. fluid given in severe


dehydration5% glucose solution/ 0.9
normal saline

62. common site of ectopic pregnancy.


fallopian tube
63. vitelline ductmeckel diverticullum
64. both central n peripheral chemoreceptors
respond toincrease in arterial pCO2
65. death on 6th post MI daycardiac
tamponade
66. most sensitive cardiac marker..trop-T
67. primary hyperthyroidismincrease TSH

80. concentration gradient mediated tranport


of glucose..diffusion/facilitated
81. not found in
dermismelanocytes/reticulocytes
82. ACTH effectively
control.hydrocortisone/adrenal androgens
83. true about bronchopulmonary
segments..each having independent blood
supply

84. effective dose of drugs bound to alpha 1


acid glycopro not affected in.. MI/hepatic
disease/trauma

99. increase interstitial fluid


pressure.increase capillary
permiability

85. parasympathetic causeinc the AV nodal


delay/ increase k effluxs in sa node

100. increase in venous return not increase.


pulmonary pressure/left ventricular tension

86. inhibit insulin secretionbeta


blockers/glucagon/secretin

101. fibrous dysplasia most common


in.maxilla/temporal/frontal/spenoid/ethmoi
d

87. RBC fragilitycompletely destroy in 0.35%


solution/certain drugs cause RBCs hemolysis

102. liquefactive necrosis..brain

88. dilation of arteriolesincrease venous


volume

103. STERILIZATION.121C FOR 3 MINUTES KILL


ALL ORGANISMS

89. Monocytes.can transform in to


multinucleated gaint cell in chronic infections

104. ATYPICAL MICOBACTERIUMNOT


RESPOND TO ROUTINE ANTITUBERCULOUS

90. 10 %formaldehyde used for sending biopsy


specimen becoz it prevent of
autolysis/denature proteins

105. PSEUDOMEMBRANOUS
COLITISC.difficile

91. post communicating arteryconnect


internal carotid n post cerebral passing under
occulomoror nerve
92. lowest pressure in aorta durng cardiac
cycle isovolumetric contraction /isovolumetric
relaxation/atrial sysole
93. true about hydatid cysttransmitted to man
by infected water
94. corona radiataformed
by.granulosa cell
95. female vaginal discharge having growth in
vagina received diethylstilbestrol during 1st
trimester.clear cell carcinoma
96. which one is malignantglioma

106. CARRIES.LACTOBACILLUS
107. FILAMENTOUS
ORGANISM.ACTINOMYSIS
108. By blood transfusionHCV
109. Broodie abcess..osteomyelitis
110. UTI NO PENILE LESIONS LEUKOCYTE
ESTERASE +VE ORGANISMCHALMYDIA
111. SEPTIC ARTHITIS..STAPH AUREUS
112. OCULAR TOXICITYETHAMBUTOL
113. SEVERE BLOOD TRANSFUSION
REACTIONMISMATCHED BLOOD
114. BAD SIGN OF GRAFT..THROMBOSIS and
vasculitis

97. external carotid arterylateral to


mandibular vein

115. RADIATION.HEMOPOITIC SYSTEM

98. loss of 2L by in marathon replaced by pure


water..decrease extracellular osmolarity

117. PROSTATIC INTRAEPITHELIAL


NEOPLASIA.MONITOR PSA

116. DYSPLASIAHPV

118. AFLATOXINHCC

119. LIVER ADENOCARCINOMAalpha


fetoproteins

139. best histocompatibility sample.wbcs


140. thalasemia..factor viii

120. Tumor.Increase cathecolamines in urine


childneuroblastoma

141. bleeding circum.increase APTT

121. Hypothalamus,.not control respiration

142. MENORAGIA PURPURA


MEGAKARYOTYPES.ITP

122. Fainting episodes investigation tobe


done.insulin and c peptide

143. OLD LYMPHOCYTES ON SMEARCLL

123. Renal stones,punched out lesions on x


rayhyperparathyroidism
124. hyperthyroidism in
pregnancy.propylthiouracil
125. increase ca absorption from
kidney.parathyroid
126. Residual volume1200
127. not in CRF.hypophosphetemia
128. most common TEF.blind esophagus and
distal communicate with trachea

144. DIFIICULT LABOUR INCREASE PT APTT.DIC


145. MCV 128..MEGALOBLASTIC ANEMIA
146. CRFERYTHROPOITIN
147. MOST COMMON DAMAGED CARPAL
BONESCAPHOID
148. ANATOMICAL SNUFFBOXRADIAL ARTERY
149. THENAR WASTING..MEDIAN NERVE
150. WRIST ADDUCTIONboth extenser and
flexer carpi ulnaris
151. LATRAL BREASTANT AXILLARY

129. cloacal membrane.ectoderm and


endoderm open at 7th weak

152. NOT BY SCIATIC.GLUTEUS MAXIMUS

130. 2nd part of duodenum


anteriorly..transvere colon mesentary

153. SUBDURAL HEMMORHAGEsuperior


cerebral vein

131. Lower body of epiploic foramen1st part


of dudenum

154. Common peroneal gamage.LOSS OF


EVERSION

132. Right suprarenal veinIVC

155. S1 COMPRESSION.loss of ankle jerk

133. True about abdominal aortarelated to


left sympathetic trunk

156. PAIN KILLER FOR


ASHAMATICparacetamol

134. Left gastroepiploic artery.splenic artery

157. NOT GEGENERATE MYELIN SHEAT BECOZ


NO .SCHAWAN CELLS

135. Parasympathetic.increase stomach


muscular contraction

158. OVARIAN.PARAoRTIC

136. Relation of femoral artery to vein in


femoral sheatlateral

159. LEFT SAGITAL SENSARY AREA


damage.RIGHT LEG

137. Internal obliquecremasteric fascia

160. LACRIMAL GLANDPARASYMPATHEYTIC


BY FASCIAL

138. Potent stimulator of salivary


secretion.proteins

161. POST TRIANGLE NECK disectionSPINAL


ACESSARY
162. Cricothyroid.EXTERNAL LARANGEAL
163. RENAL VASCULAR SEGMENT5
164. Conserve blood volume.RENIN
165. SEMINAL VESICLEjoin vasferens to form
ejaculatory duct
166. CRF SOB.metabolic acidosis
167. HYDROGEN SECRETION IN PCTSHCO3
REABSORPTION
168. Main support uterus..TRANSVERSE
CERVICALL LIGAMENT
169. HISTOLOGYPROSTATE
170. RIGHT SHIFTDEC PH
171. Not related to aortic arch.RT RECURRENT
LARANGEAL
172. Pleural effusion on
standing..COSTODIAPHARAMETIC RECESS
173. Embed in Ant wall of carotid
sheatANSA ERVICALIS

181. true about histology of GITStriated


border microvilli 4 options were correct
question was wrong
182. HEALTHY MALE EJACULATE bulk formed
by seminal vesicle secretions/ no bacteria
183. DEFECATION involve .parasympathetic
sacral segment/intrinsic myenteric reflex
184. PULSE OXIMETERY give wrong reading.
Methemoblobinemis/black coloured people
185. CNS TUMOR CHEMO RADIO DEATH AFTER
8 MONTH PULMONARY THROMBUS.cardiac
metastasis
186. ADVANCE DRUG TO REVENT FORM RENAL
HEART LIVER
TRANSPLANTATIONMURONOMAB CD-3
ANTIBODY
OKT3/cyclosporine/ANTILYMPHOCYTIC
GLOBULINS
187. Safe dose of local anesthetic.200mg
lignocain/50 mg bupivacain
188. Medial necrosis on autopsy. disecting
aneurysms/ berry aneurysm

174. FEMORAL SHEAT FASCIA ILIACA AND


TRANSVERSALIS FASCIA

189. Peripheral golden brown mass.macropage


filled alveoli.malignant
mesothelioma/SILICOSIS

175. Correct about FEMUR.. SHAFT NECK


ANGLE IS 125

190. locally
malignantameleoblastoma/plemorhic tumors

176. Tetnus.exotoxin has lethal effect

191. VERTEBRAL ARTERY.pass from foramen


transversarium

177. SEMIOMApoor prognosis inpulmonary


metastasis
178. Cast applied to leg Ant shin
syndrome.ANT TIBIAL ARTERY
179. Small cell carcinoma..level of
cortisol/decrease Na in plasma
180. True about left coronary arterygive
circumflex artery

192. BREAST SAMPLE FOR FLOW CYTOMETER to


determine.malignant cell/ kary
otype/aneulpoidy
193. Achalasia cardialoss of vagal neurons
194. Continuous Pain chest not affected by
respiration fever 10
daymyocardium/costochondral junction/
pleura/pericardium

195. NOT PASS FROM GREATER SCIATIC


FORAMENOBTURATUS INTERNUS
196. FLOOR OF MIDDLE CRANIAL
FOSSAgreater wing of sphenoid
197. SPARING OF LATERAL THENAR
EMINENCE.ulner nerve
198. LIPS BUCCAL MUCOSA LESIONS..HSV
TYPE I
199. HIV related lymphomaEBV
200. NOT TRANSMITTED BY
ARTHROPODS.dracunculous