FCPS Past Papers: Medicine January 2009

Q#1.a 45 yr old male comes with the complaint of acute abdominal pain with migratory thrombophilibitis. what is the diagnosis?


a. Acute pancreatitis

b. Chronic relapsing pancreatitis

c. C.a pancrease (ans)

d. D.M


Q#2.Iron is stored in parenchyma as:

a. Ferritin

b. Hemosiderrin

c. Transferrin


Q#3. Least site of metastasis is:

a. Spleen

b. Liver

c. Lung

d. Kidney

e. Lymph nodes


Q#4.Major stress hormone is:

a. ACTH

b. Epinephrine

c. Norepinephrine


Q#5. Benedict test is used for:

a. renal glycosuria

b. urinary ketone.

c. urine glucose test


Q#6.A lady with hepatitis B; Serology shows: HbsAg +, HbeAg +ve,Anti HBe -ve, Hbv Dna +ve. Anti HBc IgM +ve...what does it show?


a. Acute Hepatitis B (ans)

b. Chronic hepatitis B

c. Viral load is decreasing

d. Immunized


Q#7.A healthy baby comes apparently with the complaint that he does not take breast milk instead he prefers the bottle feed. What is the diagnosis?


a. Cleft hard and soft palate (ans; most probably)

b. Cleft soft palate

c. Hormonal deficiency

d. Nasolacrimal duct block

e. Laryngeal weakness


Q#8.Penetrating injury in left 4th ics will damage which of the following structure?

a. Intercostal membrane

b. Intercostal muscle

c. left lung

d. left ventricle

e. Left atrium


Q#9.In Hyperglycemia, which 1 will increase:


a. Epinephrine

b. Cortisol

c. Glucagon

d. Insulin (ans)


Q#10.Regarding polycystic kidney:


a. It is autosomal dominant

b. It is autosomal recessive

c. Genetic mutation

d. Only females suffer

e. Only male suffer


Q#11.After 3 months to gastrectomy, Pt will develop:


a. Microcytic hypochromic anemia

b. Microcytic hyperchromic anemia

c. Megaloblastic anemia (ans)

d. Hemolytic Anemia

e. Macrocytic Anemia


Q#12.Non-myelinated nociceptor fibre directly synapses with:


a. Dorsal spinothalamic tract..................sorry cant remember other options


Q#13.Somites are derived from

a. Mesoderm





Q#14.Pseudomembranous colitis is caused by


a. Clostridium difficile (ans)

b. C.perferinges

c. Helicobacter pylori


Q#15.A 2 yr old child (premature); which cardiovascular anomaly will most likely develop:


a. Coarctation of aorta

b. Failure of closure of foramen ovale

c. PDA (ans)


Q#16.Which is the major circulating phagocyte?


a. Neutrophil

b. Mast cell

c. Monocyte

d. Macrophage (ans)


Q#17.ICF differs from ECF in:


a. Has increased Na+

b. Has increased K+ (ans)

c. Has increased Ca+


Q#18.Neurotransmitter of corticostriatal fibres is


a. Glycine

b. Dopamine

c. Ach

d. GABA


Q#19.Bile salts are normally absorbed from


a. Duodenum

b. Jejunum

c. ileum

d. Stomach


Q20. S1Q3T3: ......cant remember options for this Qz


Q#21.Antidote for Morphine:


a. Nalaxone (ans)


Q#22.which of the following is absent in Axon hillock


a. R.E.R (ans)

b. S.E.R

c. Microtubules

d. Microfilaments

e. Mitochondria


Q#23.Glucronide conjugation of drugs


a. Cause inactivation of drug

b. Is type 1 reaction

c. Makes drug insoluble


Q#23.Dorsal rami of cervical nerves innervate


a. Abductor pollices

b. Extensors of limbs

c. Extensors of trunk

d. Stabilizers the shoulder


Q#24.Upper end of esophagus is at the level of


a.C6


Q#25.Which part of kidney produces Erythropoiten:


a. MACula densa

b. pertubular capillary (ans)

c. Pct

d. DCT

e.Loop of henle


Q#26.Liver biopsy from a pt shows a lesion which is comprised of central collection of structureless material surrounded by epitheloid cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen.The most likely change is:


a. Caseous necrosis

b. Coagulation Necrosis

c. Fatty change

d. Hydropic change

e. Liquefective necrosis


Q#27.Tissue damage by Ionization Radiation is due to:


a. Damage to Golgi bodies

b. Formation of free Radicles

c. Hydropic change

d. metaplasia of cell

e. swelling of cell


Q#28.Side effects of thiopental

a. Nausea

b. Seizure


29.Posterior belly of diagastric is supplied by:


a. Glossopharngeal nerve

b. Facial nerve

c. Trigeminal


Q#30.Which immunoglobulin has pentameric structure:


a. IgA

b. IgM

c. IgD

d. IgE

e. IgG


Q#31.Which is highest in human milk?


a. IgM

b. IgA

c. IgE

d. IgD

e. IgG


Q#32.Blood supply of Visual area:


a. Ant:Cerebral Artery

b. Middle cerebral Artery

c. Posterior cerebral artery




Q33.Aneurysm of arch of aorta will most like compress


a. Esophagus

b. Left main bronchus

c. Phrenic nerve

d. Thoracic duct


Q34.Gastroduodenal artey arises from


a. Celiac

b. Hepatic

c. Splenic

d. Superior mesentric


Q35. Slow growing tumor of thyroid is:


a. Anaplastic

b. Medullary

c. Follicular

d. papillary


Q36.Which does not lead to Pre-malignancy


a. Iodine deficiency

b. HIV

c. HBV

d. Melanosis


Q37.A 34yr old man can’t abduct his arm due to fracture of humerus. which nerve is damaged?

a. Axillary

b. Median

c. Radial

d. Ulnar

e. Musculocutaneous


Q38.Aldosterone will increase with:


a. Increased serum K+

b. Increased serum Na+

c. decreased plasma volium

d. Increased ACTH




Q39.A 14 yr Boy comes with the complaint of his abnormal Height and secretion from mammary glands. Histology of pitutary will show;


a. Increased Chromophobes

b. Increased Acidophilic cells (most probably diz was the ans)


Q40.A 35 yr old female is protected against osteoporosis due to


A. Estrogen (ans)

B. Progestron


41.Which is not “ Major Basic tissue”


a. Epithelium

b. Nerve (ans)

c. Bone

d. Blood

e. Muscle

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FCPS past papers: Radiology January 2009

1. Most imp. stress hormone
ACTH*
Epinephrine
Norepinephrine
Growth hormone

2. wat is not in relation with right kidney
decending colon*
ascending colon
duodenum
spleen

3. wat is not in relation with pitutary gland
Facial nerve*
Abducent nerve
Sphenoid sinus
Trigeminal

4. tributery of external carotid vein
Anterior jugular vein*
Facial vein


5. side effect of thophyllin
nausea and vomiting*
hypertension
bradycardia
seizures

6. Nor-epinephrine & serotonin degration by
MAO*
COMT



7. chemotaxic factor
leukoterine B4*
C3b
C5 complex
histamine


8. wat is not in post. relation with left kidney
Deudenum*
Ascending colon
Descending colon



9. wat is in between celeiac trunk and superior messentry artery
Pancreas*
Pancreas + jujenum
Transverse colon + ilium



10. what is secreted in breast milk
Ig G*
Ig A
Ig M
Ig D
Ig E



11. wat cannot pass placenta
Ig G
Ig A
Ig M*
Ig D
Ig E

12. ant and post spinal arteries arise from

vertebral artery gives anterior spinal, PICA gives post. Spinal*
Internal carotid
Vertebral artery and ant cerebellar artery



13. from which foramen facial nerve enters temporal lobe
internal accustic meatus*
stylomastoid foramen
foramen ovale
foramen spinosum



14. When r the ventricles filled with blood
Diastasis*
Atrial systole
Rapid in flow

15. A boy had behavior problem, loss of memory but resolve …..he is agressive in his mood, where is damage
Mammillory bodies
frontal lobe*
temporal lobe
parital lobe
occipital lobe

16. a new born presented with obstructive jaundice,,,,, gall bladder looks ok in U/s, cause
Atresia of CBD*
Atresia of entire extra hepatic apparatus
Atresia of hepatic duct
Choledochal cyst

17. A man with noticed weakness of left side of the body, hypotonia of the left limb, he swangs to left side, where is the lesion
Cerebral hemisphere
Left cerebellum *
superior c puduncle
Red neucleus

18. adrenalcortical insuficancy causes
hypokelimia
hyponatremis
hypoglycemia*
alkalosis

19. In resting stage actin is attached to
tropomyocin
troponin
titin
myosin


20. if there is damage to sciatic nerve, supply to the dorsum of foot is by
sephenous nerve*
Sural nerve
Common peroneal
Deep peroneal

21. patient with difficulty in standing from sitting postion....
Gluteus Maximum*
Gluteus medius
Tensor fascia lata
Quadricep femoris

22. wat is not in relation with left recurrent nerve
SVC*
Arch of aorta
Lig arteriousum
Trachea
Esophagus

23. stucture compressing Esophagus
Left bronchus (correct)
Left Venticle
Right Atrium
Right ventricle
Thymus

24. Esophagus constriction at
Aortic arch*
Left ventricle
Rt atrium

25. wat vein run with Post. interventricle artery
great cardiac vein
middle cardiac *
small cardiac

26. utrine cancer spread to labia majore via
Round ligament*
utrosacral ligament

27. Basalic vein .
drain in axillary ven*
runs on radial side
starts from palmar surface


28. median nerve
supply lateral 2 lumbricals*
causes wrist drop

29. injury of neck of the humerus, nerve damage
Axillary nerve*
Musculocutaneous
Radial
Ulnar

30. wat is in proximal layer of carpal bone, true
Scaphoid, lunate triqutral & pisiform*


31. broncopulmonary segment wat is true
anatomical, fuctional n unit of the lung*
contains lobar bronchus
pulmonary veins run in intersegmental tissue


32. urinary bladder, wat is true
supplied by anterior division of internal iliac*
separated from uterus by pouch of Douglas
in males has seminal vesical above and vas deferens below


33. sephenous nerve wat is true
drain into femoral 3.5cm inferior n lateral to pubic tubercle*
has only 1 tributary
connected to short sphenous by perforators


34. down syndrome
trisomy 21*
18
15
13

35.Which of the following tissue is most radiosensitive
Skeletal muscle
Cartilage*
Bone




36. diagnostic test for strptococuss is
ASO titer
Blood culture*
Urine Dr


37. 65% of Na and water reabsorbed from
PCT*
DCT
Loop of Henle
Collecting duct

38. injury to hippocampus
Memory loss*

40. .Erythropoietin is secreted from
Yellow marrow
Macula densa
Preitubualr capillaries*
PCT

41. medial part of breast supply which node
internal thoracic*
lateral grp
ant grp
medial grp

42. diapharam contraction cause
increase in thoracic pressure
increase in thoracic diameter

43. thoracic duct
passes with aorta *


44. sypathetic supply by alpha receptors
dilator pupilary musscle of eye*
brochoconstriction
cardioacceleration


45. parasympathetic supply
inc. secretioin of slivary gland*

46. gastric emptying delayed by
CCK*
Secretin
Gastrin
Vagus




47. A boy has edema due to protien loss of 3.5g in urine..., wat is the cause of edema
Plasma colloid pressure is decreased*
Increase hydrostatic pressure
Increased capillary permeability


48. wat is not supplied by internal thoracic artery
Inferior portion of rectus muscle*
Ant abd wall upto umbilicus
Pericardium
Thymus


49. Patient Gravida 4 with anemia and occult blood in stool
Iron deficiency anemia *
Sideroblastic anemia
Thalassemia
Megaloblastic anemia

50. iron absorb in
ferruos form*
oxalate


51. Bile salt absorb from
Ileum*
Proximal jejunum
Distal jejunum
doudenum

52. Trachea start from ….wat is true
C6*
C4
C5
Cricoid cartilage

53. wat is true abt CSF
secreted at rate of 500 ml/day*
choroid villi are seen by naked eye
aqueduct transmits CSF from 4th ventricle to spine


54. blood supply to Bundle of His.
Circumflex artery a br. Of left coronary artery
Posterior interventricular artery
Main Left coronary artery
Main right coronary artery

55. metastatic carcinoma least common site
brain
lung
liver
spleen(correct)

56. premotor area , which artery supplies
Anterior and middle cerebral (correct)
Anterior
Middle
Middle and post. Cerebral
Anterior and pst. Cerebral

57. arterial supply to primary visual area
PCA*
ACA
MCA
PICA

58. A boy defecate just after he takes meal, wat the reflex
gagtrogastric reflex
gastro coic reflex (correct)


59. Median of 20,20,25,25,30,30.35,40
25
20
27.5*
30

60. nerve supply to latismus dorsi
thoracodorsal*
subscapular
long thoracic

61. Right bronchus as compare to left
is longer
ant to pul artery
right bronchus is more vertical than left*

62. A surgeon did a study on patients with heamorroids
he included 100 pt in grpA and treated them surgicall
whil kept the other 100pt on high fiber diet
he interviewd them after 12mons and found that the grp with surgical treatment had a better response…… wat type of study is this?
Case control
Cohort
Prospective
Randomized control trial

63. Doctor patient relations and how good a doctor is known by
his degrees
his records
his pleasant behavior and bed side manners*

64. if a patient develops a fatal disease it is best to
hide it from him
tell it to him and his family as soon as possible*

65.Benedicts test is done for
blood sugar
urinary glucose
urinary reducing sugars*

66.sup parathyroid gland
is related to sup thyroid artey*
lies outside the pretracheal fasciae
lies anterolatral to thyroid

67.MHC complex is
related to HLA typing*
blood grp antigens
same in identical twins

68. first part of axillary artery ends at
border of pectoralis major
border of pec minor *
border of teres major

69.Esophagus is related to which structure whose dilatation can cause dysphagia
l atrium*
left vent
SVC
Rt atrium

70. If RCA is occluded distal to the origin of right marginal artery which part of the heart will be affected most?
Rt atrium
SAnode
AVnode*
Apex of the heart

71. Myleination of the brain wat is most inappropriate?
Starts at birth
Occurs hapharzadly
Sensory neuros are myelinated first
Occurs by oligodendrogliocytes

72. A patient with multiple fractures and BP 90/60 pulse 60/min wat is the most appropriate initial treatment?

IV fluids*
Reduction os fractures





73. Factor 9 def wat is the appropriate treatment?

Cryoppt*
FFP
Whole blood
WBC


74. DIC most inappropriate

low FDP*
consumptive coagulopathy
treated with heparin
low platelets

75. Kleinfelters syndrome
chromosomal deficiency
autosomal dominant
autosomal recessive
extra X chromosome*
extra Y chromosome

76. Fat embolism most unlikely
urinary test is diagnostic*
occurs due to trauma to fatty tissues
caused bt acute pancreatitis

77. Highest mortality rate
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E

78. Diphtheria is transmitted by
sexual contact
respiratory *
feco oral


79.which organ has least chance of metastasis
lung
bone
liver
kidney
spleen*

80. which organism causes meningitis secondary to pyogenic lung abscess?
Strep
Staph
Pneuococcus
h.influenzae

81. thromboembolism is most common in?
leg*
liver
brain
kidney

82. OCP increase the risk of
breast cancer
endometrial cancer
thromboembolism*
osteoporosis

83. Osteoporosis is less in premenopausal women due to effect of
estrogen*
testosterone
progesterone
androgens

84. A trauma patient in shock with stab wound along left 10th rib which organ is damaged?
Liver
Spleen*
Colon
Duodenum

85. in autosomal recessive disease
all siblings are affected
both parents are affected
only mother is affected
all siblings have a chance of one into four of contracting the disease*

86.which of these is not caused by bacteria
histoplasmosis*

87. Most likely finding in CSF

inc glucose in fungal meningitis
dec glucose in viral meningitis
lymphocytosis in aseptic meningitis
dec glucose in pyogenic meningitis

88. most imp for wound contraction
myoblasts
fibroblasts
myofibroblasts*
epithelium
collagen

89. smooth muscles are
striated
voluntary
mostly arranged in circular and longitudinal layers *

90. hyperparathyroidism causes least likely
hypertension
dystrophic calcification*
inc PTH




91. Ductus deferens ends into
Prostate
u.Bladder
S.vesicles
Prostatic urethra
Ejaculatory duct*

92. About large gut
descending colon has no haustra
appendix has no tenia*
all large gut is supplied by inf mesenteric artery
ascending colon has a mesentry

93. most probable abt gall bladder.
Has thick submucousa
Mucousa has extensive folds*

94. a patient with known HBV infectio comes with
HBSAg + HBe ab+ HBV DNA + HBC IGM ab+
Wat is the diagnosis?
Acute dis *
Chronic carrier
Chronic active

95. Which HBpathy presents with crises
sickle cell trait
sickle cell disease*
thalassemia
Hb C

96. unconjugated bile is carried by which protein?
Albumin *
Pre albumin
A globulin
B globulin
Fibrinogen

97.After gastrectomy patient will develop
iron def anemia
megaloblastic anemia due to folic acid def
pernicious anemia*
sideroblastic anemia




98. 60 yr male with lymphandenopathy and low hb low platelets and increased wbc
microscopy show large mature cells wats the diagnosis?

CLL*
Burkitts
Follicular
NHL



99. what Is true abt Hb
consisits of alpha and gamma chains in adults
imp buffer of H+ *
not assoc with CO2 transport

100.PDGF is secreted from which part of platelets
alpha granules
dense bodies
cytoplasm
lysosomes

101. which cells produce antibodies
plasma cells*
T cells
Bcells
Platelets

102. Heparin is released from which cells.
Mast cells*
Eosinophils
IgE

103. Epitheloid cells in granulomas are formed by which cells
macrophages
lymphocytes
langerhans cells*

104. thyroid is invested in which fascia?
Pretracheal*
Deep cervical
Prevertebral

105. wat is true abt thyroid
consists of collecting ducts and acini
epi changes shape according to state of activity.*
Has parthyroids ant to it

106. wat is true abt pituitary
ant pitutiary derived from neurons
no portal vessels btw hypothalamus and post pituitary*



107. Satiety center is located in which part of hypothalamus
anterolateral
VPL
VL
Medial*

108. D & C at 18 days after LMP endometrium will show which stage of uterine cycle?
Follicular
Ovulatory
Secretory*
Proliferative

109. at the end of pregnancy uterus is most sensitive to which hormone?
Estrogen
Progesterone
Prolactin
Oxytocin*

110. Most abundant phagocytic cells in circulation
basophils
monocytes
macrophages
neutrophils*

111. ICF & ECF differ in

inc K+ in ICF


112. most potent stimulus for release of aldosterone is

inc K+ *
inc Na+
inc glucose

113. Pallegra is due to def of
riboflavin
thiamine
niacin *
vit C

114. Trauma to the middle meningeal artey causes
subdural hemorrhage
epidural hemorrhage*
SAH

115. patient with loss of fine touch proprioception and vibration injury to which part of spinal cord?
Fasiculus gracilis
Fasiculus cuneatus
Post white column*
Lateral white column

116. in females which structure lies btw ureter and peritoneum
uterine artery*
inf vesicle artery


117. which of these muscles is a part of the pelvic diaphragm
deep transverse perinei
puborectalis*
bulbospongiosus
ischeocavernosus


118. wat is not true abt adrenal gland
fetal gland is 1/3 size of the adult gland
it is invested by renal fascia
adrenal cortex is derived from mesoderm

119. which structure is most ant in popliteal fossa
popliteal vein
politeal artey *
tibail nerve
bicep femoris
gastrocnemeus

120.tendon of which of these muscles is intracapsular
bicep femoris
plantaris
popliteus*
semitendinosus

121. which of these are the major resistance vessels
arteries
veins
capillaries
arterioles*
venules

122. patient losses 1 litre of body fliud in 1 hour wat will happen first
inc PR
inc BP
inc veno spasm*

123. a person in a room with optimum enviormental conditions how will the heat loss occur

convections
sweating
breathing
radiation and conduction*
voiding



124. major part of energy utilized during breathing is to overcome
elastic recoil of lungs*
resistance of chest wall
large airway resistance
small airway resistance

125. a bullet pierces the intercostals space which layer will it come after the intercostals muscles

parietal pleura
visceral pleura
endothoracic fascia*
pleural cavity

126. which vessel will be damaged if the phrenic nerve is cut

musculophrenic
int thoracic
pericadiophrenic*

127. which of these is not a branch of internal iliac
sup rectal*
middle rectal
inf vesicle
sup vesicle

128. lymphatic of uterus do not drain into
int iliac nodes
ext iliac nodes
sup ing nodes
inf mesenteric nodes*

129. a patient with hoarseness and lyrangeal nodule which is most unlikely
atrophy *
nodule
hypertrophy
hyperplasia

130. pseudo hypoparathyroidism.
Due to inc ca
Dec vit D
PTHrP

131. wat is seen in dysplasia
pleomorphism
inc NC ratio*
inc mitosis





132. metastatic tumors are identified by

invasion of other structures*
pleomorphism
inc NC ratio
inc mitosis

133. sarcomas have
rapid growth
inc vascularity*
capsule
benign

134. epi of a smoker will show

inc ciliated epi
mixture of st sq and pseudostratified cells*
dec goblet cells


135. most unlikely abt glomerulus is

has urinary space btw 2 layers
is cup shaped
is blind ended part of tubule
has stratified epi*
has podocytes

136. which vessel is involved and dilated in portal HTN

portal vein*
hepatic artey
hepativ vien
SMV

137. most unappropraite abt liver
has dual blood supply
hepatic artey gives only 35% of O2
portal vein has 70% O2 *

138. not part of the portal tract

portal vein
hepativ artery
bile duct
hepatic vein*

139. not a part of axillary nodes
ant grp
medial grp
apical grp
central grp
deep cervical*

140. Clavipectoral fascia
completely covers pectoralis minor*
forms suspensory lig of breast
forms axillary tail

141. in males uretric stones mostly lodge at which point
just below kidney*
at crossing of ext iilac vessels
at pelvic brim
at ischeal spine

142. if there is fracture of the acetabulum post and superiorly which bones r inv
ileum and ischium *
ileum and pubis
isschium and pubis


143. most constricted part of the male urethra?
Ext meatus*
Infandibukum
Navicular fossa

144. at the level of second part of duodenum wat is unlikely

aorta at the right of SVC*
left renal vein

145. pain of the ovary is transmitted to the medial side of thigh thru which nerve
femoral
obturator*
ilioinguinal

146. left ventricle does not contain
supraventricular crest
chordae tendinae
aortic vestibule
papillary muscles

147. epidural space
contains venous plexus*
contiues into skull at foramen magnum
attached to dorsal coccyx
upto S2

148. Otic ganglion lies under

foramen ovale*
foramen spinosum
maxillart nerve
stylomastoid foramen



149. middle menigeal artery enters thru which foramen?

Foramen spinosum*
Foramen rotundum
Foramen ovale

150. Superior petrosal sinus lies in
falx cereberi
fakx cerebelli
tentorium cerebellli*
diaphragma sella

151. Great cerebral vein does not drain
deep cerebral vein
sup cerebral vein
basal vein
thalamic vein

152.which of these is not a basic tissue of the body
epi
nerve
muscle
blood
CT

153. Osmotic pressure depends on
electrical equivalence
conc gradient
yenp
no of particles
mol size

154. chemoreceptors respond to
inc PCO2*
dec PO2
inc Ph
inc temp

155. Processus vaginalis
covers testis only*
covers ductus deferens
forms ext spermatic fascia
arises from parietal peritoneum
arises from visceral peritoneum

156. Dorsal rami of nerves supply
ext of trunk
ext of limbs




157. which vessel lies ant to IVC
left renal vein
left renal artery
right renal vein
right renal artery
right testicular vein*

158. if inguinal canal of a female is opened wat does it contain

round ligament and ilioinguinal nerve


159. lymphatic drainage of testis is into

para aortic nodes
sup ing nodes
int iliac nodes
ext iliac nodes

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FCPS PAST PAPERS: Surgery June 2009

Q1.WHICH LOBE OF LUNG HAS 2 SEGMENT
A.RT;UPER LOBE
B.RT LOWER LOBE
C.RT MIDDLE LOBE
D.LEFT LOWER LOBE
E..LEFT UPPER LOBE

Q2.EARLIEST SIGN OF ASPIRIN OVER DOSE?
A.TINNITUS
B.GASTRIC UPSET
C.METABOLIC ALKLOSIS

Q3.MAIN SIDE EFFECT OF LIDOCAINE
A.ARRTHYMIA
B.TONIC CLONIC SEZIRES
C.NAUSEA VOMITING

Q4.ENTAMOBEA HISTOLYTICA?
A.DOES NOT HAVE CARRIER
B.LIMITED TO G.I.T
C.PROTZOA

Q5.T.B ULCER MARGIN?
A.EVERETED
B.INVERTED
C.INDIFINE
D.INDURATED

Q6.SECTRION OF HARMONE INCREASE AS DARKNESS INCREASING?
A.CORTISOL
B.GROWTH HARMONE
C.MELATONINE
D.INSULIN

Q7.INDICATION OF SPLEENECTOMY?
A.AUTOIMMUNE HEMOLYTIC ANEMIA
B.SICKEL CELL ANEMIA
C.G SIX PHOSPATES DIF
D.THROMBOCYTOPENIA

Q8.RBC CELL MEMBRANE?
A.ACTIN
B.MYOCIN
C.SPECTRIN
D.HEMOGLOBIN

Q9.CLOSTRIDIUM DIFFIC?
A.CAUSES LOCAL HYPOXIA
B.AEROBES
C.ALPHA TOXIN
D.CONVERSVATIVLY TREAT.

Q10.INGUINAL HERNIA?
A.INDIRECT PASSES ONLY SUPER;RING
B.DIRECT PASSES THROUGH HESSAL BECH TRIANGLE
C.DIRECT LYING ON MEDIAL SIDE OF INF:EPIGASTIC ARTERY

Q11.CONTENT OF INGUINAL HERNIA?
A.INF:EPIGASTRIC ARTERY
B.LYMPH OF FUNDUS OF UTERUS.
C.OVARIAN ARTERY.
D.FEMORAL ARETY

Q12.DIALYSING FLUID COMPOSTION SAME AS PLASMA AXCEPT WHICH ONE HIGH?
A.GLUCOSE
B.UREA
C.K*
D.CA

Q13.COMMON ORGAINSM INFECTION IN LIVER TRANSPLANT PT:
A.HEP.B
B.HEB C
C.CYTOMEGALO VIRUS
D.INFLUENZA

Q14.RT:CORNOARY ARETY?
A.RISES FROM RT:POST AROTIC SINCUS
B.SUPPLY BOTH ARTIUM
C.RUN IN POST INTERVENTRICULAR GROOVE
D.BR:CIRCUMFELX

Q15.BRUN PT; HYPOTENSION,TACYCARDIA?
A.D.I.C
B.INFECTION


Q16.BOY WITH INCREASE BLEEDING TIME AFTER CIRCUMCISION,HIS COUSIN ALSO HAVE SAME PROBLEM?
A.BT
B.CLOTTING TIME
C.APTT
D.PT

Q17.SECOND HEART SONUD?
A.CLOUSER OF TRICUSPID VALVES
B.FILLING OF VENTRICLE
C.CLOSURE OF SEMILUNAER VALVES

Q18.BLADER CA?
A.TRANSITIONAL CELL CA.
B.Sq: CELL CA
C.EPITHOID CA

Q19.CALCITONIN?
A.INCREASE BLOOD CA LEVEL
B.INC;ABSORTION OF CA INTESTINE
C.INC:ABSORTION FROM RENAL TUBULES
D.INC:BONE REABSORBATION

Q20.AFTER MULTIPULE BLOOD TRANSFUSION?
A.HYPOKALEMIA
B.HYPERKALEMIA
C.HYPOCALCEMIA
D.RAISED BUN

Q21.COMPENSATION AFTER MILD BLOOD LOSS?
A.TACYCARDIA
B.DEC: COMP OF VEIN
C.NORMAL B.P

Q22.IN ALL TYPE OF SHOKE?
A.HYPOVOLEMIA
B.TACYCARDIA
C.UNCONSIOUS

Q23.FAT EMBOLSIM?
A.SYPMTOMS AFTER 12 HRS
B.80% FATAL
C.COMON CAUSE THROMBPHILIBITIES
D.BREAST TRUMA

Q24.CHILD THIN,DEPIGMENTED,APATHY
A.MARASMUS
B.KASHIKOR
C.DIARREHA

Q25.PT:WITH GRANULOMATOUS LESION IN BLADDER DEVELOPED CA.CAUSE?
A.SHISTSOMIA MANSONI
B.CIGGRATE SMOKING
C.SHIS;HEMATOBOIUM
D.DIYES

Q26.RETROGRADE AMNEISA?
A.FRONTAL LOBECTOMY
B.AGGREVATE BY TEMPORAL LOBE TRUMA


Q27.METAPLASIA,INCORRECT?
A.IRREVERSIBLE
B.BRONCHIAL EPI;
C.GASTRO ESOPHAGEAL JUNCTION
D.CERVIAL JUNCTION

Q28.APPENDIC EPIPLOIC PRESENT IN?
A.DEUDENUM
B.RECTUM
C.JEUJENIUM
D.ILIUM

Q29.COMMON COMPLICATION OF BETAL NUTS?
A.SUBMUCOSAL FIBROSIS
B.EPITHEIAL POLYP
C.CA; EPITHILIUM

Q30.FEMORAL SHEATH?
A.FASICA ILISCA
B.FASICA TRAVERSALIS
C.FASCIA TRANSVERSALIS AND ILISCAP

Q31.LOCALLY MALIGNANT TUMOR?
A.CHOLESTATOMA
B.NEUROBLASTOMA.

Q32.COMMON SIGN OF OF AGRUNLOSYTOSIS CAUSES BY ANTIEPILEPTICS?
A.WT:LOSS
B.SORE THOART
C.BLEEDING
D.GIT UPSET

Q33.DURING OPERATION OF POST;CERVICAL LYMH NODE BIOPSY?
A.CRANIAL PORTION OF ACCERY NERVE.
B.SPINAL PORTION OF ACCESSRY NERVE.
C.AXILLARY NERVE
D.LOWER CORD OF BRACHIAL PLEXUSES
E.PHERINIC NERVE.

Q34.PT: WITH ROAD TRAFFIC ACCEDIENT,UNABLE DORSIFLEX AND EVERT FOOT?
A.SUPER; PERONEAL NERVE
B.DEEP PERONEAL NERVE
C.COMON PERNEAL NERVE
D.TIBEAL NERVE

Q35.ESTABLISHED ANTIOXIDANT?
A.VIT A
B.VIT D
C.VIT E
D.VIT C
E.VIT B

Q36.URORECTAL SEPTUM?
A.SEPRATE RECTUM AND URINARY BLDER
B.SEPRATE RECTUM AND UROGENITAL SEPTUM
C.SEPRATE RECTUM AND SIGMOID COLON
D.SEPRATE RECTUM AND URETHRA

Q37.70% OXYGEN EXTRACT IN RESTING CONDITION IN WHICH TISSUE?
A.HEART
B.BRAIN
C.KIDNEY
D.LUNG
E.SK;MUSLES

Q38.PT: WITH THE S/S OF PANCREATITIS BUT NORMAL AMYLASE,WHAT NEXT DIAGNOSTIC TEST?
A.LFT
B.CHLESTROL
C.GLUCOSE
D.AST/ALT

Q4930 YRS OLD PERSON AHS STAB WOUND ON RT;SIDE OF CHEST?
A.IPSILATERAL LUNG COLLPASE AND IPSILATERAL CHEST WALL SPRING OUT
B.IPSILATERAL LUNG COLLAPSE AND CONTRALATERAL CHEST WALL COLLAPSE.
C.NO CHANGE IN CHEST WALL
D.CONTRALATERAL LUNG COLLAPSE AND IPSELATERAL CHEST WALL COLLAPSE

Q40.DURING OPERATION ILIUM REMOVE?
A.DEC;ABSORTION OF AMINO ACID
B.DEC ABS:OF WATER
C,INC ABSORBATION OF FAT
D.DEC; IRON ABSORBATION

Q41.COMA(DEMAGE OF PART OF BRAIN)
A.NUCLEUS CERULOSIS
B.RETICULAR FORMATION AREA
C.AREA POSTREMA

Q42.TRUE HERMOPHADISM?
A.XX/XY
B.XXY
C.XXX
D.XYY

Q43.AFTER APENDICTOMY,PT;DEVELOPED CHRONIC WOUND ABBCESS AND DRAING SINUS,CONTAING YELLOW GRANULES?
A.NOCARDIA
B.ACTINOMYCOSIS
C.H.PYLORI
D.E.COLI
E.ENT.HISTOLYTICA

Q44.RT:TESTIS LUMPH NODE DRAINGE?
A.DEEP INGUINAL NODE
B.SUP:MEDIAL GROUP INGUINAL NODE
C,PARAORTIC LYMPH NODE

Q45.FAT,CHO AND LIPID DEPOSTION BY WHICH HARMONE?
A.INSULIN
B.GLUCAGON
C.CORTISOL.
D.GROWTH HARMONE

Q46.MICROCYTIC,HYPOCROMIC ANEMIA?
A.IRON DEF;ANEMIA
B.CHORNIC BLOOD LOSS
C.SICKEL CELL ANEMIA
D.HEMOLYTIC ANEMIA

Q47.CYNOSIS?
A.DEC CONTENT OF HB%
B.INC:CONCENTRATION OF DEOXY;HEMOGLOBIN
C.ANEMIA

Q48.UNLOCKING MUSCLES?
A.POPLITIUS
B.SEMITANDANNIOUS
C.SEMIMEMBRANOUS
D.SARTORIUS

Q49.URETER CONSTRICTION?INCORRECT
A.PUJ JUNCTION
B.PELVIC BRIUM
C.CROSS THE COMON ILLIC ARTERY
D.RUN ON PSOS MUSCLE

Q50.COMON SITE OF RIB FRACTURE?
A.HEAD OF RIB
B.ANGLE OF RIB
C.BODY OF RIB

Q51.INCREASE BLEEDING TIME CAUSE BY?ACCEPT
A.HENOCH,SHIL:PUPURA
B.CIROHSIS
C.DEC PLATELETS
D.THROMBOCYTOSIS.

Q52.SLOWEST GROWING TUMOR?
A.PAPILLARY CA
B.MEDULLARY CA
C.FOLLICULAR CA

Q53.TURNER SYNDROME?
A.LONG HIGHT
B.MENTAL RETARDATION
C.CARRING ANGLE REDUCED
D.HIGHT 4.5CM

Q54PELVIC DIAPHAGRM FORMED BY MUSCLES EXCEPT?
A.COCCYGUS
B.PYriformus MUSCLES
C.ILOCOCCGUS

Q55.STD CAUSES ULCER ACCPET?
A.SYPHILIS
B.HERPES
C.GONOCOCCUS


Q56.PT WITH HYPOVOLEMIC SHOKE,TREATED.WHAT WILL BE DECREASE?
A.HEART RATE
B.urine OUTPUT
C.B.P

Q57.after 48 HRS OF STRAVATION,WHT WILL BE BREAKDOWN TO PROVIDE ENEGRY
A.CHO
B.FAT
C.PROTIEN

Q58.CHRONIC HEMOLYSIS AND INTRACELLULAR PIGMENT ACCUMULATION?
A.BILIRUBIN
B.HEMOSIDRIN
C.BIVIRDIN

Q59.BASCILIC VEIN?
A.RUN OF RADIAL SIDE OF FORARM
B.FORM ON THE PALMER SURFACE OF HAND
C60.CONTINUE AS AXILLARY VEIN

Q.DRUG LEAST NEPHROTOXIC
A.GENAMYCIN
B.NEOMYCIN
C.CLINDAMYCIN

Q61.ANT:DISLOCATION OF SHOULDER JOINT WHICH NERVE DEMAGE?
A.AXILLARY
B.RADIAL
C.MUSCULOCUTANEOS
D.MEDIAN
E.LOWER BRACHIAL PLUXES

Q62.TESTOSTERONE PRODUCED BY ?
A.LYDING CELL
B.EPIDYDEMUS
C.SRTOLI CELL

Q63.APEX OF HEART?
A.3RTH INTERCOSTAL SPACE.
B.TOWARDS RIGHT
C.8CM FROM MID LINE

Q64.AFLATOXIN B1 CAUSES CA?
A.HEPATOCELLUAR CA
B.BLADDER CA
C.LEUKEMIA
D.SKIN CA

Q65.BLOOD GROUP CAUSES REACTION?
A.B+
B.A+
C.AB-
D.O+

Q66.MUSCLES DIVIDE SUBMEDIBULAR GLAND?
A.STYLOPHARAGEUS MUSCLES
B.MYLOID
C.STYLOGLOSSIUS

Q67.PT:CANNT ABDUCT THE ARM UPTO 30 DEGREE?
A.INFRASPINATUS
B.SUPRA SPINATUS
C.DELTOID

Q68.MAJOR INSPIRATORY MUSCLES?
A.INTERNAL INTERCOSTAL MUSCLES
B.EXT:INTERCOSTAL MUSCLES
C.DIAPHGRAM

Q69.LEFT SUP:RENAL VEIN DRAIN IN WHICH VEIN?
A.RENAL VIEN
B.AZYGOS VIEN
C.HEMIAZYGOS VIEN
D.ACCESSARY AZYGOS VIEN

Q70.PARASYMPATHATIC SYS CAUSES ALL OF FOLLWING AXCEPT?
A.SPINCTER CONSTRICTION
B.DILATE THE PUPIL
C.EMPTY BLADDER

Q71.PT:LOSS OF ABDUCTION, ADDUCTION OF FINGERBUT NO LOSS OF SENSATION?
A.MEDIAN NERVE
B.ULNER NERVE.
C.RAIDAL NERVE
D.DEEP BR;OF ULNER NERVE

Q72.MALE WITH T4N1M1 SERVIVAL RATE LESS 50%,S/S?
A.CACHXIA
B.ANEMIA
C.ARRTHEYMIA

Q77.FUNCTION OF LIMIC SYS AXCEPT?
A.MEMORY
B.AGGRESTION
C.SPINAL REFLAX

Q78.STRONGEST LIGAMENT?
A.ILIOFEMORAL
B.ISCHEO FEMORAL
C.DELTA LIGAMENT/MEDIAL LIGAMENT

Q79.SHORT GASTRIC ARTERY BR:OF
A.SUP:EPIGASRIC ARTERY
B.HEPATIC ARTERY
C.SPLENIC ARTERY

Q80.TYMPANIC MEMBRANE?
A.FORMED LATERAL WALL OF TYMPANIC CAVITY
B.SUPPLY BY VAGUS AND TRIGEMINAL NERVE
C.OPENING OF AUDITARY TUBE IN POST WALL.

Q81.HEPARIN
A.EMBOLISM
BSECRTED BY .BASOPHIL
C.DISLODGMENT
D.DISOLVMENT OF CLOT

Q82.VERBAL COMUNICATION?
A.BY PRESENTATION
B.INVOLVE IN RESEARCH WORK

Q83.37%POST MENUPOSAL WOMEN TAKING HRT,63 WOMEN TAKING NO MEDICATION,HOW YOU SHOW IN CHART
A.BAR CHART
B.PIE CHART
C.PICTORIAL CHART

Q84.THYROXINE CAN BE USE OTHER THEN THYROID TREATMENT?
A.WEIGHT LOSS
B.INCREASE APPEPITTE.
C.BMR

Q85.THYMUS?
A.REGRESS AFTER BIRTH
B.FORMED BY 4TH PHARENGEAL ARCHES
C.PRODUCED T CELL

Q86.GROOVE OF SUBCLAVIN ARTERY?
A.1ST RIB
B.2ND RIB
C.3RD RIB
D.CLAVICLE

Q87.PIVOT JOINT?
A.ATLANTOAXIAL JOINT
B.MANDIBULAR JOINT
C.ELBOW JOINT

Q88.CA REALSE FROM SKETAL MUSCLES FROM?
A.SARCOPLASMIC RETICULIUM
B.MITOCHONDRIA
C.LYSOSOME
D.T-TUBULES

Q89.PROJECTION FIBERS PRESENT IN?
A.CORPUS CALOSUM
B.INTERNAL CAPSULES
C.RETICULAR FORMATION

Q90.PERIPHERAL AND CENTRAL CHEMO RECPTORS BOTH RESPONES TO?
A.PCO2
B.PO
C.OXYGEN CONCENTRATION
D.H+

Q91.ESSENTIONAL AMINO ACID
A.TYROSINE
B.ALANINE
C.ARGININE
D.PHENYALANINE

Q92.LUMBER PUNCTURE?
A.L2 TO L3
B.L4 TO L5
C.POST;SUP;ILIC SPINE

Q93.CEREBRAL CORTEX
A.RECEIVE NO SENSORY INFORMATION
B.PRESENT ONLY IN FRONTAL LOBE
C.ESSENTIONAL FOR INITATION OF VOLUENTRY MOVEMENT

Q94.WATER ABSORBTION IN PROXIMAL CONVULATED TUBULES?
A.55% ABSORED
B.ASECNDING LIMB IS PERMIALE FOR WATER
C.WATER ABSORED THORUGH FASCILITED DIFFUSION

Q95.SUBARCHANID LYER END AT?
A.L2
B.S2
C.S5

Q96.DORSAL COLUMN MEDIAL LAMINUSCUS COTAIN?
A.FINE TOUCH
B.CROUDE TOUCH
C.PAIN
D.TEMP

Q97.GLYCOLYSIS?
A.GIVE 1 MOLECULES OF PYRUVATE
B.2 MOLECULE OF GLUCOSE

Q98.THICK FILAMENT?
A.MYOSIN
B.ACTIN
C.ACTOMYOSIN

Q99.ORGAN TRANSPLANT REJECTED IN 10 MIN
A.CELL MEDIATED IMUNITY
B.ANTIBODY
C.PLASMA CELL
D.NATURAL KILLER CELL

Q100.WHICH FOLLOWING CHEMICAL EXPOSURE CAUSES CA?
A.METHYL ALCOHAL
B.BENZENE
C.CARBON TETRACHLORIDE

Q101.CRANIAL NERVES CARRINYING PARASYMPATHATIC FIBERS?
A.3,7,8,10
B.3.7.9.10
C.4,7,9,10
Q102.DURING PREGNANCY HICH DRUG SAFEST IN HYPOTHYRIOD PT:
A.BETA BLOCKERS
B.DIAZEPAM
C.PROPYTHIORACIL
D.CARBAMAZIPINE

Q103.ARCHES OF LEFT LUNG?
A.AZYGOS VEIN
B.THORACIC DUCT
C.ARCH OF AORTA

Q104.DIAPHGRAM SUPPLY BY?
A.C,3,4,5
B.INTERCOSTAL NERVE
C.C 2,3.4

Q105.WHICH DRUG CAUSES CORNEAL OPACITY
A.CHLOROQUINE
B.ERTHROMYCIN


Q106.CAVERNOUS SINUS COTAIN?
A.TROCHLER NERVE
B.INTERNAL JUGULAR VEIN
C.ABDUCENT NERVE

Q107.WHICH DRUG INCREASE CYTO P450 SYS
A.BARBITURATES
B.SULFA DRUGS
C.ISONIAZID
D.KETOKANAZOLE

Q108.EASIEST METHOD TO DIAGNOSED MENINGOCOCCUS?
A.CULTURE
B.STAINING
C.SERUM ANTIGEN

Q109.BALCK WATER FEVER CAUSES BY?
A.PLAS;MALARIA
B.PLAS:FALCIPARUM
C.QUATRUN MALARIA

Q110.OXYTOCIN AND ADH ORIGENATED BY?
A.POST PITUTARY
B.HYPOTHALAMUS
C.ANT PITUTARY

Q111.CEREBLLAR DISORDER?
A.UNABLE TO PERFORM VOL;MOVEMENT
B.STATIC TREMORS
C.INTENSTION TREMORS

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Men 'prefer curvy women to those who are size zero', study claims

Hollywood actresses Scarlett Johansson or Kate Winslet are considered more attractive and healthy-looking than Victoria Beckham or Paris Hilton, Scottish researchers found.
The University of St Andrews study, published in the scientific journal Perception, surveyed a group of students, aged between 18 and 26, were asked to rate photographs of female faces for attractiveness and health.

They concluded that young men rated girls in the “normal” weight range as the most attractive and healthy looking.

The researchers say the findings send a strong message to young women who believe that you need to be underweight to be considered attractive.
“We often remark on how healthy or unhealthy someone looks, but it can be very difficult to say precisely how we know this,” said lead researcher Vinet Coetzee.
“Scientists have been trying to answer this question for decades, and have made many breakthroughs in our understanding of health and attractiveness, but until now they have tended to overlook the influence of weight."

The University's Perception Lab asked 84 female students a variety of questions on their health, took their blood pressure and photographed them.
The photographs were then shown to a group of male students who were asked to rate them for health, attractiveness and weight.

Professor David Perrett added: "A take home message for young people is that maintaining a normal weight benefits current health and will improve good looks.
"In our study, people in the normal weight range were judged healthier and more attractive than under or overweight individuals.
"This sends a strong message to all the girls out there who believe you have to be underweight to be attractive.

“The people making judgments in our study were all between the ages of 18 and 26 and they did not rate underweight girls most attractive.

“They preferred normal weight girls."

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Why grandmothers prefer their son's daughters

The study, published in the journal Proceedings of the Royal Society B, found that a grandmother's love for her grandchildren is partially rooted in DNA.
The Cambridge University scientists concluded that a grandmother shares most genes with her son's daughters – and the least with her son's sons.

Applied to the Royal family, it would mean that Prince Andrew's daughter's, Beatrice and Eugenie, should find it easier to please the Queen than Charles's sons William and Harry.
And as sons of a son, the two princes should be among her least favourite grandchildren.
The researchers first used the laws of inheritance to work out how genetically similar a woman is to her children's children and found that overall, a grandmother and grandchild share around a quarter of their genes.

But differences in the way the genes on the X chromosome are passed through the generations mean that some grandchildren share more than this.
A woman passes around 31 per cent of her genes to her son's daughters but just 23 per cent to her son's sons. Her daughter's children fall in the middle, with both sexes sharing around 25 per cent of their genes.

The data was drawn from seven societies across the world and from the 17th to the 21st centuries.

Writing in the journal Proceedings of the Royal Society B, the researchers said: "Our sex-specific analysis shows that paternal grandmothers have a consistent opposite effect on boys and girls."

They add that a child may give off "signals" that make it easy for grandmothers to work out how close they are genetically. The clues may be in smell form, or may be as simple as facial resemblance.

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Do Cellular Phones Lead To Bone Weakening?

Wearing a cell phone on your belt may lead to decreased bone density in an area of the pelvis that is commonly used for bone grafts, according to a study in the September issue of The Journal of Craniofacial Surgery, under the editorship of Mutaz B. Habal, MD, FRCSC. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health, a leading provider of information and business intelligence for students, professionals, and institutions in medicine, nursing, allied health, pharmacy and the pharmaceutical industry.

With long-term exposure, electromagnetic fields from cell phones could weaken the bone, potentially affecting the outcomes of surgical procedures using bone grafts, according to the new study by Dr. Tolga Atay and colleagues of Suleyman Demirel University, Isparta, Turkey.

Bone Density Slightly Reduced on Side Where Cell Phone Is Worn

The researchers measured bone density at the upper rims of the pelvis (iliac wings) in 150 men who were cell phone users and carried their phones on their belts. The measurements were performed using a technique called dual x-ray absorptiometry the same test used to measure bone density in patients with osteoporosis and other bone diseases.

Bone density was compared on the side where the men wore their phones (the right side in 122 men and the left side in 28) versus the opposite side. The men carried their phones for an average of 15 hours per day, and had used cell phones for an average of 6 years.

The results showed a slight reduction in iliac wing bone density on the side where the men carried their phones. The difference was not statistically significant, and did not approach the reductions seen in osteoporosis. However, the researchers point out that the men were relatively young average 32 years and that further bone weakening may occur with longer follow-up.

The results raise the possibility that bone density could be adversely affected by electromagnetic fields emitted by cell phones. Studies are evaluating the use of electromagnetic fields as a treatment to increase bone density in osteoporosis. However, those studies have used very low frequencies of 15 to 52 MHz. In contrast, the men in the new study carried cell phones with frequencies of 900 to 1,800 MHz.

The ilac wings are a widely used source of bone for bone grafting, so any reduction in bone density may be of special importance to reconstructive surgery. At least in procedures where bone density is important for good outcomes, surgeons may want to consider the possible effects of exposure to electromagnetic fields from cell phones.

The researchers emphasize that their findings are preliminary. Coming generations of mobile technology may lead to the development of new cell phones with lower exposure to electromagnetic fields. Meanwhile, Dr. Atay and colleagues conclude, "It would be better to keep mobile phones as far as possible from our body during our daily lives."

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