Q. Which neurocyte play an important role in blood brain barrier a) Astrocyte b)Ependmyls c) Microglia d) Oligodenroglia e) Macroglia 2. Q..

I respiratory tract exchange of gasses occur at a) respiratory bronchioles b) Alveolar duct c) alveoli d) alveolar Sac e) alveolar duct 3. Q..At the time of Ovulation a) increase body temprature b) corpus luteum form on the ovary c) increase estrogen d) increase progestron 4. Q.. In the first step of thyroid harmone synthesis iodine attach with a) Albumin b) thyroxin c) thyroglobulin d) hb 5. Q.. Antibodies formed in a) Thymus b) Plasma cells c) Lymphocytes d) Spleen e) liver 6. Q.. A man lying naked at operation table with room temprature 21.5 C and 80% humidity by which mechanism heat transfer from body a) By Veporization b) Radiation and conduction (ans) c) sweating d) respiration e) urine 7. Q..what is the best way of communication between a patient and doctor a) A clean room b) Active Listening (ans) c ) speak Loudly d) well furnished clinic 8. Q.. A man is diagnosed by a fatal illness which has v poor prognosis as a doctor what will u do a) Hide every thing b) tell the nature of illness to patients family only c) tell the nature of illness to patient and his family only d) tell the nature of illness only to the patient e) Give crispy and evidence based whole information of the illness to patient (ans) 9. Q.. features distinguishing between benign from maliganant tumor is a)metastasis (ans) b)invasive n infiltrative margins c)analpsia d) Metaplasia e) Hyperplasia 10. Q..Child with skin itching..stool examination reveal worms.. presence of which cell will aid in diagnosis a)basophils b)eosinophils (ans) c)lymphocytes d) Granulocyte e) Neutrophil 11. Q)which carcinoma do not SPREAD to bones a) thyroid medullary carcinoma b)breast c)prostate d) lung e) Liver (ans) 12. Q..A patient receives radiotherapy for Squamous Cell Carcinoma, some time later the there is scarring & ulceration to the skin because of: a- Damage to the squamous epithelium b- Endarteritis obliterans c- infection d- venous thrombosis e. 13. Q..A tumor with all germ layer involved: a) Teratoma (ans) b) Adenocarcinoma c) Hamartoma d) Sarcoma e) Seminoma 14.Q..The most significant agent in causing Cerebral Malaria: a)P.vivax b)P.Falciparum (ans) c)P.malarae d)P.Ovale e)P.Vivax + P. Ovale 15.Q.The vibration produced in intraventricular septum during rapid filling of the ventricle is the: a)1st Heart sound b)2nd Heart Sound c)3rd Heart Sound (ans) d)Murmur e)4th heart sound 16.Q..Patient with terminal ileum resection will have: a- loss of bile salts (ans) b- large volumes of water in stool c- decrease absorption of aminoacids dDecrease absorption of Protien e) Iron deficiency 17.Q.. Which of these are Permanent Cells a- Myocardial Cells (ans) bglial cells c- hepatocytes d) lymphocytes e) Osteocytes 18.Q.Athlete is unable to rotate his foot medially bt turns easily laterally.cause is damage to... a.ext haluucis longus nd flexr hallucis longus b.tibialis anterior nd hallucis longus c.tibialis posterior nd extnsr hallucis longus d.tibialis ant nd flexr hallucis longus 19.Q..In which hemolytic amenia splenectomy is the treatment a) autoimmune hemolytic anemia b) G6PD deficiency c) heridatory Sephirocytosis d) Sickle cell anemia 20.Q..cardiac muscle cannot be tetanized because it has a) action potential with plateau b) gap junctions C) long duration of contraction d) long refractory period e) automaticity 21.Q..A patient with a lesion in the nose,granulomas n proteinuria with vasculitis histology show nacrosis,most likely lesion? A) Wegner's granulomatosis B) leprosy c) sarcoidosis D ) TB 22.Q. To calculate plasma Osmolarity Na is multiply by 2 for what a)Anoins b) Other Catoins c)Protiens d) Glucose e) Aminoacid 23.Q..Morphine causes ? A) bradypnea & miosis B) bradypnea & mydriasis C) tachypnea & miosis D) tachypnea & mydriasis 24.Q.Which of the following bone is first to ossify ? A) sternum B) clavicle C) humerus D) femur 25.Q. Anterior fontanela close at ? A) 6 - 12 months B) 12- 18 months C) 18- 24 months D) 24- 30 months 26.which of the following is not in ant. relation to left kidney a) diaphram b) pancreas c) stomach d) spleen e) Splenic flacture of colon 27..Q.Cyclic Amp represents ? A) protein pump B) Ion channels C) receptors D) hormone 28.Q. LIver held in its position with ant. Abdominal wall By? A) diaphgram B) peritoneal ligaments C) inferior vena ceva D) Hepatic Vien 29.Q.Cause of right shift of oxygen dissociation curve ? A) carbon monooxide B) fetal hemoglobin C) decrease PH D) increase PH 30.Q. Which componant of food has highest caloric value ? A) carbohydrates B) protiens C) fats D) starch 31.Q. Specificity of a test represants ? A) true positive B) true negative C) false positive D) false negative 32.Q..A 80 yr old male comes to surgical OPD ,with complaint of watery discharge coming out from umbilicus ,he has a prostatic enlargement for the last 5 yrs ,what is the cause ? A) prostatic cancer B) patent vitelointestinal duct C) patent urachus D) constriction of uretheric sphnicter E) constriction of ureter 33.Q..Post operative Pyrexia may occur secondary to: (A): Subphrenic Abscesss (B): Deep Vein Thrombosis (C): Urinary Tract Infection (D): Atelactasis (E): Blood Transfusion 34.Q..Aneamic pt ,hb 6.0, increased PLT count & hyperplastic bone marrow .Cause ? a) acute blood loss b) hemolytic anemia c) iron deficeincy d) leukemia 35.Q..In anterior Duodenal perforation , the contents will go to a) Right iliac fossa b)Left Iliac fossa c)Anterior subhepatic space d)posterior subhepatic space e) small bursae 36.Q..pt can survive without mechanical ventilation if the lesion is at: a) Above C 2 B at C 3 C) at C4 D) Below C 5 37.Q..60 year old man has bilaterall enlarged lymph node in neck. biopsy revealed hodgkin lymphoma. which type of hodgkin has good prognosis? a) lymphocytes deplited B) lymphocyte predominant C) nodular sclerosis D) mixed cellularity 38.Q..old pt admitted in ICU with CVP passed in subclavian, developed fever. for that one blood cs sent from periphery and second in cvp tip for cs. after 2 days initial report came positive for gram +ve cocci in cvp. which antibiotic would b best for this pt. a) imepenem b) penicillin with culvanic c) vacomycin d) cefelosporins 39.Q..increased parasympathetic stimulation wiil cause relaxation of a.gut walls b.brochial smooth msc c.GIT shincters d.urinary bladder msc e.pupillary shincter 40.Q.the fibrous pericardium and serous pericardium receives innervation from a)vagus nerve b)phrenic nerve C).intercostal nerves d) Long Thoraxic nerve 41.Q.Posterior relation of Arch of Aorta? brachiocephalic vein sup vena

cava right phrenic nerve left phrenic nerve pulm artery 42.Q..leison of pyramid at medulla cause . Balancing .motor loss .propeception . Discrimination loss 43.Q.secondery transport a. urea b. protien c. amino acid d. glucose 44.Q..Disinfectant use for surgical scrub and plan is a. cholhexidine b.alcohol C. spirit d) 45.Q.Gall bladder epithelium is a) Pseudostratified columner epithilia b) Simple saquamos c) Simple columner d) Simple Cuboidal 46.Q. bleeding disorder associated with deficiency of factor VIII, and absolute F vIII is not availibe what will u give a. platelet transfusion b.cryoprecipitate c.fresh whole blood transfusion d.Albumine 47.Q.thymus a. contains lymphos b. regresses soon after birth c. forms from 4th pouch d. drive from pretracheal fascia 48.Q. Triglycerides a. transported by lipoproteins b. 3 fatty acids having glucose 49.Q. Which type of joint is Pubic Symphysis 1. Sydesmosis 2. Fibrocartilagenous 3. diarthrosi 4. ? 5. ? 50.Q.First bone to ossify in embryo is 1. clavicle 2. femur 3. Sternum 4. Humerus 5. Tibia 51Q.What is correct regarding surfactant 1. Highest concentration in amniotic fluid is in last trimester 2. It decreases lung compliance 3. It forms a layer between maccro molecules 4. it is produced by Type 1 pneumocytes in the last trimester of pregnancy 52.Q. Its production decreases as the size of alveoli decreasesprostacyclin is produced by 1. Peyer patches 2. Mast Cells 3. Fibroblasts 4. Endothelial Cells 5. Platelets 53.Q.Which activates thirst center 1. ADH 2. Aldosterone 3. Renin 4. Angiotensin 5. ANP 54.Q. Heparin is produced by 1. Plasma Cells 2. Basophils 3. Mast Cells 4. Mesenchymal Cells 5. Fibroblasts 55.Q.Which one of the following is the pre cursor of malignancy 1. Barret Oesophagus 2. Duodenal Ulcer 3. Gastirc Ulcer 4. Angiodysplasia 5. Haemmorhoids 56.Q.In ECG what represents a T wave. 1. refractory period 2. ventricular re polarization 3. atrial systole 4. Ventricle diastole 5. Atrial re polarization 57.Q. A new borne presented with tachypnea O/E there is decrease breath sound on left side normal breath on right side, chest x ray show gut loops in left side of the pleural cavity what is the likely cause? a) defective pleuropericardial membrane b) atresia of lower esopahagus c) defective pleuroperitoneal membrane d) Hitus hernia e) Dextrocardia 58.Q.A patient with tumor in the Right Superior bronchus which segment is likely to be collapsed: a- Apical Superior b- Apical Basal c- Superior Basal d- Left apical lobe 59.Q.Pt presented with severe burns ,and comes few days later with Infection and blood diathesis, brusis on the body and died What was cause of death: a- Liver failure due to septecimia b- DIC c-Dehydration d-Renal Failure e- 60.Q.a soldier from balochistan with fever since 3 months and hepatsplenomegaly gives h/o of sleeping on ground and often biten by flies a kala azar b fliariasis c malaria d. Schistosomias 61.Q. Child with vomitting, yellow discolaration of sclera,dark coloured urine. Most appropriate investigation will be ... a)hep A n B Serology b)serum bilirubin n ALT c)Alkaline phosphatase d)Total bilirubin 62.Q. CSf reabsorption most appropriate a- Arachnoid vili bChoroid plexus 63.Q. A person has glucosuria but his blood sugar is 100 mg/dl.what was the cause ,... a. decreased absorbtion of glucose from proximal convulated tubules b.dec thershold for glucose in kidney c.pt is diabetic d. abnormally decreased reabsorption of glucos 64.Q. main supply of head of femur in adults a- obturator artery b- medial and lateral circumflex femoral c- d- e- 64.Q. In stress,level of all hormones increases except a,growth b,adh c,cortisol d,aldosteron e) Insuline 65.Q.Difference b/w septc and hypovolumic shock., . temperature heart rate respiratory rate pallor hypotension 66.Q. A female was found to hav decreased calcium levels and increased phosphate and serium parathyroid hormone increased and alk. Phosphate is normal. cause may be a,hypoparathyroidisam b, chronic renal failure c) Osteomalacia e, psudohypoparathyroidsm 67.Q. isolated damage to anterior cruicate ligament leads to displacement of tibia on femur in which direction? a anterior b anteriomedial c anterolateral d posterior. 68.Q. foot drop nd loss of snesation on dorsum of foot following fracture of neck of fibula a.tibial n b,commen peronial nerve c.post tibial n d,sciatic nerve 69.Q.patient with anemia and jaundice has raised alkaline phophatase in his blood ...diagnosis a cholestrol stones b pigment stones c cholengiocarcinoma d acute hepatistis e. blood malignancy 70.Q.14 year old girl with menorhagia and pale looking has presented with purpura her labs show platelete 20k and bone marrow shows megakaryocytic hyperplasia Dx a. ITP b. TTP c ... d ... e ... 71.Q.therapeutic as well as toxic effect of loop diuretics is a metabolic acidosis b hyperkelemia c decrease bld pressure d. Increase in Na+ e........... 72.Q.a patient with pyogenic lung abscess develops meningitis causative agent? a streptococcus b staphylococcus c klebsiella d haemophilus influ e. pneumococci 73.Q.What is most appropriate abt thyroid gland... a)parathyroid lies on superolateral surface b)epithelium change acc to function c)isthmus lies above cricoid cartilage d).. * .. 74.Q. which of the following structure is buried in lateral sulcus of brain ? a.sebiculum B.operculam C.pars triangulris d. Insula e. splenium 75.Q.external jugular vein ... a. it pireces investing layer of deep cervical fascia at border of sternocleidomastoid b. It doesn t receive any tributaries ... c. formed behind angle of mandible Form on surface of sternocleidomastoid behind angle of jaw d. form by union of post div of retromandibular vein n postauricular vein 76.Q.organism with florescent pigment and resistant to antibiotics and disinfectants a pseudomona b bacteroides c trepnema d...... e......... 77.Q.Median urachal ligament is a remanant of a)umblical artery b)umblical vein c)urachus d) mesonephric duct 78.Q. Subarachnoid space end at level of a)L1-L2 b)L3-L4 c)L5 d)S2-S3 79.Q.A disorderly growth with change in size shape maturation. Which is also reversible a)anaplasia b)metaplasia c)dysplasia d)neoplasia 80.Q. which of the following is responsible for the net reabsorption of sodium in the kidney? a. aldosterone b. atrial natriuretic peptide c. Renin angiotensin system d. aldosterone and ANP 81.Q.which is the short term iportant effect of angiotensin II? a. vasoconstriction b. stimulation of the thirst center 83.Q.asthmatic pt ph 7.33, co2 48, hco3 25 ? a repiratory acidosis with renal compensation b resp alk c met aci d met alk e respiratory acidosis without renal compensation 84.Q.a women is given

multiple transfusions of blood before and after the surgery, what will the ECG changes, her ECG doesn t show any ischemic changes? a hyperkalemia b hypercalcemia c Infrective endocarditis d 85.Q.Regarding epithelia and glands a) An endocrine glands is marked by the presence of number of ducts b) The simple squamous epithelium found at places where exchange of gases take place c) Halocrine type of secretion in mammary gland d)Most of respiratory tract is lined by transitional epithelium 86.Q.pulmonary capillary wedge pressure a)indirectly measures left atrial pressure b)indirectly measures right atrial pressure c)is named because of wedge shape of catheter d) Increase pressure across tricuspid valve 87.Q.In autosomal dominant disease a).both parents of affected child have the disease b)only one parent of affected child has the disease c)only male are affected from diseased parent 88.Q. Bio-availability is a factor, which route of administration of drug highly affects? a-oral b-iv c-sc d-im e-sub lingual 89.Q. edema is caused by : a)Decreased hydrostatic pressure b)Increased osmotic pressure c)lymph obstruction 90.Q.most of the lymph is filtered by : a)peyer's patches b)lymph nodes c)spleen d)thymus 91.Q.Volume of distribution of drug not affected by a)age b)gender c)Sex d)cardiac failure e)pregnancy 92.Q.Infusion of large amount of dextrose in water.wht wd b inhibited a)ADH b)aldosterone c)vasopressin d)cortisol e)insulin 93.Q.The transitional epithelium lining the urinary bladder is derived from (A) ectoderm (B) endoderm (C) mesoderm (D) endoderm and mesoderm (E) neural crest .. 94.Q.clostridium botulinum specific symptoms in food poisoning... a.diarrhoea b.flacid paralysis of respiratory muscles c.projectile vomitng d.Convulsions 95.Q.ant triangle of neck is supplied by... a. C1. b.C2 nd C3 c.C3 nd C4 d,C4 96.Q.cavernous sinus cavity contains which nerve... a. Optic Nerve b. Occulomotor nerve c. Troclear Nerve d. Abducent Nerve e. Glossopharyngeal nerve 97.Q.41 percnt hematocrit means a) 41% of formed elements r rbcs. b) 41% of blood volume is rbcs,wbcs n platelets.. c) 41% of blood volume is serum. d).41% of blood volume is plasma e) 41% of blood is hb 98.Q.in severe dehydration... a.ecf decreases b.icf decrease c.both ecf nd icf decreases d.pH decreases 99.Q.A woman is injected a PPD s/c. 48 hrs later she developed 14mm ,which cell other thn macrophages is formed... a.neutrophils b.T cell c.B cell d.lymphocytes. 100.Q.thromboxane A2 is secretd by... a.platelets b.endothlial cells c.basophils d.basophils 101.Q.a pregnant lady of 15 weeks developed thyrotoxicosis which drug is treatment of choice a) beta blocker b) PTU c) MgSO4 102.Q..avidin has greatest affinity to one of following a) B12 b) Biotin c) vitamin A d) vitamin C 103.Q.regarding Actinomyces infection wat is true a. forms pus b. forms pus and granuloma c. form non caseating granuloma d. form caseating granuloma e necrosis 103.Q.a know hypertensive on drug therapy..present in emergency with collapse..her plasma K is 6.1..what is the likely cause of collapse A..ARF B..CRF c...infection D..diuretics E..coushing 104.Q.blood antigens a)agglutins b)secreted in saliva 105.Q. A baby with history of delayed passage of meconium, and on rectal biopsy there is absence of ganglion cells. What is the diagnosis. a. Cystic Fibrosis b. Hirschsprung disease c. ? d. ? 106.Q. A patient had cut in the center of wrist during a suicide attempt, he has no abduction or adduction of fingers plus no abduction of the thumb, the injury is to: a. ulnar nerve b. median nerve c. radial nerve 107.iron store in paranchyma of organ a)ferritin b)hemosedrin c)transferrin 108.Q. A gynecologist is treating UTI in her patients, She divided her patients in 2 groups, and 2 antibiotics were selected amoxicillin and ciprofloxaicn. each group is given 1 drug without letting them know the real name of the drug. what type of this study is. a. Double Blind b. Retrospective c. Cross Sectional d. Placebo e. Case Control 109.Q. Adult polycystic kidney disease, which of the following is correct a. Autosomal Dominant b. Autosomal Recessive c. X Linked d. Multifactorial e. Mitochondrial 110.Q. Which of the following test is best described for GFR kidney a. Serum Urea b. Urine Osmolality c. Hippuric Acid Test d. Insulin Clearance e. Creatinine clearance 111.Q.Which of the following beta blocker should be given with no vasodilation but lowers BP a. Captopril b. Hydralazine c. Nifedipine d. Atenolol e. Verapamil 112.Q. Peritonitis is caused by a) Bacteroids b) E-Coli c) Proteus d) Steph 113.Q. An alcoholic patient has h/o loss of appitite, addominal distension ,on liver histopathology a) mailiory body appearance b) 114.Q. child with purpura on investigation he has a) paleteles 90000 b) platelets 20000 c) factor 8 deficincy d) protien c deficiency e) protien S deficiancy 115.Q.6 yr child with peripheral edema decrese albumin level , skin lesions what is the cause a. kawashkior b.marasmus c)beri beri d)vit c deficiency 116.Q. anitbodies against tb present a.is complete b..attached to bacteria c.Serum d. lymphoctes 117.Q. Blow on jaw cause RAmus fracture just above the mandibular foramin at mandibal ,lesion causes. a.mylohyoid b.skin of chin anesthesia c.lower teeth anesthesia d. 118.Q.Which activates thirst center a). ADH b) Aldosterone c) Renin d) Angiotensin e) ANP 119.Q. Which of the following helps in regulation of sodium absorption a). Atrial Natriuretic peptide b) ADH c) Aldosterone d) Aldosterone + Atrial Natriuretic peptide e) Renin 120.Q. Stimulus for aldosterone secretion a)hypekalemia b)renin c)hypernatremia 121.Q. Which of the following disease is caused by the bite of mosquito a) Ochronosis b) Filariasis c) Whipple d) Ascariasis 122.Q. Enzymes which transfer radical from one molecule to another a)hydrolases b)oxidoreductases* c)transferases d) Oxidation

Q1 which of the following has high caloric value a- fats b-CHO c-proteins d-minerals Q2 Avidin binds to a-biotin b-vit C c-vit A d-vit B12 Q3 Anterior fontanelle closes at a-12-18 months b-18-24 months Q4 In embryo 1st bone to ossify is a-clavicle bfemur c-humerus d-tibia d-sternum Q5 In renal failure(uremia),the blood urea level is increase bcz of a-dec GFR b-dec secretion of urea from DCT Q6 In mycobacterium tuberculosis, the antibodies produce are a-present in serum b-bound to cell c-can be transmitted to the other person d-bound to bacteria Q7 Viruses demage the cell by a-altering the protein metabolism Q8 Choose the appropiate statement regarding glands & epithelium a-simple sequamous epithelium is present at the site of gaseous exchange Q9 In insulin deficient pt,there is a-increase ketogenesis in liver Q10 A pt is treated for sarcoma of lower leg,6months later he develop ulcer & fibrosis of skin of leg.it is due to a-Damage to seqamous epithelium b-End arteritis obliterans c-Venous thrombosis d-Infection Q11 What is the most frequent side effect of cimetidine a-Anti estrogenic b-Inhibit hepatic metabolism c-Agranulocytosis d-hypertention Q12 Non-dividing permanent cells are a-Glial cells b-Myocardial cells c-hepatocytes Q13 Axon of the neuron does not contain a-Neurofilaments b-Microtubules c-Nissel granules d-Microfilaments Q14 Propagation of action potential across the memb is bcz of a-membrane depolarization bincrease entery of Ca+2 Q15 On operating table,(where moisture is 80% & temp is 27C)the heat loss from the body of pt is via a-Radiation & conduction b-Sweating c-Respiratory system d-Increase metabolism Q16 Bioavailability is factor,which determine the blood conc of the drug,if given via a-Oral b-I/V c-I/M d-s/c e-s/L Q17 Volium of distribution of drug is not effected by a-age b-renal disease c-liver disease d-sex Q18 Liver is suspended in abdominal cavity via a-hepatic vein connecting to inferior vena cava Q19 TPR depends on a-arterial B.P b-Vascular tone cMicrocirculation d-Vasomoter tone Q20-Lymph is filtered in a-Lymph node b-spleen c-Liver Q21 oedema fluid in acute inflammation has the most imp characteristic feature a-contain lymphocytes b-contain no fibrogen c-contain proteins 3.5g/dl d-has specific gravity 1.010 e-it is transudate Q22 Thromboxane A2 is synthesized by a-platelets b-endothelial cell Q23 Prostacyclines are synthesized in a-Endothelial cells Q24 T-wave represent a-ventricular repolarization Q25 Large size RBCs are found in a-Pernicious anemia Q26 Pt has dec Ca+2,inc PO4,inc PTH & normal alkaline phosphatase,the diagnosis is a-CRF b-Osteomalacia Q27 Diff b/w septic & hypovolemic shock a-temp b-hypovolemia c-tachycardia Q28 Blood group antigen a-secreted in saliva b-Aglutinin Q29 Antibodies are formed by a-Plasma cells Q30 A 54yr old hypertensive pt,on treatment,presented in semiconscious state.Her serum K+ level is 6mmol/l,the most probable cause is a-Diuretics b-ARF c-CRF d-Cushing"s syndrome Q31 A pt with apathy,oedema,hepatomegaly & dec serum albumin,the diagnosis is a-Kawashiorkor b-Marasmus Q32 In wound healing by 2ndry intention,the granulation tissue a-provide nutrition to macrophages b-causes wound contracture Q33 A cardiovascular surgeon whille operating notices bleeding from a vein accompanying anterior interventricular artery,the vein is a-Great cardiac vein Q34 Blockage of Rt superior bronchus by a mass will block the segment of the lung a-Rt anterior superior segment b-Anterior basal c-Lateral basal d-Medial basal Q35 A pt has worms infestation & incr WBC count.On differential leukocyte count, most probably there is a-Eosinophilia Q36 Adult polycystic kidney disease is a-Autosomal dominant trait Q37 In case of genetic disease,the defect lies in a-DNA bNucleotide c-RNA d-mRNA Q38 A pt has hematocrit 41%, it indicates a-41% of RBC"s in formed elements of blood b-41% of Hb in RBC"s Q39 Sound produce by distensibility of ventricle,during ventriculer filling is a-S3 b-S4 Q40 Thirst centre is stimulated by a-ADH b-Angiotensin 2 c-Aldosteron Q41 Fibrous & parietal layer of pericardium is suplied by a-phrenic nerve Q42 A gynaecologist wants to know the effects of 2 drugs on UTI.Group A is given amoxicillin(without labelling) & Group B is given ciprofloxacin without labelling.this type of study is called a-single blind b-double blind Q43 Potent stimullant, causing release of aldosteron is increase in a-plasma K+ level b-renin release from kidney Q44 A 30yr old female with granulomatous lesion of nasal septum,vasculitis & proteinuria, the most likely lesion is a-Wegener granulomatosis b-leprosy c-T.B d-sarcoidiosis Q45 which of the following is NOT raised in stress a-cortisol b-growth hormone c-catecholamines d-Insulin Q46 For mycobacterium tuberculosis,a pt is given PPD s/c,after 48hr there is induration of skin,the cells involved in skin reaction along with macrophages are a- T lymphocytes bneutrophil c-mast cells d- B cell Q47 Heparin is stored in cells of connective tissue a-mast cell b-fibroblasts Q48 Mechanism involve in activation of memb cAMP pathway is a-Receptor b-Enzyme c-carrier protein Q49 Factor causing Rt shift of Hbdissociation curve is a-Acidosis b-increas ph Q50 The main difference b/w benign & malignant tumor is a-Anaplasia bincrease mitotic figures c-Metastasis d-Invasive & infiltrative margins Q51 which of the following does NOT metastasize to bone a-CA breast b-CA prostate c-CA lung d-HCC Q52 Remanent of urachus is a-median umblical ligament Q53 which is NOT the part of Diencephalon a-Infundibulum b-Habnular nucleus c-mamillary body d-pulvinar e-superior colliculus Q54 Which receptors are not activated by mechanical distorsion a-Cones b-paccinian corpuscles c-Semicircular canal d-Utrical & saccule e-otolith organ of corti Q55 Transitional epithelium of u bladder is derived from a-Mesoderm b-endoderm cectoderm d-endoderm & mesoderm Q56 Disorderly growth wiith change in cell shape,size,maturation,which is also reversible a-metaplasia b-anaplasia c-dysplasia d-neoplasia e-desmoplasia Q57 While calculating plasma osmolality the conc of Na+ is multiplied by 2 bcz of a-other cation b-proteins c-anions Q58 Specificity of a test shows a-true positive b-true negative c-false negative d-false positive Q59 which enhances communication b/w Dr & pt a-Active listening Q60 A pt with

glycosuria but his plasma glc level is 100mg/dl a-it may be normal for the individual b-due to dec renal threshold for glc cdec absorption of glc from PCT d-pt is diabetic e-abnormaly dec reabsorption of glc Q61 MHC are on a-HLA gene Q62 Iron stores in tissue as a-ferritin Q63 Triglycerides a-carried in plasma by lipoprotein b-freely cross placental barrier c-consist of glycerol & glc Q64 Enzymes that transfer 1 group of atom from one substrate to other are called a-Transferases bHydrolases c-Oxidoreductases Q65 Glucocorticoids act via a-memb receptor b-cytoplasmic receptor c gene transcription dIP3 system Q66 During fight,fright & flight,the sympathetic system activation causes a-dec bronchial resistance b-pupil constriction c-dec heart rate d-dec B.P Q67 Regarding withdrawl reflex..A pt gets a painful stimulus on foot a-polysynaptic b-monosynaptic c-involve stretch receptors/reflex d-inhibition of flexers Q68 which of the following is a Premalignant lesion a-Leucoplakia b-cervical erosion c-duodenal ulceration d-haemarthrosis Q69 Gaseous exchange is max at a-Aveolar ducts bAlveolar sacs c-Alveoli d-Respiratory bronchioles Q70 At time of ovulation,the most appropriate statement is a-inc in body temp at 2nd half of cycle b-corpus luteum form in ovary c-inc estrogen d-inc progestron Q71 A tumor with all germ cell layers is a-teratoma Q72 A pt was given 5% dextrose water,this will inhibit a-ADH b-aldosteron c-vasopressin d-cortisol einsulin Q73 A pt can survive without mechanical ventilation,if the lesion is a-above C2 b-at C3 c-at C4 d-below C5 Q74 Heart muscles are not tetanized bcz of a-long refractory period b-automicity c-rhythmicity d-conduvtivity Q75 which structure is burried in lateral sulcus a-insula b-sebiculum c-operculam d-splenium e-pars triangularis Q76 what is the most appropriate about thyroid a-parathyroid lies on ant lateral surface b-epithelium changes according to the activity of the gland c-Isthmus lies above cricoid cartilage Q77 Subarachnoid space end at level of a- L1-L2 b- L3-L4 c- S2-S3 d- L5 Q78 Role of renin angiotensin in short term regulation of B.P a-vasoconstriction of arterioles b-stimulation of thirst centre c-release of aldosterone Q79 Ant wall of rectus sheath b/w umblicus & xiphisternum is a-formed by ext oblique & ant lamina of int oblique aponeurosis Q80 oedema is caused by a-dec hydrostatic P b-inc osmotic P c-lymph obstruction Q81 specific symptom of Clostridium Botulinium in food poisoning a-diarrhea b-flaccid paralysis of respiratory muscles c-nausea & vomiting Q82 cavernous sinus contains a-Abducent nerve b-trigeminal nerve c-trochlear nerve Q83 A 15 week pregnant lady develop thyrotoxicosis,the drug of choice is a-propylthiouracil Q84 Coupling of myosin filaments,to actin binding site, is inhibited by a-tropomyosin b-troponin C SURGERY PAPER 2 Q1 A 40yr old male is diagnosed as having Hodgkin lymphoma, which type has good prognosis aLymphocyte predominant b-Lymphocyte depleted c-Mixed type d-Nodular sclerosis Q2 Which structure lies posterior to arch of aorta a-Left phrenic nerve b-Rt phrenic nerve c-SVC d-Bracheocephalic vein Q3 An Asthmatic pt with following ABGs pH 7.32, pCO2 48, HCO3 25 has a-Respiratory acidosis with metabolic compensation b-Respiratory acidosis without metabolic compensation c-Respiratory alkalosis without metabolic compensation d-respiratory alkalosis with metabolic compensattion Q4 Mucosa of Gall bladder is a-simple columner b-simple cuboidal c-stratified sequamous epithelium Q5 Cells involve in formation of BBB a-Astrocytes b-Microglia c-Macroglia d-Ependymal cells Q6 In Bano,a soldier presented with 3 month history of fever,bilateral lymphadenopathy,hepatosplenomegaly,anemia,fatigue.He has history of sleeping on floor & bite by some fly.the diagnosis is a-Kalazar b-CML c-Filariasis d-Schistosomiasis e-Malaria Q7 Which is correct regarding Axillary artery a-It Lies behind pectoralis minor b-Extend upto the lower border of pectoralis major Q8 Liver is connected to ventral body wall via a-Falciform ligament b-Lesser omentum Q9 Gluteus medius & minimus a-Abducter & medial rotater of hip joint b-Abducter & lateral rotater of hip joint c-Adductor & lateral rotater of hip Q10 Foot drop is due to demage of a-Common peroneal nerve b-Superficial peroneal nerve Q11 Demage to the tibial part of Sciatic nerve, but still the pt is able to do some flextion on the knee bcz of a-Short head of BICEPS FEMORIS b-Gastrocnemius Q12 Biceps Brachii a-Arise from supraglenoid tubercle of scapula b-Attach to humerus c-cause pronation Q13 Pubic symphysis is example of a-2ndry cartilagenous joint Q14 Demage to ulner nerve at supracondyler fracture,results in a-loss of innervation to 3rd & 4th lumbricals Q15 Flextion at carpometacarpal joint is by a-Flexor digitorum profundus b-Flexor digitorum superficialis Q16 Iliac resection causes a-Increase in H2O content of feces b-increase in bile salts in enterohepatic circulation c-decrease in amino acids absorption Q17 Sevoflurane a-carboxylated ether b-causes cough when given during induction Q18 Central chemoreceptors respond to a-increase in CO2 tension b-increase in O2 tension c-decrease in O2 tension Q19 Ascending reticular formation a-present in the floor of aqueduct of sylvius Q20 During operating on a vascular tumor,a pt is given multiple massive transfusion.He develop ECG changes,not related to infarction.The most likely cause is a-Hyperkalemia bHypercalcemia Q21 Organisn causing meningitis 2ndry to lung abscess is a-Staph aureus b-H.influenzae c-Pneumococcus Q22 Which pt gets maximum benifit from splenectomy a-Autoimmune hemolytic anemia b-Hereditary spherocytosis cThallassemia d-Sickle cell anemia e-G6PD deficiency Q23 Cerebral malaria is caused by a-Plasmodium falciparum bPlasmodium vivax c-Plasmodium ovale Q24 Demage to ant cruciate ligament causes rotation of femur on tibia a-anteriorly b-anteromedially c-anterolaterally d-posterolaterally Q25 Which of the following is a Premalignant lesion a-Achalasia bBarret esophagus Q26 Regarding Thymus a-it contains large amount of lymphocytes b-Arise from 4th pharyngeal arch c-Originate from thyroid gland Q27 In Haemophillia a-there is decrease level of factor 8 b-Increase PT c-Increase BT Q28 Anemia in CRF is due to a-decrease erythropoeitin Q29 Bone marrow RBCs precursors continue to produce RBCs bcz of effect of aErythropoietin Q30 An 18yr old girl presented with epistaxis & menorrhagia.On bone marrow aspirate,there is hyperplasia of Megakaryocytes.The most likely diagnosis is a-ITP b-TTP Q31 A severly burn pt develops bleeding diasthesis after developing fever.On gram staining,there are gram -ve diplococci.The most likely diagnosis is a-DIC Q32 Morphine causes aBradycardia & meiosis b-Bradyapnea & mydriasis c-Tachyapnea & mydriasis d-Tachyapnea & meiosis Q33 A17yr old boy

presented with rapid onset of wide spread purpura on all over the body.The diagnosis is a-Vit C deficiency b-Platelets count is 20(10 raised to power 9)/L c-Platelets count is 90(10 raised to power 9)/L d-decrease factor 8 e-Increase capillary permeability Q34 If factor 8 is not available,what will you give to a pt of haemophilia a-Cryoprecipitate b-Plasma c-Albumin Q35 A pt having CVP line in subclavian vein & on parenteral nutrition.He develop fever.Blood CP shows increase TLC. Gram staining shows clusters of gram +ve cocci.The drug of choice for this organism is a-Amoxicillin+Clavulanic acid bVancomycin c-Ceftazidim d-Imepenam e-Piperacillin+Tazobactam Q36 EBV virus is associated with a-Burkit lymphoma Q37 Sore throat is caused by a-Group A beta haemolytic streptococci bPseudomonas Q38 A therapeutic & toxic side effect of Loop diuretics a-Low blood volume b-increase Na+ conc c-increase K+ conc d-Acidosis Q39 A pt with episodic hypertension,increase urinary vinyl mendalic acid,the most probably tumor is of a-Chromaffin cells Q40 Which parasitic disease is caused by mosquito a-Filariasis Q41 In case of autosomal dominant trait disease a-Only one parent of the affected child is the sufferer Q42 Respiratory symptoms are most the characteristic of a-Ascariasis Q43 The most common aquired mutation in thrombotic disorders is aAntiphospholipid syndrom b-Protein C deficiency c-Protein S deficiency d-SLE e-Antithrombin 3 deficiency Q44 Pyogenic peritonitis is caused by a-Bacterioides b-E.coli Q45 Anterior surface of Lt kidney is not related to a-Diaphragm b-Spleen cStomach d-Pancrease Q46 Aorta a-Ends at L5 b-Give paired branches to the parietes c-Give renal artery at L2 Q47 Left Gastric artery is a branch of a-Celiac artery Q48 Right suprarenal vein drains into a-Inferior vena cava Q49 During surgery on the Parotid gland,the posteromedial surface is related to a-Carotid sheath b-Medial pterygoid c-lies medial to pharynx Q50 Fracture of ramus of mandible,just below the opening of mandibular foramen,there is a-Loss of function of mylohyoid b-Loss of sensation on skin of chin c-Loss of sensation on lower jaw & gums Q51 External jugular vein a-formed on the surface of sternocleidomastoid behind angle of mandible b-formed by ant division of retromandibular vein & post auricular vein Q52 Inyracellular & extracellular K+ gradient is maintained by a- Na-K ATPase b-Insulin c-cortisol Q53 Posterior triangle of neck a-formed by apex of middle of clavicle b-formed by anterior border of trapezius & anterior border of sternocleidomastoid c-it contain trunks of brachial plexus,rami of C2;C3,C4 & subclavian artery d-It is crossed by superior belly of omohyoid Q54 In the formation of thyroid hormone,the 1st step is binding of iodine to a-Tyrosine b-Thyroglobulin Q55 Sternocleidomastoid is supplied by a-Accessory Nerve Q56 Median Nerve a-fibers derived from C6-C8,T1 b-supply medial half of flexor digitorum profundus c-supply dorsal surface of skin of lateral three & half fingers Q57 Head of Humerus is supplied by a-Anterior circumflex humeral artery b-Posterior circumflex humeral artery c-suprascapular artery Q58 In adults the head of femur is supplied by a-Medial & Lateral circumflex femoral artery b-Obturator artery Q59 Under microscope the features showing Actinomycosis a- Lined by Giant cells b-Abscess c-Granulation tissue with abscess Q60 In 15yr old boy,the medullary carcinoma of thyroid is considered familial because of a-Age b-Solitary c-Metastasis d-Increase secretion of hormone Q61 A 70yr old male come with history of SOB,loss of apetite, fatigue, off & on constipation.His Hb is decreased & stools for occult blood is +ve.The diagnosis is a-C.A Colon b-ulcerative colitis c-Diverticulitis d-Polyposis e-Haemorrhoids Q62 A pt has multiple polyps on colonoscopy.His father died of same disease.These types of polyps are a-Hemartomatous b-Adenomatous polyp c-Metaplastic Q63 Regarding autonomic blood supply of heart,which is not appropriate a-On post ganglionic sympathetic endings,there is discharge of acetylcholine. b-Parasympathetic causes vasoconstriction of coronary arteries. cLocal regulation by metabolites is more than hormonal control. d-Post ganglionic sympathetics end at SA & AV node Q64 Regarding Parasympathetic a-causes relaxation of intestinal sphincters b-Inhibition of peristalsis Q65 Stimulation for release of Gastrin a-Proteins in food b-Fats in food c-Acid released come in contact with antrum

SURGERY June 2009

SURGERY JUNE 2009. Recalled By Safwan. Thankyou. (C) Means correct.

1. Gland of cloquet is located in: a. inguinal canal 2. Below is a carcinogen: a. methyl alcohol b. propyl alcohol c. benzidine (C) 3. Incidence is: a. number of new cases in a population (C) 4. Following is correct about femur: a. the head is in line of medial condyle b. the angle between the neck and shaft is average 125 degrees. (C) 5. Subclavian artery passes: a. above the 1st rib (C) b. below the 1st rib 6. Abdominal angina is caused due to: a. Superior mesenteric artery (C) b. inferior mesenteric artery c. celiac trunk d. abdominal aorta 7. Left Suprarenal vein drains into: a. inferior vena cava b. left renal vein (C) c. phrenic vein d. portal vein 8. Squamous cell carcinoma of urinary bladder is caused due to: a. shistosoma (C) 9. The species which causes carcinoma in urinary bladder is:

a. shistosoma mansoni b. schitosoma hematobium (C) 10. Oxidative breakdown of glucose during glycolysis generates: a. 1 pyruvate b. 2 pyruvate (C) c. lactic acid 11. Referred pain to shoulder is via: a. C1, 2 b. C2, 3 c. C3, 4, 5 (C) d. C5, 6 12. Following is not palpable on per rectal examination: a. Ureter b. Prostate c. Seminal vesicle d. ?? e. ?? 13. Spinal cord ends at: a. S2 b. L1-2 (C) c. L3 d. L5 14. Femoral sheath is composed of: a. transversus abdominis fascia b. internal oblique fascia c. iliacus fascia (C) 15. Fracture at neck of fibula: a. injury to common peroneal nerve (C) b. superficial pernoeal nerve c. deep perneal nerve d. tibial nerve

16. Posterior displacement of knee is prevented by: a. Anterior cruciate ligament b. Posterior cruciate ligament (C) c. Tibial collateral ligament d. fibular collateral ligament 17. A patient had cut in the center of wrist during a suicide attempt, he has no abduction or adduction of fingers plus no abduction of the thumb, the injury is to: a. ulnar nerve b. median nerve c. radial nerve 18. Lymphatic supply of mammary glands is: a. parasternal lymph nodes b. abdominal lymph nodes c. axillary lymph nodes (C) 19. Defecation is because of: a. mass reflex b. myenteric reflex c. S2, 3, 4 (C) d. Parasympathetic reflex 20. Prolonged coma is because of lesion of: a. both frontal lobes lesions (C) b. one frontal lobes lesion c. periaquaductal area lesion d. midbrain lesion 21. Retrograde amnesia: a. can be abolished via prefrontal lobotomy b. appears in amygdala lesions and propranolol therapy 22. Projection fibers of cerebral cortex travel through: a. internal capsule (C) 23. Regarding neural tube which one is correct:

a. Involved in CNS development (C) b. Involved in meninges development 24. Primordial germ cells are of: a. ectodermal origin b. mesodermal (C) c. endodermal 25. Urorectal septum divides the cloaca into: a. anus and urinary bladder b. anorectal canal and urogenital sinus (C) 26. ADH and Oxytocin are released from: a. suprachaismatic b. preoptic c. adenohypophysis d. neurohypophysis (C) 27. Termination of subarachnoid space is at: a. L2 b. S2 (C) c. L5 d. S4 28. Following is true about middle meningeal artery: a. Passes through foramen spinosum (C) 29. Mass reflex is elicited by: a. decortication b. complete section of spinal cord c. lesions of cervical or thoracic spinal cord (C) 30. Medial lemniscus system mediates: a. Pain b. Temperature c. Tickling

d. Fine touch (C) 31. What prevents muscles from over-stretching: a. Golgi spindles b. muscle spindles (C) 32. Hamartoma is a: a. neoplastic condition with no malignant potential b. non-neoplastic condition (C) c. completely benign d. malignant 33. In chronic hemolysis, following will deposit in tissues: a. bilirubin (C) b. biliverdin c. conjugated bilirubin d. lipofuscin e. iron 34. Premalignant lesion of mouth is: a. ?? b. ?? 35. Complication of betel nuts chewing is: a. haemorrhage ?? b. ulceration ?? ?? ?? ?? 36. Cleft palate is caused due to: a. Viral b. carbamazepine c. multifactorial (C) d. antiepileptics 37. A House surgeon is operating on posterior triangle, which structure is at risk: a. spinal portion of accessory nerve (C) b. cranial portion of accessory nerve

38. During surgery on submandibular glands, how will you protect labial branch of facial nerve: a. lift the deep fascia of hyoid bone b. nerve stimulation studies c. protecting it as it enters surgical field d. lifting the blood vessels 39. Enzyme for breakdown of serotonin and Norepinephrine is a. Catechol - o - methyltransferase b. Monoamine oxidase (C) 40. Inducer of drug metabolism is: a. ketoconazole b. phenobarbitone (C) 41. Lesions of cerebellum causes: a. failure of initiation b. resting tremor c. rigidity d. ataxia (C) 42. Essential amino acid is: a. Glycine b. glutamate c. tyrosine d. phenylalanine (C) 43. Slow growing tumour of thyroid is: a. papillary b. follicular c. adenoma 44. Following are features of thyroid tumour: a. ?? 45. Premalignant condition of colon carcinoma:

a. inflammatory polyp b. hyperplastic polyp c. hamartomatous d. adenomatous (C) 46. Among the following statements about parotid gland, which is false: a. It has two lobes b. parotid duct arises from deep lobe c. retromandibular vein is related to its inferior pole d. ?? e. ?? 47. Which nerve lies in the cavernous sinus cavity: a. III, V b. IV, VI c. VI (C) d. IX 48. Muscles of facial expression are all of the following except: a. orbicularis oris b. orbicularis oculi c. buccinator d. platysma e. ?? (C) 49. Taste is sensed by all of the following except: a. fungiform b. filliform (C) c. circumvellate 50. Tympanic membrane forms: a. lateral wall of tympanic cavity 51. Thyroid gland is surrounded by which fascia: a. investing b. pretracheal (C) c. prevertebral d. deep

52. Azygous vein: ?? 53. Facilitated diffusion is: a. energy dependent b. carrier mediated (C) 54. The most significant prepotential is that of: a. atria b. ventricles c. SA node (C) 55. Best mechanism for temperature loss: a. Vasonconstriction b. thirst ?? ?? 56. Acute inflammation: a. transudate b. exudate (C) 57. alpha-adrenergic discharge leads to: a. cardioacceleration b. baroreceptor reflex 58. Which organ gets less than required oxygenation during exercise: a. Skeletal muscle (C) b. kidney c. skin d. brain e. heart 59. H+ ion secretion is in: a. hyperkalemia b. acidosis (C)

c. alkalosis 60. H+ secretion is associated with: a. excretion of bicarbonate b. reabsortion of bicarbonate (C) 61. Central and peripheral regulation of respiration is via: a. PCO2 b. PO2 c. pH d. CO 62. A fisherman came to emergency department with pallor. The most probable cause for this is: a. Diphylobothrium (C) 63. Ileal resection leads to: a. Increased iron absorption b. Decreased amino acid absorption. 64. Aldosterone production is stimulated via: a. Heart failure b. Decreased perfusion of kidney c. Renin (C) d. Increased Na 65. Another use of thyroid hormone is: a. Weight loss b. Appetite c. Hair loss d. ?? e. ?? 66. Anabolic hormone is: a. Insulin (C) b. Glucagon 67. Adult Polycystic Disease is:

a. Autosomal recessive b. X- linked recessive c. Autosomal dominant (C) d. X linked dominant e. Mitochondial 68. Lymphatic supply of ovary is: a. Internal iliac lymph nodes b. external iliac lymph nodes c. deep inguinal d. lumbar/paraaortic (C) e. sacral 69. Remnant of mullerian factor is: a. Duct of gartner b. Round ligament c. Appendix of testis (C) 70. Tuberculous ulcer has which type of edges: a. Everted b. Punched out c. Sliding d. Undermined (C) e. Elevated 71. Severe infection in a post-transplant patient is due to: a. Influenza virus b. Streptococcus c. Staphylococcus d. Cytomegalovirus (C) 72. Within 10 hours acute transplant rejection is due to: a. Type I b. Antibody-mediated (C) c. Type III d. Cytotoxic T cells e. Type V 73. Following is true about MAI:

a. Widespread resistant to TB drugs b. Only causes lung disease c. Very common 74. Following is true about cryptorchidism: a. Failure of descent of testis from abdomen into scrotal sac. 75. Definition of Behaviour sciences is: a. Scientific study of human behaviour b. Scientific study involving epidemiology, biostatistics, ethics, psychology, sociology. (C) 76. Good communication skills are in a person who: a. Who does presentations (C) 77. RER function is: a. Protein synthesis (C) b. Transcription c. Post-translational modification 78. Following is true about sarcomere: a. Is formed between two intercalated discs b. Is formed between two Z-discs (C) 79. Calcium is released into muscles via: a. Mitochondrion b. RER c. Sarcoplasmic reticulum (C) 80. Lymphatic nodules are not present in: a. Thymus (C) b. Spleen c. Peyers patches d. Tonsils 81. In Pnemothorax following happens:

a. Lung collapses and chest expands b. Lung collapses and chest indraws (C) c. Lung expands and chest expands d. lung expands and chest indraws e. lung expands and chest remains same 82. Vaccine of Bacillus-Calmette-Guerin is which type of vaccine: a. Formaline killed Toxoid vaccine b. Heat killed organism c. Live attenuated (C) 83. Vaccine of Bacillus-Calmette-Guerin induces which type of immunity: a. Active (C) b. Secondary immunity c. Passive 84. Which one is true about corynebacterium diphtheria: a. Produces powerful exotoxin (C) b. Produces powerful endotoxin 85. The most common cause of pneumonia in 6 months to 2 years age group is: a. Neisseria b. Streptococcs pneumonia c. E. Coli d. Haemophilus influenza e. Streptococcu pyogenes 86. Pseudo membranous colitis is caused by: a. Clostridium tetani b. Clostridium botulinum c. Clostridium perfringens d. Clostridium difficile 87. Clostridium perfringens causes injury via following mechanism: a. free radicals b. hypoxia (C) c. Invasion

88. Neisseria best diagnosed most easily via: a. Gram stain (C) b. Culture 89. Ocular opacity can be caused by: a. Ethambutol 90. Hydatid disease caused due to ingestion of: a. Cyst b. Eggs (C) 91. Patient is having MCV=78, MCH=28, it is: a. Normochromic normocytic anemia b. Normchromic microcytic c. hypochromic microcytic d. hypochromic normochromic 92. Patient is vomiting: ph = 7.25, PCO2=45 (35=45), HCO3=35. Cause is: a. metabolic acidosis b. metabolic alkalosis c. partially compensated metabolic alkalosis 93. Most common cause of Deep Venous Thrombosis is: a. Contraceptive pills b. Trauma c. Surgery d. Immobility (C) 94. Most common cause of hospital acquired pnuemonia is: a. Streptococcus b. Pnemococcus c. Pseudomonas (C) 95. Following is an important component of Counter current exchange mechanism: a. Vasa recta (C) b. Proximal tubule

c. Distal tubule 96. Submucous glands are present in: a. Stomach b. Dudenum (C) c. Iluem d. Large intenstine 97. Patient is having bone pains, PO4 is decreased, Ca++ is raised, most probable cause is: a. Pagets disease b. Osteoporosis c. Osteopenia d. Hyperparathroidism (C) 98. Calcitonin works by: a. Increasing bone resorption. b. Decreasing bone resorption (C) 99. True hermaphrodite genotype is: a. XY b. X0 c. XXY (C) 100. Testosterone is produced by: a. Sertoli cells (C) b. Leydig cells 101. The vasculature of kidney is: a. Afferent -> glomerulus -> efferent -> vasa recta

1) CUTANEOUS NERVE SUPPLY OF FOOT? A)SURAL NERVE B)POST.TIBIAL C)OBTURATOR D)COMMON PERONEAL 2)REGARDING CRUCIATE LIGAMENT A)INSIDE THE JOINT CAVITY

B)ATTACHED TO TIBIA C) D) 3)UNDERCOOKED MEAT IN DIET CAUSES A)LIVER FLUKE B)SCHISTOSTOMA C) D) 4)ADULT DERIVATIVE OF MESONEPHRIC DUCT A)DUCTUS DEFERENS B)EPIDIDYMIS C) D) 5)HISTOLOGICAL FEATURE OF TB GRANULOMA A)CASEATING NECROSIS B)EPITHELIOD C) D) 6)ATIVE TRANSPORT A)NA/K PUMPS ALWAYS PRESENT B)CARRIER PROTEINS REQUIRED C)GLUCOSE........ D) 7)STUDY BETWEEN SMOKERS N NON SMOKERS TO STUDY RELATIONSHIP BETWEEN SMOKING N LUNG CANCER A)CASE CONTROL B)COHORT C) D) 8)WHICH CAUSES BRONCHOGENIC CARCINOMA A)ASBESTOSIS B)SILICOSIS C)BRUCELLOSIS D)SMOKING TOBACCO 9)OLIGURIA A)LESS THAN 100ML B)LESS THAN 500ML C)BETWEEN 0.5L TO 1 L D) 10)OXIDASES ARE PRESENT IN A)PEROXISOMES B)LYSOSOMES C) D) 11)ECTOPARASITE A)BED BUG B)LEECH C)LICE D)TICK 12)PATIENT HAS PNEUMONIA....AFTER 6 DAYS IN SHOCK DUE TO A)ELECTROLYTE IMBALANCE B)INC INTERSTITIAL CAPILLARY PERMEABILITY C) D) 13) AIR BORNE DROPLET INFECTION CAN SPREAD A)1 TO 2 FT B)3 TO 6 FT C)8 TO 10 FT D) 14)PREGNANT LADY 3RD TRIMESTER ASKED TO LIE IN LEFT LATERAL POSITION TO AVOID PRESSURE ON A)IVC B)RT LUNG C)LIVER D) 15)IN A DIABETIC PATIENT ORGANISM FOUND IN INFECTION A)MUCOR B)HISTOPLASMA C) D) 16)SUBCAPSULAR SINUS WITH AFFERENT LYMPHATICS FOUND IN A)SPLEEN B)PEYERS PATCHES C)LYMPH NODE D)TONSIL 17)JUNCTIONS PREVENTING HARMFUL SUBSTANCES IN MOVING TO ADJACENT CELLS A)GAP JUNCTIONS B)TICHT JUNCTIONS C)DESMOSOMES D) 18)IN CARCINOMA FILAMENTS FOUND A)VIMENTIN B)KERATIN C) DESMIN D) 19)PAIN CARRIED BY A)A DELTA FIBRES B)B FIBRES C)C FIBRES D)A BETA FIBRES E)MYELINATED FIBRES 20)CIMETIDINE AND SUCRALFATE GIVEN TOGETHER A)DECREASE ABSORPTION B)ANTAGONISE EFFECTS C)INHIBIT FUNCTION D)DELAYED EFFECT 21)VITAMIN B12 ABSORBED IN A)ILEUM B)JEJUNUM C)DUODENUM D)STOMACH E)COLON 22)SLE IS GENETIC DISEASE.....STATEMENT SUPPORTING IT A)FEMALES MORE AFFECTED B)FAMILY MEMBERS HAVE AUTOANTIBODIES C) D)MORE IN ASIANS 23)CHILD COMES FOR CIRCUMCISION.....FAMILY HISTORY POSITIVE OF PROLONGED BLEEDING ...TEST PERFORMED A)APTT B)PT C)BT D) 24)CARBIDOPA AND LEVODOPA GIVEN IN PARKINSONISM A)INCREASE ABSORPTION B)ENTRY INTO BRAIN CELLS C)PROLONGED EFFECT D) 25)REGARDING PSOAS MUSCLE A)INSERTED ON GREATER TROCHANTER OF FEMER B)ARISES FROM LUMBAR VERTEBRAE C) D) 26)SECOND ARCH DERIVATIVE A)STYLOHYOID B)STYLOMANDIBULAR LIGAMENT C) D) 27)REGARDING CLAVIPECTORAL FASCIA A)ENCLOSES PEC MINOR B)PIERCED BY ARTERY C) FORMS BREAST SUSPENSORY LIGAMENTS D) 28)LATERAL VENTRICLES HAVE IN BETWEEN THEM A)FALX CEREBRI B)AMYGDALA C) SEPTUM PELLUCIDUM D) 29)DORSAL COLUMN DOESNOT TAKE WHICH SENSATION A)TOUCH B)PAIN C)JOINT POSITION D)VIBRATION 30)8MONTHS CHILD.....DYSPNEA CYANOSIS.....ABSENT BREATH SOUNDS ON RT SIDE......LOOPS OF INTESTINE IN CHEST A)HIATUS HERNIA B)INCOMPLETE PLEUROPERITONEAL MEMBRANE C) D) 31)3RD PART OF DEGLUTITION A)GRAVITY DEPENDANT B)VAGALLY STIMULATED C)SURFACE OF FOOD BOLUS D) 32)WINGING OF SCAPULA A)TRAPEZIUS B)SERRATUS ANT C)DELTOID D) 33)TASTE LOSS FROM POST 1/3RD OF TONGUE A)LINGUAL NERVE OF GLOSSOPHARYNGEAL B)CHORDA TYMPANI OF FACIAL C) VAGUS D) 34)PEPTIC ULCER PAIN CARRIED BY A)GREATER SPLANCHNIC B)LESSER SPLANCHNIC C)GASTRIC D) 35)CILIA LIKE PROJECTIONS IN A)OLFACTORY CELLS B)UTRICLE C)FALOPIAN TUBES D)SPERMATOZOA 36)WHICH NERVE NOT IN CAROTID SHEATH WHEN LEAVING SKULL A)9 B)10 C)11 D)12 E)AURICULAR 37)REGARDING EXTENAL INTERCOSTAL A)ARISES FROM T7 TO T12 B)ARISES FROM LOWER 4 RIBS C)FROM XIPHISTERNUM TO COSTAL CARTILAGE D) 38)BLOOD TRANSFUSION REACTION WITH RASH

FEVER A)TYPE 1 HYPERSENSITIVITY B)TYPE 2 C)TYPE 3 D)TYPE 4 39)SWEAT CHLORIDE TEST POSITIVE....RECURRENT RESPIRATORY INFECTIONS.....INC FAT CONTENT OF STOOL WICH WILL NOT BE ABSORBED A) VIT D B)IRON C)FOLIC ACID D)B1 40)HB 6 BILIRUBIN 10.........CAUSE OF JAUNDICE A)HEMOLYTIC ANAEMIA B)GALL STONES C) D) 41)FALSE ABOUT BREAST CA A)MORE IN MULTIPAROUS THAN NULLIPAROUS B)SELF EXAMINATION SOURCE OF DETECTION C) D) 42)HAMARTOMA A)INVOLVES DIFERENT CAVITIES B)BENIGN C) D) 43)HEPATIC PEDICLE A)HEPATIC ARTERY POTAL VEIN COMMON BILE DUCT B) HEPATIC ARTERY HEPATIC VEIN ...... C) D) 44)PICK TRUE STATEMENT A) 100-200 MILLION SPERMS MADE EACH DAY B)FSH REQUIRED C)SPERMATOGONIA UNDERGO MEIOSIS D)28 DAYS REQUIRED TO MAKE NEW SPERMATOZOA 45)END PLATE HAS A)CHOLINESTERASE B) C) D) 46)2WEEKS BEFORE TOXOID INJCTION NOW PRESENTS WITH REACTION A)TYPE 1 HYPERSENSITIVITY B)2 C)3 D)4 E)CYTOTOXIC T CELLS 47)ON ATT PATIENT HAS JOINT ACHES A)INH B)RIFAMPIN C)ETHAMBUTOL D)PYRIZINAMIDE E)STREPTOMYCIN 48)KLINEFELTORS SYNDROME KARYOTYPE A)47XXY B)47XYY C)46XXX D) 49)LOCAL FACTOR CAUSING DELAY IN WOUND HEALING A)INFECTION B)VIT C DEFICIENCY C)ISCHEMIA D) 50)PAIN IN AREA OF NOSE....BELOW EYE ABOVE MOUTH A)MAX. DIV OF TRIGEMINAL B)FACIAL C)GLOSSOPHARYNGEAL D) 51)2ND WEEK TYPHOID FEVER....MOST APPROPRIATE TEST A)BLOOD CULTURE B)WIDAL TEST C)STOOL CULTURE C)A N C D) B N C 52)SUPERIOR TO FLEXOR RETINACULUM A)PALMARIS LONGUS B)FLEXOR DIGITORUM SUPERFICIALIS C)FLEXOR DIGITORUM PROFUNDUS D) 53)OXYTOCIN AND ADH ORIGINATE IN A)HYPOTHALAMUS B)ADENOHYPOPHYSIS C)NEUROHYPOPHYSIS D) 54)ENLARGED PAROTID SWELLING PAINFUL BECAUSE COMPRESSING A)AURICULOTEMPORAL B)FACIAL C) D) 55)LOSS OF DORSIFLEXION OF FOOT A)COMMON PERONEAL B)ANT TIBIAL C)POST TIBIAL D) 56)TASTE FIBRES FROM POST 1/3RD ARE CARRIED TO A)SUP SALIVATORY NUCLEUS B)TRACTUS SOLITARIUS C) D) 57)IN DIABETIC PATIENT POST PRANDIALLY A)INC FFA INC GLUCAGON B)INC FFA DEC GLUCAGON C)INC FFA INC INSULIN D)INC FFA DEC INSULIN 58)TO MOVE LEFT FOOT OFF GROUND A)RT GLUTEUS MEDIUS B)LT GLUTEUS MEDIUS C) D) 59)REGARDING LOCAL ANAESTHESIA A)RASH.......... B)SEIZURES BEFORE CARDIAC TOXICITY C) D) 60)DIARRHEA NOT RESPONDING TO GLUTEN FREE DIET A)GIARDIASIS B) C) D) 61)PATIENT MEETS DOCTOR...... A)CLOSED ENDED Q ASKED B)OPEN ENDED Q ASKED C)ASK NAME AGE ADRESS D) 62)DEC NA INC K.......REST OF THE LABS NORMAL .....PATIENT SUFERING FROM A)ADDISONS B) C) D) 63)WHICH IS NON MALIGNANT A)HEP B B)HEP C C)EPSTEIN BAR D)HPV E)HERPES 64)REGARDING GROWTH HORMONE A)POLYPEPTIDE D)SOMATOMEDINS INC BONE AND CARTILAGE GROWTH C) D) 65)QRS COMLEX OCCURS JUST BEFORE A)ATRIAL SYSTOLE B)VENTRICULAR SYSTOLE C) D) 66)TRICUSPID CAN BE BEST HEARD AT A)LEFT 2ND INTERCOSTAL B)RT 2ND INTERCOSTAL C)APEX D)LT 5TH INTERCOSTAL 67)DEC HB.....ANAEMIC PALE PETECHIAE PRESENT INVESTIGATION OF CHOICE A)CBC B)BONE MARROW C) D) 68)THIAZIDES CAUSE A)HYPOKALEMIA B)HYPERKALEMIA C) HYPOCALCEMIA D)HYPERCALCEMIA 69)DIGASTRIC TRIANGLE IS BOUNDED BY A)ANT AND POST BELLY OF DIGASTRIS AND MANDIBLE B) C) D) 70)ARTERY OF FOREGUT A)COELIAC TRUNK B)SUP MESENTERIC C)INF MESENTERIC D) 71)APPENDICULAR ARTERY IS A BRANCH OF A)ANT CAECAL B)POST CAECAL C) D) 72)HAEMOPHILIA ALL MALES AFFECTED BUT NOT FEMALES BECAUSE A)X LINKED RECESSIVE B)AUTOSOMAL DOMINANT C)AUTOSOMAL RECESSIVE D) 73)NEPHROTIC SYNDROME DUE TO A)HYPOALBUMINEMIA B)INC CAPILLARY HYDROSTATIC PRESSURE C) D) 74)NOT FOOD BORNE A)MYCOBACTERIUM AVIDUM INTERCELLULARE B)C.BOTULINUM

C)C.DIFFICILE D) 75)POSITIVE PEDICTIVE VALUE A)ALL TRUE POS IN ALL POS B)ALL TRUE NEG IN ALL NEG C) D) 76)9 22 GENE TRANSLOCATION A)ALL B)AML C)CML D) 77)PCT ABSORBS 100% A)BICARB B)CHLORIDE C)WATER D)SODIUM 78)MYXOID DEGENERATION SEEN IN A)MITRAL VALVE PROLAPSE B)INFECTIVE ENDOCARDITIS C) D) 79)IN MI RISE OF ENZYME WITHIN 1 HR A)CK MB B)TROPONIN C)LDH D) 80)MEDIOLATERAL EPISIOTOMY DAMAGES A)LEVATOR ANI B)BULBOSPONGIOSUS C)PERINEAL BODY D) 81)MOST VESSELS FOUND IN A)SUB ARACHNOID B)SUBDURAL E)EPIDURAL D) 82)PATIENT CANNOT BLOW WHISTLE.....FOOD CHEWING DIFFICULT A)FACIAL B) C) D) 83)AMINOGLYCOSIDE IN ELDERLYDOSE ADJUSTED A)DEC RENAL CLEARANCE B)INC VOL OF DISTRIBUTION C) DEC HEPATIC ACTIVATION D) 84)AT BIRTH....FULL TERM.....EPIPHYSEAL CENTRE IN A)PROXIMAL PART OF TIBIA B)DISTAL PART OF FEMER C)DISTAL PART OF TIBIA D) 85)PATIENT CANNOT SPEAK MORE WORDS A)BROCA B) WERNIKE C)FRONTAL LOBE D) 86)DIFFERENCE BETWEEN RT AND LFT KIDNEY A)SIZE AND WEIGHT B)COVERINGS C)RELATIONS D) 87)ARCHES OVER ROOT OF LUNG A)AZYGOUS VEIN B)THORACIC DUCT C) D) 88)THORACIC DUCT BLOCKED WHICH WILL NOT SWELL A)ARMS B)LEGS C)LUNG D)CEREBRAL TISSUE 89)RESPONSE TO COLD IMMEDIATE A)PILOERECTION B)SHIVERING C) D) 90)KETOROLAC ANALGESIA USED IN A)THORACOTOMY B)ELECTIVE COLECYSTECTOMY C) D) 91)NORMAL FEV1/FVC RATIO A)0.8 B)0.6 C) D) 92)CAUSE OF FATTY LIVER IN OUR SOCIETY A)INC FATTY FOOD B)ALCOHOL C)DEC PROTEIN INTAKE D) 93)MOST RADIOSENSITIVE TUMOUR A)BONE B)LYMPH NODE C) D) 94)BURNS...DEEP LAYER OF DERMIS....HANDS.....COMPLICATION A)CONTRACTURE B)DEHISCENSE C)KEOID D) 95)STORED BLOOD A) INC HEMOLYSIS B)FACTORS 2 5 7 PRESENT C) PLATELETS UPTO 5 DAYS FUNCTIONAL 96)regarding tpn which is correct? a)all calories provided by glucose b)aminoacids present c) d) 97)bmr is increased in a)inc thyroxine b) c) d) 98)micturation involves a)s2 s3 s4 b)l2 l3 l4 c)l1 d) 99)correct regarding ureter a)duplicated in 4% b)narrowest part where ureter leaves kidney c) d) 100)in radical neck dissection which nodes are spared? a)occipital b)ant cervical c) d) 101)which is correct about midbrain? a)aqueduct of sylvius is the cavity of midbrain b)crus cerebri and tegmentum divided by....... c) d) 102)propylthiouracil acts by a)inhibiting production of thyroid hormone b)blocking iodination c) d) 103)true regarding humerus? a)lesser trochanter attaches subscapularis b)lesser trochanter forms medial most part of joint c)teres minor attached on lesser trochanter d) 104)flexion of elbow joint and supination lost....nerve involved a)musculocutaneous b)median c)radial d)ulnar e)axillary 105)poor prognosis a)hbsag pos hbcab pos b)hbsag pos hbeag pos c)hbsag neg hbeab pos d) 106)pubic bones have a joint which is a)symphesis b)syndesmosis c)synchondrosis 107)to break bad news to patient a)psychologist b)attending doc in exclusivity c)attending doc in presence of relatives d) 107)true about coronary arteries a)run in their respective atrioventricular groove b)accompanied by veins of the same name c)anastomose at arteriolar level d) 108)osmotic pressure difference between interstitial fluid and plasma a)1mosm/kg b)1.5 c)3 d)5 109)related to cigerette smoking a)wegeners granulomatosis b)takayasu arteritis c)giant cell d) 110)epinephrine release from adrenal medulla involves ans part a)parasympathetic muscuranic b)parasympathetic nicotinic c) d) 121)poor prognosis in sepsis a)dic b)vasodilatation c)diffuse tissue........ d) 122)true about vertebrae a)lumbar have heart shaped body b) c) d) 123)accident and fracture of femer......dies 2 days after a)pulmonary embolism b)fat embolism c) d) 124)patient has inc urinary frequency...suprapubic pain................. a)e.coli b)klebsiella c) d) 125)needle inserted at a)lower rib area of max

dullness b)upper rib c) d) Original from: http://medicalbay.blogspot.com/2013/05/fcps-part-1-past-papers-surgeryand_17.html Copyright Medicalbay