Medicine Paper Feb 2014

8/12/2019 Medicine Paper Feb 2014

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1. High Pressure in Glomerular cappilaries is due to

a. Afferent is long

b. Afferent is short

c. Efferent is low resistance

d. Efferent is down stream

2.Regarding SLE followin are true ecept

a. A!A is "#e

b. $ibrinoid necrosis is common histological feature

c. Glomerulonephritis is commonest cause of death

d. more common in women

e. ris% is increased b& inheritance of HLA '2(

).Edema in nephrotic s&ndrome

a. !a retention

b. H&poproteinemia

c. H&perlipidemia

*.'ronchopulmonar& segment

a. each has its own blood suppl&

b. different number on both sides

+.Recentl& diagnosed fatal disease, most appropiate

a. tell famil& but nt patient

b tell patient but nt famil&

c. tell famil& and patient as soon as %nwn

d. crisp, logical and e#idence based accurate information to the patient and famil& accordin to

demand

-.oung lad& ha#ing anemia, /0 ( , /0H 2+, /0H0 23

a. H&pochromic

b.H&pochromic and !ormoc&tic

c.H&pochromic and microc&tic

d. normoc&tic and normochromic

(.4H50H 6$ 7HE $6LL645!G SH5$7S 7HE 628HG'


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95SS605A756! 0:RE 76 R5GH7;

A.A0596S5S

'.AL


3/25

9@S&phlis

12. paras&mpathetic iner#ation

a.sweat gland

b.sali#ar& gland

1). A pt has multiple pol&ps on

colonoscop&.His father died of same

disease.7hese t&pes of pol&ps are

a8Hemartomatous

b8Adenomatous pol&p

c8/etaplastic

1*. 9&sarthria is due to a lesion in>

a.'rocas area

b.0erebellum

c.7halamus

d.Sensor& motor corte

e.H&pothalamus

1+. After 2 liter loss of fluid through sweating, which fluid should be gi#en to replace the fluid

loss of

this person>

A. + detrose

'. ?.3 !BS

0. 1? detrose

1-. 9uring 2nd wee% which is appropriate test for

7&phoid fe#er >

a@ 4idal"'lood culture

b@ 'lood culture onl&

c@ Stool culture onl&

d@ 'one marrow

1(. A woman ha#in fe#er for few da&s de#eloped chest pain which aggra#ated b& l&ing down .

Reason

is>


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a.0ostochondral Cunction

b./i

c. pericarditis

d.due to plurea

1. purpura is most li%el& asaociated with

a. leu%emia

b. #on wilbrand disease

c. hi#

13. a lad& using dieth&lesterbestrol wht should be most li%el& in her daugter

a. sDuamous cell carcinoma

b. clear cell carcinoma

2?. Lad& with osteoporosis,ha#ing famil& hBo cardiac disease and breast ca. 7reated b&

a. 0alcium plus #it 9

b. Raloifene

c. bisphosphonates

d. HR7

21. 4hich disease in#ol#es a carrier stage >

a./easles

b./umps

c.Polio

d.7&phoid

22. H" ion

secretion in proimal tubule is related with>

A. 'icarbonate reabsorption

'. 'icarbonate ecretion

0. < secretion

9. !a secretion

2). Hamartoma is =

A. A /etaplasia

'. A neoplasia


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0. Has a capsule

9. Same as cholestoma

E. 7otall& benign

2*. *? &r old woman,middle class,) %ids,pap snear shows cer#ical d&splasia..cause

A HP

' 5:09

2+. 1? $ormaldeh&de is used for sending 'iops&

specimens,4h&>

a. Sterilisation

b.7o pre#ent autol&sis

c. 76 stain cells

d. 76 denature proteins

e. to cause l&sis of cell

2-. /etastatis occur in all ecept

a.Li#er

b. 'rain

d. Spleen

d. lung

2(.$ast, sharp pain from mechanical origin is mediated b& which fibers=

A. A alpha

'. A delta

0. 0 fiber

9. High m&elinated

2. $at necrosis occurs in =

A. Acute pancreatitis

'. Heart

0. Li#er

23. 4hich tumor is deri#ed from all the ) germ la&ers=

A. Adenoma

'. 7eratoma


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0. Rhabdom&osarcoma

9. 0hancroid

)?. A 2?&r old male has d&spnea on l&ing down. 7he structure most li%el& to cause this is =

A. Enlarged isthmus of th&roid

'. Pubert&

0. Retrosternal goiter

)1. A $5SHER /A! PRESE!7E9 457H SL64L 9EEL6P5!G LE7HARG, EAS

$A75G:E A!9

PALP57A756!S. H5S 95E7 06/PR5SES 6$ $5SH A!9 R50E /6S7L PHS50AL EA/

SH64E9 PALL6R

A!9 L6SS 6$ 76:0H SE!SA756! 5! '67H $EE7 A!9 L64ER L5/'. H5S 0'0 SH64E9

H' (.+GB9L /0

1)2, PLA7ELE7S 11? A!9 4'0 )*+? . /6S7 L5


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of pectoralis maCor

)+. a. the components of the cell containing microtubules in there structure are=

a. cell membrane

b. centrioles

c. endoplasmic reticulum

d. l&sosomes

e. mitrochondria

)-. a chronic smo%er from )? &ears woor%ing in a t&re factor& presented with painless hematuria

n on

histopatholog& transitional cell carcinoma of bladder causati#e agent is ..>

a.aromatic amines

b.tobaco smo%ing

c.nitritesBnitrates

d.shistosomia hematobium

)(. most common manifestation of autoimmune

disease =

a. $e#er

b.arthralgia

c.haematologic s&mptoms.

d.fatigue

). A07H effecti#el& controls >

a. Aldosterone

b. Adrenal androgens

c. Adrenal estrogen

d. H&drocortisone

)3. what defines the acute inflammation >

1.local response of li#ing tissue to inCur&

2.s&stemic response of li#ing tissue to inCur&

).migration of leu%oc&tes

*?. aortic pressure lowest during which phase of cardiac c&cle>>


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b. dr& gangren

c. ran&od phen?mena

d. thrmbroagints

*(. true regarding genetic inhertance of SLE is =

a. high incidence in monoF&gotic twins

b. incidence is high in females

c. if its in famil&, more chances to occur to all famil& members

*. Langhans giant cells are found in=

a.7uberculosis

b.Sarcoidosis

c.4egners granulomatosis

d. Lepros&

*3. most acti#e gluconeogenesis results from metabolism of >

a.fatt& acid

b.amino acids

c.cholesterol

d.gl&cogenBcarboh&drates

+?. Esophago gastric Cunction competence is

maintained b&

A. l&ing supine

'. increased intra abdominal pressure

0. diaphragm paral&sis

9. use of metoclopramide

E. use of morphine

+1. 9iminished Caw Cer% due to lesion of

A. /esencephalic nucleus of ner#e

'. $acial motor nucleus

0. Glossoph&rngeal inCur&

9. agus inCur&

+2. 0o8trimoaFole action in.hi# pt on pnumoc&stc carini>


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a.5nhibit cellwall s&n

b.5nhibit folic acid s&nth

c. inhibit 9!A s&nth

+). 4hich of the following structure doesnt pass posterior to the fleor retinacum

A. :lnar ner#e

'. /edian ner#e

0. $leer digitorum superficialis

9. $leer digitorum profundus

+*. 0ardiac surgeon during open heart surger& found bleeding #essel accompan&ing LA9 in

anterior

inter#entricular groo#e . /ost li%el& in#ol#ed #ein is =

A.Great cardiac #ein

'. Anterior cardiac #ein

0. 6bliDue #ein

9. Small cardiac #ein

E. /arginal #ein

++. An upper motor lesion of facial ner#e will result in =

A. Ecessi#e lacrimation

'. H&peracusis

0. Loss of taste sensation in ant 2 B) of tongue

9. Abilit& to wrin%le the forehead on the affected side

+-. S:A/6:S 0ELL 0AR05!6/A

a.Actinic %eratosis

b. marCulian ulcer

+(. Regarding histolog& of gastrointestinal tract, which is inappropriate =

A. Peneth cells contain Eosinophilic granules in apical c&toplasm

'. Pe&ers patches are present in submucous la&er of duodenum

0. Parietal cells of human stomach secretes intrinsic factor

9. Striated brush border is composed of micro#illi

E. 7he longitudinal coat of muscularis eterna is arranged in ) bands in colon


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+. 4hich one.is.malignant

a.Glioma

b./eningioma

c.Psedol&mphoma

d.0hondroma

+3. which cranial ner#es r paras&mpathetic

A. 555, 55, 5,

'. , 555, 55, 55

-?. Se#erl& deh&drated man comes in er what to g#

a.+percent glucose

b.7en precent glucose

c.H&pertonic albumin

d. ?.3 nacl

-1. $ibrous d&splasia commonl& occurs in

a./ailla

b.6ccipital bone

c.$rontal bone

d.7emporal bone

-2. 4eight of prostate

a.1* gr

b.2* gr

c.)? gr

d.*? gr

-). Edema is caused b&=

A. I h&drostatic pressure

'. J osmotic pressure

0. L&mphatic obstruction

-*. Growth hormone secretion is increased =

A. Eercise

'. Hpergl&cemia


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-+. 9rug action wont b affected bound to alpha

gl&coprotein in

a. !eoplasm

b.7rauma

c. Hepatic disease

d. /5

--. 0linicall& G$R is measured b&

a. 0reatinine

'. 5nulin

-(. 1- &r child with cola color urine since one da& , Hb - , high grade fe#er , was gi#en

antimalarial 1

da& bac% ..

a.g-pd

b.falciparumKblac%water fe#er@

c. P!H

-. 7he cause of death in gas gangrene is due to =

A. 'acteremia

'. 7oic shoc%

0. Pneumonia

-3. which is not the content of mediastinum...>

a.lungs

b.heart

c.trachea

d.#agus ner#e

e.large #essels

(?. 9iseases transferred thru #ertebrate animals to

humans;

a@Foonosis

b@Fonoarthosac

c@oncosis


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d@ anthropoFoonosis

(1. about calcitonin...>

a.must b gi#en parenteral

b.ma& b used in intoication of #id 9

c.h&poparathroidism

d.a pol&peptide of )2 aminoacid

(2. most common conginital heart dsF>

a@asd

b@#sd

(). A man with A59s who has no s&mptom with 09* count ?? presented with suppurati#e otitis

media, causati#e organism is;

A. /&cobacterium

'. Strep pneumoniae

0. Pseudomonas aeruginosa

d@stap aureus

(*. A pt can sur#i#e without mechanical #entilation, if the lesion is =

A. Abo#e 02

'. At 0)

0. At 0*

9. 'elow 0+

(+. Preganglionic s&mpathetic ner#e fibers release =

A. A0H

b. !orepinephrine

0. 9opamine

(-. A man died + da&s after /5 and large blood clots was found in pericardial sac . He died due

to =

A. Pericardial tamponade

'. iral infection

0.


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A. Aspirin

'. 5ndomethacin

0. /eloicam

(. $asting blood sugar of pt is -. mmol K122 mgBdl@ after 1 hr of 6G77 it is 1?.3 mol and later

after 2

hr postprandial it was 1?.( mol K 13* mgB dl @ what is the diagnosis

A. 9/

'. impaired glucose tolerance

0. Long lag phase

(3. !ot recorded on E0G normall&

a.SA !69E

b.LE$7 A7R5:/

c.A !69E

d.R5GH7 A7R5:/

?. After * hr of star#ation, wht will be bro%en down to pro#ide energ&,=

A. 0arboh&drate

'. $at

0. Protein

1. 4hich of the following causes increased interstitial pressure=

A. J capillar& permeabilit&

'. J colloid osmotic pressure

2. Post op wound causes greenish pus discharge . 4hich organism is in#ol#ed =

A. Psudomonas

'.


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*. Sprain of an%le leads to e#ersion of an%le, which ligament is damaged .

a. 9eltoid

b. 7alofibular

c. peroneal

d. tendocalcaneous

+. A pt, wd 9< didnt respond to treatment and died, Autops& show inflammator& lesion in

%idne&

brain and lung, with some fungus. /ost li%el& organism is =

A. /ucorm&cosis

'. 0andida

-. Person na%ed in room, temperature 21 degree centigrade, humidit& present, loss of heat

b& =

A. 5nsensible perspiration

'. Sweating

0. 0onduction and radiation

(. /icroscopic feature of pol&arteritis nodosa is =

A. Granuloma

'. $ibrinoid necrosis

0. Associated with hepatitis c

. 4hich of the following structure damages in th&roidectom& =

A. Recurrent lar&ngeal ner#e damage

'. Eternal lar&ngeal ner#e damage

0. Lar&ngeal oedema

9. Sore throat

E. agus ner#e damage

3. A07H effecti#el& controls >

a.Aldosterone

b.Adrenal androgens

c.Adrenal estrogen

d.H&drocortisone

e.!E


16/25

3?. which cannot b measured b& spirometr&

1.residual #olume

2.epirator& reser#e #olume

).inspirator& reser#er #ol

*.tidal #ol.

31. the following diseas occur in i# abuser

1@infecti#e endocarditis

2@llibmansac% endocarditis

32. !ormal $E1B $0 ratio is =

A. ?.-

'. ?.

0. 1

9. +

3). Pt unable to #oid after fall which of the following section of spinal cord is affected=

A. L2, L), L*, L+

'. L1, L2

0. S1, S2, S)

9. S2, S), S*

3*. osmotic diuretic effects on which part of nephron

a.proimal tubule

b.collecting duct

c.asc loop of henle

d.glomerular memb

3+. After rapid loss of 2 liter of fluid . person drin%s plain water . it ll lead to

A. 5ncrease in interstitial fluid onl&

'. 5ncrease in intracellular fluid

0. Plasms #olume increase

3-. A patient %nown smo%er in lar&ngoscop& found lar&ngal nodule what is most unli%el&

1 neoplasm

2 h&perplasia


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) %eratosis

* atroph&

3(. secondar& center of ossification

a.epiph&sis

b.epiph&seal plate

c.diaph&sis

3. .liDuefacti#e necrosis.

a.brain

b.%idne&

c.spleen

33. 1st heart sound

a.iso#olumetric contraction

1??. A *? &ear old man has pain felt deep in the face and nose between the mouth and orbit to

the

ear and temporal region . the pain ma& be due to the lesion of the =

A. auricular ner#e

b. facial ner#e

c. h&pophar&ngeal ner#e

d. maillar& branch of the trigeminal ner#e

e. opthalmic branch of the trigeminal ner#e

1?1. E'

nasophar&ngeal carcinoma

1?2. in#erse stretch refleKresulting relaation@

golgi tendon organ

1?). fast sharp pain

A delta fibers

1?*. )rd #entricle

bounded laterall& b& 2B) thalamus

1?+. gl&cogen brea%down

aerobic and anaerobic brea% down to p&ru#ate


18/25

1?-. fatt& acids co enF&me

biotin

1?(. age

unitsBtotal units 1??

1?. 7he diagnostic lab test for the infection b& streptococuss beta haemol&ticus is =

A. AS6 titre

'. 'lood culture

0. ESR

9. Leu%oc&tes culture

E. :rine for bile pigment

1?3. disclosing pts secret info

onl& with pt. consent

11?. /ost common cause of inc bleeding time

a.thromboc&topenia

b. Aspirin

111. opsonin

0)b

112. plasma cells

antibodies

11). blac% water fe#er

a.p.falciparum

11*. hamartoma

a.beningn

11+. al%aliniFe urine for remo#ing

a.phenobarbitone

11-. paras&mpathetic s&s

a.inc the A nodal dela&

11(. .paras&mpathetic action

a. sweat glands

b.sali#ar& glands


19/25

11.ectopic pregnanc&

a. uterine tube

113. both central n peripheral chemoreceptors respond to

a..arterial p062

12?. mec%els di#erticulum

a.#itelline duct

121. .insulin dec b&

a.beta bloc%ers

122. most sensiti#e cardiac mar%er

a.trop 7

b.0%mb

12). H&poth&roidism

a. increased 7SH

12*. left adrenal #ein drain into

a.left renal #ein

12+. fastest b.p regulation

a.baroreceptor

12-. ESR inc in

a.infections

b. pol&c&themia

12(.local factor dela&ing wound healing

a.foreign bod&

b. local infection

12.actin co#ered b&

a.tropom&osin

123. turner

a.**o

1)?.%linefilters s&ndrome

a.*-

1)1. S2,S),S* lesion


20/25

a.rectal incontinence

b.no pain in labour

c. anorgasmia

1)2. pain referred to shoulder

a.c2c)

b.0),0*,0+

1)). compression of S1

a.dec an%le Cer%

1)*. not related to rt. %idne&

a.descending colon

1)+. eternal carotid

a.lateral to retromandibulr #ein

1)-.s&mphisis pubis

a.sec. cartilaginous Coint

1)(.fibrous and parietal pericardium supplied b&

a.phrenic

1). corona radiata

a.granulosa cells

1)3. .cimetidine with sucralfate

a.decrease metabolism

b. Sucralfate decreases cimetidine absorption, gi#e it after 2 hours

1*?. 0imetidine ma& significantl& prolong the prothrombin time and causes bleeding in pt who

has

been treated with warfarin b& =

A. decreasing the hepatic clearance of warfarin

'. 9isplacing warfarin from plasma protein

0. 5ncreasing the oral bioa#ailabilit& of warfarin

9. 5nhibiting renal tubular secretion of warfarin

1*1. .sternocleidomastoid supplied b&

a.accessor& ner#e


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1*2.regarding collagen

a.present in all t&pes of connecti#e tissue

b.uniDue protein

1*+.organ for metabolism

a.li#er

b %idne&

1*-. Regarding Portal #ein following statement are correct = Ecept

A. 9e#elops partl& from the cranial part of right #itelline #ein

'. is connected to #eins of anterior abdominal wall through paraumbilical #ein

0. 5s formed b& union of superior and inferior mesenteric #ein

9. lies in the free margin of lesser omentum

E. tributaries include left gastric and superior pancreatoduodenal #ein

1*(. compact bone...

a.Regularl& arranged lamelae

1*. An initial left to right shunt before re#ersal is most commonl& a feature of =

A. 0oarction of the aorta

'. Ebstein s malformation

0. Eisenmengers comple

9. 7ranspostion of the great arteries

E. 7runcus arteriosis

1*3. 9igoine unli%l&

1.inc 0a intracellular

2.inc < intracellular

).inc !a intracellular

*.inc s&mpathetic to heart

1+?. u wa#e is associated with

1.atrial depo

2.atrial repo

). #entrlr repor

*. #entricl depo


22/25

+. slow repolariFation of papillar& muscles

1+1. A 2+&ear old sprinter de#eloped acute leg pain while running. the net da& he noticed

ecch&mosis around an%le . he can stand on his toes through it hurts . the most li%el& cause is =

a. acute arterial embolism

b. deep #ein thrombosis

c. herinated lumbar disc

d. ruptured Achilles tendon

e. ruptured plantaris tendon

1+2.A )? &ear male came to a consultant clinic with histor& of progressi#e right facial numbness

and

headach for ) months, on eamination, facial ner#e pals& was confirmed on right side along with

555

ner#e in#ol#ement of same side, and right sided 5ntention tremors, the most li%el& site of lesion

is =

A. 0erebello pontine angle

'. Pons

0. Rt lobe of cerebellum

9. Rt side of mid brain

1+). 4ilsons disease

A. 0eruloplasmin

1+*. 1- &r old bo& with diarhea,biops& showin #illous atroph&, not impro#ed b& gluten free diet,

most

li%el& diagnosis

a. 0eliac disease

b. Giardiasis

c. 4hipples disease

1++. 5/ %etorolac gi#en ina. Renal failure

b. Pregnanc&

c. Suspected drug addicted complaining of pain

1+-. 4ater and salt reabsorption is maimum at

a. 9uodenum


23/25

b. Stomach

c. Cenunum

d. 5leum

e. 0olon

1+(. wht happens in patient gettin 7P!

a. H&pergl&cemia

b. h&perphospatemia

1+. epinephrine gi#en slowl&>>>

a.Something to with 7PR

1+3. Premalignant oral lesion

a. Lichen planus

b. Submucosal fibrosis

1-?. uestion from biostatistics

a.statistical data is of no significance

b. 0hi sDuare

1-?. $ailure of aorta to separate from Pulmonar& arter&

a. 7runcus Arteriosus

b. 76$

1-1. !er#e loops around arch of aorta

A. recurrent lar&ngeal ner#e

1-2. Hemol&tic anemia Duestion>>

1-). in tabes dorsalis which is destro&ed>>

1-*. 7ooplasmosis

a. Parasite

1-+. transmitted from eating undercoo%ed meat

a. tapeworm

b. Li#er flu%e

1--. false statement about 0arbimaFole

a. increases 7* to 7) con#ersion

1-(. lad& with eophthalmos, th&rotoicosis


24/25

a. Gra#es

b. /!G

1-. /itral stenosis, absent wa#es are

a. c wa#es

b. a wa#es

1-3. 4hat wil decrease in h&potension

a. 0arotid sinus discharge

1(?. R'0 fragilit&

a. ?.)+ !a0l cause hemol&sis

b. H&potnonic cause swelling

c. H&pertonic causes shrin%age

1(1. Standing from 1 hour

a. 9ecrease 0P

1(2. something about Gamma motor neuron

a. Relaes muscle

b. controls fiber 1a afferent

1(). Arteriolar dilation leads to

a. increase in arterial blood #olume

b. increase in #enous #olume

c. something about capillaries

1(*. 0ause of SDuamous 0ell 0arcinoma bladder

a. Shchistosoma hematobium

1(+. !ot true abt sulfon&lurea>>>

1(-. SCogrens S&ndrome

a.dr& mouth and e&es

b. 9r& mouth onl&

c. 9r& nasal mucosa

1((. 4hich one is not epithelial tumour

a. Adenocarcinoma

b. Liposarcoma


25/25

c. SDuamous cell 0a

1(. 9iphtheria tooid gi#en n thn aftr 2 wee%s s%in rashes , most li%el& reaction

a. 7&pe 1

b. t&pe 2

c. 7&pe )

d. 7&pe *

1(3. 0ardiac output low in

a. beri beri

b. 0ardiac failure

c. A fistula

d. h&perth&roidism

1? Labetalol

a. 'eta bloc%er

b. Alpha bloc%r

c. Alpha plus 'eta bloc%er

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Medicine Paper Feb 2014

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