.

Which neurocyte play an important role in blood brain barrier a) Astrocyte b)Ependmyls c) Microglia d) Oligodenroglia e) Macroglia
2. Q.. I respiratory tract exchange of gasses occur at a) respiratory bronchioles b) Alveolar duct c) alveoli d) alveolar Sac e) alveolar
duct 3. Q..At the time of Ovulation a) increase body temprature b) corpus luteum form on the ovary c) increase estrogen d) increase
progestron 4. Q.. In the first step of thyroid harmone synthesis iodine attach with a) Albumin b) thyroxin c) thyroglobulin d) hb 5. Q..
Antibodies formed in a) Thymus b) Plasma cells c) Lymphocytes d) Spleen e) liver 6. Q.. A man lying naked at operation table with
room temprature 21.5 C and 80% humidity by which mechanism heat transfer from body a) By Veporization b) Radiation and
conduction (ans) c) sweating d) respiration e) urine 7. Q..what is the best way of communication between a patient and doctor a) A
clean room b) Active Listening (ans) c ) speak Loudly d) well furnished clinic 8. Q.. A man is diagnosed by a fatal illness which has v
poor prognosis as a doctor what will u do a) Hide every thing b) tell the nature of illness to patients family only c) tell the nature of
illness to patient and his family only d) tell the nature of illness only to the patient e) Give crispy and evidence based whole
information of the illness to patient (ans) 9. Q.. features distinguishing between benign from maliganant tumor is a)metastasis (ans)
b)invasive n infiltrative margins c)analpsia d) Metaplasia e) Hyperplasia 10. Q..Child with skin itching..stool examination reveal
worms.. presence of which cell will aid in diagnosis a)basophils b)eosinophils (ans) c)lymphocytes d) Granulocyte e) Neutrophil 11.
Q)which carcinoma do not SPREAD to bones a) thyroid medullary carcinoma b)breast c)prostate d) lung e) Liver (ans) 12. Q..A
patient receives radiotherapy for Squamous Cell Carcinoma, some time later the there is scarring & ulceration to the skin because
of: a- Damage to the squamous epithelium b- Endarteritis obliterans c- infection d- venous thrombosis e. 13. Q..A tumor with all
germ layer involved: a) Teratoma (ans) b) Adenocarcinoma c) Hamartoma d) Sarcoma e) Seminoma 14.Q..The most significant agent
in causing Cerebral Malaria: a)P.vivax b)P.Falciparum (ans) c)P.malarae d)P.Ovale e)P.Vivax + P. Ovale 15.Q.The vibration produced in
intraventricular septum during rapid filling of the ventricle is the: a)1st Heart sound b)2nd Heart Sound c)3rd Heart Sound (ans)
d)Murmur e)4th heart sound 16.Q..Patient with terminal ileum resection will have: a- loss of bile salts (ans) b- large volumes of water
in stool c- decrease absorption of aminoacids d-Decrease absorption of Protien e) Iron deficiency 17.Q.. Which of these are
Permanent Cells a- Myocardial Cells (ans) b- glial cells c- hepatocytes d) lymphocytes e) Osteocytes 18.Q.Athlete is unable to rotate
his foot medially bt turns easily laterally.cause is damage to... a.ext haluucis longus nd flexr hallucis longus b.tibialis anterior nd
hallucis longus c.tibialis posterior nd extnsr hallucis longus d.tibialis ant nd flexr hallucis longus 19.Q..In which hemolytic amenia
splenectomy is the treatment a) autoimmune hemolytic anemia b) G6PD deficiency c) heridatory Sephirocytosis d) Sickle cell
anemia 20.Q..cardiac muscle cannot be tetanized because it has a) action potential with plateau b) gap junctions C) long duration of
contraction d) long refractory period e) automaticity 21.Q..A patient with a lesion in the nose,granulomas n proteinuria with
vasculitis histology show nacrosis,most likely lesion? A) Wegner's granulomatosis B) leprosy c) sarcoidosis D ) TB 22.Q. To calculate
plasma Osmolarity Na is multiply by 2 for what a)Anoins b) Other Catoins c)Protiens d) Glucose e) Aminoacid 23.Q..Morphine
causes ? A) bradypnea & miosis B) bradypnea & mydriasis C) tachypnea & miosis D) tachypnea & mydriasis 24.Q.Which of the
following bone is first to ossify ? A) sternum B) clavicle C) humerus D) femur 25.Q. Anterior fontanela close at ? A) 6 - 12 months B)
12- 18 months C) 18- 24 months D) 24- 30 months 26.which of the following is not in ant. relation to left kidney a) diaphram b)
pancreas c) stomach d) spleen e) Splenic flacture of colon 27..Q.Cyclic Amp represents ? A) protein pump B) Ion channels C)
receptors D) hormone 28.Q. LIver held in its position with ant. Abdominal wall By? A) diaphgram B) peritoneal ligaments C) inferior
vena ceva D) Hepatic Vien 29.Q.Cause of right shift of oxygen dissociation curve ? A) carbon monooxide B) fetal hemoglobin C)
decrease PH D) increase PH 30.Q. Which componant of food has highest caloric value ? A) carbohydrates B) protiens C) fats D)
starch 31.Q. Specificity of a test represants ? A) true positive B) true negative C) false positive D) false negative 32.Q..A 80 yr old
male comes to surgical OPD ,with complaint of watery discharge coming out from umbilicus ,he has a prostatic enlargement for the
last 5 yrs ,what is the cause ? A) prostatic cancer B) patent vitelointestinal duct C) patent urachus D) constriction of uretheric
sphnicter E) constriction of ureter 33.Q..Post operative Pyrexia may occur secondary to: (A): Subphrenic Abscesss (B): Deep Vein
Thrombosis (C): Urinary Tract Infection (D): Atelactasis (E): Blood Transfusion 34.Q..Aneamic pt ,hb 6.0, increased PLT count &
hyperplastic bone marrow .Cause ? a) acute blood loss b) hemolytic anemia c) iron deficeincy d) leukemia 35.Q..In anterior Duodenal
perforation , the contents will go to a) Right iliac fossa b)Left Iliac fossa c)Anterior subhepatic space d)posterior subhepatic space e)
small bursae 36.Q..pt can survive without mechanical ventilation if the lesion is at: a) Above C 2 B at C 3 C) at C4 D) Below C 5
37.Q..60 year old man has bilaterall enlarged lymph node in neck. biopsy revealed hodgkin lymphoma. which type of hodgkin has
good prognosis? a) lymphocytes deplited B) lymphocyte predominant C) nodular sclerosis D) mixed cellularity 38.Q..old pt admitted
in ICU with CVP passed in subclavian, developed fever. for that one blood cs sent from periphery and second in cvp tip for cs. after 2
days initial report came positive for gram +ve cocci in cvp. which antibiotic would b best for this pt. a) imepenem b) penicillin with
culvanic c) vacomycin d) cefelosporins 39.Q..increased parasympathetic stimulation wiil cause relaxation of a.gut walls b.brochial
smooth msc c.GIT shincters d.urinary bladder msc e.pupillary shincter 40.Q.the fibrous pericardium and serous pericardium receives
innervation from a)vagus nerve b)phrenic nerve C).intercostal nerves d) Long Thoraxic nerve 41.Q.Posterior relation of Arch of
Aorta? brachiocephalic vein sup vena cava right phrenic nerve left phrenic nerve pulm artery 42.Q..leison of pyramid at medulla
cause . Balancing .motor loss .propeception . Discrimination loss 43.Q.secondery transport a. urea b. protien c. amino acid d.
glucose 44.Q..Disinfectant use for surgical scrub and plan is a. cholhexidine b.alcohol C. spirit d) 45.Q.Gall bladder epithelium is a)
Pseudostratified columner epithilia b) Simple saquamos c) Simple columner d) Simple Cuboidal 46.Q. bleeding disorder associated
with deficiency of factor VIII, and absolute F vIII is not availibe what will u give a. platelet transfusion b.cryoprecipitate c.fresh whole
blood transfusion d.Albumine 47.Q.thymus a. contains lymphos b. regresses soon after birth c. forms from 4th pouch d. drive from
pretracheal fascia 48.Q. Triglycerides a. transported by lipoproteins b. 3 fatty acids having glucose 49.Q. Which type of joint is Pubic
Symphysis 1. Sydesmosis 2. Fibrocartilagenous 3. diarthrosi 4. ? 5. ? 50.Q.First bone to ossify in embryo is 1. clavicle 2. femur 3.
Sternum 4. Humerus 5. Tibia 51Q.What is correct regarding surfactant 1. Highest concentration in amniotic fluid is in last trimester
2. It decreases lung compliance 3. It forms a layer between maccro molecules 4. it is produced by Type 1 pneumocytes in the last
trimester of pregnancy 52.Q. Its production decreases as the size of alveoli decreasesprostacyclin is produced by 1. Peyer patches 2.
Mast Cells 3. Fibroblasts 4. Endothelial Cells 5. Platelets 53.Q.Which activates thirst center 1. ADH 2. Aldosterone 3. Renin 4.
Angiotensin 5. ANP 54.Q. Heparin is produced by 1. Plasma Cells 2. Basophils 3. Mast Cells 4. Mesenchymal Cells 5. Fibroblasts
55.Q.Which one of the following is the pre cursor of malignancy 1. Barret Oesophagus 2. Duodenal Ulcer 3. Gastirc Ulcer 4.
Angiodysplasia 5. Haemmorhoids 56.Q.In ECG what represents a T wave. 1. refractory period 2. ventricular re polarization 3. atrial
systole 4. Ventricle diastole 5. Atrial re polarization 57.Q. A new borne presented with tachypnea O/E there is decrease breath sound
on left side normal breath on right side, chest x ray show gut loops in left side of the pleural cavity what is the likely cause? a)
defective pleuropericardial membrane b) atresia of lower esopahagus c) defective pleuroperitoneal membrane d) Hitus hernia e)

Dextrocardia 58.Q.A patient with tumor in the Right Superior bronchus which segment is likely to be collapsed: a- Apical Superior bApical Basal c- Superior Basal d- Left apical lobe 59.Q.Pt presented with severe burns ,and comes few days later with Infection and
blood diathesis, brusis on the body and died What was cause of death: a- Liver failure due to septecimia b- DIC c-Dehydration dRenal Failure e- 60.Q.a soldier from balochistan with fever since 3 months and hepatsplenomegaly gives h/o of sleeping on ground
and often biten by flies a kala azar b fliariasis c malaria d. Schistosomias 61.Q. Child with vomitting, yellow discolaration of
sclera,dark coloured urine. Most appropriate investigation will be ... a)hep A n B Serology b)serum bilirubin n ALT c)Alkaline
phosphatase d)Total bilirubin 62.Q. CSf reabsorption most appropriate a- Arachnoid vili b- Choroid plexus 63.Q. A person has
glucosuria but his blood sugar is 100 mg/dl.what was the cause ,... a. decreased absorbtion of glucose from proximal convulated
tubules b.dec thershold for glucose in kidney c.pt is diabetic d. abnormally decreased reabsorption of glucos 64.Q. main supply of
head of femur in adults a- obturator artery b- medial and lateral circumflex femoral c- d- e- 64.Q. In stress,level of all hormones
increases except a,growth b,adh c,cortisol d,aldosteron e) Insuline 65.Q.Difference b/w septc and hypovolumic shock., . temperature
heart rate respiratory rate pallor hypotension 66.Q. A female was found to hav decreased calcium levels and increased phosphate
and serium parathyroid hormone increased and alk. Phosphate is normal. cause may be a,hypoparathyroidisam b, chronic renal
failure c) Osteomalacia e, psudohypoparathyroidsm 67.Q. isolated damage to anterior cruicate ligament leads to displacement of
tibia on femur in which direction? a anterior b anteriomedial c anterolateral d posterior. 68.Q. foot drop nd loss of snesation on
dorsum of foot following fracture of neck of fibula a.tibial n b,commen peronial nerve c.post tibial n d,sciatic nerve 69.Q.patient with
anemia and jaundice has raised alkaline phophatase in his blood ...diagnosis a cholestrol stones b pigment stones c
cholengiocarcinoma d acute hepatistis e. blood malignancy 70.Q.14 year old girl with menorhagia and pale looking has presented
with purpura her labs show platelete 20k and bone marrow shows megakaryocytic hyperplasia Dx a. ITP b. TTP c ... d ... e ...
71.Q.therapeutic as well as toxic effect of loop diuretics is a metabolic acidosis b hyperkelemia c decrease bld pressure d. Increase
in Na+ e........... 72.Q.a patient with pyogenic lung abscess develops meningitis causative agent? a streptococcus b staphylococcus c
klebsiella d haemophilus influ e. pneumococci 73.Q.What is most appropriate abt thyroid gland... a)parathyroid lies on superolateral
surface b)epithelium change acc to function c)isthmus lies above cricoid cartilage d).. * .. 74.Q. which of the following structure is
buried in lateral sulcus of brain ? a.sebiculum B.operculam C.pars triangulris d. Insula e. splenium 75.Q.external jugular vein ... a. it
pireces investing layer of deep cervical fascia at border of sternocleidomastoid b. It doesn t receive any tributaries ... c. formed
behind angle of mandible Form on surface of sternocleidomastoid behind angle of jaw d. form by union of post div of
retromandibular vein n postauricular vein 76.Q.organism with florescent pigment and resistant to antibiotics and disinfectants a
pseudomona b bacteroides c trepnema d...... e......... 77.Q.Median urachal ligament is a remanant of a)umblical artery b)umblical
vein c)urachus d) mesonephric duct 78.Q. Subarachnoid space end at level of a)L1-L2 b)L3-L4 c)L5 d)S2-S3 79.Q.A disorderly growth
with change in size shape maturation. Which is also reversible a)anaplasia b)metaplasia c)dysplasia d)neoplasia 80.Q. which of the
following is responsible for the net reabsorption of sodium in the kidney? a. aldosterone b. atrial natriuretic peptide c. Renin
angiotensin system d. aldosterone and ANP 81.Q.which is the short term iportant effect of angiotensin II? a. vasoconstriction b.
stimulation of the thirst center 83.Q.asthmatic pt ph 7.33, co2 48, hco3 25 ? a repiratory acidosis with renal compensation b resp alk
c met aci d met alk e respiratory acidosis without renal compensation 84.Q.a women is given multiple transfusions of blood before
and after the surgery, what will the ECG changes, her ECG doesn t show any ischemic changes? a hyperkalemia b hypercalcemia c
Infrective endocarditis d 85.Q.Regarding epithelia and glands a) An endocrine glands is marked by the presence of number of ducts
b) The simple squamous epithelium found at places where exchange of gases take place c) Halocrine type of secretion in mammary
gland d)Most of respiratory tract is lined by transitional epithelium 86.Q.pulmonary capillary wedge pressure a)indirectly measures
left atrial pressure b)indirectly measures right atrial pressure c)is named because of wedge shape of catheter d) Increase pressure
across tricuspid valve 87.Q.In autosomal dominant disease a).both parents of affected child have the disease b)only one parent of
affected child has the disease c)only male are affected from diseased parent 88.Q. Bio-availability is a factor, which route of
administration of drug highly affects? a-oral b-iv c-sc d-im e-sub lingual 89.Q. edema is caused by : a)Decreased hydrostatic
pressure b)Increased osmotic pressure c)lymph obstruction 90.Q.most of the lymph is filtered by : a)peyer's patches b)lymph nodes
c)spleen d)thymus 91.Q.Volume of distribution of drug not affected by a)age b)gender c)Sex d)cardiac failure e)pregnancy
92.Q.Infusion of large amount of dextrose in water.wht wd b inhibited a)ADH b)aldosterone c)vasopressin d)cortisol e)insulin
93.Q.The transitional epithelium lining the urinary bladder is derived from (A) ectoderm (B) endoderm (C) mesoderm (D) endoderm
and mesoderm (E) neural crest .. 94.Q.clostridium botulinum specific symptoms in food poisoning... a.diarrhoea b.flacid paralysis of
respiratory muscles c.projectile vomitng d.Convulsions 95.Q.ant triangle of neck is supplied by... a. C1. b.C2 nd C3 c.C3 nd C4 d,C4
96.Q.cavernous sinus cavity contains which nerve... a. Optic Nerve b. Occulomotor nerve c. Troclear Nerve d. Abducent Nerve e.
Glossopharyngeal nerve 97.Q.41 percnt hematocrit means a) 41% of formed elements r rbcs. b) 41% of blood volume is rbcs,wbcs n
platelets.. c) 41% of blood volume is serum. d).41% of blood volume is plasma e) 41% of blood is hb 98.Q.in severe dehydration...
a.ecf decreases b.icf decrease c.both ecf nd icf decreases d.pH decreases 99.Q.A woman is injected a PPD s/c. 48 hrs later she
developed 14mm ,which cell other thn macrophages is formed... a.neutrophils b.T cell c.B cell d.lymphocytes. 100.Q.thromboxane
A2 is secretd by... a.platelets b.endothlial cells c.basophils d.basophils 101.Q.a pregnant lady of 15 weeks developed thyrotoxicosis
which drug is treatment of choice a) beta blocker b) PTU c) MgSO4 102.Q..avidin has greatest affinity to one of following a) B12 b)
Biotin c) vitamin A d) vitamin C 103.Q.regarding Actinomyces infection wat is true a. forms pus b. forms pus and granuloma c. form
non caseating granuloma d. form caseating granuloma e necrosis 103.Q.a know hypertensive on drug therapy..present in
emergency with collapse..her plasma K is 6.1..what is the likely cause of collapse A..ARF B..CRF c...infection D..diuretics E..coushing
104.Q.blood antigens a)agglutins b)secreted in saliva 105.Q. A baby with history of delayed passage of meconium, and on rectal
biopsy there is absence of ganglion cells. What is the diagnosis. a. Cystic Fibrosis b. Hirschsprung disease c. ? d. ? 106.Q. A patient
had cut in the center of wrist during a suicide attempt, he has no abduction or adduction of fingers plus no abduction of the thumb,
the injury is to: a. ulnar nerve b. median nerve c. radial nerve 107.iron store in paranchyma of organ a)ferritin b)hemosedrin
c)transferrin 108.Q. A gynecologist is treating UTI in her patients, She divided her patients in 2 groups, and 2 antibiotics were
selected amoxicillin and ciprofloxaicn. each group is given 1 drug without letting them know the real name of the drug. what type of
this study is. a. Double Blind b. Retrospective c. Cross Sectional d. Placebo e. Case Control 109.Q. Adult polycystic kidney disease,
which of the following is correct a. Autosomal Dominant b. Autosomal Recessive c. X Linked d. Multifactorial e. Mitochondrial 110.Q.
Which of the following test is best described for GFR kidney a. Serum Urea b. Urine Osmolality c. Hippuric Acid Test d. Insulin
Clearance e. Creatinine clearance 111.Q.Which of the following beta blocker should be given with no vasodilation but lowers BP a.
Captopril b. Hydralazine c. Nifedipine d. Atenolol e. Verapamil 112.Q. Peritonitis is caused by a) Bacteroids b) E-Coli c) Proteus d)

Steph 113.Q. An alcoholic patient has h/o loss of appitite, addominal distension ,on liver histopathology a) mailiory body appearance
b) 114.Q. child with purpura on investigation he has a) paleteles 90000 b) platelets 20000 c) factor 8 deficincy d) protien c
deficiency e) protien S deficiancy 115.Q.6 yr child with peripheral edema decrese albumin level , skin lesions what is the cause a.
kawashkior b.marasmus c)beri beri d)vit c deficiency 116.Q. anitbodies against tb present a.is complete b..attached to bacteria
c.Serum d. lymphoctes 117.Q. Blow on jaw cause RAmus fracture just above the mandibular foramin at mandibal ,lesion causes.
a.mylohyoid b.skin of chin anesthesia c.lower teeth anesthesia d. 118.Q.Which activates thirst center a). ADH b) Aldosterone c)
Renin d) Angiotensin e) ANP 119.Q. Which of the following helps in regulation of sodium absorption a). Atrial Natriuretic peptide b)
ADH c) Aldosterone d) Aldosterone + Atrial Natriuretic peptide e) Renin 120.Q. Stimulus for aldosterone secretion a)hypekalemia
b)renin c)hypernatremia 121.Q. Which of the following disease is caused by the bite of mosquito a) Ochronosis b) Filariasis c)
Whipple d) Ascariasis 122.Q. Enzymes which transfer radical from one molecule to another a)hydrolases b)oxidoreductases*
c)transferases d) Oxidation
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