Surgery and Allied 7th March‬‬‬ MIX PAPER 1 N 2 evening session 2016


Surgery and Allied 7th March‬‬‬ MIX PAPER 1 N 2 evening session 2016

Hand completing a multiple choice exam.
Hand completing a multiple choice exam.
  1. Premalignant lesion….
  2. intradermal nevus …
  3. compound nevus.
  4. seborrheic keratosis
  5. Regarding Middle meningeal artery most APPROPRIATE….
  6. Involved in extradural hemorrhage.
  7. Can be fairly located outside the skull at pterion…
  8. Enters middle cranial fossa through foramen spinosum…
  9. Grooves inside of skull
  10. supply supratentorial dura
  11. 3. Minerals not found in or Minerals with low bioavalibility
  12. Greenvegetables..
  13. cereals
  14. pulses…


  1. roots
  2. Medial boundary of ischiorectal fossa.
  3. External anal sphincter…
  4. Levator ani.
  5. ramus something(not sure)
  6. Boy with H/o trauma to perineal region, swelling in scrotum and ant. Abd wall but didnt go to thigh. Rupture of..
  7. Membranous urethra. ..
  8. Bulbar urethra…
  9. Neck of urethra…
  10. Perineal body..

6. Turner syndrome…

  1. Short stature. B. Autosomal dominant …c. Autosomal recessive.
  2. Pseudo hermaphrodite. With 46xy…..
  3. Adrenogenital synd.
  4. Abdominal aorta.
  5. Gives renal arteries at l2. B. Lateral br. To parieties c. Present on the right of ivc…
  6. Hepatic artery bile canaliculus and vein something .

Exact stem not remembered.

  1. classic Hepatic lobule b. simple acinus .c. Compound acinus.
  2. Stab to chest…air in pleural space will cause.
  3. Lung to collapse and chest wall to sprung out.
  4. Dead space doesnt change in
  5. Standing. B. Shallow breathing.
  6. Regarding 1st lumbrical.
  7. Arises from 2nd metacarpal b. Bipennate. C. Attaches to radial side of index finger. D. Attaches to proximal phalanx ..
  8. Lateral thenar muscles spared but other short muscles of hand paralysed. Injury? A. Ulnar. B. Median .c. C5 c6. D. C8 t1

14 axillary artery.

  1. Lateral to pect minor. B. Post to pect minor.c lat. To lat. Cord of brachial plexus..
  2. Infection ant. to pretracheal fascia spread to .
  3. Ant. Mediastinum. B. Sup. C. Post. D. Neck maybe. E. Middle
  4. Sarcomas.
  5. Spread to bone. B. Clumps/clusters maybe. Other options not remembered.
  6. Primitve streakmesodermmigrates to anterior abdominal wall and around cloaca. A rupture of this mesoderm cranially will produce
    A.Ectopic anal opening
    B. Imperforate anus
    C. Rectovesical fistula
  7. Bladder exstrophy.
  8. Hypospadias.
  9. HBeAb +ve, HbcAb +ve. IgM -ve. HbsAg -ve
  10. Acute resolving hepatitis.
  11. Chr hep. ..repeated mcq from asim shoaib iguess.
  12. Systemic fungal infection .drug given.
  13. Amphotericin b. B.ketoconazole.
  14. Vitamin A.
  15. Rhodopsin. B. Collagen synthesis. Other options not remembered.
  16. S2 in comparison to s1 sound.
    A. Inc. Frequency. B. Longer duration. Other options…..???
  17. B/l recurrent laryngeal nerve cut. Muscle spared.
  18. Cricothyroids. B. All other arytenoids were in

other 4 options.

  1. Superficial cardiac plexus.
  2. Contain Both symp n parasympath. B. Parasympath mainly. C. Contain fibers from all heart/vagal?? nerves.
  3. Gastric ulcer Pain. A. Greater splanchnic. B. Lesser splanc. C. Least splanch.
  4. Appendicitis pain radiates to umblicus thru.
  5. T10
  6. H/o fall bladder incontinence unable to void urine. Spinal segment involved.
  7. S2s3s4.


  1. L5s1s2.
  2. Neck of fibula fracture. Dorsiflexion n eversion gone.
  3. Common peroneal n.

28 excessive eversion lig. Ruptured. A. Deltoid.

  1. Person standing. Venous return from legs mainly faicilitated thru. A. Venous valves. B.

Contraction of sk. Muscles. c. Other options…??

  1. (y)Medial side of arm stabbed. Flexion n supination affecred. A. Musculocutaneous n.

30.(z)During l.p structure punctured. A. Lig.flavum

  1. Mediolateral episiotomy. Structure cut. A. Bulbospongiosus muscle. B. Levator ani muscle…c. .???
  2. Sweat glands supplied by. A. Sympathetics.
  3. All preganglionics are. A. Nictonic.
    options not remembered correctly
  4. Alpha adrenergics causes. A. Mydriasis. B. Bronchodilation. C. Lipolysis.
  5. Due to stress of surgery inc peripheral something is due to secondary action from.

A.acth. B. Serotonin. C. Cytokines.

  1. Chr. Inflammatory cell. A. Lymphocyte.b. Neutrophil. C. Macrophages. D. Fibroblasts.
  2. Opsonin.a. Fc igG and c3b . B. Fab igG. C3b. C. Others like these options.
  3. Tcell receptor complex bind with. A. MHC. B. APC.
  4. Gluteus medius n minimus. A. Abduct n medially rotate.
  5. Ciliary body .
  6. Pigment epithelium produces aqueous humor.
  7. Pigment epi of retina is cont. with pigment epi of ciliary body.
  8. Non pigment epi produces aq. Humor….
  9. supplied by short ciliary arteries


  1. Isthmus infront of. A. Rings 2 3 4. B. Rings 3 4 . C. rings 2 3
  2. 4ml vial of 2percent lidocaine.. total lidocaine. A. 80mg. B.8mg. C.2mg.
  3. 0.85percent NACL is epual to. A. 850mg/100ml b. 85mg/1000…options not remembered


  1. ST elevation v4. Artery involved. A. LAD. B. Lt.Circumflex. c. Rca.
  2. Lt.circumflex artery involved in mi. Old mi with new mi. Area involved.
  3. Lt. Atrium n lt. Ventricle.
  4. Bundle of his blood supply. A. Rca. B. Main lca. C. Interventricular br of lca. D. Marginal art.
  5. Most commonly involved heart valve. A. Aortic. B. Mitral. C. Tricuspid. D. Pulmonary.
  6. Dka. Died. Fungal inf. A. MUCURMYCOSIS.
  7. Stroke death. Autopsy brain. Necrosis. A. Liquefactive.
  8. Abdominal angina. Artery involved. A.SMA.
  9. 50 yrs old. Htnsive. Severe chest pain radiating to back. Died. On autopsy findings.
  10. Medial necrosis of aorta. B. Atherosclerosis
  11. Median umblical lig is remnant of.
  12. urachus.
  13. Allantois
  14. Premature baby born. Most common finding is A. PDA. B. Patent foramen ovale
  15. Pulmonary arteries supply. Part of lungs. A. BRONCHIOLES. B. ALVEOLI…other options..??
  16. In adult head of femus blood supply. A. Obturator. B. Med n lat circumflex femoral art.
  17. 2×2 table a. T test. B. Anova . C. Chisquare.
  18. 2 repeated questions from Doctor pt. Interaction. I think they are inrabia ali.
  19. Testosterone main funtion. A. Grows hair on scalp. B. inc muscle and bone growth
  20. Sertoli cells function.a androgen binding protein. B. Testosterone production
  21. Adult female breat atrophy. A. Estrogen. B. Estrogen plus progesterone.
  22. Carb protein fat sythesis. Hormone. A. Insulin. B.cortisol. C. Thyroid.
  23. Most common salivary gland tumor is of which salviary gland. A. Parotid. B. Submandibular. C.



  1. Cervical ca. Lymph nodes involved. a. Internal iliac. B. Superficial inguinal.
  2. Regarding rectum. A. Starts at s1. B. 9 inches long. C. Also supplied by median sacral artery.
  3. Regarding anal canal. A.Supplied by both sup n inf rectal arteries. B. Inferior rect artery part of

portal system… Something like that. Options not remembered.

  1. Pt. Started on oral anticoagulant. Test to monitor. A. Pt. B. Bt. C. Aptt
  2. Coumadin question.. Options. A. Inc bleeding time. B inc coagulation time Maybe.
  3. Trachea commences at. C6.
  4. Vit k not absorbed. Coagulation factor decreased …? A. Thromboplastin. B. VIII c. Options..????
  5. Vit k def. First n foremost coagulation factor depleted. A. 7 b.2 c.10 d. Protein c.
  6. Female presents with dvts . Says she has been taking some kind of pills. A. Ocps.
  7. 10 DAYS FEVER. chest pain UNRELATED to respiration. A. Myocardium b. Pericardium
  8. Chr. 9/22 a. Cml b. Aml. C. Hodgkins.
  9. Patient with bleeding gums . A. Vit c. B. Vit a. C. Vit.d
  10. Pregnant with jaudice. Went to remote village. To see her parents. Cause. A. HepA b. Hep B. C.

Hepc. D. Hepd. E. Hep e

  1. Liver transplant pt. I think died. cause. A. Cmv. B. Ebv. C. HepA. D. Hep b. E


  1. Which CA rarely metastasizes. A. BCC

78 BCC features. Ithink. A. Locally malignant?
79.which CA spreads to large vessels. A. Clear cell ca of kidney. B. Transitional cell ca of kidney .c.

Lung ca…options not remembered.

  1. Cholangicarcinoma.. A. Clonorchis sinensis.
  2. Most common CA of epiphysis. A. Osteoblastoma. B. Osteoma. C. Ewings. D. Osteosarcoma. E.

teoid osteoma. Thins option not remembered correctly.
82.limb growth will be affected if fracture passes thru. A. Epiphyseal plate. B. P.epiphyseal line. C.

Metaphysis. D. Diaphysis.

  1. Acoustic neuroma. A. Vestibular component of CN 8. B. Cochlear part of CN 8. C. Trigeminal n. D.


  1. Hypoglossal nrv injured. A. Tongue deviated to same side. B. Other side. C. Not deviated.
  2. Deep part of parotid fascia forms. A. Sphenomandibular lig. B. Stylomandibular lig. C

buccopharyngeal membrane.

  1. Intraarticular disc of TMJ involved.. Muscle paralyzed. A. Lat.pterygoid. B. Med pterygoid. C.


  1. Lung CA fungiform growth. A. Bronchogenic ca. B. Small cell ca. C. Sq.cell ca. D. Undiff. Large

cell ca.

  1. Gastric lymphoma ass with. A. H pylori gastritis.
  2. Terminal ileum resected more to 100 cm. A. Less absorption of bike salts. B. More absorption of

bile acids. ..other options not remembered.

  1. Femoral arterial pulse. A. Mid inguinal point. B. Mid inguinal ligament. C. Adductor canal.
  2. Inguinal canal. A. Absent in infants. B. Extends from ant.sup.iliac spine to pubic tubercle. C. Roof

formed by conjoined tendon.

  1. In. Old age .a. VC decreases. B. CO decreases.
  2. Decrease in esr is due increase in . A. Fibrinogen. B. Albumin.
  3. Cytoskeleton connected to ecm environment thru. A. Intermediate fil. B. Proteoglycan. C.


  1. Glycocalyx contains. A. Carbohydrate moeity. B. Lipid membrane…….options not clear.
  2. Not electrical active transport of Na occurs in. A. Pct. B. Dct. C. Loops .d. Collecting duct.
  3. Greatest clearance is of a. PAH. B. Insulin-yes it was written insulin.


  1. Rt. Testicular vein enters. A. IVC.
  2. Tibial nerve severed. Which muscle will still flex the knee joint.
  3. Short head of biceps.
  4. LONG head biceps.
  5. Semitendinosus

100.Oraganelle with double membrane.


  1. Nucleus. B. Golgi. C. Rer. D.Ribosome.
  2. Bupivacaine. Overdose initial symptom. A. Unconsciousness. B. Vent arrhythmia. C. ringing in ears …Other options

not remembered.

  1. Pt. Anesthetized heat will not produce due to A. Loss of musle tone. B. Na/k pump blockage.
  2. 60 percent ventricle fill during .a. rapid inflow. B. Isovolumetric relaxation. C. Atrial contraction.
  3. Regarding Post. Comm artery. A. Connects PCA to ICA above occulomotor nrv. B. Connect

PCA below occulomotor nev. C. Connect ICA to basilar artry.

  1. Dorsal vagal nuclei present in. A. Medulla. B. Upper pons. C. Lower pons. D. Midbrain.


106.rt sided hemiplegia deviation of mouth to left lesion in.. A. pons, b. internal capsule…


  1. patient had previous episodes of diplopia nd dizziness now acutely comatose reason...
  2. basilar artery thrombosis, B .C .D.3 type of hemorrhages were in options, E .carotid artery occlusion


  1. child has episodes of bleeding nd echymosis i guess since birth hb 9.8 mg/dl nd platelets count

was normal 180 x 10^3 BT prolonged…a. hemophilia, B.ITP C.,platelet functional defect

  1. patient given warfarin on second day had large echymosis on thigh… A. TTP, B. overdose of

Warfarin c. protein c def

  1. CSF has low conc of which of the following than plasma…
  2. osmolarity,
  3. Na,
  4. K+,
  5. Mg2+


  1. Corona radiata forms from. A. Germ cells. B.theca interna. C. Theca externa D. granulosa


  1. Surgery grade 3 tumor.
  2. A) more than 75% cells undifferentiated b) 50 to 75 % cells undifferentiated
  3. 100%
  4. 25% or less i guess


  1. Muscle attached to bone by. A. Tendon. B. Ligament.


  1. Pseudohypoparathyroidism question.


  1. Pt with jaundice hepatosplenomegaly….complete stem not remembered. WHICH TEST to be

performed. A. Antimitochondrial ab b.


  1. 1 litre blood loss quest.
  2. inc venous tone?


  1. While playing cricket got abrasions. Immediate mechanism. A. VASOCONSTRICTION. I guess

repeated mcq.

  1. Highest diffusion both across resp membrane and body fluids. A. O2. B. Co2 .c. helium. D CO.
  2. Nitrogen maybe..


  1. Tumor supressor gene.
  2. P53
  3. mc cause of fatty liver in our population.
  4. Hep b c. B. Alcoholism
  5. Ecf volume can be increased by.
  6. Hypertonic saline. B. Hypotonic saline. C. Distilled water.
  7. Most radiosensitive tumor.
  8. Seminoma
  9. Glioma.
  10. Alveolar surface dry due to.
  11. Surfactant. B. Inflammatory cells. C. Negative intrapleural pressure .Options not correctly


  1. pseudomonas aureginosa. …complete stem???
  2. Endotoxin.b. Exotoxin.
  3. Corynebacterium diphtheria lethal effect on?
  4. Tonsil.b. Heart. C. Kidney.
  5. Benign tumor.
  6. Leiomyoma.
  7. Histoplasmosis effect on .
  8. Reticuloendothelial sys.
  9. Highest Na. Iguess.
  10. Node of ranveir. B. Axon. C. In the myelin.
  11. Rectus sheath post.lower limit
  12. Arcuate line. B. Pectineal lig or line. C. Lacunar.
  13. Regarding eeg. A. Options not remembered.
  14. Regardig morphine use.
  15. Ternimal cancer pt.
  16. Heparin prevent.
  17. Propagation. B. Embolization. C. Dissolution. D. Organification.

132.Upper motor neuron lesion??

A.Fasiculation b. Increase muscle tone c. Dec tendon reflexes
133.Passes throug cavernous sinus

  1. Abducent

134.Young girl,used a drug for back ache, platelets were in normal range,wbc 7000,neutropenia, Hb was 9, small imature cell in peripheral film???


A.Aplastic anemia
B.Acute leukemia
D.analgesic induced


135.Difference btween arterial nd venous blood??


  1. Packed cell volume b. Ph.

Asim shoib question
136.Gastric emptying accelerated




137.In juxta glomerular nephron,sodium is activaly reabsorbed elecricall neutral from lumen of

nephron in which segmnt of nephron???

  1. Pct. B. Dct. C. Loops.

138.About follicular ca of thyroid???


  1. Psamoma bodies
  2. Vascular invasion


139.Transplanted auto graft survives most in

  1. Uremia ,,a gamaglobinemia…c.third dgre burns ,


140 Local edema




141.Increase in creatinine,,source??


  1. Liver
  2. Skelatal muscle


142.Gametogenesis,,one cell get extra than normal haploid???


  1. Trisomy
  2. Monosomy
  3. Non disjunction

143.Chronic hepatitis histology


a.Lymphocytes b. Fibrosis


144.Strongest layer-

a.mucosa, b. sub mucosa,c. longitudinal layer,d. circular layer


  1. Right atrium wala question was ,,,if presure in right atrium increases with in normal limits what

would happen

  1. Hr inc ,,b.cardiac output inc c. decrease venous tone (options not correctly remembered)
  2. Weight bearing line in pelvis pass thru??

A.Ischial tuberosity

  1. Coccyx.
  2. Pubic ramus


147.Sugar in Urine will be detected if its concentration in blood becomes


  1. 250mg/dl
  2. 200mg/dl (According to F.A)
  3. 180 mg/dl
  4. 150 mg/dl
  5. 375mg/dl


  1. Which of the following is Ectoparasite.
  2. Lice
  3. Fleas
  4. Ticks
  5. Bed Bugs


  1. Farmer organophosphate poisoning what should be given.
  2. Atropine b. Pralidoxime


  1. For chemotaxis. Exact stem not remembered.
  2. Lymphokones



  1. Baroreceptors responds to?
  2. Dec blood pressure. Complete options not remembered.
  3. All preganglionics neurotrasmitter
  4. Acetylcholine
  5. Sweat gland by.



  1. Rt upper n lower limb paralysis. Angle of mouth deviates to left while talking.
  2. Internal capsule
  3. Pons.



155.Sulfur containing aminoacid

  1. cystine


  1. Truncal vagotomy
  2. Dec acid secretion and pepsin


  1. Regarding EEG…


  1. Primary active transport…
  2. enzymes b. carriers c. proteins d. pumps


  1. Non bacterial thrombotic endocarditis
  2. Terminal cancer .b sle


160.Mid arm circumferece.

  1. Protien b. Fat. Options and stem not clearly remembered



  1. On autopsy finding… complete stem required…
  2. Hypertrophied pth


  1. Boy. H/o taking antimalarials.
  2. G6PD DEF


  1. chloride shift in rbc
  2. Ankyrin
  3. spectrin
  4. band 3


  1. PPD false negative
  2. malnutrition
  3. immunosuppressant


  1. fisherman bleeding gums
  2. scurvy


  1. MCQ related to Wilsons disease
  2. Ceruloplasmin


  1. Following lymphoid organ recive lymph from subscapular sinus
    c.lymph node
  2. Adrenectomy taste preferences ?
  3. Nacl
  4. most important cell of chronic inflammation
  5. lymphocytes
  6. macrophages


  1. Test for typhoid in ist week...
  2. blood culture
  3. peumonia then brain abcess ?
  4. staph aureus


173.. Question regarding edema–

  1. lymphatic blockage


  1. 41% hematocrit… A RBCs only B. Rbcs Wbcs, Platelets


  1. Low dose estrogen pill causes…..a.breast cancer..b.dvt…c.uterine cancer…d.cervical cancer


  1. human is an intermediate host of
  2. hydatid cyst


  1. Severe transfusion rxn.
  2. Apos to Oneg. B. O TO Bpos. C. Apos to AB pos.

178 Tension in the muscle is limited by
A.Golgi tendon organ

  1. Regarding Withdrawal Reflex?
  2. relaxation of flexor muscles
  3. stretch of muscles(option not correctly remembered)
  4. Multisynaptic


More will be added if and when remembered. Feel free to add options, correct statements. Answers


Dr. Hasnain Afzal


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