MEDICINE 2019 Afternoon 19th november

1. Most common complication of IUCD???

A. squamous metaplasia

B. pulurent vaginal discharge

2. Endothelium repair subs produced by?

A. platelet

B. vit c

3. part of basal ganglia

A. caudate

B. substantia nogra

4. Treatment of thyroid diseases in mother. Which cross placenta and affect fetus

A. TSH

B. thyroxin

C. PTU

5. hypothyroid

A. inc cholestrol

B. hyponatremia

C. dec ADH

6. lungs collapse inward..chest outward

A. Tension pneumothorax
7. Digoxin 4ng..half life 36 hours how much time to reduce it to 1 ng?

72 hours?

8. Chronic diarrhea not responding to antibiotics... Cresent shaped

A. Gardia

B. Enta ameba

C. E coli

9. confidientiality can be breached? if pt allows

10. One testes present other not present.complication may occur

A. Neoplasia

B. Infertility

11. Smoker working in tyre factory with bladder CA

Causative agent was asked that was tobacco smoke

12. Potent stimulator of gastrin release:

proteins ,

carbs ,

lipids

13. Thorcolumbar outflow :

sympathetic,
parasympathetic

14. Renal Biopsy from Hiv patient microscopic findings

A. Interstitial nephritis

B. Focal segmental Glomerolosclerosis

15. Max blood velocity ...

Ivc

Svc

Cerebral veins

Mesengial vein

Pulmonary artery

16. deep vein thrmbosis first goes to?

pulmonary artery and branches?

renal vein tributaries?

17. When the respiratory muscles are relax, lungs are at:

RV ,

IRV,

ERV,

VC

18. Neuro hypophysis haromone stored in

A. Nerve endings
B. Pitiocyte

19. Anti neutrophils antibody present in:

vasculitis ,

DM

dont remember other options

20. Neuroendocrine hormone :

acth,

prolactin,

oxytocin

21. Opoid released from pituitary...

A. Beta endorphin

C. Acth

22. UV radiations cause

Cataract

Teratogenesis

23. Man with gastric lymphoma taking antacids for long cause :

h pylori ,

drugs

24. 5 days post MI which cells will be present :

neutrophils

macrophages

lymphocytes

25. Mobits 1...progressive lenthing of PR and then drop beat...

26. What happend after QRS complex succeedingly

A. Atrial contraction

B. Ventricular contraction

27. P wave absent in

A. MI

B. Massive pulmonary embolism

C. Nodal rythem

28. the question was on infantile polycystic kidney disease. And the pattern of inheritance was
autosomal recessive

29. Increase renin

Benign hypertention

Chronic hypertension

polycystic kidney disease also.option

30. ek tha amebiasis response wlaa..

pencillin?

metronidaZole
31. Plasma protien precursor porphyrin will bound to

A . Albumin

B..glubulin

32, Prurites jaundice xanthoma hepatosplenomegly . Confirmatiry test

Ct abdomen

Ultrasound abdomen

33. Hyaline cartilage

A..Larynx .

B..articular surface of temperomandibular join

34. Regarding columner epithelium

A.. pct has cilia

B.. uterine tube has no cilia

C ..male urethra pseudostastified ..kuch esa tha

35. Pt is taking alcohol .. histopathology finding

A.. diffuse fibrosis

B.. mallory bodies

36. Absteosis cause ? malignant mesothelioma

37. Dietry precursor of serotinine

A. Tryptophane

B..phenylalanine

C..gylcine

38. Blood group A

A.. child have O nd A blood group

B.. anti b present in plasma

C.. peptic ulcer

39. In dehydration thirst is stimulated by sensory receptos present in

A.. Aldosterone

B . Vasoopressin

C . Angitention 2

D..angio 1

40. Patient on Att pink color of urine...

rifampicin?

41. in cystic fibrosis in saliva ..

inc sodium?

inc chloride?

42. Cystic fibrosis p ik scenrio tha nd was asked condition autosomal recissive dominant x linked

43. HlA b5 related with

behcet syndrome?

44. On microscopic slide of lymphatics find bacterial infection what will lymphatics do?

Present antigen to cells. ....drain lymphatics baki yad nh bhot bara scenrio tha aur option bhi

Lymphatics k sath ek ur option tha infection clearanc

45, Mysthenia gravis type 2 hypersensitivity

46. Mother having toxoplasmosis infection delivered a baby how u will diagnose infection in baby??

check antibodies?

47. There was a question abt Rubella positive expecting mother but Baby born was symptom free

The question asked abt what antibodies would the Baby have on Elisa

IgM

IgG1

IgG4

48. Internal capsule damaged

Contralateral spastic hemiplegia

Ipisilateral spastic hemiplegia

49. mean is?

50.multiple of varible?
51.cofidnetialty break?

52. girl presented with ascites ,right side pleural effusion ,mass in ovary. which marker wil b raised ?

CA 125 i markd

othr were Ca 19-9 othrs i cannt recall

53. What causes decreased renal clearance of Ca ions?

-PTH

-Hypermagnesimia

-frusemide therapy

-cholorothiazide therapy

54. Heparin binds with antithrobin 3???

55. Most common prthrombotic point mutation

Factor 2,5,7,11,12 were the options

56. long term memory

synaptic faciliation?

protein synthesis+gene activation?

57. Lymph node of toe???? Vertical ya horizontal grp of inguinal lymph jode??

58In Cld, hematemesis is due to

left gastric vein or right gastric v or azygous vein

59. sprinolactone action

inc sodium excreation..dec k excreation???

60. Paritel cell release

A. Intrinsic factor and hcl

B. Intrinsic factor and hco3

61. B cell lymphoma asstd with epsten bar virus??? or the question was >>> Brain lymphoma antibody
tested for. Ebv, hiv, hsv

62. Nissil bodies at

hixon hilook???

RER

SER

63. Pallegra caused by niacin???

64, Ek cml tha q us ki 9. 22 wala option tha??

65. mechanism of pyremethamine .. inhibit folate syn? or ek esa e folic acid se mlta option tha..

block karta detoxification of heme into hemozoin

Folate Antagonist✓✓

Chloroquinine>> blocks heme to hemozoin conversion ✓

66. common cause of delay wound healing?

malnutrition?

infection?

vit def?

no specific vit mentiond

67. End arteries: central artery of retina

68. Function of dorsomedial nucleus of thalmus

All options were of smell except this one option..anxiety and stress

69. medial leminsci formed by?

internal arcute fibre?

decussation of pyramid

70. Blood bypass from pulmonary trunk to aorta

via trunkus arteriosus

71. Highest conduction velocity in

Purkinjue

72. severe steatrhea?

distal ileum resection?

total pancreatectomy?

gall balader resection?

Durre Nayab Bajwa Pinky Pasts total pancreatectomy

Pinky Pasts Durre Nayab Bajwa jazak ALLAH mam u r so humble

73. Ionizing radiation..missing factor which will arrest growth in g2 phase

p53 answer written on fb by durre nayab bajwa

74. Ca po4 balance

PTH

75. Lumber triangle

ant border exterinal oblique

posterior border of external oblique

76. Pain and temperature pathway

lateral spinothalmic tract

77. Ricketesia and mycoplasma ?different?

zeihl nelson?

gram stain?

Ziel..

Ya starry warthin stain

78. Oxidative burst related mcq

79. Blood group associated with

personality disorders and cardiac problems

question tha..stress related disease ? cancer thi baki.. srf yehi do stress related lagy

80. 6year old joint pain.. 6month h/o bleeding aftr circumcision.diagnos by?

aptt?

factr 8?

81. villous atrophy..not treatd with wheat restriction..

girada?

whipple?

82. cardiac systole,?

ST

QRS

83. Nerve supply of adrenal medulla?

I marked greater thoracic splanchnic nerve... 2 macq.... One in paper one other in paper 2..

mostly logo nay fb par comment greater thoracic splanchnic hi kiya hua

84. Characteristics common bw skeletal n cardiac muscle?

Striations.?

85. Conductive aphasia due to lesion of?

Arcuate fasciculus
86. extensor muscles lost?

cord of brachial..posterior?

87. Hyperurecemia>>>. Pyrizinamide

88. pink colored discharge vaginal itchng?

trichomanias?

chlymadia?

89. median nerve in upper arm ?

lateral epicondyl humerus?

medial to Brachial A in cubital fosa?

90. greater carvature ca lymph node?

celoic or great epiploic

91. Dysmetria cerebellar sign

92. Pt after penetrating abdominal injury on 12 weeks antibiotic therapy Nd 3 weeks tpn. With
echymosis.platlets notmal pt 19, Cause

ca,

vit d,

dic,

sepsis

vit k deficiency ........people have commented for vit k deficiency on fb

93. antibody bind ?

variable H?

hypervariable H n L?

94, Antioxidant. Vit a, transferin, vit k, vit d

95. Pregnant lady with jaundice,which test will help in diagnosis

Ggt

Alp

96. rRNA synthesis?

nucleolus ?

RER??

97. congo red positiv due to ?

amyloid associt protein?

amyloid precursor?

98. Adductor canal pus compreess

Femoral vein

99. Parkinson drug most common side effect. Postrul hypotension

100. Adult hemoglobin

A.2alpha2beta

B. 2alpha2gama

101. Carbon monoxide poison

A. Decrease arterial pco

B. Decrease arterial O2

C. Decrease ability of O2 to bind hemoglobin

102. Receptors for growth hormones are on

Nucleus

Mitochondria

Rer

Ser

103. Drug of choice for pulmonary Edema , everyone’s favourite bcq 🤓

Furosemide loop diuretic

104. Third arch derivative

Muscle> Stylopharyngeus

Cartilage/bone greater horn of hyoid

105. Mitral stenosis Endocarditis

A. Stapaurous

B. Viridian
106. Medial nerve course

Medial to brachial artery

Ant to lateral epicondyle

107. Rbc cell membrane protected from free radicals dud to

Hmp shunt

Spectrin and ankyrin

108. Cardiomyopathy due to deficiencyncy of...

Biotin

Niacin

Vit K

Thiamine

109. Surgical gloves allergy due to....

Latix of talcum. Type 4 HSR

110. Immature lymphocytes... Pan cytompenia

A. All

B.cml

111. Memory loss, where is the lesion

temporal

112. What type of motor fibers given by the pyramidal tract?

Options were..

Alpha motor

Gamma motor

And pata nae kiy

113. Dorasl medial nuclus of thalamus

. Smell excitable

Smell inhibition

anxiety wla.option tha..baki sb olfaction related

114. Jugulodiagastric lymph nodes drain

A. Palatine tonsils

B. Submandibular

C. Sublingual

115. Extensors of arm supplied by

1.posterior

2.medial

3 lateral cord

116. Thoracic aorta pass posterior to

Median

Lateral

Medial arcuate ligament

Don’t remember all the options. And im not sure regarding the correct answers.

1. Pompe disease which enzyme deficiency? Lysosomal acid alpha glucosidase enzyme✅

2. Hla b5 in which disease? Bechet disease✅

3. Anterior border of lumbar triangle is formed by posterior part of? Latissimus dorsi✅

4. Progressive Prolongation of pr interval with dropped beat? Mobitz type 1 ✅

5. Pink frothy discharge from vagina with vulval pruritis which organism? Trichomonas ✅

6. Side effects of pyrazinamide?

7. Side effect of rifampin?

8. Case where woman had pain in hands and unable to perform daily activity. In 6 years hands
were deformed and she had nodules on extensor surface? Most likely diagnosis RA✅

9. P wave is absent in ecg most likely diagnosis?

10. Oxytocin binds to which receptors to initiate uterine contractions?

11. Levodopa side effects? Option was orthostatic hypotension which was ✅

12. Nissel bodies are in the highest concentration where? Axon hillock✅

13. Case of soldier in balochistan sleeping on floor... diagnosis kala azaar ✅

14. How are abgs collected? Arterial blood hepranized syringe ✅

15. Pus in adductor canal what will it compress? Femoral vein✅

16. Shunting between pulmonary trunk and aorta? Patent ductus arteriosis ✅

17. Case of man with furuncle on tip of nose high fever with redness and swelling of eye?
OptionA. Cavernous sinus thrombosis OptionB. Ophthalmic vein thrombosis

18. Lymphatic drainage of big toe?

19. Extensors of the forearm which cord are they supplied by?

20. The median nerve? Lies medially to brachial artery in cubital fossa ✅

21. Young patient with enlarged jugulodigastric nodes what do these nodes drain? Palatine
tonsils ✅ (other options were submandibular, sublingual and parotid glands)
22. Patient presented with sore throat and tonsils were inflamed and he had fever. The most
likely mediators in this process? TNF and interleukin 1 ✅

23. Patient had abscess on arm which was drained yellow thick pus was removed from it. Main
cell that makes up this pus? Options were neutrophils, lymphocytes, plasma cells, eosinophils.

24. Postmenopausal woman on estrogen high chance of? Thromboembolism ✅

25. Ovarian cancer what is raised? CA 125✅

26. Adrenal medulla supplied by? Greater thoracic splanchic outflow or lesser thoracic splanchic
outflow ( this question was repeated twice with diff wordings )

27. Neurohypophysis hormones stored in?

28. Arteries forming the circle of willis?

29. Steady rate of CO2 formation, alveolar ventilation reduced to half? Options : po2 decreases
to half, Pco2 increases double, Pco2 increases 16 folds.