4th & 5th April-2016- Papers of all Specialties for FCPS (1032 MCQS)


4th & 5th April-2016- Papers of all Specialties for FCPS (1032 MCQS)


4th & 5th April-2016- Papers of all Specialties (1032 MCQS)


[ Index- Check List ] Compiled by : Amlodipine Besylate



  • Medicine & Allied 4th April 2016 (Evening Session) by Miqdad Haider(200 MCQS) Page#1


  • Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS) P#9


  • Surgery & Allied 4th April 2016 (Evening session) by Neelum Agha (195MCQS) P#24


  • Surgery 4th April 2016 Morning by Usman Dawar & Mir Karimshah(92+30) Page#32

(5).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#36


(6). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#50


(7). Anesthesiology 4th April 2016 Morning Aly Samnani (80) P#57 =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=


(1)Medicine & 4th April 2016 (Evening Session) by Miqdad Haider(200)




(PCDA – Pakistani Cuban Doctor Association)  Please point out errors and make errata. I have tried to mark maximum answers


(from books/this group/internet) but still wasn’t sure about some questions. So your feedback will be welcomed. It has been t ried to put the most accurate answer, but you never k


to all members of the group who contributed in compilation of this paper by posting questions after their paper and by partic ipating in the discussion (Esp. Med Med, Asad Saleem).


  1. Labetalol acts on


a.Alpha and Beta receptors * (ans) b.Alpha receptors c.Beta receptors 2. Neuron peak of Action potential


a.Electric gradient tend to send Na into the cell* (ans) b.Concentration gradient send Na out of the cell c.Electric gradient tend to send K out of the cell d.Concentration gradient send K in of the cell


e.Another option about Chloride


  1. Embryological counterpart of Mullerian tubercle is: a.Pineal body


b.Seminal colliculus* (ans) c.Vas deferens


  1. Most common acquired cause of thrombus/embolus a.Protein c deficiency


b.Protein s deficiency c.Antithrombin III def

d.Antiphospholipid antibody syndrome* (ans)


  1. Most important clinical feature of water intoxication Slow pulse* (ans)


b.Distended neck vein c.Pulmonary edema


  1. Proteins that escape into tissues from blood vessels : Reabsorbed by lymphatic system* (ans)


b.Convert to be a part of defence system c.Involve in metabolic activity


  1. Thirst is decreased by


a.Increased plasma osmolarity and decreased plasma volume (ans) b.Increased plasma osmolarity and increased plasma volume







c.decreased plasma osmolarity and decreased plasma volume


  1. Patient with Mitral stenosis,,, and a-fib, now ischemic stroke. Pathogenesis? a.Thrombus

b.Emboli* (ans)


  1. Increased salivation by Parasympathetic system associated with vasodilation due to: a.VIP






d.Substance P* (ans)


  1. Hypothalamus inhibits the following hormone

a.Prolactin (ans)


  1. Which of the following veins drains into coronary sinus and itself becomes part of coronary sinus?


a.Great cardiac vein* (ans) b.Middle cardiac vein


  1. Fastest conduction in heart by Purkinje system (ans)


  1. Most effective way to prevent heat loss a.Stimulation of adrenaline and noradrenaline b.Shivering


c.Cutaneous Vasoconstriction* (ans)


  1. Aortic pressure lowest during

a.Atrial systole


b.Isovolumetric contraction* (ans) c.Isovolumetric relaxation


  1. Period where heart is susceptible to fibrillation a.At the end of action potential* (ans) b.Refractory period


c.First half of action potential d.Later half of action potential


  1. Infusion of 1 litre normal saline causes a.Plasma osmolarity decrease


b.Plasma volume decrease c.Decrease urine osmolarity* (ans) d.Urine sodium increase

  1. 40 year old patient of Down syndrome, has risk of Alzheimer (ans)
  2. Dorsal column carries Proprioception* (ans),b.Temperature ,c.pain


  1. Pus contains Dead bacteria  b.Neutrophils* (ans)


  1. Organism causing meningitis in adults Streptococcus* (ans) b.Actinomyces


  1. Patient with acute promyelocytic leukemia, cell show multiple basophilic round bodies, irregular membrane, structureless eosinophilic cytoplasm,


a.Apoptosis* (ans)




c.hydrolysis d.coagulation necrosis

  1. alpha adrenergic stimulation causes a.bronchodilation mydriasis* (ans)
  2. Important protein in RBC Spectrin*(ans)  b.Actin  c.myosin


  1. Essential amino acid Phenylalanine* (ans) b.Glycine  c.Cysteine  d.Proline


  1. How to disclose a bad news to a patient



a.In front of family b.Alongwith staff







c.In a separate formal session* (ans) d.At bed side


  1. Confidentiality can be breached by a.Insurance claim * (ans)


b.If patient authorizes you

  1. Carcinogen for cancer of cervix a.HPV*(ans) b.Chronic irritation
  2. Steroids act by a.cAMP activation gene alteration* (ans)


  1. Women after delivery, Platelet: 70,000, aTTP normal, PT raised – (ans)


  1. Tumor screening test is for – Early diagnosis of a disease. (ans)


  1. Patient with tic doloreaux (Trigeminal neuraglia), analgesia given to block trigeminal ganglion at which site :


a.Middle cranial fossa* (ans) b.posterior cranial fossa c.anterior cranial fossa d.infratemporal fossa e.pterygopalatine fossa


  1. In late pregnancy the uterus is most sensitive to – (ans)


  1. About bicep brachialis muscle – attaches to supraglenoid tubercle of scapula. (ans)


  1. Maximum area of resonance is T2-T4 of right midclavicular line. (ans)


  1. True about spinal cord

a.Conus medullaris terminates in neonates at the level of – L3* (ans)


b.Dorsal and ventral roots meet 2cm beyond interbertebral foramen to form spinal nerve? 36. Cimetidine is used preoperatively because:

a.Inhibits H2 receptors competitively ,b.Decrease gastric acid* (ans)


c.Does not affect gastric motility ,d.Does not interact with induction agents To decrease gastric volume

  1. Nursing mother with herpes labialis, drug of choice Acyclovir  b.Trifluridine* (ans)


(Above umbilicus trifluridine, below umbilicus acyclovir)


  1. After feeding the baby, diarrhea develops – Gastrocolic reflex. (ans)


  1. Both sides of 5th posterior intercostal spaces are supplied by: a.Thoracic aorta b.Internal thoracic artery?


  1. 2 years old child with medially rotated arm lesion in – Upper trunk. (ans)


  1. Opioids produces vomiting by acting on Chemo trigger zone in medulla*(ans) b.Vomiting center c.Antagonist of dopamine


  1. Female with uterus cancer which travels to labia majora following which route – Round ligament (ans)


  1. Pain in epigastrium due to ulcer, transmitted by – Greater splanchnic nerve (ans)


  1. Bitemporal hemianopia due to lesion of a.Optic tract ,b.Peripheral part of optic chiasm Central part of optic chiasm* (ans)
  2. Vesicular lesion on the right tip of nose and right eyelid – Right Ophthalmic nerve (ans)


  1. Patient can’t abduct till 30 degree, which muscle is responsible – Supraspinatus


  1. Nerve supply to plantar surface of foot Posterior tibial* (ans) b.Superficial peroneal c.Deep peroneal d.Saphenous nerve


  1. Ventral spinothalamic tract Coarse touch and pressure* (ans) b.Temperature


  1. Vibration and touch via White matter of posterior spinal cord. (ans)


  1. Brainstem reticular formation Unusual stimulus causes arousal*(ans) ,b.initiates REM sleep ,c.Inhibition of neural systems causing wakefulness ,d.Does not communicate with upper part of CNS


  1. Most radiosensitive tumor ,a.Ganglioglioma ,b.Brainstem glioma Craneopharyngioma*(ans)


  1. Hormone increased during sleep as compare to at day wakefulness –







a.Cortisol*(ans)  b.GH wasn’t in the options


  1. Patient with intentional tremors and facial paralysis lesion at Cerebellopontine angle* (ans) b.Right hemisphere Pons


  1. Patient working in mine with tuberculin test positive. Cough, fever, weight loss with hilar lymphadenopathy


a.Silicosis* (ans) b.Asbestosis  c.Anthracosis  d.Pneumoconiosis


  1. Male working in construct factory with pleural plaques

a.Asbestosis* (ans) b.Anthracosis  c.Pneumoconiosis


  1. Neoplastic cells with continuous mitosis due to persistence of – (ans)


  1. During exercise venous return is due to – Contraction of calf muscles. (ans)


  1. Action of steroids as anti-inflammatory is due to – Inhibiting phospholipase.


  1. Long term thiazide use causes Hypokalemia. (ans)  b.Hypocalcemia  c.Hyponatremia


  1. Intermediate filaments staining with immunofluorescence to diagnose (it has something to do with cytokeratin, don’t remember exact stem) – (ans)


  1. VPL nucleus of thalamus when damaged cause

a.somatosensory loss of contralateral body* (ans)


b.Loss of taste ,c.Loss of olfaction ,d.Somatosensory loss of ipsilateral body

  1. Man living on side of a river, got blindness from nematode; organism –

Onchocerca volvulus. (ans)

  1. MCC of HTN – (ans)


  1. Female with hirsutism, galactorrhea, infrequent heavy menstrual cycle. U/S both ovaries with cystic lesions and LH:FSH :: 3:1 – PCOD (ans)


  1. Female with hot flushes Increase FSH and LH* (ans) b.Decrease FSH increase LH


  1. Injection of atropine will cause – Dryness of mouth. (ans)


  1. Female with severe loss of vibration, Investigation of choice – Stomach biopsy. (ans)


  1. Female with weakness and lethargy with RBCs 5.5 diameter and very thin red line of RBC in peripheral smear

a.Microcytic hypochromic anemia* (ans)


b.Normocytic hypochromic c,Normocytic normochromic

  1. Monitoring of Hep B Serum glutamate-pyruvate transaminase*(ans)b.Prothrombin time


  1. Female with reactive anti HBe and reactive total anti HBc along with non-reactive HB IgM and non-reactive HepBs Ag


a.Acute recovery phase* (ans)


b.Chronic Carrier


  1. Patient with obstruction jaundice; now bleeding cause Vit K deficiency* (ans) b.Decrease cloting factor production due to liver problem


  1. Investigation of Hashimoto thyroiditis – Antimicrosomal and anti-thyroglobulin (ans)


73.Cimetidine interaction with warfarin causes

a.Decrease hepatic clearance of warfarin(ans) b.Increase oral bioavailability of warfarin


  1. Patient using some anti-coagulant, how will you know that anticoagulant is warfarin because it is being monitored by PT* b.By giving Protamine


  1. BP drops from 100mmHg to 70mmHg, it will result in Decrease in carotid sinus nerve activity* (ans)


b.Increased sympathetic efferent effect on heart c.Increased sympathetic efferent effect on heart


  1. Erythropoietin is secreted from – a.Mesangial cells (?) b.Tubular epithelial cells (I did)
  2. Child with machinery like murmur PDA*(ans) b.MS c.MVP


  1. PaO2 is 100% in a.A person who used to live in high altitude b.Right to left shunt Left to right shunt* (ans)







  1. Kallmann syndrome – Gene defect in Kal1 gene on Y chromosome* b.Lesion in arcuate nucleus


  1. Diplamotoylphosphatidyl choline + carbohydrate + proteins is a content of Surfactant* b..Alveolar endothelium interstitium


  1. In asthma Decrease FEV1* (ans) b.Residual volume change


  1. Splenectomy is most useful in


a.Hereditary spherocytosis* (ans) b.Thalassemia c.Sickle cell anemia 83. Findings in glycogen storage diseases

a.Hepatomegaly and hypoglycemia* (ans) b.Hepatomegaly and hyperglycemia

  1. Corynebacterium diphtheria produces Exotoxins (ans)


  1. Common specie of Corynebacterium affecting human is – (ans)


  1. CSF with increased proteins and polymorphs with decrease glucose the drug of choice Ceftriaxone* (ans) b.Ciprofloxacin


  1. About the pharmacology of Neiserria gonorrhea – a.Pencilin G. (ans)


  1. Major histocompatibility is related to – a. (ans)


  1. Kidney is transplanted, gets cyanosed in 10 minutes, type of reaction

a.Antibody mediated* (ans) b.Host Vs Graft Reaction  c,Cell mediated


  1. A child with Agammaglobulinemia is prone to Pyogenic infections* (ans) b.Viral infections


  1. Diagnostic criteria for sarcoma Increased vascularity*(ans) b.Pleomorphism


  1. Soldier coming down from height, now with discoloration of fingers, dyspnea – Secondary (ans)


  1. Vitamin D acts on intestinal mucosa to increase calcium absorption by following mechanism: Expression of genes*(ans) b.cAMP


  1. Calcium influx via slow channels in ventricle cells causes Ventricular ejection*(ans) b.Atrial systole c.Rest were relaxation phases of cardiac cells


  1. Increased ‘a’ wave in JVP due to a.Mitral stenosis b.Mitral regurg c.Aortic stenosis Tricuspid stenosis* e.Aortic regurg


  1. Person with HR 80/min, on ECG RR interval would be – 75 sec. (ans)
  2. Class III Antiarrhythmics – Amiodarone* (ans) b.Quinidine c.Lidocaine


  1. Increased ASO titer Rheumatic fever* (ans) b.Endocarditis


  1. In hypertrophic cardiomyopathy – Myocytes disarray. (ans)


  1. 5 month pregnant lady with thyrotoxicosis, drug of choice Methimazol PTU* (ans)


  1. 30 years old smoker, psychotic, vomiting of fluid with visible peristaltic movements on abdomen cause – Pyloric stenosis. (ans)


  1. Myenteric system of parasympathetic is potentiated by – (ans)
  2. Pethidine is preferred over Morphine Fast acting* (ans) b.Less addictive c.Less


potent analgesic  d.More constipation

  1. Philadelphia chromosome (ans)


  1. Male with fever upper lobe consolidation, fever from last 3, productive cough, AST 135 and ALT 111, alkaline phosphatase normal, bilirubin 10, he died on autopsy weight of liver increased and with fat droplets seen on hepatocytes. Diagnosis Chronic alcoholic disease* (ans)


  1. Alpha 2 macroglobulin inhibit Trypsin(ans) b.Secretin


  1. 65 years old male with all symptoms of LV failure and pulmonary edema without any previous illness and BP 125/85mmHg, on X-ray cardiomegaly, a febrile cause of heart failure, liver enzymes normal Bicuspid calcified aortic valve Alcoholic cardiomyopathy*(ans) Amyloidosis


  1. Calculate Alveolar ventilation where Tidal volume is 500ml/respiration. RR 10 –

3500ml/min (ans)


  1. Calculate Clearance where Urinary flow 20 ml/min, Concentration of substance in urine 10 and Plasma 10 20ml/min (ans)







  1. Highest potential difference in the wall of stomach is when: a.Aspirin ingestion* (ans)


b.HCL is not secreted and gastric mucosa is intact c.HCL is secreted and gastric mucosa is damaged

  1. Excessive eversion of foot damaged which structure – Rupture of deltoid ligament. (ans)


  1. About thoracic aorta starts at T4 on left side*(ans) ,b.supply lungs, esophagus n pericardium ,c.supplies last 8 intercostal spaces


  1. Histology of cornea – Stratified squamous non-keratinized. (ans)


  1. Left shift of HbO2 curve – CO poisoning. (ans)


  1. Humans are intermediate host in a.Hydatid cyst. ,b.Filariasis


  1. Micturition reflex Self generating (ans) b.Cerebral control c.Condition reflex


  1. Hallmark of HIV disease Proliferation of virus in T-Cells(ans). b.Progressive immune deficiency


  1. Surgery of submandibular gland; nerve damaged – marginal mandibular branch of (ans)


  1. Aspirin overdose causes a.Coma Alkalosis c.Hypothermia


  1. Father with defective gene on one autosomal chromosome, develops disease later in his life; chances of getting disease in children Half of the children will be affected. (ans)


  1. Thorn prick in left lower limb caused abscess – Staph aureus. (ans)
  2. Lesion of parasympathetic system affects mostly – GI muscles. (ans)


  1. ADH– Osmoreceptors (ans)


  1. About systolic pressure which one of the following true

a.directly related to plasma Renin*(ans) b.depends on venous return c.dosnt  depend on TPR


  1. Superficial temporal artery relation with which nerve a- Auriculotemporal nerve. (ans)


  1. Protoncogenes converted to oncogenes by a.point mutation* (ans)gene amplification c.translation d.dna transcription e.chromosomal translocation


  1. Oblique fissure of the lung at level – T3 to T6 Costochondral. (ans)


  1. A long case scenario of Appendicitis, bottom line was pain mediated by —-


a.Prostaglandin and bradykinin* (ans) b.TNF alpha

  1. Hamartroma : a.ectopic tissue disorganized growth of mature cell indigenous to the


site*(ans)  a tumor which can metastasize  a tumor with all germ layers


  1. Correlation between two variables( duration and anesthesia administration I think) was studied a.student t test ,b.chi square ,c.regression analysis* (confirm it)


  1. Chemotaxis (indirect statement about an inflammation scenario) …. C5a (ans)


  1. Drug drug interaction …. Morphine toxicity treated with naloxone (ans)


  1. Best diagnosis for turner: a.barr body karyotyping (ans)
  2. Inferior imaginary line in rectus sheath —- arcuate line (ans)


  1. The measurement of cardiac output by thermodilution ?


a.-Is accurate and easily repeatable b.-Involves measuring the integral of temperature change over time


c-Involves use of the latent heat of vaporization in the calculations d-Is also known as the Fick technique –e.May be inaccurate due to respiratory changes in the pulmonary artery temperature(may be this one is right, please confirm)


  1. Medial arcuate ligament formed by a.diaphragm b.lumber fascia psoas fascia* (ans) d.quadratus lumborum


  1. zinc is important in following



a.carbonic anhydrase*(ans) b.cellular oxidation c.vitamin b12 d.glycosis ketogenesis 138. Bilateral S3.4.5 cut what will result in a.labour with out pain b.painless mensis c.anorgasmia d.rectal incontinence* (ans)







  1. long case,90 year old female, lipofuscin pigment present in histology report of cardiac muscles. A.cellular oxidation,b.coagulative necrosis c.apoptosis autophagy* ans . FA 2014 pg 228)


  1. Ghon complex is characteristic of —-a.Tuberculosis (ans)


  1. Immunity provided by DPT is artificial active*(ans) b.artifial passive


  1. Glucose fasting 6.8 (124), after 2 hours 10.6 (190)

a.impaired glucose tolerance* (ans) b.Diabetes


  1. Aldosterone most important stimulus Increase potassium*


  1. Air embolism, quantity of air required to produce symptoms 100ml* (ans) b.50 ml


  1. Microscopic feature of compact bones a.Haversian canals are arranged obliquely b.lacunae have osteoblasts ,c.Haversian canals are not interconnected collagen imparts colour lamellae are regularly arranged* (ans)


  1. How many white ramus communicans are there in our body a.13 14 * (ans) (T1-L2),c.15



  1. Virus cause cancer by alteration of a.proto oncogen b.oncogen DNA* (ans) d.RNA


  1. Hydrolysis of DNA release a.ribose sugar b.phosporic acid* (ans)


  1. Pregnant lady with obstructive jaundice will have raised: a.GGT (ans)


  1. Farmer with gum bleeding a.Vitamin C deficiency (ans)


  1. Last mediator of septic shock IL 6* b.TNF c.IL 1
  2. Which of the following organelle contain oxidases? A.Peroxisome (ans)


  1. True about middle meningeal artery

a.Enter to brain through foramen spinosum* (ans) b.Causes subdural hemorrhages

  1. Free hemoglobin bind to Hapatoglobin* (ans)


  1. Transitional epithelium of bladder derived from a.mesoderm endoderm* (ans) c.endoderm+mesoderm


  1. Microglial cell phagocyte of nervous system* (ans) b.abundant in white matter c.abundant in gray matter


  1. Regarding skull of child?


  1. anterior fontanelle present between 3 bones b.posterior fontanelle closes at 3 months? c.Vault is bigger than the face


  1. Postero superior relation of pituitary? related to parotid gland saphenoid*(ans) b.Maxillary


  1. Cervical branch of facial nerve supply playtsma*(ans) b.strnocledomsdtoid
  2. Corneal opacity is caused by chloroquin* (ans) b.quinine c.ethambutol


  1. To calculate the median of 40, 20,25,30,25,20,35,40(it wasn’t arranged in ascending order) ans 27.5
  2. Radiation therapy, lesions on skin due to Endartritis obliterans (ans)


  1. Infratemporal fossa also known as


a.Parapharyngeal fossa  b.tonsillar fossa  c.suprasternal d.submesenteric


  1. 15 yrs old boy with multiple large purpura, bleeding problem, investigation? Platelets less than 20* (ans) b.Platelets less than 90 c.Factor 8 def


  1. Patient has glycosuria, although serum glucose is 100mg/dl


a.he can’t absorb glucose from pct b.he has DM


c.has abnormal absorption of glucose

d.his kidney has low glucose threshold* (ans)

  1. Agammaglobunemia Pyogenic infections* (ans) b.Viral infections


  1. Severe hypomagnesemia causes Hypocalcemia* b.Hypercalcemia


  1. Thyroglossal cyst common location


a.Above sternum  b.Thyrohyoid region* (ans) c.Intralingual


  1. M bands produced by? A.b cells b.plasma cells*(ans) c.t cells  d.macrophages







  1. crus cerebri near to A,substantia nigra* (ans)red nucleus c.superior colliculus d.superior cerebellar peduncle


  1. 7th left pulmonary segment..what is it called?

A.Lingual lobe  b.Right medial basal* (ans) c.Lateral basal d.apical


  1. Both peripheral and central chemoreceptors stimulated by? CO2* b.H c.O2


  1. Damage to precentral gyrus

a.Contralateral motor loss*(ans)  b.Contralateral sensory loss


  1. Area 312 damaged, symptoms Somatosensory loss* (ans)


  1. Short half life means Reaches stable dose quickly* (ans) b.Rapid clearance c.Bioavailability d.Freely filtered in glomeruli


  1. Damage to ventro posterior lateral (VPL) nucleus of thalamus Somatic contralateral loss* (ans)


  1. RBC breakdown will result in


a.Increase biliverdin in feces b.Increase urobilinogen in urine c.Release of globulin d.Release of iron which can be reutilized* (ans)


  1. Intracellular buffer Bicarbonate  b.Hemoglobin  c.Protein* (ans)


  1. Burn tissue. Which non bacterial opportunistic organism found Candida* (ans)


  1. Baby with some red structure coming out above pubic symphasis, frequently getting wet , O/E epispadia and incomplete closure of pubic symphsis


a.bladder exstrophy(I marked) (ans)


b.incomplete cephalocaudal folding (confirm it) c.incomplete lateral folding


d.failed reinforcement of the cloacal membrane by underlying mesenchyme 181. Mitral stenosis murmur best heard at a.Apex*(ans) b.Mitral valve


  1. Blood supply of bones a.Flat bones supplied by nutrient artery and periosteal artery b.Irregular bones by nutrient artery and periosteal artery


c.Long bones supplied by epiphyseal artery* (ans) d.One about metaphyseal artery

  1. Absence of surfactant in child will cause Distress syndrome (ans)


  1. Ectoderm will give rise to which organ system a.GIT CNS* (ans)


  1. Which of the following has high chances of developing into cancer a.lymphocytoma b.Pseudocancerous c.Intraepithelial nevus Bowen disease* (ans)


  1. Typical TB scenario, Chronic cough sputum xray shows cavity febrile. Type of immunity: a.Antibody mediated immunity Cell mediated* (ans)


  1. Stony dull percussion note Fluid in pleural cavity (ans)


  1. Cytokeratin a.Glycoprotein Intermediate filament*(ans)  c.Microtubule


  1. Criteria for diagnosis of sepsis a.HR > 100 HR > 120  c.Positive culture


c.WBC <2000 and >15000 (not sure, I marked HR>100 but other say its positive culture.)

190. Renal column has: a.Minor calyx ,b.Arcuate arteries  c.Interlobar arteries* (ans)
191. Nor epinephrine and epinephrine metabolized by  MAO*(ans)  COMT


  1. Excessive stretch will be prevented by Muscle spindle* b.GTO


  1. Oliguria is Less than 500ml* b.Between 500 and 1000ml


  1. Lesion to pyramid results in — Contralateral hemiplegia (ans)


  1. Baroreceptor firing causes decrease in:
  2. Heart rate b.Venous compliance* (ans) c.Coronary blood flow d.Cardiac Output


  1. Thyroid isthmus is located 2 3 4 tracheal rings (ans)
  2. Gap junctions Allow rapid spread of action potential to all cardio myocytes* (ans)


  1. A child who is apathic, peripheral edema, low albumin Kwashiorkor*(ans),b.Marasmus


  1. Pulmonary wedge pressure used for —–Left atrium(ans)


  1. In shock, most important body response


a.CNS ischemic response*(ans)  b.Baroreceptor  (not sure about the correct stem )








(2) Medicine & Allied 5th April 2016 (Morning Session) by Dr.Nadir Khan (188 MCQS)


Medicine paper 5 April, 2016 morning both paper 1 and 2


By Dr.Nadir Khan Orakzai…..


1, Heart shape vertebrae

  1. Thoracic vertebrae


  1. Lumber vertebrae


  1. Sacral vertebrae


  1. Coccygeal vertebrae


2, Massive RBCs destruction


  1. conjugated hyperbillirubinemia


  1. unconjugated hyperbillrubinemia


3, Patient with allergies, iv xylocain given


  1. Tachycardia


  1. Mild syncope ( IV cause bradycardia, local may cause tachycardia)


  1. Rash


4, ADH acts on


  1. cortical collecting tubules
  2. medullary collecting ducts (Both are correct)


  1. distal tubules


5, Renin inhibited by

  1. inc pressure in afferent arterioles


  1. aldosterone


(Both are true, pressure changes in afferent arteriole is the main mechanism by which kidney


protects itself from high systemic pressure changes) 6, Hypercalcaemia will activate


  1. 1,25 dihydroxycholecalciferol
  2. 24,25 hydroxycholecaliciferol


  1. Parathyroid hormone


  1. 25 cholecalciferol


7, Which one will decrease potassium secretion a. spironolactone


8, PTH reabsorbs calcium through


  1. distal convoluting tubule


  1. Proximal convoluting tubules 9, Increase water diuresis seen in


  1. positive water clearance


  1. negative water clearance 10, Good pauster syndrome


  1. linear deposition


  1. Sub epithelial deposits
  2. Sub endothelial deposits


11, Person taking normal saline


  1. increase urine sodium
  2. increase plasma osmolarity


  1. decrease urine osmolarity


12, A person with numbness, paraesthesia and pallor,, Hb 10, MCV high, his urine will probably









  1. methylmelonic acid 13, Action of captopril
  2. hypercalcemia


  1. increase degradation of angiotensin 2


  1. increase degradation of bradykinin


14, Mother rh positive and father rh negatiive, how will you counsel them

  1. Antigen antibody complexes in post natal life


  1. Antigen may transfer to mother circulation


  1. Hemolytic disease of newborn may occur


15, Patient on antituberculous drugs, presents with pin and needle sensations , what drug should be



  1. Isonazide


  1. Pyrazinamide


  1. ethambutol


16, Drug of choice in actinobacter bouneii

  1. Imipenem


  1. Tetracycline


17, Patient having traveler’s diarrhea not responding too antidiarrheal drugs, which drug should be




  1. Metronidazole
  2. Erythromycin


  1. Norfloxacine


  1. Chloramphencol


(remember, Most common organism involved in traveler’s diarrhea is E.Coli, and most common


protozoan is Giardia, patient not responding to antimicrobial therapy means the organism is most


commonly involved giardia, and the drug of choice is metronidazole Persistent diarrhea means > 14 days)


18, Drug of choice in traveler’s diarrhea


  1. Diphenoxylate
  2. Metronidazole


  1. Atropine


  1. Aluminum hydoxide

19, Helminthes transmitted through mosquito


  1. Filarial


  1. Oncocercia

20, Most characteristic feature of actinomyces


  1. Talcum granules


  1. Restrictive anaerobe


  1. Cause infection in immunodeficient


(Actinomyces of human species are facultative anaerobes, although Wikipedia says anaerobe


but various books say it is facultative not restrictive anaerobe, it causes infections usually in


immunocompatent and may be in immunudefficients, produce sulfer granules, talcum term is used for

minerals generally)


21, Characteristic feature of hemophilia







  1. Tissue bleeding (Reference Pathoma)


  1. Epistaxis


  1. Ecchymosis


22, Patient with MI, on day first trop-t was positive, on 3rd day of mi, patent collapsed with blood


pressure down, pericardiocentises was done which shows hemorrhages, instead of good resuscitative


measures, patent expired. What cells will you find in his pericardial cavity


  1. Necrosis with neutrophils and macrophages


  1. Lymphocytic infiltrates


23, Patient presents with vacuities and p-ANCA positive, what should be the cause


  1. Hepatitis b


  1. Hepatitis a


  1. Hepatitis c


24, Child with allergies and parasitic infections, what cells will you find


  1. Eosinophils


  1. Mast cells


25, Right subclavian artery derived from


  1. Aortic arch 1
  2. Aortic arch 2


  1. Aortic arch 3


  1. Aortic arch 4


26, Patient with vague abdominal pain with nausea, pain was not related to any meal, no cardaic


issues, glucose normal, endoscopy was done which showed normal stomach with no mass or ulcers, it

was found non-specific gastritis, what is the cause


  1. pylori


  1. Pernicious anemia
  2. Zollinger ellison syndrome


  1. (Remember, H.Pylori is the most common cause of peptic ulcers, question was about nonulcer


gastrtis that is non-specific gastritis)


27, Girl with epistaxis, bleeding time prolong, PT normal, APTT deranged, what is the diagnosis


  1. vWD
  2. G6PD defciiency


28, Patient with asthma, pCO2 is 55 mmhg, HCO3 is 25 mmol/l, PH is 7.3, what is the abnormality

  1. Respiratory acidosis with renal compensation


  1. Respiratory acidosis without renal compensation


( pCO2 elevated and PH is about normal<normal blood PH 7.4>, so it means there is some renal



29, Child presenting with malaise, recurrent respiratory infections, and died in age 32 years, biopsy of


lymph nodes showed germinal centers atrophy and some lymph nodes were missing, what is the



  1. NADPH deficiency


  1. Failure of maturation of plasma cells into B cells







30, An old patient with weakness of muscles of upper body, hyperreflaxia of knee and ankle joints

and history of urinary dribbling, what is the diagnosis


  1. Tabes dorsalis


  1. Upper motor neuron lesion


  1. Lower motor neuron lesion


31, Patient presented with injury to lower legs,, it was fond that tibial part of sciatic nerve was


damaged but still there was some flexion remained in knee, which nerve is there

  1. Short head of bicep femoris


  1. Long head of bicep femoris 32, Diarrhea


  1. Metabolic acidosis with normal anion gap


  1. Metabolic acidosis with increased anion gap


  1. Metabolic alkalosis


33, Spinal hemi-section done

  1. Ipsilateral loss of proprioception below section


  1. Contralateral loss of pain and temperature


  1. Ipsilateral loss of proprioception at c6-c7 and below 34, Morphine is given to a patient, what effect will occur


  1. Contraction of gall bladder and release of bile


  1. Constipation
  2. Release of pancreatic secretions


35, Normal waves in basic electrical rhythms of stomach


  1. 12 waves/day


  1. 3 waves/day


36, Patient with hypotension and fever, on examination there were splinter hemorrhages, something


palpable in splenic region, and needle track sign in cubital region, what is the diagnosis

  1. Cholesterol >300 g/dl


  1. Urea is 114 mmol/l


  1. Pseudomonas aerugenosa


(Although pseudomonas does not cause infective endocardis in IV drugs users, but no other


option fits)


37, ADH is inhibited by

  1. Aldosterone


  1. thirst


  1. Alcohol

38, Malarial parasite is transferred into human blood in form of


  1. Merozoites


  1. Sporozoites


  1. Shizonts


( Malarial parasite is present as sporozoite in mosquitos, transferred to human blood as sporozoite, lives in liver cells as tissue shizont, leave liver cells as blood shiizont or merozoite)

39, Benzodiazepines causes


  1. Dependence


  1. tolerance

40, Resistance develops by staph aureus can be tested by shows


  1. Hemolysis







  1. Coagulase positive


  1. Coagulase negative 41, Tachyphylaxis


  1. Rapid decrease to response


  1. Slow decrease to response 42, Angina worsen by which drug


  1. Theophylline


  1. Salbutamol


  1. Vasopressin


  1. Verapamil


  1. metoprolol


43, End product of cabohydratte metabolism

  1. Fructose


  1. Sucrose


  1. Pyruvate


  1. Glucose

44, Patient with MCH low, MCV low , MCHC low, HbA 94% and HbA2 4% diagnosis


  1. Thalassemia trait


  1. Iron deficiency anemia


45, Duschine muscular dystrophy, which enzyme is defected a. Dystropin


46, Most common cause of death in rheumatic fever

  1. Mitral valve


  1. Myocarditis (reference Pathma)


47, Patient presents with microcytic hypochromic pattern and anisoopikylocytosis. His another

brother is also receiving blood transfusion


  1. Red cell survival


  1. Osmotic fragility


  1. Hemoglobin electrophoresis 48, Mean is 80, SD is 1.75


  1. 94%


  1. 80%
  2. 84%


49, About thyroid gland


  1. three paired arteries
  2. Venus drainage to brachiocephalic and subclivian


  1. Covered by prevertebral fascia


  1. Isthmus is infront of cricoid cartilage 50, Heart


  1. Diaphragmatic surface is formed by left atrium


  1. Left border is formed by left atrium 51, Trachea


  1. Present in midline and bifurcation occurs slightly too right side


  1. Deeply present in children and mobile 52, Thyroglossal tract


  1. End upto base of tongue


  1. Below hyoid bone to foramen caecum 53, Duodenum


  1. 1st, 2nd and 3rd part retroperiitonim


  1. 3rd part related to right kidney







  1. 25 cm long


54, A man with dyspnea and no cough, cause is

  1. Smoking


  1. Inorganic dust


  1. Organic dust


(This MCQ is a modified form of a man with dyspnea and no fever……Past paper que…. )

55, Cause of macrocytic anemia


  1. Folate and cobalamine


56, Ovary


  1. Lymphatic drainage to para artic nodes


  1. Arteral supply by ovarian artery


(Both are true) 57, Nucleoli


  1. Does not have limiting membrane


  1. DNA only


  1. DNA and Ribosome (Both are true)


58, Artery remain in true pelvic

  1. Superior gluteal


  1. Inferior gluteal


  1. Middle colic

59, About carcinogenesis


  1. Proto-oncogene overexpression


60, Lady with loss of blood about 1500ml, after few days her serum ACTH level was low and later it


was found that her adrenal gland size was reduced to 2 g( normal size 4-5) , what is the cause


  1. Atrophy of medulla
  2. Atrophy of cortex


  1. Ischemic infarction (Not Confirm)


61, Liver damage occurred, binucleated cells were found which are due to


  1. DNA without histones
  2. Histones without DNA


  1. Karyoknesis without cytokinesis 62, Bronchopulmonary segment
  2. Are not connected with each other


  1. Aerated by primary bronchioles


  1. Aerated by secondary bronchioles
  2. Aerated by tertiary bronchioles


63, Right broncheal artery


  1. Branch of descending aorta


  1. Branch of 3rd posterior intercostal artery 64, Tumor with nerve sheet involvement


  1. Carcinoma ex-plemorphic adenoma


  1. Mucuepidermoid tumor
  2. Hemangiopericytoma


65, Lobe of lung with two bronchopulmonary segments


  1. Right medial
  2. Left medial


  1. Right lower







  1. Right upper


66, Macula of utricle involved in

  1. Horizontal acceleration


  1. Angular acceleration


  1. Malequilibrium ahead of time


  1. Verticle acceleration

67, First line of defense in blood loss


  1. Blood vessels


  1. Platelets plug

68, EEG shows basic electrical rhythms


  1. Reticular formation


  1. Thalamus

69, Deep cervical artery is a branch of


  1. Thyrocervical trunk


  1. Costcervical trunk


70, Basal gangliia send excitatory signals too

  1. Thalamus


  1. Pontine reticular formation


  1. Medullary reticular formation
  2. Olivary nucleus


71, Old patient with tremors, gait deformity, abnormal finger nose test and dysdidokokinesia sign,



  1. Cerebellar lesion


  1. Upper motor neuron lesion


  1. Lower motor neuron lesion

72, Injury to neck on severe flexion


  1. Posterior longitudinal ligament


  1. Ligamentum flavum
  2. Anterior longitudinal ligament


  1. Ligamentum nuchea


( extension injury=Anterior longitudinal ligaments is raptured, in Flexion injury= Posterior

longitudinal ligament is raptured)


73, Ligamentum flavum connects which parts of vertebrae


  1. Lamina
  2. Body


  1. Spines


74, Autonomic supply of jejunum

  1. Greater and lesser splanchniic nerves


  1. Pelvic splanchnic nerves


  1. Vagus nerve


75, Enzyme release in MI of 12 hours

  1. Alkaline Phosphatase


  1. AST


  1. ALT
  2. LDH


  1. Creatinine kinase


76, Creatinin produced by

  1. Liver


  1. Skeletal muscles







  1. Heart


  1. Kidneys

77, splitting of S2 heart sound enhanced by


  1. Delayed closure of aortic valve


  1. Delayed closure of pulmonary valve


  1. Early closure of aortic valve

78, CSF


  1. a) arachnoid vallii can be seen with naked eye


  1. Glucose 120 mg/dl


  1. Proteins 20-40 mg/dl 79, PDA


  1. Increase arterial PCO2 b. increase arterial PO2 c. Peripheral cyanosis


( PDA leads to Essenmenger syndrome and patient presents with peripheral cyanosis) 81, Reactive hyperemia is delayed by


  1. Dependent position b. Ischemia


82, Trachoma


  1. Lymph-granuloma veneream b. Cancroid


  1. Condylomata leta


83, Supernormal( hyper-excitable) period of myocardium is the period a. Ventricular hyperexcitatiion


  1. Prolong relative refractory period c. Prolong in sympathetic stimulation


( Supernormal period is the period just before the end of repolarization and this is the stage of


relative refractive period, cells are more susceptible to excitation, even a small stimulus can excite,


sympathetic stimulation will shorten this period coz of rapid depolarization and repolarization)


84, Patent with productive cough, fever and dyspnea, streptococci and klebsella infections were


found, he has history of recurrent pneumonia and has mucus gland hypertrophy, diagnosis


  1. Bronchiectasis


  1. Chronic bronchitis c. Emphysema


( This is not chronic bronchitis coz it is not mentioned that productive cough was for 3 years or


for 3 month in consecutive 3 years,, also recurrent pneumonia history is given) 85, Primordial germ cells are formed


  1. At the end of 3rd week


86, Oogonia undergoes mitosis in


  1. Post natal
  2. Yolk sac


  1. Pre natal after 3 months


  1. Prenatal after 3 weeks
  2. Prenatal 7 to 8 weeks



87, Dead space decreased n







  1. Emphysema


  1. Pleural effusion


  1. Atelectasis


  1. Hypertension


  1. Pneumothorax


88, Therapeutic window


  1. Therapeutic dose range 89, Acetylcholine


  1. Nicotinic receptor abundant in brain 90, Type of collagen in dermis of skin


  1. Type 1


  1. Type 2


  1. Type 3


  1. type 4


  1. Type 5


91, Rivastigmine

  1. acetylcholine estrase inhibitor


  1. mao inhibiter


  1. comt inhibitor

92, Parasympathetic stimulation of heart


  1. decrease cAMP


  1. increase protein kinase


93, Old man with multiples bone fractures on x-ray and blue sclera a. osteogenesis imperfacta


94, Most common chromosomal abnormality


  1. down syndrome
  2. fragile x


  1. ptau syndrome


95, Mediator of slow pain fibers

  1. substance P


  1. dopamine


  1. histamine


96, Hormone causing increase release of testosterone a. leutanizing hormone


97, Growth hormone inhibited by


  1. somatostatine 98, About collagen


  1. lightly stain with eosin


99, Characteristic feature of sarcoidosis

  1. hypercalcemia


100, Citrate affect coagulation by


  1. calcium chelate


101, Secretion of ectopic thyroid hormone by

  1. small cell carcinoma of lung


  1. squamous cell carcinoma of larynx


102, Bifurcation of common carotid artery

  1. at level of cricoid


  1. superior border of thyroid cartilage


  1. jugular notch


103, Characteristic sign of severe penicillin allergy a. rash







  1. bronchospasm


  1. fever

104, Drug which when given increase effect of antiseizure drugs


  1. valproate


  1. phenobarbitol


  1. carbamezapine


  1. phenytoin


105, Acetylcestein is given in paracetamol toxicity because it


  1. increase renal clearance


  1. convert metabolite of paracetamol into acetylated form 106, CSF


  1. daily production 500ml/day


107, Epinephrine release from adrenal medulla dilates blood vessels through


  1. beta 2 agonist receptors


108, Patient with weak pulses in lower limbs than upper limbs and there is radiofemoral delay,,


diagnosis is


  1. Co-arctation of aorta


109, Femoral artery pulsations

  1. mid inguinal point


  1. mid point of inguinal ligament


110, Progressive prolongation of PR intervals with droops of P-wave

  1. Mobitz type 1


  1. Mobitz type 2


111, Gluteus maximus is supplied by


  1. Inferior gluteal artery


  1. Superior gluteal artery 112, RCA


  1. Supply Sa-Node


  1. Emerge from anterior aortic sinus ( Both Are true)


113, Muscles are strong due too


  1. Multipinate
  2. Bipinate


  1. Strap


114, Characteristic feature f long bone

  1. Mesenchymal ossification


  1. Haversian canal


115, Pregnant lady with increase T3, T4 due to a. Increase TBG


116, Skin pressed with sharp needle for sometime, redness due t


  1. Histamine


  1. Kinin


117, HIV associated carcinoma a. Kaposi sarcoma


118, Blood supply of skin lies in

  1. Loose areolar tissues


  1. Between skin and aponeurotic layer


( There are many layers of scalp,, from outside to inside,, skin-subcutaneous connective tissuesaponeurosis-


loose areolar connective tisues-pericranium, blood vessels and nerves lay in







subcutaneous connective tissues which are present between skin and aponeurotic layer, loose areolar


tissues only contain emissary veins) 119, Doctor patient relationship


  1. Active listening to every question of patient 120, Social support too patient is prviided by
  2. Family members


  1. Nursing staff


  1. Edhi foundation


  1. NGO


  1. Social workers


121, When both allele’s expressed on same chromosome in heterozygous, it is called a. Co-dominance


122, After renal transplant of CKD Patient, 3 weeks later, acute graft rejection was noticed, it is due to


  1. Vacuities and thrombosis


  1. Dense lymphocytic infiltrates


  1. Plasma cells


123, Tuberculin test , which cells can be found at site

  1. CD4 positive cells


  1. CD8 positive cells


124, Patient presents with night sweats and fever, there is swelling on left side of neck with

discharging sinus, culture/smear negative, what is next best initial investigation


  1. ZN staining


  1. Biopsy

125, Tests for typhoid in second week


  1. Blood culture


  1. Widal and blood culture
  2. Stool culture


126, Child with rectal prolapse, parasitic infection with parasite shows short head


  1. Trichuris trichura


  1. Ankylostoma duodenale


127, Diabetic patient with decreased distant vision, right eye visual acuity is 4/60 and left eye 3/60,


what is the diagnosis

  1. Cataract


  1. Hypermatropia


( Not cataract as distant vision was mentioned, in cataract both near and distant visions are




128, Patient with trauma admitted in ICU, there is greenish discharge from his wound, what is the



  1. Pseudomonas aerugenosa


129, Schlerotome , vertebrae and nerves

  1. 7,7,7


  1. 7,8,7


  1. 8,8,8
  2. 8,7,8


130, End diastolic ventricular volume will increase with







  1. Venous return


  1. Heart rate


  1. Cardaic output


131, A women presents with winging of scapula damage to which nerve


  1. thoracodorsal


  1. spra scapular


  1. long thoracic 132, Glucocorticoids


  1. decrease glucose utilization in cells 133, Secretion high in HCO3


  1. pancreatic secretion


134, Intestinal motility is increased by a. CCK


  1. Gastrin


135, Vagus nerve emerge through a. Jugular foramen


136, Old patient presents with weakness in all arms, clasp knife rigidity and hyper-reflexia, diagnosis


  1. Upper motor neuron lesion b. Lower motor neuron lesion


137, Stage in which spindle fibers attach to centromeres and divide a. Telophase


  1. Metaphase c. Anaphase d. Prophase


138, Difference between ECF and ICF a. Low potassium outside


139, At rest actin is covered in its active site by a. Troponin


  1. Tropomyocin


140, In liver cell injury, enzyme decreased is a. ALP


  1. 5-nucleotidase c. AST


  1. GGT e. ALT


141, Baby starts bleeding from umbilical cord when cut a. Vit-k deficiency


  1. Vit B12 deficiency c. Vit B1 deficiency


142, Patient with jaundice, direct bilirubin raised, ALP= 1600, GGT raised, diagnosis a. Extrahepatic jaundice


143, Virus cause malignancy through a. Alteration in proteins


144, Metastasis of cancer occur due to a. Degradation of cadherin


145, Pseudomembranous colitis a. Clostridium deficile


146, Most Common cause of cervical carcinoma a. HPV







147, Obese person working as a Clerk with sedentary life style, was routinely checking his blood


pressure and blood pressure was raised. He was investigated but no cause was found, his raised blood


pressure is due to a. Vessel tone


148, 30 years old patient weigh 70 kg presents with blood pressure 140/90 mmHg, pulse 80 bpm,


glucose 88%, urine glucose ++, Na 140 mmol/dl and K 2.4 mmol/dl, diagnosis a. Primary hyperaldosteronism


149, Difference between arterio-venous blood


  1. Hematocrit


  1. MCHC


150, Arrangement of intercostal neurovascular bundle from cephalo—caudal


  1. Vein, nerve, artery


  1. Vein artery nerve


  1. Nerve vein, artery


151, True about adrenal gland


  1. It is pyramidal in shape 152, kidney


  1. Adrenal gland covered with perirenal fats


  1. Renal vein passes infront of both renal artery and inferior vena cava 153, which of the following drugs will increase the effect warfarin


  1. Cimetidine


154, Dual nerve supply but not reciprocal


  1. Sweat gland
  2. Third gland


  1. Cillairy body


  1. Pupils

155, Thymus


  1. rich in lymphocytes


  1. regress after birth


  1. develop from 3rd and 4th pharyngeal pouches

156, Patient With below knee amputation. After that painful scar formed

  1. neuroma


  1. ganglioma


157, Which of the following is a benign tumor a. leomyoma

158, Alterobaric changes n a person during dving in deep sea


  1. unequal changes in pressure n middle ear during diving


  1. perilympathic fistula

159, Drug which effect thyroxine llevel


  1. potassium iodide


  1. prophylthiouracil
  2. propranolol


160, Cause of increase pulse pressure


  1. increase arterial compliance


  1. stroke volume
  2. total peripheral resistance


161, Left shift of O2 hemoglobin dissociation curve with hypocapnia a. bohr effect







  1. haldine effect


162, Glucose increasing factor release from pancreas

  1. glucagon


  1. Insulin


  1. Secretin


163, Basilar artery ends by dividing into


  1. Posterior cerebral artery 164, Secretin release when


  1. HCl n stomach


  1. HCl n duodenum


165, defect vWB will affect


  1. Platelets adhesion


  1. Platelets aggregation


166, Person chewing pan and battle, which complication may occur


  1. Keratosis


  1. Submucosal fibrosis


  1. Ulcers


167, Strong anaphylatoxin


  1. C5
  2. C8


  1. C7


  1. C5a


168, A boy with deviation f mouth towards left side, unable too close his right eye, dribbling of saliva


from his right angle of mouth, which nerve is involved


  1. Right facial nerve
  2. Oculomotor nerve


  1. Left facial nerve


169, Normal ratio FEV1/FVC a. 0.8


170, Filum terminale


  1. Formed of pia matter


171, Child with rheumatic fever

  1. Antibody-antigen immune complex deposit


  1. Bypass low zone cross reactivity


172, Pyogenic infection

  1. Proteins > 3g


  1. Transudate


173, Lady with painful swelling of left lower leg a. DVT


174, Iron bind to which proteins in blood


  1. Albumin


  1. Ferritin
  2. Transferrin


175, Aplasia means a. Absence of cells

176, Cause of cardiogenic shock


  1. Hemorrhages


  1. Septicemia
  2. MI


  1. Burn







177, Toxoplasma infection,, what antibody will be found in neonates


  1. IgG-1


  1. IgG-4


  1. IgM


(In first week of infection there are IgM antibodies in Mother, then IgG-1 and very late but most


strong defense by IgG-4, in neonate most specific IgM and most sensitive IgA and IgE) 178, Morphine stimulates secretion of which hormone


  1. Secretin


  1. Histamine


  1. CCK


179, Spermatogenesis

  1. Spermatids form spermatozoa


180, TNF as answer,, have forgotten the stem 181, Increase ESR more than 100 occurs in


  1. Anemia


  1. Polycythemia


  1. Multiple Myeloma


  1. porphyria

182, Scenario about Gastrocolic reflex


183, Researchers want to study relationship between MI and 24 hour activity level with 20% mild


activity 35% moderate 45% severe,, how data will be plotted a. Bar chart


184, which nucleus is present in midbrain


  1. Tractus solatarus
  2. Occulmootor


185, Formation of interstitial fluids will increase in


  1. Decrease plasma colloid pressure
  2. Decrease plasma oncotic pressure


  1. Decrease lympathics


186, A man with increase thirst. And changed behavior urine osmolarity decrease. There is a lesion of

  1. hypothalamus


  1. amygadala


  1. thalamus
  2. cerebellum


187, Cells to cells adhesion occurs through


  1. Intigrins
  2. Selectins


  1. Cadherin


188, Which is essential for tissue matching a. HLA


189, Infarction a. Arterial Occlusion 190,


Cannot recall any more MCQs, don’t follow my keys unless confirmed,, Special thanks to Dr.Alia Bukhairi, Dr.Afnan Ahmad, Dr.Merral Meral, Dr.Sa-Node and Dr.Fcps Physiology


Regard: Dr.Nadir Khan Orakzai












4th April 2016 Surgery (Evening) by Neelum Agha (94+101)


Paper-1  (94)


1)hypovolumic shock response> baroreceptor reflx , cns ischemic injury 2)fisherman swollen n bleeding gums > vit c def


3) r.b.c structure maintained by> spectrin


4)r.b.c destroyed a)iron go back for utilization b)mainly urobilinogen excreted in urine c) biliverdin in stool 5)r.b.c antigen found in saliva


  • corneal opacity > chloroquine


  • cervical part of facial nerve supply> platysma


  • middle meningeal artery> foramen spinosum


  • compensation of shock what will decrease > heart rate 10)reversal of shock> urine output will increase


  • diastolic filling depend on> venous return


  • 6 values given calculate median 13)zinc> carbonic anhydrase ,vit b12


14)non bacterial oportunistic organim after burn > pseudomonas


  • compact bone histologcl feature 16)scenario on neutrophil diapedesis > c5a


  • scenario on inc. bleeding time> platelets 20000


  • cause of cervica tumor a.chronic irritation b.iucd c.hsv ,d.hpv


19)long scenario ws given pain produced by> prostaglandin and bradykinin


  • scenario pathological fracture m band > plasma cell


  • alpha 1 adrenergic receptor> mydriasis


  • vagus cause inc. salivation nd vasodilation due to > a.vip ,b.gastrin ,c.gip.d.substance p


  • infratempotal fossa> also kown as a. parapharngeal b.tonsilar c.pretracheal d.submesenteric 24)commonest site of thyroglosal cyst a.infrahyoid ws not in options b.thyrohyoid c.suprahyoid 25)down syndrome> alzheimer disease







26)reliable diagnosis for turner> karyotyping bar body


27)scenario non.pregnnt lady fbs 122,rbs after 1 hour 194, after 2 hour 194> impaired glucose tolerance


28)skull of child vault greater than face ant.fontnlee formd frm 3 bones


post fntanele close at 3 months and fourth option was ‘bones of vault ossify completely before birth’ something like this


29)gohn complex> t.b


30)highest chance of fibrillation> at the end of action potential


31)mitral stenosis murmur> apex of heart


32) t.b scenario > cell mediated immunity


33)protein after leakage from tisue> enter back to circulatio by lymphatics


34)hamartoma> Disorganized growth of mature cel indeginous to the site


35)breaking bad news


36) doctor patient relationship


37)pharmakodynamic drug drug relation> reverse action of morphine by nalxene


38)2 factors comparision> student t test




39) hypophysis cerbri post relation> sphenoidal sinus


40)steroid acts by> gene amplification


41)prevent heat loss> vasoconstriction


42)virus> oncogene


43)protooncogene converted to oncogene by>  a.point mutation b.gene amplification


44)acute promyelocytic leukemoa scenario> apoptosis


45)cytokeratin>intermediate filament


46)thyroid isthmus> 2 3 4 tracheal rings


47)most comon cause of septic menigitis> streptococcus


48)severe hypomagnesemia> hypocalcemia


49) brain lesion involving s2 s3 s4> rectal incontinence







50)7th brnchopulmonry segment of LEFT lung(in previous pprs Right ws asked) anterolateral


refrence netters atlas


51)fastest conduction velocity> purkunji fibers 52)coronary sinus is cotinuation of > great cardiac vein


53) peak of action potential> electrical na influx electrical na efflux 54)micrglia> macrophage of cns


55) organ ectodermal on origin> cns


56)tra sitionl epi of blader derived from> endoderm


57)scenario about child with spurapubic wet mass> exostrophy of bladder 58)unicellilar parasit bone infection> cant recall options


59)medial boundry of ischiorectal fossa> levator ani ecternal anal sphincter 60)hypothalamus inhibitory effect> prolactin


61)atherosclerosis fibrilation stroke due to> embolism


62)medulla decusate at pyramid> propioceptiom/ medial leminscus 63)oblique fissure of right lung>t3 to t6


64)cant diferntiate betweeb red n green> protanopia 65)nor.epi and serotonin dgrade by> comt 66)oxidases present in> peroxisome


67) number of sympathetic white mayer comunicnts a.14 b.15 c.13 68)excesice stretch> muscle spindle


69)least presure in aorta during a.isovolumtrc relxation b.isovol. contraction ,c.end of rapid filling 70)drugs with shorter half life > reach steady state earlier


71)radiation therapy for cancer > destruction of squamous epithelium 72)water intoxication sign> slow pulse


73)normal saline infusion given,dec urine osmolarity,inc. urinary sodium,inc. plasma osmolarity 74)thirst increased due to> increased plasma osmolarity dec plasma volume


74)amimo acid to be taken in diet> phenylalanine ( essential)75)scenario relatd to lipofusin acumulation in heart > autophagolysis ,coagultv necrosis







75)scenario relatd to lipofusin acumulation in heart > autophagolysis,coagultv necrosis 76)teratoma> all three germ cell layers


77)air embolism >100cc


78)aldosterone released in response to > increased potassium 79)hydrolysis of dna yield> phosphoric acid


80) pregnant lady with obstructive jaundice> gama gt 81)last mediator of shock > interleukin 6


82)scenario on peripheral edema low albumin > kwashiorkor 83)free hb binds to> haptoglobin


84)acquired deficiency< alpha 1 antitrypsin def. 85)intracellular buffer> protein


86)pus> neutrophil


87)leads to malignncy > bowen disease 88)sweat chloride test> cystic fibrosis


  • typhoid cariers> asymptomatic


  • ketamine is a good analgesic


  • cardiac muscles >,gap junctions cause increases electrcl spread


  • increases calcitonin asociatex with tumor of > thyroid


  • arterial suply of bone,long bones by epiphyseal flat bones by nutrient etc cnt recall 94)more acidic urine in dct due to> secretion of h+ ion in dct




1)creatinine produced by> skeletal muscle


  • pregnant lady e anemia scenario feritin not raised> cant recal other options not iron def. anemia


  • pregnant lady scenario> decrease albumin cant recal other options


4)absolute lymphocytosis> infectious mononucleosis


  • cancer therapy> apoptosis


  • sepsis diagnosis pulse > 120 tlc less than 2000 n greater thn 15000 postve bacterial culture 7)diaphragm> quiet respiration







8)winging scapula>long thoracic nerve 9)lower truk of brachial plexus> oponen polics


10)cubital tunnel syndrome tendon afctng ulnar nerve is > flexor carpi ulnaris 11)fracture mid.shaft radius> radial nerve damage


12)pulmonary artery wedge pressure> left aterial pressure 13)left atrium supply>circumflex artery


14)ana cervicalis relatd It ws symthng wd hypoglosal and c1 2 3?? Cant recall Its frm.past pprs i gues 15)trigone of blader


16) scenario vesicl fistula somethng dupilcate ureter due to> early diferntiation of ureter 17)hand fall on side > deltoid muscle


18)intercostobrochial trunk> anterolaterl part of thoracic aorta 19)medicine need daily monitoring> vancomycin


20) vastas medialis > suplied by femoral nerve 21)foot drop> comon peroneal nerve


22) inversion not possible tendon ruptured> tibialis posterior 23)knee joint> medial meniscus inmobile and most prone to injury 24) main supply of perineum> internal pudendal artery


25)dorsal colum lesion los of> sensory ataxia cn recall other options


26) area 3 2 1> somatosensory


27> pt. wd blood grp a+ cnt b gvn other blood groups due to presnce ov wch antibody kell duffy 28) ffps given in> warfarin overdose


29)ptu inhibit which step of thyroid hormone synthesis> iodide oxidation 30)obstructive azoospermia non.invssive antibody>igg


31) inferior part of inguinal ligament > fascia of thigh 32)sup. thyroid artert damage> external laryngeal nerve


33) scenario on inflamed apendix


histolgcl finding fr diagnosis > neutrophil in muscularis 34)more selective cox 2 th cox1> meloxicam







35)post spleenectomy scenario> prolonged aptt, prolonged pt, decrease platelet nd increase fdp 36)scenario of non preggnt ldy with bleeding low plt count, prolongd aptt nd prolngd pt> dic


37) most comon cns tumor secondary to radiation> glioblastoma multifrme 38)lower lip formed by> mandibular process


39)po2 is 100% at> high altitude left to right shunt 40)scenario of megaloblastc anemia > loss of intrinsc factor


41)submandibular gland> parasympathetc prt facial nerve supply it


42)b/l temp. pain loss propioception n vibration intct at t4 to t8 > bilatera lesion of anterolateral tract at t4 to t8


43)umblicus dermatome> t.10


  • epigastric pain scenario> greater splanchnic nerve


  • parotid glnd posteriomedial relation


  • gaba def. in globus palidus nd substantia niagra athetosis parkinsonism


  • uretric constriction> sacral promontory


48)internal iliac branch on true pelvis > middle rectal


49)boil on labia lymph drained by >superficial vertical inguinal 50)nosocomial u.t.i > staph. Aureus


51)osteomylitis > staph. Aureus


52)i.v drug abuser> infective endocarditis


53)scenario old teacher ph 7.3 co2 58 hco3 24> uncomprnsated resp. acidosis 54)scenario 6 yr child in japan..( past pprz)> Kawasaki


55)scenario old man with dificultu swalowing b.p 210/ 110 ana posotive .complement level normal > nodular scelrosis


acute glomerulonephritis 56)non.caseous granuloma> sarcoidosis 57)actinomycosis > granuloma+ abcess


58)coronar sinus drain > 2/3rd of heart


( it was most apropriate cx ant. crdiav vein n few venecomitnt drain drctly in right atrium) 59)paeu de orange>


60)lymphatics> cystic hygroma







  • cortisol is necesary for action of > insulin glucagon thyroxine epinephrine thyroxine aldosterone


  • hyperparathyoidsm whch age grp young adult post menopsusal womn premenopausal womn


  • autosomal dominant > familal adenomatoys polyposis


64)unicellular parasite in bone infection cant recall options


65) medial boundry of ischiorectal fossa> levator ani external anal sphincter 66)virus oncognc for> t. cell leukemia (cnt recal other options)


67)scenario of soldier in balochstan > kalazar


68) post duodnl perforation> gastroduodenal artery


69)terminl prt of bile duct relation with pancreas> embeded in it 70) stomach> most dilated part of git


71)inion> EXTERNAL ocipital protuberance 72)foramen rotandum> lie infront of foramen ovale? 73) amoeba most comnly involv > caecum 74)multiple regime anti t.b drugs > to avoid resistance 75)isoniaxid> b6 gven to aboid complications 76)steatorhea> pancreatectomy


77)appendectomy> iliohypogastric nerve most comny damgd 78)cytoplasm eosinophilic plus basophilic > apoptosis


79)dpt > artifical active artifical passive


80)glucose excretd in urine at 100mg/dl> dec. rena threshold of glucose of that person 81)femoral hernia > below n lateral to pubic tubercle


82)morphine> given in terminaly ill patients 83) oligouria < 500ml


84)pelvic mass, ascites, pleural effusion> meig’s syndrome 85)dull percusion node> pleural fluid in cavity


86)preggnt lady 20week gestation fever for five days.abortion done aftr 2 days u/s amnion yolksac present wdout villi what causes symptom > granulocyte stimulating fctor


granulocyte macrophge stimulting fctor tnf 87)renal column collecting duct interlobar artery







88)wrong finding of e.c.g maxe PR interval 0.1?


89)calculation of vd/vt ratio ( physiologc dead space) > paco2-peco2/ paco2 PCO2 48 tha nd PaO2 30 a. 0.5 b. 0.3


90)tumor size > 3.5cm, homocntrl nodes somthng nd metastasis> t2n1m1 91)decrease in blood vol. what increases > rennin gfr


92)pyloric sphincter resected> food imediatly pases to duodenum somthng complince dec. acid relatd


93)surfactnnt absent in newborn> rds


94)both central n peripheral chemoreceptors respond to> increase arterial pco2 95)pulmonary wedge pressure > left atrium


96)parasmpthtc loss afct> git muscles


97) scenario from pastpprs man lives near river devlop blindnes > onchocercosis


98)sebaceous gland > hair cortex hair folicle


mamry gmlnd is secretry glnd ov breast


99)r.b.c breakdown in spleen b/w red cord n veins b/w pulp n cord etc 100)sickle cell> beta globulin


101) oral melanoma most common site> palate









4th April 2016 Surgery Morning by Usman Dawar & Mir Karimshah(92+30)


4th April 2016 Surgery Morning by Usman Dawar(92)


Some memories of 4 april morning surgry


1.surgical neck of humerus #, which artery damaged posterior circumflex 2.which muscle is flexor of forearm and supplied by radial nerve? brachiradialis


3.inferior wall MI which artery will damaged on angiogram ……Right Marginal artery 4.sinus in jaw plus yellow granules ACTINOMYSIS


5.farmer in rose garden rt lower lobe me me clacified mass 4×3 cm. aspirgilosis 6.Abduction of arm upto Upto 40 degree is lost which muscle is aafctd ?? supraspinatus 7.lateral quadrants of breast drain into which nodes apical/pectoral nodes.


8.mass of hair shaft is because of ……. cortex


9.light reflex,imoral sexual response ,no reflexes pain sensatio …..tabes dorsalis 10.pain of ovrian tumor is refered to thigh by obturatr nerve

11.neck of bladder and proximal urethra is supplied by sympathetic by hypogastric


12.deep inguinal ring is present in transversalis fascia 13.vessels of base of bladder lies in which ligament dosrolateral


  1. suprficial epigasric artry branch of… Femoral Artery
  2. which one z involvd in portal hyprtnsion.. esophageal


  1. regarding sciatic nerve.. present bw gratr trouchntr nd ischial tuberosity


  1. median nerve damaged at carpel tunnel what will occur wasting of thiiner muscle
  2. 17 ketosteroid in urine normal male


  1. median nerve damaged which action of thumb will impared……. opposition
  2. lymph from testis will drain into……. paraortic nodes


  1. sciatic nerve damaged dorsal surface of foot still have cutenous innervation b/c of

…..sphaneous nerve


  1. Pulmonary symptoms by ………ascariasis
  2. Scree ning is done in cancer …..detect disease at early stage


24.Post PPH blood transfusions from sm blood bank o positive………. hemochromotasis
25. regarding malignant melanoma….. arrange cell in chronoligical order which wil present
earlier…NK cells


26.antiobiotic given patient has deranged PT ptt and normal platelets what will you give…vit. K

  1. floursent ,and resistant to antibiotic,antiseptic ……pseudomona


28.Post HIV operation theater will be cleaned by….2% gluteraldehyde

29.patient lacks coagulation factor 27910 what is deficient vit. K


  1. relation ov terminal cbd with heas ov pancreas….embedded

31.Relation in the popletial fossa …Medial


  1. MC tumor in child……. meduloblastoma
  2. which branch of cervical plexus supply posterior auricul area, …Lesser occipital nerve


  1. Fracture of which vertebrae , bone peice damage vertbral coulm…….axis
  2. tlc 6 litr, residual volum 1 litre, calculate vital capacity.. 5



36.Mild transplant rejection myosial biopsy shows… lymphocye 37. imunocompromised pt….. angular chelitis caused by… candida







  1. asthmna which inc……..> functionl residual capacity
  2. at normal condition both are equal..????…..venous return and pulmonary flow


  1. Long term memory immunoglobulin..? ig G
  2. loop diuretic dangrous efect… hypovolumia


42.Propofol absolute contra..? Hypersensitivity


  1. Acetozomalamide(diamox) MOA..? h+ absorption, na k exceretion 44.Cranial nerve 7 9 10 taking taste sensation converge.. solitary nucleus 47.posterior tringle biopsy> damage of spinal part of acessory nerve


  1. Alpha receptr on…… neck ov bladder nd proximal urethra
  2. inferior thyroid> recurnt lyrngeal nerve


  1. Choriostoma …..pancreatic tissue in stomach

53.patient unconcious.. Lesion on ct post central gyrus sensory area


  1. Sickle cells disease protein affected …beta globin


  1. retroperitonial mass, close to psoas, no ocult blood, or intstnl obstruction…… liposarcoma 56.ron deficiancy anaemia > inc tibc

57.thiazide diuretics… early DCT


  1. Part ov portal system,superior rectal vein
  2. tumour cell in blood most commnly diagnosed…peripheral morphology


60.60yr old alcoholic centrilobular congestion,neck veins distended, fibrosis passive congestion

..Right heart failure


  1. ………. potent cox inhibiters 62.most rapidly adopting receptor….pacinian


63.about veins of thorax….pulmonary vein lies anterior to pulmonary artery


64.awkward posture, wide gait,can’t perform rapidly alternating tasks,past pointing… cerebellar leison


65.loop diuretics at therapeutic dose…..decrease blood volume 66.Grading… degree of anaplasia


67.pneumothorax….. ipsilateral lung collapse chest spring out 68.anterior wall MI…..LAD 70.fisherman…..diphylobothrium latum


71.posterior cranial fossa tumor….medulloblastoma 72.Appendix…. retrocecal 73.TPN……hyperglycemia


74.INR….oral anticoagulant 75.purpera no illness,drug use….ITP

76.true about AV Bundle… only pathway to transmit current from atria to ventricle


  1. 5 cm perihilar nodule plus eosinophilia in blood sputum and biopsy?…. noinvasiv aspergilosis/ wegnr granulomatosis


  1. endothelium of vagina and endometrium derived from ….. endoderm mesoderm endoderm plus ectoderm


  1. spleenectomy, vassels present in which ligment…..lenorenal


  1. Rectus sheath….. Upper intersection near xphoid process


  1. Hemophilia, joint pain 6 month s, which subsntc present,, cholestrol crystals


  1. Origin of diaphragm Cervical somites/septum transversm







85. Most common brain tumor… GBM
86.Regarding primary peristalsis.. Esophageal sphincter relax… Ahead of primary
peristalsis/when peristalsis reach
87.gastric emptying…. decreased by secretin
88.positive chloride sweat test…. cystic fibrosis
89.standard deviation… variability among individuals
90.great cerebral vein…. cistern of ambiens
91.Hodgkin’s lymphoma,cervical lymph nodes,spleen involved… stage 2E/III
92.LH acts on…..leyding cells




4th April 2016 Surgery Morning by Mir Karimshah(30)




  • artery orginate at post ext carotid in parotid near post digastrix muscle A: facial


B: lingual


  • superficial epigastric artery is branch of


  • external iliac


  • femoral


3: blood and nerve supply to base of bladder is A: urachus


B : medial umbilical lig


  • Gallen vein located at A: post cestern


B: Ant cistern


  • RTA oerson die due to vertebrae fragement causing injury to spinal cord A: Axis


B: Atlas


  • Ovarian disease pain radiating to medial thigh due to


  • obturator nerve


  • Pudendal nerve


  • bulk of hair is form by A: basalis and spinosum B: cuneform


  • planter surface foot sensory supply thru A: sural nerve


B: post tibial


  • outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is A:Supraspinatous


B: Trapizius


  • left lung root get sever injured spared structure will be


  • vagus nerve


  • pulmonary ligament







  • carpal tunnel syndrom A: wasting of thenars


  • inf wall MI vessel involve is A: rt marginal artery


B: PIV artery


  • ant wall MI vessel involve is A: LAD


  • LXM artery supplies


  • lft atrium


  • lft ventricle 15: sciatic nerve


  • passes btwn greater tronchter and ischium


  • divides into superficial and deep peroneal


16: popliteal nerve in relation to vessel is at popliteal fossa


  • Ant


  • Post


17: flexor of elbow supplied by radial nerve


  • brachio radialis


  • bicep brachii 18: lysosomes


  • oxidation of long chain fatty acids


  • hydrlytic enzymes


19: scalp at post auricular surface supplies by


  • auriculo temporal


  • greater occipital


20: structur damage at post cervical lymphadenectomy


  • spinal part of accessory nerve


21: Int jugular with ant relation to as exit from skull


  • Accessory nerve spinal part 22: LH acts at testiculuar cells


  • Leydigs


  • Sertoli


23: for splenectomy renal vessel.ligation


  • gastro splenic lig


  • lenorenal lig


24: nerve supplying area below orbit anove mouth


  • maxillary division of trigeminal


  • auricular nerve


25: greater sephanous valve A: 15,B: 20, C: 25


26: calculate Vital capacity while lung volume after mxm inspiration is 6L and 1L after mxm exp. FRC is 3.5L and T.V 0.5L. A: 5,B: 4


27: gardener with rt side chest pain xray shows rounded lesion.A: hydatid cyst.B: lung abscess 28: About stomach motility ,A: delayed by secretin ,B: increased by alcohol


29: local factor for delayed wound healing ,A: vit c def,B: infection


30: breast during pregnancy and lactation,A: stromal hypertrophy,B: lobular hyperplasia Remember me in your prays










(4).Gyane/Obs 4th April 2016( Morning Session) by Ayesha Khan (167) P#89


Q1 CO2 cross through alveoli a high plasma solubility


b high diffusion coefficient c high molecular weight


i marked A but according to seniors its B choose at ur own risk


Q2 anesthesia pass through placenta a simple diffusion ANS A


b active diffusion


c fascilitated diffusion


Q3 a female with right ovarian CA cancer ist metastasiz to a internal illac L.N

b messenteric L.N

c left para aortic L. ANS C


Q4 mechanism of action of posphodiesterase inhiitors a ATP to AMP

b cAMP to 5 AMP ANS B


Q5a virus hich occur in epidemic form but do not cause CLD a hep A


b hep B c hep C

d hep E ANS D


Q6 glucose cross through placenta via a simple diffusion


b passive diffusion

c fascilitated diffusion ANS C


Q7 pain fibers are


a un encapsulated ANS A b capsulated




Q8 mechanism of action of action of anesthesia a k channel blocker

b ca channl blocker


c na channel blocker ANS C


Q9 AIDS related lymphoma a EBV ANS A

  • CMV


  • SCC


Q10 iron homeostasis via a tranferrin ANS A

  • haptoglobin


  • ferratin

Q11 line of zahn formed in







a obstructed thrombus


b primary platelet thrombus c coraline thrombus ANS C d post mortem thrombus


Q12 anterior boundary of pelvis in female is


a bounded by sacrotuberous n isheopubic rami ANS A b short subpubic angel


c wider behind ten male pelvis Q13 tractus solitarious


a ist order neuron b seond order

c third order


i marked B but some say A some saying B


Q14 which one of the following crossing pelvic brim a uretre ANS A


b obturator internus c psoas muscles


Q15 a women who is nursing her baby for one year now quit breast feeding what change occured in her breast tissue


a stromal hypertrophy b ductal dilataion


c lobular hyperplasia ANS C

Q16 EBV is related to


  • retinoblastoma
  • colonic CA


  • neuroblastoma
  • subset of hodghkins lymphoma


here i marked C but nt sure confirm it urself


Q 17 Mullerian duct form a rete testes cordis


b vaginal fornix n cervical upper pat ANS b c ovaries




Q18 rapidally adapting a pacinian ANS A


b baro recptors c ruffians



a produce toxin to DNA


b interfere vid DNA repair ANS B c common affrican population


Q20 pregnant lady present in clinic vid pallor and fatigue Ix of choice a S/ferratin







b S/iron and TIBC ANS B d RBCs value



Q21 doctor recognised by


a regularity punctuality and availabity to patients b politness and good bedside manners


some say A some say B


Q22 male in clinic presnts vid testicular CA will ist metastasizd to a para aortic L.N ANS A

b superior messenteric L.N




Q23 in a study 40% women received HRT 20% women not received study called a pie chart ANS A

b bar graph


  • scatter
  • histogram


Q24 A woman vid coneal vasularization and fissures at corners of mouth


A ribofvalin ANS A

  • niacin


  • biotin


Q25 A pt vid defficiency of niacin and riboflavin will have a pellaga ANS A

  • scurvy
  • rickets


  • osteomalcia


Q26 a multigravida having two kids presents in clinic after cholecystectomy her peripheral smear showin microcytes cause is

A blood loss


  • IDA
  • haemodilution


ANS A bt few vd B


Q27 a male present in clinic vid pallor fatigue and lethargy Ix of choice



  • S/ferratin


  • RBC mass


Q28 A 6 year old girl vid HB 6.2 MCV 58 FL MCHC 27 PCV 20 pallor and lethargy vid platelets count 250,0000 and wbsc 7000

suffering from


  • IDA
  • thalasemia trait


i marked A cozz no hbA 2 given no history of hepatospleenomegaly so confirm it further


.Q29 Mechanism of action of GLUCAGON a stimulate potein kinase ANS A







b suppressing sdenylate cyclase

Q30 non essential amino acid take alpha group from


  • oxaloacetate


  • glutamate ANS B
  • pyruvate dehydrogenase


Q31 A women came in clinic due to faal in wash room having bone pain her x ray taken and there found reduced mass over head of feamur and deminraliztion all over body her s/ca+2 was 12mg/dl [while normal is 10 to 11 mg /dl] there is ca+2 in urine .lady is suffering from


A hyperparathyroidism ANS A

B hypo parathyroidism

C osteoporosis


Q32 hypophysectomy which will suffer

A acini of pancreas


B chief cells of parathyoid


C principal cells of thyroid ANS C

Q33 peroxiosome arise from



  • RER


  • golgi


Q34 cornybacterium diphetheria A spore forming


B G neg


C exotoxins ANS C

Q35 a young girl with bee sting which cells will involve in this kind of hypersensitivity

  • eosinophils


  • mucosal mast cells ANS B
  • neutrophils


Q36 cerebellum is related vid

  • speech


  • movements


  • coordination of movement ANS C



Q37 which peritoneum covering the organs of abd viseras

  • parietal


  • viseral ANS B
  • plural

Q38 Collecting system of kidneys derive from


A mesonephric duct


B ureteric bud ANS B

C urothelium

Q39 less heat is produced in anesthsia due to


A NA/K PUMPS blockage


B decrease muscle tone ANS B

C muscle paralyss







Q40 OCPs C.I in

A vaginal bleed


B migrain ANS B

Q41 Second meiotic division complete in females


A fertilization ANS A

  • zygote


  • at birth

Q42 During L.P structure pierced


A dura matter ANS A


B pia matter c lig nuche

Q43 micturation due to


A mehanoreceptors in bladder wall ANS A


B enteric nervous system supplied by para sympathetic N.S C hypogastric plexsus

Q44 which clotting factor deficiency leads to thrombosis rather then bleding


A factor 12 ANS A


B factoe v laiden C christmas factor

Q45 true hermaphrodiet


  • XX
  • XY


  • XX/YY


  • XXY ANS D its CPSP key


Q46 A beautiful looking girl came in clinic vid complaints of ammenorreha on examination secondar sexual characteristics were present on USG there was no uterus an vid blind ended vagina

A true hermaphrodiet


  • normal
  • adrenogenital synd


  • testicular feminization ANS D

Q47 before giving sodium valporate to pt check


  • RFTs


  • LFTs ANS B
  • cognitive functions

Q48 During meiosis what happens


A Exchange of genetic material in autosmomes ANS A

B chromosomes double in number


Q49 primary oocyte surrounded by zona pelucida and fluid filled cavity called A primary follicle


B secondary follice ANS B

C tertiary follicle


Q50 IST meiotic division complete at


A before ovulation ANS A


B after ovulation C birth







Q51 A pt after RTA brought to hosp after 30 min of slow bleeding greatest reduction in bood volume will occur in


A veins ANS A

  • arteries


  • arteriols
  • capillaries


Q52which ligament hold uterus in antevertd position and can b palpated per rectal exam


A uterosacral ANS A

  • round
  • broad ligament


Q53 A boy after heart and lung transplant came in clinic vid complaints of headach L.P done cs showing increase proteins count no change on sugar there was no bacteria on culture and halos i dnt remebr further causative agent is

  • histolasmosis


  • cryptococus ANS B
  • aspegillus


Q54 Secondary ossification center

  • diaphysis


  • epiphysis ANS B
  • metaphysis


Q55 common feature of sk muscle and smooth muscle

A T tubules


  • branching


  • transverse striation ANS C

Q56 smooth muscle feature


  • Mononucleate ANS A
  • multinucleate


  • branching


Q57 osteon A concenteric lamella B sharpeys fibers C woven bones ANS A this is olos controversial so choose it at ur own


Q58 All para sympathetic fibers are


A cholinergic ANS A

B adrenergic


Q59 enhance effect of halothane with


A Nitrous oxide ANS A

  • thiopental
  • barbiturates


Q60 virus related CA




Q61 PCKD is


A autosomal dominant trait ANS A

B autosomal recessive trait


C multifactorial trait

Q62 reaction will occur







A O to O


B A to AB ANS B Q63 vagina drainage


A medial group of horizontal nodes ANS A


B vertical group C popliteal


Q64 70 year old man brought in clinic in comatosed condition his blood sugar 700 mg/dl no ketone uria no protein uria man would b suffreing from


A DM 1




Q65 male pt vid uretheritic and dysuria causative agen is


A chlamydia ANS A

  • trichomonas


  • neisseria

Q66 causes of hot flushes in post menopausal women is


A Increase FSH/LH ANS A

B increase estrogen


C Decrease LH

Q67 medial to femoral hernia


A Lacunar lig ANS A

B femoral A


C femoral vein

Q68 germinal follicles present in


A Cortex of lymph node ANS A

B Para cortex of L.N


  • thymus
  • spleen


Q69 Normal caloric vlue for an adult male is A 70 KCAL/ day


B 25 to 30 kcal/day ANS B its asim shoaib key


Q70 Thirst is stimulated by A ECF volume expansion B ang 2 ANS B Q71 EF increase vid decrease in A ESV ANS A B EDV


Q72 A lady vid CA breast positive had undergone lumpectomy now which drug to give A tamoxifen ANS A B 5 flurouracil C MTX

Q73 longest incubation period is A hepB ANS A B hep A c T. B


Q74 Coccygeal ligment at A l2 ANS A as l 1 was nt given in options B SI TO S3 Q75 erythropoietin producrd from


A JG cells B peritubular capillaries ANS B


Q76 on ECG prolong PR interval called A bradycardia B ist degree H.B ANS B C 2nd degree H.B


Q77 N20 plus O2 A good anelgesia ANS A B good anesthesia

Q78 Abdominal aorta give  A renal arteries at L2 ANS A B lateral branches to parieties







Q79 MMR A 100,000 total births B 100,000 live births ANS B


Q80 Transfer of a redical from cone compound to another compound is called as

A transferase ANS A B oxidoreductase


Q81 lowest urin osmolairty found in A CCD B DCT ANS B C Tip of loop


Q82 In LSCS intra abdomial bleed due to




B inf epigastric A NOTE…


inf epigastric bleed will b outside of body but if after LSCS bleed is intra abd then it viil b from uterine artery


Q83 after LSCS a lady came in hosp vid complaints of urinary incontinence




B uretr ligation C fistula


HERE i want to add more info during hysterctomy ureter is at greater risk of damage but in LSCS bladder at higher risk of damage


Q84 protein synthesis in muscle A testosteron ANS A B DHT C DHEA


Q85 How many barr bdies in XXX A 1, B 2 ANS , C 3


Q86 narrowest part of paediatric pathway is  A cricoid ANS A B hyoid


Q87 Turner syndrome A x0 ANS A B XX C XY


Q88which of the following will prevent ovaries from falling down


A broad ligament B round ligament C uterus ANS C


Q89 male accessory gland A prostate ANS A B ductus deference C epidydimis


Q90 Gold standard of breast CA  A USG B mammogram ANS B


Q91 Uterus functionl layer which shed down during mensturation A capsularis and spongiosum ANS A B capsularis and basale

Q92 Quadrant malaria A P malaria ANS A B vivax C ovale


Q93 dysplasia is recognised by A dyskeratosis B Loss of polarity and architecture of cell ANS B C Pleomorphism


Q94 Bladder drainage via A internal illiac A. ANS A b external illiac A


Q95 Prolactin is regylated by A prolactin releasing hormone B prolactin inhibitory hormone ANS B

Q96 a lady vid vaginal dischargecame in clinic which is suspected to be from cervix the most







cheap and initial diagnostic test is A pap smear ANS A


B cone biopsy C cervical smear



Q97 A lady at 24 week gestation presnts in clinic with fundal height greater then dates


A dudenal atresia ANS A

B horseshoe kidney


C B/L renal agenesis

Q98 CVS is useful for


A trisomy 21 ANS A

B parau synd


C Edward synd

Q99 In a pregnant lady risk of rublle increase in


A 5 TO 10 weeak ANS A

B last trimester


Q100 CRL


A 8 to 13 week ANS A

B 24 th week





Q101 GFR is calculated clinically best with A inuline B PAH C creatinine ANS


Q102 a 12 year boy present in clinic with the complains of bone pains and diarrhea the suffering from


A vit B1,B biotin, C vit K ANS C


Q103 roof of the ant horn of lateral horn is formed


A body of corpus callosum ANS A

B genu of corpous callosum


Q104 cereberal blood flow depends on A CO2 ANS A.B ph,C H+ Q105 lethal effect of ECF ion on heart A K+ ,B Ca+2,C Na+


confirm it coz i marked it as B coz of Ca+2 is ECF ion can cause lethal automaticity of SA and AV nodes but seniors pointed towards K+coz of arrythmias which is a major intracellular ion


Q106 wound healing via


A myofibroblasts ANS A

  • collagen



Q107 shigella toxins involved in


A endotoxins





  • exotoxins


  • invasion of mucosa ANS C


Q108 if root of left lung is severed which structure will b prevented


A vagus N ANS A b azygous


i could nt remem the other options


Q109 typhoid fever diagnostic test in 2nd week

A blood C/S


B widal +B/C ANS B

C urine D/R



Q110 intra amniotic infection detectd via



B G staining





Q111 pain of small intestine is felt in


  • epigastrium
  • tip of shoulder


  • peri umblical ANS C




Q112 which is most effective feed back mechanism to maintain B.P A baro receptors

B CNS cushings


confirm it fom seniors coz CNS is only involve in potent controll effective and maxiimally are features of baro receptors


Q113 anemia in pregnant lady

  • IDA


  • dilutional anemia ANS B
  • B12 defficient



Q114 HPV involved in A ovarian CA B cervical CA ANS B



Q115 epigastric pain is felt via A intercostobrachial N ,B greater splanchnic N ANS


Q116 in a pregnant woman with DM drug of choice

  • glyburide


  • insulin ANS B







Q117 carbamazepine S/E ANS DYSTONIA


Q118 A woman presents with discoid rash and protein ria the diagnostic test would b


A ANA ,B anti ds DNA ,ANS


Q119 After parturition size of uterus is reduced d/t A mitochondria,B lysosomes,C SER


Q120characteristic feature of ATN


A hyperkalemia ANS A B oliguria


Q121 a boy came in hosp vid complains of loss of sensation over nose and mouth extending upto tempral region nerve involve is


A fascial N


B maxillary division of trigeminal N ANS B



Q122 hpermagnesemia cause

A hyer reflexia


B decrease ACH release ANS B


C increase ACH release

D convusions


Q123 myocardial cntractility is best correlated with intracellular concentration of


A Ca +2 ANS A

  • K+


  • Na +



Q124data is collected for some clinical trial based on presence or abscence of vomiting


A nominal ANS A

  • ordinal


  • parametric



Q125 A pt operated for CA colon now follow up with



B beta HCG




Q126 fibroblasts form A Collagen B Reticular fibers only C amorphous substance ANS C







Q127 rectum A sacular ANS A B S234


Q128 boundary of mandibular triangle ant andpost belly of digastric muscle and body of mandibe


Q129 A boy with history of fall on ground with outstretched hand cant abduct his arm initially upto 40 degree but above this angle able to do vidout any support


dnt nw the exact words A supraspinatus ANS A B deltoid muscles

Q130 thalasemia trait diagnosed by CVS


Q131 after 5 year of transplant surgery there is increase incidence of A liver malignancy

B skin makignancy


C lymphoproliferative ANS C

Q132 14 year old boy vid 8%creatinine BP 180/110 structure involved is


A JG cells ANS A,B glomerulus

Q133 platelets are derived from fragmentation of cytoplasm of megakaryocytes


Q134 hormone involved in deposition of CHO proteins and fat –INSULINE


Q 135 a boy admittetd in hosp in unconscious state his ph 7.33,CO2 44 mmhg,HCO3 18 anion gap 18


A Metabolic alkalosis ANS A ,B Metabolic acidosis,C R.F


Q136 lungs are supplied by autnomic N.S


Q137 virus cause cancer A Oncogens ANS A B proto oncogens


Q138 TBW is ICF+ECF+intercellular fluid of same composition


Q139 impair wound healing ANS infection


Q140 patent lumen of allontois


A urachal cyst  B urachal fistula ANS B C urachal sinus



Q141 after tooth extraction organism causing IEC


A S aureus


B strptococcus viridians ANS B


Q142 Philtrum develop due to  medial nasal processes maldevelopment


Q143 Cleft lip D/T  medial nasal +maxilla fusion defect







Q144 neutrophil chemotactic factor  LTB4


Q145One question was about standard deviation


Q146 ndividual having independent and same chancesof being selected A Random selection ANS A


B stratifiesd random Q147 trigeminal ganglion


A Completely bathed with CSF B give ant and post branches


C in middle cranial fossa alongside cavernos sinus ANS C

Q148 Internal jugular vein anterior relation immediately after exiting from skull


  • SCM
  • ICA


  • carotid sheath


  • spinal part of accessory nerve ANS D plz further confirm it


Q149 Testosteon is produced from sertoli cells


Q150 charecteristic feature of shock

  • hypoxiemia


  • hypoperfusion of organs ANS B


Q151 on strepcoccal pneumonia infection in a person clearnace of infection will occur via


  • H2O2
  • PG


  • leukoterines ANS C



Q152 after radiations inflammation occur d/t


A venous thrombosis


B end arteritis obliterance ANS B



Q153 Increase interstitial hydrostatic pressure is d/t


A increase capillary permeability ANS A

B colloid oncotic pressure

Q154LXA supply left atrium


Q155 T.B granulomma contain T cells


Q156 ventricles are max filled with blood during A rapid inflow


B atrial systol ANS i markd A


some were saying its B







Q157 Diabetic nephropathy  micro albuminuria


Q158 intra and etra pelvic extention of ligament

Round ligament of uterus


Q159 pelvic splanchnic nerves are  parasympathetic


Q160 H/P of cancer grading and differentiation


Q161 One ques was abt water weight i.e 42 lit


Q162 pars distalis

supplied from superior hypophyseal artery


Q163 ACTH levels are high in A Ant pituitary portal sys


B pst pituitary portal sys C Systemic arterial blood here some vid A some C


Q164 If a test is able to both diagnose and eliminate diseased and non diseased it is called

  • specific


  • sensitive ANS B,C accurate

Q165 To disclose about a recently diagnosed fatal disease ost appropriate


A tell family and pt ASAP ANS A


B crisp logical evidence based accurate info to pt and family according to deman Q166 A person with sweating drinks 2 lit of distilled water what will hapen


A Increae ICF B increase ECF

C dec urie osmolarity


Q167 one ques wa ADH contrl ans was urea absorption somthing



These bcqs do not contain the exact stem with same wording neither the options nor the answers


and i might b wrong at some questions.so futher cofirm it


2ndly help me to complete total 200 ques if someone recall more que lemme knw i’ll add so dat maximum ppl cn get benfit guys CPSP bcq arent difficult rather thy are just tricky

when i was solving mcq in exam hall

in every question after ist read i olways came up with two possible ans n in second carefull read of the stem ans figured out its own


coz ans is usually hidden withinn the stem so read the stem very carefully and gynae ppl who r gonna appear in MAY attem pt must must must read 18th nov 7th 8th march and 4th april evening morning past paper focus more on recent most ppq wish you best of luck

remember me in ur prayres


regards Dr.Misbah Abid










(5). Radiology 4th April-2016(Morning) by Gul E Anaab (80) P#103


4 April 2016 PAPER A morning shift (radiology)


  1. A lady have two children now operated for cholecystectomy presnt in clinic vid pallor and fatigue periphral blood show microcytes


IDA (Ans)

Blood loss


  1. long term osmolarity control via







Effect of efferent vessels


3.Pt vid defficiency of niacin and riboflavin will have


Pellagra (Ans)



Rickets Osteomalacia


  1. which of the following is intrapelvic as well as extrapelvic ligament? a.tranverse cardinal ligament


b.broad ligament c.uteropelvic ligament d.round ligament (Ans)


  1. 9: outstrech hand fall cant abduct arm but after 40degree assistment can do tendon involve is


A:Supraspinatous (Ans)

B: Trapezius


  1. left lung root get sever injured spared structure will be


  • vagus nerve (Ans)
  • pulmonary ligament


  1. LXM artery supplies


A: lft atrium (Ans)


  1. Int jugular with ant relation to as exit from skull A: Accessory nerve spinal part


  1. local factor for delayed wound healing
  • vit c def


  • infection (Ans)







  1. breast during pregnancy and lactation
  • stromal hypertrophy


  • lobular hyperplasia (Ans )

Remember me in your prays


  1. Lateral ventricle ant horn roof made by Genu of carpus callosum


Anterior part of Body of carpus (Ans)

PitAutry gland


12.Fibroblasts made Collagen fibres only Reticular only Elastic only Histamine


Amorphous ground substances (Ans)


13.Presynaptic sympathetic action by


All r cholinergic (Ans)


All r vagal Afferent neurons All r adrenergic


  1. Bacteria causing meningitis ..secondly to pyogenic lung abscess Hemephelous influenza.





Staphylococcus ( Ans)


  1. Bar body in xxx???


  1. 2 (Ans)
  2. 3


  1. 1


  1. Zero




Thirst is regulated by hypothalamus angiotensin 2 (Ans)


Adh Aldosterone


  1. Hormone increasing muscle growth …


  1. testosterone (Ans)
  2. dihydrotestosterone


  1. Progesterone







18.Lady feeding her baby for a year no problem….what happened during pregnancy….


  1. lobular hyperplasia (Ans)
  2. Ductal metaplasia


  1. Stromal hypertrophy


19.First meiotic decision completed during..


  1. after ovulation….


  1. few hours before ovulation (Ans)


  1. True hermaphrodite


  1. Xxy


  1. Xx/xy (Ans)


21.Cardiac stroke volume


  1. venous return (Ans)


  1. Vomiting data 20 and 40 percent


  1. Nominal (Ans)


  1. Ejection fraction increases what decreases…
  2. EDv


  1. ESV (Ans)


24.Internal jugular vein anterior relation to which structure after exiting from skull…


  1. carotid sheath…
  2. internal carotid artery…


  1. scm
  2. Accessory nerve


25.strp pneumonia confrm so how it treat by


  1. leukotriene
  2. hydrogen peroxide


26.Regarding trigeminal ganglion


Bath in csf completely (Ans)

Completely coverd vid dura matter


Present in mid cranial fossa alongside cavrnous sinus


  1. E max of drug


Efficacy (Ans)


Bio avilability Potency


  1. glucagon

Suppressing adenyl cyclase


Stimulete protein kinase (Ans)







  1. Visceral pleura Sensitive to pain


Supplied by autonomic nerves supplied to lungs (Ans)

Phrenic nerve


  1. L.p pierced Pia


Ant ligamnt


Post spinal cord part pierced dura (Ans)


  1. Compliance is inversly proportional to
  2. recoil force of lung


  1. Fibrosis


32.Meiosis is a type of cell division in which


  1. DNA synthesis takes place
  2. Exchange of genetic material takes place in autosomes (Ans)


  1. One cell give rise to eight spermatozoa
  2. Take place in sometic cells


  1. Total number of chromosomes remain same after the process is complete


33.line of Zahn Propagated thrombosis Emboli


34.Clinical clearance via


  1. creatine clearance (Ans)
  2. Inulin


35.vvitamin deficiency …chilsis corneal ulceration glosssitis


Riboflavin (Ans)



  1. standrd deviation


37.isthmus of thyroid gland Crocoid ?


  1. Osteon Concentric lamella Sharpeys fibes


39.Follicular nodular lymphoma ka scenario tha less than 5 years


5-10 yrs (Ans)

More than 10 yrs


40.abdomina angina is caused by which artery A. SMA(Ans) B. IMA C. AORTA







41.c1 vertebra(atlas) lacks what of following

  1. Spinous process


  1. Articular facets


  1. one scenario of christmas disease


44.lymph nodes of prostate gland


  1. Int iliac node (Ans)
  2. Ext iliac
  3. Both


45.diabetic nephropthy test


  1. Microalbuminuria (Ans)


  1. about professionalism of doctor


  1. about diagastric triangle


  1. Ant n post belly of dia gastric n midline mandible (Ans)


48.which enzyme transfer radical group from one compound to another


  1. transferase
  2. Reductase


  1. Oxidoreductase


  1. Line of Zahn seen in? Obsrtuted thrombus Propagating thrombus


50.Myocardial contractility is the best correlated with intracellular concentration of?



  1. calcium (Ans)


  1. magnesium

51.abt venous drainage of urinary bladder


Internal iliac (Ans)

Common iliac


52.If core temperature of body fall, body response will be

  1. Decrease BMR


  1. Shivering (Ans)
  2. Anterior hypothalamus activation


  1. Vasodilation







53.Maximum ventricle is filled during?


Atrial systole (Ans)

Ventricle systole


Isometric ventri contraction Slow ejection phase

Rapid inflow






  1. bee sting ….after 10 hour which increase…. igE (Ans) Eosinophils Mast cell


  1. cardic muscle and skeletal muscle are same in …… T tubules (Ans) B.sarcolemma


  1. Smoth muscls are…… mononuclear (Ans)


58.Increase pR interval 1degree block (Ans) 2 badycardia


  1. lipoxygenase wala ta chemotxtc….


  1. LB4 (Ans)
  2. C5a


  1. Fatal disease of patient;


  1. Shouldn’t be told to the patient ad not the family


*b. Crisp clear information should be provided to the patient according to his needs (Ans) c. Should be told to the relatives of the patient.


61.Ha paper 1 ka ta…regarding descending oarta…pir neechy option di ty 62.Hemostasis of iron by

  1. ferritin (Ans)
  2. Transferrin


63.total body water weight


  1. 42 litre (Ans)
  2. 60% of total body water


  1. ECF,ICF N electrolyte in equal proportion


64.Persnlism wala……comunity se


65.cho.protien aur fat storage


  1. Insulin (Ans)


  1. Glucagon


  1. CML A. 9:12







67.Ik purine metabolism A. Uric acid (Ans)


68.Prolong vomiting contartiion alkalosis

  1. Hyponatremia (Ans)


  1. Hypocalcemia
  2. Hypokalsemia


69.platelets  A. megakarocytes (Ans)


70.erythropiotn produced by A. peritubular (Ans)


71.Ik vomiting….jis may hypochlormc alkalosis hota hy…

  1. HC03


  1. Hyponatremia
  2. Hypokalemia


72.intermediate filament in CA


  1. ….(Ans)
  2. Vimentin


  1. Desmin


73.clostrdium tetani… A. exotoxin (Ans)


74.Dysarthria A. cerebellum (Ans)


75.Child with narrow air way …….


76.Ik carbamazepine  A. dystonia … (Ans)


77.Hypermagnesiumia A. Dec ach release (Ans) ,B. Dec ach uptake


78.Which factor causes thrombosis rather than bleeding  A. Factor 12 …(Ans),B. 5, C. 7


79.Tuberculin A. T cells (Ans) B. B cells


80.Conjuctivia wala… A. gonorrhea ans ta









(6). 4th April 2016 Anesthesiology Morning Aly Samnani (80) P#112



Anesthesia April 2016 Paper 2


1.Function of estrogen : Sec sexual characteristic 2.Most important function of progesterone : a.alveolar duct development

  1. dec uterine contractions


c.Secretory phase of endoetrium ( somethong like this not exact wording )


3.Patient was given thiopentone he developed severe pain what should be the management : a.Naloxone






4.Which of the following decrease thyroid hormone : Propyl thio uracil 5.What is the role of thiopentone in head injury : Dec oxygen consumption


6.Patient with biliary colic what should be given along morphine to reduce the pain : a.Pethidine

b.Hyoscine butyl bromide


7.Patient underwent limb surgery now complain of moderate pain on 3rd post op day what should be given





8.Lumbar puncture should be performed : abve the L4 spine 9.Capnography oxygen above zero indicate


a.Spontaneous breath in controlled ventilation b.Rebreathing


10.Chlorthalidone causes : a.Hypercalcemia b.Hyperuricemia


11.Metabolic alkalosis is a prominent feature of : Hyperaldosteronisim 12.Which drug increase potassium : captopril


13.Prevention of heat loss in anesthetized person a.Space blanket


b.Humidification of inspired air


14.Another bcq about heat loss cant recall stem and only option I remember is : heat loss can b prevented more by humidification of inspired air than by warming inspired air


15.P02 in arterial blood is less than that in alveoli reason a.02 req diffusion pressure to get in artery


b.Coronary arteries drain into coronary sinus (there was no option that indicated shunting of blood )


16.Paramagnetic cylinder is used for (this is not the exact wording of stem ) : a.N20 ,b.C02 ,c.02 ,d.Halothane


17.True about N20 : Supports combustion


18.True about cautery : amount of cutting depends upon density of current 19.Which agent releases maximum histamine a.Tubocurarine,b.Atracurium

20.Longest acting NMB :a.Doxacurium,b.Pancuronium 21.Buffer to be most effective : pka should be near ph 22.Dead space increases in :


a.Lung collapse







b.Pulmonary edema c.Hypertension d.Hypotension e.Atelectasis


23.3% choloroprocaine has fast onset than 2% lignocaine why : a.Concentration


b.Ester and amid factor b.Pka


c.Protein binding d.Lipid solubility


24.Molecular weight of isoflurane : a.144



25.E cylinder of oxygen will last for how many minutes if flow is at 6 lit / min a.80 min,b.114 min,c.134 min


26.Nalbuphine :


a.Causes same resp depression as morphine b.As potent as morphine


27.Mech of action of tramadol : a.Weak meu


b.Kappa and meu


28.Septum pellucidum : weird options combo cant recall


29.Neuro muscular blockade is prolonged by : Gentamycin (Aminoglycoside) 30.Which of the drug is aminoglycoside : Amikacin


31.Patient underwent liver transplant which of the drug you will prescribe which is nephrotoxic and doesn’t causes bone marrow depression







32.True about actions of glucocorticoid : dec peripheral glucose utilization 33.Abrupt withdrawal of glucocorticoid causes : adrenal supprsion


34.The advantage of dexamehasone over hydrocortisone is it doesnot causes a.Hyperglycemia

b.Salt retention


35.In CNS myelination is a function of : oligodendroytes


36.Which cell in the CNS resembles Schwann cells : oligodendrocytes 37.EEG synchronization is caused by :


a.non specific thalamic nuclei b.locus cerulus


38.Oil in 02 reducing valve will cause explosion of what type : Adiabatic 39.Why high dose of non depolarizing agent is required in burn patients : a.Increase no of receptor


b.High protein binding


40.Hyperthyroid lady with ventricular tachycardia heart rate of 180 pulse irregulary regular treatment of choice :







41.The volume of air remained in lung after maximal expiration is a.1200









42.Digoxin toxicity is increased by : a.Increase intracellular potassium a.Increase intracellular calcium


43.Antacid causing dec gastric emptying : aluminium hydroxide 44.Esophago gastric junction lies at : a.T10 ,b.T11 , c.L1


45.Venous pressure increased 8mm what will be the effect on capillary pressure : a.Inc by 8 mm


b.Inc markedly c.Dec by 6 mm d.No change e.Dec by 8 mm


46.Jejunum is supplied by : Superior mesenteric artery 47.If v/q in inc blood p02 and pc02 will be same in : a.Expired air


b.Venous blood c.Atmosphere d.Arterial blood


e.Humidified inspired air


48.Low molecular weight heparin : Inc binding to factor 10a


49.The chance of bleeding in a patient with epidural will be greatest in : a.Patient on warfarin


b.On heparin c. aspirin d.On LMWH


50.More local anesthetic concentration in the blood by : a.Epidural block


b.Caudal block c.Spinal block d.Brachial plexus block


51.Acetaminophen poisoning N-acetylcsytein will cause : a.Excrete acetaminophine


b.Break into non toxic metabolites c.Converts to acetylated metabolites


52.Edema reduced by diuretic by excretion of : a.Na excretion


b.K excretion c.Hydrogen excretion


53.Suxa causes tachycardia by :


a.Direc acting on muscuranic receptor of SA node b.Act on nicotinic receptor of ANS


c.By releasing histamine


54.Test to do before starting valproate a.Cbc






55.Most of posterior intercoastal arteries are braches of : thoracic aorta 56.Deep cervical artery is a branch of :


a.costo cervical trunk b.superior thyroid c.inferior throid







d.externa carotid 56-B-CSF contains : a.20mg-40mg protein b.120mg glucose


57.Regarding surfactant component missing is : a.Calcium


b.Protein c.Neutral lipid d.Lecithin


58.Advantage of crystalloid in fluid resusitation is : improve coronary flow 59.Young girl with severe ronchi breathlessness PEFR less than 50 % of predicted management :


a.Bronchodilators b.Inhaled steroids c.Ipratropium


d.Iv steroids plus bronchodilators


60.Patient having asthma treatment to be given a.IV steroid


b.IV theophiline (no option of inhaled agent al were IV) 61.Patient solving airthematic problem EEG wave present : a.Alpha



62.Levodpa given it will cause : orthostatic hypotension


63.Structure that doesn’t part thru diaphragm : a.Lymphatics of pleura


b.Right phrenic nerve c.Greater splanchinc nerve


64.Spinal cord ends at a.L2 b.L1


65.CVP : measure of right atrial filling pressure 66.K sparing diuretic like spiranolactone acts by : a.Increasing GFR


b.Adh inhibition


c.Inhibtinh H/K exchange in collecting duct


67.Mid diastolic murmumr irregularly regular what will b seen : a.Ince pressure gradient against mitral valve


b.Pmitrale c.Increase r-r interval


68.High anion gap in : a.Uncontrolled diabetes 69.Most potent vasoconstrictor : Cocaine


70.In General anesthesia dec heat production is by : a.inhibition of Na/K atpase


b.dec muscle tone


71.most immediate anterior relation to internal jugular vein after jugular foramen : internal carotid artery


72.temperature at which vapour pressure is equal to atmospheric pressure : boiling point 73.Method of face mask sterilization :


a.Wash with soap and water b.5% phenol


c.Form aldehyde


74.Method of face mask sterilization for prevention against organism : a.Steam sterilization







b.Ethylene oxide gas c.Phenol d.Pasteurization


75.Why ranitidine is preferred over cimeteidine : low cns side effect 76.For acute blood pressure management : baroreceptor


77.Which system has maximum feedback gain in controlling cardiac pressure a.Baroreceptor


b.Renal volume pressure mechanism


78.Warfarin dose should be adjusted in patient taking : cimetidine 79.Slow adapting receptor (not exact statement )


a.Slowly decreasing action potential b.Absence of action potential


80.Result of ischemia on brain auto regulation : a.Auto regulation curve shifts right


b.Curve Shift left


c.Leads to ablation of auto regulation


Special thanks to Dr. Maliha Hanif , Dr. Sana Shaikh and Dr. M. Asad Chaudhary for helping me compile this paper please remember us all in your prayers !! best of luck




The End =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-Compiled by : Amlodipine Besylate =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-


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