Showing posts with label FCPS 1 MEDICINE POOL. Show all posts
Showing posts with label FCPS 1 MEDICINE POOL. Show all posts

31.8.14

Medicine FCPS Part 1 MCQs: Past Papers

Medicine FCPS Part 1 MCQs



1. H+ ion secretion in the kidney causes
bicarbonate reabsobtion
bicarbonate excretion

2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial

3. Drug used for mountain sickness
acetazolamide
scopolamine

4.Corneal opacities r caused by
ethambutol
phenothiazides


5. Captopril causes
hypokalemia
hyper kalemia

6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is
metabolic alkalosis
respiratory alkalosis

11.11.11

FCPS PAST PAPERS Part -1 (Medicine, Surgery, Radiology, OB/GYN) subject-wise pool with answers

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. (correct)

10. Regarding post. Triangle:
Base is form by middle 3rd of clavicle.

11. Bifurcation of common carotid artery:
Beneath the ant. Border of sternocladomastoid at the sup. Border of thyroid cartilage.

12. Great saphenous vein has how many valves:
20.

13. Vertebral venous plexus:
Has no communication with cerebral sinuses.
Lies in epidural space.
Is formed by two vertebral veins.

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.

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.

24. Nerve supply to the lower airways:
A. T3-4

25. During an injury to the bulbar part of urethra the urine will extravasate to:
A. Superficial perineal pouch.

26. Nerve supply to the distal scrotum is thru:
Illioinguinal nerve. (correct)
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.

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. (correct)
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.

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 (correct)
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 father’s blood group is B+ve & mother’s 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. (correct)
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. (correct)
19. Which of the following is the NOT non dividing cell:
A. Hepatocytes.
20. Heat loss mainly depends on:
Temperature of the surrounding. (correct)
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. (correct)
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 α.
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. (correct)

PHARMACOLOGY
1. Which of the following blocks α and β 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
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 (correct)
E} 47 XX

10] Somites are derived from

A} Intermediate mesoderm
B} Paraxial mesoderm
C} Lateral plate mesoderm (correct)
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

12] Which one of the following is not formed from urogenital sinus?

A} Bartholin’s gland
B} Urethral glands
C} Para urethral glands
D} Seminal vesicle
E}

13] Virus damage the cell by

A} making the pores in cell membrane
B} Forming free radicals
C} Altering the formation of proteins c
D} Nuclear damage
E} using energy for their own metabolism

14] The tissue damage by Ionization Radiation is due to
A) Damage to Golgi bodies
B} Formation of free radicals
C} Hydropic degeneration
D} Metaphase of cell
E} Swelling of cells
15] All are features of IRREVERSIBLE cell injury EXCEPT
A} Karyolysis
B} Karyorhexis
C} Autolysis
D} Shrinkage of mitochondria
E} Appearance of myelin figure
16] Which one of the following is least likely involved in increasing Osteoporosis

A} Increased wt: on bone
B} Renal cell carcinoma
C} Carcinoma prostate
D}
E}

17] Patient X-Ray shows hilar lymph nodes. Granuloma but no necrosis. What is the diagnosis?

A} Sarcoidosis (correct)
B} Silicosis
C} Tuberculosis
D}
E}

18] In women the most common form of necrosis after trauma is due to

A} Trauma to fatty tissue
B}
C}
D}
E}

19] Dystrophic calcification is present in which of the following

A} Acute pancreatitis
B} Malaria
C} Tuberculosis (correct)
D}
E}

20] Which one of the following is most likely feature of reversible injury?

A} Cell swelling
B} Karyorhexis
C} Decreased glycogen
D} Myelin figures (correct)
E}

21] A person fell on road and got an abrasion on elbow the first event likely occur would be

A} Vasoconstriction (correct)
B} Platelet adhesion
C} Platelet aggregation
D}
E}

22] Which one of the following facilitates phagocytosis in neutrophils?

A} C5a
B} C3a
C} C3b (correct)
D} C3 - C5 complex
E}

23] Which one of the following is potent antioxidant?

A} Vitamin A
B} Vitamin C
C} Vitamin E (correct)
D} Transferrin
E}

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

A} Chemo taxis (correct)
B} Diapedisis
C} Transmigration
D}
E}

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

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

A} Air embolism
B} Fat embolism
C} Thromboembolism (correct)
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
C} stasis and endothelial injury (correct)
D}
E}

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
C} 3 days old blood (correct)
D}
E}

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 (correct)
C} X- linked disorder
D}
E}

30] In a renal transplantation, which one of the following is single most significant test to be done?

A} ABO blood grouping of donor and recipient
B} HLA typing and matching (correct)
C} Donor and recipient should be close relatives
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 (correct)
D}
E}

32] AIDS occur in the presence of

A} Kaposi’s sarcoma
B}
C}
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

A} ELISA test
B} Western Blot test (correct)
C} PCR
D} Increased levels of HIV in T lymphocytes
E}

34] A 10 year old boy was operated for gastrectomy, which one of the following type of anemia is developed postoperatively

A} Megaloblastic anemia (correct)
B} Iron deficiency anemia
C} Normocytic norm chromic anemia
D}
E}

35] Autoimmunity is not involved in which one of the following

A} Pernicious anemia
B} Grave’s disease
C} Diabetes mellitus
D} Hashimoto’s thyroiditis
E} Thymoma (correct)

36] In case of hashimoto’s thyroiditis, which one of the following is seen?

A} Anti thyroglobulin
B}
C}
D}
E}

37] To differentiate Chron’s disease from Ulcerative colitis, which one of the following is likely significant regarding Chron’s disease

A} has increased frequency to cancer
B} Involves both small and large intestine (correct)
C}
D}
E}

38] Regarding alcoholic hepatitis, following is finding

A} Mallory bodies
B}
C}
D}
E}

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 (correct)
B} Decreased prolaction from hypothalamus
C} Inhibition of prolaction from breast
D} Stimulation of prolaction of anterior pituitary
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
B} Heroine (correct)
C} Pethidine
D} Phenobarbital
E}

41] Strongest layer of small intestine is

A} Mucosa
B} Sub mucosa
C} Circular layer
D} Serosa
E} Longitudinal layer

42] Regarding adrenal medulla which one of the following is true?

A} Secretes epinephrine and Norepinepinephrine in 80/20 ratio
B}
C}
D}
E}

43] R.E.R most likely

A} Synthesizes protein (correct)
B} Synthesizes lipids
C}
D}
E}

44] Half life of insulin is

A} 5 mins
B} 90 mins
C} 120 mins
D}
E}

45] Insulin

A} Converts glycogen to glucose
B} Stimulates protein synthesis (correct)
C} Stimulates lipolysis
D}
E}

46] Which one of the following most likely contains abundant cholesterol?

A} VLDL
B} LDL (correct)
C} Chylmicrons
D} HDL
E}


47] Which one of the following most likely causes Increase in GFR?

A} Constriction of afferent arteriole
B} Constriction Of efferent arteriole (correct)
C}
D}
E}

48] Gastric emptying is delayed by

A} Gastrin
B} Secretin
C} CCK (correct)
D}
E}

49] Which one of the following pancreatic enzyme is most likely involved in fat absorption

A} Amylase
B} Lipase
C}
D}
E}

50] Smooth muscle

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

51] Steady pressure on skin is perceived by

A} Pacinian’s corpuscle (correct)
B} Ruffini’s corpuscle
C} Meissener’s Corpuscle
D} Golgi tendon organs
E}


39. Metabolic alkalosis a. renal failure

40. ARF- most effect.a. PCT a b. DCT c. LOH d. CD

41. Hb 8.0, HCO3- inc (35), pH Inc, Ca++ dec. Cause a. ARF b. Vit D def c. folic acid deficiency d. PTH

43. High output cardiac failure
a. Thiamine a b. B2 c. B6 d. Folic acid

44. 90 yrs old lady with purplish large patch on Rt hand and arm. No itching or pain. No comorbids, Otherwise Normal. Reason? a. Capillary abn
b. Prothrombin c. Vit K dependent clotting factors

47. Warfarin, effects on: a. Factor VIII b. factor III c. Prothrombin c

48. Ibpratopium bromide given by nebulization: a. dec ACh release in bronchi a b. vasodil c. inc secretion

49. Mast cell stabilizer. a. Na chromoglycate
52. Sec released from thyroid gland entering circulation is: a. Thyroxine b. Free T3 c. free T4 d. TSH e. TRH

53. Cushing's triad: a. Inc ICP, HTN, Bradycardia b. Inc ICP, hypoTN, bradycardia c. inc ICP, hypoTN, tachycardia d. inc ICP, HTN. tachycardia e. dec ICP, HTN, tachycardia

122. Pt complains of chest pain for more than 30 min . ECG shows changes in V1- V4. It denotes: a. anterior wall MI a b. anterolateral MI c. Inferior wall MI d. Lateral wall MI e. Inferior wall MI

150. Medullary respiratory group of neurons t of ascending reticular system a. True b. false 1

151. Anion gap increases in: a. Uncontrolled DM

152. Bile from liver is different from that from GB in:

160. Mediators of inflammation a. C3a b. C5a b c. IL1 d. TNF alpha
161. Largest total cross-sectional and surface area is of: a. artery b. arterioles c. capillaries d. venules e. veins e

162. Blood flow regulation is mediated by: a. arterioles a b. precepillary sphincter c. capillaries d. venules
4] A 16 year old boy was given CO-TRIMAXAZOLE for fever, after few hours he developed red color urine, likely abnormality is in A} Glucose}-6-Phosphate deficiencyB} Immune hemolysis C} oxysmal Nocturnal Haemoglobinuria D} Malaria d
E} Sickle cell disease

5] Thiamine deficiency causes A} Peripheral Neuropathy a B. PellagraC} Chelosis D} Dermatitis

6] Milk is notoriously deficient in A} Vitamin C B} Iron C
Riboflavin D} Pantothenic acid E} Vitamin A

7] Dry heat kills the bacteria by A} Coagulation of proteins B} Cell lysis C} Free radical formation D} Direct killing d E} Oxidation

8] Virus damage the cell by A} Making the pores in cell membrane B} Forming free radicals C} Altering the formation of proteins c D} Nuclear damage E} using energy for their own metabolism

9] Which one of the following lipoprotein has highest protein content? A} HDL} a} B} LDL C} VL} D} IDL E} CHYLMICRONS

10] All are related to PLATELET FUNCTION EXCEPT A}
Capillary resilience test a B} BT C} Clot retraction

11] ALLELLE is: A} Fragmented genes B} Non-identical genes C} Structural genes D} Regulatory gene E} Autosomal Dominant gene

12] D.I.C is stimulated by: A} Factor X B} Factor XII C} Thromboplastin D} Factor IX d E} Fibrinogen

13] In enchymal cells Iron is deposited in the form of A} Tranferrin B}
Ferritin bC} Heamatin D} Heamoglobin E} Lipifuscin

19] Regarding Von Willbrand disease A} Autosomal Dominant B} Autosomal Recessive C}
Some family members have low level of Factor IX D} Some family members have abnormal level of Factor IX E} has positive family history

20] Which of the following condition is related to lymphatics? A} Angiosarcoma a B} Rhabdomyosarcoma C} Cystic hygroma

21] The condition in which pulmonary trunk fails to divide leading A} PDA aB} Truncus arteriosus C} TOF

22] Basal Cell Carcinoma is located at A} Lower lip B} Upper lip C} Tongue D} Hard palate E} Soft palate

25] Which of the following is not Carcinogen? A} Alcohol B} Benzathracine C}
Cyclophosphamide D} Benzidine E} Dimethylsulfate

26] The Initial step in APOPTOSIS is A} Inhibition of P53 genes B} Activation of BCL-2 C} Activation of Caspases c D} pores formed by lymphocytes

28] Which t of kidney produces ERYTROPOITEN A} Macula Densa B} Peritubular Capillary b C} PCT D} DCT E} LOH

29] A patient with signs and symptoms of megaloblasstic anemia. The likely cause is
A Decreased GIT motility B} Deficiency of intrinsic factor b C} Malabsorption

30] Stimulation to increase Serum Calcium is A} Hypo-phosphatemia B} atharmone b C} Decreased ECF

31] Malnutrition causes all of the following EXCEPT A} Pitting Edema. a B} Loss of subcutaneous fat. C} Failure to thrive. D} Skin pigmentation E} Thrombocytopenia
32] Liver biopsy from a pati
ent shows a lesion which comprises of central collection of structure less material surrounded by epitheliod cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen. The most likely change in central area would b
e: A} Caseous necrosis B} Coagulation necrosis C} Fatty changesD} Hydropic changes E} Liquefective necrosis

33] A 28 year fisherman presented with slowly developing lethargy, easy fatigue and palpitations. His diet comprises of fish an
d rice only. Physical examination: Pallor, Loss of touch sense in both feet and legs Hb: 7.5 gm/dl, Platelet count: 110 x 10 9/L. Reticulocyte count: 0.5%. Stool DR: Ova of Intestinal asite. The most likely causative asite is A}
Ankylostomata Duodenale B} Ascris Lumbricoidis C} Diphylobothrium Latum c D} Strangyloids Stercoralis E} Taenia Saginata

34] A 40 year old male after road traffic accident had received massive blood transfusion. He is expected to have all EXCEPT A} Hypocalcaemia B} Hypokalemia b C} Hypothermia D}
Left shift of Oxyheamoglobin dissociation curve E} Metabolic acidosis

35] The endothelial molecules ICAM-1 & VCAM-1 are responsible for A} Direct endothelial injury B} Endothelial cell contraction C} Junctional re
Traction D} Leukocyte adhesion d E} Leukocyte margination

36] Eating raw or under cooked meat can cause infestation by A} Dracunculous Medinensis B} Echinecoccus Granulosis C Liver Fluke D
Schistosomiasis E} Tape Worm e

37] A pt: has sustained burn that is very painful with blisters. Healing of this burn will take place from which of the following layers of the skin A} Basal layer of epidermis}
Keratinized layer C} Layer of upper dermis c D} Lower dermis E} Subcutaneous layer

38]
A 40 year old male presented with jaundice and generalized itching. His LFT shows Direct Billirubin 11 mg/100 ml, SGPT 75U/L, Alka Phosphate 2300 IU/L 500IU/L. The most likely cause is A} Drug induced jaundice B}
Extra hepatic Cholestasis b C} Autoimmune Hepatitis D} Alcoholic Hepatitis E} Intrahepatic Cholestasis

39] The tissue damage by Ionization Radiation is due to A} Damage to Golgi bodies B}
Formation of free radicals b C} Hydropic degeneration D} Metaplasia of cell E} Swelling of cells

42] Increase in Light Chain Immunoglobulins Is the characteristic feature of
A} Endocrine type Amyloidosis B} Hereditary Amyloidosis C} Localized type Amyloidosis D} Reactive Amyloidosis E} Systemic type Amyloidosis

43] Chemotaxis is caused by A} C5a a B} C5b C} Lymphokines D} Leucotriene B3 E} Opsonins

44] Following are the actions of Archidonic acid metabolites in inflammation EXCEPT A} Chemotaxis
B} Increased vascular perm

FCPS PAST PAPERS PAPER -1 (Medicine, Surgery, Radiology, OB/GYN)

FCPS PAST PAPERS PAPER -1 (Medicine, Surgery, Radiology, OB/GYN)

1-The muscle involved in unlocking of knee joint is:
Poplitus(correct),,Rectus femoris,Plantaris.Soleus

2-Adult derivative of notochord is:
Nucleus pulposis(correct),,Annulus fibrosis,Vertebre,Vertebral canal

3-Vertebrae is derived from:
Myotome,Sclerotome,Dermatome,Ectoderm,Endoderm

4-Memory centre is located in:
Insula,Parietal lobe,Temporal lobe,Frontal lobe

5-The most commom type of salivary gland tumor is:
Salivary glands,Parotids(correct),,Submandibular,Sublingual

6-Distruction of Ant.pituatary gland causes dec.functioning of
Glom.fasiculata,Glom.granulosa,Medulla,Adrenal cortex(correct)

7-Least chances of renal stones is associated with:
Hyperlipidemia(correct),,HyperPTH,Hyper vit.D,Infections,Hyperurecimia

8-Nerve supply to extensors of arm is supplied by:
Lat.cord,Medial cord(correct),Post cord,Lateral and medial cord

9-Nerve injured in Ant.disloacation of Shoulder joint is:
Musculocutaneous,Axillary(correct),Median,Radial,Suprascapular

10-Damage to scaphoid bone causes injury to:
Radial A. (correct),Ulnar A.Brachial A,Ant.interosseous A.

11-Common site of fracture at rib is:
Angle(correct),,Shaft,Costochondral joint,tubercle

12-Following is not a tumor marker:
PLAP,CEA,bHCG,AFP,Acid Phospatase(correct),

13-Most common histology found in lung tumors is:
Squamous(correct),,AdenoCA,Mixed,Small CA

14-Patients comes with Rt.deviation of tongue,Dec.sense of touch and vibartions,the artery
commonly involved in brain is:
PICA,AICA,Ant.Spinal(correct),,Post.Cerbral,Sup.Cerbral A.

15-Soldier comes with heavy bleeding,the ideal fluid replacement would be:
Packed RBCs,Crystallines,Colloids,Whole blood for 3 days(correct),,Whole blood for 18 days

16-Maxillary sinus opens into:
Sup.meatus,Inferior meatus (correct),Middle meatus,Nasal septum

17-Patient having increased levels of IgE,most probably suffering from:
Bacterial inf,Viral inf,Parasitic inf(correct),,Fungal inf.

18-Autospy done on the patient having CRF,most prabable finding would be:
Hypertrophied PTH gland(correct),,Hypertrophied adrenals,Hypertrophied pituatry,Hypertrophied thyroids

19-Excitation of post.pituatary would cause:
Sweeting,Stress,Shivering,Hunger pangs

20-Foetal period starts after which week:
11th.8th(correct),12th,16th,21st

21-Patient having dec levels of factorII,VII,IX,X,most likely have:
Dec.antithrombin III,Dec Vit.K(correct)

22-Young pt.having Hb:6.0,TLC:3.5/ul,Plts:1lac is suffering from:
Iron def.,Folate def.,Vit B12 def.,Aplastic anaemia(correct)

23-Nucleus ambigus supplies to:
Teeths,Jaw,Tongue,Lyrnx(correct)

24-Olfactory area is present in:
Ant.perforating material,Occipital lobe,Inf.temporal gyrus,Parietal lobe

25-Patient with injury to left 8th cervical segment of spinal cord will not show following sign:
Dec sense of position,vibration below lesion on same side,Extensor plantar on left side,Dec
power of muscles below the leson on same side,Dec sense of pain and temprature below the
lesion on same side. (correct)

26-Feature of Rickets and Osteomalacia is:
Inc.Vit D,Inc.Ca,Inc PTH,Dec.bone density(correct)

27-Most common site of malignancy in pts suffering from nuclear outbreak
Haematopoitic,Thyroid,Lung(correct),Breast,Bones

28-Virus acts on cells by:
Damaging cell membrane,Damaging nuclear membrane,Invloving protien synthesis(correct),

29-Most sensitive cells to hypoxia are:
RBCs,Neurons(correct),,Nephrons,WBCs,Platelets

30-Myelin in CNS is formed by:
Microglia,Schawan cells,Oligodendrocytes(correct),,Astrocytes

31-Feature not associated with irreversible cell injury is:
Mylein figures(correct),,Karyolysis,Karyorrehxis,Mitochondrial shrinkage

32-Ureter isnot constricted at:
Pelvic brim,at PUJ,Psoas muscle(correct),Openning at bladder

33-Common relation of ureter is:
Ant.to gonadal vessels and post.to iliac A(correct).,Post.to gonadal vessels and ant.to iliac A.

34-Patient feels pain after she underwent surgery for fibroids,structure injured would be:
Ureters,Ovaries,Fallopian tubes(correct)

35-Least common site for ectopic pregnancy would be at:
Ovaries(correct),Pouch of douglus,Greater omentum,Fallopian tubes,Cervix

36-Gall bladder is supplied by:
Cystic A and Left gastrcA.,Cystic A and Left Hepatic,Only Cystic A. (correct),

37-Venous drainage of urinary bladder is into:
Internal Iliac V(correct),.,External Iliac V.,Commom Iliac V.,Internal and external V.

38-Hypothyroid patient in on thyroxine,best marker to monitor his thyroid status is:
T3,T4,TSH,T3 and T4,T3,T4 and TSH levels(correct)

39-Patient having hyperplastic bone marrow,anaemia,Inc Platelets is probably suffering from:
Aplastic anaemia,Megaloblastic,Myelofibrosis,Leaukemia(correct)

40-Stimulus for Eryrthropoiten secreation is:
Hypoxia

41-Erytropoiten is always raised in:
Polycythemia vera,Primary polycythemia(correct),Sec.polycythemia
(Polycythemia vera is only type of polycythemia in which there is Dec. EPO.
42-Following vein would be dilated in portal HTN:
Inf.epigastric,Gonadal,Renal vein,Left colic V(correct).

43-Patient after gastrectomy is on VitB12,the cells lost in the gastrectomy are:
Mucous,parietal(correct),cheif,Goblet cells.

44-Fat tags attached to the walls of large intestine are known as:
Taenia coli(correct),,Hausstral folds,Appendeces epiplocea

45-Bile salts are reabsorbed from the:
Duedenum.Jejunum,Ileum(correct),,Colon,Rectum

46-Following is an autosomal dominant disease is:
Cystic fibrosis,Hereditary spherocytosis(correct),Thalasemia,Sickle cell anaemia

47-Type of defect in Heredetary spherocytosis is:
Enzymatic defect,Structural defect(correct),

48-Patient with jaundice,anaemia,high reticulocyte count is having:
Folate def.,Iron def.,VitB12 def.,Hemolytic anaemia(correct)

49-Ejaculatory duct opens into:
Ureter,Ureteric crest,Bladder,Prostatic urethera(correct)

50-Terminal part of CBD in relation to pancrease is:
Embeded into pancrease,lie posteriorly,lie anteriorly

51-Following would cause massive infarction and destruction leading to patient death:
Thrombus,Embolus,Fatty thrombus,Thromboembolism(correct)


52- 22yrs female pt.with 13th week of pregnancy after having crush fractures in RSA dies after 3
days,most likely cause of death is:
Amniotic fluid embolism,Air embolism,Fat embolism(correct)

53-Patient with old history of adenoCA of colon is operated for polypectomy,on histologic evaluation
pathologist labelled it as benign growth with no chances into malignant transformation,it would be:
FAP,Villous adenoma,Tubular adenoma,Tubulovillous(correct),Metaplastic polyp

54-Tyrosine derivateve doesnt include:
TSH,Adrenaline,Nor adrnaline,Prolactin,Dopamine

55-Precursor of steriod hormone is:
Progesteron,Pregnenolone,Cholesterol(correct)

56-Capsule of liver in known as:
Disse,Glissons(correct),

57-Most common site of thyroglossal cyst is:
Suprahyoid,Infrahyoid,Hyoid(correct)

58-Wasting of thenar eminence,loss of sensation over thumb and index finger,nerve involved is:
Median(correct),,Axillary,Radial,Ulnar

59-The base of urinary bladder is made by:
Post surface(correct),Ant surface,Inferolateral,Superior surface

60-Shock without having vasodilation is likely associated with:
Burns,Gram positive inf,Gram negative inf.,Superantigen infection

61-Following doesnt form the layer of inguinal canal:
External oblique,internal oblique,transversus,rectus abdominus. (correct)

62-Femoral sheath is formed by:
Fascia transversalis,Fasica trans.and Fasica iliaca(correct),,External oblique,Internal oblique

63-Patient with bone pains having normal Ca,inc Alk.phosp.most likely suffering from:
Pagets,HyperPTH,Hyper VitD,Bone mets(correct),Osteomalacia

64-External spermatic fasica is formed by:
External oblique(correct),Internal oblique,Cremastric muscle,Transversus muslce

65-In Turner syndrome,the genotype would be:
XX,XO(correct),XXY,XY,XYY

66-Organ having least chances of infarction:
Lungs,Heart,Kidneys,Liver(correct),Spleen

67-Type of necrosis in brain infarction:
Couglative,Liquefactive(correct),,Fat,Traumatic

68-Pt.with cervical lymphadenopaty,+ve AFB sputum,sign to look for TB on microscopy is:
Chronic inflammation.caseous necrosis(correct),lymphocyctic infiltartion

69-Thyroid gland moves with swallowing because it is enclosed in:
Pretracheal fasica(correct),Investing fasica,Vertebral fascia,Carotid fascia

70-Neurovascular bundle in chest wall lies between:
External and Internal intercostal mucles,Internal and Innermost layers(correct), Innermost and enothoracic
fasica,Beneath Endothoracic fascia

71-Fibrous pericardium and medicatinal pleura is supplied by:
Vagus N.,Intercostal N.,Phrenic N(correct),.,Autonomic N.

72-Man is suffering from testicular ca,the lympahtic drainage of testicle is into:
Para aortic L.nodes(correct),,Pre aortic,Superficial inguinal,Internal iliac,External iliac L.nodes

73-In exercise,the venous blood returns to the heart by:
Muscle pump in calves

74-Circulation in heart is maintained by:
Symphthatic sys,Parasymphthetic sys,Local mechanism(correct)

75-Fisherman is presented with gingival bleeding and ecchymosis,he is suffering from:
Folate def.,Iron def.,Vit B12 def,Vit C def(correct)

76-Facor affecting collagen synthesis during healing is:
Infections(correct),,Vit C,Foriegn body

77-Mesothelioma is associated with:
Vinyl chloride,Silica,Asbestos(correct),,Copper dust,Carbon

78-Child having meckels diverticulum is having bleeding per rectum,it is due to:
Volvulus,Interssusption,Ectopic gastric tissue(correct)

79-During lactation,Amenorrhea is due to:
Inhibition of LH and FSH thru Prolactin(correct),,Dec.prolactin,Dec oestrogen

80-Presence of pancratic tissue in gastric mucosa is termed as:
Hamartoma,Metaplasaia(correct),Neoplasia,Choristoma,Dysplasia

81-Main difference between primary and secondary intention wound healing is:
Granulation tissue,Wound contraction(correct),Inflammatory cells

82-Child with sore throat after 3 weeks developed oedema,haemturia,cause would be:
Minimal change disease.post streptococcal GN(correct),IgA nephropathy,Focal segmental GS.

83-Microscopic feature of polyarterites nodusa is:
Granuloma,Fibrinoid necrosis(correct)

84-Angiotension II exerts its effects by activating:
Renin,Angiotension I,Aldosterone(correct),ANF

85-Tumor compressing optic chiasma would cause:
Binasal haemianopia,Bilateral haemianopia,Bitemporal haemianopia(correct),,Complete blindness

86-Growth hormone is maximally rasies in:
Sleeping(correct),,Excercise,Hunger,Anxiety

Medicine 2010 FCPS -1

Medicine 2010 FCPS -1
1. H+ ion secretion in the kidney causes
bicarbonate reabsobtion
bicarbonate excretion

2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial

3. Drug used for mountain sickness
acetazolamide
scopolamine

4.Corneal opacities r caused by
ethambutol
phenothiazides


5. Captopril causes
hypokalemia
hyper kalemia

6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is
metabolic alkalosis
respiratory alkalosis
partially compensated metabolic alkalosis
partially compensated respiratory alkalosis

7. Which is P450 inducer
isoniazid
phenobarbitone
cometidine
ketoconazole

8. Which causes decreased gastric motility
Magnesium Sulphate
Aluminium Hydroxide


9. Serum gastrin levels are incresed by prolonged use of
antacids
PPI
H2 blockers
anticholinergics
beta blockers

10.Esophago gastric junction competence is maintained by
lying supine
incresed intra abdominal pressure
diaphragm paralysis
use of metoclopramadie
use of morphine

11. Patient has acute blood loss the mechanism triggered imediately is
baro receptor mechanism
renin angiotensin system

12. Carotid body receptors respond to
arterial PO2
arterail Pco2
13. propylthyouracil acts by
decreasing iodine uptake
decreasing TSH levels
decreasing thyro globulin levels

14. which is increased in first responce
Ig G
Ig M
Ig A

15. which crosses placenta
Ig G
Ig M
Ig A
Ig E

16. which is secreted in breast milk
Ig G
Ig A
Ig M

17. which has memory function
Ig G
Ig M
Ig A
Ig E

18. which drug causes abnormal differentiation between red and green colours
ethambutol
amiodarone
pyrazinamide

19. for best verbal communication skill one should hav
good vacabulary
competence in presentation
fluent speech
20. which is not caused by parasympathelic stimulation
increased GIT motility
micturation
miosis
sweating

21. ejaculation is caused by
sympathetic
parasypathetic
both

22. Alpha receptors stimulation causes
pupilaary dilation
increased heart rate
increased contractility

23. fracture of surgical neck of humerus, patinet cant raise arm and sensory loss on lateral surface of arm. damage to
axillary nerve
musculo cutaneous nerve

24. action of gluteus medius n minimus is
abduction n medial rotation
abduction n lateral rotation
adduction n medial rotation
adduction n lateral rotation

25. thymus is formed by
3rd pharangeal pouch
4th pharangeal pouch

26. bromocriptine causes decresed prolaction levels by acting on
dopamine receptors
cholinergic receptors

27. patients ecg shows increasing PR intervals and then a missed beat
first degree block
sinus arrythmia
Mobitz type 1 block
Mobitz type 2 block
3rd degree block

28. Digoxin is drug of choice in
Atrial flutter
Atrial Fibrillation
Ventricular Tachycardia
Bradycardia

29. patient after ischemic attack has ventricular tachycardia. drug that must b used is
lidocaine
amiodarone
verapamil

30. apex beat is
4th left intercostal space mid clavicular line
8cm to the left of midline in 5th intercostal space

31. young patient has bruises on the body and no other significant history n examination unremarkable. he has

idiopathic thrombocytopenic purpura
aplastic anemia
Hemophilia

32. Hemophilia is
X linked recessive
Autosomal dominant
Autosomal recessive

33. which investigation to be done in patient with hemophilia
PT
APTT
bleeding time
complete blood count

34. patient has hemoptysis and glomerulonephritis. diagnosis is
good pasture syndrome
wegeners granulomatosis
35. P falciparum causes
black water fever

36. C perferingens acts by
producine lecithinase
depleting ATP
causing hypoxia

37. Gonococcus in easily identified in exudate specimen by
gram staining
Z N staining
culture

38. which is not oncogenic
Hep B virus
Hep D virus
Herpes Simplex virus
EBV

39. Middle meingeal artery passes through
foraman spinosum
foraman lacerum
foraman rotundum
foraman ovale

40. damage to middle meningeal artery causes hematoma formation between
duramater n calvaria
duramater n arachnoid mater
arachnoid mater n piamater

50. which is present in cavernus sinus
abducent nerve

51. which cranial nerves r parasympathetic
III, VII, IX, X

52. patients right eye has moved upward n has his neck tilted to left to avoid diplopia. damage to
superior oblique
inferiour oblique

53. patient has homonymous hemianopia. lesion is at
optic nerve
optic tract
retina
optic chiasma

54. germ cells r derived from
ectoderm
endoderm
mesoderm

55. foreign body in trachea goes in which bronchus
right upper
right middle
right inferior
left inferior

56. which lobe has only 2 brocho pulmonary segments
right middle
right upper
left upper
left middle

57. during iso volumetric contraction
atrial pressure decreases
semilunar valves r open
coronary blood flow decreses
first heart sound is produced
second heart sound is produced

58. which is thick filament
actin
myosin

59. a sacromere is present between 2
Z lines
H band
A band

60. in muscle cells calcium is released from
endoplasmic reticulum
sarco plasmic reticulum
61. in kidney select the best order of arteries
renal > arcuate>interlobar>interlobular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole
renal>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>interlobar>afferent arteriole

62.after normal saline infusion
blood volume increases
Na excretion decreases
osmolality increases
renin secretion increases

63. after renal transplant which malignancy is common ???


64 babinski sign is positive in
pyramidal lesion
cerebellar lesion

65. ventral spino thalamic tract ends at
lumbar region
mid thoracic
end thoracic

66. commonest site of lumbar puncture is
L4-L5
L2-L3
S1-S2

67. which is not punctured during lumbar puncture
duramater
ligamentum flavum
longitudinal spinal ligament

68. after Rh incompatabilty what is given to the mother to prevent it next time
anti D antibodies

69. patient has blood group A+ which cannot b given to him
O+
O-
A-
AB-

70. hamartoma is
benign tumor
malignat tumor

71. medullary rays r present is
cortex
medulla

72. in Addisons disease what does not occur
hyper kalemia
hypokalemia

73. which is essential amino acid
phenyal alanine


74. which is teratogenic
alcohol

75. which is associated with cancer
methyl alcohol
propyl alcohol
76. HLA- DR4 is associated with
rheumatoid arthritis
SLE
scleroderma

77. which is present in SLE
anti DNA antibodies
anti jones antibodies
anti smith antibodies


78. which causes dysphagia
ankylosing spondylitis
scleroderma
dermatomyositis

79. iron deficincy anemia is
hypochromic microcytic

80. patients had gastrectomy , after 3 months she presents with
iron deficiciency anemia
pernicious anemia
hemolytic anemia

81. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, she is suffering from
iron deficiency anemia
megaloblastic anemia

82. which is tributary of portal vein
superior rectal
inferior rectal



83. what arches in front of the root of left lung
Arch of aorta
Azygus vein

84. selective beta blockers do not cause
broncho spasm

85. how will the effect of warfarin immediatelty reversed
vitamin K
FFP
protamine sulphate

86. RCA supplies
right atrium only
right atrium n right ventricle

87. tunica vaginalis is derived from
transversalis muscle
transversalis fascia
peritoneum
inter oblique muscle

88. turner syndrome has karyotype
45 XO
45 XX
45 XXy
45 XXX


89. which muscles divied submandicular gland in to super ficial n deep part
omohyoid
mylohyoid
anterior belly of digastric

90. patient has difficulty closin right eye and distorted facial appearance. he has damage to
right fascial nerve
left fascial nerve
right trigeminal nerve
left trigeminal nerve

91. which does not cause thenar muscle wasting
carpel tunnel syndrome
C8 neuritis
cervical rib
scalene muscle spasm
cervical spondylosis

92. a pregnat lady from hilly area presents to. fetal scan at term shows no anomaly. which of the following can still b present in the newborn
ASD
VSD
PDA
pulmonary stenosis
93. what is end product of glucose metabolism in the presence of oxygen
lactic acid
1 molecule of pyruvate
2 molecule of pyruvate


94. beetle chewing causes
submucuous fibrosis
leukoplakia
keratosis

95. which is last mediator in septic shock
IL-1
IL- 6

96. antigen antibody reactions r most reduced in
Liver failure
Low neutrophils
97. Clavulanic acid
destroys B lactamases
causes decreased penicillin excretion

98. Dose of Gentamicin is reduced in elderly due to
reduced renal function


99. GFR can b best estimated by
creatinine clearance
serum urea levels
serum creatinine levels

100. best test for diabetic nephropathy is
serum urea levels
serum creatinine levels
urinary albumin

101. which protein maintains red cell shape
integrin
secretin
spectrin

102. Cyanosis is due to
increased deoxy hemoglobin in blood
decresed PO2 in blood.
103 which of the following causes natriuresis
stretch receptors in atria
carotid bodies

104. patient has gall stones , which enzyme could b most likely raised
Alkaline Phosphatase
LDH
ALT

105. diffusion through alveoli is directly proportion to
thickness of membrane
total cross sectional area

106. transpot of materials by carrier proteins is example of
simple diffusion
facilitated diffusion
active transport

107. which does not has lymphoid follicles
speen
thymus
lymphnodes
payer patches

108. in congestive cardiac failure there is
incresed pressure in venous system

109. ventricular contraction causes which wave in JVP
a
c
v

110. site for venesection
great sephanous
short sephanous
111. which is not part of limbic system
vermis of cerebellum
amygdala
anterior thalamus
hippo campus

112. right gastric artery is branch of
gastro duadenal
right gastro epiploic

113. thiazide diuretics
donot require potassium supplemets

114. behaviour sciences is branch of science which deals with
behaviour of persons in different social , psychological conditions

115. pateint has loss of proprioception on right n loss of pain n temperature on left, lesion is
right hemisection of spinal cord
left hemisection of spinal cord

116. cerebral cortex is concerned with
voluntary movements of body

117. DVT is causes by
stasis of blood

118. lacrimal duct opens in
inferior meatus
middle meatus

119. in asthma
FEV1/FEV less than 65%
FVC is reduced

120 6 years old girl has meningitis. most common organis is
streptocossus pneomonie
Neiserria meningitidis
Hemophilus Influenzae
E Coli

121. exudate has
protein more than 3g/dl
specific gravity is less than 1.010

122. a young boy has distorted nose and cervical lymphadenopathy. lymph node biopsy shows non caseating granuloma and sputum AFB is positive, diagnosis is
TB
leprosy
sarcoidosis
syphilus

123. Lambda chain is present in
amyloidosis

124. which does not follow oro fecal route
tenia solium
trichuris trichuria
entrobius vermicularis
Ankylostroma duodenale

125. cholangio carcinoma is caused by
C Sinensis
paragonimus watermani
taenia solium


126. young boy has bilaterla parotid enlargement. diagnosis
bacterial parotitis
mumps
infectious mononuclosus

127.about Mycobacterium TB , which is false
causes disease only in humans
favors aerobic conditions
128. which is false about spores
produced under nutrient rich conditions
B Anthracis producs spores
C tetani produes spores
they r killed under 121 degree for 15 min in autoclave

129. fetal brain development is caused by
Growth hormone
thyroid hormone

130. gastric Acid increases most after taking
carbohydrate
protein
fats

131. which hormone effects carbohydrate, protein and fat metabolism
insulin
Growth Hormone

132. which is not an epithelial tumor
sq cell CA
adeno carcinoma
sarcoma

133. Bence jones protein are produced in
multipla myeloma

134. which hormone effects both nor epinephrine n serotonin metabolism
Mono amine oxidase

135. patient presents with epistaxis and bruising on body. best invertigation is
complete blood count
PT
Aptt

136. ADH acts on
Proximal tubule
Distal Tubule
Collecting Tubule

137. which is most slow growing malignancy of thyroid
Follicular CA
Medullary
Papillary
Anaplastic

138. Cerebellar lesion causes
Ataxia

139. patient with cerebellar lesion
cannot touch objects with his finger tip

140. PTH remains normal in
renal insufficiency
osteoporosis

141. Neonatal Rubella infection is screened by measuring which antibody?
IgM
IgG
IgM and IgG

31.7.10

COMPLETE FCPS PART 1 MEDICINE POOL (including paper 1 & 2)Answer Key Will be Appreciated


MEDICINE JANUARY 2009


Medicine paper (Jan 2009)


Q#1.a 45 yr old male comes with the complaint of acute abdominal pain with migratory thrombophilibitis. what is the diagnosis?


a. Acute pancreatitis

b. Chronic relapsing pancreatitis

c. C.a pancrease (ans)

d. D.M


Q#2.Iron is stored in parenchyma as:

a. Ferritin

b. Hemosiderrin

c. Transferrin


Q#3. Least site of metastasis is:

a. Spleen

b. Liver

c. Lung

d. Kidney

e. Lymph nodes


Q#4.Major stress hormone is:

a. ACTH

b. Epinephrine

c. Norepinephrine


Q#5. Benedict test is used for:

a. renal glycosuria

b. urinary ketone.

c. urine glucose test


Q#6.A lady with hepatitis B; Serology shows: HbsAg +, HbeAg +ve,Anti HBe -ve, Hbv Dna +ve. Anti HBc IgM +ve...what does it show?


a. Acute Hepatitis B (ans)

b. Chronic hepatitis B

c. Viral load is decreasing

d. Immunized


Q#7.A healthy baby comes apparently with the complaint that he does not take breast milk instead he prefers the bottle feed. What is the diagnosis?


a. Cleft hard and soft palate (ans; most probably)

b. Cleft soft palate

c. Hormonal deficiency

d. Nasolacrimal duct block

e. Laryngeal weakness


Q#8.Penetrating injury in left 4th ics will damage which of the following structure?

a. Intercostal membrane

b. Intercostal muscle

c. left lung

d. left ventricle

e. Left atrium


Q#9.In Hyperglycemia, which 1 will increase:


a. Epinephrine

b. Cortisol

c. Glucagon

d. Insulin (ans)


Q#10.Regarding polycystic kidney:


a. It is autosomal dominant

b. It is autosomal recessive

c. Genetic mutation

d. Only females suffer

e. Only male suffer


Q#11.After 3 months to gastrectomy, Pt will develop:


a. Microcytic hypochromic anemia

b. Microcytic hyperchromic anemia

c. Megaloblastic anemia (ans)

d. Hemolytic Anemia

e. Macrocytic Anemia


Q#12.Non-myelinated nociceptor fibre directly synapses with:


a. Dorsal spinothalamic tract..................sorry cant remember other options


Q#13.Somites are derived from

a. Mesoderm





Q#14.Pseudomembranous colitis is caused by


a. Clostridium difficile (ans)

b. C.perferinges

c. Helicobacter pylori


Q#15.A 2 yr old child (premature); which cardiovascular anomaly will most likely develop:


a. Coarctation of aorta

b. Failure of closure of foramen ovale

c. PDA (ans)


Q#16.Which is the major circulating phagocyte?


a. Neutrophil

b. Mast cell

c. Monocyte

d. Macrophage (ans)


Q#17.ICF differs from ECF in:


a. Has increased Na+

b. Has increased K+ (ans)

c. Has increased Ca+


Q#18.Neurotransmitter of corticostriatal fibres is


a. Glycine

b. Dopamine

c. Ach

d. GABA


Q#19.Bile salts are normally absorbed from


a. Duodenum

b. Jejunum

c. ileum

d. Stomach


Q20. S1Q3T3: ......cant remember options for this Qz


Q#21.Antidote for Morphine:


a. Nalaxone (ans)


Q#22.which of the following is absent in Axon hillock


a. R.E.R (ans)

b. S.E.R

c. Microtubules

d. Microfilaments

e. Mitochondria


Q#23.Glucronide conjugation of drugs


a. Cause inactivation of drug

b. Is type 1 reaction

c. Makes drug insoluble


Q#23.Dorsal rami of cervical nerves innervate


a. Abductor pollices

b. Extensors of limbs

c. Extensors of trunk

d. Stabilizers the shoulder


Q#24.Upper end of esophagus is at the level of


a.C6


Q#25.Which part of kidney produces Erythropoiten:


a. MACula densa

b. pertubular capillary (ans)

c. Pct

d. DCT

e.Loop of henle


Q#26.Liver biopsy from a pt shows a lesion which is comprised of central collection of structureless material surrounded by epitheloid cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen.The most likely change is:


a. Caseous necrosis

b. Coagulation Necrosis

c. Fatty change

d. Hydropic change

e. Liquefective necrosis


Q#27.Tissue damage by Ionization Radiation is due to:


a. Damage to Golgi bodies

b. Formation of free Radicles

c. Hydropic change

d. metaplasia of cell

e. swelling of cell


Q#28.Side effects of thiopental

a. Nausea

b. Seizure


29.Posterior belly of diagastric is supplied by:


a. Glossopharngeal nerve

b. Facial nerve

c. Trigeminal


Q#30.Which immunoglobulin has pentameric structure:


a. IgA

b. IgM

c. IgD

d. IgE

e. IgG


Q#31.Which is highest in human milk?


a. IgM

b. IgA

c. IgE

d. IgD

e. IgG


Q#32.Blood supply of Visual area:


a. Ant:Cerebral Artery

b. Middle cerebral Artery

c. Posterior cerebral artery




Q33.Aneurysm of arch of aorta will most like compress


a. Esophagus

b. Left main bronchus

c. Phrenic nerve

d. Thoracic duct


Q34.Gastroduodenal artey arises from


a. Celiac

b. Hepatic

c. Splenic

d. Superior mesentric


Q35. Slow growing tumor of thyroid is:


a. Anaplastic

b. Medullary

c. Follicular

d. papillary


Q36.Which does not lead to Pre-malignancy


a. Iodine deficiency

b. HIV

c. HBV

d. Melanosis


Q37.A 34yr old man can’t abduct his arm due to fracture of humerus. which nerve is damaged?

a. Axillary

b. Median

c. Radial

d. Ulnar

e. Musculocutaneous


Q38.Aldosterone will increase with:


a. Increased serum K+

b. Increased serum Na+

c. decreased plasma volium

d. Increased ACTH




Q39.A 14 yr Boy comes with the complaint of his abnormal Height and secretion from mammary glands. Histology of pitutary will show;


a. Increased Chromophobes

b. Increased Acidophilic cells (most probably diz was the ans)


Q40.A 35 yr old female is protected against osteoporosis due to


A. Estrogen (ans)

B. Progestron


41.Which is not “ Major Basic tissue”


a. Epithelium

b. Nerve (ans)

c. Bone

d. Blood

e. Muscle

MEDICINE JUNE 2009

1. H+ ion secretion in the kidney causes
bicarbonate reabsobtion
bicarbonate excretion

2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial

3. Drug used for mountain sickness
acetazolamide
scopolamine

4.Corneal opacities r caused by
ethambutol
phenothiazides


5. Captopril causes
hypokalemia
hyper kalemia

6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is
metabolic alkalosis
respiratory alkalosis
partially compensated metabolic alkalosis
partially compensated respiratory alkalosis

7. Which is P450 inducer
isoniazid
phenobarbitone
cometidine
ketoconazole

8. Which causes decreased gastric motility
Magnesium Sulphate
Aluminium Hydroxide


9. Serum gastrin levels are incresed by prolonged use of
antacids
PPI
H2 blockers
anticholinergics
beta blockers

10.Esophago gastric junction competence is maintained by
lying supine
incresed intra abdominal pressure
diaphragm paralysis
use of metoclopramadie
use of morphine

11. Patient has acute blood loss the mechanism triggered imediately is
baro receptor mechanism
renin angiotensin system

12. Carotid body receptors respond to
arterial PO2
arterail Pco2
13. propylthyouracil acts by
decreasing iodine uptake
decreasing TSH levels
decreasing thyro globulin levels

14. which is increased in first responce
Ig G
Ig M
Ig A

15. which crosses placenta
Ig G
Ig M
Ig A
Ig E

16. which is secreted in breast milk
Ig G
Ig A
Ig M

17. which has memory function
Ig G
Ig M
Ig A
Ig E

18. which drug causes abnormal differentiation between red and green colours
ethambutol
amiodarone
pyrazinamide

19. for best verbal communication skill one should hav
good vacabulary
competence in presentation
fluent speech
20. which is not caused by parasympathelic stimulation
increased GIT motility
micturation
miosis
sweating

21. ejaculation is caused by
sympathetic
parasypathetic
both

22. Alpha receptors stimulation causes
pupilaary dilation
increased heart rate
increased contractility

23. fracture of surgical neck of humerus, patinet cant raise arm and sensory loss on lateral surface of arm. damage to
axillary nerve
musculo cutaneous nerve

24. action of gluteus medius n minimus is
abduction n medial rotation
abduction n lateral rotation
adduction n medial rotation
adduction n lateral rotation

25. thymus is formed by
3rd pharangeal pouch
4th pharangeal pouch

26. bromocriptine causes decresed prolaction levels by acting on
dopamine receptors
cholinergic receptors

27. patients ecg shows increasing PR intervals and then a missed beat
first degree block
sinus arrythmia
Mobitz type 1 block
Mobitz type 2 block
3rd degree block

28. Digoxin is drug of choice in
Atrial flutter
Atrial Fibrillation
Ventricular Tachycardia
Bradycardia

29. patient after ischemic attack has ventricular tachycardia. drug that must b used is
lidocaine
amiodarone
verapamil

30. apex beat is
4th left intercostal space mid clavicular line
8cm to the left of midline in 5th intercostal space

31. young patient has bruises on the body and no other significant history n examination unremarkable. he has

idiopathic thrombocytopenic purpura
aplastic anemia
Hemophilia

32. Hemophilia is
X linked recessive
Autosomal dominant
Autosomal recessive

33. which investigation to be done in patient with hemophilia
PT
APTT
bleeding time
complete blood count

34. patient has hemoptysis and glomerulonephritis. diagnosis is
good pasture syndrome
wegeners granulomatosis
35. P falciparum causes
black water fever

36. C perferingens acts by
producine lecithinase
depleting ATP
causing hypoxia

37. Gonococcus in easily identified in exudate specimen by
gram staining
Z N staining
culture

38. which is not oncogenic
Hep B virus
Hep D virus
Herpes Simplex virus
EBV

39. Middle meingeal artery passes through
foraman spinosum
foraman lacerum
foraman rotundum
foraman ovale

40. damage to middle meningeal artery causes hematoma formation between
duramater n calvaria
duramater n arachnoid mater
arachnoid mater n piamater

50. which is present in cavernus sinus
abducent nerve

51. which cranial nerves r parasympathetic
III, VII, IX, X

52. patients right eye has moved upward n has his neck tilted to left to avoid diplopia. damage to
superior oblique
inferiour oblique

53. patient has homonymous hemianopia. lesion is at
optic nerve
optic tract
retina
optic chiasma

54. germ cells r derived from
ectoderm
endoderm
mesoderm

55. foreign body in trachea goes in which bronchus
right upper
right middle
right inferior
left inferior

56. which lobe has only 2 brocho pulmonary segments
right middle
right upper
left upper
left middle

57. during iso volumetric contraction
atrial pressure decreases
semilunar valves r open
coronary blood flow decreses
first heart sound is produced
second heart sound is produced

58. which is thick filament
actin
myosin

59. a sacromere is present between 2
Z lines
H band
A band

60. in muscle cells calcium is released from
endoplasmic reticulum
sarco plasmic reticulum
61. in kidney select the best order of arteries
renal > arcuate>interlobar>interlobular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole
renal>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>interlobar>afferent arteriole

62.after normal saline infusion
blood volume increases
Na excretion decreases
osmolality increases
renin secretion increases

63. after renal transplant which malignancy is common ???


64 babinski sign is positive in
pyramidal lesion
cerebellar lesion

65. ventral spino thalamic tract ends at
lumbar region
mid thoracic
end thoracic

66. commonest site of lumbar puncture is
L4-L5
L2-L3
S1-S2

67. which is not punctured during lumbar puncture
duramater
ligamentum flavum
longitudinal spinal ligament

68. after Rh incompatabilty what is given to the mother to prevent it next time
anti D antibodies

69. patient has blood group A+ which cannot b given to him
O+
O-
A-
AB-

70. hamartoma is
benign tumor
malignat tumor

71. medullary rays r present is
cortex
medulla

72. in Addisons disease what does not occur
hyper kalemia
hypokalemia

73. which is essential amino acid
phenyal alanine


74. which is teratogenic
alcohol

75. which is associated with cancer
methyl alcohol
propyl alcohol
76. HLA- DR4 is associated with
rheumatoid arthritis
SLE
scleroderma

77. which is present in SLE
anti DNA antibodies
anti jones antibodies
anti smith antibodies


78. which causes dysphagia
ankylosing spondylitis
scleroderma
dermatomyositis

79. iron deficincy anemia is
hypochromic microcytic

80. patients had gastrectomy , after 3 months she presents with
iron deficiciency anemia
pernicious anemia
hemolytic anemia

81. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, she is suffering from
iron deficiency anemia
megaloblastic anemia

82. which is tributary of portal vein
superior rectal
inferior rectal



83. what arches in front of the root of left lung
Arch of aorta
Azygus vein

84. selective beta blockers do not cause
broncho spasm

85. how will the effect of warfarin immediatelty reversed
vitamin K
FFP
protamine sulphate

86. RCA supplies
right atrium only
right atrium n right ventricle

87. tunica vaginalis is derived from
transversalis muscle
transversalis fascia
peritoneum
inter oblique muscle

88. turner syndrome has karyotype
45 XO
45 XX
45 XXy
45 XXX


89. which muscles divied submandicular gland in to super ficial n deep part
omohyoid
mylohyoid
anterior belly of digastric

90. patient has difficulty closin right eye and distorted facial appearance. he has damage to
right fascial nerve
left fascial nerve
right trigeminal nerve
left trigeminal nerve

91. which does not cause thenar muscle wasting
carpel tunnel syndrome
C8 neuritis
cervical rib
scalene muscle spasm
cervical spondylosis

92. a pregnat lady from hilly area presents to. fetal scan at term shows no anomaly. which of the following can still b present in the newborn
ASD
VSD
PDA
pulmonary stenosis
93. what is end product of glucose metabolism in the presence of oxygen
lactic acid
1 molecule of pyruvate
2 molecule of pyruvate


94. beetle chewing causes
submucuous fibrosis
leukoplakia
keratosis

95. which is last mediator in septic shock
IL-1
IL- 6

96. antigen antibody reactions r most reduced in
Liver failure
Low neutrophils
97. Clavulanic acid
destroys B lactamases
causes decreased penicillin excretion

98. Dose of Gentamicin is reduced in elderly due to
reduced renal function


99. GFR can b best estimated by
creatinine clearance
serum urea levels
serum creatinine levels

100. best test for diabetic nephropathy is
serum urea levels
serum creatinine levels
urinary albumin

101. which protein maintains red cell shape
integrin
secretin
spectrin

102. Cyanosis is due to
increased deoxy hemoglobin in blood
decresed PO2 in blood.
103 which of the following causes natriuresis
stretch receptors in atria
carotid bodies

104. patient has gall stones , which enzyme could b most likely raised
Alkaline Phosphatase
LDH
ALT

105. diffusion through alveoli is directly proportion to
thickness of membrane
total cross sectional area

106. transpot of materials by carrier proteins is example of
simple diffusion
facilitated diffusion
active transport

107. which does not has lymphoid follicles
speen
thymus
lymphnodes
payer patches

108. in congestive cardiac failure there is
incresed pressure in venous system

109. ventricular contraction causes which wave in JVP
a
c
v

110. site for venesection
great sephanous
short sephanous
111. which is not part of limbic system
vermis of cerebellum
amygdala
anterior thalamus
hippo campus

112. right gastric artery is branch of
gastro duadenal
right gastro epiploic

113. thiazide diuretics
donot require potassium supplemets

114. behaviour sciences is branch of science which deals with
behaviour of persons in different social , psychological conditions

115. pateint has loss of proprioception on right n loss of pain n temperature on left, lesion is
right hemisection of spinal cord
left hemisection of spinal cord

116. cerebral cortex is concerned with
voluntary movements of body

117. DVT is causes by
stasis of blood

118. lacrimal duct opens in
inferior meatus
middle meatus

119. in asthma
FEV1/FEV less than 65%
FVC is reduced

120 6 years old girl has meningitis. most common organis is
streptocossus pneomonie
Neiserria meningitidis
Hemophilus Influenzae
E Coli

121. exudate has
protein more than 3g/dl
specific gravity is less than 1.010

122. a young boy has distorted nose and cervical lymphadenopathy. lymph node biopsy shows non caseating granuloma and sputum AFB is positive, diagnosis is
TB
leprosy
sarcoidosis
syphilus

123. Lambda chain is present in
amyloidosis

124. which does not follow oro fecal route
tenia solium
trichuris trichuria
entrobius vermicularis
Ankylostroma duodenale

125. cholangio carcinoma is caused by
C Sinensis
paragonimus watermani
taenia solium


126. young boy has bilaterla parotid enlargement. diagnosis
bacterial parotitis
mumps
infectious mononuclosus

127.about Mycobacterium TB , which is false
causes disease only in humans
favors aerobic conditions
128. which is false about spores
produced under nutrient rich conditions
B Anthracis producs spores
C tetani produes spores
they r killed under 121 degree for 15 min in autoclave

129. fetal brain development is caused by
Growth hormone
thyroid hormone

130. gastric Acid increases most after taking
carbohydrate
protein
fats

131. which hormone effects carbohydrate, protein and fat metabolism
insulin
Growth Hormone

132. which is not an epithelial tumor
sq cell CA
adeno carcinoma
sarcoma

133. Bence jones protein are produced in
multipla myeloma

134. which hormone effects both nor epinephrine n serotonin metabolism
Mono amine oxidase

135. patient presents with epistaxis and bruising on body. best invertigation is
complete blood count
PT
Aptt

136. ADH acts on
Proximal tubule
Distal Tubule
Collecting Tubule

137. which is most slow growing malignancy of thyroid
Follicular CA
Medullary
Papillary
Anaplastic

138. Cerebellar lesion causes
Ataxia

139. patient with cerebellar lesion
cannot touch objects with his finger tip

140. PTH remains normal in
renal insufficiency
osteoporosis

141. Neonatal Rubella infection is screened by measuring which antibody?
IgM
IgG
IgM and IgG

Medicine JUNE 2008


1) If a person came to u with infertility and azospermia what would be the best test
a) FSH+LH b) prolactin c) buccal smear d) LH e) testosterone

2) whats Hb H disease??
a) omission of 3 alpha chains of Hb
b) presence of barts hemoglobin
c) requires frequent blood transfusion
3) which one is not the part of brainstem?
a) pons
b) cerebral peduncles
c) cerebellum
d) superior colliculus
e) mesencephalon
4) Radiation affects/causes injury to......
a) cell membrane
b) nucleus
c) cytoplasm
d) mitochondria
5) cerebellar lesion causes
a) adiadokinesia
b) sensory loss
c) motor weakness
d) hypertonia
6) ovarian ca metastasizes early to......
a) lung
b) peritoneum
c) stomach
d) opposite ovary

7) Isthmus of thyroid gland lies against the tracheal rings:
a) 1st and 2nd
b) 2nd and 3rd
c) 3rd and 4th
d) 4th and 5th
e) 5th and 6th

8) Lymphoid nodules are not present in
a) spleen
b) thymus
c) tonsil
d) peyers patches

9) Most common Souce of pulmonary emboli
a) femoral vein
b) popliteal vein
c) periprostatic veins
d) periovarian veins
e) superficial saphenous vein

10) A lady suffered an injury in a RTA and became unable of flex both her leg and thigh. The muscle most likely affected
a) Biceps femoris
b) Rectus femoris
c) Semimebranosus
d) sartorius
e) semitendinosus






11) A child sufferd from repeated episodes of mild jaundice. Diagnosis after his labs showed unconjugated hyperbilirubinemia
a) Dubin johnson syndrome
b) Bile duct obstruction
c) Gilbert syndrome
d) Rotor syndrome

12) A child aspirated a peanut. In which lobar bronchus it must have lodged
a) Left upper
b) Right inferior
c) rt middle
d) rt superior
e) left inferior

13) Left 7th bronchopulmonary segment is called
a) lateral basal
b) anteromedial basal
c) lingual lobe
d) apicoposterior
e) posterior basal

14) The following does not have an associated valve
a) superior vena cava
b) inferior vena cava
c) coronary sinus
d) aorta
e) pulmonary trunk

15) The following is not present in relation to Posterior relations of left kidney
a) quadratus lumborum
b) psaos
c) colonic flexure
d) diaphragm

16) Normal quiet expiration is brought about by contraction/recoil of
a) diaphragm
b) elastic tissue in thoracic and lung wall
c) abdominal muscles
d) sternocleidomastoid

17) A child died of severe pneumonia. At autopsy, the lung shoed Warthin- fikelendenberg cells with many nuclei. causative organism:
a) Ebola virus
b) CMV
c) measles virus
d) rubella virus
e) pneumocystis carinii

18) The following disease most severely affects the esophageal phase of swallowing
a) myasthenia gravis
b) scleroderma
c) poliomyelitis
d) stroke

19) The normal esophagus is
a) 10 inches in length
b) lies entirely in the thoracic cavity
c) consists entirely of skeletal muscle

20) A 26 yr old girl 28 week of gestation developed vomiting...bilirubin 20mg/dl,SGOT 272 and SGPT 220 .2 weeks back she went to meet her parents in a remote village. she has no history of any blood transfusion or past surgery.whats her diagnosis
a) hepatitis A
b) hep B
c) hep c
d) hep d
e) hep e

21) Genes are
a) intron
b) exon
c) DNA
d) RNA
e) ribosome

22) Lymphatic drainage of medial quadrant of breast
a) axillary
b) internal memory lymph node

23) Renal excretion of a drug
a) depndnt on GFR
b) ......

24) Menopause is associated with
a) low estrogen and high FSH and high LH
b) low estrogen and high FSH and low LH
c) high estrogen and low FSH and LH
d) low estrogen and normal FSH and LH

25) A 20 yr old girl with type 1 diabetes is brought to emergency in semi comatosed condition. An injection of insulin given to her will raise her
a) blood sugar level
b) pH of blood
c) urinary excretion of ketones

26) Which one of the Following is terratogenic
a) alcohol
b) coffee
c) heroin
d) Phenothiazine
e) tobacco

27) Lamia propria of vagina is made up of
a) collgen fibres
b) reticular
c) elastic......

28) Which of the following is not forming double peritoneum layer
a) broad ligament
b) suspensory lig
c) mesovarium
d) mesosalpinx
e........

29) Richest in triglycerides
a) chylomicrons
b) LDL
c) VLDL
d) HDL

30) At the end of a marathon race, a person has
a) high insulin and low glucagon
b) high glucagon and high insulin
c) high glucagon and low insulin
d) high cortisol

31) A pts GFR dropped from 100 to 20. If the serum creatinine was 1 with GFR 100ml/min, the new serum creatinine would be
a) 0.5
b) 2.0
c) 5.0
d) 30
e) 20

32) Target tissue of Rickettsia??
a) endothelial cells
b) nervous tissue
c) macrophages
d) muscle cells
e) blood cells

33) Most effected organ by dental radiology-
a) brain
b) thyroid gland
c) lungs
d) heart

34) Which nerve is most likely to damage during 3rd molar surgical removal?
a) mandibular nerve
b) inferior alveolar nerve
c) lingual nerve
d) baccal nerve

35) A patient presented to emergency in a semicomatosed condition after an RTA with multiple long bone fractures with BP 80/50 mmHg. What will u do?
a) volume replacement
b) oral airway
c) tracheostomy
d) splinting of fractures
e)

36) Which of the following drugs is proved to be beneficial in the treatment of Subdural haematoma?

a) Atenolol
b) nifedipine.
c) losartan
d) nimodipine

37) Which of the following tumors in children is due to gene amplification?

a) Neuroblastoma
b) retinoblastoma
c) Wilms tumor


38) Chronic diarrhea can be due to
a) giardiasis
b) crohn’s disease

39) A patient presented with sore throat & fever. blood picture shows atypical lymphocytes. diagnosis is
a) aids
b) infectious mononucleosis

40) Changes in V1 & avf indicates
a) anterior wall MI
b) inferoir wall MI

41) A Patient presented with cysts in liver,cause can be
a)teania solium
b)teania echinococccus

42) 3rd heart sound is due to
a) rapid ventricular filling
b) AV valves closure

43) Following is responsible for CNS myelination
a) shwan cell
b) oligodendrocyte

44) Pt presented in emergency in unconcious sate,,,resport indiactes hematoma in right parietal region, cause is
a) internal carotid artery
b) basilar artery
c) middle cerebral artery

45) Functional residual capacity
a)can b measured by spirometry
b) RV+ERV

46) A Diagnosed case of emphysema presents in emergency with dyspnea, examination shows decreased breath sounds & hyper -resonance,investgation to evaluate cause is
a) chest x-ray
b) ABG'S

47) In adults, spinal cord ends at level of
a) L1
b) L3
c) L2

Perhaps it was middle meningeal artery in the above question

48) Upper end of esophagus is at the level of
a) C6
b) C7
c) T1

49) Fluid having 0.5gm protein/dl
a) CSF
b) Lymph
c) plasma
d) serum

50) Severe blood transfusion reaction will occur
a) A+ given to A-
b) AB+ given to O+

51) In achlasia cardia, there is
a) Decreased resting tone of LES
b) Increased no of ganglia in myenteric plexus
c) Decreased no of ganglia in myenteric plexus

52) Renal clearnace
a) depends on GFR
b) decrease in infants

53) Cerebellum lesion can cause
a) adiadokinesia
b) static tremors
c) hypertonia
d) sensory loss in body

54) A patient presented in the ER with an acute onset of severe chest pain radiating towards the left arm and jaw with a BP of 130/80 mm of Hg.ECG shows ST segment elevation; cardiac enzymes are normal.What is the diagnosis?

a) Acute MI
b) Ruptured Aortic Aneurysm

55) A patient presents with scanning speech & intention tremors, lesion is in
a) cerebellum
b) basal ganglia

56) There were 2 or 3 questions regarding acid-base balance but dont rememer the values..

57) Increase level of erythropoetin is seen in
a) lung carcinoma
b) renal CA
c) cerebellar tumor

58) A young 20yr old guy while climbing stairs had sudden sharp Rt sided chest pain. Cause
a) ventilation-perfusion mismatch
b) blockage of pulm capillary
c) Fall in PO2
d) Fall in atm pressure
e) ……..

59)A pt. on MAO inhibitor is given 1st dose of barbiturate will develop
a) coma
b) insomia
c
d

60) A lady in 3rd trimester comes with hypertension and edema . she has history of seizures . the treatment of choice will be
a) MGSO4
b) methyldopa
c) clonidine

61) Which of the following develop from endoderm ?
a)
b) gonads
c)
d) palatine tonsil

62) Cannon wave is associated with
a) tricuspid regurgitation
b) complete heart block

63) Which of the following property prevent heart muscles from tetanization?
a) rythymicity
b) prolong refractory period

64) A pt. comes to emergency with severe SOB for 4 hours,ecg shows ST elevation , serum cardiac enzymes are not raised , the most likely diagnosis is
a) MI
b) pulmonary emboli
c) retrosternal goiter

65) Jaw angle is innervated by
a )
b)
c)

66) pH 7.3 , pCO2 30 ,hco3 18 , pt. most likely to have (exact scenario not memorized)
a)
b)

67) Half life of a drug is 2 mins , how long it'll take to reach steady state concentration?
a) 4 mins
b) 9 mins
c) 16 mins

68) The pt. is suffering from UTI , the diagnosis is confirmed by
a) urine culture
b) blood culture
c) urine + blood culture

69) The most potent stimulant for erythropoietin?
a)
b) hypoxia
70) The true statement about growth hormone is
a)
b)
c)
d ) its a polypeptide

MEDICINE Oct 2008


1. In type 4 Hypersensitivity mainly cells are

a. T cells+macrophages
b. B cells+macrophages
c. IGE+T cells
d. B+T cells
e. None.

2: Malignant tertian malaria caused by

a. P.falciparum
b. P.malariae
c. P.knowlasea
d. P.ovale
e. P.vivax


3: In duodenal perforation the artery involves.

A. Gastro duodenal artery
B. Lt.Gastric Artery
C. Splenic Artery
D. Rt. Gastric Artery

4: Parasite transmission e no feco-oral route
A. Ent histolytica
B. E.Vernicularis
C. Tenia solium

5: Antimalarial drug e can be used other than malaria
A. Arthemether
B. Basoquine
C. Choroquine
D. Mefloquine
E. Quinine


6: About RT adrenal gland choose correct
A. Has same size in adults & infants
B. Has 3 arterial supply
C. Pyramidal in shape
D. Separate form kidney by perinephric fat

7: Typhoid fever
A. All pts becomes carrier
B. Roth spots on 7th day
C. Organism is B-hemolytic, non_lactose

8: Melanocytes derived from
A. Endoderm
B. Ectoderm
C. Neural crest cells
D. Pharyngeal arch
E. Lateral plate

9: Most of drugs are metabolize in
A. Heart
B. Liver
C. Kidney
D. Lungs

.10: ½ life of a drug
Options not remember

11: Premalignant condition
1. Cervical erosion
2. Myeloprolefrative


12: In Cushing decrease amount of
A. Neutrophils
B. Lymphocytes
C. Basophiles
D. Monocytes

13: Babinski sign -ve in
A. UMNL
B. Sleep
C. New born
D. LMNL

14: Loss of accommodation reflex due to occulumotor nerve site of lesion
A. Pons
B. Medulla
C. Midbrain
?

15: Aspiration of gastric contents go in the
A. Rt lower lobe of lungs


16: Comatose patient are more prone to regurgitation
A. Stomach full
B. Rt lateral position
C. Lt lateral position

17: Vein that doesn’t directly drain in the inferior vena cava
A. Hepatic vein
B. Lumber vein

18: Rt kidney doesn’t relate to
A. Liver
B. Ascending colon
C. Ribs
D. Descending colon

19: Fever, headache Mydriasis associated with no option of meningitis
Options not remember

20: An I/v urograph of old boy shows Excretion of dye normal at Rt side but absence of shadow of Lt kidney instead there is a small shadow above the bladder on Lt side Most likely
i. Crossed ectopic kidney
ii. Unilateral agenesis
iii. Non rotating kidney
iv. Pelvis kidney
v. Horse shoe kidney

21: Drug with inhibit COX-1 as well as COX-2
A. Diclofenic
B. Naproxen
C. Aspirin

22: Rx of salicylate poisoning which can increase the excretion of salicylate
A. I/v NAHCO3
B. Dehydration state
C. Diuretics
D. 10% D/W

23: organ having subcapsularis & receives afferents
A. Palatine tonsils
B. Lingual tonsils
C. Thymus
D. Lymph node
E. Spleen

24: End arteries are in
A. Spleen
B. Brain
C. Kidney
D. Lungs
E. Heart

25: Fat stores in body
A. Glucagons lipogenic
B. Insulin lipolysis
C. Body fat <5 st="on">E. C8

58:Diagnosed pt. of sciatica cam in o.p.d with c/o loss of sensation of RT. Little toe with difficulty in eversion of Rt. Foot. Injury to
A. L3
B. L4
C. L5
D. S1
E. S2

59: Below the medial epicondyle of humerus passes
A. Median nerve
B. Radial nerve
C. Ulnar nerve
D. Long thoracic nerve
E. Musculocutaneous nerve

60: Intermittent Diplopia is a classical sign of
A. Mys. Gravis
B. Inc. I.C.P
C. Horner syndrome

61: Pt. expire due to sudden inc. B.P.Autopsy shows thinning of tunica media.COZ OF DEATH
A. Berry aneurysm
B. Dissecting aneurysm
C. Marfan aneurysm
D. Temporal arteritis

62: Artery enters in cranium & becomes the principle artery of brain
A. Common Carotid
B. External Carotid
C. Internal Carotid
D. Maxillary Artery
E. Temporal

63: 1 of the following is not epileptogenic
A. flouxitin
B. Amitriptyline
C. Imipramine

64: Opoid Toxicity causes
A. Nausea & vomiting
B. Psychosis
C. Pin point pupil
D. Resp. depression

65: 1 of the following is not classified as non barbiturate hypnotic
A. Bromide
B. Choral hydrate
C. Triazolam
D. Chlormethimazole

66: In CARDIOGENIC SHOCK
A. Adrenaline
B. Dopamine & Dobutamine
C. I/V NaHCO3
D. 10% D/W

67: Coz of FATAL DIARRHEA
A. V.Cholrea
B. C.Botilinium
C. E.Coli

68: Anemia of CRF is best treated with
A. Dialysis
B. Blood transfusion
C. Folic Acid
D. Iron
E. E-poi tin

69: Pellagra is due to def. of
A. NIACIN
BIOTIN
B. Vita. C
C. Vita. B6
D. Folic acid

70: Site of constriction of esophagus. Chose correct one
A. Cricopharangeus
B. Left Bronchus crosses it
C. When enters in diaphragm
D. At cardiac end

71: Single cranial nerve which doesn’t contain parasympathetic fibers
A. 3
B. 4
C. 5
D. 7
E. 9

72: Tactile two point discrimination by
A. Pacinian
B. Ruffini
C. Free nerve endings
D. Merkel disc

73: Patient with resting tremors, rigidity, hypokinesia
A. Cerebellum
B. Parkinson disease
C. UMNL
D. LMNL

74: Motor aphasia due to lesion of
A. Wernicke’s area
B. Prefrontal gyrus
C. Sup. Temporal gyrus
D. Brocas area

75: Regarding lumber puncture which one is correct
A. Between L4 & L5
B. CSF pressure in mm of Hg
C. Spine fully extended
D. Angle of needle must be 45 degree
E. Advice to patient stands up immediately after L.P

76:Heat loose of body is controlled by
A. Lat. Hypothalamus
B. Preoptic hypothalamus (NO OPTION OF ANT. HYPOTHALAMUS)
C. Post. Hypothalamus
D. Thalamus
E. Hippocampus

77: Damage to dorsal column tract causes ipsilateral loose of
A. Pain
B. Fine touch
C. Temperature
D. Vibration

78: The first step occurs when light falls on retina
A. 11-Cisretinal to all Trans retinal

79: Lesion of mamillary body causes
A. Fear & rage
B. Hyper sexuality
C. Loose of Recent memory
D. Hyperphagia

80: Regarding facial nerve which one is correct?
A. Purely sensory
B. Give chorda tympani to posterior 1/3 of tongue
C. Supplies to middle ear
D. Supplies to stapedius muscle

81: CSF having proteins 400 mg/dl, glucose 40 & mainly lymphocytes. Diagnosis
A. Encephalitis
B. Cryptococcus virus
C. TBM
D. Bacterial meningitis
E. Viral meningitis

82: Lateral sulcus of cerebellum
A. Insula
B. Occipital lob

83: PH-7.54, O2-55 & CO2-25 cause of deranged ABG’S
A. Carbon mono oxide poisoning
B. Hysterical hypoventilation
C. Salicylate poisoning

83: Asthma diagnosed by
A. I.R.V
B. R.V
C. T.L.C
D. FEV
E. Tidal volume

84: Diagnosis of Emphysema
A. Physiological dead space
B. Physiological shunt
C. V/Q- affinity
D. V/Q-0
E. V/Q-1

85: Muscle of quite inspiration
A. Diaphragm
B. Intercostals muscle
C. Sternocladomastoid
D. Scalenius posterior

86: Muscle of forceful inspiration
A. External intercostals muscle

87: Regarding hemoglobin
A. Adult contains alpha-2 & gama-2
B. Contains iron in ferric form
C. Causes acidosis when add with H+

88: Receptors mediates increase heat rate
A. Alpha-1
B. Alpha-2
C. Beta-1
D. Beta-2
E. Nicotinic

89: Stress hormone of body called
A. ACTH
B. Epinephrine
NO OPTIONS OF CORTISOL

90: Heart muscle works as syncytium because of
A. Sarcomere
B. SER
C. Gap junction
D. Tight junction
E. Intercalated disk

91: Preload depends on
A. EDV of L.V pressure
B. EDV of R.A pressure

92: Diagnosed case of thyrotoxicosis came to you with heart rate of 190b/mn. Best treatment is
A. Digoxin
B. Lidocain
C. Verapamil
D. Propanalol

93: Saw tooth P waves in ECG associated with
A. Atrial flutter
B. A.V block

94: Captoprill (M.O.A)
Blocks ACE enzyme

95: Cyanosis due to
A. Anemia hypoxia
B. When deoxihaemoglobin is more then 5g/dl

96: Pulmonary vasculature resistance increase in
A. High altitude

97: 1/3 of total body water contains
A. E.C.F
B. I.C.F
C. Plasma
D. Interstitial

98: GFR can be calculated by
A. 24 hours urinary out put
B. S.creatinine
C. B.U.N
D. Urea

99: S/Chloride maintained by kidney through
A. Na+-K+-2Cl co transportation in thick ascending L.O.H
B. Na+ -K+ - 2Cl co transportation in thin ascending L.O.H

100: INC. Aldosterone causes commonly
A. Acidosis
B. DEC. Rennin
C. Sodium depletion
D. K+ retention


101: M.O.A spironolactone
OPTIONS NOT REMEMBER

102: A.D.H is inhibited by
A. Alcohol
B. Hemorrhagic Shock
C. Pain
D. Exercise

103: Erythropoietin secreted from
A. Peritubular cells
B. Juxtaglomerular cells
C. Macula densa


104: Hormone which causes relaxation of all G.I.T muscles
A. G.I.P
B. Gastrin
C. Secretin
D. CCK
E. V.I.P



105: Which causes diarrhea when it reaches to large colon?
A. Glucose
B. Fructose
C. Lactose
D. Sucrose
E. Maltose



106: Pt. with puffy eyes & edema with dec. TSH & when TRH given TSH slightly rises.coz of disturbance is
A. Primary Hypothyroidism due to Hypothalamus



107: Neurphyposis contains
A. Cholinergic
B. Adrenergic
C. Secretory cells
D. Puituicytes


108: In autoimmune diseases of thyroid antibodies against
A. TSH
B. Thyroglobulin
C. Follicular cells
D. C cells

109: Amniocentesis shows 47XXY
A. Turner syndrome
B. Adrenogenital syndrome
C. Klinefelter syndrome

110: In pregnancy cause of Hyper Parathyriodism
A. Prim. Hypoparathyroidism
B. Becoz estrogen causes inhibition of bone resorption

111: Estrogen doesn’t have action
A. Delayed bone loss after menopause
B. Follicular growth
C. Inc. serum Cholesterol
D.


112: HLA DR 27 associated with
A. Ankylosing spondilytis
B. Reiters Syndrome
C. R.A
D. S.L.E

113: Tumor marker of Thyroid carcinoma is
A. C.E.A
B. Calcitonin
C. Alpha fetoprotein
D. Beta H.C.G

114: Which hormone maintains body temperature by oxidative phosphorylation
A. Adrenal
B. Nor adrenaline
C. Cortisol
D. Thyroid gland


115: Hydrocele is the aculummation of fluid
A. Gubernaculums Testis
B. Scortal ligament
C. Tunica vaginalis
D. Vas deferens
E. Epidydimis

116: After gastrectomy pt. came with c/o
A. Iron def. anemia
B. Megaloblastic anemia due to folate
C. Pernicious anemia.

117: Old age Pt. came with jaundice Hb-10g/dl,S,Bili-2.8mg/dl,Retic 10%.U/S abdomen normal.whats Ur diagnosis.
A. Acute Hepatitis
B. Rotor syndrome
C. Dubin Johnson Syndrome
D. Gilbert Syndrome
E. Hepatitis B

118: IN Tumor immunity liver has a function of
A. To detoxify the toxic substances
B. Protein synthesis
C. Globulin Synthesis

119: Cholangio-Carcinoma caused by
A. Clonorchis –Sinesis
B. S.Hematobonium
C. S.Japanicum
D. Echunococcus Granuloses

120: Old age pt. Diagnosed as a case of OBSTRUCTIVE JAUNDICE & now cam With c/o bleeding tendency. Which 1 of the following cause.
A. Due to bile stones
B. Defi. Of VIT.K due to DEC. absorption from gut
C.
D.
E.

121: C.E.A is a tumor marker of
A. Breast
B. Colorectal Carcinoma
C. Testis
D. Thyroid

122: Juvenile Polyps are
A. Meckels diverticulum’s
B. Hyperplasic polyps
C. Hereditary non polpyposis
D. Colonic adenocarcinoma


123: Granuloma formation is not associated with
A. Sarcoidosis
B. T.B
C. Pneumococcal Pneumonia

124: Pt. came with distortion of nose, lymph nodes palpable, AFB +ve.whats Ur diagnosis
A. T.B
B. Sarcoidosis
C. Leprosy
D. None of the above

125: Which 1 of is not a Tumor marker
A. Alpha 1 antitrypsin
B. Vesmin
C. Desmin

126: Which 1 of the following is the diff. b/w malignant & benign tumor
A. Metastasis

127: Workers Having Increase chances 2 develop Malignancy
A. Tobacco
B. Coal
C. Asbestos worker


128: H.I.V pts. Have tendency to get infection of
A. E.B.V
B. H.P.V
C. H.S.P
D. Pneumocystitis carnii
E. Chicken Pox

129: Diagnosis of H.I.V when
A. Less CD4 cells count
B. Less CD8 cells count

130: Joint pain, Xerostomia, conjunctivitis sicca, associated with
A. Sjogran Syndrome
B. Scleroderma

131: Which 1 of the following is not associated with Dry gangrene?
A. D.M
B. Throboembolism
C. Bacterial Endocarditis

132: Platelets aggregation is due 2
A. Thromboxane A2
B. Prostaglandins
C. Cox 1
Cox 2

133: Which 1 of the following factor causes Delayed wound healing
Inc. Blood flow
Vit. C Deficiency
Vit. E deficiency

134: Diagnosed case of tuberculosis PPD or Tuberculin test found to be negative
Because of one of the following factor
A. A.T.T
B. Immunosuppressive
C. Steroid intake

135: Blood group having no antigen to A & B
A+
B+
AB+
O-
O+

136: About leukocyte adhesion factor responsible
Integrin
Selectin

138: In humans the End product of PURINE metabolism is
A. Xanthin
B. Urea
C. Uric Acid
D. Lactic Acid
E. Pyruvate

Medicine JUNE 2008

1) If a person came to u with infertility and azospermia what would be the best test
a) FSH+LH b) prolactin c) buccal smear d) LH e) testosterone

2) whats Hb H disease??
a) omission of 3 alpha chains of Hb
b) presence of barts hemoglobin
c) requires frequent blood transfusion
3) which one is not the part of brainstem?
a) pons
b) cerebral peduncles
c) cerebellum
d) superior colliculus
e) mesencephalon
4) Radiation affects/causes injury to......
a) cell membrane
b) nucleus
c) cytoplasm
d) mitochondria
5) cerebellar lesion causes
a) adiadokinesia
b) sensory loss
c) motor weakness
d) hypertonia
6) ovarian ca metastasizes early to......
a) lung
b) peritoneum
c) stomach
d) opposite ovary

7) Isthmus of thyroid gland lies against the tracheal rings:
a) 1st and 2nd
b) 2nd and 3rd
c) 3rd and 4th
d) 4th and 5th
e) 5th and 6th

8) Lymphoid nodules are not present in
a) spleen
b) thymus
c) tonsil
d) peyers patches

9) Most common Souce of pulmonary emboli
a) femoral vein
b) popliteal vein
c) periprostatic veins
d) periovarian veins
e) superficial saphenous vein

10) A lady suffered an injury in a RTA and became unable of flex both her leg and thigh. The muscle most likely affected
a) Biceps femoris
b) Rectus femoris
c) Semimebranosus
d) sartorius
e) semitendinosus






11) A child sufferd from repeated episodes of mild jaundice. Diagnosis after his labs showed unconjugated hyperbilirubinemia
a) Dubin johnson syndrome
b) Bile duct obstruction
c) Gilbert syndrome
d) Rotor syndrome

12) A child aspirated a peanut. In which lobar bronchus it must have lodged
a) Left upper
b) Right inferior
c) rt middle
d) rt superior
e) left inferior

13) Left 7th bronchopulmonary segment is called
a) lateral basal
b) anteromedial basal
c) lingual lobe
d) apicoposterior
e) posterior basal

14) The following does not have an associated valve
a) superior vena cava
b) inferior vena cava
c) coronary sinus
d) aorta
e) pulmonary trunk

15) The following is not present in relation to Posterior relations of left kidney
a) quadratus lumborum
b) psaos
c) colonic flexure
d) diaphragm

16) Normal quiet expiration is brought about by contraction/recoil of
a) diaphragm
b) elastic tissue in thoracic and lung wall
c) abdominal muscles
d) sternocleidomastoid

17) A child died of severe pneumonia. At autopsy, the lung shoed Warthin- fikelendenberg cells with many nuclei. causative organism:
a) Ebola virus
b) CMV
c) measles virus
d) rubella virus
e) pneumocystis carinii

18) The following disease most severely affects the esophageal phase of swallowing
a) myasthenia gravis
b) scleroderma
c) poliomyelitis
d) stroke

19) The normal esophagus is
a) 10 inches in length
b) lies entirely in the thoracic cavity
c) consists entirely of skeletal muscle

20) A 26 yr old girl 28 week of gestation developed vomiting...bilirubin 20mg/dl,SGOT 272 and SGPT 220 .2 weeks back she went to meet her parents in a remote village. she has no history of any blood transfusion or past surgery.whats her diagnosis
a) hepatitis A
b) hep B
c) hep c
d) hep d
e) hep e

21) Genes are
a) intron
b) exon
c) DNA
d) RNA
e) ribosome

22) Lymphatic drainage of medial quadrant of breast
a) axillary
b) internal memory lymph node

23) Renal excretion of a drug
a) depndnt on GFR
b) ......

24) Menopause is associated with
a) low estrogen and high FSH and high LH
b) low estrogen and high FSH and low LH
c) high estrogen and low FSH and LH
d) low estrogen and normal FSH and LH

25) A 20 yr old girl with type 1 diabetes is brought to emergency in semi comatosed condition. An injection of insulin given to her will raise her
a) blood sugar level
b) pH of blood
c) urinary excretion of ketones

26) Which one of the Following is terratogenic
a) alcohol
b) coffee
c) heroin
d) Phenothiazine
e) tobacco

27) Lamia propria of vagina is made up of
a) collgen fibres
b) reticular
c) elastic......

28) Which of the following is not forming double peritoneum layer
a) broad ligament
b) suspensory lig
c) mesovarium
d) mesosalpinx
e........

29) Richest in triglycerides
a) chylomicrons
b) LDL
c) VLDL
d) HDL

30) At the end of a marathon race, a person has
a) high insulin and low glucagon
b) high glucagon and high insulin
c) high glucagon and low insulin
d) high cortisol

31) A pts GFR dropped from 100 to 20. If the serum creatinine was 1 with GFR 100ml/min, the new serum creatinine would be
a) 0.5
b) 2.0
c) 5.0
d) 30
e) 20

32) Target tissue of Rickettsia??
a) endothelial cells
b) nervous tissue
c) macrophages
d) muscle cells
e) blood cells

33) Most effected organ by dental radiology-
a) brain
b) thyroid gland
c) lungs
d) heart

34) Which nerve is most likely to damage during 3rd molar surgical removal?
a) mandibular nerve
b) inferior alveolar nerve
c) lingual nerve
d) baccal nerve

35) A patient presented to emergency in a semicomatosed condition after an RTA with multiple long bone fractures with BP 80/50 mmHg. What will u do?
a) volume replacement
b) oral airway
c) tracheostomy
d) splinting of fractures
e)

36) Which of the following drugs is proved to be beneficial in the treatment of Subdural haematoma?

a) Atenolol
b) nifedipine.
c) losartan
d) nimodipine

37) Which of the following tumors in children is due to gene amplification?

a) Neuroblastoma
b) retinoblastoma
c) Wilms tumor


38) Chronic diarrhea can be due to
a) giardiasis
b) crohn’s disease

39) A patient presented with sore throat & fever. blood picture shows atypical lymphocytes. diagnosis is
a) aids
b) infectious mononucleosis

40) Changes in V1 & avf indicates
a) anterior wall MI
b) inferoir wall MI

41) A Patient presented with cysts in liver,cause can be
a)teania solium
b)teania echinococccus

42) 3rd heart sound is due to
a) rapid ventricular filling
b) AV valves closure

43) Following is responsible for CNS myelination
a) shwan cell
b) oligodendrocyte

44) Pt presented in emergency in unconcious sate,,,resport indiactes hematoma in right parietal region, cause is
a) internal carotid artery
b) basilar artery
c) middle cerebral artery

45) Functional residual capacity
a)can b measured by spirometry
b) RV+ERV

46) A Diagnosed case of emphysema presents in emergency with dyspnea, examination shows decreased breath sounds & hyper -resonance,investgation to evaluate cause is
a) chest x-ray
b) ABG'S

47) In adults, spinal cord ends at level of
a) L1
b) L3
c) L2

Perhaps it was middle meningeal artery in the above question

48) Upper end of esophagus is at the level of
a) C6
b) C7
c) T1

49) Fluid having 0.5gm protein/dl
a) CSF
b) Lymph
c) plasma
d) serum

50) Severe blood transfusion reaction will occur
a) A+ given to A-
b) AB+ given to O+

51) In achlasia cardia, there is
a) Decreased resting tone of LES
b) Increased no of ganglia in myenteric plexus
c) Decreased no of ganglia in myenteric plexus

52) Renal clearnace
a) depends on GFR
b) decrease in infants

53) Cerebellum lesion can cause
a) adiadokinesia
b) static tremors
c) hypertonia
d) sensory loss in body

54) A patient presented in the ER with an acute onset of severe chest pain radiating towards the left arm and jaw with a BP of 130/80 mm of Hg.ECG shows ST segment elevation; cardiac enzymes are normal.What is the diagnosis?

a) Acute MI
b) Ruptured Aortic Aneurysm

55) A patient presents with scanning speech & intention tremors, lesion is in
a) cerebellum
b) basal ganglia

56) There were 2 or 3 questions regarding acid-base balance but dont rememer the values..

57) Increase level of erythropoetin is seen in
a) lung carcinoma
b) renal CA
c) cerebellar tumor

58) A young 20yr old guy while climbing stairs had sudden sharp Rt sided chest pain. Cause
a) ventilation-perfusion mismatch
b) blockage of pulm capillary
c) Fall in PO2
d) Fall in atm pressure
e) ……..

59)A pt. on MAO inhibitor is given 1st dose of barbiturate will develop
a) coma
b) insomia
c
d

60) A lady in 3rd trimester comes with hypertension and edema . she has history of seizures . the treatment of choice will be
a) MGSO4
b) methyldopa
c) clonidine

61) Which of the following develop from endoderm ?
a)
b) gonads
c)
d) palatine tonsil

62) Cannon wave is associated with
a) tricuspid regurgitation
b) complete heart block

63) Which of the following property prevent heart muscles from tetanization?
a) rythymicity
b) prolong refractory period

64) A pt. comes to emergency with severe SOB for 4 hours,ecg shows ST elevation , serum cardiac enzymes are not raised , the most likely diagnosis is
a) MI
b) pulmonary emboli
c) retrosternal goiter

65) Jaw angle is innervated by
a )
b)
c)

66) pH 7.3 , pCO2 30 ,hco3 18 , pt. most likely to have (exact scenario not memorized)
a)
b)

67) Half life of a drug is 2 mins , how long it'll take to reach steady state concentration?
a) 4 mins
b) 9 mins
c) 16 mins

68) The pt. is suffering from UTI , the diagnosis is confirmed by
a) urine culture
b) blood culture
c) urine + blood culture

69) The most potent stimulant for erythropoietin?
a)
b) hypoxia
70) The true statement about growth hormone is
a)
b)
c)
d ) its a polypeptide

Medicine March 2008


1] Which one of the following is COX-II INHIBITOR?
A} Aspirin
B} Ibuprofen
C} Indomethacin
D} Meloxicam
E} Piroxicam

2] Which one of the following vitamin deficiency causes HOMOCYSTENURIA?
A} Vitamin B1
B} Vitamin B2
C} Vitamin B6
D} Vitamin B12
E} Biotin

3] Which one of the following structures is present at free edge of LESSER OMENTUM?
A} Bile duct, cystic artery, portal vein
B} Bile duct, hepatic artery, portal vein
C} Hepatic vein, hepatic artery, portal vein

4] A 16 year old boy was given CO-TRIMAXAZOLE for fever, after few hours he developed red color urine, likely abnormality is in
A} Glucose-6-Phosphate deficiency
B} Immune hemolysis
C} Paroxysmal Nocturnal Haemoglobinuria
D} Malaria
E} Sickle cell disease

5] Thiamine deficiency causes
A} Peripheral Neuropathy
B} Pellagra
C} Chelosis
D} Dermatitis

6] Milk is notoriously deficient in
A} Vitamin C
B} Iron
C} Riboflavin
D} Pantothenic acid
E} Vitamin A

7] Dry heat kills the bacteria by
A} Coagulation of proteins
B} Cell lysis
C} Free radical formation
D} Direct killing
E} Oxidation

8] Virus damage the cell by
A} Making the pores in cell membrane
B} Forming free radicals
C} Altering the formation of proteins
D} Nuclear damage
E} using energy for their own metabolism

9] Which one of the following lipoprotein has highest protein content?
A} HDL
B} LDL
C} VLDL
D} IDL
E} CHYLMICRONS

10] All are related to PLATELET FUNCTION EXCEPT
A} Capillary resilience test
B} BT
C} Clot retraction

11] ALLELLE is:
A} Fragmented genes
B} Non-identical genes
C} Structural genes
D} Regulatory gene
E} Autosomal Dominant gene

12] D.I.C is stimulated by:
A} Factor X
B} Factor XII
C} Thromboplastin
D} Factor IX
E} Fibrinogen

13] In parenchymal cells Iron is deposited in the form of
A} Tranferrin
B} Ferritin
C} Heamatin
D} Heamoglobin
E} Lipifuscin

14] a mother is having blood group A+(Ao, DD), father is having blood group B+(Bo, Dd). Which of the following blood group cannot be inherited by their children?
A} A+
B} B+
C} AB+
D} AB-
E} O+

15] The person has suffered the injury to spinal cord leading to HEMISECTION of the cord, the IPSILATERAL sign will be
A} Loss of pain
B} Loss of temperature
C} Loss of sensation of touch and vibration
D} Lower motor neuron paralysis
E} Upper motor neuron paralysis

16] Valve less vessel is
A} Aorta
B} Pulmonary artery
C} Coronary Sinus
D} Pulmonary Trunk
E} SVC

17] A lady has undergone colostomy is now on the TPN. She is prone to develop:
A} Hyperglycemia
B} Hypocalcaemia
C} Hypophosphatemia
D} Hyperviscosity
E} Hypoglycemia

18] Turner syndrome
A} XXY
B} 45XO
C} 46XY
D} XXX
E} 69XX

19] Regarding Von Willbrand disease
A} Autosomal Dominant
B} Autosomal Recessive
C} Some family members have low level of Factor IX
D} Some family members have abnormal level of Factor IX
E} has positive family history

20] Which of the following condition is related to lymphatics?
A} Angiosarcoma
B} Rhabdomyosarcoma
C} Cystic hygroma

21] The condition in which pulmonary trunk fails to divide leading to

A} PDA
B} Truncus arteriosus
C} TOF

22] Basal Cell Carcinoma is located at
A} Lower lip
B} Upper lip
C} Tongue
D} Hard palate
E} Soft palate

23] All are branches of Vagus Nerve except
A} Auricular Nerve
B} Lacrimal Nerve
C} Recurrent Larengeal Nerve
D} Internal Larengeal Nerve

24] Permanent Atrophy is caused by
A} Loss of Innervation
B} Hormonal Deficiency
C} Immobilization
D} Nutritional deficiency
E} blockage of arterial supply

25] Which of the following is not Carcinogen?
A} Alcohol
B} Benzathracine
C} Cyclophosphamide
D} Benzidine
E} Dimethylsulfate

26] The Initial step in APOPTOSIS is
A} Inhibition of P53 genes
B} Activation of BCL-2
C} Activation of Caspases
D} pores formed by lymphocytes

27] Which of the following is content of Cavernous Sinus?
A} Oculomotor
B} Trochelear
C} Abducent
D} Trigeminal (V3)

28] Which part of kidney produces ERYTROPOITEN
A} Macula Densa
B} Peritubular Capillary
C} PCT
D} DCT
E} LOH

29] A patient with signs and symptoms of megaloblasstic anemia. The likely cause is
A Decreased GIT motility
B} Deficiency of intrinsic factor
C} Malabsorption

30] Stimulation to increase Serum Calcium is
A} Hypo-phosphatemia
B} Paratharmone
C} Decreased ECF

31] Malnutrition causes all of the following EXCEPT
A} Pitting Edema.
B} Loss of subcutaneous fat.
C} Failure to thrive.
D} Skin pigmentation
E} Thrombocytopenia

32] Liver biopsy from a patient shows a lesion which comprises of central collection of structure less material surrounded by epitheliod cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen. The most likely change in central area would be:
A} Caseous necrosis
B} Coagulation necrosis
C} Fatty changes
D} Hydropic changes
E} Liquefective necrosis

33] A 28 year fisherman presented with slowly developing lethargy, easy fatigue and palpitations. His diet comprises of fish and rice only. Physical examination: Pallor, Loss of touch sense in both feet and legs Hb: 7.5 gm/dl, Platelet count: 110 x 10 9/L. Reticulocyte count: 0.5%. Stool DR: Ova of Intestinal parasite. The most likely causative parasite is
A} Ankylostomata Duodenale
B} Ascris Lumbricoidis
C} Diphylobothrium Latum
D} Strangyloids Stercoralis
E} Taenia Saginata

34] A 40 year old male after road traffic accident had received massive blood transfusion. He is expected to have all EXCEPT
A} Hypocalcaemia
B} Hypokalemia
C} Hypothermia
D} Left shift of Oxyheamoglobin dissociation curve
E} Metabolic acidosis

35] The endothelial molecules ICAM-1 & VCAM-1 are responsible for
A} Direct endothelial injury
B} Endothelial cell contraction
C} Junctional retraction
D} Leukocyte adhesion
E} Leukocyte margination

36] Eating raw or under cooked meat can cause infestation by
A} Dracunculous Medinensis
B} Echinecoccus Granulosis
C} Liver Fluke
D} Schistosomiasis
E} Tape Worm

37] A pt: has sustained burn that is very painful with blisters. Healing of this burn will take place from which of the following layers of the skin
A} Basal layer of epidermis
B} Keratinized layer
C} Layer of upper dermis
D} Lower dermis
E} Subcutaneous layer

38] A 40 year old male presented with jaundice and generalized itching. His LFT shows Direct Billirubin 11 mg/100 ml, SGPT 75U/L, Alkaline Phosphate 2300 IU/L 500IU/L. The most likely cause is
A} Drug induced jaundice
B} Extra hepatic Cholestasis
C} Autoimmune Hepatitis
D} Alcoholic Hepatitis
E} Intrahepatic Cholestasis

39] The tissue damage by Ionization Radiation is due to
A} Damage to Golgi bodies
B} Formation of free radicals
C} Hydropic degeneration
D} Metaplasia of cell
E} Swelling of cells

40] Formation of free radicals cause by
A} Ionization Radiation

41] Edema of renal origin is most likely due to
Albuminuria & sodium retention
B} Decreased water excretion
C} Hypertension
D} Renal stone
E} Sodium retention by the kidney

42] Increase in Light Chain Immunoglobulins Is the characteristic feature of
A} Endocrine type Amyloidosis
B} Hereditary Amyloidosis
C} Localized type Amyloidosis
D} Reactive Amyloidosis
E} Systemic type Amyloidosis

43] Chemotaxis is caused by
A} C5a
B} C5b
C} Lymphokines
D} Leucotriene B3
E} Opsonins

44] Following are the actions of Archidonic acid metabolites in inflammation EXCEPT
A} Chemotaxis
B} Increased vascular permeability
C} Thrombosis
D} Vasoconstriction
E} Vasodilatation

45] A 65 year old male pt: presented with chest pain for last 30 mins. And has ST segment elevation in LEADS V1 to V4. He is most likely to have
A} Anterior infarction
B} Anterolateral infarction
C} Anteroseptal infarction
D} Inferior Infarction
E} True Posterior infarction

46] A female at 30 wks of gestation has Hb: 9.0 g/dl with normocytic normochromic picture. The blood condition is most likely due to
A} Iron deficiency
B} Decreased bone marrow activity
C} Folic acid deficiency
D} Increased placenta size
E} Plasma Volume Expansion

47] The Sensations of Anterior Triangle of the neck is mediated through
A} C1, C2, C3
B} C1, C2, C3, C4
C} C2, C3, C4
D} C2, C3s
E} C1, C2

48] All are features of IRREVERSIBLE cell injury EXCEPT
A} Karyolysis
B} Karyorhexis
C} Autolysis
D} Shrinkage of mitochondria
E} Appearance of myelin figure

49] A young athlete has difficulty in flexion of knee and extension of hip. Which of the following muscle is likely paralyzed
A} Rectus femoris
B} Sartorius
C} Semitendinosus
D} Vastas lateralis
E} Popliteus

50] In the Aortic opening I the Diaphragm is constricted, which of the following structure will be compressed along with Aorta
A} Azygous vein and Vagus nerve
B} Thoracic duct and Vagus nerve
C} Thoracic duct and Azygos vein
D} Azygos vein and both phrenic nerves
E} Inferior vena cava

51] When the bulbur urethra wil injure, urine will leak into
A} Deep Perineal Pouch
B} Superficial Perineal Pouch
C} Fascia lata
D} Scrotum
E} Ischiorectal fossa

52] The most common site of fertilization in humans is
A} Ovary
B} Uterus
C} Fallopian tube
D} Cervix
E} Peritoneal cavity

53] The initial event in the transfer of RBC to site of inflammation
A} Margination
B} Emigration
C} Pavementation
D} Diapedesis
E} Phagocytosis

54] A semiconscious patient is brought to the emergency room. He has history of taking some unknown drug. NaHCO3 reverses the action of the drug. Which drug the pt. has likely taken:
A} Phenobarbital
B} Phenothiazine
C} Morphine
D} Diazepam
E} Alcohol

55] Within 1 hr of the Acute M.I, which of the following enzyme will be raised?
A} CK-MB
B} LDH
C} Alkaline Phosphatase
D} AST
E} Troponin T

56] Which organelle is not present at axon hillock
A} Microtubules
B} microfilaments
C} Mitochondria
D} RER
E} SER

57] Which is not related to embolus?
A} Liquid
B} Gas
C} Thrombus
D} Amniotic fluid
E} Fat

58] Which of the following muscle compensate for supinator?
A} Biceps Brachi
B} Brachialis
C} Brachioradialis

59] A patient presented with anterior wall M.I Artery involved is

A} LAD

60] Which of the following molecule easily crosses Blood Brain Barrier?
A} CO2
B} H2O

61] Hypervitaminosis A cause

A} Ataxia
B} Anemia
C} Scaly Dermatitis

62] Hypertrophy indicates
A} Increase in size of cell
B} Increase in no. of cell
C} Decrease in no. of cell
D} Decrease in size of cell

63] Diabetic patient using Roziglitazone and metformin. Which investigation for follow up
A} Lipid profile + Renal profile
B} Renal profile + Hepatic profile
C} Renal profile + Hepatic profile + Cardiac
64] If the whole movement of Abduction of arm is lost the likely damage is in the Brachial Plexus
A} Upper trunk + Posterior cord
B} Upper trunk + Medial cord
C} Lower trunk + Posterior cord
D} Lower trunk + Medial cord

65] Cords of Brachial Plexus are named according to Relation with
A} Axillary artery
B} Subclavian artery

66] Myelination in CNS is done by
A} Schwann cells
B} Oligodendrocytes
C} Astrocytes
D} Microglia cells

67] Captopril
A} can be given in large doses in hypertensive crisis

68] Which of the nucleus is NOT related to Facial Nerve?

A} Main Dorsal Nucleus
B} Nucleus of Tractus Solitarius
C} Nucleus Ambiguas
D} Sensory nucleus

69] Platelets
A} Are formed from precursor cells in the bone marrow
B} Has no nucleus

70] Primary auditory cortex is present in
A} Occipital lobe
B} Superior Temporal Gyrus
C} Frontal lobe
D} Prefrontal lobe

71] Patient is suffering from factor VIII deficiency
A} Genetically Engineered Factor VIII is available

72] Most Common cause of Thyrotoxicosis

A} Graves disease
B} Solitary nodule
C} Toxic nodular goiter
D} Diffuse goiter

73] Which of the following is involved in maintaining RESTING MEMBRANE POTENTIAL?
A} Outward Potassium current
B} Outward Sodium current
C} Inward Sodium current
D} Inward Chlorine current
E} Sodium/potassium ATPase Pump

74] Heart sound produced by rapid ventricular filling is
A} 1st heart sound
B} 2nd heart sound
C} 3rd heart sound
D} 4th heart sound
E} 5th heart sound

75] A patient presented with vertical diplopic, head tilting, and also difficulty coming downstairs the likely nerve damaged is
A} Oculomoter nerve
B} Trochlear nerve
C} Trigeminal nerve
D} Optic nerve
E} Abducent nerve

76] Substance has to cross semi permeable membrane in simple diffusion
A} Is not saturable
B} Require carriers
C} Require energy

77] Carcinoma prostate drain into
A} Para-aortic nodes
B} External iliac nodes
C} Internal iliac nodes
D} External and internal iliac nodes

78] Pulmonary capillary wedge pressure is so
A} Catheter used is wedge shaped
B} Is direct measurement of left atrial pressure
C} Is direct measurement of Right atrial pressure

Medicine October 2007

Q.1 Paracetamol.....

a) increases PT
b) its overdose causes Nephrotoxicity
c) is a poor anti-inflamatory
d) is more stronger than codeine
e) causes met-Hb.emia more frequently than Phanacetin

Q.2 ATN is associated with...

a) Hyperkalemia
b) conc. urine in initial stages
c) increase in s.urea but normal s.creatinnine
d)

Q.3 Congenital cataract is associated with

a) chiken pox
b) chromosomal abnormality
c) small pox
d) Rubella

Q.4 MS is characterized by...

a) Lewy bodies
b) Patchy demylination & white fiber gliosis
c) axonal neuropathy
d)

Q.5 All of the following have ability of phagocytosis EXCEPT

a) Microgila
b) Lymphocytes
c) Kuffer cells
d) Neutrophils

Q.6 Pulmonary Arterial pressure increases with..

a) Essential HPTN
b) Sympthatic stimulation
c) Nitroglycerine
d) Excercise
e) Hypoxia

Q.7 in an Asthamtic female,immeditae treatment of HPTN during intra-operative HPTN, is
a) sublingual glycerine trinitate
b) intra.venous nitroglycerine
c) propranalol
d)

Q.8 During giving local anaestheia, the long needle goes far into greater palatine canal,causing anaesthesia of an autonomic ganglion,as a result along with dryness of nasal mucosa also occurs

a) decreased secretions of Parotid
b) decreased secretion of Submandibular & sublingual glands
c)

Q.9 Tissue which has in-ability to replace dead cells

a) Heart
b) Kidney
c) Liver
d) Bone
e) Bowl Mucosa

Q.10 Non-essential amino acid includes

a) Leucine
b) Iso-leucine
c) Methionine
d) Tyrosine

Q.11 Metabolic Alkalosis is caued by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN

Q.12 Glucronide conjugation of drugs
a) causes inactivation of drug
b) is Type 1 reaction
c) makes drug insoluble in water
d) increases its effects

Q.13 A patient having generalized body weakness & numbness,
on investigation he is having Un-conjugated Bilirubinemia,
Hb= 7.4 md/dl MCV..> 120 fl,
the anemia is due to ....
a) Hemolysis
b) Vit B 9 def.
c) Vit B 12 def.
d) Hypersplenisim

Q.14 Tissue with Dual autonomic supply but not reciprocal suuply is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle

Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism

Q.16 In summer,in a fasting man the cause of concenterated urine is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle

Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism

Q.16 In summer,in a fasting man the cause of concenterated urine is
a) ADH
b) No Oral intake
c) Aldosterone
d) increased sweeting

Q.17 A 35 yr old man is having bilateral ptosis of eye during evening since last few weeks,the confirmatory test of the diagnosis will be
a) Tensilon Test
b) Ach Receptor Antibody Test
c) blood culture
d) CT scan Brain

Q.18 if a High Dextrose water is infusion given to a person,it inhibits
a) Cotisol
b) ADH
c) Aldosterone
d) Insulin

Q.19 Parasympthatic supply of Sigmoid Colon is
a) Sacral segments S2,S3,S4
b) Pelvic splanchnic Nerves
c) vagus nerve
d)

Q.20 which does not take part in inflamatory reactions
a) Adrenaline
b) Histamine
c) 5-hydroxy tryptamine
d) Dopamine

Q. 21 Parietal & Visceral Pericardium is supplied by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus

Q.22 A young man had sinjury to the neck with sum sharp object,3 yrs ago,
Now he notices a bulging swelling above the clavicle on sneezing & coughing,
this swelling most probably due to...
a) Injury to deep fascia of neck
b) demage to supra-pleural membrane
c) Un-united first Rib Fracture

Q.23 Middle meningeal artery if ruptured while meinges are intact,the Haemorrhage will be
a) Epidural
b) Subdural
c) Intracranial
d)

Q.24 Dorsal Rami of the cervical nerves innervates
a) Abductor Pollices
b) Extensors of Limbs
c) Extensors of Trunk
d) Stabilizers of Shoulder

Q.25 Muscles of Hand supplied by
a) ventral rami of C-8
b) Ventral branches of T-1
c) Median Nerve
d) Ulnar Nerve
e) Radial Nerve

Q.26 A person has sharp knife injury to upper medial aspect of arm,
after which He is unable to Flex his elbow & having loss of cutaneous sensations on lateral aspect of forearm,
the nerve injured is
a) Median Nerve
b) Axillary nerve
c) Radial Nerve
d) Musculocutaneous Nerve

Q. 27 A Transplant from identical twin is
a) Allograft
b) Heterograft
c) Homograft
d) Isograft
e) Xenograft

Q.28 Therapeutic Index of a drug indicates its
a) Effectivity
b) Efficacy
c) Potency
d) Toxicity

Q.29 Pharmakokinetic interaction among drugs is examplified by :
a) Shortening of action of Procaine by Adrenaline
b) increase peripheral toxicity of Levodopa with Carbidopa
c) increase toxicity of Methotrexate by Aspirin
d) prevention of Nitroglycerine induced tachycardia by Propranolol
e) blokade of acetylcholine receptors by atropine

Q.30 A 30 years old 75 kg Diabetic man with recent diagnosis of Hypertension,
On ECG : Left Ventricular Hypertrophy
s.Urea -- 20 mg/dl s.Creatinine -- 0.7 mg/dl
s.Uric Acid-- 7.5 mg/dl s.Na -- 140 mmol
s. K-- 2.5 mmol s.Cl --- 103 mmol
s.HCO3 -- 23 mg/dl 24 Hr Urinary Proteins-- 30
& Fasting BSL--- 80 mg/dl
The cause is.......
a) Essential HPTN
b) Diabetic Nephropathy
c) Pheochromocytoma
d) Addison Disease
e) Primary HyperAldosteronism

Q.31 Acute Tubular Necrosis is characterized by
a) Hyper-kalemia
b) Initially concenterated urine
c) Metabolic Alkalosis
d) s.Urea is increased & s.creatinine is normal

Q.32 GFR is measured by clearance of
a) Inulin
b) Creatinine
c) Urea
d) Glucose

Q.33 Sarcoidosis is diagnosed microscopically by
a) Granuloma with Asteroid
b) Non-caseating Granuloma
c) Caseating Granuloma
d) Macrophages & Giant cells

Q.34 Multipule sclerosis is characterized by...
a) Lewy Bodies in Neucleus
b) Ptachy demylination with white fiber gliosis
c) Axonal degeneration
d)

Q.35 What is INAPPROPRIATE about Vagus Nerve..
a) its longest Cranial Nerve
b) passes in between IJV & ICA
c) passes posterior to Carotid Sheath
d) Gives Recurrent Laryngeal Nerve
e) gives Superior Laryngeal Nerve

Q.36 Thymus is
a) Rich in Lymphocytes
b) Present at birth but shorly regree after birth
c) derived from 4th Pahryngeal Pouch
d) is a part of Thyroid
e) Lies posterior to Trachea

Q.37 True statement about Down Syndrom is
a) Trisomy 23
b) contains single X chromosome
c) more chances with increasing maternal age

Q.38 Kleinifilter syndrome
a) contains single X chromosome
b) less chances of Mental retardation
c) phenotypically female

Q.39 Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa

Q.40 At 35 weeks of Gestation,in sample taken from amniocentesis,
there is increased Alpha-Fetoprotein,its most probable cause is..
a) Down syndrome
b) Turner syndrome
c) Spina Cystica
d) Hydrocephalous
e)

Q.41 Thoracic Duct....
a) recieves Lymph from both right & left sides
b) lies in posterior mediastinum
c) passes just right to the thoracic aorta
d) extends from upper abdoment to neck
e) has a dilatation called Cisterna

Q.42 Rate of passage of food in esophagus depends upon
a) Gravitational Force
b) Neuromuscular excitation different @ upper & lower oesophagus
c) progressive peristalsis in esophagus
d) Acidity

Q.43 @ Leprotomy Retroperitoneal Abscess was found,the site woud be
a) Stomach
b) Sigmoid Colon
c) Transverse Colon
d) Ascending Colon
e) Small intestine

Q.44 Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum

Q.45 A patient having Facial deviation along with loss of sensations on anterior 2/3 rd of tongue,the leision lies in
a) Facial Canal
b) Internal auditary meatus
c) Facial Nerve Nucleus
d) Stylomastoid Foramen

Q.46 All are the branches of Vagus nerve EXCEPT
a) Auricular
b) Lacrimal
c)Pharyngeal
d) Recurrent Laryngeal

Q.47 Following nerve lies in the Cavernous Sinus
a) Opthalmic
b) Occulomotor
c) Abducent
d) Trigeminal

Q.48 In a Pituitary Adenoma,the Bitemporal Hemianopia occurs due to leison of
a) Central part of Optic chiasma
b) Optic Nerve
c) Optic Tract
d) peripheral Part of Optic chiasma
e) Lateral Geniculate body

Q.49 Muscle of Forced Expiration is
a) Internal Intercostal
b) External Intercostal
c) Sternoceidomastoid
d) Scalenus Anterior
e) Scalenus Medius

Q.50 Na Retension is associated with
a) Dehydration
b) increase ADH
c) Decreased Aldosterone
d) Heart Failure
e) Hyperthyroidism

Q.51 Von-Willebrand Disease is
a) Autosomal Dominant
b) Autosomal Recessive
c) in some family members asoociated with Factor IX deficiency
d) in some family members associated with normal Factor IX

Q.51 A male wd A+ (Ao,DD) Blood group, married to a female having
B+ (Bo,Dd ) blood group,children can have all blood gp EXCEPT
a) AB +ve
b) AB -ve
c) A + ve
d) B +ve
e) O -ve

Q.52 Vital Capacity
a) measured directly by Spirometry
b) is decreased in some Lung diseases
c) is the sum of Tidal Volume+ERV+IRV

Q.53 When a branch of Pulmonary Artery is blocked by embolus,following Lung function increases
a) Alveolar Co2
b) Alveolar O2
c) Pulmonary artery O2
d) Pulmonry artery Co2
e) Ventilation Perfusion

Q.54 Difference between Adenoma & Hyperplasia is
a) increase in size of cell
b) increase in No. of cells
c) Capsule
d)
Q.55 In a CLD patient presenting with Haematemesis,the preferred immediate treatment is
a) Octeriotide
b) Vit K
c) formed Platelet Conc.
d) PPI
e)whole blood
Q.56 Among most important initial steps in apoptosis
a) Activation of Bcl-2 Receptors
b) Activation of Caspases
c) Water influx into the cell
d)
Q.57 After a trauma, a person has inability to stand from sitting position,
the nerve demaged is
a) Infragluteal
b) Supragluteal
c) Schiatic
d) Femoral
e) Obturator

Q.58 About K - Regulation , following is correct
a) K is 98% in the cells
b) normally completely reabsorbed in Distal tubule
c) increase water affects K-balance
d) decrease in D.K

Q.59 A man with persistant fits without regaining consciousness for 30 minutes,
the immediate treatment is with
a) Carbamazepine
b) Valporate
c) Lorazepan
d) .......
Q.60 An unconsious man with pin-point pupils not responding to Naloxone,the probable cause is
a) Heroin
b) Hasheesh
c) Morphine
d) Phenobarbitone

Q.61 Stomach gets its arterial supply from all EXCEPT
a) Ceiliac artery
b) Splenic Artery
c) Superior Mesenteric Artery
d) Hepatic Artery

Q.62 The Hormone which stimulates release of HCO3 from Pancreas without stimulating pancreatic enzyme secretions,is
a) CCK
b) Secretin
c) Gastrin
d) Pepsin
e) Mucin

Q.63 Supra-Renal Gland arterial supply
a) recieves all braches directly from Aorta
b) recieves blood from 3 sources
c) recieves branches from both renal arteries
d) recieves blood from inferior phrenic artery

Q.64 Stenson's duct
a) arises from posterior surface of Parotid
b) pierces the Buccinator muscle
c) opens in the oral cavity against ....

Q.65 Which infection is not caused by DNA virus
a) Chicken Pox
b) Herpes Simplex
c) Herpes Zoster
d) Mumps
e) Small Pox

Q.66 On examination of a female,a plaque like leision seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart

Q.67 About CSF most appropriate statement is
a) it is ultrafilterate of Plasma
b) has more glucose than blood
c) has cushioing effect
d) absorbed in Choroid Plexus

Q.68 On standing from a sitting position,@ apex of lung there is increase in
a) Blood Flow
b) Ventilation
c) pO2
d) pCO2

Q.69 Metastatic Calcification occurs mostly in
a) Kidney
b) Bone
c) Lung
d) Intestine
e) Pancreas

Q.70 Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity

Q.71 A female underwent Gastrectomy for Zollinger-Ellison Syndrome,given Parenteral Vit B-12,
the inability to absorb B-12 is due to loss of...
a) Parietal Cells
b) Gastric Cells
c) Cardiac Ceells

MEDICINE Q's July 07 Part-1

1) What structure is located superio-posterior to pituatory fossa
Mastoid air cells
Ethmoid sinus
Sphenoid sinus

2) Which Lung function Test is diagnostic of Asthma?
FEV1
FVC
FRC
RLC

3) Bee sting, shock like condition of a child, flushed, what mechanism is involved
Type 1 reaction
Type 2
Etc

4) What sensory receptors sense VIBRATION?
Pacinion corpuscles
Ruffini
Etc

5) Cause of anemia in Pregnancy
Fall in Hb
Decreased heme
Volume Expansion.

6) Cut to the postero lateral area of FOREARM near the head of Radius, a nerve is cut, cant appose thumb, no sensory loss, difficulty (I guess extending) thumb, injury to
Radial
Median
Ulner

7) Structure not passing through FLEXOR RETINACULUM of forearm
Ulnar nerve
Median Nerve
Flexor policis longus
Etc

8)Cause of SQUAMOUS METAPLASIA in a 38yrs old lady
Multiparity
HSV infection
IUCD

9) Mild CCF symptoms, Monotherapy to be prescribed
ACE-I
Thiazide
Frusimide
Ca Channel blockers

10)Pregnancy Induced Hypertension, Rx?
Methyldopa
11) Side Effects of ACE inhibitors
Hyperkalemia
HypoKalemia
Hypercalemia
Hypocalcemia

12)BARRETT’S Esophagus, whats the cause?
Loss of Myenteric nerve plexus
Failure of relaxation of LES

13) Which is not a branch of VAGUS
Lacrimal Nerve

14) Volume of Distribution, Defination?

15) First pass Hepatic Metabolism, Basic concept.

16) Branches of BASILAR Artery

17) Vertebral Artery Branches. Like, which is a branch of it.
(Circle of Willis was a hot thing this time, more than 3 Q)

18)Which of these form Circle of Willis
Post communicating artery
Vertebral A
Basilar A

19) RENIN ANGIOTENSIN System
Mechanism of Aldosterone release, the basic concept.

20)Body concerves body water by
ADH release
Cortisol release
Aldosterone

21) METAPLASIA, Defination.

22) HYPERPLASIA Definition.

23) VOLUME DEPLETION, Which mechanism is activated
Renin angio aldo system
ADH
Etc

24) Which drug has a n ATROPINE LIKE ACTION
Physostigmine
Scopolamine

25)Old obese Diabetic, newly diagnosed, choice of Rx?
Biguanides
Biguanides plus sulphonylurea
Insulin

26) BARRETT ESOPHAGUS can lead to:
Adenocarcinoma esophagus
Adenocarcinoma Stomach
Sq carcinoma Esophagus
Stricture

27) Location of PSEUDO STRATIFIED SQUAMOUS Epithelium

28) STRATIFIED SQUAMOUS Epithelium, characters

29) Pseudo Stratified COLUMNER CILIATED Epithelium, Location?

30) Histological section of a lymphoid tissue, a cortex and a medulla seen, and some ?ducts visible, Identify.

31) Which cells cannot PHAGOCYTOSE
Kuffners cells
Mast cells
Monocytes
Polymorphs

32) SENSORY RECEPTERS in Joints

33) Complement system is activated by the interaction of ?some factor with
A (cant remember the options)
B
C

33) Most Important use of ECF
Excretion of CO2 from body
Electrolyte exchange
Cell nutrition

34) Reasons for susceptibility to infections in AIDS
Decrease in CD4 count
CD8

35) HAIRY LEUKOPLAKIA is seen in
Fungal infection
HIV
Etc

36) Following PARTIAL HEPATECTOMY, remaining part can regenerate in
10 days
15-25 days
5 weeks
7 weeks

37) Which drug binds to COX-2 recepters and not to COX-1
Aspirin
Indomethacin
Piroxicam
Meloxicam
Ibuprofen

38) What is transmitted through corpus callosum.

39) What is the result of a lesion at the OPTIC CHIASMA

40) What structure is Not related to OPTIC TRACT?
Lateral Geniculate body
Medial ~

41) Area of brain affected in BITEMPORAL HEMIANOPIA

42) CSF pressure is increased when what structure is blocked :
Internal Jugular vein
Common carotid

43)Functions of CEREBELLUM

44) Venous drainage of the HEART
Anterior cardiac sinus
Inferior vena cava
Cardiac vein

45) RIGHT HEART BORDER is formed by
RA
RA+SVC
RA+RV

46) CIRCUMFLEX ARTERY supplies
LA LV
Apex
LA
L auricle

47) Whats correct regarding HEART?
Atria and Ventricles contract simultaneously.
Contraction starts from Left apex
Left Atria is 3 times larger than Right atria.
Left atria is 1st to contract
Excitation passes from Atria to Ventricles directly.

48) What structures are present in the free border of the LESSER SAC
Cause of abdominal angina, occlusion of:
Superior Mesenteric A
Inferior Mesenteric A

49) Lymph Nodes involved in Ca CERVIX are?

50) Ca Cervix is caused by:
IUCD
HSV
HIV

51) Sympathetic stimulationof Beta recepters causes
Bronchial dilatation

52) Mix lesion of loss of pain and Temperature of one side and Proprioception of the other side, whats the cause/where is the lesion.

53) In Cervical part of spinal cord, whats deficient?
Grey matter
White matter
Anterior Horn
Lateral horm
Posterior horn.

54) In REM sleep, the following happens:
Dreams
Sleep Walking.

55) Lesion in the Broca’s area:
Can’t write
Can’t speak except in few words

56) Surfactant:
Decreases compliance
Decreases when alveolar size decreased
Has a low turnover rate

57) An athlete at rest:
Increased Stroke rate
Increased cardiac output
Increased Heart rate

58) H-K-ATPase pump is blocked by
Omeprazole
Cimetidine
Bismuth

59) Murmur of MS best heard at
Apex
Tricuspid area
Etc

60) In Hypertension, Renin release is mediated by
Renal artery dilation
Na in distal limb loop of Henle

61) Vasodilation is mediated by
Histamine

62) Tidal Volume is a part of which capacity

63) Pneumoconiosis, whats the differenciating lesion
Fibrosis
Pleural plaques

64) Mesothelioma:
Pleural Plaques

65)Asthma, which investigation is diagnostic: (BRS-Physio Page 136 to confirm)
Decreased Fev1
Decreased FRC

66) Thellasemia, Where is the defect – in Heme or Globin

67) CCF, raised Ph, carbon dioxide 44mmhg, Hco3 raised.
Whats the metabolic disorder.

68) Histology of nephron, which part is in the medulla
Loop of Henle
Collecting duct

69) Infusion of I/V dextrose, how will body respond
Decrease in insulin release
Increase in Glucagon
Cortisol release
Somatostatin release

70) Bone lesion in the elderly, bone matrix is being eroded, which hormone is responsible

71) CRF, Hypertension, which of these changes CANNOT happen:
Raised Potassium
Decreased Calcium
Decreased Hb
Decreased Po4

72) Release of ADH happens under what circumstances,
(Basic concept)

73) Acid is released in stomach when
Proteins are ingested
Fat
Carbohydrate

74) Crohn’s disease, differenciating lesion from UC:
Perianal disease
Etc

75) Appendicitis, on lab test major finding :
Raised TLC
Water levels in R Iliac fossa

76) Polypeptide hormone:
Growth Hormone
And 4 steriod hormones mentioned

77) Protein synthesis in secretory cells:
RER
SER
Golgi A

78) Peroxisomes release:
Hydrolysing enzymes

79) Hormone/s responsible for BREAST ATROPHY
E
P
E+P

80) Dumb Question>>
Which Hormone is responsible for respiration during the leutinisation phase
FSH
LH
E (Do leave a comment if you think this Q makes any sense)
P
LH

81) Hashimoto’s Thyroiditis (Scenario given), whats the cause?

82) Pheocromocytoma, whats the treatment?
Alpha blockers
Beta blockers
Both Alpha+ Beta.

83) Hypertension, Increased Na, Decreased K, whats the reason
Ans: Hyperaldosteronism

84) Non Anionic Gap Metabolic Acidosis is seen in

85) Effects of Insulin on body fat deposits/metabolism

86) Gametogenesis

87) Modes of inheritance, ( 2+ questions were there) Like which is what. Autosomal Dominant was asked

88) Autosomal Recessive disorders are:

89) Wheat contains which vitamin/mineral

90) Child having diarrhea, has been on glutin free diet for 8-10 days. Whats the diagnosis
Shigella
Whipples
Celiac disease

91) Young girl with emlarded clitoris
Androgenital syndrome
Down
Etc

92) An old man hit by car bumper> #fibula, which nerve is affected.
Ans: common paroneal

93) Knee fully extended, in a locked-in position, which nerve is affected.

94) Right foot in the air, Left pelvis sinks down, which nerve is affected?
L Superior Gluteal Nerve (correct)
R Superior Glut
L Inferior Glut
R Inferior Glut

95) About Ca Colon,
Right sided present early
Cause is increased fat intake, low fibre (correct)

96) Man, previously had a disorder in U bladder, now came for follow up and is found to have Ca, whats the cause:
Nitrosamine
Schistosoma

97) Lateral quadrant of breast drains into which group of Lymph node.

98) CA anterior 2/3 tongue, which group of lymph nodes are involved:
L anterior superior submandibular
R
L Post Sup submandibular
R post sup submandibular.

99) Chorda Tympani, course.
Option: joins lingual nerve when exits skull.

100) About Lacrimal gland,
Is located in lacrimal fossa on the lateral side
Both glands drained by single duct.

101) Lacrimal duct opens at:
Superior
Inf
Middle
Spheno ethmoidal recess

102) In pure motor stroke, which area is involved

103) Functions of Corpus callosum, Globus pallidus, Putamen.

104) A patient on a psychiatric drug, side effects mentioned, which drug is responsible.
Clorpromazine
SSRI
Etc

105) A man, around 35 brought to emergency, sweating, salivation, Heart rate 45, BP 60/40, whats the treatment.
Atropine (correct) (Organo phosphate poisoning.)
Lignocaine
Digoxin

106) This area is normally resonant to percussion
2-4 Intercostal space on Right
2-4 Intercostal space on Left
5-6 I/c space on Right
5-6 I/c space on

107) Boy, age 10, history of trauma to chin 2 years ago presents with inability to open mouth fully, cause?
Sub mucous fibrosis
Misplaced Injection
Ankylosis of TM joint

108) Vitamin raised in disturbed homocystine metabolisma.B1.b.B6c.B12
109)Vit B 6 involve ina.oxidationb.reductionc.Carboxylation
110) End product of Purinea.uric acidb.urea
111) Miscellesa. contains more Triglyseridesb.absorb fats in duodenum
112) Chemotherapy causesa.degenerationb.apoptosis

113) Corpus callosum containsa.commisural fibersassociation fibers
114) Aphasia a.paralysis of muscles of palate/toungueb.due to damage of frontal cortex in dominant hemisphere
115) Tabes dorsalis causes bladder incontinence due to a.Atonic bladderb.automaticc.neuropathic
116) Dopamine regulates a.Prolactineb.Somatostatin
117) Neurotransmitter related to emotionsa.ACHb.Norepinephrinc.glutamted.Dopamine
118) Proencephalin is abnduntly found ina.Basal ?Gangliab.Cerebellumc.Thalmus
119) Regarding pul. circulationa. resistance is (dont remember % or ratio) less than systemic circulation
120) During Ventricular ejectiona. min pressure difference b/w Lt. Vent. and Aorta
121)Facial nerve/chorda tympani?( dont exactly remember)a. supply mucus membrane of int. earb.gives secretomotor fibers to Parotid gland
122)Disease of cervix inolves lymh nodesa.Int. illiacb.Int. n ext. illiacc.depp inguinald.Para aortic
123) prostate CA which lymph nodes be involveda.Int.illiacb.Para aorticc.Deep Inguinal
124) Radiotherapy effect the most a.ovaryb. Ut. tubesc.uterusd.cervix
125)CSF showing raised neutro,proteins ,low glucose .which drug to givea.ceftriaxoneb.rifampicin
126) Insensible lossoesa.200-400b.500-600c.800-1200127) Pri. opsonin in classic pathwaya.C5ab.C3ac.IgGd.C3b
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