FCPS part 1 Medicine & Allied past MCQs
1. Tumor spread by:
a. Migration of tumor cells
b. Breakdown of e-cadherin
c. sepeation of tumor cells from one another
d. Damaging extracellular matrix
e.
2. What is most common cause of congenital hypothyroidism:
a. Maternal iodide deficiency
b. Inborn error of metabolism
c. Defective embryogenesis
d. Antibodies against thyroid hormone crossing placenta
e.
3. Diabetic pat taking oral hypoglycemic drugs complain of abdominal fullness, which drug can b given to decrease gastropresis
a. Omeprazol
b. Cimetidi
c. Antacids
d. Metclopramide
e.
4. On motor bike accident fracture of neck of humerus n can,t abduct his arm.due to
a. Axillary nerve
b. Long thoracic nerve
c. Musculocutaneous nerve
d.
e.
5. Regarding trachea
a. Gap in the C shape cartilages are lying anteriorly
b. 15 cm in length
c. Recurrent laryngeal nerve pases anteriorly
d. Isthmus of thyroid lying in front of 4rt or 5th tracheal ring
e. Starts at the lower border of cricoid cartilage
6. Release of acid from stomach is mediated through
a. H1 receptor
b. H2 receptor
c. food in stomach
d.
e.
7. Diaphragm is supplied by
a. C3
b. C3,4,5
c. C4,5
d. C4,5,6
e.
8. A female at 36weeks gestation cmwith bili;20mg/dl raised SGPT & SGOT.she has returned from remote village. What can b the cause of infection?
a. HAV
b. HBV
c. HCV
d. HEV
e.
9. What is the structure arches around the root of left lung
a. Azygus vein
b. Arch of aorta
c. Left phrenic nerve
d. Left vagus nerve
e. Left recurrent laryngeal nerve
10. Regarding ESR decreased by increase in which of the following
a. Increase plasma globulin
b. Increase fibrinogen
c. Increase plasma Albumin
d. Increase globulin and albumin ratio
e. Temperature
11. Best example of phramacodynamics drug drug interaction:
a. Iincrease action of procain by epinephrine
b. Increase action of........... by Calcium
c. Toxicity of lithium with thiazide diuretics
d. Reverse the action of aspirin by NaHCO3
e. Reverse the action of Morphine by Naloxone
12. Following veins drain into coronay sinus, which vein continues as coronary sinus
a. Middle cardiac vein
b. Great cardiac vein
c. Anterior cardiac vein
d. Oblique vein
e.
13. Notochord arises from
a. Ectoderm
b. Mesoderm
c. Endoderm
d.
e.
14. Thyroid is derived from
a. Ectoderm
b. Mesoderm
c. Endoderm
d.
e.
15. Which one of the following is a chemical carcinogen
a. Alpha 1 antitrypsin
b. Benzidine
c. Ethyl alcohol
d. Propyl alcohol
e.
16. Contractile unit in skeletal muscle is between
a. h discs
b. z lines
c. t tubules
d.
e.
17. A/P radiograph of chest which structure forms right border of heart
a. SVC
b. IVC
c. Right ventricle
d. Arch of aorta
e. Left Atrium
18. 60 percent of work of breathing
a. is to overcome elastic recoil of lungs
b. Counteract chest wall compliance
c. Resistance offered by small size bronchi
d. Resistance by large bronchi
e.
19. Regarding nerve supply to skeletal muscle contains
a. 60%motor 40%sensory fibers
b. 40%motor 60%sensory
c. 60%motor 40%sensory and few postganglionic sympathetic fibers
d.
e.
20. Thirst stimulated by
a. ECF volume depletion
b. ICF volume depletion
c. Salt depletion
d.
e.
21. Regeneration least effected by
a. Diabetes
b. Infection
c. Uv light
d. corticosteroid
e.
22. In downs syndrome at 40 years of age
a. Alzhiemers disease
b. Stroke due to essential hypertension
c. Upper motor neuron lesion
d. Lower motor neuron lesion
e.
23. Primary cartilaginous joint
a. Costochondral
b. Teeth and jaw
c. Inferior tibiofibular joint
d. Symphysis Pubis
e.
24. Epinephrine reuptake by
a. Diffusion and reuptake
b. Diffusion, reuptake and enzyme catalysis
c. Diffusion
d. Reuptake
e. Enzyme catalysis
25. 2 yr old child presented with anemia and has hyper segmented neutrophil, MCV raised, how will you confirm your diagnosis
a. Intrinsic factor antibodies
b. Vit b12 level
c. Transcobalamin
d.
e.
26. Thrombus formation triad
a. Endothelial damage, slow blood flow, altered blood constituents
b. Endothelial damage; high blood flow, fibrin
c. Endo damage eddy blood flow
d. Plasma high blood flow
e.
27. After 6 hours of myocardial infarction which enzyme level most raised
a. CPK
b. LDH
c. ALT
d. AST
e. ALKALINE PHOSPHATASE
28. In adult female breast atrophy is commonly due to decrease
a. Estrogen
b. Estrogen and progesterone
c. Progesterone
d. Prolactin
e.
29. Patient taking MAO inhibitors, taking which of the following could cause hypertensive crisis?
a. Coffee
b. Chocolate
c. Cola
d. Pine apple
e. String beans
30. Left kidney is not related anteriorly to which of the following structures?
a. Diaphragm
b. Stomach
c. Pancrease
d. Spleen and splenic vessels
e. Splenic flexure of transverse colon
31. A 30 year man participated in marathon race the most common hormone changes you will find
a. Low Insulin, High Glucagon
b. Low Insulin, Low Glucagon
c. High Insulin, High Glucagon
d. High Insulin, Low Glucagon
e.
32. 2x2 table in biostats?
a. T-Test
b. Chi Square Test
c.
d.
e.
33. Which of the following lymphoid structure does NOT contain lymph nodules:
a. Spleen
b. Lymph node
c. Thymus
d. Payer's patches
e. Tonsils
34. A person has pH 7.48, CO2 66 and HCO3 27 . What is the diagnosis
a. Acute respiratory acidosis
b. Acute metabolic acidosis
c. Partially compensated respiratory acidosis
d. Partially compensated metabolic acidosis
e. Partially compensated metabolic alkalosis
35. A patient suffers from appendicitis. Peripheral blood shows leukocytosis. Pain will be mediated by
a. IL 1 and TNF alpha
b. Bradykinin and prostaglandin E
c. Serotonin
d. IL 6
e. enkephalin
36. In myocardial infarction, which earliest change occurs in formation of aschoff bodies
a. Fibrinoid necrosis
b. Inflamaton
c. Giant cell
d. Eosinophilia
e.
37. Regarding movements of foot:
a. Inversion n eversion occur at subtalar joint
b. Tibialis anterior n tibialis posterior cause inversion
c. Peronei cause eversion
d. Aschli tendon plays imp role when we r standing on toes
e.
38. 45y lady comes with vaginal bleeding doc advise her for hysterectomy due to premalignant condition which is it?
a. Atypical endometrial hyperplasia
b. Complex endometrial.....
c. Simple endometrial...
d. Squamous metaplasia
e.
39. Child with generalized edema and proteinurea 6g per day which part of the kidney involved
a. Interstitium
b. Basement membrane
c. Collecting tubules
d. Proximal convulated tubules
e. Distal tubules
40. Young female developed acute renal failure after post partum hemorrhage. which part of the kidney is most likely damaged
a. Proximal convuluted tubules
b. Loop of henle
c. Collecting tubules
d. Dital convuluted tubules
e.
41. Regarding neutrophil correct
a. Migrate into and out of blood stream
b. More phagocytic in bloodstream
c. Decrease in infective conditions
d. Decrease when corticosteroid given
e.
42. Initial response to tissue injury is:
a. Vasoconstriction
b. Clot formation
c. Platelet adherence
d.
e.
43. Hypoxia causes vasoconstriction in
a. Pulmonary vasculature
b. Heart
c. Brain
d. Kidney
e.
44. High levels of protein associated with
a. Chylomicrons
b. HDL
c. VLDL
d. LDL
e.
45. After 6 hours of myocardial infarction which enzyme level most raised
a. CPK
b. LDH
c. ALT
d. AST
e. ALKALINE PHOSPHATASE
46. Blood supply of motor cerebral cortex
a. Anterior and middle cerebral artery
b. Anterior and posterior cerebral artery
c. Basillar artery
d.
e.
47. Most common cause of promotion of liver cirrhosis in an adult male?
a. Alcoholism
b. Hepatitis B
c. Hepatitis C
d. Hepatitis A
e. Hepatitis D
48. What is most characteristic of cerebral motor cortex
a. is present in frontal lobe
b. Doesn't receive any sensory input
c. is essential to carry out voluntary movements
d. essential for stretch reflex
e.
49. 3rd ventricle, what is most inappropriate
a. choroid plexus is present in its floor
b. choroid plexus is supplied by internal carotid and basillary artery
c. is connected to lateral ventricles via interventricular formina
d. is connected to 4th ventricle via cerebral acqueduct
e. present in midbrain
50. Diff b/w first n second heart sounds...
a. Frequency
b. Duration
c. With carotid pulse
d.
e.
51. Distribution of drug enhanced by?
a. Ionized state
b. Lipid solubility
c. Electric equivalence
d.
e.
52. Right bronchus
a. Is shorter
b. Is vertical
c. is infront of pulm artey
d. is infront of pulm vein
e.
53. Fasting blood sugar of patient is 6.8 mol(122mg/dl) after 1 hour of gtt its 10.9 mol and later after 2 hours post prandial it was 10.7 mol(194 mg/dl) what is the diagnosis..
a. Diabetes mellitus
b. Impaired gluc tolerance
c. long lag phase
d. Secondary diabetes mellitus
e.
54. Ischemia in Diabetes mellitus commonly results from
a. Dry gangrene
b. Gas gangrene
c. Endarteritis obliterans
d. Wet gangrene
e.
55. Rods and cones wid excitatory potentials to ganglion and bipolar cells...which neurotransmitter?
a. GABA
b. Glycine
c. Glutamate
d.
e.
56. Which structure doesn’t lie deep to the parotid gland?
a. Internal jugular vein
b. Internal carotid artery
c. Pharynx
d. Parotid duct
e. x, xi nerves in the carotid sheath
57. Bad news, when delivered to patient, should ideally be
a. At bedside
b. All the staff involved in patient's care should be present
c. In front of all family members
d. In doctor's office, in a formal session, in environment of exclusivity
e.
58. Regarding counseling, when done to pts, is good for
a. Their friends
b. Family members
c. Other pts
d. Themselves
e.
59. Which of the following tumors doesn’t cause distant metastases?
a. basal cell Ca
b. dysgerminoma
c. verucous carcinoma
d. Squamous cell carcinoma
e.
60. cx shows mild dysplasia with squamous vacuoles:
a. CIN 1
b. CIN II
c. CIN III
d. Ca in situ
e. HPV
61. Which one of the following organ is present inside the peritoneal cavity?
a. fallopian tubes
b. ovary
c. gonads
d. first part of the duodenum
e. round ligament of uterus
62. What is the most common cause of increased vascular permeability?
a. Inflammation
b. Trauma
c. Immunological
d. Allergy
e.
63. Regarding Vitamin K
a. is a water soluble vitamin
b. produced by intestinal bacteria
c. present in large amount in human and cow's milk
d. When given in neonatal hemorrhage, prevents coagulation
e.
64. Psoas muscle
a. originate from all lumbar vertebra
b. present b/w lumber plexus
c. passes in front of inguinal ligament
d.
e.
65. Half life of carboxyhaemaglobin.
a. 5 min
b. 2hr
c. 6 hr
d. 4 hr
e.
66. Regarding icf
a. 2/3 of tbw
b. 1/3 of tbw
c.
d.
e.
67. Which of the following non hairy regions does not have sebacous glands?
a. glans and prepuce of penis
b. labia minora
c. margins of lips
d. palms and soles of feet
e. nipple
68. ESR decreases with increase in:
a. cholesterol in blood
b. inc. globulin
c. plasma albumin
d. fibrinogen
e. temperature
69. Hypokalemia causes which of the following...
a. Hyperpolarization
b. Hyperexcitability
c. decrease in height of action potential
d.
e.
70. An alcoholic patient comes with wernikes korasakoff syndrome. It could be due to def of which of the following vitamins
a. B1
b. A
c. D
d. K
e. C
71. In 90 percent of anthrax infections
a. Hemorrhagic pneumonia
b. gatrointestinal hemorrhage
c. skin lesions
d. bacteremia
e.
72. Not related to spinal cord
a. ant gray horn
b. latearl lemniscus
c. posterolateal sulcus
d. gray commisure
e.
73. Patient presented with painless heamaturia along with fever, night sweats for 2 months, ultrasound abdomen plain is normal, diagnosis is
a. Renal Cell Carcinoma
b. Acute Pyelonephritis
c. Renal tuberculosis
d. Acute tubular Necrosis
e.
74. A patient with cervical lymphadenopathy, CXR shows Bilateral Hilar Lymphadenopathy. Biopsy shows caseating granulomaous pattern, diagnosis is
a. Sarcoidosis
b. Tuberculosis
c.
d.
e.
75. A 21 year old having severe Ulcerative Colitis,which of the following is indicated
a. Azathioprine
b. IV Corticosteroides
c. Sulfasalazine
d.
e.
76. In which of the following conditions,atrial repolarization is evident on ECG
a. 1st degree heart block
b. 3rd degree heart block
c. MI
d. Deep inspiraion
e.
77. Which of the following suppress GH release?
a. Puberty
b. Sleep
c. Somatomedin
d. Starvation
e. Stress
78. Which organ has a highest arteriovenous shunts
a. liver
b. lungs
c. heart
d. kidneys
e.
79. If ejection fraction is increased there will be
a. dec end-systolic volume
b. dec end-diastolic volume
c.
d.
e.
80. Amoebic liver abscess spread to lungs by
a. Direct
b. Lymphatics
c. Haematogenous
d. through diaphragm
e.
81. A pregnant lady has mitral stenosis,, to prevent atrial fibrillaton treatment is
a. im heparin
b. iv heparin
c. heparin and oral anticoagulant
d. oral anticoagulant
e.
82. There was some question from biostats that which is most inappropriate?
a. something was abt variance
b. experimental p<0.05
c. exploratory p<0.01
d. analysis of variance that it can be done by one thing
e.
83. Root value of knee jerk
a. L3 L4
b. s1
c. L1,2
d.
e.
84. A boy engulfs peanut and it got stuck in the air way where would it occlude?
a. right main bronchus
b. right middle broncus
c. right lower bronchus
d. left lower bronchus
e.
85. Which of the following is a tumour supressor gene?
a. Ras
b. bcl2
c. ABL
d.
e.
86. Acidophillic cytoplasm with basophilic granules, structure less material in center, outline irregular
a. karyolysis
b. hydrops degeneration
c. apoptosis
d. hydrolysis
e.
87. Cyclosporin acts by
a. stimulating production of NK cells
b. modifying maturation of T cells
c. inhibiting NK cells
d.
e.
88. How many ATPs are produced after complete metabolism of one molecule of Glucose?
a. 30
b. 32
c. 38
d. 40
e. 44
89. Female child born then sent home. 15 hours later she presented with cyanosis + weak pulse & diagnosis?
a. VSD
b. TRANSPOSITION OF GREAT VESSELS with no communication like VSD/ASD
c. hypoplastic Left ventricle
d. TOF
e. PDA
90. most powerful stimulus for rennin
a. dec NA Cocent to tbules
b. hypotention
c. sympathetic stimulation
d.
e.
91. Dietary fibers
a. Collagens
b. Peptidoglycans
c. Pectin
d. Starc
e.
92. Lymph flow from the foot is
a. increased when an individual rises from the supine to the standing position
b. increased by massaging the foot
c. increased when capillary permeability is decreased
d. decreased when the valves of the leg veins are incompetent
e. decreased by exercise
93. Which of the following is not synthesized in both endocrine glands and the brain?
a. Somatostatin
b. Cortisol
c. Dopamine
d. ACTH
e. Oxytocin
94. Regular rhythmic fluctuations in electrical activity are observed in the cerebral cortex and thalamus. In addition, they are seen in the
a. mediobasal portion of the hypothalamus
b. cerebellar cortex
c. midbrain reticular formation
d. amygdale
e. pons
95. In a healthy, alert adult sitting with the eyes closed, the dominant EEG rhythm observed with electrodes over the occipital lobes is
a. delta (0.5-4 Hz)
b. theta (4-7 Hz)
c. alpha (8-13 Hz)
d. beta (18-30 Hz)
e. fast, irregular low-voltage activity
96. A person cannot differentiate between red n green colour while making presentation on computer, what is the most likely defect in this patient ?
a. Absent rods.
b. Absent cones.
c. macula lutea
d.
e.
97. What will be the symptoms if there is leison in left optic radiation?
a. Blind left eye.
b. rt.homonymous hemianopia.
c. bitemporal hemianopia.
d. binasal hemianopia.
e. lt.homonymous hemianopia
98. In right shift of oxygen dissc. curve the most likely value of T50 would b?
a. 20
b. 18
c. 26
d. 35
e.
99. The part of basal nuclei is.........?
a. putamen.
b. amygdolid.
c. Subthalamus
d. Hypothalamus
e.
100. Isoelectric segment of ECG during which the complete ventricular depolirization occurs
a. QRS
b. QT SEG
c. ST seg
d.
e.
1. Tumor spread by:
a. Migration of tumor cells
b. Breakdown of e-cadherin
c. sepeation of tumor cells from one another
d. Damaging extracellular matrix
e.
2. What is most common cause of congenital hypothyroidism:
a. Maternal iodide deficiency
b. Inborn error of metabolism
c. Defective embryogenesis
d. Antibodies against thyroid hormone crossing placenta
e.
3. Diabetic pat taking oral hypoglycemic drugs complain of abdominal fullness, which drug can b given to decrease gastropresis
a. Omeprazol
b. Cimetidi
c. Antacids
d. Metclopramide
e.
4. On motor bike accident fracture of neck of humerus n can,t abduct his arm.due to
a. Axillary nerve
b. Long thoracic nerve
c. Musculocutaneous nerve
d.
e.
5. Regarding trachea
a. Gap in the C shape cartilages are lying anteriorly
b. 15 cm in length
c. Recurrent laryngeal nerve pases anteriorly
d. Isthmus of thyroid lying in front of 4rt or 5th tracheal ring
e. Starts at the lower border of cricoid cartilage
6. Release of acid from stomach is mediated through
a. H1 receptor
b. H2 receptor
c. food in stomach
d.
e.
7. Diaphragm is supplied by
a. C3
b. C3,4,5
c. C4,5
d. C4,5,6
e.
8. A female at 36weeks gestation cmwith bili;20mg/dl raised SGPT & SGOT.she has returned from remote village. What can b the cause of infection?
a. HAV
b. HBV
c. HCV
d. HEV
e.
9. What is the structure arches around the root of left lung
a. Azygus vein
b. Arch of aorta
c. Left phrenic nerve
d. Left vagus nerve
e. Left recurrent laryngeal nerve
10. Regarding ESR decreased by increase in which of the following
a. Increase plasma globulin
b. Increase fibrinogen
c. Increase plasma Albumin
d. Increase globulin and albumin ratio
e. Temperature
11. Best example of phramacodynamics drug drug interaction:
a. Iincrease action of procain by epinephrine
b. Increase action of........... by Calcium
c. Toxicity of lithium with thiazide diuretics
d. Reverse the action of aspirin by NaHCO3
e. Reverse the action of Morphine by Naloxone
12. Following veins drain into coronay sinus, which vein continues as coronary sinus
a. Middle cardiac vein
b. Great cardiac vein
c. Anterior cardiac vein
d. Oblique vein
e.
13. Notochord arises from
a. Ectoderm
b. Mesoderm
c. Endoderm
d.
e.
14. Thyroid is derived from
a. Ectoderm
b. Mesoderm
c. Endoderm
d.
e.
15. Which one of the following is a chemical carcinogen
a. Alpha 1 antitrypsin
b. Benzidine
c. Ethyl alcohol
d. Propyl alcohol
e.
16. Contractile unit in skeletal muscle is between
a. h discs
b. z lines
c. t tubules
d.
e.
17. A/P radiograph of chest which structure forms right border of heart
a. SVC
b. IVC
c. Right ventricle
d. Arch of aorta
e. Left Atrium
18. 60 percent of work of breathing
a. is to overcome elastic recoil of lungs
b. Counteract chest wall compliance
c. Resistance offered by small size bronchi
d. Resistance by large bronchi
e.
19. Regarding nerve supply to skeletal muscle contains
a. 60%motor 40%sensory fibers
b. 40%motor 60%sensory
c. 60%motor 40%sensory and few postganglionic sympathetic fibers
d.
e.
20. Thirst stimulated by
a. ECF volume depletion
b. ICF volume depletion
c. Salt depletion
d.
e.
21. Regeneration least effected by
a. Diabetes
b. Infection
c. Uv light
d. corticosteroid
e.
22. In downs syndrome at 40 years of age
a. Alzhiemers disease
b. Stroke due to essential hypertension
c. Upper motor neuron lesion
d. Lower motor neuron lesion
e.
23. Primary cartilaginous joint
a. Costochondral
b. Teeth and jaw
c. Inferior tibiofibular joint
d. Symphysis Pubis
e.
24. Epinephrine reuptake by
a. Diffusion and reuptake
b. Diffusion, reuptake and enzyme catalysis
c. Diffusion
d. Reuptake
e. Enzyme catalysis
25. 2 yr old child presented with anemia and has hyper segmented neutrophil, MCV raised, how will you confirm your diagnosis
a. Intrinsic factor antibodies
b. Vit b12 level
c. Transcobalamin
d.
e.
26. Thrombus formation triad
a. Endothelial damage, slow blood flow, altered blood constituents
b. Endothelial damage; high blood flow, fibrin
c. Endo damage eddy blood flow
d. Plasma high blood flow
e.
27. After 6 hours of myocardial infarction which enzyme level most raised
a. CPK
b. LDH
c. ALT
d. AST
e. ALKALINE PHOSPHATASE
28. In adult female breast atrophy is commonly due to decrease
a. Estrogen
b. Estrogen and progesterone
c. Progesterone
d. Prolactin
e.
29. Patient taking MAO inhibitors, taking which of the following could cause hypertensive crisis?
a. Coffee
b. Chocolate
c. Cola
d. Pine apple
e. String beans
30. Left kidney is not related anteriorly to which of the following structures?
a. Diaphragm
b. Stomach
c. Pancrease
d. Spleen and splenic vessels
e. Splenic flexure of transverse colon
31. A 30 year man participated in marathon race the most common hormone changes you will find
a. Low Insulin, High Glucagon
b. Low Insulin, Low Glucagon
c. High Insulin, High Glucagon
d. High Insulin, Low Glucagon
e.
32. 2x2 table in biostats?
a. T-Test
b. Chi Square Test
c.
d.
e.
33. Which of the following lymphoid structure does NOT contain lymph nodules:
a. Spleen
b. Lymph node
c. Thymus
d. Payer's patches
e. Tonsils
34. A person has pH 7.48, CO2 66 and HCO3 27 . What is the diagnosis
a. Acute respiratory acidosis
b. Acute metabolic acidosis
c. Partially compensated respiratory acidosis
d. Partially compensated metabolic acidosis
e. Partially compensated metabolic alkalosis
35. A patient suffers from appendicitis. Peripheral blood shows leukocytosis. Pain will be mediated by
a. IL 1 and TNF alpha
b. Bradykinin and prostaglandin E
c. Serotonin
d. IL 6
e. enkephalin
36. In myocardial infarction, which earliest change occurs in formation of aschoff bodies
a. Fibrinoid necrosis
b. Inflamaton
c. Giant cell
d. Eosinophilia
e.
37. Regarding movements of foot:
a. Inversion n eversion occur at subtalar joint
b. Tibialis anterior n tibialis posterior cause inversion
c. Peronei cause eversion
d. Aschli tendon plays imp role when we r standing on toes
e.
38. 45y lady comes with vaginal bleeding doc advise her for hysterectomy due to premalignant condition which is it?
a. Atypical endometrial hyperplasia
b. Complex endometrial.....
c. Simple endometrial...
d. Squamous metaplasia
e.
39. Child with generalized edema and proteinurea 6g per day which part of the kidney involved
a. Interstitium
b. Basement membrane
c. Collecting tubules
d. Proximal convulated tubules
e. Distal tubules
40. Young female developed acute renal failure after post partum hemorrhage. which part of the kidney is most likely damaged
a. Proximal convuluted tubules
b. Loop of henle
c. Collecting tubules
d. Dital convuluted tubules
e.
41. Regarding neutrophil correct
a. Migrate into and out of blood stream
b. More phagocytic in bloodstream
c. Decrease in infective conditions
d. Decrease when corticosteroid given
e.
42. Initial response to tissue injury is:
a. Vasoconstriction
b. Clot formation
c. Platelet adherence
d.
e.
43. Hypoxia causes vasoconstriction in
a. Pulmonary vasculature
b. Heart
c. Brain
d. Kidney
e.
44. High levels of protein associated with
a. Chylomicrons
b. HDL
c. VLDL
d. LDL
e.
45. After 6 hours of myocardial infarction which enzyme level most raised
a. CPK
b. LDH
c. ALT
d. AST
e. ALKALINE PHOSPHATASE
46. Blood supply of motor cerebral cortex
a. Anterior and middle cerebral artery
b. Anterior and posterior cerebral artery
c. Basillar artery
d.
e.
47. Most common cause of promotion of liver cirrhosis in an adult male?
a. Alcoholism
b. Hepatitis B
c. Hepatitis C
d. Hepatitis A
e. Hepatitis D
48. What is most characteristic of cerebral motor cortex
a. is present in frontal lobe
b. Doesn't receive any sensory input
c. is essential to carry out voluntary movements
d. essential for stretch reflex
e.
49. 3rd ventricle, what is most inappropriate
a. choroid plexus is present in its floor
b. choroid plexus is supplied by internal carotid and basillary artery
c. is connected to lateral ventricles via interventricular formina
d. is connected to 4th ventricle via cerebral acqueduct
e. present in midbrain
50. Diff b/w first n second heart sounds...
a. Frequency
b. Duration
c. With carotid pulse
d.
e.
51. Distribution of drug enhanced by?
a. Ionized state
b. Lipid solubility
c. Electric equivalence
d.
e.
52. Right bronchus
a. Is shorter
b. Is vertical
c. is infront of pulm artey
d. is infront of pulm vein
e.
53. Fasting blood sugar of patient is 6.8 mol(122mg/dl) after 1 hour of gtt its 10.9 mol and later after 2 hours post prandial it was 10.7 mol(194 mg/dl) what is the diagnosis..
a. Diabetes mellitus
b. Impaired gluc tolerance
c. long lag phase
d. Secondary diabetes mellitus
e.
54. Ischemia in Diabetes mellitus commonly results from
a. Dry gangrene
b. Gas gangrene
c. Endarteritis obliterans
d. Wet gangrene
e.
55. Rods and cones wid excitatory potentials to ganglion and bipolar cells...which neurotransmitter?
a. GABA
b. Glycine
c. Glutamate
d.
e.
56. Which structure doesn’t lie deep to the parotid gland?
a. Internal jugular vein
b. Internal carotid artery
c. Pharynx
d. Parotid duct
e. x, xi nerves in the carotid sheath
57. Bad news, when delivered to patient, should ideally be
a. At bedside
b. All the staff involved in patient's care should be present
c. In front of all family members
d. In doctor's office, in a formal session, in environment of exclusivity
e.
58. Regarding counseling, when done to pts, is good for
a. Their friends
b. Family members
c. Other pts
d. Themselves
e.
59. Which of the following tumors doesn’t cause distant metastases?
a. basal cell Ca
b. dysgerminoma
c. verucous carcinoma
d. Squamous cell carcinoma
e.
60. cx shows mild dysplasia with squamous vacuoles:
a. CIN 1
b. CIN II
c. CIN III
d. Ca in situ
e. HPV
61. Which one of the following organ is present inside the peritoneal cavity?
a. fallopian tubes
b. ovary
c. gonads
d. first part of the duodenum
e. round ligament of uterus
62. What is the most common cause of increased vascular permeability?
a. Inflammation
b. Trauma
c. Immunological
d. Allergy
e.
63. Regarding Vitamin K
a. is a water soluble vitamin
b. produced by intestinal bacteria
c. present in large amount in human and cow's milk
d. When given in neonatal hemorrhage, prevents coagulation
e.
64. Psoas muscle
a. originate from all lumbar vertebra
b. present b/w lumber plexus
c. passes in front of inguinal ligament
d.
e.
65. Half life of carboxyhaemaglobin.
a. 5 min
b. 2hr
c. 6 hr
d. 4 hr
e.
66. Regarding icf
a. 2/3 of tbw
b. 1/3 of tbw
c.
d.
e.
67. Which of the following non hairy regions does not have sebacous glands?
a. glans and prepuce of penis
b. labia minora
c. margins of lips
d. palms and soles of feet
e. nipple
68. ESR decreases with increase in:
a. cholesterol in blood
b. inc. globulin
c. plasma albumin
d. fibrinogen
e. temperature
69. Hypokalemia causes which of the following...
a. Hyperpolarization
b. Hyperexcitability
c. decrease in height of action potential
d.
e.
70. An alcoholic patient comes with wernikes korasakoff syndrome. It could be due to def of which of the following vitamins
a. B1
b. A
c. D
d. K
e. C
71. In 90 percent of anthrax infections
a. Hemorrhagic pneumonia
b. gatrointestinal hemorrhage
c. skin lesions
d. bacteremia
e.
72. Not related to spinal cord
a. ant gray horn
b. latearl lemniscus
c. posterolateal sulcus
d. gray commisure
e.
73. Patient presented with painless heamaturia along with fever, night sweats for 2 months, ultrasound abdomen plain is normal, diagnosis is
a. Renal Cell Carcinoma
b. Acute Pyelonephritis
c. Renal tuberculosis
d. Acute tubular Necrosis
e.
74. A patient with cervical lymphadenopathy, CXR shows Bilateral Hilar Lymphadenopathy. Biopsy shows caseating granulomaous pattern, diagnosis is
a. Sarcoidosis
b. Tuberculosis
c.
d.
e.
75. A 21 year old having severe Ulcerative Colitis,which of the following is indicated
a. Azathioprine
b. IV Corticosteroides
c. Sulfasalazine
d.
e.
76. In which of the following conditions,atrial repolarization is evident on ECG
a. 1st degree heart block
b. 3rd degree heart block
c. MI
d. Deep inspiraion
e.
77. Which of the following suppress GH release?
a. Puberty
b. Sleep
c. Somatomedin
d. Starvation
e. Stress
78. Which organ has a highest arteriovenous shunts
a. liver
b. lungs
c. heart
d. kidneys
e.
79. If ejection fraction is increased there will be
a. dec end-systolic volume
b. dec end-diastolic volume
c.
d.
e.
80. Amoebic liver abscess spread to lungs by
a. Direct
b. Lymphatics
c. Haematogenous
d. through diaphragm
e.
81. A pregnant lady has mitral stenosis,, to prevent atrial fibrillaton treatment is
a. im heparin
b. iv heparin
c. heparin and oral anticoagulant
d. oral anticoagulant
e.
82. There was some question from biostats that which is most inappropriate?
a. something was abt variance
b. experimental p<0.05
c. exploratory p<0.01
d. analysis of variance that it can be done by one thing
e.
83. Root value of knee jerk
a. L3 L4
b. s1
c. L1,2
d.
e.
84. A boy engulfs peanut and it got stuck in the air way where would it occlude?
a. right main bronchus
b. right middle broncus
c. right lower bronchus
d. left lower bronchus
e.
85. Which of the following is a tumour supressor gene?
a. Ras
b. bcl2
c. ABL
d.
e.
86. Acidophillic cytoplasm with basophilic granules, structure less material in center, outline irregular
a. karyolysis
b. hydrops degeneration
c. apoptosis
d. hydrolysis
e.
87. Cyclosporin acts by
a. stimulating production of NK cells
b. modifying maturation of T cells
c. inhibiting NK cells
d.
e.
88. How many ATPs are produced after complete metabolism of one molecule of Glucose?
a. 30
b. 32
c. 38
d. 40
e. 44
89. Female child born then sent home. 15 hours later she presented with cyanosis + weak pulse & diagnosis?
a. VSD
b. TRANSPOSITION OF GREAT VESSELS with no communication like VSD/ASD
c. hypoplastic Left ventricle
d. TOF
e. PDA
90. most powerful stimulus for rennin
a. dec NA Cocent to tbules
b. hypotention
c. sympathetic stimulation
d.
e.
91. Dietary fibers
a. Collagens
b. Peptidoglycans
c. Pectin
d. Starc
e.
92. Lymph flow from the foot is
a. increased when an individual rises from the supine to the standing position
b. increased by massaging the foot
c. increased when capillary permeability is decreased
d. decreased when the valves of the leg veins are incompetent
e. decreased by exercise
93. Which of the following is not synthesized in both endocrine glands and the brain?
a. Somatostatin
b. Cortisol
c. Dopamine
d. ACTH
e. Oxytocin
94. Regular rhythmic fluctuations in electrical activity are observed in the cerebral cortex and thalamus. In addition, they are seen in the
a. mediobasal portion of the hypothalamus
b. cerebellar cortex
c. midbrain reticular formation
d. amygdale
e. pons
95. In a healthy, alert adult sitting with the eyes closed, the dominant EEG rhythm observed with electrodes over the occipital lobes is
a. delta (0.5-4 Hz)
b. theta (4-7 Hz)
c. alpha (8-13 Hz)
d. beta (18-30 Hz)
e. fast, irregular low-voltage activity
96. A person cannot differentiate between red n green colour while making presentation on computer, what is the most likely defect in this patient ?
a. Absent rods.
b. Absent cones.
c. macula lutea
d.
e.
97. What will be the symptoms if there is leison in left optic radiation?
a. Blind left eye.
b. rt.homonymous hemianopia.
c. bitemporal hemianopia.
d. binasal hemianopia.
e. lt.homonymous hemianopia
98. In right shift of oxygen dissc. curve the most likely value of T50 would b?
a. 20
b. 18
c. 26
d. 35
e.
99. The part of basal nuclei is.........?
a. putamen.
b. amygdolid.
c. Subthalamus
d. Hypothalamus
e.
100. Isoelectric segment of ECG during which the complete ventricular depolirization occurs
a. QRS
b. QT SEG
c. ST seg
d.
e.
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