1. Resistance varies indirect proportional to ?
a. Viscosity
b. Hematocrit
c.length of the vessel
d. radius of the vessel
e. velocity of the blood
Answer is = D
2.The difference of osmolarity between interstitial fluid and plasma is ?
a.1 mosm/l
b.2.5 mosm/l
c. 3 mosm/l
d. 5 mosm/l
e. No difference
Answer is = 1 mosm/l
3.Which of the following cranial nerves are parasympathetic ?
a. 3,4,7,10
b.3 ,7,9,10
c.2,3,6,7
d. 1 ,2 ,5,10
Answer is = b
4.Regarding QRS complex,what is inappropriate ?
a.Occurs due to ventricular depolarization
b.has +ve and -ve waves
c.Occurs just before ventricular systole.
d. Indicates atrial depolarization
Answer is = D
5.65% of filtered Na is reabsorbed from
a.PCT
b.DCT
c.loop of henle.
d.Collecting duct
Answer is a
6.Venous return depends upon ?
a.velocity of the blood
b.increased mean systemic filling pressure
c.cardiac output
d.stiffness of vessel
Answer is B
7.Volume remaining in the lungs after tidal volume expiration is ?
a.residual volume
b.expiratory reserve volume
c.FRC
d.vital capacity
e.TLC
Answers is C
8. Regarding thorax,find out the wrong statement
a.pump handle increases transverse diameter
b.abdominal type of respiration is seen in children
c.diaphragm is important muscle for respiration
d. xiphisternum is located at T 9 vertebrae.
Answer is B
9. In asthmatic patient allergen react directly with ?
a. mast cells
b. eosinophills
c.macrophages
d. epithelial cells
Answer is A
10. PTH increases CA re-absorption by acting on ?
a.pct
b. dct
c. loop of henle
d. collecting duct
Answer is B
11. Oxygen HB-dissociation curve shifts to the left due to ?
a. increased CO2
b. decreased PH
c. high altitude
d. carbon monoxide poisoning.
Answer is D
12. Elimination of aminoglycosides antibiotics from the body in elderly is decreased due to decreased ?
a. fat metabolism
b. hepatic metabolism
c. renal excretion
d.plasma protein binding
e. volume of distribution
Answer is C
13.Immune mediated disorders occur due to location of genes on ?
a.spleen
b.rbc
c.wbc
d.liver
e.kidney
Answer is C
14. Gastric emptying is decreased by
a.gastrin
b.CCK
c.secretin
d.GIP
Answer is B
15. Patient presented in ER with dyspnea ; Ph = 7.13 , Co2 = 55 mm hg , HCO3 = 26 mmol/l , Po2 = 49 mm hg ; He is K/C of COPD , what is the most likely diagnosis ?
a. Respiratory acidosis
b. respiratory alkalosis
c.respiratory acidosis with type 1 respiratory failure
d. fully compensated respiratory acidosis
e.respiratory acidosis with type-2 respiratory failure
Answer is E
16. Hamartoma is defined as ?
a.mass of mature disorganized tissue indigenous to that organ
b. ectopic rest of normal tissue
c. a tumor that can metastasize
d. a malignat tumor that can cause serious complications
Answer is A
17. The cutting of pituitary stalk will predominately lead to increased levels of which pituitary hormone ?
a. GH
b. prolactin
c. TSH
d. ACTH
e. FSH and LH
Answer is B
18. L- DOPA given in the treatment of parkinson's disease leads to decrease in levels of which hormone ?
a. Prolactin
b. GH
c. Cortisol
d. testosterone
Answer is A
!9. In the presence of ADH, the water is maximally reabsorbed from ?
a. PCT
b. cortical collecting tubule
c.medullary collecting duct
d. loop of henle
e. early distal tubule
Answer is A
20. Strong chemotactic agent is
a. C5a
b. C5b
c. C3b
d. opsonin
e. platelet
Answer is A
21. Carcinoma stains with which of the following ?
a. desmin
b. keratin
c. vimentin
d. pas
e. congo red
Answer is B
22. Which of the following malignancy is transmitted as autosomal dominant mode of inheritance ?
a. ca-calon
b. retinoblastoma
c. ca-breast
d. ca-live
Answer is B
23. A lady is having cervical lymph adenopathy and is diagnosed as a case of lymphoma, which immunological disorder she is most likely having ?
a. aids
b. sle
c. pan
d. ra
e. sjogren syndrome
Answer is A
24. First symptom that occurs due to hypopituitarism due to pituitary tumor would be ?
a. hypothyroidisn
b. hypogonadism
c. hypoglycemia
d. hypoadrenalism
e. hypovolumia
Answer is B
25. Which of the following is benign tumor ?
a. adenoma
b. hepatoma
c. melanoma
d. lymphoma
Answer is A
26. Which of the following has least malignant potential ?
a. fap
b. metaplastic polyp
c. tubular adenoma
d. villous adenoma
Answer is C
27. Which of the following statement is "incorrect" about metaplasia ?
a. one adult cell type replaces another cell type
b. irreversible
c.can occur in lungs
d. can occur in epithelial cells
e. protective change against chronic irritation
Answer is A
28. Oxytocin and ADh originates in ?
a. neurohypophysis
b. hypothalamus
c. adenohypophysis
d.thalamus
e. mid brain
Answer is B
29. Bad news provided by doctor should be ?
a. in front of nursing staff
b. by a psychiatrist
c. at bedside
d. in front of all the family members
e. by the concerned doctor in formal session in exclusivity
Answer is E
30.Best way to start communication with patient should be ?
a. by asking cross questions
b. by asking about illness
c. by asking about name , age, address , and occupation
d. by asking leading questions
Answer c
31. Hormone which increases protein deposition in skeletal muscles ?
a. estrogen
b. testosterone
c. cortisol
d. dihydrotestosterone
e. progesterone
answer is B
32. Growth hormone ?
a. affects metabolism of carbohydrates
b. causes skeletal and cartilage growth through somatomedins
c. has half life of 6-20 mins in circulation
d. is a hormone of pituitary gland
e. is a polypeptide
Answer is B
33. Which of the following organ causes bone growth by releasing peptide ?
a. brain
b. liver.
c.kidney
d.git
e. adrenal cortex
Answer is A
34. Formation of interstitial fluid increases with decreased ?
a. capillary hydrostatic pressure
b. capillary permeability
c. interstitial fluid colloid osmotic pressure
d. lymphatic flow
e. plasma colloid osmotic pressure
Answer is E
35. The post prandial state is characterized by ?
a. high blood levels of FFA and high levels of glucagon
b. high blood levels of FFA and low levels of glucagon
c. high blood levels of glucose and high levels of insulin
d. high blood levels of glucose and low levels of insulin
e. high blood levels of insulin and glucagon
Answer is C
36 .Which of the following is inappropriate for insulin ?
a. causes entry of glucose into cells of adipose tissue
b. is anabolic hormone
c. decreases gluconeogenesis
d. causes induction of lipoprotein lipase
e. increases glycogenolysis
Answer is E
37. Correct about ANS ?
a. all sympathetic are adrenergic
b. all para - sympathetic are cholinergic
c. all sympathetic are cholinergic
d. all para sympathetic are adrenergic
e. at autonomic ganglia all are adrenergic
Answer is B
38. Which of the following has highest pH ?
a. saliva
b. pancreatic juice
c. bile
d.gastric juice
Answer B
39. A 4 year boy presented with clinical features of failure tl thrive , recurrent sinusitis , otitis media and rti . He also gives h/o chronic diarrhea, there is family h/o such complaints, the most relevant investigation in this case to confirm the dignosis is ?
a. chloride sweat test
b. fat absorption test
c. jejunal biopsy
d. vit b-12 assay
e. serum immunoglobulin level
Answer is A
40. Small child present with malabsorption , foul smelling stool , steatorrhea , deficiency of following is likely to occur in this patient ?
a. folate
b.iron
c. ca
d. vit d
e. vit b-12
Answer is D
41. Regarding active transport, find out most appropriate ?
a. occurs in few cells
b. always means Na-K pump
c. always requires glucose
d.does not require energy
e. is carrier mediated and carriers proteins are enzymatic in nature
Answer is E
42.Tractus-solitarius contains ?
a. auditory neurons
b. 1st order neurons for taste
c. 2nd order neurons for taste
d. parasympathetic fibres related to facial nerve
Answer C
43. Sharp-fast pain is mediated by which of the following fiber ?
a. c -fiber
b. a-delta
c. beta
d. theta
Answer is B
44. Regarding thalamus , most appropriate statement is ?
a. associated with behavior and emotions
b.associated with temperature regulation
c. associated with water regulation
d.plays key role in sexual funtions
e.is relay centre for all somatic and special senses
Answers is E
45. Facial nerve collects taste information from ant 2/3 of tongue through its chorda tympani branch, functional component of taste sensation is ?
a.General somatic afferent
b. general visceral afferent
c.general visceral efferent
d.special somatic afferent
e.special visceral afferent
Answer is E
46. Nerve passing through foramen ovale is ?
a.maxially
b.mandibular
c.occulomotor
d.trochlear
Answer is B
47. Patient having deviation of angle of mouth,dribbling of saliva , can not close eye and wrinkle forehead , nerve must likely involved is ?
a. facial
b. maxillary division of trigeminal nerve
c. auriculo temporal
d.mandibular division of trigeminal nerve
Answer is A
48. Hairy cell leukoplakia is associated with
a. hiv
b. fungus
c. all
d. cll
Answer is A
49. Histological characteristic of TB is ?
a. acid fast bacili
b. caseation
c.gram+ve staining
d. giant cells
Answer is B
50. Vibration is carried by ?
a. Pacinian corpuscles
b. meissners corpuscles
c.ruffini corpuscles
d.nocieptors
Answer is A
51. Static pressure is carried by ?
a. ruffini corpuscles
b. pacinian corpuscles
c.meissners corpuscles
d. nociceptors
Answer is A
52. Myxoid degeneration is mostly associated with
a. carcinoid valve disease
b.infective endocarditis
c.libman-sack's endocarditis
d.marantic endocarditis
e.mitral valve prolapse
Answer is B
53. Among st the causes of fatty changes in liver, most frequent in our country is ?
a. alcohol
b.hbv and hcv
c. halothane
d. obesity
e.starvation
Answer is B
54. Regarding dysplasia, most appropriate ?
a.disarray of cells, having loss of architecture
b.pleomorphism
c. increased mitotic figures
d. increase in size of cell
Answer is A
55. Ischemic heart disease with or with out sequel that doesn't present with characteristic clinical features ?
a. chronic ihd
b/ prinzmental angina
c.stable angina
d. unstable angina
e. mi
Answer is B
56. A young chuld on anti-malarial passed cola colored urine , what could be the cause ?
a. g6pd deficiency
b. drug reaction
c. iron deficiency anemia
d. thalessemia
Answer is A
57. Grade-4 encephalopathy is caused by ?
a. alcohol
b. paracetomol
c. ethylene glycol
d. amphetamine
Answer is B
58. A 40 year male on att for last 3 weeks c/o joint pains , his serum uric acid is raised . which is culprit drug ?
a. isoniazid
b. ethambutol
c. pyrazinamide
d. rifampicin
e. streptomycin
Answer is C
59. Drug of choice for traveler's diarrhea ?
a. aluminium hydroxide
b. dipheno-oxylate
c. metaclopromide
d. sucralfate
Answer is B
60. Angina may be worsened by ?
a. atropine
b. salbutamol
c.theophylline
d. vasopressin
e.verapamil
answer is C
61. Synapses are absent in ?
a.dorsal horn of spinal cord
b. dorsal root ganglia
c.lateral horn of spinal cord
d. sympathetic chain ganglion
e.ventral horn of spinal cord
Answer is B
62. Muscles of back are supplied by ?
a. dorsal rami of spinal nerves
b.cervical plexus
c. Ventral rami of spinal nerves
Answer is A
63. Type of join between two pubic bones ?
a. syndesmosis
b.symphysis
c.primary cartilaginous join
d. fibrous joint
answer is B
64. Most appropriate regarding fibro-cartilage ?
a. is present in nose
b. contains type 2 collagen
c. is present in intervertebral discs
Answer is C
65. Junction b/w two epithelial cells that does not allow free movement of substance is called ?
a. zona adherence
b. tight junction
c. desmosomes
d. gap junction
Answer is B
66. Patient has suffered 3rd degree burns to arm and hand , he is worried about which of the following most likely complication ?
a. wound dehiscence
b. contracture
c. keloid
d.traumatic neuroma
Answer is B
67. Regarding mid brain find out most appropriate ?
a. cerebral aqueduct forms cavity of mid brain
b. posterior surface is marked by presence of 2 colliculi
c. tectum divides into 2 crus cerebrei
d. trochlear nerve emerges from anterior surface
Answer is A
68. Which of the following receives sub-capsular afferents ?
a. lymph node
b. tonsil
c.thymus
d. spleen
e.payer's patch
69. A polymorph leukocytosis is expected in ??
a. appendicular tumor
b. glandular fever
c. mi
d. typhoid and para-typhoid
e. chronic osteomyelitis
70. Correct about respiratory zone ?
a. terminal bronchioles to alveoli
b. alveolar duct and alveolar sac
c. respiratory bronchi to alveoli
d. medium size bronchi
71. End plate fiver of neuro muscular junction contains ?
a. acetyl cholinestrase
b.pre-synaptic ach vesicle
c. post synaptic ca vesicle
d. synthesizes ach
72. Hepatic pedicle contains ?
a.hepatic vein and cbd
b. hepatic artery, hepatic vein and cbd
c.portal vein and hepatic duct
d. portal vein , cbd and hepatic artery
73. Basal ganglia complex is unique that it contains ?
a. high copper
b. low copper
c. manganese
d. high mg
74. Regarding vertebra , find out most appropriate ?
a. lumber vertebrae is heart shaped
b. C-7 has long spinous process
c. thoracic forms transverse process
d. the thoracic vertebrae is kidney shaped
75. A young lady presented with lump in outer lateral quadrant of breast which of the following group of lymph nodes is involved ?
a. anterior axillary
b. apical
c. posterior
d. internal thoracic
76. right kidney is differentiated from left kidney by ?
a. color of kidney
b. no of coverings of kidney
c. relations of structures in hilum
d. sufaces and poles in kidney
e. weight and size of kidney
78. PDA is persistent part of the left ?
a. 4th arch
b. 5th arch
c. 6th arch
d. dorsal aorta
e. ventral aorta
79. Root of the right lung is crossed by ?
a. sub clavian vein
b.arch of aorta
c.azygous vein
d. right pulmonary artey
80. Vessel which supply derivatives of foregut
a. celiac artrey
b. SMA
c. IMA
d. splenic artery
81. Following will not form the boundary of inguinal canal ?
a. lacunar ligament
b. ext.oblique aponeurosis
c. transversalis fasicia
d. conjoint tendon
e. inguinal ligament
81. Patient treated via conservative surgery for ca colon , best marker for disease progression is ?
a. alpha feto protein
b. cea
c. b-hcg
d. erythropoietin
82. Structure found 2 feet away from ileo-cecal junction at anti - mesenteric border is most likely ?
a. omphalocele
b. meckel's diverticulum
c. volvulus
d.gastochisis
e. intussusceptions
83
thax
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