CONFUSING QUESTIONS

(Complied by Dr Shehzad)

Q1. Sodium is Actively absorbed from ?

A. Jejunum
B. Colon ✔️

Q2. Sodium is passively absorbed from?

A. Jejunum ✔️
B. Colon

Q3. Kind of bond present between proteins and lipids in a membrane?

A. Hydrophobic ✔️
B. Covalent and Hydrophobic
C. Hydrogen

Q4. Kind of bond present between integral proteins in membrane?

A. Hydrophobic ✔️
B. Covalent and Hydrophobic
C. Hydrogen

Q5. Crescent compound formed by

A. Endothelium + Parietal
B. Mesangial + Endothelium
C. Parietal + Macrophages ✔️

Q6. Aspirin Overdose causes

A. Alkalosis ✔️
B. Coma > in Toxicity

Q7. Fetal Hb does not have

A. Beta Chains ✔️
B. Delta Chains

Q8. A factor which is precursor to the carrier of 1-carbon fragments at various levels of
oxidation?
A. Biotin ✔️
B. Folate

Q9. Factor involved in 1 carbon transfer ?

A. Biotin
B. Folate ✔️

Q10. Fibrocartilage
A. Rich in amorphous substance
B. Has collagen > Second best
C. Attach to discs of Joints ✔️

FLUID ACCUMULATIONS & DRAINS

Q11. Acute Pancreatitis fluid accumulation in:

A. Lesser sac ✔️
B. Greater sac

Q12. Hydrocele Fluid accumulation

A. Tunica Vaginalis ✔️
B. Scrotum

Q13. Cholecystectomy drain put into

A. Right subhepatic ✔️
A. Right paracolic gutter

Q14. Appendicitis drain put into

A. Subphrenic ✔️
B. Subhepatic

Q15. Anterior Duodenal perforation

A. Right Paracolic Gutter ✔️✔️
B. Right illiac fossa ✔️

BLOOD FLOW

Q16. Max blood flow per minute?

Kidney
Liver✔
Heart
Brain
Skin

Q17. Least blood flow per minute?

Kidney
Liver
Heart✔
Brain
Skin

Q18. Max blood flow per 100 gram of tissue?

Kidney ✔
Liver
Heart
Brain
Skin

Q19. Which organ has Max O2 consumption ?

Kidney
Liver✔
Heart
Brain
Skin

Q20. Max O2 consuption per 100 gram of tissue?

Kidney
Liver
Heart✔
Brain
Skin

Q21. Least o2 consuption?

Kidney
Liver
Heart
Brain
Skin✔

SIADH vs DI

Q22. Hx of head trauma, urine osmolarity was decreased, polyurea and polydipsia?
A. Nephrogenic DI
B. Central DI ✔️Head trauma is hint
C. SIADH

Q23. A 45y woman with TB presents with a serum Na of 123 mmol/L and a urine Na of 23
mmol/L. The most likely diagnosis is:
A. Central DI
B. Nephrogenic DI
C. SIADH ✔️as serum as less Na and Urine has More than normal

Q24. Lithium causes

A. Central DI
B. Nephrogenic DI ✔️Pyschotropic Drugs cause NDI
C. SIADH
Q25. The mutation of which of the following can lead to nephrogenic diabetes insipidus?
A. Aquaporin 1
B. Aquaporin 2 ✔️
C. Collagen type IV

Q26. Woman having serum osmolarity 175mOsm/L and urine osmolarity

1200mOsm/L.Diagnosis
A. SIADH ✔️
B. Diabetes insipidus
C. Pure water deprivation

Q27. Woman having serum osmolarity normal and urine osmolarity 1200mOsm/L.Diagnosis
A. SIADH
B. Diabetes insipidus
C. Pure water deprivation ✔️

Q28. Patient having polyurea and polydipisia. urine osmolarity decreased. Increased thirst that is
not relieved by drinking water. ADH injection hiven still no improvement. Diagnosis
A. SIADH
B. Nephrogenic DI ✔️As ADH receptors in kidney are defective
C. Central DI

HEMIPLAGIAS AND ARES INVOLVED

Q29. The weakness of right side of body and diplopia on seeing left . Lesion in?
A. Cerebelum
B. Midbrain ✔️Weber syndrome with ipsilateral Oculomotor nerve palsy and Contralateral
hemiplegia
C.Lt internal capsule
D. Medulla

Q30. Right hemiplegia with right facial nerve palsy

A. Left Internal capsule ✔️uncrossed hemiplegia > UMN lesion
B. Pons

Q31. Right hemiplegia with left facial nerve palsy Lesion in

A. Internal capsule
B. Pons ✔️crossed hemiplegia > LMN lesion

Q32. Sensory loss on left side face n left side body. Level of lesion
A. Thalamus ✔️sensory loss is thalamus
B. Pons
C. Internal capsule
D. Medulla
Q33. A patient has stroke and presents with weak right limbs, mandible deviated to left upon
protrusion, anesthesia of face and scalp. Lesion is in
A. Pons ✔️
B. Midbrain
C. Internal Capsule

Q34. Pt has sensory and hemiparesis on R side of body with involvement of left side cranial
nerves and constricted pupil,lesion is at the site of

A) Pons
B) Internal capsule
C) Medulla ✔️Lat. Medullary Syndrome
D) Midbrain

Q35. 59 yr old hypertensive patient presented in Emergency in coma with left side hemiplegia n
pinpoint pupils lesion
A) Internal capsule
B) Medulla
C) Pons ✔️Bilateral pinpoint pupils > Sympathetic interruption

Q36. Patient with right side body weakness and mouth deviate to left side during talking lesion
is at
A) Pons
B) Internal capsule ✔️if mouth deviated to left it means Right Facial nerve is damaged

Q37. patient presents with paralysed right arm n leg right plantar up going and exaggerated
reflexes lesion
A. Left internal Capsule ✔️Babniski Positive > UMN lesion
B. Right cortex
C. Left cortex
D. Pons > if it were pons Babniski would be negative and LMN lesion

ASPIRATION POSITIONS & BPS

Q38. Aspiration of foreign body in supine position,the object will be lodged in which lung lobe
A. Posterior segment of right upper lobe
B. Superior segment of right lower lobe ✔️

Q39. If a person in right sided position foreign body will b lodge in

A. Right middle lobe
B. Posterior segment of right upper lobe
C. Both a nd b ✔️
D. Superior segment of right lower lobe
Q40. Most common site of aspiration is
A. Sup segment of Rt lower lobe ✔️
B. Post segment of Rt lower lobe

Q41. Patient is in left sided position foreign body will be lodged in

A. Left Inferior lobe
B. Lingula ✔️
C. Posterior segment of right upper lobe

Q42. Foreign body will lodge in which segment of lung in Sitting/Standing position?
A. Posterior segment of right upper lobe
B. Superior segment of right lower lobe
C. Posteriobasal segment of Rt lower lobe✔️

MISC

Q42. Stress due to surgery

A. Epinephrine
B. Norepi
C. ACTH✔️
D. Cortisol✔️✔️

Q43. Stress due to surgery that causes vasoconstriction

A. Epinephrine ✔️
B. Norepi
C. ACTH
D. Cortisol

Q44. Dilator of colon

A: circular muscle
B: Longitudinal ✔️
C: Both

Q45. Which muscular arrangement causes dilatation?

A: Circular
B: Vertical ✔️
C: Horizontal

Q46. Thick Saliva produced by

A. Alpha 1 agonist ✔️Confirmed by KIM
B. Beta 1 agonist
C. Both A and B
D. Alpha 1 and Beta 2
Q47. Histological feature of compact bone
A. Most osteon are oriented in the long acix of bone
B. Circumferential lamellae form the osteon around the central canal ✔️

SURGERY EVENING & NOON 19 FEB

Q48. Infection in kidney ,pus upto gerotas fascia. keeping the fascia intact ,it can spread to.
A. Opp kidney ✔️
B. Inferiorly to pelvis

Q49. Deficiency of Vit E is associated with

A. Hyperkeratosis
B. Muscle dystrophy ✔️

Q50. Therapeutic dose of drug in clinics is decided on

A. Potency ✔️
B. Efficacy

Q51. Taste sensations dec or lost, which nucleus is damaged

A. Inferior salivatory
B. Facial motor
C. Mesencephalic V
D. Salivatory nuclei
(Poor Recall)
(You may Ignore this question or find the right answer)

Q52. Regarding warmth receptors

A. Evenly distributed in hands and feet
B. Completely adapt to 5 to 10 degree change in temp ✔️
(Poor Recall)

Q53. Sudden withdrawl of corticosteroids risk of

A. Dec cortisol sec
B. Dec ACTH sec ✔️

Q54. While surgery , splenic vessels need to be ligated in which ligament these vessels are
present.
A. Linorenal ✔️
B. Gastrosplenic

Q55. Metopic suture in adult

A. Glabella ✔️As per Dr KIM
B. Nasion
Q56. Fanconi Syndrome, dec ATP at PCT linked with
a. Hyperphosphatemia
b. Glycosuria ✔️I am with this option
c. Met alkalosis  

Q57. Metabolic alkalosis

A. CRF
B. Diarrhea ✔️
Both can rarely cause Alkalosis

Q58. Ketamine given with which drug will cause cardiac depression
A. Morphine
B. Propanalol ✔️
C. Diazepam
D. Theophylline

Q59. Flexor tendon reflex

a. Nuclear bag 
b. GT fibers ✔️
c. Gama efferent  

Q60. Vagotomy done, most affected

A. Cranial gastric contraction
B. Migrating complex
C. Secondary peristalsis
D. Pylorus emptying✔️

Q61. Athelete felt pain while running, swollen ankle but can stand.
A. Achillis > if he cannot stand
B. Plantaris ✔️✔️

Q62. Behind sternum vertically seen

A. Int. thoracic artery
B. intercostal artery
C. Lateral thoracic artery
D. Aorta
E. carotid artery ✔️I support this

Q63. In new born what will be present

A. C shaped vertebral column ✔️
B. Cross section Oval thorax

Q64. Feature of auto immune disease

A. Hematologic ✔️
B. Arthritis
C. Weight loss
D. Fever

Q65. Relation of Pituitary

A. Lateral cavernous sinus ✔️
B. Anterior sphenoid air sinus ( Its anterio-inferior)

Q66. Flicking movements

A. Globus pallidus lesion ✔️
B. Dec. GABA
C. inc. glutamate
(Putamen better option if not present then Globus Pallidus. Confirmed by Dr KIM)

Q67. Esophageal atresia in child, first sign will be

A. Drooling of saliva ✔️
B. regurgitation with first feed
C. Vomiting
( Neonates Drool, Choke and vomit with first feed Ref: FA) following this sequence
 
Q68. Specifically renal tubular buffer
A. Ammonia
B. Phosphate ✔️

Q69. Connective tissue cells Single membrane bounded and having lamellar vesicles
A. Mast cells ✔️
B. Fibroblasts

Q70. Hb start appearing at

A. Early normoblast
B. Pronormoblast
C. Intermediate normoblast ✔️

(Pro erythroblast > begins to synthesize hb

Early normoblast > begins to synthesize hb
Intermediate normoblast > hb starts to appear
Late normoblast > nucleus disapears
Reticulocytes > Maximum hb
Mature rbc > no nucleus but hb present)

Q71. Local cell response to Action potential

A. All or none
B. Inc. amplitude with Inc. stimulus
Q72. Subarachnoid space
A. only at origin of cranial nuclei
B. upto foramen magnum
C. upto S4
D. cocygeal segment
E. Periosteum of Olfactory segment ✔️bcz baki making no sense to me

Q73. Nerve passing through petrous of temporal bone (Poor Recall)

A. Ophthalmic ✔️only if u have to choose
B. Occulomotor
C. Tochlear
D. Abducens

Q74. In metabolic acidosis, renal compensation is by

A. Inc. Urine pH
B. dec. NH4+ secretion
C. Inc. Glutamine secretion ✔️
D. Inc. Glutamine absorption

MEDICINE FEBRUARY

Q75. Drug causing peripheral neuropathy and pancreatitis

A. Ziduvudine
B. Interferon
C. Didanosine ✔️Confirmed By Dr Asad

Q76. EBV Investigation

A. Paul Bunnel Test ✔️Confirmed by Dr Wahab
B. Gram staining

Q77. Uterine Fibroid in pregnancy

A. Red Degeneration✔ Confirmed by Dr Wahab
B. Hyalin Degeneration

Q78. Aged man can't recognize right half of the body

A. Premotor area
B. Cerebral cortex
C. Neocortex
D. Somatosensory area ✔️

Q79. Diagnostic test for hepatic encephalopathy

A. AST
B. Bilirubin
C. Ammonia ✔️
D. ALT

Q80. Man inhaling silica dust for 6 years, develops cough , 1 cm mass on xray, what cells may be
seen
A. Foreign body giant cells ✔️referring to TB
B. Silicosis > they asked about cells not condition
C. Lymphocytosis > Giant cells predominant

Q81. Which of the following agents or changes has a negative inotropic effect on the heart?
A. Increased heart rate
B. Sympathetic stimulation
C. Norepinephrine
D. Acetylcholine (ACh) ✔️

Q82. Deep palmer arch receives main input from

A. Ulnar Artery
B. Radial Artery ✔️
(Superficial Palmer arch. By ulnar. Artery
Deep Palmer arch By
Radial artery
Palmer arch innervation
By deep branch of ulnar. Nerve
Regards: Dr Ayesha Nourine)

Q83. Lateral Rotation of thumb is caused by

A. Radial Nerve
B. Median Nerve ✔️Poor recall
C. Ulnar Nerve

Q84. Autoimune pancreatitis due to

A. IgM
B. IgG ✔️

Q85. Polysynaptic reflex arc?

A. Cremasteric ✔️
B. Tricep
C. Suppinator
D. Knee
E. Leg

Q86. No of divisions in lower airway

A. 16
B. 19
C. 21
D. 23 ✔️

Q87. Kaplan-meier curve indicates

A. Incidence of disease
B. Demography
C. Severity of disease
D. Survival ✔️

Q88. Increased intake of protein is accompanied by increased intake of

A. Vitamin B2 ✔️
B. Vitamin B6
C. Vitamin B1 > Carbohydrates
D. Vitamin B7 > Fats

Q89. During long term fasting major control of rate of gluconeogenesis is ???
A.ATP in liver
B.availability of alanine in blood ✔️
C.availibilty of free fatty acids in liver
D.cAMP level in liver
Confirmed by Dr Wahab’s Siyapa

Q90. Accessory hepatic artery is given by

A. Common Hepatic
B. Celiac Trunk
C. SMA ✔️
D. IMA

Q91. Fracture line on anteroinferior of parietal bone

A. Epidural hemorrhage✔
B. Subdural hemorrage
Confirmed by Dr Wahab’s Siyapa

Q92. Stomach ulcer most common site ?

A. Lesser curvature > 2nd most common
B. Angular incisura ✔️
C. Antrum > 3rd Common

Q93. Tricyclic antidepressant side effect

A. Generalized tonic clonic seizures ✔️
B. Urinary retention
C. Hypotension
D. Diarrhea
Q94. Pregnant lady with ITP, what to do
A. Plasmaphresis
B. Immunoglobulin ✔️Confirmed by Dr Wahab
C. Add Danazol
D. Splenectomy > only if steroids and IGs have been given already

Q95. Cerebral cortex is necessary for

A. Light reflex > Midbrain
B. Consensual reflex
C. Accommodation reflex ✔️

Q96. Saddle shaped nose most commonly seen in:

A. TB
B. Leprosy ✔️

Q97. Splitting of S2 sound enhanced by:

A. Delayed closure of aortic valve
B. Delayed closure of pulmonary valve ✔️
C. Early closure of aortic valve

Q98. Lymphoid aggregation with partial covering of str squamous epithelium

A. Palatine tonsil ✔️
B. Payer pacthes
C. Spleen
D. Thymus

Q99. Total power of the eye is 59 diopters. Main role is maintenance of this power as performed
by:
A. Anterior surface of cornea ✔️
B. Lens
C. Retina

Q100. Which food item contain increase sodium levels??

A. Cereals
B. Soup ✔️
C. Milk

Q101. In spinal ganglia which neurons

A. Pseudounipolar ✔️
B. Unipolar
C. Bipolar
D. Multipolar

Q102. What is mode of contraception in Progesterone containing pills?

A. Inhibit relase of egg ✔️
B. Inhibin secretion
C. Prevent maturation of oocytes

Q103. Woman had colicky right uper abdominal pain dicyclomine given and pain relieved acts
on
A. Muscuranic receptors ✔️Confirmed by Dr KIM
B. Alpha
C. Beta

Q104. Definite evidence of ovulation in female.

A. Cyclical vaginal bleeding
B. Ferning of cervical mucus ✔️
C. Presence of corpus leutum in ovary

Q105. Which of the following phospholipid has antigenic activity

A. Plasmalogen
B. Cardiolipin ✔️
C. Phosphatidylcholine
D. Sphingomylin
( Im not sure if exact question came but it was similar)

Q106. What is the value of accommodation of cornea in 70 years old man?

A. 11
B. 24
C. 59 ✔️

Q107. A person falls from height and damages talus bone upper part which structure damaged
attached to it?
A. Medial Longitudinal Arch ✔️
B. Lateral Longitudinal Arch

Q108. Lesser sac attachment at lesser curvature of stomach with

A. Gastroduodenal Ligament
B. Hepatoduodenal Ligament ✔️

Radiology Feb Both papers

Q109. Damage to costobrachial nerve

A. loss of sensation in 2nd inetercostal space ✔️
B. loss of sweating at back of arm
C. loss of sensation at back of arm

Q110. In urea cycle which amino acid group donates amino group?
A. Phenylalanine
B. Glycine
C. Aspartate ✔️

Q111. Person has paralysis of left leg and also inability to recognise objects.
Artery involved :
A. Middle cerebral > If upper limb involved
B. Anterior cerebral ✔️Confirmed by KIM

Q112. Dyslexia
Ans: Inability of recognize letters or words ✔️

Q113. Alcoholic mother with a baby with facial hypoplasia where defect embryologically
A. 2nd arch
B. 1st arch ✔️
C. 1st cleft

Q114. Artery on face coming from masster to inf mandible

A. Lingual artery
C. Facial artery ✔️

Q115. Muscle damaged due to fracture of medial epicondyle of humerus

Adductor pollicis brevis
A. Extensor pollicis
B. Abductor pollicis ✔️

Q116. Metabolic acidosis regulation of kidneys by (Poor Recall)

A. HCo3 excretion
B. H+ retention
Both wrong ✔️

Q117. Function of progestron

A. Feal well being.
B. Ripening of cervix.
C. Ihibition of lactation.
D. Breast developement ✔️Choose Best
E. Endometrial proliferation

Q118. Person has sciatica , compression of L5 root will cause :

A. Brisk ankle jerk
B. Loss of ankle jerk
C. Weakened plantar flexion
D. Weakened dorsiflexion ✔️
Q119. P Value
A. 0.5
B. 0.05 ✔️
C. 1

Q120. Bicarbonate MOA in ASPIRIN

A. Dec Absorption through Tubules
B. Inc Excretion through kidneys ✔️

Q121. Ghon Complex is seen in

A. Primary TB ✔️
B. Secondary TB

Q122. Eye ball adducted after craniofacial trauma, lateral movement of (R) Eye affected
A. Facial Colliculus damage ✔️
B. Cavernous Sinus Damage
Ref. Tanveer Session 12 P#374

Q123. Most common cause of Thoracic Aorta dissection:

A. HTN ✔️
B. Marfan Syndrome

Q124. In young Child Immature T cells are present in which part of Thymus:
A. Cortex ✔️
B. Hassles Corpuscles

Q125. Right sided weakness left sided mouth deviation artery involved
A. ACA
B. MCA ✔️
C. PCA

Q126. Structure derived from Neuroectoderm:

A. Cornea
B. Lens ✔️

Other Important Questions

Q127. Dicumarol/ Coumarin side Effects:

A. Inc BT
B. Inc CT
C. Inc PT ✔️Ref SK Vol. 2

Q128. Dimercaprol
A. Inc BT ✔️Ref Sk Vol 2
C. Inc CT

Q129. Definitive Diagnosis of Myasthenia Gravis

A. Ach Antibodies ✔️80-90% Sensitive
B. EMG > If antibodies option not there
C. Endophonium > Initial test
Ref: By Dr Wahab

Q130. Streptococcal Infection Diagnosis

A. ASO Titers ✔️
B. Blood Culture > Present late
Ref: by Dr Wahab

Q131. Red/Green color blind called as

A. Protpnopia ✔️> Cant see RED
B. Deutronopia > Green/Red Color blind > cant see Green
C. Tritanopia > Blue/Yellow color blind > cant see Blue

Q132. Bonds between integral Proteins and Lipids

A. Covalent
B. Hydrophobic
C. Hydrogen
D. Hydrophobic + Hydrogen ✔️Same goes for Lipids and Proteins. They have non-covalent
bonds
Ref: by Dr KIM

Q133. Burn patient left without graft. Which factor will make sure healing takes place?
A. Granulation Tissue ✔️
B. Connective Tissue
C. Skin Appendages

Q134. Burn patient. Skin Graft is decided on

A. Granulation Tissue
B. Connective Tissue
C. Skin Appendages ✔️
Ref: by Dr Wahab

Q135. Chronic Nephritis . Anemia treated with

A. Iron Supplements✔️
B. Erythropoietin > in CRF
( See the Difference)

Q136. Esmolol is fast acting because

A. Selective Beta Blocker
B. Met. quickly into inactive form ✔️
(It is selective beta blocker but thats not the reason its fast acting)

Q137. Characteristic feature of Sarcoidosis is

A. Granuloma with asteroid ✔️
B. Non Caseating Granuloma

Q138. Microscopic Feature of Sarcoidosis

A. Granuloma with asteroid
B. Non Caseating Granuloma ✔️
Ref By Dr Wahab

Q139. Nutmeg Liver Feature

A. Centrilobar Congestion
B. Chronic Passive Congestion ✔️
(If Centrilobar Necrosis is there prefer that)
Ref by Dr Waqar Younis

Q140. Infection in Cavernous Sinus

A. Inf Ophthalmic vein ✔️
B. Sup Ophthalmic vein > if thrombosis
Ref: Tanveer

Q141. Homocystenuria is caused by

A. Vit B6 ✔️
B. Vit B12 > Homocystenemia

BEST OF LUCK
DO REMEMBER IN PRAYERS
Regards: Dr Shehzad Ahmed