c,ANATOMY :1) Pterygopalatine fossa is not related to (connected to)

a) Foramen ovale
b) Foramen rotundum
c) Pterygoid canal
d) Sphenopalatine foramen
Answer: (a)
2) Nerve supply of meninges of middle cranial fossa
a) Trigeminal nerve
b) Facial nerve
c) Vagus neve
Answer: (a)
3) One of the following is right relationship of trachea is superior mediastinum
a) Arch of aorta
b) Right vagus
c) Mediastinal pleura
Answer: ( )
4) Regarding the physiology of salivation (one of the following is correct)
a) Stimulated by food in mouth (unconditioned reflex)
b) Smell always stimulates it (unconditioned reflex)
c) Salivatory nucleus in lower medulla
d) sight always stimulates it
Answer: ( )
5) One of the following is true regarding pituitary gland
a) related anteriorly to optic chiasma
b) adenohypophysis develops from the roof of the primitive oral cavity
6) One of the following is true about median nerve
a) no prominent branch in arm
b) supplies biceps brachi
c) supplies triceps
d) none of the above
Answer: ( a)
7) one of the following has single nerve supply
a) biceps femoris
b) adductor magnus
c) tibialis anterior
Answer:(c)
8)lymphatics from glans penis drain into
a)superficial medial inguinal nodes
b)deep inguinal nodes
c)superficial lateral inguinal nodes
d)vertical superficial inguinal nodes
Answer:(b)
9)sprinter after long distance running develops severe pain and echymoses over
heel,can stand on toes but painful, diagnosis
a)achilles tendon rupture
b)dvt
c)warts

Answer:(a)
10)dermatome on lateral side of foot
a)L3
b)L4
c)S1
d)L5
Answer:(c)
11)one of the following is correct
a)knee jerk L4L5
b)biceps jerk C5
c)triceps jerk C8
d)abdominal reflex
Answer:(c)
12)correct about cephalic vein
a)arises from medial side of dorsal venous arch
b)pierces clavipectoral fascia
c)joins the axillary vein in deltopectoral groove
Answer:(c)
13)boundaries of lesser omentum
a)superior :caudate process of liver
b)left :gastroepiploic opening
c)posterior :(aorta)
d)inferior :(transvserse colon)
Answer:(a)
14)left kidney is related anteriorly to
a)body of pancreas
b)
c)
d)
Answer:(a)
15)groove behind uncinate process of pancreas transmits which structure
a)
b)
c)
d)
Answer:( )
16)arteria pancreatica magna is branch of which artery
a)common hepatic
b)gastroduodenal
c)superior messenteric
Answer:( )
17)regarding the attachment of "SIBON'S FASCIA" (suprapleural membrane) one of
the following is true
a)attached to outer border of first rib
b)second costal cartilage
c)pleura(apical part)
Answer:( )

18)one of the following is in posterior relation to the left ureter

a)psoas muscle
b)quadratus lumborum
c)
d)
Answer:( )
19)in "cubital tunnel syndrome" ulnar nerve is compressed by
a)flexor digitorum superficialis
b)flexor carpi ulnaris
c)brachialis
Answer:( )
20)direction of flow of lymphatics from axillary nodes,regarding carcinoma breast is
a)abdominohepatic
b)anteroinfrior
c)superioriferior
21)"CLAW HAND" is due to unopposed action of
a)extensor digitorum and flexor digitorum profundus
b)flexor digitorum profundus and superficialis
22)posterior interventricular artery supplies
a)right ventricle
b)left ventricle
c)both
d)none of the above
Answer:( c)
23)one of the following is true
a)AV node lies in membranous part of IV septum
b)SA node lies in left atrium
c)AV node lies in muscular part of IV septum
Answer:(a)
24)one of the following is correct
a)sulcus terminalis on external surface of right atrium extends from S.V.C to I.V.C
b)
c)
d)
Answer:( )
25)one of the following is true
a)left renal vein crosses aorta and left renal artery from front
b)
c)
d)
Answer:( )
26)perirenal fat is outside
a)renal capsule
b)renal fascia
c)adrenal gland
Answer:( )
27)fascial space in neck extends upto

a)superior mediastinum
b)anterior mediastinum
c)middle mediastinum
d)posterior mediastinum
Answer:()
28) thyroid gland is enclosed by
a)pretracheal fascia
b)prevertebral fascia
c)investing layer of deep cervical fascia
Answer:( )
29)regarding APEX BEAT one of the following is true
a)8cm from midplane
b)posterior to the root of pulmonary trunk
Answer:( )
30)venous drainage of liver (hepatic veins ) into
a)SVC
b)IVC
c)portal vein
d)superior messenteric vein
Answer:( )
31)regarding 12th thoracic vertebra one of the following is true
a)both 11th and 12th ribs attached to it
b)only 12th rib related to its transverse process
Answer:(b)
32)sternal angle of louis lies at
a)L4L5 disc level
b)L3L4 disc level
c)T12L1 disc level
Answer: ( )
33)regarding posterior fontanelle one of the following is correct
a)closes late than anterior fontanelle
b)bigger than anterior
c)faces sacral promontory in post asynclitism
d)cannot be palpated in deep transverse arrest
Answer:( d)
NEUROANATOMY:
1)patient presented with rt. sided hemiparesis,angle of mouth deviated to left,lesion
is in
a)cortex
b)internal capsule
c)brainstem
d)spinal cord
Answer: (b)
2)patient with history of meningitis 1 month back, now develops headache in
morning particularly and bilateral papilloedema,diagnosis

a)dural venous sinus blockade

b)hydrocephalus
PHYSIOLOGY:
1)DEAD SPACE
a)increased on lying down
b)extends upto respiratory bronchioles
c)decreases in recumbent position
Answer:(a)
2)hypomagnesemia is a ssociated with
a)hypercalcemia
b)hypocalcemia
c)hyponatremia
Answer:(a) magnesium Mg+2 ions are required for exocytosis of PTH from the gland
cells, hence its deficiency leads to hypocalcemia( REF: USMLE step 1 physiology)
3)hyperkalemia is associated with
a)increased aldosterne
b)increased renin
Answer:( )
4)thirst is inhibited by
a)increased osmolality of ECF
b)increased blood volume
c)stimulation of lateral hypothalamus
5)flow of blood in the coronary arteries depends upon changes in
a)production of local metabolites
b)sympathetic stimulation
Answer:(a) (REF: USMLE STEP 1 PHYSIOLOGY)
6)one of the following is true regarding cardiac action potential
a)EC Na+ membrane potential to threshold
b)EC Na++ hyperpolarizes the memebrane
Answer:( )
7)regarding K+
a)hyperkalemia produces inverted T waves in ECG
b)hypokalemia produces U waves in ECG
Answer:( )
8)cells stimulated in primary parathyroid hyperplasia
a)chief cells
b)oxyntic cells
c)chief+oxyntic cells
Answer:( )
9)air expired after maximum forceful inspiration
a)vital capacity
b)inspiratory capacity
c)expiratory reserve volume
d)functional residual capacity
Answer:(b) inspiratory capacity (IC)=inspiratory reserve volume(IRV)+tidal
volume(TV) ,hence IC is the volume of air expired after maximal forceful inspiration,

it needs to be differentiated from vital capacity(VC)=TV+IRV+ERV, hence VC is the

MAXIMAL volume of air that can be expired after maximal forceful inspiration
10)The interval between S1 and S2 is
a)diastole
b)systole
c)cardiac cycle
Answer:(b) S1 closure of AV valves,S2 closure of aortic/pulmonary valves, the
interval between them represents the period of systole
11)function of SER
a)detoxification
b)enzyme inactivation
c)protein synthesis
d)proteolysis
Answer:(a)
12)DNA is present in
a)ribosomes
b)mitochondria
c)golgi apparatus
Answer:(b)
13)30 yrs old male presented in ER with fracture pelvis,fracture left femur,pulse
120,B.P 8060,pale and anxious, first line treatment
a)internal fixation of femoral fracture
b)secure airway
c)intravenous fluid administration
Answer:(c)
14)Insulin secretion stimulated by
a)GIP
b)VIP
c)somatostatin
Answer:(b)
15)which of the following changes do you expect in a long distance runner at the
end of a marathon
a)insulin/ glucagon
b)insulin/glucagon
c)insulin/glucagon
Answer:(c)
pathology
1)one of the following is true regarding CSF findings in meningitis,
a)sugar in pyogenic meningitis
b)protein in fungal/TB meningitis
c)PMN in viral meningitis
Answer:(a)
2)CTC detected by
a)PCR
b)RT-PCR
Answer:( )
3)6months old infant, severe microcytic hypochromic anaemia, HbF(95%) ,

HbA2(3%), diagnosis?
a)-thalassemia intermedia
b)-thalassemia major
c)Hb-H disease
Answer:( )
4)20 yrs old patient,crampy abdominal pain,malodorous frothy stools several times
a day, 1st line investigation would be
a)stool C/S
b)stool DR
c)barium meal/enema studies
Answer:( )
5)protein in urine is due to
a)damage to basement membrane
b)renal pelvis
c)calyces
Answer:(a)
6)diagnostic test in patient of renal failure
a)serum creatinine
b)creatinine clearance
Answer:( )
7)useful enzyme assay in obstructive jaundice
a)ALT
b)AST
c)ALK-phosphatase
Answer:(c)
8)In URAEMIC NEPHROPATHY, there is
a)metabolic acidosis with anion gap
b)normocytic normochromic anaemia
c)resp-acidosis
d)resp-alkalosis
Answer:(b)
9)in severe diarrohea,
a)metabolic acidosis with anion gap
b)metabolic acidosis with anion gap
c)metabolic acidosis with normal anion gap
d)resp-acidosis
Answer:(a) reference USMLE STEP 1 PHYSIOLOGY
10)one of the following is the consequence of undescended testis
a)impotence
b)malignancy
c)varicocoele
11)child 6yrs old,enlarged penis and scrotum,hair growth on chest and face,
urinary 17-ketosteroids
a)adrenogenital syndrome
b)CAH
c)kleinfelters syndrome
Answer:(a)

12)treatment of paroxysmal nocturnal haemoglobinuria

a)retuximab inj
b)oral tranexamic acid
c)warfarin
Answer:(c)REFERENCE:OXFORD HANDBOOK OF CLINICAL MEDICINE
13)mechanism by which cells destroyed in chemotherapy for lymphoma(nuclear
fragmentation and cellular cytoplasmic disintegration)
a)apoptosis
b)
14)most common radiation related brain tumor
a)meningioma
b)ependymoma
c)glioblastoma multiforme(grade 4 astrocytoma)
d)schwannoma
Answer:(a)
15)which virus is not damaged by cleaning instruments with alcohol
a)EBV
b)HSV
c)HIV
Answer:( )
16)lymph node biopsy shows lacunar cells with few reid-steinberg cells,diagnosis
a)nodular sclerosis Hodgkins
b)lymphocyte depleted
c)lymphocyte predominant
17)in diabetes mellitus , AGE (acetylated glucose end products) are produced that
produce most of the complications, which organ if damaged ,sets a vicious cycle
a)liver
b)kidney
c)eyes
d)heart
Answer:(b)
18)in a lipid profile triglycerides above 19mmol/L ,immediate consequence of
concern
a)neuropathy
b)lipemia retinalis
Community Medicine
1) Definition of prevalence
a)
b)
c)
2) Definition of incidence
a)
b)
c)
d)

3) Counseling means
a) Showing empathy and compession
b) Giving the best possible advice
Pharmacology
1) Bioavailability is related to
a) S/C administered drugs
b) IM drugs
c) Oral drugs
d) IV drugs
Histology
1) Mucous cells are predominant in
a) Parotid glands
b) Sublingual glands
c) Submandibular glands
2) Mitochondria in apices of cells
a) Hepatic cells
b) Kupffer cells
c) Renal cells
Answer a