medicine past paper_ january 02 2016 (evening) (1)

8/19/2019 Medicine Past Paper_ January 02 2016 (Evening) (1)

http://slidepdf.com/reader/full/medicine-past-paper-january-02-2016-evening-1 1/15

December 2015 Paper by Dr. Saad Ullah Siddique

1. Genotype of Turner. XO

2. Bar body test is most commonly done to diagnose

a. Klienfilter

b. Turner

3.Gardner working in garden. developed chest pain, x\ray showed mass in rt lower lobe

Aspergillosus

4.Thalamus

a.receive aa sometic and sensory input

b.

c.

5. Pregnant lady with lethargy koilonycia

a. inc MCV MCH MCHC

b. inc MCV, dec MCH MCH

c dec MCV, inc MCH MCHC

d dec MCV, MCH MCHC

6.Best for measuring GFR

a.Inulin

7.Calculate dead space if TV 600

fev 75% saturation 94% one other value was 6000

8.35 yrs old with macrocytic anemia.diagnostic test

a. IF antibodies

b. Pernicious anemia

c. lipid malabsorption

b. dec TC2

9. Regarding stomach

a. pNS effect secretions of enzymes

b SNS effects secrwetions of enzymes

c SNS effects HCL secretions

d. PNS effects intestinal movement

10.Gemifibrozil mechanism of action

A. Oxidation of lipids

B. Vldl hydrolysis or lipolysis

C hdl hydrolysis or lipolysis

d.It causes lipid hydrolysis by lipòprotien lipase.

11.Defintion of Incidence



12. Defintion of Prevelance .

but with different wording most closest was affected mass of total

13.30 yrs old pt with BL diplopia BL ptosis muscle weakness

a.MG

and 4 other syndrome names, never heard of them

14. Triple screening for prenatal anomalies

a. estrone

b. estriol

c estradiol

15. Patient developed uti. and now we see that there is pseduomonas auregonisa and treatment or

antibiotic to be given

A. Co trimazoleB. Ciprofloaxcin

C. Gentamycin

D. Ceftriaxone

16. pt missed periods for 8 months... now most diagnostic

a.inc FSh dec LH

b. inc FSH LH.

c. dec FSH. LH

d. dec FSH inc LH

e Atrophic uterus

17.causative organism of Q fever

a. tick

b. Rekitssea

c.loa loa

18. 6 yrs old boy with adult size penis and testis and secondary hair growth.

a. adrenogenital syndrome

b. congenital adrenal hyperplasia

19.post communicating artery joins

a. post cerebral with middle cerebralb. IC with basilar

c. PC with MC

d. PC with IC

20. trachea as descends in sup mediatinum. rt to it lies

a. vagua

b. recuurent laryngeal

c. common carotid

d. arch of aorta

e. mediastinal pleura



21.Known case of lumbago with pain in chest and tenderness in posterior 4,5 intercoastal

space..diagnosis

a. costochondritis

b.ankylosing spondilitis

c. pericarditis

22. antacid causing dec gastric emptying

a. Alum Hydroxide

b. Mag Oxide

c. Ca Bicard

d. Soda bicard

23.tumor secreting ADH causes

a. HYperosmotic overhydrationb. HYperosmotic dehydration

c. HYposmotic overhydration

d, HYpoosmotic dehydration

24. Thirst is decreased by

a. Ang 2

b. alchol

c, renin

25. PPH... leading to no lactation

a. Sheehan Syndrome

26. Actin myosin clarthin transport mechanism

A. Primary Active transport

B. Secondary active transport

C. Simple diffusion

D. Pinocytosis

E. Facilatated diffusion

27.Lady had some abcess in neck triangle than we did incision and drainage .. Than now after that

she is unable to comb her hair as she cannot take her hand above her head

A. Spinal accessory nerveB. Subscapular nerve

c. suprascapular

d. long thoracic

28. footballer..injury to lateral side of knee. x ray showed fibular fracture.. cant evert and planterflex

a. peroneus longus

b tibialis ant

c tibialis post

d fibular nerve

e common peroneal nerve



29.Person working in hot environment suddenly collapses.serum sodium found to be 120mmol/l

Cause z

a.Excess sweating

b. less drinking

30. Cycloplegic refraction more dangerous in

A. Strabismus

B. Accommodative something

C. Anterior shallow chamber

d. myopia

e. hypermetropia

30. First branch of abdominal aorta,a. celic

b.inferior phrenic

c. rt suprarenal

31. Warthin starry stain used in

A. Spirochete

B. Chlamydia

c. candida

d. mycobacterium

32. soldier came after many years in sibbi.. hepatosplenomegaly.lymphadenopathy

hx of fly bite low grade fever...

a. KALAZAR

b. MALARIA

c. RIVER BLINDNESS

d. WOUCHERIA

33.Resistent to chloroquine what to give

a. mefloquine

b. primaquine

34. Drug after giving orally absorbed by aquious diffusion

a. benzo

b. pheno

c. ethanol

d. ephidrine

e. chlorpromazine

35. which is correct about csf

a. pyogenic infection.... dec glucose



b fungal.... normal glucose

c. viral...... normal protien.

d. TBM ....... normal lymphocyte

36. Pyogenic abcess in brain . Which lobe most common

a. frontal

b. parietal

c. temporal

37. aphasia caused by destruction of

a. BROCAS

b. temporal lobe

c. parietal lobe

d. frontal

38 brodmans area 4 supplied by

a. ASA

b ACA

c. PCA

d ant cruciate artery

e. MCA

39. Leuckocyte adhesion

A. Integrin

B. Selectin

40. Maximum pressure in aorta during which phase

A. Isovolumetric contraction

B. Isovolimetric relaxation

c. slow ejectiond. rapid ejection

41. alpha adrenergic causes

a.inc BP

b.

42. Cck inhibit what

A. Gastric emptying

B. Contraction of gall bladder

43. Ventricular complete depolarisation occurs during

a. QRS

b QT interval

c. ST sement



44.Femoral artery please note the word Artery palpated in

A. Adductor canal

B. Mid inguinal point

C. Midpoint of inguinal ligament

45. a question about SILICOSIS(from earth crus)

46.PNEUMOCONIOSI( Carbon laiden macrophages)

47. Hemisection od rt spinal cord

ipsilateral loss of pain 2 segments below

48. hemisection of rt spinal cord

contralateral loss of proprioception

49. Hemisection of Spinal cord..

a. ipsilateral loss of all sensetions at the site of leison

50. vertebral dics herniation

a. affects spinal nerve and post rami

b. affects posterior dorsal column

51. urine conc 100 urine flow rate 2 plasma conc 10 calculate clerance

a 200

b 20

c 100

d 10

52. VLooping around aorta

A. Left recurrent laryngeal nerve

53. scanerio of dysphagia finger pain skin deformity

CREST

53. thyrotoxicosis scanerio, palpitaion cause

Beta 1 effect

54. Hyper esinophiliaA. Hodgkin lymphoma

B. Heamorrhagic viral fever

C. Eosinophilic granuloma

D. Myefibrol or that near

E. Chronic myeliod leukemia

55. High pulse pressure maximum amplitude in

A. Left ventricle

B. Left atrium

C. Aorta



d. femoral

56. Chemical carcinogen

Alcohol

Alpha 1 antitrypsin

Benzidine

57. plerual plus pericardial effusion..if develope proteinuria whats diagnosis

a. wegners

b. vascular thickening

c

58. scanerio of SLE malar rash, photosensitivity, renal involvement. whats next

a. pericarditisb joint ankylosis

c pleural fibrisis

d. pleral hemorrhage

59. Adult man having respiratory distress

60. well trained athlete heart at rest has inc.

a. CO

b. SV

61. Chemotherapy given and now tumor size becoming small and small mechanism

A. Apoptosis

62. benzo..pheno and other antiepileptics act by

a. GABA

b. glutamate

c. ACh

63. grade 4 hepatoencephlopathy caused bya. paracetamole

2. amphetamine

64. 8 yrs old child with generalized odema. 1dt investigation.

a serum albumin

b. urinary protiens

65. diabetic HTN pt with nephro pathy

a. angiopathy= neuropathy



66. diabetic HTN pt with nephro pathy, investigation.

a. urinary protein

b. serum protein

c. serum creatinin

67. Uremic Nephropathy, cause of anemia

a.dec erythropoitin?

68. Macula densa senses?

a. dec NACL

b. hypotension

c. ischemia

d infarction

69. ionizing radiation, extent of tissue damagea. duration of radiation

b type of radiation

c type of tissue exposed

d size of tissue

70. intermediate from fatty acid cycle which enter kreb`s cycle

a. acetyl CoA

b. pyruvate

71. a question of MCD..........>defect in Basement membrane

72. Mucin Rich Gland

a. submandibular

b. parotid

c. sublingual

73. Match reflexes

a C6--> Biceps

b. c8---> triceps

c. S2,S3---. Ankle

d. L4,L5 ---> Knee

74.PNS---> dec size of Pupil

75. CCB, given in HOCM

a. verapamil

b. diltiazm

c. nefedipine

d nimodipine

e. amlodipine

75. Pheochromocytoma



a. Alpha antagonist

b. beta antagonist

c. alpha beta both

76. selective action of

a timolol acts on B1

b. butaxalol on B1

c. Levobunolol on B1

d. Levobunolol on B2

e. butaxolol on B2

77. which drug raises BP.

a. Adrenergic Alpha 1 agonist

b.

78. Immunostimulant hormone

A. Acth

B. Cortisol

C. B- endorphin

D. Gh ( till puberty)

e. somatostatin

79. AIDS associated skin CA

a. SCC

b. BCC

c Kaposi

80. platelets adhere to

a. rough endotheliu

b. intact endothelium

81. mitochondria enriched cells in apical part.

a. cilia containing cells

b. liver parenchymal cells

82. DNA containing organele other thn nucleus

a. mitochondria

b. lysosomec. Golgi

d. Ribosome

e. SER

83. CD4 cells----> Helper T cells

84. Helper T cells.

a. opsonization

b. activates plasma cells

c. already matured in fetal life



d.

85. LMWH and Heparin has in common

a. same action on factor 10

b. same action on prothrombin

c. same action on factor 5

86. After oral antiguagulant which factor inhibited first

a. factor 7

b. factor 11

c. factor 12

d. factor 5

87. Factor not included in intrinsic pathwaya. factor 7

b. factor 11

c. factor 12

d. factor 5

88. the most reliable diagnostic feature of Tuberculosis

a. granuloma

b. caseating granuloma

c. identifying AFB

89. Benzodiazepin..

a.tolerance?

b.depndace..?

c.hangover effect.?

d. epileptic fitz

90. Glebella is

a. part of frontal bone

b. part of frontal bone btw supracilliary arches

c. part of frontal bone just below nasion

91. which area of liver has most poor blood supplya. zone 1

b. zone 2.

c around central vein

b. around permanent cells

92. Slow growing thyroiod tumor---> paillary CA

93. pulmonary embolism, death, nothing specific i could recall. most imp cause

a. fat embolism

b. thromboembolism



c. air embolism

d emboli

94. after 5 years of transplant increase incidence of?

a. cervical dysplasia

b brain tumor

c.myeloproliferation

d.liver tumor

e.lymphoproliferative disorder

95.golgi tendon organ.

a.reduces strtch

b. cause relaxation. cause contraction

96. In hyaline cartilage

a. Collagn fibre visible

b. Fiber absent

c. Elstc fibre visible

d. Both elastic and collagen visible

97. GAS GANGRENE CAUSE OF DEATH.... TOXIEMIA

98. in tissue HB releases O2 by

a. inc temp

b. inc Ph

c inc 2,3,DPG

d. inc CO2

98. right shift of O2 dissociation curve

a. dec temp

b inc Ph

c Alveolar Capillaries (somethign like that)

d. hyperthyroid

99. adult HB....HBA

100. So 5 years old girl in morning PT, has cough and sore throat and in

past complained of wrist pain... Diagnose

A. Aso titre

B. Throat swab

C.RA FACTOR

101. Betal nuts---> submucosal fibrosis



102. Thyroid gland enclosed in

A. Pre tracheal

B. Prevertebral

C.

103. Excess stored iron with iron overload

a hemosiderin

b. ferritin

c trnsfrrin

104. catecholamines formed by

a tyrosine

b. tryptophan

c. phenylalanine

105.Amnion

a. derived from hypoblast

b. contineus with fetal membrane

c gives origin to vitelline vessels

d. form first pool of blood

106. baby born with esophageal atrisia

diagnosis

a. regurgitate all first feed

b. cough on feed

c. contineus drooling of saliva

107. What is most imp feature of malignacy

a N;C 1:1

b pleomorphism

c. invasion

108. Hypokalemia ----> U wave

109. Hypomagnessia associated with

a. hyper calcemia

b. hypocalcemiac. hypo phosphatemi

d. hypokalemia

e. hyponatremia

110. Keratititis .. xerostomia and joint pain

A. Sjorgen

111. dopamina Ach imbalance in basal ganglia

a. parkinson

b athetosis



c chorea

112. Basal Ganglia

a. initiate movement

b.movemenet coordination

c. cognitive motor function

113. Post communicating artery connects

a.Internal carotid with basilar

b. Internal carotid with post cerebral

c. Middle with post cerebral

114. Post fontanele

a. Vaginally cannot be palpated in deep transverse arrest

b. in occipito post position can be felt vaginallyc. cant be felt if position is sacropubic

d. closes with ant fontanele

e. larger than ant fonatnele

115. Cardiac muscle contractility is maintained by.

a. local chemical mediators

b. sympathetic afferents

c. parasympathetic afferents

d. superior most nerve from cervical chain

116. during excersize TPR is reduced by..

a. local metabolites from skeletal muscles

b. sympathetic stimulus

c. parasympathetic stimulus

117. polyartritis nodosa------- > Option with fibrosis .. another was Fibrinoid Necrosis

118. famous question of terminl ileal resection

119. question of buccopharyngeal membrane separating stomodium from foregut

120. cardiac muscle cannot be tetanised

a. long refractory period

b. due to automaticity

c. plateu

b.

121. In later stage of pregnancy, maternal blood is separated from fetal blood by

A Syncitiotrophoblast only

B Cytotrophoblast only

C Sybcytiotrophoblast and fetal endothelium



D Syncytiotrophoblast n cytotrophoblast

122 Arterial blood pressure will be increased by

A Saralasin/saralasix

B Spironolactone

C Alpha one agonist

D Phenoxybenzamine

123 Post adrenalectomy taste prefrence will be inc for

A NaCl

B Glucose

124 Inc PR interval with 120/80 bp,

A. Unifasicular block

B. BifasicularC Trifasicular

D. Third degree

E Complete Block

125 In pharyngeal phase of swallowing

A laryngeal vocal cords adduct

B larynx move down

C epiglottis does not move

D soft plate moves down

126 Voluntary muscle is contracted

A alpha motor discharge

B gamma motor discharge

C both simultaneously

127 Artery damaged in close proximity of phrenic N.

A Pericardiolhrenic Artery

B Musculophrenic Artery

C Internal thoracic Artery

128 pregnant lady vd cholelithiasis.......GGT

129 Viral hepatits, what should be raised ..ALT

130 chronic hepatitis......fibrosis in hepatocytes

131 Bioavailabity is measured when drug given ……Oral

132 False about fast pain

A. Medial Leminiscus



B. A delta

C. Ventral column

D. Glutamate

133 Neo corticocervical tract ends at?

A. Upper cervical level

B. Upper thoracic level

C. Mid thoracic level

D. Lower thoracic level

134 In Addition to Steroid synthesis Smooth Endoplasmic Reticulum performs following function

Unable to recall the proper question

A Detoxification

B

medicine past paper_ january 02 2016 (evening) (1)

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