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Written by Dr Tan Veer Ahmad


Compiled and Edited by Dr Muhammad Hanan yousaf
Session 1 1

in case of mistakes, if any, feel free to ask at my e-mail …..

1.Patient with bone pains having normal Calcium,Inc Alkaline phosphatase most
likely suffering from = Paget’s Disease
●Osteoporosis = Labs are normal
●Pagets disease = only ALP is raised
●Osteopetrosis = Only Ca is dec
●Osteomalacia = Vit D dec → dec Ca & phosphates → inc PTH & ALP
2.Erythropoises occurs in middle trimester mainly from = liver
(Regarding Fetal erythropoiesis
●3 to 6 weeks = Yolk sac
●6 weeks till birth = Liver
●10 to 28 weeks= Spleen
●18 weeks to adult = Bone Marrow)
3.Vertebrae is derived from = Sclerotome,
4.Memory center is located in = Temporal lobe
( note ; for Dejavu = temporal lobe)
5.The most common type of salivary gland tumor is = Parotids
6.Distruction of Ant.pituatary gland causes dec.functioning of = Glom.fasiculata
( Remember the Mnemonic GFR ie
●Glomerulosa → aldosterone and this one is under the control of Angiotensin
not Fasiculata → Cortisol and this one is under the control of pituitary
●Reticularis → Sex steroids )
7- A normal looking Girl came to you with primary amenorrhea, on examination
she was having short blind vagina wid normal vulva, scanty pubic n axillary
hairs, normal breasts, absent uterus, her karyotype is = 46XY
( blind vagina and absent uterus always mean XY until proved otherwise )
8-Nerve supply to extensors of arm is supplied by = Post cord
(Radial nerve is from posterior cord )
9. Nerve injured in Ant dislocation of Shoulder joint is = Axillary
10-Damage to scaphoid bone causes injury to = Radial Artery
11-Common site of fracture at rib is = Angle
12-Following is not a tumor marker = Acid Phospatase
Session 1 2

13-Most common histology found in lung tumors is = Adenocarcinoma


14-Patients comes with Rt. deviation of tongue, Dec.sense of touch and
vibartions,the artery commonly involved in brain is = Ant.Spinal artery
( whenever u see deviation of tongue in such a scenario, look for ant spinal artery
in options )
15-Soldier comes with heavy bleeding,the ideal fluid replacement would be =
Whole blood for 3 days ( same for same, ie for heavy blood loss, prefer blood )
16-Maxillary sinus opens into = Middle meatus
17-Patient having increased levels of IgE,most probably suffering from =
Parasitic infection
18-Autospy done on the patient having CRF,most prabable finding would be =
Hypertrophied PTH gland
19-Excitation of hypothalamus would cause = Shivering
(note for hypothalamus remember that
ANTERIOR is for cooling and POSTERIOR is for heating
ANTERIOR is parasympathetic center while POSTERIOR is sympathetic)
20-Foetal period starts after which week =8th
(3-8 weeks = Embryonic period, this is most sensitive to teratogens, while fetal
period starts after week 8)
21-Patient having dec levels of factorII,VII,IX,X,most likely have = Dec Vit.K
( memorize vit K DEPENDENT FACTORS by 1972 ie factor 2,7 .9 ,and 10
consider 1 as = Factor 10 )
22-Young pt having Hb:6.0,TLC:3.5/ul,Plts:1lac is suffering from = Aplastic
anemia
23-Nucleus ambigus supplies = Larynx
(Nucleus ambigus is for IX,X,XI ie cranial nerves 9, 10, 11 also remember that
the parasympathic nucleus for vagus nerve is DORSAL NECLEUS, ASKED
REPEATEDLY IN PAST PAPERS)
24-Olfactory area is present in = temporal gyrus
( this the only sensation that doesn’t pass through thalamus )
25-Patient with injury to left 8th cervical segment of spinal cord will not show
following sign = Dec sense of pain and temperature below the lesion on same side
(pain and temp loss are contralateral ie opposite to the lesion , while position and
vibrations senses are ipsilateral)
26-Feature of Rickets and Osteomalacia is = Decreased bone density
27-Most common site of malignancy in pts suffering from nuclear outbreak =
Hematopoietic (don’t confuse it with head and neck radiations that causes
Session 1 3

papillary thyroid cancer)


28-Virus acts on cells by = Involving protein synthesis
29-Most sensitive cells to hypoxia are = Neurons
30-Myelin in CNS is formed by = Oligodendrocytes
31-Feature not associated with irreversible cell injury is = Myelin figures
(For cpsp always remember Myelin figure = Reversible injury)
32-Ureter is not constricted at = Psoas muscle
33-Common relation of ureter is = post.to gonadal vessels and Ant.to iliac Artery
34-Patient feels pain after she underwent surgery for fibroids, structure injured
would be = Ureters
35-Least common site for ectopic pregnancy would be at = Ovaries
36-Gall bladder is supplied by = Only Cystic Artery
37-Venous drainage of urinary bladder is into = Internal Iliac Vein
(those who appear in Gyne exam, should cram the whole anatomy of urinary
bladder)
38. Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid
loss will be through = Colon ( colon is reservoir of HCO3 & POTASSIUM, and
in diarrhea both are lost resulting in acidosis and hypokalemia
39-Patient having hyperplastic bone marrow, anaemia, Increase Platelets is
probably suffering from = Leaukemia
40-Stimulus for Erythropoietin secretion is = Hypoxia
41-Erytropoiten is always raised in = Sec.polycythemia
(Polycythemia vera is only type of polycythemia in which there is Dec. EPO)
43-Patient after gastrectomy is on VitB12,the cells lost in the gastrectomy =
parietal
44-Fat tags attached to the walls of large intestine are known as = Appendeces
epiplocea
45-Bile salts are reabsorbed from the = Ileum
46-Following is an autosomal dominant disease is = Hereditary spherocytosis
47-Type of defect in Hereditary spherocytosis = Structural defect
48-Patient with jaundice, anaemia,high reticulocyte count is having = Hemolytic
anaemia
49-Ejaculatory duct opens into = Prostatic urethra
50-Terminal part of CBD in relation to pancreas is = Embedded into pancreas
51-Following would cause massive infarction and destruction leading to patient
death = Thromboembolism
52- A 22yrs female pt.with 13th week of pregnancy after having crush fractures
Session 1 4

in RSA dies after 3 days, most likely cause of death is = Fat embolism
(Note that if fracture and 3 days duration are not mentioned then better option
will be amniotic fluid embolism ie it causes immediate deaths)
53-Patient with old history of adenoCA of colon is operated for polypectomy,on
histologic evaluation pathologist labelled it as benign growth with no chances
into malignant transformation,it would be = Tubular adenoma
54-Tyrosine derivative doesn’t include = Prolactin
55-Precursor of steriod hormone is = Cholesterol
58-Wasting of thenar eminence,loss of sensation over thumb and index
finger,nerve involved is = Median
( Regarding wasting of the thenar eminence always click median nerve)
59-The base of urinary bladder is made by = Post surface
60-Shock without having vasodilation is likely associated with = Burns
61-Following doesn’t form the layer of inguinal canal = rectus abdominus
62-Femoral sheath is formed by = Fasica transersalis and Fasica iliaca
63- The muscle involved in unlocking of knee joint is = Poplitus,
64-External spermatic fascia is formed by: = External oblique
65-In Turner syndrome, the genotype would be = XO
66-Organ having least chances of infarction = Liver
67-Type of necrosis in brain infarction = Liquefactive
68-Pt.with cervical lymphadenopaty,+ve AFB sputum,sign to look for TB on
microscopy is = caseous necrosis
69-Thyroid gland moves with swallowing because it is enclosed in = Pretracheal
fasica
70-Neurovascular bundle in chest wall lies between = Internal and Innermost
layers
71-Fibrous pericardium and mediastinal pleura is supplied by = Phrenic Nerve
( Remember the Mnemonic i-e
●Fibrous pericardium = Phrenic (frenic) nerve
● Visceral pericardium = Vagus nerve)
72-Man is suffering from testicular ca,the lympahtic drainage of testis is into =
Para aortic Lymph nodes
73-In exercise,the venous blood returns to the heart by = Muscle pump in calves
74-Circulation in heart is maintained by = Local metabolites
75-Fisherman is presented with gingival bleeding and ecchymosis,he is suffering
from = Vit C deficiency
( NOTE ; In vit B12 def due to Diphylobotram Latum among the fishermen,
Session 1 5

they won’t mention points like gingival bleed and ecchymosis)


76-Factor affecting collagen synthesis during healing is = Vit C
77-Mesothelioma is associated with = Asbestos
78-Child having meckels diverticulum is having bleeding per rectum,it is due to
= Ectopic gastric tissue
79-During lactation,Amenorrhea is due to = Inhibition of LH and FSH
80-Presence of pancratic tissue in gastric mucosa is termed as = Choristoma
( The other site for choristoma is Brain tissue in Nasal cavity )
81-Main difference between primary and secondary intention wound healing is =
Wound contraction
82-Child with sore throat after 3 weeks developed oedema,haemturia,cause
would be = post streptococcal GN
83-Microscopic feature of polyarterites nodusa is = Fibrinoid necrosis
(for any vasculitis remember fibrnoid nerosis, for brains liqufactive and for solid
organs remember coagulative necrosis , TB also has a type of coagluative
necrosis)
84-Angiotension II exerts its effects by activating = Aldosterone
85-Tumor compressing optic chiasma would cause = Bitemporal haemianopia
86-Growth hormone is maximally rasies in = Exercise
( ●For max growth hormone sec NREM sleep > Exercise > REM
● if only sleep is mentioned then prefer Exercise and if NREM sleep is
mentioned then click it)
87.Lymph drainage of perianal skin is from one of the following = medial group
of horizontal superficail nodes
88.Lesser omentum = .connects with deudenum
89.Which of the following is not a feature of shock = increased urine output
90.Which is most imp indicator of muscle protein loss = urinary nitrogen
91. what is true about DNA = .Double stranded in which two strands are
antiparallel to each other
92. Least chances of renal stones is associated with = Hyperlipidemia
93.A pt came to you with primary amenorrhea, webbed neck, short stature
diagnosed as Turner syndrome, what is her karyotype = A.45XO
94.supply of sphincter urethra comes from = .Pudendal nerves
95.Thymus develops from = endoderm of 3rd brachial pouch
96.A pt presented with an opening in the ant wall of sternocledomastoid muscle
with pussy discharge coming out of it.this problem occurred due to abnormality
in one of the following = 2nd pharyngeal cleft
Session 1 6

97.Diaphragmatic hernia occurs due to = absence of pleuro-peritoneal


membrane
98. Adult derivative of notochord is: = Nucleus pulposis
99.Superior parathyroid gland develops from = 4th brachial pouch
100.In cervical carcinoma,what is the lymph drainage = both internal & external
iliac
101. Cervical rib attached to transverse process will compress = T1
(though it can Compresses both C8 and T1 )
102. Aortic aneurysm which structure not compressed = Phrenic nerve
103. Resting membrane potential achieved by =Diffusion of potassium outside
the cell (Achieved by K efflux, maintained by N-K ATPase Pump while
depolarization is maintained by Na influx)
104. Liver weight = 1.5 kg (1.44-1.66 kg is Range)
105. What is median if values are 20 20 25 30 35 40 25 30 = 27.5
(Arrange in Ascending order 20 20 25 25 30 30 35 40 than take middle two values
25+30/2=27.5)
106.. Dead organisms in vaccine = Pertussis
(Pertusis, Cholera, Influenza ,Inj Polio & Rabies all Killed vaccines while
Tetanus is Toxoid and MMR is Live attenuated)
107.Esophagectomy done , stomach is mobilized to upper portion of thorax, To
anastomosis with pharynx Which artery is responsible for stomach supply =
Right gastroepiploic
108. Patient is pregnant and suddenly faints. She'll be positioned in left lateral
and not right lateral to avoid compression to which abdominal structure = IVC
109. Post op wound having greenish pus discharge organism involved =
Pseudomonas
110. Prevalence is = All cases
(Prevalence: All current cases (old & new) while incidence is just new cases)
111. Common carcinogen of CA Cervix = HPV
112.Apex of the heart = 8 cm from median plane
113.After normal delivery in primigravida the alive n healthy new born is given
feed = After half hour ( Nelsons states 1 hour, but prefer half hour if in options )
114. Diagnostic tumor marker for ovarian CA = CA 125
115. Which of the following prolong use of drug will cause persistent increase in
Gastrin secretion = PPI
Session 1 7

116. A pt presented to his dentist due to inability to put his dentures, dentist
referred back to physician saying there is no dental problem, where is the lesion
= Substantia nigra
117. Chronic Myeloid Leukemia = Chromosome 9 & 22
118. Steroids drug action on cells = Act on Genes
(all steroids & thyroxin act on genes)
119. ADH is inhibited by = Alcohol
120. A tumor with all germ layers = Teratoma
121. Following has high clearance value = PAH
122. Scanty bar bodies = Turner
(REMEBER IF ASKED
● Bar body diagnostic of then = klienfilter
● scanty bar body or no bar body then = turner
● bar body TEST is diagnostic for = turner)
123. Which parasite is not transmitted thru orofecal route = Trichenella Spiralis
(Humans get it when they eat infected meat/pork )
124. Organelle having microtubules in its structure = Centriole
125. S1 nerve root lesion = Loss of Ankle jerk
126. Mucus not secreted by = Terminal bronchioles
127. Which of the following increases lower esophageal tone n speeds up gastric
emptying time = Metoclopramide
128. Diphtheria vaccine reaction = type 3
( remember any serum will cause serum sickness ie type 3 hypersensitivity )
129. Femoral nerve derived from which section of spinal cord = L2 L3 L4
130. Deep coma is caused by lesion of which nucleus = Nucleus cerelous
(REMEMBER IF ASKED
● Deep coma then nucleus cerelous
● Prolonged coma then Periq aquiductal gray matter ( p for prolonged & p for
periquiductal &
●permanent coma = thalamus )
132. A man of 70 has recurrent UTI cause = Outflow Obstruction
(old age →chances of BPH → lead to outflow obstruction→ leading to recurrent
UTI)
133. Normal FEV/FVC1 Ratio = 0.8
134. Compression effects on esophagus by which organ enlargement = Left
Atrium
135. Plasma Protein Binds With All Except = Oxygen
Session 1 8

136. Patient presented in emergency, deeply comatosed,not responding to


nalaxone: = Phenobarbital
137. Cause of Mental retardation = Fragile X Syndrome
( if down syndrome is mentioned then click it, because Fragile X syndrome is the
2nd most common cause)
138. In IV drugs abusers = Bacterial Endocarditis ( STAPH ARUEUS)
139. Highest bioavailability of anti-emetics = Metacloprmide
140. X.ray of elbow of 12 yr girl, which Secondary ossification center will appear
last on x-ray = Lateral Epicondyle
(capitellum > radial head > medial epicondyle > trochlea > olecranon > lateral
epicondyle → 1 , 3 , 5 , 7 , 9 , 11 (ODD Numbers so 11 is lateral epicondyle)
141. Baby born on 4th day most common cause of Meningitis = E.Coli
(REMEBER : in newborns, GROUP B STREP GROUP ie strep agalactea IS ON
THE TOP)
142. A tall man with normal external genitalia married but had no kids he had
normal ejaculation period but semen analysis showed azoospermia cause may
be= Sertoli cell
143. Pregnant lady anemic, Best lab investigation = CBC
(IF ASKED IRON DEF ANEMIA THEN SERUM FERRITIN, TIBC may give
false value, cz its affected by pregnancy)
144. Highest percentage of protein in = HDL
(NOTE THE POINT; IF ASKED HIGHEST THEN
●PROTEIN = HDL
●TGs = CHYLOMICRON > VLDL
●CHOLESTEROL = LDL)
145. Soft Keratin with no nucleus found in = Stratum corneum
146. A newly married female came with pain in rt illiac fossa her TlC 12000 she
has fever n vomiting her lmp was 3 weeks back what is diagnosis = Acute
Appendicitis
147.Open wound healing includes = Contraction of myofibroblast
148. Patient aged 65 years, is diagnosed to have severe aplastic anemia. HLA
compatible sibling is available. The best option of treatment is: = Anti
thymocyte globulin followed by cyclosporine
●ATG & CYCLOSPORIN = 1st line for non-severe aplastic anemia, or severe
aplastic > 40 years of age or sever aplastic who have no HLA identical sibling
donor
Session 1 9

●HSCT (transplant) = 1st line for the patients who have sever aplastic and have
HLA MATCHED sibling donor
149. Most common S/E of use of histamine 1 blocker = Sedation
150. Decrease Insulin will = Ketogenesis in Liver
151. An obese man with h/o atherosclerosis underwent laparotomy due bleeding
in abdomen and during surgery his small gut was purple n sup mesenteric vein
was ok so what is dx = Wet gangrene
152. First heard sound is produced during = Isovlumic contraction
153. A patient came with c/o bitmep hemianopia so a blockage was seen at =
Upper part of optic chiasma ( best ans is optic chiasma, but if both upper and
lower part are in options, prefer the upper part of optic chiasma )
154. 30 yr male newly diagnosed with HTN, on ECG lt ventricular hypertrophy,
serum cholesterol 200, FBS 88 mg%, urinary sugar ++ RFTs were normal, K 2.5
, Na 140, what is cause of his HTN = Primary hyperaldosteronism
155. Man With Weakness And Dysphagia, Blood Profile With Target Cells =
Iron Deficiency Anemia
156. Which of the following in maternal serum for rubella should b an indication
for termination of pregnancy = Ig M
57. Epithelium of Conjunctiva = Stratified Columnar Epithelium ( non-
keratinized )
158. Antioxidant Vitamin = vit E
(REMEMBER IF ASKED
●Potent one then = Glutathion > vit E
●among vitamins then = vit E > vit C)
159. Which of the following does not increase in stress for surgery = Insulin
160. Monitoring of HEP B virus can be done via = SGPT (or ALT)
161. Diseased ovary pain radiating to medial thigh of body due to nearby
presence of = Obturator Nerve
162. Biguanides side affects = Diarrhea and flatulence
163. Patient with Gastrectomy presents with Anemia after One and half year,
what will you give = Vit B12
164. Data is collected for some clinical trial based on presence or absence of
Vomiting. What type of data it is = Nominal
(whenever asked about nominal remember = it’s the data type where u have to
ans between the two variables like YES OR NO, RIGHT OR WRONG ,
PRESENCE OR ABSCENCE etc while ordinal gives u order like PRIMARY >
SECONDARY > TIRTIARY)
Session 1 10

165. Aphasia (Non-fluent) after stroke or Trauma which area of Brain is


involved = Brocas (fluent aphasia is due to wernickes area involvement)
166. What cytoskeletal structure connects Extracellular matrix to Intracellular =
intermediate filaments (Also remember that C for Cadherin and C for cell; so it
mediates cell to cell attachments and is important in case of metastasis)
168. Cardiac defects in fetus of mother suffering from rubella infection will
occur if = 5 th to 10th week
169. Dorsal Column Medial Leminsical carries = Proprioception
170. Contralateral loss of pain and temp at T9 and ipsilateral loss of
proprioception below T8, bilateral normal reflexes = Lesion of spinothalamic
tract at T8
( In these scenarios always decide the level of lesion by the level at which there is
loss of peropioception like in this case T8 is given so lesion should be at T8 )
171. Downs Syndrome = Increase incidence with increasing mother age
172. Pulmonary vasoconstriction occurs due to = Reduced systemic PO2
( this concept is repeatedly asked in many ways but the basic concept remains the
same ie HYPOXIA CAUSES VASOCONSTRICTION IN PULMONARY
VESSELS)
173. Most imp buffer in blood = HCO3
174. Gastrin secretion is inhibited by = Somatostatin
175. Which vitamin act as cofactor in oxidation of fatty acids = Biotin
176. Oxytocin and vasopressin originated from = Hypothalamus
177. If FACTOR IX not available = FFP
(cyropreciptate is for factor 8, so to memorize pronounce it as
CRYOPRICEPIT-8)
178. All of the following will cause lesion at genital tract except = Gonorrhoea
179. Vagus decreases HR by which mechanism = Na (permeability)
(The mechanism is , parasymp system decreases Na CHANNELS INWARD
CURRENT THAT IS RESPONSIBLE FOR PHASE 4 DEPOLARIZATION IN
SA NODE )
180. Maximum absorption of water = Jejunum
181. Patient with beta blocker ECG show increase PR = Drug induced block
182. Drug causing peripheral neuro and pancreatits = Diadenosine
183. Left Kidney is not related to = Diaphragm
184. What age the head of fetus become exactly half the length at CRL = 3rd
month
185. Prostatic carcinoma spread to skull bones through = Vertebral plexus
Session 1 11

186. First heart sound = Isovlumic contraction


187. Pregnant women 1st trimester develops Atrial fibrillation what would u give
= IV Heparin
188. The tumor which is the ovarian counter part of seminoma of the testis is =
Dysgerminoma
189. Patient came in with sore throat, fever and lymphadenopathy. His monspot
test was positive. His blood shows atypical leukocytosis. What is the type of cell
that is affected = B-cell
(REGARDING INFECTIOUS MONONUCLEOSIS IF ASKED
●Type of cell affected then = B CELLS
●Atypical cells that proliferate in response then = T CELLS)
190. Pt was brought into the Emergency Department and his family wanted to
accompany him. What is the most appropriate response = Only pt should be
allowed in the ER
191. A pregnant full term patient came into the ER with pre-eclampsia. Her
Blood pressure was 190/110. She was admitted for emergency ceserean section.
What is the best medicine to bring down the blood pressure = Hydralazine
192. Patient was admitted in the ICU. HE had a central venous catheter for 10
days. HE started having fevers. Blood cultures were sent. It came back positive
for Gram positive cocci in clusters. What medication will you start =
Vancomycin
(Always mark Vancomycin if CVP line,Indwelling catheter or double lumen site
Infection especially in hospitalized patient and that too in ICU or dialysis units.
High prevalence of MRSA.)
193. Pt comes in to the emergency department with seizures. His BP is 90/60. His
serum calcium level is 6, serum cortical level is 6 microg/dl , blood sugar level is
80 mg/dl. What is the diagnosis = Tetany
194. About Lignocaine what is true = Prevents influx of Na ions across
membrane
195. INR is for = Oral anticoagulation therapy:
( For warfarin monitering INR >>> PT )
196. A Person wid malignant melanoma. Risk factor = Xeroderma pigmentosum
197. Diabetic patient with DKA died due to = Mucormycosis
198. Urethra is narrowest at = External meatus
199. Married man had no children for few years and was diagnosd as sterile with
azoospermia wat is investigatn of choice = Serum FSH and LH
Session 1 12

200. A man goes to a high altitude 02 delivery to tissues is maintained by = Hb


conc is increased
201. Regarding indication of furosemide = Acute pulmonary edema
202. A patient was brought to the hospital after a roadside accident. On
examination he was pale with low blood pressure and fracture of left 10th rib.
Which organ is most likely to be injured = Spleen
203. Most common cause of premalignant change in mouth in adult = Lichen
planus
( some colleagues saying chronic ulcer, none of the authentic books support that ,
and one more question often asked, that’s , what will beetle nut chewing cause
and ans is submucosal fibrosis,)
205. Tumor in children with blue cells and high levels of catecholamines =
Neuroblastoma
206. Ligament that prevents anterior dislocation of femur on tibia = Posterior
cruciate
(NOTE; if anterior dislocation of tibia on femure is mentioned then anterior
cruciate ligament)
207. Cholangiocarcinoma caused by = Cholonorchis Sinensis
208. Trauma to left 10 rib causes damage to = Spleen
209. Farmer wid migratory lesion on foot = Cutaneous Larva migrans
210. Washed RBCs are used for prevention of = Hypersensitive Reaction
211. Eating raw or undercooked meat can cause infection by = Tapeworm
212. Man comes 1st time to Pakistan develops fever than coma, on investigation
retics10%..Platelets wbcs ↓ = Falciparum
213. Correct about Aorta =. Gives renal arteries at L2
214. Scrotum drains to = Superficial Inguinal Nodes
215.Small muscles of hand are supplied by = T1
216. Pancreatitis(acute) will cause fluid accumulation in = Lesser sac
217. Deep ring present in = Fascia transversalis
218. Eversion is done by = Peroneus longus
219. True about Thoracic duct, drains into = At Confluence of left Subclavian
and left Jugular
220. Gustatory sweating is caused by = Superficial Parotidectomy
(Freys Syndrome produces flushing and sweating instead of salivation in
response to taste of food after injury of AURICULOTEMPORAL which carries
Parasympathetic secretomotor fibers to PAROTID gland and Sympathetic fibers
to SWEAT gland. When the nerve is severed the fibers can regenerate along each
Session 1 13

pathway and innervate the wrong gland. It can occur after Parotid surgery and
may be treated by cutting the tympanic plexus in middle ear- Ref BRS Anatomy)
221. Analgesic causing tachycardia in therapeutic dose = Pethidine
222. Following is a good analgesic but weak anaesthetic = NO
223. About Posterior Triangle of Neck what is true: = Contains subclavian , three
trunks of brachial plexus
224. Herpes simplex virus transmitted by = .droplet
225. Pt came in with abdominal pain, his amylase was high, he was diagnosed
with Pancreatitis. What is his omentum going to show = Fatty necrosis
227. Which carcinoma doesn’t show distant metastasis = Basal cell Carcinoma
228. Orofecal transmission = HEV
229. When tension in muscle increases near to rupture which does the relaxation
= Golgi tendon organs
230. Golgi tendon organs respond to = Tension
( FOR BOTH 129 AND 130 QUES REMMEBER = TENSION AND TENDON
i.e when tension on a muscle increases golgi tendon organs starts firing and
relaxes it )
231. Pacemaker of Heart = SA Node
232. Parasympathetic stimulation = Decreases HR
233. Sacral hiatus is formed due to = Failure of fusion of laminae of 4th and 5th
sacral vertebrae
(Sacral Hiatus is used to administer Caudal (Epidural) anesthesia)
234. Effect of drug on a body = Pharmacodynamics
( MNEMONIC = D FOR DRUG & D FOR DYNAMICS i.e. drug on the body is
dynamic )
235. Which is not blood supply of scalp = Maxillary artery
236. Hydroxyindol-acetic acid in urine = Carcinoid syndrome
237. Pt came with testicular mass. It was diagnosed as a yolk sac tumor. What is
the follow up marker for this patient = Alpha-Fetoprotein
238. In the hospitals most common cause of wound infection = Staph aureus
(E.coli 2nd most common)
239. Nerve loss in urogenital triangle which nerve involved = Pudendal Nerve
240. Neck of femur supplied by = Medial and lateral circumflex arteries
241. A man having recurrent bacterial infections with streptococci also having
diarrhea which on examination showed giardiasis, further exam revealed normal
T cells but ↓B cells levels of igM,igG and igA were given = Bruton’s
agammaglobulinemia
Session 1 14

242. True about Pituitary = Drains to Dural sinuses


243. About Quadrate lobe, true is = Drains by left hepatic duct
245. Barr body is found in the following phase of the cell cycle = Interphase
( both DNA and chromosomes replicate (Karyotyping is done in metaphase
stage to study for chromosomes )
246. Old woman with swelling on external ear she also had gout wd -ve
bifringent type crystals scenario was given = Monosodium urate
247. After Cholecystectomy surgeon places drains into = . Right Subhepatic
Region
248. Pt having H/o cough cloudy yellow colour effusion fluid containing 98 %
neutrophil and 2% lymphocyte the fluid was dull to percussion = Purulent
exudate
249. Isoniazid causes side effects which can be prevented by taking which
vitamin = Pyridoxine
250. Gas gangrene. Cause of death = Toxemia
251. Not a feature of malnutrition in adults = Thrombocytopenia
253. A tumor with all germ layers = Teratoma
254.Down’s syndrome = Trisomy 21
255. Ankylosing spondylitis is associated with = HLA B27
( PAIR i.e. PSORIASIS , ANKYLOSING SPONDELYTIS , INFLAMATORY
BOWL DISEASE RELATED ARTHIRTIS AND RIETER SYNDROME)
256. Female with fever for 10 days and chest pain that aggravates on lying down.
Pain is originated at = Pericardium
257. 6 years old patient presents with rhinitis, edema and urticaria on external
surfaces = Type I hypersensitivity
258. Immediate effects of severe hypotension = Oliguria
259. Transfusion reaction will occur if we transfuse a person with A+ve blood
group, the following group = AB-ve
260. Epidural space is widest at =. L2 (5mm)
261. Commonest cause of hepatocellular carcinoma in developing countries =
Both Hepatitis B & C
(IF B plus C COLLECTIVELY not MENTIONED THEN CLICK ONLY Hep
B)
262. Connections that connect cells; with movement of ions across = Gap
junctions
263. HLA B27 associated disease = Reiter’s Syndrome
( if ankylosing spond present in options prefer that )
Session 1 15

264. Pregnant lady with bile duct obstruction. Diagnostic investigation = GGT
(FOR NON PREG = CLICK ALP )
265. About Trichomonas vaginalis what is correct = Is sexually transmitted
266. Anion gap = Diff between measured cation and measured anion
267. Occulomotor nerve supplies = ciliary ganglion
268. Infective endocarditis diagnostic investigation = Blood culture (blood
culture for diagnosis & ASO titre FOR THE EVIDENCE OF INFECTION )
269. Essential fatty acid = Linoleic acid (Also Linolenic Acid is among essentials)
270. Patient was brought to the ER unconscious. The doctor gave Naloxone but it
was not working. What is the likely cause of toxicity = Phenobarbital
271. Patient lacerated the dorsal part of his wrist accidentally. He came in with
difficulty to adduct the fingers and difficulty abducting the thumb. Which nerve
was paralyzed = Ulnar Nerve
280. Pain from lower inferior segment of Diaphragm = Subcostal Nerves
( Phrenic supplies central tendon of diaphragm)
281. Cingulate gyrus blood supply = Anterior cerebral Artery
282. Dorsal Vein of penis drains into = Greater Saphenous Vein
283. Internal carotid bleeding stopped by compressing = C6
284. A patient has nodule on vocal cord. The most unlikely mechanism =
Atrophy ( Hyperplasia = click it if asked the most likely )
285. Edema of acute infection. Feature = Proteins >3gm (EXUDATE)
286. Vein not draining to great cerebral vein = Occipital
287. Extent to which a tissue gets disturbed by occlusion of its blood supply
depends on = Rate of development of thrombosis
288. A 15 years old girl with fixed dilated pupils. Lesion is at = Oculomotor nerve
289. Axon arise from conical shape part of neuron cell body called = Axon
hillocks
290. Peptic ulcer profusely bleeding from posterior wall of duodenum which
artery involved = Gastroduodenal Artery
291. Proteins that escape into tissues from blood vessels = Reabsorbed by
lymphatic system
292. Epithelium of kidney = endoderm + mesoderm
293. 8 month Baby boy with repeated rhinitis 2episodes of pneumonia in less
then 2 month, low plasma B cells n decreased immunoglobulins = IgA deficiency
294. Which is not a 'basic tissue of body = Blood
Session 1 16

295. A 30 years old man had a road traffic accident and sustained fracture of
femur. Two days later he developed sudden breathlessness. The most probable
cause can be = Fat Embolism
296. Carpal Tunnel Syndrome = Wasting of thenar muscles
297. Which of the following statements about carcinogenesis is false = Papilloma
viruses produce tumors in animals but not in humans
298. Max potassium absorption occurs in = PCT
299. Lung capacity increased in inspiration by 2/3 by = Diaphragm
300. Pituitary Gland Causing Bitmemporal Hemianopia.Where is the lesion =
Optic Chiasma
Session 2 17

1.Hypermagnesemia = Neuromuscular depression


( hypo-Mg causes depressed deep tendon reflexes, muscle weakness, if dec acetyl
choline release is present in options , click that)
2. Brain blood flow is regulated by = PCO2
3. Confidentiality can be breached = if patient authorize you
4. H202 in which organelle = peroxisomes
5. Cannot regenerate = Lens
6. 2nd arch derivative = Stylohyoid
7. Liquefactive necrosis = in brain
8.Golgi muscle tendon = causes muscles relaxation
9.interstitial lung disease with non-caseating granuloma & hilar nodes =
Sarcoidosis
10.Most common genetic disorder = Multifactorial
11.Muscle of fright and Sadness = Platysma
12.Throid lymph Drainage = deep cervical lymph nodes
13.Temporal artery is related to = Auriculotemporal nerve
14.Acute Renal failure part affected = PCT
15.Shoulder pain referred from pleura = C345
16.Lt suprarenal drain = Lt renal vein
17.Councilman bodies seen = Apoptosis
18.Basic drug binds = alphaglycoprotein
( while acidic drugs bind albumin )
19.Case control typical scenario = disease and not diseased
20.ICAM and VCAM = adhesion molecules
21.Symphysis pubis joint = Secondary cartilaginous joint
( all midline joints are secondary cartilaginous joints like symphisis menti, joint
between vertebrae, symphysis pubic etc )
22.Pyogenic peritonitis – Bacteroids
23.Dif f Malignant and Benign tumors = metastasis
24.Microscopic feature Malignant tumor = invasion
25.Goblet cells covert to Clara = Terminal bronchioles
26.No lymph nodules = Thymus
Session 2 18

27.Megalobalstic anemia invest = Intrinsic factor antibodies


28.Scenario Achondroplasia = Autosomal dominant
29.Pt lying on bed at room temp = Conduction
30.Decrease Gentamicin clearance in old age = Decrease renal func
31.Congenital cataract = Rubella
32.Virus act by =altering proteins synthesis
33.No valves seen in = SVC
34.Pt support in our culture = family
35.Fast pain fiber = A delta
36.Preganglionic nerve fiber = B fiber
( while post ganglionic are C fibers, and if aksed pure autonomic fibers, then prefer
B fibers, and don’t confuse B fibers with A beta fibers)
37. Definitive diagnosis of TB = sputum AFB
38.Extraembryonic coelomic membrane = endoderm
39.Not isotonic to plasma = 5% dextrose water
40.Ventricular filling -= 3rd heart sound
( S1 = isovolumic contraction, S2 = isovol relaxation & S4 = atrial kick )
41.Organ which utilizes glucose – brain
( if asked cell then click Rbcs)
42.Lower motor neuron lesion = flaccid paralysis
43.CNS myelination = Oligodendrocytes
44.Flight or fright Stimulation = Decrease release of bronchial secretions
45.Atrial fibrillation = Pulse deficit
46.Hot sunny day, sudden collapse = Excessive sweating
47.C1 vertebra feature = lacks vertebral body
48.Dec plasma proteins= Inc GFR
49.Cardiac reserve = Max % by which CO can be inc above normal
50.Osmosis depends= no of particles
51.5% dextrose in large amount given= ADH inhibition
52.Betel nut chewing causes= sub mucosal fibrosis
53.TB antibodies are = Cell bound
54.Regarding HIV = decreases helper T cells
55.Most imp response in shock as a whole = CNS ischemic response
56.In Iron def anemia in pregnacy, Increased = TIBC
57.Acute glomerunephritis proteinuria = Basement membrane defect
58.Motor unit = single motor nerve fiber innervates multiple muscle fibers
59. Extension of Hip and Flexion of Leg is by = Semitendinous
60.Long Thoraccic Nerve Supply = Serratus Anterior
Session 2 19

61. Correct Sequence of Protien Synthesis is = mRNA


Cytoplasm,Ribosome,tRna,AminoAcids
62.All true regarding Breast Peau de orange appearance Except = Orange Brown
Appearance is because of the Necrosis
63.Lady with leg Swelling from last 5 months with no history of fever and coug hbut
cxr show bilateral peural effusion Derranged Lfts and Rt Heart Enlargement =
Recurrent Thromboembolism
64.Estrogen, Progesteron and Testosteron acts Via = Transcription
( All steroid hormones act on Genes as they can easily cross membrane and need no
cell surface receptors )
65.Complication Associated with Trochanteric Fracture is = Pulmonary Emolism
66.GVE to palate Muscle is via = Dorsal Vagal Nucleus
(G= Gen sensation ie not special like smell taste etc , V= Visceral ie Stomach ,Gut
etc, E= Efferent ie nerves Exiting from CNS)
67.Max increase in ECF Volume due to = Infusion of Hypertonic Solution.
68.internal carotid a damage, bleeding, at what vertebral tubercle u will press to
stop bleed = 6th cervical
69.Cysticercosis caused by = ingesting eggs of tenia solium
70.Which drug has more effect on cox2 than cox1 = celexocib
( if asked more selective cox2 , prefer celecoxib, if asked potent cax2 , prefer
Meloxicam then )
71.Suboccipital n supply which muscle = rectus capitis posterior
72.Regarding intercostobrchial nerve true is = 2nd intercostal sensory
73.Normal resonance are = right 2nd to 4th midclvicular line
74.In asian population most common cause of macrocytosis = alchol
(if asked in our country then prefer liver disease)
75.RCA after giving marginal branch obstruction affect = AV node (BRS BCQ)
76.Penile urethra rupture = scrotum under colles fascia
( note the MNEMONIC
●PUS = Penile Urethra Scrotum/ Superficial perinial pouch
●BUS = Bulbar Urethra Superficial perinial pouch
●MUD = membranous urethra Deep pouch )
77.Middle rectal artery branch of, = internal iliac
78.Chlamydial infection causing chlamydia psittacosis is,, = obligate intracellular
79.Scenario of granuloma with yellow pigment = Actinomyeces
80.Painful papule at labia = hsv II
(HSV I is on lips Face , but now a days the rule is not followed strickly)
81.most perinium and pelvis nerve supplied by, = pudendal
Session 2 20

82.Which of the following Maintain flexor tone of arm mainly = rubrospinal


( note that rubroSpinal is for flexor tone while vestibulospinal tract is for extensor
tone )
83.Lower motor neuron lesion. = muscle wasting
84.Hemisetion with total spinal section differentaiad by = spinal shock
85.Which one is most common exocrine pancreas tumor = ductal adenocarcinoma
86.Delayed action of insulin = stimulate mRNA transcription for lipogenesis
87.Gas having maximum diffusion capacity in body fluids = CO2
(Max affinity is of Co and Maximum Diffusion capacity is of Co2)
88.Dec PO2 in blood. = Hypoventiltion
89.A person living on river side since 2yrs, having blindness, opthalmologist
indentify which larva = onchcerosis
90.Antrum of stomach removed what will happen = dec compliance
91.Margins of TB ulcer = undermined
92.Ulcer due to Hypertension, = Martorell
93.What is the Mechanism of action of PTU = Inhibits synthesis of thyroid
hormones
94.Right optic tract lesion causes = left homonymous hemianopia
95.Internal laryngeal nerve passes through = Thyroid n hyoid
96.Which is used for screening congenital abnormality = Estriol
97.Phenyl over alcohol anaesthesia = less painful
(Alcohol is Very Potent and Excruciatingly Painful)
98.Patient developed hemolysis due toG6PdD deficiency,,What will happen Next =
Self limiting
99.Liver Develops from = ventral mesentry proximal foregut
100.Saphenous nerve is terminal branch of = femoral
101.Adductor muscle hamstring muscle supplied by which nerve = tibial
102.Gracillis is supplied by the nerve = obturator nerve
103.Adductor brevis supplied by = ant branch of obturator nerve
104.Fracture of surgical neck of humerus, artery damaged, = post.circumflex
humeral
105.Common bile duct parts = omental, retroduodenal, paraduodenal (Bile Duct
has 3 parts only)
106.Inion is a landmark of, = external occipital prominence
107.Gastroduodenal artery branch of, = right hepatic artery
( actually its branch of common hepatic artery, but if it’s not in option the click
right hepatic artery Ref RJ LAST)
108.Regarding tramadol true is = weak meu agonist
Session 2 21

109.Ketorolac analgesia most preferable = Non diabetic female undergoing


cholecystectomy
110.Radiotherapy most sensitive to = craniopharyngioma
(Seminoma >> Glial Glioma >> Craniopharyngioma)
111.Bilateral exopthlmos, antithyroid antibody present = graves
112.Which one drain into left brachiocephalic vein = inf thyroid
( while superior and middle thyroid veins drain into internal jagular veins)
113.A 64 year Old man with posterior cervical lympadenopathy which is firm
andmobile. Hb 13-14 hct = 40 wbc 7230 plateletes 250000 no hepato splenomegaly
seen biopsy showed numerous small monomophic lyphocytes, ,= .hodgkin lymphcyte
predominant
(cervical lymph nodes in the Neck is the most Common Site of HL)
114.Girl with h/o of gum bleeding, giant platelets , plt count 85k, = bernaud solier
(note, B for Bernaud souleir and B for Big platlets )
115.Terminal ileum removed what happens = large amount of water in feces
116.Protein content less in glomerular filtrate occur due to = pore size and negative
charge
117.A 35 year old man bilateral crepts, on xray chest heart fills completely, mass in
rt ventricle, what will b the main cause = myxoma
118.True regarding the Flexor Hallucis longus, = tendion can be felt immediately
post to medial malleolus
119.Superficial parotid painless tumor, psudopoid growth, contain no capsule on
histopatho = pleomorphic adenoma
120.A Very Fat Boy was eating burger & a very Large Bolus stuck after eating
..what will happen next, = secondary persiatlisis will be generated by intrinsic
nervous system to remove it
121.When will u do dialysis with GFR Decreases to = 5 %
122.All drugs transported from Placenta by this mechanism = involves carriers
( also note that amino acids and fatty acids uses facilitated diffusion)
123.Regarding pituitary gland true is = vein drain directly in dural Venous sinuses
124.Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid
loss will be through: = Colon
125.Anemia wid Blast Cells ins peripheral blood = Erythroblastosis fetalis
126.Closure of lips involve: or unable to close lips which muscle involved =
Orbicularis oris
127.Superior Thyroid artery arise from = External Carotid Artery
28.Incubation period of which disease is longest = Infectious Mononucleosis
129.Age estimation at 5th to 12th week is done through: = crown rump length
Session 2 22

130.Shivering center is located in = Posterior hypothalamus


131.A 30 year old woman in azad kashmir was injured mildly in an earthquake that
killed many people apart from her distant uncle. She would most probably be in =
Situational crisis
132.Which ligament supports odontoid process of axis on atlas = Tranverse ligament
133.C7 Vertebrae has = Longest spine
134.Conversion of fibrinogen into fibrin what will b detected in blood =
Fibrinopeptides are detected in Blood
135.Percentage of Plasma out of ECF = 30%
136.Newborn with a Erythroblastosis Fetalis having Blood group B positive what is
best for management = B Negative
137.If a person is taking Protein in his diet which will be necessary = Riboflavin
(also note that , Thiamine for Carbohydrates in Diet and biotin for fats metabolism)
138.Group of young men bathing n beech next day develop blisters on back
shoulder limbs region cause is = Mast cell destruction
139.Regarding Renal Column contains= Interlobar artery
( though some friends states, that its collecting duct, not interlobar artery, I am with
interlobar artery  #respect)
140.Deep to post digastric and near palatoglossus a structure runs obliquely
upwards, = Lingual artery
141.H2O2 found in = peroxisome
142.ICAM and VCAM are for = Leucocyte adhesion
143.Breast atrophy in young female is due to = Estrogen and Progesterone
144.Virus in Human causes cancer via = Oncogen
(Radiations via Protooncogens)
145.Essential amino acid = Phenylalanine
146.Spread of renal tumor will be through = Renal Vein
147.Retention of C02 = Respiratory failure
148.Regarding Gray matter foot processes = Protoplasmic Astrocytes
149.Cause of global blindness =Chlamydia Trochamatis
150.Which is normal HB = HbA
151.Thalassemia carrier percentage in Pakistan = 5%
152.Surgery for removal of ovary done which is damaged = Internal Iliac Artery
153.In respiratory Alkalosis renal compensation is = NaHC03 excretion
154.During mitosis chromosomes double in which phase = Interphase
155. Pain of ovarian tumor is refered to thigh by = Obturator nerve
156.Deep inguinal ring is present in = Transversalis fascia
157.17 Ketosteroid in urine seen maximally in =Normal male
Session 2 23

158.What is the relation of terminal CBD with head of pancreas= Embedded in it


159. After RTA patient becomes unconscious & on CT scan there is a hematoma
which is compressing post central gyrus,s which area will be most affected =
Sensory area
160.Lutenizing Hormone in males acts on = Leyding cells
161.True statement regarding Bone = Circumferential lamella arranged around
central canal
162.Regarding Pneumotaxic Centre which statement is true = Inhibits Respiration
163.During exercise increased blood supply to muscles is via = Local metabolites
164.Spindle fibers will decrease discharge of impulses when = Muscle contracts
165.What is the Difference between systemic and pulmonary circulation = Low
resistance in pulmonary circulation
167.MOA of steroids in Inflammation is = Inhibiting phospholipase.
168.there is a Trauma to upper limb and pt can’t feel sensation in little finger and
paralysis of dorsal interossei which nerve is damaged = Ulner Nerve
169.which hormone causes extrahepatic protein catabolism and hepatic protein
anabolism = Cortisol
170.Fragile x syndrome. = trinucleotide disorder
171.central chemoreceptors = change in PH of surrounding CSF
172.INTERnal carotid relation to external at beginning = Lateral
173.HIV female. Which one of the following carcinoma do occure = cervicaL
carcinoma
174.post MI peripheral cyanosis scenerio cause = decrease cardia output
175.type 3 collagen (ehler danlos syndrome) = hypermobility of joints
176.pregnant lady ferrous sulphate taking. Decrease absorption of = Calcium
178.pertusis. = nasopharyngeal and bronchial secretion spread
179.allergic reaction with hypotension ( a big scenario is always there, but focus
main points and ans is )= .i/m adrenaline
180.transport maximum not saturated scenario = Urate
181.carbon laden macrophages =pneumoconiosis
182.not natural immunity = plasminogen
183.REGARDING CSF = less proteins than plasma.
185.medical ethis. = moral code of conduct of doctr professional life
186.in portal HTN increases pressur in = inf mesenteric vein
187.pain transmitted from tip of finger = A delta fibers
(sensations from the tips and lips are transmitted by A beta fibers, but those are not
for pain, so don’t be confused)
188.defect of neural tube ,which marker increase. =alpha feto protein
Session 2 24

189.durng c section structure damage causing cramps in lumbar region = ureter


190.true about ureter = cross bifurcation of common iliac
191.aftr paralysis sensitive to pain damage in = thalamus
(the so called thalamic pain syndrome, the person becomes sensitive even to normal
stimuli)
192.in our society female death apart from obstertical death. = domestic violence
193. obstretical death comon coz in our country = hemorrhage
194.true relatd bladdr separatd frm rectum by = donovillier fascia
195.sperm stored aftr ejaculation in ... EPIDYDEMUS
( BRS ANATOMY STATES; “ Seminal vesicles do not store spermatozoa as once
thought ; this is done by Epididymus , the ductus deference and its ampulla , if only
one is asked prefer epidydemus)
196.a boy with testiculs swelling nd fever viral infection = mumps
197. hemophilia a gen located on = X chromosome
198. middle meningeal artery = passes thru foramin spinosum
199. labia majora vesicles lymph node = medial superficial inguinal node
200. true about ivc = comenses at L5
201.boy age 4 yr 4 days of fever,genraliz lyphadenopahy nd purpuric raash =
infectious mononucleosis
202.G6pd deficiency = bite cell
203.suply of midgut form sympathetic = t5 – t12 ( sympathetic innervation ,
preganglionic from thoracic splachnic nerves t5 to t12 while postganglionic cell
bodies ; superior mesenteric ganglion ref;kaplan anatomy)
204.infant with absense of limb cause is = amniotc bands
205.thyroid hormon. increas = Free fatty acids
206.which cozs decres productn of prostaglandin. = corticosteroids
207.about metaplasia = one epithelial changes into anothr normal epithelial
08.wafarin toxicityimediately treatd by = FFP
( if FFP and Vit-K both are given in one option, click that)
209.mifepriston through = progesteron antagonist
( Miferpristone stimulate uterine contractility ‘ antiprogestin’ also increases
prostaglandins by inhinhibiting prostaglandin dehydrogenase)
210.goblet cell absent in = terminal bronchiole
211. preterm delivry = bactrial vaginosis
212.hydrocarbon cozs = bronchogenic carcinoma
213.adh and oxytocin arise in = hypothalamus
214.Alkaline phosphatase(obstructive jaundice)due to = stone
215.drug causing to inhibit breast ca metastsis to liver = tamoxiphen
Session 2 25

216.patient having pain on flexing thigh = pelvic appendix


217.viruses cause change = of protein alteration
218.radiaton cause change of = proto-oncogene
219.Premalignant lesion = Compound nevus.
220.Regarding middle meningeal artery most appropriate....Enters middle cranial
fossa through foramen spinosum...
221.Minerals not found in or minerals with low bioavalibility = tubers
222.Medial boundary of ischiorectal fossa. = External anal sphincter
(External anal sphincter and sloping fibers of levator ani forms medial border)
223.Boy with h/o trauma to perineal region, swelling in scrotum and ant. Abd wall
but didnt go to thigh. Rupture of =Bulbar urethra
224.Turner syndrome = Short stature
225.Pseudo hermaphrodite With 46xy = Adrenogenital synd.
226.Abdominal aorta.= Gives renal arteries at L2
227.Stab to chest...air in pleural space will cause .= Lung to collapse and chest wall
to sprung out.
228.Lateral thenar muscles spared but other short muscles of hand paralysed.
Injury = Ulnar
229.axillary artery.relations = Post to pect minor
230.Infection ant. To pretracheal fascia spread to = Ant. Mediastinum
231. Primitve streak mesoderm migrates to anterior abdominal wall and around
cloaca. A rupture of this mesoderm cranially will produce =.ectopic anal opening
232.Systemic fungal infection .drug given. = Amphotericin
233.Vitamin A =. Rhodopsin
234.S2 in comparison to s1 sound = Inc. Frequency
( S1 has inc dullness and duration than S2 )
235.B/l recurrent laryngeal nerve cut. Muscle spared. = Cricothyroids.
236.Superficial cardiac plexus. = Contain both symp n parasympath
237.Gastric ulcer pain. = Greater splanchnic
238.Appendicitis pain radiates to umblicus thru = T10
239. H/o fall bladder incontinence unable to void urine. Spinal segment involved. =.
S2s3s4.
240.Neck of fibula fracture. Dorsiflexion n eversion gone. =Common peroneal nerve
241.excessive eversion lig. Ruptured. = Deltoid.
242.Person standing. Venous return from legs mainly facilitated thru. = Contraction
of sk. Muscles
243.Mediolateral episiotomy. Structure cut = Bulbospongiosus muscle
244.Regarding withdrawal reflex = Multisynaptic
Session 2 26

245.Tension in the muscle is limited by = golgi tendon organ


246.Alpha adrenergic causes.= Mydriasis
247.Due to stress of surgery inc = ACTH
( ACTH is stress hormone, but if cortisol is there in options, prefer that )
248.In crf unlikely = Hypophosphatemia
249.Tcell receptor complex bind with. = MHC
250.Gluteus medius n minimus. = Abduct n medially rotate.
( whenever u see medial rotation of lower limb, close eye and click minmus and
medius if there )
251.Ciliary body = Pigment epi of retina is cont. With pigment epi of ciliary body.
252.Isthmus of thyroid lies in front of. = Rings 2 3 4
253.St elevation v4. Artery involved = LAD
( NOTE, that it’s the most commonly involved artery in CAD)
254.Lt.circumflex artery involved in mi. Old mi with new mi. Area involved.= Lt.
Atrium n lt. Ventricle.
( left circumflex artery supplies both left atrium and ventricle)
255.Most commonly involved heart valve = Mitral valve
256.Dka pt. Died. Which fungal inf. = Mucurmycosis
257.Stroke death. Autopsy brain. Necrosis. = Liquefactive
258.Abdominal angina. Artery involved = SMA
259.50 yrs old. Hypertensive. Severe chest pain radiating to back. Died. On autopsy
findings. = Medial necrosis of aorta
260.Median umblical lig is remnant of = Urachus.
261.Premature baby born most common finding is = PDA
262.Pulmonary arteries supply. = Alveoli
263.In adult head of femus blood supply. = Med n lat circumflex femoral art.
264.During lumbar puncture the structure punctured = Lig.flavum
265. Return of blood during exercise from =. Calf muscles
267.Testosterone main function = Inc muscle and bone growth
268.Sertoli cells function = androgen binding protein
269.Carb protein fat synthesis hormone = Insulin
270.Most common salivary gland tumor is of which salivary gland = Parotid
271.Cervical ca. Lymph nodes involved = Internal iliac
( if the option <> both internal and external iliac is present, prefer that)
272.Regarding rectum. = Also supplied by median sacral artery.
(arises from posterior aspect of abdominal aorta just before bifurcation , descending
in the front of sacrum and supply the posterior portion of rectum .Ref; BRS
ANATOMY)
Session 2 27

273.Regarding anal canal = supplied by both sup n inf rectal arteries.


274.Coumadin (warfarin) question = inc coagulation time
275.Vit k not absorbed. Coagulation factor decreased .= Prothrombin
276. Vit k def. First n foremost coagulation factor depleted. = Protein c
( if protein C is not in options, prefer factor seven )
277.Female presents with dvts . Says she has been taking some kind of pills. = Ocps.
278.10 days fever. Chest pain unrelated to respiration. = Myocardium
279.Breast outer quadrant = Pectoral (anterior ) group
280.Pregnant with jaudice. Went to remote village. To see her parents. Cause = Hep
e ( note that ● commenset hpatitis is hepA anywhere, but if ● asked remote area, or
epidemic or deadly in pregnancy prefer hep E then )
281.Which ca rarely metastasizes = Basal cell carcinoma
282.BCC features. Most likely = Locally malignant
283.which ca spreads to large vessels = Clear cell ca of kidney
( even this carcinoma can reach the heart through inferior vena cava)
284. Cholangicarcinoma is caused by = Clonorchis sinensis.
285.Most common ca of epiphysis = Osteoblastoma
( if Giant cell tumor is present in options click that )
286.limb growth will be affected if fracture passes thru = Epiphyseal plate
287. Acoustic neuroma. = Vestibular component of CN 8
288.Hypoglossal nerve injured. = Tongue deviated to same side
289.Intraarticular disc of Temporomandibular joint involved.. Muscle paralyzed. =
Lat.pterygoid
290.Gastric lymphoma ass with = H pylori gastritis
291.Femoral arterial pulse = Mid inguinal point
292.Inguinal canal. = Roof Formed by conjoined tendon
293.In. Old age =. Venous Compliance decreases
294.Decrease in ESR is due increase in = Albumin.
295.Glycocalyx contains = Carbohydrate moiety.
296. in juxta glomerular nephron, sodium is actively reabsorbed electrically neutral
from lumen of nephron in which segment of nephron = Proximal convoluted
tubules ie PCT
297.Greatest clearance is of = PAH
( the order is PAH > Dietary potassium > inulin).
298.Rt. Testicular vein enter = IVC.
299.Tibial nerve severed. Which muscle will still flex the knee joint = Short head of
biceps
300.oraganelle with double membrane = Nucleus
Session 3 28

Light can only shine through a broken vessel.Bear Grylls


1.Sacral plexus anterior division branch = obturator nerve
(●Ant division nerves = tibial nerve L4-S3, obturator L2-L4 ,
Post division nerves = femoral L3-L4 ,common peroneal nerve L-S2 ,superior
and inferior gluteal nerves Ref;KAPLAN anatomy)
2.In embryo lung is covered by mesothelium form which layer = Parietal pleura
3.Anterior to pancreas is = Lesser sac (note that; head of pancreas lies anterior
to inferior vena cava and the neck/ body of pancreas lies anterior to aorta, while
superior mesenteric artery is anterior to the uncinate process of pancreas )
4.Most common dislocation of TMJ = Anterior
(TM-Joint can dislocate only anteriorly)
5. A 60 years old man develops pain in calf muscles after walking hundred (100)
yards pain is due to = Popliteal artery
6. Ulcer 2nd part of duodenum which artery will u ligate = Gastroduodenal
artery
7.Extraembryonic coelomic membrane = Endoderm
8- For transfer of radicals from one group to another = transferase
( Note that ; oxidoreductases catalyze oxidation reduction reactions, ie electrons
are transferred, while transferase transfers moieties from donor to recipient )
9- For conversion of glucose-1-phosphate to glucose-6-phosphate require =
isomerase
(its actually phosphoGlucomutase , but if not present in options, click isomerase )
10. Somatostatin act on beta cells by = paracrine action
( the GI Paracrines are, somatostatin and histamine, they defuse over a short
distance to act on target cells )
11.Gram negative bacteria causes infection of which system = Urinary tract
12. Per mint perfusion of 100g brain tissue per minute = 50-55ml
(while brain glucose consumption is 5mg/100gm/min while oxygen consumption
is 40ml/min)
13..Drug used to treat Endometriosis = medroxypregesteron acetate
(click leuprolide if medroxy is not in options)
14.Toxoplasmosis is = A parasite
15. L1-L2 ends at = Inferior hypogastric plexus
Session 3 29

16.detrusor nerve supply = Parasympathetic pelvic nerves


( while pudendal nerve supplies external sphincter )
17.which bronchus of lung is supplied by eparterial artery = right superior
( Right superior lobar bronchus is eparterial bronchus i-e branch of right main
bronchus, it arises above the pulmonary artery due to this reason its name
EParterial bronchus and all others arise below the pulmonary artery and are
called HYParterial )
18.correlation of two things by which test = student T test ( T for two, first aid )
19. Sarcoma is differentiated from carcinoma = tissue of origin
( if this option is not present, prefer aggressiveness)
20. Narrowest point in pediatric airway = cricoid
21. If thalamus gets damaged, which is not affected = sense of olfaction
22.Superior colliculus receives which sensation = visual
(Memorize as , the superior colliculus is above and eyes are above , while inferior
colliculus is for auditory system and ear are lower to eyes)
23. Posterior communicating artery = passes above the occulomotor & connects
ICA and PCA
24. Which muscle gets paralyzed/damaged in temporomandibular joint
dislocation = lateral pterygoid
25.1st branch of abdominal aorta = inferior phrenic artery
26. dilatation of aortic arch will compress = left bronchus
27. axillary vein is formed by = basilic vein and vena commitantes of brachial
artery (these form axillary vein at the lower border of teres major muscle)
28. injury to lateral hypothalamus will = decreases hunger
29. in open laparotomy, surgeon recognizes left kidney by = anterior relation
with stomach,pancrease,descending colon,spleen,jejunum
30.linear growth pf bone is affected if following structure is fractured =
epiphyseal plate
40. beta endorphins = hypothalamus
41. typical scenario of sickel cell anemia with abdominal pain jaundice = HbSS
42. a tall young girl(child) with history of secretion from breast.on microscospy
of anterior pituitary, which cells are abundant = eosinophilic
(GH and Prolactin are acidophiles ie chromophils and take eosinophilic dye ;
Rest are basophils i-e cells other than these two varieties )
43. which toxin is responsible for scarlet fever = erythrogenic toxin
44. highest sodium channel concentration = node of ranveir
45. Antibody receptors are = hypervariable regions of H and L chains
Session 3 30

46. Dicumarol side effect = inc bleeding time


47. mode of action of cephalosporin = inhibit transpeptidase
48. lithium is a toxic antipsychotic. when should it be stopped = coarse tremors
( katzung states ; lithium causes Fine tremors in therapeutic dose and coarse
tremors in toxic dose)
49.Thyroid follicles that release hormone are derived from = Endoderm
50. steady pressure is detected by = ruffinis receptors
51. Best indicator of venous return = end diastolic volume
52. erythropoietin secretion is inhibited by = theophylline
53. Primigravida taking iron tablets, lots of fresh vegetables and juices .what
deficiency she is at risk of developing = B12
54. child brought by mother,suffering from diarrhea.on examination,rectal
prolapsed was found =. trichuria trichuris
( A hint is most of the time given that worm with small anterior end )
55. what is more/high in venous blood as compare to arterial blood = PCV
( due to the chloride shift phenomenon in venous blood, water enters into the red
blood cells, and cell swells, resulting in increased packed cell volume )
56. in which condition atrial repolarization is shown on ECG = third degree
complete heart block
57.child with hypocalcemia(or tetany),having some cardiac problems and viral
infections = 22q-11 microdeletion
(this is a scenario of DIGEORGE SYNDROME a Developmental failure of the
third and fourth pharyngeal pouches, due to 22q11 microdeletion . Presents with
T-cell deficiency due to lack of thymus and hypocalcemia due to lack of
parathyroids anda abnormalities of heart ,great vessels, and face)
58. which valves are most commonly involved in rheumatic heart disease =
mitral and aortic valves
59. which is more in dialyzing fluid as compare to plasma = glucose
(composition of dialyzing fluid;
●Glucose & HCO3 are more than plasma, if both asked prefer glucose
●Na , K & Cl less than plasma
●Mg & Ca equal to plasma
●urea , creatinine, sulphate and zero,)
60. Hematocrit = rbcs+wbcs+platelets
( this ans is from Ganong BCQs while according to many others and even
Dorland, hematocrit is just RBC,s and the buffy coat is formed by platlets and
Session 3 31

61. which antiemetic is preffered in pts of chemotherapy = odansterone


62. ranitidine is different from cemitidine as = it has less CNS toxicity
63. Lower limit of subarachnoid = S2
64.In spermiogenesis acrosome reaction by = lysosomes
( if asked , acrosome is formed by ??? then click Golgi )
65.Receptor action via Phospholipase C = Vasopressin induced smooth muscle
contraction
66.intertesticular temp less than rectal temp = 1-2c
67.Hb is 10, O2 saturation 90% ( convert 90% to 0.9 ), PaO2 = 60 , calculate O2
content = 13 ans (see solution below)
Formula for oxygen content =(Hb g/dL ×1.34) × SaO2 + PaO2×0.003
oxygen content = (10 × 1.34) × 90% + 60 × 0.003
oxygen content = 13.4 × 0.9 + 0.18
oxygen content = 12.06 + 0.18
oxygen content = 12.24 i.e 13
68.Buccopharyngeal Membrane = Stomodium from Foregut
(note that ; if asked Buccopharyngeal fascia then pharynx from foregut )
69.Absolute contraindication of Propofol is = Hypersensitivity
70. Lung carcinoma fungiform growth. = Squamous cell carcinoma
71.sugar in urine will be detected if its concentration in blood becomes = 180mg
(at plasma concentration less than 250 mg /dl all the filtered glucose is
reabsorbed and excretion is zero, the plasma concentration at which glucose first
appears in urine is approximately 250mg/dl Ref;BRS Physiology, while chatterje
states, Renal t
72. Esophagus = Passes through left crus of diaphragm (Ref R.J.Last)
(Snell says right crus and in paper left crus was not in options)
73. Aneurysm of aorta at diaphragmatic hiatus compresses = azygous vein and
thoracic duct
74. Antacid decreasing gastric motility = Aluminum hydroxide
(note that, aluminium causes constipation while Mg causes diarrhea )
75. Vessel lying close to LAD , prone to injury during surgery is = great cardiac
vein
76. Ascending reticular formation located in = floor of aqueduct of sylvius
77.Patient taking propranolol develops increased PR interval . what is the cause
= Drug induced 1st degree heart block
78.Osmolarity of Human plasma = Similar to 0.9 % N/S
79. post ganglionic sympathetic fibers are present in = all spinal nerves
Session 3 32

( sympathetic outflow is from thoracolambar region, but post ganglionic fibers in


all spinal nerves )
80. For sodium neutralization = Cl ( while HCO3 for K neutraliztion)
81.That melatonin = secretion inc in dark
(Pineal gland has a midline location above the quadrigeminal plate in the
midbrain and is Site for melatonin production . Superior cervical sympathetic
ganglia stimulates receptors on pinealocytes causes release of melatonin into
spinal fluid and blood . Melatonin is Important in sleep/moods and circadian
rhythms Released at night. Ref Goljan, plz don’t cofuse it with melanin)
82. Smoking is associated with = thromboangiitis obliterans
( it is also called BUERGER disease)
83. which of these is not synthesized by post ganglionic sympathetic fibers =
L.Dopa
84.Bromocriptine reversed amenorrhea mechanism of action is = it acts as
dopamine agonist
85. not a part of natural immunity = plasminogen
86. Factor 8 is synthesized by = Endothelial cells
87. what is the landmark for pudendal nerve block = ischial spine
88.Pt with HTN , LVH , Creatinine 0.8 , Urea inc, BSF 88mg% with urinary
sugar ++ , Na 140 , K 2.5. Cause of HTN = Hyperaldosteronism
( the function of aldosterone is to reabsorb sodium and excrete hydrogen and
potassium, that’s why in hyperaldosteronism, K is depleted and there is alkalosis,
and Sodium level won,t fall because water is absorbed along with Na)
89.Which structure is embedded in temporal lobe = insula
90.Ureteric bud is formed as a part of = Mesonephric duct
91.Coccygeal ligament start at = L1
92. 40 years Old man from Sibi Baluchistan with fever and Lymphadenopathy
with the H/O of sleeping on floor and often bite by flies. On Peripheral blood film
Unicellular structure can be seen. Diagnosis is = Kalazar
93.Irreversible step in Glycolysis = Glucose to Fructose-6-Phosphate
94.Intracranial and extra cranial veins are joined by = Emissary Veins
95.Situation of SA node = Upper portion of Sulcus terminalis
( but BRS anatomy states ; SA node is a small mass of specialized cardiac muscle
fibers that lies in the myocardium at the upper end of the crista terminalis near
the opening of the svc in the right atrium.)
96.Thromocytopenia in Children due to Acute Viral infection is because of =
Antibodies against platelets
Session 3 33

97.Esophagous narrowest at = Cricopharyngus


98.Upper and lower limits of cerebral blood flow autoregulation = 50-
150ml/min (The ranges mentioned by Francis physiology is 60 to 160 which is
almost near to 50 to 150)
99.In some children Dorsalis pedis Artery is missing congenitally. Then dorsum
of foot will be supplied by which artery = Peroneal artery
100.Itching will stimulate .= C fibers
101.A Child got blow at elbow and elbow joint displaced. And loss of sensation
over little finger. Structure involved = Ulnar collateral ligament
102.-A 35 years old man die suddenly. Autopsy finding nill. Toxicology shows
cocaine and its metabolite in blood. Cause of death = Contraction band
103.Ganglion found at T7 vertebra = Thoracocervical
104.Edrophonium most common adverse effect = Nausea
105.Damage to first lumbar vertebra will lead to = . Conus Medullaris Syndrome
106.In feamle neck of bladder lie = Lie above urogenital diaphragm
107. Mechanoreceptors of Warm = Long receptive field
108.Cuneatus and Gracillis damage will result in = Asterognosia
109.Articular surface has which cartilage = Hyaline
110.Elastic cartilage is found at = Epiglottis
111.Preganglionic Presympathetic fibers = B type
( note that post ganglionic are C fiber and if asked what are pure autonomic
fibers again click B fibers, plz don’t confuse B fibers with Beta fibers )
112.PICA damage, blood supply of which part will be affected = dorslateral of
medulla
113.Chromatid align at equatorial plate = Metaphase
( also chromosal study is carried out in metaphase, and if asked replication of
any organelle click interphase)
114.Which Cells have telomerase = Germ cells
115.Perineal area innervation was asked = S2-4
116.Most drugs are metablized in = Liver
117.Death due Clostridium botilinum = Paralysis of respiratory muscle
118. True about Supernumary cervical Rib = Compress brachial plexus and
subclavian vessels
119.A female with blurred vision etc case of Multiple Sclerosis = Demyelination
of neurons
120.Node of Ranvier = Lack of Myelin sheath
121. tuberculin test (Negative) = Taking immunosuppressive drugs
Session 3 34

122.Bupivacain first sign of over doze = ringingin ears


(if asked about serious adverse effect, prefer arrythmias)
123.A child suffering from 104F fever, and has been on anti malarials .His lfts
are deranged wd inc unconjugated bilirubin.What is the most probable diagnosis
= blackwaterfever
( if in the ques , high temperature is not mentioned then prefer G6PD deficiency )
124.about sertoli cells = release androgen inhibiting factor( so called inhibin)
125.Baby Diper gets yellow due to = biliary atreasia
(if biliary atreasia is not in options , prefer Gilbert then)
126.Medial quadrant of breast drain into = Internal thoracic nodes
127.Superior sagittal sinus pressure in standing position = – 10 i-e ―minus ten ―
(Ganong physiology)
128.Aspiration of hydrocele,needle does not pierce = tunica albugenia
129.shoulder pain reffered from pleura = c3,c4,c5
130.which stucture passes through esophageal hiatus = Vagus trunk
(right vagus)
131.adrenocortical deficiency causes = Hyponatremia
( the job of mineralocorticoids is to reabsorb sodium, thas how the deficiency of
mineralocorticoids may result in hyponatremia )
132.malarial parasite transfer in which form in man = Sporozite
133. Most common congenital anomaly of head and neck = Cleft plate
134.most commonly fructure of bone after 60 yrs = Neck of femure
135.Most common Inheritance pattern = Multifactorial
136.fructure humate bone = Ulnar nerve
(A fall on the outstretched hand may fracture the hook of hemate which may
damage the ulnar nerve as it passes into the hand)
137. ivu kidney more prominent = Calyces
138.spinal cord ends at = lower border of L1...
139.epidural space contains. = Venous plexues
140.Regarding cephalic vein = Lie between deltoid and pectoralis major muscle
141. A 10 yrx boy repeated visits to opd with pallor frontal bossy = thalasemia
major
142.renal vein lies posterior to = Superior mesenteric vein
143..lumber triangle anteriorly bound by posterior border of = Serratus anterior
144.Mononucleosis. Stucture most likely to be damaged even on minor trauma =
spleen
145.Barium swallow Feathery appearance in left abdomen = Jejunum
Session 3 35

146.Damage to middle cranial fossa. No lacrimation. Damage to = Ciliary


ganglion
147.Which of the following is not isotonic to plasma = 5% D/w
( 5% dextrose water is almost same as pure water)
148.Highest Pco2 in = Pulmonary artery
149.Somatostatin acts on beta islet cells = Paracrine
50.Rabbit disease = tularemia
151.Nerve asked, loss of sensation in lower teeth, chin and lower lip = Inferior
Alveolar nerve
152.Retromandibular vein is formed by junction of Maxillary vein and =
Superficial temporal vein
153.Alpha-2-agonist used in ICU for sedation = Dexmedetomidine
( Dexmedetomidine is alpha-2-agonist like clonidine and is most often used in
ICU setting for light to moderate sedation, the reason to prefer is , it has
analgesic and hypnotic properties and is not associated with significant
respiratory depression )
154.1st lumbrical = attaches to radial side of index finger
( Details; The first lumbrical of the hand arises from the anteriolateral surface(
ie radial side ) of the tendon of flexor digotrum profundus to the index finger)
155.Chondrocyte change into osteocyte = thyroxin
156. Muscle damage in difficult delivery = levator ani Muscle
157. Sperm will called abnormal <20 million,,30% motile = Less than 20 million
per ml is oligospermia
158. bulbourethral gland content of = deep perineal pouch
( Cowper,s glands also called the bulbourethral glands (in the male only) are the
content of deep perineal pouch while the greater vestibular also called bartholin
glands are located in superfascial perinial pouch in females)
159. Which step z common in glycolysis and gluconeogenesis = Fructose-1,6-
bisphosphate to fructose-6-phosphate
160.Deep part of parotid fascia forms = Stylomandibular ligament
( the thin deep lamina of parotid capsule ie the investing layer of deep cervical
fascia , thickens to form stylomandibular ligament )
161. whiplash injury, c5 c6 injury = flexion of elbow ( flexion of fore-arm )
162 .medical ethics = conduct of doctor profession
163.burkit lymphoma in aids = EBV
164.GABA destroyed n substantia nigra = Parkinson
165..EDV=160. Heart rate= 70, CO2 = 5.6L
Session 3 36

solution;
Ejection Fraction = SV/EDV
& CO = HR × SV
SV = CO/HR
first convert 5.6 L to ml ie ( 5.6 × 1000 = 5600 ml)
then calculate SV = 5600/70 = 80
now
EJECTION FRACTION = 80/160 = 0.5 ans
167.4ml of 4% Lidocaine solution contains how much lidocaine ?
Solution ;
4% means 4 gram in 100 ml
convert 4 grams into miligrams
4 ×1000 = 4000 mg
if 100 ml contains 4000 mg
then 1 ml contains X mg
X =4000/100 = 40 mg
and 4% contains = 40 ×4 = 160 ans
168. Question = 0.85% Nacl Solution contains how much NaCl ??
Solution ;
0.85 % means 0.85 gram in 100ml
now convert gram into mg ie 0.85 × 1000 = 850 mg
so 0.85% NaCl solution contains = 850 mg /100 ml
169. Regarding Pseudoypoparathyroidism = Hypocalcemia
( Pseudohypoparathyroidism → Autosomal dominant disease ; End-organ
resistance to PTH (includes its ability to synthesize 1-α-hydroxylase in the
proximal tubule) Mental retardation, basal ganglia calcification, short fourth
and fifth metacarpals (―knuckle-knuckle-dimple-dimple‖ sign). Hypocalcemia,
normal to ↑PTH, normal 25-(OH)D, ↓1,25-(OH)2D; ↓serum calcium,
↓serumphosphorus.)
170. Cholangiocarcinoma caused by = Cholonorchis Sinensis
171. Farmer with migratory lesion on foot = Cutaneous Larva migran
( look at , both the ques ie migratory lesion and ans ie larva migrans , share the
same word ie migran )
172. Ligament that prevents ant dislocation of femure on tibia = Post cruciate
172. Scrotum drains to = Superficial Inguinal Nodes
173. True about Thoracic duct, drains into = At Confluence of left Subclavian
and left Jugular
Session 3 37

174. About Posterior Triangle of Neck what is true = Contains subclavian , three
trunks of brachial plexus
175. Nerve loss in urogenital triangle which nerve involved = Pudendal Nerve
176. About Quadrate lobe, true is = Drains by left hepatic duct
( quadrate lobe though structurally part of right lobe, but functionally part of
left lobe even arterial and venous etc are with left )
177. Isoniazid causes side effects which can be prevented by taking which
vitamin = Pyridoxine
178. About Trichomonas vaginalis what is correct = Is sexually transmitted
179. Athetosis is due to defect in = Globus pallidus
180. Main class associated wid antigen presenting cells = MHC2
181. Diabetic pt came to ER insulin given what change will happen in blood =
increased pH ( as its Ketoacidosis so u have to change acidosis ie PH )
182. If circumflex branch of left coronary artery is blocked which area will be
effected = Posterior surface of left ventricle
183. Potassium will be lost mostly fr0m which segment following dietary
irregularities = distal tubule
184. Main diagnostic feature of DIC = presence of D dimers
(D for DIC, D for D-dimers)
185. CO poisoning,methemoglobulinemia,anemia dont result in hyperpnoea =
this is because Po2 remains normal
(Anemia- Pa02, Sa02 – Normal ;MethHB and CO Poisoning - Pa02 - Normal,
Sa02 DECREASED- Ref Edward F Goljan)
186.Burkitt lymphoma cause is = EBV
( EBV = it also causes infectious monoNucleosus, in which B CELLS are affected,
but the ABNORMAL LARGE CELLS ARE T-CELLS , so if asked affected click
B- CELLS )
187.Bitemporal hemiopnea = Pituitary Adenoma
188. Subdural hematoma due to = leakage of cerebral vein
(while extradural is due to Middle meningeal Artery )
189.Penetrating injury in 4th left intercostal space just lateral to sternum will
damage which of following structure first = intercostal membrane damage
(this is an imp question, but if 5th space is asked, then CLICK intercostal
MUSCLE)
190.young patient with history of taking some drug with anemia, HB is 8 ,WBC
90000 and platelet is 240000 and PERIPHERAL blood shows IMMUTURE
CELLS = ALL
Session 3 38

191.NON LETHAL MI what happen within first day = Cardiac arrhythmias


192.pnemothorax - lung collapse inwards and chest outward
( remember that naturally the LUNG wants to be collapsed and chest wall want
to sprang outward, so if pneumothorax occurs, lung follows its natural tendency,
ie it collapses and wall sprang outward)
193. Hx of chest infection 10 days back. otherwise she is fine presented with
petechie and ecchymosis. Investigation= platelets count
194. posterior relation of left kidney is = diaphragm
195.Malignant tumour mesenchymal in origin = Sarcoma
196 .during inspiration = greater decrease in intrapleral pressure than alvelor
pressure
197.young girl HB 5,MCV LOW ,MHCH LOW,and abnormal morphology of
RBCS ,investigition = Hb electrophoresis
198. Most suitable NSAID during Lactation = Ibuprofen
199- pt with Diabetic ketoacidosis pt managed Bt died. Most likely infection is =
mucur
200—Dead organisms in vaccine = WHOOPING COUGH
201. Dysphagia due to liquids only = Neuromuscular blockade
202. Post 1/3 of the tongue supplied by = Cranial nerve 9
203. H2O2 found in = Peroxisome
204.. Fecal incontinence after trauma damge to = External anal sphincter
205. Poliomyelitis = Anterior horn cell defect
206. Regarding P Value = Checks probability
( P for P VALUE and P for Probability )
207. Retention of C02 = Respiratory failure type 2
( Type 1 faliure is due to oxygenation problem , and any pathology that fills lung
with fluid causes type 1 eg, pleural effusion, pneumonia etc, type2 is due to co2
retension and any pathology that causes hypoventellation causes type 2 failure
eg, morphine over dose, muscles paralysis etc )
208. Lymph drainage of Testes = Paraaortic LN
209. Surgery for removal of ovary done which is damaged = Internal Iliac Artery
210. In respiratory Alkalosis renal compensation is = NaHC03 excretion
211.Gardner working in garden. developed chest pain, x\ray showed mass in rt
lower lob = Aspergillosus
212. Rheumatic fever (scenario) type of hypersensitivity = Type II
213. In Scarlet fever toxin type = Erythrogenic
Session 3 39

214. A male sexually active without fever and urethral discharge organism found
= Chlamydia trachomatis
215. The drug that causes hyperurecemia = Pyrazinamide
216. Surgeons injects dye during surgery of the liver through =Ligamentum
Teres
217. Polycythemia characteristic feature; increase in = Red cell mass
218.. A female patient with low Hb and increased reticulocytes + Coomb’s test
positive = Autoimmune hemolytic anemia
219. Patient with miosis and cannot gets his pupils widened even in dark, lesion
of = Sympathetic trunk
220. Patient with dry eyes which ganglion involved – Pterygopalatine
221. A tall man in a circus started with chest pain. Has also dislocated lens in
history, chest pain due to = Dissecting aorta
( another question frequently asked about dissecting aortic aneurysm and the
ans is CYSTIC MEDIAL NECROSIS)
222. Damage to dorsal column medial leminiscus pathway causes = Sensory
ataxia
223. Nucleus gracilis and nucleus cuneatus damage cause = Astereognosia
224. A patient with FEV1/FVC decreased with FEV1 decreased more, dyspnea
(emphysema case). The activity of neutrophil elastase is due to = Nicotine
225. A child with arthritis, mucosal ulcers, uveitis and genital lesions = Behcet’s
disease
226. Low complement system seen in = SLE
227. Pulmonary flow of blood in liters/min = 5 liters
228. In SIADH = Hyponatremia (decreased osmolarity)
229. Alpha motor neurons = Myelinated
230. Potassium secretion decreased via = Aldosteron antagonists(Spironolactone)
231. Costocervical trunk = 2nd part of subclavian artery
232. A man goes to a high altitude 02 delivery to tissues is maintained by = Hb
conc is increased
233.A 52 year old man underwent coronary artery bypass graft two weeks ago
and now presents with purpuric patches on skin. On labs his PT and aPTT were
normal. Following Is true = Drug induced thrombocytopenia
234. Regarding normal heart = Right ventricle pressure 25/10 mmHg
235. Maximum absorption by renal tubules = Glucose
236. Regarding Bain Bridge Reflex = Increases HR
237. Ectopic thyroid hormone is produced by = Squ carcinoma larynx
Session 3 40

38. Lesion above the sacral region; effect on bladder = spastic bladder,
( if spastic bladder not in option , click neurogenic bladder, note that neurogenic
bladder is the term used for both spastic and atonic bladder )
239. Sickle cell anemia defect in = Beta globin
240.Deep to post digastric and near palatoglossus a structure runs obliquely
upwards = Lingual artery
241.Loss of abduction and adduction of fingers and adduction of thumb with
intact skin sensations involves = Deep branch of ulnar
242. A patient on MAO inhibitors, in order to avoid hypertension you would
advise not to take = Coffee
243. Middle 1/3rd of oesophagus supplied by = Descending thoracic aorta
244. Follicular cells of thyroid derived from = Endoderm
245. Organophosphates = Irreversibly binds to organophosphates
246. A tumor of pituitary gland compressing anteriorly to a structure will cause
problem in = Optic nerve
247. A postpartum lady with heavy bleeding due to uterine atony, drug you
would use = Ergometrine
248. Parietal cells = Copious eosinophilic cytoplasm and central nucleus
249. Patient with prolonged PR interval and on beta blocker from long time
cause = Drug induced 1st degree heart block
250. Lymphatic vessels related to = Cystic hygroma
251. IgA nephropathy on histology = Mesangeal deposit
252. Increased in resistance to flow = Viscosity
253. Chorea and athetosis are the features of = Basal ganglia complex
254. Femoral artery position to femoral vein below the inguinal ligament,
femoral artery is = Lateral
255. About spermiogenesis = Spermatids are converted to spermatozoa
256. Family history positive, patient with recurrent respiratory infections,
sinusitis investigation for diagnosis = Sweat Chloride test.
257. Myxomas most common location = Left Atrium
258.diabetic patient present with gangrenous foot cause is =
angiopathy+neuropathy
259.in late pregnancy placenta consist of = Synctiotrophoblast+fetal
endothelium
260.Person not able to open mouth = Lateral pterygoid
( speak lateral pterygoid and ur mouth remains open all the way along, that’s
how its memorzed ie its function is to keep mouth open)
Session 3 41

261.Estrogen will not inc the risk ov following = carcinoma ovary


262.Recurrent infections, sinusitis, situs inversus = Kartegnar’s syndrome.
263. Fracture of surgical neck of Humerus damage to = Axillary Nerve
64. Inversion of foot by which muscle = Tibialis Posterior
265. Lateral foot dermatome = S1
266. Giant Cell Tumors histo finding = Soap Bubble appearance
267. Young adult with raised ALP, jaundice and decreased Hb Scenario =
Pigment Stones
268. Regarding Lymph drainage of breast except = Inferior Phrenic Nodes
269. Closure of lips involve: or unable to close lips which muscle involved =
Orbicularis oris
270. Superior Thyroid artery arise from = External Carotid Artery
271. Incubation period of which disease is longest = Infectious mononucleosis
( look at its lengthy name , so associate with long incubation period)
272. Chronic Fungal infection with rhinosinusitis causing medial erosion and
granulomas = Aspergillus
273.Which of following has highest chances of dev eloping endometrial cancer =
Complex hyperplasia with atypia
274. Regarding CSF = Formed 500ml/day
( another question is sometimes there in paper regarding CSF and the answer is
Cushion effect)
275.Age estimation at fifth to 12th week is done through = Crown rump length
276.Otic ganglion is between mandibular nerve and tensor tympani. It's superior
border is formed by = Foramen ovale
277. A young boy with inc appetite weight gain and sleep problems. On
examination he is having genitals hypoplasia = Craniopharyngioma
278. Sensory supply of uterus passes through which ligamen = Broad ligament
279. Highest number of alpha resceptors are present in = proximal urethra
followed by prostati urethra
280. A needle when inserted 2cm below and lateral to pubic tubercle will be
closely related to on = Obturator nerve
281. Most common position of appendix = Retrocecal
282. Sensations from tip of fingers by = beta fibers
(from the tips and lips Sensations are by BETA fibers)
283.Shivering center is located in = Posterior hypothalamus
( note that posterior hypothalamus is origin of sympathetic nervous system and
that cause shivering )
Session 3 42

284. Which tumor involves extension to nerve sheath = Carcinoma


expleomorphic adenoma
( associate the word EX, in both EXtension and EXpleomorphic)
285. While a surgery on submandibular gland which has more chances of injury
= Facial nerve
(Actually it’s the marginal mandibular branch of facial nerve, so any one of them
may be asked in options)
286. Which one combination is correct = Morphine reduces apnoeic threshold
287. year old young man has heaviness in his scrotum for six months. On
examination a solid 5cm mass is palpated. On labs his alpha feto protein level
was 81ng/ml while bHCG level was 15 IU/l. Same side orchiectomy was done
and Which of following could be the cause = Embryonal carcinoma
289.Which ligament supports odontoid process of axis on atlas = Tranverse
ligament
290. Medial geniculate body = Fibers ascend to thalamocortical areas
291. C7 Vertebrae has = Longest spine
292.Direct Inguinal Hernia = Medial to epigastric Artery
( ie in kaselaabch triangle)
293. A man during fasting his urine become concentrated because of = ADH
secretion
294. If a person is taking Protein in his diet which will be necessary =
Riboflavin
295. Scenario bif on Marfans wid mitral valve prolapse died and on autopsy is
prolapse this was due to defect in = Fibrillin ( F for Fibrillin and F for marFan)
296. Obstruction to RCA after giving Marginal branch will affect = AV Node
(high repeat)
297. Aortic valve closure outsets = Isovlumic Relaxation
( Remember that during isovol relaxations S2 is produced while during isoVol
contraction S1 is produced)
298. High Cardiac Output failure in= Beri Beri
299. Regarding indication of furosemide = Acute pulmonary edema
300. A patient was brought to the hospital after a roadside accident. On
examination he was pale with low blood pressure and fracture of left 10th rib.
Which organ is most likely to be Injured = Spleen
( in the scenarios of RTA and viscera damage, look for 10th rib and click the
spleen )
Session 4 44

Too much information coming to my brain, too much information driving me


insane. Conrad Fischer 
01. Bupivacaine. Overdose, adverse effect = Ventricular arrhythmia.
(While initial symptom of bupivacaine toxicity is ringing in the ears, as
arrhythmia isn’t symptom)
02. Pt. Anesthetized heat will not produce due to = Loss of muscle tone
03. 60 percent ventricle fill during = Rapid inflow
( there is another stem and don’t confuse that with this one, which asks, in which
stage ventricles are filled maximally and ans is atrial systole, bcz during atrial
systole ventricles are already filled and atrial systole just add small amount of
blood)
04. Regarding post. Comm artery. = Connects PCA to ICA above occulomotor
nerve
05. Dorsal vagal nuclei present in. = Medulla
06. Which hormone causes uncoupling of oxidative phosphorylation with
increase heat production = Thyroid hormone
07. Patient had previous episodes of diplopia and dizziness now acutely comatose
reason = Basilar artery thrombosis
08. Child has episodes of bleeding and ecchymosis i guess since birth hb 9.8
mg/dl nd platelets count was normal 180 x 10^3 BT prolong = platelet functional
defect
09. Patient given warfarin on second day had large ecchymosis on thigh =
Protein c def
( warfarin not only dec synthesis of factors 2 , 7, 9 and 10 but also dec protein c
and s, and protein C AND S are antithrombotics/anticoagulants, that’s why
initially warfarin can show procoaglant effect )
10. Csf has low conc of which of the following than plasma... = .proteins
11. Corona radiata forms from. = Granulosa
12. Surgery grade 3 tumor = 50 to 75 % cells undifferentiated
13. Muscle attached to bone by = Tendon
14.treponyma pallidum for initial Diagnosis sample can be taken form.= Genital
sore scrapping
15. Pt with jaundice hepatospleenomegaly which test to be Performed. =
Antimitochondrial antibodies
Session 4 45

16. 1 litre blood loss quest = Inc venous tone


17. While playing cricket got abrasions. Immediate mechanism =
Vasoconstriction
18. Tumor suppressor gene = P53
19. Mc cause of fatty liver in our population = protein malnutrition
( if this is not present in options, prefer Fat intake/obesity , note that hep B&C
don’t cause fatty liver, and don’t confuse NASH ie non-alcohlic-steato-hepatatis
with fatty liver as it’s a condition associated with hepC not caused by Hep C )
20. Ecf volume can be increased by = Hypertonic saline
(hypertonic saline inc ECF volume and osmo , and also sucks the fluid from ICF
compartment futher increasing ECF volume )
21. Most radiosensitive tumor = Seminoma (after seminoma the most
radiosensitive tumors are Glial glioma and followed by craniopharyngioma)
22. Alveolar surface dry due to = Negative interstitial pressure
23. Pseudomonas aureginosa. = Endotoxin
24. Corynebacterium diphtheria lethal effect on = Heart
25. Benign tumor = Leiomyoma
26. Histoplasmosis effect on = Reticuloendothelial sys.
27.. Bioavailability is not affected by = Sex/gender
28.. Regarding morphine use = Terminal cancer patient
29.. Heparin prevent which stage of coagulation = Propagation of thrombus
30..upper motor neuron lesion = Increase muscle tone
( as a rule, in umn lesions everything goes up , so as the muscle tone )
31..passes through cavernous sinus =. Abducence nerve ie CN6
32..young girl, used a drug for back ache, platelets were in normal range,wbc
70000,neutropenia, hb was 9, small immature cell in peripheral film = acute
leukemia
33..in juxta glomerular nephron, sodium is actively reabsorbed electrically
neutral from lumen of nephron in which segment of nephron = Proximal
convoluted tubules ie PCT
34..about follicular ca of thyroid = Vascular invasion
35..transplanted auto graft survives most in = Agamaglobinemia
36..increase in creatinine,,source = Skeletal muscle
37..chronic hepatitis histology = Fibrosis
38..strongest layer of bowl is = Sub mucosa
39.. Weight bearing line in pelvis pass thru = .ischial tuberosity
40.. Which of the following is ectoparasite.= Lice
Session 4 46

41.. Farmer organophosphate poisoning what should be given = Pralidoxime


( if pralidoxime is not in options , prefer atropine then )
42.. All preganglionic neurotransmitter = Acetylcholine
(note that all preganglionic autonomic fibers are B-FIBERS, neurotransmitter is
ACETYL CHOLINE & receptors are NICOTINC receptors )
43.. Sweat gland by = sympathetic
( sweat glands are supplied by sympathetic fibers but the neurotransmitter is
acetyl choline not nor epinephrine)
44. Rt upper n lower limb paralysis. Angle of mouth deviates to left while
talking. = Internal capsule
( if the limb paralysis & facial paralysis are on the same side ie right , then lesion
is in internal capsule as in this case, note that don’t confuse the left deviation of
mouth as left sided paralysis, cz it still indicates right side paralysis of facial
muscles as right are weak and left muscles pull mouth towards them, avoid this
tricky point; secondly if limbs paralysis on one side ie right and face on other ie
left then lesion will be in pons, third point is, if the scenario qualifies for pons
and there is ATAXIA mentioned in stem then click Ponto-cerebellar junction)
45..sulfur containing aminoacid = Cystine
46.. Truncal vagotomy = Dec acid secretion and pepsin
47. Insulin is inhibited by = B.blockers
48. Nonbacterial thrombotic endocarditis = Terminal cancer
( it may also be caused by conditions like SLE, but prefer neoplasm if present in
options )
49.. Chloride shift in rbc is due to which protein = Band 3
50. PPD is false negative in = Immunosuppressant
51. Following lymphoid organ receive lymph from subscapular sinus = Lymph
node
52. Adrenalecctomy taste preferences = Nacl (Salt)
53.patient with lung abscess develops meningitis, causative organism.
=Staphylococcus
( any abscess in the lung is due to staph aurius until proved otherwise, according
to oxford medicine, and after lung abscess meningitis is due to staph aurius ,
according to kaplan medicine )
54. Low dose estrogen pill causes. = Hepatic adenoma
(look at the tricky point low dose, if its not there, click thromboembolism)
55. Human is an intermediate host of = Hydatid cyst
Session 4 47

56. How can doctor provide better management to patient = By better


communication
57. EEG of a patient shows = Increase frequency of waves in active mind than in
deep sleep
58.. .sodium regulation is through = osmoreceptors
59.. Teratogen effect in which embryonic age = 2 to 8 wks
( the most susceptible period to teratogens is 3 to 8 weeks when there is
organogenesis, but if this is not in options, click the one near to it)
60.. Which form of thyroxin is an active form = Unbound form
61.. Beta receptor stimulation causes = Increase heart rate
62.. Drug interaction occur = Pharmacodynamic and Pharmacokindetic Both
63.. Parasympathetic effect on Heart = Increase PR interval
64.. DIC activated by = Tissue thromboplastin
65.. which of the following augment the effect of immune system = Complement
System
66. Regarding occupational diseases increase risk of problems with exposure to =
asbestos
67. Regarding biceps brachi = Arises from supraglenoid tubercle
68. Inf wall MI =.Right marginal artery
69.A person had an accident and there was severe bleeding from his body. He got
multiple transfusions but Ecg showed Changes after transfusion due to =
hyperkalemia
70.Commonest cause of hydrocephalus = Obstruction of sylvus
71.BMR n resting condition maintained by = liver
72.And that conversion of chondrocytes to osteoblast type = Thyroxine
73.howship lacunae contain = Osteoclasts
74. EF increase will cause = dec in ESV
75. true about vertebral column. = Inter vertebral disc forms 1/4 of total
76. thalasemia in fetus how to diagnose = cvs >>>mother hb electrphoreis
77. an old man with mi suddenly develop peripheral cyanosis. =V/Q mismatch
78.. Metastasis is the result of. = Loss of e cadherin
79. extra systole will cause = dec in contractility
80. true abt allele = non identical chromosomes at same locus
81. septic shock mostly due to = gram negative
82. which present in post mediastinum. = descending thoracic aorta
83. standing form sitting heart rate will increase due to = dec
discharge form Baroreceptor
Session 4 48

84. Travellers’ diarrhea = Diaphenoxylate


85. Common support for uterus = transverse cervical ligament
86. Infusion of hypertonic saline will cause = inc ECF vol
87 . Aggregation of L.Node surrounded by stratified squamous epithelium. =
palatine tonsil
88. which increase obstructive lung disease. = FRC
89..carbon laden macrophages = Pneumoconiosis
90.lobar pneumonia Ix. =sputum culture for bacteria
91.pannus formation = Rheumatoid Arthritis
92. 1st bone to ossify = clavicle
93. most common fractured bone = clavicle (if asked in lower limb , click tibia
and if asked in hand prefer scapoid and if asked face , then nasal fracture )
94...polio affects = ant horn cell of spinal cord
95....selective Cox2>> cox1 = meloxicam
( if asked highly selective prefer Celecoxib over meloxicam if in options, while if
asked potent cox2 inhibitor prefer meloxicam)
96..primary brain vesicle = mesencephalon
97...128 Hz tuning fork frequency what will stimulate = Pacinian
(pacinian will detect high frequency vibration while for low frequency click
messiner)
98.Lft hand tremor dystonia = left cerebellar lesion
99.. temporal bone fracture will cause = memory loss
100.reticular activating center = Brain stem
101.ECA differs frm ICA. = ECA gives branches in neck
102.down syndrome = rebertsonian translocation
103.a pt taking fruits and vegetables. = will cause vit B12 def
104.a thin lean lady will low Ca after fracture = vit D defcncy
105..a man is told by his dr that he has trnd out to be positive serology becx of
sex history 3 weeks back = Penile chancre
106.. Measles will cause = pan sclerosing encephalitis
107. echo virus will cause = meningitis
108.HIV will cause = kaposi sarcoma >> squmous
109.always associated with HIV = Cervical CA
10.meningitis with rashes. = penicillin
111.not a component of innate immunity......... plasminogen
112.myeloperoxidase specific for = Neutrophil
113.RBCs have = glycolytic activity
Session 4 49

114. Red blood cell antigens = secreted in saliva


115.temporalis is supplied by =trigeminal
116.unable to close eye = Facial nerve lesion ( the job of Cranial nerve 3 is to
keep the eye open and the job of cranial nerve seven is to keep the eye closed)
117.not related with HLA = systemic sclerosis
118.langerhan giant cell seen in which type of hypersensitivity reaction = type4
119.in PPD what seen = T cell and macrophage
120.cell swelling is due to = entry of water
121.in black most common complication of wound healing = keloid
122.Aggresive Ca = melanoma
123.tumor with metastasis what should be most commonly seen = Cachexia
124.gene amplification = neuroblstoma
125.main resistance for albumin =Glomerular Basement membrane
126. Hb 10, O2 saturation 90% ( convert 90% to 0.9 ), PaO2 60 , ask about to
calculate O2 contents = 13 ans
*Formula for oxygen content =(Hb g/dL ×1.34)×SaO2 + PaO2×0.003
oxy content = (10× 1.34) × 90% + 60 × 0.003
oxy content = 13.4 × 0.9 + 0.18
oxy content = 12.06 + 0.18 = 12.24 = 13 approximately
127.RBC antigens are = glycoproteins ( Ref ;Edward F Goljan )
128.Cranial nerves 7, 9 , 10 taking taste sensations converge on = nucleus of
tactus solitarus (how to memorize; remind yourself that these are the nerves
carrying taste sensations, so call this nucleus tastus saltarus instead of tactus
solitarus )
129.GFR and Blood flow increases = due to dilation of afferent arterioles
130.Most common CNS tumor in children is = astrocytoma
(primary brain tumors in children :
●Cystic cerebellar astrocytoma > medulloblastoma > brainstem glioma
while in adults in order:
●Glioblastoma multiforme (GBM > meningioma, >ependymoma)
131.Which nerve branch of cervical plexus supply posterior auricular area
=lesser occipital nerve
(lesser occipital nerve , ie the anterior ramus of C2 supplies the area behind the
ear )
132.Hogdkin lymphoma cervical lymph nodes and spleen involved = stage 3
( as both sides of diaphragm are involved )
stages of Hodgkin lymphoma are;
Session 4 50

stage 1 = only one group of lymph nodes/organ involved


stage 2 = more than one groups/organ but on same side of diaphragm
stage 3 = lymph nodes/organ on both sides of diaphragm
stage 4 = wide spread lymphoma
133.Clot retraction is medicated by = thrombosthenin
( note that clot retraction is the function exclusively specific to platets)
134.Most common brain tumor = Astrocytoma
(Accounts for about 70% of all neurogical tumors)
135.Regarding malignant melanoma arrange cell in chronologic order which
will present earlier = melanocytes > lymphocytes
136.Hemophilia , joint pain six months now presents , which substance will be
present = cholesterol (ans from senior, I couldn’t find any authentic ref)
137.Post HIV operation theater will be cleaned by = 2% glutaraldehyde
138.Flourecent and resistant to antibiotics = teponema
( though treponema is treated with penicillin G, but still its one of the infection
hard to treat by antibiotics )
139.Sciatic nerve damaged, and dorsal surface of foot still has sensation , nerve
supply is = saphenous
(saphenous nerve supplies medial side of leg and also foot extending to its
dorsum up to lesser extent, and it’s the branch of Femoral nerve, while all
others are the branches of sciatic nerve, so saphenous holds true as per
exclusion) The other options were sural , tibial and common peroneal
140..Whole wheat contains which vitamin = Thiamine
(vitamin-B1 Sources; Liver, eggs, whole grain cereal, rice, and wheat note that
Removal of the outer layer of grain in the refining process eg white bread
significantly lowers thiamine content)
141.Pulmonary symptoms are by = ascarisais
142. 17-ketosetoids in urine and ambiguous genitalia = adrnalectomized female
(Increase in 17-KS, testosterone, and DHT; causes Ambiguous genitalia in
females primarily due to the increase in DHT and it effect on the external
genitalia. First step when identifying ambiguous genitalia is to check the genetic
sex of the newborn with a chromosome analysis)
143.Median nerve damaged which action of median nerve will be impaired =
opposition
(explanation along with other options,
●Flexion (flexor pollicis brevis has dual supply i.e both from ulnar and medial so
flexion is least affected in case of median nerve injury)
Session 4 51

●Extension (extensor are supplied by Radial nerve not median)


●Abduction ( abduction is not lost because, abduction is carried out by two
muscles, ie abductor pollicis brevis and abductor pollicis longus, so if brevis is
lost, longus can compensate for it)
●Adduction, ( adductor pollicis is supplied by ulnar nerve)
●Opposition (while opposition of the thumb is only and only the function of
median nerve so its ans)
135.Lymph from the testes drains into = para-aortic lymph nodes
(lymph nodes of testes drains into para-aortic lymph nodes , at the level of L2
(while lymph drainage form scrotum is into superficial inguinal lymph nodes )
136.Ventral surface of the foot is supplied by which nerve = Medial planter
nerve ( tibial nerve divides into medial and lateral planter nerves that supplies
foot)
137.Desending thoracic aorta = supplies, pericardium, esophagus, and brochus
138.Thyroid gland drains into = deep cervical lymph nodes
139.Superficial epigastric artery is a branch of = Femoral artery
( this artery is one of the superficial branches of femoral artery and should not
be confused with superior epigastric artery )
140.Artery that arise in the substance of parotid gland and lies at posterior
border of digastric muscles = posterior auricular artery
( external carotid artery in the substance of gland divides and give posterior
auricular artery)
141.Which one is involved in portal hypertension = esophageal artery
( a branch of the left gastric artery, that forms port-systemic shunt with azygous
vein, and is the artery responsible for esophageal varices and hematemesis)|
142.Mass of the hair is because of = keratin
(up to 95% of the hair mass is because of keratin)
143.Spleencectomy vessels present in which ligament = spleenorenal ligament
(splenic artery enters into the hilum of spleen in spleenorenal ligament , splenic
vein lies below the splenic artery in the spleenorenal ligament ( while six short
gastric arteries passes to the fundus of stomach in gastrosplenic ligament)
144.Neck of bladder and proximal urethra are supplied by =, symphathetic by
hypogastric
( sympathetic fibers from L1 & L2 segment of the cord via superior and inferior
hypogastric plexus)
145.Surgical neck of humerus which artery damaged = posterior circumflex
(Surgical neck is a narrow area distal to tubercle, that’s, the common site for
Session 4 52

fracture and is in contact with axillary nerve and posterior circumflex humeral
artery )
146.Which muscle is flexor of forearm and supplied by radial =brachioradialis
147. Circumflex branch is damaged which area will be affected = left ventricle
and left atrium
148.Artery involved in inferior wall MI = Right Marginal artery
149..Sinus in jaw plus yellow granules = actinomyces
50.Abduction up to 40 degree is lost = supraspinatus
151.Fracture of surgical neck of Humerus damage to = Axillary Nerve
( note that deltoid is supplied by axillary and damage to it result in loss of
abduction,
●supraspinatus - by suprascapular nerve = 15 to 30 degree abduction
●Deltoid – by axillary nerve = upto 90 degree abduction
● trapezius – by accessory nerve = above 90 degree abduction
152.Inversion of foot by which muscle = Tibialis Posterior
153.Lateral foot dermatome = S1
154.Most appropriate about Clavipectroral Fascia =Covers Pectoralis Minor
155.The specific feature of Apoptosis = cell shrinking
( if councelman body is mentioned in options then click that )
156. Open wound healing includes = myofibroblast
157.An obese man with h/o atherosclerosis underwent laparotomy due to
bleeding in abdomen n during surgery, his small gut was purple n sup
mesenteric artry was blocked , so what is dx =wet gangrene
158.Cervical rib attached to trverse process of cevical rib will compress = T1
159. Aortic aneurysm which structure not compressed: Phrenic nerve
160. Mucus not secreted by = terminal bronchioles
161.nerve supply of extensor digiti minimi = deep radial nerve
( all the extensors of hand are supplied by Deep branch of radial nerve )
162. Pregnant lady anaemic, Best lab Investigation = CBC
163.The muscle that causes eversion of foot = peroneus longus
164.Anion gap = difference b/w measured cation and measured anion
165.regarding cimitidine intake what effect causes =.inibition of hepatic enzymes
166.which of the following is premalignant lesion = lichen planus
167.ewing sarcoma occurs which site of bone = diaphysis
168.spermatogenesis is stimulated by = FSH and testosterone
169.epididymis drain into = vasdeferens
170.regarding lesser sac = double peritonal layer
Session 4 53

171.basic scavengers = macrophages


172.K in diet is excreted in which part of nephron = distal tubules
(Note that, 67% of the filtered K is reabsorbed along proximal tubule , but Distal
tubules and collecting ducts either reabsorb or secrete K , depending on dietary
K intake, the excretion ranges from 1% to 110% . if both DCT and collecting
duct are present in options prefer, distal convoluted tubules)
173.narrowest part of urethra = external meautis
174. ca prostate spread by = vertebral plexus
175.A patient using INH for TB prophylaxis, which vitamin he should use to
avoid adverse effect = pyridoxine
176.after non-lethal MI in 4 minutes = arrhythmias
177.opsonization occurs = help of c3b
178.fracture of 9th and 10th ribs will cause injury of which organ = spleen
179.Saphenous nerve terminal br of = femoral
180.Adductor muscle hamstring muscle supplied by which nerve = tibial
181.loss of small muscle of one hand damaged = C8,T1
(If u have to prefer one, then click T1)
182. gracillis nerve supplied by = obturator nerve
183. Adductor brevis supplied by = ant branch of obturator nerve
184. regarding tramadol true is, = weak meu agonist
185.epitheial changes in endocervix in squamous tissue due to = metaplasia
186.ketorolac analgesia most preferable = Non diabetic cholecyctectomy
187.middle rectal artery branch of = internal iliac
188.hemisetion with total spinal section differentaiad by = spinal shock
189.gas having mximum diffusion capacity in body fluids = CO2
190.margins of TB ulcer = undermined
191.Internal laryngeal nerve passes through = thyroid and hyoid
192.liver development = from ventral mesentry distal Foregut
193.patient developed hemolysis due toG6PdD deificiency nxt happen = self
limiting
194. required for transport of B12 in blood = TC2
195.protein content less in glomerular filtrate occur due to = pore size and
negative charge
196.superficial parotid painless tumor, pseudopoid growth, contain no capsule
on histopathology = pleomorphic adenoma
197.Hypertensive ulcer = Martorel
198.regarding pituitary gland true is = vein drain directly in dural sinuses
Session 4 54

199.Anemia with Blast Cells in peripheral blood = Erythroblastosis fetalis


( note the point ie BLAST in the question and BLAST in the answer )
200.Which ligament supports odontoid process of axis on atlas = transvers
ligament
201.Shivering center is located in = post hypotahlmus
202. Group of young men bathing n beech next day develop blisters on back
shoulder limbs region cause is = Mast cell destruction
203.Deep to post digastric and near palatoglossus a structure runs obliquely
upwards = Lingual artery
204.Surgery for removal of ovary done which is damaged = Internal Iliac Artery
205.man in hot sunny environment fell...finding na 122 due to = excessive
sweating
206.hip extension and leg flexion by = semitendonosis
207.long thoracic nerve supply to = serratus anterior
208.how much amount of air is required for pulmonary embolism = 100cc
209.Facial nerve exits through = stylomastoid foramen
210.Damage to capsule and articular capsule of temporomandibular joint causes
damage to which muscle = lateral pterygoid
211.Universal donor = O negative ( while universal recipient is AB positive )
212.Side effects of chlorpromazine = Dystonia
213.Which structure is formed by the end of first week = blastocyst
214.girl cannot comb her hairs Nerve damage = accessory nerve
215.regarding heart sounds = audible on area of heart valves more precisely
216.aldosteron major action on = collecting duct
217.injury above sacral spinal cord result in = Spastic bladder
(note that UMN lesion ie the lesion above sacral spine is = spastic bladder while
due to lesion of the sacral spinal cord segments or sacral spinal nerve roots ,
means LMN lesion result in so called Atonic bladder. Neurogenic bladder is the
term used for both spastic and atonic, so if clear-cut point is not asked then ,
prefer neurogenic bladder)
218.Cell membrane structure primarily maintained by = Cholesterol bilayer
219.Enzyme may fall in liver injury = Pseudocholinesterases
[Decrease in liver disease (hepatitis and cirrhosis)]
220. which part of liver with poor supply = poor oxygenation of zone 3
(Note that zone 1 is richly supplied with blood and is mainly affected by
VIRUSES & INGESTED TOXINS, while zone 3 is poorly perfused and mainly
affected by metabolic toxins)
Session 4 55

221.trachea is = has 16-20 incomplete rings


222.what nerve loops around arch of aorta = left recurrent laryngeal nerve
223.hyper eosinophilia occurs in = Hodgkin
(Due to IL5, that stimulates the eosinophil production )
224.corticopsinal track ends at which level = spinal cord
(if asked anterior corticospinal tract or anterior spinothalamic tract ends at ??
the ans for both is = midthoracic region )
225.warthin starry stain used for = spirochete
226.phrenic nerve runs on left side with = pericardicophrenic artery
227. hypovolaemia with hypotension isoflurane shud not be given,why? b/c it is =
Potent vasodilator
228. Otic ganglion location foramen was asked = inferior border of foramen
ovale
229.Epitheluim of preterminal bronchiole/ conducting zone = Pseudostratified
columnar cilliated...with goblets in larger bronchiole
(in resp bronchioles> cuboidal, then simple squamous upto the alveoli] {clara
cells in terminal bronchioles} )
230.muscle which causes flexion of elbow and supplied by radial nerve =
Brachioradialis
231.hormones during sleep = GH increases
(During sleep Inc level than awake = cortisol)
232.chest pain and fever not related to respiration = Myocarduim
233.in later stage of pregnancy oestrogen and progesterone produce by =
placenta
234.A patient has hypercouagable state having def of = factor v(facror V
Leiden)
235.difference BTW skeletal and smooth muscle = ca calmodulin
236.Valve involved in Limb sack endocarditis = Mitral & aortic
237.Abdominal angina cause by obstruction to = Sup mesenteric
238.middle colic is the branch of = Superior mesenteric artery
239.geniculate ganglion is located in = facial canal
240.taste sensation is carried to the cortex through = thalamus
241.two point discrimination = merkel disc
(If asked ,Maximim 2 point discrimination then = Lips( TIP OF TONGUE
BEST IF THERE ) while if the stem is “Maximim distance of 2 point
discrimination at” then = BACK OR scapula)
242..oesophageal atresia = drooping of saliva (indicating factor)
Session 4 56

243.Aluminium hydroxide in = delays gastric emptying (causes constipation)


244.sternum ossification = 21 years
245.mandible = symphsis menti join at midline by joint.
246.broca's area = area 44 Non Fluent aphasia
247.long refractory period = heart
248.defeciency of glucose 6 Phosphatase causes = hypoglycemia..
249.Increase GFR causes inc absorption of salt and water from = PCT
250.infection in cavournes sinus = inferior opthamic vein
251.cause of damage to lateral rectus = 6th CN
252.During hysterctomy ureters can be damaged while ligating which artery =
uterine artery
253.which one is the DNA virus = Infectious mononucleosis
254.injury to surgical neck of humurus damage to which nerve = Axillary nerve
255.Axillary nerve damage will cause what = Dec abduction
256. statistical test observed differences b/w 2 means been by chance = variance
257.max pressure in aorta during which phase = max during slow ejection phase
( while lowest in isovolumetric contraction)
258.remant of geburnaculum,= Ovarian ligament and round ligament of uterus
259-left renal vein relation to aorta = LRV is anterior
260-cause of thromboembolism = prolonged immobilization (most common)
261. commonest cause of shift of K from intracellular to extracellular = strenous
exercise (releases potassium from skeletal muscle)
262- regarding trachea = commence at lower end of cricoid cartilage
263- damage to medulla oblongata during hanging = odontoid
264. sternocleidomastoid causes = movement of head in opposite direction
against force(resistance)
265-platelets life span of = 10 days
(note that platlets Count increases after spleenectomy ,the 1st effect we see after
spleenectomy is Increased Platelet count ie thrombocytosis as the sequestered
RBCs are put into circulation, and the HOWEL JOLLY BODIES are after that)
266.lymphocytes = immunity against cancer cells (NK most potent)
267.multiple bone fractures history,blue sclera which products enzyme is
defiecient =Collagen (the scenario is osteogenesis imperfecta)
268.Most common cause of Hepatocellular CA in developing countries =
HEP B,C
269.Regarding jerks corresponding with spinal segments = Biceps- C6
270.MELAS syndrome histological finding = Red ragged fibers
Session 4 57

271.Giant Cell Tumors histo finding = Soap Bubble appearance


272.Young adult with raised ALP, jaundice and decreased Hb Scenario =
Pigment stone
273.clostridium = spore producing
274.few weeks after delivery regression of uterus and breast = lysosomes
275.inc stroke volume is due To = large blood volume
276.transport of glucose across placenta:-facilitated
(Though both simple diffusion and facilitated are involved in glucose transport,
while amino acids and fatty acids are only by facilitated diffusion; note that
electrolytes use counter transport mechanism)
277.transport of local anesthetic across placenta - simple diffusion
278.Most common injured artery during difficult c- section = uterine artery
(While surgery for ovary damages internal iliac)
279.cutting of parasympathetic nervous system most likely = affects GIT muscles
280.vaginal lymphatic drainage below hymen = Medial group of superficial
inguinal lymph nodes
281.alpha amino group of non-essential amino acids is derived from = glutamate
282. Micturition controlled by = Mechanoreceptors in bladder wall....
(Another question is frequently asked about micturition and the answer will be
SELF GENERATIVE)
283.pelvic splanchnic nerve = parasympathetic
284. years old pregnant lady,, suggested for chorionic villous sampling. What you
suspect = trisomy 21
285.pt with moon facies excessive fat deposition at chest and abdominal areas,,
ACTH raised,, diagnosis = Cushing disease
(ITS disease not syndrome as in syndrome ACTH, will not be raised )
286.A patient presented on 18th day of menstrual cycle.Her normal cycle is such
that she ovulates on 14th day.Which phase will she be in = secretory
287.standard deviation shows = variability among individuals
288.Best test for diabetic nephropathy = urinary albumin
289.child with yellow sclera and colored urine best investigation = ALT &
bilirubin
290.Uterus remains in position by : Cardinal Ligament ,
291.A girl with primary amenorrhea ,, height 5. 4,, weight 60 kg.well developed
breasts , small vagina,, no uterus on u/s,, genotype xy ( no bar body) = testicular
feminization
292. Ureteric bud not reaching mesenchyme leads to - Renal Agenesis
Session 4 58

293.Longest pre erthrocyte stage is longer in = Plasmodium Malariae


294.No agglutinin is present in blood group = AB+
(Right answer is AB+ coz agglutinin means antibodies so in AB +ve blood group
no antibodies that’s why no reaction with donor blood hence AB+ve is universal
recipient)
295.Platelets transfusion is contraindicated in = ITP
( if the question asks must not be given then answer is Splenomegaly)
296.4th heart sound is produced by = Ventricular Filling
(Ref Ganong MCQ, If not in options then mark atrial systole)
297.Patient is unable to open the mouth due to paralysis of = Lateral pterygoid
298.What is correct about broncho pulmonary segment = Aerated byTertiary
bronchi
299.Characteristic of actinomyces = Abscess and granuloma
300. A carcinoma of vagina below hymen( vaginal orifice) is likely spread
via the lymphatics into the = Medial group of horizantal superficial inguinal
nodes
Session 5 59

Sometimes the chains that prevent us from being free are more mental than physical.
1.Councilman bodies seen in – Apoptosis.
( Remember ; if u see word MALLORY BODY = alcoholic liver disease
Myelin figure = Reversible cell injury and councelman body = apoptosis , never
click any other option then )
2. Thorn prick in left lower limb caused abscess - Staph aureus
3. Oblique fissure of the lung at level - T3 to T6 Costochondral.
4. Stress hormone of our body – ACTH
( IF cortisol is not given in options prefer ACTH )
5. Superficial temporal artery relation with which nerve - Auriculotemporal
nerve.
6. Correct about Thyroid gland - lymph drainage to deep cervical lymph nodes.
7. Anemic hypoxia occur in – Methemoglobulenemia.
8. In cerebral circulation brain arteries - Do not anastomose once entered in the
brain (Don‘t confuse it with circle of villus that is anastomosis in the sub
arachnoid space not in the brain substance).
9. Phase 1 of transformation of drug metabolism – Oxidation.
10. Standard deviation shows - Variability of individual observation.
11. Counseling in patients is - To help themselves.
12. A young girl who is going to die and asks you ―Am I going to die?‖ Doctor
response should be – ―What your parents have told you?‖
13. In whole wheat – Thiamine.
14. Cholesterol enriched diet – Egg
15. Origin of peroxisomes – SER.
16. Organelle where protein combines with carbohydrates, packed and released
- Golgi complex.
17. Correct about DNA – Euchromatin is transcriptionally active.
18. ADPKD associated with – CEREBRAL HEAMORRHAGE
(If asked the most common cause of death/complication in ADPKD then = Renal
failure ….. but if asked association then Sub-arachnoid hemorrhage (50%) >>
cerebral hemorrhage)
19. Cause of delay in healing – Infections
( infection is the most common cause of delayed wound healing )
Session 5 60

20. PaO2 decreased, PCO2 increased, hydrogen ion increased; manifestation


–Hypoventilation.
(look at CO2 which is increased that means person is not ventilating properly to
remove it out that is HYPOVENTELLAION)
22. Person with tachycardia, and heat intolerance with low level of TSH, on
giving TRH; level of TSH and thyroid hormones increases. Diagnosis –
Hyperthyroidism with thyroid problem.
23. Origin of oxytocin and ADH – Hypothalamus.
24. Difference between systemic and pulmonary circulation - Low resistance in
pulmonary circulation.
25. Mean systemic filling pressure is regulated by - Venous return.
26. Systolic pressure is directly related to which one of the following – Renin.
27. ADH responds to – Osmolarity.
28. Osmoreceptors are receptors for – ADH.
29. Right border of heart on X-ray also visible a part of –SVC.
30. In MI sensitive cardio marker – Tropinin T.
( IF asked in 1st hour or Enzyme in stem then prefer CKMB)
31. Diabetic nephropathy investigation - Urine albumin.
32. Young boy with generalized edema and proteinuria - Lesion of basement
membrane.
33. Lesion of parasympathetic system affects mostly - GI muscles.
34. Decussating of medial lemniscuses - Internal Arcuate Fibers
35. S2 sound heard on - Closure of aortic and pulmonary valve.
36. A patient with history hemorrhage (trauma) receives a bag stored for 2
weeks mainly contains – RBCs.
37. Due to inspiration what decreases – Volume of atrial pulse.
(as during inspiration there is minimal blood in the left ventricle that dec blood
pressure)
38. Important buffer of blood - HCO3-.
39. Max increase in ECF due to infusion of - Hypertonic NaCl.
40. Auscultation of tricuspid valve best heard at – Right lower end of the body of
sternum. ( this is CPSP favorite most question )
41. GVE vagus nerve for preganglionic fiber arises from – Dorsal nucleus.
( it‘s the parasympathetic nucleus of vagus to the viscera that why its supply is so
called , GENERAL VISCERAL EFFERENT )
42. Tip of scapula at level – T7.
Session 5 61

43. Diabetic female after abdominal surgery; dyspnea and cough - Pulmonary
embolism.
44. MCC of pulmonary embolism – DVT.
( NOTE ; if asked the most common site of DVT then Popletial vein if asked most
common source for pulmonary embolism then FEMORAL)
45. Typhoid fever 1st week test – Blood culture
46. Typhoid fever 2nd week test – Blood culture and Widal test.
47. Typical feature of falciparum - Black water fever.
48. Alcoholic patient with deranged LFTs; on biopsy – Mallory bodies.
49. Potassium is mainly regulated by - Aldosterone.
50. Natural self-defense against tumors – Apoptosis.
51. P53 gene absent results in - cell survival.
52. Pain mediator - Bradykinins.
53. Metaplasia – Functional change in cells.
(metaplasia is replacement of one adult cell to type by other , and is mostly due
to CHRONIC IRRITATION , it‘s a REVERSIBLE condition and most common
examples are BARRET ESOPHAGUS AND SQUAMOUS METAPLASIA OF
LUNG DUE TO SMOKING)
54. Female with infection of HPV, comes after 2 years, Pap smear shows
prominent nucleoli and increased nucleus size – Dysplasia.
(Whenever in scenario u see word , change ins SHAPE, SIZE , ORIENTATION,
ARCHITECTURE, OR INC NUCLES ISZE, always pick Dysplasia , its also a
reversible condition)
55. Gas exchange occur - Simple squamous epithelial layer.
56. Patient with granulomatous disease, biopsy done. Microscopic finding that
suggests TB – Caseous necrosis ( if asked the feature of granuloma then click
epithelioid cells, not otherwise, if asked what will u do next after u see caseous
necrosis then click AFB STAINING , if no clue is given the click AFB STAIN)
57. The spindle fibers will decrease in discharge of impulses when - Muscle
contracts
(NOTE; the job of spindle is to contract muscle, it means when the muscle
contracts , its job is done and it DEC FIRING )
58. Diagnosis for leprosy, initial investigation - Nasal scrapping.
59. Benign neoplasm – Adenoma.
60. 3 germ layers tumor – Teratoma.
61. When adrenalin release from medulla, causes vasodilation by acting on -
Beta 2 adrenergic receptors. ( ALPHA 1 = contraction , Beta 2= dilation )
Session 5 62

62. Increased GFR and increased plasma flow occur due to - Dilation of afferent
arteriole.
63. Characteristic of cerebellar lesion – Dysmetria
64. Emax (maximum effect) of a drug depends on – Efficacy
(cram it, is highly repeated)
65. Study in which every person of a population has equal chances of being
selected – Random sampling.
66. Amniocentesis is done - After 14th weeks.
67. 1st response against acute inflammation in tissue – Macrophages.
68. In dark granules containing cells; IgE attaches to – Basophils.
69. Opsonization - C3b.
( also Fc portion of IgG is opsonin, BUT C3b is more potent)
70. Exudate - more than 3g of proteins.
71. About active transport of drug all are true except - All drugs pass via active
transport.
72. Pulmonary artery supply to – Alveoli.
( this is the evergreen question among repeated ones)
73. Muscles of back innervated by - Dorsal rami.
74. In young boy dyspnea produced on lying - Retrosternal goiter.
75. Most important cause of bronchogenic cancer – Smoking.
76. Edema caused by - Increased hydrostatic pressure.
77. Edema caused by - Lymphatic blockage.
78. BP 210/180mmHg and creatinine 8% damaged part – Juxtaglomerular
apparatus.
( this que is is mostly repeated In same way, so remember if very high BP an
raised creatinine and in options there is JG APPARATUS. Don‘t click anything
else)
79. Female with blood group A, have 2 children; one with O and other with AB,
blood group of father is – B.
80. Genetically true hermaphrodite XXY
( This is one of the most controversial MCQ, and according to Goljan xx is
correct ans that‘s in 50% of cases while other combinations make only little
percentage, but cpsp key makes XXY a better option)
81. DNA replication occur in – Interphase.
( DNA & CHROMOSOMES replication occur in interphase)
82. Glycogenolysis caused by deficiency of which hormone – Insulin
83. Investigation for liver amoebic abscess – Serology.
Session 5 63

84. Surgery of submandibular gland; nerve damaged - marginal mandibular


branch of facial.
(This branch of facial nerve runs superficially and is mostly damaged during
surgery)
85. On posterior surface of oblique and transversalis fascia - Arcuate line.
86. Aspirin overdose causes – tennitus.
(Aspirin …. if asked GI disturbances = click normal dose, if tinnitus then=
OVERDOSE)
87. Cardiac output measurement via thermodilution – Temperature change
downstream with CO.
( NOTE ; if thermo dilution not mentioned then Ficks method)
88. 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.
89. If left circumflex artery occluded - Infarction of left atrium and left
ventricle.
90. MCC of multiple fractures in adult – Osteoporosis.
91. Patient with fracture of many bones and low BP immediate treatment -
Volume replacement.
92. Most common fracture of long bone - Tibia.
93. Collagen fibers – Eosin stain
94. Gamma efferent supply to – Intrafusal muscle spindles.
( memorize by heart, its highly repeated)
95. Micturition – Self generating.
96. Hallmark of HIV – Proliferation of virus in T cell
( if asked about AIDS, THEN progressive immune deficiency).
97. 1g protein gives energy – 4 kcalories.
98. Isotonic and isometric contraction difference is that isotonic contraction –
comsumes more phosphate bond. ( memorize as such , highly repeated)
99. Autonomic nervous system – parasympathetic increase salivary secretion.
100. Protrusion of mandible – Lateral pterygoid.
101. After feeding the baby, diarrhea develops – Gastrocolic reflex.
102. Both sides of 5th posterior intercostal spaces is supplied by - Thoracic
aorta.
103. 2 years old child with medially rotated arm lesion in - Upper trunk.
104. Female with uterus cancer which travels to labia majora following which
route - Round ligament.
Session 5 64

105. Pain in epigastrium due to ulcer, transmitted by - Greater splanchnic


nerve.
106. Vesicular lesion on the tip of nose and eyelid - Ophthalmic nerve.
107. Patient can‘t abduct till 30 degree, which muscle is responsible –
Supraspinatus.
108. Nerve supply to plantar surface of foot - Posterior tibial.
109. Medial arcute ligament – Psoas major muscle.
110. Bitemporal hemianopia due to lesion of - Central part of optic chiasm.
111. Ventral spinothalamic tract - Coarse touch and pressure.
112. Dorsal column – Proprioception.
113. Vibration and touch via - White matter of posterior spinal cord.
114. Function of notochord - Induction of ectodermal neural plate to produce
neural tube.
115. Midbrain reticular system – Unusual stimulus causes arousal.
116. Most radiosensitive tumor – Glioma.
117. Hormone increased during sleep as compare to at day wakefulness –
Cortisol.
118. In Trigeminal neuralgia anesthesia given to block trigeminal ganglion at
which site – Middle cranial fossa.
119. Patient with intentional tremors and facial paralysis lesion at –
Cerebellopontine angle.
120. Opioids produces vomiting by acting on - Chemo trigger zone in medulla.
121. Patient working in mine with tuberculin test positive. Cough, fever, weight
loss with hilar lymphadenopathy – Silicosis.
( silicosis = predispose to TB that‘s why tuberculin positive)
122. Male working in construct factory with pleural plaques – Asbestosis.
( asbestos predispose to bronchogenic carcinoma and mesothelioma )
123. Neoplastic cells with continuous mitosis due to persistence of – Telomerase.
124. During exercise venous return is due to - Contraction of calf muscles.
125. During exercise increased blood supply to muscles - Local metabolites.
126. Action of steroids as anti-inflammatory is due to - Inhibiting phospholipase.
127. Intermediate filaments (keratin) staining with immunofluorescence to
diagnose – Carcinoma. ( note that if there is mentioned carcinoma then look for
keratin , and if meshenchymal tissue tumor then VIMENTIN)
128. VPL nucleus of thalamus when damaged cause – somatosensory loss of
contralateral body.
Session 5 65

(REMEMBER , Ventral posterolateral nucleus is for somatosensory sensation


from contralateral body while ventral posteromedial ie VPM is for sensation
from face )
129. Thiazide diuretic cause – Hypokalemia.
130. Man living on side of a river, got blindness from nematode; organism -
Onchocerca volvulus. ( highly repeated)
131. MCC of HTN – Idiopathic.
132. Adult female with breast atrophy due to decrease in – Estrogen plus
progesterone.
133. Female with hirsutism, galactorrhea, infrequent heavy menstrual cycle. U/S
both ovaries with cystic lesions and LH:FSH :: 3:1 – PCOS
134. Female with hot flushes - Increase FSH and LH.
135. Injection of atropine will cause - Dryness of mouth.
136. Female with severe loss of vibration, Investigation of choice - Stomach
biopsy.
(this scenario is about vitamin B12 deficiency where there is sub-acute combine
degeneration of spinal cord resulting in loss of vibration & position sense , the
most common cause of vitB12 deficiency pernicious anemia, for which stomach
biopsy is indicated )
137. Child with yellow sclera and colored urine, best Investigation - Bilirubin
and ALT
138. Female with weakness and lethargy with RBCs 5.5 diameter and very thin
red line of RBC in peripheral smear - Microcytic hypochromic anemia.
139. Monitoring of Hep B – Serum glutamate-pyruvate transaminase.
140. Female with reactive anti HBe and reactive total anti HBc along with non-
reactive HB IgM and non-reactive HepBs Ag - Acute recovery phase.
141. Patient with obstruction jaundice; now bleeding cause - Vit K deficiency.
142. Investigation of Hashimoto thyroiditis – Antimicrosomal and anti-
thyroglobulin antibodies.
143. Cimetidine interaction with warfarin causes - Decrease hepatic clearance of
warfarin.
144. Patient using some anti-coagulant, how will you know that anticoagulant
is warfarin because it is being monitored by – PT
( remember the oral anticoagulant means warfarin and to moniter warfarin INR
> PT, so if INR is there then click it if not then PT)
145. BP drops from 100mmHg to 70mmHg – Decrease in carotid sinus nerve
activity.
Session 5 66

146. Erythropoietin is secreted by – Mesangial cells.


( erythropoietin is secreted by peritubular capillaries, but in CPSP exams, it is
secreted by mesangial cells  #respect)
147. Patient with all symptoms of Cushing along with increased ACTH cause -
Cushing disease. ( simple difference between CUSHING disease and syndrome is
, that in cushing diseae ACTH will be high )
148. Child with machinery like murmur – PDA.
149. PaO2 is 100% in - Left to right shunt.
150. Kallmann syndrome – Defect in Arcuate nucleus.
151. Diplamotoylphosphatidyl choline + carbohydrate + proteins is a content of
– Surfactant.
152. In asthma = Decrease FEV1.
153. Splenectomy is most useful in - Hereditary spherocytosis.
154. Findings in glycogen storage diseases - Hepatomegaly and hypoglycemia.
155. Corynebacterium diphtheria produces – Exotoxins.
156. Common specie of Corynebacterium affecting human is – Diphtheriae.
157. Typical symptom of food intoxication by Clostridium botulinum - Flaccid
paralysis.
158. CSF with increased proteins and polymorphs with decrease glucose the
drug of choice = Ceftriaxone.
159. About the pharmacology of Neiserria gonorrhea = Pencilin G.
160. Major histocompatibility is related to – HLA.
161. Kidney is transplanted, gets cyanosed in 10 minutes, type of reaction -
Antibody mediated. ( In case of hyper acute rejection, there are preformed
antibodies, which reacts within minutes,)
162. A child with Agammaglobulinemia is prone to - Pyogenic infections.
163. Diagnostic criteria for sarcoma - Increased vascularity.
164. Soldier coming down from height, now with discoloration of fingers,
dyspnea - Secondary polycythemia.
165. Vitamin D acts on intestinal mucosa via - expression of genes.
166. Release of neurotransmitter due to - Influx of calcium in presynaptic fiber.
167. Calcium influx via slow channels in ventricle cells causes - Ventricular
ejection.
168. Increased ‗a‘ wave in JVP due to - Tricuspid stenosis.
169. Person with HR 80/min, on ECG RR interval would be - 0.75 sec.
170. Class III Antiarrhythmic – Amiodarone.
171. Increased ASO titer - Rheumatic fever.
Session 5 67

172. In hypertrophic cardiomyopathy – Myocytes disarray.


173. 5 month of pregnancy, lady with thyrotoxicosis, drug of choice – PTU.
74. 30 years old smoker, psychotic, vomiting of fluid with visible peristaltic
movements on abdomen cause -Pyloric stenosis.
( note that the stomach that you hear ( auscultation give splash sound) , you can
see ( visible peristalsis ) and you can feel ( olive like mass on palpation ) is pyloric
stenosis )
75. Myenteric system of parasympathetic is potentiated by – Ach.
176. Pethidine is preferred over Morphine – Less addictive
( Another FACT frequently asked about pethidine is , that it causes
TACHYCARDIA at therapeutic dose , WHILE morphine causes release of
Histamine)
177. Philadelphia chromosome – CML.
178. 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 increase and with fat droplets seen on
hepatocytes and Mallory bodies , Diagnosis - Chronic alcoholic disease.
179. Alpha 2 macroglobulin inhibit – Trypsin.
180. Male with all symptoms of LV failure and pulmonary edema without
any previous illness and BP 125/85mmHg, on X-ray cardiomegaly; cause of
heart failure – Bicuspid aortic stenosed valve
(If the history of alcohol intake is given, prefer alcoholic cardiomyopathy)
181. Highest potential difference in the wall of stomach is when – Aspirin
ingestion.
182. Calculate Alveolar ventilation where Tidal volume is 500ml/respiration. RR
10 - 3500ml/min
(Alv ventilation = TIDAL VOL – DEAD SPACE
500 – 150 * 10=350*10
= 3500 )
183. Calculate Clearance where Urinary flow 20 ml/min, Concentration of
substance in urine 10 and Plasma 10 – 20ml/min.
( clearance = UV/P i-e 20 *10/10 = 200/10 = 20)
184. Excessive eversion of foot damaged which structure - Rupture of deltoid
ligament. ( if asked about inversion then talofabular ligament , inversion sprains
are more common than eversions)
185. About descending aorta . give branches to pericardium lung etc
186. Counterpart of Mullerin tubercle - Seminal colliculus.
Session 5 68

187. Histology of cornea - Stratified squamous non-keratinized.


188. Left shift of HbO2 curve - CO poisoning.
189. Humans are intermediate host in - Hydatid cyst.
190. Clot retraction is mediated by – Thrombosthenin
191. In late pregnancy the uterus is most sensitive to – Oxytocin.
( while for the initiation of labour fetal cortisol is important )
192. About bicep brachialis muscle – attaches to supraglenoid tubercle of
scapula. ( cram it, its highly repeated )
193. Hyper-resonance is mostly heard at – T2-T4 of right midclavicular line.
( because in this region there is only lung, while on left side there is heart and
right side below this ,is liver, so this area is always hyper-resonant)
194. Conus medullaris terminates in neonates at the level of – L3
195. Cimetidine is used preoperatively – Dec acid secretion from stomach.
196. Nursing mother with herpes labialis, drug of choice – Acyclovir.
197. PO4 increased, Calcium decreased and PTH increased – Chronic Renal
Failure. ( remember if PHOSPATE IS INC and Ca is dec THEN FIRST
EXCLUDE CHRONIC RENAL FAILURE)
198. Labetalol acts on – Alpha and Beta receptors.
199. Women after delivery, Platelet: 70,000, aPTT normal, PT raised – DIC.
( Also note the point that DIC is initiated by THROMBOPLASTIN )
200. Between umbilicus and suprapubic rectus sheath behind at its lower limit
forms – Arcuate line
201.which of the following cranial nerves have parasympathetic nuclei = III,
VII, IX,X ( 3. 7 . 9 & 10 )
202.What is hamartoma = totaly benign
(Hemartoma is just jumbled up normal tissue and totally benign)
203.Adrenergic Receptors of Adrenal medulla : cholinergic
( specifically cholinergic nicotinic)
204.Coronary Arteries - always run n in the respective AV septal depression,
205.Scalenus Anterior Muscle - phrenic nerve passes anterior to it
206.loss of sensation of nose, cheek, maxilla, zygoma : maxillary division of
trigeminal nerve (if tip of nose mentioned then opthalmic division of trigeminal
nerve , the most fav question of cpsp)
207.Which of the following have sub capsular afferent sinuses : lymph nodes
(Whenever you fine sub capsular afferent in stem , first look for lymph nodes in
options)
Session 5 69

208.which of the following hormone increases content of skeletal muscle


Proteins—testosterone
209.An Ovum is surrounded by corona radiata which is formed by : granulosa
Cells
210.Patient underwent colostomy after colon resesction for colonic cancer, best
way to monitor for recurrenc; CEA levels
211.Growth harmone : is a polypeptide
a second option is often there in paper,acts indirectly via IGF, if u find it,click it
212.Man with hx of repeated URTI, hx of passage of fowl smelling stools for 10
years , he would have deficiency of which of following : , vit D
( passage of foul smelling stools indicate loss of digestion and absorption of bowel
fats resulting in deficiency of fat soluble vitamins, vit D is fat soluble, )
213.neurogenic shock is different from other types of shock because of : loss of
vasomotor tone
214.bleeding time increased : VWbrand's disease
( in vw disease , both bleeding time and APTT are prolonged )
215.left kidney grossly identified from right kidney by : arrangement of
structures in hilum
216.which of the following have highest incidence of bronchogenic carcinoma =
smoking
217. A man with third degree burns have increased risk of developing :
Contracture
218.Which of the following arches over root of right lung : azygous vein
(● structure arches over left lung root = aorta cz on left there is aorta,
●structure arches over right lung root = azygous vein as its on right,
●structure anterior to the root of both lungs = phrenic nerve,ie phrenic in the
front
●and posterior to the roots of both lungs = vagus nerve)
219.Stored blood has following characteristics ; increased hemolysis
220. Fibrocartillage : present b/w intervertebral discs
221.breaking bad news : should be told to patient in a formal session exclusively
(if option another option is present click that, and that option is , PRESENT
INFORMATION IN A CRISPY AND ACCEPTABLE WAY )
222.for efficient patient doctor relationship best way to start conversation by ;;,
asking about his name, age, address
223.regarding thyroid : active follicles are filled with colloid
224.QRS complex is slightly prior to : ventricular systole
Session 5 70

(i-e electrical activity before mechanical activity)


225.which of the following predispose to malignancy : proto-oncogenes
( while in case of virus click oncogenes )
226. Myxoid degeneration will occur in which : mitral valve prolapse
227.which of the follow prevents flow of substances in intercellular space : tight
Junctions
228.most common cause of fatty liver in our country ; fatty food
( if protein malnutrition present in options then go for it )
229.Aspirin prevents formation of; thromboxane A2
230. Anthrax is 90 % associated with : cutaneous lesions
231.Hairy Leukoplakia is associated with : AIDS
232.boundaries of Digastric Triangle : anterior and posterior bellies of digastric
muscle and ramus of mandible
233.blood supply of foregut is primarily derived from : celiac trunk
234.man encountered fracture of femur in RTA, died after 5 days, cause of Death
= Fat embolism
( if pregnant lady is mentioned and death Is immediate then amniotic fluid-
embolism , if time is in days then fat embolism even in pregnant lady will be the
ans)
235.follicular cells of thyroid are derived from = endoderm
(follicular cells of thyroid are simple cuboidal epithelium and their embryologic
origin is from a median endodermal mass in the region of the tongue , in contrast
to the parafolliclar c cells that arise from the 4th pharyngeal pouch)
236.Neutrophillia will be seen in : after an acute attack of MI
( like all other inflammatory conditions, in MI as well, in day 1 to 3 , neutrophils
stay in there, while from day 4 to day 7, macrophages dominate the site )
237.Hepatic pedicle is formed by : portal vein, common hepatic duct, hepatic
artery ( means portal triad)
238. adult male of long hight, well developed , presented with complain of
infertility what could be the cause : klinefilter syndrome
239. Nor-Epinephrine and Serotonin are degraded by : MAO,
240. Most potent Response in massive haemorrhage is : CNS ischemic Response
241. In nephrotic syndrome oncotic pressure decreases due to :
hypoalbuminemia
242.Isthmus of thyroid gland is present in front of : 2nd,3rd, 4th tracheal Rings
243.Alternative of schwan cells in CNS : oligodandrocytes
Session 5 71

244.Regarding Rectus sheeth tendoneous intersections : upper most is located


near xyphoid process
245.Regarding Hymen : lined by stratified squamous
246.Histology of Vagina : str. squamous epithelium with abundant elastic tissue
in submucosa, highly vascular, smooth muscles around ( whenever u see
ABUNDANT ELASTIC TISSUE in the stem, look first for histology of vagina )
247.Histology of Ureter : small lumen tubular str. lined by transitional
epithelium, with complete muscular coat
248.Mother contracted german measles during pregnancy , fetus is on risk of
developing : congenital Catract,
249.Risk of Congenital catract by Rubella virus can be prevented by :
vaccination of girls of child bearing age
250.Which of the following can be palpated via lateral fornix of Vagina : ureter
251.tapping of patellar tendon causes : contraction of quadriceps muscle
252.Pts of different races are coming at emergency , 50% are whites, 20%
blacks, 20 % Asians, best way to depict there percentages is : pie chart
253.During later stages of pregnancy , Ripening of Cervix is caused by :
Hydration of Collagen
254.Simple columnar Epithelium with Goblet Cells and submucosal lumphoid
tissue : Ileium ( note that submucosal glands of Brenner are present in
duodenum while lymphoid payer pateches are present in lamina propria and
submucosa of ileum )
255.Patient presented with coagulopathy with dead fetus in uterus most imp. step
of initial managment : Evacuation of Uterus
256.A lady is receiving radiotherapy for CA-Cervix, which of the following will
be seen on histology : karyorehexis and karyolysis ( chemo and radio both
cause apoptosis, that how histology will show the features of apoptosis)
257.acute effect of high dose Radiation : endarteritis obliterans
258.Oliguria is production of urine in 24 hours : less than 500ml,
259.Patient with normal amount of semen production but azospermia : defect in
sertoli cells
260.GnRH regulates secretion of : FSH and LH
261.IN preganancy mother feels respiratory distress b/c of = dec.in total lung
capacity
262.young female with hx of multiple recurrent abortions : anti-phopholipid
syndrome
263.Hypophysectomy will effect primarily : principle cells of thyroid
Session 5 72

264.A young female patient presented with pain RIF with hx of amenorrhea for 6
weeks, pregnancy test is positive : ectopic pregnancy
(Acute appendicitis if leucocyte count, nausea and fever mentioned )
265.Urogenital diaphragm lateraly attaches to : ischiopubic rami
266.Pregnant patient presented at 3rd month of pregnancy with Hb 12.5 g/dl,
later on presented on 9th month with HB 10 g/dl normocytic, normochromic,
cause of anemia : normal physiological change
267.local anaesthetic MOA of ionized substances : cause blockade of Na-
channels
268.Neuromuscular junction motor end plate : contains acetylcholinestrase
269.Patient presented with Hx dyspepsia, anemia, pale hands, spooning of nails,
stool test showed OVA : Ancylostoma Duodenale
( note that , ascarisias casuse GI obstruction and lung problems, trichuriasis
cause dysentery and rectal prolapse, entrobius vermicularis cause pruritis ani,
and onchoceercasis cause river blindness)
270. A 23weeks pregnant lady died in RTA type of death is : Fortitious death,
271. While doing appendectomy via incision at Mc'burney's point artery is
damaged : deep circumflex Iliac artery ( if asked about , which STRUCTURE is
damanged then , ans should be illeohypogastric nerve)
272.Elderly patients are prone to develop drug toxicities b/c of : dec. renal
Excretion
273.Patient having menstrual cycle of 32 days will ovulate on : 18th day
(the last 14 days of the cycle are fixed, any change in the length only occurs in
the days before it, which may either reduce of prolong the total duration so to get
the ans ; 32-14 =18)
274.Which of the following will cause bradycardia : occulocardiac reflex,
275.neoplasm having rete ridges , malignant infilterating epithelial cells :
Verrocous carcinoma
276.In pregnancy there is : hypoalbuminemia
277.Lymphatic drainage of skin around anus : medial group of superficial
horizontal lymph nodes
278.Bite cells will be seen in : G6PD def,
279.Inferior layer of urogenital Diaphragm : perineal membrane
280.which of the following is benign tumour = warthin tumor
281.septum primum and septum secundum fuse to form septum which separtes :
common atria into right and left atria
282.At the end of a marathon race there is = Increased glucagon and low insulin
Session 5 73

283.A 7 years old child having generalized edema Investigation of choice is =


urine albumin
(& for diabetic nephropathy the investigation of choice is = urine albumin )
284.Apex of the heart = 8 cm from median plane apex of heart
285.Alpha and gamma motor neurons = Supplied by UMN
286.trisomy 21 =Robertsonian translocation
287.agressiv ca = Melanoma
288.regarding malignanct charcter = metastasis
289.polyphagia in diabetes ocures due to = inc blood glucose
290.edema of kidney origin is due to = albuminuria and Na retention
291.subacute endocarditis = viridins
( viridns causes sub-acute and damaged valves endocarditis, and is on the top
over all, while staph causes acute and in healthy valves, mainly in iv drug
abusers, though in new editions, Staph is on the top overall, but for cpsp. Prefer
viridins  #respect)
292. Pus contains = dead neutrophils
293.at beginning of 5th week = heart definitive formed
( though in 4th week, four limbs and four chambers of heart are formed and at 4th
week primordial germ cells migrate into undifferentiated gonads, but if asked
definitive heart then click beginning of 5th week)
294.contraction of pupillary muscle = parasympathetic
295.hormone causing gluconeogenesis = cortisol
(gluconeogenesis ; prefer cortisol over Glucagon, but for Glycogenolysis , prefer
Glucagon, though it can cause both)
296. primordial germ cells derived from = Ectoderm
(Primordial germ cells have been isolated from the epiblast at posterior end of
primitive streak in 2nd week while germ layers are formed in 3rd week by the
process of gastrulation, hence primordial cells can‘t be considered, the
derivative of any of these 3 layers, its believed that, epiblast is the future
ectoderm that how, the correct answer is epiblast, if not in options click
ECTODERM. Earlier it was believed that PGC‘s are derived from endoderm of
yolk sac)
297.ureteric bud derived from = Caudal end of mesonephric duct
298.lenght of Right main bronchus = 2.5cm (repeated so many times)
299.anterior (costosternal surface) of heart is formed by = right ventricle
300. The most important component of shock is = tissue hypoxia
Session 6 74

1.Veins of thorax drains into = azygous drains into superior vena cava
( azygous vein, after arching over the root of right lung drains into superior
vena cava behind the sternal angle, also note that there are no valves in superior
vena cava, brachiocephalic veins and azygous system of veins)
3.Regarding primary peristalsis = begins when bolus enters the esophagus
4.Cardiac transplantation rejection, the cells involved are = T cell
(CD8 CYTOTOXIC T CELLS : Recognize antigens in association with class I
MHC Proteins Kill virus-infected, neoplastic, and donor graft cells via release of
perforins and granzymes. While in chronic rejection, CD4 T CELLS are
involved, as stated “Pathogenesis of chronic rejection, Most likely due to a
chronic delayed hypersensitivity reaction involving CD4 T cells” )
5.Tumor cells in the blood , most commonly diagnosed by = tumor marker
6.P53 mutation = cell survival
( P53, brings about cell apoptosis i-e death, means if its mutated, cell will suffer
no death and will survive)
7.Liver abscess= serology is done for diagnosis
8.Biopsy taken from posterior triangle = damage to the spinal part of accessory
nerve
(spinal part of accessory nerve lies in posterior triangle, and is frequently
damaged during biopsies or drainage of abscess from this are, not that the loss of
accessory nerve result in paralysis of trapezius, and as a consequence loss of
overhead abduction and inability to comb hair)
9.Alpha receptors = mainly in the proximal urethra
10.Parasympathetic = inc salivation
( Salivary secretions are inc by both symp and parasymp , but parasym effect is
more dominant one.)
11.Receptors causing nor-epinephrine mediated dilation=β2
12.Which muscle causes jaw protrusion = Lateral pterygoid
13.Pancreatic tissue in stomach is = choristoma
14.Sickle cell disease protein affected is = beta globin
15.Iron deficiency anemia = inc TIBC
(note that. The most sensitive test for iron deficiency anemia is Serum ferritn )
Session 6 75

16.At normal condition, both are equal = venous return and pulmonary blood
flow
( the reason is that all the blood entering in right side of the heart should be
pumped to lungs for oxygenation)
17.Difference between pulmonary and systemic circulation = low resistance in
pulmonary circulation
18.Long term memory immunoglobulin is = Ig G
( the initial Ig is always IgM , that’s followed by IgG )
19.Profofol absolute contraindication =Hypersensitivity to profofol
( profol appears safe in porphyria , note that , barbiturates contraindicated in
porphyria )
20.GVE comes out of = dorsal nucleus of vagus ( its also known as posterior
nucleus of vagus and is the main parasympathetic outflow of vagus )
21. Which of the fallowing structures doesnot receive innervations from
branches of pudendal = Posterior Fornix of Vagina
22. Sructure attached to Lumbar Verebra = Anterior Longitudinal ligament
23. Right horizontal semicicular canal stimulated = Head tilt right
24. Athetosis is due to defect in = Globus pallidus (according to Guyton and hall)
25. Opsonization occurs with the = Help of c3b
27. Propulsive movement of intestine effected due to lesion of = Aurbach plexus
28. Main class associated wid antigen presenting cells = MHC2
29. About small intestine true is = small intestine 6-8 meters long
30. Lysosome has secretion against bacterial iron because they contain =
Hydrolases
31. Blood supply of heart is regulated by = Local metabolites
32. Post synaptic sympathatic mainly secretes = Nor epinephrine
33. True abt vertebral column = Cervical nerves originate abovecorresponding
vertebra (Except C8 cervical nerve which is below C7 vertebrae , and all Spinal
nerves also originate below the corresponding vertebrae)
34. Confidence interval = Mean n its standard error of mean
35. Positive Predictve valve is affected by = Prevalence of disese
(Remember PPP = Positive Predictive value is affected by Prevalence)
36. In PPD induration u will find = T cells
( if T-cell & macrophages are present in options prefer that)
37. Which of the following drugs is contraindicated in a patient with raised
intracranial pressure = Ketamine (mnemonic = KRANIUM VS KETAMINE)
Session 6 76

38. If circumflex branch of left coronary artery is blocked which area will b
effected = Posterior surface of left ventricle
39. Draining to Sup Mesenteric nodes = Jejunum
40. Diabetic pt came to ER insulin given what change will happen in blood =
increased pH
( as dec PH is due to acidosis by ketone bodies and insulin when given, will dec
ketone bodies and will inc ph)
41. Potassium will be lost mostly frm which segment following dietary
irregularities = distal tubule
42. Main diagnostic feature of DIC = presence of D dimers
43. A man wd his gut removed some weeks ago now showing ↑ gastric motility
wid diarrhea, cause = Osmotic+secretory diarrhea
44. CO poisoning, methemoglobulinemia, anemia dont result in hyperpnoea, this
is because = Po2 remains normal
(Anemia- Pa02 and Sa02 – Normal
MethHB and CO Poisoning - Pa02 is normal but , Sa02 DECREASED)
45. Ductus deferens end in = ejaculatory duct
46. Sjogren associated with = RA
47. Ovarian pain related to = Obturator
48.Antibiotic given , patients PT and APTT deranged what will u give = vit k
49. Subdural hematoma due to = rupture of cerebral vein
(note that;
●Epidural = Middle Meningeal Artery=Lens shaped Biconvex hematoma
●Subarachnoid = Cerebral arteries and Vein (Berry Aneurysm in Circle of
Villis)
●Subdural = Superficial Bridging cerebral Veins =Cresecent hematoma)
50. Enzyme in saliva that prevents iron utilalisation by bacteria = Lactoferrin
51. Fio2 max dose which does not cause fetolental adrenoplasia = 0.6
(Safe limit is 0.6 or less than that)
52. Gardener right side chest pain 3.5 cacific on rt lower lobe = Aspergilosis
53. Recurrent renal stone associated with which amino acid abnormality =
Lysine
54. Nerve supply of Lattisimus dorsi = Thoracodrosal Nerve
55. Nerve supply of Rhomboids = Dorsal scapular nerve
56. Nerve supply of Sartorius = Femoral Nerve
Session 6 77

58. Vitamin produced by intestinal bacteria = Vitamin K


(Newborns have no gut flora and are deficient with vit k , that why soon after
birth vitk is administered to the neonates )
59. End product of purine metabolism = Uric acid
60. Arrangement of renal segments: Renal-> Interlobar->Arcuate-
>Interlobular->Afferent Arteriole
(According to SEMBULINGAM ; Renal arteries directly arises from abdominal
aorta and enter the kidney through the hilus, while passing through the sunis , it
divides into many segmental arteries which subdivide into interlobar arteries,
each interlobar artery passes between medullary pyramids and at the base of
pyramid forms arcuate artery, each arcuate artery gives rise to inter lobular
arteries , from each interlobular artery numerous afferent arterioles arise)
61. Cervical CA metastasize to = Internal and External LN
62. Prader Willi Syndrome = Hyperphagia and Hypergonadism
63. A patient comes to you in your clinic with lab findings of RBS 198 G/dl and
FBS 122 G/dl; what is your diagnosis = Impaired glucose
(●Fasting >110 <126 = IGT
●For DM ; RBS must be > 200 with Classical Symptoms and FBS must be >
126)
64. Which of the following have direct relationship = pulmonary blood flow and
venous return (Factor That control Cardiac Output also control Pulmonary
Circulation-Guyton)
65. In hypoxic vasoconstriction; which of the following is decreased = arterial
pO2
66.Screening is done = to detect disease at its early stage
67. In athletes, which of the following is increased even in resting state = Stroke
volume ( if not in options the prefer cardiac output)
68. Muscle of quiet inspiration = diaphragm
69. If a foreign body is inhaled; which of the following lung lobes it will go to =
Rt inferior lobe
70. Intracellular ANIONS = Proteins
71. Type of junction present in smooth muscles = gap junction
72. Type of junction present in cardiac muscle = gap junction
73. A man moving in an elevator; which of these is working = saccule
( note that
●angular acceleration = semi circular canals,
Session 6 78

● linear horizontal ie in a car = utricle and


●linear vertical acceleration ie in an elevater = saccule)
74. Which of the following has normal anion gap = Diarrhea
75. Which of the following is diagnostic of tuberculous granuloma = epitheliod
cells
76. A lady with 26 wks gestation has uterine height of 24 wks. On ultrasound
there is no fetus and snowstorm appearance. Which of the following probably
associated with it? = karyotype 46 XX
77. A soldier comes with heavy bleeding. The ideal fluid replacement would be =
whole blood
78.Structure accompanying superior temporal artery =auriculotemporal nerve
79.Relation of terminal CBD with head of pancreas is = embedded in head of
pancrease
80. Genotype of a true hermaphrodite is= XXY
( in goljan xx is given , while some of the colleagues saying that XXY IS CPSP
KEY, though I couldn’t find xxy in any of the cpsp demos, still seniors agree to
it, so ans is xxy , follow cpsp blindly no matter what Goljan says  #respect)
81. Calcitonin is secreted by which tumor = Thyroid
82. Angiotensin 2 is responsible for =systemic vasoconstriction of venules
83. Most common skin malignancy in pt with HIV = Kaposi sarcoma
84. Left gastroepiploic artery is branch of = Splenic artery
85. Organelle that binds carbohydrates with protein enclose them in vesicles n
release = GOLGI bodies
86. Child with recurrent infection, which of the following physiological antibody
is missing on peripheral smear = igA
87. Plasma membrane thickness is = 7-11 (7.5 - 10nm is Range- Guyton)
88. Lady with ventricular rate of 40/m most likely = complete heart block
89. Iron binds to = transferrin
90. Highest carbohydrates is in = wheat (71gm CHO)
91. Resonance of the lungs can b auscultated from back of the chest till = 8th rib
(Demarcation Line is 3rd-9th Intercostal Space)
92. Flexion of knee and extension of hip is the action of = semitendinosus
(Also Biceps femoris, Semitendinosus, Semimembranosus - Posterior
Compartment Thigh muscles--> Tibial Nerve)
93. Which of the following bones has no muscular attachments = talus
94. Lymph drainage from outer nipple is to which group of lymph nodes =
anterior axillary
Session 6 79

95. Dorsal scapular nerve supplies which of the following muscle = levator
scapulae (Dorsal scapular Nerve also supplies Rhomboids)
96. Which of the following is a pivot joint = atlanto axial joint
98. Motor supply of pharynx is by = nucleus ambiguous
(Nucleus Solitarius: Sensory & Ambigous: Motor)
99. Sacroiliac joint = plain variety of synovial joint
100.Mediator of pain = bradykinin ( Bradykinin > PGE2)
101.RT coronary artery = supplies S.A node
102.Most imp hormone involve in gluconeogenesis = cortisol
103.A pt presented with rt iliac fossa pain. he is diagnosed to have acute
appendicitis on flexing his rt thigh inward n medially he cries with pain. What is
the type of appendicitis he has = pelvic
105.Most potent chemotactic factor is = C5a
106.what is the most appropiate ans = C5a is a potent chemotactic agent
107.Low serum complement seen in which condition = SLE
108.Pt presented with photosensitivity,rash n joint pain.which is the daignostic in
this case = anti DS antibodies
109.Which of the following has highest cholesterol content = LDL
110.Which drug does not cause gynaecomastia = Griseofulvin
(Some colleagues saying androgen, but remember that gynecomastia is one of the
adverse effect of androgen, and beyond all explanations, griseofulvin is cpsp key)
111.Which is the best option in identification of Turner's syndrome =
karyotyping
112.End product of purine metabolism is = uric acid
113.Erythropoitin is secreted fro = Mesengial cells
114.ESR is decreased with = albumin is increased
115.RBC'are having = glycolytic enzyme activity
116.Commonest Cause of PDA = permaturity
117.Most common Cause of metaplasia is = chronic irritation
118.What is the differentiating point of hyperplasia fron hypertrophy = Increase
in size n no of cell
119.Dysplasia is seen mainly seen in = epithelia
120.What is the differentiating feature of hyperplasia from benign tumo =
increase in no of cell
121.What is the most true among following = rRNA is most abundant & involve
as ribosomes on endoplasmic reticulum
122. Deficiency of THAIMINE(B1)causes all except =subacute degenaration of
Session 6 80

spinal cord
123.AIDS is associated with all of the following except = leukemia
124.VITAMIN involve in collagen synthesis is = ascorbic acid
125.Neural tube defects occur due to deficiency of = folic acid
126.Iron is stored in the form of = ferritin
127.CO2 is tranported in lungs through = simple diffusion
128.HPV is associated with = CA cervix
129.Optic groove appears on left side of forebrain on day = 22
( memorize by mnemonic, 2 eyes and 22 days )
130.Germen measles causes which abnormality. What is the most appropriate
answer = congenital cataract
131.A newborn with anterior abdominal wall swelling and umbilical cord
attached to it.what is the condition called = omphalocele
132.PT has exophthalmos & his T3 n T4 are increased.what is the option for
treatment of exophthalmos = drugs blocking the lymphocytic infiltration
133.Treatment of diabetes in pregnant lady is = insulin
134.side effect of streptomycin = impairment of hearing
135.Which of the following is opportunistic organism = klebsella
136.Psudomembranous colitis is caused by = Cl.difficile
137.About aspargillosis which is not correct = is caused by long term antibiotic
use.
138.Pt has a history of infection 4 weeks back.now he developed same pain
again.what type of cell will present at this time of disease = neutrophils
139.What is the drug of choice for DVT in ist trimester of pregnancy = heparin
140.Type 2 hypersensitivity reaction includes = erythroblastis fetalis
141.Transfusion reaction will not occur in a pt if we transfuse the=group A with
O ( as O is universal donor )
142.Which of the following does not cross placenta easily = Ig M
145. Which drug is used in the treatment of hirsutism = antiandrogens
146.Most common organism involved in infection caused by IUCD =
actinomycosis
147.ECF differ from ICF in = high conc. of Na & Ca
( if only volume is mentioned in the options the click that one)
148.diffrence of smooth n skeletal muscle = Ca-Calmodulin complex is present in
smooth muscles
149.In partial mole,karyotype is = 69XXY (46XX is complete mole )
150.If carbohydrate is separated from proteins what will be the fate =
Session 6 81

aggregation & precipitation


151.Lysozome contains = hydrolases
152. Following is Autosomal Dominant Disorder= Hereditary Spherocytosis
153-Capsule of liver in known as = Glissons
154-Most common site of thyroglossal cyst is: = Infrahyoid
155. Cancer is Least Related To = Traumatic injury
156. What Age The Head Of Fetus Become Exactly Half The Length At CRL =
3rd Month
57. Not Included In Blood Coagulation Profile = Anti thromboin 3
58. Starling Law of the heart =Explains increase in Cardiac Output that occurs
when venous return is increased.
159. Scenario Of Fissure. Pain Due To Which Nerve = Inferior Rectal
160. Pendular knee jerk is the result of = UMN lesion
(Pendular knee Jerk cerebellum >> UMN )
161. Medial side of arm is supplied by =. Medial cord
162. Bare area of liver is limited by= Coronary ligament
163. During a surgery a surgeon nicks hepatoduodenal ligament. Which
structure is likely to be damaged = Bile duct
164. Capsule of left kidney prevents the spread of infection to = Other kidney
165. Which one is secreted after sweating = Increase ADH
166. Baby born edematous aftr 2 days shows signs of renal failure on
examination rounded mass in pelvic area on autopsy cystic mass is seen. Diagosis
= failure of union of mesonephros n ureteric bud
167. B lymphocytes are associated with = CD 19 & 20
168. Which of the following ulcer is caused by synergistic infection by
microaerophilic non hemolytic streptococci and aerobic hemolytic staphylococci
= .Meleney's ulcer
189.testies drain into : para-aortic lymph nodes ( as gonadal vessels arise from
abdominal aorta, that why drainage is towards para aortic lymphnodes )
190.Best way to diagnose intraamniotic infection is by : detection IL-6,
191.During exercise increased blood supply to muscles is due to = Local
metabolites
192.True regarding male reproductive system = Testosterone produced by leydig
cells of testes.
193.ovarian cancer first metastasize to = par aortic lymph nodes.
194.structure passing through pelvic inlet is = ureter
195.Mullerian duct counterpart = rete testis cords
Session 6 82

196.common iliac arteries = crossed by ureter at their bifurcation


197.Ileococcygeal ligament located at level of = L2
198.which of the following is most likely correct regarding lesser pelvic in female
= has an outlet bounded by ischeopubic rami and sacrotuberous ligaments
199.secondary oocyte indergoes the 2nd reduction devision = after fertilization-
200.in which of the following conditions ocps contraindicated = migraine
201.after 5 years of transplant surgery there is an increase incidence of : =
lymphoproliferative disorders
202.longest incubation period = HIV
203.primary oocyte surrounded by zona pellucida and zona granullosa and fluid
filled spaces is most likely = secondry follicle
204.female 28 weeks gestation,, presents with poly hydroamnios what is the
problem with fetus = duedenal atresia
205.which of the following are boundaries of pelvic inlet = pubic crest
206.female with cervical dysplasia, , which test will be 95% reliable = pap smear
07.Pulmonary blood flow hindered by = Pulmonary embolism
208.ligament which held uterus in anteverted position and can be palpated on
rectal examination = uterosacral ligament
209.Female with arthritis, rashes,, rynouds phenomenon, which is "specifiic" test
= anti Ds antibodies
(note that if asked about sensitive, then ANA is more sensitive)
210.sensitive marker of myocardial damage = Troponin T
211.WHICH of the following is associated with adult polycystic kidney disease =
cerebral hemorrhage
( if sub arachnoid heamorrhages is present in options, prefer that)
212.isotonic and isometric cintraction. isotonic contraction is different by =
consume more phosphate bonds
213.anemic hypoxia is caused by = methehemoglobinemia
214. inc in both renal blood flow d GFR = dilatation of afferent arterioles
215.chronic renal failure cause of anemia = Erythropoieten dec production
216.gamma motor neurons are present at the = end of intrafusal fibers
217.lady with major abdominal surgery develops dyspnea = Pulmonary
embolism
218.before giving sodium valproate = LFT,s
( as the most dangerous adverse effect of valproic acid is fulminant hepatitis )
219.function of hcg = maintains corpus luteum
Session 6 83

(Prevents from involution and any of the options can be asked so memorize
both)
220.gold standard for breat cancer = Mamography
221.53 years old lady admitted in comatose stated, blood sugar 400, +4 sugar in
urine,, no ketone bodies and albuminuria = DM2
222.Philtrum of upper lip = Tw0 Medial nasal processes
223.intermittent pain of small intestine is felt = Umblical region
224.after 15 days of c- section due to obstructive labour.. pt developed urinary
incontinence. what is the most likely cause = Vesico vaginal fistula
225.breast lobes = separated by interlobar stroma
226.how good is a test at correctly diagnosi diagnosing people with the condition.
Feature qualifies = Sensitivity
227.pO2 is lower in arterial blood than pulmonary blood because-- diffusion to
occur
228.lady with back ach on right side,neck of femur fractured due to slipage in
washroom.Blood calcium is raised and calcium appeared in urine,, diagnosis =
hyperparathyroidism
229.enzymes are specific for male and female hormones production,,, enzyme
only for female hormones production = aromatase
230.male pt with severe hemorrhage,presented in unconscious state,, transfused
with 2 weeks old blood ,Blood mainly contain = Rbcs
231.cells which contain sense granules and have igE antibodies on their cell
membrane are = basophills
232.current bone density is assessed b = dexa Scan
female presented with some epithelial changes nd hpv +ve.Again presents and
pap smear shows large cells with large nucleus.Diagnosis = dysplasia
( note ; Cervical dysplasia, HPV infection > IUCD, while most common cause of
cervical metaplasia is Multiparity > IUCD)
233.Tachyphylaxis = Diminish unresponsiveness adapted quickly
(in simple words, rapidly developing tolerance to a drug is called tachyphylaxis)
234.Powerful vasoconstrictor = Cocaine
235.True about pudendal nerve = Supplies muscles of perineum
236.GnRh is not inhibited by = Carcinoma
237.Ureter is supplied by all except = Inferior mesenteric arteries
238.Myleperoxidase is an enzyme present in = Neutrophil
Session 6 84

239.Fourty ears lady with 2 year history of pruritis ,for the last 6 months having
xanthoma, hepatospleenomegaly, which investigation will confirm Diagnosis
= Antimitochondrial antibody (a scenario of primary biliary cirrhosis)
238.Milk presents in the breast during pregnancy with normal prolactin
Level but no lactation it is due to inhibitory effect of = Progesteron
(actually estrogen and progesterone both result in the development of breast
during pregnancy but at the same time they also inhibit lactation, if in options
only one is asked then PROGESTERON should be preferred )
239.Inferior orbital branch is a terminal branch of = Maxillary artery
240.Amniotic fluid embolism = During labor and postpartum
(CMDT states , “though uncommon still amniotic fluid embolism is one of the
complication of labor and immediate postpartum period” )
241.Nerves/muscle not leaving pelvis thru greater sciatic foramen = Obturator
242.Parturition is caused by or started = Fetal cortisol
(fetal cortisol increases oxytocin receptors on uterus there by increasing its
sensitivity secondly it enhances the enzymatic degradation of Progesteron,
resulting in termination of pregnancy)
243.Cardiac output maximum in = After delivery
( though not an easy concept; but let’s simplify, ●● ●after delivery a lot of blood
enters into maternal circulation, that inc blood volume and BP, secondly we
know that increasing the number of capillaries decreases blood pressure, ie via
parallel resistance mechanism, after delivery, placenta is lost decreasing number
of capillaries and thus BP shoots up, that’s why most common cause of death
after delivery is cerebral hemorrhage, .. Ref Francis physiology)
244.Pars distalis = supplied from superior hypophyseal artery
245.burkits lymphoma is caused by EBV because = Antibodies to viral capsid
are present in all individuals with burkitt lymphoma
246.40 years lady with post coital bleeding and inter menstrual bleeding
on examination hypertrophic cervix, first investigation to do = Cervical smear
247.Inscisionall hernia 1st structure taking from within outwards = Transversalis
fascia
248.Succinylcholine = Actions is prolonged due to the deficiency of
psuedocholinestrase
( because this drug is inactivated by enzyme pseudocholinestrase)
249.If 28 day cycle on day 21 progesterone will be = 10ng
(During Mid leutal phase progestrone should be more than 10 ng)
250.Insulin dependent uptake of Glucose into =skeletal muscle
Session 6 85

(Sembulingam states that; usually glucose is transported into the cells by Na-
Glucose co-transporter , but most the cells have another transport protein called
glucose transporter ie GLUT, among these GLUT-4 is insulin sensitive and it Is
present in large amount in muscle fibers and adipose cells and via GLUT-4
transporter, insulin pushes glucose into two cells, ieadipose and skeletal muscles )
251. transpyloric plane is located at = lower border of L1
( structures lie at the level of trasnpyloric plane = pylorus of stomach , fundus of
gall bladder, Hilum of kidney, first part of duodenum , origin of superior
mesenteric artery the tips of 9th costal cartilages, and lower end of spinal cord if
lower border of l1 is not there click upper border of L2)
252.Pyruvate intermediate between = Glucose and acetyl coA
( Glycolsis ends up giving 2 molecules of pyruvate ,which after conversion
into actyl CoA and enters krebs cycle )
253.Pretracheal infection will be transferred to =Anterior mediastinum
254.Spinal anesthesia is given to a patient, there is sudden loss of sensation due to
= loss of vasomotor tone
255.Insulin increases by = GIP ( Gastrin, CCK , GIP , secretin and GLP-1 all inc
insulin secretion, but GIP AND GLP-1 are the most potent )
256.Basal ganglia is involved in = Initiating movement
257.Hypokalemia on ECG is represented by = U wave
258.Regarding the end arteries = Present more in the vital organs
( ●End artries then central retinal artery > splenic artery
● if asked functional end artry then click heart )
259.Female in labour, station 2 on PV, ischial spines inverted, arch less
triangular, which type pelvis is this = Anthropoid
260.Blood leaving placenta has how much percentage of PO2 = 30 %
261.Craniophrangioma ablation is done in a woman due to tumor, what is
required for ovulation = HMG followed by HCG
262.Which drug does not cause teratogenicity = flouxeten
263.In chronic intra vascular hemolysis = Dec heptoglobin
264.Severe bradycardia and low pulse, oculocardiac reflex is stimulated, what is
the immediate treatment = Stop stimulus
265.Syncope is not a recognized feature of = Haemophilia
266.The most common cause of anemia in pregnancy = Haemodilution
267.Suprapubic incisioňis given by a surgeon, artery injured in the suprapubic
fat is = inferior epigastric
268.Pudndal nerve does NOT supply = Posterior vaginal fornices
Session 6 86

( its one of the most frequently repeated question, so memorize it by


MNEMONIC; P repels P ie PUDENDAL does not supply Posterior fornix )
269.Least likely cause in 17 to 20 weeek abortion = Fetal cytogenetic
abnormality
270.Regarding hylaine cartilage = Collagen fibers are not visible
71.How can rubella infection be prevented = Anti rubella vaccine
( for prevention child bearing females should be vaccinated)
272.Insoluble storage form of iron in iron overload = Hemosiderin
273.Torch can causes congenital abnormalities except = Pneumonia
274.The gland having more serous portion is = Parotid gland
275.True about kidney and relations of different structures passing through it is
= Left renal vein is anterior to aorta and left renal artery
278.Nerve supply of urogenital triangle = Ilioinguinal nerve
279.Nerve supply of detrusor muscle = S2, S3, S4
280.Women having lack of vagitable diet resulting deficiencies = Anencephaly
281.Visual impulse is associated with = Dissociation of rhodopsin to retinal and
opsin
282.most dangerous type of hepatitis for pregnt ladyin near future = Hep E
( so the rule is , lethal in pregnancy is Hep E while most lethal if pregnancy is not
mentions, is Hep D , ie D for Deadly)
283.premalignant leision of vulva = Condyloma
284.breast lymphatic drai upper outer qud = ant axillarynodes
( also remember another frequently tested fact that, sentinel lymph node biopsy
is done in order to decrease needles axillary clearance in lymph node negative
patients Ref; Oxford medicine)
285.prolactin regultd by = Dopamine
( Dopamine is also called prolactin inhibitory hormone as it inhibits Prolactin)
286.regarding levator ani muscle = Supplied by pudendal nerve
87.UV prolapsed most common complication = Chronic cervicitis and metaplasia
288.regardingg menopause correct one is = Inc gonadotophins
( Dec Estrogen and increase FSH and LH )
289.regarding sorbitol = Alcohol sugar
290.True about uremic nephropathy = Normocytic normochromic anemia
291.A disc is herniated, it will affect = spinal nerve+ posterior root
292.Phrenic nerve is related to which artery = Pericardiophrenic artery
293.Which immunoglobulin is present in RH incompatibility = IgG
Session 6 87

294.The most common route of transmission of HBV and HCV is through =


Through sharps and needles
295.Thirst is increased by = decrease in plasma volume
296.Which mechanism is involved in carrying the particle inside the cell when
actin, myosin and clathrin are involved = receptor medicated Pinocytosis
(whenever u see clathrin, in the stem , click receptor mediated
endocytosis/pinocytosis, and its most common mechanism for cholesterol uptake
by cell)
297. Estrogen’s side effect = Thromboembolism
( while low dose estrogen containing pills cause hepatic adenoma, also note that
hepatic adenoma is caused by a class 3 antiarrythmic ie AMIODORONE)
298.Left renal vein = Anterior to aorta and left renal artery
299. local metabolites in skeletal muscles = Decrease TPR
( note that Autoregulation is mainly by Local metabolites in skeletal muscles
brain and coronary arteries)
300.Below knee amputation irregular mass after sometime = Neuroma
Session 7 88

Accept the challenges so that you can feel the exhilaration of victory.
George S. Patton
1.Eating undercooked and raw meet can cause infestation by = tape worm
(Note that, taenia solium via uncooked pork , T.Saginata via uncooked beef &
fish tape worm (Diphyllobothrium latum) via uncooked fish)
2.A postmenupasual women suffered fracture due to osteoporosis her Ca is
decreased and phosphorus is increased , she has = inc PTH
3- Mass movement is affected in colon due to problem in = Auerbach plexus
(while submucosal plexus are for secretions )
4- In an adult Ileactomy and jejunectomy has been done. He has diarhoea and
15-20 bowel sounds per minute. The most likely cause of this decreased transit
time in the intestine is due to = secreroy plus osmotic
5- treatment of vWD = Cryoprecipitate
( cyopreciptate should be pronounced as cryoprecipit-8 as it contains factor 8,
and in vwd factor 8 is depleted )
6- The head of femur in adult is supplied by = Medial and lateral circumflex
artery ( while in children its supplied by OBTURATER artery)
7- Head of humerus is supplied by = Anterior circumflex
( while fracture will damage posterior circumflex artery)
8. A man having recurrent bacterial infections with streptococci also having
diarrhea which on examination showed giardiasis, further exam revealed normal
T cells but ↓B cells levels of igM,igG and igA were given = Bruton's
agammaglobulinemia ( this scenario is repeatedly encountered so plz NOTE
THE WORD GIARDIASIS , and that will help u in memorizing stem.)
9- A 6 years child who develops muscular weakness. Anti voltage gated calcium
chanel antibodies are presen = Lambert Eaton syndrome
10- Infarction of posterior 1/3 of interventricular septum.artery involed -.RCA
( while the anterior 2/3 of septum is supplied by left ant descending arter ie LAD)
11- Right border of heart is formed by = right atrium
( IF ASKED in xray the right border is formed by rt atrium plus SVC, AND if
this option is not present then click only SVC )
12. which is a small blue cell tumour asociated with large amount of
catecholamines in child = Neuroblastoma
Session 7 89

13- which of the following prevents muscle tear under high pressure = Golgi
tendon organ (note, when the muscle is in tension = Golgi tendon starts firing
and muscle get relaxed in response )
14-Which of the following ulcer is caused by synergistic infection by
microaerophilic non hemolytic streptococci and aerobic hemolytic staphlococci =
Meleney's ulcer
15- Cholecystectomy is done, where to put the drain = Subhepatic space
16-Esophagectomy done stomach is mobilized to upper portion of thorax ..To
anastomosis with phayrnx, Which artery is responsible for stomach supply now
= right gastroepiploic artery
( if this artery is not mentioned in options then click RIGHT GASTRIC artery)
17-common Postop infection in hospital cause by which organism = Staph
Aureus ( second most common is E coli)
18-clawhand produced by unopposed action of = extensor digitorum and flexor
digitorum profundus
19-Recurrent renal stone associated with which amino acid abnormality = Lysine
20- Rotator cuff is formed by = supraspinatus, infraspinatus, teres minor and
Subscapularis ( memorize by Mnemonic SITS )
21-If FACTOR IX not available = FFP
(Note that if asked which is used as immediate antidote to WARFARIN then as is
FFP not Vit K, because vitK Needs time to work and not imp for immediate
action )
22-which of the following drain into superior mesenteric lymph node = Jejunum
( also remember that jejunum is supplied by both GREATER , LESSER
Splanchnic nerve while stomach by Greater splanchnic nerve )
23-Drug which is strong analgesic but not a good anesthetic -nitrous oxide
24- peptic ulcer profusely bleeding from posterior wall of duodenum...which
artery involved = gastroduodenal artery
( memorize this artery by the site of ulcer i-e ulcer is common in Gastric n
Duodenal parts of gut so artery should be GASTRO-DUODENAL in case of
bleed)
25- Lumbar puncture = L4 L5
(While L3 L4 should be clicked if L4 L5 is not present in option )
26-Seminoma is a tumour in male, its equivalent when occurs in ovary then its
called = dysgerminoma
27- Which of the following is mostly premalignant in the oral cavity -
Erythroplakia
Session 7 90

28- A female pt was having generalized pain, and has been taking NSAIDs for a
long time. Now developed swelling n big toe, wht will b present in fluid aspirate
= mono sodium urate crystals
29- About small intestine true is small intestine = 6-8meters long
30. Compression effects on esophagus by which organ enlargement = Left
Atrium ( as it’s the most posterior part of heart and lies almost over esophagus )
31. Prostatic carcinoma spread to skull bones through = Vertebral plexus
32. A Person wid malignant melanoma. Risk factor = Xeroderma pigmentosum
33.Apoptosis = cell shrinking
( if councelman body is mentioned in options then click that )
34.Open wound healing includes = myofibroblast
35.An obese man with h/o atherosclerosis underwent laparotomy due to bleeding
in abdomen n during surgery, his small gut was purple n sup mesenteric artry
was blocked , so what is dx =wet gangrene
36. Aortic aneurysm which structure not compressed = Phrenic nerve
37.regarding cimitidine intake what effect causes = inibition of hepatic enzymes
38.ewing sarcoma occurs which site of bone = diaphysis
39.K in diet is excreted in which part of nephron = distal tubules
(Note that, 67% of the filtered K is reabsorbed along proximal tubule , but Distal
tubules and collecting ducts either reabsorb or secrete K , depending on dietary
K intake, the excretion ranges from 1% to 110% . if both DCT and collecting
duct are present in options prefer, distal convoluted tubules)
40.after non-lethal MI in 4 minutes = arrhythmias
41.Adductor muscle hamstring muscle supplied by which nerve = tibial
42.a statistical test observed differences b/w 2 means been by chance = variance
43..max pressure in aorta during which phase = max during slow ejection phase
( while lowest in isovolumetric contraction)
44.remant of geburnaculum = Ovarian ligament and round ligament of uterus
45.left renal vein relation to aorta = LRV is anterior
46.cause of thromboembolism = prolonged immobilization(most common)
47. commonest cause of shift of K from intracellular to extracellular = strenuous
exercise (releases K from skeletal muscle)
48. damage to medulla oblongata during hanging = odontoid
49. sternocleidomastoid causes = movement of head in opposite direction against
force(resistance)
50-platelets have life span of = 10 days
(note that platlets Count increases after spleenectomy the first effect we see after
Session 7 91

spleenectomy is Increased Platelet count ie thrombocytosis as the sequestered


RBCs are put into circulation, and the HOWEL JOLLY BODIES are after that)
51.multiple bone fractures history,blue sclera which products enzyme is
defiecient =Collagen (the scenario is osteogenesis imperfecta)
52..MELAS syndrome histological finding = Red ragged fibers
53..Giant Cell Tumors histo finding = Soap Bubble appearance
54 .Platelets cannot be given in = Spleenomegaly
(if asked contraindicated then Platelets are Contraindicated in Itp)
55.Bipolar cells are found in = olfactory
56.lobes of breast through many terminal ducts open into = lactiferous sinus
57.Left adrenal gland drains into = Left renal
(same is the case for left testicular vein that also drains into left renal vein )
58.Free radical injury produces pathology by affecting = DNA
59.A 60 year old woman known case of Ischemic heart disease, Carcinoma breast
has now come with osteoporosis. Which drug you will prescribe to treat her =
Raloxifene
60.In osteoporosis which of the fallowing is defective = Ostoclasts
61.Fast impulse passes through = Pukinje fibers
62.Internal laryngeal nerve passes through = thyroid and hyoid
63.liver development = from ventral mesentery proximal Foregut
64.patient developed hemolysis due toG6PdD deificiency nxt happen = self
limiting
65.required for transport of B12 in blood = TC2
66. Anemia with Blast Cells in peripheral blood = Erythroblastosis fetalis
( note the point ie BLAST in the question and BLAST in the answer )
67.Deep to post digastric and near palatoglossus a structure runs obliquely
upwards = Lingual artery
68.hip extension and leg flexion by = semitendonosis
69.Universal donor = O negative ( while universal recipient is AB positive )
70.Which structure is formed by the end of first week = blastocyst
71.-injury above sacral spinal cord result in = Spastic bladder
(note that UMN lesion ie the lesion above sacral spine is = spastic bladder while
due to lesion of the sacral spinal cord segments or sacral spinal nerve roots ,
means LMN lesion result in so called Atonic bladder. Neurogenic bladder is the
term used for both spastic and atonic, so if clear-cut point is not asked then ,
prefer neurogenic bladder)
72.Cell membrane structure primarily maintained by = Cholesterol bilayer
Session 7 92

73.Enzyme may fall in liver injury = Pseudocholinesterases


[decrease in liver disease(hepatitis and cirrhosis)]
74. which part of liver with poor supply = poor oxygenation of zone 3
( note that zone 1 is richly supplied with blood and is mainly effected by
VIRUSES & INGESTED TOXINS, while zone 3 is poorly perfused and mainly
affected by metabolic toxins )
75.trachea is = has 16-20 incomplete rings
76.hyper eosinophilia occurs in = hodgkin
( due to IL5, that stimulates the esinophills production )
77.corticopsinal track ends at which level = spinal cord
(if asked anterior corticospinal tract or anterior spinothalamic tract ends at ??
the ans for both is = midthoracic region )
78.warthin starry stain used for = spirochete( S for starry and S for spirochete)
79.phrenic nerve runs on left side with = pericardicophrenic artery
80. hypovolaemia with hypotension isoflurane shud not be given,why? b/c it is =
Potent vasodilator
81. Otic ganglion location foramen was asked = inferior border of foramen
ovale
82.Epitheluim of preterminal bronchiole/ conducting zone = Pseudostratified
columnar cilliated...with goblets in larger bronchiole
(in resp bronchioles> cuboidal, then simple squamous upto the alveoli] {clara
cells in terminal bronchioles} )
83.muscle which causes flexion of elbow & supplied by radial nerve=
Brachioradialis
84.hormones increased during sleep = Growth hormone
(note growth hormone increases during sleep but if asked During sleep inc level
than awake click cortisol)
85..chest pain and fever not related to respiration = Myocarduim
86..in later stage of pregnancy oestrogen and progesterone produce by =
placenta
87..A patient has hypercouagable state having def of = factor v(facror V Leiden)
88..difference BTW skeletal and smooth muscle = ca calmodulin
89..Valve involved in Limb sack endocarditis = Mitral & aortic
90..Abdominal angina cause by obstruction to = Sup mesenteric
91..middle colic is the branch of = Superior mesenteric artery
92..geniculate ganglion is located in = facial canal
93..taste sensation is carried to the cortex through = thalamus
Session 7 93

94..two point discrimination = merkel disc


(If asked ,Maximum 2 point discrimination at then= Lips( TIP OF TONGUE
BEST IF THERE ) while if the stem is “Maximum distance of 2 point
discrimination at” then = BACK OR scapula)
95..oesophageal atresia = drooping of saliva (indicating factor)
96..Aluminium hydroxide in = delays gastric emptying (causes constipation)
97..long refractory period = heart
( and due to this long refractory period cardiac muscles cannot be tetanized )
98..defeciency of glucose 6 Phosphatase causes = hypoglycemia..
99. Increase GFR causes inc absorption of salt and water from = PCT
98.Infection in cavournes sinus = INF OPTH VEIN
(inferior ophthalmic vein for infection and superior for thrombosis )
99..cause of damage to lateral rectus = 6th CN
100..which one is the DNA virus = Infectious mononucleosis
101..Arterial emboli mostly arises from = Mural left atrium
102.Most of girls have amenorrhea during lactation, cause is = It inhibits
gonadotropin releasing hormone ( ie FSH and LH)
103.True about breast = Arise from mammary buds present on the memory line
104.A patient having AIDS may also have one of the following with AIDS =
cervical Carcinoma
105.Severe hypomagnesemia may result in one of the following = Hypocalcemia
(note that hypomagnesaemia causes hypercalcemia while severe
hypomagnesaemia causes HYPOCALCEMIA )
106.The time interval between 1st and 2nd heart sound is almost equal to =
Ventricular systole
107.The side effect of chewing betal nut = submucosal Fibrosis
108.Aldosterone is secreted in response to = inc in plasma potassium
(● inc in plasma potassium is the most potent stimulant for Aldosterone,
● while the most potent stimulant for ADH is nausea &
● most potent stimulus for renin is sympathetic drive )
109.More mitochondria are present at the apex of which of the following =
ciliated cells
110.Physiological jaundice = After the 2nd day of birth of the baby
(JAUNDICE on day 1 is always pathologic while in preterm babies, even
jaundice on day 2 is pathologic )
111.Parents are informed about the disability of their child due to a debilitating
disease. The first reaction of the parents is = Denial
Session 7 94

112.shortening of chromosome in mutation....enzyme responsible is = telomerase


( this enzyme is responsible for the specific number of divisions a cell should go
through, and with every division cell shortens and apoptosis is the end result, if
this mechanism is defective , cell will evade apoptosis and proliferates to become
neoplastic)
113.Regarding red infarcts = dual blood supply
114.pressure is dissipated at = arterioles capillaries
115.highest cross sectional area is of = capillaries
116.After 6 day of MI shock occurs d/t = pericardial tamponade
117.Highest magnesium stores r present in = bone
118.diabetic pt loss of sensation n vibration n has ulcer in foot mechanism behind
= angiopathy and neuropathy
119.turbulence of blood in anemia occur d/t = dec viscosity
120.regargding breast atrophy oin young is caused by = Estrogen n progesterone
( so many explanations for the breast atrophy, but I am always in the favor of
estrogen and progesterone both as one causes proliferation of glands and other
causes proliferation of stroma, and for atrophy of breast, both glands and stroma
should be involved)
121. Fracture of surgical neck of Humerus damage to = Axillary Nerve
( note that deltoid is supplied by axillary and damage to it result in loss of
abduction,
●supraspinatus - by suprascapular nerve = 15 to 30 degree abduction
●Deltoid – by axillary nerve = upto 90 degree abduction
● trapezius – by accessory nerve = above 90 degree abduction)
122.. Period where heart is susceptible to fibrillation = At the end of action
potential
123. Aortic pressure is lowest during = isovolumic contraction ( about 70mmHg)
124. Labrynthine artery is the branchof = basilar
(it arises form AICA but if not in options click Basilir )
125. Lady after cholecystectomy , having microcytic anemia = Blood loss
CPSP Demo 95

try not to mess with the key )


1.Patient has aphasia and facial nerve palsy on same side the artery involved is =
middle cerebral artery
2.Regarding l and d sugars = D sugars has oh on right side
3.A patient has non-reactive HbSAg , non-reactive HbeAg , and reactive anti-
HBC = transient resolving stage
4.Urine examination of a patient with DM demonstrates ketones bodies,, what’s
the mechanism of formation of these ketone bodies = insulin deficiency
5.Which is not a tumor marker = acid phosphatase
6.Most sensitive cells to hypoxia = neuron
7.Tyrosine derivative doesn’t include = prolactin
8.Organ having least chances of infarction = liver
9.Primary malignant melanoma of choir dost commonly metastasize to = liver
10.Which is the site of fusion of binocular vision = visual cortex
11.A newborn baby with hydrocephalus ha swelling in lumbosacral lesion of
spine which contain neural tissue in it what’s diagnosis = meningomyelocel
12.Regarding trigeminal ganglion the correct statement is = it’s like a posterior
root ganglion of spinal cord
13.The total power of the eye is 59 diopters the main role in maintaining this is
played by = anterior surface of cornea
14.In case of six days typhoid the test of choice is = blood test
15.After giving blood transfusion the patient develops hypersensitivity reaction
which of reaction is this = type 2 hypersensitivity
16.For diabetic patient the best antihypertensive is = captopril
17.Patient with bronchial asthma the best antihypertensive = verapamil
18.Mesothelioma is associated with = asbestos
19.Nerve injured in anterior dislocation of shoulder is = axillary nerve
20.Hypoglycemia increases = secretin
21.Drug that increases extracellular K moves K out of the cell = angiotensin
22.Dark urine after starting ATT = rifampin
23.Thirst is decreased by = baroreceptor efferent
24.A diabetic patient is advised fasting blood glucose level at what value doctor is
confusing and needs further evaluation with Glucose tolerance test = 7 mmol/l
CPSP Demo 96

25.A female has goiter and she feels difficulty in breathing while lying down,
what type of goiter she has = retrosternal
26.A patient with enlarged parotid gland with pain in this region, which nerve is
carrying pain fibers from parotid gland = auriculotemporal nerve
27.A patient develops lesion in the caudate nucleus , what is the most common
clinical feature indicating this lesion = chorea
28.Regarding the vibration sense what is INCORRECT = its receptor is messner
corpuscle
29.Defect in the formation of bulbus cordis results in all of the following except =
ASD
30.A 40 weeks pregnancy lady has irregular uterine contractions, which drug
will be beneficial for this lady = oxytocin
31.A patient with aplastic anemia is given anti lymphocytic globulin, one week
later she developed skin rashes. Mechanism for this presentation is = type 3
hypersensitivity
32.Which of the following is the most common cause of osteoporosis except old
age = Cushing disease
33.A male patient with the antibody again FSH receptors which one will be lower
than normal I this person = sperm count
34.The most common site of fertilization ins human is = fallopian tube
35.Structure entering the thoracic inlet is = aorta
36.Needle inserted at the 5th intercostal space on the left side of sternum pierces =
intercostal muscle
37.Somatostatin decreases the secretion of which hormone = insulin
38.Gastric acid is stimulated by = Gastrin
39.Regarding SA node = automatically generates impulses,
40.During stretch in the skeletal muscle, which of the following change will occur
in nuclear bag fibers = they increase impulse generation
41.Pulmonary artery pressure increases in= hypoxia
42.Which of the following structure in the mouth is derived from ectoderm =
epithelium of the parotid gland
43.Oxygen level in the blood will decreases in = Hypoxic hypoxia
44.A 6 cm lump in the breast is removed, four lymph nodes and skin were
involved, biopsy decided invasive ductal carcinoma , this tumor is called high
grade because of = Pleomorphism
45.Diagnostic finding on investigation of metabolic alkalosis is = HCO3 more
than 24meq/liter
CPSP Demo 97

46.In a patient with sympathetic stimulation what will be the effect on his heart =
dec AV Nodal delay
47.What is the nerve supply of the tip of nose = ophthalmic
48.A patient old male has central retinal artery occlusion what could be the most
likely cause = embolism
49.A patient with recurrent epistaxis, lab investigations show decrease factor 2, 7
, 9 , 10 , protein c and s , what will be the most likely cause = vitamin k deficiency
50.Most common malignancy in person suffering from nuclear blast =
hematopoietic
51.In turner syndrome the genotype is = XO
52.Vertebreae are derived from= slcerotome
53.Regarding filliform papillae = they are present on the dorsum of the tongue
till the tip
54.A patient is unable to extend metacarpophalangeal joint , abduct and extend
his thumb, but intact sensation, which nerve is damaged = radial nerve
55.A young patient blood pressure is 150/95 his serum renin level is higher than
normal which one is the stimulus for higher renin = increase sympathetic
stimulation via renal nerves
56.Which one is the characteristic of IgM = it’s a largest molecule
57.A patient with chronic renal failure needs transplantation. For this reason
HLA matching is required , which is the best site for sample for HLA matching
= WBC
58.A young child has increase BP in upper limb while decrease BP in lower
limb, the pulse is also weak, what is the most probable diagnosis = Post ductal
coarctation of aorta
59.Penetrating injury in the 4th left intercostal space just lateral to the sternum
will damage, which one of the following structure first = intercostal membrane
60.Best pulmonary function test for asthma is = FEV1
61.Nerve injured in anterior dislocation of shoulder joint is = axillary
62.Presene of pancreatic tissue in the gastric mucosa is = choriostoma
63.Least common site for ectopic pregnancy is = ovary
64.Least chances of renal stone is associated with = hyperlipidemia
65.Which enzyme is released form small intestine = enterokinase
66.A patient has finger like projection on upper eyelid, histopathlogical reports
show epithelial cell along the fibrous element what is the most probable diagnosis
= papilloma
67.Parotid gland is supplied by = GVE
CPSP Demo 98

68.Which one is most strong antioxidant = Glutathion


69.A patient develops paralysis of the left side of the body , after few days his
behavior for pain is changed, and eh become angry after touching, where could
be the lesion = right thalamus
70.Most early diagnosis of vita min a deficiency = night blindness
71.Patient with bone pain, normal calcium and in alkaline phosphatase = Paget
disease
72.which of the following structures is produced in 3rd week of development =
Heart tube
73. Antibodies are produced by = Plasma cells
74. Patients come with deviation of tongue to right side. Decreased sense of touch
and vibrations, the artery commonly involved in brain is = Anterior Spinal
75.Patient with injury to left 8th cervical segment of spinal cord will not show
following sign = Dec sense of pain and temperature below the lesion on same side
76.Foetal period starts after which week = 8th
77.Patient with old history of adenocarcinoma of colon operated for
polypectomy, on histologic evaluation pathologist labeled it as benign growth
with no chances into malignant transformation, it would be = Tubular adenoma
78.Soldier comes with heavy bleeding. The ideal fluid replacement would be =
Whole blood for 3 days
79. A Patient has anemia, hyper-segmented Neutrophils on peripheral blood
examination & neurological manifestations. Which type of anemia he is suffering
from = Pernicious anemia
80.Heme binds with = Haptoglobin
81.A pregnant lady develops pain few hours after delivery. E.C.G. shows S1, Q3
and T3. What is another investigation most appropriate for the diagnosis of this
case = Gallium Scan
82.In a patient diarrhea are corrected after the fasting. Which is most likely type
of diarrhea = Osmotic
83.Councilman bodies are formed in the process of = Apoptosis
84.A middle aged male presents with joint pain since one week. His serum Uric
Acid level is 156 mg/dl. What is the best investigation for confirmation of the
disease = Synovial fluid for polarized light
85.A patient comes to you in ill condition. His blood pH is 7.3 PCO2 is 44 mmHg
& HCO3 is 17 meq/L. What diagnosis you are thinking of this patient =
Metabolic acidosis
CPSP Demo 99

86.During general anesthesia Halothane is given in combination with which of


the following drugs = Nitric oxide
87.Most common cause of the pelvic inflammatory disease is = Chlamydia
88.Which cranial nerve carry parasympathetic fibers = 3, 7,9 ,10
89.Which is the characteristic feature of rheumatic fever = mitral stenosis
90.Axillary and pectoral group of lymph nodes drains = upper and lateral
quadrant
91.A 20 weeks pregnant lady presented with BP of 140/95 she complains of
vomiting and headache, what is the most probable diagnosis = pregnancy
induced hypertension
92.Brucellosis is transmitted by = unpasteurized milk
93.A patient develops sudden breathlessness , hypotension , severe itching and
other features of anaphylactic shock ,which drug will be beneficial for this
patient failing heart = adrenaline
94.Parasympathetic stimulation causes = opening of intestinal sphincters
95.A patient with trauma of the head developed cerebral edema, which is the
cause of inc respiratory rate in this patient = raised ICP
96.Secondary hyperaldosteronism can occur due to = inc renin
97.All of the following mechanisms are involved in development of diabetic
gangrene EXCEPT = Arterioscierosis leading to reduced blood flow to foot
98. Blood brain barrier is formed by = Capillary endothelium
99. On H & E staining a student sees the hallow structure around the nucleus.
What it could be = Lysosomes
100.A middle aged male has non-healing wound for long time in presence of
regular dressing; random blood sugar is 130 mg/dl. What could be the cause of
delayed healing in this patient = Vascular insufficiency
01.Which of the following is diagnostic of granuloma = Epithliod cells
02.Medial orbitotomey is done in a patient with tumor in orbit. Now he is
complaining of numbness at upper part of head up to vertex & medial part but
medial part is intact. Which of the following nerves is damaged = Supraorbital
nerve
03.In inferior wall Myocardial Infraction, which artery should be blocked =
Right marginal artery
03.A young women, complains of Dry mouth & Dry eyes. Which investigation
will give clue to her diagnosis = Anti - SS A/B
04.Esophagus histology = Has str. sq in upper 1/3
05.Example of carrier mediated counter transport = Na - glucose transport
CPSP Demo 100

06.Following is true regarding sterilization = Autoclaving is heating objects at


121 degree C at 15 psi for 3min
07.Pt complains of chest pain for more than 30 min. ECG shows changes in V1-
V4. It denotes = Anterior wall MI
08.Depolarization of cell is maintained by = Na influx
09.Spinal cord ends at the level of lower border of = L2 vertebra
10.Dry mouth increases all except = Plasma volume
11.Urine Examination of a patient with diabetes demonstrates. Ketone-bodies.
What is the mechanism of formation of these ketone-bodies = Insulin deficiency
12.A lady received DES during pregnancy for prevention of the abortion. Her
baby will be on the risk of = Clear cell carcinoma of Vagina
13.Prenatal chromosomal abnormality can be detected at = 14-18 weeks
14.All of the following mechanisms are involved in development of diabetic
gangrene EXCEPT = Arterioscierosis leading to reduced blood flow to foot
15.A patient presents with dislocation of hip after an accident. Which of the
following
muscle group is involved =Gluteus Maximus + Minimus + Medius
16. No question,  = just chill
17.A patient has history of recurrent abortion. Which of the following enzyme
analysis will give help to diagnosis = Progesterone
18.A patient presents with secondary amenorrhea. One year back she has history
of P.P.H for that she received six pints of blood what is most probable cause of
her menstrual problem = Sheehan's syndrome
19.A 60 years old women is brought with bleeding per vagina. She is diabetic &
hypertensive & one year back she was diagnosed as having carcinoma of breast.
What can be most probable diagnosis for this bleeding p/v = Carcinoma of
endometrium
20.A Patient is suffering from carcinoma of rectum. He develops pain in the
posterior aspect of thing due to involvement of nerve. Which nerve supplies the
posterior aspect of thigh & that can be involved in the malignancy of rectum =
Sacral nerves
21.A semiconscious patient is brought to emergency department. He has history
of taking some unknown drug. NaHCO3 reverses the action of drug. Which drug
he has most likely taken = Phenobarbital
22.A lady with 26 weeks gestation has uterine height of 24 weeks. On sonography
there is no fetus & snowstorm appearance. Which of the following probably
associate with it = Karyotype-46XX
CPSP Demo 101

23.Normal female pelvis has = Oval inlet


24.Ascent of the horse shoe shape kidney is prevented by = inf mesenteric artery
25.Which of the following is characteristic of polycystic ovary disease = Inc L.H
26.Milk is notoriously deficient in = pantothenic acid
27.Down syndrome Is characterized by= mental retardation and abdominal
hernia
28.A lady undergoing surgery for cranyophargioma , what you could expect to
be present in this lady = Hyperprolactemia
29Regarding nitroglycerine all are true except = increase heart rate
30.A person presented with the loss of visual acuity which artery is most likely
affected = posterior cerebral artery

Good Luck for exam


Regards; Tan Veer Ahmad

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