7th march morning medicine and allied [Riyadh center]

1) Increased LAP?
a) cml b) leukemia c)non Hodgkin lymphoma
Ans: (B)
2) Antineutrophil antibody?
A) sarcoidosis b)vasculitis
Ans:(B)
3 )dermatome below clavicle but above sternoclavicular joint?
a)C6 b)T1 c)T2
ans:(B)
4) Effect of digoxin is increased when?
a) used with potassium non sparing diuretics b)hypokalemic
ans:(A)
5) regarding 4rth ventricle wats true?
a)facial colliculus near median sulcus
b)below it pyramid decussate
c) two options were regarding superior cerebellar peduncle
Ans:(B)
6) Accommodation gone, which part is infarcted?
a)cerebrum b)midbrain
Ans:(b)
7)accommodation reflex occurs?
a)when curvature of lens shorten
b)when ciliary muscle contracts
ans:(b)
8)”empty speech” area damaged?
a)brocas area b)frontal association c)limbic association d)wernickes area
ans:(d)
9)a cat is decerebrated at mid collicular level,wat happens?
a)exaggerated stretch reflex b)cant stand c)increased flexor tone of muscle
spindle
ans:( )
10)clasp knife reflex,wat happens?
a)increased flexor withdrawl reflex at nociceptors b)exaggareted stretch n
tedon reflexes
ans:(b)
11)receptors for flexor(withdrawl) reflex?
a)free nerve endings b)golgi 1 c)muscle spindle d)Meissner
ans:(I did A,confirm it)
12)in spinal gangla,which neurons?
a)unipolar b)bipolar c)pseudounipolar d)multipolar e)golgi1
ans:(c)
13)a long scenario painful joints herbeden nodes many findings of joint
inflammation associating with amyloidosis,congo red stain,wat is in the joint?
a)lambda light chain b)amyloid associated protein c)amyloid precursor
protein d)transthretin
ans:(b)
14)a long scenario abot pleural and pericardial effusion,many
findings,thoracocentesis done pericardial fluid clear with low proteins and
cells.then after some days urinary nitrogen raised about 55mg/l,whats the cause?
a)antiglomerular membrane antibody b)glomerular immune complex
ans:(b)
15)a 5year child inhale,air flow constant in trachea,what happens next?
a)velocity increases b)velocity decreases c)velocity constant d)velocity
maximum as reaches bronchioles e)velocity minimum in bronchi
ans:(c)
16)a child was pallor microcytic anemic having some worm?
a)ancylostoma duodenale
17)levator scapulae nerve supply?
a)C3 C4 b)thoracodorsal
ans:(a)
18)middle lobe of right lung drain in?
a)inferior pulmonary vein b)bronchial vein c)superior pulmonary vein
ans:(a)
19)child with strange behavior from four days have fever 100 degree centigrade
and squint,cause?
a)SSPE b)TB meningitis
ans:(a)
20)anticaogulat given to a patient,how to differentiate warfarin from heparin?
a)is monitored by PT b)is given IV
ans:(a)
21)how to prevent infection in icu?
a)washing hands repeatedly b)wearing gloves
ans:(a)
22)foot drop,nerve damaged?
a)common peroneal
23)myogenic reflex,which muscle?
a)cardiac muscle b)ciliary muscle
ans:(a)
24)tibial nerve damaged still some flexion due to?
a)short head of biceps
25)supinator muscle is damaged,still some supination possible?
a)biceps brachii
26)a person travelling somewhere had nausea and vomiting during his flight,next
time he will take which drug before travelling?
a)cyclizine
27)mode of action of ondesetron/
a)5HT3 antagonist
28)levodopa given in parkinsonism will cause?
 a)acromegaly b)loss of sexual activity c)diabetes
ans:(a)
29)simple signs and symptoms af acromegaly give in patients tht shoes are not
fitting etc etc due to wat?
a)acth and cortisol b)trh and tsh c)ghrh and somatostatin
ans:(c)
30)signs and symptoms of cushing syndrome with hyperpigmentation,wats raised?
a)acth b)cortisol
ans:(a)
31)most potent anabolic hormone?
a)androstenedione b)DHEA c)estrogen d)progesterone e)testosterone
ans:(b or e)not sure confirm plz
32)effects of estrogen in normal female?
a)development of secondary sexual characteristics
33)a man of 29 years has some cysts in kidneys?
a)autosomal dominant b)autosomal recessive
ans:(a)
34)hypokalemia will cause?
a)diastolic cardiac arrest b)exhaustion of myocardium c)systolic cardiac
arrest
ans:(a)
35)increased myocardial oxygen is consumed in?
a)decreased heart rate b)decreased contractility c)decreased cardiac output
d)increased sodium influx e)increased heart size
ans:(e)
36)turbulence increased with?
a)increased velocity along the vessel
37)increased stroke volume when total peripheral resistance is not changed?
a)increased pulse pressure and increased MAP b)increased pulse pressure and
no change in MAP
ans:(a)
38)RBC size 5.5micron and present only in a single line in periphery ,diagnosis?
a)normocytic hypochromic b)microcytic hypochromic
ans:(b)
39)a man near island eats lot of fish,deficiency of vit B,likely to have?
a)macrocytic anemia b)homocystinuria c)megaloblastic bonemarrow
ans: I did A but not sure
40)a boy fell from bed ,haematoma develop,tw sisters are normal having no such
history on injuries,brother of mother had bleedind disorder,investigation?
a)coagulation disorder b)platelets function
ans:(a)
41)which is 7th segment of left lung?
a)inferior basal b)apical )left lateral basal d)medial basal
ans:(d)
42)ligamentum flavum attached to?
a)spine b)lamina c)pedicle
ans:(b)
43)primary cartilaginous joint?
a)two bones are connected b)covered by layer of hyaline cartilage
ans:(b)
44)stratified squamous epithelium?
a)nasal cavity b)pharynx
ans:(b)
45)a girl on taking anti tuberculous drugs have colored urine due to which drug?
a)INH b)pyrazinamide c)rifabutin(rifampin)
ans:(c)
46)decreased lymphatic flow due to?
a)haemorrhage
47)obstruction of azygous vein will cause?
a)haemopericardium b)chylopericardium
ans:(b)
48)about middle meningeal artery,most likely?
a)it gives its anterior branch at pterion
49)one question was about location of trigeminal ganglion.
50)infratemporal fossa is also called?
a)paraphryngeal fossa
51)receptors for vibration and pressure?
a)Pacinian
52)spinothalamic tract doesnot transmit which sensation?
a)pain b)temperature c)proprioception d)crude touch e)pressure
ans:(c)
53)pseudomembranous enterocolitis is caused by?
(a) clindamycin
54)scenario in which signs and symptoms of increase growth in a girl with
galactorrhea,what findings in pituitary gland?
a)increased number of eosinophilic cells b)increased number of basophilic
cells
ans(a)
55)hypopyseal portal system supply?
a)adenohypophysis b)neurohypophysis
ans(a)
56)source of cholinergic neurons?
a)nucleus of meynert
57)scenario from old papers in brs also,of increased plasma renin,increased
aldosterone,increased left renal renin,but right renal vein renin is
decreased,why?
a)left renal vein stenosis b)right renal vein stenosis
ans:(a)
58)tumor suppressor gena?
a)p53
59)MYC amplification occurs in?
a)t(8:14)translocation in burkitt lymphoma
60)scenario from old papers,amputed limb now presents with pain and outgrowth?
a)ganglioma b)neuroma c)ganglioneuroma
ans:(a)
61)radiations give,chance of cancer after how many years?
a)3 b)5 c)10
ans:(c)
62)muscle contraction after resting will generate?
a)shortening heat b)initial heat c)activation heat d)maintainence heat
ans: I did C but im not sure,plz confirm
63)surgery for ovaries,which nodes are seen or removed first?
a)para aortic b)inguinal c)caeliac
ans:(a)
64)lymphatic drainage of fundus of stomach?
a)caeliac b)submesenteric c)paracolic
ans:(a)
65)most commonly perforated ulcer?
a)posterior duodenal ulcer supplied by gastroduodenal artery
66)facilitated diffusion?
a)glucose in duodenal lumen b)trypsin in duodenal lumen
c)fructose in duodenal lumen
ans:(b)
67)respiratory burst required for?
a)phagocytosis b)complement activation c)microbicidal activity
ans:(c)
68)once prone,next time antibody produced for same infection?
a)igG b)igM c)igA d)igD
ans:(a)
69)asthma?
a)eosinophilic activation
69)cells with dense granules,secretes histamine and serotonin?
a)basophil b)eosinophil c)monocyte d)neutrophil
ans:(a)
70)chromosomes are better studied at which stage?
a)prophase b)metaphase c)anaphase d)telophase
ans(B)
71)scenario about a mn who lost 6kg in 5months,haemoptysis,temp 37.5,biopsy
taken,on microscopy some epitheloid cells with necrosis,what will be other
findings on histology?
a)AFB positive b)halos around cells c)pleomorphism with dark granule
d)increased N/C ratio with light granules
ans: (a)
72)at birth what is most likely in a new born?
a)weight of liver is 5percent of body weight
73)a female with itchin and dryness in eyes,dysphagia n dry mouth,parotid gland
enlargement,cause?
a)sjogrens b)scleroderma
ans: (a)
75)blockage of parotid duct,mechanism involved will be?
a)apoptosis b)necrosis
ans: (a)
76)denervation of small intestine will cause?
a)intestinal obstruction b)decreased peristalsis in resting phase c)no
effect on peristalsis in resting phase d)increased peristalsis in resting
phase
ans:(c)
77)a boy had a trauma while playing football,some swelling developed,doctor said
blood clot with some bone trabeculae,what is the cause?
a)apoptosis b)necrosis c)metaplasia d)hyperplasia e)metastatic
calcification
ans: I did e,not sure plz confirm
78)atherosclerosis?
a)due to some internal plaque b)damaged endothelium c)overgrowth of smooth
muscle d)some blood clot
ans: (a)
79)a pulp under teeth of an old manhad no sensationon thermal stimulus,why?
a)myelin sheath of nerve degenerate with age b)repeated stimuli causes nerve
damage c)decrease sensoery nerve endings in old tooth d)reduced nerve firing
with age
ans: I did c,not sure plz confirm
80)one boy fell on ground and got fracture of arm,tetany on checking blood
pressure,decreased serum calcium and normal urine calcium,most likely cause?
a)vitamin D deficiency b)primary hypoparathyroidism c)secondary
hypoparathyroidism
ans: (a)
81)a female on HRT her sister died of breast cancer,whats the risk?
a)endometrial CA b)breast CA
ans: (a)
82)mild dyskaryosis?
a)CIN 1 b)CIN2 c)CIN3
ans: (a)
83)premalignant lesion in mouth?
a)lichen planus b)submucosal fibrosis
ans: (a)
84)what will change into squamous cell carcinoma most likely?
a)actinic keratosis b)bowen disease
ans: (a)
85)on ecg saw tooth 3:1?
a)atrial flutter b)atrial fibrillation
ans: (a)
86)ph is 7.32 co2 is 55 hco3 is 24?
a)partially compensated respiratory acidosis b)uncompensated respiratory
acidosis
ans: (a)
87)anion gap?
a)measured cations and measured anions b)unmeasured cations and unmeasured
anions
ans: (a)
88)most commonly patent after birth?
a)ductusarteriosus b)ductus venosus
ans: (a)
89)attachment of liver with anterior abdominal wall is thru?
a)falciform ligament
90)derivative of foregut endoderm?
a)sinusoids b)kuffer cells c)hepatocytes d)fibroblast e)endothelial cells
ans: ©
91)a baby girl bornwell,died in 12 hours?
a)transposition of vessels with no patency
92upper part of esophagus supplied by?
a)inferior thyroid artery b)aorta
ans: (a)
93)scenario from previous papers of RTA,decreased BP,what to do first?
a)volume replacement
94)single most drug for congestive heart failure?
a)digoxin b)epinephrine c)hydralazine d)beta blocker e)captopril
ans: (e)
95)therapeutic dose depend on?
a)drug efficiency
96)nerve from anterolateralsurface of pons?
a)trigeminal b)facial
ans: (a)
97)v/q is decreased in?
a)physiological shunt b)dead space c)cystic fibrosis
ans: (a)
98)route of transmission of HSV?
a)blood b)droplet and direct contact c)urine
ans: (b)
99)which is transmitted most commonly through blood?
a)hepA b)hepB c)hepC d)hepD
ans: (c)
100)which is required for hep D?
a)hepA b)hepB c)hepC
ans: (b)
101)cervical sympathetic is damaged will cause?
a)increased salivation b)increased sweating while eating c)increased
pupillary constriction d)increased pupillary dilatation
ans: (c)
102)scenario about polyarteritis nodosa,which type of necrosis?
a)fibrinoid b)coagulative
ans: (a)
103)vitamin required for ALT?
a)B6 b)B12
ans: (a)
104)a man running on a tread mill heart rate is doubled,effect on cardiac cycle?
a)0.8 b)0.4 c)0.2
ans: (b)
105)HIV patient is sero positive,how would u know?
a)follow up of the patient b)isolate the patient c)some more tests are done
ans: (c)
106)HCO3 is absorbed from?
a)PCT+DCT b)PCT+collecting duct c)PCT
ans: (b)
107)maximum oxygen concentration in?
a)umbilical artery b)umbilical vein
ans: (b)
108)injury to foramen ovale,which part of face is affected?
a)upper third b)middle third c)lower third
ans: (c)
109)signs and symptoms of increased intracranial pressure were given,cause?
a)hydrocephalus
110)textile factory worker,which disease?
a)byssinosis
111)worker having carcinoma bladder,exposed to?
a)aryl amine
112)right sided weakness and left sided eye deviation,lesion is in?
a)left cerebral cortex b)right cerebral cortex c)left internal capsule
d)right internal capsule e)midbrain
ans: (a)
113)blood transfusion reaction?
a)AB to A b)O to A c)O to B d)O to AB e)O+ve to O-ve
ans: (a)
114)scabies itching due to?
a)hypersensitivity reaction due to protein of mites b)tissue detruction
c)toxin produced
ans: (a)
115)immediate action of angiotensin2?
a)vasoconstriction
116)cells in myeloid series are named according to?
a)nuclear shape b)nuclear size c)granule staining
ans: (c)
117)cortisol decreases ?
a)gluconeogenesis b)hepatic glycogen synthesis c)glycogenolysis
d)peripheral utilization of glucose
ans: (d)
118)scenario of RTA,maximum blood loss from?
a)veins and venules
119)for proper function of seminiferous tubules,wat is required?
a)FSH b)FSHand estrogen c)FSH and androgen
ans: (c)
120)unmyelinated pain receptors?
a)A delta b) C fibers
ans: (b)
121)knee jerk? A)L4 L5
122)danger area of scalp containing vessels connecting emissary vein?
a)loose connective tissue
123)minimum amount of urine reqired for draining wastes from body in
dehydration?
a)200 to 400 b)500 to 600 c)800 to 1000
ans: (b)
124)posterior cervical lymph node biopsy,nerve most likely to damage is?
a)spinal part of accessory nerve
125)scenario of having all other valves normal only hb is reduced cause of
hypoxia?
a)anemic hypoxia
126)drug not given in patient having renal disease?
a)gentamycin
127)a patient is on insulin,which will cause hypokalemia?
a)beta blocker b)secretin c)thiazide
ans: (a)
128)percerption of cure of disease depends on?
a)perception of doctor about disease and its expentidure b)perception of
patient about disease and its cure and expenditure c)patient own estimate
about disease n its cure(poor recall)
ans: (b)
129)markers on Bcell?
a)CD3 b)CD4 c)CD19 20
ans: (c)
130)RTA blood loss,GFR decreased due to decrease in?
a)arterial flow b)arterial blood pressure c)plasma colloid osmotic pressure
ans: ( )
131)virulence of staph aureus?
a)coagulase +ve
132)connected to desmosome?
a)microfilament b)actin c)microtubule d)intermediate filament
ans: (b)
133)maximum feedback for blod pressure?
a)baroreceptor
134)TM joint stability ligament? a)stylomandibular
135)most commonly associated with smoking?
a)thrombangitis obliterans
136)least mediated by local metabolites?
a)heart b)skeletal muscle c)skin
ans: (c)
137)at FRC?
a)chest wall expand and lung recoil
138)testis in inguinal canal,chances of?
a)malignancy
139)brochopulmonry segment supplied by?
a)tertiary bronchi
140)primordial germ cells are derived from ?
(A)endoderm of yolk sac (b)lateral plate mesoderm (c)paraxial mesoderm
(d)wall of yolk sac
Ans: I did A,check it

8 march night Medicine and allied

1. Right gastric artery is originate from...... hepatic artery
2. Metformin —-> doesn’t cause hypoglycemia
3. Anti-aging —-> Vitamin E
4. Cervical enlargement —-> C5-T1
5. Ranitidine preceded over cimetidine—> less CNS toxic
6. Twice dialysis per week. Factor for transplant indication—> creatinine
clearance
7. Female with primary amenorrhea, imperforate hymen, absent uterus and ovaries
—-> Turner syndrome
8. ECG —-> partially depolarized
9. Young girl wbc 20000. 80% atypical lymphocytes
10. Pericytes—-> small vessels
11. Digitalis—> intracellular CA inc
12. Acetylcholine—-> stored in presynaptic vesicles
13. Lymphatic in tissue. Inoculated staph aureus. Next 24 hours—> Antigen
presentation
14. Surfactant deficiency—-> patchy atelectasis
15. Surfactant produce—-> pneumocytes
16. Hep B transmission —-> HBeAg+ and Anti HBeAg negative
17. Between individual muscle fiber —> endomysium
18. CVP line 10 days ...——> vancomycin
19. Paristalis —-> food in lumen
20. Cervical sympathetic chain damage—-> miosis of affected side
21. Most common acquired —-> AT III def
22. Spinal nerves are called mix because—->motor and sensory
23. Passive transport carrier mediated—-> facilitated transport
24. Most important buffer in plasma—-> HCO3
25. Percentage of blood ejected from ESV—-> ejection fraction
26. Ileum removal. Vitamin necessary —-> vitamin B12
27. Kidney—-> encloses in fascism sheath with their adrenal glands
28. Muscarinic agonist——> dec HR
29. Decrease lymphatic flow—-> increase oncotic pressure in capillary
30. Maximum aortic pressure —-> slow ejection
31. P wave coincides with —-> A-C wave in JVP curve
32. Unable to extend and lateral rotate—-> gluteus maximus
33. Asthmatic. Analgesic—-> ketoralac
34. Messeteric fascia—-> deep cervical fascia
35. Bitemporal hemianiopnia—-> pituatory
36. Myasthenia gravis—-> type 2
37. Hematuria etc C1q antibody——> pericarditis
38. Phospholipid—-> polar non polar
39. Accident ta ya kch asa Chemical stimuli—-> initial vasoconstriction
40. Tricusp area murmur, gingival and mucosal lesions—-> viridean
41. 2cm below an lateral to pubic tubercle injure—-> obturator nerve
42. Pain of right leg relieved with anterolateral cordotomy—-> right lateral
spinothalamic
43. Aspiration. After 10 days. Cough fever 4cm mass with airfluid levels—->
staph aureus
44. Y ganglion cells of retina—->lamina 1-2 ya kuch asa ta of lateral geniculate
body
45. Aspiration in supine position. Peas etc ta in—->right apical Lower lobe
46. Stomach emptying increased by—-> gastrin
47. CSF into subarachnoid space—-> medial foramen in 4rth ventricle
48. Homocystein in blood in increased—-> B6
49. Posterior cranial fossa—-> basillar artery in front of pons
50. Root value of phrenic—-> C4
51. Transfusion to child. After some days rash diarhea fever—->CMV
52. Hypotonic fluid —-> corticle collecting tubules
53. Second part of deudenum—-> anteriorly crossed by portal
54. Cushing reflex—-> increased intracranial pressure
55. Crescent formed by—-> endothelium plus mesangial
56. Shock. Cool clamy periphery —-> cutaneous vasoconstriction
57. 10 year HRT. sister died of breast CA. Risk of —-> breast CA
58. Window k through koi jana chahta ta lekin us ne apna anterior aspect of
wrist deeply cut kr lia through glass. Now cannot flex MCP joint—-> flexor
digitorum superficialis
59. Thalesemia ——> ineffective erythropoesis
60. Chronic intractable pain —-> pscho and cognitive therapy with treatment of
underlying cause
61. Deep static touch and vibration lost. Deep fascia layes mai encapsulated
receptor —-> merkel
62. Face sensation ——> 5,7,9,10
63. Pernicious anemia commonly—-> autoimmune gastritis
64. Blood group antigens—-> mandellian inheritance
65. RBC stage—-> proerythroblast
66. Anemia ta etc important point was Nucleur remnant on peripheral smear in RBC
——> sideroblastic
67. 40 years. Diabetic. Problem in bed with wife ....——-> common in DM
68. All sensory pathways wala kch ta—-> Dorsal column , trigeminothalamic, ....
69. Soft tissue tumor—-> increased vascularity
70. Prostaglandin E2 F2 D2—-> vasodilation
71. Primordial germ cell pe kuch hota hai—-> G
72. G1 phase mai mutant gene jis ka product absent hai ....—-> p53
73. Tumor suppressor gene—-> p53
74. Sodium water reabsorption ——> aldosterone
75. Clamydia —-> lymphogranulam venerium
76. Gonorhhea + clamydia treatment—-> ofloxacin
77. Pt on Att. Decreased peripheral vision —-> ethambutol
78. Warfarin INR controlled. After chest infection drug given INR 5—-
>amoxicillin or augmentin
79. Difference btw Cortisol and growth hormone—->increased during stress surgery
80. Sutured wound. 1 week wound continues to repair. What will aid in repair and
not delay healing —-> suture
81. Submandibular surgery—-> marginal branch of facial injures
82. IgE——> basophils
83. Muscle—-> distal insertion fix
84. Increased elastase ——> nicotine
85. ERV calculate karna ta——> 1.5L
86. Diurnal Regulation of melatonin and other —-> suprachiasamatic
87. P wave and QRS doesn’t match ya kuch. Complete heart block ka stem ta
88. 25 HR and .......——> AV node
89. Slowest conduction speed——> AV node
90. Pleural plaque —-> asbestos
91. Most reactive——> superoxide
92. Follicle ruptures etc. bleeds small vessel into follicle cavity——> corpus
hemorrhagicus
93. Type 2 diabetes bone pain—-> hyperparathyroidism
94. Increased thirst——> AT 2
95. Coughing sneezing waghaira buldging aur precious trauma above Clavicle —->
suprapleural membrane
96. Internal carotid artery at origin to external carotid—-> lateral
97. TB ——> caseating granuloma
98. Final motor pathway ——> descending fibers of spinal corticospinal tract
99. C7 pe ganglion—-> cervicosympathetic
100. RBC cytoskeleton ——> spectrin
101. Chondrocytes to osteocytes——> thyrotropin
102. Cytokeratin——> intermediate fillament
103. Air embolism——> 100cc
104. Decreased oxygen tension —-> decreased atmospheric oxygen
105. Reticular fibers——> tonsil
106. Vitamin B12 def—-> diphylobothrium Latium
107. Grading —-> differention
108. HIV most common—-> herpes simplex
109. Lipofuscin——>autophagocytosis or coagulative necrosis
110. Absent bicep reflex—-> C5-C6
111. Aik aur b C5-C6 ka ta
112. Adrenalectomy right—-> IVC
113. Muscle spindle —-> lengthening and shortening
114. Variance —-> square root of SD
115. SD ——-> square of variance
116. General visceral afferent——> viscera to CNS
117. Perforated peptic ulcer—-> gastrodeudenal artery
118. Fibrin is stabilized by
119. Smoker FEV1/FVC <70. ——> COPD
120. Multiple plaque lesion at shins aur oral mucosa—-> CMV
121. Most important reflex in defection ——> rectoanal reflex
122. Lymph vessels involvement —-> cystic hygroma
123. Visible paristalis——> pyloric stenosis
124. Decrease unloading of oxygen——> increase PH
125. Nasopharyngeal carcinoma——> EBV
126. Dicrotic notch coincide with——> closure of aortic valve
127. Halothane anesthesia. CVS unstable after induction. Temp 106. Respiration
32—-> IL1 release
128. Left atrium develop from
129. Bleeding. When stand increase heart rate——> decreased venous return
130. Water intoxication—-> slow pulse
131. Cardiac plateau by influx —-> ca influx
132. Endotoxin——> complement activation
133. Pulmonary edema —-> loop diuretics
134. Malignant tumor——> increased N/C ratio
135. HIV follow up——> CD4 helper T cells
136. Middle thyroid vein drain into——> internal jugular vein
137. Sympathetic cholinergic
138. At end of pregnancy Uterus most sensitive to ——> oxytocin
139. Chronic respiratory acidosis what will return to closest to normal
140. Middle ear gas concentration——>
141. Anisopoikolocytosis. Loss of polarity ——> dysplasia
142. Chemotherapy. Size of tumor reduces over weeks——> appoptosis
143. True about middle cerebral artery——> olfactory cortex
144. Transient bilirubin elevation—-> Gilbert
145. Pyogenic peritinotis——> bacteriods
146. Systemic mural thrombi——> left ventricle
147. AIDS meningitis—-> cryptococcus
148. Malatonin agonist for sleep—->Ramelteon
149. Diazepam and chlorpromazine—-> sedation
150. Hormone produced by kidney ——> erythropoetin
151. ANP——> vasodilation if afferent arteriol
152. 3 bronchopulmonary segments—-> Right upper lobe
153. Hormone elevated in fetus and tumor marker in adults—-> CEA
154. Hippocampus—-> memory
155. Blood supply of epicardium ——> coronary arteries
156. Heart blood supply——>2 coronary, septal interventricular
157. Heavy object in hand, thumb sensory loss, deltoid weak etc ——> upper
brachial plexus damage
158. Pneumotaxic center in pond——> inspiration
159. Scurvy——> hemopericarditis
160. Hemophillia——> tissue bleeding
161. Aik vWF deficiency ka ta
162. Phrinic nerve ——> with pericardiophrenic artery
163. Lung carcinoma......—-> SIADH
164. Aortic renal and renal pelvic splanchnic nerve——> t10-T12
165. Active hormone—-> free thyroid
166. Diabetic patient was given drug. Unconscious ta. Etc. ——> propranolol
167. Aik impaired glucose tolerance test ka ta
168. Autosomal dominant ka aik ta
169. Hashimoto thyroiditis——> antithyroglobulin antibodies
170. Decrease antigen antibody reaction——> Cortisol
171. Fibrovascular tissue link with layers of mesothelium——> omentum or lung
172. Heart blood supply depends on—-> increased oxygen requirement
173. Aldosterone——> nucleus pe act
174. PPH k baad adrenal atrophy——> adrenal cortex
175. Gardner——> aspergeloma
176. Koi pulp of tooth infected ka ta
177. Proton pump inhibitor——> omeprazole
178. Pregnancy wala anemia—-> physiological
179. Gastric Emptying——> gastrin
180. Dorsiflexed and everted foot——> tibial nerve
BCQS (MEDICINE AND ALLIED -8TH MARCH-2018-Afternoon)
1)-Drug of choice for thyrotoxicosis in pregnancy=propylthiouracil
2)-T-wave inversion=hypokalemia
3)-Tracheostomy=c6 vertebral level second tracheal ring
4)-Pulmonary embolism=gallium scan
5)-Initiation of impulse=SA node
6)-Mitral area mid clavicular line 5th ics
7)-Dicrotic-aortic valve closure
8)-Diffusion capacity-co2
9)-B-cells,antibodies factory(may be #poor recall)
10)-Superior ophthalmic vein=cavernous sinus
11)-Duodenal resection=inc gastric emptying
12)-Mechanism of autoimmune disease=apoptosis (poor recall of other options)
13)-Dka=kussmaul breathing
14)-genetics-incomplete penetrance
15)-Pituitary adenoma-bitemporal hemianopia
16)-Atresia-poor recall
17)-Csf density=1.005 -1.009
18)-HR=5 kinda(poor recall)
19)-Basophilic stippling=thalassemia
20)-Total body wt. of infant=75%
21)-Aortic regurgitation
22)-Low voltage QRS complex-old MI
23)-Extrasystole-inc pulse pressure d/t inc contractility
24)-Elevated enzymes-inflammtion
24)-astrocyte(poor recall)
25)-C2 vertebra-body of c1
26)-Alcoholic hepatitis
27)-Diaphragm-muscle of quiet respiration
28)-Foramen of megandie(poor recall)
29)-Alpha 1 antitrypsin(poor recall)
30)-Triiodothronine-active
31)-Epithelium-all three
32)-Autoimmune disease-apoptosis
33)-Lymph flow dec in hemorrhage
34)-lower border –rib-neuromuscular bundle
35)-Spontanous pneumothorax
36)-Hypervitaminosis-juanduce
37)-thyrotoxicosis-digoxin
38)-Nitroglycerin-active and inactive metabolites
39)-Interstitial fluid imp buffer-h2co3
40)-Still birth-complement
41)-Phenothiazine-antiparkinson’s drugs-inc
42)-Hypothalamus-temp
43)-Short meal-gstric distension
44)-Anemia in pregnancy-plasma dilution
45)-Polycythemia diagnosis-rbc mass
46)-Fetal blood production-liver
47)-Specificity
48)-Anti tb-resistance
49)-Thoracic duct-left int jugular and left subclavian
50)-Acetaminophen-necrosis
51)-prospagnosia-facial blindness
52)-OH blood group
53)-Child’s parents-depression
54)-DIC
55)-Sternohyoid-ansa cervicalis
56)-Cutaneous vasodilation
57)-krause
58)-Tapeworm
59)-Ascaris
60)-Femoral-PE
61)-Osteosarcoma-SR 90
62)-Vagal stimulation-PR interval
63)-Radioisotope
64)-Nacl-aldosterone
65)-Pethidine
66)-Digoxin inc ca
67)-Factr 5-thrombosis
68)VIII-hemophilia
69)-B6
70)-type 3
71)-Brush border
72)-Grapejuice
73)-Aldosterone-collecting duct
74)-Somatostatin
75)-Active bleeding
76)-DM
77)-Dec in ACTH
78)-Monospot test
79)-Thymus blood barrier
80)-Local metabolites
81)-ganglion
82)-5
83)-Adrenergic
84)-Exophthalmos
86)-Sclerderma
87)-Apoptosis
88)-Tnf
89)-Cystic fibrosis
90)-Clindamycin
91)-Axon hillock
92)-Steroids
93)-CML-philadelphia chromosome
94)-Opportuinistic infections-hallmark of HIV
95)-25 oh vit d
96)-Cardiolipin-mitochondria
97)-No villi-maernal
98)-MAP
99)-progesterone
100)-Uterus
101)-chlymadia trachomatis
102)-TNF
103)-Meckel’s diverticulum
104)-Claspknife
105)-Dermatitis vla-engraftng
106)-Cones
107)-X-linked bruton
108)-Drinking water
109)-Heparin –mast cells
110)-Basophilia –ribosomes
111-larynx CA
112)-Enterokinase
113)-Axillary nerve
114)-Median
115-Factor VIII
116)-PT
117)-Femoral vein
118-Epiphysis
119-CA bladder-smoking
120-s2 s3 s4…
121-Anal canal upper part-sensetive to stretch
122-5cm length of bronchus
123-Myxoma
124-Optic tract
125-Salmonella typhi
126-Short gastric arteries-splenic artery
127-Retina
128-Co-dominance
129-madura
130Apergillosis
131phemorones
132-serous pericardium-Epicardium
133-Kaposi
134-Virus-protooncogene
135-p53-tumour suppressor
136-Ext carotid-sup throid
137-Metaphase
138-Rifampicin
139--Direction of movement
140-Organophosphate-bilateral pinpoint pupil
141-arch of aorta
142--Confidence interval-variablty
143-Posterior triangle-fascia
144--Occipital cortex
145-igA deficiency
146-Bruton
147-Resp alkalosis
148-Astrocytes
149-Purkinje-activated
150-ncomplete penetrance
151-HK ATPase
152--Somatostatin
153-Topoisomerase
154)-Mucor
155-Coicide
156)-opoid
157-Saliva-vip
158-Cardiac work
159-Ulnar
160-26-oh
161-Inc compliance-veins
162-Rbc swelling-mannitol
163-cyclizine
164-Ferritin normal
165-Medulla
166-Association cortex
167--Axon hillock
169-Palatine tonsil
170--iv antidoye
171-Peripheral Nv-sparing of lat foot
172-Caspases
173-Dysdiadokokinesia
174-Kidney relation
175-HSV vla
176-Metalloprotease
177--B cells-antibody
178-Stellate ganglion-pain relief
179-Ccf-inc hydrostatic pressure
180-Saliva-vip
181-PTH
182-Factor v
183)-Active bleed
184)-pseudomembrane colitis-vancomycin
185)-corkscrew esophagus (not sure)
186)-steroids (ibd vle ka)

MEDICINE AND ALLIED 8TH MORNING 2018

1.Which tumor is Radiosensitive ?
a.Lymph node
b.Spleen
2.Right border of heart form by ?
a.Right atrium
b.Right atrium+SVC
c.Left atrium
3.Ventricles completely depolarize in ?
a.QRS complex
b.ST segment
4.Conducting system of heart present in ?
a.Endocardium
b.Epicardium
c.Sub epicardium
5.Sternocostal surface made by ?
a.Right ventricle
b.Left ventricle
6.Stone in duct of Parotid gland ?
a.Hyperplasia
b.Apoptosis
7.Mucinus Acini?
a.Sublingual
b.Submandibular
c.Parotid

8.Chemotherapy result in dec size of tumor ?

a.Hypertrophy
b.Apoptosis
c.Atrophy
9.A boy with multiple blood transfusion . His Hb electrophrosis done
show Hb 2 alpha chain and 2 gamma chain . Which Hb is this ?
a.Hb A2
b.Hb A
c.Hb F
10.A boy with bleeding disorder due to deficiency of which factor ?
a.Vwf
b.Factor 8 minor
c.Factor 8 major
11.Which ATT cause pink color urine ?
a.INH
b.Rifampacin
c.Pyrazinamide
12.Which ATT result in proteinuria ?
a.Rifampacin
b.Clithromycin
c.Amikacin
13.Limited proteinuria only in ?
a.Focal segmental GN
b.Minimal change GN
c.Post streptococcal GN

14.Cental vein of Retina?

a.Infraorbital fissure
b.Direct continuation of facial vein
c.Occlusion result in blur and painless vision
d.Thrombus from sigmoid sinus
15.Which Occupational Cancer is common?
a.Lung
b.Liver
c.Skin
d.Urinary bladder
16.A pt is with increase BP and catecholamine increase, problem in ?
a.Zona Glomerulosa
b.Zona Fasciculata
c.Adrenal medulla
17.First FDA approval recombinant protein used as ?
a.Insulin Recombinant
b.Protein
18.False about Anti-D ?
a.Agglutination
b.Urinary blood sample
19.Blood reaction occur ?
a.O+ to O-
b.AB to B
c.A to AB
20.Variance of mean
a.Standard deviation
b.standard error
c.veins or venules
21.300ml fluid injected after 5min of max transfusion amount of fluid
will be present in ?
a.Capillaries
b.Veins and venules
c.arteioles
22.Rapidly adapting receptor ?
a.Paccinian
b.Meissner
23.Border of neck by ?
a.Scalenous anterior
b.Rectum capitis
24.Nerve supply of scalene ant ?
a.Accessory spinal nerve
b.Brachial plexus
c.C3-C4
25.Max feedback gain in controlling BP ?
a.CNS ischemic response
b.Barroreceptor
26.Dec symptoms of resp distress, epidural anesthesia give
a.Pehidine
b.Morphine
c.Fentenyl
27.Sacral nerve compress but still sensation of dorsum of foot ?
a.Tibial nerve
b.Saphnous nerve
c.Common peroneal nerve
d.Sural nerve
e.Deep peroneal nerve
28.Immobile joint only ligament or membrane present ?
a.suture
b.Synchondrosis
c.Symphysis
29.P-wave absent ,QRS present pacemaker present in ?
a.SA node
b.AV node
c.Bundle of HIS
30.Lady with HIV with Cancer present ?
a.Ca cervix
b.leukemia
c.Ca vagina
d.Ca uterus
e.Ca uvulva
31.Post sympathetic and autonomous ganglia secrete ?
a.Epinephrine
b.Nor epinephrine
c.Acetylcholine
d.Catecholamine
32.For BM growth which factor is necessary ?
a.GH
b.Cortisol
c.Growth factor

33.A pgt with moderate hemorrhage will have ?

a.tachycardia at supine
b.Dizziness on standing
c.post hypotension if 35yr of age
d.post hypotension if 65yr of age
e.hypotension at supine position
34.A pt with lesion of caudate and GP . He also has decreased release
of GABA from putamen and substantia nigra ,movement disorder will be ?
a.chorea
b.Athetosis
c.Ballismus
d.Parkinsonism
e.Hemiballismus
35.Inherited from Mother only ?
a.Mitrochondria RNA
b.x-chromosome only
36.9 moth of child die , autopsy done with multiple cyst ?
a.Autosomal dominant
b.Autosomal recessive
37.Damage of ulnar nerve result in ?
a.Wasting of thenar muscle
b.claw of little and ring finger
38.Surgeon have allergy to latex gloves
a.Type 1 HSR
b.contact dermatitis

39.Chronic pancreatitis result in dec which vitamin ?

a.vit A
b.Vit B
c.vit D
40.Transverse abdominis apponeurosis form ?
a.Rectus sheath
b.Inguinal ligament
c.Lacunar ligament
41.Creatinine clearance , UOP => 1.4L , PLASMA FLOW =>144mg/100ml,
urine flow=> 140mg/100ml
a.1.64 L
b.164 L
42.Best way to detect spreading tumor ?
a.Tumor marker
43.Grading of tumor is?
a.invasion
b.degree of differenciation
44.Cell against tumor cell
a.NK cell
b.CD8 cell
c.CD4 cell
45.Increase growth in blood vessel due to
a.Angiogenesis
b.Vascular endothelial growth factor
46.Basal body present in
a.Centriole
b.centrosome
c.RER
47.Nucler membrane is continuous with
a.RER
b.GA
48.Rete ridges seen in which carcinoma ?
a.Sq cell carcinoma
b.verrucous carcinoma
49.Cell with increase telomerase activity ?
a.endothelial cell
b.Germ cell
50.Swelling on right side of cheek , premalignant condition ?
a.Actinic keratosis
51.Extrensor indicis nerve supply ?
a.radial nerve
b.deep radial nerve
52.Thyrocervical trunk branch ?
a.Inf thyroid artery
b.superior thyroid art
c.2nd part of subclavian art
53.Bleeding tendency in pt ?
a.scurvy
b.stroke
54.Asbestos cause ?
a.malignant mesothelioma
b.urinary ca
55.Heart dec oxygen supply and increase oxygen demand ?
a.increase myocardial contraction
b.Tachycardia
56.Athelate during rest , what inc ?
a.CO
b.SV
57.Ag 2 increase what ?
a.Thirst
b.Nausea
58.Pt with no sweating , inc temp, dry skin ?
a.Sojagern syndrome
b.SLE
c.Poly/Dermatomyosistis
59.A pt with rashes on none and cheeks, IgG +ve but ANA –ve , no
nephrological symptoms ?
a.Discoid lupus
b.SLE
c.Dermatomyosistis
60.Anti depressant drug cause ?
a.Parkinsonium
b.chorea
c.Athetosis
61.Treatment of Tourette syndrome ?
a.Haloperidole
62.Surgeon not allow his PG for right side adrenelectomy due to ?
a.IVC
b.Aorta
63.Aspirin dec synthesis of ?
a.Prostaglandin
b.Thromboxin A2
c.Prostacycline
64.Anticoagulant contraindicated in ?
a.Thrombocytopenia
b.Thrmobus
65.60yr lady with Atrial fibrillation , which drug to give ?
a.Amiodarone
b.Esmolol
c.Metoprolol
66.Clonidine dec BP via ?
a. act on alpha 2 receptor in brain and inc its synthesis
b.inc TPR
67.Potassium inc in ?
a.Massive excessive
b.sleep
68.Pt’s EEG done but no x wave ?
a.Pt was calm and relax
b.REM
c.NREM
69.Undifferentiated Germ cell ?
a.Sertoli cell
b.Spermatids
c.Spermatoginia A
d.Spermatogonia B
70. Function of sertoli cell?
a.loose blood testicular barrier
b.form testosterone
c.Androgen binding protein

71. Synthesis of testosterone occur in ?

a.sertoli cell
b.leydig cell
72.Pt with retrosternal pain for few hours, no JVP raised ?
a.MI
b.cardiac temponade
c.Pulmonary embolim
73.Weight is maintain weekly to weekly ?
a.work output
b.Food intake
74.Paraneuplastic syndrome related to ?
a.Adenocarcinoma
b.small cell ca
75.At the level of L2rings shaped present in , with 2 colors
a.colon
b.Jejunum
76.Epitracheal lobe ?
a.Rt apical
b.Left apical
77.Left lower lobe ?
a.Medial basal
b.Lateral
78.30yr old lady with blur vision , weakness,slur speech,urinary
incontinence, due to
a.Demylination of neuron
b.dec no of sensory neuron

79.lesion in sacral segment of sp.cord ?

a.Autonomous bladder
b.Automatic bladder
c.Neurogenic baldder
80.Hyponatremia is d/t?
a.Dec ADH sec
b.INC Sweating
c.inc Volume (ECF)
81.only present in ECF ?
a.Mannitol
b.Protein
82.Buffer of interstitial fluid ?
a.HCO3
b.Phosphate
c.Hb
83.second pharangeal Arch derivative ?
a.Stylohyoid lig
b.stylomandibular lig
c.thyroid cartilage
84.difference between Chrons d/s from U.colitis ?
a.perianal lesion
b.Rectum involve
85.Boy with repeated infections , CBC done Hb=>5, WBC=>3.5 , plt
40,000 , neutrophils18%, lymphosytes 80%, next to do ?
a.Reticulocyte count
b.Bone marrow Biopsy

86.Pt can recognize shape and size of obj via ?

a.Spinothalamic tract
b.Spinoolivary
c.Dorsal column medial leminiscus
d.spinotactile tract
87.Protamine zinc insulin , duration of action ?
a.2-4 hr
b.4-6hr
c.6-12hr
d.12-24hr
e.24-48hr
88.CT of pt dome with bitemporal heminopia , lesion seen in ?
a.Hypothalamus
b.Pituitary
c.Frontal lobe
89.After an accident an old lady can’t understand spoken words but can
understand written words lesion in ?
a. Frontal lobe
b.Primary auditory
c.Sec auditory
90. Graft from identical Twins?
a.Not need Immunosuppressive .
b.Need Immunosuppressive
91.Female with obesity , hirtutism, inc BP, d/t?
a.Primary ACTH
b.Hyperaldosteronism
c.Inc androgen
92.A man with inc BP , right sided HF , smoking for 30yrs d/t ?
a. Dec lung compliance
b.dec alveolar O2
c.Dec alveolar CO2
93.Papiniform plexus p/s in ?
a.Inguinal canal
b.Inguinal ring
94.Myoelectric complexes in intestine inc by ?
a.Motilin
b.CCK
c.Gastrin
95.Secondary peristalsis in esophagus ?
a.Distension of esophagus
b.Supine
96.Zone 1 in lung ,ventilation inc in ?
a.Exercise
b.supine
c.standing position
97.A surgeon transplant graft over medial side of vertex need what ?
a.supraorbital art
b.supratrochlear art
98.Transplant in Pt always , need single investigation ?
a.ABO incompability
b.HLA
99.Inc MCV with hypersegmented neutrophils def of ?
a.Folic acid
b.Vit B12
100.CSF pressure ?
a.10-20cm of H2O
b.100-175mm of H2O
c.30-45cm of H2O
101.Specific Gravity
102.Inc glucose reabsorption ?
a.DCT
b.PCT
103.TPR inc by ?
a. alpha 1 agonist
b.Phenyephrine
104.25(OH) not converted into into 1,25(OH)2 ?
a.PTH
b.CRF
105.Ant relation of right kidney ?
a.colon
b.Liver
c.Hepatic flexor
106.Most common immunocompromised disease ?
a.Bruton agammaglobinemia
b.SCID
c.Selective IgA
107.Pt with pneumonia ,gram –ve Rod,now develop shock after 6 days, result in ?
a.ATN
b.Inc v/s permeability
c.Inc TPR

108.Achild with Rectal prolapse ,which parasite ?

a.Trichus trichura
b.clonorchis sinusus
c.Ancylostoma
109.cholongitis cause by ?
a.schistosoma hematobium
b.sschistosoma mansoni
c.schistosoma japnicum
d.chlonorchis sinusus
120.Pt with breathlessness,easily fatigue, CBC done Hb 6.5, MHC =>65
a.Iron deficiency anemia
b.Lead poisoning
121.Lymphatic supply of testes
a.Internal Iliac L.N
b.Para aortic L.N
122.Which enzyme dec in liver cirrhosis ?
a.Pseudocholinesterase
b.AFP
c.AST
123.Which drug cause corneal opacity?
a.Phenytoin
b.Chloroquin
124.Pleggra is d/t deficiency of which ?
a.Riboflavin
b.Niacin
c.Biotin

125.Pt with BG AB+ve, need transfusion of FFPs, what to give ?

a.AB-ve
b.O+ve
c.B+ve
126.H2 receptor blocker given before surgery ?
a.Reduce acidity
b.Reduce volume and acidity
c.Reduce volume of stomach
127.Pt’s first baby was normal but second baby with complication of
hemolysis (jaundice) erythroblast fetalis scenerio, which type of HSR
?
a.complement mediated
b.Delayed HSR
c.Allergic Reaction
128.Intravascular hemolysis ?
a.Dec heptoglobin
b.Juandice
c.Hemosiderinuria
129.Criteria of irreversible cell injury?
a.Blebbing of membrane
b.dec PH
c.Dec glycogen stores
d.Karyohexis
130.Vertebral disc herniation result in compression of ?
a.Ant segment
b.Post segment
c.Post spinal nerve

131.Urethral sphincter present in ?

a.Above the surface of urogenital diaphragm
b.below the surface of urogenital diaphragm
c.within urogenital diaphragm
132.Man is intermediate host ?
a.Hydatid cyst
b.Taenia solium
133.plateu phase of cardiac cycle d/t?
a.Na
b.Ca
c.K+
134.Hyperpolarization in post synaptic membrane d/t ?
a.Influx of Na
b.Efflux of Cl
c.Efflux of K+
135. Barroreceptors regulate
a.pulse pressure
b.MAP
136.Dec digestion of fat d/t ( most common cause)?
a.Always d/t PANCREATIC duct blockage
b.After cholecystectomy dec bile salts
137.after heavy exercise a person lost fluid result in inc
a.ECF hyperosmolarity
b.ICF hyperosmolarity
138.EBV cause carcinoma ?
a.nasal
b.Burkit lymphoma
139.After ingestion foreign body enter in which lobe ?
a.right lower
b.left lower
c.right apical
140.SA node is pacemaker because
a.rate of impulse generation and automacity
b.inc sympathetic innervation
141.ECG changes in lead 4?
a.LAD
b.RCA
142.Mycobacterium TB , infect macrophages , it cause hypersensitivity,
behind its pathogenesis
a.d/t its cell wall
b.p/s with in macrophages
143.Pt wih the hx of appendix , appendectomy done, what was the
findings in CBC ?
a.Inc neutrophils
b.Inc basophils
144.An old pt in a clinic complains about the receptionist behavior.
What will you do ?
a.Reshedule her appointment
b.Refer her to other doctor
c.Appologize and offer to talk to receptionist
145.Which disease transmitted by orofecal route ?
a.Diphtheria
b.HEP E
146.V.cholera cause diarrhea via ?
a.Dec reabsorption of NaCl in colon
b.Dec reabsorption of H2O in SI

147.Margination of leukocytes by ?
a.LFA-1
b.Leukocyte endothelial adhesion molecule
148.which one is DNA virus ?
a.Adenovirus
b.Picornavirus
c.Rhinovirus
150.Most important function of endothelium
a.Thromboxine A2
b.Prostaglandin
c.Thrombus formation
151.Pregnant woman, 4th gravida Hb low, stool examination show occult
blood , reason ?
a. chronic disease
b.Iron def anemia
152.specific gravity of urine dec d/t?
a.Absorption
b.Filtration
c.concentration
153.Person has loss of proprioception on left lower limb , which site involve ?
a.left thalamus
b.left cerebri cortex
c.left d/c at thorax
154.Ant corticospinal tract , end at ?
a.lumber region
b.midthoracic
c.cervical

155.Neutrophil kill bacteria via ?

a.Oxidative burst
b.Phagocytosis
156.Which structure pass with esophagus via esophageal opening ?
a.Phrenic nerve
b.Rt vagus nerve
c.Azygous vein
d.Aorta
e.Thoracic duct
157. impedence protect internal ear from demage
158.Sympathetic activity remain intact after sparing which lumber segment ?
a.L1
b.L2
c.L3
d.L4
e.L5
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MEDICINE AND ALLIED 8TH MARCH EVENNG 2018
1.Cardiac output 70/min HR => 5.2L
2.Low voltage QRS=> old MI
3.Left ventricular hypertrophy with diastolic murmur=> a. aortic
regurgitation b. aortic stenosis
4.Initiation of electrical activity in heart=> SA node
5.In esophagus constriction=> arch of aorta
6.Index of TPR=> MAP
7.Squamocolumnar junction 3cm or above=> Barrete’s esophagus
8.Paricardiocentesis done show bloody tap=> Metastatic carcinoma
9.First branch of ext carotid art => superior thyroid artery
10.HK+ pump function associated with=> carbonic anhydrase
11.Vibrio cholera => can tolerate high alkaline medium
12.Tracheostomy level in adults=> c2-c4 ?
13.Vertebra which form body of upper vert => c2
14.Right upper abdominal pain, fever , neutrophils 1330/uL pulse
100/min, tip of spleen palpable => Salmonella typhi
15.treatment of pseudomembranous colitis => vancomycin
16.treatment of acute U.colitis => i/v steroids
17.Growth hormone inhibited by=> somatostatin
18.Chromosome with two chromatids => Metaphase
19.which AB inhibit transcription=> Rifampacin
20.Cell division continues due to=> Telomerase
21.Alcoholic pt viral hepatitis ALT,AST raised => Alcohol alpha1 antitrypsin def
22.Alcoholic with upper lobe consolidation,fever from last 3 months ,
productive cough ,liver with lipid droplet=> Chronic Alcoholic
23.Bilirubin stained diaper => biliary atresia
24.Hypervitaminosis A=>jaundice
25.Wrist flexon causing in firing of cells of cerebral cortex, which
affect firing =>
a.velocity of m/v
b.force of m/v
c.Diection of m/v
26.Dorsomedial nucleus of thalamus=>
a.sweet taste
b.loud noise
c.itching
d.memory
27.Gustatory or quinidine on tongue => VPM of thalamus
28.sinus with abcess on sole offoot with red granules => Actinimyces medusa
29.Organophosphate poisioing => bilateral pin point pupil
30.Fungal non-invasive Rhinosinusistis=> aspergillosis
31.Invasion to lamina papyacea with thrombosis => mucormycosis/aspergillosis
32.Potent H1 Antagonist=>a. promethazine b.Dienhydranate c.Chlorphineramine
33.One scenario about Digeorge syndrome=> 3rd and 4th pharangeal pouch
34. 9,22 philaldephia chromosome=> CML
35.Pain, fever systemic marker=> IL-1 and TNF
36.Systemic effects of inflammation => a.IL-1 b.IL-2 c.IL-3
37.Biochemical mech of digoxin associated with => increase intracellular calcium
38.Cardiolipin receptors on=> mitrochondrial membrane
39.Mech of apoptosis in autoimmune => molecular mimicry/ Apoptosis of B-calls
40.preterm labour increase neutrophils in chronic cause => lymphokines
complement
41.left main bronchus size=> 5cm
42.DIC scenario
43.Virus alteration => protooncogen
44.past scenario of pseudomonas=> TNF
45.which opoid cause fatal excitation with MAO inhibitors=>
a.pethidine
b.fentanyl
c.morphine
46.Exclude free of d/s=>
a.specificity
b.sensitivity
47.confidence interval=>a. means and st.error b.mean and it variability
48.Mean, mode and median coincide innormal distribution curve
49.pain in abdomen,dicyclomine acts on => M3(meu) receptors/ meu opoid receptors
50.TPN contraindicated in =>
a.DM
b.liver failure
c.head injury
51.Heteronymous heminopia => optic tract lesion
52.Pituatry tumor=> bitemporal heminopia
53.Stallate ganglion block=> Analgesia of limb
54.parts of PNS => spinal and cervical nerves/ spinal and autonomic ganglia?
55.post triangle of neck=> Dep cervical fascia
56.Cystic fibrosis scenario => sweat chlroid test
57.child 6 weeks with recurrent infections, whichphysiological
antibody is absent => IgA
58.Klebsella infectionin child=>
a.chronic granulomatous
b.Bruton’s agammaglobunemia
59.Pco2 20 , HCO3 20, Ph 7.6=> Respiratory alkalosis
60.Branched structure in grey matter=> protoplasmic astrocytes
61.No reflexes, atrophy of calf muscles=> LMN lesion at ant horn
62.Clasp knife rigidity scenario
63.Climbing fibers to purkinje cells, basket nd golgi cells=. ?
64.CSF sp.gravity=> 1.005- 1.009
65.ICF differ from ECF => inc K+
66.CSF differ from plasma => low Ph
67.HTN with IHD presented with pedal edema=> inc hydrostatic pressure
68.Na measured by=> VIP
69.Primary HTN => inc cardiac work
70.Indirect effect of PTH => Ca absorption from gut
71.Factor which causes thrombosis instead of bleeding => factor 5
72.Containdication of thrombolytic therapy=> active bleeding or
hemorrhage disorder
73.head of humerus demage=> axillary nerve
74.Lateral part sparing, short m/s of hand affect => ulner nerve c8-t1
75.Cartilage=>
a.cover everywhere by perichondrium
b.inc by appositional and interistitial growth
76.Labortory measurement of Vit D => 25,(oh)vit D
77.Hyponatremia with excess extracellular fluid => excess water intake
78.Blood more in veins=> inc compliance capacity of system
79.Iron absorbed from gut
a.Free iron absorbed more than bound iron
Dietary iron radially absorb
80.Lady after bonemarrow transplant rash=> Graft v/s host disease
81.RBC swell in => urea solution
82.Thalassemia trait=> mild inc of Hb F
83.source of epithelia=> ectoderm, endoderm,mesoderm
84.Transplant after 5 years=> lymphopoliferative cancer
85.Dorsal nucleus of vagus=> medulla
86.upper 1/3 MEDULLA CONTAIN => NUCLEUS AMBIGIOUS
88.Cancer associated with HIV=> Kaposi sarcoma
89.Hallmark of HIV disease =>
a.progressive immunodef
b.poliferation of virus in T-cell
90.lesion of tactus solitaries => loss of taste
91.Epicardium consist of =>
a.visceral serous pericardium
b.visceral layer of serous pericardium
92.Before voluntary act , inc activity in => cortical association area
93.Lesion of cerebellum,most characteristic sign=> Ataxia
94.after hemorrhage ECF Na and water inc by => aldosterone
95.sweating after which give 2L water => inc ICF
96.All or none response start at=> axon hillock
97.Aspirin excretion by=> bicarbonate
98.Tumor in rt ventricle with hemorrhage and necrosis=>myxoma
99.when both allels eposed in heterozygous => codominance
100.when autosomal dominant not expressed phenotype => reduced penetrance
101.inefection to cavernous sinus which connects facial vein to
cavernous sinus =>
a.emissary vein
b.inefrior ophthalmic vein
102.Elongated structure partially covered by stratified squamous =>
palatine tonsils
103.Antimesentric border=> Meckel’s diverticulum
104.CSF flow=> foramen magendie to subarachnoid space
105.Uncoupling of oxidative phosphorylation => thyroxine
106.upper part of anal canal=> sensitive to stretch
107.short gastric art br of => splenic art
108.Diabetic female dec visual acuity , history of retinal
photocoagulation, where is the pathology=>
a.lens
b.retina
c.cornea
109.nerve supply of sternothyroid=> Ansa ccervicalis
110.partial pressure of oxygen due to => dissolve oxygen in plasma
111.Thoracic duct opening => left subclavian and left IJV
112.secretory changes of breast=> progesterone
113.Antiparkinson drug => dec risk of tardative dyskinesia with phenothiazine
114.pt loss incontinence => S2-S4
115.Ca bladder in rubber tyre factory worker => smoking
116.Sec ossification centre => epiphysis
117.source of embolus in PE=> pelvic vein
118. Pus in adductor canal affects=> femoral vein
119.which drug has irreversible effect on platelet function => aspirin
120.test to check warfarin => PT
121.Acetaminophen toxicity => extensive necrosis
122.viral hepatitis ALT,AST raised which cellular demage =>
a.plasma mem demage
b.mitrochondrial swelling
c.lysosomal enzyme
123.Hemophillia test => APTT
124.S3Q3T3 pattern on ECG test => Gallium scan
125.Active thyroid in circulation => sq cell carcinoma of larynx
126.Nucleolus contain => large amount of r RNA .
127.Basophilia due to=> mast cells
128.color blindness => cons
129.Antithrombin 3 => when bind with protease heparin act on it
130.Effect of inhalation of O2=> spontaneous pneumothorax
131.Globbal blindeness=> chlaymidia
132.%age of water in infant =>
a.75%
b.60%
133.example of hypertrophy+hyperplasia=> uterus in pregnancy
134.Propylthiouracil drug of choice in => Graves disease
135.Anti-tumor activity, principle cells => NK cells
136.pulmonary embolism => V/Q mismatch
137.Difficulty in swallowing =>scleroderma
138.loss of visual acuity and visual field in hypoxic pt=> optic nerve
compression , exopthalamus
139.Postganglionic sympathetic fibers =>adrenergic with few exceptions
140.Type of respiration in DKA => kaussmal breathing
141.Cause of inc blood flow to muscle duringexcercise=> local metabolic factors
142.which seperate antigens from reaching T-cells =>
a.Hassal corpuscles
b.Thymus blood barrier
143.Antigen filtering site in spleen =>
a.white pulp
b.red pulp
144.SA node phase 4 depolarization => inc influx of sodium
145.Fever, cervical lymphadenopathy ,atypical lymphocytes => Monospot test
146.Angiogenesis and wound healing => metalloproteinase
147.Large dose of exogenous glucocorticoid => dec ACTH
148.resection of duodenum => inc gastric emptying
149.Hypothalamus-Hypophysial portal system with =>Adenohypophysis
150.Aldosterone chiefly acts on => collecting tubules
151.enzyme inhibitor P450=> Grapefruit juice
152.Diff b/w PCT and DCT epithelium=> brush border
153.hypersensitivity after DPT => type 3
154.AST nad ALT req => vit B6
155.AV nodal delay helps in => ventricular filling
156.St90=> osteosarcoma
157.dec delivery of NaCl to macula densa=> release adenosine
158.M/s causing flexion at knee and extension at hip joint =>semitendenous
159.Prospagnosia => unable to recognize faces
160.which structure monitor o2 and helps inregulation of respiration
=> carotid body
161.worm 6cm from nose=> ascaris
162.Eating raw and undercooked meat=> Tapeworm
163.Inc resp rate in excersise => stretch in lungs
164.receptors stimulated by cooling of skin =>
a.free nerve endings
b.krause
165.heat loss immediate by => cutaneous vasodilation
166.Kidney => cover with adrenal gland in facial sheath
167.ICU pt need mechanical ventilation
168.parents => denial
169.Antibody H=> blood group O
170.interstitial buffer => HCO3
171.Fruits and vegetables deficient , dec wound healing =>dec tensile
strength of collagen
172.mutiple ATT drugs => dec resistance
173.Midtrimester blood in fetus form by => liver
174.polycythemia=> inc RBC mass
175.Pregnancy hemodilution => Anemia
176.factor for short meal intake => gastric distension
177.cytokines on hypothalamus => prostaglandin synthesis
178.which drug has active and inactive metabolite => Diazepam
179.dec lymphatic flow=> hemorrhage
180.Pt known case of thyrotoxicosis , irregular ECG , drug to give =>
beta blocker
181.neuromuscular bundle location => lower border of upper rib
182.Mitral area=>left 5th intercostal space at midclavicular line
183.after extrasystolic => inc pulse pressure due to inc contractility
184.t-wave inversion or falttened t-wave and u wave formation =>hypokalemia
185.Co2 dissusuion ?=> inc diffusing capacity
186.Dicrotic notch => aortic valve closure
187.vagal stimulation => inc PR interval
188.tumor suppressor gene=> P53
189.TNF released by=> monocytes-macrophages
190.non bacterial infection in burns => candida
191.Activation of caspases => apoptosis
192.capillary hydrostatic pressure in glomerulus => 10% dec with 10% dec in bp
MEDICINE AND ALLIED 9TH MARCH MORNING 2018
1.Duodenal ulcer=> gastroduodenal art
2.lesser sac => b/w aorta and stomach
3.Measles => subsclerosing panencephalitis
4.polycythemia=> thrombosis / budchiari/ myelofibrosis?
5.primary sclerosing cholangitis => Anti-mitrochondrial
6.Flat cells=> primordial follicles
7.Radiation => meningioma
8.Surgery on rt adrenal gland=> IVC bleeding
9.Stress hormone=> ACTH
10.Potassium sparing diuretics=> hyperkalemia
11.Centrally acting => methyldopa
12.Bledding anemia=> normocytic normochromic
13.Extensive fractures=> iv fluids
14.mean
15.Reliability =>repeated same results
16.Refrrel => for tertiary care
17.Sympathetic=>AV nodal delay
18.Hyperkalemia=> diuretics(spironolactone)
19.PR interval
20.Altitude=>hyperventilation
21.aspirin related mcq
22.Pulmonary embolism
23.Pregnancy=> heparin
24.oral anti-coagulant => INR> PT
25.Warfarin
26.GTO=> 1b
27.Alpha motor neurons=> motor end plate
28.Projection fibers=>internal capsule
29.Basal ganglia=> planning
30.Basal ganglia=> inc copper
31.Cervical ca=> HPV
32.Dysplasia => koilocytes/ cervical ca
33.Nasopharangeal carcinoma=> EBV
34.Liver fluke => eosinophilia
35.Portal HTN => left gastric vein
36.Lower end of esophagus => barret esophagus
37.Craniophyrangioma =>pituatory gland
38.Granulosa cells => ovarian follicles
39.MRSA => vancomycin
40.Co-trimazole / fusidic acid
41.Nephrotoxicity w/o bone marrow depression => monoclonal antibody
42.vit B12 related mcq
43.Vit B6 => AST,ALT
44.ITP
45.Von wiliband d/s
46.superior apical
47.Thoracolumbar => sympathetic
48.coccygeal segment=> L2
49.Ant spinal artery mcq
50.cervical ganglia =>constriction of pupil
51.Pin-point pupil => morphine
52.Natural opoid=> morphine + codeine
53.Digeorge syndrome => absent T-cells in paracortex
54.Anthrax
55.chlamydia =>venorum related
56.RT and Left kidney => hilum
57.Nasal congestion =>phenylephrine
58.self limiting => G6PD
59.Uterine cavity obliteration => capsularis +parietalis
60.Pharynx mucosa=> 4th arch
61.Sternocleidomastoid => opposite against resistance
62. Retrosternal goiture
63.Uterine artery =>ureter
64.TLC dec 2100=> HIV
65.Dietary fats => jejunum
66.dec mortality CHF => ACE inhibitors
67.Alpha waves => eyes closed
68.P mitral
69 AND 70. Atrial fibrillation related mcqs
71.Atrial flutter
72.Hyperkalemia tall T-waves
73.WPW syndrome =>short PR interval
74.Dry gangrene => diabetes
75.Rheumatic fever=> benzyl penicillin
76.Peroneal nerve=> peroneus longus
77.short acting => midazolam
78.pantazosine
79.stapedial nerve
81.Hypoalbumenimia
82.Aneorysm related
83.LMN => Wasting
84.LMN=> Atrophy
85.skeletal m/scarier
86.AFB smear
87.Giant cell arteritis
88.kwashioker=> edema
89.Chloroquin => corneal deposit
90.Filtration fraction definition
91.Intermediate mesoderm => urinary system
92.no Spinous pr=> c1 Atlas
93.uncomensated metabolic acidosis
94.Fat %age in resting body => 15-20% or 25-30%
95.Axillary nerve
96.Ulnar nerve=>medial cord
97.Barret esophagus
98.Inc ICF => 2L sweating then 2L intake pure
99.inc ECF osmolarity=>Primary dehydration
100.Lymph node => subcapsular
101.to resolve non-calcified gallstones
102.Squamous cell carcinoma
103.NK-cell
104.Apoptosis
105.Inflammation macrophages
106.Tissue macrophages => 1st line
107.CMV( LIVER TRANSPLANTED)
108.CLL
109.Quatency => P malariae
110.Corneal reflex=>trigerminal nerve
111.mononuclear macrophages
112.protoplasmic astrocytes
113.GABA-A
114.Schwann cells => myelination of PNS
115.Alveolar ventilation => 3500ml
116.submucosal fibrosis => pre-malignant
117.warthin tumor=> benign tumor
118.small cell ca of lung => cushing syndrome
119.L4 lesion
120.Left pulmonary art + arch of aorta => ductus arterosus
121.Lead=> basophilic stipling
122.Follicle will not muture=> lactation
123.Inhibin=> sertoli cells
124.Androgen+FSH
125.Cytotoxic T-cells
126.Asbestosis =>causing cancer
127.dec wound contraction =>Glucocorticoids
128.GH =>stimulating osteoblast
129.Proto-oncogen => virus
130.Alteration of proteins
131.intelobar=> renal column
132.Neurons=> hypoxia
133.Mother to infant=> HIV
134.Quite respiration => Diaphragm
135.dec ADH => 1400ml urine osmolarity
136.38ATP
137.Typhoid=> blood culture
138.Hitamine receptors=> cimetidine
139.secondary ossification => epiphysis
140.congenital adrenal hyperplasia
141.A-agluttinigen
142.Bicarbonate => proximal co-transport
143.Acid excretion mechanism => phosphate + anemia
144.Altenobaric vertigo=> unequal pressure in middle ear
145.Hearing => trochlear nerve was in option no cochlear ( trapezoid body ?)
146.UTI=> high grade fever
147.Neonates=> E.coli (meningitis)
148.sphenopalatine-perpensicular plate of palatine bone
149.Desmopressin => central diabetic insupidus
150.Athelet at rest=> inc SV
151.Hydatid => human intermediate host
152.visceral layers
153.symphysis =>intervertebral disc
154.E-cadherin
155.Prostacyclin=> inhibit platelate aggregation
156.Placenta => estrogen+progesterone at 7th month
157.dec sweating=> hypothalamus set point if inc
158.Parasympathetic => pelvic splanchnic nerve
159.End stage renal disease=> creatinine will be high
160.Free nerve endings=> pain
161.External carotid=> superficial

MEDICINE AND ALLIED 7TH MARCH NIGHT SHIFT 2018

1.C-shaped cartilage diff terminal bronchiole from
a.Conducting airways
b.Respiratory bronchiole
c.Alveolar sac
d.Alveoli
ans: A
2.GFR dec in pt came with bleeding
a.dec arterial vol
b.dec arterial blood
c.dec glomerular pressure
d.dec arterial pressure
ans:d
3.Hyperplasia and hypertrophy present together in
a. uterus during pregnancy
b.breast during mensturation
c.uterus during mensturation
ans:a
4.If HR is double cardiac cycle
a.0.4 sec
b.0.8 sec
ans:a

5.In scabies itching is d/t

a.crawling of mite over skin
b.HSR type 1
c.toxins produce by mites
d.tissue destruction
6.In which case H2 receptor have no benefit
a.uncomplicated duodenal ulcer
b.uncomplicated peptic ulcer
c.Zolligen Ellison syndrome
d.Menderson syndrome
ans:c
7.Flexor m/s proximal arc
a.Reticulospinal
b.Rubrospinal
c.corticospinal
d.vestibulospinal
ans:b
8.Virulance of streptococcus aureus is determined by
a.drug sensitivity
b.coagulase production
ans:b
9.If cervical symp demage then what will happen
a.inc salivation
b.pupillary constriction
c.pupillary dilation
ans:b

10.Virus cause mutation by alteration of

a.protein synthesis
b.DNA
c.RNA
ans:a
11.Pt has ch.kidney d/s with urea 88, cr 2.2, which drug is contraindicated
a.ceftriazone
b.gentamycin
c.ciprofloxacin
ans:b
12.Skin dermatome from lower end clavicle upto sternal angle
a.c3-c4
b.T1
c.T2
ans:a
13.water goes from plasma to interstial fluid by
a.Filtration
b.Co-transport with Na
c.sec active transport
ans:a
14.Anti-neutrophilic cytoplasmic antibody is a/s with
a.vasculitis
b.liver d/s
ans:a
15.Polyarteritis or vasculitis is diagnosed by on microscopy by
Ans:Fibrinoid necrosis
16.In internal capsule the retrolenticular transmit
a.temporopontine
b.thalamocortical
c.optic radiation
ans:c
17.How much air is req for air embolism
a.100cc
b.50cc
ans:a
18.HCO3 absorption in nephron occur in
a.PCT+DCT
b.PCT+CT
c.PCT
ans:b
19.Virus cause cancer by alteration in
a.DNA
b.protoncogen
c.oncogen
ans:b
20.Young surgeon not allowed to operate on rt.adrenal gland d/t fear
of demage of imp structure
a.aorta
b.IVC
c.kidney
ans:b
21.Perception of disgust is perceived ny
a.left insular cortex
b.rt insular cortex
c.frontal cortex any side
ans:a
22.Pt is in ICU he aspirate gastric content , it will go to
a.Rt lower apical segment
b.Rt middle post segment
ans:a
23.Child has one testis in inguinal region, inc risk of
a.Malignancy
b.infection
c.v/s compression
ans:a
24.At the time of ovulation which oocyte is released
a.primary oocyte
b.sec oocyte
c.primordial follicle
ans:b
25.why anti TB drugs are given together
a.to dec the resistance mergence
b.to inc the effect
ans:a
26.Which organelle is continuous with nuclear membrane
a.RER
b.Mitrochondria
c.GA
ans:a
27.Receptor involve in flexor withdraw reflex
a.nociceptor
b.GT organ
c.Ruffini
ans:a
28.Pt has developed intention tremor side of lesion
a.cerebellum
b.basal ganglia
c.pons
ans:a
29.Pericytes are found in
a.small blood v/s
b.herat
c.bone
ans:a
30.Lady in kitchen cut her little finger what will be immediate effect
a.vasoconstriction
b.chemotaxis
c.renin-angiotensin sys
ans:a
31.Young pt has fever for last four days,prescribed antimalarial,
started cola color urine, jaundice .Hb 5, diagnosis
a.G6PD deficiency
b.hemolytic anemia
c.sickle cell anemia
ans:a
32.Pt has microcytic hypochromic anemia, on microscopy of stools, eggs
were noticed
a.Ancyclostoma duodenale
b.Diphylobothrium latum
c.ascaris lumbricoid
ans:a
33.Pre malignant lesion of oral cavity
a.oral submucosal fibrosis
b.leukoplakia
c.erythroplakia
ans:a
34.Inc SV keeping TPR and DP normal
a.inc MAP and inc PP
b.inc MAP and dec PP
c.dec MAP nad dec PP
ans :a
35.Most potent immediate effect of renin angiotensin sys is
a.vasoconstriction
b.salt retension
c.Thirst
ans:a
36.Drug undergoing extensive first pass metabolism
a.streptomycin
b.nitroglycerin
c.insulin
ans:b
37.Upper 1/3 of esophagus is supplied by
a.inf thyroid artery
b.aorta
c.intercostal artery
ans:a
38.AV node is supplied by
a.rt coronary artery
b.left coronary artery
ans:a
39.Chloropromazine side effects
a.dystonia
b.halliucibation
ans:a
40.If foramen ovale is demage then which part of face is effected
a.lower 1/3 of face
b.midface
c.forehead
ans:A
41.Thyroid gland is invested by
a.pre-tracheal fascia
b.para vertebral fascia
ans:a
42.Leukocytes are classified according to
a.nuclear size
b.nuclear shape
c.granular staining
ans:c
43.Most important role in pathogenesis of thrombosis
a.endothelia injury
b.ocps
c.prolong bed rest
ans:a

44.Pt is alcoholic has bilateral pleural effusion with cough

dyspnea,chest x-ray shows reticulonodular infiltrate some epithloid
cells were formed on thoracocentesis 85% granulocytes, 15% lymphocytes
seen what other findings seen on histopathology
a.inc N/C ratiowith light granules
b.AFB
c.pleomorphism with dark
Ans: ?
45.English buisinessman came back from thialand developed high grade
fever, chills ,orthostatic hypotension ,diagnosis
a.Malaria
b.Chagas d/s
ans: ?
46.small m/s of hand get atrophied, loss of sensation in hand , with
reduced pulse, cause is
Ans:cervical rib
47.Pt serology HIV +ve how will you counsel
a.He is diagnosed AIDS
b.some other test to confirm
c.follow up the pt
ans:b
48.Max absorption of wter
a.PCT
b.DCT
c.CT
ans:a
49.Ovarian cancer which LN will be affected
a.paraortic LN
b.intenal iliac
c.Deep inguinal LN
ans:a
50.what is good to differenciate the tumor cell
a.grading
b.staging
ans:a
51.Test which have true positive property
a.specificity
b.sensitivity
ans:b
52.Pre-malignant lesion or cervical intraepithelial neoplasia shows dysplasa
a.carcinoma in situ
b.CIN -1
c.CIN -2
ans : b?
53.Squamous cell carcinoma of skin , most likely d/t
a.Bowen d/s
b.Actinic keratosis
ans: a
54.Gummatous necrosis is feature of
a.syphilis
b.TB
c.sarcoidosis
ans:a
56.T-Test
Ans: Diff b/w 2 groups
57.Hep D is dominant , it is only infective with
a.HEP A
b.HEP B
c.HEP C
ans :b
58.Max oxygen consumption in cardiac tissue /m/s
Ans:inc heart size
59.less than normal ventilation /perfusion in
a. COPD
b.restrictive lung d/s
c.shunt
d.dead space
ans: /
60.Nerve supply of scalp m/s by
a.temporal and auricular br of facial nerve
b.superficial temporal nerve
ans:a
61.A man has Bysinosis, what is cause
a.textile
b.grain dust
c.asbestos
ans:a
62.Pt has severe head ache, projectile vomiting and papilloedema
Ans:Hydrocephlous
63.Thoracic duct demage / block
a.Chylo pericardium
b.hemopericardium
ans: a
63:Accomodation reflex
a.ciliary m/s constriction
b.dec in curvature of lens
ans:a
64.Female is having HTN, inc pigmentation , other features of cushing d/s
a.ACTH
b.cortisol
ans:a
65.Maturation of seminiferous tubules by
a.FSH
b.FSH and androgen
c.LH
ans:a
67.Following is related to risk of bladder cancer
a.Arylamine
b.zinc
c.nikle
d.CCL4
ans:a
68.ECG change in hypokalemia
a.Inc PR interval
b.dec PR interval
c.U wave
ans:c
69.Stability of TMJ in articular surface by
a.TM ligament
b.capsule
c.sphenomandibular ligament
ans:b
70.Xiphoid process is present at
a.T7
b.T9
c.T4
ans:b
71.Clasp knife rigidity by
a.GT organ
b.m/s spindle
ans:a
72.Pain is transmitted by unmylinated fibers
a.C fibers
b.A fibers
c.B.fibers
ans:a
73.Cauda equine
a.ant s.posterior root of sp.cord from L1-L5
b.ant s.post roots of s1-s2
ans: ?
74.Digitalis effect on heart, dec heart rate by dec in
a.alpha1 inotropic effect
b.beta1 chronotropic effect
ans:a
75.Digitalis toxicity is caused by
Ans: hypokalemia
76.drug epinephrine to inc HR
a.Inotropic
b.Chronotropic
ans:a
77.Lady has producing thick saliva,unusal as normal serum, what symp
receptors is responsible
a.alpha1
b.alpha1 and beta1
c.beta1 and 2
ans:?
78.During exercise blood flow through non excercising m/s , control by
a.sympathetic
b.local metabolite
ans:a
79.Loss of parasym to intestine will lead to
Ans: no effect on primary peristalsis
80.Bleeding from peptic ulcer art involve
a.left gastric
b.rt gastric
c.pancreatoduodenal
d.post gastroduodenal
ans:d
81.Gastric cancer first spread to
a.celiac node
b.SM nodes
c.right gastric nodes
ans:a
82.Liver is connected to body by
Ans:falciform ligament
83.Receptors for IgE p/s upon
a.basophils
b.mast cells
c.eosinophils
ans:b
84.Bleeding time is prolong d/t
a.overdose of aspirin taken
b.vit K def
c.Heparin
ans:a
85.Free radicles are destroyed by
a.vit K
b.Transferin
c.Albumin
ans:b
86.what happened to FRC
a.chest wall and lung alveoli recoil on equal as opposite
b.chest wall pressure is +ve
c.chest wall not contract/expand
ans:a
87.Estrogen role
a.sec sexual characteristics
b.glandular proliferation of breast
ans:a
88.Most potent anabolic hormone is
a.DHEA
b.testosterone
c.progestron
ans:?
89.Pt with asthma
Ns:eosinophils
90.Mediator of inflammation
a.Histamine
b.prostaglandin
ans:a
91.Pt is on warfarin not on heparin ,how to know
Ans:monitoring PT
92.Pt with non-caseating granuloma
Ans:sarcoidosis
93.pt has pale infarct following
Ans:ischemic stroke
94.Following RTA the man has hemorrhage, CBC shows
Ans:normochromic normocytic anemia
95.baby born was cyanotic cause is
Ans:Transposition of vessels
96.Pre mature baby will develop
Ans:PDA
97.Benzodiazpine MOA
Ans:Facclitate GABA receptors
98.Student in exam start hyperventilating, tachycardia and profuse
sweating, after breathing is by he become better.If you take sample
which the attack he would have
Ans:inc PH, dec PCO2
99.Pituatry gland
Ans:lateral is cavernous sinus
100.Lady with tall height and galactorrhea on CT scan enlarged pit shows
Ans:eosinophilic granules
101.after hemorrhage reabsorption of Na and water by
a.Aldosteron
b.Ag 2
c.ADH
ans:a
102.12 month infant with multiple cyst in kidney,mode of transmission
Ans:autosomal recessive
103.Dementia, diarrhea, dermatitis, def of
Ans:Niacin
104.Staph aureus is inoculated in lymphatic v/s, what immune response
in lymphatic occur
A.lymphatic will remove extrav/s toxin?
105.Pt has bilateral parotid gland enlarged , dry itchy eyes, dry
mouth,dysphagia, diagnosis
a.sojogren syndrome
b.SLE(limited)
c.Diffuse SLE
ans:A
106.long scenario features of pulmonary and kidneyanti DS-DNA position
, what is finding
Ans: Glomerular immune complex deposition
107.Myasthenia gravis
Ans:Type 2 HSR
108.Dome of diaphragm is supplied by
a.phrenic nerve
b.intercostal nerve
ans:a
109. n/v stimulation is more difficult to create AP
Ans:Hyponatremia
110.similar to above somehow
Ans:hyponatremia
111.DOC for traveller diarrhea
a.diphenoxylate
b.metachlopromide
ans:a
112.B-cell marker on flow cytometry
Ans: CD 19-20
113.Anti-tumor property
a.NK cell
b.CD8
c.CD4
ans:a
114.Hematocrit means
a.RBCs
b.WBCs
c.PLt
ans:a ( no option of all together)
115.Findings of pulmonary TB
a.Primary TB complex with enlarged LN
b.calcified nodules
ans:a
116.Hemocystemia occur d/t def of
a.B12
b.B6
ans:a
117.Pt has MCV-116, vibration affected lab findings
a.Megaloblastic bone marrow
b.macrocytic on smear
ans:a
118.Insulin sec is increased by
a.secretin
b.somatostatin
c.beta blocker
ans:a
119.Droplet infec occur from
a.3-6 feet
b.10 feet
ans:a
120.Foot drop occur d/t
Ans:common peroneal nerve
121.D/s associated with smoking
Ans:Thromboangitis obliterens
122. Hepatitis transferred by blood transfusion
a.Hep B
B.Hep C
Ans:a
123.Pt has foul smelling stools with finding of infection,diagnostic test
a.stool DR
b.stool culture and sensitivity
ans:b
124.Main role of steroid is to dec
a.Hepatic glycogen synthesis
b.Gluconeogenesis
c.Peripheral utilization of glucose
ans:c
125.Faccilitated diffusion of which substance occur in intestine
a.Glucose
b.Fructose
ans:b
126.Pt BP is 150/110 ,Inc renin level in lft renal vein and dec renin
level in rt renal vein , inc plasma renin level, what is diagnosis ?
Ans:left renal stenosis
127.which cranial n/v has only efferent fibers
a.Hypoglossal n/v
b.facial n/v
c.glossopharangeal n/v
ans:a
128.During ____________inner and outer cell mass separate at which stage?
a.one cell
b.2 cell
c.3 cell
d.4 cell
ans:?
129.African prigany
a. inc GH
b.dec GH
c.dec somatomedian
ans:?
130.If supinator m/s is paralysed which m/s will still perform supination
a.bicep brachi
b.brachialis
ans:a
131.Tibial part of sciatic n/v affected flexion by
Ans:short head of bicep femoris
132.Pt undergo C-sec after 2 weeks she has stablewound healing and
normal scar formation , what will inc tensile strength in the wound
a.50-75% d/t slow collagen modification
b.50-755 d/t fast collagen modification
c.fibroblast
ans?
133.During cell division chromatids kinectechor
Ans: centromere
134.Actin contain which structure of cytoskeleton
Ans: microfilaments
135.Fatty acid metabolism intermediate which enters in kren cycle?
a.pyruvic acid
b.acetyl CoA
ans: ?
135.Which anti-Tb drug cause orange/red color urine ?
Ans:rifampicin
136.Pt using chronically drug, repeated monitoring req
a.protein bound
b.low therapeutic index
ans:b
137.Pt fainted bp 140/90,pallor hb 6.7, anemia
a.hypoxic
b.stagnant
c.anemic
ans:c
138.which tissue is replaced by fibrous tiisue
a.liable
b.stable
c.permenant
ans:c
139.Inhibitory output in CNS goes by
Ans:purkinjee fibers
140.Superficial fascia
Ans:loose aerolar tissues and adipocytes
141.Carotid sheath
a.lateraLLY prevertebral fascia
b.extends upto adventia of aortic arch
ans:?
145.Burns?
a.hypokelemia
b.hyperkalemia
c.hyponatremia
ans?
146.cervical cancer
Ans:HPV
147.Brush border enzyme def leads to
Ans:latose intolerance
148.pharmaceutical and doctor relation
a.holidays
b.literation
c.institution
ans:c
149.within CNS, cell with multiple cytoplasmic processes is
a.microglia
b.protoplasmic astrocytes
c.astrocyes
d.epidedymal cell
e.oligodendrocytes
150.In smoker , most common cause of bladder cancer is
Ans:smoking
151.Adaptation of receptor potential ofskin transducer
Ans: constant stimulus dec in receptor potential
152.Regarding trigerminal ganglia
a.in middle cranial fossa
b.within dura
ans:a
153.colon carcinoma
a.amyloid serum
b.thyrorectin
c.Amyloid precursor
d.serum a/s amyloid
e.beta macroglobulin
154.In respiratory sys air flow is equal to
a.rushes through resp bronchioles
b.dec in velocity as it goes to bronchiole
c.same in trachea upto bronchiole
ans:b/c
155.Turbulance is inc by
a.inc in length
b.inc velocity
c.velocity
d.dec in diameter
ans:?
156.Red blood cell with red thin line artisect
a.hypochromic microcytic
b.normocytic normochromic
ans:a
157.Fish tapeworm
a.vit b12
b.vit b6
ans:a
158.HSV transmitted by
a.blood
b.droplet infection
c.stools
ans:b
159.Dead space doesn’t change
a.shallow breathing
b.deep breathing
c.standing
d.old age
ans:a
160.Primary dehydration
a.isotonic
b.hypotonic
c.hypertonic
ans:c
161.cat describe
Ans:hyperactive flexor reflex
162.Drug that cause comptent gastroesophageal junction
Ans:metachlopromide
163.vomiting during flight, drug to be given
a.thioridazone
b.chloropromine
c.cyclizine
164.LAP is dec
Ans:CML
165.Single best drug for CHF
a.ACE inhibitor
b.hydralazine
c.beta blocker
ans:a
166.Vit D is regulated by
a.ca in serum
b.PTH
ans:b
167.Cell contain enzyme for histamine
a.neutrophil
b.esinophil
c.monocytes
ans:b
168.Naked man 21c,65F heat lost by
Ans:radiation and convection
169.Justice in medical officers
a.equality
b.active treatment
ans:b
170.Regarding stretch reflex of knee
Ans:nuclear bag fibers
171.ADH
Ans:dec urine osmolality
172.Primary adrenal insufficiency
a.low ACTH
b.inc cortisol
c.hyperkalemia
ans:c
173.empty speech
a.brocas
b.wernicks
c.frontal
ans:?
174.Child with change in behavior,also with fever
a.TB meningitis
b.frontal lobe tumor
175.weakness of rt side of body and diplopia on seeing left
a.left internal capsule
b.right internal capsule
c.midbrain
ans:?
176.Pt is autosomal dominant but don’t show phenotypically
a.variable expression
b.heterogenicity
c.reduced penetrance
177.CHF ,pleural effusion linked to trasudative
Ans: lymphocytes less than 3
178.Digoxin toxicity
Ans:quinidine
179.In baby , blood transfusion occur , which were stored blood given
in massive amount two bags
a.hemolysis
b.hypocalcemia
ans:b
180.A person has both brocas and wernicks aphasia
Ans:Global
181.Alcoholic pts liver shows
Ans:deranged liver artitecture
182.senerio of boy having HTN,again develop inc BP d/t loss of
Ans:Negative feedback
183.Blood given ,where it will be find
Ans:veins and venules
184.Hypercalcemia
a.re-entry circuit
b.flaccid myocardium
c.fatigue myocardium
d.systolic arrest
e.diastolic arrest
185.Delayed healing , gingival bleed defect in
Ans:fibroblast
186.smallest area in homunculus
a.finger
b.thumb
ctongue
d.thigh
e.face
ans:d
187.PCA affected area
Ans:occipital
188.Important buffer of body
Ans:HCO3
189.Dark adaptation
a.dec activity of cons
b.dec light at periphery
ans:a?
190.Side effect of levodopa
a.orthostatic hypotension
b.sexual disturbance
ans:a?

MEDICINE AND ALLIED 9TH MARCH EVENING 2018

1.caloric req=> 350-360
2.Clara cells=> terminal bronchioles
3.which of the following doesn’t have basement membrane => ependymal
4.sulpha drug MAO=> block diphydrofolate
5.Cl.difficle=> clindamycin
6.Bee sting => IgE inc
7.IgE bound to => basophils
8.Recurrent rhinitis,utricaria=> IgE
9.Leimyoma with glands and stroma covering => hyperplasia?
10.some growth in vulvar region => dysplasia
11.Primary syphilis lesion for investigation specimen should be taken
from=> genital sores
12.lesion at L1 , there was loss of pain and temp on rt side=> left
lateral spinothalamic lesion
13.Aspiration of something by lady, p/s with blab la s/s, it can be prented by
a.backward m/v of tongue
b.larynx move upward
c.closure of true vc
d.closure of false vc
15.Round ligament of liver=> left umblical vein
16.Pt BP 90/70 and with multiple s/s, what to do first=> fluid replacement
17.Smoker working in a tyre shop with painless hematuria=> fluid replacement
18.Radial n/v corse infront of medial epicondyle => spiral groove
19.Myasthenia gravis=> IgG antibody
20.Aspirin MAO=> inhibit PG synthesis
21.Non smoker with sq.cell carcinoma in lung=> asbestosis
22.5HT3 drug in diarrhea=> Alosteron
23.Pt doctor relationship => mutual trust
24.Muscular dysdrophy=> Ducchan x-linked recessive
25.Athelet at rest=> inc SV
26.M/s involve in dorsiflexion at ankle joint=>Tibialis ant
27.Pelvis avulsion m/s involved=> Rectus femoris
28.Through deep inguinal ring=> indirect hernia
29.Retrorbital swelling d/t=> TSI
30.Hyperemesis gravidasm=> dec K+
31.Child with pyloric stenosis vomiting => metabolic Alkalosis
32.Lady with prev pregnancy malnurishment now with anemia=> iron def anemia
33.Hypertensive retinopathy=> arteriole
34.Hunger centre => lateral
35.Retinal art occlusion in previously healthy man=> emboli
36.Acute pancreatitis => fat necrosis
37.Sudden loss of vision in one eye=> Giant cell arteriris?
38.Hep A=> inc bilirubin and Alt
39.Rt homonomous heminopia lesion in => left occipital
40.Submandibular gland stone result in => apoptosis
41.NK cell=> anti tumor cell
42.Warfarin quick reversal => FFPs
43.which factorstabilize fibrinogen => factor 13
44.Burkit lymphoma=>EBV
45.cretinine clearance
46.Pterygoplatine fossa also called => parapharangeal
47.Bleeding time prolong and platelet defect => ITP
48.Most dangerous ca=> melanoma
49.ICF differ from ECF => 1/3
50.Drug given pre-op to liver decompenation pt => fentanyl
51.Max calcium influx at cardiac cycle => ST
52.Thick saliva=> alpha1, beta2
53.Notochord=> nucleus pulposus
54.Old age women with hx of IHD with irregular heart beat=> digoxin
55.Most common involved in carcinoma=> keratin
56.Prolong immobilization=> DVT
57.Kidney post relationship with lower ribs=> fascia cover it with glnds
58.Diaphysis=> bone marrow?
59.XXY=> true hemaphordite
60.Short stature => Turner syndrome
61.Face sensation=> maxillary div of trigerminal n/v
62.Pt is on hormone replacement therapy for 10 yr , sister died d/t
breast ca, she has high risk of => breast ca
63.Spinal cord art supply=> vertebral artery
64.Pt has pneumonia , now he has chest ain radiating to back and
rustle sound on left border , which is affected => pericardium
65.Rhemuatic fever result in=> myocarditis
66.Hyperemesis gravidrum
67.Upper fibers of external oblique=> interdigitate with serratus ant
68.Allograft=> same specie
69.Farmer with linear pigmentation of foot=> cutaneous larva migrans
70.Pellegra => niacin
71.Source of creatinine => skeletal m/s
72.In asthma which is involved=>medium bronchioles
73.Scapula is firmly attached to chest wall=> serratus ant
74.Glucokinese => liver
75.Bronchopulmonary segment=> functional unit
76.Atheroma=> inc LDL
77.M/s of forceful expiration=> rectus abdominus
78.Features of dysphagia , horner syndrome art involve =>PICA
79.Satiety center => ventromedial
80.COPD scenario which will inc=> FRC
81.Jumping,walking, but cant hold pen=> UMNL
82.Emphysema def of => alpha 1 anti-trypsin
83.what was answer of abnormal value of that casf scenario
Na 150, Cl 115, HCO3 26
Glucose 60mg, Protein 500mg
Ans:protein
84.cerebellum scenario => pendular knee jerk
85.Medial rotation=> teres minor
86.Interstitial buffer => HCO3
87.Tunica albogenia=> proccesus vaginalis
88.Exudative scenario=> protein
89.Structure post to medial mellulous => tibialis post
90.Round ligament=> umblical vein
91.ECG findings of hypoglycemia => prolong QT
92.Major Primary fetal adrenal cortex hormone=> DHEA
93.Calcitonin released from=> thyroid gland
94.Infection in b/w deep layers of cervical fascia and pre tracheal
fascia , where pus will go => ant to pericardium
95.Phrenic n/v => mediastinal pleura
96.SLE => lupus nephritis
97.Trauma to MMA => blood will accumulate in epidural space
98. cervical vertebra=> stellate ganglion
99.Lateral ventricle=> hippocampus
100.lesion in left somatosensory area will affect => rt lower limb
101.blood tx develop=> host versus graft d/s
102.Inc time for ventricular filling=> AV nodal delay
104.Progressive PR prolongation + miss a beat => Mobitz type 1
105.Post 1/3rd blood supply of heart =>RCA
106.surgeon during surgery ant interventricular area=> great cardiac vein
107.ant surface of heart supplied by => LAD
108.Clozapine side effects , which cell will inc=> lymphocytes?
109.Toxoplamosis=> IgM
110.Rt homonymous heminopia with visual defect=> left occipital lobe
111.In hyperthyroidism cardiac effect because of inc beta receptors
112.Anencephaly=> inc alpha fetoprotein
113.During normal condition aortic pressure is highest in=> end of
ventricular ejection
ALL MARCH PAPERS MEDICINE AND ALLIED
REMEMBER ME IN YOUR PRAYERS
REGARDS; DR.AQSA AFSHEEN 
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