1. A Female during delivery loses blood and requires blood.

Her blood sample is reactive blood agglutinates with anti-sera A

and anti-sera D. And patients serum contain anti-B antibody. which blood is suitable for transfusion.
A. A+
B. B RH Positive
C. O +
D. AB +
E. .
2. Patient IVC is blocked just above the emergence of azygos vein, where blood will divert.
A. Left gastric artery
B. Hepatic vein
C. Hepatic artery
D. Umbilical artery
E. Splenic artery
3. Internal Jugular vein is related
A. Anterior to Carotid artery
B. Medially to Carotid Artery
C. Laterally to Carotid artery
D. Posteriorly to Carotid artery
E. Internal Carotid Artery posteriorly
@4. Rapid adaptation receptors
A. Free nerve endings
B. Meckels disk
C. Pacinian corpuscles
D. Ruffini's corpuscles
E. barorecceptors

Slowly adapting: Slowly adapting mechanoreceptors include Merkel and Ruffini corpuscle endorgans, and some free nerve endings.
o Slowly adapting type I mechanoreceptors have multiple Merkel corpuscle end-organs.
o Slowly adapting type II mechanoreceptors have single Ruffini corpuscle end-organs.

Intermediate adapting: Some free nerve endings are intermediate adapting.

Rapidly adapting: Rapidly adapting mechanoreceptors include Meissner corpuscle end-organs,

Pacinian corpuscle end-organs, hair follicle receptors and some free nerve endings.
o Rapidly adapting type I mechanoreceptors have multiple Meissner corpuscle endorgans.
o Rapidly adapting type II mechanoreceptors (usually called Pacinian) have single Pacinian
corpuscle end-organs.

4.this was exact questionRapidly adapting or phasic receptors is;

A. muscle spindle
B. barroreceptors
C. Pacinian Corpuscles
D. All of the above

5.A boy present with complaint of pain abdomen, diagnosed as a case of appendicitis and
appendicectomy was done. What would you look on biopsy?
A. Neutrophils
B. Eosinophils
C. Lymphocytes
D. Plasma cells
6.The vomiting center is located in the ;
A. Cerebral cortex
B. Cervical spinal cord
C. Hypothalamus
D. Medulla oblongata
E. Thalamus

7. After road traffic accident patient is suffering from memory loss, which part of brain is involved
A. Hippocampus
B. Cerebral cortex
C. Mid-brain
D. Reticular formation

8.During the increase in HR, which of the following occurs?

A. Diastolic period decrease more as compared to systolic period
B. Systolic period decreases and diastolic remains constant
C. Diastolic decreases and systolic remains constant
D. Systolic period decreases as diastolic
E. No change

9. A nurse is giving as IV injection to a pt in right median cubital vein. As he inserts the needle pt
experiences sever pain in lower arm . Which structure does the misplaced needle in cubital fossa
probably pierce?
medial cutaneous nerve of arm
b. medial cutaneous nerve of forearm
c. ulnar nerve
d. median nerve
ansd

10.most lethal malignant lesion of oral cavity?

a.leukoplakia
b.erythroplakiae
c)lichen plannus
d)apthous ulcer
keep in mind difference of word LESION & CONDITION
SECOND AMONG LESION MOST LETHAL & MOST COMMON

Leukoplakia
White potentially malignant lesions are far more common than red, however they are less likely
to be dysplastic or to transform into OCSCC over time.
- Erythroplakia
Red potentially malignant lesions are far less common than white lesions, however they are
much more likely to be dysplastic or to transform into OCSCC over time.

11.oxygen-binding
protein found in the muscle tissue
A. myoglobin
B. haemoglobin
c. troponin
d. tropomysin

12. paminiform plexus are presnt in

a liver
b spleen
c kidney
d inguinal canal

The pampiniform plexus is a network of many small veins found in the human male spermatic
cord. It is formed by the union of multiple spermatic veins from the back of the testis and
tributaries from the epididymis.
In females, the pampinifo The veins of the plexus ascend along the cord in front of the ductus
deferens. Below the superficial inguinal ring they unite to form three or four veins, which pass
along the inguinal canal, and, entering the abdomen through the deep inguinal ring, coalesce to
form two veins. These again unite to form a single vein, the testicular vein, which opens on the
right side into the inferior vena cava, at an acute angle, and on the left side into the left renal
vein, at a right angle.The pampiniform plexus forms the chief mass of the cord.rm plexus drains
the ovaries.

13. Which ion is passively reabsorbed

Na
Cl
Urea
K

14. 6. Hyper-magnesaemia causes

A. Hyperreflexia
B. Dec acetylcholine uptake
C. Increase acetylcholine release
D. dec ach release
E. .

15. Only autoimmune disease that affects against single organ?

A. Hashimoto thyroiditis
B. PAN
C. SLE
D. RA
E. .
16.. Hormone required for brain development
A. Thyroid hormone
B. Growth hormone

C. Cortisol
D. Androgen
E. Insulin

17.

Ketamine used in repeated burn dressings because

A. It can be given IV as well IM

B. Causes profound analgesia
C. It does not cause hypotension
D. It does not causes addiction
E. Its not narcotic

18. 10. Hanging causes death by

A. Fracture of odontoid process
B. Fracture of atlas
C. c3
D. c4
E. base of skull

19. Drug propylthiouracil is given in pt of

thyrotoxicosis because it

A. Inhibition Iodine pump

B. Blocks the synthesis of thyroid hormone
C. Blocks the synthesis of thyroglobulin.
D. Inhibits hormone release
E. Decreases TSH

20. Antibodies are produced by

A. Lymphocytes

B. T cells
C. Neutrophils
D. Plasma cells
E. Endothelium

21. Male brought to the ER with critical condition, ABGs showed PH 7.25 PCO2 65 and HCO3 24.
A. Acute Respiratory Acidosis
B. Respiratory alkalosis
C. Partially Compensated Respiratory Acidosis
D. Partially Compensated Respiratory Alkalosis
E. Respiratory and metabolic Acidosis

22. most common congenital cyanotic malformation is

A. ASD
B. VSD
C. Transposition of Great Vessels
D. truncus arteriosus
E. .
CONG CYNOTIC

Tetralogy of Fallot (ToF)

Total anomalous pulmonary venous connection
Hypoplastic left heart syndrome (HLHS)
Transposition of the great arteries (d-TGA)
Truncus arteriosus (Persistent)
Tricuspid atresia
Interrupted aortic arch
Pulmonary atresia (PA)
Pulmonary stenosis (critical)
Eisenmenger syndrome (reversal of shunt due to pulmonary hypertension) .

 Patent ductus arteriosus may cause cyanosis in late stage

Non Cyanotic Heart Defects

Atrial septal defect

Ventricular septal defect
Coarctation of aorta (may cause cyanosis in some cases)
Double outlet left/right ventricle

s23. After trauma Female with sudden acute chest pain, Dyspnoea, haemoptysis and shock and then death.
A. Fat embolism
B. Air Embolism
C. Pneumonia
D. Amniotic fluid embolism
E. .

24. In complete Glucose oxidation number of ATP

A. 30
B. 28
C. 38
D. 48
E. 60

25. Male breathing with Tidal volume 500ml and RR of 10/m what will be the Alveolar ventilation ( VA ).
A. 1000
B. 3500
C. 3000

D. 4800
E. 5000

Asim shoaib mcq

26. After forced expiration residual volume will be

A. 500
B. 1500
C. 1200
D. 2700

E.3500

Average lung volumes in healthy adults

Volume

Value (litres)
In men In women

Inspiratory reserve volume

3.0

1.9

Tidal volume

0.5

0.5

Expiratory reserve volume

1.1

0.7

Residual volume

1.2

1.1

27. 23. A 46 year old farmer with history of discharging sinus on foot, smear shows red granule and filaments 1-3 microns,
which is most appropriate
A. Actinomyces
B. Medurula mycetoma
C. Actinomyces pellettieri
D. Corynebacterium
E.

28. Non-malignant cancer include

A. Basal cell carcinoma
B. Squamous cell carcinoma

C. Breast Carcinoma
D. Bronchial Carcinoma
E. neuroblastoma
Breast cancers like fibroadenoma phyllods ductal are benign

Non-malignant cancer is best described as a tumor that is not cancerous. Such tumors are simply
abnormal growths consisting of older cells that should have died, but did not and, therefore, have grown
as a result of new cell formations being added. This type of tumor is referred to as non-malignant cancer
because it does not contain cancer cells and is never classified as a cancerous tumor.

Also known as benign tumors, non-malignant cancer growths do not metastasize in the way that
cancer cells do. There is, therefore, no risk of these growths spreading to other parts of the body.

29. Common peroneal nerve is in relation with bicep femoris

A. medially
B. laterally
C. .posteriorly
D. anteriorly
E.

30. Microscopic examination of the endocervical biopsy of a 30 yr old female revealed the endocervical
tissue lined partially by stratified squamous epithelium . This is due to a process of ,
a) anaplasia
b) dysplasia
c) HPV infection
d) Hyperplasia
e)Metaplasia
31) Good communication between patient and doctor :
a) good knowledge of doctor
b) active listening

c) good logical answers to patients questions

d) asking leading questions
e)avoiding substance abuse and sexual history
MURAD MCQ

32)

Person on water depriviation over night . Compare this person with SIADH patient on the basis of;

A. Plasma osmolarity
B. Urine Osmolarity
C. ADH Level
D. Water content in plasma or/ Free Water Clearance
E. Corticopapillary Osmotic Gradient

AndI did a option

33)

Maximum clearance by kidney ;

A. Inulin
B. PAH
C. Glucose
D. Na

e.

34. Cornea epithelium

A- non-keratinized stratified squamous epithelium
B. Simple columnar
C. Stratified squamous cornified

d.pseudostratified coloumner
e.

35. Muscle doesnot cause Flexion of knee

A. Sartorius
B. Gastrocnemius
C. Adductor Magnus
D. Biceps femoris
E. .Gracilis

36. Right vagus nerve in relation to trachea:

a) direct contact
b) held away by brachiocephalic artery or vein was option
c)anterior
d)posterior
e) RIGHT
The right vagus crosses in front of the first part of the subclavian artery and then travels into the fat
behind the innominate vessels. It then reaches the thorax on the right side of the trachea, which
separates it from the right pleura. It then inclines behind the hilum of the right lung and courses
medially toward the esophagus to form the esophageal plexus with the left vagus nerve.

37)

Drug-Drug interaction

a. Thiazide and lithium

b. Tetracycline with ca+2
c. Morphine and naloxone
d. Procaine and Adrenaline
e. Phenobarbital and warfarin??

38. Anaesthesia is avoided in Intracranial HTN

A. Ketamine

B. Thiopental
C. Fentanyl
D. Midazolam
E. .

39) Person from sibbi Balochistan with history of fever, anorexia and fly bite, and examination showed
hepatosplenomegaly, lymphadenopathy.
A. Kala-azar
B. Malaria
C. Loiasis
D. . Bebesiosis
E. .

40) Girl having cervical Lymphoma with splenomegaly s/o Hodgkin disease stage would be.
A. Stage I
B. Stage IIa
C. Stage IIb
D. Stage III
E. Stage IV

Stage I is involvement of a single lymph node region (I) (mostly the cervical region) or single
extralymphatic site (Ie);
Stage II is involvement of two or more lymph node regions on the same side of the diaphragm
(II) or of one lymph node region and a contiguous extralymphatic site (IIe);
Stage III is involvement of lymph node regions on both sides of the diaphragm, which may
include the spleen (IIIs) and/or limited contiguous extralymphatic organ or site (IIIe, IIIes);
Stage IV is disseminated involvement of one or more extralymphatic organs.

43)Which is not crossing the axilla

a) dorsal scapular nerve

b)median nerve
c)radial nerve
d)axillary nerve
e)ulnar nerve

44) loss of sensation of dorsal aspect of hand just near thumb due to injury of
A. Median nerve
B. Radial nerve..
C. Axillary nerve
D. .ulnar nerve
E. .

45) Testicular tumour will first drain to

A. External iliac nodes
B. Internal iliac nodes
C. Para aortic nodes
D. superficial inguinal lymph node
E. deep inguinal lymph nodes

46) Female pt having right ovarian tumor, now she is undergoing Oophorectomy , which artery is most likely to be
damaged.
A. External iliac
B. Internal iliac
C. Uterine artery
D. .Middle sacral artery
E. inferior rectal artery

47) Patient with defect in lumen of allantois

A. Meckel's diverticulum
B. Umbilical Sinus/fistula
C. Urachal Fistula
D. Urachal Cyst
E. Urachal Sinus

48) Diabetic Ketoacidosis patient managed but dies, infection

A. Mucor
B. Pseudomonas
C. TB
D. .
E. .

49)

Patient with Tobacco chewing showing ulcer on inner lip margin which is indurated and pale is s/o

A. Squamous cell carcinoma

B. Basal cell carcinoma
C. Melanoma
D. .
E. .

50. Most important carcinogen in Bronchogenic carcinoma

A. Smoking
B. Asbestosis

C. .
D. .
E. .

51)

Amoebic liver abscess ,best test to diagnose

A. X-Ray
B. CT
C. IHA
D. Amoeba in stool culture
E. serology

I did d option..some says serology

I did D ( to see observation word, I go for it and heard evening pyrexia can occur in other conditions as
well. )..but ans may be A..please confirm..

53) Cystic artery is branch of

A. Gastroduodenal
B. Left gastroepiploic
C. Right hepatic
D. Spleenic artery
E. superior mesenteric artery

54) Adrenal gland,Perinephric fat and kidney is enclosed by:

A. Triangular ligament
B. Gillsons fascia
C. Geotas fascia
D. Peritonium

E. Coronary ligament

55) Disease not transmitted by Blood Transfusion?

A. Hepatitis A
b. HTLV1
c. CMV
d. EBV
e. .

56) superficial incision in Submandibular gland surgery will cause damage to

A.
B.
C. .maxillary nerve
D. .cervical br of facial nerve
E. .The marginal br of facial nerve
57. Which is not damaged during submandibular gland surgery .
A. Lingual nerve
B. Hypoglossal nerve
C. marginal br of facial nerve
D. cervical br of facial nerve
E. mylohoid nerve

58) True regarding Trigeminal ganglia

A. Completely covered by Dura??
B. bathed with CSF
C. Anterior portion lies in trigeminal cave

D. Is lies beside cavernous sinus

E. anterior and posterior portions lies in the cave

59) 84. Spinal cord is suspended by;

A. Alar ligament
B. Filum terminale
C. .denticulate ligament
D. conus medullaris
E.

60) Pain during defecation , which of the following is damaged;

A. Pudendal nerve
B. .s3,s4,s5
C. inferior glueatal nerve
D. .
E. .

61) Pus in boils or abscess is mainly due to

A. Dead bacteria
B. Dead Neutrophils
C. Exudate
D. Monocytes
E. .

62) Which one of the following is only capable of utilizing glucose

A. Brain
B. Heart
C. Liver
D. Skeletal Muscles
E. .kidney

63) Patient with C. Botulinum affectected flaccid paralysis will be

A. Diarrhoea
B. Vomiting
C. Respiratory muscles
D. Convulsions
E. .

64) Factor IX is not available what next best choice is.

A. Cryoprecipitate

B. FFP
C. Platelets
D. Whole Blood
E. .
65) Factor VIII is not available what next best choice is.
A. Cryoprecipitate
B. Platelets concentrate
C. Whole Blood
D. PCV

66) Left circumflex artery obstruction , then what what will be damaged;
A. Post part of left ventricle

B. anterior part of left ventricle

C. I/V septum
D.
E.

67) Right border of heart is formed by;

a) right ventricle
b)left atrium
c) right atrium and sup vena cava
d)apex of heart
e) right atrium

68) Phonation is produced by

A. voluntary movement of Vocal cords
B. voluntary movement of infrahoid muscles
C. vibration of vocal cords
D. .
E. .

69) Pharyngeal part of swallowing;

a) larynx should move up
b) voluntary
c)
d)
e)

70) Gustatory sweating is caused by.

A. sup. Parotidectomy
B. lensectomy
C. maxillary tooth surgery
D. .

71) Corpus Striatum

A. Amygdaloidal nucleus + Globus Pallidus
B. Caudate nucleus + Globus pallidus
C. Amygdaloidal Nucleus + Lentiform Nucleus
D. Caudate Nucleus + Putamen
E. Amygdaloidal Nucleus + Putamen
72) Following muscle does not attach to humerus
A. Pectoralis major
B. Pectoralis minor
C. Teres minor
D. Subscapularis
E. Supraspinatus
73) Main blood supply of Hip joint;
A. Medial circumflex humeral
B. Lateral circumflex humeral
C. Obturator
D. Nutrient
E.

74) Female on Oestrogen containing contraceptive pills , she has more chances of having,

A. Breast cancer.
B. Thromboembolism
C. .
D. .
E. .

75) Diastolic blood pressure is distributed normally in a group lady teachers (N=75). Mean was 80 mmHg and standard
deviation of 10, approximately what percentage of teachers have diastolic blood pressure of 70 mmHg or greater?
A. 16 %
B. 34%
C. 48%
D. 84%
E. 96%
76) Non-malignant cancer
A. Basal cell carcinoma.?
B. Squamous cell carcinoma
C. Breast Carcinoma
D. Bronchial Carcinoma
E. neuroblastoma

77) Patient with CRF on dialysis with normocytic normochromic anemia what should be given
A. Erythropoietin
B. VIt b 12
C. Iron
D. Folate
E. .

78) Regarding thyroid Gland

A. Comprises of acini drained by collecting ducts
B. Epithelium changes its shape according to stimulus
C. Has parathyroid glands lying on anterolateral surface
D. .
E. .

79) A young boy deteriorated drastically 2 hours after tonsillectomy. He has tachycardia and hypotension. Most likely
pathogenesis is?
A. Anaphylaxis shock
B. Cardiogenic Shock
C. Hypovolemic Shock
D. Septic Shock
E. Traumatic Shock

80) in Exercise / Anxiety , you will see;

a) Increase gi motility
b) decrease respiratory airway resistance
c) dec utilization of glucose by muscle
d)
e)

81) HIV+ patients surgery is done then before doing surgery of next pt in Operation theater, which antiseptic to use after
surgery to clean floor
A. 2% Glutaraldehyde
B. 4% Glutaraldehyde
C. hypochlorite
D. Soap and water

E. Water

82) Damage at Pterion will cause bleeding , which of the following is damaged
A. Middle meningeal artery
B. Bridging veins
C. superficial temporal artery
D. Middle cerebral artery
E. Anterior cerebral artery

83) Patient with fluent speech with insensible talk, damage at ;

A. Bocas
B. Wernicke
C. Splenuim
D.
E.

84) A 65 yr old patient presented with hemiplegia and facial paralysis .On examination lower part of face is more severly
affected with loss of voluntary movements of facial muscles. What could be the site of lesion?
A. facial canal
B. petrous temporal
C. Supranuclear
D. Cerebello-Pontine Angle
E. Pons

85) Sternocleidomastoid muscle is damaged that causes in difficulty in:

A. Flexes the neck

B. Turns the neck to the same side against resistance

C. Turns the neck to the opposite side
D. Extends the neck

86) Inferior epigastric artery lateral to mass.

A. Indirect hernia
B. Direct Hernia
C. Femoral hernia
D. Umblical Hernia
E. Epigastric Hernia
87) Male presents with Stoney dull percussion on right sided of chest what is the cause
A. Pleural effusion ..
B. Pneumonia
C. Thickened parietal Pleura
D. Pneumothorax
E. Cavity in lung

88) Decrease in Venous return due to;

A. Paralysis of skeletal muscles
B. Venoconstriction
C. Increased Blood Pressure
D. Increase Cardiac Output
E. .

89) Defence mechanism against tumor cells

a) T-cells or (Natural killer cell)

b) B- cells
c) macrophages
d) Neutrophils
e)
OR question was like .
89) Natural defence against cancer;
a) Apoptosis.

90) Physiologic Apoptosis

a) during maturation of T cell selection in thymus
b)
c)
d)
e)
91) Renal cell Carcinoma Metastasis by
A. Renal Arteries
B. Renal Veins..
C. Lymphatic
D.
E.

92) Ribosomes
A. Site of protein synthesis
B. Attached with ER and help in cytoplasmic protein synthesis
C. Present in cytoplasm and synthesize protein
D. Synthesize messenger RNA
E.

A look more accurete

93) Which of the following is primary cartilaginous joint.

A. Costochondral
B. Symphysis pubis
C. Sutures of skull
D.
E.

94) Down syndrome is associated with at the age of 40

A. Alzheimers disease
B. Parkinsons
C. Huntington Disease
D. Wilson disease
E.

95) A patient had resection of terminal ileum, what will result

A. Decreased Amino acid absorption
B. Increased water content in stool
C. Increased enterohepatic circulation
D. increased absorption of iron
E. decreased fat content in stool

96) Ejaculatory duct opens at

A. Prostatic urethra.
B. penile uretha

C. membranous urethra
D. .
E. .

97) Regarding Information care session what is appropriate?

A. Remove patients myths and misbeliefs
B. Updated information regarding the disease and its treatment advancements are communicated
C. consent form is given
D. Seeks information from friends and family
E. given the knowledge about hospitals newly advanced technolgies

98) G1P2 female after delivery develops sudden chest pain and difficulty in breathing and haemoptysis, ECG shows S1 Q3
T3 pattern which is most appropriate test.
A. LDH
B. SGO?PT
C. X-Ray
D. CPK
E. gallium scan

99) Structures posterior to medial malleolus except.

A. Tibial nerve
B. Post tibial artery
C. Flexor hallucis longus
D. Flexor digitorum longus
E. Tibialis anterior

100) Flexor Retinaculum contains;

a) Dorsalis Pedis Artery
b) Posterior tibial artery.?
c) Tibialis anterior
d) Extensor digitorum longus
e) Peroneus longus

101) Key bone of Medial longitudinal arch is;

A. Talus
B. Calcaneus
C. Navicular
D. Cuneiform
E. Cuboid

102) Young male comes to you with the history of problem in erection and is embarrassed by his enlarged breasts,what you
suspect most likely diagnosis is.
A. Prolactinoma.?
B. Mineralocorticoid tumour
C. Increased CRH
D. Increased gonadotrophic hormones.
E. .

I did A..plz confirm..

103) Biopsy of tissue shows Lymphoid tissue with stratified squamous epithelium
A. Palatine tonsils.?

B. Lymph nodes
C. Peyer's patches
D. Thymus
E. Spleen
I did A..

104) Female with fever, malaise enlarged cervical lymph nodes biopsy reveals granulomatous lesions, appropriate diagnosis
is done by,
A. Chest X-Ray
B. AFB demonstration.?
C. Tuberculin test
D. Caseasting granuloma on pathology
E. .
105) Regarding renal tubular absorption which of the following is passively absorbed.
A. Na
B. NH3
C. Urea..?
D. Ca
E. Glucose

106) Fastest conduction in

A. A alpha..?
B. A beta
C. A delta
D. B Fibres
E. C Fibres

107) Which carries Preganglionic fibers;

A. A Alpha fibres
B. A Beta Fibres
C. A gamma Fibres
D. B Fibres?
E. C Fibres

108) Free Nerve endings

A. are non-encapsulated receptors..?
B. Are found in voluntary muscles
C. Are a type of special visceral enteroreceptor
D. Are not present in the epidermis of skin
E. Detect only pain
109) Sarcomere lies between
A. Z disc ?
B. H lines
C. M lines
D. A band
E. Transverse tubules

110) Heparin action on DVT, it prevents

A. Embolization
B. Organization
C. Propagation.?
D. .
E. .

111) Female after delivery has developed sepsis and DIC . Which test shouldnt be done in DIC pt OR which test is not
appropriate..?
A. Fibrin degrading products
B. Bleeding time
C. clotting time
D. aPTT
E. Thrombin time

I dont remember which I did..i think I did CAns may be cplz confirm

112) Delayed wound healing ;

a) vit c deficiency
b)
c)
d)
e)

113) Truncal vagotomy causes

A. increased motility
B. increased acid secretion
C. increased pepsin secretion
D. decreased gastric emptying?
E. .

I did D.plz confirm this question..

114) Patient developed SCC of bladder 8 years back and granulomatous appearance of bladder biopsy. What do you
suspect?

A. Schistosomiasis ?
B. Tuberculosis
C. Bladder stone
D. Nitrosamines
E.

115) Dorsal Rami of Spinal nerves innervate ;

a) Abductor muscles of the limbs
b) Extensor muscles of the limbs
c) Extensor muscles of the trunk?
d) Flexor muscles of the neck
e) Stab;izer muscles of the shoulder

116) Male died after adenocarcinoma. He is also having Family history of Colon cancer. Autopsy showed thousands of
polyps in colon, type of polys.
A. Adenomatous
B. Hyperplastic
C. Hamartomatous
D. Metaplastic
E. Villous
Plz confirm this ans..i think a or c is correct ( not sure )

117) Regarding spironolactone

A. IV dose 100 mg
B. Is steroid
C. induce hypokalemia
D. .

E. .
I changed the option after 2nd read from c.but it was not among two aboveremaining two option having the correct
optiondont remember yet..

118) Which of the following disease in pregnancy will cause congenital cataract
A. Measles
B. Rubella during pregnancy..?
C. VZV
D. Herpes Simplex
E. .

119) Pt having Non Caseating granulomatous , Leat likely cause is;

a) Cat scratch fever
b) Syphilis
c) Leprosy
d) Sarcoidosis
e) T.B..?
I did Eb/c its caseating..plz confirm it .

120) Most of the Ventricular filling accurs ;

a) Rapid inflow
b)
c)
d)
e)

121) Idiopathic thrombocytopenic purpura which of the following is prolonged

A. aPTT
B. PT
C. BT
D. CT
E. Thrombin time
Some says ques was regarding ITP..acc to that ans would be C
But what I had written

121) Scenarion given on vWF deficiencynow what you will go test to diagnose it:
A. aPTT
B. PT
C. BT
D. CT
E. Thrombin time

I did A.b/c scenario was mixing with ITP so differentiating point I thought It was aPTT.plz confirm this
question..

122) Regarding spleen

A. Related to Rib 5 and 6
B. Related to left colic flexure in lower pole..?
C. Developed from ventral mesentery
D. .
E. .

123) 15 year old boy presented with bleeding tendency and ecchymosis.
A. Platelets 20 x 10^9.?
B. Platelets 90 x 10^9

C. Deficiency of calcium
D. Deficiency of factor viii
E.

124) Foramen cecum represents embryological structure OR foramena cecum is related with;
A. Thyroid
B. Thymus
C. Anterior pituitary.?
D. Poterior pituatary
E.

125) Chromosome alligns in the equatorial plane

A. Metaphase
B. Prophase
C. Anaphase
D. Telophase
E. Prometaphase

I did Prophase ..but ans is A, metaphaseplz confirm it

126) 1 year boy with anaemia showing microcytic cells, failure to thrive. Family history is showing that his elder brother
regular blood transfusion
A. Haemophilia
B. Sickle cell anaemia
C. Thalassemia..?
D. .
E. .

125) A 25 years old Female having complains of dysphagia, and weakness labs show hb=6.2 mg/dl MCV=68 fl and target
cells in peripheral film, what is the diagnosis
A. Iron deficiency anaemia
B. Anaemia of chronic disease
C. Thalassemia..?
D. .
E. .

I did Cplz confirm this question

126) Staging of tumour is related with

A. Invasive extent?
B. Cellular atypia
C. Hyperchromasia
D. Mitotic Bodies
E. .

OR question may be on Grading or something like that .pleomorphism, I did.not sure how question was..

127) Which of the following can cause hypersensitivity reaction ;

a) Streptococcus pyogens ?
b) Staphylococcus aureus
c) N.meningitidis
d) Streptococcus Agalatia
e)

128) Fetal Placenta:

A. Separates vessels in muscular layer from spongiosum
B. Separates vessels from many uterine arteries
C. Covered with amnion on fetal side
D. It is also called feto-chorionic
E)
I did the option related spongiosum.. dont know the exact Ans.Plz confirm this..

129) Maximum O2 tension in ;

a) Pulmonary capillaries
b) Left ventricle
c) Aortic blood
d) Pulmonary artery
e)

I think I did bdont know exact ans.looks its b, not pulmonary capillaries because there is exchange takes place so
cant be maximum O2, also there is CO2 presence

130) Characteristic feature of Apoptosis;

a) Cell membrane damage
b) Karyolysis
c)
d)
e) Shrinkage

I think I did A.but not sure the right ans.plzz Confirm

131) Regarding trachea

A. Gaps in the C-shaped Cartilage rings lie anteriorly
B. Total length of trachea is 15 cm
C. It commences at lower border of cricoid..?
D. It is attached to the upper margin of cricoid cartilage
E. Recurrent laryngeal nerve lie anteriorly

132) Axons of alpha motor neurons of the spinal cord;

a) are myelinated..?
b) are non-myelinated
c) pass through the dorsal root
d) terminate in the intrafusal fibers of the neuromuscular spindles
e) terminate on the motor end plates

133) If there is a tumour in the right superior lobar bronchus then the Bronchopulmonary segment most likely to be
collapsed would be:
A. Apical superior?
B. Anterior Basal
C. Medial Basal
D. Middle lateral
E. Superior Basal

134) When a pathologist reports a tumour as grade 3

A. Almost 100% cells are undifferentiated
B. 25% undifferentiated
C. between 50 - 75 % cells are undifferentiated .?
D. less than 10 % undifferentiated

E. More than 75 % undifferentiated

135) Significantly raised level of serum Alpha fetoprotein is characteristic of

A. Bronchogenic Carcinoma
B. Cirrhosis of liver
C. Colonic carcinoma
D. Gastric carcinoma
E. Hepatocellular carcinoma.?

136) An Osmotic Diuresis may result from

A. Aldosterone
B. Furosemide
C. Hyperinsulinism
D. Ingestion of Alcohol
E. Mannitol?

137) Significant intracellular buffer

A. HCO3
B. Haemoglobin
C. PO4
D. Na
E. Protein
I did E..but some says its B.plz confirm it..

138) A woman with obstructive jaundice, which of the following is marker?

A. Gamma glutamyl transferase
B. ALP

C. AST
D. ALT
E.
I think I did aplz confirm the ans

139) Female pt. with Cushing like disease symptoms came for investigations, her cortisol level is <1 what question we
should ask
A. Having Headache
B. H/o taking any steroid
C. .
D. .
E. .

I did B..dont remember the other options exactly but that option matches that.

140) Female with fever, malaise enlarged cervical lymph nodes biopsy reveals granulomatous lesions.A definite diagnosis
of Tuberculousis in this case requires,
A. Evidence of lung involvement by Chest X-Ray
B. AFB demonstration..?
C. Mantoux test
D. Presence of caseation necrosis
E. Presence of langhan giant cells

141) A peripheral blood smear from a 72 year old lady shows marked anisocytosis and poiklocytosis. The mean corpuscular
volume is increased and the neutrophils are hypersegmented . The most likely diagnosis is;
a) Anemia associated with chronic renal disease
b) Bone marrow hypoplasia
c) Pernisious Anemia..?
d) Sickle cell disease

e) Thalassemia

142) A 60 year old male diabetic was admitted with pneumonia . The sputum culture revealed growth of gram negative rods
. His blood sugar level was normal. On 6th day he was described to have a SHOCK like state . the likely mechanism in this
case is;
A) Acute tubular necrosis
B) Decreased myocardial contractility
C) Electrolyte imbalance
D) Increased vascular permeability..?
E) Low serum albumin

143) The investigations of bleeding disorder in a 2 year old boy reveals deficiency of factor VIII. He has two brothers and
two sisters . His sisters are unlikely to have this disease because the mode of transmission in this case is likely to be :
A. Autosomal Dominant
B. Autosomal Recessive
C. Non-genetic
D. X-Linked Dominant
E. X-Linked Recessive?

144) Which one produces severe transfusion reaction

A. A+ to B+
B. AB+ to O+
C.

O+ to AB+

D. A- to A+
E. A to AB

I did Bit seems to be true b/c AB is universal recipient and O is universal donorwhile if u r given AB mean both
antigen antigens are present while no antibodies.then severe reaction will take place in pt o positive bc he is having both
antibodies.plz confirm it

145) A female had bilateral silicon breast implant placements. After 2 years, now she has arrived with inflammation, which
cells you will find on biopsy?
A. Lymphocytes
B. Giant Cells..?
C. Plasma cells
D. Neutrophils
E. Eosinophil

146) How much pressure is required for the opening of aortic valve?
A. 50
B. 100
C. 60
D. 80
E. 120

I did d..but plz confirm I was confused between b and d.ans it may be bplzzz confirm it..

147) Glomerular filtration rate increases when there is decreased;

a) arterial blood flow
b) arterial blood pressure
c) glomerular pressure
d) permeability of glomerular membrane
e) plasma colloid osmotic pressure..?

148) Which of the following amino acid is essential amino acid :

a) Alanine
b) glutamic acid glycine
c) glycine
d) phenyl alanine..?
e) tyrosine

149) Vein of heart which continues as coronary sinus.

A. Great cardiac vein.?
B. Middle cardiac vein
C. Small cardiac vein
D. Anterior cardiac vein
E. Oblique cardiac vein

150) which of the following is NOT associated with hormonal secretion

A. Chondrosarcoma ..?
B. Teratoma
C. Bronchiogenic Carcinoma
D. ArrhinoBlastoma
E. Small Cell Carcinoma Lungs

151) CO2 diffusion in the lung is greater than O2 is due to?

A. Greater solubility coefficient?
B. Increased CO2 partial pressure in lungs
C. Increased density of CO2
D. Increased thickness in lung alveolar wall
E.

152) An acute decrease in arterial pressure elicits which of the following compensatory changes?
A. Decrease Firing rate of carotid sinus?
B. Increase parasympathetic outflow to the heart.
C. Decrease heart rate.
D. Decrease contractility
E. Decreased mean systemic pressure.

153) pt having cyst in pouch of doughlous , we have to drain the cyst thru the procedure via;
a) lateral fornix of vagina
b) posterior fornix of vagina.?
c)
d)
e)
154) A sharp object touches the foot patient withdraws.
A. Reflex with no inter-neuron
B. Polysynaptic
C. Muscle stretch
D. Golgi tendon
E. Multisynaptic reflex
I did ait seems to be trueplz confirm..

155) Type 2 heart Block

A. Distorted ECG Complexes
B. Atrial rate is greater than ventricles
C. ventricular rate is greater than atria
D. decreased stroke volume
E. .

I think, I did D..plz confirm..

156) Isthmus of thyroid gland lies at

A. Thyroid cartilage
B. C2-C3-C4 tracheal ring?
C. Above Cricoid
D. C4-C5
E.

157) Regarding Facial nerve:

A. Stapedius muscles.?
B. Muscle of facial expression except orbicularis occuli
C. Sensation from the face
D.
E.

158) Boy with lymphadenopathy painless, biopsy large cells with multiple mitoses, appropriate diagnosis by
A. Lymphocytosis on peripheral smear
B. Immunohistochemistry of leukocytes
C. .
D. .
E. .
I think..its bPlz confirm it

159) flexor sheath of thumb contains

A. flexor pollicis longus

B. Flexor pollicis longus and abductor pollicis longus?

C. Flexor pollicis brevis
D. Flexor pollicis longus
E. Flexor pollicis longus, synovial membrane and something more written
I think I did E or c..ans must b from them..i think..it should be Eplz confirm

160) A 59 female Non-Insulin dependent diabetes and HTN on antihypertensive brought to the emergency with semi
collapsed state, K+ is 6.1 what is the cause?
A. ARF
B. CRF
C. Diuretics
D. Heart Failure
E. .
NoteI think, I did C.plz confirm

161) 15 year Gardner with history of chest pain, no other symptoms, X-Ray was done which showed Round mass which is
calcified in lower lobe of lung
A. Aspergillosis
B. Tuberculosis
C. Sarcoidosis
D. Hydatid cyst
E. .
I did A..but dont know exact scenario..it was looking like fungal infectionplzz confirm

162) A female with regular cycle of 21 to 23 days what will be the ovulation days
A. 12 14
B. 14 18

C. 7 9..?
D. 10-12
E. 6-8

163) Male with Trans-mural infarction died suddenly in washroom after 8 days.
A. Atrial fibrillation
B. Ventricular Fibrillation
C. Cardiac Tamponade
D. Thromboembolism
E. Pulmonary oedema

I think , I did B..but please confirm the answer..

164) Young boy with 3 week history of facial weakness and nasopharyngeal sinusitis, on examination bilateral facial
weakness, with drooling on mouth
A. H. Influenzae
B. Corynebacterium
C. .
D. .
E. .
I dont know what I did.it may be Bplz confirm it.

165) Boy with high grade fever and tender abdomen, X-Ray shows pneumoperitoneum, before surgery antibiotic should be
given
A. Cefotaxime.?
B. Gentamycin
C. Augmentin
D. .
E. .

166) Regarding arterial supply of heart all statements are true except that
A. left Coronary Artery is larger than Right Coronary Artery
B. Right Coronary artery arises from anterior aortic sinus
C. Left Coronary Artery is the first branch of arch of aorta
D. Right Coronary Artery supplies both ventricles
E. Interventricular septum is supplied by left coronary artery
???

167) When is confidentiality of patient breached

A. Patient dies
B. Insurance Purposes
C. Psychiatric Illness
D. .
E. (I think it was an option) when pt own saying?

168) Last thing to be returned normal after losing a litter of blood

A. Heart rate
B. Blood pressure
D. RBC in peripheral smear
E. Pulse pressure
F. Volume.

169) Most commonly hypertrophy occurs in

A. Skeletal muscles..

B. Thyroid Gland.
C. Ovaries
D. Breast
E. Testis

170) Which of the following is most important cause of Fat necrosis in peritoneal cavity
A. Acute pancreatitis
B. Gut gangrene
C. Brain
D. .
E. .

171) Epiploic Appendages are on

A. Duodenum
B. Ileum
C. Jejunum
D. Sigmoid colon
E. Stomach

172) Basic drug binds to

A. Albumin
B. Iron
C. Blood Cells
D. A1 Glycoprotein
E. Protein

173) Basophilia is caused by

A. Nucleus
B. Ribosomes
C. Cytoplasm
D. Endoplasmic reticulum
E. .
I think it is Aplz confirm it..i dont remember what I did.

174) 112. Regarding spinal nerves

A. Exit from intervertebral foramen
B. Derived from neural crest only
C. Ventral horn contains ganglion
D. Motor supply from dorsal root
E. .

175) Increased risk of Cervical cancer due to

A. Chronic irritation
B. IUCD
C. HPV
D. Herpes simplex
E. .

176) Eosinophilia is not associated with

A. IgM..
B. Ascariasis
C. Asthma
D. Hay Fever
E. IgE

177) Which is the neurotransmitter involved in slow wave sleep.

A. Acetylcholine
B. Dopamine
C. Adrenaline
D. Serotinin
E. GABA

178) In distribution curve, which of the following is most likely?

A. Normal distribution.
B. Distribution on right side +ive peak
C. Distribution on left side +ive peak
D.
E.
179) About RBCs
A. Destroy in spleen when are old
B. Life is 3 weeks
C.
D.
E.

180) Substances that pass through biological membrane in the process of simple diffusion:
A. Water soluble.
B. Un-saturatable
C. Energy dependant

D. Have carrier protein

E.

181) Kidney disease edema occur due to.

a) Albuminuria and salt retention

182) To decrease osmarality, what should be given

a) Vasopressin
183)Haemorrhage results in increase of
a) Aldosterone
d) Cortisol
c) Inulin

184) Moves K+ out of the cell and hyperkalemia

a) Strenious exercise

185) Pain epigastrium due to gastric ulcer carried by:

A. Greater splanchnic nerve
B. Lesser splanchnic nerve
C. Least splanchnic nerve
d)
e)
186) Hemolytic Uremic Syndrome, most appropriate statement should be
a) associated with microangiopathy
b)
c) immediately treated with antibiotic
d) occurs due to food posining organism Shigeela

e)more common in children

187) Functional Residual Capacity

a) Air remain in lungs after normal tidal expiration
b)

188) Female pt with high grade fever, head ache, anaemia and haematuriamost likely causative organism is
A. P. falciparum
B. .
C. .
D. .
E. .

189) Pt having duodenal ulcer which artery will be damaged;

a) Gastroduedenal
b) splenic artery
c) sup. Mesenteric artery

190) During thyroidectomy , inferior thyroid artery is ligated .The nerve likely to be injured ;
a) External laryngeal N
b) Internal laryngeal N
c) Recurrent laryngeal N
d) Superior laryngeal N
e) Vagus N.

191) Anterior Dislocation of arm, the nerve most likely damaged is ;

a) Radial N
b) Median N
c) Axillary N
d) Musculocutaneous N
e) Ulnar N

192) Virus damage by

a) altering protein

193) Radiation damage at

a) Nucleus
b) Cytoplasm

194) Spleenectomy..( scenario given and then spleenectomy done )

a) Increase platelet count

195) Hypovolumic shock, what you will see;

a) cold and clumpsy

196) Which of the following is NOT true about portal vein:

A. Formed by superior and inferior mesenteric vein
B. Present on free end of lesser omentum
C. Has tributaries from right gastric
D. Has tributaries from superior epiploic vein

197) 3rd week development

a) Heart tube

198) Autosomal dominant

a) One of family members parent is affected with his child.

200) Spinal accessory Nerve supply to

a) Trapezuis.
OR question like this
Trapezuis is supplied by.
a)Greater auricular
b)Cranial accessory
c)Spinal accessory

201) S1 nerve root

a) achilis tendon is damaged

202) Cough reflex ( scenario based question)

a) vagus nerve.

204)Neonate ARDS
a) damage to capillary endothelium
205) damage to bulbus part of urethra urin will go..
a) sup. Perineal pouch
206) Sjorgen Syndrome ( scenario like dryn eyes, dry mouth like so.)NB
a) Antiboby Ro

207) Transplant rejection after 2 years.

a vasculitis and thrombosis)
210) question on DNA virus.
211) on invasive pulmonary issue..
a) histoplasma..