PAST PAPERS BLOCK THIRTEEN 2023 IMRAN

Newborn baby, with premature delivery at 30 weeks, comes with crying, cyanosis and increased respiratory rate with dyspnea, what is your diagnosis?

Young male with primary infertility and h/o recurrent childhood chest infections, pneumonia, fat malabsorption. There is a problem identified at the level of the epididymis with congenital absence of bilateral vas deferens. What is the diagnosis?

 In cleft lip repair which flap is utilized?

Which flap type has no relation to blood supply?

Which cell circulates within the peripheral blood and is utilized in determining success of a bone marrow transplant?

Liquefaction necrosis occurs in which of the following?

A 13 year old child with progressive poor school performance associated with myoclonic seizures and a history of measles at age 1. What is the possibility?

Tumor marker for pancreatic cancer?

Branching septate hyphae are seen on smear, what is the organism?

After skin grafting what is the process from which the skin gets nutrients for the first 24-48 hours?

Recurrent mass on palate with cribriform histology. What is the type of carcinoma

Cardiogenic shock hallmarks which of the following?

 Boy had a thorn prick after which he developed crepitus and red streaks on finger and arm over 1 day, what is likely organism?

Ca-125 is tumor marker for

The superior sagittal sinus is located between the:

Which of the following difference between cones and rods in the retina is false?

After SVD, which muscle is damaged of pelvic floor most commonly?

 Post splenectomy sepsis more common in?

Diphtheria has a classical finding of which of the following?

Pear shaped or flask shaped protozoan that causes diarrhea:

Cerebral palsy is associated with each of the following EXCEPT

During c-section the patient’s blood pressure went down to 60/0 at the time of incision. What could be the cause?

Old man with multiple nasal growths in both nostrils causing obstruction. What is your diagnosis?

Patients on TPN, developed carpopedal spasm, reason?

Dobutamine acts at which receptors increase cardiac output?

Alport syndrome is which of the following

The incidence of an intra-cranial aneurysm is increased by each of the following EXCEPT

Floor of inguinal canal made by?

70 years old patient admitted with acute MI. On post admission day 4 he developed severe abdominal pain and there mild distention of the abdomen and mild tenderness with pain out of proportion. Sluggish bowel sounds were present. Lactate levels were raised. What is your diagnosis?

Glucose control over period of 3 to 4 month investigation of choice:

Antihypertensive in a patient with chronic stable angina causing constipation:

Gall stones obstructing the common bile duct increases which bilirubin form?

Myopia causes retinal detachment due to which of the following?

History of childhood appendectomy now at age 40 patient presented with reducible right iliac extending down along the inguinal ligament, what is your diagnosis?

Both anterior and posterior vagus nerve trunks pass through where from diaphragm?

Multiple lesion with different crops of different ages:

Which of these structures are fixed first? In the case of reimplantation.

Anchovy paste abscess is typical of which of the following?

 Patient presents with a raised alpha feto-protein, splenomegaly with raised splenic index, heterogenous liver parenchyma with shrunken liver. What is likely diagnosis?

Sudden respiratory difficulty after colostomy, what could be the cause?

Patient with chronic pancreatitis, deficiency of which of the following will occur?

Excessive exercise for 4 hours, which of the following will be raised in the muscle tissue?

On an x-ray, onion peel appearance is seen in?

Drug of choice for diabetic nephropathy in all diabetic patients?

Child with brushing of knee and bleeding and history of uncle with hemophilia A, which single laboratory test will you order for screening?

A 60-year-old patient with chronic obstructive pulmonary disease (COPD) attends the preassessment clinic before undergoing total gastrectomy for gastric carcinoma. In the clinic, pulse oximetry demonstrates that the percentage of oxygenated hemoglobin (SpO2) is 94%) whilst breathing air. The patient is a current smoker and has a wheeze and a cough productive of clear sputum. The following statements is false:

In anterior uveitis, raised IOP is due to?

Cancer of the bladder is LEAST likely of which type?

In which carcinoma, bony metastasis is not seen.

Scaphoid fracture involves which artery?

Decreased corneal sensations are caused by which vitamin deficiency?

The following are important risk factors for postoperative pulmonary complications (PPCs), except

Femoral artery is a continuation of?

Meningitis treatment includes which of the following empirical treatment?

Pneumoperitoneum can be identified by which finding on X-ray?

 What is the smallest diameter of the pelvic cavity?

Young boy with 1 week history of anasarca, periorbital edema, ++++ proteinuria and stable vitals. What is the likely diagnosis?

With regard to neuromuscular blocking agents (NMBAs) what is not true:

Trigeminal nerve arise from brain at what level?

60 yrs old female with features of abdominal pain, distension and vomiting. On ultrasound there was non-specific characterless distended loops visible. What is diagnosis?

A patient with a known case of COPD, IHD and history of MI 2 months ago, with known history of smoking admitted for inguinal hernia repair. Which of the following anesthesia is best for him?

Pinna cartilage is what type?

Most common primary malignant tumor of brain?

Which of The following is false statement concerning carbohydrate loading:

Lateral side of left eye causing orbital pain. Actual pain may be referred from what site?

Sheehan’s syndrome occurs likely due to which of the following?

Lady presented with splenomegaly and positive shifting dullness. What test would confirm your finding?

Foot inversion occurs at which joint?

A patient on glimepiride has frequent hypoglycemic episodes, which medication may be given in place of it?

Chest tube inserted in which space?

Goblet cells most abundantly present in what part of GIT?

Judgment loss and personality loss accompanied with sexual disinhibition. Lesion at which of the following sites?

30 yr old boy with severe scrotal pain came to emergency and an orchiectomy was done due to bluish discoloration, what is the diagnosis?

Hemophilia is a deficiency of which of the following?

In the ward a patient develops hypoglycemia what will you give this patient?

Acanthosis nigricans occurs in which of the following diseases?

In AIDS most common opportunistic infection?

Taste loss at anterior two thirds of tongue, which nerve involved?

Lymphogranuloma venereum caused by:

Vitamin A is used for which of the following?

A patient with hookworm will have which of the following on their CBC?

Calot’s triangle at the time of dissection it is important to ensure which anomaly is not present?

When performing a differential cell count, how many leukocytes are counted?

 Pt with CLD, confused and spleen enlarged and fluid thrill present, what is the likely diagnosis?

Lady with weight gain, constipation, and hair fail. Pulse is 53, BP is 90/60. She has increased TSH, decreased T4. What does she have?

IgE increased greatly in a non asthmatic child with recurrent abdominal pain, what is the cause?

Patient on 4th post-op day after right hemicolectomy develops dyspnea, central cyanosis, tachycardia and has a BP of 90/40. Likely Cause?

A young boy presents to you with no bowel sounds, profuse greenish coloured vomitting, tachycardia, a tense and tender abdomen. What is your first management plan?

You evaluate a smear and notice that all of the cells appear too blue. How would you classify the staining technique?

Pneumococcal vaccine before splenectomy is appropriately given when in elective surgery?

Cavitating lesion in right middle lobe of lung of an alcoholic what is the organism?

Which of the following is deficient in south Asian populations?

A woman comes in complaining of bloody discharge from one point on her nipple, what could be the cause?

What is the most common cause of wrong site surgery being performed?

What is the anticoagulant of choice for performing a reticulocyte?

External laryngeal nerve innervates?