300 Mcqs ,Jan 2023 Recalls (1)

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Sukkur Institute of Business Administration, Sukkur *

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6275

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Nursing

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Nov 24, 2024

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39

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• Recalls *****18th January 2023 ***** Sadia’s collection Q1:Q1. Half life of platelets? • 12 hours • 2 days • 10 days correct • 120 days • 30 days Q2:Q2. A bullet is shot just at the right side of rectus muscle where it meets the tight costal margin and went out out at the exact area through the back, organ most likely affected? • Pylorus • Gallbladder Correct Q3. Paneth cells present in- • Crypt of liberkuhn correct • Intestinal villi • Gastric antrum • Lamina propria Q4. In COPD patient • PCO2 increased and HCO3- increased (Fawzia) Q5. COPD + given morphine, which ABG represents it? Partially compensated resp acidosis Q6 Pt on warfarin and started to bleed. What is the used to measure the bleeding • Deficiency of factor 2,7,9,10 • Prothrombin deficiency correct
Q7. Female RA, BA on 10 mg bid steroid and sulbutamole, Rt iliac fossa pain vomiting, fever, k high, wbcs 15 Na low, BP 80/50, pulse 80 what to do • 250 ml colloid and reassess • 100 ml prednisolone • 1.2 gm iv co-amoxiclav • IV 100 mg Hydrocortisone correct • Ca resonium per rectal Q8. 70 year old male, angina on going upstairs. ECHO(? ecg) was done, what is the most likely finding? A. Aortic stenosis B. Aortic sclerosis correct C. Aortic regurgitation D. Mixed Valvular disease Q9. 8 year old child became tired and breathless after playing football.brought by mom harsh continuous murmur under the left clavicle...diagnosis? A. Coarctation of aorta( my answer was A,some believe in B) B. PDA C. VSD D. ASD Q10. Primigravida 24 years, third trimester, chest tightness, cyanosis, congested neck veins, her father died at 60 with MI A. Aortic dissection B: Acute massive PE correct C. MI D. Pulmonary infarction Q11. On helicopter, Intubate a hypotensive Pt which medication
A. Propofol B. Ketamine correct C. Vecuronium D. Suxamethonium Q12. After anterior resection, 10 days Pt developed shortness of breath, cough, ecg was normal, what's initial investigation? A. CTPA correct C. CXR Q13. After aortic aneurysm repair, pt developed high k, low urine output, high creatinine A :measure intraccompartment pressure B. Give1literofhartmann Q14. Child while eating chocolate developed sudden scrotal pain 4 hrs back, testis elevated, tender, mother gave chips. A. Analgesic,blockandmanipulation B. . Fasting3hoursfirst C. ImmediatelyexplorationunderGA correct D. ArrangeurgentUSS Q15. After aortic aneurysm repair, pt increased ventilatory demand, pulmonary wedge pressure 20 (N - 8-12), dilated neck vein, low BP, Xray showed bilateral lung opacity A. ARDS B. Pulmonaryedemaduetoheartfailure. Correct( PCWP 20) Q16. Post splenectomy blood film at 1 week, what is not seen? A. Howell jolly bodies B. Basophilia C. DecreasedWBC correct
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D. PittedRBC E. Targetcell Q17. Management of lower leg compartment syndrome A. 4 compartment release Q18. GCS, spontaneous eye opening, obeys command, with confusion A. GCS13 B. GCS14 correct C. GCS15 Q19.Hit to glass table was mode of injury.. Pretibial flap laceration 6 cm long and 2cm wide, intact periosteum, unable to be approximated. What is the management…? AOpposewoundedgeswithouttension+remainingareacoverwithSS G B. Opposewoundedgeswithouttension+allow granulation C. ExciseFlapandrepairSTSG D. Excise Flap and repair Ans should b: STSG as periosteum is intact Q20. Amyloid histology A. Negative birefringence B. Congo red polarised +blue under polarised C. Congo red polarised +green under polarised correct D. Congo red positive+white under polarised Q21. Biers block anaesthetic, which choice of drug? A. 0.5%prilocaine correct B. 1%lidocaine C. 1%lidocaine+adrenaline1:200.000 D. 0.5%levobupivacaine+adrenaline1:200.000
Q22. A Mother of 3 children, came with pruritus ani, Tape showed eggs, causative organism A. Enterobius vermicularis correct B. Entamoeba histolytica C. . Ascaris lumbricoides Q23. Patient passing ova and cysts, bloody diarrhoea treatment? A. Mebendazole B. Metronidazole correct C. Tinidazole Q24. Knee injured during football match, can’t continue playing. Immobilised for one week. After one week, tender swelling 2.5cm above knee medial joint line and excessive lateral angulation of knee compared to the other one. Which ligament injured? A. Medial collateral ligament correct B. ACL C. PCL D. Meniscal Q25. After cast removal 4 weeks of undisplaced fracture, pt Unable to lift thumb off the table and patient cant extend IPJ even after stabilising thumb CM joint. A.EPLtendon injury correct B. PIN palsy C.Median nerve and recurrent branch Q26. Part of scaphoid at risk of AVN A. Proximal correct B. Distal
Q27. Ludwig’s angina ?space involved A. Submandibular space correct B. Retro pharyngeal space C. Buccal D. Pre tracheal E. Parapharyngealspace Q28. 10 Years post midtarsal dislocation, worsening pain. cause A. Malunion B. A vascular necrosis C. Primary osteoarthritis D. Secondary osteoarthritis correct Q29. Patient involved in car crash, hits back of driver's seat, leg is shortened and internally rotated, all motor function of leg lost. Only preserved sensation in medial lower leg and foot? A. Posterior hip dislocation correct B. Femoral shaft haft fracture C. Supra condylar femoral fracture D. Anterior Hip dislocated Q31. After gastric bariatric surgery ,patient has been getting symptoms of sweating, palpitations, convulsions. What would be the cause .? Vagotomised early gastric relaxation Q32 Histological appearance of osteoporosis A. Increased osteoclastic activity B. Normal minerals dec volume.. correct Q33. Patients fell onto chin, reduced mouth opening, Jaws are not aligned like they used to, Pre auricular tenderness. Which part of mandible fracture ..unable to bite A. Mandibular condylar
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B. Ramus C. Body D. Coronoid process E. Angle Of the mandible Q34. Patient 6 months post tooth extraction, pus, multiple sinuses and yellow granules A. Actinomycetes Q35. Teeth extracted, pt develops numbness of gum, chin and lower lip. Which nerve traversing through the body of mandible is responsible A. Inferior alveolar nerve B. Lingual C. Facial D. Mental correct Q36. Patient underwent Colonoscopy under conscious sedation. In the ward, the pt is unresponsive and the nurse informs you that the respiratory rate is slow. You examine the patient and he is sleeping. Despite the dark room, his pupils are constricted. How to reverse the drug effect … A. Fentanyl B. Midazolam C. Naloxone correct D. Thiopentone E. Propofol Q37. Unilateral Buttock claudication, causative vessel A. Common iliac artery correct B. External iliac artery C. Internal iliac artery
Q38. Gardener, has thorn stuck in arm, photo given of surrounding cellulitis and lymphangitis 2 days later. causative organism A. Strep pyogenes B. Staph aureus (most common cause of thorn related injury ) C. E.Coli Q39. Vitamin C deficiency? Delayed wound healing low collagen Q40. Young athlete patient with single rib fracture. He has pain but vitals are stable. Management: A. Analgesia and discharge B. Admission and observation C. Bupivacaine5% D chest drain correct ( rib fracture risk of penetration & pulmonary contusion ,as per new guidelines chest drain is mandatory) Q41. Old Patient attended A&E with history of falling in the pavement of a pub. He admits that he was drunk but this never happened before. It’s unclear if he lost consciousness or not. He lives alone. He has a small cut by eye otherwise normal on examination. Management: Discharge with advice n accompanied Q42. What would prompt you to urgent CT scanning under the NICE guidelines? A. Single episode of vomiting B. B. GCS14 C.Retro auricular bruise.. correct
Q43 Presented with nystagmus, ataxia, where is the cause of bleeding? A. PICA correct B. Posterior cerebral artery Q44. Blockage in middle cerebral artery, what is the presenting symptom Contra lateral lower face weakness Q45. Which is the cause of vasoconstriction on efferent arterioles? A. AngiotensinI B. AngiotensinII correct C. Angiotensinogen Q46. IVDU presents with groin swelling , what is found A. Mast cells B. Sequestrum C. Eosinophils D false aneurysm correct Q47. Senescence of cancer cells (same as 2022 Sept) A. Telomerase correct B. p53mutation C. Activation Of tumour suppressor gene Q48; Random fasting glucose 11.8, what is the diagnosis? A. DM correct B. DI C. Impaired Glucose tolerance Q49 Loss of thenar muscle action, which nerve A. Recurrent branch of median nerve
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Q50 Chorda tympani foramen? stylomastoid foramen Q51 Afferent of gag reflex? glossopharygeal nerve Q52 superior thyroid artery ligated, now can't produce high pitched voice, injury to? cricothyroid muscle Q53 Orbital fracture, loss of lacrimation? Greater petrosal nerve lesion Q54 Loss of lacrimation? Pterygopalatine ganglion Q55 mild clawing of 4th n 5th fingers ? Arthropathy of elbow Q56 Complement is from which cells? A. Endothelial cells B. Hepatocytes Correct C. Tcells D. Bcells Q57 LN drainage of glans penis A.Deep inguinal LN correct B. Sup inguinal LN Q58. Giant cell arteritis ..?chronic granulomatous macrophages lymphocytes inflammation Q59. Sudden pain in heel, unable to WB, Achilles rupture A.Simmonds test Q60 Indications for renal replacement therapy in burns? A. K+6.8
Q61Features of Horner and numbness near medial side of elbow? T1 Q62 Medial to phrenic nerve when entering from neck to thorax? Trachea SVC BCV correct Q63. Tumour type in upper 1/3rd of oesophagus? SCC Q64. Tortuous vessel arising from Coeliac Axis, also supplies? Pancreatic head Duodenum Gastric fundus Correct Q65 Patient with diabetes presenting with oliguria, hematuria. There is slough in urine. Diagnosis? Acute tubular necrosis Q66. Temporal bone fracture after high velocity accident, patient has otorrhea. Damage to which structure causes CSF to leak externally? A. Internal auditory meatus B. Tympanic membrane C. Tegmen tympani. Correct D. Secondary tympani membrane E. Eustachian tube Q67. 80 year old lady who smoked for 20 years, smooth, red and velvety patch on her tongue: 1. Leukoplakia 2.Erythroplakia correct
3. Lichen plan Q68 20y/o man, Urethral rupture, blood at urethral meatus and high riding prostate What part of urethra injured: 1. Prostatic urethra 2. Bulbar urethra 3. Membranous urethra correct 4. Bulbur urethra Q69 A case of endometrial, ovarian, colorectal carcinoma were mentioned, dx? lynch syndrome Q70 Planned surgery in 8 weeks, has anaemia. Which form of iron replacement? A. Oral iron B. B. IV iron Q71 3% burn in forearm with crusting, dry and loss of sensation, management post debridement? A. Split thickness skin graft correct B. Full thickness skin graft C. Occlusive dressing Q72 Young girl 6 week Hx of unilateral breast pain, 8/10 severity, not related to menstrual cycle, management? A. Reassure and discharge correct B. USS C. Mammogram Q73Acutely swollen and painful knee. No hemarthrosis, Apyrexial and WCC normal. Definitive diagnosis by? A. Aspiration And culture B. X-ray C. Arthroscopy Correct
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Q74 tall pt. changes in lung volumes Q75 Autolysis of pancreas in pancreatitis ?enzyme A. Lipase B. Amylase C. Trypsin. Correct Q76 reciprocal of absolute risk reduction?.. number needed to treat Q77 Admitted with acute pancreatitis..patient managed..repeat CT imaging after 4 days shows diffuse fluid around the head . body/tail of pancreas are non-enhancing ?cause A. Pancreatic necrosis Correct B. Pseudocyst C. Abscess Q78 Management of hypercalcaemia A. IVsaline Q79 infusion of excess saline.. hyperchloremic acidosis Q80Central Chemoreceptors r located? medulla Q81Frusemide ?. ascending limb of loop of Henle Q82 Structure most at risk when preparing tibia with saw during knee replacement A. Popliteal artery. Correct B. Tibial nerve
Q83 Where would you feel resistance during male catheterisation? A. Membranous urethra. Correct B. Prostatic urethra Q 84 11 day old premature born baby with bile stained vomiting, abdominal distention, blood with stool A. Duodenal atresia B. Necrotising enterocolitis correct Q85 Overweight 12 year old, hip pain, antalgic gait A. Sufe Q86. 5 year old, unilateral hip, knee pain A. Perthes disease Q87. 6 months old boy with 24 hrs history of abdomen distension, pyrexial, screaming, vomiting bile stained, small amount of blood and mucus on P/R/E A. Intussusception Correct B. Meckeldiverticulum Q88 ADH .. distal convoluted tubule Q89 2 day old baby, vomiting and abdomen distention, passed mucus plug. Palpable bowel loops on right side A. Hirschsprung disease B. Meconium ileus Q90 Dehydration…?inc urine osmolality 250 Q91Nerve damage passing Psoas major muscle lateral border, lateral half of thigh numbness -? lateral cutaneous nerve of thigh
Q92 Traumatic aorta injury present to emergency with widened mediastinum, where is most likely A. Ascending aorta B. . Descending aorta. Ans Q 93 Thyroid storm management? A. B-blocker+thionamide correct B. B-blocker+iodides Q94 which is not a part of ERAS protocol ? Pre op diazepam Q95Nerve supply of Labia Majora ? Ilioinguinal nerve Q96 Best method of sterilisation for modern arthroscopes A. Gluteraldehyde correct B. Autoclave C. Ethylene oxide Q97 Autoclave only 100 celsius..what is not likely to be killed ? Clostridium correct Coliform Q98 78 year old male traumatic head injury patient, long time taking to recover, need long term nutritional support ? TPN Naso astric feeding Naso jejunal feeding PEG …. correct Tube enteral feeding
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Q99 Structure at greatest risk during splenectomy A. Adrenal gland B. Diaphragm C. Transverse colon D. Tail of pancreas Correct Q100. Lung function tests - showing restrictive pattern A. Pulmonary fibrosis Correct B. COPD Q101Non-differentiated thyroid cancer, which results show recurrence of cancer? Thyroglobulin Q102;Q82. Relation of brachial artery? A.Lat to biceps tendon B. Medial to biceps tendon Correct Q103:Elderly man, has referred back pain to legs, improves on pushing trolley n climbing uphill. While increases with going down hill.. cause? A. Lumbar canal stenosis. Correct B. Lumbar disc problem Q104 33. Residual 250 cm ileum after distal ileocolic resection nutritional …nutritional support? TPN Oral elemental Correct Feeding jejunostomy Q105 dumping syndrome .. after meal, patient becomes agitated, sweaty? high insulin level causing hypoglycaemic effect
Q106 Carpometacarpal joint of thumb type A. Ellipsoid B. Hinge C. Condyloid D saddle correct Q107 First to respond for RAAS? A. Renin Q 108 Aortic aneurysm 4.7 cm? US review 3 monthly Q109 Histology of Medullary thyroid carcinoma? . Amyloid stroma Q 110: Old lady presents with sensorineural hearing loss. cerebellopontine angle lesion. Tumor arising from which nerve A. Vestibule cochlear nerve Correct B. Facial nerve C. Trigeminal Q111….wants to find out how long it takes for the letter from hospital to get to the referring doctor. A. Audit of standard B. Audit of process correct Q112. Pulmonary embolism investigation?CTPA Q 113 Positive predictive value is 7%? It means 7% have a chance of occurrence of disease.. Q114 Embryology of cleft lip A. Medial nasal process with maxillary process Correct
B. Lateral nasal process with maxillary process Q115 diarrhoea related ABGs metabolic acidosis Q116 which of the following facial nerve does not innervate? buccinator temporalis orbicularis oculi Mentalis Correct Q117 Scalp sensation behind ear.? lesser occipital nerve Q118 Angle of mandible.? greater auricular nerve Q119 Cyst moves on swallowing ?Thyroglossal cyst Q120 70 years old woman with extensive ovarian cancer, 5.5 cm aneurysm of external iliac artery. Management: A. Best medical treatment B. Endoscopic stent C. Open repair D. Surveillance within 3 months Correct ( poor outcomes with extensive ovarian disease so only surveillance is needed) Q121Physiological effect of Angiotensin on? Aldosterone (RAAS) Q122. Patient with anaemia and autoimmune thyroiditis with atrophic fundus, endoscopy normal. Size of RBC? A. Normal B. Small and pale C. Large oval Correct
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D. Sickle Shaped Q123 Positive anterior drawer test in knee injury, which ligament injured? A. Anterior cruciate Correct B. Posterior cruciate Q124. Transplanted kidney that turns dusky almost immediately. Cause? A. ABO incompatibility. Correct B. Type1hypersensitivity towards mast cells Q125 smoker, unilateral laryngeal swelling, nodule on vocal cord, no LN involvement? Adenocarcinoma Adenoid cystic carcinoma lymphoma squamous cell ca ,,Correct Q126 Little’s area? Sphenopalantine artery Q127 Least reliable sign in compartment syndrome A. Absent pulse Correct B. Pain on passive stretch Q128 Hair dye allergy/anaphylaxis management A. IMadrenaline Q129 0. Sudden onset L forearm pain and superiorly displaced mitral valve leaflets during systole on echo A. Brachial artery embolism
Q130 Subclavian steal syndrome, retrograde flow in which vessel? A. Vertebral artery Correct B. . Subclavian artery Q131Laceration 3cm from wrist joint, reduced wrist flexion,ulnar deviation? Median nerve Q132 How median is related to mean.? It’s middle value of the mean. Q133Severe renal disease with foot ischemia, .investigation? A. CTangiography B. MR angiography C. Catheter angiography D. Bmodeultrasound E. Duplex Correct ( it’s not nephrotoxic and no contrast associated contraindications) Q134 45 female with discrete nodules showing dense fibrous tissue with no microcalcification, Diagnosis? A. Fibrocystic Correct B. Malignancy Q135 Head injury patient .? HTN + Brady Cushing’s triad Q136 Breast carcinoma with headache and vomiting, treatment? A. Dexamethasone Q137 SCC histology appearance A. Keratin pearls Q138 Vitellointestinal duct connected to?
A. Forget B. Midgut Correct C. Hindgut D. Urachus Q139 What is raised in yolk sac variant of testicular tumour? A. B-HCG B. AFP Correct Q140 Smoker, peripheral lung mass with glassy ground opacity...histo confirms malignancy… What variety? A. SCC B. Small cell cancer Correct ( smoking related central & peripheral lesions) C. Adenocarcinoma Q141 head injury, hypertensive - cause of bradycardia? increased activity of aortic sinus Q142 74 yr old Patient with heartburn and food sticking in throat, . No chest pain. A. Achalasia B. Stricture C. Webs D. Pharyngeal pouch Correct Q143 Penile fracture … hematoma is a cause of blood collected in? colles fascia scarpa fascia buck’s fascia Correct camper fascia
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Q144 ischiorectal abscess ?medial to pudendal canal Q145 landmark for pudendal block? ischial spine Correct ischial tuberosity Q146 Depolarising muscle relaxant -?Suxamethonium Q147 Dysphagia ,chest pain normal endoscopy results…? A.Diffuse oesophageal spasm Correct B. Stricture Q148 Previously treated for infection with pus at urethral meatus. 4 years later poor flow and increased frequency. Urethral strictures Q149 An admitted patient in ward, post op analgesia, lights off in room, nurse saw pin point constricted pupil instead of dark room, management? Naloxone Q150 Man found on floor, blood everywhere, floor, walls, clothes , face, body? oesophageal varices Q151Metaplasia: change in epithelium Q152 Q about thrombin A.Ca aids in thrombin formation B. Thrombin helps in polymerisation Correct Q153 8mm ureteric stone at ureterovesical junction. Pyrexial 38.9 with dilation .
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A. cystoscope with JJ stent Correct B. Extra corporeal shockwave lithotripsy C. Conservative management Q 154. Which electrolyte imbalance causes numbness & perioral tingling? A. Calcium Correct B. Sodium C. Potassium Q155 painless, red fleshy small mass protruding through anus soon after defecation, with mild bleeding in a child? juvenile polyp Correct haemorrhoids Q156 Patient with recently diagnosed pancreatitis who suffered from seizures. Muscle weakness, hyper reflexia . ECG shows prolonged QT?? and T-wave inversion, which electrolyte? A. Calcium Correct B. Sodium C. Potassium Q157 Pt who just underwent TURP presents with confusion. (Long story after that) What is the cause of confusion? A. Sodium Correct B. Calcium C. Potassium Q158 Perianal agonising pain while defecation ? Anal fissure
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Q159 Teardrop sign in the maxillary sinus, what is the cause? A. Nasal bone B. Naso maxillary buttress C:Orbital floor fracture Correct Q160 Renal failure… tertiary hyperparathyroidism Q161. Trauma + Relative afferent defect + proptosis, tense eyeball, ophthalmoplegia, what’s next most imp initial step? A. CT facial bones B. Pain management Correct C. Latcanthotomy Q 162 DVT with femoral mobile extensive treatment? A. LMWH Correct B. Streptokinase Q 163 Thyroglossal cyst investigation A. Us+FNAC Correct B. Tc99scan Q164 Total absent limb A. Amelia Correct B. Oligodactyly C. Phocomelia Q165 Non keratinised stratified squamous :::::normal oesophagus epithelium Q166 Emergency tracheostomy A. One finger above the thyroid notch
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B. Midway btw the sternal notch and cricoid cartilage Correct Q 167; Bone mets after breast cancer ,,management of pain? A. NSAIDs. Correct ( directly from eMRCS ) B. Radiotherapy C. Morphine D.Sternal excision E. Nerve block Q 168 Anal canal lower part - superficial inguinal lymph nodes Q169 Le fort III fracture, pharyngeal haemorrhage, falling SATS, best option for definitive airway? A. Surgicalcricothyroidotomy B. Needle cricothyroidectomy C. Tracheostomy Correct D.Orotracheal airway Q170 Homonymous hemianopia, MRI will show the lesion in? A. Meyers loop of optic radiation B. Optic nerve C. Optic chiasma D. Optic tract Correct Q171 level 5 dissection malignant melanoma post triangle? spinal accessory nerve Correct hypoglossal nerve Q172. Slow growing firm lump on external ear? lipoma SCC Pleomorphic Adenoma Correct
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Bcc Q 173 Thoracic duct?T12 Q174 Development of hemivertebra A. Mesoderm Correct B. Ectoderm C. Endoderm D. Notochord E. Neural tube Q175 Histological feature of rheumatoid arthritis Necrobiosis granuloma Q176 oesophageal hiatus ?- left vagus nerve Q177 Myasthenia gravis Association Thymoma Q178 .Anaphylaxis which immunoglobulin associated A. IgE Correct B. IgA C. IgD Q179 Allergic reaction best test ? Rast skin prick test(igE) Tryptase Q180 correct about IgA A. Pentameric B. Produced in the mucosa of gut Correct Q181 Parathyroid nodule investigation Setsamibiscan
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Q182 Which structure forms the lateral boundary of femoral canal A.femoral vein Correct B.lacunar ligament Q183 Which structure forms the anterior wall of inguinal canal A. Ext oblique aponeurosis Correct B. . transverse abdominins Q184 Superior gluteal artery arises from A.ext iliac Artery B.int iliac Artery Correct C, femoral Artery Q185 Foot eversion lost with dorsum of foot sensation lost A. SPN ✅ B. DPN Q 186 Which of the following represents metabolic alkalosis . Continuous nasogastric drainage Q187 supply of pelvic diaphragm A. S2 B. S3 C. S4 Ans S 3 Q188 History of fall and there is loss of sensation of first 3 fingers ,,,which view of x-ray will be done A. true lateral view Correct B.PA view of with ulnar deviation Q 189 Sub-saharan African man with painless hematuria
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A. TCC B. SCC correct Q 190 pleuroperitoneal canal …not developed ?Bochaladek hernia Q191 hypospadias - urogenital fold Q192 A child undergoing tonsillectomy and physically fit. What bloods to be done prior procedure A. FBC B. Coagulation screen C. Renal profile D. All of the above E. None of the above correct Q193 Hypothermia - j wave Q194 Alert but confused..temp of 27 degree..plan of management? Warm intraperitoneal fluid Q195 Closure of tricuspid valve - Isovolumetric contraction Q196. First test to rise in 24hrs post trauma - CRP Q197. Tourniquet - inflation above systolic after exsanguination Q198 Excessive infusion of 0.9% saline ..Hyperchloremic acidosis Q199 Inulin ..? Freely filtered neither secreted nor re absorbed
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Q 200. Nuclei of CN 9/10 - pons, medulla Ans Q201 Bleeding post LP - vertebral venous plexus correct epidural artery Q202. Abdo pain + vomiting + high bilirubin cause - choledocholithiasis Q203. Gag reflex - Glossopharyngeal correct Q204 How to differentiate UMNL from LMNL facial palsy? A)Raise eyebrow correct B) CLOSING EYES Q205 Why should you remove thyroglossal cyst? Recurrent inflammation Aberrant thyroid tissue Malignant change (it contains aberrant thyroid tissue as well it causes recurrent infection so recurrent inflammation can b true ) Q206 Trauma to leg, bruising at knee but no haemarthrosis, cold and pale, fem pulse present - knee dislocation Supracondylar femur fracture( popliteal artery is damaged) Q207 Asthmatic on 15mg prednisolone for emergency repair of tibia, how to increase dose? Double dose on day of surgery + next 2-3 days correct Double dose on the day + 1 month
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Q208 What are the sign of delayed complication of blood transfusion? Fever Jaundice correct Itching Rigors Q209 lady with bilateral inguinal node..likely from?? A. Labiaminora correct B. Vaginalvault Q210 From ejaculatory duct sperm transmit to which part? Prostatic urethra correct Seminal vesicle Epididymis External urethral meatus Q211 chorda tympani skull exit ? Petrotympanic fissure Q212 Bradycardia post cardiac surgery - heart block Q213 weight loss and painless jaundice most likely cause - head of pancreas Ca Q214 How smoking lead to ischemic foot ? A) Binding to nicotinic receptor B) High prostacyclin C oxygen radicals effect nicotinic receptors correct Q215. 48 yr old female BRCA 1 Positive, on examination lump present , firm, painful. initial inv? core biopsy MRI Mammogram correct
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Q216. Lymphatic drainage of the cecum A)iliocolic correct B) Inferior mesenteric C) Internal iliac D) Inguinal Q217 Morphine receptors ..mu Q218 Medullary thyroid ca …? 2000 calcitonin Q219. Type of polyps in FAP... tubular adenoma correct Q220 Neck mass with compressive symptoms? Retro sternal goitre Q221 immediate inferior pole of left adrenal gland relation? body of pancreas correct Q222 problem in extension, swollen knee a day after injury - medial meniscus tear Q223 An old patient came with abdominal pain and has an obvious epigastric pulsating mass.but stable condition .. what to do next: A) Immediate CT correct B) ImmediatelytransfertoER Q224 Supply to which structure defines left heart dominance? A. AVNsupply B. SANsupply C. Posterior descending artery D. circumflex artery ( left heart dominance )
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E. circumflex artery with Marginal branch Q225 Stab on right side of chest just below manubriosternal angle ,what is injured? Rt Atrium Q226 Cause of varicocele, blockage in which vessel? .Gonadal vein Q227. Q211. Histology of Barrett s oesophagus? A. Simple cuboidal cells B. Columnar epithelium with goblet cells correct C. Pseudo Stratified squamous Q228 patient developed hemothorax or pleural effusion,Pain radiation to abdomen can't remember, which nerve cause chest pain? A. Intercostal nerve B. Phrenic nerve Q229 Resting membrane potential kept by : . K ans Na Q230. Pt with temporary stoma and reversal done , after 2 years he noticed swelling at site of stoma then developed symptoms of intestinal obstruction? A. Obstructed incisional hernia correct B. Intestinal Obstruction Q231 Hydrocele is defect in A Tunica vaginalis correct B. Tunica albuginea C. Cremasteric fascia
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Q232 Enhanced recovery protocol aim at? A. Decrease hospital stay 30 days Q233 Prostatic bone metastasis Reactive sclerotic mets Q234 Patient has stricture in biliary ducts, associated with? Ulcerative colitis Q235 Patient with IBD, associated with all of the following, except? A. Pyoderma gangrenous B. Arthritis C. Bronchiectasis correct Q236. Prostatic CA metastasis ,,vertebral venous plexus Q 237 A person hit in a precordial region . He is conscious but having raised JVP and narrow pulse type of shock A hypovolemic shock B obstructive shock correct C neurogenic shock Q238 Indication for a ventilatory support in a pt of burn ? carboxyhemoglobin 20% Q239 A person has stab just right to angle of louis which structure is not damaged ? A right vagus B Right pleura C thoracic duct D brachiocephalic vein correct Q240. Type of gallbladder stone in sickle cell patient ?
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A) pigment and cholesterol correct B) pigment C) cholesterol Q241. During TURP in a patient of BPH twitching of medial thigh is due to? Obturator N correct Femoral N Lateral femoral cutaneous N Sciatic N Q242. which structure crosses External iliac vessel to enter deep inguinal ring? Inf epigastric vessels Q243 which structure we should clamp near epiploic foramen in order to stop bleeding from a vessel? hepatica duodenal ligament Q244 One question of latex allergy in nurse?? T cell mediated Q245 Factor responsible for coagulopathy and hyeprfibrinolysis in poly trauma Activated protein c plasminogen Q246 The question was tourniquet release..which would cause vasodilation in systemic arterioles? Bradykinin Q247 16 yr old with soft tissue mass? Ewing ‘s carcinoma Q248 57 yr old with breast mass .?
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Invasive ductal ca 2.5 cm Q249 Most common renal stones ?Ca oxalate stone Q250 Renal patient ..?Tertiary hyperparathyroidism Q 251 Moans groans …?Primary hyper parathyroidism Q252 Tall guy with lung capacity Q253 Ilioinguinal nerve is damaged in ? inguinal hernia Q254 Cancer histology..?. necrosis spindle shaped Q255 Oncolytic large epithelial cells with lymphocytes? Hashimoto’s thyroiditis Q256 EDH ? Middle meningeal artery Q257 pre malignant condition.?Dysplasia Q258 Branchial cyst .? ant triangle sternocleidomastoid Q259 which nerve is supplied to lat side of tongue floor of the mouth ? Lingual nerve Q260:Discitis in 3 yrs old ?.. staph aureus Q261:Ext anal sphincter root value?S234 Q262:Faecal Incontinence ..?pudendal nerve Q263:erectile dysfunction?,,Pelvic splanchnic nerve
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Q264 obturator nerve ?L23 Q265:Psoas action?Hip flexion with thigh abduction Q266: Subclavian artery steal syndrome was asked Q267 Pyogenic granuloma minor cut Q268: Sup oblique unable to see downward and adducted eye Q269:Major abdominal surgery,prophylaxis for DVT?LMWH with stockings of compression Q270; Hypospadiasis.. urethral folds Q271;Undescended testis 9 months.. ?:visualise under anaesthesia n fix within 3 months Q272:Squamous cell ca .. Achalasia Q273 Root value of big toe ?L5 extensor hallucis longus Q274 Pleuropericardial ?Pericardioperitoneal .. agensis of diaphragm ( given with weird options) Q275 Ant cerebral artery ?lower limb weakness Q276Int iliac , body of uterus Q277 Upper rectal blood supply?sup rectal artery Q278 ICP is raised ?
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brain bleed (EDH) Q279 Potent vasodilator ? Histamine Q280 Renal cell ca in pt with smoking history Q281 Sepsis septic shock ..?low SVR Q282 Adrenaline causes ?glycolysis Q283;Septic shock ?Norepinephrine Q284:which neurotransmitter is released?Acetylcholine in nerve terminals Q285: IBD fat wrapping ?Crohn’s disease Q286:which is cut in inguinal hernia ?Ext oblique aponeurosis Q287 Dusky colour right after removing the clamp in transplanted kidney? Hyper acute rejection Q288Descending colon blood supply.. middle colic Q289which artery is crushed ?Sup mesenteric artery in nutcracker Q290;Ant two third of tongue ?.. chorda tympani Q291:Facial nerve? stylomastoid foramen Q292Histology of a discrete palpable lump in the breast of a 34- year-old woman has shown Apocrine metaplasia, epithelial
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overgrowth and papillary projections. What is the most Likely pathological process ? A Benign breast cyst Correct B Carcinoma of the breast C Fibroadenoma D Phylloids tumor E Plasma Mastitis Q293 Aldosterone HTN hypoK ?Primary hyper aldosteronism Q294Erbs palsy?c5,6 Q295:Ventilator pt ?.. dec venous return Q296 Ventilator decreases ..?end diastolic vol Q297:Extrinsic complex ?factor vii Q298:Active transport ? Na Q299Multifractures .. oozing blood ATTp And bleeding time Inc ?DIC Q300Hypophosphatemia ?TPN Compiled by :Dr.Sadia Faiq My special gratitude to our mentor Dr.Bishoy Nagy Sir for his amazing interactive guide schedule ,goal was not possible
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without his support/subgroup and best teammates ever found before !!
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