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4th & 5th April-2016- Papers of all Specialties (1032 MCQS)

[ Index- Check List ] Compiled by : Amlodipine Besylate

(1) Medicine & Allied 4th April 2016 (Evening Session) by Miqdad Haider(200 MCQS) Page#1
(2) Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS) P#9
(3) Surgery & Allied 4th April 2016 (Evening session) by Neelum Agha (195MCQS) P#24
(4) Surgery 4th April 2016 Morning by Usman Dawar & Mir Karimshah(92+30) Page#32
(5).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#36
(6). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#50
(7). Anesthesiology 4th April 2016 Morning Aly Samnani (80) P#57
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(1)Medicine & 4th April 2016 (Evening Session) by Miqdad Haider(200)

APRIL 4, 2016 EVENING, MEDICINE AND ALLIED PAPER 1 AND 2 By: Miqdad Haider
(PCDA Pakistani Cuban Doctor Association) Please point out errors and make errata. I have tried to mark maximum answers
(from books/this group/internet) but still wasnt sure about some questions. So your feedback will be welcomed. It has been t ried to
put the most accurate answer, but you never k
to all members of the group who contributed in compilation of this paper by posting questions after their paper and by partic ipating in
the discussion (Esp. Med Med, Asad Saleem).

1. Labetalol acts on
a.Alpha and Beta receptors * (ans) b.Alpha receptors c.Beta receptors
2. Neuron peak of Action potential
a.Electric gradient tend to send Na into the cell* (ans)
b.Concentration gradient send Na out of the cell
c.Electric gradient tend to send K out of the cell
d.Concentration gradient send K in of the cell
e.Another option about Chloride
3. Embryological counterpart of Mullerian tubercle is:
a.Pineal body
b.Seminal colliculus* (ans)
c.Vas deferens
4. Most common acquired cause of thrombus/embolus
a.Protein c deficiency
b.Protein s deficiency
c.Antithrombin III def
d.Antiphospholipid antibody syndrome* (ans)
5. Most important clinical feature of water intoxication
a.Slow pulse* (ans)
b.Distended neck vein
c.Pulmonary edema
6. Proteins that escape into tissues from blood vessels :
a.Reabsorbed by lymphatic system* (ans)
b.Convert to be a part of defence system
c.Involve in metabolic activity
7. Thirst is decreased by
a.Increased plasma osmolarity and decreased plasma volume (ans)
b.Increased plasma osmolarity and increased plasma volume

c.decreased plasma osmolarity and decreased plasma volume

8. Patient with Mitral stenosis,,, and a-fib, now ischemic stroke. Pathogenesis?
a.Thrombus
b.Emboli* (ans)
9. Increased salivation by Parasympathetic system associated with vasodilation due to:
a.VIP
b.GIP
c.Ganin
d.Substance P* (ans)
10. Hypothalamus inhibits the following hormone
a.Prolactin (ans)
11. Which of the following veins drains into coronary sinus and itself becomes part of coronary
sinus?
a.Great cardiac vein* (ans)
b.Middle cardiac vein
12. Fastest conduction in heart by
a.Purkinje system (ans)
13. Most effective way to prevent heat loss
a.Stimulation of adrenaline and noradrenaline
b.Shivering
c.Cutaneous Vasoconstriction* (ans)
14. Aortic pressure lowest during
a.Atrial systole
b.Isovolumetric contraction* (ans)
c.Isovolumetric relaxation
15. Period where heart is susceptible to fibrillation
a.At the end of action potential* (ans)
b.Refractory period
c.First half of action potential
d.Later half of action potential
16. Infusion of 1 litre normal saline causes
a.Plasma osmolarity decrease
b.Plasma volume decrease
c.Decrease urine osmolarity* (ans)
d.Urine sodium increase
17. 40 year old patient of Down syndrome, has risk of Alzheimer (ans)
18. Dorsal column carries a.Proprioception* (ans),b.Temperature ,c.pain
19. Pus contains a.Dead bacteria b.Neutrophils* (ans)
20. Organism causing meningitis in adults a.Streptococcus* (ans) b.Actinomyces
21. Patient with acute promyelocytic leukemia, cell show multiple basophilic round bodies,
irregular membrane, structureless eosinophilic cytoplasm,
a.Apoptosis* (ans)
b.necrosis
c.hydrolysis
d.coagulation necrosis
22. alpha adrenergic stimulation causes a.bronchodilation b.mydriasis* (ans)
23. Important protein in RBC a.Spectrin*(ans) b.Actin c.myosin
24. Essential amino acid a.Phenylalanine* (ans) b.Glycine c.Cysteine d.Proline
25. How to disclose a bad news to a patient
a.In front of family
b.Alongwith staff

c.In a separate formal session* (ans)

d.At bed side
26. Confidentiality can be breached by
a.Insurance claim * (ans)
b.If patient authorizes you
27. Carcinogen for cancer of cervix a.HPV*(ans) b.Chronic irritation
28. Steroids act by a.cAMP activation b.gene alteration* (ans)
29. Women after delivery, Platelet: 70,000, aTTP normal, PT raised DIC. (ans)
30. Tumor screening test is for - Early diagnosis of a disease. (ans)
31. Patient with tic doloreaux (Trigeminal neuraglia), analgesia given to block trigeminal
ganglion at which site :
a.Middle cranial fossa* (ans)
b.posterior cranial fossa
c.anterior cranial fossa
d.infratemporal fossa
e.pterygopalatine fossa
32. In late pregnancy the uterus is most sensitive to Oxytocin. (ans)
33. About bicep brachialis muscle attaches to supraglenoid tubercle of scapula. (ans)
34. Maximum area of resonance is T2-T4 of right midclavicular line. (ans)
35. True about spinal cord
a.Conus medullaris terminates in neonates at the level of L3* (ans)
b.Dorsal and ventral roots meet 2cm beyond interbertebral foramen to form spinal nerve?
36. Cimetidine is used preoperatively because:
a.Inhibits H2 receptors competitively ,b.Decrease gastric acid* (ans)
c.Does not affect gastric motility ,d.Does not interact with induction agents To decrease gastric
volume
37. Nursing mother with herpes labialis, drug of choice a.Acyclovir b.Trifluridine* (ans)
(Above umbilicus trifluridine, below umbilicus acyclovir)
38. After feeding the baby, diarrhea develops Gastrocolic reflex. (ans)
39. Both sides of 5th posterior intercostal spaces are supplied by: a.Thoracic aorta b.Internal
thoracic artery?
40. 2 years old child with medially rotated arm lesion in - Upper trunk. (ans)
41. Opioids produces vomiting by acting on a.Chemo trigger zone in medulla*(ans)
b.Vomiting center c.Antagonist of dopamine
42. Female with uterus cancer which travels to labia majora following which route - Round
ligament (ans)
43. Pain in epigastrium due to ulcer, transmitted by - Greater splanchnic nerve (ans)
44. Bitemporal hemianopia due to lesion of a.Optic tract ,b.Peripheral part of optic chiasm
c.Central part of optic chiasm* (ans)
45. Vesicular lesion on the right tip of nose and right eyelid Right Ophthalmic nerve (ans)
46. Patient cant abduct till 30 degree, which muscle is responsible Supraspinatus
47. Nerve supply to plantar surface of foot a.Posterior tibial* (ans) b.Superficial peroneal
c.Deep peroneal d.Saphenous nerve
48. Ventral spinothalamic tract a.Coarse touch and pressure* (ans) b.Temperature
49. Vibration and touch via White matter of posterior spinal cord. (ans)
50. Brainstem reticular formation a.Unusual stimulus causes arousal*(ans) ,b.initiates REM
sleep ,c.Inhibition of neural systems causing wakefulness ,d.Does not communicate with upper
part of CNS
51. Most radiosensitive tumor ,a.Ganglioglioma ,b.Brainstem glioma
c.Craneopharyngioma*(ans)
52. Hormone increased during sleep as compare to at day wakefulness

a.Cortisol*(ans) b.GH wasnt in the options

53. Patient with intentional tremors and facial paralysis lesion at
a.Cerebellopontine angle* (ans) b.Right hemisphere Pons
54. Patient working in mine with tuberculin test positive. Cough, fever, weight loss with hilar
lymphadenopathy
a.Silicosis* (ans) b.Asbestosis c.Anthracosis d.Pneumoconiosis
55. Male working in construct factory with pleural plaques
a.Asbestosis* (ans) b.Anthracosis c.Pneumoconiosis
56. Neoplastic cells with continuous mitosis due to persistence of Telomerase. (ans)
57. During exercise venous return is due to - Contraction of calf muscles. (ans)
58. Action of steroids as anti-inflammatory is due to - Inhibiting phospholipase.
59. Long term thiazide use causes a.Hypokalemia. (ans) b.Hypocalcemia c.Hyponatremia
60. Intermediate filaments staining with immunofluorescence to diagnose (it has something to
do with cytokeratin, dont remember exact stem) Carcinoma. (ans)
61. VPL nucleus of thalamus when damaged cause
a.somatosensory loss of contralateral body* (ans)
b.Loss of taste ,c.Loss of olfaction ,d.Somatosensory loss of ipsilateral body
62. Man living on side of a river, got blindness from nematode; organism
Onchocerca volvulus. (ans)
63. MCC of HTN Idiopathic. (ans)
64. Female with hirsutism, galactorrhea, infrequent heavy menstrual cycle. U/S both ovaries
with cystic lesions and LH:FSH :: 3:1 PCOD (ans)
65. Female with hot flushes a.Increase FSH and LH* (ans) b.Decrease FSH increase LH
66. Injection of atropine will cause - Dryness of mouth. (ans)
67. Female with severe loss of vibration, Investigation of choice - Stomach biopsy. (ans)
68. Female with weakness and lethargy with RBCs 5.5 diameter and very thin red line of RBC in
peripheral smear
a.Microcytic hypochromic anemia* (ans)
b.Normocytic hypochromic
c,Normocytic normochromic
69. Monitoring of Hep B a.Serum glutamate-pyruvate transaminase*(ans)b.Prothrombin time
70. Female with reactive anti HBe and reactive total anti HBc along with non-reactive HB IgM
and non-reactive HepBs Ag
a.Acute recovery phase* (ans)
b.Chronic Carrier
71. Patient with obstruction jaundice; now bleeding cause a.Vit K deficiency* (ans)
b.Decrease cloting factor production due to liver problem
72. Investigation of Hashimoto thyroiditis Antimicrosomal and anti-thyroglobulin
antibodies. (ans)
73.Cimetidine interaction with warfarin causes
a.Decrease hepatic clearance of warfarin(ans) b.Increase oral bioavailability of warfarin
74. Patient using some anti-coagulant, how will you know that anticoagulant is warfarin because
it is being monitored by a.PT* b.By giving Protamine
75. BP drops from 100mmHg to 70mmHg, it will result in a.Decrease in carotid sinus nerve
activity* (ans)
b.Increased sympathetic efferent effect on heart
c.Increased sympathetic efferent effect on heart
76. Erythropoietin is secreted from - a.Mesangial cells (?) b.Tubular epithelial cells (I did)
77. Child with machinery like murmur a.PDA*(ans) b.MS c.MVP
78. PaO2 is 100% in a.A person who used to live in high altitude b.Right to left shunt c.Left to
right shunt* (ans)

79. Kallmann syndrome a.Gene defect in Kal1 gene on Y chromosome* b.Lesion in

arcuate nucleus
80. Diplamotoylphosphatidyl choline + carbohydrate + proteins is a content of
a.Surfactant* b..Alveolar endothelium interstitium
81. In asthma a.Decrease FEV1* (ans) b.Residual volume change
82. Splenectomy is most useful in
a.Hereditary spherocytosis* (ans) b.Thalassemia c.Sickle cell anemia
83. Findings in glycogen storage diseases
a.Hepatomegaly and hypoglycemia* (ans) b.Hepatomegaly and hyperglycemia
84. Corynebacterium diphtheria produces Exotoxins (ans)
85. Common specie of Corynebacterium affecting human is Diphtheriae. (ans)
86. CSF with increased proteins and polymorphs with decrease glucose the drug of choice
a.Ceftriaxone* (ans) b.Ciprofloxacin
87. About the pharmacology of Neiserria gonorrhea a.Pencilin G. (ans)
88. Major histocompatibility is related to a.HLA. (ans)
89. Kidney is transplanted, gets cyanosed in 10 minutes, type of reaction
a.Antibody mediated* (ans) b.Host Vs Graft Reaction c,Cell mediated
90. A child with Agammaglobulinemia is prone to
a.Pyogenic infections* (ans) b.Viral infections
91. Diagnostic criteria for sarcoma a.Increased vascularity*(ans) b.Pleomorphism
92. Soldier coming down from height, now with discoloration of fingers, dyspnea Secondary
polycythemia. (ans)
93. Vitamin D acts on intestinal mucosa to increase calcium absorption by following mechanism:
a.Expression of genes*(ans) b.cAMP
94. Calcium influx via slow channels in ventricle cells causes a.Ventricular ejection*(ans)
b.Atrial systole c.Rest were relaxation phases of cardiac cells
95. Increased a wave in JVP due to a.Mitral stenosis b.Mitral regurg c.Aortic stenosis
d.Tricuspid stenosis* e.Aortic regurg
96. Person with HR 80/min, on ECG RR interval would be - 0.75 sec. (ans)
97. Class III Antiarrhythmics a.Amiodarone* (ans) b.Quinidine c.Lidocaine
98. Increased ASO titer a.Rheumatic fever* (ans) b.Endocarditis
99. In hypertrophic cardiomyopathy Myocytes disarray. (ans)
100. 5 month pregnant lady with thyrotoxicosis, drug of choice Methimazol PTU* (ans)
101. 30 years old smoker, psychotic, vomiting of fluid with visible peristaltic movements on
abdomen cause - Pyloric stenosis. (ans)
102. Myenteric system of parasympathetic is potentiated by Ach. (ans)
103. Pethidine is preferred over Morphine a.Fast acting* (ans) b.Less addictive c.Less
potent analgesic d.More constipation
104. Philadelphia chromosome CML. (ans)
105. Male with fever upper lobe consolidation, fever from last 3, productive cough, AST 135 and
ALT 111, alkaline phosphatase normal, bilirubin 10, he died on autopsy weight of liver increased
and with fat droplets seen on hepatocytes. Diagnosis Chronic alcoholic disease* (ans)
106. Alpha 2 macroglobulin inhibit a.Trypsin(ans) b.Secretin
107. 65 years old male with all symptoms of LV failure and pulmonary edema without any
previous illness and BP 125/85mmHg, on X-ray cardiomegaly, a febrile cause of heart failure,
liver enzymes normal Bicuspid calcified aortic valve Alcoholic cardiomyopathy*(ans)
Amyloidosis
108. Calculate Alveolar ventilation where Tidal volume is 500ml/respiration. RR 10 3500ml/min (ans)
109. Calculate Clearance where Urinary flow 20 ml/min, Concentration of substance in urine 10
and Plasma 10 20ml/min (ans)

110. Highest potential difference in the wall of stomach is when:

a.Aspirin ingestion* (ans)
b.HCL is not secreted and gastric mucosa is intact
c.HCL is secreted and gastric mucosa is damaged
111. Excessive eversion of foot damaged which structure - Rupture of deltoid ligament. (ans)
112. About thoracic aorta a.starts at T4 on left side*(ans) ,b.supply lungs, esophagus n
pericardium ,c.supplies last 8 intercostal spaces
113. Histology of cornea - Stratified squamous non-keratinized. (ans)
114. Left shift of HbO2 curve - CO poisoning. (ans)
115. Humans are intermediate host in a.Hydatid cyst. ,b.Filariasis
116. Micturition reflex a.Self generating (ans) b.Cerebral control c.Condition reflex
117. Hallmark of HIV disease a.Proliferation of virus in T-Cells(ans). b.Progressive immune
deficiency
118. Surgery of submandibular gland; nerve damaged - marginal mandibular branch of
facial. (ans)
119. Aspirin overdose causes a.Coma b.Alkalosis c.Hypothermia
120. Father with defective gene on one autosomal chromosome, develops disease later in his
life; chances of getting disease in children Half of the children will be affected. (ans)
121. Thorn prick in left lower limb caused abscess - Staph aureus. (ans)
122. Lesion of parasympathetic system affects mostly - GI muscles. (ans)
123. ADH Osmoreceptors (ans)
124. About systolic pressure which one of the following true
a.directly related to plasma Renin*(ans) b.depends on venous return c.dosnt depend on TPR
125. Superficial temporal artery relation with which nerve a- Auriculotemporal nerve. (ans)
126. Protoncogenes converted to oncogenes by a.point mutation* (ans) b.gene amplification
c.translation d.dna transcription e.chromosomal translocation
127. Oblique fissure of the lung at level - T3 to T6 Costochondral. (ans)
128. A long case scenario of Appendicitis, bottom line was pain mediated by ---a.Prostaglandin and bradykinin* (ans) b.TNF alpha
129. Hamartroma : a.ectopic tissue b.disorganized growth of mature cell indigenous to the
site*(ans) a tumor which can metastasize a tumor with all germ layers
130. Correlation between two variables( duration and anesthesia administration I think) was
studied a.student t test ,b.chi square ,c.regression analysis* (confirm it)
131. Chemotaxis (indirect statement about an inflammation scenario) . C5a (ans)
132. Drug drug interaction . Morphine toxicity treated with naloxone (ans)
133. Best diagnosis for turner: a.barr body b.karyotyping (ans)
134. Inferior imaginary line in rectus sheath ---- arcuate line (ans)
135. The measurement of cardiac output by thermodilution ?
a.-Is accurate and easily repeatable b.-Involves measuring the integral of temperature change
over time
c-Involves use of the latent heat of vaporization in the calculations d-Is also known as the Fick
technique e.May be inaccurate due to respiratory changes in the pulmonary artery
temperature(may be this one is right, please confirm)
136. Medial arcuate ligament formed by a.diaphragm b.lumber fascia c.psoas fascia* (ans)
d.quadratus lumborum
137. zinc is important in following
a.carbonic anhydrase*(ans) b.cellular oxidation c.vitamin b12 d.glycosis ketogenesis
138. Bilateral S3.4.5 cut what will result in a.labour with out pain b.painless mensis
c.anorgasmia d.rectal incontinence* (ans)

139. long case,90 year old female, lipofuscin pigment present in histology report of cardiac
muscles. A.cellular oxidation,b.coagulative necrosis c.apoptosis d.autophagy* ans . FA 2014
pg 228)
140. Ghon complex is characteristic of ----a.Tuberculosis (ans)
141. Immunity provided by DPT is a.artificial active*(ans) b.artifial passive
142. Glucose fasting 6.8 (124), after 2 hours 10.6 (190)
a.impaired glucose tolerance* (ans) b.Diabetes
143. Aldosterone most important stimulus a.Increase potassium*
144. Air embolism, quantity of air required to produce symptoms a.100ml* (ans) b.50 ml
145. Microscopic feature of compact bones a.Haversian canals are arranged obliquely
b.lacunae have osteoblasts ,c.Haversian canals are not interconnected collagen imparts colour
d.lamellae are regularly arranged* (ans)
146. How many white ramus communicans are there in our body a.13 b.14 * (ans) (T1-L2),c.15
d.16
147. Virus cause cancer by alteration of a.proto oncogen b.oncogen c.DNA* (ans) d.RNA
148. Hydrolysis of DNA release a.ribose sugar b.phosporic acid* (ans)
149. Pregnant lady with obstructive jaundice will have raised: a.GGT (ans)
150. Farmer with gum bleeding a.Vitamin C deficiency (ans)
151. Last mediator of septic shock a.IL 6* b.TNF c.IL 1
152. Which of the following organelle contain oxidases? A.Peroxisome (ans)
153. True about middle meningeal artery
a.Enter to brain through foramen spinosum* (ans) b.Causes subdural hemorrhages
154. Free hemoglobin bind to Hapatoglobin* (ans)
155. Transitional epithelium of bladder derived from
a.mesoderm b.endoderm* (ans) c.endoderm+mesoderm
156. Microglial cell a.phagocyte of nervous system* (ans) b.abundant in white matter
c.abundant in gray matter
157. Regarding skull of child?
A. anterior fontanelle present between 3 bones b.posterior fontanelle closes at 3 months?
c.Vault is bigger than the face
158. Postero superior relation of pituitary? related to parotid gland
a.saphenoid*(ans) b.Maxillary
159. Cervical branch of facial nerve supply a.playtsma*(ans) b.strnocledomsdtoid
160. Corneal opacity is caused by a.chloroquin* (ans) b.quinine c.ethambutol
161. To calculate the median of 40, 20,25,30,25,20,35,40(it wasnt arranged in ascending order)
ans 27.5
162. Radiation therapy, lesions on skin due to a.Endartritis obliterans (ans)
163. Infratemporal fossa also known as
a.Parapharyngeal fossa b.tonsillar fossa c.suprasternal d.submesenteric
164. 15 yrs old boy with multiple large purpura, bleeding problem, investigation?
A.Platelets less than 20* (ans) b.Platelets less than 90 c.Factor 8 def
165. Patient has glycosuria, although serum glucose is 100mg/dl
a.he cant absorb glucose from pct
b.he has DM
c.has abnormal absorption of glucose
d.his kidney has low glucose threshold* (ans)
166. Agammaglobunemia a.Pyogenic infections* (ans) b.Viral infections
167. Severe hypomagnesemia causes a.Hypocalcemia* b.Hypercalcemia
168. Thyroglossal cyst common location
a.Above sternum b.Thyrohyoid region* (ans) c.Intralingual
169. M bands produced by? A.b cells b.plasma cells*(ans) c.t cells d.macrophages

170. crus cerebri near to A,substantia nigra* (ans) b.red nucleus c.superior colliculus
d.superior cerebellar peduncle
171. 7th left pulmonary segment..what is it called?
A.Lingual lobe b.Right medial basal* (ans) c.Lateral basal d.apical
172. Both peripheral and central chemoreceptors stimulated by? A.CO2* b.H c.O2
173. Damage to precentral gyrus
a.Contralateral motor loss*(ans) b.Contralateral sensory loss
174. Area 312 damaged, symptoms a.Somatosensory loss* (ans)
175. Short half life means a.Reaches stable dose quickly* (ans) b.Rapid clearance
c.Bioavailability d.Freely filtered in glomeruli
176. Damage to ventro posterior lateral (VPL) nucleus of thalamus a.Somatic contralateral
loss* (ans)
177. RBC breakdown will result in
a.Increase biliverdin in feces b.Increase urobilinogen in urine c.Release of globulin d.Release
of iron which can be reutilized* (ans)
178. Intracellular buffer a.Bicarbonate b.Hemoglobin c.Protein* (ans)
179. Burn tissue. Which non bacterial opportunistic organism found a.Candida* (ans)
180. Baby with some red structure coming out above pubic symphasis, frequently getting wet ,
O/E epispadia and incomplete closure of pubic symphsis
a.bladder exstrophy(I marked) (ans)
b.incomplete cephalocaudal folding (confirm it)
c.incomplete lateral folding
d.failed reinforcement of the cloacal membrane by underlying mesenchyme
181. Mitral stenosis murmur best heard at a.Apex*(ans) b.Mitral valve
182. Blood supply of bones a.Flat bones supplied by nutrient artery and periosteal artery
b.Irregular bones by nutrient artery and periosteal artery
c.Long bones supplied by epiphyseal artery* (ans)
d.One about metaphyseal artery
183. Absence of surfactant in child will cause Distress syndrome (ans)
184. Ectoderm will give rise to which organ system a.GIT b.CNS* (ans)
185. Which of the following has high chances of developing into cancer a.lymphocytoma
b.Pseudocancerous c.Intraepithelial nevus d.Bowen disease* (ans)
186. Typical TB scenario, Chronic cough sputum xray shows cavity febrile. Type of immunity:
a.Antibody mediated immunity b.Cell mediated* (ans)
187. Stony dull percussion note a.Fluid in pleural cavity (ans)
188. Cytokeratin a.Glycoprotein b.Intermediate filament*(ans) c.Microtubule
189. Criteria for diagnosis of sepsis a.HR > 100 b.HR > 120 c.Positive culture
c.WBC <2000 and >15000 (not sure, I marked HR>100 but other say its positive culture.)
190. Renal column has: a.Minor calyx ,b.Arcuate arteries c.Interlobar arteries* (ans)
191. Nor epinephrine and epinephrine metabolized by MAO*(ans) COMT
192. Excessive stretch will be prevented by a.Muscle spindle* b.GTO
193. Oliguria is a.Less than 500ml* b.Between 500 and 1000ml
194. Lesion to pyramid results in --- a.Contralateral hemiplegia (ans)
195. Baroreceptor firing causes decrease in:
a. Heart rate b.Venous compliance* (ans) c.Coronary blood flow d.Cardiac Output
196. Thyroid isthmus is located a.2 3 4 tracheal rings (ans)
197. Gap junctions Allow rapid spread of action potential to all cardio myocytes* (ans)
198. A child who is apathic, peripheral edema, low albumin a.Kwashiorkor*(ans),b.Marasmus
199. Pulmonary wedge pressure used for -----Left atrium(ans)
200. In shock, most important body response
a.CNS ischemic response*(ans) b.Baroreceptor (not sure about the correct stem )

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=(2) Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS)
Medicine paper 5 April, 2016 morning both paper 1 and 2
By Dr.Nadir Khan Orakzai..
1, Heart shape vertebrae
a. Thoracic vertebrae
b. Lumber vertebrae
c. Sacral vertebrae
d. Coccygeal vertebrae
2, Massive RBCs destruction
a. conjugated hyperbillirubinemia
b. unconjugated hyperbillrubinemia
3, Patient with allergies, iv xylocain given
a. Tachycardia
b. Mild syncope ( IV cause bradycardia, local may cause tachycardia)
c. Rash
4, ADH acts on
a. cortical collecting tubules
b. medullary collecting ducts (Both are correct)
c. distal tubules
5, Renin inhibited by
a. inc pressure in afferent arterioles
b. aldosterone
(Both are true, pressure changes in afferent arteriole is the main mechanism by which
kidney
protects itself from high systemic pressure changes)
6, Hypercalcaemia will activate
a. 1,25 dihydroxycholecalciferol
b. 24,25 hydroxycholecaliciferol
c. Parathyroid hormone
d. 25 cholecalciferol
7, Which one will decrease potassium secretion
a. spironolactone
8, PTH reabsorbs calcium through
a. distal convoluting tubule
b. Proximal convoluting tubules
9, Increase water diuresis seen in
a. positive water clearance
b. negative water clearance
10, Good pauster syndrome
a. linear deposition
b. Sub epithelial deposits
c. Sub endothelial deposits
11, Person taking normal saline
a. increase urine sodium
b. increase plasma osmolarity
c. decrease urine osmolarity
12, A person with numbness, paraesthesia and pallor,, Hb 10, MCV high, his urine will
probably
contain

10

a. methylmelonic acid
13, Action of captopril
a. hypercalcemia
b. increase degradation of angiotensin 2
c. increase degradation of bradykinin
14, Mother rh positive and father rh negatiive, how will you counsel them
a. Antigen antibody complexes in post natal life
b. Antigen may transfer to mother circulation
c. Hemolytic disease of newborn may occur
15, Patient on antituberculous drugs, presents with pin and needle sensations , what
drug should be
stopped
a. Isonazide
b. Pyrazinamide
c. ethambutol
16, Drug of choice in actinobacter bouneii
a. Imipenem
b. Tetracycline
17, Patient having travelers diarrhea not responding too antidiarrheal drugs, which drug
should be
given
a. Metronidazole
b. Erythromycin
c. Norfloxacine
d. Chloramphencol
(remember, Most common organism involved in travelers diarrhea is E.Coli, and most
common
protozoan is Giardia, patient not responding to antimicrobial therapy means the
organism is most
commonly involved giardia, and the drug of choice is metronidazole
Persistent diarrhea means > 14 days)
18, Drug of choice in travelers diarrhea
a. Diphenoxylate
b. Metronidazole
c. Atropine
d. Aluminum hydoxide
19, Helminthes transmitted through mosquito
a. Filarial
b. Oncocercia
20, Most characteristic feature of actinomyces
a. Talcum granules
b. Restrictive anaerobe
c. Cause infection in immunodeficient
(Actinomyces of human species are facultative anaerobes, although Wikipedia says
anaerobe
but various books say it is facultative not restrictive anaerobe, it causes infections
usually in
immunocompatent and may be in immunudefficients, produce sulfer granules, talcum
term is used for
minerals generally)
21, Characteristic feature of hemophilia

11

a. Tissue bleeding (Reference Pathoma)

b. Epistaxis
c. Ecchymosis
22, Patient with MI, on day first trop-t was positive, on 3rd day of mi, patent collapsed
with blood
pressure down, pericardiocentises was done which shows hemorrhages, instead of good
resuscitative
measures, patent expired. What cells will you find in his pericardial cavity
a. Necrosis with neutrophils and macrophages
b. Lymphocytic infiltrates
23, Patient presents with vacuities and p-ANCA positive, what should be the cause
a. Hepatitis b
b. Hepatitis a
c. Hepatitis c
24, Child with allergies and parasitic infections, what cells will you find
a. Eosinophils
b. Mast cells
25, Right subclavian artery derived from
a. Aortic arch 1
b. Aortic arch 2
c. Aortic arch 3
d. Aortic arch 4
26, Patient with vague abdominal pain with nausea, pain was not related to any meal, no
cardaic
issues, glucose normal, endoscopy was done which showed normal stomach with no
mass or ulcers, it
was found non-specific gastritis, what is the cause
a. H.pylori
b. Pernicious anemia
c. Zollinger ellison syndrome
a. (Remember, H.Pylori is the most common cause of peptic ulcers, question was about
nonulcer
gastrtis that is non-specific gastritis)
27, Girl with epistaxis, bleeding time prolong, PT normal, APTT deranged, what is the
diagnosis
a. vWD
b. G6PD defciiency
28, Patient with asthma, pCO2 is 55 mmhg, HCO3 is 25 mmol/l, PH is 7.3, what is the
abnormality
a. Respiratory acidosis with renal compensation
b. Respiratory acidosis without renal compensation
( pCO2 elevated and PH is about normal<normal blood PH 7.4>, so it means there is
some renal
compensation)
29, Child presenting with malaise, recurrent respiratory infections, and died in age 32
years, biopsy of
lymph nodes showed germinal centers atrophy and some lymph nodes were missing,
what is the
diagnosis
a. NADPH deficiency
b. Failure of maturation of plasma cells into B cells

12

30, An old patient with weakness of muscles of upper body, hyperreflaxia of knee and
ankle joints
and history of urinary dribbling, what is the diagnosis
a. Tabes dorsalis
b. Upper motor neuron lesion
c. Lower motor neuron lesion
31, Patient presented with injury to lower legs,, it was fond that tibial part of sciatic nerve
was
damaged but still there was some flexion remained in knee, which nerve is there
a. Short head of bicep femoris
b. Long head of bicep femoris
32, Diarrhea
a. Metabolic acidosis with normal anion gap
b. Metabolic acidosis with increased anion gap
c. Metabolic alkalosis
33, Spinal hemi-section done
a. Ipsilateral loss of proprioception below section
b. Contralateral loss of pain and temperature
c. Ipsilateral loss of proprioception at c6-c7 and below
34, Morphine is given to a patient, what effect will occur
a. Contraction of gall bladder and release of bile
b. Constipation
c. Release of pancreatic secretions
35, Normal waves in basic electrical rhythms of stomach
a. 12 waves/day
b. 3 waves/day
36, Patient with hypotension and fever, on examination there were splinter hemorrhages,
something
palpable in splenic region, and needle track sign in cubital region, what is the diagnosis
a. Cholesterol >300 g/dl
b. Urea is 114 mmol/l
c. Pseudomonas aerugenosa
(Although pseudomonas does not cause infective endocardis in IV drugs users, but no
other
option fits)
37, ADH is inhibited by
a. Aldosterone
b. thirst
c. Alcohol
38, Malarial parasite is transferred into human blood in form of
a. Merozoites
b. Sporozoites
c. Shizonts
( Malarial parasite is present as sporozoite in mosquitos, transferred to human blood as
sporozoite, lives in liver cells as tissue shizont, leave liver cells as blood shiizont or
merozoite)
39, Benzodiazepines causes
a. Dependence
b. tolerance
40, Resistance develops by staph aureus can be tested by shows
a. Hemolysis

13

b. Coagulase positive
c. Coagulase negative
41, Tachyphylaxis
a. Rapid decrease to response
b. Slow decrease to response
42, Angina worsen by which drug
a. Theophylline
b. Salbutamol
c. Vasopressin
d. Verapamil
e. metoprolol
43, End product of cabohydratte metabolism
A. Fructose
B. Sucrose
C. Pyruvate
D. Glucose
44, Patient with MCH low, MCV low , MCHC low, HbA 94% and HbA2 4% diagnosis
a. Thalassemia trait
b. Iron deficiency anemia
45, Duschine muscular dystrophy, which enzyme is defected
a. Dystropin
46, Most common cause of death in rheumatic fever
a. Mitral valve
b. Myocarditis (reference Pathma)
47, Patient presents with microcytic hypochromic pattern and anisoopikylocytosis. His
another
brother is also receiving blood transfusion
a. Red cell survival
b. Osmotic fragility
c. Hemoglobin electrophoresis
48, Mean is 80, SD is 1.75
a. 94%
b. 80%
c. 84%
49, About thyroid gland
a. three paired arteries
b. Venus drainage to brachiocephalic and subclivian
c. Covered by prevertebral fascia
d. Isthmus is infront of cricoid cartilage
50, Heart
a. Diaphragmatic surface is formed by left atrium
b. Left border is formed by left atrium
51, Trachea
a. Present in midline and bifurcation occurs slightly too right side
b. Deeply present in children and mobile
52, Thyroglossal tract
a. End upto base of tongue
b. Below hyoid bone to foramen caecum
53, Duodenum
a. 1st, 2nd and 3rd part retroperiitonim
b. 3rd part related to right kidney

14

c. 25 cm long
54, A man with dyspnea and no cough, cause is
a. Smoking
b. Inorganic dust
c. Organic dust
(This MCQ is a modified form of a man with dyspnea and no feverPast paper que. )
55, Cause of macrocytic anemia
a. Folate and cobalamine
b.
56, Ovary
a. Lymphatic drainage to para artic nodes
b. Arteral supply by ovarian artery
(Both are true)
57, Nucleoli
a. Does not have limiting membrane
b. DNA only
c. DNA and Ribosome
(Both are true)
58, Artery remain in true pelvic
a. Superior gluteal
b. Inferior gluteal
c. Middle colic
59, About carcinogenesis
a. Proto-oncogene overexpression
60, Lady with loss of blood about 1500ml, after few days her serum ACTH level was low
and later it
was found that her adrenal gland size was reduced to 2 g( normal size 4-5) , what is the
cause
a. Atrophy of medulla
b. Atrophy of cortex
c. Ischemic infarction (Not Confirm)
61, Liver damage occurred, binucleated cells were found which are due to
a. DNA without histones
b. Histones without DNA
c. Karyoknesis without cytokinesis
62, Bronchopulmonary segment
a. Are not connected with each other
b. Aerated by primary bronchioles
c. Aerated by secondary bronchioles
d. Aerated by tertiary bronchioles
63, Right broncheal artery
a. Branch of descending aorta
b. Branch of 3rd posterior intercostal artery
64, Tumor with nerve sheet involvement
a. Carcinoma ex-plemorphic adenoma
b. Mucuepidermoid tumor
c. Hemangiopericytoma
65, Lobe of lung with two bronchopulmonary segments
a. Right medial
b. Left medial
c. Right lower

15

d. Right upper
66, Macula of utricle involved in
a. Horizontal acceleration
b. Angular acceleration
c. Malequilibrium ahead of time
d. Verticle acceleration
67, First line of defense in blood loss
a. Blood vessels
b. Platelets plug
68, EEG shows basic electrical rhythms
a. Reticular formation
b. Thalamus
69, Deep cervical artery is a branch of
a. Thyrocervical trunk
b. Costcervical trunk
70, Basal gangliia send excitatory signals too
a. Thalamus
b. Pontine reticular formation
c. Medullary reticular formation
d. Olivary nucleus
71, Old patient with tremors, gait deformity, abnormal finger nose test and
dysdidokokinesia sign,
diagnosis
a. Cerebellar lesion
b. Upper motor neuron lesion
c. Lower motor neuron lesion
72, Injury to neck on severe flexion
a. Posterior longitudinal ligament
b. Ligamentum flavum
c. Anterior longitudinal ligament
d. Ligamentum nuchea
( extension injury=Anterior longitudinal ligaments is raptured, in Flexion injury=
Posterior
longitudinal ligament is raptured)
73, Ligamentum flavum connects which parts of vertebrae
a. Lamina
b. Body
c. Spines
74, Autonomic supply of jejunum
a. Greater and lesser splanchniic nerves
b. Pelvic splanchnic nerves
c. Vagus nerve
75, Enzyme release in MI of 12 hours
a. Alkaline Phosphatase
b. AST
c. ALT
d. LDH
e. Creatinine kinase
76, Creatinin produced by
a. Liver
b. Skeletal muscles

16

c. Heart
d. Kidneys
77, splitting of S2 heart sound enhanced by
a. Delayed closure of aortic valve
b. Delayed closure of pulmonary valve
c. Early closure of aortic valve
78, CSF
a) arachnoid vallii can be seen with naked eye
b) Glucose 120 mg/dl
c) Proteins 20-40 mg/dl
79, PDA
a. Increase arterial PCO2
b. increase arterial PO2
c. Peripheral cyanosis
( PDA leads to Essenmenger syndrome and patient presents with peripheral cyanosis)
81, Reactive hyperemia is delayed by
a. Dependent position
b. Ischemia
82, Trachoma
a. Lymph-granuloma veneream
b. Cancroid
c. Condylomata leta
83, Supernormal( hyper-excitable) period of myocardium is the period
a. Ventricular hyperexcitatiion
b. Prolong relative refractory period
c. Prolong in sympathetic stimulation
( Supernormal period is the period just before the end of repolarization and this is the
stage of
relative refractive period, cells are more susceptible to excitation, even a small stimulus
can excite,
sympathetic stimulation will shorten this period coz of rapid depolarization and
repolarization)
84, Patent with productive cough, fever and dyspnea, streptococci and klebsella
infections were
found, he has history of recurrent pneumonia and has mucus gland hypertrophy,
diagnosis
a. Bronchiectasis
b. Chronic bronchitis
c. Emphysema
( This is not chronic bronchitis coz it is not mentioned that productive cough was for 3
years or
for 3 month in consecutive 3 years,, also recurrent pneumonia history is given)
85, Primordial germ cells are formed
a. At the end of 3rd week
86, Oogonia undergoes mitosis in
a) Post natal
b) Yolk sac
c) Pre natal after 3 months
d) Prenatal after 3 weeks
e) Prenatal 7 to 8 weeks
87, Dead space decreased n

17

a. Emphysema
b. Pleural effusion
c. Atelectasis
d. Hypertension
e. Pneumothorax
88, Therapeutic window
a. Therapeutic dose range
89, Acetylcholine
a. Nicotinic receptor abundant in brain
90, Type of collagen in dermis of skin
a. Type 1
b. Type 2
c. Type 3
d. type 4
e. Type 5
91, Rivastigmine
a) acetylcholine estrase inhibitor
b) mao inhibiter
c) comt inhibitor
92, Parasympathetic stimulation of heart
a. decrease cAMP
b. increase protein kinase
93, Old man with multiples bone fractures on x-ray and blue sclera
a. osteogenesis imperfacta
94, Most common chromosomal abnormality
a) down syndrome
b) fragile x
c) ptau syndrome
95, Mediator of slow pain fibers
a. substance P
b. dopamine
c. histamine
96, Hormone causing increase release of testosterone
a. leutanizing hormone
97, Growth hormone inhibited by
a. somatostatine
98, About collagen
a. lightly stain with eosin
99, Characteristic feature of sarcoidosis
a. hypercalcemia
100, Citrate affect coagulation by
a. calcium chelate
101, Secretion of ectopic thyroid hormone by
a. small cell carcinoma of lung
b. squamous cell carcinoma of larynx
102, Bifurcation of common carotid artery
a. at level of cricoid
b. superior border of thyroid cartilage
c. jugular notch
103, Characteristic sign of severe penicillin allergy
a. rash

18

b. bronchospasm
c. fever
104, Drug which when given increase effect of antiseizure drugs
a. valproate
b. phenobarbitol
c. carbamezapine
d. phenytoin
105, Acetylcestein is given in paracetamol toxicity because it
a. increase renal clearance
b. convert metabolite of paracetamol into acetylated form
106, CSF
a. daily production 500ml/day
107, Epinephrine release from adrenal medulla dilates blood vessels through
a. beta 2 agonist receptors
108, Patient with weak pulses in lower limbs than upper limbs and there is radiofemoral
delay,,
diagnosis is
a. Co-arctation of aorta
109, Femoral artery pulsations
a. mid inguinal point
b. mid point of inguinal ligament
110, Progressive prolongation of PR intervals with droops of P-wave
a. Mobitz type 1
b. Mobitz type 2
111, Gluteus maximus is supplied by
a. Inferior gluteal artery
b. Superior gluteal artery
112, RCA
a. Supply Sa-Node
b. Emerge from anterior aortic sinus
( Both Are true)
113, Muscles are strong due too
a. Multipinate
b. Bipinate
c. Strap
114, Characteristic feature f long bone
a. Mesenchymal ossification
b. Haversian canal
115, Pregnant lady with increase T3, T4 due to
a. Increase TBG
116, Skin pressed with sharp needle for sometime, redness due t
a. Histamine
b. Kinin
117, HIV associated carcinoma
a. Kaposi sarcoma
118, Blood supply of skin lies in
a. Loose areolar tissues
b. Between skin and aponeurotic layer
( There are many layers of scalp,, from outside to inside,, skin-subcutaneous connective
tissuesaponeurosisloose areolar connective tisues-pericranium, blood vessels and nerves lay in

19

subcutaneous connective tissues which are present between skin and aponeurotic layer,
loose areolar
tissues only contain emissary veins)
119, Doctor patient relationship
a. Active listening to every question of patient
120, Social support too patient is prviided by
a. Family members
b. Nursing staff
c. Edhi foundation
d. NGO
e. Social workers
121, When both alleles expressed on same chromosome in heterozygous, it is called
a. Co-dominance
122, After renal transplant of CKD Patient, 3 weeks later, acute graft rejection was
noticed, it is due to
a. Vacuities and thrombosis
b. Dense lymphocytic infiltrates
c. Plasma cells
123, Tuberculin test , which cells can be found at site
a. CD4 positive cells
b. CD8 positive cells
124, Patient presents with night sweats and fever, there is swelling on left side of neck
with
discharging sinus, culture/smear negative, what is next best initial investigation
a. ZN staining
b. Biopsy
125, Tests for typhoid in second week
a. Blood culture
b. Widal and blood culture
c. Stool culture
126, Child with rectal prolapse, parasitic infection with parasite shows short head
a. Trichuris trichura
b. Ankylostoma duodenale
127, Diabetic patient with decreased distant vision, right eye visual acuity is 4/60 and left
eye 3/60,
what is the diagnosis
a. Cataract
b. Hypermatropia
( Not cataract as distant vision was mentioned, in cataract both near and distant visions
are
affected)
128, Patient with trauma admitted in ICU, there is greenish discharge from his wound,
what is the
organism
a. Pseudomonas aerugenosa
129, Schlerotome , vertebrae and nerves
a. 7,7,7
b. 7,8,7
c. 8,8,8
d. 8,7,8
130, End diastolic ventricular volume will increase with

20

a. Venous return
b. Heart rate
c. Cardaic output
131, A women presents with winging of scapula damage to which nerve
a) thoracodorsal
b) spra scapular
c) long thoracic
132, Glucocorticoids
a. decrease glucose utilization in cells
133, Secretion high in HCO3
a. pancreatic secretion
134, Intestinal motility is increased by
a. CCK
b. Gastrin
135, Vagus nerve emerge through
a. Jugular foramen
136, Old patient presents with weakness in all arms, clasp knife rigidity and hyperreflexia, diagnosis
a. Upper motor neuron lesion
b. Lower motor neuron lesion
137, Stage in which spindle fibers attach to centromeres and divide
a. Telophase
b. Metaphase
c. Anaphase
d. Prophase
138, Difference between ECF and ICF
a. Low potassium outside
139, At rest actin is covered in its active site by
a. Troponin
b. Tropomyocin
140, In liver cell injury, enzyme decreased is
a. ALP
b. 5-nucleotidase
c. AST
d. GGT
e. ALT
141, Baby starts bleeding from umbilical cord when cut
a. Vit-k deficiency
b. Vit B12 deficiency
c. Vit B1 deficiency
142, Patient with jaundice, direct bilirubin raised, ALP= 1600, GGT raised, diagnosis
a. Extrahepatic jaundice
143, Virus cause malignancy through
a. Alteration in proteins
144, Metastasis of cancer occur due to
a. Degradation of cadherin
145, Pseudomembranous colitis
a. Clostridium deficile
146, Most Common cause of cervical carcinoma
a. HPV

21

147, Obese person working as a Clerk with sedentary life style, was routinely checking
his blood
pressure and blood pressure was raised. He was investigated but no cause was found,
his raised blood
pressure is due to
a. Vessel tone
148, 30 years old patient weigh 70 kg presents with blood pressure 140/90 mmHg, pulse
80 bpm,
glucose 88%, urine glucose ++, Na 140 mmol/dl and K 2.4 mmol/dl, diagnosis
a. Primary hyperaldosteronism
149, Difference between arterio-venous blood
a. Hematocrit
b. MCHC
150, Arrangement of intercostal neurovascular bundle from cephalocaudal
a. Vein, nerve, artery
b. Vein artery nerve
c. Nerve vein, artery
151, True about adrenal gland
a. It is pyramidal in shape
152, kidney
a. Adrenal gland covered with perirenal fats
b. Renal vein passes infront of both renal artery and inferior vena cava
153, which of the following drugs will increase the effect warfarin
a. Cimetidine
154, Dual nerve supply but not reciprocal
a. Sweat gland
b. Third gland
c. Cillairy body
d. Pupils
155, Thymus
a) rich in lymphocytes
b) regress after birth
c) develop from 3rd and 4th pharyngeal pouches
156, Patient With below knee amputation. After that painful scar formed
a. neuroma
b. ganglioma
157, Which of the following is a benign tumor
a. leomyoma
158, Alterobaric changes n a person during dving in deep sea
a. unequal changes in pressure n middle ear during diving
b. perilympathic fistula
159, Drug which effect thyroxine llevel
a. potassium iodide
b. prophylthiouracil
c. propranolol
160, Cause of increase pulse pressure
a. increase arterial compliance
b. stroke volume
c. total peripheral resistance
161, Left shift of O2 hemoglobin dissociation curve with hypocapnia
a. bohr effect

22

b. haldine effect
162, Glucose increasing factor release from pancreas
a. glucagon
b. Insulin
c. Secretin
163, Basilar artery ends by dividing into
a. Posterior cerebral artery
164, Secretin release when
a. HCl n stomach
b. HCl n duodenum
165, defect vWB will affect
a. Platelets adhesion
b. Platelets aggregation
166, Person chewing pan and battle, which complication may occur
a. Keratosis
b. Submucosal fibrosis
c. Ulcers
167, Strong anaphylatoxin
a. C5
b. C8
c. C7
d. C5a
168, A boy with deviation f mouth towards left side, unable too close his right eye,
dribbling of saliva
from his right angle of mouth, which nerve is involved
a. Right facial nerve
b. Oculomotor nerve
c. Left facial nerve
169, Normal ratio FEV1/FVC
a. 0.8
170, Filum terminale
a. Formed of pia matter
171, Child with rheumatic fever
a. Antibody-antigen immune complex deposit
b. Bypass low zone cross reactivity
172, Pyogenic infection
a. Proteins > 3g
b. Transudate
173, Lady with painful swelling of left lower leg
a. DVT
174, Iron bind to which proteins in blood
a. Albumin
b. Ferritin
c. Transferrin
175, Aplasia means
a. Absence of cells
176, Cause of cardiogenic shock
a. Hemorrhages
b. Septicemia
c. MI
d. Burn

23

177, Toxoplasma infection,, what antibody will be found in neonates

a. IgG-1
b. IgG-4
c. IgM
(In first week of infection there are IgM antibodies in Mother, then IgG-1 and very late but
most
strong defense by IgG-4, in neonate most specific IgM and most sensitive IgA and IgE)
178, Morphine stimulates secretion of which hormone
a. Secretin
b. Histamine
c. CCK
179, Spermatogenesis
a. Spermatids form spermatozoa
180, TNF as answer,, have forgotten the stem
181, Increase ESR more than 100 occurs in
a. Anemia
b. Polycythemia
c. Multiple Myeloma
d. porphyria
182, Scenario about Gastrocolic reflex
183, Researchers want to study relationship between MI and 24 hour activity level with
20% mild
activity 35% moderate 45% severe,, how data will be plotted
a. Bar chart
184, which nucleus is present in midbrain
a. Tractus solatarus
b. Occulmootor
185, Formation of interstitial fluids will increase in
a. Decrease plasma colloid pressure
b. Decrease plasma oncotic pressure
c. Decrease lympathics
186, A man with increase thirst. And changed behavior urine osmolarity decrease. There
is a lesion of
a) hypothalamus
b) amygadala
c) thalamus
d) cerebellum
187, Cells to cells adhesion occurs through
a. Intigrins
b. Selectins
c. Cadherin
188, Which is essential for tissue matching
a. HLA
189, Infarction a. Arterial Occlusion
190,
Cannot recall any more MCQs, dont follow my keys unless confirmed,,
Special thanks to Dr.Alia Bukhairi, Dr.Afnan Ahmad, Dr.Merral Meral, Dr.SaNode and Dr.Fcps Physiology
Regard: Dr.Nadir Khan Orakzai

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-

24

4th April 2016 Surgery (Evening) by Neelum Agha

(94+101)

Paper-1 (94)
1)hypovolumic shock response> baroreceptor reflx , cns ischemic injury
2)fisherman swollen n bleeding gums > vit c def
3) r.b.c structure maintained by> spectrin
4)r.b.c destroyed a)iron go back for utilization b)mainly urobilinogen excreted in urine c) biliverdin in stool
5)r.b.c antigen found in saliva
6) corneal opacity > chloroquine
7) cervical part of facial nerve supply> platysma
8) middle meningeal artery> foramen spinosum
9) compensation of shock what will decrease > heart rate
10)reversal of shock> urine output will increase
11) diastolic filling depend on> venous return
12) 6 values given calculate median
13)zinc> carbonic anhydrase ,vit b12
14)non bacterial oportunistic organim after burn > pseudomonas
15) compact bone histologcl feature
16)scenario on neutrophil diapedesis > c5a
17) scenario on inc. bleeding time> platelets 20000
18) cause of cervica tumor a.chronic irritation b.iucd c.hsv ,d.hpv
19)long scenario ws given pain produced by> prostaglandin and bradykinin
20) scenario pathological fracture m band > plasma cell
21) alpha 1 adrenergic receptor> mydriasis
22) vagus cause inc. salivation nd vasodilation due to > a.vip ,b.gastrin ,c.gip.d.substance p
23) infratempotal fossa> also kown as a. parapharngeal b.tonsilar c.pretracheal d.submesenteric
24)commonest site of thyroglosal cyst a.infrahyoid ws not in options b.thyrohyoid c.suprahyoid
25)down syndrome> alzheimer disease

25

26)reliable diagnosis for turner> karyotyping bar body

27)scenario non.pregnnt lady fbs 122,rbs after 1 hour 194, after 2 hour 194> impaired glucose tolerance
28)skull of child vault greater than face ant.fontnlee formd frm 3 bones
post fntanele close at 3 months and fourth option was 'bones of vault ossify completely before birth'
something like this
29)gohn complex> t.b
30)highest chance of fibrillation> at the end of action potential
31)mitral stenosis murmur> apex of heart
32) t.b scenario > cell mediated immunity
33)protein after leakage from tisue> enter back to circulatio by lymphatics
34)hamartoma> Disorganized growth of mature cel indeginous to the site
35)breaking bad news
36) doctor patient relationship
37)pharmakodynamic drug drug relation> reverse action of morphine by nalxene
38)2 factors comparision> student t test
(ITS NOT STUDENT T TEST CORRELATION BTWN TEMP AND G>ANESTHESIA ITS OUR PAST PPR
MCQ ITS ANS IS REGRESSION ANALYSIS..................)
39) hypophysis cerbri post relation> sphenoidal sinus
40)steroid acts by> gene amplification
41)prevent heat loss> vasoconstriction
42)virus> oncogene
43)protooncogene converted to oncogene by> a.point mutation b.gene amplification
44)acute promyelocytic leukemoa scenario> apoptosis
45)cytokeratin>intermediate filament
46)thyroid isthmus> 2 3 4 tracheal rings
47)most comon cause of septic menigitis> streptococcus
48)severe hypomagnesemia> hypocalcemia
49) brain lesion involving s2 s3 s4> rectal incontinence

26

50)7th brnchopulmonry segment of LEFT lung(in previous pprs Right ws asked)

anterolateral
refrence netters atlas
51)fastest conduction velocity> purkunji fibers
52)coronary sinus is cotinuation of > great cardiac vein
53) peak of action potential> electrical na influx electrical na efflux
54)micrglia> macrophage of cns
55) organ ectodermal on origin> cns
56)tra sitionl epi of blader derived from> endoderm
57)scenario about child with spurapubic wet mass> exostrophy of bladder
58)unicellilar parasit bone infection> cant recall options
59)medial boundry of ischiorectal fossa> levator ani ecternal anal sphincter
60)hypothalamus inhibitory effect> prolactin
61)atherosclerosis fibrilation stroke due to> embolism
62)medulla decusate at pyramid> propioceptiom/ medial leminscus
63)oblique fissure of right lung>t3 to t6
64)cant diferntiate betweeb red n green> protanopia
65)nor.epi and serotonin dgrade by> comt
66)oxidases present in> peroxisome
67) number of sympathetic white mayer comunicnts a.14 b.15 c.13
68)excesice stretch> muscle spindle
69)least presure in aorta during a.isovolumtrc relxation b.isovol. contraction ,c.end of rapid filling
70)drugs with shorter half life > reach steady state earlier
71)radiation therapy for cancer > destruction of squamous epithelium
72)water intoxication sign> slow pulse
73)normal saline infusion given,dec urine osmolarity,inc. urinary sodium,inc. plasma osmolarity
74)thirst increased due to> increased plasma osmolarity dec plasma volume
74)amimo acid to be taken in diet> phenylalanine ( essential) 75)scenario relatd to lipofusin acumulation
in heart > autophagolysis ,coagultv necrosis

27

75)scenario relatd to lipofusin acumulation in heart > autophagolysis,coagultv necrosis

76)teratoma> all three germ cell layers
77)air embolism >100cc
78)aldosterone released in response to > increased potassium
79)hydrolysis of dna yield> phosphoric acid
80) pregnant lady with obstructive jaundice> gama gt
81)last mediator of shock > interleukin 6
82)scenario on peripheral edema low albumin > kwashiorkor
83)free hb binds to> haptoglobin
84)acquired deficiency< alpha 1 antitrypsin def.
85)intracellular buffer> protein
86)pus> neutrophil
87)leads to malignncy > bowen disease
88)sweat chloride test> cystic fibrosis
89) typhoid cariers> asymptomatic
90) ketamine is a good analgesic
91) cardiac muscles >,gap junctions cause increases electrcl spread
92) increases calcitonin asociatex with tumor of > thyroid
93) arterial suply of bone,long bones by epiphyseal flat bones by nutrient etc cnt recall
94)more acidic urine in dct due to> secretion of h+ ion in dct
Paper-2
1)creatinine produced by> skeletal muscle
2) pregnant lady e anemia scenario feritin not raised> cant recal other options not iron def. anemia
3) pregnant lady scenario> decrease albumin cant recal other options
4)absolute lymphocytosis> infectious mononucleosis
5) cancer therapy> apoptosis
6) sepsis diagnosis pulse > 120 tlc less than 2000 n greater thn 15000 postve bacterial culture
7)diaphragm> quiet respiration

28

8)winging scapula>long thoracic nerve

9)lower truk of brachial plexus> oponen polics
10)cubital tunnel syndrome tendon afctng ulnar nerve is > flexor carpi ulnaris
11)fracture mid.shaft radius> radial nerve damage
12)pulmonary artery wedge pressure> left aterial pressure
13)left atrium supply>circumflex artery
14)ana cervicalis relatd It ws symthng wd hypoglosal and c1 2 3?? Cant recall Its frm.past pprs i gues
15)trigone of blader
16) scenario vesicl fistula somethng dupilcate ureter due to> early diferntiation of ureter
17)hand fall on side > deltoid muscle
18)intercostobrochial trunk> anterolaterl part of thoracic aorta
19)medicine need daily monitoring> vancomycin
20) vastas medialis > suplied by femoral nerve
21)foot drop> comon peroneal nerve
22) inversion not possible tendon ruptured> tibialis posterior
23)knee joint> medial meniscus inmobile and most prone to injury
24) main supply of perineum> internal pudendal artery
25)dorsal colum lesion los of> sensory ataxia
cn recall other options
26) area 3 2 1> somatosensory
27> pt. wd blood grp a+ cnt b gvn other blood groups due to presnce ov wch antibody kell duffy
28) ffps given in> warfarin overdose
29)ptu inhibit which step of thyroid hormone synthesis> iodide oxidation
30)obstructive azoospermia non.invssive antibody>igg
31) inferior part of inguinal ligament > fascia of thigh
32)sup. thyroid artert damage> external laryngeal nerve
33) scenario on inflamed apendix
histolgcl finding fr diagnosis > neutrophil in muscularis
34)more selective cox 2 th cox1> meloxicam

29

35)post spleenectomy scenario> prolonged aptt, prolonged pt, decrease platelet nd increase fdp
36)scenario of non preggnt ldy with bleeding low plt count, prolongd aptt nd prolngd pt> dic
37) most comon cns tumor secondary to radiation> glioblastoma multifrme
38)lower lip formed by> mandibular process
39)po2 is 100% at> high altitude left to right shunt
40)scenario of megaloblastc anemia > loss of intrinsc factor
41)submandibular gland> parasympathetc prt facial nerve supply it
42)b/l temp. pain loss propioception n vibration intct at t4 to t8 > bilatera lesion of anterolateral tract at t4
to t8
43)umblicus dermatome> t.10
44) epigastric pain scenario> greater splanchnic nerve
45) parotid glnd posteriomedial relation
46) gaba def. in globus palidus nd substantia niagra athetosis parkinsonism
47) uretric constriction> sacral promontory
48)internal iliac branch on true pelvis > middle rectal
49)boil on labia lymph drained by >superficial vertical inguinal
50)nosocomial u.t.i > staph. Aureus
51)osteomylitis > staph. Aureus
52)i.v drug abuser> infective endocarditis
53)scenario old teacher ph 7.3 co2 58 hco3 24> uncomprnsated resp. acidosis
54)scenario 6 yr child in japan..( past pprz)> Kawasaki
55)scenario old man with dificultu swalowing b.p 210/ 110 ana posotive .complement level normal >
nodular scelrosis
acute glomerulonephritis
56)non.caseous granuloma> sarcoidosis
57)actinomycosis > granuloma+ abcess
58)coronar sinus drain > 2/3rd of heart
( it was most apropriate cx ant. crdiav vein n few venecomitnt drain drctly in right atrium)
59)paeu de orange>
60)lymphatics> cystic hygroma

30

61) cortisol is necesary for action of > insulin glucagon thyroxine epinephrine thyroxine aldosterone
62) hyperparathyoidsm whch age grp young adult post menopsusal womn premenopausal womn
63) autosomal dominant > familal adenomatoys polyposis
64)unicellular parasite in bone infection cant recall options
65) medial boundry of ischiorectal fossa> levator ani external anal sphincter
66)virus oncognc for> t. cell leukemia (cnt recal other options)
67)scenario of soldier in balochstan > kalazar
68) post duodnl perforation> gastroduodenal artery
69)terminl prt of bile duct relation with pancreas> embeded in it
70) stomach> most dilated part of git
71)inion> EXTERNAL ocipital protuberance
72)foramen rotandum> lie infront of foramen ovale?
73) amoeba most comnly involv > caecum
74)multiple regime anti t.b drugs > to avoid resistance
75)isoniaxid> b6 gven to aboid complications
76)steatorhea> pancreatectomy
77)appendectomy> iliohypogastric nerve most comny damgd
78)cytoplasm eosinophilic plus basophilic > apoptosis
79)dpt > artifical active artifical passive
80)glucose excretd in urine at 100mg/dl> dec. rena threshold of glucose of that person
81)femoral hernia > below n lateral to pubic tubercle
82)morphine> given in terminaly ill patients
83) oligouria < 500ml
84)pelvic mass, ascites, pleural effusion> meig's syndrome
85)dull percusion node> pleural fluid in cavity
86)preggnt lady 20week gestation fever for five days.abortion done aftr 2 days u/s amnion yolksac
present wdout villi what causes symptom > granulocyte stimulating fctor
granulocyte macrophge stimulting fctor tnf
87)renal column collecting duct interlobar artery

31

88)wrong finding of e.c.g maxe PR interval 0.1?

89)calculation of vd/vt ratio ( physiologc dead space) > paco2-peco2/ paco2
PCO2 48 tha nd PaO2 30 a. 0.5 b. 0.3
90)tumor size > 3.5cm, homocntrl nodes somthng nd metastasis> t2n1m1
91)decrease in blood vol. what increases > rennin gfr
92)pyloric sphincter resected> food imediatly pases to duodenum somthng
complince dec. acid relatd
93)surfactnnt absent in newborn> rds
94)both central n peripheral chemoreceptors respond to> increase arterial pco2
95)pulmonary wedge pressure > left atrium
96)parasmpthtc loss afct> git muscles
97) scenario from pastpprs man lives near river devlop blindnes > onchocercosis
98)sebaceous gland > hair cortex
hair folicle
mamry gmlnd is secretry glnd ov breast
99)r.b.c breakdown in spleen b/w red cord n veins b/w pulp n cord etc
100)sickle cell> beta globulin
101) oral melanoma most common site> palate

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-

32

4th April 2016 Surgery Morning by Usman Dawar & Mir Karimshah(92+30)
4th April 2016 Surgery Morning by Usman Dawar(92)
Some memories of 4 april morning surgry
1.surgical neck of humerus #, which artery damaged posterior circumflex
2.which muscle is flexor of forearm and supplied by radial nerve? brachiradialis
3.inferior wall MI which artery will damaged on angiogram ......Right Marginal artery
4.sinus in jaw plus yellow granules ACTINOMYSIS
5.farmer in rose garden rt lower lobe me me clacified mass 4x3 cm. aspirgilosis
6.Abduction of arm upto Upto 40 degree is lost which muscle is aafctd ?? supraspinatus
7.lateral quadrants of breast drain into which nodes apical/pectoral nodes.
8.mass of hair shaft is because of ....... cortex
9.light reflex,imoral sexual response ,no reflexes pain sensatio .....tabes dorsalis
10.pain of ovrian tumor is refered to thigh by obturatr nerve
11.neck of bladder and proximal urethra is supplied by sympathetic by hypogastric
12.deep inguinal ring is present in transversalis fascia 13.vessels of base of bladder lies in which
ligament dosrolateral
14. suprficial epigasric artry branch of... Femoral Artery
15. which one z involvd in portal hyprtnsion.. esophageal
16. regarding sciatic nerve.. present bw gratr trouchntr nd ischial tuberosity
17. median nerve damaged at carpel tunnel what will occur wasting of thiiner muscle
18. 17 ketosteroid in urine normal male
19. median nerve damaged which action of thumb will impared....... opposition
20. lymph from testis will drain into....... paraortic nodes
21. sciatic nerve damaged dorsal surface of foot still have cutenous innervation b/c of
.....sphaneous nerve
22. Pulmonary symptoms by .........ascariasis
23. Scree ning is done in cancer .....detect disease at early stage
24.Post PPH blood transfusions from sm blood bank o positive.......... hemochromotasis
25. regarding malignant melanoma..... arrange cell in chronoligical order which wil present
earlier...NK cells
26.antiobiotic given patient has deranged PT ptt and normal platelets what will you give...vit. K
27. floursent ,and resistant to antibiotic,antiseptic ......pseudomona
28.Post HIV operation theater will be cleaned by....2% gluteraldehyde
29.patient lacks coagulation factor 27910 what is deficient vit. K
30. relation ov terminal cbd with heas ov pancreas....embedded
31.Relation in the popletial fossa ...Medial
32. MC tumor in child....... meduloblastoma
33. which branch of cervical plexus supply posterior auricul area, ...Lesser occipital nerve
34. Fracture of which vertebrae , bone peice damage vertbral coulm.......axis
35. tlc 6 litr, residual volum 1 litre, calculate vital capacity.. 5
36.Mild transplant rejection myosial biopsy shows... lymphocye
37. imunocompromised pt..... angular chelitis caused by... candida

33

38. asthmna which inc........> functionl residual capacity

39. at normal condition both are equal..????.....venous return and pulmonary flow
40. Long term memory immunoglobulin..? ig G
41. loop diuretic dangrous efect... hypovolumia
42.Propofol absolute contra..? Hypersensitivity
43. Acetozomalamide(diamox) MOA..? h+ absorption, na k exceretion
44.Cranial nerve 7 9 10 taking taste sensation converge.. solitary nucleus
47.posterior tringle biopsy> damage of spinal part of acessory nerve
48. Alpha receptr on...... neck ov bladder nd proximal urethra
51. inferior thyroid> recurnt lyrngeal nerve
52. Choriostoma .....pancreatic tissue in stomach
53.patient unconcious.. Lesion on ct post central gyrus sensory area
54. Sickle cells disease protein affected ...beta globin
55. retroperitonial mass, close to psoas, no ocult blood, or intstnl obstruction...... liposarcoma
56.ron deficiancy anaemia > inc tibc
57.thiazide diuretics... early DCT
58. Part ov portal system,superior rectal vein
59. tumour cell in blood most commnly diagnosed...peripheral morphology
60.60yr old alcoholic centrilobular congestion,neck veins distended, fibrosis passive congestion
..Right heart failure
61. NSAIDS........... potent cox inhibiters
62.most rapidly adopting receptor....pacinian
63.about veins of thorax....pulmonary vein lies anterior to pulmonary artery
64.awkward posture, wide gait,can't perform rapidly alternating tasks,past pointing... cerebellar
leison
65.loop diuretics at therapeutic dose.....decrease blood volume
66.Grading... degree of anaplasia
67.pneumothorax..... ipsilateral lung collapse chest spring out
68.anterior wall MI.....LAD
70.fisherman.....diphylobothrium latum
71.posterior cranial fossa tumor....medulloblastoma
72.Appendix.... retrocecal
73.TPN......hyperglycemia
74.INR....oral anticoagulant
75.purpera no illness,drug use....ITP
76.true about AV Bundle... only pathway to transmit current from atria to ventricle
78. 0.5 cm perihilar nodule plus eosinophilia in blood sputum and biopsy?.... noinvasiv
aspergilosis/ wegnr granulomatosis
79. endothelium of vagina and endometrium derived from ..... endoderm mesoderm endoderm
plus ectoderm
80. spleenectomy, vassels present in which ligment.....lenorenal
81. Rectus sheath..... Upper intersection near xphoid process
83. Hemophilia, joint pain 6 month s, which subsntc present,, cholestrol crystals
84. Origin of diaphragm Cervical somites/septum transversm

34

85. Most common brain tumor... GBM

86.Regarding primary peristalsis.. Esophageal sphincter relax...Ahead of primary
peristalsis/when peristalsis reach
87.gastric emptying....decreased by secretin
88.positive chloride sweat test....cystic fibrosis
89.standard deviation... variability among individuals
90.great cerebral vein....cistern of ambiens
91.Hodgkin's lymphoma,cervical lymph nodes,spleen involved...stage 2E/III
92.LH acts on.....leyding cells
=-=
4th April 2016 Surgery Morning by Mir Karimshah(30)

1: artery orginate at post ext carotid in parotid near post digastrix muscle
A: facial
B: lingual
2: superficial epigastric artery is branch of
A: external iliac
B: femoral
3: blood and nerve supply to base of bladder is
A: urachus
B : medial umbilical lig
4: Gallen vein located at
A: post cestern
B: Ant cistern
5: RTA oerson die due to vertebrae fragement causing injury to spinal cord
A: Axis
B: Atlas
6: Ovarian disease pain radiating to medial thigh due to
A: obturator nerve
B: Pudendal nerve
7: bulk of hair is form by
A: basalis and spinosum
B: cuneform
8: planter surface foot sensory supply thru
A: sural nerve
B: post tibial
9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is
A:Supraspinatous
B: Trapizius
10: left lung root get sever injured spared structure will be
A: vagus nerve
B: pulmonary ligament

35

11: carpal tunnel syndrom

A: wasting of thenars
12: inf wall MI vessel involve is
A: rt marginal artery
B: PIV artery
13: ant wall MI vessel involve is
A: LAD
14: LXM artery supplies
A: lft atrium
B: lft ventricle
15: sciatic nerve
A: passes btwn greater tronchter and ischium
B: divides into superficial and deep peroneal
16: popliteal nerve in relation to vessel is at popliteal fossa
A: Ant
B: Post
17: flexor of elbow supplied by radial nerve
A: brachio radialis
B: bicep brachii
18: lysosomes
A: oxidation of long chain fatty acids
B: hydrlytic enzymes
19: scalp at post auricular surface supplies by
A: auriculo temporal
B: greater occipital
20: structur damage at post cervical lymphadenectomy
A: spinal part of accessory nerve
21: Int jugular with ant relation to as exit from skull
A: Accessory nerve spinal part
22: LH acts at testiculuar cells
A: Leydigs
B: Sertoli
23: for splenectomy renal vessel.ligation
A: gastro splenic lig
B: lenorenal lig
24: nerve supplying area below orbit anove mouth
A: maxillary division of trigeminal
B: auricular nerve
25: greater sephanous valve A: 15,B: 20, C: 25
26: calculate Vital capacity while lung volume after mxm inspiration is 6L and 1L after mxm exp. FRC is 3.5L and T.V
0.5L. A: 5,B: 4
27: gardener with rt side chest pain xray shows rounded lesion.A: hydatid cyst.B: lung abscess
28: About stomach motility ,A: delayed by secretin ,B: increased by alcohol
29: local factor for delayed wound healing ,A: vit c def,B: infection
30: breast during pregnancy and lactation,A: stromal hypertrophy,B: lobular hyperplasia
Remember me in your prays

36

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=(4).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#89
Q1 CO2 cross through alveoli
a high plasma solubility
b high diffusion coefficient
c high molecular weight
i marked A but according to seniors its B choose at ur own risk
Q2 anesthesia pass through placenta
a simple diffusion ANS A
b active diffusion
c fascilitated diffusion
Q3 a female with right ovarian CA cancer ist metastasiz to
a internal illac L.N
b messenteric L.N
c left para aortic L. ANS C
Q4 mechanism of action of posphodiesterase inhiitors
a ATP to AMP
b cAMP to 5 AMP ANS B
Q5a virus hich occur in epidemic form but do not cause CLD
a hep A
b hep B
c hep C
d hep E ANS D
Q6 glucose cross through placenta via
a simple diffusion
b passive diffusion
c fascilitated diffusion ANS C

Q7 pain fibers are

a un encapsulated ANS A
b capsulated

Q8 mechanism of action of action of anesthesia

a k channel blocker
b ca channl blocker
c na channel blocker ANS C
Q9 AIDS related lymphoma
a EBV ANS A
b CMV
c SCC
Q10 iron homeostasis via
a tranferrin ANS A
b haptoglobin
c ferratin
Q11 line of zahn formed in

37

a obstructed thrombus
b primary platelet thrombus
c coraline thrombus ANS C
d post mortem thrombus
Q12 anterior boundary of pelvis in female is
a bounded by sacrotuberous n isheopubic rami ANS A
b short subpubic angel
c wider behind ten male pelvis
Q13 tractus solitarious
a ist order neuron
b seond order
c third order
i marked B but some say A some saying B
Q14 which one of the following crossing pelvic brim
a uretre ANS A
b obturator internus
c psoas muscles
Q15 a women who is nursing her baby for one year now quit breast feeding what change occured
in her breast tissue
a stromal hypertrophy
b ductal dilataion
c lobular hyperplasia ANS C
Q16 EBV is related to
a retinoblastoma
b colonic CA
c neuroblastoma
d subset of hodghkins lymphoma
here i marked C but nt sure confirm it urself
Q 17 Mullerian duct form
a rete testes cordis
b vaginal fornix n cervical upper pat ANS b
c ovaries

Q18 rapidally adapting

a pacinian ANS A
b baro recptors
c ruffians
Q19 EBV
a produce toxin to DNA
b interfere vid DNA repair ANS B
c common affrican population
Q20 pregnant lady present in clinic vid pallor and fatigue Ix of choice
a S/ferratin

38

b S/iron and TIBC ANS B

d RBCs value
c CBC
Q21 doctor recognised by
a regularity punctuality and availabity to patients
b politness and good bedside manners
some say A some say B
Q22 male in clinic presnts vid testicular CA will ist metastasizd to
a para aortic L.N ANS A
b superior messenteric L.N

Q23 in a study 40% women received HRT 20% women not received study called
a pie chart ANS A
b bar graph
b scatter
c histogram
Q24 A woman vid coneal vasularization and fissures at corners of mouth
A ribofvalin ANS A
b niacin
c biotin
Q25 A pt vid defficiency of niacin and riboflavin will have
a pellaga ANS A
b scurvy
c rickets
d osteomalcia
Q26 a multigravida having two kids presents in clinic after cholecystectomy her peripheral smear
showin microcytes cause is
A blood loss
B IDA
C haemodilution
ANS A bt few vd B
Q27 a male present in clinic vid pallor fatigue and lethargy Ix of choice
A CBC ANS A
B S/ferratin
C RBC mass
Q28 A 6 year old girl vid HB 6.2 MCV 58 FL MCHC 27 PCV 20 pallor and lethargy vid
platelets count 250,0000 and wbsc 7000
suffering from
A IDA
B thalasemia trait
i marked A cozz no hbA 2 given no history of hepatospleenomegaly so confirm it further
.Q29 Mechanism of action of GLUCAGON
a stimulate potein kinase ANS A

39

b suppressing sdenylate cyclase

Q30 non essential amino acid take alpha group from
A oxaloacetate
B glutamate ANS B
C pyruvate dehydrogenase
Q31 A women came in clinic due to faal in wash room having bone pain her x ray taken and
there found reduced mass over head of feamur and deminraliztion all over body her s/ca+2 was
12mg/dl [while normal is 10 to 11 mg /dl] there is ca+2 in urine .lady is suffering from
A hyperparathyroidism ANS A
B hypo parathyroidism
C osteoporosis
Q32 hypophysectomy which will suffer
A acini of pancreas
B chief cells of parathyoid
C principal cells of thyroid ANS C
Q33 peroxiosome arise from
A SER ANS A
B RER
C golgi
Q34 cornybacterium diphetheria
A spore forming
B G neg
C exotoxins ANS C
Q35 a young girl with bee sting which cells will involve in this kind of hypersensitivity
A eosinophils
B mucosal mast cells ANS B
C neutrophils
Q36 cerebellum is related vid
A speech
B movements
C coordination of movement ANS C

Q37 which peritoneum covering the organs of abd viseras

A parietal
B viseral ANS B
C plural
Q38 Collecting system of kidneys derive from
A mesonephric duct
B ureteric bud ANS B
C urothelium
Q39 less heat is produced in anesthsia due to
A NA/K PUMPS blockage
B decrease muscle tone ANS B
C muscle paralyss

40

Q40 OCPs C.I in

A vaginal bleed
B migrain ANS B
Q41 Second meiotic division complete in females
A fertilization ANS A
B zygote
C at birth
Q42 During L.P structure pierced
A dura matter ANS A
B pia matter
c lig nuche
Q43 micturation due to
A mehanoreceptors in bladder wall ANS A
B enteric nervous system supplied by para sympathetic N.S
C hypogastric plexsus
Q44 which clotting factor deficiency leads to thrombosis rather then bleding
A factor 12 ANS A
B factoe v laiden
C christmas factor
Q45 true hermaphrodiet
A XX
B XY
C XX/YY
D XXY ANS D its CPSP key
Q46 A beautiful looking girl came in clinic vid complaints of ammenorreha on examination
secondar sexual characteristics were present on USG there was no uterus an vid blind ended
vagina
A true hermaphrodiet
B normal
C adrenogenital synd
D testicular feminization ANS D
Q47 before giving sodium valporate to pt check
A RFTs
B LFTs ANS B
C cognitive functions
Q48 During meiosis what happens
A Exchange of genetic material in autosmomes ANS A
B chromosomes double in number
Q49 primary oocyte surrounded by zona pelucida and fluid filled cavity called
A primary follicle
B secondary follice ANS B
C tertiary follicle
Q50 IST meiotic division complete at
A before ovulation ANS A
B after ovulation
C birth

41

Q51 A pt after RTA brought to hosp after 30 min of slow bleeding

greatest reduction in bood volume will occur in
A veins ANS A
B arteries
C arteriols
D capillaries
Q52which ligament hold uterus in antevertd position and can b palpated per rectal exam
A uterosacral ANS A
B round
C broad ligament
Q53 A boy after heart and lung transplant came in clinic vid complaints of headach L.P done cs
showing increase proteins count no change on sugar there was no bacteria on culture and halos i
dnt remebr further causative agent is
A histolasmosis
B cryptococus ANS B
C aspegillus
Q54 Secondary ossification center
A diaphysis
B epiphysis ANS B
C metaphysis
Q55 common feature of sk muscle and smooth muscle
A T tubules
B branching
C transverse striation ANS C
Q56 smooth muscle feature
A Mononucleate ANS A
C multinucleate
D branching
Q57 osteon A concenteric lamella B sharpeys fibers C woven bones ANS A this is olos
controversial so choose it at ur own
Q58 All para sympathetic fibers are
A cholinergic ANS A
B adrenergic
Q59 enhance effect of halothane with
A Nitrous oxide ANS A
B thiopental
C barbiturates
Q60 virus related CA
A HTLV ANS A
B SCC
Q61 PCKD is
A autosomal dominant trait ANS A
B autosomal recessive trait
C multifactorial trait
Q62 reaction will occur

42

A O to O
B A to AB ANS B
Q63 vagina drainage
A medial group of horizontal nodes ANS A
B vertical group
C popliteal
Q64 70 year old man brought in clinic in comatosed condition his blood sugar 700 mg/dl no
ketone uria no protein uria man would b suffreing from
A DM 1
B DM2 ANS B
C M.S
Q65 male pt vid uretheritic and dysuria causative agen is
A chlamydia ANS A
B trichomonas
C neisseria
Q66 causes of hot flushes in post menopausal women is
A Increase FSH/LH ANS A
B increase estrogen
C Decrease LH
Q67 medial to femoral hernia
A Lacunar lig ANS A
B femoral A
C femoral vein
Q68 germinal follicles present in
A Cortex of lymph node ANS A
B Para cortex of L.N
C thymus
D spleen
Q69 Normal caloric vlue for an adult male is
A 70 KCAL/ day
B 25 to 30 kcal/day ANS B its asim shoaib key
Q70 Thirst is stimulated by A ECF volume expansion B ang 2 ANS B
Q71 EF increase vid decrease in A ESV ANS A B EDV
Q72 A lady vid CA breast positive had undergone lumpectomy now which drug to give
A tamoxifen ANS A B 5 flurouracil C MTX
Q73 longest incubation period is A hepB ANS A B hep A c T. B
Q74 Coccygeal ligment at A l2 ANS A as l 1 was nt given in options B SI TO S3
Q75 erythropoietin producrd from
A JG cells B peritubular capillaries ANS B
Q76 on ECG prolong PR interval called A bradycardia B ist degree H.B ANS B C 2nd degree
H.B
Q77 N20 plus O2 A good anelgesia ANS A B good anesthesia
Q78 Abdominal aorta give A renal arteries at L2 ANS A B lateral branches to parieties

43

Q79 MMR A 100,000 total births B 100,000 live births ANS B

Q80 Transfer of a redical from cone compound to another compound is called as
A transferase ANS A B oxidoreductase
Q81 lowest urin osmolairty found in A CCD B DCT ANS B C Tip of loop
Q82 In LSCS intra abdomial bleed due to
A UTERINE artey ANS A
B inf epigastric A
NOTE...
inf epigastric bleed will b outside of body but if after LSCS bleed is intra abd then it viil b from
uterine artery
Q83 after LSCS a lady came in hosp vid complaints of urinary incontinence
A VVF ANS A
B uretr ligation
C fistula
HERE i want to add more info during hysterctomy ureter is at greater risk of damage
but in LSCS bladder at higher risk of damage
Q84 protein synthesis in muscle A testosteron ANS A B DHT C DHEA
Q85 How many barr bdies in XXX A 1, B 2 ANS , C 3
Q86 narrowest part of paediatric pathway is A cricoid ANS A B hyoid
Q87 Turner syndrome A x0 ANS A B XX C XY
Q88which of the following will prevent ovaries from falling down
A broad ligament B round ligament C uterus ANS C
Q89 male accessory gland A prostate ANS A B ductus deference C epidydimis
Q90 Gold standard of breast CA A USG B mammogram ANS B
Q91 Uterus functionl layer which shed down during mensturation A capsularis and
spongiosum ANS A B capsularis and basale
Q92 Quadrant malaria A P malaria ANS A B vivax C ovale
Q93 dysplasia is recognised by A dyskeratosis B Loss of polarity and architecture of cell ANS
B C Pleomorphism
Q94 Bladder drainage via A internal illiac A. ANS A b external illiac A
Q95 Prolactin is regylated by A prolactin releasing hormone B prolactin inhibitory hormone
ANS B
Q96 a lady vid vaginal dischargecame in clinic which is suspected to be from cervix the most

44

cheap and initial diagnostic test is

A pap smear ANS A
B cone biopsy
C cervical smear

Q97 A lady at 24 week gestation presnts in clinic with fundal height greater then dates
A dudenal atresia ANS A
B horseshoe kidney
C B/L renal agenesis
Q98 CVS is useful for
A trisomy 21 ANS A
B parau synd
C Edward synd
Q99 In a pregnant lady risk of rublle increase in
A 5 TO 10 weeak ANS A
B last trimester
Q100 CRL
A 8 to 13 week ANS A
B 24 th week

Paper-1

Q101 GFR is calculated clinically best with A inuline B PAH C creatinine ANS
Q102 a 12 year boy present in clinic with the complains of bone pains and diarrhea the suffering
from
A vit B1,B biotin, C vit K ANS C
Q103 roof of the ant horn of lateral horn is formed
A body of corpus callosum ANS A
B genu of corpous callosum
Q104 cereberal blood flow depends on A CO2 ANS A.B ph,C H+
Q105 lethal effect of ECF ion on heart A K+ ,B Ca+2,C Na+
confirm it coz i marked it as B coz of Ca+2 is ECF ion can cause lethal automaticity of SA and
AV nodes but seniors pointed towards K+coz of arrythmias which is a major intracellular ion
Q106 wound healing via
A myofibroblasts ANS A
B collagen
C EPDGF
Q107 shigella toxins involved in
A endotoxins

45

B exotoxins
C invasion of mucosa ANS C
Q108 if root of left lung is severed which structure will b prevented
A vagus N ANS A
b azygous
i could nt remem the other options
Q109 typhoid fever diagnostic test in 2nd week
A blood C/S
B widal +B/C ANS B
C urine D/R

Q110 intra amniotic infection detectd via

A IL6 ANS A
B G staining
C B/C

Q111 pain of small intestine is felt in

A epigastrium
B tip of shoulder
C peri umblical ANS C

Q112 which is most effective feed back mechanism to maintain B.P

A baro receptors
B CNS cushings
confirm it fom seniors coz CNS is only involve in potent controll effective and maxiimally are
features of baro receptors
Q113 anemia in pregnant lady
A IDA
B dilutional anemia ANS B
C B12 defficient

Q114 HPV involved in A ovarian CA B cervical CA ANS B

Q115 epigastric pain is felt via A intercostobrachial N ,B greater splanchnic N ANS

Q116 in a pregnant woman with DM drug of choice
A glyburide
B insulin ANS B

46

Q117 carbamazepine S/E ANS DYSTONIA

Q118 A woman presents with discoid rash and protein ria the diagnostic test would b
A ANA ,B anti ds DNA ,ANS
Q119 After parturition size of uterus is reduced d/t A mitochondria,B lysosomes,C SER
Q120characteristic feature of ATN
A hyperkalemia ANS A B oliguria
Q121 a boy came in hosp vid complains of loss of sensation over nose and mouth extending upto
tempral region nerve involve is
A fascial N
B maxillary division of trigeminal N ANS B

Q122 hpermagnesemia cause

A hyer reflexia
B decrease ACH release ANS B
C increase ACH release
D convusions
Q123 myocardial cntractility is best correlated with intracellular concentration of
A Ca +2 ANS A
B K+
C Na +

Q124data is collected for some clinical trial based on presence or abscence of vomiting
A nominal ANS A
B ordinal
C parametric

Q125 A pt operated for CA colon now follow up with

A CEA ANS A
B beta HCG

Q126 fibroblasts form A Collagen B Reticular fibers only C amorphous substance ANS C

47

Q127 rectum A sacular ANS A B S234

Q128 boundary of mandibular triangle ant andpost belly of digastric muscle and body of
mandibe
Q129 A boy with history of fall on ground with outstretched hand cant abduct his arm initially
upto 40 degree but above this angle able to do vidout any support
dnt nw the exact words
A supraspinatus ANS A
B deltoid muscles
Q130 thalasemia trait diagnosed by CVS
Q131 after 5 year of transplant surgery there is increase incidence of
A liver malignancy
B skin makignancy
C lymphoproliferative ANS C
Q132 14 year old boy vid 8%creatinine BP 180/110 structure involved is
A JG cells ANS A,B glomerulus
Q133 platelets are derived from fragmentation of cytoplasm of megakaryocytes
Q134 hormone involved in deposition of CHO proteins and fat -INSULINE
Q 135 a boy admittetd in hosp in unconscious state his ph 7.33,CO2 44 mmhg,HCO3 18
anion gap 18
A Metabolic alkalosis ANS A ,B Metabolic acidosis,C R.F
Q136 lungs are supplied by autnomic N.S
Q137 virus cause cancer A Oncogens ANS A B proto oncogens
Q138 TBW is ICF+ECF+intercellular fluid of same composition
Q139 impair wound healing ANS infection
Q140 patent lumen of allontois
A urachal cyst B urachal fistula ANS B C urachal sinus

Q141 after tooth extraction organism causing IEC

A S aureus
B strptococcus viridians ANS B
Q142 Philtrum develop due to medial nasal processes maldevelopment
Q143 Cleft lip D/T medial nasal +maxilla fusion defect

48

Q144 neutrophil chemotactic factor LTB4

Q145One question was about standard deviation
Q146 ndividual having independent and same chancesof being selected
A Random selection ANS A
B stratifiesd random
Q147 trigeminal ganglion
A Completely bathed with CSF
B give ant and post branches
C in middle cranial fossa alongside cavernos sinus ANS C
Q148 Internal jugular vein anterior relation immediately after exiting from skull
A SCM
B ICA
C carotid sheath
D spinal part of accessory nerve ANS D plz further confirm it
Q149 Testosteon is produced from
sertoli cells
Q150 charecteristic feature of shock
A hypoxiemia
B hypoperfusion of organs ANS B
Q151 on strepcoccal pneumonia infection in a person clearnace of infection will occur via
A H2O2
B PG
C leukoterines ANS C

Q152 after radiations inflammation occur d/t

A venous thrombosis
B end arteritis obliterance ANS B

Q153 Increase interstitial hydrostatic pressure is d/t

A increase capillary permeability ANS A
B colloid oncotic pressure
Q154LXA supply left atrium
Q155 T.B granulomma contain T cells
Q156 ventricles are max filled with blood during
A rapid inflow
B atrial systol
ANS i markd A
some were saying its B

49

Q157 Diabetic nephropathy micro albuminuria

Q158 intra and etra pelvic extention of ligament
Round ligament of uterus
Q159 pelvic splanchnic nerves are parasympathetic
Q160 H/P of cancer grading and differentiation
Q161 One ques was abt water weight i.e 42 lit
Q162 pars distalis
supplied from superior hypophyseal artery
Q163 ACTH levels are high in
A Ant pituitary portal sys
B pst pituitary portal sys
C Systemic arterial blood
here some vid A some C
Q164 If a test is able to both diagnose and eliminate diseased and non diseased it is called
A specific
B sensitive ANS B,C accurate
Q165 To disclose about a recently diagnosed fatal disease ost appropriate
A tell family and pt ASAP ANS A
B crisp logical evidence based accurate info to pt and family according to deman
Q166 A person with sweating drinks 2 lit of distilled water what will hapen
A Increae ICF
B increase ECF
C dec urie osmolarity
Q167 one ques wa ADH contrl ans was urea absorption somthing
NOTE
These bcqs do not contain the exact stem with same wording neither the options nor the answers
and i might b wrong at some questions.so futher cofirm it
2ndly help me to complete total 200 ques if someone recall more que lemme knw i'll add so dat maximum ppl cn get benfit
guys CPSP bcq arent difficult rather thy are just tricky
when i was solving mcq in exam hall
in every question after ist read i olways came up with two possible ans n in second carefull read of the stem ans figured out its own
coz ans is usually hidden withinn the stem so read the stem very carefully and gynae ppl who r gonna appear in MAY attem pt must must must
read 18th nov 7th 8th march and 4th april evening morning past paper focus more on recent most ppq wish you best of luck
remember me in ur prayres
regards
Dr.Misbah Abid

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50

(5). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#103

4 April 2016 PAPER A morning shift (radiology)
1. A lady have two children now operated for cholecystectomy presnt in clinic vid pallor and
fatigue periphral blood show microcytes
IDA (Ans)
Blood loss
2. long term osmolarity control via
Aldosteron
Adh
Angiotensin
Effect of efferent vessels
3.Pt vid defficiency of niacin and riboflavin will have
Pellagra (Ans)
Scurvy
Rickets
Osteomalacia
4. which of the following is intrapelvic as well as extrapelvic ligament?
a.tranverse cardinal ligament
b.broad ligament
c.uteropelvic ligament
d.round ligament (Ans)
5. 9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is
A:Supraspinatous (Ans)
B: Trapezius
6. left lung root get sever injured spared structure will be
A: vagus nerve (Ans)
B: pulmonary ligament
7. LXM artery supplies
A: lft atrium (Ans)
8. Int jugular with ant relation to as exit from skull
A: Accessory nerve spinal part
9. local factor for delayed wound healing
A: vit c def
B: infection (Ans)

51

10. breast during pregnancy and lactation

A: stromal hypertrophy
B: lobular hyperplasia (Ans )
Remember me in your prays
11. Lateral ventricle ant horn roof made by
Genu of carpus callosum
Anterior part of Body of carpus (Ans)
PitAutry gland
12.Fibroblasts made
Collagen fibres only
Reticular only
Elastic only
Histamine
Amorphous ground substances (Ans)
13.Presynaptic sympathetic action by
All r cholinergic (Ans)
All r vagal
Afferent neurons
All r adrenergic
14. Bacteria causing meningitis ..secondly to pyogenic lung abscess
Hemephelous influenza.
Pneumcocci
Streptococci
Staphylococcus ( Ans)
15. Bar body in xxx???
A. 2 (Ans)
B. 3
C. 1
D. Zero
16.
Thirst is regulated by hypothalamus
angiotensin 2 (Ans)
Adh
Aldosterone
17. Hormone increasing muscle growth ...
A. testosterone (Ans)
B. dihydrotestosterone
C. Progesterone

52

18.Lady feeding her baby for a year no problem....what happened during pregnancy....
A. lobular hyperplasia (Ans)
B. Ductal metaplasia
C. Stromal hypertrophy
19.First meiotic decision completed during..
A. after ovulation....
B. few hours before ovulation (Ans)
20. True hermaphrodite
A. Xxy
B. Xx/xy (Ans)
21.Cardiac stroke volume
A. venous return (Ans)
22. Vomiting data 20 and 40 percent
A. Nominal (Ans)
23. Ejection fraction increases what decreases...
A. EDv
B. ESV (Ans)
24.Internal jugular vein anterior relation to which structure after exiting from skull...
A. carotid sheath...
b. internal carotid artery...
c. scm
D. Accessory nerve
25.strp pneumonia confrm so how it treat by
A. leukotriene
B. hydrogen peroxide
26.Regarding trigeminal ganglion
Bath in csf completely (Ans)
Completely coverd vid dura matter
Present in mid cranial fossa alongside cavrnous sinus
27. E max of drug
Efficacy (Ans)
Bio avilability
Potency
28. glucagon
Suppressing adenyl cyclase
Stimulete protein kinase (Ans)

53

29. Visceral pleura Sensitive to pain

Supplied by autonomic nerves supplied to lungs (Ans)
Phrenic nerve
30. L.p pierced
Pia
Ant ligamnt
Post spinal cord part
pierced dura (Ans)
31. Compliance is inversly proportional to
A. recoil force of lung
B. Fibrosis
32.Meiosis is a type of cell division in which
A. DNA synthesis takes place
B. Exchange of genetic material takes place in autosomes (Ans)
C. One cell give rise to eight spermatozoa
D. Take place in sometic cells
E. Total number of chromosomes remain same after the process is complete
33.line of Zahn
Propagated thrombosis
Emboli
34.Clinical clearance via
A. creatine clearance (Ans)
B. Inulin
35.vvitamin deficiency ...chilsis corneal ulceration glosssitis
Riboflavin (Ans)
Niacin
36. standrd deviation
37.isthmus of thyroid gland Crocoid ?
38. Osteon Concentric lamella Sharpeys fibes
39.Follicular nodular lymphoma ka scenario tha
less than 5 years
5-10 yrs (Ans)
More than 10 yrs
40.abdomina angina is caused by which artery A. SMA(Ans) B. IMA C. AORTA

54

41.c1 vertebra(atlas) lacks what of following

A. Spinous process
B. Articular facets
43. one scenario of christmas disease
44.lymph nodes of prostate gland
A. Int iliac node (Ans)
B. Ext iliac
C. Both
45.diabetic nephropthy test
A. Microalbuminuria (Ans)
46. about professionalism of doctor
47. about diagastric triangle
A. Ant n post belly of dia gastric n midline mandible (Ans)
48.which enzyme transfer radical group from one compound to another
A. transferase
B. Reductase
C. Oxidoreductase
49. Line of Zahn seen in?
Obsrtuted thrombus
Propagating thrombus
50.Myocardial contractility is the best correlated with intracellular concentration of?
A) sodium.
B) potasium.
C) calcium (Ans)
D) chloride.
E) magnesium
51.abt venous drainage of urinary bladder
Internal iliac (Ans)
Common iliac
52.If core temperature of body fall, body response will be
a. Decrease BMR
b. Shivering (Ans)
c. Anterior hypothalamus activation
d. Vasodilation

55

53.Maximum ventricle is filled during?

Atrial systole (Ans)
Ventricle systole
Isometric ventri contraction
Slow ejection phase
Rapid inflow
54. BENIGN TUMOUR
A. HAMARTOMA
B WARTHIN'S (Ans)
55. bee sting ....after 10 hour which increase.... igE (Ans) Eosinophils Mast cell
56. cardic muscle and skeletal muscle are same in ...... A. T tubules (Ans) B.sarcolemma
57. Smoth muscls are...... A. mononuclear (Ans)
58.Increase pR interval 1degree block (Ans) 2 badycardia
59. lipoxygenase wala ta chemotxtc....
A. LB4 (Ans)
B. C5a
60. Fatal disease of patient;
a. Shouldn't be told to the patient ad not the family
*b. Crisp clear information should be provided to the patient according to his needs (Ans)
c. Should be told to the relatives of the patient.
61.Ha paper 1 ka ta...regarding descending oarta...pir neechy option di ty
62.Hemostasis of iron by
A. ferritin (Ans)
B. Transferrin
63.total body water weight
A. 42 litre (Ans)
B. 60% of total body water
C. ECF,ICF N electrolyte in equal proportion
64.Persnlism wala......comunity se
65.cho.protien aur fat storage
A. Insulin (Ans)
B. Glucagon
66. CML A. 9:12

56

67.Ik purine metabolism A. Uric acid (Ans)

68.Prolong vomiting contartiion alkalosis
A. Hyponatremia (Ans)
B. Hypocalcemia
C. Hypokalsemia
69.platelets A. megakarocytes (Ans)
70.erythropiotn produced by A. peritubular (Ans)
71.Ik vomiting....jis may hypochlormc alkalosis hota hy...
A. HC03
B. Hyponatremia
C. Hypokalemia
72.intermediate filament in CA
A. Keratin.....(Ans)
B. Vimentin
C. Desmin
73.clostrdium tetani... A. exotoxin (Ans)
74.Dysarthria A. cerebellum (Ans)
75.Child with narrow air way .......
76.Ik carbamazepine A. dystonia ... (Ans)
77.Hypermagnesiumia A. Dec ach release (Ans) ,B. Dec ach uptake
78.Which factor causes thrombosis rather than bleeding A. Factor 12 ...(Ans),B. 5, C. 7
79.Tuberculin A. T cells (Ans) B. B cells
80.Conjuctivia wala... A. gonorrhea ans ta
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(6). 4th April 2016 Anesthesiology Morning Aly Samnani (80) P#112
Anesthesia April 2016 Paper 2

1.Function of estrogen : Sec sexual characteristic

2.Most important function of progesterone :
a.alveolar duct development
b. dec uterine contractions
c.Secretory phase of endoetrium ( somethong like this not exact wording )
3.Patient was given thiopentone he developed severe pain what should be the management :
a.Naloxone
a.Lignocaine
c.Epinephrine
4.Which of the following decrease thyroid hormone : Propyl thio uracil
5.What is the role of thiopentone in head injury : Dec oxygen consumption
6.Patient with biliary colic what should be given along morphine to reduce the pain :
a.Pethidine
b.Hyoscine butyl bromide
7.Patient underwent limb surgery now complain of moderate pain on 3rd post op day what
should be given
a.Paracetamol
b.Ketorolac
8.Lumbar puncture should be performed : abve the L4 spine
9.Capnography oxygen above zero indicate
a.Spontaneous breath in controlled ventilation
b.Rebreathing
10.Chlorthalidone causes :
a.Hypercalcemia
b.Hyperuricemia
11.Metabolic alkalosis is a prominent feature of : Hyperaldosteronisim
12.Which drug increase potassium : captopril
13.Prevention of heat loss in anesthetized person
a.Space blanket
b.Humidification of inspired air
14.Another bcq about heat loss cant recall stem and only option I remember is : heat loss can b
prevented more by humidification of inspired air than by warming inspired air
15.P02 in arterial blood is less than that in alveoli reason
a.02 req diffusion pressure to get in artery
b.Coronary arteries drain into coronary sinus (there was no option that indicated shunting of
blood )
16.Paramagnetic cylinder is used for (this is not the exact wording of stem ) :
a.N20 ,b.C02 ,c.02 ,d.Halothane
17.True about N20 : Supports combustion
18.True about cautery : amount of cutting depends upon density of current
19.Which agent releases maximum histamine
a.Tubocurarine,b.Atracurium
20.Longest acting NMB :a.Doxacurium,b.Pancuronium
21.Buffer to be most effective : pka should be near ph
22.Dead space increases in :
a.Lung collapse

58

b.Pulmonary edema
c.Hypertension
d.Hypotension
e.Atelectasis
23.3% choloroprocaine has fast onset than 2% lignocaine why :
a.Concentration
b.Ester and amid factor
b.Pka
c.Protein binding
d.Lipid solubility
24.Molecular weight of isoflurane :
a.144
b.184.5
25.E cylinder of oxygen will last for how many minutes if flow is at 6 lit / min
a.80 min,b.114 min,c.134 min
26.Nalbuphine :
a.Causes same resp depression as morphine
b.As potent as morphine
27.Mech of action of tramadol :
a.Weak meu
b.Kappa and meu
28.Septum pellucidum : weird options combo cant recall
29.Neuro muscular blockade is prolonged by : Gentamycin (Aminoglycoside)
30.Which of the drug is aminoglycoside : Amikacin
31.Patient underwent liver transplant which of the drug you will prescribe which is nephrotoxic
and doesnt causes bone marrow depression
a.Cyclophosphamide
b.Cyclosporine
c.Prednisolone
32.True about actions of glucocorticoid : dec peripheral glucose utilization
33.Abrupt withdrawal of glucocorticoid causes : adrenal supprsion
34.The advantage of dexamehasone over hydrocortisone is it doesnot causes
a.Hyperglycemia
b.Salt retention
35.In CNS myelination is a function of : oligodendroytes
36.Which cell in the CNS resembles Schwann cells : oligodendrocytes
37.EEG synchronization is caused by :
a.non specific thalamic nuclei
b.locus cerulus
38.Oil in 02 reducing valve will cause explosion of what type : Adiabatic
39.Why high dose of non depolarizing agent is required in burn patients :
a.Increase no of receptor
b.High protein binding
40.Hyperthyroid lady with ventricular tachycardia heart rate of 180 pulse irregulary regular
treatment of choice :
a.Propanolol
b.Amiodarone
c.Verapamil
41.The volume of air remained in lung after maximal expiration is
a.1200
b.1400

59

42.Digoxin toxicity is increased by :

a.Increase intracellular potassium
a.Increase intracellular calcium
43.Antacid causing dec gastric emptying : aluminium hydroxide
44.Esophago gastric junction lies at : a.T10 ,b.T11 , c.L1
45.Venous pressure increased 8mm what will be the effect on capillary pressure :
a.Inc by 8 mm
b.Inc markedly
c.Dec by 6 mm
d.No change
e.Dec by 8 mm
46.Jejunum is supplied by : Superior mesenteric artery
47.If v/q in inc blood p02 and pc02 will be same in :
a.Expired air
b.Venous blood
c.Atmosphere
d.Arterial blood
e.Humidified inspired air
48.Low molecular weight heparin :
Inc binding to factor 10a
49.The chance of bleeding in a patient with epidural will be greatest in :
a.Patient on warfarin
b.On heparin
c. aspirin
d.On LMWH
50.More local anesthetic concentration in the blood by :
a.Epidural block
b.Caudal block
c.Spinal block
d.Brachial plexus block
51.Acetaminophen poisoning N-acetylcsytein will cause :
a.Excrete acetaminophine
b.Break into non toxic metabolites
c.Converts to acetylated metabolites
52.Edema reduced by diuretic by excretion of :
a.Na excretion
b.K excretion
c.Hydrogen excretion
53.Suxa causes tachycardia by :
a.Direc acting on muscuranic receptor of SA node
b.Act on nicotinic receptor of ANS
c.By releasing histamine
54.Test to do before starting valproate
a.Cbc
b.Lfts
c.Rfts
55.Most of posterior intercoastal arteries are braches of : thoracic aorta
56.Deep cervical artery is a branch of :
a.costo cervical trunk
b.superior thyroid
c.inferior throid

60

d.externa carotid
56-B-CSF contains :
a.20mg-40mg protein
b.120mg glucose
57.Regarding surfactant component missing is :
a.Calcium
b.Protein
c.Neutral lipid
d.Lecithin
58.Advantage of crystalloid in fluid resusitation is : improve coronary flow
59.Young girl with severe ronchi breathlessness PEFR less than 50 % of predicted
management :
a.Bronchodilators
b.Inhaled steroids
c.Ipratropium
d.Iv steroids plus bronchodilators
60.Patient having asthma treatment to be given
a.IV steroid
b.IV theophiline (no option of inhaled agent al were IV)
61.Patient solving airthematic problem EEG wave present :
a.Alpha
b.Beta
62.Levodpa given it will cause : orthostatic hypotension
63.Structure that doesnt part thru diaphragm :
a.Lymphatics of pleura
b.Right phrenic nerve
c.Greater splanchinc nerve
64.Spinal cord ends at a.L2 b.L1
65.CVP : measure of right atrial filling pressure
66.K sparing diuretic like spiranolactone acts by :
a.Increasing GFR
b.Adh inhibition
c.Inhibtinh H/K exchange in collecting duct
67.Mid diastolic murmumr irregularly regular what will b seen :
a.Ince pressure gradient against mitral valve
b.Pmitrale
c.Increase r-r interval
68.High anion gap in : a.Uncontrolled diabetes
69.Most potent vasoconstrictor : Cocaine
70.In General anesthesia dec heat production is by :
a.inhibition of Na/K atpase
b.dec muscle tone
71.most immediate anterior relation to internal jugular vein after jugular foramen : internal
carotid artery
72.temperature at which vapour pressure is equal to atmospheric pressure : boiling point
73.Method of face mask sterilization :
a.Wash with soap and water
b.5% phenol
c.Form aldehyde
74.Method of face mask sterilization for prevention against organism :
a.Steam sterilization

61

b.Ethylene oxide gas

c.Phenol
d.Pasteurization
75.Why ranitidine is preferred over cimeteidine : low cns side effect
76.For acute blood pressure management : baroreceptor
77.Which system has maximum feedback gain in controlling cardiac pressure
a.Baroreceptor
b.Renal volume pressure mechanism
78.Warfarin dose should be adjusted in patient taking : cimetidine
79.Slow adapting receptor (not exact statement )
a.Slowly decreasing action potential
b.Absence of action potential
80.Result of ischemia on brain auto regulation :
a.Auto regulation curve shifts right
b.Curve Shift left
c.Leads to ablation of auto regulation
Special thanks to Dr. Maliha Hanif , Dr. Sana Shaikh and Dr. M. Asad Chaudhary for helping me compile this paper please
remember us all in your prayers !! best of luck

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