u KHYBER MEDICALUNIVERSITY PESHAWAR

MBBS Second Profesional Annual Exam, 2021

Paper Type: B
Paper E
in the single best choice in the
respanse sheet prode. Tiser 20 Mintes Marka
a t t h e most cummon type of wrinary incontinence in muli para wom
incontinence
niow lnctinence D. All of the ahvs
A65-year-old man eats a healthy meal. Approsimately 40 minutes later the leorecsl sphineierrelass and chyme s ita the
cecum. Gastric distention leads fe relasation of the ileececal sphineter. What is the same nf thin retlesT
erogastrie Gastrocohe
D Intestino-nlestina Rectosphniere
stroiieal
Osalaacetate s one of ketone bodies. High concentration of usaliscetate favpurs whith pathwayt
colssis TCACYule
P Shunt D Glycogsnolysis ilicogenes
min, urine how
rate 2.0 mlimin, plasma K concentration 4.3 mmolil, and urine K concentratioe Bminolt
B. ol6 immolmin
2 mmolimin D 16 mmol/min sommolmin
hich tasative increases fecAl Water content by osmosis

A l l of e above
BStool lubricants
atics D. Bulk-forming agens
meprazole a pruton pump inhibitor would be effective in all af the follawing conditions escepts

car D. Peptic ulcer disease

E GERD (Gstro esoptagral reflax discae
ostipation osmotic preseure
from the afferent to efferent arteriole, the Glomerular Colloid
alang the glamerular capillaries
d paes
orcascsV E Remains constant
decreasck, reaches a minimu aout

allf way along the capillary, then ncreases

Efective communication has been achieved ifrthe

the ipatient...
B Listens 1o the advice atlentively
tor

Kcsponds o the sdice positively

DUndcrstands the adv ice 5 inilgnded a n k s uie
do
factors is
and secretion of aldosterone, the lcast impurtant
n atralling the synthesis piotensin l
enocorticotropic harmone ACTH
Concentration of plasna Na
Renin
Concentraton of plasma Nas
of stamachz
centractien.ofaxleric.aphincter
10 w h i c h une of the folowing produces
Secretin
VIP COK
Faty die Gastrin
is required for newly synthesued lafty d
rom fatty achd sythase
cnry me comples:
The lollawing Eay me oeitense
Thiokinas
Ttiolic D. Thiophurse
lyaratese
12 Paneth celst
BSecrete lysoryme
Ane mss common o y cosit because they
ic
E Are tound mainly it

Arr a ype of cmteroendocrine cel D A milochondna

Cholecystokinin (CCK) inhibits B pancreatic.HCO3 sccrett

relasalion of the spncier ef C d
Bicepo
p n u r i c engyme c c r e i
D contraction af the gallbiadder

sprcifie is for
14 LDLraceptur Apo 13-4s and Apo t
E Ape - 5 and Apo D
Apo B-48 nd Ago i8 100 lB-100 4d Apo
Apo B-100and Apo
D Apu
is
metabelic of disarder
of tryptophan
The
h Mehy tmalonic cidura
D Maple 5ynup ut
is due fa delect in
whch of the felwing path way
yperuricemis is Lesch-nyhan syndrome
16
D yrimidine Saivag EUrca y wuald tend to increse
thE Cange
fuactianiE The bedy. Which ot
faa
7Calcium honeostasie is
la purtant
lur narmal
aicium reaborptioe is thie rena BExtiacillar fhaid volid p

ADeereased plae phoephaGnan ncrsed pama paralhyd

Exociaan Mesbelic alkaiaas
c lncrcned biood prssn ncentratio
micturation reflex center is located in t h
. 18

A Kidity
The
8 Contu Hpothalams
CSacral scgmeet el epnal ooird
DUriiry bialil abuie)
D t . b t a l Coliactog
is NOT TRUE egardingE catls of the C A s r b 0 a e f h alcr tulred by the glomeruli
hich of the following
19 Lcahsiorb Nat ih cicharnge wih5
A Scrcie 1le seta fhit mes
Mesbscors Nas echange far He omposilioe of u k

Q kespiratary acidusis retsulls fruna cesist diiaon af carbon dioxide

Rctetion of cartun diatide
cellular
tracellular
the
ascd
tracellular ad volufhaid volume increased
A
Cely the cxcellularEacelular
fuid volume
and inrscellular fluidvolur
healthy9ear old man runss ncrea Only the
ml ea d
a
10-kilometer race en a
ef the oop Henle f bit day
the renal tubule s e d Auning that bis antidiureHe
tabule and ed uede
collecting ducts
r o a l tuu Descm
mb af theLocm of
P ccy s seen ina child more than Ranal po
ayear oll, itAy lead to hich af thE
T E
In the distal
tabules, sodium elagra Riches
pathetic stim reabsorption is increaed directiy
diiretic hormene secretion 5 Avial natriurtic lainnone sePen
cased
perunEC saniering
Extrs cellular
lram severe dasterone
faid vldiarriheca due to chalera ceton
What ehangs weu yeAngiotenin secretionaf sucb s patien
espect om esaminatiou

Bradhcn
ccased
egarding ureter all the Incrsa
c
fallowing statements are trae
1NCEPT
a has iCveral layem of tmdothh im
yE y ratsibaonal epithelam D. Laina praperia lies indemea the h e have h yer o
Wc esei
epithehum
erusses over the urcter at the level of the pelsic brin
rian arter
nnen dliac artery D Uierine antery
Ilio ing
Anescids are slmast completely reabsorbed tram the glomerular Tatrale ya Kt
lanie
lal tuibsuilg
Kp
neculty swaleming of food, On invetigtians, s diagnosis af Azhalati wa mae. The mait

reascd velaxation of lower esophagral sp a l r e o f bower csophapesl sghinter o ielas

manct dilation of esophagus E Le perstalsis in De
atcta
Era
Maw p t of puneroas develaps fiom ventral bud

he main panrealie duct arises totally froim D Theucinate proce igince fron oth pacreatic buats itrse frus endadormal
orsal pancrcatc duct
Glueruiar Fatration rate and a a CrEatnune caecentralon pre sosur

n with cach eher Dlverety pmipeortimal a each other D t y portional to the sque roit of
p a a a

Al
Pietal c hief a l

he abitances that must be cleared by Mdneys nhude

odium Puasm and Calcium

Mags.pl a

end
Maor ca
Mr D Real metuila Renal prpi
mptoms at acud peptic mditia
whie t
enectne in
rlr in he
E Binut
D
Amenic in an uevencious state, Her bioed sogar was 40 gmidl.pery

M ati infesed with viats ol 29% hypertanie gluess sluien, What wall be the qiect nf

intracelular luid matarity7 D Oianihy will retain Be will s t deosa

Dumalarity Dumlat wi
Ostilary

ntse
Chyotypi

Cla
8Ma E Sss
Sinpie rdom sagliip D, Stratitied aniplig
wansyert intestine?
CLUT
GU D) CLLTS
bres
T h e is egnd lvcr &ples
Sphligl n i asuminaties, the tper ot tal hau plesus will p s
Apallnt aME
ilecnal hanarthu Vka 7aclod

which ane uf the lallew ieg

cellular
tracellular
the
ascd
tracellular ad volufhaid volume increased
A
Cely the cxcellularEacelular
fuid volume
and inrscellular fluidvolur
healthy9ear old man runss ncrea Only the
ml ea d
a
10-kilometer race en a
ef the oop Henle f bit day
the renal tubule s e d Auning that bis antidiureHe
tabule and ed uede
collecting ducts
r o a l tuu Descm
mb af theLocm of
P ccy s seen ina child more than Ranal po
ayear oll, itAy lead to hich af thE
T E
In the distal
tabules, sodium elagra Riches
pathetic stim reabsorption is increaed directiy
diiretic hormene secretion 5 Avial natriurtic lainnone sePen
cased
perunEC saniering
Extrs cellular
lram severe dasterone
faid vldiarriheca due to chalera ceton
What ehangs weu yeAngiotenin secretionaf sucb s patien
espect om esaminatiou

Bradhcn
ccased
egarding ureter all the Incrsa
c
fallowing statements are trae
1NCEPT
a has iCveral layem of tmdothh im
yE y ratsibaonal epithelam D. Laina praperia lies indemea the h e have h yer o
Wc esei
epithehum
erusses over the urcter at the level of the pelsic brin
rian arter
nnen dliac artery D Uierine antery
Ilio ing
Anescids are slmast completely reabsorbed tram the glomerular Tatrale ya Kt
lanie
lal tuibsuilg
Kp
neculty swaleming of food, On invetigtians, s diagnosis af Azhalati wa mae. The mait

reascd velaxation of lower esophagral sp a l r e o f bower csophapesl sghinter o ielas

manct dilation of esophagus E Le perstalsis in De
atcta
Era
Maw p t of puneroas develaps fiom ventral bud

he main panrealie duct arises totally froim D Theucinate proce igince fron oth pacreatic buats itrse frus endadormal
orsal pancrcatc duct
Glueruiar Fatration rate and a a CrEatnune caecentralon pre sosur

n with cach eher Dlverety pmipeortimal a each other D t y portional to the sque roit of
p a a a

Al
Pietal c hief a l

he abitances that must be cleared by Mdneys nhude

odium Puasm and Calcium

Mags.pl a

end
Maor ca
Mr D Real metuila Renal prpi
mptoms at acud peptic mditia
whie t
enectne in
rlr in he
E Binut
D
Amenic in an uevencious state, Her bioed sogar was 40 gmidl.pery

M ati infesed with viats ol 29% hypertanie gluess sluien, What wall be the qiect nf

intracelular luid matarity7 D Oianihy will retain Be will s t deosa

Dumalarity Dumlat wi
Ostilary

ntse
Chyotypi

Cla
8Ma E Sss
Sinpie rdom sagliip D, Stratitied aniplig
wansyert intestine?
CLUT
GU D) CLLTS
bres
T h e is egnd lvcr &ples
Sphligl n i asuminaties, the tper ot tal hau plesus will p s
Apallnt aME
ilecnal hanarthu Vka 7aclod

which ane uf the lallew ieg

Lactic acid-lactate bhuffer
NSWhich the of
system D.
astric artery folowing is NOT one of the three
Proten buffer system NH3 huffer systems
Splenie anery
NG
majer branches o

ldentify
the D
Coblet ces re FALSE statement about the Common hepaic artery
rior meseteie veim
more
abundant than in the small colo
There are sa villi intestine of the
thin femi muscui or v
yer

D
Inteitinal glands (cnypts of
Lieberkuhn) lie in the mucosa
E The ransverse
co ascma raher than
Q hent consisting of a series of statements for the purpose of
n adventita
v e tet patag tion is known as
uEStionngmaire
B, Self-eeport inventoy
S8 t the nephron the D ProjectNE E Non-projective les
than Pjasma osmolaity
the fluid of
iss the in

duct riscs in the presence of ADH D BTip of loop of Henie is cqual to plasma
Acending LH i o along the enp
engthE DETI 2007 mOsl
Angotensin Aldosterone system plays important role in the
is Caused h controf an
An ncrease in ef blioou preure. Kenin secretion by
Uease
A
n renal sympathetic
reting sdrernal nerve activity A docrcac in sodium intake
umor o o d pressure in the E Esential hy pertensio
al ate
asal Metabalic Rate (BMR):
mtoaic suting position I s unalierod
eel mount of D Ishigher ather weighi gain bocause
in
hypothyroidsi
E hody
part of the c c weight is fat-fhee
mass
w h i c h ef the follow ing has similar values for both intracellalar and intentitiat y
Chloride ne uu
Potassiun ion cone Collo onant
D. Sodia io oa
The mucws secreting wrethral a l omoariy
glanids of Littre are
predominanty cat
enile ethea
Bulbous urchra rotaC Lirethra
Celiac trunk lies at which vertebral level? Tossa naicularts
T10
L3 i2
94 What form of energy is
requireid for faty acid
biosynthess
NADIT
AP
NADPH
S a p l e siar caleulation depends primaruy on
FADI

V Tge popua
SampinE 1ype of sauy
9hThe ability uf the kidney to exerete a concentrated urine i l l gase if
he pemchliy of he Proximal tuthule to water deurzascs h e raie of blood low hroug
The ate of low through the loop of Henle D The activity of t R pomp in the The
T h nermeability of the collecting Ou
laup ef Tienlc deercaics waler decreases
n poundary for trngone af urinary bladders

E Urethral crcs

h E tant was breast fed until J months and in nowb

ot mi nural range
and stools are bulky and oly. Tet of the stool for
the on growth chart. 1he infant is often constipat
1at ia
positve.wfhich 0r the
letlow tng ta the most
hkciy cause for tailure of prper
ehce n g a m the diastal colon
formone beficiency
Malahsorplo
8Analiomicat hasocal ocgiect
E Paycho
ancreatie julce ts talatd 0y the
relcate at
scorctin
rokinaesconly BCholceystpe culeeyokinink Enteros
w h i c h nerve lies
DSecretin &Cholecystokinin Cholccystokinin
deep to the
suhmandibular glanid?
o eve B Facial nere
gemial hpoglosal nenve E Vagus nee
1 All of following
procese generate C02 eacept
c acid cyc
&
onversion ol Pyrvate lu Conversion of
fruvale to

Which ef the folaw ing

D. HMPshunt
E Beta-oxidation
acctyl Co-A
would most ikely decrease the number of
spike potenttals geaerated in
pathictc stimuiation gastrointestinal smooth muscie:
ety lcholine .Srctching of the mascie
0
Stimulation of the vagus oerve E Rest
Activatian of which of the
followingis nermally avvociatcd with
p a c u s (meissner's plexus) contraction of the smouth
muscie of the gastrointestinal tract:
enicnc plexusr (Aucrbach's plexus D Mescntcric ganglia CEllac gangiia
The acula densa E
are modified
columnar cells Sympathetic nervous sy stem
rent arteriole
al convaluted tubules
D Renal corpuscie B. Eferent artcrioie
Which one of the E Renal glomeruli
following is
the putative inhibitory
muscle? neuratransmitter responsible for relaxation
vicholine VLP of gastrointestinal smooth
B, Somatestalin
ubstance P Vasoactive intestinal peptide E serotonin
feature of duodenum the ot
6 The most obvious histological is
presqnce
erous cels gland
D. Paycr's patches E
hief cells
7 T h e esphagus ts to the trachea
alera Medil
Posterior
s
D. Anterior
which of the following two compounds are the primary products ot pentose phosphate pathway
E Superficial
DICALUN
sicinal Anner
AD and Glucese NAD and Ribose
ADPH and Gilucose D NADPand Ribose (NADPH and Ribose
09 Which one of the following is not a feature of oxidative phosphorylation
rarster of phosphate from substrate molecule to ADP B.electrochemical
An gradient across the inner
mitochondrial
membranc
membrane bound AtP synthase DAproton motie roce E Amembrane bond cAMP syntha
T h e outermost layer of the appendix aE
ucosa Submucos
Muscularis macoat
11 Aurachal cyst is a remnant
D Adventitia
Eerosa
of the:
c a l Sinus B Urogenital tidge

12
Alatois Mesonephric duct
When a person gets up in the morning 12 tHours after dinner, what is the main source of his blood glucose?
Dietarygloscos B. Gluconcoa
Gluconcogencsis from amino acids
13 merular I
omerular Filtration Rat
Rate (GFR) is decreased by
Live gheogen e Bycogen

ncesindlmlar canillan hydrostat

hdetai
B)Inc owmSpsujar nycrostatic presure
presine erct goruiar capilany collovd EIncreased Bowman's capsuic colloid osmotic
smotic pressure
People ith very hight levels of serum triglycerides of ( 100mpid) are at risk of which of the following
Cholecystiti a Pancreatitis
Appendicitis D. Cholangitis Pyelonephratis
11s What attaches the inferier aspect of the tongue to the hopr ot oral a y

Cecum
Mag
116
Fremulum
Failure ef the intestinal loops to return to the abdominal cavity by weck I1 results in the formation of
Gastroschisis B lhal diverticulu
E. Intestinal stenosis
Anal age

117
DOmphalocele
Bile acids are conjugated to amino acid or taurine to form bile salt. Whieh of the follovwing amino acid is utilized for comjugation
caction?

lanine
D Leucine
ibycine E
Valinc yue
ENCEP
A the statements about
lumbar vertetra are correct Lambar vertehra are 5 in mumber
Beart-shaped vene r D Traingular shape vertebral foramen E Kidncy-shaped vertebral bod
Long and slender
tr rted which lipopreteims
by which lipopreteims
are transported by
9 The diatary lipids 8. HDL
icrons LD VLDL
ructose transport in th
120 Which of the followinE D p p
R GLUT3

caut- GLLITS

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