PAST PAPERS BLOCK ELEVEN 2023 IMRAN

Child with 82 % neutrophils with glucose 22 mg/dl, and kernig’s sign positive and high fever, diagnosis?

An MRI showing small lesions that do not enhance with a contrast agent is indicative of

A 58-year-old woman is being treated for chronic suppression of a ventricular arrhythmia. After 2 months of pharmacotherapy, she complains about feeling tired all the time. Examination reveals a resting heart rate of 10b/min lower than her previous rate. Her skin is cool and clammy. Laboratory test results indicate low thyroxine and elevated thyroid-stimulating hormone levels. Which of the following agents is most likely to have caused these signs and symptoms.

Regarding the adductor compartment:

Which factor is most important in preventing lateral displacement of the patella during quadriceps contraction?

Left-sided superior vena cava drains into:

A 69 year old lady on dexamethasone and brufen for her arthritis presents with epigastric pain and vomiting. Abdomen is soft, mildly tender in epigastrium. No guarding or rigidity. Bowel sounds are decreased. What is the single most important investigation?

Most MS lesions within the spinal cord are located in the

A 54-year-old woman is being treated for an atrial arrhythmia. She complains of headache, dizziness and tinnitus. Which of the following antiarrhythmic drugs is the most likely cause of these symptoms?

Which vessel is NOT involved in the trochanteric anastomosis?

The adductor canal is not:

 All of the following are true regarding heart except:

Rupture of bulbar urethra, urine collects in scrotum and perineum, fascia involved

Elderly male with left iliac fossa and small amounts of blood in stool, hemodynamically stable, with mild tenderness in LIF. CRP is raised. What is diagnosis?

The most sensitive predictor of conversion from clinically isolated syndrome to MS is?

A 56-year-old woman complains of chest pain following any sustained exercise. She is diagnosed with atherosclerotic angina. She is prescribed sublingual nitroglycerin for treatment of acute chest pain. Which of the following adverse effects is likely to be experienced by this patient?

The sciatic nerve:

In the medial compartment of the thigh:

Which of the following do NOT elevate the ribs?

Heme synthesis rate limiting STEP enzyme=

 Which of the following is incorrect?

Findings of which type of evoked potential testing are part of the diagnostic criteria for MS?

A 56-year-old woman complains of chest pain following any sustained exercise. She is diagnosed with atherosclerotic angina. She is prescribed sublingual nitroglycerin for treatment of acute chest pain. Which of the following adverse effects of sublingual nitroglycerin can be prevented by atenolol?

Regarding the hamstring compartment:

With respect to the posterior compartment of the thigh:

All are the accessory muscle inspiration except

Posterior leg injury, sensation intact at dorsum of foot but absent from sole, which artery may be damaged alongside the nerve?

Which of the following is associated with primary sclerosing cholangitis

Which of the following signs/symptoms should raise suspicion that a condition other than MS is the underlying cause?

A 68-year-old man has recently been diagnosed with hypertension and started on monotherapy designed to reduce peripheral resistance and prevent sodium and water retention. Since commencing treatment he has developed a persistent cough. Which of the following drugs would have the same benefits but would not cause the cough?

Regarding the popliteal vessels:

Slipped upper femoral epiphysis:

 A cardiac ganglion is situated in

Brain growth attached to dura:

A 40 year old lady presents to you with RUQ pain, CRP 96, WCC 15, yellow sclera and an ultrasound abdomen that shows gallstones and a CBD size of 9mm. What would be the best management of this patient?

Treatment of the acute exacerbations seen with the relapsing types of MS relies primarily on

A 68-year-old man has been successfully treated for exercise-induced angina for several years. He recently has been awakened at night with chest pain. Which of the following drugs would be useful in preventing this patient’s nocturnal angina?

At the knee joint:

Dermatomes of lower limb:

Hypothyroidism after post thyroidectomy will cause rise

Geographically speaking, the lowest risk of developing multiple sclerosis (MS) is noted in persons living:

The first-line treatment of an MS exacerbation is

An agent whose cardiac actions include a strong inotropic effect, but a relatively weak chronotropic effect is:

Regarding nerve supply of the lower

Patellar plexus comprises of all EXCEPT

Hemorrhage after 4 days post thyroidectomy Is which of the following?

The demyelination that underlies MS:

 Plasmapheresis is indicated for patients with MS with

The energy used in cardioversion is measured in?

Regarding flexor digitorum longus:

The most medial structure passing under the inferior extensor retinaculum of the foot is

Swelling move with deglutition and tongue protrusion:

Spasticity associated with MS.

Beta-interferon lb is administered at a dose of

Pulseless ventricular tachycardia:

The following are branches of the femoral artery except:

Which of the following is true about radial nerve palsy?

Difficulty in swallowing post thyroidectomy:

MS pain is mainly:

Mitoxantrone is considered one of the most effective drugs in resolving MS relapses, but its use is limited by the risk for

A patient has unstable tachyarrhythmia without a pulse:

The following cutaneous nerves of the thigh are derived in part form the second lumbar nerve except:

Which of the following is true about the carpal tunnel syndrome?

Engagement of head occurs at:

The most common ophthalmologic symptom of MS is:

Natalizumab acts by which of the following mechanisms in Multiple sclerosis?

What vaccine should be administered to women of reproductive age, that can prevent cervical cancer?

Which of the following is CORRECT regarding lymphatic drainage of the lower limb?

Which of the following is true about an intention tremor?

HIV occurs and is classified when which of the following occurs?

The most common type of MS is:

The drug of choice for the treatment of MS-related spasticity is?

Tensor fasciae latae is supplied by:

The iliotibial tract:

In the assessment of the hand function which of the following is true?

Taste loss in anti hypertensive drug:

Primary progressive MS is characterized by

All of the following behavioral interventions are recommended for patients with MS and nocturia, EXCEPT:

The ‘screw-home’ movement in extension of the knee joint begins with tightening of the:

Which of the following muscles is not found in the floor of the femoral triangle?

Which of the following is true in ulnar nerve palsy?

Diaphragmatic hernia occurs due to:

Malignant MS is characterized by?

Which of the following is not an adverse effect of chronic amiodarone therapy?

The great saphenous vein:

 Which of the following is not found within the femoral sheath?

Scabies is caused by which of the following?

Barret esophagus has which of the following changes?

In a patient with MS, a positive Halmagyi-Curthoys head impulse test is indicative of?

A 54-year-old man is admitted to the emergency department. He has taken more than 50 digoxin tablets (0.25 mg each), ingesting them about 2 hours before admission. His pulse is 54 b/min, and the ECG shows a third-degree heart block. Which of the following is the most important therapy to initiate in this patient?

Regarding the femoral artery:

he profunda femoris artery does not:

Congenital underdevelopment of the facial nerve is known as?

65 male with lymphocytes on smear and enlarged spleen, what is possible diagnosis?

An eloquent lesion on the brainstem is associated with which expected clinical neurologic manifestation of MS?

A 54-year-old woman had a myocardial infarction. Which of the following would be appropriate prophylactic antiarrhythmic pharmacotherapy?

Gluteus maximus:

All the following are branches of the femoral nerve except:

Inferior margin of the pleura in the midclavicular line is at the level