Medicine & Allied 15th Nov —– Afternoon 2022

Aldosterone causes a decrease in the renal tubular secretion of:

An obese man feeling tightness in his collar shirt, falls on the side suddenly upon sharp movement of his head. Which of the following has occurred in this patient?

Scenario of a skin lesion described to irregular brown colored lesion with hyperkeratosis, parakeratosis, and atypical cells on forehead of a shepherd. The likely diagnosis is?

Blood supply Of the upper 1/3rd of the esophagus is from?

A student was screaming at high pitch. Teacher asked him to lower his pitch. What is to be used for this purpose?

60year male with normal past history now develops symptoms of LV failure and pulmonary edema without any previous illness and BP 125/85mmhg. On x ray Cardiomegaly. Cause of heart failure is

patient presented with dysphagia dysarthria, ipsilateral Horner, ipsilateral loss of face sensation. Which Of the following artery is involved?

A 30yr man with sore throat and cervical lymphadenopathy. CBC picture shows presence of atypical lymphocytes. The most important test in this setting is?

A baby went through exchange transfusion due to ABO disease of newborn. 10 days later, he developed erythema on palms. raised bilirubin and AST and also diarrhea. What is the likely cause?

Which drug is removed by active tubular secretion?

prosopagnosia occurs due to lesion in?

A 40-year-old male on anti-tuberculous treatment for last three weeks, complains of joint pains. His serum uric acid is 12 mg1100 ml. The drug to be stopped is:

Formation of interstitial fluid Increases With decreased?

Each sarcomere Of human skeletal (striated) muscle is a myofibrillar unit most likely between two:

A 6-year girl has a hx of 2 weeks of abdominal pain. She is taller than her peers. Physical exam shows breast development, abdominal distention, axillary and pubic hair development. Blood is present at the introitus and pelvic exam is attempted but cannot be accomplished. Abdominal USG shows an ovarian mass. What is the likely cause?

classic Hemophilia is caused by?

A patient presented to ER in semi-comatose state with respiratory depression not responding to Naloxone. What is the most likely cause?

Which of the following is the cause of increase pulse pressure?

An old diabetic pt developed sensory abnormalities of the left foot and an ulceration of big toe. The pathogenesis is best described by?

A female With BP 200/120. low pulse, cold peripheries and K 3.5. Treatment?

A 40-year-old previously healthy woman. a non-smoker has had episodes of fever, non- productive cough and dyspnea over the past 3 months. Her symptoms disappeared after a month’s vacation. but reappeared when she returned home to take care of her canaries. On physical examination there are no abnormal findings. A chest radiograph shows fine diffuse and nodular infiltrates in all lung fields. Her disease is most likely to be produced via which of the following mechanisms?

Person on oral anticoagulant for long time and INR well controlled between 2 and 2.5. Now he developed bilateral wheeze. His INR is now 5. Which drug was given along with anticoagulant to bring about this effect in INN?

A pt. was brought to ER in state of massive hemorrhage because of trauma and leaded hypotension baroreceptor compensation lead to?

In dilated cardiomyopathy, Inc stretch on ventricular wall causes?

After gunshot injury to the lower back, the patient has contralateral loss of pain sensation and intact temperature sensation. What is the likely diagnosis?

Muscle involved in closing of lips is?

An 18yr. unmarried female pt presented with dragging sensation in the abdomen. U/S shows an abdominal mass suggestive of ovarian origin and chest shows mets. What investigation Will best help in diagnosis?

Monocyte precursors formed in?

Shigella dysentery effects are due to?

the most likely place in brain where major blood vessels are found is?

What is the end product of glucose metabolism?

Short term memory loss occurs due to lesion

Main constituent of atherosclerotic plaque:

Injury to greater wing of sphenoid and Inferior orbital fissure fracture will result in which nerve damage?

Amniocentesis is a procedure used to assess the growth and development of fetus in utero. It cannot be performed?

A drug completely blocks Na+ channels in nerves. Which of the following effects on the action potential would it be expected to produce?

After chemotherapy, the tumor size regresses by?

Loss of accommodation formed in?

Loss of inversion of foot but able to evert. Muscles damaged are?

The character which anthrax bacillus from other Organisms

Strong Flexor of thigh at hip joint is?

A child presented with abdominal pain and blood in stools, he was diagnosed as a case of gastroenteritis, which of the following agent is responsible?

Atherosclerosis is usually initiated by which of the following?

The most potent inhibitor of insulin is

After RTA, patient presents to OPD with difficulty in understanding written and spoken language. This is due to damage to?

27-year women requests a mammogram because both of her mother and sister died metastatic breast cancer before 40 years age. Which of the following would add to patient’s risk for breast cancer?

A man While working accidently lands his foot on a pointed object and immediately removed it. Which Of the following is involved in withdrawal reflex?

Two groups one with CHD and associated risk factor is compared to another group with CHD but no associated risk factor. What type of study is it?

Primary auditory cortex lies in?

A 38week pregnant woman visited her family in a remote area after Which She develops jaundice suddenly. Which type of hepatitis is most likely prevalent in the pregnant women?

Which one of the following acts directly on thrombin, independent of Antithrombin 3?

A man developed walking difficulty. tendency to fall on left side with left limb tremor With asthenia Of left side. Cranial nerve preserved. What part of brain is involved?

Renal plasma flow in determined by?

The tumour usually associated with nerve sheath invasion is:

 A 65 year presents With jaundice. On work up Hb 4.5. increase bilirubin. increase retic count 9%. Smear shows Polychromasia and clumps. What test to confirm diagnosis?

A pregnant lady with labor pains and obstructed labor was taken to the hospital but died before reaching to the hospital. Most likely cause is?

Renal tubular excretion of penicillin can be blocked by:

Posterior arcuate fibers refer to?

Which autoimmune disease is specific single organ?

A 30year old gardener was spraying insecticide in the garden. He became semiconscious, had excessive salivation and constriction of the pupil. Which one of the following drugs should be administered to this patient?

Scenario of a woman with invasive ductal carcinoma. Histology shows glands, fibrous tissue and Desmoplasia. What does the term Desmoplasia means?

A scientist experimenting on mice gave croton oil several times to the mice in a week. How do promoters cause carcinogenesis?

Product of GFR and plasma concentration of a Substance is called?

The correct sequence of leukocyte extravasation is?

antiemetic is preferred in patients of chemotherapy?

S2 heart sound is due to?

Structure passing through esophageal opening of diaphragm is?

Lateral path of breast drain by?

A pt was diagnosed to have a infarct In which of following conditions does it occur?

A patient Who had kidney transplantation develops cyanosis and organ failure Within 10 minutes. What is the likely etiology?

Patient cannot speak but can understand Spoken and written language. The lesion is likely in?

Anterior 23rd of tongue taste sensation carried by

Laboratory examination of CSF obtained from a normal individual reveals:

During a neurological examination on a patient, you find touch and proprioception normal for all body and face regions. but there is a bilateral loss of pain and temperature sensation for segments T4-T8 This sensory impairment is most likely due

A girl presented with persistent cough with thick mucus. wheezing and repeated lung infections. She is also having petechial all over body and have bleeding tendency. She is diagnosed with cystic fibrosis. Which Vit is deficient in this case?

A 4-day Old newborn with distended abdomen and vomiting was diagnosed as Hirschsprung’s disease in which there is complete absence of parasympathetic ganglia in sigmoid colon. These ganglion cons receive preganglionic fibers from which segment of spinal cord?

The leftward shift of the oxyhemoglobin dissociation curve caused by hypocarbia is known as:

Xipoprotein secreted by liver directly drain into?

A a-year boy presented with clinical features- of failure to thrive, recurrent sinusitis, otitis media and RTI. He also gives h/o chronic diarrhea. there is family Wo such complaints. the most relevant investigation in this case to confirm the diagnosis is?

A patient with anaphylactic shock compared to hypovolemic shock most likely has one of the followings:

A 39-week pregnant woman came to labor suite 3 days after an obstructed labor with complaints of pain and swelling of one leg. O/E leg has blue mottling and is cold. What is the dx?

A patient came to ER after a penetrating injury with shortness of breath and sharp chest pain. O/E No air entry on right side and hype, resonant on percussion. the lungs collapse inward and chest sprung outward. CXR shows trachea shifted towards left. Diagnosis is?

Scenario Of a child With McArdIe syndrome. What Will be his diet management?

The risk of CAD decreases by what % if the blood cholesterol level of cholesterol decreases by 5mg daily?

Morphine cause respiratory depression by acting on?

The extracellular matrix and the cytoskeleton communicate across the cell membrane through which of the following?

How to access the compliance of patient therapy?

8% of blood loss in 30 min with no change in atrial pressure. The maximum volume reduction Win occur in Which compartment?

Parietal cells release?

In wilson disease, the most appropriate and useful investigation would be?

Pt with chronic productive cough, haemoptysis. OVE blue lips were noted with crackles on auscultation. Diagnosis is?

After obstruction of a bronchus all the alveoli aerated by that bronchus do not collapse?

As compared to plasma. CSF has?

The major lipoprotein source of the cholesterol used in cells is?

Before final composition of concentrated urine Which part of tubular fluid contain the least osmolar solution?

Which of the following antiandrogen is used for the treatment of hirsutism?

Which of the following drug causes increase in heart rate when given in therapeutic dose?

 Defect in the Left temporal lobe affecting Meyer loop win cause?

Injury causing hyperextension of neck and damage to cervical cord is by?

A 49-year man has a pulmonary embolism that completely blocks blood flow to his left lung. As a result, which of the following will occur?

A patient undergone Radical mastectomy now presents with painless swelling of arm. This is likely due to?

Most important microscopic feature for malignant tumor?

GFR increase with?

A 45-Year man presents with inability to feel heat or cold on the left side of his body. On examination, there is loss of vibration, position sense, deep touch, and motor functions of the right lower limb. What is the most likely diagnosis?

A young boy develops vomiting, nausea and diarrhea 3hrs after taking lunch. Later he found out that the mother Who cooked the food have paronychia in thumb. The most likely cause of diarrhea is?

A neutropenic hypotensive patient was admitted in oncology ward with history of high-grade fever and earache. Blood culture yielded growth of pseudomonas aeruginosa. The disease has occurred due to result of excessive release of?

 A Lady presented with pallor and weakness. Investigation reveal microcytic hypochromic anemia and eggs were noticed on stool microscopy. The likely diagnosis is?

Which of the following conditions decreases the likelihood of edema formation?

A 12-year girt with skin abscess. The culture report shows S. Aureus to be causative organism. Over the past year she had similar abscesses as well as two bouts of Aspergillosis. The likely explanation of her repeated infections is?

The vitamin having antioxidant action is:

Which stain is used to see fat granules in fat embolism on autopsy?

Anterior relation of the 3m’ part of is to?

A naked person in operating room with temp 21, humidity 80%, Heat loss Will be through?

Difference between plasma volume and interstitial fluid is?

Which of the following drug is actively secreted by kidneys?

A newborn was brought by her mother with Complaints Of recurrent multiple pyogenic infections. Investigations revealed that the Child has a deficiency of a physiological antibody. The deficiency is of which Of the following?

The most appropriate combination of muscles which form the “Rotator cuff“ is:

Most common complication of AIDS?

Dry heat destroys microorganisms primarily by:

Regarding A+ive blood group:

If a substance has more properties than inulin what will happen?

At the end Of a marathon race, the hormonal balance of the runner Will be?

Oxyt0cin given to female but she is not responding to it. This is likely due to?

 In exercise, cardiac output is maintained by?

Which of following is a spore forming bacteria?

Hep D is active is in the presence of?

Most important reflex for defecation is?

During meiosis abnormalities may occur if one of the cells gets an chromosome instead of haploid number, condition is called?

Which of the following is the least resistant?

A newborn baby arterial sample to be taken from?

Persistent increase renin occurs in?

Hepatolenticular degeneration also known as Wilson disease, is related to?

The standard deviation shows which of the following entity?

An ebileptic patient with his eyes moving opposite to the subject of focus in conjugate gaze will have a lesion at?

Tissue remodelling is by?

A patient presented with nausea, vomiting after eating canned fish followed by descending paralysis. The most probable causative agent is?

A 58-year-old man is admitted to the hospital with acute heart failure and pulmonary edema. O/E dyspneic and basal crackles Which one of the following drugs given Would be most useful in treating the pulmonary edema?

A CLD patient presenting with hematemesis The preferred immediate treatment is?

CVP is increased by?

Ronin in the circulation originates mainly from?

A Pt has a hip fracture in a RTA after which when he stands on his left leg his right hip sinks down. Lesion is at which level?

Ectoderm and endoderm meet at caudal end

It the diameter of alveoli is reduced to half, resistance becomes

 Insoluble storage form of iron secondary to iron overload is:

Costal cartilage is composed of?

A female having multiple sexual partners increases the risk of cervical cancer due to?

A 20-year male dyspnea on lying in supine position. the anatomical structure likely to cause this dyspnea is?

Cabergoline acts on which of the following?

A pt with paralysis right side of body, deviation Of angle Of mouth to the left and drooling of saliva and the pt can close both eyes. Injury is at level of?

A policeman presents with loss of line and temperature sensation with intact pain sensation. The lesion is in?

In what part of nephron sodium is absorbed totally neutrally by active transport?

Most common cause of hepatocellular carcinoma:

The primary force moving water molecules from the blood plasma to the interstitial fluid is:

A young patient blood pressure is 150/95. His Serum Renin is higher than normal. Which of the following is the stimulus for this increase level of renin?

30-year-old male has been operated for enlarged goiter and now complains of hoarseness of voice and difficulty in swallowing… the nucleus of nerve involved in?

Intraembryonic coelom is derived from?

On ECG, patient has 2 P wave followed by one QRS. What is mechanism behind it?

Eating raw. undercooked meat can cause infection by?

Severe itching in scabies is caused due to?

Prime flexor of MCP joint?