FCPS Past Papers, Recalls,fcps part 1 mcqs Medicine & Allied, November 2012 set 1

FCPS Past Papers, Recalls,fcps part 1 mcqs Medicine & Allied,  20^th NOVEMBER 2012 set 1

1.      DIENCEPHALON DOESNOT INCLUDE:

·         INFUNDIBULUM

·         HABENULAR NUCLEUS

·         PULVINAR

·         SUPERIOR COLLICULUS

·         MAMILLARY BODY

2.      A 35 YRS OLD PERSON PRESENTED WITH GLYCOSURIA BUT HIS RBS/FBS IS 100MG/DL. MOST LIKELY DUE TO:

·         HE CANNOT ABSORB GLUCOSE FROM PCT

·         HE HAS DIABETES MELLITUS

·         HE HAS ABNORMAL ABSORPTION OF GLUCOSE

·         HIS KIDNEY HAS LOW GLUCOSE THRESHOLD

3.      A PATIENT PRESENTS WITH ITCHING (AND SOME OTHER SYMPTOMS) ON WORKUP FOUND TO HAVE INTESTINAL WORM INFESTATION. HIS BLOOD WORKUP WILL MOST LIKELY  SHOW INCREASE:

·         NEUTROPHILS

·         EOSINOPHILS

·         LYMPHOCYTES

·         MONOCYTES

·         BASOPHILS

4.      FREQUENT ADVERSE EFFECT OF CIMETIDINE IS :

• INHIBITS HEPATIC METABOLISM/ENZYME
• AGRANULOCYTOSIS
• ANTI-ESTROGENIC EFFECT
• HYPERTENSION
• SLE

5. A HEMATOCRIT OF 4I% MEANS:

• 41% OF FORMED ELEMENTS IN BLOOD ARE RBCS
• 41% OF BLOOD IS PLASMA
• 41% OF BLOOD IS SERUM
• 41% OF FORMED ELEMENTS IN BLOOD COMPRISES OF RBCS, WBCS AND PLATELETS
• 41% OF RBCS CONTAIN HEMOGLOBIN

6. WHICH OF THE FOLLOWING SHIFTS THE O2-HGB DISSOCIATION CURVE TO RIGHT:

• ACIDOSIS
• ALKALOSIS
• INCREASE pH
• NO
• FETAL HEMOGLOBIN

7. PATIENT RECEIVING ATT, DEVELOPS GOUT. DRUG WHICH SHOULD BE STOPPED:

• ISONIAZID
• ETHAMBUTOL
• PYRAZINAMIDE
• STREPTOMYSIN
• RIFAMPICIN

8. AXON OF A NERVE TERMINAL DOESNOT CONTAIN:

·         NISSL BODIES

·         MICROFILAMENTS

·         MICROTUBULES

·         MITOCHONDRIA

9. WHICH OF THE FOLLOWING BINDS TO AND INACTIVATES MYOSIN BINDING SITE ON ACTIN:

• TROPOMYOSIN
• TROPONIN C
• TROPONIN T

10. T-WAVE ON ECG REPRESENTS:

• VENTRICULAR REPOLARIZATION
• VENTRICULAR DEPOLARIZATION
• ATRIAL REPOLARIZATION
• REFRACTORY PERIOD

11. SPECIFICITY DETECTS:

• DISEASED PERSONS
• TRUE NEGATIVE
• FALSE NEGATIVE
• TRUE POSITIVE
• FALSE POSITIVE

12. A GYNEACOLOGIST TESTING EFFICACY OF NORFLOXACIN AND AMOXICILLLIN IN UTI, GROUPED AS A & B  RANDOMLY ALLOCATED TO PATIENTS RECEIVING EITHER ONE OF THEM. THIS IS AN EXAMPLE OF:

• DOUBLE BLIND
• SINGLE BLIND
• TRIPLE BLIND
• CROSS-SECTIONAL STUDY
• COHORT

13. GOOD DOCTOR-PATIENT MUST HAVE:

• ACTIVE LISTENING
• IDEAL CLINIC
• GOOD SOCIAL SKILLS
• LOGICAL ANSWERS TO QUESTIONS ASKED

14. TO DISCLOSE ABOUT A RECNTLY DIAGNOSED FATAL DISEASE. MOST APPROPRATE:

• TELL FAMILY & PATIENT AS SOON AS KNOWN
• TELL PATIENT BUT NOT FAMILY
• TELL FAMILY BUT NOT PATIENT
• CRISP, LOGICAL, EVIDENCE BASED ACCURATE INFORMATION TO THE PATIENT AND FAMILY ACCORDING TO DEMAND

15. DISTRIBUTION OF A DRUG IN BODY IS NOT AFFECTED BY:

·         SEX

·         AGE

·         CARDIAC FAILURE

·         RENAL FAILURE

·         PREGNANCY

16. BIOAVAILABILITY IS FOR DRUGS ADMINISTERED:

• IM
• IV
• ORAL
• SC
• SL

17. IN SLOW WAVE SLEEP, MAIN NEUROTRANSMITTER IS:

• SEROTONIN
• ACETYLCHOLINE
• DOPAMINE
• NOR-EPINEPHRINE

18.  ENZYMES WHICH CONVERT A RADICAL FROM ONE COMPOUND (GROUP OF ATOM) TO ANOTHER COMPOUND IS A FUNCTION OF:

• HYDROLASES
• ISOMERASES
• OXIDO-REDUCTASE
• TRANSFERASE
• SYNTHETASE

19.  FOLLOWING USE AMP AS THEIR MECHANISM IN CELL MEMBRANE:

• RECEPTOR
• CARRIER PROTEIN
• ION CHANNELS
• HORMONES??

20.  STEROID HORMONES ACT BY:

• cAMP
• GENE ALTERATION(PROTEIN SYNTHESIS)
• ALTERATION IN NUCLEAR MEMBRANE

21. VIRUSES PRODUCE PATHOLOGICAL EFFECTS BY:

• CHANGES IN NUCLEAR MEMBRANE
• ATTACK MITOCHONDRIA
• ALTERATION IN PROTEIN SYNTHESIS
• FORMATION OF CYTOPPLASMIC PIGMENT
• FORMATION OF FREE RADICALS

22.  ß-ENDORPHINS MOST ABUNDANTLY ARE FOUND IN:

• THALAMUS
• HYPOTHALAMUS
• BRAINSTEM
• BASAL GANGLIA

23.  GENETIC DISEASES MOSTLY HAVE PATHOLOLGY INVOLVING:

• DNA
• mRNA
• tRNA
• PROTEINS

24.  PERMANENT OR NON-REPLICATING CELLS ARE:

• SKELETAL MUSCLE
• CARDIAC MUSCLE
• GLIAL CELLS
• HEPATOCYTE
• RENAL TUBULAR

25.  WHILE CALCULATING PLASMA OSMOLALITY, Na IS MULTIPLIED BY TWO BECAUSE OF:

• OTHER CATIONS
• ANIONS
• CALCIUM
• PROTEINS/ALBUMIN

26.  K GRADIENT ACROSS THE CELL MEMBRANE IS MAINTAINED IN BODY BY:

• Na-K ATPase
• RENAL TUBULES
• ALDOSTERONE

27.  EXAMPLE OF SECONDARY ACTIVE TRANSPORT:

• Na
• GLUCOSE
• O2
• CO2
• PROTEIN

28.  SCENARIO OF MENTAL RETARDATION, HYPOTONIA, HYPERMOBILITY, PROTRUDED TONGUE, UMBLICAL HERNIA AND UPWARD SLANT OF LATERAL EPICANTHUS. MOST LIKELY TRISOMY OF CHROMOSOME:

• 9
• 11
• 21
• 14

29.        LIVER IS HELD IN THE UPPER PART OF ABDOMINAL CAVITY BY:

·         ABDOMINAL MUSCLE TONE

·         ATTACHMENT OF HEPATIC VEINS TO INFERIOR VENA CAVA

·         ATTACHMENT TTO DIAPHRAGM

·         INTRAABDOMINAL PRESSURE

·         PERITONEAL LIGAMENTS

30.  ABOUT BLOOD GROUP WHICH IS APPROPRIATE:

·         ARE ENZYMES

·         CALLED AGGLUTININS

·         SECRETED IN SALIVA

31.  REGARDING ADULT POLYCYSTIC KIDNEY DISEASE, 50% OF GENERATION NOT AFFECTED AND DO NOT TRANSMIT DISEASE TO OTHER GENERATION, MOST LIKELY INHERITANCE PATTERN:

·         AUTOSOMAL DOMINANT

·         AUTOSOMAL RECESSIVE

·         X-LINKED

·         MULTIFACTORIAL

·         MITOCHONDRIAL

32.  REGARDING INHERITENCE PATTERN OF MUSCULAR DYSTROPHY WHICH ONE IS APPROPRIATE:

·         DUCHENE’S DYSTROPHY- X-LINKED RECESSIVE

·         BECKER’S DYSTROPHY- AUTOSOMAL DOMINANT

·         MYOTROPHIC DYSTROPHY-X-LINKED RECESSIVE

·         2 OTHERS WITH VERY WEIRD NAMES CANT RECALL?? FASCIO SUMTHN

33.  AVIDIN BINDS WITH:

·         VITB12

·         BIOTIN

·         VIT C

·         VIT D

·         RIBOFLAVIN

34.  6YRS OLD BOY, APATHY, PERIPHERAL EDEMA, ENLARGED LIVER, LOW SERUM ALBUMIN AND MODERATE ANEMIA. MOST LIKELY DIAGNOSIS:

·         KWASHIORKAR

·         MARASMUS

·         BERI BERI

·         VIT C DEF

35.  DAMAGE TO CERVICAL SYMPATHETIC TRUNK WILL CAUSE:

·         PUPILLARY DILATATION

·         INC SWEATING

·         DRY MOUTH

·         PARTIAL PTOSIS

36.  NERVE ROOT SUPPLYING ANTERIOR TRIANGLE OF NECK:

·         C1

·         C2-C3

·         C3-C4

·         C4

·         C2

37.  ANEMIA OF MATURATION FAILURE:

·         IRON DEF ANEMIA

·         NORMOCYTIC

·         PERNICIOUS ANEMIA

·         MICROCYTIC HYPO

·         CHRONIC DISEASE

38.  A FISHER MAN PRESENTED WITH SLOWLY DEVELOPING LETHARGY, EASY FATIGUE AND PALPITATIONS. HIS DIET COMPRISES OF FISH AND RICE MOSTLY PHYSICAL EXAM SHOWED PALLOR AND LOSS OF TOUCH SENSATION IN BOTH FEET AND LOWER LIMB. HIS CBC SHOWED HB 7.5G/DL  MCV 132, PLATELETS 110 AND WBC 3450 . MOST LIKELY CAUSATIVE  PARASITE:

·         ANKYLOSTOMA DUODENALE

·         DIPHYLLOBOTHRIUM LATUM

·         STRONGYLOID STERCOLIS

·         ECHINOCOCCUS GRANULOSIS

·         TAENIA SAGINATA

39.  PATIENT ON HTN MEDS PRESENTS WITH INCREASE INDIRECT BILIRUBIN WITH POSITIVE COOMB’S TEST (AT DIFF TEMP –VE)??.. DRUG MOST LIKELY INVOLVED:

·         METHYLDOPA

·         HYDRALAZINE

·         HYDROCHLORTHIAZIDE

·         CLONIDINE

·         BETA BLOCKER

40.  IN MEGALOBLASTIC ANEMIA, PERIPHERAL BLOOD SMEAR WILL SHOW:

·         HYPERSEGMENTED NEUTROPHILS

·         LOW PLATELETS

·         MICROCYTES

41.  PATIENT PRESENTED WITH YELLOW DISCOLORATION OF SCLERA, DARK URINE, LOSS OF APETITE AND VOMITING. MOST RELEVANT INVESTIGATION:

·         ALKALINE PHOSPHATASE

·         BILIRUBIN+ALT

·         VIRAL SEROLOGY

·         SERUM & URINE BILIRUBIN

·         LIVER BIOPSY

42.  PATIENT LYING IN OPERATING ROOM WITH ROOM TEMPERATURE OF 21C AND 80% HUMIDITY. MAIN MECHANISM FOR HEAT LOSS:

·         RESPIRATION

·         URINATION

·         CONDUCTION & RADIATION

·         SWEATING

43.  ADULT WITH LOW SERUM CALCIUM AND IONIC CALCIUM, HIGH SERUM PHOSPHATE  INCREASE PTH, NORMAL ALKALINE PHOSPHATASE. MOST LIKELY:

·         CHRONIC RENAL FAILURE

·         OSTEOMALACIA

·         HYPERPARATHYROIDISM

·         BONE METASTASIS

44.  IN SEVER DEHYDRATION, WHICH IS MARKEDLY DECREASE:

·         PLASMA

·         ECF

·         ICF

·         TOTAL BODY FLUID

·         ECF+ICF

45.  NORMAL PTH IS SEEN IN:

·         PARATHYROID ADENOMA

·         PARATHYROID HYPERPLASIA

·         OSTEOPOROSIS

·         PEUDOHYPOPARATHYROIDISM

·         PRIMARY HYPERPRARATHYROIDISM

46.   REVERSAL OF  THE ANTICOAGULATION EFFECT OF WARFARIN IS ACCOMPLISHED MOST QUICKLY BY:

·         FFP

·         VIT K

·         CONCENTRATED FACTOR VIII

·         IV CALCIUM

·         PROTAMINE SULPHATE

47.  A FEMALE PT WITH CHRONIC RENAL FAILURE HAS 5 PPL WHO ARE WILLING TO SERVE AS DONOR FOR RENAL TRANSPLANT. HER HUSBAND, IDENTICAL TWIN, HALF BROTHER, SISTER AND SON. MOST SUITABLE DONOR FOR THE PT WOULD BE :

·         TWIN

·         BROTHER

·         HUSBAND

·         STEPBROTHER

·         SISTER

48.  MOST IMPORTANT PRE-REQISITE FOR RENAL TRANSPLANTATION:

·         ABO COMPATIBILITY

·         HLA TESTING

·         T CELL COUT OF RECEPIENT

·         MIXED LYMPHOCYTE ASSAYS

49.  PATEINET IS TO GET RENAL TRANSPLANT. HLA TESTING IS TO BE DONE. WHAT SHOULD BE SEND FOR TESTING:

·         RBC

·         WBC

·         BUCCAL MUCOSA

·         BONE MARROW

50.  IN AGAMMAGLOBULINEMIA, MOST LIKELY INCREASE RISK OF:

·         PYOGENIC INFECTIONS

·         FUNGAL INFECTIONS

·         HYPERSENSITIVITY

·         TUMOR

·         VIRAL INFECTION

51.  PATIENT WITH PYOGENIC LUNG ABSCESS, NOW DVELOPS MENINGITIS. MOST LIKELY ORGANISM:

·         STREPTOCOCCI

·         PNEUMOCOCCI

·         STAPHYLOCOCCI

·         KLEBSIELLA

·         HEMOPHILLUS INF

52.  MOST COMMON CAUSE OF PYOGENIC PERITONITIS:

·         BACTEROIDES

·         E.COLI

·         PROTEUS

·         AEROBACTER

·         SALMONELLA

53.  AN ELDERLY WITH NO DRUG ALLERGIES HAS MENINGITIS. DRUG OF CHOICE:

·      CEFAZOLIN

·      METHICILLIN

·      SULBACTAM

·      PENICILLIN

·      TICRACILLIN

54.  MOST COMMON CLICNICAL FINDING/SYMPTOM ENCOUNTERED IN GLYCOGEN STORAGE DISEASES:

·         HEPATOMEGALY & HYPERGLYCEMIA

·         HEPATOMEGALY & HYPOGLYCEMIA

·         HEPATOMEGALY & MACRGLOSSIA

·         MACROGLOSSIA & HYPOGLYCEMIA

·         SPLEENOMEGALY AND HYPERGLYCEMIA

55.  PATEINT BROUGHT WITH HISTORY OF HEAVY DRINKING & ASCITES??.. LAB INV SHOWS IMPAIRED LFTS. MOST PROBABLE FINDING ON HISTOLOGICAL EXAM OF NEEDLE BIOPSY OF LIVER MOST LIKELY SHOW:

·         CONSTRICTED CENTRAL VEIN

·         DISORGANISED LIVER ARCHITECTURE

·         MITOTICALLY ACTIVE LIVER CELLS

·         NORMAL PORTAL TRIAD

·         NORMAL BILE DUCT SYSTEM

56.  AN ADULT COMPLAINING OF DYSPEPSIA AND LOSS OF APPETITE WITH H/O ALCOHOL CONSUMPTION. LIVER BIOPSY REVEALED ALCOHOLIC LIVER DISEASE.  MOST LIKELY CHARACTERISTIC FEATURE ON BIOPSY:

·         MALLORY BODIES

·         FATTY CHANGES

·         NUTRITIONAL DISTURBANCE

·         EXTENSIVE HEPATIC FIBROSIS

·         PROLIFERATION OF BILE DUCT

57.  FOLLOWING IS NOT A FUNCTION OF LIVER:

·         LIPOGENESIS

·         ALBUMIN SYNTHESIS

·         CHOLESTEROL SYNTHESIS

·         Ig SYNTHESIS

·         GLUCONEOGENESIS

58.  IN THE ABSENCE OF INSULIN, FOLLOWING WILL HAPPEN ??:

·         KETOGENESIS IN LIVER

·         INCREASE GLUCOSE ENTRY INTO ADIPOSE TISSUE

·         INC GLYCOGEN SYNTHESIS IN LIVER

·         INC ACTIVITY OF LIPOPROTEIN LIPASE

·         INC LIPID SYNTHESIS IN ADIPOSE TISSUE/DEC LIPOLYSIS

59.  HIGHEST CALORIC VALUE:

·         CARBOHYDRATE

·         FAT

·         PROTEIN

·         VITAMIN

·         MINERAL

60.  IF DISTAL ILEUM IS RESECTED, THERE WILL BE DEC REABSORPTION OF:

·         CALCIUM

·         IRON

·         PROTEIN

·         BILESALTS

61.  REGARDING TRIGLYCERIDES/FAT METABOLISM:??

·         FATTY ACID BIND TO CARB

·         TG ARE NOT PRESENT IN DIETRY FAT

·         TG ARE TRANSPORTED IN LIPOPROTEIN

·         CHOLESTEROL IS NOT SYNTHESIZED BY LIVER

62.  TRANSITIONAL EPITHELIUM OF BLADDER IS DERIVED FROM:

·         ENDODERM

·         ECTODERM

·         MESODERM

·         ECTO & ENDO

·         NEURAL CREST CELLS

63.  MEDIAN UMBLICAL LIGAMENT IS A REMNANT OF:

·         URACHUS

·         UMBLICAL ARTEY

·         UMBLICAL VEIN

·         VITELO-INTESTINAL DUCT

64.  SUB-ARACHNOID SPACE ENDS AT:

·         T12

·         L2-L3

·         L1-L2

·         S2-S3

65.  PT PRESENTS WITH RBCS, RBC CASTS AND PROTEINS IN URINE. MOST LIKELY STRUCTURE DAMGAED:

·         GLOMERULI

·         CALYCES

·         URETER

·         RENAL TUBULES

·         COLLECTING DUCTS

66.  REGARDING RIGHT ATRIA WHICH IS INAPPROPRIATE:

·         LIES ANTERIORLY TO LEFT ATRIA

·         SOME PART IS FORMED BY SINUS VENOSUS

·         CORONARY SINUS DOESNOT DRAIN INTO IT

·         RECIEVES BLOOD SUPPLY FROM CORONARY ARTERY

·         PHRENIC NERVE LIES POSTERIORLY??

67.  CONGENITAL DIAPHRAGMATIC HERNA IS DUE TO:

·         ABSENCE OF PLEUROPERICARDIAL MEMBRANE

·         ABSENCE OF SEPTUM TRANSVERSUM

·         ESOPHAGEAL ATRESIA

·         INCOMPLETE PLERUPERITONEAL MEMBRANE

68.   REGARDING DIAPHRAGM, WHICH IS APPROPRIATE:

·         DEVELOPS FROM SPLANCHIC MESODERM

·         CENTRAL TENDON TRANSMITS ESOPHAGUS

·         RECIEVES BLOOD SUPPLY FROM RENAL ARTERY??

·         RECEIVES NERVE SUPPLY FROM PHRENIC NERVE AND INTERCOSTAL NERVES

·         PIERCE BY SYMPATHETIC/SPLANCHIC NERVES

69.  REAGRDING BLOOD SUPPLY OF SUPRA RENAL GLAND, WHICH IS INAPPROPRIATE:

·         RECIEVES BLOOD FROM 3 ARTERIES

·         ALL 3 BRANCHES OF ABDOMINAL AORTA

·         RECEIVES BLOOD SUPPLY FROM INFERIOR PHRENIC ARTEY

·         RECEIVES BLOOD SUPPLY FROM RENAL ARTERY

70.  ALL ARE ANTERIOR RELATIONS OF LEFT KIDNEY EXCEPT:

·         SPLEEN AND SPLENIC VESSELS

·         SPLENIC FLEXURE OF COLON

·         STOMACH

·         PANCREAS

·         DIAPHRAGM

71.  POSTERIOR RELATION OF LESSER OMENTUM EXCEPT:

·         CELIAC GANGLION

·         RIGHT SUPRA RENAL GLAND

·         LEFT SUPR RENAL GLAND

·         LEFT KIDNEY

·         LEFT GASTRIC ARTERY

72.  IN AN EPIDEMIOLOGICAL STUDY OF PENILE SQUAMOUS INTRAEPITHELIAL NEOPLASIA, MOST COMMON ASSOCIATION WITH:

·         BALANITIS XEROTICA OBLITERANS

·         EPISPADIASIS

·         LICHEN SIMPLEX

·         HERPES

·         PHIMOSIS

73.  REVERSIBLE ABNORMAL SHAPE, SIZE AND LOSS OF CELLULAR ORIENTATION:

·         ANAPLASIA

·         NEOPLASIA

·         METAPLASIA

·         DESMOPLASIA

·         DYSPLASIA

74.  INCREASE RISK OF CUTANEOUS MALIGNANT MELANOMA WITH:

·         XERODERMAPIGMENTOSA

·         HSV

·         MELANOSIS COLI

75.  PRE-CANCEROUS/MALIGNANT LESION:

·         LEUKOPLAKIA

·         DUODENAL ULCER

·         ANGIODYSPLASIA

76.  WHICH OF THE FOLLOWING WILL MOST LKELY LEAD TO CARCINOMA:

·         CERVICAL EROSION

·         PEPTIC ULCER

·         BARRET’S ESOPHAGUS

77.  PUBIC SYMPHYSIS IS:

·         PRIMARY CARTILAGENOUS JOINT

·         SINOVIAL JOINT

·         FIBROUS JOINT

·         SECONDARY CARTILAGENOUS

78.  SCIATIC NERVE ENTERS THIGH THROUGH:

·         GREATER SCIATIC FORAMEN

·         LESSER SCIATIC FORAMEN

·         ANTERIOR SACRAL FORAMEN

·         OBTURATOR FORAMEN

·         POSTERIOR SACRAL

79.  REGARDING INGUINAL CANAL WHICH IS CORRECT:

·         EXTENDS FROM ANTERIOR SUPERIOR ILIAC SPINE TO PUBIC

·         ROOF IS FORMED BY CONJOINT TENDON

·         INFERIORLY IS FORMED BY DEEP TRANSVERSE FASCIA

·         TRANSMITS ILIO-HYPOGASTRIC NERVE

80.  PATEINT PRESENTS WITH H/O RTA. NECK OF FIBULA FRACTURED WITH FOOT DROP ( INABIILITY TO DORSIFLEX THE FOOT) AND LOSS OF SENSATION ON DORSUM OF FOOT. MOST LIKELY NERVE DAMAGED:

·         COMMON PERONEAL NERVE

·         DEEP PERONEAL NERVE

·         SUPERFICIAL PERONEA NERVE

·         PEUDENDAL NERVE

·         TIBIAL NERVE

81.  LOSS OF INVERSION OF FOOT BUT ABLE TO EVERT. MUSCLES DAMAGED ARE:

·         EXTENSOR HALLUCIS LONGUS + FLEXOR HALLUCIS

·         TIBIALIS ANTERIOR AND FLEXOR HALLUCIS LONGUS

·         TIBIALIS ANT AND TIBIALIS POST

·         FLEXOR HALLUCIS LONGUS

82.  INTERMITTENT PAIN OF SMALL INTESTINE IS FELT AT:

·         BACK

·         UMBILICUS

·         EPIGASTRIC REGION

·         LEFT ILIAC REGION

·         JUST ABOVE PUBIC SYMPHYSIS

83.  LESION OF UPPER TRUNK OF BRACHIAL PLEXUS WILL CAUSE FOLLOWING EXCEPT:

·         ADDUCTION AT SHOULDER

·         EXTENSION AT ELBOW

·         MEDIAL ROTATION AT SHOULDER JOINT

·         SENSROY LOSS OVER THE LATERAL SIDE OF ARM

·         SUPINATION OF FOREARM

84.  BREAST USUALLY DOES NOT RECEIVE BLOOD SUPPLY FROM:

·         AXILLARY

·         SUBCLAVIAN

·         THORACIC AORTA

·         MUSCULOPHRENIC

·         THORACO-ACROMIAL

85.  SEROUS PERICARDIUM TOGETHER WITH PARIETAL PERICARDIUM IS SUPPLIED BY:

·         PHRENIC NERVE

·         VAGUS NERVE

·         INTERCOSTAL NERVE

86.  REGARDING CORONARY ARTERIES WHICH IS INAPPROPRIATE:

·         EG OF VASA VASORUM

·         FREELY ANASTAMOSE IN WALL OF HEART

·         WHEN BLOCKS PRODUCE INFARCTION OF THE AREA SUPPLIED

·         ARISES FROM AORTA

·         RECIEVES BLOOD IN DIASTOLE

87.  REGARDING ATHEROMA/ATHEROSCLEROSIS WHICH IS MOST APPROPRIATE:

·         CORE IS COMPOSED OF PROTEINS

·         ABDOMINAL AORTA  NOT INVOLVED

·         ONLY INVOLVES CORONARY ARTERIES

·         ARTERIOSCLEROSIS???

88.  FOAM CELLS IN ATHEROSCLEROSIS ARE:

·         NEUTROPHILS

·         BASOPHILS

·         MONOCYTES

·         PLASMA CELLS

89.  HEPARIN IS RELEASED FROM WHICH CONNECTIVE TISSUE:

·         FIBROBLAST

·         MAST CELLS

·         CHROMATOPHORE

·         NEUTROPHILS

90.  THROMBOXANE A2 IS SECRETED BY:

·         PLATELETS

·         ENDOTHELIAL CELLS

·         BASOPHILA

·         MONOCYTES

91.  PROSTACYCLINS ARE SECRETED BY:

·         PLATELETS

·         VASCULAR ENDOTHELIAL CELLS

·         RENAL TUBULES

·         FIBROBLASTS

·         MAST CELLS

92.  MOST COMMON ACQUIRED DEFICINECY CAUSING THROMBOSIS:

·         ANTI-PHOSPHOLIPID ANTIBODY SYNDROME

·         ANTI THROMBIN III DEF

·         PROTEIN C DEF

·         PROTEIN S DEF

·         PROTEIN C RESISTANCE

93.  DISCOID RASH AND OTHER FEATURES OF SLE, DIAGNOSTIC TEST:

·         ANA

·         ANTI-DSDNA

94.  PATEINT WITH SARCOMA OF THIGH REGION, RECEIVED RADIATION, DEVELOPED ULCER MOST LIKELY DUS TO:

·         DAMAGED EPITHELIA

·         VENOUS THROMBUS

·         ENDARTRITIS OBLITERANS

·         INFECTION

95.  MOST IMPOTANT DISTINGUISHING FEATURE BETWEEN BENIGN AND MALIGNANT NEOPLASM:

·         INC CELL GROWTH

·         INVASION AND INFILTRATION

·         METASTASIS

·         ANAPLASIA

96.  PERSON RECEIVING LARGE AMOUNT OF IV DEXTROSE WATER. SECRETION OF WHICH HORMONE WILL BE INHIBITED:

·      ADH

·      CORTISOL

·      INSULIN

·      ALDOSTERONE

·      GH

97.  WHICH OF THE FOLLOWING IS NOT INCREASED IN STRESS:

·         GH

·         CORTISOL

·         ADH

·         INSULIN

98.  GLUCAGON SECRETION IS INCREASED BY:

·         EXERCISE

·         INC GLUCOSE

·         SOMATOSTATIN

·         FATTY ACIDS

·         SECRETIN

99.  INHIBITORY FEED BACK MECHANISM OF GASTRIC ACID SECRETION INVLOVES:

·         SOMATOSTATIN

·         ACETYLCHOLINE

100. ANTACID CAUSING SLOW GASTRIC EMPTYING:

·         ALUMINIUM OH

·         CALCIUM CO3

·         MAGNESIUM OH

·         NA BICARB

101. REGARDING HISTOLOGY OF GASTROINTESTINAL TRACT, WHICH IS INAPPROPRIATE:

·         PANETH CELLS CONTAIN EOSINIPHILIC GRANULES IN APICAL CYTOPLASM

·         PEYER’S PATCHES ARE PRESENT IN SUBMUCOUS LAYER OF DUODENUM

·         PARIETAL CELLS OF HUMAN STOMACH SECRETES INTRINSIC FACTOR

·         STRIATED BRUSH BORDER IS COMPOSED OF MICRO VILLI

·         THE LONGITUDINAL COAT OF MUSCULARIS EXTERNA IS ARRANGED IN 3 BANDS IN COLON

102. REGARDING THYROID GLAND, WHICH IS APPROPRIATE:

·         COMPRISES OF ACINI DRAINED BY COLLECTING DUCTS

·         EPITHELIUM CHANGES ITS SHAPE DEPENDING ON THE STAGE OF ACTIVITY

·         HAS PARATHYROID GLANDS LYING ON THE ANTEROLATERLA SURFACE

·         IS SUPPLIED BY THE BRANCHES OF INTERNAL CAROTID

·         ISTHMUS LIES ABOVE THE CRICOID CARTILAGE

103. REGARDING EPITHELIA AND GLAND WHICH IS APPPROPRIATE:

·         MAMMARY GLAND-HOLOCRINE

·         ENDOCRINE GLANDS HAV DUCT

·         SUB-MANDIBULAR IS PURELY SEROUS GLAND

·         SIMPLE SQUAMOUS EPITHELIA FOUND AT PLACES WHERE GASEOUS EXCHANGE OCCURS

·         MOST OF RESPIRATORY TRACT IS LINED BY TRANSITIONAL EPITHELIUM

104. MALE PRESENTS WITH GYNAECOMASTIA AND ERECTILE DYSFUNCTION. MOST LIKELY DUE TO INCREASE IN:

·         PROLACTIN

·         GH

·         GONADOTROPIN RELEASING HORMONE

·         MSH

105.  MOST LIKELY IN PRIMARY ADRENAL INSUFFICIENCY:

·         HYPERKALEMIA

·         INC/DEC ACTH??

·         INC CORTISOL

·         HYPERTENSION

106. MOST APPROPRIATE REGARDING ANTI-BODY PRODUCED BY MYCOBACTERIUM INFECTION:

·         ATTACHED TO BACTERIA

·         IS CELL BOUND

·         PRESENT/CIRCULATES IN BLOOD/SERUM

·         TRANSFERABLE TO ANOTHER PERSON

·         IS A COMPLETE PROTECTIVE ANTI-BODY

107.  REGARDING TB, WHICH IS NOT CORRECT:

·         IS TREATED WITH SINGLE DRUG

·         10-12 DAYS BACTEC MEDIUM??

·         SOMETHNG ABOUT ZN STAINIG?

108. SCENARIO OF TB WITH ENLARGED LYMPH NODES, BIOPSY REVEALING GRANULOMA. DEFINITE DIAGNOSIS OF TB REQUIRES?

·         MANTOUX TEST

·         PRESENCE OF CASEATION NECROSIS

·         XRAY CHEST

·         DEMONSTRATION OF ACID FAST BACILLI

·         GIANT CELLS

109. A FEMALE HAS NECROTIC LSEION IN NOSE BIOPSY SHOWING GRANULOMATA WITH NECROSIS AND VASCLITIS. URINE EXAM SHOWS PROTEINURIA, MOST LIKELY?

·         LEPROSY

·         NASAL POLYP

·         WEGNER’S GRANULOMATOSIS

·         FUNGAL INFECTION

·         TB

110. REGARDING CSF WHICH IS APPROPRIATE:

·         ABSORBS IN CHORIONIC VILLIS

·         ABSORBS IN CHORID PLEXUS

·         HAS NEGLIGBLE GLUCOSE

·         HAS SAME BICARB AS PLASMA??

·         COMPRESSION OF INTERNAL JUGULAR DOESNOT CAUSE RISE IN ICP

111. THIRST IS STIMULATED IN ACTIVATION OF RENIN-ANGIOTENSIN SYSTEM DUE TO:

·         RENIN

·         ANGIOTENSIN I

·         ANGIOTENSIN II

·         ALSODTERONE

·         ADH

112. SHORT TRANSIENT ACTION OF ANGIOTENSIN II IS:

·         THIRST

·         VASOCONSTRICTION

·         SALT RETENTION

·         ALDOSTERONE RELEASE

113. MOST IMPORTANT COMPONENT OF DEFECATION:

·         ANORECTAL REFLEX

·         MASS PERISTALSIS

·         RECTOANAL REFLEX

·         LEVATOR ANI PUBIS IS IMP

·         SOMETHING ABOUT PERINEAL MEMBRANE

114. NEW BORN WITH CONSTIPATION AND DELAYED PASSAGE OF MECONIUM. RECTAL BIOPSY REVEALS ABSENCE OF GANGLION CELLS MOST LIKLEY?

·         HIRSCPURNG DISEASE

·         PYLORIC STENOSIS

·         CYCTIC FIBROSIS

115. PARASYMPATHETIC STIMULATION CAUSES:

·         INTESTINAL SPHINCTER RELAXATION

·         GUT RELAXATION

·         DETRUSOR RELAXATION

·         BLADDER RELAXATION

·         PUPILLARY SPHINCTER RELAXATION

116. CARDIAC SURGEON DURING OPEN HEART SURGERY FOUND BLEEDING VESSEL ACCOMPANYING LAD IN ANTERIOR INTERVENTRICULAR GROOVE. MOSYT LIKELY:

·         GREAT CARDIAC VEIN

·         ANTERIOR CARDIAC VEIN

·         OBLIQUE VEIN

·         SMALL CARDIAC VEIN

·         MARGINAL VEIN

117. REGARDING MEMBRANOUS LABRYNTH, WHICH IS APPROPRIATE:

·         CONSISTS OF SEMICIRCULAR CANAL

·         CONTAINS PERILYMPH

·         CONTAINS ORGNAS OF HEARING AND BALANCE

·         SUPPLIED BY TRIGEMINAL NERVE

·         SUPPLIED BY FACIAL ARTERY

118. 1^ST BONE TO OSSIFY IN BODY:

·         CLAVICLE

·         HUMERUS

·         FEMUR

·         TIBIA

119. BP FROM 140/90 TO 160/100. MOST APPROPRIATE:??  DUN REMEMBER EXACTLY

·         NO CHANGE IN FORMATION OF CSF

·         CUSHING’S REFLEX

·         CHANGE IN CEREBRAL BLOOD FLOW

120. IF PYRAMIDAL TRACT IS EFFECTED IN MEDULLA, WHICH FUNTION WILL BE LOST:

·         BALANCE

·         MOTOR

·         CO-ORDINATION

·         TOUCH N PAIN

·         DISCRIMINATION

121. SCENARIO OF ITP WITH WIDE SPREAD PRURPURA. MOST LIKELY FINDING WOULD BE DEFECT IN:

·         PLATELET COUNT < 90.000

·         PLATELET COUNT <20.000

·         CAPILLARY PERMEABILITY

·         SOMTHNG ABT FACTOR VIII

122.  IF A PT HAS 10% CHANCE OF IHD/HTN AND 30% OF HYPERLIPIDEMIA, MOST LIKELY FOR BOTH TO OCCUR TOGETHER IN A PERCENTAGE OF:

·         0.37

·         0.15

·         0.04

·         1

123. EDEMA IS CAUSED BY:

·         DEC HYDROSTATIC PR

·         INC OSMOTIC PR

·         DEC IN CAP PERMEABILITY

·         LYMPH OBSTRUCTION

124. REGARDING SURFACTANT WHICH IS APPROPRIATE:

·         SLOW TRUNOVER/HIGHEST CONC IN AMNIOTIC FLUID IN LAST TRIMESTER OF PRGNANCY

·         SSCRETED BY TYPE 1 PNUEMOCYTES

·         FORMS MACROMOLECULAR LAYER ON FLUID

·         DEC LUNG COMPLIANCE

·         PRODUCTION DECREASES AS THE THE SIZE OF ALVEOLI DEC

125. POINTED OBJECT TOUCHES FOOT, SUDDEN WITHDRAWAL. WHICH IS APPROPRIATE:

·         IS MULTISYNAPTIC

·         INTERNEURONS ARE NOT INVLOVED

·         FLEXORS ARE NOT INHIBITED??

126. FOLLOWING IS NOT A PHYSIOLOGICAL FUNCTION OF THYROID HORMONE:

·         ANABOLIC ACTION ON ADIPOSE

·         CATABOLIC ACTION ON MUSCLES

·         INC METABOLISM OF LIPOPROTEINS

·         BONE MATURATION/DVELOPMENT

·         INOTROPIC EFFECTS ON HEART

127.  NET REABSORPTION OF Na IN KIDNEY IS MAINTAINED BY:

·         ANP

·         ALDOSTERONE

·         ANP+ALDOSTERONE

·         RENIN ANGIOTENSIN SYSTEM

128.  IN AUTSOMAL DOMINANT DISEASE:

·         BOTH PARENTS OF AFFECTED CHILD HAVE DISEASE

·         ONLY ONE PARENT OF AFFECTED CHILD HAS DISEASE

·         2 FEMALES ARE NORMAL AND 2 MALE/FEMALE ?ARE SUFFERERES

·         ONE GENE IS MUTATED , OTHER IS NORMAL

129.  INC PLASMA UREA LEVELS IN RENAL FAILURE IS DUE TO:

·         DEC GFR

·         DEC REABSORPTION IN COLLECTING TUBULES AND DUCTS

·         INC SYNTHESIS OF UREA IN LIVER

130. DURING HEAVY EXERCISE IN A HEALTHY PERSON, CIRCULATION DOESNOT FULFIL O2 REQUIREMENT OF:

·         BRAIN

·         HEART

·         KIDNEY

·         SKELETAL MUSCLE

·         SKIN

131. DURING EXERCISE, SKELETAL MUSCLE BLOOD SUPPLY IS MAINLY MAINTAINED BY:

·         LOCAL METABOLITES CAUSE VASODILATATION

·         ALPHA ADRENERGIC TO SKELETAL VESSELS CAUSE DILATAION

·         BETA ADRENERGIC CAUSE DILATATION

132.  MUSCARINIC CHOLINERGIC VIA POST GANGLIONIC SYMPATHETIC FIBERS TO:

·         SWEAT GLANDS

·         SKELETAL MUSCLES

·         ADRENAL MEDULLA.

133. ATONIC BLADDER ETIOLOGY:

·         PARASYMPATHETIC EFFERENT CUT

·         SYMPATHETIC EFFERENT CUT

·         SOMATIC EFFERENT CUT

134.  IN BASAL GANGLIA LESION ALL OF THE FOLLOWING OCCURS EXCEPT:

·         ATONIC BLADDER

·         MASK LIKE FACIES

·         STATIC TREMOR

·         JERKY MOVEMENTS

·         WRITHING HAND MOVEMENTS

135. REGARDING PHYSIOLOGICAL NYSTAGMUS:

·         HAS PROLONGED SLOW COMPONENT

·         DUE TO DISEASED CEREBELLUM

·         DUE TO DISEASE VESTIBUALR APPARATUS

·         DUE TO INTACT CEREBELLUM

136.  REGARDING EXTERNAL JUGULAR VEIN, WHICH IS APPROPRIATE:

·         FORMS BEHIND ANGLE OG MANDIBLE ON THE SURFACE OF STRENOCLEIDOMASTOID

·         FORMS BY THE UNION OF POSTERIOR DIVISION OF RETROMANDIBULAR VEIN WITH ANTERIOR AURICULAR VEIN

·         HAS NO TRIBUTARIES

·         DRAINS INTO AXILLARY VEIN

·         PIERCES THE INVESTING CERVICAL FASCIA IN THE ANTERIOR BORDER OF STERNOCLEIDOMASTOID

137.  STERNOCLEIDOMASTOID MUSCLE IS SUPPLIED BY:

·         ACCESSORY NERVE

·         HYPOGLOSSAL NEREV

·         VAGUS NERVE

138.  A PATIENT SKIN TESTED WITH PPD TO DETERMINE PREVIOUS EXPOSURE TO M.TB DEVELOPS INDURATION AT THE SKIN TEST SITE 48HRS LATER. HISTOLOGICALLY THE REACTION SITE WOULD MOST PROBABLY  ALONG WITH MACROPHAGES SHOW:

·         EOSINOPHILS

·         T CELLS

·         NEUTROPHILS

·         B CELLS

·         MONOCYTES

139. IRON IS STORED IN PARENCHYMA OF ORGAN AS:

·         FERRITIN

·         HAEMATIN

·         HAEMOSIDERIN

·         TRANSFERRIN

·         BILIVERDIN

140. IN SICKLE CELL ANEMIA:

·         Hb S FACTOR

·         INC Na??

·         INC SIZE OF CELL

141.  A SCENARIO OF RAYNAUD’S WITH SOME OTHER FEATURES, MCV 99, HB DEC, PLATELETS N WBC NORMAL?? COOMBS POSITIVE??...:

·         SCLERODERMA

·         HEMOLYTIC ANEMIA

·         SYSTEMIC SCLEROSIS

142. KNOWN HTN ON MEDS, PRESENTED IN ER IN COLLAPSED STATE, K 6.0. MOST LIKELY COLLAPSED DUE TO:

·         DIURETIC INTAKE

·         ACUTE RENAL FAILURE

·         CHRONIC RENAL FAILURE??

·         CUSHING’ DISEASE

143.  RIGHT OPTIC TRACT LESION:

·         LEFT HOMONYMUS HEMIANOPIA

·         BINASAL HEMIANOPIA

·         BITEMPORAL HEMIANOPIA

·         COMPLETE BLINDNESS

144. FOLLOWING WILL OCCUR IN LEFT HEMISECTION OF SPINAL CORD EXCEPT:

·         LEFT HEMIPLEGIA BELOW LESION

·         LEFT SIDED LMN AT THE LEVEL OF LESION

·         LEFT SIDED LOSS OF PAIN AND TEMPERATURE BELOW THE LEVEL OF LESION

·         LEFT SIDED LOSS OF TOUCH AND VIBRATION BELOW THE LEVEL OF LESION

·         LEFT BABINSKI’S SIGN

145.  VASODILATOR NOT CAUSING INCREASE IN HEART RATE USEFUL IN TREATMENT OF ANGINA:

·         METAPROLOL

·         NITROGLYCERINE

·         VERAPAMIL

·         ISO SORBIDE DINITRATE

146. PRESSURE IN AORTA IS MAXIMUM DURING:

·         RAPID EJECTION

·         SLOW EJECTION

·         VENTRICULAR DISTOLE

·         ISOVOLUMETRIC RELAXATION

·         ATRIAL SYSTOLE

147. TREATMENT FOR HIGH ALTITUDE SICKNESS:

·         ACETAZOLAMIDE

·         AMPHETAMINE

·         ASPIRIN

·         CAFFEINE

148. CARDIAC MUSCLE CANNOT BE TETANIZED BECAUSE IT HAS:

·         LONG REFRACTORY PERIOD

·         GAP JUNCTIONS

·         ACTION POTENTIAL WITH PLATEAU

·         AUTOMATICITY

·         LONG DURATION OF CONTRACTION

149. 20 YRS OLD MALE HAS DYSPNEA ON LYING DOWN, MOST LIKELY DUE TO:

·         RETROSTERNAL GOITRE

·         PUBERTY GOITRE

·         ENLARGED ISTHMUS OF THYRPID

·         THROTOXICOSIS

·         THYROID NODULE

150. 20 YRS OLD SMOKER WHILE ASCENDING STAIR, HAD SUDDEN RIGHT SIDED SHARP CHEST PAIN AND BREATHLESSNESS. MOST LIKELY CAUSE OF BREATHLESSNESS:

·         LOW O2 TENSION/PRESSURE

·         VENTILATION-Q MISMATCH

·         LOW BLOOD COUNT

·         DEPRESSION OF RESPIRATORY CENTRE

·         ALVEOLAR CAPILLARY BLOCK

151. CHARACTERISTIC FEATRE OF EDEMA FLUID OF ACUTE INFLAMMATION:

·         IS TRANSUDATE

·         SPECIFIC GRAVITY <1.010

·         PROTEINS > 3GM/DL

·         CONTAINS LEUCOCYTES

152.  LYMPH IS MAINLY DRAINED BY:

·         LYMPH NODES

·         THYMUS

·         SPLEEN

·         PEYER’S PATCHES

153. REGARDING HEPATITIS C INFECTION, WHICH IS INAPPROPRIATE:

·         25% WITH HCV PROGRESS TO CIRRHOSIS

·         CHRONIC AYMPTOMATIC CARRIERS HAVE NOT BEEN DOCUMENTED

·         PREVIOUSLY KNOW AS NON-A NON-B HEPATITIS VIRUS

·         CAN BE IDENTIFFIED BY SPECIFIC ANTIGEN DETECTION TEST

·         IS THE LEADING CAUSE OF POST TRANSFUSION HEPATITIS

154.  ANTERIOR FONTANELLE CLOSES AT:

·         10-12 MONTHS

·         12-18 MONTHS

·         18-24 MONTHS

·         10-14 MONTHS

155.  IN CEREBRAL MALARIA, MOST LIKELY ORGANISM:

·         P.VIVAX

·         P.OVALE

·         P.MALARIAE

·         P.FALCIPARUM

·         P. VIVAX AND OVALE

156. LEUCOCYTE ALKALINE PHOSPHATASE IS REDUCED IN:

·         CML

·         LYMPHOMA

·         PREGNANCY

·         ANEMIA

157. PATEINT WITH SORE THROAT FEVER MALAISE CERVICAL LYMPH ADENOPATHY, BIOPSY SHOWS POLYCLONAL HYPERPLASIA. MOST LIKELY?

·         INFECTIOUS MONONUCLEOSIS

·         LYMPHOMA

158. REGARDING PHARYNGEAL PHASE OF DEGLUTITION WHICH IS APPROPRIATE:

·         VOCAL CORDS APPROXIMATE

·         LARYNX MOVES DOWNWARD

·         ESOPHAGEAL SPHINCTER IS CONTRACTED

·         PALATOPHARYNGEAL FOLD MOVES DOWNWARD

159. SORE THROAT/PHARYNGITIS IS CAUSED BY:

·         GROUP A BETA HEMOLYTIC

·         STREPTOCOCCI

·         STAPHYLOCOCCI

160. SCENARIO OF A PATIENT HIV + FOR 10 YRS PRESENTS WITH ABDOMINAL OBSTRUCTION AND PAIN SCAN SHOWS INTESTINAL MASS, WHICH IS RESECTED AND SHOWS INFILTRATING AND INVADING TUMOR. MOST LIKELY:

·         B-CELL LYMPHOMA

·         PLASMACYTOMA

·         HODGKIN’S LYMPHOMA

·         METASTATIC ADENCA

161. BURKITT’S LYMPHOMA IN HIV IS DUE TO:

·         CMV

·         EBV

·         HSV

·         ECHO VIRUS

162.  MOST COMMON AIDS DEFINING INFECTION IN HIV:

·         TOXOPLASMOSIS

·         PNUEMOCYSTIS CARINI (JEROVICI)

·         CRYPTOCOCCUS

·         CANDIDIASIS

163.  TOTAL PERIPHERAL RESISTANCE IS MAINLY DUE TO:

·         VENOUS TONE

·         VASOMOTOS TONE

·         BLOOD IN MICROCIRCULATION

164. DRUG USEFUL IN SUB ARACHNOID HEMORRHAGE:

·         NIMODIPINE

·         NIFEDIPINE

165.  DIAZEPAM RELAXES SKELETAL MUSCLE BY ACTING ON:

·         CEREBRAL CORTEX

·         NMJ?

·         MUSCLE DIRECTLY?

·         INTERNEURON

166. PULMONARY CAPILLARY WEDGE PRESSURE:

·         INDIRECT MEASURE OF RIGHT ATRIL PRESSURE

·         INDIRECT MEASRUE OF LEFT ATRIAL PRESSURE

·         NAMED BC OF WEDGE SHAPE OF CATHETER

·         USUALLY IS > 15

167.  TO DECREASE END DIASTOLIC VENTRICULAR VOLUME WHAT SHOULD BE INCREASED:

·         VENTRICULAR CONTRACTICILITY

·         HEART RATE

·         VENTRICULAR RELAXATION

168. FLIGHT AND FRIGHT WILL CAUSE:

·         DECREASE AIRWAY RESISTANCE

·         DECREASE BP

·         DECREASE HR

·         PUPILLARY CONSTRICTION

169. ACTION POTENTIAL ALONG A NERVE IS PROPOGATED DUE TO:

·         DEPOLARIZATION

·         CA INFLUX

·         MAGNESIUM

170. BOTH CENTRAL AND PERIPHERAL CHEMORECPTORS RESPONDS TO:

·         DEC ph AND INC PCO2

·         DEC O2

·         INC PH AND DEC PCO2

·         BP

171. FUNCTION OF GRANULATION TISSUE IN WOUND HEALING BY SECOND INTENTION IS TO:

·         WOUND CONTRACTION

·         TRAP BACTERIA

·         PROVIDE NOURISHMENT

172.  MOST COMMON SIDE EFFECT OF BIGUANIDES:

·         HYPOGLYCEMIA

·         DIRRHEA AND FLATULENCE

·         ELEVATED  ALT

·         THROMBOCYTOPENIA

·         FACIAL FLUSHING FOLLOWING ALCOHOL INATAKE

173.  MAXIMUM AIRWAY RESISTENCE IS SEEN:

·         AT NIGHT

·         EARLY MORNING

·         DURING SLEEP

174. VIBRATION DUE TO RAPID VENTRICULAR FILLING PRODUCES WHICH HEART SOUND:

·         FIRST

·         SECOND

·         THIRD

·         FOURTH

·         MURMUR

175. REGARDING HEART SOUNDS S1 AND S2 COMPARISON, WHICH IS APPROPRIATE:

·         DECREASE FILLING CAUSES INC INTENSITY

·         FREQUENCE

·         OCCASSIONAL SPLITTING OF S2 IN HEALTHY INDIVIDUALS

176. STROKE VOLUEM IS NOT INFLUENCED BY:

·         END SYSTOLIC PRESSURE

·         PULMONARY CAPILLARY PRESSURE

·         HEART RATE

·         FORCE OF CONTRACTION

177. TUMOR WTH INVOLVMENT OF ALL GERM CELLS:

·         TERATOMA

·         SARCOMA

·         ADENOCA

·         HAMARTOMA

·         SEMINOMA

178. CHARACTERISTIC FEATURE OF CL. BOTULINUM INFECTION:

·         FEVER

·         DIARRHEA

·         FLACCID PARALYSIS OF RESPIRATORY MUSCLE

·         PROJECTILE VOMITING

·         DYSENTRY

179. HEMORRHAGIC INFACRTION IS SEEN IN:

·         LUNGS IN PULMONARY EMBOLISM

·         LIVER IN HYPOLEMIA

·         MI

·         SPLEEN IN THROMBOEMBOLISM

180. MOST IMPORTANT DISTINGUISHING FEATURE OF HYPOVOLEMIC AND SEPTIC SHOCK IS:

·         BP

·         HEART RATE

·         TEMPERATURE

·         URINE OUTPUT

181. PULSE PRESSURE IS INC IN:

·         HTN

·         HEMORRHAGE

·         HEART FAILURE

·         AORTIC STENOSIS

·         TACHYCARDIA

182. MECHANISM OF ACTION OF ODANSETRONE:

·         PROKINETIC

·         5 HT3 RECEPTOR

·         DOPAMINE ANTAGONIST AT CENTRAL CHEMORECPTOR ZONE

183.  SOLDIER, LIVING IN HIGH ALTITUDE FOR 6 MONTHS PRESETS WITH HEADACHE AND BLUE DISCOLORATION OF FINGERTIPS, BP 150/90 MMHG, MODERATE SPLEENOMEGALLY, PCV 60%. MOST LIKELY:

·         POLYCYTHEMIA VERA

·         SCONDARY POLYCYTHEMIA

·         METHEMOGLOBINEMIA

·         ESSENTIAL HTN

·         HEART FAILURE

184. RENAL PLASMA FLOW IS MEASURED BY:

·         FREE WATRE CLEARNCE

·         HIPPURIC ACID CLERANCE

·         INULIN CLERANCE

·         CREATININE CLERANCE

185. IgA NEPHROPATHY, HISTOLOGICAL FINDING:

·         PODOCYTE FUSION

·         THICK GBM

·         SEGMENTAL GLOMERULOSCLEROSIS

·         INCREASED MESENGIAL MATRIX

·         SEGMENTAL SCLEROSIS IN GLOMERULI

186. FOLLOWING CAUSES/PREDISPOSES TO MALIGNANCY/LUNG CA:

·         ASBESTOSIS

·         BERYLLIUM

·         COAL TAR

187. REGARDING OLFACTION:

·         OLFACTORY NREVE CONTAINS BIPOLAR NEURONS

·         AMYGDALA IS PART OF NEW OLFACTORY CENTRE

·         SOMETHNG ABT AVERSION OF TASTE

188. BONE METS NOT LIKELY FEATURE OF:

·         BREAT CA

·         LUNG CA

·         THYROID MEDULLARY CA

·         HCC

·         PROSTATE CA

189. PARASITE TRANSMITTED BY MOSQUITO BITE:

·         FILARIASIS

·         DRACUNCULUS

·         ONCHOCERCA VOLVULUS

·         LOA LOA

190. DIAGNOSTIC TEST FOR WILSON’S DISEASE:

·         S. COPPER LEVELS

·         S. CERULOPLASMIN

·         ANTIMITOCHONDRIAL ANTIBODIES

·         LIVER BIOPSY

·         GLUCOSE INTOLERANCE

191. IN CEREBELLAR LESION INABILITY TO DO ALL OF THE FOLLOWING EXCEPT:

·         REPITETIVE RAPID MOVEMENT

·         INITIATION OF MOVEMENT

·         STOP MOVEMENT AFTER REACHING THE TARGET

·         CO-ORDINATED MOVEMENT OF MANY JOINTS AT SAME TIME

·         ??

192. DIABETIC WOMAN WHILE CLIMBING STAIRS FALL . ON EXAMINATION, HEAD TILT TO LEFT SIDE AND RIGHT EYE MOVES UPWARD. OCULAR MUSCLE INVOLVED:

·         RIGHT INFERIOR OBLIQUE

·         RIGHT SUPERIOR OBLIQUE

·         LEFT SUP ONLIQUE

·         LEFT INF OBLIQUE

·         RIGHT INF RECTUS

193. ANTI BODY PRODUCTION IS A FUNCTION OF:

·         SPLEEN

·         LN

·         PLASMA CELLS

·         LYMPHOCYTES

194. IN TRIGEMINAL NEURALGIA, ANALGESIA GIVEN TO GANGLION PRESENT IN:

·         PTERYGOPALATINE FOSSA

·         MIDDLE CRANIAL FOSSA

·         INFRATEMPORAL FOSSA

·         ANTERIOR CRANIAL FOSSA

195. FACIAL PARALYSIS AND LOSS OF TASTE SENSATION FROM ANT 2/3^RD OF TONGUE. FACIAL NERVE DAMAGED AT:

·         FACIAL CANAL

·         INTERNAL ACOUSTIC MEATUS

·         STYLOID FORAMEN

·         PAROTID GLAND

·         FACIAL NERVE NUCLEUS

196. NERVE PRESENT IN CAVERNOUS SINUS:

·         OCCULOMOTOR

·         TROCHLEAR

·         ABDUCENS

·         TRIGEMINAL

·         OHTHALMIC

197. BLOCKAGE OF RIGTH SUPERIOR LOBAR BROCNHUS, WHICH BRONCHO PULMONARY SEGMENT WOULD COLLAPSE:

·         APICAL SUPERIOR

·         ANT BASAL

·         MIDDLE SUPERIORS

198. ANALGESIC EFFECT OF MORPHINE IS USEFUL  FOR:

·         TERMINAL CANCER PAIN

·         HEAD INJURY

·         BILIARY COLIC PAIN

·         ULCER PAIN/UPPER GI HEMORRHAGE

·         COPD

199. WHICH STRUCTURE LIES DEEP TO LATERAL SULCUS:

·         INSULA

·         OPERCULUM

·         SPLENIUM

·         PARS TRIANGULARIS

200. WHICH ONE OF THE FOLLOWING IS A SELECTIVE COX-2 INHIBITOR:

·         MELOXICAM

·         PIROXICAM

·         INDOMETHACIN

·         ASPIRIN

·         IBUPROFEN