PAST PAPERS BLOCK FIFTEEN 2023 IMRAN

What is the triad of pheochromocytoma?

Nose swabs of healthy individuals will show which bacteria predominantly?

Which of the following is a mode to use minimally invasive monitoring in a patient with shock?

UnIocking of the flexed knee is controlIed by which muscle:

Which pathogen is implicated in acne?

Burkitt’s Lymphoma is associated with which of the following genetic changes?

Diaphragm is innervated by?

 Patient of duodenal ulcer went into hypovolemic shock, most probably an ulcer has perforated thus damaging an artery causing bleeding, what is the most probable artery damaged?

All of the following are associated with cancer of the gallbladder except:

All of the following can show cell-mediated rejection except?

In acute limb ischemia which of the following is not present?

Which step is inhibited that decreases production of lipids in the liver?

A baby has an itchy bottom. Diapers have rice like granules.Which organism is implicated?

A patient has uncompensated lactic acidosis.Which of the following will you find in his lab work?

50 year old women with a past surgical history of two c-sections, a total abdominal  hysterectomy and bilateral salphingo-oophorectomy comes to the ER with nausea, vomiting, and abdominal distention with increasing peri-umbilical pain over 48  hours. Air-fluid levels are observed on X-ray in the small bowel. What is the first step in management?

A young male  presents to you with an episodic headache and flushing.His blood pressure In the office is160/100.His heart rate is 110 and he says he has started to feel his heart race more and more during these episodes.He was treated with vancomycin for a presumed pneumonia a week earlier when these episodes began.What is your likely diagnosis?

A pathology student is looking at a slide portion of healthy tissue in which he finds signet ring appearance of cells. What kind of cells are they most likely to be?

 What is the first step to correct hypercalcemia?

Most common tumor of the small intestine is?

All of the following are seen  in a case of acute pancreatitis except:

Wallerian degeneration is marked by which of the following features?

Which of the following acts by converting plasminogen to plasmin?

TNM staging of a breast lump with 3cm size,and 5 of 15 axillary nodes positive which were ipsilateral and fixed,with no metastasis present?

What is Bregma?

Which of the following will not cause prerenal azotemia?

Which of the following is true about the ileocolic artery?

Gram negative bacteria with swarming motility are which of the following?

Chronic Gastric losses tend to cause?

A patient, known as sickle cell disease, presents to you in an emergency with abdominal pain and vomiting. His Hb was 4.1 in a two day old report. What is the most likely phenomenon causing this issue?

 Wide QRS complex of more than 120 msec is seen in?

Pectoralis major muscle is responsible for which of the following actions stated?

Amount a person can exhale out during a forceful breath is called?

Contact dermatitis is an example of?

13 year old child having fever, cold, cervical lymphadenopathy ,petechiae with purpural rash and hepatosplenomegaly.What investigation will be diagnostic?

30. Old aged woman has ovarian carcinoma with debilitating symptoms.Most common tumor found   in her will be which of the following:

A man presents to you in the clinic with new onset hemoptysis.He had T.B that was treated 5 years  ago. He currently has no fevers, no weight loss and only an occasional cough that was recently blood streaked. What could be the cause?

A Bartholin cyst involves which of the following glands?

Protein contains which of the following?

A final year student discusses a new patient with the consultant orders to get Carcinoembryonic antigen (CEA) done. What is the consultant checking for?

ACE inhibitors are used in all of the following except?

Confirmatory Test for HIV is?

Wilms tumor is a synonym of which of the following?

Which of the following has a reverse relationship with atherosclerosis?

A 60 Years old female had asymptomatic goiter for the past 20 years. Now presented with SOB and stridor. Next best step in her management would be?

Child over weight at 1 Bkg, aged 5 years with a height of 124cm,has dislocation of lens,what is the pattern of inheritance of this disorder?

A 17 year old girl has an ovarian tumor present on CT scan,what is it likely to be?

A young boy with asthma has been using his inhalers regularly. He comes for a follow up visit and you notice a white, cheesy layer on his buccal mucosa. What would have caused this?

Clavulanic acid is generally compounded with amoxicillin in preparations. What is the reason?

Muscle sensation detected by which of the following?

A child with abdominal pain is suspected of having intussusception, which of the following is true?

By which mechanism does protamine reverse the effect of heparin?

Malar flush and diastolic click is seen in patients of?

A 60 year old lady presented in the emergency department of a tertiary care hospital with procidentia (uterine prolapse).What should be the next step in management?

A couple presented in OPD with H/O infertility for 2 years. Semen analysis of the husband was done. What according to WHO criteria is normal sperm count?

Most common cause of anemia in pregnancy?

A boy has hemophilia disease,which other close relative could have this disease?

Which  of  the  following   is  true   for granulation tissue?

 Oocytes are in what phase of the cell cycle until fertilization occurs?

Which of the following vitamins is a precursor of coA?

Sensory perception in the absence of external stimuli is called?

Which of the following is not a prevertebral ganglion?

 Demeclocycline is used for which of the following?

A 35 years old lady presented the  history of polyphagia, polydipsia for the past 2 years. She also had tender yellowish brown patches on her lower limbs, which developed slowly over several   months. What is the possible skin condition she is suffering from?

Most common cause of PPH in multiparous females is?

A 23 years old primigravida presents with abdominal pain, syncope and vaginal spotting. Assessment reveals that she has ectopic pregnancy. Most common site of ectopic pregnancy is?

Parasite responsible for megaloblastic anemia?

What phospholipid is common  to the interior  membrane of mitochondria and bacteria?

What is the first symptom of compartment syndrome of the leg?

What molecule is needed for oocyte maturation?

What is an inhibitor of lactation?

Most common problem after CVA?

A young girl of 23 years of age presented with abdominal pain, menorrhagia, and 18 weeks size mass in hypogastrium. What can be the diagnosis

Dermatome for the ring and little finger is?

All the following structures pass under the carpal tunnel ligament (flexor retinaculum) except?

CA-125 is mainly the marker of?

Exudates contain which of the following?

Barium study of 60 years old patients shows tapering of lower end of esophagus. the diagnosis in this case is?

Left border of heart straightened on xray with dyspnea.What is your diagnosis?

Paramedian incision given below the umbilicus, which structure is cut ?

Most of the iron ingested in a supplement ends up where?

Undescended testes is a common presentation in newborn males. Why is surgery indicated and by which age?

An acidic drug antagonizes a basic drug in a lab experiment ? What type of antagonism is this?

A 58 years old mother of 5 presents with breakthrough bleeding. She refuses endometrial biopsy due to fear of further bleeding. What can be the other non-invasive investigation done in this setting?

Which organism is transmitted through direct skin contact?

Inferior oblique muscle of eye performs which of the following functions?

Gastroduodenal artery is a branch of?

 In dystrophic calcification which of the following is seen?

 Renal artery stenosis manifests as?

Surgeon dissected a vessel during surgery in the infratemporal fossa leading to massive   hemorrhage. He clamped which artery to stop the bleeding?

A mutation results in a lysine residue being converted into methionine in hemoglobin,which of  the following could result?

Thermoregulation in the body takes place by which of the following?

 Which is true  for mammary glands:

Prolonged QT interval is not caused by?

Quantal dose response curves are used in pharmacology, which statement is correct ?

A boy working in a restaurant  as a water tank cleaner developed high grade fever along with a productive cough. He was diagnosed as a case of pneumonia. The organism likely responsible for his condition is?

A diabetic elderly man with micro and macrovascular complications developed foot ulcers having purulent discharge. Pus was sent for culture. The organism grown in culture shows  swarming motility. This is a feature of which of the following?

Pes anserinus is formed by enjoined tendons of the following except:

Non-selective Alpha antagonists treat?

Most common feature of CA esophagus is?

A patient has been gaining weight and has abdominal striae alongside a peculiar hump on his  neck, he has been on homeopathic medication for 2 years for his asthma,what does he have?

Most common pediatric renal tumor?

All of the following are present in aphakia except:

A first year medical student has a sudden mild icterus one week before his final professional part 1 exam. This occurred once  before when he played football as a child and has never participated in sports since then. What is likely diagnosis?

Rheumatoid Arthritis mostly occurs in individuals carrying which of the following genes?

Which vitamin is required for carboxylation of cofactors?

A 75 year old gentleman presented with high grade fever and severe left  lower abdominal pain for the past 11 days’ showed raised TLC count. What is your clinical diagnosis?

Fibrous capsule of a joint is made up of the following structure:

A 40 year old male, operated for parotid adenoma presents with complaints of redness and  sweating while eating food. He notices the symptoms even while thinking of food .The condition is referred to as:

Clear cell carcinoma is present in all of the following except?

A female having an asymptomatic mole on right foot since childhood now presented with ulceration. Next step in management is?

Children having red conjunctiva,string-like discharge from eyes and itching.On examination giant papillae under eyelid are seen.What will you give?

Curdy white vaginal discharge is associated

Hepatitis E genotype in south asia that causes fatality in pregnancy?

All of the following are causes of hypokalemia except:

In which of the following conditions is AST greater than ALT?

Tumor arising from ventricle lining of the brain is called?

A student is studying cardiac cycle and cardiac pressure volume loops. S1 is produced in which phase?

 Whipple disease is confirmed by performing which test?

12 years old girl was brought to hospital with high grade fever, rash and swelling of multiple joints of hands and feet. On auscultation of the heart she had changing murmurs as well. There was a history of pharyngitis 2 weeks prior to this episode. The organism most likely responsible is?

Most appropriate investigation for small bowel obstruction is?

A young boy fell on his right side from bike during an RTA. He had numbness over his dorsal surface of thumb and finger and was unable to extend his arm. X-ray PA and  lateral views   showed fracture of right mid­ shaft of  humerus. The damaged nerve is?

Gold standard for diagnosing diabetes mellitus?

Flamingo sign is positive in which of the following conditions?

 In heart failure, why does pulmonary edema develop?

Paracortex of lymph nodes contains which of the following?

What type of discharge occurs in tubotympanic suppurative otitis media?

Post trauma a man comes to  the ER with a edematous left leg upto the knee.It is discoloured with large tender black blisters.He is tachycardic and in severe pain.The blisters  were small to begin with and then rapidly spread with swelling of leg.What bacteria is implicated?

Portal vein is formed by the union of which of the following?

Which among the following is a non-sedative antihistamine?

 Irritable bowel syndrome comprises all of the following except?

First line management of symptomatic hypercalcemia is?

Most common site of perforation in peptic ulcer disease is?

A 35 years old male presented with a complaint of pain over the right lateral aspect of the elbow which radiates downwards on the posterior aspect of the forearm. Pain is aggravated by playing tennis or doing small household chores like screwing and unscrewing lids. He is suffering from?

Which of the following mechanisms in adults primarily contribute to preventing heat loss?

Identify the difference between kwashiorkor and marasmus:

Which of the following muscles is an internal rotator of the arm at the shoulder?

Two point discrimination has the least distance at which point of the body?

A patient comes to you in the clinic with a complaint of inability to abduct his right arm. Which muscles involved were injured?

Which of the following is true about gap  junctions?

What is the major route of elimination of anticholinesterase drugs?

Which of the Quadriceps femoris muscles takes origin above the inguinal canal?

 A 30 year old male presented to medical CPD with complaints of chronic diarrhea,  flatulence and non-documented weight loss. Work up of chronic diarrhea was done which showed blunting of duodenal villi on biopsy. What disease is likely causing these symptoms?

A 50 year old gentleman knows a case of hepatitis related CLD presented with hematemesis after initial fluid resuscitation. What next step in treatment should be given to control bleeding until  endoscopy is arranged?

Norepinephrine is converted to epinephrine by which chemical reaction?

Decubitus ulcer is also known as?

Diabetic pregnancy that is uncontrolled a c-section is indicated at which of the following?

An elderly female having a pulsatile mass in the abdomen with diarrhea which is bloody.She  has guarding and a tender abdomen.Hemoglobin and platelets are normal,WBCs are 23,000, potassium is 5,bicarbonate is low,urea and creatinine are raised.What is your differential diagnosis?

Which of the following are normal findings in a CTG done on a fetus?

Which of the following hormones increase gallbladder contraction?

The neurohypophysis develops embryologically from which of the following:

Diabetic effect on  renal vasculature-

Which drug along with edrophonium chloride improves postoperative ileus?

A house officer attempts to maintain a central line through a subclavian approach; he does it successfully. Ten minutes later patient complains of SOB, her O2 seats are dropping and trachea is deviating to the opposite side of CVP line. What is the next best step?

A 60 year old lady has known cases of Rheumatoid Arthritis for the past 20 years now   presented with dull left upper quadrant abdominal pain for one month which is increasing gradually. On examination her spleen was enlarged 2 fingers below costal margin, CBC showed  neutropenia. What is the likely diagnosis?

The ECG hallmark of hypocalcemia is which of the following? (May 2016, Nov 2016)

A 30 year old lady is going through an elective C-section due to breech presentation, spinal anesthesia is given and she suddenly develops hypotension. What complication of spinal anesthesia is most probably involved in such a scenario?

Which of the following bronchodilators have minimal effect on the heart rate?

Hypertonia, hypertension, hyperthermia are caused by all except which of the following anaesthetics?

Snuff box damage occurs on hitting the floor on an outstretched hand.Which bone is likely to be fractured?

Which CNS tumor has the best prognosis?

A drug causes orthostatic hypotension in an elderly gentleman. What is the mechanism of action of this drug?

Lytic lesion on an X-ray is present.What is a possible differential diagnosis based on

1. a) radiological findings?

Which of the following is NOT a sesamoid bone:

Most common site of Gastrointestinal stromal tumor ? (GIST)

What drug can cause gynecomastia?

HLA·DR4 is associated with which of the following?

X-ray of an asthmatic patient will show which of the following?

A young man was brought to Emergency department after RTA. He Was unconscious with a GCS of 9/15. BP of 80/50 mmHg, pulse of 110/min. Respiratory rate 12/min. CT scan of brain showed biconvex hyperdense area between skull and right parietal lobe. He is suffering from which of the following?

Enteric fever can result in all of the following complications except?

Bleeding from peptic ulcer occur due to erosion of which of the following

First carpometacarpal is what type of joint?

Retropharyngeal abscess is caused by which of the following?

A patient with gluten intolerance has an occurrence of crops of small fluid painful blisters that come and go.She is worried that she might have herpes. What is your diagnosis?

A 30 year old male comes clinic with complaint of  inability to flex his eIbow joint, which of the following nerves are damaged?

Which of the following micronutrient deficiencies are associated with acne?

Which of the following diagnostic methods are not used for differentiation of Staph. Aureus and Staph. Epidermidis?

 A cricket player gets hit on hand; which structure can get damaged in an anatomical snuff  box injury?

All of the following comprise major diagnostic criteria of Rheumatic fever, except?

Common cause of a benign bile duct stricture is?

Superficial palmar arch is located?

Sixty years old gentleman was diagnosed with CA hepatic flexure of transverse colon. Most     appropriate surgical procedure to be done in this specific case is.