Medi Call FCPS – 1
Ⓑ Stensen duct
Surg 26 Aug 2023 (M)
1. Ventricular filling is highest during - ID : 899
Ⓐ First 3rd of Diastole ( end of arterial systole)
Ⓑ Last 3rd of Diastole
Ⓒ Variable, dependent upon Atrial contraction
Ⓓ Middle 3rd of Diastole
Ⓐ Large amount of blood accumulates in atria during ventricular
systole so as soon as the sytole is over, moderates increase in
atrial pressure immediately push AV valves open and allow the
blood to flow rapidly into ventricles. So this initial period is called
period of rapid filling of ventricles .
2. For epidural anesthesia ropivacaine is preferred over
bupivacaine due to which of the following resons - ID :
1018
Ⓐ Less toxic
Ⓑ Ropivacain has short duration of action
Ⓒ Ropivacain has no side effects on fetus
Ⓓ None of these
Ⓑ ✪ Ropivacaine ☛ earlier onset of motor blockade ( 5 min ) and
2-4 hrs duration of action
✪ Bupivacaine ☛ slower onset of action ( 20 min ) and its effects
last much longer ( 4-8 hrs ).
3. A boy fear from snakes, he saw cobra. Most potent
response in shock as a whole which Preserve organism ? -
ID : 1672
Ⓐ Baroreceptor Ⓑ Heart
Ⓒ CNS ischemic response Ⓓ Sympatho-Adrenal system
Ⓓ Sympathoadrenal system ☛ physiological connection between
SNS and adrenal medulla ➜ stimulation of β-adrenergic receptors
by Adrenaline and Noradrenaline ➜ crucial in response in
emergency or shock ➜ saves life by maintaining Vital functions of
Heart and Brain ➜ raising Blood and energy supply.
✦ Guyton, Pg. 295
4. Staphylococcus aureus differs from Staphylococcus
epidermidis. And virulence of staph aureus strain
measured by - ID : 2515
Ⓐ Coagulase positive Ⓑ Forms white colonies
Ⓒ A common cause of UTI
Ⓓ Causes endocarditis in drug addicts
Ⓐ ✪ Co-agulase +ve ➜ S.Aureus ✪ Co-agulase -ve ➜
S. Epidermidis + S. Saprophyticus
✦ Levinson, Pg. 111 ✦ Robbins, Pg. 525
5. Excessive spasm of which muscle cause TM joint/jaw
dislocation - ID : 3140
Ⓐ Frontalis Ⓑ Platysma
Ⓒ Dilator naris
Ⓓ Lateral pterygoid muscles
Ⓓ lateral pterygoid muscle superior head☛ inserts on anterior
disk (TMJ)
Mechanism its spasm cause contracting and exerting forward
traction on disk can lead to anterior displacement of TMJ.
6. Which is true regarding parotid duct (Stensen duct)? -
ID : 3223
Ⓐ Arises from posterior surface of Parotid
Ⓑ Pierces the Buccinator muscle
Ⓒ Opens in the oral cavity against 2nd incisor
Ⓓ Is duct of submandibular gland
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● Drains saliva from parotid gland into oral cavity
● Emerges from anterior border of gland near second upper molar
● Buccinator muscle is pierced by parotid duct.
✦ SNELL, Pg. 582, 630
7. Which one of the following is associated with lower
motor neuron lesions? - ID : 4609
Ⓐ Flaccid paralysis.
Ⓑ Hyperactive stretch reflex
Ⓒ Spasticity Ⓓ Muscular incorrdination
Ⓐ Lower motor neuron lesion ☛ Flaccide paralysis, Muscle
atrophy, loss of Muscular reflexes, Muscle fasciculations and
Contractures.
✦ Snell Neuro, Pg. 166
8. Initial Most sensitive test for SLE is - ID : 5036
Ⓐ ANA Ⓑ LE cell
Ⓒ ELISA
Ⓓ Anti mitochandrial antibodies
Ⓐ Positive Antinuclear antibody test got sensitivity - 99%:
specificity - 49%
9. Which of following is related to Medial surface of
Thyroid Gland ? - ID : 5315
Ⓐ Parathyroid Gland
Ⓑ Recurrent Laryngeal Nerve
Ⓒ Superior Thyroid Artery Ⓓ Sternothyroid Muscle
Ⓑ Medial Surface of Thyrid gland is Related to☛ ● Cricothyroid
Muscle ● Recurrent Laryngeal Nerve ● External Laryngeal
Nerve ● larynx ● trachea ● pharynx ● esophagus
✦ SNELL, Pg. 657 ✦ Netter, Pg. 78
10. After 2 hrs of abdominal surgery for intestinal stricture
patient develop hypotension .tachycardia and abdominal
distension Llikely type of shock is - ID : 5868
Ⓐ Hypovolemic shock Ⓑ Septic shock
Ⓒ Neurogenic shock Ⓓ Cardiogenic shock
Ⓐ ✪ Intra-Abdominal bleeding following surgery ➜ blood in
abdomin cause distension + Decreased Cardiac Output ➜
Hypotension ➜ Dec. Tissue Perfusion ➜
✔ Weak pulse, tachycardia, tachypnea
✔ Cold, clammy extremities, poor capillary refill
✔ Hypotension with Narrow pulse pressure in the decompensated
stage ➜ Hypovolumic shock ➜ Multiorgan failure
✦ Harsh Mohan, Pg. 109 ✦ SRB Surgery, Pg. 110
11. A 50 year old women with myxedema, came to you
with pain tingling sensation and numbness of thumb,
weakness of thenar muscle and inability to oppose the
thumb. Tinnel sign is positive. Most likely cause is - ID :
7011
Ⓐ Ulnar nerve damage Ⓑ Carpal tunnel syndrome
Ⓒ Cubital fossa syndrome
Ⓓ Lower trunk of brachial plexus damage
Ⓑ hypothyroidism can lead to fluid retention. That can lead to
swelling in tissues and put pressure on peripheral nerves, such as
the median nerve in the carpal tunnel nad lead to CTS.
✦ First Aid, Pg. 459
12. Which muscle do not have relation with wrist joint
movement - ID : 7090
Ⓐ Brachioradialis muscle. Ⓑ Palmaris longus
Ⓒ Flexor carpi radialis Ⓓ Flexor carpi ulnaris
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Ⓐ The brachioradialis is a stronger elbow flexor when the forearm 19. A 35 yr male usually goes to dubai and has h/o
is in a midposition between supination and pronation at the Immoral sexual activities without protection. He has
radioulnar joint. problem in walking in dark and loses balance,absent light
✦ BD Chaurasia, Pg. 155, 134 reflexes,no pain sensation, presented with hx of Falls as
he closes his eyes and Dribbling of Urine. where do you
13. If a person inhales 500 ml of air during each breath suspect lesion due to tabes dorsalis ? - ID : 12488
with respiratory rate of 10 breaths per minute. Calculate
the alveolar ventilation? - ID : 9021 Ⓐ Spinal Cord Ⓑ Uncus
Ⓒ Cerebellum Ⓓ Dorsal column
Ⓐ 5000 ml/min Ⓑ 3000 ml/min
Ⓔ Sacral nerves affected
Ⓒ 3500 ml/min Ⓓ 4500 ml/min
Ⓓ ✪ Tertiary Syphilis ➜ Tabes Dorsalis ➜ Demyelination of
Ⓒ Alveolar ventilation = ( Tidal volume - Dead space) x
Dorsal Column ganglia and roots :
Respiratory rate
➊ Loss of Sensory stretch input from Bladder BUT No motor
VA = (500-150) x 10 = 350 x 10 = 3500 ml/min
✦ Kaplan Physiology, Pg. 140 pathology ➜ Atonic Bladder ➜ Full Bladder with Continuous
Dribbling of Urine
14. Herpes simplex virus is transmitted by which of the
➋ Loss of Fine Touch, Vibration, Proprioception, loss of pain
following? - ID : 10073
sensation leading to skin and joint damage (Charcot joints),
Ⓐ Water Ⓑ Blood characteristic “lightning pains”, Absence of deep tendon reflexes
Ⓒ Droplet Ⓓ Food ➌ Inappropriate proprioception ➜ Sensory Ataxia ➜ Cerebellar
compensation with Open eyes but Falls as soon as he close the
Ⓒ ✪ HSV-1 ☛ Transmitted in sliva. eyes ( In Cerebellar Lesion Person will fall even with Open eyes )✪
✪ HSV-2 ☛ Transmitted by sexual and perintal contact. Lesion At Sacral segment ➜ Sarcal nerves affected ➜
✦ Levinson, Pg. 291
Parasympathetic Motor Loss ➜ Atonic Bladder without other
15. Plasmodium with longest incubation period is which of mentioned signs in this scenario
the following? - ID : 10162 ✦ Robbins, Pg. 864 ✦ Snell Neuro, Pg. 125

Ⓐ P malariae Ⓑ P falciparum 20. Which is a potent Antioxidant Vitamin - ID : 12519

Ⓒ P Ovale Ⓓ P vivax
Ⓐ Vit E Ⓑ Vitamin C
Ⓒ Vit B2 Ⓓ Vit B3
Ⓐ 9-14 days for Plasmodium falciparum, 12-17 days for infections
by Plasmodium vivax and 18-40 days for infections caused by
Ⓐ ✪ Alpha-tocopherol ☛ most active form of vitamin E in
Plasmodium malariae
humans, and is a powerful biological antioxidant. In general
16. CNS tumor occur due to radiation that grows from the Remember ☛ Glutathione ＞ VitE ＞ Vit C ＞ Vit A.
dura membrane covering the brain and spinal cord. which ✦ Harsh Mohan, Pg. 250
of the following is most common tumor of the brain cause
21. A child presented with bloody diarrhea and rectal
by radiation? - ID : 10696
prolapsed. Surgeon diagnosed that it is due to some
Ⓐ Meningioma Ⓑ Lymphoma parasite having small anterior end and invades the out
Ⓒ Glioblastomamultiphorme Ⓓ Glioblastoma mucosa the Organism would be? - ID : 13244

Ⓐ Common sources of radiation that can cause meningioma
include accidental exposure to radiation and radiation therapy as a
treatment for ringworm on the scalp, called tinea capitis. After
Radiation exposure Overall ➤ Leukemias > Meningiomas ( ??? :
BRS )
17. Acoustic Neuroma is a tumor of - ID : 10873
Ⓐ Cochlear part of CN 8
Ⓑ Vestibular part of CN VIII
Ⓒ Facial Nerve Ⓓ Trigeminal nerve
Ⓑ vestibular schwannoma (acoustic neuroma,) is benign,
usually slow-growing tumor that develops from balance and
hearing nerves supplying inner ear
18. After a road traffic accident the patient got his fibular
neck fractured , presented with foot drop and now unable
to dorsiflex and evert foot. Damage occurred to - ID : 11044
Ⓐ Superficial peroneal nerve
Ⓑ Deep peroneal nerve Ⓒ Common peroneal nerve
Ⓓ Sural nerve
Ⓐ A.lumbericoid Ⓑ Chlonorchis
Ⓒ Trichuris trichiura Ⓓ S. hematobium
Ⓔ Enterobius vermicularis
Ⓒ Trichuris trichura ➜ Burrows head in intestibnal
mucosa ➜ Excessive peristalsis ➜ Rectal prolapse.
☛ May cause diarrhea.
✦ Levinson, Pg. 472
22. In mineralocorticoid secreting tumor - ID : 13671
Ⓐ Hyponatremia Ⓑ Hypokalemia
Ⓒ Hyperkalemia
Ⓑ ✪ Biological action of Aldosterone :
➊ Increase the retention of sodium and water
➋ Increase the excretion of potassium by the kidneys✪
Mineralocorticoid secreting Tumor ➜ Hyperaldosteronism ➜
resulting in hypertension, hypokalemia, and metabolic alkalosis. (
Davisdon)
23. V/Q is 0.1. Which disease you suspected in which, V/Q
ratio is less than normal 1? - ID : 13992

Ⓒ Common (fibular) peroneal (L4-S2 ) ➜ crosses lateral aspect
of knee at neck of fibula ➜ most frequently damaged nerve
of lower limb by Trauma or compression of lateral aspect of leg,
fibular neck fracture
if Common Peroneal injured ➜ eversion and dorsiflexion lost
simultaneously ➜ foot dropped (steppage gait)
✦ First Aid, Pg. 453 ✦ Kaplan Anatomy, Pg. 221
Ⓐ Pulmonary embolism Ⓑ Restrictive diseases
Ⓒ Emphysema Ⓓ COPD
Ⓓ COPD ☛ Obstruction of Expiratory flow ➜ ↑ air trapping in
lungs ➜ Airways close prematurely at high lung volumes ⇓
✪ ↓ Ventilation (V) but normal Perfusion (Q) ➜ V/Q ＜ 1
✪ ↑ FRC, ↑ RV, ↑ TLC, ↓↓ FEV1, ↓ FVC ➜ ↓ FEV1/FVC ratio
(hallmark) ➜ Chronically hypoxic pulmonary vasoconstriction ➜
lead to cor pulmonale.

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✦ First Aid, Pg. 674
24. Hb acts as a buffer because? - ID : 14125
Ⓐ It rejects H+ Ⓑ It accepts H+.
Ⓑ ✪ Hemoglobin ☛ binds free H+ produced by hydration of
CO2 ➜ allowing movement of HCO3- into plasma ➜ ↑ buffering of
system.
✪ H+ + Hb ⇌ HHb
✦ Ganong, Pg. 615
25. Which of the following nerve accompany Superior
laryngeal artery and damage while ligation of Superior
laryngeal artery? - ID : 14155
Ⓐ Internal laryngeal nerve Ⓑ RLN
Ⓒ External laryngeal nerve Ⓓ Superior laryngeal nerve
Ⓐ ✪ Superior Laryngeal artery accompanies ☛
◉Internal Laryngeal Nerve ( branch of the superior laryngeal
nerve ), beneath thyrohyoid muscle .
✦ KLM, Pg. 1029, 1029
26. SA node acts as pacemaker - ID : 14275
Ⓐ Contractile muscle Ⓑ Located in Right Atrium
Ⓒ Located on Top of Ventricle
Ⓓ Above opening of SVC
Ⓑ SA Node ☛ specialized for automaticity ➜ located in superior
posterolateral wall of Right Atrium immediately below the opening
of superior vena cava
✦ Almost No Contractile muscle in SA Node
✦ Guyton, Pg. 123
27. Lesion of caudate, putamen and loss of GABA neuron
in substantia nigra and Globus pallidus. Patient is
suffering from which disease: - ID : 14789
Ⓐ Parkinsonism Ⓑ Hemiballismus
Ⓒ Chorea Ⓓ Athetosis
Ⓒ Neo Striatum ( Caudate + Putamen ) ☛ degenerated ➜ loss of
Inhibitory GABA ➜ Hyperkinetic movements ➜ Chorea.
28. A patient after accident talks excessively but talk
senseless , irrelevant and purpose less. patient face
difficulty in comprehension and intellectual brain function.
which area damaged? - ID : 15070
Ⓐ Broca’s area Ⓑ Wernicke's Area
Ⓒ Motor sensory Ⓓ Cerebellum
Ⓑ Paragraphic speech ☛ Werninck`s aphasia: Clear, fluent,
melodic speech but unintelligible because of frequent errors of
word choice e.g “we went to drive in the bridge for red pymarids
were crooking the lawn browsers.”
✦ Duane Neurosceince, Pg. 477
29. Multigravida pt heaviness in abdomen. Third degree
uterine prolapse. Exo-Cervix can be palpated upto
introitus, this will be due to which structure: - ID : 15145
Ⓐ Quadrate ligament Ⓑ Round ligament
Ⓒ Broad ligament Ⓓ Uterosacral ligament
Ⓓ 3rd degreeprolapse Uterosacral ligament
Complete prolapse Cardinal ligament
30. Murmur of the aortic valve can be best auscultated at:
- ID : 15199
Ⓐ 4th intercostal space
Ⓑ 3rd intercostal space at midclavicular line
Ⓒ 3rd intercostal space at midaxillary line
Ⓓ Second intercostal space at right side of sternum
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Ⓓ The peaking of murmur moves toward S2 as valve area
narrows. Classically, aortic stenosis murmur is heard best at right
upper sternal border 2nd ICS (where it is harsh and noisy).
✦ Goljan, Pg. 276
31. Patient after penetrating abdominal injury on
antibiotics for 12 weeks therapy and 3 weeks TPN. With
ecchymosis, platelets normal, PT 19, Cause? - ID : 15262
Ⓐ Calcium Ⓑ Vitamin D
Ⓒ DIC Ⓓ Sepsis
Ⓔ Vitamin K deficiency
Ⓔ Vitamin K deficiency is an important cause of acquired bleeding
diathesis in neonates and infants and its deficiency does not
develop in healthy infants receiving a normal diet. However, in the
presence of diarrhea and/or antibiotic usage leading to suppression
of intestinal bacteria, and consequently VKD may occur.
32. Appendix is supplied by appendicular artery which is
branch of? - ID : 15593
Ⓐ Inferior hypogastric Ⓑ Ileoccolic
Ⓒ Inferior mesenteric Ⓓ Anterior cecal
Ⓑ Inferior branch of ileocolic artery runs to the ileocolic junction
and gives off : ✪ Appendicular Artery ✪ Anterior and Posterior
Caecal Arteries ✪ ileal Branch
✦ BD Chaurasia, Pg. 270
33. Cholecystectomy done, where to put drain: - ID : 15755
Ⓐ Right subphrenic space
Ⓑ Right Subdiaphragmatic space
Ⓒ Right subhepatic compartment
Ⓓ Right Morrisons pouch
Ⓐ EXPLANATION
34. A child presented to OPD with 104 fever for the last 4
days. He has been passing cola colored urine for last one
day. He has been on anti malarial medication. His LFTs are
deranged with increase unconjugated bilirubin, having
heinz bodies and bite cells . Most probable diagnosis ? - ID
: 15768
Ⓐ Blackwater fever Ⓑ G6PD deficiency
Ⓒ Post-streptococcal glomerulonephritis
Ⓓ Rhabdomyolysis
Ⓑ G6PD deficiency ☛ Intake of Certain Drugs / Infections / Food
➜ Formation of Reactive oxygen species ( ROS ) ➜ Oxidant
damage to Hemoglobin ➜ Formation of Small round inclusions
within RBCs ( Heinz Bodies ) ➜ Spleen ➜ Macrophages ➜
Damaged part of Hemoglobin Removed ➜ Appear bitten ➜ Bite
Cells ➜ Premature Hemolysis ➜ Anemia, Jaundice, Hematuria.
✦ Robbins, Pg. 450
35. Which structure passes from most posterior hiatus at
T12 ( AORTIC) of diaphragm? - ID : 15809
Ⓐ IVC, SVC Ⓑ Aorta, phrenic nerve
Ⓒ Thoracic duct, aorta and Azygous vein
Ⓓ Vagus nerve, esophagus
Ⓒ Aortic Hiatus which is the most dorsal/posterior opening
contains Aorta, Azygous vein and Thoracic duct
✦ First Aid, Pg. 663
36. Categorical data is showed by which of the following ?
- ID : 16100
Ⓐ Positive predicted value Ⓑ Mode and median
Ⓒ 2 standard deviation Ⓓ Chi square test
Ⓓ Chi-squared test for nominal data the c2 test is used to
determine whether an association between 2 categorical variables
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in a sample is likely to reflect a real association between these 2 which regulates the release of the simple sugar glucose from
variables in the population glycogen stored in the liver.

37. Retropharyngeal lymph node receive lymph from: - ID : 44. Pa02 6 60mmhg in the artery, Pa02 45mmhg in alveoli,
16659 Hb is 15%, Hb carrying capacity is 20% which type of
hypoxia is this? - ID : 20644
Ⓐ Pharynx Ⓑ Piriform recess
Ⓒ Palatine tonsil Ⓐ Anemic hypoxia Ⓑ Stagnant hypoxia
Ⓓ Posterior 1/3 of the tongue Ⓒ Hypoxic hypoxia Ⓓ Histotoxic hypoxia

Ⓐ Retropharyngeal lymph receive lymph ☛ Ⓒ Hypoxic hypoxia ➜ Hypoventilation, ↑ Altitude, ↓ Atmospheric

● nasopharynx ● auditory tube ● vertebral column. O2 ➜ ● ↓ PaO2 ( Normal 80 to 100 mmhg ) ● ↓ O2 Sat ● ↓ PvO2
✦ RJ Last, Pg. 590 ✦ Researchgate, Pg.

38. After 5 years of transplant surgery there is an increase 45. A Patient presented in emergency with the complaint
incidence of: - ID : 16779 of pain in epigastrium radiating to the back. In labs, there
was increased serum amylase. Diagnosis of acute
Ⓐ Lymphoproliferative disorders
pancreatitis superimposed on chronic pancreatitis was
Ⓑ Hepatocellular carcinoma Ⓒ Renal carcinoma
made in this condition. Type of necrosis in pancreatitis? -
Ⓓ Myelopproliferative disorder ID : 20860

Ⓐ PTLD ( Post Transplant Lymphoproliferative Disorder ) ☛ most Ⓐ Fibrinoid necrosis Ⓑ Coagulative necrosis
common malignancy ➜ complicates solid organ transplantation ➜ Ⓒ Fat necrosis Ⓓ Liquifactive necrosis
represents range of lymphoproliferative disorders, from infectious
Ⓒ ✪ Acute pancreatitis ➜ Damage to Pancreatic Cells ➜ Release
mononucleosis and lymphoid hyperplasia to malignant
lymphoma ➜ associated with Epstein Barr virus. enzymes ➜ Liquefactive Necrosis of Parenchyma and Fat necrosis
✦ Davidson, Pg. 1299 of Peripancreatic Fats + Mesentery
✦ Robbins, Pg. 36
39. Anterior epithelium of cornea is: - ID : 17602
46. Liver biopsy revealed alcoholic Iiver disease most
Ⓐ Stratified squamous keratinized characteristic feature on biopsy - ID : 20961
Ⓑ Simple squamous Ⓒ Simple columnar
Ⓐ Necrosis Ⓑ Apoptosis
Ⓓ Stratified Squamous non keratinized
Ⓒ Mallory bodies Ⓓ Fibrosis
Ⓓ Anterior cornea ☛ stratified squamous non keratinized ➜
Ⓒ In alcoholic liver disease, the characteristic findings on the
protects against frictional rub.
histology is the mallory bodies. Mallory body or Mallory-Denk body
40. Which of following is true regarding Normal is an inclusion found in the cytoplasm of liver cells Mallory bodies
distribution curve: - ID : 17771 are damaged intermediate filaments within the hepatocytes
Ⓐ Has central convex peak with concave tail 47. Patient diagnose with Ca Gall bladder with
Ⓑ Positive skewing , peak is on right side cholelithiasis, histology showing gastric tissues, cause of
Ⓒ Positive skewing,peak is on left side his cancer is ? - ID : 20993
Ⓓ None of above
Ⓐ Anaplasia Ⓑ Dysplasia
Ⓒ Hypoplasia Ⓓ Metaplasia
Ⓐ The normal distribution is a continuous probability
distribution that is symmetrical on both sides of the mean, so the
Ⓓ Chronic irritation due to gallstones ☛ inflammatory reaction of
right side of the center is a mirror image of the left side. The
gallbladder epithelium ➜ contributes significantly to metaplastic
highest point on the curve, or the top of the bell, represents the
most probable event in a series of data (its mean, mode, and changes.
✦ Harsh Mohan, Pg. 57
median in this case),
48. Intracranial hemorrhage due to Anterior division of
41. In basal metabolism heart derives 60% energy from MMA rupture will lead to bleeding in ? - ID : 20998
which of following substance ? - ID : 19236
Ⓐ Extradural ( Epidural ) space
Ⓐ Carbs Ⓑ Protein
Ⓑ Subdural Space Ⓒ Subarachnoid space
Ⓒ Fats Ⓓ None of above
Ⓓ Ventricles

Ⓒ Fatty acids ☛ heart's main source of fuel ( ketone bodies and Ⓐ Blow to the Temporal side of the head ➜ Pterion region break ➜
lactate can also be utilised ).
Injured Anterior middle meningeal artery ( Most Common ) ➜
42. Carcinoma of prostate spreads to which of the Bleeding between dura mater and the skull ( Extradural also called
following AREA ? - ID : 20111 Epidural Space ) ➜ Extradural hematoma (EDH), also known as an
Ⓐ Vertebrae Ⓑ Ribs
Epidural hematoma ➜ Many times lucid period following the injury
Ⓒ Pelvic bones Ⓓ Skull delay before symptoms
✪ Subdural Hematoma ➜ due to Cerebral Bridging vein injury (
Ⓐ Carcinoma of prostate ☛ spread to bones and brain by Snell )
✦ Snell Neuro, Pg. 22
vertebral venous plexus.
49. Most common cause of gas gangrene in lower limb is ?
43. The enzyme deficiency in Von gierke disease is
- ID : 21050
following ? - ID : 20230
Ⓐ Difficile Ⓑ Welchii
Ⓐ G 1 Phosphatase Ⓑ G 3 Phosphatase
Ⓒ Tetani Ⓓ Staph aureus
Ⓒ G6 Phosphatase Ⓓ Insulinase
Ⓑ Clostridium perfringens, previously known as
Ⓒ In von Gierke's disease, the body's metabolism of glycogen is
Clostridium welchii, is the most common cause of clostridial gas
blocked by the absence of the enzyme glucose-6-phosphatase,
gangrene (80-90% of cases)

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Ⓒ Median Nerve courses through anterior part of arm, forearm,

50. Thoracic duct opens into Main circulation at which
and hand, and terminates by supplying the muscles of hand
point ? - ID : 21239
Median Nerve Injury Results in :
Ⓐ Union of left internal thoracic and subclavian ✪ Opponens pollicis Paralysis ➜ Carpal tunnel syndrome can result
Ⓑ Right internal thoracic and brachioradialis ➜ Fail to abduct and oppose the thumb ( Ape hand deformity )
Ⓒ Union of the left internal jugular and subclavian veins ✪ Sensory loss in the thumbs, index fingers, long fingers, and the
Ⓓ Subclavian vein
radial aspect of the ring fingers
✪ As Adductor pollicis ( supplied by Ulnar ) remains intact ➜
Ⓒ Thoracic duct empties ➤
flattening of the muscles causes the thumb to become Adducted
➊ near union of left internal jugular and subclavian veins—left
and Laterally Rotated.
venous angle or origin of left brachiocephalic vein ✦ First Aid, Pg. 447 ✦ KLM, Pg. 212
➋ but it may open into left subclavian vein (klm)
56. A pregnant female with Folate deficiency not taking
✪ Subclavian vein receives thoracic duct on left side (snell)
enough vegetables and fruits in diet now presented with
✪ thoracic duct ends by opening into angle of junction between left Alpha-fetoprotein raised. which deformity it can lead to? -
subclavian and internal jugular veins (BD churasia) ID : 23022
✦ KLM, Pg. 169 ✦ BD Chaurasia, Pg. 285 ✦ SNELL, Pg. 601
Ⓐ Anencephaly Ⓑ Duodenal atresia
51. The Deep inguinal ring is located in ? - ID : 22200 Ⓒ Dextrocardia Ⓓ Omphalocele
Ⓐ External oblique Ⓑ Transversalis fascia
Ⓒ Internal oblique Ⓓ Transverse abdominus Ⓐ Insufficient Folate intake ☛ key factor in causing
Anencephaly , spina bifida and other neural tube defects .
Ⓑ Deep inguinal ring ➜ ● an oval opening in fascia transversalis Maternal ↑↑ AFP ☛ Neural Tube Defect
✦ CDC, Pg.
● lies about 0.5 in. (1.3 cm) above inguinal ligament ● midway
between anterior superior iliac spine and symphysis pubis 57. The internal spermatic fascia is derived from ? - ID :
✦ SNELL, Pg. 127 23245

52. A 6-year-old Japanese boy brought with severe Ⓐ Fascia transversalis Ⓑ External oblique
conjunctivitis, edema of lips and oral cavity, and cervical Ⓒ Internal oblique Ⓓ None of above
lymphadenopathy died autopsy revealed an aortic
aneurysm of vessel diagnosis is - ID : 22247 Ⓐ Internal spermatic fascia ● derived from fascia transversalis
Ⓐ PDA Ⓑ Kawasaki disease ● attached to the margins of deep inguinal ring
✦ SNELL, Pg. 130
Ⓒ Down syndrome Ⓓ Patau syndrome
58. A 6 month premature baby presented with acute
Ⓑ Kawasaki disease ☛ is a condition that mainly affects children respiratory distress syndrome (NRDS), could be the
under the age of 5. It's also known as mucocutaneous lymph node reason ? - ID : 23253
syndrome. The characteristic symptoms are a high temperature
Ⓐ Decreased surfactant Ⓑ Absence of small alveoli
that lasts for 5 days or more, with: a rash. swollen glands in neck
Ⓒ Excessive surfactant Ⓓ None of above
and coronary artery aneurysm.
✦ Davidson, Pg. 1116
Ⓐ Fundamental defect in RDS ☛ Inability of the immature lung to
53. Type 2 DM in elderly (NIDDM) what to give ? - ID : synthesize sufficient surfactant. RDS occurs in about 60% of
22388
infants born at less than 28 weeks’ gestation
✦ Robbins, Pg. 278
Ⓐ Metformin Ⓑ Insulin
Ⓒ Tolbutamide Ⓓ Glibenclamide 59. A patient Is unable to do rapid alternating tapping of
his hands you suspect the lesion to be located where ? - ID
Ⓒ ✪ Tolbutamide ☛ 1st generation short acting sulphonylyreas ➜ : 23386
so preferrred in elderly and lean.
Ⓐ Basal ganglia Ⓑ Cerebellum
✪ Metformin ( Biguanides ) ☛ DOC in obese. Ⓒ Dorsal column Ⓓ Cerebral Cortex
54. In dehydration water is mainly absorbed from ? - ID :
22537 Ⓑ Dysdiadochokinesia: Impaired ability to perform rapid,
alternating movements ☛ Cerebellar lesion.
Ⓐ DCT Ⓑ Collecting ducts
Ⓒ Loop of Henle Ⓓ PCT 60. Which of the following artery could be damaged during
cholecystectomy in epiploic foramen? - ID : 23491
Ⓓ ✪ Role of Aquaporins in Kidneys. Majority of water reabsorption
Ⓐ Right hepatic artery Ⓑ Left hepatic artery
that occurs in the nephron is facilitated by the AQPs. Most of fluid
Ⓒ Splenic artery Ⓓ Cystic artery
that is filtered at the glomerulus is then reabsorbed in the PCT and
Ⓔ Celiac artery
the descending limb of LOH
✪ ＜1 % water reabsorb in CD under the influence of ADH which Ⓐ During laparoscopic cholecystectomy most common lesion of
secreted in dehydration bile duct is due to it's resection and right hepatic artery (RHA)
✦ Guyton, Pg. 378
that is situated medial to common bile duct and is frequently
55. A patient with injury at neck of radius lost thumb involved in the damage
abduction and opposition and now thumb is Lateraly
Rotated with reduced grip, unable to hold cup of tea, 61. Left atrium and left ventricle (posterolateral Heart)
wasting of thenar muscles and have sensory loss in thumb are supplied by - ID : 24202
index finger and long finger. It is due to damage to the ? - Ⓐ Left circumflex artery (LCX)
ID : 22683
Ⓑ RCA Ⓒ LCA
Ⓐ Radial nerve Ⓑ Ulnar nerve Ⓓ Marginal
Ⓒ Median nerve Ⓓ Musculocutaneous nerve
Ⓐ LCX Artery ☛ Supplies Posterior Surface of Left Ventricle and
Left Atrium and also Lateral surface of Left Ventricle

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✦ SNELL, Pg. 89
●All of these nodes finally drain into ☛ upper deep cervical lymph
62. A wave in the jugular venous pulse (JVP) corresponds nodes.
✦ Reference, Pg.
to : - ID : 24708
69. A Young man had a road side accident in which he
Ⓐ QT interval Ⓑ PR segment
suffered from Spinal cord Injury with herniation and
Ⓒ QRS complex Ⓓ PR interval
damage to some soft filling at center of the disc of spinal
cord known as nucleus pulposus. It is derived from which
Ⓓ ◉ Normally ☛ visible A wave is A and C waves together due to
embryological structure? - ID : 34030
v short A-C Interval
◉ A - C interval ☛ reflects PR interval on ECG Ⓐ Mesonephric Duct Ⓑ Neural Tube
◉ Prolonged P-R ☛ A and C separately visible (first-degree block) Ⓒ Notochord Ⓓ Mullerian Duct
✦ Guyton, Pg. 114 ✦ Medscape, Pg.
Ⓒ Nucleus pulposus ☛ inner soft, elastic material ➜ shock
63. Growth factors at cell bring about the effects by
absorber for external forces ➜ is postnatal remnant of notochord.
working on - ID : 24929
70. Structure behind Ovarian Fossa - ID : 34292
Ⓐ Nucleus Ⓑ Cell Membrane
Ⓒ RER Ⓓ SER Ⓐ Internal Illiac Artery Ⓑ Ureter
Ⓒ External iliac artery Ⓓ Obturator
Ⓑ Cell Membrane ☛ specific receptors on cell membrane ➜
Growth factors bind ➜ initiates cell growth or differentiation. Ⓑ B＞A
Nucleus. ☛ some signals can affect nucleus and change gene Ovarian fossa boundaries ➤
expression,But not for majority ✦ Superiorly ➜ External iliac artery and vein.
✦ Ganong, Pg. 57
✦ Anteriorly and inferiorly ➜ Broad ligament of uterus.
64. Motors speech area (Broca's area) is located in - ID : ✦ Posteriorly ➜ by the ureter, internal iliac artery and vein.
24978 ✦ GRAY'S, Pg. 1106

Ⓐ Superior frontal Ⓑ Superior temporal 71. Mental nerve exits the mental foramen to reach? - ID :
Ⓒ Inferior gyrus of frontal 34316
Ⓓ Parietal lobe Ⓐ Below 2nd premolar Ⓑ Below 1st premolar
Ⓒ Below 2nd incisor down to mandible
Ⓒ Broca`s area ( Motor speech area ) ➜ Brodmann areas 44 and Ⓓ Below 1st incisor down to mandible
45 ➜ Inferior frontal gyrus.
✦ Snell Neuro, Pg. 285
Ⓐ Inferior alveolar nerve ➜ mental nerve ➜ emerges mental
65. A patient with severe burns has blood oozing from a foramen Below 2nd premolar of mandible ➜supplies skin of the
site. He has developed generalized swelling. Hb was low. lower lip and chin
The reason for swelling is decrease in ? - ID : 25617 ✦ SNELL, Pg. 569

Ⓐ Albumin Ⓑ Beta globulin 72. Fenestrated capillaries max in? - ID : 34358

Ⓒ Alpha globulin Ⓓ Gamma globulins
Ⓐ Skin Ⓑ Liver
Ⓒ Spleen Ⓓ Kidney
Ⓐ ✪ Hypoalbuminemia is a common clinical deficiency
in burn patients ➜ ↓ Plasma Oncotic Pressure ➜ ↑ extravascular Ⓓ Fenestrated capillaries ☛ Glomerular capillaries endothelium
fluid leakage ➜ edema ➜ abnormal healing is perforated by thousands ofsmall holes called fenestrae which
✦ Harsh Mohan, Pg. 97
allow exchange of molecules
✦ Guyton, Pg. 335
66. Blood supply Of head of femur in children - ID : 26406

Ⓐ Retinacular artery 73. A patient with Uroporphyrin 1 in urine diagnosed with

congenital erythropeitic porphyria. Which enzyme is
Ⓑ Medial and lateral circumflex artery
deficient: - ID : 34374
Ⓒ Obturator artery Ⓓ Medial circumflex artery
Ⓐ Uroporphyrinogen decarboxylase
Ⓒ ✪ Head of femur in adults ➜ Retinacular artery. Ⓑ Ferrochelatase Ⓒ ALA dehydratase
✪ Head of femur in children ➜ Obturator artery. Ⓓ Uroporphyrinogen III Synthase

67. Bee sting cause anaphylaxis, which immunoglobulin

Ⓐ Porphyria cutanea tarda (PCT) ☛ Due to a ↓ in
found? - ID : 33622
uroporphyrinogen decarboxylase activity
Ⓐ IgA Ⓑ IgE ✦ Harrison, Pg. 348

Ⓒ IgM Ⓓ IgG 74. Patient underwent abdominal surgery, after which he

repeatedly required fluid resuscitation due to water and
Ⓑ ✪ Bee sting causes anaphylaxis ( Type-1 HSR ) which involve electrolyte loss. He does not remember which part of the
degranulation of presensitized mast cell coated by IgE antibody intestine was operated. The - ID : 34705
✦ Robbins, Pg. 138 ✦ Levinson, Pg. 526
Ⓐ Jejunum Ⓑ Rectum
68. Lymphatic drainage of external nose and anterior part Ⓒ Ileum Ⓓ Colon
of nasal cavity: - ID : 33706
Ⓔ Duodenum
Ⓐ Submandibular Lymph Nodes
Ⓑ Deep cervical lymph nodes Ⓒ ✪ Jejunum Resection ➜ ileum compensates Major function
Ⓒ Retropharyngeal Lymph nodes ✪ Ileal Resection ➜
Ⓓ Occipital Lymph Nodes ➊ ↑↑ Motility ➋ ↑↑ Intestinal transit ➌ Malabsorption
➤ Colon receives ↑↑ Fluid + ↑↑ Electrolytes + ↑↑ Bile salts ➜
Ⓐ Lymphatic drainage ☛ Unable to absorb all ➜ Large Volume Secretory Diarrhea☢ ↑↑ Bile
●Anterior part drains ☛ submental , submandibular lymph node Salts ➜ Stimulates Colon ➜ cause Secretory Diarrhea ( but its
● Posterior part ☛ retropharyngeal nodes.

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One of the reasons along with others ) important structures.

☢ Osmotic Diarrhea ➜ Only due to presence of Greater auricular nerve emerges from lateral aspect of
Malabsorbed osmotically active agents e.g Carbohydrates sternocleidomastoid at Erb’s point.Preservation to this nerve made
(esp Lactose) possible to preserve sensation to ear lobule.
✦ Bailey and Love, Pg. 283 ✦ CMDT, Pg. 600 ✦ N.I.H USA, Pg.

75. Chrionic villus sampling done at which week? - ID : 81. Metabolic response to trauma, skeletal muscles
34830 respond by: - ID : 35542

Ⓐ 10 to 13 weeks Ⓑ 15 - 18 week Ⓐ Decreased protein loss Ⓑ Increased proteolysis

Ⓒ 19 week Ⓓ 20 week Ⓒ Decreased proteolysis Ⓓ No change
Ⓔ 8 to 10 weeks
Ⓑ Metabolic response ☛ Trauma ➜ Stress ➜ ↑ Epinephrine and
Ⓐ CVS ☛ between 10 and 13wks Cortisol ➜ ↑ Lipolysis and Proteolysis
Amniocentesis ☛ 15wks onwards ✦ Bailey and Love, Pg. 4
✦ Oxford OBG Handbook, Pg. 130
82. After giving blood transfusion pt develops
76. A patient had a Radical mastectomy. Now she is hypersensitivity reaction. Which type of hypersensitivity
unable to lift her arm above 45 degrees and comb her hair reaction? - ID : 35848
and lift her arm above her head. Which of the following
Ⓐ Type 1 Ⓑ Typ2
nerve damage leads to winging scapula? - ID : 35025
Ⓒ Typ3 Ⓓ Typ4
Ⓐ Accessory Nerve Ⓑ Long thoracic nerve
Ⓒ Axillary Nerve Ⓓ Phrenic Nerve Ⓑ Type II HSR involve antibody-mediated destruction of cells.
This type of reaction is best seen by blood-transfusion reactions, in
Ⓑ Radical mastectomy ➜ Long thoracic nerve damaged which host antibodies react with foreign antigens on the
➜ serratus anterior muscle paralysedWinging of scapula occurs incompatible transfused blood cells and mediate destruction of
because of serratus anterior muscle dysfunction due to long these cells.
thoracic nerve palsy
83. Lipophilic drugs act by which mechanism - ID : 36391
77. When low dose Thiazide diuretic given to a cardiac
Ⓐ MRNA synthesis Ⓑ Ip3/ca
patient, what should be considered? - ID : 35227
Ⓒ Adenylate cyclase Ⓓ CAMP
Ⓐ Low salt diet not required Ⓔ CGMP f Diacylglycerol
Ⓑ Potassium supplements not required
Ⓒ Double dose can be given in Hypotension Ⓐ Lipophilic drug ➜ act on nucleus ➜ mRNA synthesis ➜ Protein
Ⓓ Doesn’t not cause vasodilation. synthesis
Ⓔ Decrease cardiac output
84. Which is a commonly mutated Tumor suppressor
gene? - ID : 36620
Ⓔ Thiazides ➜ Block Na/K transporter in DCT ➜ Decrease Na
retention ➜ Na + Water excretion➜ Diuresis ➜ Decrease volume Ⓐ Brca 1 Ⓑ Ret
➜ Decrease CO Ⓒ P53 Ⓓ AFP
✦ Katzung, Pg. 191
Ⓒ EXPLANATION
78. 60-year-old man with painless testicular swelling,
biopsy shows mature stem cells like hair and teeth. What 85. Contraction of skeletal muscles involves the activity of
is your likely diagnosis: - ID : 35262 a large number of muscle proteins. the protein required
for muscles relaxation is - ID : 37431
Ⓐ Choriostoma Ⓑ Lymphoma
Ⓒ Mixed cell tumor Ⓓ Teratoma Ⓐ Calcium back to sarcoplasmic retinaculum
Ⓔ Adenoma Ⓑ Tropomyosin Ⓒ Calciquestrin
Ⓓ Troponin Ⓔ Actin
Ⓓ Explanation
Ⓐ During muscle relaxation, ☛ sarcoplasmic reticulum actively
79. A patient has tingling sensations n his peripheral body
and lab investigation reveal raised MCV and pumps calcium back into lumen ➜ reducing cytosolic calcium
hypersegmented neutrophils. What is the most probable concentration ➜ This allows troponin to change its conformation ➜
pathology? - ID : 35298 enabling tropomyosin to block myosin-binding sites on actin.
(Guyton , 13th Edition, p. 85
Ⓐ Vitamin B12 deficiency Ⓑ Folic Acid
Ⓒ Iron Ⓓ Vitamin B2 86. Biostatistics study is for - ID : 37793

Ⓐ Plant study Ⓑ Animal study

Ⓐ Vitamin B12 deficiency ➜ Anemia + Neurologic disease
Ⓒ Analysis and interpretation of data
associated with demyelination ➜ Peripheral neuropathy, Dementia,
Ⓓ Autoimmune disorders
Tingiling sensations.
✪ Laboratory findings ☛ ↑ MCV, pancytopenia, oval ( egg- Ⓒ EXPLANATION
shaped ) macrocytes, hypersegmented neutrophils.
✦ Goljan, Pg. 336 87. Vitamin A - ID : 38015

80. Numbness of ear lobule while doing internal jugular Ⓐ Retinol Ⓑ Retinaldehyde
lymph node biopsy .Which of following nerve is damaged? Ⓒ Retinal
- ID : 35521
Ⓐ EXPLANATION
Ⓐ Posterior auricular Ⓑ Accessory
Ⓒ Vagus Ⓓ Greater Auricle 88. Young Patient has dyspnea and anemic symptoms.
MCV 100, MCHC 30, MCH 28, Hb 8. What is the type of
Ⓓ IN cervical lyph nodes biopsy ☛ sternocleidomastoid anemia? - ID : 38077
muscle, external jugular vein, and greater auricular nerve are

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Ⓐ Normocytic Normochromic Ⓑ Hypochromic Normocytic Ⓐ Mesoderm and Mesenchyme Ⓑ Bone

Ⓒ Macrocytic Normochromic Ⓓ Microcytic Normochromic Ⓒ Cartilage Ⓓ Blood

Ⓐ EXPLANATION Ⓐ Embryonic connective tissue ☛ Chief cells are mesenchymal

89. An examination of a newborn male baby shows a
unilateral cleft lip extending to the floor of his nose
through the alveolar process of his maxilla. What is the
embryological reason for this anomaly? - ID : 54822
Ⓐ Both medial nasal prominences
Ⓑ Unilateral maxillary prominence with medial nasal
Ⓒ Lateral nasal with medial nasal on affected side
Ⓓ Bilateral maxillary shelves in the midline
Ⓑ Cleft lip ☛ form as a result of failure of medial nasal process to
contact maxillary process.
90. A 35-year-old female presents with a history of trauma
to the left breast three months back. Now, she has a firm,
painful lump at the site of trauma. What is the most likely
diagnosis? - ID : 54855
Ⓐ Carcinoma Ⓑ Fat necrosis
Ⓒ Fibroadenoma Ⓓ Pagets' disease
Ⓑ Traumatic fat necrosis ☛ non-enzyme-mediated necrosis ➜
occurs in fatty tissue (e.g., female breast tissue, abdomen) ➜
result of blunt trauma or surgery
✦ Goljan, Pg. 41
91. A 87-year-old lady developed severe difficulty in
breathing due to pulmonary edema. She is known to have
congestive cardiac failure. The most likely cause of edema
in her is - ID : 54892
Ⓐ Cardiac muscle hyperactivity
Ⓑ Increased alveolar pressure
Ⓒ Increased hydrostatic pressure
Ⓓ Decreased oxygen carrying capacity of RBCs
Ⓒ CHF ☛ ↑ Backward pressure ➜ ↑ Hydrostatic pressure ➜ Fluid
leakage ➜ Edema
✦ Harsh Mohan, Pg. 81
92. 65 years old male with all symptoms of LV failure and
pulmonary edema without any previous illness and BP
125/85mmHg, on X-ray cardiomegaly, afebrile, glucose
86, total cholesterol 185, cpk not raised, cause of heart
failure - ID : 55529
Ⓐ Liver enzymes normal
cells. It is divided into mesenchyme (in embryos) and mucoid
connective tissue (umbilical cord). Mesenchyme originates from
mesoderm, one of 3 germinative layers in embryos.
✦ Reference, Pg.
95. Other than sweat gland parasympathetic function - ID :
57891
Ⓐ Promote secretion Ⓑ Decrease secretion
Ⓒ Increase ductal contraction
Ⓓ Decrease peristalsis
Ⓐ Secretory glands that are under parasympathetic control ☛
lacrimal glands, salivary glands and nasal mucous glands.
96. A 63-year-old female admitted with shortness of
breath. patient appears drowsy and is on 10 L of oxygen
via a mask. ABGs reveals : PaO2. 7.0 (11-13 kPa) • pH.
7.29 ( 7.35-7.45) • PaCO2. 9 1 ( 4.7 - 6.0 kPa) , HCO3-
26 ( 22 - 26 mEq/L). What does ABG suggest? - ID : 59695
Ⓐ Respiratory alkalosis Ⓑ Respiratory acidosis
Ⓒ Respiratory alkalosis with metabolic compensation
Ⓓ Respiratory acidosis with metabolic compensation
Ⓑ PH 7.29 ➜ Low ➜ Acidosis
PaCO2 ➜ High ➜ Respiratory origin
HCO3 ➜ Normal ➜ No compensation
✦ Davidson, Pg. 46
97. A 35 years old man with Pakistani origin presents to
his GP with 5 days H/O sbarp pain over the right upper
quadrant of his abdomen, fever, chilis and rigors. On
examination he Is jaundiced and appear dehydrated. He
says be has been to Pakistan recently. USG done which
shows oval shape membrane 6 cm in liver. Diagnosis of
amoebic liver abscess made. Which of the following is best
medication for his treatment? - ID : 60129
Ⓐ Metronidazole Ⓑ Fluconazole
Ⓒ Albendazole Ⓓ None of above
Ⓐ ✪ Amebic Liver abscess ☛ pain in right upper quadrant, fever,
hepatomegaly and jaundice.
✪ Metronidazole ☛ amebicidial ➜ drug of choice for amebic Liver
abscess.
✦ Harsh Mohan, Pg. 600

Ⓑ Bicuspid calcified aortic valve 98. Erythema multiforme is most commonly caused by? -
Ⓒ Alcoholic cardiomyopathy Ⓓ Amyloidosis ID : 60796

Ⓑ EXPLANATION Ⓐ Herpes simplex Ⓑ Idiopathic

Ⓒ TB Ⓓ Drugs
93. Which of the following are contents of the superficial
perineal pouch? - ID : 55577 Ⓐ Erythema multiforme ☛ associated with infections ➜ most
Ⓐ Ischiocavernosus, bulbospongiosus and superficial transverse common infectious cause is Herpes simplex virus (HSV) ➜ HSV
perineal muscles trigger an immune response ➜ leads to characteristic skin changes
Ⓑ Pudendal vessels Ⓒ Bulbourethral glands of erythema multiforme.
Ⓓ None
99. Unilateral sensorineural hearing loss may occur in? -
ID: 61018
Ⓐ Superficial perineal pouch (space) contains the
ischiocavernosus, bulbospongiosus, and superficial transverse Ⓐ Coronavirus Ⓑ Mumps
perineal muscles. It also contains the clitoris in females and the Ⓒ Pertussis Ⓓ Rotavirus
roots of the penis in males, as well as the associated erectile
tissues.Pudendal vessels: in the deep perineal space or pudendal Ⓑ EXPLANATION
canal.
100. Systolic phase of cardiac cycle correspond to the
Bulbourethral glands: located in the deep perineal pouch, not following component of ECG - ID : 72245
the superficial one.
Ⓐ QRS complex Ⓑ QT interval
94. Which of the following is considered as embryonic Ⓒ ST segment Ⓓ PR Segment
connective tissue? - ID : 57868
Ⓔ QT/RT interval

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Ⓐ QRS complex represents ventricular depolarization and 107. After a gunshot injury to the lower back, patient has
contraction, which occurs during the systolic phase of the cardiac contralateral pain lost, temperature intact. what is the
cycle. likely diagnosis? - ID : 83250
(Reference: Ganong's , 26th Edition, page 287) Ⓐ Browns secquard Ⓑ Sensory dorsal one root
101. Before puberty, the oocyte is in diplotene stage, Ⓒ Lesion of dorsal root S1 Ⓓ Syrengiomyla
which is a part of? - ID : 72259
Ⓒ Brown sequard ➜ C/L loss of pain and temp , I/L loss of
Ⓐ Prophase Ⓑ Metaphase vibration and position sense + Weakness.
Ⓒ Anaphase Ⓓ Telophase ✦ Gray's Neuroanatomy, Pg. 5 ✦ GRAY'S, Pg. 5 ✦ SNELL, Pg. 170

108. Ischemia of distal third of duodenum. 3rd part

Ⓐ Primary oocytes ☛ become arrested in diplotene stage
duodenum is supplied by - ID : 83292
of prophase I shortly before birth.
Ⓐ Inferior pancreaticoduodenal artery
102. FFP are used as treatment of what? - ID : 72289
Ⓑ Superior mesenteric artery
Ⓐ Hemophilia Ⓑ Vitamin K deficiency Ⓒ Common hepatic artery Ⓓ Gastroduodenal artery
Ⓒ Vitamin D deficiency Ⓓ Vitamin C deficiency
Ⓐ 3rd part of duodenum is supplied by inferior
Ⓑ FFP☛ Contains all Vit-K dependant coagulation factors including pancreaticoduodenal artery, a branch of superior mesenteric
II , VII , IX , X artery.
Hemophilia A or B ☛ Deficiency in Factor VIII or IX Treatment 109. Motility of saliva due to - ID : 83307
☛ Specific factor concentrates, not FFP.
✦ N.I.H USA, Pg. Ⓐ VIP Ⓑ Motilin
Ⓒ Acetylcholine Ⓓ Norepinephrine
103. Dysuria urethritis organism is - ID : 72293

Ⓐ Chlamydia trachomatis Ⓑ Gonorrhea Ⓐ VIP ☛ stimulates secretion of water and electrolytes in salivary
Ⓒ HPV Ⓓ HSV glands as well as increases blood flow ➜ increased production and
secretion of saliva.
Ⓐ ✪ C. trachomatis ➜ 30-50% PIDs Motilin ☛ stimulates GI motility and production of pepsin BUT no
✪ N. gonorrhoeae ➜ 1/3rd of PIDs significant role in salivation
✦ Oxford Microbiology, Pg. 705
110. A boy after head injury present with complain of
104. Patient has excruciating right leg pain Anterolateral weight gain increase appetite and thirst lesion on which
right leg chordotomy was performed, It will relieve pain nucleus of hypothalamus? - ID : 83374
by cutting which of following tract ? - ID : 72405
Ⓐ Medial Ⓑ Lateral
Ⓐ Right lateral spinothalamic tract Ⓒ Ventral Ⓓ Posterior
Ⓑ Left anterior spinothalamic tract
Ⓒ Dorsal column Ⓐ EXPLANATION
Ⓓ Left lateral spinothalamic tract
Ⓔ Left Rubrospinal tract 111. Creatinuria is due to a deficiency of which vitamin? -
ID : 83525

Ⓓ ➤ Pain in right leg ☛ Left spinothalamic tract Ⓐ Vitamin E Ⓑ Vitamin B1

➤ Substantia geletinosa ➜ Lateral spinothalamic tract ➜ Ⓒ Vitamin C Ⓓ Vitamin A
Decussates obliquely 2-3 segments above ➜ Ascend Lateral white
column of opposite side. Ⓑ Creatinuria ☛ not directly caused by vitamin deficiency.
✦ Snell Neuro, Pg. 164 Vitamin B1 deficiency ☛ lead to impairment of cellular functions,
105. A patient of cystic fibrosis presented with prolong which could potentially impact creatinine metabolism.
diarrhea and petechieal hemorrhages over the body and Vitamin E ☛ antioxidant that protect cells from damage but does
submucosa vitamin deficient is - ID : 72414 not directly affect creatinine levels.
Ⓐ Vitamin D Ⓑ Vitamin K 112. Drug which undergoes extensive first pass
Ⓒ Vitamin C Ⓓ Vitamin A metabolism - ID : 83535
Ⓔ Vitamin B12
Ⓐ Morphine Ⓑ Adrenaline
Ⓒ Propranolol Ⓓ Paracetamol
Ⓑ Cystic fibrosis ☛ Malabsorption ,↓ Absorption Of fat soluble
Vitamins ( A, D, E and K ) ➜ Bleeding due to Vitamin K defeciency Ⓐ Morphine undergoes extensive first-pass metabolism in the
and coagulation disturbance liver ➜ significant drug is metabolised before it reaches systemic
✦ Harsh Mohan, Pg. 246
circulation
106. A patient is having a fever and pneumonia for 5 days.
Most reliable test for Lobar pneumonia: - ID : 82866 113. Breast milk deficient in which vitamin?? - ID : 83543

Ⓐ Sputum AFB Ⓑ Sputum culture Ⓐ Vitamin c Ⓑ Vitamin D

Ⓒ Blood culture Ⓓ CBC Ⓒ Pantothenic acid Ⓓ Lactalbumin
Ⓔ Casein
Ⓑ Pneumonia Diagnosis ☛ Patient’s history + physical
Ⓐ EXPLANATION
examination + imaging studies
Sputum ☛ Gram stain and culture lack sensitivity for the most 114. Ventricular filling in which ECG segment: - ID : 83952
common causes of pneumonia and 40% of patients cannot
Ⓐ TP Ⓑ QT
produce an evaluable sputum
Ⓒ ST Ⓓ QRS
CXR ＞ Sputum Cultures
✦ Levinson, Pg. 63 ✦ CMDT, Pg. 279

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Ⓐ Ventricular filling ☛ primarily occurs during TP segment of
ECG, which represents period of diastole.
QRS ☛ represents ventricular depolarization and beginning of
ventricular contraction, not filling.
115. Patient has emphysema what will be the acid-base
imbalance present in him: - ID : 84048
Ⓐ Raised in H ion in plasma
Ⓑ Raise in plasma PCO2
Ⓒ Decrease in HOC3 in plasma
Ⓓ Positive base excess Ⓔ Rise in plasma PH
Ⓑ Emphysema ☛ chronic obstruction to airflow which results in
hypoventilation ➜ primarily leads to retention of CO2 ➜ raised
plasma PCO2 ( respiratory acidosis )
116. In Common peroneal nerve injury what ability is lost?
- ID : 84160
Ⓐ Plantar flexion Ⓑ Plantar flexion of toe
Ⓒ Loss of sensations on medial side of foot
Ⓓ Eversion Ⓔ Inversion
Ⓓ Common (fibular) peroneal (L4-S2 ) ➜ crosses lateral aspect
of knee at neck of fibula ➜ most frequently damaged nerve
of lower limb by Trauma or compression of lateral aspect of leg,
fibular neck fracture
if Common Peroneal injured ➜ eversion and dorsiflexion lost
simultaneously ➜ foot dropped (steppage gait)
✦ First Aid, Pg. 453 ✦ Kaplan Anatomy, Pg. 221
117. A band consists of - ID : 84264
Ⓐ All of actin and a little of myosin
Ⓑ All of myosin and no actin
Ⓒ All actin and no myosin
Ⓓ All of myosin and little actin
Ⓐ A band is a part of sarcomere, functional unit of muscle fibers
➜ It contains entire length of a single thick filament (myosin) and
includes overlapping portions of thin filaments (actin).
118. Nerve that arises from nerve to mylohyoid supplies: -
ID : 84337
Ⓐ Styloglossus Ⓑ Stylopharyngeus
Ⓒ Levator palatini Ⓓ Tensor palatini
Ⓑ Inferior alveolar nerve (branch of trigeminal nerve) ➜ gives off
a branch before entering mandibular canal ➜ this branch is nerve
to mylohyoid ➜ this nerve is close to glossopharyngeal nerve (CN
IX) ➜ glossopharyngeal nerve actually supplies stylopharyngeus ➜
this proximity and related function may lead to confusion
119. Nephrogenic D.I - ID : 84422
Ⓐ Increase ECF osmolarity Ⓑ Decrease ECF osmolarity
Ⓒ Decrease in urine osmolarity
Ⓓ Increase in urine osmolarity
Ⓐ Nephrogenic Diabetes Insipidus ➜ kidneys fail to respond to
ADH ➜ failure to concentrate urine ➜ excessive urine production
and increase in ECF osmolarity.
120. Enzyme involved in cell remodeling of tissue - ID :
93439
Ⓐ Cathepsin Ⓑ Elastase
Ⓒ Interstitial collagenase Ⓓ Matrix metalloproteinase
Ⓒ Interstitial collagenase ☛ is specifically involved in the
degradation of collagen during tissue remodeling, making it key in
processes like wound healing and tissue repair.
121. Loss of sensation over deltoid - ID: 94321
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Ⓐ Axillary nerve Ⓑ Median nerve
Ⓒ Ulnar nerve Ⓓ Radial nerve
Ⓐ ✪ Loss of sensation over the deltoid area ☛ typically indicates
damage to the axillary nerve, as it supplies both the deltoid muscle
and overlying skin with sensory and motor innervation.
122. Patient fell, sever neck pain,, injury due to
hyperextension of the neck. Hangman fracture due to
hyperextension of neck damage which part of vertebra? -
ID: 94322
Ⓐ Odontoid process Ⓑ Foramen
Ⓒ Pedicle Ⓓ Lamina
Ⓐ ✪ In a Hangman's fracture ☛hyperextension of the neck often
results in damage to the odontoid process of the C2 vertebra. The
odontoid process is crucial for rotational movements of the head
and its fracture compromises spinal stability.
123. Inverted Papilloma histopathology - ID: 94509
Ⓐ Keratosis acanthosis parakeratosis
Ⓑ Invading basement membrane
Ⓒ Invades stroma Ⓓ Granulation tissue
Ⓐ Inverted papilloma ☛ is characterized by a histopathology of
keratosis, acanthosis, and parakeratosis, which are epithelial
changes.
124. Cells of organ of corti derived from? - ID: 94510
Ⓐ Ectoderm Ⓑ Endoderm
Ⓒ Mesoderm Ⓓ Endoderm + Ectoderm
Ⓔ Neural crest
Ⓓ ✪ Cells of the organ of Corti ☛ are derived from both
endoderm and ectoderm. The endoderm contributes to the lining
and the ectoderm contributes to the sensory epithelia.
125. Organ with highest oxygen at rest - ID: 94600
Ⓐ Heart Ⓑ Brain
Ⓒ Liver Ⓓ Kidney
Ⓐ ✪ Uniquely Heart has the highest oxygen consumption per
tissue mass of all human organs ➜ 70% of available oxygen is
extracted in coronary circulation at rest ( only ∼20–30% in brain,
kidney, and splanchnic circulations )
✪ Single-unit smooth muscles contains gap junctions, to allow a
rapid spread of depolarisation and they never get tired easily
✦ Oxford, Pg. ✦ Guyton, Pg. 263
126. A boy with recurrent pharyngitis or tonsillitis with
streptococcus pyogenes he is risk of - ID: 94601
Ⓐ Rheumatic heart disease Ⓑ Glomerulonephritis
Ⓒ Liver cirrhosis Ⓓ Peptic ulcer
Ⓐ ✪ Recurrent pharyngitis or tonsillitis with Streptococcus
pyogenes places the patient at risk for rheumatic heart disease, an
autoimmune reaction affecting the heart valves.
127. True about fat embolism - ID: 94602
Ⓐ Symptoms after 12 hours Ⓑ Symptoms within 1 hour
Ⓒ Symptoms within 3-4 days Ⓓ Symptoms within 2-3 days
Ⓐ ✪ Symptoms of fat embolism ☛ typically appear 12-72 hours
after the inciting event, such as trauma or surgery, as it takes time
for fat globules to impact circulation.
128. In steroid producing tumor which organelle is
involved - ID: 94603
Ⓐ Mitochondria
Ⓑ Rough endoplasmic reticulum
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Ⓒ Lysosomes
Ⓓ Smooth endoplasmic reticulum (SER)

Ⓓ Steroidogenesis ☛ takes place in the smooth endoplasmic

reticulum; hence it's involved in steroid-producing tumors.

129. Which muscle has fibers inside TMJ ? - ID: 94606

Ⓐ Temporalis Ⓑ Masseter
Ⓒ Medial pterygoid Ⓓ Lateral pterygoid

Ⓓ Lateral pterygoid muscle ☛ has fibers that insert into the

capsule of the temporomandibular joint (TMJ), making it unique
among the muscles of mastication.

130. Deep petrosal and vidian nerve, their cell bodies are
present in? - ID: 94607

Ⓐ Trigeminal ganglion
Ⓑ Superior cervical ganglion
Ⓒ Dorsal root ganglion Ⓓ Pterygopalatine ganglion

Ⓓ ✪ Cell bodies for the deep petrosal and vidian nerves are
found in the pterygopalatine ganglion.
131. Patient came to gastroenterologist, chronic GIT
problem, neurological symptoms, Which factor associated
for this type of anemia? - ID: 94608

Ⓐ B12 Ⓑ Intrinsic factor

Ⓒ Iron Ⓓ Folic acid

Ⓑ Intrinsic factor deficiency ☛ leads to poor absorption of

Vitamin B12, causing pernicious anemia which manifests with both
gastrointestinal and neurological symptoms.

132. Renal papillary necrosis, Most recognized cause is -

ID: 94609

Ⓐ NSAIDs Ⓑ Dehydration
Ⓒ Sickle cell disease Ⓓ Hypercalcemia

Ⓐ Nonsteroidal anti-inflammatory drugs ☛ are the most

recognized cause of renal papillary necrosis due to their effect on
renal blood flow.

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