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64. The urorectal septum fuses with the cloacal membrane at the future site of the anatomical
,????
65. Lower anal canal derived from?
66. Junction between upper and lower anal canal is indicated by ?
67. Ureteric bud is an outgrowth of?
68. Fetal metanephros is located at vertebral level of?
69. Allantois becomes fibrous cord called?
70. Most common cause of congenital obstruction of urinary tract ?
71. Most common renal malignancy of childhood?
72. Nutcracker syndrome occurs when?
73. By which week male and female characteristic of the external genitalia can be recognized ?
74. Phenotype sexual differentiation is determined by which gene?
75. Sry gene encodes for protein called?
76. Vestigial remnants of the mesonephric duct may be found in the adult female called?
77. The Phallus forms the ??
78. Urogenital folds forms the?
79. Testosterone is secreted by which cells?
80. Vestigial remnant of paranesonephric duct is ?
81. The labioscrotal swelling form the?
82. Respiratory diverticulum is formed in which week ?
83. Terminal sac period is the period between?
84. Pseudo glandular period is the period?
85. The site of the thyroglossal duct is indicated in adult by ?
86. Ultimobrschail body is derivative of which pouch?
87. Muscle of facial expression derived by?
88. No taste bud is present in which part if tongue?
89. All muscle motor supply is by XII cranial nerve except?
90. Pharyngeal cyst occurs when ----------- persist?
91. Most common site of ectopic thyroid tissue ?
92. Cleft palate is which type of genetic disorder ?
93. Anatomic landmark that distinguishea an anterior cleft palate from posterior cleft palate is?
94. Digeorge syndrome occurs due to defect in?
95. Remnant of notochord is ?
96. Anterior neuro pore closes on?
97. Posterior neuro pore closes on?
98. The lumen of neural tube for rise to?
99. Name 3 primary brain vesicles ?
100. At birth the conus mudullaris extend to the level of ?
101. Myelination of the corticospinal tract is not completed until ?
102. Remnants of ratkhe pouch may give rise to?
103. Arnold chiari malformation occurs when the caudal vermis and tonsils of cerebellum and
medulla herniated through which foramen?
104. Utricle responds to which acceleration?
105. Semicircular ducts responds to?
106. Stapes is derived from which pharyngeal arch ?
107. Eye development begins at day?
Incomplete fusion of ?
154. Hypospadiasis is due to ----?
155. Epispadiasis is due to----?
156. Diaphragmatic hernia is due to ?
157. Vertebra is derived from?
158. Somites are derived of which mesoderm?
159. Left umbilical vein will regress to ?
160. Gestational age is estimated from?
161. Union of 5th lumbar with 1st sacral is called?
162. Structure of 2ndry villus include?
163. Amputated leg is the result of?
164. Auditory tube is formed by?
165. Thyroid is derived from ?
166. Four chambers of heart are formed by?
167. Strongest layer of small intestine is?
168. Erythropoietin are secreted by ?
169. Which protein maintain red cell shape ?
170. Which is not major basic tissues ?
171. Ovary epithelium is ?
172. Which structure has 3 layers of muscles?
173. PDFG is secreted by which part of platelets?
174. Which cells produce antibodies?
175. Most abundant phagocytes in circulation?
176. Submucosal glands are present in ?
177. Nissle bodies are?
178. Most mucinous acini gland is ?
179. Calcium releases in muscle from ?
180. In Which state maximum HB produces occurs?
181. Average life of Gi epithelium? 2182. Basophilia of cell is due to ?
183. Which cell release extra cellular fibres and amorphous substance ?
184. Neurons in olfactory tract are ?
185. Heparin is released by which cells ?
186. Microtubule are part of ?
187. Micro filament composed of ?
188. ---- capsule covers the liver?
189. Signet ring appearance seen in?
190. Osteoclast are present in?
191. Structural unit of bone?
192. Myelin hai ---- percent of protein?
193. Blood group antigen are ???
194. Hassal corpuscles feature of?
195. Hypertrophied pharyngeal tonsil?
196. Bruner gland are present in submucosa of?
197. Thickest zone of adrenal cortex?
198. Which coat is thickest in large veins?
Appendix vasuculosa
77. The Phallus forms the ?? Clitoris
78. Urogenital folds forms the? labia minors
79. Testosterone is secreted by which cells? Leydig cells
80. Vestigial remnant of paranesonephric duct is ? Appendix testes
81. The labioscrotal swelling form the? Scrotum
82. Respiratory diverticulum is formed in which week ? 4 week
83. Terminal sac period is the period between? 24-birth
84. Pseudo glandular period is the period? 7-16 weeks
85. The site of the thyroglossal duct is indicated in adult by ? Foramen cecum
86. Ultimobrschail body is derivative of which pouch? 4th
87. Muscle of facial expression derived by? 2 pharyngeal arch
88. No taste bud is present in which part if tongue? Filiform papillae
89. All muscle motor supply is by XII cranial nerve except? Palatoglossus (CN X)
90. Pharyngeal cyst occurs when ----------- persist? Pharyngeal groove2-4
91. Most common site of ectopic thyroid tissue ? Sublingual
92. Cleft palate is which type of genetic disorder ? Multifacrorial
93. Anatomic landmark that distinguishea an anterior cleft palate from posterior cleft palate is?
Incisive foramen
94. Digeorge syndrome occurs due to defect in? 3 and 4 pharyngeal pouches
95. Remnant of notochord is ? Nucleus pulposus
96. Anterior neuro pore closes on? Day 25
97. Posterior neuro pore closes on? Day 27
98. The lumen of neural tube for rise to? Ventricular system
99. Name 3 primary brain vesicles ? Prosen, mesen ad rhombencephalon
100. At birth the conus mudullaris extend to the level of ? L3
101. Myelination of the corticospinal tract is not completed until ? Te end of 2 years
102. Remnants of ratkhe pouch may give rise to a craniophayngioma
103. Arnold chiari malformation occurs when the caudal vermis and tonsils of cerebellum and
medulla herniated through which foramen? Foramen magnum
104. Utricle responds to which acceleration? Linear acceleration
105. Semicircular ducts responds to? Angular acceleration
106. Stapes is derived from which pharyngeal arch ? Pharyngeal arch 2
107. Eye development begins at day? 22
108. The choroid fissure closes during week?? 7 week
109. The extra ocular muscle develops from Mesoderm of which somitomeres? Somitomeres 1,2
and 3
110. Anophthalmia is ? Absence of the eye
111. HPL can be assayed in maternal blood at week? 6
112. Growth hormone of later half of pregnancy? hPL
113. ----used by the fetal testes as a precursor of testosterone synthesis? Progesterone
114. The most potent estrogen is ??? Estradiol
115. Amniocentesis is preferred in which weeks? 14-18 weeks
116. Quickening in a woman first pregnancy in which weeks? 18-20 weeks
117. At week 20 uterine fundus is palpable at the ? Umbilicus
118. Surfactants are produced in which weeks? 25-27
119. Normal baseline fetal heart rate is? 120-160 beats per minute
120. Maximum susceptible period of teratogenicity is? 3-8weeks
121. The most common of CMV fetal infection is ?? Sensineural deafness
122. Teratogenicity of thalidomide is ? Limb defect
123. Fetal hydantoin syndrome is caused by? Phenytoin
124. Aminoglycoside causes which toxicity ? CNVIII
125. Appendages in wrong position is due to mutation in which gene? Hox gene
126. Heart begins to beat in which week? 4 week
127. Absent organ due to absent primordial tissue? Agenesis
128. Incomplete organ development ? Hypoplasia
129. Effect of diethylstilbestrol on fetus? Vaginal clear cell adenocarcinoma
130. Caudal regression syndrome caused by? Maternal diabetes
131. High risk of spontaneous abortion is side effect of vit a excess
132. Decidua basalis is derived from? Endometrium
133. Obliteration of Vitelline duct is in which week? 7th week
134. Yolk sac erythropoisis is in which weeks ? 3-8 weeks
135. Ductus arteriosus contain which blood? Deoxygenated
136. Meninges and spinal cord herniated through spinal cord defect is called?
Meningeomyelocole
137. Dec separation of hemispheres across Midline leads to? Holoprosencephaly
138. Most common site of syringomyelia ? C8-T1
139. PDA is derivative of which aortic arch? 6 aortic arch
140. Arches are derived from which germ layer ? Mesoderm
141. Styloid process is derivative of which branchial arch ? 2nd
142. CN IX supplies which muscle? Stylopharyngeus
143. All intrinsic muscles of larynx are derivative of 6th arch except? Cricothyroid ( 4th arch)
144. Thymus is derivative of which pouch? 3rd pouch
145. Sup parathyroid derivative of which pouch? 4th ( inf 3rd pouch)
146. Posterior 1/3 of tongue formed by? 3and 4 arch
147. Name cranial nerves involving in taste sensation? CN VII,IX,X
148. Muscle of tongue are derived from ? Occipital myotomes
149. Normal remnant of thyroglossal duct? Foramen cecum
150. Cleft lip is due to? Failure of fusion of the maxillary and medial nasal process
151. Midgut returns to abdominal cavity in ---- week? 10th week
152. Spleen is ------ in origin? Mesodermal
153.bicorunate uterus result due to
Incomplete fusion of ? Paramesonephric duct
154. Hypospadiasis is due to ----? Failure d urethral folds to close
155. Epispadiasis is due to----? Faulty positioning of genital tubercle
156. Diaphragmatic hernia is due to ? Absence of pleuro-peritoneal membrane
157. Vertebra is derived from? Sclerotome
158. Somites are derived of which mesoderm? Paraxial mesoderm
159. Left umbilical vein will regress to ? Ligamentum Teres
160. Gestational age is estimated from? Crown rump length at 8 weeks
161. Union of 5th lumbar with 1st sacral is called? Saccaralization
162. Structure of 2ndry villus include? Mesoderm , cytotrophoblast and syncitium
42. ? IgG
43. Typed IV
44. Type II
45. Primary biliary cirrhosis
46. Anti RNP
47. Anti histone
48. Fungal ad viral
49. Tyrosine kisane gene
50. IgE
51. 3rd and 4th pharyngeal pouches
52. Selective IgA deficiency
53. IL-2 receptor
54. Thrombocytopenia , infections and eczema
55. Syngeneic graft
56. Hyperacute rejection
57. Acute rejection
58. CMV
59. TNF-a
60. Erb-B2
61. Daclizumab
62. Type III
63. ATM gene
64. Type IV
65. TypeIII
66. Humoral
67. 3 weeks
68. IL5
69. IL12
70. C5b-9f
71. Monomer
72. Fab
73. APC
74. APC
75. Psoriasis , ankylosing spondylitis , IBD and Reiter syndrome
76. IL-12, IFN-b, IFN-a
77. Celiac
78. Sup inguinal
79. Paracortex
80. IgA
81. Corneal transplant
82. Procainamide
83. Infections
84. Dendritic cells
85. Kidney
86. Western blot
87. Hepatocyte
24. Most common tumor of salivary gland? Pleomorphic adenoma/ werthin tumor
25. Bird beak appearance is seen in!? Gerd/ achalasia
26. Plummer Vinson syndrome? Triad
27. Painless bleeding of submucosal vein in Lower 1/3 of esophagus ?cancer/ varices
28. Progressive dysohagia feature of??
29. Whipple disease causative agent??
30. Osmotic diarrhea is seen in? Celiac sprue/tropical sprue/Whipple disease/ lactase deficiency
31. Fat soluble vitamin ?
32. Celiac sprue associated with which disease?
33. Ulcers resulted due to burn injury?
34. Ulcer due to hypertension??
35. Stomach cancer associated with which blood group?? A/B/O
36. Pain increase with meal? Deudonunal/ gastric
37. Ulcerative colitis involve which part of GI tract ?
38. String sign feature of ? Crohn/ ulcerative colitis
39. Differentials of appendicitis?
40. Left sided appendicitis is named to??
41. Most common site of diverticulum is ?? Ilium/ jejunum/ rectum/ sigmoid
42. Most common congenital anomaly of Gi tract?
43. Hirschsprung disease associated with which syndrome?? Turner/ down / klinefelter / patau
44. Sawtooth appearance in Colon?
45. Double bubble sign? Adhesion/ meconium ileus/deudonal atresia?
46. Familial adenomatous polyposis---- name the gene?
47. most common site of carcinoid tumor??
48. Pregnant lady jaundice. Important marker? ALP/AST/GGT/ALT
49. Which drug cause reye syndrome in children ? Acetaminophen / aspirin/ burfen/ ampicillin
50. Mallory bodies seen in ? Hepc/ hepB/ autoimmune / alcoholic hepatitis
51. CEA Tumor marker of?
52. Net mug liver caused by ? RHF/LHF
53. Black liver associated with? Gilbert syn/ dubin Johnson syn/ rotor syn/ criglar najjar syn
54. In Wilson disease , cu deposits in which later of cornea?
55. Hemochromatosis associated with? HLA A3/HLA A4/HLA A5
56. Charcot triad ?
57. Migratory thrombophlebitis feature of? Ac pancreatitis/ chr pancreatitis/ pancreatic
adenocarcinoma
58. Marker of pancreatic carcinoma??
59. Treatment of carcinoid syndrome?
60. Magnesium hydroxide causes? Diarrhea/ constipation / seizures
61. Falciform ligament is derivative of ?
62. Superior mesenteric artery is at which vertebral level?
63. Which type of carcinoma is seen above pectinate line? Adenocarcinoma / squamous cell
carcinoma
64. Which zone of liver contains P-450 system?
65. Gastrin inc acid secretion primarily through its effects on???
66. The only GI submucosa glands is?
67. Direct bilirubin is conjugated with ??
22. IgA
23. Heme metabolism
24. Pleomorphic adenoma
25. Achalasia
26. Triad Dysphagia , glossitis iron defiecincy anemia
27. Varices
28. Esophegeal cancer
29. Torphyrema whippelii
30. lactase deficiency
31. ADEK
32. Dermatitis herpetiformans
33. Curling
34. Cushing
35. A
36. Gastric
37. Colon
38. Crohn
39. Diverticulitis,ectopic pregnancy
40. Diverticulitis
41. Sigmoid
42. Meckels diverticulum
43. Down
44. Colonic polyps
45. Deudonal atresia
46. APC
47. APpendix
48. GGT
49. Aspirin
50. Alcoholic hepatitis
51. Colorectal ca
52. RHF
53. Dubin Johnson syn
54. Descement membrane
55. HLA A3
56. Jaundice, fever , RUQ pain
57. Pancreatic adenocarcinoma
58. CA 19/9
59. Octreotide
60. Diarrhea
61. Fetal umbelical vein
62. L1
63. Adenocarcinoma
64. Zone III
65. Enterochromaffin like cells
66. Burnners gland
67. Glucuronic acid
iodine , calcium
42. HIGH plasma renin associated with??? Prim hyperaldosteronism/
sec hyperaldosteronism
43. Calcitonin? Dec calcium level / inc calcium level???
44. Glucagon made by --cell of pancreas??
45. Rbcs depend only on glucose ??? True/ false?
46. Post pituitary secretes???
47. Medulla originated from???
48. Carcinoid causes ?? Rt sided valvular disease/ left sides valvular
disease ???
49. Wermer syndrome triad???
50. Post partum bleeding leads to which syndrome ??
51. ....... Presents as an anterior midline neck mass that moves with
swallowing or protrusion of the tongue ?
52. Most common ectopic thyroid tissue site is?
53. Most common tumor of adrenal medulla in adults which causes
episodic hypertension?
54. Posterior pituitary derived from and secretes?
55. Spermatocyte contains which insulin transporters?
56. Prolactin is secreted by?
57. Prolactin is tonically inhibited by?
58. Anti diuretic hormone is synthesized in which nucleus of
hypothalamus?
59. Treatment of central diabetes insipidus?
60. Exogenous corticosteroids can cause reactivation of TB and
candidiasis by blocking which chemokine?
61. Prolonged secretin of cortisol is due to??
62. Source of PTH?
63. Which enzyme stimulate kidney for production of calcitriol?
64. Clinical manifestation of hypocalcemia??
65. Thyroid hormones increases Basal metabolic rate via???
KEYS
1.adernal Cortex derived from? mesoderm
2. Fetal adrenal gland consist of which zones? Outer adult zone and
inner active fetal zone
3. Islet of lingerhans most common in which area of pancreas??tail
4. Rathke pouch -- ectoderma l
5. Brains use ------- in starvation??ketone bodies
6. TRH stimulate ??? Name 2--Tsh, prolactin
7. Right adrenal vein drain in----?? Inferior Vena Cava
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86. Quinine causes symptoms of headache and tinnitus , which collectively called ?
87. Adverse effect of diazoxide?
88. Name the potentially fatal adverse effect of ibutilide?
89. Which ion is infused to treat torsades de pointed and digoxin toxicity?
90. Name three toxocities of antiarrhythmatic drug adenosine?
KEYS
1. Coronary artery occlusion most commonly occurs in? LAD
2. Cardiac output =??HR*CO
3. Stroke Volume affected by?? Name three parameters...Contractility, preload, afterload
4. Most posterior part of heart? Left atrium
5. Vasodilators decrease?? Preload/after load?? Ans= afterload
6. EF is the index of? Ventricular contractility
7. Viscosity depends mostly on?? Hematocrit
8. Fixed splitting is seen in? ASD
9. S4 is in? Mid diastole/ late/ early?? Ans= late
10. Period of highest oxygen consumption? isovolumetric contraction
11. Isovolumetric relaxation? Period between aortic valve closing and opening of mitral valve
12. Expiration inc intensity of which side of heart sounds? Left/right??ans=left
13. Murmur of Mitral stenosis is best heard in which area? Mitral area
14. Myxomatoys degeneration causes which valvular lesion? MVP
15. Cardiac muscle action potential has plateau due to ?? Ca influx
16. Rapid repolarization caused by? Massive K efflux
17. Pacemaker action potential occurs in?? SA AV node
18. QRS complex shows?? Ventricular depolarization
19. AV nodal delay is useful because?? Allows time for ventricular filling
20. Lyme disease causes which heart block? 3rd degree
21. Sawtooth appearance?? Atrial flutter
22. Cushing triad?? Hypertension, bradycardia and respiratory depression
23. Aortic arch responds??? And transmits via??? Inc Bp only -- vagus nerve
24. Highest blood flow per gran of tissue??? Kidney
25. Pulmonary vascular hypoxia cause? Vasoconstriction
26. Autoregulation In brain caused by? Co2(ph)
27. Pulmonary capillary wedge pressure good approximation of which pressure? Left atrial
pressure
28. Boot shape heart? TOF
29. Preductal coarctation of aorta associated with which congenital syn? Turner syndrome
30. Drug to close PDA? Indomethacin
31. Infant of diabetic mother --- > congenital defect?? transposition of great vessels
32. Hyperplasia onion skinning seen in?? Malignant hypertension
33. Most common site of atherosclerosis ?? Abdominal aorta
34. Thoracic aortic aneurysm associated with? Hypertension
35. Common cause of sudden death first few hours after MI? Arrhythmia
36. Marker for reinfarction? Ck-MB
37. V1-V2 ----> infarction location? Anterioseptal
38. Autoimmune pericarditis after MI? Dressler syndrome
KEYS
1. Respiratory zone consists of?? respiratory bronchioles,alveolar ducts and alveoli..
2. Mucus secretion are swept out of lungs toward mouth by which cells ?? Ciliates columnar
cells
3. Pulmonary surfactant contains?? dipalmitoyl phosphatidylcholine
4. Aspirated peanut at supine position reaches? Sup portion of right inf lobe
5. Aorta at T12 Other components are? Thoracic duct and Azygous vein
6. Phrenic nerve root value? C345
7.important muscle in expiration ? Rectus abdominus
8. Kallekrien activates----? Bradykinin
9. Surfactants deficit in which disease? Neonatal respiratory distress syndrome
10. Vital capticity? TV +IRV +ERV
11. Which part of lung has largest contribution of functional dead space? Apex of healthy lung
12. Compliance defined as----??? change in lung volume in given change in pressure
13. Relaxed form of HB has high affinity for O2? T
14. CO has ------ time greater affinity than O2? 200
15. Methemoglobinemia can ne treated with ?? methylene blue
16. Fetal dissociation curve is shifted to ? left
17. Oxygen HB dissociation curve is sigmoid due to? Positive cooperatively
18. Normal pulmonary artery pressure?? 10-14 mmHg
19. Cyanosis result when deoxyhaemoglobin HB reaches ??? >5 mHg
20. V/Q=0 what does it means?? Airway obstruction ( shunt)
21. CO2 is transported in forms??? Name them bicarbonate, carbaminohemoglobin, dissolved
22. Bohr effect seen in ?? peripheral tissues
23. Chronic hypoxia pulmonary vasoconstriction results in ??? RVH
25. Pulmonary embolism symptoms?? Chest pain, tachypnea and dyspnea
26. Amniotic fluid emboli can lead to? DIC
27. Virchow's triad?? Hypercoagubility , stasis and endothelial injury
28. Barrel shape chest seen in? Emphysema
29. Test for asthma?? Metha choline challenge
30. Bilateral hilar lymphedanoparhy and non caseating granuloma? Disease ? Sarcoidosis
31. Which effects lower lobes?? asbestosis
32 In neonatal respiratory distress syndrome therapeutic supplemental O2 can result in ??
Retinopathy of prematurity
33.NRDS Persistent Low O2 tension----> risk of??? PDA
34. Crushmann,s spiral seen in? Asthma
35. Asbestosis associated with ?? Bronchogenic carcinoma and pleural mesothelioma
36. Surfactant is made by -----cells??? And mostly abundant after -------- week of gestation??
Type II Pneumocytes and 35th week of gestation
37. Treatment of sleep apnea??? Weight loss, CPAP, surgery
38. Dull percussion note? Pleural effusion
39. Coin lesion on X-ray film?? Lung Cancer
40... Lung carcinoma associated with smoking? Squamous cell carcinoma
41. Spontaneous pneumothorax -- tracheal deviation which side?? Towards side of lesion
42. Carcinoid tumors secretes? Serotonin
43. Salt and pepper histological feature seen In ? Small cell lung carcinoma
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79. Fibromyalgia patients must have how many tender points? >11of 18 tender points
80. Hyper keratosis is due to increase thickness of which skin layer? Stratum corneum
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THORAX ANATOMY
1. Bones of thoracic wall consists of ??
2. Sternum is which type of ?
3. Which intervertebral discs are opposite of angle of Louis ?
4. Common site or bone marrow biopsy????
5. Name false ribs????
6. Which part is weakest part of rib?
7. The cartilages of the 11 and 12 ribs end in the ??
8. Which type of movement is there in costrocondral joints??
9. The intercostal nerves and blood vessels run between???
10. Nerve supply of diaphragm ?
11. Which structure passes through aortic opening ?
12. Most important muscle of respiration?
13. Caval opening lies at the level of which vertebra?
14. Anterior intercostal veins drains into?
15. Anterior intercostal artery terminate in which intercostal space ?
16. Anterior intercostal artery terminates as?
17. Thymus is supplied by ?
18. Which intercostal nerve is involved in the formation of lower trunk of brachial plexus?
19. Which intercostal nerve supplies the armpit and upper medial side of arm?
20. In coronary artery disease pain refereed to medial side of arm due to?
21. Pericardium heart and roots of great blood vessels are present in which mediastinum?
22. Cricoid cartilage is at the level of which vertebra?
23. Length of trachea???
24. Trachea divides at the level of?
25. Posteriorly trachea contains?
26. Right bronchus before entering the hilum gives?
27. Foreign body tends to enter rt bronchus becoz?
28. Visceral pleura is sensitive to?
29. Left bronchus on entering he hil divides into?
30. What structure separates parietal pleura from thoracic wall?
31. How are lungs attached to mediastinum?
32. Name the lobes of rt lung ?
33. Functional unit of lung is ?
34. Shape of bronchi pulmonary segment?
35. Bronchial arteries are branches of?
36. All lymph nodes living hilum drains into?
37. Lung os supplied by which plexus?
38. Vertical diameter of thoracic cavity is increases by?
39. Quite expiration is which type of process?
40. Pericardium attached Anteriorly to the sternum by the ??
=-=-=-=--
29. In ischemic brain disease ??? Irreversible damage occurs after how much time? > 5 minutes
30. Brief reversible episode of neurologic dysfunction lasting fewer than 24 hours ?? Transient
ischemic attack
31. CSF is made by-----? And reabsorbed by -----? Choroid plexus----- arachnoid granulation
32. Clinical triad of normal pressure hydrocephalus? Dementia , ataxia and urinary incontience
33. Nerves C1-C7 exist via ??? Intervertebral foramina
34. Subarachnoid space extends to? Lower border of S2
35. 1st order neuron of spinothalamic tract are in? Cell body in the dorsal root ganglion
36. Dorsal column decussates in ? Medulla
37. Poliomyelitis cause destruction of what part on spinal cord? Ant horn of spinal cord
38. Floppy baby at Birth? Disease? Werding Hoffman disease
39. Treatment for Amyotrophic lateral sclerosis ? Riluzole
40. Ipsilateral UMN sign below lesion, ipsilateral loss of tactile , vibration below lesion and
contralateral pain temperature loss below lesion? Disease?? Brown Sequard syndrome
41. Dermatome at nipple? T4
42. Movement of head toward one side if cheek or mouth is stroked ? Name reflex?? Rooting
reflex
43. Inferior collilculi associated with?? Auditory
44. Pineal gland secretes? Melatonin
45. Eye movement , pupillary constriction and accommodation is function of which CN? III CN
46. Cranial nerve nuclei located in which portion of brain? Tegmentum
47. Motor innervation of pharynx, larynx and upper esophagus ? Nucleus involves? Nucleus
ambiguous
48. Foramen ovale contains which nerve?? Mandibular nerve
49. Hearing and balance controlled by which nerve? VIII CN
50. Structure passing through jugular foramen ?? IX X XI Jugular vein
51. Cavernous sinus syndrome?? Feature? Ophthalmoplegia , ophthalmic and maxillary sensory
loss
52. CNX lesion? Uvula deviates ---- from side of lesion ? Away
53. Bell's palsy involve which nerve? Facial nerve proper
54. 3 muscles closes jaw... Name them? Masseter , teMporalis and medial pterygoid
55. Epinephrine contraindicated in which glaucoma? Close angle glaucoma
56. Patient problem going downstairs ?? Nerve injured? CN IV
57. Silent painless glaucoma ? Open angle glaucoma
58. Right optic tract lesion causes?? Lt homononous hemianopia
59. Alzheimer's disease most commonly associated with? Down syndrome
60. Parkinsonism with dementia?? Lewy body dementia
61. Charcoat classic triad of MS??? Scanning speech , intentional termites , nystagmus
62. Gold standard investigation for MS? MRI
63. In GBS what step is most critical for treatment and survival? Respiratory support
64. Metachromatic leukodystrophy is commonly due to which deficiency? Arysulfate A def
65. Drug of choice for absence seizures? Ethosuxemide
66. Partial seizures most commonly originate due to which lobe ?? Medial temporal lobe
67. Headache most commonly due to irritation of?? Dura matter
68. Worst headache of my life??? SAH
69. Port wine stains are seen in ? Sturge weber syndrome
70. Cafe -au- lait spots and lisch nodules seen in which disease? NF1 (Von ricklenghausan
disease)
71. Von HIPPLE LINDAU syndrome is due to defect in which chromosome? Chromosome 3
72. Majority of childhood primary tumors are ?? Supra/ infra tentorial??? Ans=Infra tentorial
73. Fried eggs seen in which brain tumor? Oligodendrocyte
74. Psamomma bodies seen in which brain Tumor?? Meningeoma
75. Basal ciliary bodies seen in?Ependymoma
76. Herniation can compress which cerebral artery?? Anterior cerebral artery
77. Most common cause of ring enhancing lesion? Mutation
78. Browning of iris is side effect of which drug? Latanoprosate
79. opoid toxicity is treated with? Naloxone/naltrexone
80. Maintenance programme for opoid addicts done by? Methadone
81.1st line drug for trigeminal neurolgia? Carbamazepine
82. 1st line drug for eclampsia? Mgso4
83. Gingival hyperplasia side effect of which epileptic drug? Phenytoin
84. Barbiturates facilitate GABA A action by ???? Inc duration of Cl channel
85. Benzodiazepine toxicity treated by? Flumazinil
86. Which inhaled anesthetic is hepatotoxic? Halothane
87. Most common drug used for endoscopy? Midazolam
88. Drug used for rapid anesthesia induction and short procedures? Propofol
89. Local anesthetic causing severe cardiovascular toxicity? Bupvicaine
90. Drug used in malignant hyperthermia? Dantrolene
91. Parkinson disease is due to loss of ----neurons?? Dopaminergic neuron
92. Anti parkinson drug also used against influenza A ?? Amantadine
93. Selegiline selectively inhibits ?? MAO-B
94. Sumatriptan contraindicated with? CAD/ prinzmetal angina
95. Haloperidol is antagonist of which receptor? Dopamine receptor
96. Cough suppressor opoid? Dextromethorphan
97. Brain tumor causing polycythemia ?? Hemangioastoma
98. Most common childhood supratentorial tumor? Craniophayngioma
99. 3rd most common primary brain tumor in adult?? Schwannoma
100. Butterfly glioma seen in?? Glioblastoma multiforme
101. Muscle which opens the jaw? Lateral pterygoid
102. What is the test used for CN XI injury? Syrengiomyelia
103. Contralateral paralysis of lower face only?? Which type of lesion os it? UMN lesion
104 Nissle substance are not present in? Axon
105. Taste sensation from posterior 1/3 rd of tongue is carried by which nerve ? IX CN
106. Perinaud syndrome causes paralysis of which gaze?? Conjugate vertical gaze
107. Patellar reflex root value? L3-L4
108. Fredreich ataxia has repeat disorder of which gene ? GAA( fraxatin gene)
109. Tabes dorsalis is consequence of ?? Tertiary syphillis
110. In syringomyelia what is damaged ? Ant white commissure of spinothalamic tract
111. Adult spinal cord extends upto??? Lower border of L2
112. Lateral ventricles connects with 3 ventricle through? Foramina monrro
113. Hemorrhagic stroke is often due to ?? HTN, anti coagulation and cancer
114. Shaken baby cAn lead to which intracranial hemorrhage? Sub dural hemorrhage
60. Anxiety
61. Inc bp, HTN, bradycardia
62. Hypotension
63. Temperature
64. IL6
65. Fat embolism
66. Anasarca
67. Vit c
68. Type 3
69. Neutrophils
70. Granulation tissue
71. Zinc
72. Chronic inflammation
73. Canal of hering
74. Myocibroblasts
75. Type 1 collagen
76. 10-14 days
77. Infections
78. Hyperplasia
79. Degree of cellular differentiation on histological appearance
80. Mesenchymal
81. ALL
82. Breast
83. Esophageal adenocarcinoma
84. Follicular lymphoma
85. MEN IIA and IIB
86. P53
87. APC
88. Hairy cell leukemia
89. Melanoma, astrocytoma
90. Thyroid medullary carcinoma
91. Mesothelioma and Bronchogenic carcinoma
92. Angiosarcoma
93. Small cell lung carcinoma
94. Papillary ca of thorid, serous papillary cystadebocarcinoma of ovary, meningioma, malignant
mesothelioma
95. Lymph nodes
96. Lung carcinoma
97. Leukemia
98. RCC
99. Ovarian carcinoma
100. Adult T cell leukemia/ lymphoma
101. Retinoblastoma and osteosarcoma
102. Malignant melanoma
103. TNF-a
104. Gastrointestinal stromal tumor (GIST)
151. Cotinine
152. Vit C
153. Basal cell carcinoma
154. Hypokalemic metabolic alkalosis
155. Retinal hemorrhage
156. Lithocholic acid
157. Night blindness
158. Bone
159. Biotin
160. Marjolin ulcer
161. Smoking
162. Niacin deficiency
163. ADEK
164. Connective tissue
165. Choristoma
166. Parenchyma , stroma
167. Uterine leiomyoma
168. Haematogenous ,, lymphatics
169. CSF
170. Acute lymphoblastic leukemia
171. Point mutation
172. Anemia of chronic disease
173. Hypercalcemia
174. Basal cell carcinoma
175. Oncogene
176. M phase
177. Lymph node
178. Cystic hygroma
179. Papillary carcinoma
180. 5-10 years
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27. Dyenin
28. Kartagener syndrome
30. Vimentin
31. Ouabain
32. Type 1
33. Type I
35. Vit C
36. Tropocollagen
37. Osteogenesis imperfecta
38. Type 1
39. Type III
40. Marfan syndrome
41. Reduced collagen and elastin production
42. Type IV
43. Codominance
44. Anticipation
45. Mitochondrial inherited disease
46. Lyonizatoin
47. 15
46. Angelman's syndrome
47. Autosomal dominent
48. Mitochondrial myopathy
49. Maternal / paternal
50. Achilles' tendon
51. Spectrinand ankrin
52. 4
53. Von recklinghausen's disease( chromosome 17)
54. Tuberous sclerosis
55. Ch. 16
56. Duchenne's dystrophy
57. Dystrophin gene
58. CFTR gene
59. Sweat test
60. Fragile X chromosome
61. (CAA)n
62. Edwards syndrome
63. Down syndrome
64. Edward syndrome
65. 13
66. 5
67. Williams syndrome
68. Thymic, parathyroid and cardiac
69. Vitamin A
70. Vit B1
71. Dementia , dermatitis and pellagra
72. Vit B6
119. Acetazolamide
120. Tryptophan----->serotonin------> melatonin
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41. Which nodes recieve lymph from most of upper limb except lateral side?
42. Which lymph node recieve lymph from medial fingers, medial part of hand and the medial
side of forearm??
43. Musculocutaneous nerve arises from which cord of brachial plexus?
44. Root valcue of median nerve?
45. Root value of ulnar nerve?
46. Root value of axillary nerve?
47. Winged scapula is caused by damage of which nerve?
48. Wrist drop is caused by which nerve injury?
49. Claw hand is caused by which nerve injury?
50. The extensor indicis muscle is innervated by?
51. Spinal part of accessory nerve supplies?
52. Carpal tunnel syndrome is caused hy compression of which nerve?
53. Sweat gland of upper limb are innervated by?
54. Which muscle is mainly responsible for first 15 degree of abduction by shoulder joint ?
55. Muscle that will compensate in part of paralysis of the supinator muscle is the?
Keys
1. Mammary gland are specialized accessory gland of?? Skin
2. Nipples are surrounded by colored skin called? Areola
3. Increase of breast size is mainly results due to? Deposition of adipose tissue?
4. Lateral thoracic artery and thoracoacromial artery is branch of? Axillary artery
5. Medial quadrant of breasts drain into ? Internal thoracic nodes
6. Name bones of the shoulder girdle? Clavicle and scapula
7. What is the weakest part of clavicle? Junction between the medial 2/3 and lateral 1/3
8. Which part of humerus usually fractured? Surgical neck
9. Capitulum articulates with? Head of radius
10. Most commonly fractured bone of body os ? Clavicle
11. How many carpel bones are there? Eight carpel bones
12. Which nerve is compresses in carpel tunnel symdrome? Median nerve
13. Medial colateral ligament is closely related with? Ulnar nerve
14. Elbow is which type of joint? Hinge joint
15. The carrying angle in females is? 167 degree
16. Wrist is which type of joint? Synovial condyloid joint
17. Axilla is which shaped? Pyramidal
18. Latissimus dorsi is supplied by which nerve? Thoracodorsal nerve
19. Deltoid is supplied by? Axillary nerve
20. Name the muscles of rotator cuff? Subscapularis, supraspinatus, infraspinatus and the teres
minor
21. Quadrangular area is bounded medially by? Long head of tricep
22. Which nerve passes through quadrangular area?? Axillary nerve
23. Cubital fossa medial border formed by? Pronater teres
24. Brachialis muscle nerve supply is? Musculoskeletal nerve
25. Interrosi muscles are supplied by? Ulnar nerve
26. In the palm deep fascia is thickened and is called? Palmar aponeurosis
27. Brachioradialia muscle is supplied by which nerve? Radial nerve
28. Which artery begins at the level of first rib? Axillary artery
29. Which muscle divides tha axillary artery into 3 parts? Pectoralis minor
30. 3rd part of axillary artery gives how many branches? 3 branches
31. Name the branch of first part of axillary artery? Highest thoracic artery
32. Brachial artery begins at? Lower border of teres major muscle
33. Which nerves crosses the middle of brachial artery? Median nerve
34. Deep palmar arch is formed by which artery? Radial artery
35. Thoracoacromial artery is branch of ??? Second part of axillary artery
36. The ulnar artery enters the palm from which side of flexor retinaculum ? From the front
37. Pectolaris major is supplied by whoch artery? Thoracoaromial artey
38. Basilic vein arises from which side of arm? Medial side
39. Which vein connects cephalic with basilic vein? Median cubital vein
40. Which nodes recieve lymph from superficial vessels of lateral side of hand,arm , forearm ???
Infraclavicular nodes
41. Which nodes recieve lymph from most of upper limb except lateral side? Lateral nodes
42. Which lymph node recieve lymph from medial fingers, medial part of hand and the medial
side of forearm?? Supratrochlear lymph node
43. Musculocutaneous nerve arises from which cord of brachial plexus? Lateral cord
44. Root valcue of median nerve? C5,6,7,8 and T1
45. Root value of ulnar nerve? C8 T1
46. Root value of axillary nerve? C5 and C6
47. Winged scapula is caused by damage of which nerve? Long thoracic nerve
48. Wrist drop is caused by which nerve injury? Radial nerve injury
49. Claw hand is caused by which nerve injury? Ulnar nerve
50. The extensor indicis muscle is innervated by? Deep branch of ulnar nerve
51. Spinal part of accessory nerve supplies? Sternocleidomastoid and trapiuz muscle
52. Carpal tunnel syndrome is caused hy compression of which nerve? Median nerve
53. Sweat gland of upper limb are innervated by? Sympatheic postganglionic nerve fibres
54. Which muscle is mainly responsible for first 15 degree of abduction by shoulder joint ?
Supraspinatus muscle
55. Muscle that will compensate in part of paralysis of the supinator muscle is the bicep brachii
muscle
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24. Deep circumflex iliac artery is branch of? External iliac artery
25. Upper portion of bladder is supplied by? Superior vesical artery
26. Artery to vas deferens arises from? Inferior vesical artery
27. Obturator artery leaves the pelvis through? Obturator canal
28. Internal pudendal artery leaves the pelvis through? Greater sciatic foramen
29. Name the branches of posterior division of internal iliac artery? Ilio lumber artery , lateral
sacral arteries and superior gluteal artery
30. Direct communication of the inferior mesenteric artery is? Superior rectal artery
31. Ovarian artery arises from abdominal aorta at the level of? First lumbar vertebra
32. Median sacral artery arises at? Bifurcation of aorta
33. External iliac vein is continuation of? Femoral vein
34. The left ovarian vein drains into? Left renal vein
35. Length of sigmoid colon is? 10-15 inches
36. Sigmoid colon is attached to pelvic wall by? Sigmoid mesocolol
37. Rectum begins in front of which sacrum? 3rd sacral vertebra
38. The lower part of rectum is dialated to form ?? Rectal ampulla
39. In male ureters near termination is crossed by? Vas deferens
40. Ureter has how many constrictions? 3 constrictions
41. Urinary bladder has maximum capacity of approximately? 500 ml
42. Empty bladder is which shaped? Pyramidal
43. Apex of bladder connects with? Median umbilical ligament
44. The neck of bladder point on which side? Inferiorly
45. Internal surface of bladder is called ? Trigone
46. The muscular coat of bladder is which muscle ? Detrussor muscle
47. In male neck of bladder Is held in position by which ligament? Puboprostatic ligament
48. Lymph drians from bladder in?? Internal and external lymph nodes
49. In females neck of bladder is attached by which ligament? Pubovesical ligament
50. Approximate length of vas deferens is ? 45cm
51. Vas deferens joins the duct of seminal vesicle to form? Ejaculatory duct
52. Ejaculatory duct open in which part of urethra? Prostatic part
53. Prostate surround which part of urethra? Prostatic part
54. Lymph drainage of prostate is into? Internal iliac nodes
55. Which plexus supplies the prostate? Inferior hypogastric plexus
56. Ovary is attached to the back of ye broad ligament by? Mesovarium
57. Ovary is covered by modified area of peritonium called? Germinal epithelium
58. Ovary usually lies near the lateral wall of pelvis in a depression called? Ovarian fossa
59. Which ligament of the uterus is the remains of the lower part of Gubernaculum? Round
ligament
60. Lymph drainage of ovary is in? Para aortic nodes
61. After pregnancy ovaries may prolapse into? Pouch of Douglas
62. Which is the narrowest part of the tube? Isthmus
63. Widest part of the uterine tube is? Ampulla
64. The cavity of cervix communicates with the cavity of the body through the? Internal os
65. Forward bending of the uterus on the long axis of vagina? Antiversion
66. Ligament that attaches the cervix to pubic bones? Pubicervical ligaments
67. Lymph from fundus drains into? Para aortic nodes
78. External laryngeal nerve is which type and supplies which muscle?
79. Recurrent laryngeal nerve on right side hooks around which artery?
80. The cervical plexus is formed by the anterior rami of the root of ???
81. The only motor nerve supply to diaphragm is?
82. Cheek is formed by which muscle?
83. Posteriorly the roof is formed by?
84. Surface of tongue is connected to the floor of mouth by?
85. Deciduous teeth are how many in number ?
86. Side of anterior two thirds of tongue drains into ?
87. Posterior third of tongue is supplied by?
88. Depression of tongue is caused by which muscle?
89. Protrusion of tongue is done by?
90. All extrinsic muscle supplied by hypoglossal nerve except?
91. Name the largest salivery gland?
92. Parasympathetic nerve supply to submandibular gland is by which nerve?
93. All muscle of pharynx is supplied by pharyngeal plexus except?
94. Sensory nerve supply to nasal pharynx is by?
95. Esophagus begins in the neck at the level of which cartilage?
96. Superior meatus lies below which concha?
97. Nasolacrimal duct open in which meatus?
98. Maxillary sinus opens in which meatus ?
99. Name the largest cartilage of larynx?
100. Rod shape cartilage of larynx is called?
101. Other name of false vocal cord is ?
102. Vocal cords are of which color?
103. Tensing of the vocal cord is functiom of which muscle?
104. Relaxing of the vocal is function of which muscle?
105. Below the vocal fold sensory nerve supply is by?
106. All inteinsic muscles are supplied by recurrent laryngeal nerve except?
107. Laterally the pituitary gland is related with?
108. Abducent nerve supply which muscle?
109. Superior oblique is supplied by?
110. Medulla oblongata leaves the cranium through which foramen?
HEAD AND NECK KEYS
1. The anterior fontanelle is which shaped? Diamond shaped
2. Posterior fontanelle usually closes at which stage of life? 1st year of life
3. The mastoid process develops during ??? First 2 years of life
4. Which sinuses serves as voice resonators? Frontal sinuses
5. Nasal septum is largely formed by which bone? Vomer
6. Below the orbit maxilla is perforated by? Inter Maxillary foramen
7. Which bone forms the prominence of cheeks? Zygomatic bone
8. Most common fractures of facial fractures? Nasal fractures
9. Frontal bone articulates with parietal bones at which suture? Coronal suture
10. Thinnest part of the lateral wall of skull is called? Pterion
11. What important thing lies below pterion? Middlw meningeal artery and vein
53. Name the valveless vein that passes through the skull bones? Emissary veins
54. Facial vein is formed by union of ? Supraorbital and supratrochlear veins
55. Retromandibular vein is formed by union of? Maxillary vein and superficial temporal vein
56. Maxillary vein is formed from which plexus? Pterygoid venous plexus
57. External jugular vein formed by union of? Posterior auricular vein and post division of
retromandibular vein
58. Internal jugular vein is closely related with which lymph nodes? Deep cervical lymph node
59. Lymph drainage form the tip of the tongue is by? Sub Mental lymph node
60. Tonsils are drained by which node? Jugulodiagastric node
61. Olfactory bulb is connected tomthe olfactory area of cerebral cortex by? Olfactory tract
62. Optic nerve ends at? Optic chiasma
63. The nerve cells of the lateral geniculate body to the visual cortex of the cerebral hemisphere
by forming ? Optic radiation
64. The most slender of cranial nerves is ? Trochlear nerve
65. Name the largest cranial nerve? Trigeminal nerve
66. Name the branches of ophthalmic nerve? Lacrimal , frontal and nasocilliary
67. The nasocilliary nerve continues as which nerve to enter the cranial cavity? Anterior
ethmoidal artery
68. Maxillary nerve leaves the skull through which foramen? Foramen rutendum
69. Buccal nerve supplies ? The skin and mucous membrane of cheeks
70. Other name of sensory root of facial nerve is ? Nervus intermedius
71. Geniculate ganglion involve which cranial nerve? Facial nerve
72. Nerve to stapedius arise from which nerve? Facial nerve
73. Name the five terminal branches of facial expression? Temporal, zygomatic, buccal,
mandibular and cervical
74. Vestibulocochlear nerve is which type of nerve? Sensory nerve
75. Vagus nerve leaves the skull through which foramen? Jugular foramen
76. Phayrngeal branch supplies all the muscles of the pharynx except?? Stylopharyngeus
77. Which nerve divides into internal and external laryngeal nerves? Superior laryngeal nerve
78. External laryngeal nerve is which type and supplies which muscle? Motor and supplies
cricothyroid muscle
79. Recurrent laryngeal nerve on right side hooks around which artery? Subclavian artery
80. The cervical plexus is formed by the anterior rami of the root of ??? First four cervical spinal
nerves
81. The only motor nerve supply to diaphragm is? Phrenic nerve
82. Cheek is formed by which muscle? Buccinator muscle
83. Posteriorly the roof is formed by? Soft palate
84. Surface of tongue is connected to the floor of mouth by? Frenulum of the tongue
85. Deciduous teeth are how many in number ? 20 number
86. Side of anterior two thirds of tongue drains into ? Submandibular lymph nodes
87. Posterior third of tongue is supplied by? Glossopharyngeal nerve
88. Depression of tongue is caused by which muscle? Hypoglossus muscle
89. Protrusion of tongue is done by? Genioglossus muscle
90. All extrinsic muscle supplied by hypoglossal nerve except? Palatoglossus
91. Name the largest salivery gland? Parotid gland
92. Parasympathetic nerve supply to submandibular gland is by which nerve? Facial nerve via
corda tympani
93. All muscle of pharynx is supplied by pharyngeal plexus except? Stylopharyngeus
94. Sensory nerve supply to nasal pharynx is by? Maxillary nerve
95. Esophagus begins in the neck at the level of which cartilage? Cricoid cartilage
96. Superior meatus lies below which concha? Superior
97. Nasolacrimal duct open in which meatus? Inferio meatus
98. Maxillary sinus opens in which meatus ? Middle meatus
99. Name the largest cartilage of larynx? Thyroid cartilage
100. Rod shape cartilage of larynx is called? Cuneiform cartilage
101. Other name of false vocal cord is ? Vestibular fold
102. Vocal cords are of which color? White color
103. Tensing of the vocal cord is functiom of which muscle? Cricothyroid muscle
104. Relaxing of the vocal is function of which muscle? Thyroaretenoid muscle
105. Below the vocal fold sensory nerve supply is by? Recurrent laryngeal nerve
106. All inteinsic muscles are supplied by recurrent laryngeal nerve except? Cricothyroid muscle
107. Laterally the pituitary gland is related with? Cavernous sinus and its contents
108. Abducent nerve supply which muscle? Lateral rectus
109. Superior oblique is supplied by? Trochlear nerve
110. Medulla oblongata leaves the cranium through which foramen? Foramen magnum