JCAT Past Paper 11

Best test for Wilson’s disease is?

A patient with Hodgkin’s lymphoma undergoing chemotherapy develops dyspnea, chest x-ray ray shows left sided pleural effusion, diagnostic thoracentesis would most probably reveal?

Diastolic murmur heard along left sterna edge at 3rd intercostal space?

What cannot be viewed using an ophthalmoscope?

What caused anemia in chronic kidney disease?

For a pregnant lady in third trimester, which antithyroid is absolutely contraindicated

Diagnostic for rheumatoid arthritis patient:

A 17 year old girl with sickle cell anemia is diagnosed with septic arthritis, staining revealed a gram negative bacteria, which bacteria can it be?

Superficial palmar Arch is formed mainly?

Cause of postmenopausal osteoporosis?

Diuretic among following that affects both PCT,OCT and collecting duct:

What causes a fall in JVP normally?

A man presents to  you  with hypercholesterolemia, periorbital and ankle edema and frothy urine. He is diagnosed with nephrotic syndrome. Which of the following is a complication of nephrotic syndrome?

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

A young woman comes to you with repeated  miscarriages. You Fear this might be because of  a hypercoagulable state and order anticardiolipin antibodies. What are you suspecting in this patient?

A man comes to the ER after a knife stab injury to the posterior triangle of the neck.Which of the following nerves is likely to be injured?

Urobilinogen is formed in which of the following?

What is the most common ECG change in pulmonary embolism?

Echinococcus is found in which of the following places:

What is the classic ECG finding in pulmonary embolism found in about 20% cases?

Swelling move with deglutition and tongue protrusion:

All are true about RCA except

Heme synthesis rate limiting STEP enzyme=

True about foramen of Morgagni

Diaphragmatic hernia occurs due to:

Difficultly in swallowing post thyroidectomy:

The thyrocervical trunk is a branch of which part of the subclavian artery:

The fibrous pericardium is attached to:

the thoracic duct crosses the posterior mediastinum at the- level of which vertebra

Engagement of head occurs at:

A primigravid 30 year old lady presents to you at 37 weeks with a history of fall from the stairs. She says she has abdominal pain and has felt little movement of baby and a few contractions. Her fundal height is 43cm and abdomen is tender Uterus feels globular. She is tachycardic and fetal heart tracing shows tachycardia. The cervical OS is closed and no PV bleeding is present. What is your diagnosis?

What is the most common congenital laryngeal anomaly?

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

Urobilinogen is formed from which of the following?

Axillary nerve supplies:

Brain growth attached to dura:

Taste loss in anti hypertensive drug:

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

The greater vestibular glands or Bartholin glands correspond to what structure(s) in the male?

Barret esophagus has which of the following changes?

Blood supply of pectoralis major muscles is/are:

Tubercles of Montgomery is seen in:

As viewed from the right atrium. the floor of the fossa ovalis is formed by

All of the following are true regarding heart except

Alpha and beta combines antagonist are which of the following?

Least likely feature of Crohn’s disease:

Which among the following is not a contraindication of interferon use?

Why is digoxin given for fast A- fib? Tell its mechanism in this case?

Cooley anemia is also known as?

Dark field microscopy is used to diagnose which off the following?

Child with short height, what is the initial investigation of choice?

Hbf has greater affinity for oxygen, what would occur to the oxygen-dissociation curve?

Patient with a fracture of the right scapula suddenly starts to feel pain in his chest. His pulses are regular and he has BP of 80/30 which are management steps.

Patient with symmetrical polyarthritis, having swelling of metacarpophalangeal and proximal    interphalangeal joints, distal inter phalangeal joints are spared, her RA factor was normal. What is the next best investigation for her?

Most GI enzymes need which environment to work properly:

Which is the best diagnostic test for septic arthritis.?

Disorganized tissue growth in usual site, that is nonneoplastic, what would it be classified as?

Patient with dysphagia, hematemesis and weight loss, best investigation?

Which among the following is NOT a type of paralytic polio?

Nephrotic syndrome does not have:

Fluoroquinolones mechanism of action:

Agonist and partial agonist at receptor, partial agonist receptor will work as:

What symptom is the most common manifestation after a stroke?

Least likely cause of delirium:

Key symptom of recto sigmoidal Ulcerative colitis?

Chronic jaundice leads to hepatic failure in which of the following?

Abdominal distention, pain, increased bowel sound and vomiting would lead to a differential diagnosis of?

Fatty acids are carried in blood by?

Most common site of atopic dermatitis in adults?

Blood supplied to body surface area per liter per minute is known as:

B6 is given with isoniazid because

Ehler danlos syndrome enzyme deficiency?

Hyaline cartilage takes up basophilic stain due to?

Origin of renal cell carcinoma?

What is the name of the incisions given in the RIF to approach an appendix?

Which of the following makes the wall of the inguinal canal through which direct inguinal hernias arise?

Which of the following procedures is considered the gold standard for treating direct inguinal hernias?

isotonic crystalloids:

Pan retinal photocoagulation is indicated in:

Most common cause of vitreous hemorrhage in adults?

Purkinje fibres are

Wilson’s disease work up includes which blood test that is most specific for diagnosis:

Which of the following blocks both alpha and beta receptors?

Which of the following can help in antrochoanal polyps being diagnosed?

Machinery murmur  is heard in:

Which among the following thyroid tumors produces calcitonin?

Rodent ulcer is a?

Which of the following anticholinesterase drugs is used to treat Alzheimer’s disease?

Primary auditory cortex is located in?

Length of esophagus from incisor teeth to gastro esophageal sphincter is:

Young male, active since morning gradually develops double vision body weakness and    altered speaking, what can it be?

Lab values which are indicators of acidosis include:

Which would be the first choice for intravenous line placement during initial resuscitation?

Negri bodies are pathognomonic of which of the following diseases?

Nystagmus is defined as?

In which of the following is elastic cartilage found?

Middle lobe of lung contains, segments:

Which of the following is a feature of systemic lupus?

You are a pathologist reviewing a blood smear. You notice Howell jolly bodies in the RBCs. These are caused when?

In a patient with traumatic injury to the abdomen, the senior registrar asks you to arrange blood and asks you to start as ringer lactate IN at 100m/hr even though the patient’s BP is 90/60 and he has a suspected liver injury. What is this called?