a. Epiphysis
(primary ossification center are diaphysis/shaft. While secondary ossification center appear in the epiphyses)
b. Diaphysis
Metaphysis
Epiphyseal plate
39. Decrease hearing for lower frequency a. Ear wax
b. Conductive deafness c. Sensorineural deafness
Sensorineural deafness has decrease hearing for low frequency.
d. Neural deafness
40. Which hormone inhibits hormone sensitive lipase a. Insulin
Insulin inhibits hormone sensitive lipase.
b. Glucagon c. Adrenaline
41. Cold intolerance, coarse voice, weight gain, Dec appetite diagnostic test?
a.GH b.FSH c.TSH
All mentioned features are related to hypothroidism so TSH is the right choice.
d.LH
44. Beta receptor stimulation causes a. Dec heart rate
b. Piloerector c. Glycogenolysis
Beta receptors in the liver (stimulate glycogenolysis.
d. Vessels
45. Adrenaline causes
a. Dec heart rate
b. Inc peripheral resistance
Adrenaline activates sympathetic system thus vasoconstriction in peripheral Vessels leading to peripheral resistance.
c. mental alertness
46. SA node acts as pacemaker a. Strong outward K current b. Located in right atrium
This electrical signal begins in the sinoatrial (SA) node, located at the top of the heart's right atrium.
c. Highest firing rate
48. Adult resting male heart rate 160. Bp. 130/90 CVP 8 Caused by a. Internal bleeding
b. Essential HTN
c. Sympathetic over activity
Sympathetic over activity is the cause of all mentioned features 49. After tr plant within ten minutes cyanosed?
a.ischemia b. Hypoxia c.bleeding
d.antibody mediated rejection
Antibody mediated rejection Is the cause of cyanosis that occured soon after tr plant 50. 6 months after tr plant sign symptoms of renal failure which improved on
immunosuppressive. Cause a. Cyclosporin toxicity b. Acute humoral rejection c. Acute cellular rejection
Acute cellular rejection is the cause of renal failure sign and symptoms that improved by immunosuppressants
51. A girl with recurrent staph abscesses. Also had two bouts of aspergillosis. Cause a. NADPH Def.
Chronic granulomatous disease. (CGD) can be caused by mutations in any of the four structural genes of the NADPH oxidase
b. IgA Def.
52. First barrier against micro-organisms a.antibodies
b.wbcs c.platlets d.skin
The first line of defence includes physical and chemical barriers that are always ready and prepared to defend the body from infections
53. Visual image of motor activity/actions to be performed at?
a. Retina
b. Ant Supplementary Motor Area c. Post Sup Mot Area
d. Ant And Post Premotor Area
Visual image of motor activity actions to be performed at ant And Post Premotor Area 54. Levatorani nerve supply?
b.pudendal nerve
It is primarily supplied by direct branches of the sacral plexus (S3-S5). To a small degree by the pudendal nerve
a.paroneal nerve
55. Patient dies on 4th day after MI. On histo predominantly a. Neutrophils
b. Lymphocytes c. Macrophages
monocytes and macrophages are cellular protagonists of the immune system, in acute cardiac injury and post-MI repair.
d. Plasma cells
56. Patient had RTA. Now behave change lack of motivation. Lesion a. Frontal
Frontal lobe is the area of brain that controls human social behaviors.
b. Parietal
c. Temporal
57. MI 9th day suddenly die in washroom?
Cardiac tamponade
Cardiac tamponade is a frequent cause of death in acute myocardial infarction.
Angina
Hypertrophy
58. Person taking ATT big toe swelling is caused by :
Ethambutal
b. Rifampicine c. Isoniazid d. Pyrazinamide
Pyrazinamide side effects include nausea, upset stomach, vomiting, loss of appetite, mild muscle or joint pain, or. Fatigue
59. Person taking ATT pins and needles sensation are caused by a.isoniazid
Neuropathy (numbness or tingling) in the hands or feet, weakness, fatigue, loss of appetite, nausea and vomiting, yellowing of the skin or eyes, or darkening of the urine are side effects of Isoniazid.
b.ethambutol c.pyrazinsmide
60. Fever for 6 months hilar lymphadenopathy caseous necrosis a.TB
All mentioned features are printing towards Tuberculosis.
b.malaria c.thyphoid d.lymphoma
61. 60 years old person generalized
lymphadenopathy peripheral film mature lymphocytes a.leukemia
b.Tb c.CLL
Lymphadenopathy with lymphos in blood film are suggestive of Chronic lymphocytic lymphoma
62. Connection b/w ocular movements and vestibular balance a. Medial longitudinal fasciculus
Medial leminiscus is the connection between two.
b. Medial leminiscus
63. Taste fibers from 7, 9 and 10 nerves through which tract a.medial tract
b.spinothalmic tract c.dorsal column d.solitary tract
Solitary tract Carries taste fibers of cranial nerve 7,9,10 64. Peripheral nervous system?
a. Spinal nerves only
b. Spinal plus autonomic ganglia
Peripheral nervous system constitutes spinal plus autonomic ganglias.
c. Spinal and cranial
65. Tactile sensation on of fingers a. Meiseners
b. Merkel
Merkel receptors along with Meissner's corpuscles occur in the superficial skin layers, and are most densely clustered beneath the ridges of the highly sensitive fingers
66. Damage to Middle meningeal artery causes hematoma formation between
a. Dura matter and arachnoid matter b. Arachnoid matter and pia matter c. Dura matter and calavaria
meningeal artery supply the dura mater (the outermost meninges) and the calvaria.
d. Pia matter and cortex 67. Emphysema?
a. Inc surface area Dec oxy tension b. Dec surface area and tension
Emphysema abnormal permanent enlargement of air spaces distal to the terminal bronchioles, accompanied by the destruction of alveolar walls
68. Cushing triad
a.Tachycardiac, vasoconstriction, fever b.Neck stiffness, headache,flu
c.Raise ICP, HTN, Bradycardia
Raise ICP, HTN, Bradycardia makes cushing’s triad.
d.Tachycardiac, HTN,headache
69. Occulocardiac reflex initial step of management
Carotid message
Remove stimulus
Oculocardiac reflex, also known as Aschnerphenomenon.removal of the stimulus is immediately indicated.
CPR
Cardiac message
70. Increased amniotic fluid. Raised AFP. Cause
Anencephaly
Raised AFP and polyhydromniasare main feature of anencaphalopathy.
b. Renal agenesis c. Twin pregnancy
d. All of above
71. 1st pass metabolism occurs
IV route
IM route
PO route
Per Oral route is the via which first pass metabolism take place.
None
72. Patients diseased or not studied for the risk factors whether they develop disease or not
a. Cohort
A study design where one or more cohorts are followed prospectively and subsequent status evaluations with respect to a disease or outcome are conducted.
b. Case control 73. Chi square is:
3x4 table
2 by 2 table
A chi-square test for independence compares two variables in a contingency table to see if they are related.
None
A & B
74. Primary oocyte completes first meiotic division a. Just after ovulation
b. Before ovulation
All eggs are arrested at an early stage prophase I, the first meiotic division as a primary oocyte.pituitarygonadotrophin stimulates completion of meiosis 1 the day before ovulation c. During 3rd intrauterine month
d. During 6th intrauterine month
75. Visited Thailand, diarrhea doughnut shaped cyst
Amebiasis
Gardia
Thread worm
Cryptosporidium
Cryptosporidium has doughnut shaped cyst. exist in the small intestine.Tr mission by ingestion or inhalation of coughed fomites
77. Respiratory acidosis cause?
a. barbiturates poisoning
Barbiturates causes ventilation/ perfusion mismatch or a central respiratory depression/
acidosis.
b. aspirin c. Nikethamide d. high altitude
78. Traveler’s diarrhea. Treatment?
a. Diphenoxylate
Diphenoxylate is available for inhibiting intestinal motility.
b. Nitrofurantoin
80. Secretary diarrhea caused by:
Lactulose
Cholera toxin
Bacterial toxins, reduced absorptive surface area caused by disease or resection,(and if asked osmotic diarrhea then Lactose intolerance)
Amebiasis
None
81. Mother has history of hemolytic disease of. newborn. Now 26 wk. pregnancy. What to do
a. Indirect coombs on mother
Coombs test is done to rule out hemolytic disease.
b. Check Fetal Rh-d
c. Mother's serial antibodies
82. Phrenic avulsed near origin. What will happen
a. Decreased expiration b. Loss of respiratory stimulus
B > C (controversial), damaged, this will sever the nervous supply to the diaphragm c. Loss of sensation in diaphragm in
central tendon
83. Patient post thyroidectomy. Hoarseness of the voice. Loosening of vocal cords.
Damage to
a. Cricothyroid
b. Post Crico-arytenoid
Post Crico-arytenoid supply damage afterthyroidectomy leading to mentioned complaints 84. Na k ATPase increased by which hormone
a. Dopa c. Insulin
Insulin affects Na-K ATPase activity b. Adrenaline
85. 12 years old child with MCV 126.Investigation?
b. Serum B12 level
Mean corpusclar volume is increased in B12 deficiency/ megaloblastic Anemia a. Intrinsic factor antibody
86. About human placenta a. 2 umbilical veins b. 2 artery 1 vein
Human placenta is having two areteies and one vein 87. Female 45 XO.
a. Gonadal dysgenesis and germinal hypoplasia
In Turner syndrome gonadal dysgenesis and germinal hypoplasia is present.
b. Wide spaced nipple and low bridge nose
c. Short stature with simian crease 88. Pyogenic peritonitis cause a. E.coli
Most common agents include Gram-negative bacilli (e.g., Escherichia coli) and anaerobic bacteria (e.g., Bacteroidesfragilis)
b. Bacteroids c. Klebsiella d. Pseudomonas
89. Right leg cordotomy done and pain relieved Cause a. Left dorsal column cut
b. Left ventral spinothalamic cut c. Left lateral spinothalamic cut
Ascending lateral spinothalamic tract Carries pain n temperature 90. A patient goes onto a shock like state
a. CNS ischemic response
if sudden then baro if potent then CNS ischemic if long lasting then angio-renin b. Vasodilation
91. Sacral autonomic nerves supply : a. S2,3,4
Sacral autonomic supply is S 2,3,4 b. S3,4,5
92. Mannitol and inulin used for measurement of a.ICF
b.ECF
ECF is measured by using mannitol and inulin.
c.interctitial fluid fluid d.none
93. Drug acting through H-k ATPase pump:
Insulin
Proton pump inhibitors worked by acting on hydrogen potassium ATPase pump.
Thyroxin
PPI
All of above
94. Foramen cecum is related to a. thyroid
Foramen cecum is point of attachment of thyroglossalduct,formed during the descent of the thyroid diverticulum in embryonic development
b. thymus
c. anterior pituitary
95. Patient sitting. Percussion from posterior side along scapula.Upto which rib resonant a. 6
b. 8
Upper boarder of liver starts at 8th Rib so percussion Notes at back gets dull after 8th Rib.
c. 10
96. Patient was given a drug which caused IncCa++, Which drug was given:
Digoxin
Spironolactone
Aspirin
Thiazide
Thiazide diuretics increase calcium reabsorption at the distal tubule 97. Parasympathetic causes :
Dilated pupil
Vasoconstriction
Decreases pupil size
Parasympathetic activity causes constriction of pupils by acting on M-3 receptors on circular constrictory pupillary muscles.
None
98. Epinephrine causes :
Vasodilation
Glycogenesis
glycogenolysis in liver
Epinephrine, similar to glucagon, stimulates glycogenolysis in the liver, resulting in the raising of the level of blood glucose
99. Ant cardiac vein drains into:
Left atrium
Right atrium
Anterior cardiac vein drains in to Right atrium.
Right ventricle
Left ventricle
100.Farmer had HCC Cause :
Copper
Iron
Ringworm
Aflatoxin
Dietary exposure to aflatoxins is among the major HCC risk factors.AflatoxinB1,which is a genotoxichepatocarcinogen
101.Collagen arranged in which layer a. Reticular layer
Reticular fibers, reticular fibres or reticulin is a type of fiber in connective tissue composed of type III collagen.
b. Dermis
c. subcutaneous d. All of above
102.Regarding hyaline cartilage
a. Collagen and elastic fibers visible b. Collagen not visible
Collagen fibers are present but not visible in hyaline cartilage.
c. None
1st March 2017 Morning (B)