This Paper is shared by Mitral Valve.
Diabetic pt develops sensory abnormalities of left leg & ulcer of big toe…
A. Angiopathy with Neuropathy.
b.angiopathy
c.arteriosclerosis
2.Pt has pain in region of auricle wch bcums worse on chewing.nerve involved?
a.auriculotemporal nerve
b.glossopharangeal nerve
c.infraorbital nerve
d.ant sup alveolar nerve
3.Rh agglutinin
a.is presnt on surface of RBCs
b.is presnt in Rh +ve blood grps
c.is produced in Rh-ve mother when she conceives as Rh+ve baby
d.Rh-ve individual has D antigen
4: Which of the f/w is not a tumor marker:
a.Alpha 1 antitrypsin
b.vesmin
c.desmin
d.AFP
5.the main cause of increased blood flow to exercising muscles
a.raised b.p
b.vasodilatation due to local metabolites
c.inc sympathetic discharge to peripheral vessels
d.inc heart rate
6.Fight n flight response results in
a.dec airway resistance
b.inc resistance of airway
c.pupil constrction
d.none of above
7.Growth hormone secretion is increased by
a.exercise
b.cortisol
c.glucose
d.REM sleep
8: Thirst is reduced by…
A: Increase Extracellular volume
b: .inc rennin
c: Dec extra cellular volume
9: Another function of Smooth Endoplasmic Reticulum:
a.Detoxification
b.protein synthesis
An old women presented with weakness, palpitation & Breathlessness on exertion, tingling of feet, Hb low Tlc & platelet level given, Diagnosis:
a: Vitamin B12 deficiency
b.folic acid deficiency
d.cobalamine def
Involved in Hydroxyproline & hydroxylysin during collagen synthesis…
a.Ascorbic Acid
b.vit D
c.vit B12
d.vit B6
Male pt with facial nerve palsy along with intension tremors on same side, site of lesion…
A.Cerebello pontine angle
b.pons
c.internal capsule
d.midbrain
e.cerebral cortex
Pharmacological block of HCL by H2 antagonist…
A.Inhibits both gastrin induced & vagally mediated secretion of acid.
b.inhibits gastrin induced secretion of acid only
c.inhibits vagally mediated secretion only
Cardiac valve lesion, Angina common in…
A.Aortic stenosis
b.aortic regurgitation
c.mitral stenosis
d.mitral regurgitation
15.Stimulation by Injection of Parasympathetic, dec in…
A.Size of pupil
b.intestinal motility
Aldosterone secretion greatly stimulated by Rise in..
A.Plasma K” level
b.renin level
c.acth level
In menopause…
A. Dec Estrogen Increase in FSH & LH.
b.dec estrogen decrease Fsh n Lh
c.inc estrogen decrease in FSH & LH
After Inability to void urine…
A. S2,3,4
b.S1,2,3
c.S1,2
d.S3,4
Pt present with pain & inability to abduct shoulder joint, tenderness over greater tuberosty, after initial abduction of 40°, he is able to abduct his shoulder…
a.Supraspinatus injury
b.deltoid injury
c.teres major
d.serratus ant
Hydrocephalus most commonly due to obst of…
a.Aqueduct of sylvius.
b.foramen of monro
c.foramen of luschka
d.foramen of megendie
Loss of visual acuity & field in thyrotoxic opthalmopathy…
A.Optic nerve compression
b.muscles trapping
Compression of optic chiasma…
A, Bitemporal hemianopia
b.rt homonymous hemianopia
c.lt homonynomous hemianopia
Pt with Bitemporal hemianopia lession is at…
A. Optic chiasma
b.optic tract
c.optic nerve
Wasting of thenar eminence & weakness of abduction & oposition of thumb…
A. Median nerve
b.musculocutaneous nerve
c.ulnar nerve
Pregnant lady suffered frm measels, anomely expected in baby…
A. Congenital catarct
b.pneumonia
c.PDA
Male develop jaundice aftr use of drug given by quake, enz raised…
A. Alanine transaminase
b.ASt
c.ALP
d.GGT
Pt of DKA not respond to therapy & died, fungal infection, most likely orgnsm…
A.Mucor
b.candida
Granuloma with caseating necrosis, most commonly found in…
A. TB
b.sarcoidosis
Splenectomy done chance of infection…
A. Strep: Pneumoniae
b.H.influenza
Fisherman develops lethrgy, fatigue & palpitation,
Taking fish in diet, O/E Pallor, loss of touch……
A.Diphylobothrium latum
b.echhinococcus
Pregnant lady present with jaundice, total bilirubin 11, direct 9, indirect 2, has Gall stones, which enzyme ll be raised…
a.GGT
b.Alkaline phosphatase.
A boy presented with skin rash, fever, joint pain, group of localized lymph node enlargment after the 7 days of IVG injection…
A: Type-3
b.Type 2
c.type 1
d.type 4
Old female has Necrotic lession in nose, urine exam revealed proteinurea, biopsy shows granuloma with necrosis & vasculitis, diagnosis…
A.Wegners Granulomats
b.leprosy
c.beurgers
34. Old male presented with sore throat & cervical lymphadenopathy. Blood picture shows Atypical lymphocytes, useful initial test would be…
a. Monospot test
b.biopsy
A lady frm village hx of dificult labour, presented in ER with bleeding P/V & Oozing frm gums fr last 7 hrs.
A.DIC
b.pph
c.APH
Chronic hemolysis, endogenous pigment…
A. Haemosiderin
b.melanin
c.bilirubin
Most potent chemotactic agent…
A. C5a
b.c3a
c.c3b
Parasite associated with cholangio-carcinoma…
A. Clonorchis sinensis
b.
Most reliable microscopic finding of Chronic hepatitis…
A.Fibrosis
b.inc leukocytes
A child presented with rashes started around ears then spreads over face then trunk & limbs, posible diagnosis…
a.Measles
b.chicken pox
Most reliable Investigation/finding in the diagnosis of TB…
a. Caseating granuloma
b.demonstration of AFB
Diagnostic feature of plasmodium falciparum…
A. Black water fever
Cereberal malaria…
a.Plasmodium Falciparium
b.pl.vivax
Gas gangrene cause of death…
A. Toxemic shock
b.necrosis
c.septic shock
Most common cause of Metaplasia…
a.ultrasonography
b:Chronic irritation
c.infections
d.radiations
Most common route of infection of HBV & HCV…
a.Blood transfusion
b.contaminated needles
Most common promoting factor for the development of liver cirrhosis in Adult male.
a.Alcoholism
b.hep B
c.Hep C
d.Hep A
e.hep D
Young pt with generalized edema & proteinurea 6gm/day, defect at which area..
A. Basement membrane
b.glomerulus
Most useful parameter for diagnosis of SLE…
A.Antibodies against Ds DNA
b.ANA
c.biopsy
Old farmer while doing sterneous working in very hot sunny day suddenly colapsed
Plasma Na level was low, cause…
A. Excessive sweating
b.dec sodium
c.dec osmolarity
Boy brought by his mother with complain of loss of apitite, vomiting & yellow sclera, inv of choice…
A. Bilirubin+ALT
b.ALT
c.AST
D.ALP
Type 3 hypersensitivity reaction…
A. Post streptococal glomerulonephritis
b.hemolytic anemia
c.contact dermatitis
Cause of localized edema.
A. Allergic condition
b.ccf
c.nephrotic syndrome
Most likely complication in mouth due to chewing Betal nut & pan…
A. Submucous fibrosis
b.mouth CA
Alleles are…
A. Non-identical genes at same locus.
b.identical genes at diff locus
OT technician has acute eczematous dermatitis on hands & wrist in the area covered by latex gloves…
A. Type-4
b.type 1
c.type 2
d.type 3
Hemolytic disease of newborn caused by RH blood group incompatibility…
The mediater of disease…
A. IgG antibody
b.IgM antibody
c.IgA antibody
Loss of which one of the f/w class of molecules on the surface of a tumor cell target would result in lossof susxeptibility to killing by host immune cells…
A. MHC-Class 1
b.MHC-Class 2
Oral contraceptive pills
Common complication…
A.Breast Ca
b: Thromboembolism
K/c of Tuberculosis on ATT therapy develops Big toe swelling with pain, drug culprit…
A.isoniazid
b.rifampicin
Pyrazinamide61. Anticoagulants contraindication…
A.Thrombocytopenia
b.MI
Barr body test diagnostic for
a: KlineFelter syndrome
b.Turner Syndrome
Epigastric pain due to Gastric ulcer, nerve involved?.
A. Greater splaanchic
b.lesser splanchnic
Monitoring of Blood level for Antibiotic, routenly indicated fr…
A. Vancomycin
b.cyclosporine
c.omeprazole
d.metoclopramide
Staphylococus aureus infection DOC…
A.Ampicillin
b: Cloxacillin
Source of infection lies infront Neck anterior to Pre-tracheal fascia, infection can spread upto…
A. Anterior mediastenium
b.superior mediastinum
Regarding Kallman Syndrome…
a.hyperosmia
b.hypergonadism
c.arcuate nucleus involved
d.kall gene on y chromosome
Barrier seprates blood of mother from fetus etc…
a.syncitiotrophoblast & fetus endothelium
b.cyto & fetus endothelium
Secretion of ADH is inhibited by…
A. Alcohol
b.inc osmolarity
During exercise venous blood return frm legs by…
A. Contraction of muscles
b.gravity
Blood vessels contain most of the systemic blood…
A. Veins & veinules
b.arteries
c.capillaries
Regarding Post: fontanelle…
A. Area is smaller as compared to anterior fontanella.
b.can b felt in occipito post position
Basal Ganglia
a. initiate movements
Diagnostic microscopic criteria of malignant tumor…
A. Invasion
b.(metastasis)
c.pleomorphism
75: difference b/w Malignant n premalignant lession
a. Pleomorphism
b.invasion
Regarding Pituatry gland..
a.Send venous drainage to Dura.
b.ant develops from oral ectoderm
Damage to tissue by Radiations mostly depends on…
A. Duration of exposure.
b.type of radiation
Trauma case pelvic fracture with fracture of femor & tibia, pulse 110, BP 60/40mmHg, immediate management…
A. IV Fluids..
b.secure airway
c.tracheostomy
Heparin given to pt of DVT it will prevent..
A. Propagation
Major cause of Atrophy..
A. Loss of innervation
b.disuse
Early Stage of Aschoff body shows…
a. Eosinophils..
b.is Fibrinoid necrosis82. Secondry Hyperaldosternism…
A. Renin
b.aldosterone
c.angiotensin
At the end of Merathon race…
A. Dec insulin, increase Glucagon.
b.inc insulin dec glucagon
c.both inc
d: both dec
Vasoconstriction caused by…
A. Angiotensin
b.renin
Left ventricular hypertrophy…
a.Aortic valvular disease
b.pulmonry valvular disease
Most common position of Appendix…
A.RetroCecal
b.pelvic
c.paracecal
+Ve tendnbrg test…
A. Superior gluteal nerve
b.inf gluteal nerve
A pt comes after 4 hrs with allergic reaction after bee stung…
a. IM Adrenaline
b.iv cortisone
Alpha fetobprotein rise in..
A. Testicular carcinoma
b.embryonal ca
Hypocampus region damage…
A. Unable to convert short term memory into long term memories
91. Proteinurea, basement membrane disruption…
a.AG ratio
b. Albuminurea
Multiple sclerosis case
Boy has complain of bed wetting, treatment…
a. oxybutyrin
. Prozone:
a.high titer Antibodies
. Indirect psyco-physiologic brain activity…
a.sweat gland activity…
b. Pupillary size or Reaction
Ashmatic + IHD pt on OT BP should be manage with…
a.iv nitroproside
b. iv nitroglycerine
Regarding pain?
a.at extreme temprature pain receptors stimulated
Wide spread pulmonary infarction, dyspnea, shock…
a.embolisation
b.Thromboembolism
Bioavailability taken for
a. Oral route
b.iv route
c.im route
Inidence…
a.New cases
b.new plus old cases
Prevelence…
a.new cases
b.total no of cases except sudden outbreak cases
Diarrhea…
A.Metabolic acidosis with normal anion gap.
b.metabolic acidosis with increased anion gap
Hyline cartilage what is visible…
a.collagen & elastic fibers (dnt know correct ans)
b.collagen fibers only
c.elastic fibers only
d.none
After accident of young boy 55% lung collapsed…
a.atmospheric pressure equal to intrapleural pressure
b. High V/Q ratio104. DIC initiated by…
a.Thromboplastin105. Most sensetive test fr Diabetic nephropathy…
a.urine albumin
b.urine for proteins
Artery accompany phrenic nerve may be at risk during surgery…
a.pericardiophrenic
b.
Regarding apex of heart..
A. 8cm away frm mid sternum108. 6cm mass infrnt thigh
Biopsy most commonly shows…
a.vimentin
b.desmin
A man stand straight from 1 hr..
a. Inc CVP
b.dec cvp
Severe hypomagnesemia…
a.hypocalcemia
b.hypercalcemia
Hard keratin found in…
a.Nail bed
b.hair
12: . Hyperthyroidism snerio
Inc T4 level etc what ll decrease…
a.TSH
b: reverse T3
13. Dec level of 0xygen in arterial blood but O2 tension not affected…
a.Anemia
b.co poisoning
c.hypoxia
DNA also found in…
A.Mitochondria
b.ribosomes
c.nucleolus
Large no of Mitochondria found on the surface of…
a. Cilia
b.liver cells
Platelate adhesion..
a.Rough endothelium
Regarding Dead space..
a. humidification, warm the air etc
b.inc in tracheostomy
Anaphylactic & hypovolmic common finding..
a.tachycardia
b.hypotension
Cardiac cycle phase b/w S1 & S2…
A Ventericular systole
b.atrial systole
Herneated disc compress…
a. Posterior root
b.postero laterally
21. Regarding root value..
a. Knee joint L5
b.biceps jerk c6
c.triceps jerk c8
22. Product enter Krebs cycle…
a.Acetyl CoA
23. Factor not involve in internsic pathway…
A. Factor Vll
b.factor X
Regarding blood suply of heart which statement is correct…
A. LCA gives LAD & LCX
Spinal anesthesia.given person bcums unconscious.cause?
A. Loss of vasomotor tone126. Drugs absorption icreased by…
a. Inc Lipid solubility127. Secretion of Insulin stimulated by…
A. GIP
b.glucagon
Old man died after schemic attack, atopsy of Brain Slice shows…
A. Liquifective necrosis
b.coagulative necrosis
Brocas area
A. MCA
b.ACA
c.PCA
Meningitis dec level of Glucose found in…
A. Pyogenic Meningitis
Mucus acini highest in.?..
A. Sublingual Gland
b.gastric glands
c.parotid gland
Dec no of T Cells found in…
a.: Autoimmune disease
b.bacterial infections
About Major/ dangerous disease of child admitted in ward.. parents of the child response…
a. Denial
b.depression
Regarding CCK all are correct except…
A. Inhibit pancreatic secretions
b.inc gall bladder secretions
Snerio: Loss of motor function on Right side…
Lession at…
a. Left internal capsule
b.right internal capsule
Loss of pain & temp on Left side, & loss of touch, vibration on Right side.
a.Right Hemisection of cord
b.left hemisection of cord
Transport through cell membrane involving Actin, myocin & clathrin…
a. Pinocytosis
b.secondary active transport
c.facilitated diffusion
Jaundice on 2nd day after birth total bilirubin 9…
a. Physiological jaundice
b.breast milk jaundice
Regarding Recurrent laryngeal nerve…
a.Branch of vagus nerve.
Regarding ECG all are correct except…
a.P wave absent in Atrial flutter
b.St segment is from peak of S wave to start of T wave
Regarding cardiac blood flow..
a.regulated by local metabolites
Regarding Vagus nerve
a.Left recurrent laryngeal nerve hooks around ligamentm arteriosis
b.
Thyroid gland enclosed in…
a.Pretracheal fascia
b.investing facia
c.vertebral fascia
d.carotid fascia
Hypokalemia…
Ans. U waves on ECG
145.in Complet Heart Block…
a.Fainting may occur bcz unable to pump blood into ventricles.
b.atrial rate is lower than ventricular rate
c.ventricular fibrillation is common
d.fainting occurs bcuz of prolong periods during wch ventricles fail to contract.
Parknson pt on L-Dopa treatment eventually wears off bcz…
A. Dopamenrgic neurons in Subtncia nigra continue to degenerate. (ganong mcq)
Sq cell carcinoma on buttock lymph drain into…
a. horizontal group of superficial inguinal lymph nodes
b.vertical grp of superficial inguinal nodes
c.popliteal nodes
d.deep inguinal nodes
Hormone of slow wave sleep..
A. Serotonin
b.Ach
c.epinephrine
Neonate with small eyes etc…
A. Trisomy 13
b.trisomy 21
c.trisomy 16
Regarding Kidney relations…
a. Left renal vein is long & anterior to renal artery
b: right renal vein is long & anterior to renal artery
Diazepam+ chlorpromazepine…
a. sadation
b muscle relexation
C-ANCA…
A. Vasculitis
b.arthritis
Pt with uremic nephropathy, what would not seen ?
a. Hypophosphotenemia
Child of 6 week age presented with jaundice, his dipper stained with Bilirubin…
A.Gilbert Syndrome
b.biliary atresia
Atheletic after injury unable to Invert the foot but able to evert, rupture of….
A. Tibialis Ant & Tibialis posterior.
b.peroneus longus& flexor hallucis longus
Which of the f/w has highest PH…
A. Pancreatic juice
b.gastric juice
c.salivary secretions
Loss of taste Post 1/3 of tounge…
A. Glossopharyngeal
b.vagus
c.facial
True Regarding receptors..
a: Golgi tendon activated by muscle tension
b.muscle spindle activated by golgi tendons
Deep sea diver rapidly ascend pain in joints…why?
A. Emboli in Arteries
b.emboli in veins
All are the findings in the Pt of congestive heart failure except…a. capillaries refill
b.splenomegaly
c.hepatomegaly
d.pulmonary compliance
6 yrs boy 17-ketosteriod in urine, enlarge adult size penis, hairs on body…
a: congenital adernal hyperplasia
b.adrenogenital syndrome
Regarding staging of tumor…
a: Extent of invesion
O2 delivary to the tissues decrease by…
A.Increase PH
b.dec pH
c.inc H+ conc
Regarding circle of wills..
a.connects internal carotid + posterior comunicating artery
b.connect ant communicating to post
Gastric acid activate…
A Pepsinogen
b.trypsinogen
Regarding Esophagus…
A. Begins at thyroid cartilage
Buccopharangeal memb separtess
A.nasal cavity from oral
b.Stomedium from pharynx/ foregut
168. Regarding yolk sac…
a. contain initial blood marrow
Catecholamine derived from…
A. Tyrosine170. N.Meningitis DOC…
a.ceftriaxone
Pencillin.G171. Cholera, Path physiology…
a. Activate adenyl cyclase
b.activates chloride channels
Alpha-1 receptor activation…
A. Mydriasis
b.meiosis
c.inc gi motility
Thyroid cancer, tumor marker…
a: Calcitonin
b.PTH
Ectopic ACTH.from?
a.squamous cell Ca
b. Small cell carcinoma
Proton pump inhibitor..
a. Omeparazole1
. Recurrent abortions, thrombosis etc not respond on treatment…
a: Factor V laden
b,Antiphospholipd syndrome
Aspirin overdose side effect…
a.coma
b.metabolic acidosis
in middle cranial fossa…
a.Trigeminalganglion residing thre
.wch nerve present inside Cavernous sinus…?
a.Abducent nerve
b.occulomotor N
c.trochlear N
Regarding serotonin syndrome…
a: TCA+SSRI1
.bst test for Asthma..
a: FEV1
b.PEFR
. Dec GFR except…
a. constriction of efferent arteriole
. Pt with hirsuitism.on scan multiple cysts
a.polycystic ovarian disease
b.polycystic kidney disease
84.Proband…
a.start of new genetic disease in the family
Congenital anomaly failure of separation of aorta & Pulmonary artery…
A.Truncus Arteriosis
Regarding end arteries…
A. Present in vital organs.
Max amount of air inspired n normaly expired
a.Vital capacity
b.IVC
c.IRV
Neurovascular bundle..
A.Lower border of Rib
b.upper border of lower rib
Counseling:
a.help the people to help themselves.
b.help ppl to help others
Sharp pain not include
a. medial laminscus..
b.spinothalemic tract
Pancreatic duct :
Have sphincter..192. Active transport:
a.not for all drugs.
b.non saturable
Voluntary micturation…
a. by parasympathetic
b.
194.Wch one of following is chemical carcinogen?
a.alpha anti trypsin
b.benzidine
c.ethyl alcohol
d.propyl alcohol
195.pt has undergone surgry for adrenal gland tumor.He will have increasd threshold for wch of following taste sensation?
a.salty
b.sweet
c.bitter
d.sour
JIZAKALLAH BEST OF LUCK!!
REGARDS MITRAL VALVE