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FCPS ENT 23 May 2023 (M)
FCPS ENT 23 May 2023 (M)
111. Earliest Neuroendocrine response to stress (Anesth 23 Ⓐ Air blanket Ⓑ OT temp change
May 2023 (M) +1 past) - ID: 84269
Ⓐ During surgery, temporary loss prevention is achieved by:
Ⓐ CRH release Ⓑ ACTH release
Patient pre-warming ➜ Use of air blanket to cover and warm patient ➜
Ⓒ Adrenaline release Ⓓ Cortisol release
Air blanket provides a constant, adjustable source of warm air that
reduces heat loss
Ⓐ Stress ➜ triggers hormonal changes ➜ initiated by hypothalamus
OT temp might be adjusted to a comfortable level for the staff, which
releasing corticotropin-releasing hormone (CRH) ➜ this signals pituitary
might be cooler than optimal for the patient.
gland to produce ACTH ➜ ACTH then signals adrenal glands to produce
cortisol. 119. Ach esterase genetic deficiency (Anesth 23 May 2023 (M)) -
ID: 84284
112. Low Signal to Noise ratio in fixed SPO2 split of
Oximeter (Anesth 23 May 2023 (M)) - ID: 84271 Ⓐ Succinylcholine resistance develops
Ⓑ Succinylcholine sensitivity develops
Ⓐ 75 Ⓑ 85 Ⓒ No effect on succinylcholine
Ⓒ 100 Ⓓ 90 Ⓓ Resistance to all anesthetics
Ⓑ Signal to noise ratio (SNR) in pulse oximetry refers to ratio of Ⓐ ACh esterase deficiency results in decreased breakdown of ACh in
pulsatile signal (due to arterial blood) to non-pulsatile signal (due to synaptic cleft ➜ This leads to a prolonged effect of ACh ➜
other absorbing/non-absorbing components) Succinylcholine, a depolarizing muscle relaxant, would therefore have a
◉ Higher SNR improves accuracy of SpO2 reading prolonged effect, not resistance
◉ SNR of 85 is acceptable for reliable SpO2 readings.
120. Interstitial lactogenic hormone released by: (Anesth 23
113. Ribs fracture (Anesth 23 May 2023 (M)) - ID: 84276 May 2023 (M)) - ID: 84286
Ⓓ Tendon jerk reflex a.k.a Golgi tendon reflex ➜ involves stimulation Ⓐ space-occupying tumor in lung can indeed cause obstruction of
of Golgi tendon organs located within tendons near point where they larger airways, including superior bronchus ➜ lead to cough, dyspnea,
attach to muscle. and hemoptysis.
Tension or stretching of the tendon, Golgi tendon organs are
activated, leading to reflex response.
Free nerve endings are typically associated with detection of pain,
temperature, and touch.
(M)
Ⓓ Inhibition of lysosomes
✦ Guyton, Pg. 972, 880, 992, 984, 987, 943, , ✦ N.I.H USA, Pg. ✦ stimulated, whereas when doing cartwheels those cells of the posterior
Pubmed USA, Pg. semicircular canals are stimulated Equal rotation along each plane
2. Toxin involved in the streptococcal toxic shock 9. Parenchymal tissue of thyroid gland derives from (ENT 23
syndrome is? (ENT 23 May 2023 (M) +2 past) - ID: 1734 May 2023 (M) +2 past) - ID: 6352
Ⓑ Stensen duct 12. Human can hear sounds best in what frequency range
● Drains saliva from parotid gland into oral cavity (ENT 23 May 2023 (M) +1 past) - ID: 10339
● Emerges from anterior border of gland near second upper molar
Ⓐ 200-500db Ⓑ 1000-2000db
● Buccinator muscle is pierced by parotid duct.
Ⓒ 2000-3000 db Ⓓ 3000-4000 db
✦ SNELL, Pg. 582, 630
6. Why the spinal nerves are called mixed nerves? (Eye 23 Ⓑ ✪ Frequency (Hz) ☛ Normal person can hear frequencies of 20–
May 2023 (M) +10 past) - ID: 3362 20,000 Hz , Frequencies of 500, 1000 and 2000 Hz are called speech
frequencies as most of human voice falls within this range
Ⓐ Sensory and motor nerves Ⓑ Dorsal and ventral
✪ Intensity (dB) ☛ Stapedial reflex is elicited with a sound of 70–100
roots
dB
Ⓒ Come through inter vertebral foramen
✦ Sound with intensity > 120-130 dB will cause discomfort and pain in
Ⓓ Constitute both craniosacral and thoracolumbar outflow
ear
Ⓔ Constitute both craniosacral and thoracolumbar outflow ✦ Dhingra, Pg. 19
Ⓐ As spinal nerves contain both motor and sensory nerves they are 13. Dermatome of neck from chin to supraclavicular notch
called mixed nerves. (ENT 23 May 2023 (M) +3 past) - ID: 11010
7. Dorsum of nose is supplied by (ENT 23 May 2023 (M) +2 past) Ⓐ C3, C4 Ⓑ C1, C2
- ID: 4033 Ⓒ C2, C3 Ⓓ C5,C6
Ⓐ Ethmoidal branch of ophthalmic artery Ⓐ ✪ C2 ☛ Occipital Region , Posterior Neck , Skin over Parotid
Ⓑ Branch of facial artery Ⓒ Branch of temporal artery ✪ C3 ☛ Neck and upper shoulder regions (acromioclavicular joint)
Ⓓ Branch of maxillary artery ✪ C4 ☛ Supraclavicular fossa , Lower clavicular region , middle
clavicular line ( Netter + Last )
Ⓐ Dorsum of nose is mainly supplied by ethmoidal branches of
ophthalmic artery, which is a branch of internal carotid, sends several 14. A student was examining a slide under microscope. He
branches to nasal region, including anterior and posterior ethmoidal found mass of lymphoid tissue covered with Cuboidal
arteries. epithelium. The structure he is examining is? (ENT 23 May
2023 (M) +13 past) - ID: 12300
8. Semicircular canals in cortex of ear are maximally
stimulated by? (ENT 23 May 2023 (M) +4 past) - ID: 4499 Ⓐ Pharyngeal Tonsil Ⓑ Palatine Tonsil
Ⓒ Peyer’s Patches Ⓓ Lingual Tonsils
Ⓐ With nodding of head downwards
Ⓑ Doing cartwheel Ⓒ Vertical axis Ⓒ ✪ Peyer's patches ➜ Columnar / Low Cuboidal M cells Epithelium
Ⓓ Linear acceleration ✪ Palatine tonsil ➜ stratified squamous epithelium
✪ Pharyngeal tonsil (adenoids) ➜ ciliated pseudostratified
Ⓑ When a gymnast performs forward somersaults the hair cells located ✪ Lingual tonsils ➜ stratified squamous
in the anterior semicircular canal of the vestibular apparatus are ✪ Tubal Tonsils ➜ Ciliated pseudostratified Squamous
✦ Leeds Uk, Pg. Ⓑ G6PD deficiency ☛ Intake of Certain Drugs / Infections / Food ➜
Formation of Reactive oxygen species ( ROS ) ➜ Oxidant damage
15. Coordinated movement and posture stability is the
to Hemoglobin ➜ Formation of Small round inclusions within RBCs (
function of which part and its lesion leads to rigid posture
Heinz Bodies ) ➜ Spleen ➜ Macrophages ➜ Damaged part of
and poor coordination (ENT 23 May 2023 (M) +7 past) - ID: 12447
Hemoglobin Removed ➜ Appear bitten ➜ Bite Cells ➜ Premature
Ⓐ Cerebellum Ⓑ Pons Hemolysis ➜ Anemia, Jaundice, Hematuria.
Ⓒ Medulla Ⓓ Spinal cord ✦ Robbins, Pg. 450
20. Cough reflex caused by: (ENT 23 May 2023 (M) +12 past) - 26. A patient has bronchogenic carcinoma (nonproductive
ID: 15686 cough, worsened over 2 yrs). Which is most commonly
causes/ contributing factor of bronchogenic carcinoma
Ⓐ Trigeminal Ⓑ Vagus (ENT 23 May 2023 (M) +8 past) - ID: 17912
Ⓒ Phrenic Ⓓ Glossopharyngeal
Ⓐ Asbestosis Ⓑ Silicosis
Ⓑ Cough reflex ➤ Afferent + Efferent ➤ CN X. Ⓒ Brucellosis Ⓓ Smoking tobacco
✦ Kaplan Neuro, Pg. 312
Ⓓ Tobacco is the top leading cause ( 90% of all cases ) of bronchogenic
21. A child presented to OPD with 104 fever for the last 4 cancer followed by Radon being second leading cause. Adenocarcinoma
days. He has been passing cola colored urine for last one is the most common FORM of lung cancer ( First Aid )
day. He has been on anti malarial medication. His LFTs are
deranged with increase unconjugated bilirubin. Most 27. A Palatine Tonsils lie between which of the following
probable diagnosis ? (Surg 24 May 2023 (M) +33 past) - ID: 15768 two structures? (ENT 23 May 2023 (M) +1 past) - ID: 18028
Ⓓ Palatine tonsils are located in isthmus of the fauces between 34. Type A personality. environmental factor to cause
palatoglossus and palatopharyngeous, the two arches of soft palate. coronary diseases ? (ENT 23 May 2023 (M) +6 past) - ID: 21788
28. Tensor villi palatini is supplied by the ? (ENT 23 May 2023 Ⓐ Physiological responce to stress
(M) +2 past) - ID: 19578 Ⓑ Low sensitivity to stress Ⓒ Both
Ⓓ High sensitivity to stress
Ⓐ CN III Ⓑ CN X
Ⓒ CN IV Ⓓ CN V
Ⓐ Type A behavior pattern (characterized by individuals who are
highly work-driven, time-conscious, and aggressive) is an important
Ⓓ The tensor veli palatini is supplied by the medial pterygoid nerve a
risk factor for CHD, Combined stress (psychological and physical) can
branch of mandibular nerve the third branch of the trigeminal nerve the
exacerbate cardiovascular responses, which may partially contribute to
only muscle of the palate not innervated by the pharyngeal plexus
the elevated risk of CVD
which is formed by the vagal and glossopharyngeal nerves.
35. Tumor spread from infratemporal fossa to middle
29. A lady suffering from CA breast undergoes a total
cranial fossa is by (ENT 23 May 2023 (M) +12 past) - ID: 22550
mastectomy and axillary lymph node dissection and
develops edema of the right arm which of the following Ⓐ Tegmen tympani Ⓑ Antrum tympani
can be the reason for this edema? (ENT 23 May 2023 (M) +26 Ⓒ Lesser wing of sphenoid Ⓓ Sphenoid body
past) - ID: 20661 Ⓔ Geater wing of sphenoid
Ⓐ Lymphatic obstruction
Ⓔ Infratemporal fossa bounded:
Ⓑ Increase vascular permeability
Superiorly☛ greater wing of sphenoid bone
Ⓒ Decrease oncotic pressure
Inferiorly ☛ medial pterygoid musc
Ⓓ Increase hydrostatic pressure
Medially ☛ sphenoid and palatine bones
Ⓔ Endothelial damage
Laterally ☛ ramus and coronoid process of mandible
Ⓐ Mastectomy ➜ Removal of LN ➜ Lymphatic obstruction ➜ Edema 36. ESOPHAGEAL OPENING in diaphragm is at level of ?
✦ Robbins, Pg. 98 (ENT 23 May 2023 (M) +11 past) - ID: 22616
30. A30 years old female is having to swell in front of the Ⓐ T9 Ⓑ T10
neck. She feels difficulty in breathing while in the supine Ⓒ T11 Ⓓ T8
position What can be the type of swelling in this patient ?
(CPSP Demo +36 past) - ID: 20854 Ⓑ Esophageal opening is located in the right crus at level of the tenth
Ⓐ Heart failure Ⓑ CKD thoracic vertebra (T10).
✦ First Aid, Pg. 663
Ⓒ CLD Ⓓ Retrosternal goiter
37. 19 years old patient developed diabetic ketoacidosis
Ⓓ Retrosternal goiter extends to trachea and causes difficulty in but did not respond to treatment and died. Autopsy
breathing and neck vein engorgement. showed inflammatory lesion in kidney ,brain and lung with
Fungus.Most likely cause? (CPSP Demo +16 past) - ID: 22672
31. During exercise skeletal muscle blood flow is increased
by ? (Med 25 May 2023 (A.N) +24 past) - ID: 21190 Ⓐ Aspergillosis Ⓑ Mucor
Ⓒ S. aureus Ⓓ H. influenza
Ⓐ Sympathetic supply Ⓑ Local metabolites
Ⓔ Strep Pneumoniae
Ⓒ O2 consumption Ⓓ CO2 loss
Ⓓ During Paracentesis Inserting needle into 9th intercostal space Ⓐ Amphotericin B Ⓑ Ciprofloxacin
in midaxillary line during expiration will avoid inferior border of Ⓒ Acylovir Ⓓ Azithromycin
Lung.(klm) Acc to BD Churasia its 8th intercostal space
✦ KLM, Pg. 121 ✦ BD Chaurasia, Pg. 300 Ⓐ C. neoformans meningitis ☛ Initial therapy should be
amphotericin B alone or in combination with flucytosine.
40. High frequency is detected by which part of the ear in 47. Uncinate process present in (ENT 23 May 2023 (M) +3 past) -
central nervous system: (ENT 23 May 2023 (M) +4 past) - ID: ID: 34639
27348
Ⓐ Frontal bone Ⓑ Palate
Ⓐ Base of Basilar membrane near Oval window. Ⓒ Ethmoid Ⓓ Sphenoid
Ⓑ Tympanic membrane Ⓒ Sulcus
Ⓓ Semicircular canals Ⓒ The uncinate process can be attached to either the lateral nasal wall,
on the lamina papyracea (50%), anterior cranial fossa, on ethmoidal
Ⓐ High-frequency sound waves cause maximum vibration area of ☛ roof (25%), or the middle concha (25%)
basilar membrane nearest to base of cochlea
48. The first step in formation of platelets plug is? (Anesth 23
41. Which of the following translocation is seen in May 2023 (M) +5 past) - ID: 34756
Burkitt’s Lymphoma? (Med 23 May 2023 (A.N) +16 past) - ID:
Ⓐ The shape changes from round to flat with release of enzyme
33882
Ⓐ T (8:14) Ⓑ T (8:21) Ⓑ The shape changes from flat to round with release of enzyme
Ⓒ T (9: 22) Ⓓ T (11:14)
Ⓔ T (X:18)
Ⓒ Fibrin collection
Ⓐ Burkitt Lymphoma ☛ cells have translocation between Ⓓ The shape changes with no release of enzyme
chromosomes 8 and 14 ➜ overexpression of MYC gene on chromosome
8 by juxtaposition with immunoglobulin heavy chain gene regulatory Ⓐ Primary platelet plug ☛ ➜ Disruption endothelium ➜ Expose
elements on chromosome 14. subendothelial collagen ➜ VWF ➜ Adhesion ➜ Activation ➜ Shape
✦ Robbins, Pg. 202 change ( Round to flate ) ➜ Degranulate ➜ release enzymes ➜
Aggregation ➜ PPP
42. Structure behind Ovarian Fossa (Med 23 May 2023 (A.N) +22 ✦ Robbins, Pg. 101
past) - ID: 34292
49. Afferent of Sneeze reflex in nasal cavity is by (ENT 23
Ⓐ Internal Illiac Artery Ⓑ Ureter May 2023 (M) +6 past) - ID: 34818
Ⓒ External iliac artery Ⓓ Obturator
Ⓐ Trigeminal Ⓑ Olfactory
Ⓑ B>A Ⓒ Vagus Ⓓ Facial
Already Explained in Previous paper
✦ GRAY'S, Pg. 1106 Ⓐ Trigeminal > Olfactory
Irritation of nasal mucosa ➜ Olfactory and Ethmoidal ➜ Afferent ➜
43. 55 year old Diabetic woman complaining of bloating sneezing center in medulla ➜ N.Ambigous ➜ Somatic motor nerves ➜
and indigestion especially after meals. DOC for Pharyngeal , Laryngeal and Respiratory muscles
gastroparesis to increase her tone of lower esophageal ✦ N.I.H USA, Pg.
Sphincter and increase gastric motility for emptying ? (Med
25 May 2023 (A.N) +68 past) - ID: 34344 50. Chrionic villus sampling done at which week? (Eye 23
May 2023 (M) +6 past) - ID: 34830
Ⓐ H2 receptor blocker Ⓑ Antacids
Ⓒ Prokinetic (Metoclopramide) Ⓓ Cisapride Ⓐ 11 week Ⓑ 15 week
Ⓒ 19 week Ⓓ 20 week
ⒸAlready Explained in Previous paper
✦ Katzung, Pg. 1097, 1115 Ⓐ CVS ☛ between 10 and 13wks
Amniocentesis ☛ 15wks onwards
44. Cerebral blood flow is increased by ? (ENT 23 May 2023 (M) ✦ Oxford OBG Handbook, Pg. 130
+1 past) - ID: 34371
51. A Patient has enlaged parotid gland with pain in this
Ⓐ Exercise Ⓑ Sleep region. Which nerve is carrying pain fibers from the
Ⓒ Mental stress parotid gland? (CPSP Demo +19 past) - ID: 34994
Ⓐ Exercise ➜ ↑ CO2 ↓ O2 ➜ Cerebral vasodilation ➜ ↑ Blood flow Ⓐ Anterior auricular Ⓑ Post auricular
✦ Guyton, Pg. 787 Ⓒ Facial nerve Ⓓ Auriculotemporal
Ⓔ Greater auricular nerve
45. Why ATT given in combination ? (ENT 23 May 2023 (M) +26
past) - ID: 34412
Ⓔ Greater auricular nervesupplies ☛ fascia superficial and deep
Ⓐ To avoid drug resistance to parotid gland carries pain
Ⓑ To avoid side effects of higher doses of drugs if given alone Pain caused by ☛ stretching of Capsule when acute enlargement of
gland occurs such as Mumps or any other reason
✦ GRAY'S, Pg. 505
Ⓐ ATT ☛ Rifampin, usually 600 mg/d (10 mg/kg/d) orally, must be 52. Which of the following is a component of acquired
given with isoniazid or other antiTB drugs ➜ prevent emergence of drug immunity? (Anesth 23 May 2023 (M) +4 past) - ID: 35211
resistant mycobacteria
✦ Katzung, Pg. 845 Ⓐ Complement cascade Ⓑ Antibody
Ⓒ Increase CRP Ⓓ NK cells
46. A connective tissue layer that covers a complete
muscle (Inter Muscular layer) (ENT 23 May 2023 (M) +3 past) - Ⓑ Adaptive immunity ☛ T cells, B cells, circulating antibodies
ID: 34414 ✦ First Aid, Pg. 99
Ⓑ Thyroarytenoid ☛ tilts the thyroid cartilage posteriorly and relax 68. Which of the following is the mostcommon mutation in
vocal cord ➜ Lower pitch of voice Ewing's sarcoma (Surg 24 May 2023 (M) +11 past) - ID: 65159
✦ Reference, Pg.
Ⓐ Translocation X : 18 Ⓑ Translocation 11 , 22
60. Biopsy of stomach non specialised mucosa with Ⓒ Activative mutation of G5a,p, surface protein
scattered goblet cells (Anesth 23 May 2023 (M) +10 past) - ID: Ⓓ Missense mutation in EXTI
36496
Ⓑ Ewing's Sarcoma ☛ malignant, distinctive small round cell sarcoma
Ⓐ Dysplasia Ⓑ Metaplasia ➜ associated with t(11:22) translocation ➜ most commonly occurs in
Ⓒ Atrophy Ⓓ Hyperplasia the diaphysis of long bones.
69. Regarding preferential thorough fare channel correct Ⓐ All of actin and a little of myosin
statement is (Med 23 May 2023 (A.N) +9 past) - ID: 72157 Ⓑ All of myosin and no actin Ⓒ All actin and no myosin
Ⓐ Small caliber Ⓑ Having smooth muscles Ⓐ A band is a part of sarcomere, functional unit of muscle fibers ➜ It
Ⓒ Open on demand contains entire length of a single thick filament (myosin) and includes
Ⓓ Present at origin of precapillary sphincter overlapping portions of thin filaments (actin).
Ⓔ Increase capillary valve
76. Pt has a grayish-white membrane on the tonsils. MOA
Ⓑ Thoroughfare channels ☛ Smooth muscle > Have precapillary of diphtheria toxin: (Anesth 23 May 2023 (M) +2 past) - ID: 84281
sphincter > open on demand
✦ Ganong, Pg. 568, 569 ✦ GRAY'S, Pg. 131
Ⓐ Inhibition of DNA synthesis Ⓑ Inhibition of RNA synthesis
Ⓒ Inhibition of protein synthesis
70. Ear pinna, helix and tragus develops from (Med 25 May Ⓓ Inhibition of lysosomes
2023 (M) +7 past) - ID: 79461
Ⓒ MOA of diphtheria toxin ☛ Attachment to target cell ➜ Entry into
Ⓐ 1 and 2 branchial arch Ⓑ 2 and 3 branchial arch
cell via endocytosis ➜ Reduction in endosome leading to release of A
Ⓒ 1 branchial cleft Ⓓ 2 branchial cleft
fragment into cytosol ➜ A fragment (the active portion of toxin)
Ⓔ 4 branchial arch
inactivates Elongation Factor 2 (EF-2) ➜ Inhibition of protein synthesis
➜ Cell death.
Ⓐ External ear ☛ develops from first two pharyngeal arches, which
begin forming six hillocks of His in the five weeks of development. The 77. Endolymph, compared to perilymph has more: (ENT 23
first three hillocks originate from the first pharyngeal arch and fuse May 2023 (M) +1 past) - ID: 84324
together to form the tragus, helix, and cymba conchae.
Ⓐ K+ Ⓑ HCO3-
71. Pt has multiple opacities in lung found on general Ⓒ Na+ Ⓓ Ca+2
health checkup. 15 cm mass fixed compact granuloma
without necrosis, neutrophils surrounded by epithelioid Ⓐ Endolymph compared to perilymph, is known for having a higher
giant cells: (Med 23 May 2023 (A.N) +6 past) - ID: 82966 concentration of potassium ions (K+).
Sodium is predominant in most bodily fluids, But potassium is actually
Ⓐ Tb Ⓑ Sarcoidosis more concentrated in endolymph.
Ⓒ Mesothelioma Ⓓ Aspergillosis
78. Which is true about cochlea: (ENT 23 May 2023 (M)) - ID:
Ⓑ Sarcoidosis ☛ Non caseating Granuloma ➜ Epithelioid cells rimmed 84325
by an outer zone rich in CD4+ T cells
Ⓐ Transverse section of cochlea is circular
✔ Microscopic features of Granuloma ☛ ➊ Schaumann bodies ➋
Ⓑ Scala media and scala tympani are separated by tectorial
Ateroid Bodies
membrane
✦ Robbins, Pg. 513
Ⓒ It has endolymph
72. Baby with erythroblastosis fetalis died. What will be Ⓓ Floor is made by stria vascularis
seen on autopsy? (Med 25 May 2023 (A.N) +4 past) - ID: 83026
Ⓒ Cochlea, ☛ a part of inner ear, contains endolymph.Scala media
Ⓐ Basal ganglia staining due to bile and scala tympani are actually separated by basilar membrane, not
Ⓑ Pulmonary hemorrhage Ⓒ Renal calcification tectorial membrane.
Ⓓ Hepatic necrosis
79. Pt presents with increased breathing in the absence of
Ⓐ Erythroblastosis fetalis ☛ Rh incompatibility between mother and any metabolic acid-base disorder. What will increase as a
fetus ➜ hemolysis of fetal RBCs ➜ resulting in high levels unconjugated compensatory response: (ENT 23 May 2023 (M)) - ID: 84326
bilirubin ➜ brain and basal ganglia affected ➜ yellow staining of basal
ganglia due to bilirubin ➜ kernicterus Ⓐ HCO3- Ⓑ Renin
Ⓒ Ca+2
73. Hospital nurse consults a microbiologist about
fumigation. It should be done when (Med 23 May 2023 (A.N) +5 Ⓐ Hyperventilation ➜ More CO2 expelled ➜ Decrease in blood CO2
past) - ID: 83462 conc. ➜ Respiratory alkalosis ➜ Compensatory increase in renal HCO3-
excretion to maintain balance.
Ⓐ In wards where a patient of plague was admitted
Ⓑ 5 confirmed cases of dengue 80. Palatine tonsil is covered by: (ENT 23 May 2023 (M)) - ID:
Ⓒ Cardiac surgery O.T where increased incidents of post Op 84327
infections reported.
Ⓐ Stratified squamous non-cornified
Ⓓ 4 cases of measles were in the room
Ⓑ Stratified squamous cornified
Ⓐ Fumigation ☛ typically done when there is risk of highly infectious Ⓒ Stratified columnar Ⓓ Simple columnar
diseases, like plague to disinfect the area and prevent further spread of
the disease.
Ⓐ Palatine tonsils ☛ in oropharynx ➜ covered by stratified
squamous non-cornified epithelium ➜ for interaction with antigens
74. A professor was talking about tumor suppressor genes without damage by desiccation.
that involve in cancer of long bones due to mutation in
81. Which antibody has potent effect: (ENT 23 May 2023 (M)) -
single or both alleles. He gives an example of bringing
ID: 84328
their child being affected by a disease with rest of children
being normal. The gene involved is: (Med 23 May 2023 (A.N) +3 Ⓐ IgA Ⓑ IgG1
past) - ID: 83959 Ⓒ IgG2 Ⓓ IgG3
Ⓔ IgG4
Ⓐ KRAK Ⓑ Myc
Ⓒ RB 1 Ⓓ WT1
Ⓑ IgG1 ☛ most abundant subtype of IgG in blood and has a wide
Ⓔ M8H
range of defense functions, including neutralization of toxins,
organisms, complement activation, and opsonization.
Ⓒ RB1 gene, ☛ a tumor suppressor gene, common for only one allele
to be affected (loss of heterozygosity) ➜ when mutated, can lead to 82. A gymnast pushes his chest above the bar. What
osteosarcoma. function of larynx is involved? (ENT 23 May 2023 (M)) - ID:
84329
75. A band consists of (Med 23 May 2023 (A.N) +4 past) - ID:
84264
Ⓐ Fixation of thoracic wall Ⓑ Adduction of vocal cords glossopharyngeal nerve actually supplies stylopharyngeus ➜ this
Ⓒ Increase pressure Ⓓ Phonation proximity and related function may lead to confusion
Ⓒ Pushing chest above bar ➜ requires increased intra-abdominal 90. Larynx is made of both hyaline and elastic cartilage. A
and intrathoracic pressure ➜ larynx is involved in increasing this structure that has both types: (ENT 23 May 2023 (M)) - ID: 84338
pressure. Ⓐ Epiglottis Ⓑ Thyroid cartilage
83. What is true about inverse stretch reflex: (ENT 23 May Ⓒ Arytenoids Ⓓ Cuneiforms
2023 (M) +1 past) - ID: 84330
Ⓐ Epiglottis ☛ has both types of cartilage ➜ it to be flexible (elastic
Ⓐ Muscle spindle cells Ⓑ Regulate tension in muscle cartilage) yet maintain structure (hyaline cartilage).
Ⓒ Doesn't let muscles stretch beyond a limit other structures of larynx, like the thyroid cartilage and cricoid
Ⓓ Is monosynaptic cartilage, are primarily made of hyaline cartilage
Ⓒ Muscle stretches ➜ Inverse stretch reflex activated ( Golgi tendon 91. A diver has hearing loss: (ENT 23 May 2023 (M)) - ID: 84339
reflex) ➜ Contraction of muscle fibers decreases ➜ Prevents muscle
Ⓐ Hemotympanum due to negative middle ear pressure
from stretching beyond a safe limit.
Ⓑ Displacement of ossicles
84. Blood supply of middle ear is mostly by: (ENT 23 May 2023 Ⓒ Rupture of tympanic membrane (TM)
(M)) - ID: 84331
Ⓒ Diver descends or ascends too quickly ➜ rapid change in pressure
Ⓐ Maxillary artery Ⓑ Auricular artery can lead to barotrauma ➜ tympanic membrane (eardrum) rupture ➜
Ⓒ Facial artery Ⓓ Occipital artery lead to hearing loss
Ⓐ Middle ear Blood supply is primarily derived from maxillary 92. Post ethmoidal sinus has intimate relation with: (ENT 23
division of external carotid artery, which is complemented by branches May 2023 (M)) - ID: 84341
of the internal carotid artery.
Ⓐ Trigeminal nerve Ⓑ Ophthalmic artery
Deep auricular branch of the maxillary artery supplies lateral surface
Ⓒ Hypoglossal nerve
of the tympanic membrane
85. Main arterial supply of palatine tonsil I through: (ENT 23 Ⓑ Post ethmoidal sinus ☛ located within ethmoid bone in skull ➜
May 2023 (M)) - ID: 84332 found between orbit and upper nasal cavity ➜ in close proximity to
ophthalmic artery ➜ which travels near this region as it enters orbit
Ⓐ Facial artery Ⓑ Lingual artery through optic canal
Ⓒ Maxillary artery Ⓓ Ascending palatine artery
(M)
(ENT 23 May 2023 (M)) - ID: 84333
Ⓐ submandibular gland is a salivary gland situated beneath floor of 1. Patient with myasthenia gravis on neostigmine and
mouth ➜ retromandibular vein runs superficially, making it most atropine was doing well but now the response is
superficial structure to submandibular gland. decreasing. Edrophonium is given and symptoms
improved. What will you do (Eye 23 May 2023 (M) +9 past) - ID:
87. A patient had heat intolerance and exophthalmos. 23
What is mainly the cause? (ENT 23 May 2023 (M)) - ID: 84334
Ⓐ Withdraw neostigmine Ⓑ Increase neostigmine
Ⓐ TRH Ⓑ TSH Ⓒ Withdraw atropine Ⓓ Increase atropine
Ⓒ TSI Ⓓ Cortisol
Ⓑ Myasthenia ☛ complement activity increases and decreases with
Ⓒ TSI ☛ often present in Graves' disease ➜ overproduction of thyroid inc or dec in no of synaptic receptor ➜ ↑ neostigmine dose when
hormones ➜ inflammation and swelling in tissues around eyes causing patient is getting weak.
exophthalmos, eyes bulge out. Edrophoinum ☛ short acting ➜ used for diagnosis
TSH ☛ in Graves' disease, typically low due to a feedback, whereas
2. Among Following which one is most obvious sign of
TSI, mimicking TSH, keeps stimulating thyroid
malignancy (Eye 23 May 2023 (M) +1 past) - ID: 82
88. Pt had a mass in lung tissue. He had increased serum
Ⓐ Loss of differentiation
Na level and decreased urine osmolality. It is due to
Ⓑ Increased nuclear- cytoplasmic ratio
increased: (ENT 23 May 2023 (M)) - ID: 84335
Ⓒ Metastasis Ⓓ Decrease telomerase activity
Ⓐ Cortisol Ⓑ ADH
Ⓒ ACTH Ⓓ Thyroid hormones Ⓒ Cancer ☛ can also spread regionally, to nearby lymph nodes,
tissues, or organs ➜ can spread to distant parts of body ➜ it is called
Ⓑ ADH ☛ responsible for retaining water in body ➜ Increased ADH metastatic cancer.
can lead to SIADH ➜ decreased urine osmolality
3. The patient came in ER with chest pain ECG normal
SIADH can be caused by lung ca ➜ pseudo-hyponatremia.
cardiac enzymes normal doctor advised thoracic cage X.
89. Nerve that arises from nerve to mylohyoid supplies: RAY. Which one of these structures is a primary
(ENT 23 May 2023 (M)) - ID: 84337 cartilaginous Amphiarthrosis joint? (Med 23 May 2023 (A.N) +14
past) - ID: 894
Ⓐ Styloglossus Ⓑ Stylopharyngeus
Ⓒ Levator palatini Ⓓ Tensor palatini Ⓐ Costochondral Ⓑ Teeth and jaw
Ⓒ Inferior tibiofibular joint Ⓓ Sutures of skull
Ⓑ Inferior alveolar nerve (branch of trigeminal nerve) ➜ gives off a Ⓔ Sutures of skull
branch before entering mandibular canal ➜ this branch is nerve to
mylohyoid ➜ this nerve is close to glossopharyngeal nerve (CN IX) ➜