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11.8.15
1. A diabetic patient is advised fasting blood glucose level, at what value doctor is confusing and needs
further evaluation with glucose tolerance test?
a. 04 mmol/l
b. 05 mmol/l
c. 07 mmol/l
d. 10 mmnol/l
e. 15 mmol/l
ans = c
7. histones are ?
a. covalently bonded to DNA
B. Are largely composed of lysine n arginine
ans= b
9. Scenario related to a young boy, probably 9 yrs has streptococcal throat infection. fever is due to
a. complements
b. interleukin 1 production
c. decreased temperature set point in thalamus
ans= b
14. in fresh sections elastic cartilage is more yellow than hyaline cartilage because
a. elastic fibers are visible
b. is more basophilic
c. rest options were same like visible not visible of elastic collagen fibers
ans= a (due to presence of elastin- laiq hussain)
18. Following the administration of which drug does the blood level needed to be monitored closely?
a. acyclovir
b. penicillin
c. ofloxacillin
d. vancomycin
e. cyclosporine
ans= d
19. Pt after profuse sweating ingests 2L of pure water. what will happen
a. increase in ECF volume
b. increase in ICF volume
c. decrease in plasma osmolarity
d. increase in plasma osmolarity
ans= I marked A cz there was no “both” ka option)
23. a girl, partial absence of clavicles, some permanent teeth missing (other findings were also given)
a. gardener syndrome
b. achondroplasia
c. cleidocranial dysplasia
ans= C
25. pt had osteosarcoma of limb. Underwent radiotherapy. after 2 years he presents with atrophy of
muscles and epidermis the cause is
a. end arteritis obliterans
b. nerve injury
c. venous thrombosis
ans= A
27. which of the following agent present in saliva causes breakdown of bacterial cell wall
a. secretory igA
b. lactoperoxidases
c. lyzozyme (ans)
28. if factor 8 is not available for transfusion, what is the best alternative
a. FFP
b. cryoprecipitate
c. whole blood
d. plasma
ans= b
33. 25 yr old pregnant lady with occult blood in stools. (other features like weakness, pallor were also
given) –asim mcq
a. iron deficiency anemia
b. megaloblastic anemia
c. sideroblastic anemia
d. anemia of chronic disease
ans= a (asim shoaib key) ref f.a and brs
34. Halothane mixed with which substance to maximize the effect?
a. NO
b. thiopental
ans= a
39. Scenario of pateint with polyuria and nocturia. Labs showed increased Ca2+, increase PO4, Alkaline
phosphatase (I guess it was normal), albumin normal, increased urea. What is the cause
(Normal values were also given so it was easy to decide wat is increased or decreased. I hope I’m
recalling this qs correctly)
a. Primary hyperparathyroidism
b. Hypervitaminoses D
c. milk alkali syndrome
d. vit D deficiency
e. thiazide diuretics?? (not sure about this option)
ans= I marked C
42. Which of the following is enzyme inducer? (actually the question was not worded straightforwardly.
It was like which drug increases metabolism of other drugs or decreases effect of other drugs )
a) Phenobarbitone
b. cemitidine
c. levodopa
ans= a
46. scenario of a patient having anemia associated with chronic renal failure is due to
a. decreased erythropoietin secretion (ans)
47. Hydro colloid impression material, difference in temperature of gelation and sol formation?
a. hygroscopy
b. Hysteresis
c. Imbibition
d. syneresis
ans= b
50. In vitamin D toxicity what will be the ca2+ and PO4 levels in the blood
a. hypocalcemia and hypophosphatemia
b. both hyper
c. hypercalcemia, hypophosphatemia
d. hypercalcemia, normophophatasia
ans= b
60. Nerve supply of oral pharynx membrane / oropharyngeal mucosa derived from (forgot the exact
stem)
a. 1st branchial arch
b. 2nd BR. Arch
c. 3rd BR. arch
4. 4th Br ach
5. not any branchial arch
ans= I marked C
64. increase in what causes decrease in anxiety (I don’t remember this question clearly, neither do i
remember what i marked)
a. glucocorticoid receptors
b. cortisol
c. norepinephrine
d. gaba
ans= don’t remember, either I did B or D :/
68. Scenario, male patient having clasp knife rigidity, atrophy and weakness of ipsilateral left arm.
Hyper reflexia. lesion in
a. cerebellum
b. basal ganglia
c. pons
ans= b
74. When curing a denture base, if insufficient pressure is used while packing, porosity will be seen?
(vijay partab)
1: at the denture periphery
2. in the frenum areas
3. in the thickest portion of the denture
4. Uniformly distributed throughout the denture base
5. at the junction of the teeth and acrylic base
Ans: 4
75. The modulus of elasticity or Young's modulus of a materials is indicative of its? (vijay partab)
1: rigidity
2. resilience
3. Impact force
4. Breaking strength
5. Malleability
ans= 1
76. Scratch hardness is determined by
a. vicker's no
b. knoop hardness number
c. brinell’s micro hardness test
ans= I marked A. confirm urself
78. Localized malformed permanent central incisors of 7 yr old boy. Mother says there was some local
infection to the predecessors. this condition is
a. turner teeth
b. talon's teeth
c. hutchinson's incisors
d. amelogenesis imperfect
ans= A
79. a longitudinal section of tooth shows alternate dark and light lines, this is due to
a. periods of active and inactive deposition
b. calcium deficiency
c. age changes
d. tetracyline
ans= a
80. Pits and furrows on teeth of a child. Mother says there was some endemic intoxication in the area.
a. flourosis
b. amelogenesis imperfecta
c. dentinogenesis imperfecta
d. hypocalcemia
ans= a
84. aspirin acts by inhibiton of (scenario of arthritic pt taking aspirin n pain is relieved)
a. Prostaglandin synthesis (ans)
b. leukotriene synthesis
94. property of denture clasp that makes it easy to go in and out of teeth
a. modulus of elasticity
b. hardness
c fatigue resistance
ans= I marked A
95. property of a material that makes it resist finishing/polishing
A. hardness
b. modulus of elasticity
c fracture resistance
d. tensile strength
ans= A
97. In chronic renal failure what can be expected-ye qs tha???? Don’t remember
A. increase Extracellular PO4 production
100. most common cause of blindness worldwide (there were names of specific microorganisms given in
paper, not generalized viral bacterial etc)
a. viral
b. chlamydiae
c. fungal
d. ameobic
e. parasitic
ans= B chlamydiae
101. Scenario- RBC'S agglutinate with anti sera A and D. serum agglutinates with B red cells . what is
the blood group (asim shoaib mcq- the whole exact statement can be found there; maybe in chandkian
too)
a. A positive
b. A NEGATIVE
C, O POSITIVE
D. AB POSITIVE
E. B POSITIVE
ans= A
102. After surgery to remove a ranula , patient is unable to protrude tongue. which muscle is damaged
a. genioglossus
b. mylohyoid
c. stylohyoid
d. palatoglossus
ans = A
105. Scenario of an experiment performed in laboratory, where a cell is injured to understand role of
bla bla. How leukocytes reach to the site of inflammation...?
a. Chemokines
b. histamine
c. bradykinin
d. interleukin 1
ans= I marked D
112. Scenerio related to neutrophil defect, periodontitis –(clinical feature were given, and name of
disease in option which I forgot. Plz read either cawson or soames for the c/f )
ans= Papillon lefever syndrome
118. Scenario of Pt with pedal edema n swelling, urine analysis shows fat oval bodies. diagnosis
a. Nephrotic syndrome
b. Nephritic syndrome
c. Acf
ans=a (remember O for Oval, O for nephrOtic)
122. Hypoxemia causes hyperventilation by acting on...? (chandkian 5th ed medicine mcq 1382)
a. Respiratory centre in pons
b. Respiratory centre in medulla
c. Carotid body
ans = i marked C ------ option A and B were not in ppr as far as i remember. we got chandkian options.
124. Scenario, a premature infant bruises on skin and jaundice. Mother used anti biotic during
pregnancy. Malnourished. Which vitamin deficiency is there? (and yes there were two vit B, B options) –
nov 2014, feb 2015
a. Vit A
b. Vit B
c .Vit B
d. Vit C
e. Vit K
ans= e
127. Blood loss after severe hemorrhage, unconscious pt, 1 hour passed, pulse pressure 50mmhg. Pulse
is rapid, cool and clammy skin. Which mechanism is active at this stage? (rabia ali mcq)
a. Volume reflex
b. Baroreceptor
c. cns ischemic response
d. brain bridge reflex
e. peripheral chemoreceptors
ans= I marked C
128. When cranial vault fail to fuse (cranioschisis) and brain tissue exposed to amniotic fluid
degenerates. It leads to? (langman 12ed, pg 137)
a. meningomyolcoele
b. hydrocephalus
c. craniosynostosis (premature closure of one or more sutures)
d. anencephly
ans= d
129. Rapidly transport from cell membrane in brain----- ye qs tha ppr me?
a. co2
133. Pt using denture came to doctor and complained about denture. Dr said there was corrosion due
to absence of
a. chromium
b. zinc
c. iron
d. carbon
ans. a
138. Scenario was given of diabetic patient, dark bronze skin, working in sun. With increased blood iron
n transferrin saturation given abt 98%, diagnosis? (in scenario features mentioned indicated bronze
diabetes- triad of d.m, micronodular cirrhosis, skin pigmentation. There is marked elevation of serum
transferring saturation because of combination of increased serum iron and decreased TIBC--- brs patho
)
a. hemosidren deposition in liver kuppa cell
b. a Dec secretion of copper in bile
c. Hemolytic anemia
d. Increased absorption of iron from small intestine
e. anemia
ans= d (its hereditary hemochromatosis- ref brs patho)
139. 2 days post op lady of cholecystectomy presents with (some symptoms i don’t remember..sorry!)
with no bile flow from liver to intestine. blood will show
a. unconjugated bilirubin
b alkaline phosphate
c. ggt
(I don’t remember this question and its options and what I marked)
141. ML cusp of upper 6 interdigitates with (it was a long scenario about an orthodontist adjusting
teeth and bla bla)
a. Central fossa of lower 6
b. mesial fossa of lower 6
c. distal fossa of lower 5
d. mesial fossa of lower 5
e. mesial fossa of lower 7
ans= I marked A
142. A tooth with mesial and distal margins not meeting, it intercuspates with
a. lower 2nd pm
b. upper 4
c. upper 5
ans= I marked A
143. scenario of male patient having anorexia nervosa, tone of lower esophageal sphincter loss due to
decrease in
a. acetylcholine
b. dopamine
c. nor-epinephrine
d. Nitrous oxide
ans= I marked D (f.a confused me :/) but I think its correct answer is B. plz confirm
145. antiarythmic given to patient. After 2 hrs he complains of muscle pain + fever. What was the drug
given?
a. amiodarone
b. quinine
c. digoxin
ans= I marked C
147. afferent pathway of corneal light reflex (corneal light reflex controlled by)
a. II
b. V
C.VII
D.IX
ans= B (chandkian 5th ed pg 497, #149)
167. Long scenario. nikolsky sign positive, igG C3 in linear pattern along basement membrane.
Symblepharon formation. (The qs was taken from nbde pg 524, same lines of book)
a. pemphigus vulgaris
b. mucus membrane pemphigoid
ans= B
171. Young male patient comes with pain in socket 2 days after extraction. Upon examination and xray
the socket is empty. The clot is dislodged due to ---- came twice, both in paper A and B
a. plasminogen
b. bradykinin
c. substance p
d. plasmin (ans. d )
172. After scratching a sharp point on skin, the red flare is due to
a. mechanical stimulation
b. tissue injury
c. histamine
d. bradykinin
ans= I marked C
174. pain in epigastrium, radiated to midback. serum lipase and amylase is raised(scenerio)
a. acute pancreatitis
b. acute cholecystitis
c. acute appendicitis
ans= I marked A
175. Diabetic patient comes to the emergency dept in hypoglycemic coma. glucagon is given. the
action of glucagon in this situation is- forgot the qs and options
188. Muscle which does not have any function but is an important landmark
a. scalenus anterior
b. trapezius
c. SCM
ans= A
190. H1 antagonists?
a) Metabolism is slow In childern
b) Metabolism is fast in adults
c) Enzyme inducers
d) Metabolism not affected by liver disease
Ans: c
193. Glucagon secretion is inc by----- ye qs humy aya tha???? Not sure
a) Exercise.
b) Glucose
c) Somatostatin
d) Fatty acids
e) Secretin
Ans: a
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