A request to everyone , donot learn these questions, only bear in mind the
topics asked and prepare them well, errors are possibly there, forgive us for
them
BEST OF LUCK
1. A Acrosomes of sperms are formed by And
Golgi apparatus ( ref Wikipedia) acrosome
Smooth endoplasmic reticulum reaction by
Rough endoplasmic reticulum lysosomes
26. A Maximum therapeutic dose of which of the following can be given in renal failure Chloramph
Ampicillin enicol is
Ceftazidine non renally
Tetracycline excreted
Quinolones thats all I
could say,al
options are
excreted
renally
27. A Moa of quinolones Acts on
DNA DNA gyrase
Reverse trascriptase , inhibit
Gyrasesomethine DNA
replication,
exact
options r
not
properly
recalled
28. A MoA of Sulphonyleurea Acts on
Decreases gluconeogenesis from liver beta cells
Increase insulin release (right) closing k
channels
and
increase
insulin
release
29. A Most important mediator of allergy Prefer
Bradykinin (right) eosinophill
s if in
options
30. A Most protein bound local anesthetic is Rabia ali
Prilocaine mcq
Procaine
Lignocaine
Bupivacaine (right)
31. In which of following there is no role of chromosomal movement Not Sure. I
Meiosis 1 did
Meiosis 2 cleavage.
Mitosis
Asexual reproduction
Cleavage
32. A NIDDm patient drug of choice metformin.
Metformin .ref first
Tolbutamide aid.
33. A Numbness in arms lateral side,bicep reflex diminished, root values injured C5-6.
C3-4
C5-6
34. A Outermost laver of nerve Its
epineuriem
Epineurium (right)
Endoneruium
c.perineurium
35. A Patient hit side of face, swelling in temporal region True ref
Maxillary division of Ext Carotid head n
Anterior meningeal (right) neck
Posterior meningeal section
snell
36. A Patient in the habit of chewing something develops Fibrosis of sublingual This leads
mucosa, what kind of change is it to
Metaplasia submucosal
Dysplasia fibrosis
Premalignant (right) which is
Malignant premaligna
nt
37. A Patient with diarrhea has Option A
Normal anion gap metabolic acisosis (right)
Low anion gap metabolic acidosis
High anion gap metabolic acidosis
Metabolic alkalosis
38. A patient with epilepsy can discontinue treatment after Rabia ali
2 years without symptoms mcq
5 years symptoms free with treatment (right)
No seizure activity on eeg
2 more about plasma levels
44. A Scenario of Dysphagia and Hoarseness, which of the following injured Guessing
Upper part of Nucleus Ambiguous upper part
Middle part of Nucleus Ambiguous of nucleus
Lower part of Nucleus Ambiguous ambiguous`
Dorsal Ganglia of X Nerve ,read nuclei
in nuro
section of
first aid
45. Which anesthetic agent decompose in light
Halothane (right)
46. A Sesamoid cartilage is present in Rabia ali
Ala of nose (right) mcq
Epiglottis
Pinna of ear
4) the therapeutic drug used in Rx of thyroid disease in pregnancy, which cross placenta and affect
fetus
A) PTU (right)
B) thyroxin
C) TSH
D) steroid
E) propranolol
PTU , used in pregnancy, cross placenta , can cause fetal damage
10) pt taking morphine are likely to have withdrawal symptoms with use of
A) Buprinorphine (right)
B) naloxone
C) Pentozocine
D) nalorphine
12) fluid given in 2 canula at same height , second canula has half of lumen diameter as compared to
first one , flow would b
A) 4 times
B) 16 times
C) 1/16 Times (right)
D) 2 times
24) pt had rheumatic fever , now presented with SOB , nd has atrial fib , murmurs ll b heard at
A) systolic murmur at aortic area (right)
B) systolic in pul area
C) machinery murmurs
35) bilateral recurrent laryngeal nerve paralysis , the position of vocal cords will b
A) cadeveric
B) full abduction
C) gentle abduction
D) median
E) paramedian ( right)
43) repeated doses of terbutaline given to pregnant women to arrest premature labour, wt ll u find
A) hyperkelimia
B) acidosis (Right)
C) hypernatremia
44) CHO metabolism which is irreversible reaction ( glucose metabolism)
Glucose 6 phosphate to fructose 1,6 biphosphate
60) below nd right side of umblicus stab wound of 3cm , hypovolemia due to
A) IVC rupture (right)
B) ileal branch of IMA
C) SMA
D) IMA
80) thoracolumber
Sympathetic
ANAESTHESIA
(SEPTEMBER.2016)
PAPER-1
85% from tanveer notes so I am not compiling it .. go
through tanveer notes for paper 1.
PAPER-2
1.hypertrichosis is the side effect of --- phenytoin
3.horner syndrome plus loss of sensations over face, artery involved ---
PICA
4.neurolepanalgesia---- droperidol+fentanyl
5.patient came with unconscious in ER known case of diabetic , insulin
used is --- regular
39. reason for formation of frost and dew in reducing valves of N2O
tanks---- heat is necessary to vapourize a liquid and to expand gas
(if there is option of tip of cvp in right atrium , then ,that is best option
Compiled by:
Dr. Kashif
Dr.Erum Sardar
I have tried to make it as error free as possible. And I have compiled
all anesthesia I found uptil now. Except our september 2016 paper. do
search if you find anything doubtful. And re upload after corrections.
Try to do these in last ten days and after doing asim anesthesia twice
as many mcq are incomplete extract of asim anesthesia. I wasted alot
of time searching for answers in options. Only to realize in last days
that they were from asim with correct option missing. I have
corrected the ones I could find in quick revision. Hope it helps.. best of
luck!! remember in prayers. I did these twice too.
ANAESTHESIOLOGY
Paper 1
68- Increased age causes a decrease in: a) vital capacity b) heart rate c) blood pressure d) pulse
pressure
69- Warfarin therapy in DVT: a) not to be given in pregnancy b) can be quickly reversed by
FFPs c) vitamin K will work in short term
70- Air flows to the alveoli more at the base because of: a) increased compliance at the
base b) increased blood flow at the base
71- What passes through vena caval opening of thoracic diaphragm: a) right phrenic nerve
72- Drug causing red man syndrome: vancomycin
73- Patient with stroke. Repair of brain tissue by: a) glial cells b) oligodendrocytes
74- Adenoma derived from: a) epithelial cells b) glands
75- Major buffer of blood: a) hemoglobin b) bicarbonate c) proteins
Anaesthesiology
Paper 2
9th May 2016; Morning
I have marked a few asim anes mcq I remembered n that came
in this paper just to stress on its importance. But dont rely on
just asim anes. Try to have the best prep possible
3- Patient was given thiopentone he developed severe pain what should be the management :
a- Naloxone
b- Lignocaine
c- Epinephrine
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
c- Pka
d- Protein binding
e- Lipid solubility
24- Molecular weight of isoflurane :
a- 144
b- 184.5
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
c- 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
doesnt causes bone marrow depression
a- Cyclophosphamide
b- Cyclosporine
c- Prednisolone
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
controversial bcq
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 :
a- Propanolol
b- Amiodarone
c- Verapamil
41- The volume of air remained in lung after maximal expiration is
a- 1200
b- 1400
42- Digoxin toxicity is increased by :
a- Increase intracellular potassium
b- Increase intracellular calcium
43- Antacid causing dec gastric emptying : aluminium hydroxide
43- Esophago gastric junction lies at :
a- T10
b- T11
c- L1
44- 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 (right)
e- Dec by 8 mm
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
Paper 1 around 85 to 90 repeats from Rabia Ali, Asim shoaib and Past Papers
Paper 2
4- A lady is complaining of neuropathy and nausea due to a drug she is taking, she has hyperchloremic
meatbolic acidosis, which drug is she on? (options: carbonic anhydrase inhibitor/ furosemide/ thiazide
diuretics/ mannitol)
5- Which drug causes paradoxical hypertension with propanolol? (options: hydralazine/ minoxidil/ alpha
blocker) CLONIDINE AND BETA BLOCKER
6- Effect of epinephrine- bronchodilation via beta 2 receptors (past paper MCQ)
7- About sympathetic nerves- most of the sympathetic nerves are adrenergic (1 or 2 other options also
looked right, choose the one you are confident with)
8- To reduce the levels of dopamine following drug is used (options: chlorpromazine/ lithium/
benzodiazepine)
9- H2 receptor blockers are not of therapeutic value in which condition? (options: umcoplicated ulcer/
esophagitis/ mendelson's syndrome/ zollinger ellison syndrome) ANSWER mendelson syndrome
10- Regarding thoracic wall- external inercostal muscles have fibres going downward and outward
13- Normal atmospheric pressure is (options: 13 pounds per square inch/ 700 mm Hg/ 100 cm H2o/
1000 cm H20) 760 mm hg or 1033 cmh20
14- 10 mEq rise of HCO3- will raise- 7mm Hg of C02 (past paper MCQ)
15- 10 mm Hg of CO2 will raise chronically how much bicarbonate- 3mEq (past paper MCQ)
16- Regarding thoracic wall- upper six intercostal spaces are supplied by internal thoracic artery
aneriorly (1 or 2 other options also looked right, choose the one you are confident with)
18- After decussation in medulla motor fibres become- lateral corticospinal tract
19- Fine movements in a miniature artist are conrolled by- corticorubrospinal tract
20- Amoxicillin dose as prophylaxis for dental surgery (options: 2 mg before or after surgery/ 2.5 mg
before surgery/ 1 mg/ 1.5 mg) 2g before 1 hour of surgery
22- Beta blocker safe in COPD- metoprolol (ateno,biso,betox carveda meto, esmo, nebi)
23- Blood culture of a patient taken from two different sites shows cocci present in clusters, which
antibiotic should be given? Cloaxicillin (murad MCQ) staph aeurus
24- Which antibiotic interferes with neuromuscular transmission? (options: sulphadiazine/
aminoglycosides/ penicillin/ cephalosporins) dec ach release , resulting in inc effect of muscle
relaxants
25- Compilance is defined as (options: flow per unit change in pressure/ pressure per unit change in
volume/ volume per unit change in pressure/ pressure per unit change in flow/ volume per unit change
in flow)
26- Patient is heavy smoker and diabetic with CCF, which drug should be used? Captropril , protective of
diabetic nephropathy..
27- Use of methylxanthines in COPD is controversial because- high chances of toxicity at or little above
the therapeutic dose
28- Lab showing partially compensated metabolic acidosis- pH 7.3,HCO3- 19mEq, CO2 30mm Hg
30- Bronchoscope when advanced to right main bronchus, first structure seen is- right upper bronchus
(asim MCQ)
31- Ropivacaine is used as an epidural anesthetic for obs patients because- it is less cardiotoxic than
bupivacaine (asim MCQ)
35- Regarding paracetamol toxicity antidote (options: activated charcoal can not be used/ theoretically
N-acetylcystine can be given 2 hours after ingestion/ N-acetylcystine can not be given before 24 hours of
ingestion) ???????????????????????????? should b given within 12 hours so b option is right
36- A drug used in general anesthesia that causes increase in intraocular pressure (options: ketamine/
N2O/ halothane) raise icp nd iop
37- Which of the following undergoes highest metabolism? methoxyflurane (ajay yadav MCQ)
38- Regarding fail safe system- shuts off N2O when oxygen supply is low (asim MCQ)
40- Which of the following are major sensory modalities? (options: in all five options there were
combinations of pain, touch, temperature, pressure, vibration, priopioception, cold, warmth)
41- A patient fell from height and is now unable to void urine, which levels of spinal cord are damaged?
S2, S3, S4 (asim MCQ)
42- Bell's phenomenon occurs due to- lower motor neuron lesion of CN 7
45- Regarding trigeminal nerve- g anglion is present in middle cranial fossa, in the lateral wall of
cavernous sinus (past paper MCQ)
46- What happens in aspirin toxicity? Hyperventilation (most common cause of inc BT)
47- Regarding optic chiasma (options: is present variably above pituitary gland/ is separated from
pituitary gland by several millimetres of sella turcica/ anteriorly inertnal carotid artery is present)
50- Solution isotonic to plasma (options: 5% dextrose/ 10% dextrose/ 0.9 molar NaCl/ ringer's lactate)
51- Regarding sensations- all sensations pass through dorsal root (1 or 2 other options also looked right,
choose the one you are confident with)
52- An old man is a newly diagnosed case of DM, which drug should be given to him? tolbutamide (past
paper MCQ)
53- Why is hetastarch preferred for volume replacement? it does not cause interferance with blood
grouping (asim MCQ)
54- Renoyld's number should rise about what value to make the flow turbulent? 2000 above 3000
velocity also inc
55- Regarding tractus solitarius (options: contains cell bodies of 1st order neurons/ contains cell bodies
of 2nd order neurons).. FOR taste sensations, 7,9,10
56- Due to chronic use of diuretics characteristic change in blood seen is- increase in pCO2 right is
decrease chloride asim mcq 426
57- A patient has a paracentral tumor, most likely his presenting complaint would be- loss of sensations
of lower limb
57- Hyperpolarization of the membrane would occur due to- Cl- influx (past paper MCQ)
2. Humidity in OT should be
a.27
b.45
c.37
b its 55
a
( in epidural ropi preffered over bupi because of its short duration of action)
4. half life of pseudocholine esterase is
a. 2 hours
b. 1 week
c. 3 days
d. 12 hours
d 8-16hrs
5.regarding phosphodiestease inhibitor (I can just recall there was some option regarding its
inactivation of cAMP,,which I ticked..but dont remember exactly now what the other options were )
It is inhibtor of cAmp ,, theophline , inamrinone( most common complications r nausea nd vomiting)
d
8. regarding coanda effect what is true
a. can explain ischemia of myocardium
b. do not explains vascular flow
c. explains unequal distribution of air in alveoli
b
flow directly proportional to pressure difrnce nd inverse to resistance
a- ondansteron
b- cyclizine
c- droperidol
d- metoclopramide
e- porcholrperazine
15.nitous oxide is a ..
a.analgesic,,
b.vasodilator
17.child with burn 6 hour back brought to ER for dressing. Family history of sibling died under GA is
positiveyou are cautious regarding using succinylcholine in this patient why?
a. Chances of malignant hyper thermia increases
b. hyperkalemia
c. due to increased risk of prolonged muscle contractions
a
20.mac is reduced in
a. duration of anaesthesia
c. hypoxia,
23.isoflurane effects cardiac activity by: (options dont remember exactly,but the main theme was how
isoflurane actually suppresses cardiac activity,mechanism of action )
a. decreasing AV conduction
b. inhibiting intracellular phospateases
c. bidirectional block (something like that ,exact term dont remember but it was bi- )
d.
dec systemic resistent + coronary vasodilation.. reduce perfusion
24. all of the following are tributaries of internal jugular vein except:
a. sigmoid sinus
b. lingual vein
c. superior thyroid
d. oocipital vein
d
middle thyroid vein
sup thyroid vein
lingual vein
fascial vein
pharyngeal vein
inf petrosal sinus
a
26.which one of following has steroid nucleus.
a.ketamine
b.profol
c.thiopental
d.midazolam
Etomidate not in options here
Pancuronium is also steroid
A
k-e-s ketamine , ephidrine , sevo bronchodilatrs
28.regarding isoflurane one correct statement..
a.recommended for anaesthesia induction,,
b.
c.
38. transducer is
a .convert one energy form into another
39.patient on htnsive drug now comes in shock ,known hypertensive,,
Serum Potassium is 5..Diagnosis?
a.hemolysis
b.CRF
c.ARF
41.prednisolone..( cant recall what they asked,just remember there was a question regarding it as well )
e
43.pulse pressure
a. is differance of systolic and diastolic pressures
b. decreases in old age
45. lysosomes
a. produced by golgi apparatus
b. has hydrolases n catalases
c. has oxidases
ONLY contain HYDROLASES
none
AMIODARONE AND SOTALOL
51.10-15% blood loss,,replace by ..
a. whole blood
b. three times normal saline
c. ringers lactate
c
52.pulmonary ligament is
a. in which lung root sinks during respiration
b. a recess in parietal pleura
c. formed by condensation of Sibson fascia
56.road traffic accident ,patient now having bleeding from left ear n left eye pupil dilated,which cranial
nerve damaged
a.occulomotor
b.trigeminal
c.trochlear
d.facial
58.respiratory quotient is
a.carbondioxide produced per oxygen utilization
59.mac of sevoflurane with 60% N2O
a. 0.66-0.68
78.you have given a dose of suxamethonium in a patient ,now u have to give another dose,you are very
cautious regarding second dose,why ?
a.because of hyperkalemia
b.because of hypocalcemia
aaa
83.orifice of a tube is small,flow of gas through small orifice affected by which parameter:
a.presseure difference
b.density
c.radius
b
flow of gas through a tube is dependent on viscosity (TV)
through an orifice dependent on density (OD)
acc to asim shoaib
84.what is true about viscosity? In liquid on inc temp viscosity dec while in gas inc temp inc viscosity
a.it decreases on increasing temperature
85.in pregnancy respiratory rate increases which hormone is responsible for that :
a.estrogen
b.prolactin
c.thyroid
d.progesterone
91.preganglionic sympathetic supply to sublingual gland is transmitted along which cranial nerve
Facial chorda tympani
92.regarding why nitrous not used in abdominal surgeries correct statement is:
a.distends intestine
93. ECG of a patient shows progressively increasing PR intervals followed by dropped beat. What is the
condition?
a) Third degree heart block
b) Mobitz Type 1
c) Sinus arrhythmia
d) Mobitz Type 2
b
94.one case scenerio was given in which ph was 7.4,,pCO 2 was 60,,and HCO3 was 26
a.respiratory acidosis
b.type 1 respiratory failure and compensated respiratory acidosis
c.type 2 respiratory failure and compensated respiratory acidosis
d.metabolic alkalosis type 1 : po2 dec pco2 normal or dec not inc type 2 po2 dec pc02 inc
96.All are the branches of Vagus nerve EXCEPT a) Auricular b) Lacrimal c)Pharyngeal d) Recurrent
Laryngeal
APE SCRAP
AURICULAR
PHARYNGEAL
ESOPHAGIAL
SUP LYRNGEAL
CARDIAC BRANCHES
RECURENT LARYNGEAL
ANT VaGAL TRUCK
POST VAGAL TRUNK
97.About CSF most appropriate statement is a) it is ultrafilterate of Plasma b) has more glucose than
blood c) has cushioing effect d) absorbed in Choroid Plexus
AAA
103.RegardingLaudanosine,all true except (exact options dont remember but I guess they were like this
)
a.metabolite of atra and cis curium
b.lessconc . produced by cis than atracurium ALL are correct
c. crosses blood brain barrier
d.cns depression
5.Wegner granulomatosis
Pauci immune vasculitis nd nephritis
Autoimmune disease , medium nd small size vessles , nasolacriml duct obstruction , proptosis ,
arthralgia , cresent necrotizing glomerulonephritisFOR diagnosis c-ANCA , immunoflorescenes ,
ELISA
6.Vagus nerve
7.TB-AFB
8.Alpha receptor-mydriasis
23.local edema-allergy
27.Chronic irritation-metapalsia
29.blood transfusion-Hbv/Hcv
30.DNA-mitochondria
34.Pituitary gland-drain into dural venous sinuses supplied by superior hypophysial arteries frm intrnl
carotid
39.Bar body-turner
40.Hemosiderin-iron overload
43.Trigeminal nerve
48.Broca's area-MCA
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52.Greatest blood-Veins
57.Pulmunory emboli-thromboembolism
61.edema-urine protein
62.OCP's thromboembolism
70.prevalance-disease in mass
73.Alpha plus gamma motor neurons by main descending pathways to spinl cord
74.Rubella-congenital cataract
82.adrenogenital syndrome : Congenital adrenal hyperplasia, also called adrenogenital syndrome, any
of a group of inherited disorders that are characterized by enlargement of the adrenal glands resulting
primarily from excessive secretion of androgenic hormones by the adrenal cortex.
92.adrenalectomy-Nacl
95.RH in compatibility-IGG
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3.isoflurane not inc ICP (ketamine inc icp, desflurane in dose related manner , sevo at vry high doses )
4.anaphylaxis thiopentol
10.nimodipine - sah
12.muscuranic receptor present on ???? M1 on cns,, M2 on heart,, M3 on glands and smooth muscles
13.safe dose of bupivacaine 150 mg (2.5mg/kg) (first sign of toxicity is tinnits , later on arrhythmias )
18.sweating not adrenergic MUSCARINIC , ACH MEDIATED , post ganglion , SYMPATHETIC , cubiodal
epi
22.intercoastal arteries -branches of interna thoracic : 6 ant IC artry rest 7 onwards musculophrenic br
25.umbilicus -t10
28.sup inguinal ring-ext oblique aponeurosis (Intrnl inguinal ring in fascia tranversalis )
33.most sensitive and easiest method of cvp recording is manometer with mineral oil (explanation: d/t
diff in specific gravity mercury moves 1 unit and mineral oil 13.75 unit which expand scale for easier and
more precise measurement)
34 . transducer mein pressure wali option thi function pucha tha trancducer ka
36.def of boiling point at which vapr pressure becom equal to atmphrc temt,, and liquid becomes gas
39.t4/t1 fr NM blokade-25%
B2 dilate by sympathetc
48.suxamethonium-fasciculations
49.map 88
55.pleural stab wound ???? ipsilateral lung collapse and chest spring out
60.azygos vein formed -right ascending lumbar vein WD right subcostal veins
61.thymus-4th costal cartilage wali option arise from 3rd pharyngeal pouch , regress after birth
69.ketorolac immediate post operative period mein use hte (ref Morgan)
78.clonidine-orthostatic hypotension
81.dopamine -a1+a2+b1+b2
86.IV adrenaline-anaphylaxis
87.diazepam-status epilepticus (also used r phynetoin , fosphenytoin and lorazepam for status
epilepticus)
88.adrenaline bronchodilation by b2
90.beta bloker mech of DEC bp-dec heart and myocardial contractily(ref Morgan pharmacology portion)
91.1:200,000 adrenaline-5mcg/kg
92.ephidrine cause release of nor epinephrine from symp terminal (post synaptc ganglion)
celecoxib
REST PPRS
PAPER #1
PAPER # 2
Both these options are correct acc to me coz valproic acid can cause
thrombocytopenia and it is also hepatotoxic.but I chose A.choose acc to
your knowledge and justification.
sterilization
a- ethanol for pvc instruments ethylyne oxide
b- chlorhexidine and ethanol for vegetative bacteria and spores...See More
1
ECG changes can be seen in the following conditions EXCEPT
a) Change in body position
b) MI
c) Sleep
(http://ajpregu.physiology.org/cgi/content/full/292/3/R1320)
d) Mitral stenosis
e) Aortic regurgitation
Ans:
c
2
About NEURAL TUBE
a) Forms primitive streak
b) Forms notochord
c) Cns develops from it
d) Forms three germ layers
e)
Ans;
C (http://en.wikipedia.org/wiki/Neural_tube )
3
SACRALIZATION
a) Union of 1st sacral vertebra with 5th lumbar
b) Union of 5th lumbar with 1st sacral
c) Fusion of all sacral vertebra to form sacrum
d) Flexion at sacrum
e)
Ans:
B http://wiki.answers.com/Q/What_is_sacralization_of_the_l-5
4
Stroke volume
a) Cardiac output depends on it
b) Heart rate determines stroke volume
c) Increases in haemorrhage
d) Independent of venous return
e)
Ans; AAA
5
Central venous pressure
a) Inc. in haemorrhage
b) Dec in gram negative septicemia
c) Dec in heart failure
d)
e)
ans;
b http://books.google.com.pk/books?id=-V3k-
2MnDQcC&pg=PA275&dq=cvp+is+decreased+during+gram+negative+sep
sis&hl=en&ei=LSEpTPu_NMaAlAeNmY2ACA&sa=X&oi=book_result&ct=re
sult&resnum=9&ved=0CE0Q6AEwCA#v=onepage&q=cvp%20is%20decre
ased%20during%20gram%20negative%20sepsis&f=false
6
What change occurs from lying to standing position?
a) Venous pressure inc
b) Arterial pressure inc
c) Sweating
d) Cutaneous vasoconstriction
e) .
Ans;
A http://www.cvphysiology.com/Cardiac%20Function/CF017.htm
7
A simple senario of hurshspring disease
8
Which hepatitis dangerous in pregnancy
a) A
b) B
c) C
d) D
e) E
Ans;
e
9
A lady, whos been deliverd in a remote village, presents with shock,
septicemia, bleeding from venae sites.whats diagnosis
DIC
10,
Most common cause of pulmonary embolism?
a) Heart failure
b) Dvt
c) Cancer lung
d) Pneumonia
e)
ans;
B
11,
Regarding vit. D synthesis
a) 1 hydroxylation ocurs in kidney
b) 25 ocurs in kidney
c) 1 ocurrs in liver
d) 25 in lung
e) Both in skin
Ans;
A http://en.wikipedia.org/wiki/Vitamin_D
12,
Treatment of erythroblastosis fetalis? Blood is B+
a) Exchange transfusion with b +ve
b) With b _ve
c) Ab +ve
d) Anti D
e)
ans;
13,
WHICH IS NOT SUPLIED BY OCULOMOTOR N.
a) Medial rectus
b) Lateral rectus
c) Inf oblique
d) Sup rectus
e) Inf rectus
14,
15,
Cephalic vein
a) Present in deltopectoral groove
16,
A lil senario of cervical rib i, e weakness and paresthesia along ulnar nerv
course
17,
A qs about CSF findings, which 1 true etc
18
Diagnosis of typhoid in 1st week
Ans blood culture
19,
Most common cause of SUBACUTE BACTERIAL ENDOCARDITIS
(march 2017)
a) Staph aureus
b) Sterp. Viridans
c) Strep pneumonae
d) Staph epidermiditis
e)
ans;
b
ans;
d http://en.wikipedia.org/wiki/Gas_gangrene
21,
Type of omental necrosis?
a) Caseous
b) Gangrene
c) Fat
d) Coagulative
e) Fibrinoid
Ans;
C
http://books.google.com.pk/books?id=c41BJkHrniEC&pg=PA25&dq=oment
al+fat+necrosis&hl=en&ei=8iopTKykIaWlsQaB9JzEBA&sa=X&oi=book_res
ult&ct=result&resnum=4&ved=0CDYQ6AEwAzgK#v=onepage&q=omental
%20fat%20necrosis&f=false
22,
Most of bicarbonate absorption ocurs in
a) Proxial c. tube
b) Distal c. tube
c) Loop of henle
d) Collecting duct
e) .
Ans;
A
http://books.google.com.pk/books?id=pekX0WUKzMoC&pg=PA414&dq=bi
carbonate+reabsorption&hl=en&ei=oCspTPu0CIO0lQftobD-
Bw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCYQ6AEwAA#v=
onepage&q=bicarbonate%20reabsorption&f=false
23,
There were 4_5 qs about aldosterone
24,
Stimulus for aldosterone release
a) Hypernatremia
b) Hypokalemia
c) Hyperkalemia
d) Alkalosis
e)
ans;
c
25,
Aldosterone causes
a) Hypercalcemia
b) Hyperkalemia
c) Acidosis
d) Hypernatremia
d)
ans;
d
26,
Dec aldosterone will lead to
a) Hyponatremia
27,
ADH acts on
a) Loop of henle
b) Distal c. tube
c) Collecting duct
d) Bowman capsule
Ans
c
28,
For circardian rhythm optic nerve sends fibers to
a) Optic chiasma
b) Medial geniculate body
c) Lateral geniculate body
d) Suprachiasmatic n.
e) Upraoptic n.
Ans;
D http://en.wikipedia.org/wiki/Circadian_rhythm
29,
A person suffering from dehydration, which ion replacement is most
important?
a) Ca
b) Mg
c) Na
d) K
e) Cl
Ans;
C
30,
What to give to Inc vitamen in diet
a) Nuts
b) Yougurt
c) Egg
d) Green vegetables
e) Margarine (sumthin like it)
Ans;
D
(march 2017)
31
Natural anticoagulant
a) Heparin
b) Warfarin
c) Aspirin
d) Plasminogen
e) Fibrin
Ans;
D
(heparin is antithrombotic)
32,
Endogenous pigment in chronic hemolysis
a) Hemosiderin
b) Lipofuscin
c) Anthracotic pigment
d)
e)
Ans
A
33,
In a ward, at a children hospital, all the children there have some
permanent disabilitythe parents of such children are suffering from
a) Denial
b) Anger
c) Bargaining
d) Depression
e) Acceptance
34,
Square root of variance
a) Mean
b) Variation
c) Standard deviation
d) Median
e) Acuracy
Ans
C
35,
Mean Inc with
a) Inc in sample size
b) Dec in sample size
c) Inc in standard deviation
d)
e)
ans;
b http://www.stat.berkeley.edu/~stark/Java/Html/SampleDist.htm
36,
What is therapeutic index of a drug?
Safety margin
37,
Drug contraindicated in renal failure
a) Amikacin
b) Chloramphenicol
c) Vancomycin
d) Pencillin
e)
ans;
a
38,
Drug for hyperthyroidism in pregnancy
a) Methimazolepropylthyrouracil
b) Ppu
c) Radioactive iodine
d) Total thyrodectomy
e) Ligol solution
Ans
B
39,
Which will not b present in a lung hamartoma (it ws senario of pulmonary
hamartoma and qs ws asked at the end of senario)
a) Coin lesion on xray chest
b) Mostly asymptomatic
c) Mostly Discovered incidently
d) Benign
e) Cartilage in lesion area
Ans
E doubtfull it was A in rabia
40,
41,
Atrophy means
a) Dec in cell size
42,
Premalignant condition of oral cavity
a) Erythroplakia
b) Leukoplakia
c) SCC
d) Lichen planus ( pre malignant lesion )
e)
ans
b
43,
A senario was about sturge webber syndrome in which he gave
neurological symptoms I,e seizures and convulsions then asked that what
other symptom can be found in that child and ans ws GLUCOMA . Point to
note that they did not talk about PORT WINE STAIN (birth mark) on face or
forehead
44,
Submucosal glands are present in
a) Stomach
b) Gall bladder
c) Duodenum
d) Small intestine
e) Pancreas
Ans
C
45,
After gastrectomy what can happen
a) Malabsoprtion
b) Steatorhea
c) Anemia
d)
e)
ans
c
46,
After gastrectomy B12 is not absorbed due to deficiency of
a) Parietal cells (pernicious anemia )
b) Chief cells
Ans
A
47,
Gastroparesis treatment (last part1 me b tha)
a) Metoclopramide
48,
Absorption of long chain fatty acids?
a) Ileum
acc to S.K jejunum
50,
Bile acids are conjugated with which amino acid to form bile salts
a) Taurine
51,
Which hormone Inc gastric contraction?
A) GASTRIN
B) CCK
C) Secretin
c) Gip
Ans
A
52,
Rupture of post wall of duodenal ulcer will damage
a) Gastroduodenal artery
53
Left renal vein relation to aorta
a) Ant
b) Post
Ans
A
54,
Final common motor pathway
a) Corticospinal tract
b) Alpha motor neurons
c) Upper motor neurons
d) Cerebral cortex
e)
ans
b
55,
There was a qs about injury at T4,T8 level and dy askd about wat will
happen , choices were not straight forward e,g askin sum tract lesion etc
dts y not remeberd
56,
Stretch reflex maintains
a) Muscle tone
b) Balance
c) Length
d)
e)
ans
c
57,
There was qs in which options were (forgot qs)
a) Pancinian corpucles vibration
b) Messiners corposccles temp
c) Ruffinis end organssteady velocity
d) Golgi tendons tension
e) .
58,
Regarding pulmonary wedge pressure
a) Called so cz measured by a wedge shaped catheter
b) Usually bw 10-15 mmhg
c) Measure of rit atrial pressure
d)
e)
ans
b
59,
During systole
a) Both ventricles contract simultaneously
b) 50% filling of ventricles occurs
c) Blod flow inc in coronary arteries
d) ..
e) ..
ans
a
60,
Fastest conducting fibers in heart
a) Purkinje
61,
Glomerular pressure inc due to
a) Afferent constriction
b) Efferent constriction
Ans
b
62,
A senario was about dijoxin toxicity
64,
Isoniazid side effects can be prevented by
a) Pyridoxine
65,
Not a cause of cardiogenic shock
a) Cardiac temponade
b) Mi
c) Arrythmias
d) Hemorrhage
e) Aortic dissection
Ans
d
66,
A pt with deformed nose, AFB +ve
a) Leprosy
67,
Most imp point of exudative inflamation
a) Sp gravity < 1.020
b) Neutrophils
c) Protein >2g| dl
d) .
e)
ans
c
68,
Monocytes
a) Most abundant cells in circulation (neutrophils)
b) Do not go out of vessels
c) Not phagocytic ( Lympho not phagocytic )
d)can transfer into multinucleated gaint cells in chronic inflammation
e)
DDD
69,
Tuberculous meningitis
a) Inc lymphocytes in csf
70,
Bladder ca caused by
a) Schistosoma haematobiam
71,
Which tumor does not hav bone metastasis?
a) Thyroid
b) Liver
c) Lung
d) Breast
e) Kidney
Ans
b
72,
ESTROGEN OCPs can cause
a) Breast ca
b) Ovary ca
c) Endometrial ca (hi estrogen containing OCPS )
Ans
a
thromboembolism >>> breat ca
Low estrogn ocps cause hepatic adenoma
73,
Residual vol. 1200 ml
a) Amount of air left in the lung after a max exhalation
74,
Vital capacity
a) After a max inspiration, max expired volume is vc 5500
75,
Cardiac output
a) Measured by fick principle
76,
Regarding sup parathyroid gland
a) Located in close proximity to INF thyroid artery and recurrent laryngeal
nerve at the level of cricothyroid junction. (Remembr that sup glands hv
more constant position while INF r variable in position.thats y dy askd
about sup glands location.its imp)
77,
Digastric triangle
a) Bounded anteriorly ant. Belly of digastric, posteriorly by post. Belly
78,
Which is not covered by deep cervical fascia
a) Thyroid
b) Parotid
c) Sternocleidomastoid
d) Submandibular gland
e) Sublingual
Ans
e
79,
Circumduction
a) Combination of flexion, extension, aduction and abduction
80,
For surgery tibia should b aproached from medial side, why
a) Dnt remember choices, sory
B)
C)
D)
to avoid damage of common peroneal nerve
81,
Micturation reflex centre is located in
a) Brainstem (pontine micturation centre). There s also a sacral micturation
centre but it ws not in the choices
82,
Diagnosis of pneumothorax?
a) Xray chest
83,
Approach to intercostal space for pleural effusion drainage
a) Lower part of space (neurovascular bundle in upper part os SPACE but
lower part of RIB)
84,
Pt having uppr respiratory tract INF, then chest pain that relieved by sitting
up
a) Pericarditis
85,
86,
88,
Jaundice, hepatitis, diarrhea 10days after bone marrow transplant
a) Graft vs host disease
89
Erythroblastosis fetalis, type of hypersensitivity reaction?
a) 2
90,
WHICH VACCINE IS NOT LIVE
A) Measles
B) Mumps
C) Rubella
D) Yellow fevr
E) Tetanus
Ans
e
91,
Tissue for HLA typing (there were two same qs in each paper)
a) Buccal mucosa
b) Leukocytes
c) Skin
d) Bone marrow
Ans
b
92,
LP done at
a) L4-L5 (l3-l4 also correct but it ws not in choices, thanks ALLAH Dy did
NT gv both choices simultaneously :-)
93,
Cauda equina
a) Collection of nerve roots and rootlets
94
Pilocarpine is nicotinic
a) Agonist
b) Antagonist
95
Diagnosis of klinefeltrs syndrome
a) Barr body
96
Which drug interers with warfarrin
a) Cemetidine
97
Adverse effect of chlorpromazine
a) Extrapyrimidal
98
Mechanism of action of captopril
a) Ace inhibitor
99
Feature of ca
a) Plomorphisim
b) Nuclear ratio
c) Hyperplasia
d) Invasion
Ans
d
100
101
Paraneoplastic syndrome is associated with
a) Ca breast
b) Adeno ca lung
c) Small cell ca lung
d) Ca prostate
Ans
C
102
Hepatitis b Infection is monitored by
a) Surface antigen
b) Srface antibody
c) Core antibody
d) E antibody
A
103
104
Which hormone inhibits insulin secretion?
a) Secretin
b) Cck
c) Somatostatin
d) Glucagan
e) Vip
Ans
c
(As a general rule all git hormone stimulate insulin release and knwn as
INCRETIN)
105
MOST IMP STRESS HORMONE (it was also in last part1)
a) Epinephrine
b) Insulin
c) Growth
d) Cortisol
e) Acth
Ans
d
If short term during surgery against resistance stress asked than
epinephrine is best one
Otherwise follow this sequence cortisol > acth > epinephrine
106
In Cushing syndrome
a) Neutrophils are Inc, lymphocytes and eiosiniphils are Dec
107
A simple senario of graves disease anti thyroid antibodies
108
Whats pattern of antibodies in multiple myeloma (options were vry weird, nt
exactly remembrd)
a) They hav igA, M, G in different ratios and %ages e, g
IgA 5gm, M 15gm, G 20gm
b) IgM: igG S 1:20
109
HLA type in RA
a) HLA DR4
110
ABSOLOUTE LYMPHOCYTOSIS NOT PRESENT IN
a) Sle
b) Inf. Mononeucleosis
c) Walders (sumthin like that) granulomatosis
d)
e)
ans
a (nt sure)
111
112
Platelets contraindicated in
a) Splenomegaly
b) Acute immune thrombocytopenia
c) Coagulopathy
d) Dic
Ans
b
113
Water moves through
a) Pores
b) Membrane matrix
c) Protein channels
d) Fascilitated difusion
Ans
A (water channels)
114
Fascilitated diffusion
a) Passive transport through protein channels or carrier protiens
115
Which factor strenthen pt doc relationship
a) High professional skills
b) High social skills
c) Highly qualified
d) Logical answers to qs
e) Active listening
Ans
E
http://docs.google.com/viewer?a=v&q=cache:B-
90RsYl_QIJ:www.racgp.org.au/afp/200512/200512robinson.pdf+active+list
ening+for+a+doctor&hl=en&gl=pk&pid=bl&srcid=ADGEEShL3aencNeNL6
PcDL75akSth1myGNOsIBbWqXMO-
BxP5X7QKVmiu16qKkAOUhwMcNerrFuT2x-kVNZ-
Zz84Xr5Gy1K7AJJfrUhJoOWFb7PnEI52oZ3VXT9v3ZAKmA31w_Eh-
Ea0&sig=AHIEtbTDPrtyezt44aYcvJMnrIDzau8oZw
116
117
Nissel bodies are
a) RER
b) SER
c) Mitichondria
d) Golgi bodies
Ans
a
118
Greatest area of cerebral cortex is covered by
a) Elbow
b) Knee
c) Thumb
d) Shoulder
e) Ankle
Ans
C
119
120
121
122
Csf absorbed by
a) Arachnoid villi
b) Choroid plexuses
Ans
A
123
Which is pierced during LP
A) Dura matter
124
Inf spreads retroperitonealy, which will b infected
a) Spleen
b) Jejunum
c) Transverse colon
d) Descending colon
e)
ans
d
125
Ant pituitary loss will result in Dec in size of
a) Zona glomerulosa
b) Zona fasiculata
c) Parafolicular cells of thyroid
d) Adrenal medulla
e)
ans
b
126
Factor Dec wound healing
a) Vit c deficiency
127
How thrombocytes play role in thrombosis
a) Sorry forgotn the choices
128
Accomodation reflex intact, light reflex absent. Damage to?
a) Edenger westphal n.
b) Optic nerve
c) Optic tract
d) Optic chiasma
e) Pretectal area
Ans
E
129
Part of portal system draining esophagus
a) Azygous v.
b) Hemiazygous
c) Rit gastric
d) Lft gastric vein
Ans
D
http://books.google.com.pk/books?id=21e4wArL7hQC&pg=PA18&dq=porta
l+system+draining+esophagus+is&hl=en&ei=N7w0TNLEDKjonQefitGDBA
&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCkQ6AEwAA#v=one
page&q&f=false
130
Bronchopulmonary segment
a) Anatomical and functional unit iof lung
131
Temp set point is in
a) Ant hypothalamus
b) Post hypothalamus
132
Antibodies are produced by
a) Plasma cells
133
Virulence of bacteria is associated with
a) Dose
b) Duration of exposure
c) Toxin production
d) Body resistence
e)
ans
c
134
For a blood donor what is not required (choices not well remembrd.actualy
dy askd that which factor should not b there in a GENERAL HEALTHY
DONOR)
a) Age
b) Sex
c) Systemic disease
135
Which one is not a epithelium tumor
a) Adenocarcinoma
b) Sq ca
c) Liposarcoma
Ans
C
136
Which receptor r involvd in acid production
a) H1
b) H2
c) Acetylcholine
d)
e)
ans
b
137
Which is present in slow wave sleep
a) Dopa
b) Acetylcholine
c) Serotonin
d) Norepinephrine
e)
ans
c
138
Hemibalismus due to damage to
a) Subthalamic N.
139
A child having dyspnea when lyng down
a) Retrosternal goiter
140
Best buffer of body
a) Protein
b) Hb
c) Hco3
d) Phosphate
Ans
C
141
Protein utilization is chekd by
a) Urinary NO2
b) Blood NO2
Ans
A
142
A pt has fluid loss, now his urine is concentrated. Its due to
a) Aldosterone
b) Adh
c) Acth
d) Cortisol
Ans
B
143
Ph 7.4 po2 65 pco2 33 hco3 19
a) Metabolic acidosis
b) Metabolic alkalosis
c) Compensated resp alkalosis
d) Resp alkalosis
144
What happens on mountain aclimitization?
a) Ventilation inc
145
Syphilis dignosis material taken from
a) Blood
b) Urine
c) Semen
d) Genital sores (lesion)
e) Saliva
Ans
D
(march 2017)
146
Best indicator of serum iron stores
a) Serum iron
b) Serum ferritin
c) Hemosiderin
d) TIBC
Ans
B
147
Why more oxygen goes to alveoli at apex than at base?
a) Inc compliance
b) Inc blood flow
c) Inc v\q
d) Inc pulmonary pressure
Ans
c
148
Urinary incontinence with overflow and excessive voiding, damage to (qs nt
remembrd well)
a) S2, 3,4
b) S2, 3
c) L2, 4,s1
s2,3,4
149
Hypospedias is due to defect in
a) Urogenital tubercle
b) Urogenital fold
c) Urachus
Ans
B
150
Cephalic vein
a) Begins in anatomical snuff box
b) Lies lat. To radial a.
c) Lat. To biceps
d) Ends in axilla
Ans
a
151
Upper part of anal canal is
a) Lined by stratified sq epi simple columner epi
b) Drained by sup inguinal nodes interal iliac L.nodes
c) Drained by inf rectal vein superior rectl vein
d) Sensitive to touch sensitive only to light touch nd pain
e) Sensitive to pain
so can b D or E,, stem incomplete
152
153
One qs was about CVP.about its inc or dec in specific condition
Dec in gram neg infections
154
Inc in systemic filling preesure causes
a) Inc venous return
155
Lidocaine
a) Inc PR interval
b) Dec AP
c) Dec automaticity
Ans
A +B
157
158
159
160
Diagnosis of H.influnzae meningitis
a) Csf culture
b) Blood culture
c) Inc lymphocyte in csf
d)
e)
an
a
161
Antibody to TB bacteria is (dnt remember exact choices but they did ask
regarding antibody against TB)
a) Cell bound
b) Membrane bound
c) in plasma
d) In saliva
A
162
In which phase os cell dividion the chromosomes are arranged in
chromatids
a) Prophase
b) Metaphase
c) Anaphase
d) Telophase
163
Atrial contraction coresponds to
a) C wave
b) P wave
c) Qrs A wavw
164
166
Inputs to cerebellum
a) From vestibular system
167
Resolving power of lens
a) That enables to see closely related subjetcs seperatly
168
Parasympathetic stimulation causes
a) Ciliary muscle contraction
169
RTA, 1.5L blood loss, skin is calm and cold due to
a) Vasoconstriction
b) Vasodilation
170
171
Premalignant condition
a) Basal cell nevus
b) Dysplastic nevus syndrome
Ans
B
172
173
A female having very high levels of prolactin, suffering from homonymous
hemianopia. Its due to
a) Compression of optic nerve
b) Damage to optic tract
c) Damage to optic radiation
d) Compression of upper part of optic chiasma
e) Compression of oculomotor n.
Ans
D
174
175
Which take part in synthesis of aldosterone
a) Angiotensin 1
b) Angiotensin 2
c) Cortisol
d)
e)
hi K lead to renin stimulation , whch lead to ang 1 which lead to ang 2, so
aldosterone formed
176
Inc k causes
a) Inc aldosterone
b) Inc ADH
c) Dec aldosterone
d) Dec ADH
177
HYDROCHLORTHIAZIDE CAUSES
A) Inc k
B) Inc ca
C) Inc mg
D) Inc na
178
Hydrops fetalis occurs to RH ve mother and RH +ve father. What type of
hypersensitivity reaction occurred?
a) 1
b) 2
c) 3
d) 4
e) 5
179
Blood supply of eye except cones and rods
a) Central artery of retina
180
They gv senario of klinefeltr and askd what u will find most common
a) Gynecomastia
181
Aldosterone causes
a) Hyperkalemia
b) Hyponatremia
c) Hypercalcemia
d) Hypokalemia
e) Acidosis
6. Digoxin toxicity
a. Inc K*
b. Inc Mg*
c. dec Ca**
d. dec Na*
e. alkalosis
22. Loop diuretics + thiazides enhance each others effect ( Dec NaCl abs)
at:
a. descending loop of Henle
b. ascending loop of Henle
c. proximal convoluted tubule
d. distal convoluted tubule
e. collecting duct
27. Infant with renal abnormality (renal artery stenosis). Drug responsible:
a. ACEi
b. Ca** channel blocker
c. amiodarone
44. 90 yrs old lady with purplish large patch on Rt hand and arm. No itching
or pain. No comorbids, Otherwise Normal. Reason?
a. Capillary abn
b. Prothrombin
c. Vit K dependent clotting factors
45. 10 yrs old girl from Baluchistan c/o fatiguw, lethargy, mild jaundice,
discoloration of skin, enlarged spleen. Hb 8.0, MCV 58, S. Ferritin 1000.
Appropriate treatment?
a. deferroxamine
b. blood transfusion
c. iron transfusion
54. CSF
a. total 150 ml
b. production rate 20 ml/hr
c. produced by ependymal cells of choroid plexus
d. drained by lymphatics
C also correct.. absorb by arachnoid villi
55. CSF:
a. Inc K* than plasma
b. dec glucose
c. dec specific gravity
56. PTH
a. inc PO4 abs from renal tubules
b. inc Ca resorption from bones
c. CRF
d. Anemia
61. 1 week after starting of ATT, pt c/o pain in big toe. Reason
a. INH
b. Rifampin
c. Ethambutol
d. PZA
65. Flumazenil
a. onset of action 30-60 min
b. all unconscious pts must be screened by this drug
c. paradoxical tachycardia
d. max safe dose 1 mg/day
66. Isoflurane
a. MAC 1.9
b. req special vaporizer
c. dec HR
All wrong
66. Sevoflurane
a. dec HR
b. req use of normal vaporizer
68. Enflurane
a. EEG typical of seizures
b. not concerned to dose / conc adm
c. inc ICP
d. nonevident facial spasm
70. Halothane
Flu tec 4
73. N2O shd not be used in elderly with intestinal obs d/t:
a. risk of inc distension
74. Cylinder half filled with liquid N2O. Pressure in the cylinder? 750psi
75. Pressre of N2O cylinder is 750 psi. Pressure in the cylinder till the last
drop evaporates? I think it remains same (march 2017)
cisatracurium
87. The operating room shd b cleaned with the following drug, following
surgery of HIV pt:
a. 10% gluteraldehyde
b. 1% phosphoenol
c. 2% gluteraldehyde
d. H2O2
89. Reason for heat generation when CO2 is passed thru soda lime
a. formation of CaCO3
b. CaO formation
c. friction b/w soda and CO2 see asim anesthesia mcq 343 then decide.. I
think the answer is nt recalled :p
evaporation
104. Apart frm measuring end tidal CO2 conc., capnograph can also
measure
a. CO2 saturation
b. PO2
c. reduced Hb
d. oxyHb
108. During diathermy when neutral plate is disturbed: ( Burn inc as current
density inc, but independent of freq )
a. pt may get a burn even at ECG electrodes ( Burn can occur at all
frequencies )
b. depends it is operating at cutting or coagulation mode
c. depends on current frequency
burn inc as density inc
109. Strong magnetic instruments may not be used in a remote village d/t
side effects. Instrument that can be used is:
a. CT scan
b. MRI
c. Angioplasty
115. t-test
a. shows relation of 2 paired means
116. Surgeon treats 200 pts of heamorrhoids. He randomly divides the pts
into surgically treated and pharmacologically treated groups. After 1 yr he
reasses the pts and finds that surgically treated pts have better outcome.
This is called:
a. case - control study
b. cohort study
c. prospective cohort
d. randomized control trials
in chandkians its b.. but m with d
117. Treatment of strep pneumonia by sulphonamide and penicilline by
random selection is called:
a. single blind
b. double blind
c. tripple blind
in chandkian its probability sampling , bt m with AAA
118. O2 carried most in fetal circ.
a. Umblical artery
b. Umblical vein
c. Superior vena cava
d. Aorta
127. Needle inserted at 5th intercostal space on the left of the sternum
pierces:
a. internal intercostal muscle
b. internal membrane
c. left atrium
d. left ventricle
e. right ventricle
128. Which is untrue. 1st branch of ascending aorta is:
a. RCA from anterior aortic sinus
b. LCA from arch of aorta
c. left subclavian
120 m/s
148. Damage to what part of brain will result in central cease of respiration
a. medulla
righttt
165. FRC = ?
a. ERV + RV
glucagon
To aneelkumar1973@yahoo.com <aneelkumar1973@yahoo.com>
45.cimetidine
34.warfarin
c.contraindicated in pregnancy
all correct
23.involved in arousal/alertness
a.reticular formation
44.Atropine
a.1/4
b.1/16
c.1/2
37.verapamil given in
a.supraventricular tachycardia
b.ventricular tachycardia
FEB 12,2014
b.ends at T12
a.I/V epinephrine
a.rebound phenomenon
b.tolerance
c.dependence
d.withdrawal
a.GIT disturbance
Coccygeal 1
a.T1
B.T2
C.T3
D.T4
E.T5
a.GnRH
b.prolactin
(march 2017)
ETOMIDATE....
56.larngospasm by
c.isofluraned.enflurane
a.0.9% Nacl
b.ringer lactate
c.5% dextrose
d.25% dextrose
(march 2017)
a.cerebellum
b.basal ganglia
c.corticospinal tract
3.larngospasm by
b.sevoflurane
c.isoflurane
d.enflurane
b.scoliosis
5.which is correct
c. immunospressant
a.GIT disturbance
b.hypoglycemia
a.rebound phenomenon
b.tolerance
c.dependence
d.withdrawal
13..FEV1/FVC(normal)=
a.0.80
b.0.82
a.I/V adrenaline
b.ends at T12
18..verapamil given in
a.supraventricular tachycardia
b.ventricular tachycardia
a.1/4
b.1/16
c.1/2
a.pseudocholinesterase deficiency
22.VECURONIUM
24.Metochlopramide
25.involved in arousal/alertness
a.reticular formation
a.chlorhexidine
29..hydrocephalus
30..T wave
a.ventricular repolarisation
a.alveoli
b.alveolar duct
c.resp. bronchiole
d.terminal bronchiole
a.1% hypochlorite
b.2% glutaraldehyde
c.5% hypochlorite
a.DCT
35..ketorolac
bbb
a.glosopharyngeal
37..boiling point
aaaaaaa
a.compression of S1
a.bernouli's law
b.poiseulli's law
a.halothane
a.pacinian
b.meissener
c.ruffini
43..hyperkalemia treatment
a.calcium gluconate
a.baricity
47.viscosity
49.skeletal muscle
a.secretin by pancrease
b.cholecystokinin
a.limbic area
b.perilimbic area
a.local metabolites
a.double burst
c.double twitch
d.4 twitch
e.tetanic stimuli
train of four
a.L4
b.L3
a.oligodendrocites
b.astrocytes
b.pyrazinamide
c.rifampicin
57.anti epileptics
(march 2017)
a.CO2
b.CO
c.N2
b.hyperkalemia
a.bupivacaine
b.lignocaine
a.K
b.Na
c.HCO3-
a.arteriolar dilator
b.venodilator
Kaplan pharma
64.lidocaine causes
a.seizures
65..succinylcholine contraindicated in
a.10 days burn pt. in burn patient dont use for 6 months
b.CRF
b.probenecid
c.colchicine
d.allopurinol
a.aspirin
a.dec pO2
b.inc pCO2
a.azygous vein
b.hemiazygous vein
69..pain modulation by
a.substantia gelatinosa
b.dorsal horn
c.spinothalmic tract
70.regarding nalbuphine
a.imipenem
b.penicillin G
72. for the treatment of MG on long term basis,,,,which drug can be given
a.carbachol
b.methacholine
c.neostigmine
d.edrophonium
a.epinephrine
b.methoxamine
c.phenylephrine
74.aspirin
a.COX 2 inhibitor
75..cushing triad's
76..corticosteroids in diabetes
a.salbutamol inhalation
b.i/v salbutamol
a.grey matter
b.white matter
a.ciprofloxacin
80..nephrotoxic drug
a.gentamycin
81..FRV+RV=
a.FRC
82.cimetidine
85..methemoglobinemia caused by
a.prilocaine
a.N-acetylcystine
87.cimetidine
b.ringer lactate
c.5% dextrose
d.25% dextrose
Intercostobrachial nerve
Vecuronium
Implant tested
20ml
Thiopental dec cerebrl blood flow , blood volume nd icp nd dec o2 utilization
Morphine
(right)
(march 2017)
Carinal reflex
13. What size of LMA will be used in child of 4 years of age?? LMA sizes ~ weight (kg) / 20 + 1 (round to
nearest 0.5) 1- 5 yers 2 and 5 to 10 years 2.5
Answer 2
autonomic.. c fibers
Glycine
2. Humidity in OT should be
a.27
c.37
a.ketamine
b.profol
c.thiopental
d.midazolam
e.etomidate
a.verapamil
b.nifedipine
c.nimodipine
d.metoprolol
e.diltiazem
a. it is less toxic
b. no effect on fetus
c. recovery is quick
d. prolonged action
20.mac is reduced in
a. duration of anaesthesia
c. hypoxia,///
a. desflurane
b. isoflurane
c. sevoflurane
d. nitrous oxide
23.isoflurane effects cardiac activity by: (options dont remember exactly,but the main theme was how
a. decreasing AV conduction
c. bidirectional block (something like that ,exact term dont remember but it was bi- )
d
Which is the following is true about BP study. N = 75; Mean BP= 80 mmHg; SD = 10. How many
percentages
A. 48%
B. 64%
C. 16%
D. 84%
E. 96%
16. Which of the following drug should be given in sustained release oral dosage form?
a. An anti-arrhythmic drug with a plasma half life of 10 seconds used for acute treatment of PSVT
17. A 30 year old patient, Sunder Rao on digoxin therapy has developed digitalis toxicity. The plasma
digoxin
level is 4 ng/ml. Renal function is normal and the plasma t 1/2 for digoxin in this patient is 1.6 days. How
long
should you withhold digoxin in order to reach a safer yet probably therapeutic level of 1 ng/ml?
a. 1.6 days
b. 2.4 days
c. 3.2 days*
d. 4.8 days
18. An agent that activates natural killer cells and is useful in renal cell carcinoma is
b. Etanercept
c. Leflunomide
d. Thalidomide
19. In a patient Sarwan having hypertension, propranolol was given. Though the drug controlled
hypertension
but it reduced resting heart rate to 50/min. Which of the following blockers can be used in this patient
as an
a. Pindolol*
b. Timolol
c. Bisoprolol
d. Atenolol
20. A college student is brought to emergency after taking an overdose of a non prescription drug. The
patient
is confused and lethargic. He has been hyperventilating and dehydrated. Arterial blood gas analysis
demonstrates metabolic acidosis. In the management of this patient, which is NOT likely to be of any
therapeutic value?
a. Alkalinization of urine
c. Gastric lavage
b. Increasing urate oxidation drug is urate oxidase convert urc acid to allonton
22. A 40-year-old politician suffered from attacks of chest pain diagnosed as angina pectoris. He had a
tense
personality, resting heart rate was 96/min blood pressure 170/104mm Hg, but blood sugar level and
lipid
profile were normal. Select the most suitable antihypertensive for initial therapy in his case.
a. Nifedipine
b. Hydrochlorothiazide
c. Atenolol*
d. Methyldopa
23. A 47-year old male, Anil, exhibited signs and symptoms of acromegaly. Radiologic studies showed
the
presence of a large pituitary tumor. Surgical treatment of the tumor was only partially effective in
controlling
the disease. At this point, which of the following drugs is most likely to be used as pharmacological
therapy?
a. Desmopressin
b. Leuprolide
c. Octreotide*
d. Somatropin
24. A 52 year-old postmenopausal patient has evidence of low bone mineral density. She and her
physician are
acetate. Which of the following patient characteristics is MOST likely to lead them to select raloxifene?
a. Previous hysterectomy
b. Recurrent vaginitis
A. Umblical Sinus/fistula
B. Urachal fistula
C. Urachal cyst
D. Urachal Sinus
A. GnRH
B. Prolactin factor
T1 T2 T3 T4 T5 ???
A. Precapillary anastomosis
B. Is equally perfused
C. Increase blood flow dec pH resp acidosis causes increase cerebral blood flow
A. limbic area
B. paralimbic area
A. Co2
B. CO
C. N2
A. Impenam
B. Pencillin G
e.Venous return
20.mac is reduced in
a. duration of anaesthesia
c. hypoxia,
c. has oxidases
a. blood,plasma
b.10%dextrose
c. ringers lactate
d. normal saline
a. quinidine
b. pilocarpine
c. lidocaine
a. whole blood
c. ringers lactate
52.pulmonary ligament is
a. has valve
c. commences at level of t4
d. is vertical
a.hypoglossal nerve,
b.vagus nerve,
c.occulomotor nerve,,
d.trochlear nervea
78.you have given a dose of suxamethonium in a patient ,now u have to give another dose,you are very
a.because of hyperkalemia
b.because of hypocalcemia
answer: d
100.glucose tranports across membrane due to its concentration difference,it is called: a.diffusion
b.facilitated diffusion
diffusion c.active tranport d.sec. active tranport
101.cell is in complete depolarization phase in : a.qrs complex b.QT interval c.ST segment d.T wave
Here are a few questions I recalled from paper 2 of anaesthesia. I m confused about 2/3 questions. They
may b new questions
1. Trigeminal nerve
a. Atropine
b. Pilocarpine Ans
3. Dobutamine acts on
a. 1 & 2 receptors
4. Which of the following has agonist effect on adrenergic receptors directly and also releases
norepinephrine
a. Ephedrine Ans
b. isoprenaline
c. Dobutamine
5. Urea is increased by all except
a. dehydration
b. pregnancy ?
c. steroid
d. tetracyclines
a. critical temperature
c. dew point
7. after administration of neuromuscular blocking agent, two lines in train of four stimulation indicates
how
much blockade?
a. alveolar sac b. alveolar ducts c. alveoli Ans d. respiratory bronchiole e.terminal bronchiole
a. clonidine
c. tetanus stimulation
11.ASA grade 1 patient with no co morbid was given neuromuscular blocking drug. He went into shock.
The
drug to be given is
a. i/v dopamine
b. i/v adrenaline Ans
12. after RTA, a patient presented with fractured pelvis, rt femur and lt tibia. What shud b the 1st line
management?
a. i/v inotropes
d. i/v antibiotics
a. optic nerve b. geniculocalcarine tract c. optic tract (Ans ) d. optic nerve e. optic chiasma
d. branches of thoracic aorta Ans (anterior I/C by internal thoracis and posterior I/C by aorta but they
had similar question in asim. written branch with internal thoracic)
a. T10 to 12 b. T4 to 10 c. T7 to 12 ( Ans ) d. T6 to 10
16. Esophagus
17. The movement of inhalational anaesthetic from alveoli to blood across the membrane is governed
by
which law?
a. 1
b. 1
c.2
d. Muscarinic Ans m3
e. Nicotinic
23. a patient has diastolic pressure of 66 mmHg, systolic 132 mmHg and central venous pressure of
1mmHg.
a. 77 b. 88 c. 99 d. 100 e. 11
a. Ketorolac
b. Pethidine Ans
c. Morphine
d. Fentanyl
25. on 3rd post op day of limb surgery, a pt complains of moderate pain. Which analgesic should be
given?
a. Fentanyl
b. Diazepam
c. Morphine
d. Ketorolac Ans
26. a 35 year old female has gastric ulcer and arthritis. Which analgesic can she take?
a. Indomethacin
b. ibuprofen
c. celecoxib Ans
d. ketoprofen
a. closed mercury
b. closed water
d. open mercury
e. open water Ans (not sure about this) OIL MINERAL IS BEST
a. mydriasis Ans
a.cerebral cortex
b. medulla
d. cerebellum
e. midbrain
b. is calibrated for halothane and enflurane , can b used simultaneously for en & halothane,,, m not
sure about A
33. Propranolol
34. Esmolol
a. is metabolized in liver
a. ST elevation at V5-V6
b. ST elevation at V4-V6
a. Norepinephrine
b. Epinephrine
c. Histamine
d. Serotonin Ans
e. Dopamine
b. it degrades the toxic metabolites ( by increasing GSH synthesis which gets depleted)
a. Rt ventricular hypertrophy
c. Mitral stenosis
40. Pansystolic murmur at aortic area with long standing pulse and left axis deviation is caused by
???????
a. Aortic regurgitation
c. tricuspid regurgitation
d. Mitral stenosis
41. inhalational anaesthtic given with Calcium channel blocker will cause
a. Hypertension
b. Tachtcardia
42. The diameter of an i/v cannula is doubled. The flow will increase by factor of
a. 2 b. 4 c. 8 d. 16 (Ans) e. 32
a. it is a good anaesthetic
c. it causes amnesia
aa correct
45. Verapamil is
a. Dihydropyridine
46. Patient has muscle weakness. On investigation, anti calcium channel antibodies were found. He is
suffering from
a. Duschene atrophy
b. Beckers atrophy
d. Myasthenia gravis
a. Nimodipine (Ans)
b. Nefidipine
c. Verapamil
d. Amlodipine
a. diastole
b. ventricular depolarization
c. systole (Ans)
49.ECG of a patient shows QRS waves with low height and U waves. What is the electrolyte imbalance?
a. hypokalemia (Ans)
b. hyperkalemia
c. hypercalcemia
d. hyponatremia
a.10-15sec
b.30-45min
Pentozocine
Diazepam
Suxa
Cerebellum
Basal Ganglia
Cerebrum
Hyperkalemia
Potent analgesic
Shock
Anemia
Liver failure
Renal failure
Ondensetron
Metaclopramide
Domperidone
Blocking H2 receptors
10) Which of the following can be used in the same vaporizer successively : Halothane and en in floutec
4 ??? not in option
Rate of clearance
Volume of distribution
It is a potent vasodilator
13) Person is allergic to Procaine and Bupivacaine. Which LA is best for him?
Lidocaine
Cocaine
Prilocaine
Metaclopramide
16) Max amount of N2O concentration allowed inside the OT by the National Institute of blah blah blah?
(Not
5ppm
10ppm
1000ppm
Isoflurane
18) Effect of digoxin as an anti arrhythmic on cardiac conduction? Inhibition of Na-k ATPase, inc
intracellulr Na, inc contractilty
Chlorhexidine?
Gluteraldehyde
Chlorhexidine?
Gluteraldehyde
Scoliosis
Lordosis
Kyphosis
Normal curvature
23) A female patient makes wears revealing clothing and tries to get touchy with a male doctor. What
should
he do?
Call in a nurse.
24) Pressure exerted by nitrogen (or was it Nitrous Oxide?! :s) at sea level? 1013mbar.. or equal to
100kPA
25) Suxa:
Stable in solution
Adrenaline
Pka
MAC
Vd
Protein binding
29) Henderson hasselbalch equation was given. We wrte asked about the ratio of ions i think.
30) Limb ataxia, ptosis and loss of pain and temperature. Artery damaged?
PICA
ASA
Posterior cerebraL
Bilateral deficit of spinothalamic causing sensory deficit ,bilateral corticospnl tract causing motor
deficit
31) 4 nuclei in the spinal cord and their tracts. No idea about this one!
32) Thumb and the little finger's relationship to each other and to nucleus cuneatus amd gracilis. The
question
asked something like which is medial or lateral or dorsal or ventral. I had no idea about this one either.
Medial and ltrl cuneatus
33) Morphine
COX 1 inhibition
B2
Celecoxib
37) Edrophonium increases effect of which drug? (side effect is nausea , 2016 nvmbr paper )
Suxa
Tubocurarine
Atracurium
Toxoid
40) Indomethacin
41) Mechanism of action of heparin act via antithrombin 3 , activate facter 10a
43) Fibroblasts
Connective tissue
Elastic fiber
Density dependent
Viscosity dependent
46) Cerebellum
PAH
Evans blue
Simple diffusion
Facilitated diffusion
Co transport
Counter transport
In hypercalciuria
Pulmonary edema
CCK
53) Progesterone produced during last 7 months of pregnancy
Placenta
Corpus luteum
VAN
NAV
Purkinje fibers
SA node
AV node
Ilioinguinal nerve
Iliohypogastric nerve
57) Structure formed by the thickening of lower border of aponeurosis of external oblique muscle
Lacunar ligament
Inguinal ligament
Interspinous ligament
Ligamentum flavum
Intervertebral disc
61) Captopril's mechanism of action in HF dec preload nd aftrload, leading to dec in cardiac output,
dec blood volume ( march 2017)
Metformin
Metformin