JCAT Past Past Paper 5

A patient, with a known case of 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?

Diaphragm is innervated by?

What is the first step to correct hypercalcemia?

What drug can cause gynecomastia?

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

Which among the following is a non-sedative antihistamine?

Which of the following molecules can freely pass through the cell bilayer?

What is the correct method to measure OFC?

What is the average OFC of a 12-month old child?

You are studying a cell and see that there Is destruction of the cell membrane with swelling and nuclear changes. You discover that lysosomes have played a part in the cell’s changes. This process is known as?

The ring and small finger of a man on his right hand have varying degrees of MCP,PIP and DIP joint flexion contractures. This condition is known as which of the following?

A man presents to you in the ER. He is disheveled looking and has a fruity odour on his  breath. He is unable to walk straight. There is mild scleral icterus. Initially he is aggressive and   has tremors but seems to relax with lorazepam I.V infusion. Which of the following lab values   do you expect to see  in this man?

Parasitic infections are defended against by which part of the adaptive immune system?

In parasitic infections eosinophils are raised. What  is secreted by eosinophils that helps  clear parasitic infections?

On an ultrasound for abdominal pain a woman is found to have an ovarian cyst with internal echoes, multiple septations and internal debris. This is likely to be?

On a CT scan of a patient with chronic allergic rhinitis and sinusitis, you see a polyp that  is in the maxillary sinus and extending to the nasopharynx. This  polyp is known as?

ACE inhibitors can be used for multiple disease entities. Which of the following is one of their use?

In pharmacology the affinity of a drug is defined as which of the following?

Where are Clara cells located in the pulmonary tree?

Clara cells are least likely to produce which of the following substances?

Which of the following would not be an appropriate treatment for endometrial carcinoma?

During the menstrual cycle, on day 14 a certain substance regulates ovulation. What is this phenomenon called?

Menstruation occurs due to spiral arteries constricting of the uterus and functional layer involuting. What causes this to occur?

During the endometrial cycle which hormone production is increased from day 14-28?

What forms the lateral border of the pectoralis major muscle?

In a young male with testicular cancer you find that para-aortic lymph nodes show an  increase in size with tumor presence, however his superficial inguinal nodes are also palpable and enlarged on the ipsilateral side, which structure is involved?

A young male presents to you with mass in  the right testes that has steadily been growing.  You are worried about metastatic spread and want to assess his lymph node status. Which lymph nodes would you assess for spread?

Which of the following structures increase the gastrointestinal absorptive epithelium?

Which of the follow hormones is responsible for milk let-down in breastfeeding mothers?

Which of the following is complication of hypothyroidism?

Sickle cell disease leads to anemia due to which of the following?

Which of the following anti-viral will you prescribe for a patient with Zoster?

A young male suspected of having ankylosing spondylitis, what is your first investigation of choice?

Peritonsillar abscess is caused by which of the following?

Which of the following best explains the antioxidant action of vitamin F?

Which of the following increase in vitamin D deficiency?

Which of the following will be increased in vitamin K deficiency?

Which of the following is not a function of vitamin D?

Which of following is closest to the amount of retinol formed from f3-carotene?

The navicular bone is least likely to articulate with which of the following?

Which of the following is not a function of vitamin A?

Which vitamin is required for synthesis of the blood clotting proteins?

Which vitamin is a major lipid-soluble antioxidant in cell membranes?

Which vitamin is required for calcium absorption from the small intestine?

Which vitamin is required for vision in dim light?

Which population receives an injection vitamin K as per guidelines?

A patient after surgery is fitting the criteria for delirium tremens, what is the cause?

Which unexpected population of children may also show a fatty liver?

Fatty liver can lead to which of the following complications:

Retinitis pigmentosa k not associated with

Ocriplasmin is a recombinant protease used to treat:

Which of the following is not associated with rubeosis iridis?

Soft exudates are seen in all except:

Cotton wool spots are seen in:

A 30-year-old male with a history of headache is sent for fundus evaluation. On examination, he was found to have generalized arterial attenuation multiple cotton wool spots and flame-shaped hemorrhages in both eyes. The probable diagnosis is

Which of the following is not true about Eales’ disease?

Investigation of choice in vitreous hemorrhage is:

Eales disease is:

A young male patient presents with recurrent vitreous hemorrhage. Probable diagnosis is

Which of the following is not a feature of vitreous hemorrhage?

A 25-year-old male presents with sudden painless loss of vision in one eye. There is no history of trauma. On examination, the anterior segment is normal but there is no fundal glow. Which of the following is the most likely cause?

A premature baby on examination shows bilateral ROP (Zone I, Stage II with plus disease. How will you manage the patient?

A 28-week-old baby suffered from respiratory distress syndrome at birth. On day 14, he developed sepsis. At what postnatal age should the baby undergo retinal evaluation for ROI’?

Splashed tomato appearance of the retina is seen in:

A 20-year-old presents with a history of tennis ball injure to the right eye. On examination, a red spot is seen on the macula. The most likely diagnosis is

Renal artery stenosis manifests as?

Most common feature of CA esophagus is?

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

Parasite responsible for megaloblastic anemia?

Most common cause of anemia in pregnancy?

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?

Contact dermatitis is an example of?

Which of the following acts by converting plasminogen to plasmin?

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

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.

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

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

Decubitus ulcer is also known as?

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?

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

Non-selective Alpha antagonists treat?

In dystrophic calcification which of the following is seen?

Exudates contain which of the following?

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?

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

Which of the following has a reverse relationship with atherosclerosis?

Wallerian degeneration is marked by which of the following features?

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

Superficial palmar arch is located?

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?

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?

Most common site of perforation in peptic ulcer disease is?

Norepinephrine is converted to epinephrine by which chemical reaction?

Most appropriate investigation for small bowel obstruction is?

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

Gastroduodenal artery is a branch of?

CA-125 is mainly the marker of?

Most common cause of PPH in multiparous females is?

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?

Wilms tumor is a synonym of which of the following?