JCAT Past Past Paper 1

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

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

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

Common cause of a benign bile duct stricture is?

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

The ECG hallmark of hypocalcemia is which of the following?

First line management of symptomatic hypercalcemia is?

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

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

Peroxisome formed from:

Acute hepatitis fatal in pregnancy is caused by:

Narrow QRS complex Tachycardia has what QRS duration?

Which change not occur in cystic breast disease:

Most Common lymphoma:

EBV causes starry sky appearance with which of the following?

Microorganism in viral meningitis most commonly?

Pyogenic meningitis most commonly caused by?

Choledocholithiasis can be retrieved with which of the following?

Genetic code for methionine:

BCG vaccine given at:

Cluster headache can be treated appropriately with which of the following?

Vein used for central venous line?

Vaginal discharge plus reddish pink cervix; What is the next step?

G2p1 in labor since morning now exhausted, baby presenting anterior fontanel; Ns hat is presentation?

Corticobulbar and corticospinal tract control:

Silicosis affects which of the following?

Suprapubic cystostomy used in which of the following:

Gut ileus due to gall stone obstructed at

Femoral artery pierces:

Gut ileus due to gall stone obstructed at

Myasthenia gravis is diagnosed with which of the following tests?

Femoral artery pierces

Painless hematuria in bladder cancer is of which type?

Empyema gallbladder:

Scaly black lesions on the neck that herald diabetes:

Nasopharyngeal angiofibroma is a vascular tumor that is  benign but locally aggressive. It is associated with which of the following factors?

What measures can one take to decrease chances of contrast induced nephropathy?

Which of the following contrasts is used in renography?

A molecule binds to an enzyme and  is able to change the protein conformation resulting    in the primary ligand not being able to bind to the enzyme. What is this molecule called?

A 35 year old woman who is para 2 had uncomplicated pregnancies now wishes to get  pregnant again. She has been trying for 3 years without any success. She says in the past 3  years she has experienced dyspareunia, dysmenorrhea and dyschezia. What is the likely cause  of subfertility?

Vestibulocerebellar tract passes through which of the following structures?

Which of the following tracts is not damaged in a lesion of the inferior cerebellar peduncle?

In the above scenario, what is the name of the syndrome and where does the nerve  pass?

A 28 year old pregnant woman in her third trimester comes to you with tingling and     numbness in her index finger and thumb and non-specific pain in the wrist. What nerve is  responsible for this?

Of the following, which is the main supporting ligament of the uterus?

The third cranial nerve nucleus originates from the midbrain at the level of which structure?

Rheumatic fever has many features. Which of the following is rare but distinctive of rheumatic fever?

The talus does not communicate with which of the following bones?

Dialysis related renal cell carcinoma is most commonly of which type?

A paraplegic who needs intermittent catheterization complains of hematuria and back pain. Upon investigation, you discover a bladder stone. What is the vesical stone likely to be composed off:

EBV causes a carcinoma which typically shows a starry sky appearance on microscopy.  What is the most common translocation involved in this?

A person underwent an unknown surgery in Baluchistan for abdominal pain. He has experienced weight loss and is currently complaining of bloating and severe abdominal cramps along with nausea and intermittent diarrhea 20-30  minutes after eating food. What is your diagnosis?

Most common site of amebiasis in the gut  is

Which artery can be eroded in an ulcer of the posterior surface of the stomach?

Which of the following are true about Plummer Vinson syndrome?

All of the following are common side effects of insulin except?

The only Tensor of vocal cord is:

Chronic renal failure can lead to:

Increased level of ACTH in petrosal sinus sample compared to peripheral blood is seen in?

Patient presented with c/o polyuria and polydipsia. His fasting blood sugar was 100 mg/dl, plasma osmolality was 330 mosm/l and urine osmolality 560 mosm/1.what Is the diagnosis?

An elderly male was brought to Er with complaints of multiple episodes of vomiting. He was severely dehydrated and his urine output was decreased. Which of the following is responsible for oliguria in this patient?

Most common cause of swelling at popliteal fossa is?

In a child born with secondary HTN, most likely cause is?

Young lady presented with c/o secondary amenorrhea and galactorrhea investigations showed raised prolactin levels. What should be the treatment option?

Acetylcholinesterase inhibitors are used in all except?

After starting antituberculosis therapy (ATT), what side effects of isoniazid should be kept in mind?

A 60 years old gentleman presented with abdominal pain and watery diarrhea for 3 days.   On enquiring he gave history of taking a course of antibiotics for 1 week for his respiratory tract  infection. What is the causative organism?

A young man underwent appendectomy after acute appendicitis and was discharged after recovery. After 5 days he was readmitted with c/o hemorrhage from wound. This is classified as:

A newborn baby after breech delivery had claw hands. What injury resulted in this deformity?

A 60 years old lady presented with procidentia (UV  Prolapse) which was causing urinary  incontinence. Which of the following management options is best for her?

Difference between amoxicillin and ampicillin is?

Hartmann pouch is a dilatation:

Liver originates from:

A young male presented with c/o fever with chills 7 and asymptomatic inguinal lymphadenopathy. On examination his right lower limb was grossly swollen and had skin  changes. There was history of recurrent similar episodes for the past 3 months. What is the likely diagnosis?

Old lady k/c of RA presented with acute onset severe pain  in the epigastrium. She gave a history of taking NSAIDs frequently for pain control. What is the likely diagnosis?

Gas under the diaphragm is a feature of:

A 60 years old gentleman was brought to Er in altered sensorium. On examination he was  hypotensive and had cold clammy cyanosed skin. Peripheral pulses were weak and thready and neck veins were engorged. There were also basal crepitations in the lungs and pedal edema  was positive. What is the diagnosis?

An appendiceal tumor is found to be a carcinoid tumor. The patient undergoes a CT scan which shows liver metastasis. What would the carcinoid tumor secrete in this case?

A child is born to a Hepatitis B positive mother.When must the Hepatitis B vaccine first dose be given?

A child is born to a Hepatitis B positive mother. After when does Hep BIG therapy efficacy reduce markedly?

A 10 year old child was being treated  with ciprofloxacin for an acute febrile illness with constipation and high fevers for the past one week.She is brought to you in the emergency with abdominal pain that started an hour ago and is severe. She has a low blood pressure, X-ray shows air under the diaphragm.What are the likely causes?

What is the ECG Change that would alert you to serve hyperkalemia in a Patient?

A man eats many raw eggs a day for body building. A co-factor for an enzyme is now bound and inactivated. Which enzyme is this?

An Anxious young boy is brought to you with complaints of chronic diarrhea for the past year. He has had no weight loss but experienced some rash 5 months ago that healed on its own.His stool is isotonic. What is the diagnosis?

An elderly diabetic lady has come to the ER with nausea, abdominal pain and mild pain in her left jaw. She says she has felt weakness in the morning and it is getting worse. What enzymes will be first to increase?

A young male with longstanding asthma comes to you with new onset hemoptysis and mild pleuritic chest pain. On x-ray you can see a large mass that is around in the right middle lung zone. He has no fevers and no other symptoms or sign. What is your diagnosis?

Which enzyme is used to test for reinfarction in MI?

A person has  scaly lesions on his elbows  and  scalp.  He  has  had Crohn’s disease for a long time and  is afraid that  this  might be  a complication of  the  disease.He comes to you for a check-up. What is your diagnosis?

An airway is used to stabilize a patient after a road  traffic accident.it is passed via  the  mouth and reaches the glottis where you meet some resistance.What is this airway?

A newborn is screened and found to   have   galactosemia.What treatment modality will you suggest to the parents?

A Child is brought to you in the clinic with a protruding tongue, delayed milestones,constipation and a soft belly with a protruding umbilicus.What is the likely diagnosis?

In a newborn child who you are suspecting  rhesus incompatibility, which of the following tests would you use to screen the mother?

A child  in the newborn nursery is A+ and mother is O+.The child has anemia and high reticulocyte count.What test will confirm your diagnosis?

A person come to you for an annual echocardiogram. You find that he has mixed aortic disease, with both regurgitation and stenosis present. What pulse would you find in this person?

What is the role of lactulose in hepatic encephalopathy?

How is lactulose excreted from the body?

Plasma protein in highest concentration is:

Medial forebrain bundle connects the limbic system with: