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Ⓐ ANA Ⓑ LE cell
NLE 27 March 2022 (M) Ⓒ ELISA
Ⓓ Anti mitochandrial antibodies
1. Rapid treatment and Drug of choice for SVT is (● NLE 27
Ⓐ Positive Antinuclear antibody test got sensitivity - 99%:
March 2022 (E) ● NLE 27 March 2022 (M) ● NLE 28 March 2022 (E) +2
more) - ID: 2831 specificity - 49%

Ⓐ Adenosine Ⓑ Amiodarone 7. An old man is taking spironolactone. Which among the

Ⓒ Propranolol Ⓓ Verapamil following side effects is expected in this patient (● NLE 27
March 2022 (M) ● NLE 29 March 2022 (M) ● NLE 3rd Dec 2021 (M-1)) - ID:
Ⓐ SVT Management ☛ I/V Adenosine ideally ➜ slows cardiac 8637
conduction through AV node
✦ Davidson, Pg. 473
Ⓐ Hyokalemia Ⓑ Hypocalcemia
Ⓒ Gynecomastia Ⓓ Hypercalcemia
2. A patient with adult polycystic kidney disease suddenly
Ⓒ Spironolactone ☛ ↓ testosterone production ➜ ↑ peripheral
collapse and dies due to (● NLE 27 March 2022 (M) ● NLE 27 March
2022 (E) ● NLE 29 March 2022 (M) +1 more) - ID: 3606 conversion of testosterone to estradiol, and displacing
estradiol from sex hormone-binding globulin ➜ gynecomastia
Ⓐ Ruptured of berry aneurysm ✦ First Aid, Pg. 609
Ⓑ Pulmonary embolism Ⓒ Hydrocephalus
8. A 36-vear-old pregnant woman presents with
Ⓓ Myocardial infarction
abdominal pain and mild jaundice Physical exam is
Ⓐ Berry aneurysm ☛ Coarctation of aorta and Autosomal significant for hepatomegaly Hepatic venography
dominant polycystic kidney disease. demonstrates thrombosis of the hepatic veins. The most
Click and View Reference in MediCall Application likely diagnosis is (● NLE 27 March 2022 (M) ● NLE 1st Dec 2021 (M-
1)) - ID: 9508
✦ Lange Neurology, Pg. 145 ✦ Bradley’s Neurology, Pg. 984

3. A Female presented with complaints of chest pain. On Ⓐ Acute Colecystitis Ⓑ Hep b Infection
examination she was found to have pericarditis with Ⓒ Alcoholic Cirrhosis Ⓓ Budd Chiari Syndrome
pericardial effusion. This pain is mediated by (● NLE 27 March Ⓓ Budd chiari syndrome ☛ occlusion of hepatic veins
2022 (M) ● NLE 27 March 2022 (E)) - ID: 4187
S and S ◉ Tender hepatomegaly ◉ jaundice ◉ splenomegaly
Ⓐ Deep cardiac plexus Ⓑ Phrenic nerve ◉ Ascites
✦ CMDT, Pg. 727
Ⓒ Subcostal nerve Ⓓ Intercostal nerve
Ⓑ Pericardium innervated by phrenic nerve so Pericarditis can 9. Which ulcer is caused by infection of microaerophilic
cause referred pain to the neck, arms, or one or both nonhemolytic streptococci and aerobic hemolytic
shoulders (often left) (same dermatome C3,C4,C5) staphylococci? (NLE 27 March 2022 (M)) - ID: 10215

Ⓐ Martonel's ulcer Ⓑ Bazin's disease

✦ First Aid, Pg. 283
Ⓒ Meleney's ulcer Ⓓ Peptic ulcer
4. Which of following is a feature of Parkinsonism? (● NLE 28 Ⓒ Meleney gangrene, or synergistic gangrene is a cutaneous
March 2022 (E) ● NLE 27 March 2022 (M)) - ID: 4573
condition that is a postoperative, progressive bacterial
Ⓐ Pendular knee gangrene. It is seen in immunocompromised individuals,
Ⓑ Pill Rolling Static tremor microaerophilic nonhemolytic streptococci and aerobic
Ⓒ Clasp knife rigidity Ⓓ Dysmetria hemolytic staphylococci.

Ⓑ ✪ Substantia Nigra Damage ( Parkinson ) ➜ Resting / Pill 10. H-K-ATPase pump is blocked by (● NLE 27 March 2022 (M) ●
Rolling / Static / Unintentional Tremors ➜ Low Amplitude + NLE 27 March 2022 (E)) - ID: 12332

High Frequency + Alleviated by intentional movement (

Ⓐ Ranitidine Ⓑ Histamine
Robbins )
Ⓒ Mg(OH)2 Ⓓ Omeprazole
5. Feature of Cerebellar disorder is? (NLE 27 March 2022 (M)) - Ⓓ PPIs ☛ Omeprazole, lansoprazole, esomeprazole,
ID: 4588
pantoprazole.
Ⓐ Unable to perform voluntary movement 11. A Patient with foul smelling sputum aspirated on table
Ⓑ Static tremors Ⓒ Intention tremors during resuscitation. After 10 days a lesion with air fluid
Ⓓ Chorea levels was noticed. On drain culture, it turned out to be
polymicrobial. Dx? (● NLE 27 March 2022 (M) ● NLE 1st Dec 2021 (M-
Ⓒ Intention tremor also known as cerebellar tremor is a
1) ● NLE 1st Dec 2021 (M-2)) - ID: 12357
dyskinetic disorder characterized by a broad, coarse, and low
frequency tremor. The amplitude of an intention tremor Ⓐ Lung Abscess Ⓑ CA lung
increases as an extremity approaches the endpoint of Ⓒ TB Ⓓ None of above
deliberate and visually guided movement hence are name Ⓐ Aspiration of gastric contents ➜ infectious organisms of
intention tremor
oropharynx ( Multiple ) ➜ Pneumonia ➜ Lung abcess ➜ focus
6. Initial Most sensitive test for SLE is (NLE 27 March 2022 (M)) of suppuration enlarges ➜ Ruptures into airways ➜ produce an
- ID: 5036 air-fluid level on radiographic examination.
✦ Robbins, Pg. 525

12. Which is DNA virus (NLE 27 March 2022 (M)) - ID: 12529

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Ⓐ Hep. A Ⓑ Hep. C Ⓐ 290 impulse/min. Ⓑ 200 impulse/min.

Ⓒ Hep B Ⓓ Hep. E Ⓒ 350 impulse/min. Ⓓ 230 Impulse/min
Ⓒ Hepadnavirus ( envelope DNA viruses ) ☛ HBV Ⓓ AV node Maximally conduct 230 impulses per minute in
✦ Levinson, Pg. 343 adults
➤ always associated with 2:1 or greater AV block
13. Basal cell CA involves which of following structure?
✦ Ganong, Pg. 529
(NLE 27 March 2022 (M)) - ID: 13045

19. Cornea Innervation (● NLE 27 March 2022 (M) ● NLE 27 March

Ⓐ Buccal mucosa Ⓑ Lower lip
2022 (E)) - ID: 15010
Ⓒ Soft and hard palate Ⓓ Upper lip
Ⓓ IntraOral and Lower lip cancers ☛ squamous cell type Ⓐ Optic Nerve Ⓑ Abducent Nerve
Upper lip cancer ☛ usually basal cell type and arise from the Ⓒ Occulomotor Nerve Ⓓ Trochlear Nerve
lip skin. Ⓔ Trigeminal Nerve
✦ N.I.H USA, Pg. Ⓔ Trigeminal Nerve ( CN V / Mixed Nerve ) ☛ 3 Divisions
✪ Opthalmic ➜ General sensation ( touch, pain, temperature
14. Female with obesity , hirtutism,and increased BP.
Cause is? (NLE 27 March 2022 (M)) - ID: 13120 ) of forehead / scalp / cornea.
✪ Maxillary ➜ General sensation of palate, nasal cavity,
Ⓐ Polycystic ovary pattern maxillary face, maxillary teeth.
Ⓑ Polycystic kidney disease ✪ Mandibular ➜ General sensation of ant. 2 / 3rd of tongue,
Ⓒ Conn syndrome mandibular face, mandibular teeth.
Ⓓ Androgen hypersensitivity
Ⓐ These features are typical of polycystic ovarian pattern ✦ Snell Neuro, Pg. 351 ✦ Kaplan Neuro, Pg. 311

15. Epitheloid cells originate from ? (● NLE 27 March 2022 (E) ● 20. A patient after accident talks excessively but talk
NLE 27 March 2022 (M)) - ID: 13178 senseless , irrelevant and purpose less. patient face
difficulty in comprehension and intellectual brain function.
Ⓐ Monocytes Ⓑ Macrophage which area damaged? (● NLE 27 March 2022 (M) ● NLE 27 March
2022 (E) ● NLE 3rd Dec 2021 (E)) - ID: 15070
Ⓒ Lymphocytes Ⓓ Neutrophils
Ⓐ ✪ Epithelioid cells ☛ Are activated macrophages which is Ⓐ Broca’s area Ⓑ Wernicke's Area
originated from circulatory monocytes Ⓒ Motor sensory Ⓓ Cerebellum
✦ Harsh Mohan, Pg. 148
Ⓑ Paragraphic speech ☛ Werninck`s aphasia: Clear,
16. What is the first step in Type 1 HSR like Atopy or fluent, melodic speech but unintelligible because of frequent
Allergic asthma? (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E)) errors of word choice e.g “we went to drive in the bridge for
- ID: 13771 red pymarids were crooking the lawn browsers.”
✦ Duane Neurosceince, Pg. 477
Ⓐ Cell wall rupture Ⓑ IgE release
Ⓒ Mast cell rupture Ⓓ Histamine release 21. 60 years old female with know case of IHD now
Ⓑ ✪ Allergen crosslinks with IgE on surface of mast cell (First present with Ventricular arrythmia. ECG shows enlarged
irregular QRS complex . treatment of choice? (NLE 27 March
step ) ➜ Degranulation and release of mediators ➜ Clinical 2022 (M)) - ID: 15079
features i.c Urticaria Rhinitis Conjunctivitis etc
✦ Levinson, Pg. 558 Ⓐ Lignocaine Ⓑ Amiodarone
Ⓒ Propanolol Ⓓ Atropine
17. A child presented with enlarged liver and spleen and is
Ⓔ Bupivacaine
pale too. Abnormally prominent forehead (frontal bossing)
is observed. Abnormal shaped RBCs seen on smear. There Ⓐ Lidocaine ( lignocaine) ☛ class IB antiarrhythmic ➜
is no improvement in Hb after iron supplementation. Labs treatment of ventricular arrhythmias associated with IHD ➜
show microcytic hypochromic anemia. There is Similar
blocks cardiac Na channels ➜ prevents electrical signal
condition in other sibling. Which investigation will be
performed for Diagnosis of thalassemia? (● NLE 29 March 2022 building up and pass along ➜ shortens action potential.
(M) ● NLE 27 March 2022 (M) ● NLE 26 March 2022 (E) +1 more) - ID: ✦ American Academy
14151
22. Child has puffy face and pedal edema. Urine shows
Ⓐ Hb electrophoresis Ⓑ Bone marrow biopsy proteinuria . Edema in Nephrotic syndrome occurs due to
Ⓒ Blood cultures Ⓓ Retic count which of the following? (NLE 27 March 2022 (M)) - ID: 15954

Ⓐ ✪ b-thalassaemia major ☛ Hypochromic Microcytic Ⓐ Na and water restriction

anemia, Target Cells, genetic disorder, abnormal Ⓑ Increased venous pressure
Hb production ➜ Iron supplementation does not improve Ⓒ Hypoalbuminemia Ⓓ Lymphatic
hematologic values ➜ hepatosplenomegaly and iron overload. obstruction
✪ Hb electrophoresis ☛ confirmatory for diagnosis ➜ ↑↑ Ⓔ Shock by injection
HbA2 and ↑ HbF. Ⓒ If protein loss exceeds hepatic synthesis (usually with a loss
✦ Harsh Mohan, Pg. 301, 301 ✦ Medscape, Pg. ✦ Pathoma
of protein ＞ 3.5 g/24hours) ➜
18. The Maximum conductivity of AV node is. (NLE 27 March hypoproteinemia/hypoalbuminemia ➜ Decreased colloid
2022 (M)) - ID: 14686

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osmotic pressure ➜ edema (especially if albumin levels ＜ 2.5 Ⓒ Recurrent Laryngeal Nerve
g/dl) ( Robbins ) Ⓓ Vagus Nerve
Ⓒ Lower lobe Thyroidectomy ☛ Inferior Thyroid Artery
23. Mast cell beneath epithelium (● NLE 27 March 2022 (M) ● NLE
27 March 2022 (E)) - ID: 17530 Ligation ➜ RLN blood supply is compromised ➜ Unilateral RLN
Damaged mostly ( Right RLN ＞ Left RLN ) ➜ Ipsilateral Cord
Ⓐ Contains granule in cytoplasm
Paralysis ➜ Hoarsness of Voise
Ⓑ Resembles eosinophil in function
☛ Great care is taken to ligate inferior thyroid artery closer
Ⓒ Releases histamine and heparin
to gland after it has given off branch to recurrent laryngeal
Ⓓ Contains IgA on surface
nerve. ( Netter + Bailey )
Ⓒ ✪ Mast cells ➜ Degranulate and release ➜ Histamin ,
Heparin etc 29. Scenario was about comparison of mean BSL levels of
✦ Harsh Mohan, Pg. 64 a group females and a group of males ? (NLE 27 March 2022
(M)) - ID: 20401
24. The Colon cancer staging is done by? (NLE 27 March 2022
(M)) - ID: 18261 Ⓐ T-test Ⓑ B-Test
Ⓒ G-Test Ⓓ All of above
Ⓐ MRI Ⓑ CT
Ⓐ For comparison of data , three tests are there: T-test:
Ⓒ CXR
compares the means of 2 groups. ANOVA: compares the
Ⓐ Colon cancer staging is done by MRI means of 3 or more groups. Chi-square : compares 2 or more
percentages/proportions of the Categorical outcomes, not
25. Digoxin is drug of choice In? (● NLE 27 March 2022 (M) ● NLE
27 March 2022 (E)) - ID: 18441 means.

Ⓐ Atrial flutter Ⓑ Atrial Fibrillation 30. Ankylosing spondylitis is related to which type of HLA
? (NLE 27 March 2022 (M)) - ID: 20990
Ⓒ Ventricular Tachycardia Ⓓ Bradycardia
Ⓑ Digoxin inAFib ☛ restores sinus rythem, prevents Ⓐ B12 Ⓑ B15
recurrence and slows ventricular rate. Ⓒ B17 Ⓓ B27
Ⓓ HLA=B27 ☛ 90% patients with Ankylosingspondylitis are
26. Sickle cell patient developed abdominal pain, rash,
with HB:4.1, reticulocytes are 3%. The most likely cause ✪ HLA-DR B27 positive.HLA B27 is commonly associated with
is? (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E) ● NLE 26 March P.A.I.R ( psoriatic arthritis, ankylosing spondylitis,
2022 (E)) - ID: 18649 IBD,Reactive arthritis)
✦ Goljan, Pg. 72
Ⓐ Thrombolytic crisis Ⓑ Aplastic crisis
Ⓒ Sequestration Ⓓ Destruction 31. Roof of ischiorectal fossa is formed by which of the
Ⓒ Sequestration Crisis ☛ Rapid splenic enlargement and following muscles ? (NLE 27 March 2022 (M)) - ID: 21292

entrapment of sickled RBCs ➜ ↓ Hb ➜ ↓ circulating Ⓐ Levatorani Ⓑ Deep transverse perineal

RBCs ➜ hypovolemia. Ⓒ Both a and b Ⓓ None of above
✦ Goljan, Pg. 347
Ⓐ The ischioanal Roof is formed obliquely coursing levator ani
27. Rapid ventricular filling when Contraction of atria over muscle
incompetent valve is accompanied by ? (● NLE 27 March 2022 ✦ Reference, Pg.
(M) ● NLE 3rd Dec 2021 (E)) - ID: 19615
32. A 7 years old school going boy develops sore throat.
Ⓐ 1st heart sound Ⓑ 2nd heart sound He received antibiotic for it, which resolved it, following 2
Ⓒ 3rd Heart Sound Ⓓ Arrhythmia weeks later, he developed generalized body Edema,
Hypertension and Hematuria. what could be the cause ? (●
Ⓒ Third heart sound ( ventricular gallop ) ☛ usually NLE 27 March 2022 (M) ● NLE 30 March 2022 (M)) - ID: 21663
abnormal sound ➜ due to Rapid passive ventricular filling ➜
occurs in dilated CHF, severe hypertension, M.I, or mitral Ⓐ ARF Ⓑ Renal failure
incompetence ➜ occurs just after S2 when mitral valve opens, Ⓒ UTI Ⓓ PSGN
allowing passive filling of left ventricle. Ⓓ Post streptococcal glomerulonephritis is associated with the
➤ S3 can be a normal finding in children, pregnants few weeks previous upper respiratory infection. It usually
and athletes takes about 10 days after the start of symptoms of strep
✦ Davidson, Pg. 459 throat or scarlet fever for PSGN to develop.Dark urine is
caused by hemolysis of red blood cells. Edema is a result of a
28. 30 year old male underwent Partial Lower Lobe
defect in renal excretion of salt and water. ( Ref : Robbins )
thyroidectomy for enlarged goiter. Inferior thyroid Artery
ligation done and now complains of hoarseness of voice 33. The Receptors for IgE are located on ? (NLE 27 March 2022
due to Loss of high pitched voice and difficulty in (M)) - ID: 21981
swallowing. Which structure could be damaged during
surgery ? (● NLE 28 March 2022 (M) ● NLE 27 March 2022 (M) ● NLE 28 Ⓐ Eosinophils Ⓑ Mast Cells
March 2022 (E) +2 more) - ID: 19944 Ⓒ Basophils Ⓓ Basophils and Mast Cells
Ⓐ External Laryngeal Nerve Ⓑ Superior Laryngeal Ⓓ Crossling of Ag-Ab ➜ Fc portion binds to Mast cells and
Nerve basophils ➜ Degranulation
✦ Levinson, Pg. 526

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distribution; 75% of osteosarcomas occur in persons younger

34. A female with primary amenorrhea, webbed neck and
than 20 years of age.
short height. Whats your diagnosis ? (● NLE 30 March 2022 (M) ●
✦ Robbins, Pg. 808, 809
NLE 31 March 2022 (M) ● NLE 29 March 2022 (M) +4 more) - ID: 22085

40. A diabetic patient develop ckd from last 3 months.

Ⓐ Down syndrome Ⓑ Klinefelter syndrome
Having high blood pressure but not taking
Ⓒ Turner syndrome Ⓓ Patau syndrome antihypertensive drugs routinely and uncontrolled HTN. He
Ⓒ Repeated MCQ ! Already Explained died and autopsy finding shows Enlarged heart
✦ CMDT, Pg. 1216 .mechanism involved? (● NLE 27 March 2022 (E) ● NLE 27 March
2022 (M)) - ID: 23138
35. A 65y old chronic smoker man working in tyre factory
and is at risk of ? (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E)) Ⓐ Hypertrophy Ⓑ Hyperplasia.
- ID: 22094 Ⓒ Dilated cardiomyopathy Ⓓ None of above

Ⓐ HCC Ⓑ SCC Ⓐ Left ventricular hypertrophy ☛ maladaptive response to

Ⓒ BCC Ⓓ Bladder CA chronic pressure overload ➜ risk factor for atrial fibrillation,
diastolic heart failure, systolic heart failure, and sudden death
Ⓓ Rubber Tyre , Paint , Chemical Factories ☛ Polycystic
in patients with hypertension.
Hydrocarbons ☛ strong R/F for Bladder CA
✦ Davidson, Pg.
✦ Robbins, Pg. 230 ✦ Goljan, Pg. 597
41. In leads 2,3 and AVF which of the following is seen (●
36. Alpha feto protein are associated with which of the NLE 28 March 2022 (M) ● NLE 27 March 2022 (E) ● NLE 27 March 2022 (M)
following type of malignancy ? (● NLE 31 March 2022 (M) ● NLE 28 +1 more) - ID: 24681
March 2022 (M) ● NLE 27 March 2022 (E) +3 more) - ID: 22124
Ⓐ AWMI Ⓑ PWMI
Ⓐ SCC Ⓑ CA Colon
Ⓒ Inferior wall MI Ⓓ Septal MI
Ⓒ HCC Ⓓ CA bladder
Ⓒ Inferior Wall M.I
Ⓒ ◉ Alpha feto protein are associated with HCC,
✪ Vessels involved ☛ RCA ( Posterior Descending )
◉ Serum alpha-fetoprotein (AFP) is the most widely used
✪ ECG Changes :
serological marker to establish a diagnosis of HCC
✦ Harsh Mohan, Pg. 234
__✦ ST elevation (II, III and aVF)
__✦ Reciprocal ST depression (I, aVL, V5 and V6)
37. Most common cause of multiple fractures ? (NLE 27 March ✪ Signs ☛ Sinus bradycardia, hypotension
2022 (M)) - ID: 22534
✦ Davidson, Pg. 497

Ⓐ Cushing disease Ⓑ Osteoporosis

42. Second heart sound is heard during: (● NLE 27 March 2022
Ⓒ Hypothyroidism Ⓓ Hypercalcemia (M) ● NLE 27 March 2022 (E)) - ID: 24828
Ⓑ Osteoporosis ( skeletal disorder ) ☛ low bone
Ⓐ Isovolumetric contraction
mass ➜ deterioration of bone tissue ➜ bone fragility ➜ ↑
Ⓑ Isovolumetric relaxation Ⓒ Atrial systole
fracture risk ( most common reason for broken bone ).
✦ Wikipedia, Pg. Ⓑ ✪ Isovolumetric relaxation ➜ Closure of pulmonic and
aortic valve ➜ S2
38. A lady is Obese but has thin limbs Purple striae on
✪ Isovolemtric contraction ➜ Closure of A-V valves ➜ S1
abdomen This is due to ? (● NLE 27 March 2022 (E) ● NLE 27 March
✦ Guyton, Pg. 115, 114
2022 (M)) - ID: 22657

43. Pneumonia in Child who had episode of influenza

Ⓐ Cushing syndrome Ⓑ Primary obesity
presented with cough. Thick yellow mucoid sputum along
Ⓒ Secondary obesity Ⓓ Pheochromocytoma with cough is caused by ? (NLE 27 March 2022 (M)) - ID: 26281
Ⓐ ✪ Cushing syndrome ☛ ↑ protein breakdown ➜ wasting
and thinning of skeletal muscles ➜ atrophy of skin Ⓐ Klebsiella Ⓑ S. Pneumonia
and subcutaneous tissue with formation of purple striae on Ⓒ S. Aureus Ⓓ Pseudomonas
abdominal wall. Ⓒ ✪ Staph Aureus ☛ Pneumonia in Children after influenza
✪ Other features ☛ Truncal obesity with relatively thin arms and Measles , MCC of Nosocomial pneumonia
and legs, buffalo hump, rounded oedematous moon- ✪ Strep. pneumoniae ☛ Rust-coloured sputum
face, Systemic hypertension, Impaired glucose ✪ Klebsiella ☛ Pneumonia specific with alcohol abuse
tolerance, diabetes mellitus, amenorrhoea, ✪ Pseudomonas ☛ Pneumonia in Mechanical ventilation
hirsutism, Insomnia, depression, confusion and psychosis. ✦ Davidson, Pg. 583 ✦ Robbins, Pg. 521
✦ Harsh Mohan, Pg. 788
44. A 16-year-old girl who is a known case of diabetes
39. In second decade of life which of the following bone mellitus, presented to the ER with confusion and
tumor is present which is malignant? (NLE 27 March 2022 (M)) - drowsiness for 2 hours. Her mother reports that she had
ID: 23004 fever, abdominal pain and vomiting for last 4 days with
increased urination, increased thirst. Examination shows
Ⓐ Osteosarcoma Ⓑ Osteochondroma rapid breathing with fruity breath odor and severe
Ⓒ Ewing sarcoma Ⓓ Osteoblastoma dehydration. Her random blood glucose is 476 mg/dl.
Ⓐ Osteosarcoma ☛ malignant tumor that produces osteoid Arterial blood gases reveal shows metabolic acidosis : pH
7.29, PaC02 33 mmHg, HC03 12 mmol/L. What is the most
matrix or mineralized bone. Excluding hematopoietic tumors
likely diagnosis? (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E) ●
(myeloma and lymphoma), Osteosarcoma has a bimodal age NLE 26 March 2022 (E) +5 more) - ID: 27696

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48. Traid thrombocytopenia, eczema and recurrent

Ⓐ Diabetic ketoacidosis infections is seen in: (NLE 27 March 2022 (M)) - ID: 34081
Ⓑ Hyperglycemic hyperosmolar nonketotic coma
Ⓐ Wiskott-Aldrich syndrome Ⓑ SCID
Ⓒ Hypoglycemia Ⓓ Lacticacidosis
Ⓒ IgA deficiency Ⓓ HUS
Ⓐ ✪ Uncontrolled DM ( Mostly Type 1 ) ☛ ↑ Lipolysis ➜ ↑ FFA
Ⓐ ✪ Wiskott-Aldrich syndrome ☛ is an X-linked disease
➜ ↑ Acidic Ketone Bodies synthesis ( acetone, acetoacetate,
characterized by thrombocytopenia, eczema, and a marked
beta-hydroxybutyrate ) ➜ DKA
vulnerability to recurrent infection that results in early death
✪ DKA ☛ Rate of ketogenesis ＞ Rate of ketolysis ➜ ✦ Robbins, Pg. 171
ketonemia (↑ KB in Blood ) ➜ ketonuria
◉ Fruity odor on the breath ☛ Due to Acetone 49. Strep pneumonia is a type of?? (NLE 27 March 2022 (M)) -
ID: 34351
◉ ↓ Bicarb and pCO2 ☛ Due to Metabolic acidosis
◉ Hyperventilation ( Kussmaul's ) ☛ Due to Partial Ⓐ Diplococco (Cresent) Ⓑ Diplococci (Lancent)
respiratory compensation Ⓒ Long chain of cocci
◉ ↑ Anion Gap + ↓ pH ☛ Due to ↑ Ketone bodies Ⓑ Pneumococci ☛ Gram-positive lancet-shaped cocci
◉ Dehydration ☛ Due to Glucosuria ➜ ↑ Urea creatinine arranged in pairs (diplococci) or short chains
◉ Abdominal Pain ☛ Due to Metabolic Acidosis ✦ Levinson, Pg. 123

✪ HHS ☛ serum glucose ( ＞ 600 mg/dL ), polyuria, 50. A ppd tuberculin test done to a patient After 40 hours,
polydipsia, lethargy. 15mm erythema is noticed. Cells responsible for erythema
✦ Robbins, Pg. 788 ✦ Davidson, Pg. 737 are (NLE 27 March 2022 (M)) - ID: 34960

45. A female presented with a complaint of itching, Ⓐ Helper T cell Ⓑ Cd8 cells
dryness of eyes and mouth, dysphagia, angular fibrosis.
Ⓒ NK cells Ⓓ Cytotoxic T cell
Her X-ray shows interstitial fibrosis and pneumonitis
.Cause: (NLE 27 March 2022 (M)) - ID: 33757 Ⓐ PPD test ☛ CD4+ T-cell mediated reaction
✦ Robbins, Pg. 143
Ⓐ Sjorgen syndrome
51. Tuberculin test Is performed. Which type of
Ⓑ Progressive systemic sclerosis
hypersensitivity reaction is (NLE 27 March 2022 (M)) - ID: 35167
Ⓒ SLE Ⓓ RA
Ⓐ ✪ Sjögren syndrome ➜ Autoimmune destruction of Ⓐ Type I Ⓑ Type II
◉ Lacrimal ➜Dry eyes , Blurring of vision , Itching , FB Ⓒ Type III Ⓓ Type IV
sensation Ⓓ ✪ Mantoux test ( PPD or Tuberculin skin test ) ☛
◉ Salivary glands ➜ Dry mouth , Difficulty in swallowing , Dec Cutaneous T cell mediated memory recall immune response
taste and fissuring of mouth mucosa ( delayed-type 4 hypersensitivity ) ➜ done for screening of TB
◉ Dryness of nasal mucosa ◉ Epistaxis ☢ No antibodies involved in Type 4 delayed responses.
◉ Recurrent pneumonitis and bronchitis ✦ Robbins, Pg. 143
✪ Common in Females 80-90% ◉ Associated with other
52. 10% formaldehyde is used for sending biopsy
Autoimmune diseases e.g RA , SLE , Scleroderma , Vasculitis
specimen y? (NLE 27 March 2022 (M)) - ID: 35923
✦ Robbins, Pg. 158

Ⓐ To prevent autolysis Ⓑ To denature proteins

46. Annular pancreas causes (● NLE 27 March 2022 (M) ● NLE 27
March 2022 (E) ● NLE 3rd Dec 2021 (M-2)) - ID: 33839 Ⓒ To prevent denaturing of protein
Ⓓ All
Ⓐ Obstruction of 2nd part of duodenum
Ⓐ 10% formalin ☛ avoids putrefaction and action of various
Ⓑ Vomitting Ⓒ Jaundince
enzymes ( autolysis ).
Ⓐ Annular pancreas is a rare condition in which the second
part of the duodenum is surrounded by a ring of pancreatic 53. What is the gamma 2 phase in amalgam? (NLE 27 March
2022 (M)) - ID: 36683
tissue continuous with the head of the pancreas.

47. A female presents with the problem in maintaining her Ⓐ Sn8Hg Ⓑ Sn2Hg
memory ,Delusions and Scaly skin sores. She was also Ⓒ Ag3Sn Ⓓ Ag3Hg
complaining of diarrhea from some days . Pellagra is Ⓐ γ-2 phase ☛ Sn8Hg ➜ results from setting reaction of
Diagnosed. Deficiency of what causes this condition? (● NLE
27 March 2022 (E) ● NLE 27 March 2022 (M) ● NLE 30 March 2022 (E) +3
mercury with metal powder ➜ consists of mixture of tin and
more) - ID: 33929 mercury.

Ⓐ Vitamin B12 (Cobalamine) Ⓑ Vitamin 54. Cementoblastoma is most commonly present in? (NLE 27
March 2022 (M)) - ID: 36728
B2 (Riboflavin)
Ⓒ Vitamin B6 (pyridoxin) Ⓓ Vitamin B3 Ⓐ Lower 1st molar Ⓑ Lower 2nd molar
(Niacin) Ⓒ Upper 1st molar Ⓓ Upper 2nd molar
Ⓓ Defeciency Niacin ( B3 ) ☛ Pellagra '3 Ds'
Ⓐ Cementoblastoma ☛ most common site is mandibular
◉ Dementia ◉ Diarrhea and ◉ Dermatitis
molar area ➜ 50% of cases involving mandibular 1st molar
✦ Robbins, Pg. 333 ✦ Harsh Mohan, Pg. 246
teeth.

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55. Vomiting and nausea, afterward patient developed 61. A 22-year-old pale complexion lady in third trimester
throbbing right sided headache, NSAIDs are not relieving of pregnancy is noted to have an Hb 10 gm/dl,
his pain now, you will give which of the following? (NLE 27 hypochromic microcytic RBCs with few target cells, What
March 2022 (M)) - ID: 36875 is the most likely diagnosis? (● NLE 27 March 2022 (M) ● NLE 27
March 2022 (E) +1 more) - ID: 54567
Ⓐ B Receptors Ⓑ 5 HT3Antagonist
Ⓒ Opioid- u Ⓓ A Receptors Ⓐ Aplastic anemia Ⓑ Folate deficiency anemia
Ⓑ 5-HT3 antagonists ☛ suppress nausea and vomiting ➜ by Ⓒ Iron deficiency anemia Ⓓ Thalassemia trait
inhibiting serotonin from binding to 5-HT3 receptors. Ⓓ ✪ Thalassemia Trait ☛ ↓ MCV, ↓ MCH and Normal Ferritin
✦ Katzung, Pg. 292 and Target cells on P/S
✪ ACD ☛ Mostly Normal MCH and MCV never ＜ 70.
56. PCOS treatment? (NLE 27 March 2022 (M)) - ID: 36910
✪ IDA ☛ ↓ Ferritin.
Ⓐ Tolbutamide Ⓑ Metformin ✪ Sideroblastic ☛ ↑ Ferritin.
Ⓒ Methotrexate ✦ Harsh Mohan, Pg. 270 ✦ First Aid, Pg. 419, 419

Ⓑ Metformin ☛ helps relieve insulin resistance in PCOS ➜ 62. A 45-yer-old male presents in outpatient with the
works by improving insulin sensitivity ➜ decreases glucose complaint of chest pain , difficult blenching and difficulty
production and increases peripheral glucose uptake and in swallowing food for one month. He says that he has
utilization more difficulty in swallowing liquids, than solids. There is
no history of weight loss. A barium meal shows gross
57. Slight respiratory alkalosis by (● NLE 27 March 2022 (M) ● dilatation of the esophagus with a smooth narrowing at
NLE 27 March 2022 (E)) - ID: 38349 the lower end of the esophagus. What is the most likely
diagnosis? (● NLE 26 March 2022 (E) ● NLE 27 March 2022 (M) ● NLE
Ⓐ Hyperventilation Ⓑ Decrease Temp 3rd Dec 2021 (M-2) +5 more) - ID: 54572
Ⓒ Increase BP
Ⓐ Achalasia Cardia Ⓑ Carcinoma of Esophagus
Ⓐ EXPLANATION
Ⓒ Esophageal Atresia Ⓓ Sliding Hiatal Hernia
58. Patient with fatigue which worsens towards evening Ⓐ Achalasia : (loss of Myenteric Ganglion)
most appropriate investigation (● NLE 27 March 2022 (M) ● NLE ➊ loss of peristalsis in distal 2/3 esophagus
27 March 2022 (E) ● NLE 2nd Dec 2021 (E) +1 more) - ID: 54478
➋ impaired relaxation of LES ☛
Ⓐ Acetylcholine Receptor Antibody S and S ☛
Ⓑ Tensilon Test Ⓒ Emg ◉ Liquid Dysphagia ＞ Solids
Ⓓ CT Brain ◉ Difficult Belching ◉ Substernal chest pain
Ⓐ Anti Acetylcholine receptor antibody test ➜ highly specific ◉ Undigested Food and Fluid in esophagus
upto 100% ( Due to Autoimmune element ) . Sensitivity upto Radiographs ☛
90% ➜ Confirmatory / Diagnostic / Test of Choice for M.G ◉ Air-fluid level in enlarged esophagus
✪ EMG ➜ Most sensitive Test ➜ but found positive in other ◉ “Bird’s beak” tapering of distal esophagus
✦ CMDT, Pg. 629
Neuromuscular problems as well.
✪ Edrophonium or Tensilon ➜ basic screening tests ( Kanski + 63. A 4-year-old boy came with a history of high-grade
Robbins ) fever cough, conjunctivitis, nasal obstruction with
maculopapular rash. Once body that developed 4 days
59. A healthy 22-year-old female medical student has an after these symptoms. Which of the following is correct
exercise stress test at a local health club. The most likely regarding the diagnosis of the patient? (● NLE 29 March 2022
factor to decrease in her skeletal muscles during exercise (M) ● NLE 27 March 2022 (M) ● NLE 1st Dec 2021 (M-2) +4 more) - ID:
is (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E) +1 more) - ID: 54585
54500
Ⓐ Herpes simplex Ⓑ Herpes zoster
Ⓐ Arteriolar resistance Ⓒ Measles Ⓓ Rubella
Ⓑ Carbon dioxide concentration Ⓒ Measles: ✪ Incubation period ☛ 6–19 days
Ⓒ Lactic acid concentration ✪ Prodromal phase ☛ Fever, conjunctivitis (causing
Ⓓ Sympathetic nervous activity photophobia), running nose, coughing and Koplik’s spots.
Ⓐ Exercise ➜ ↑ oxygen demand of skeletal muscles ➜ ↓ ✪ Antibody development ☛ Maculopapular rash spreading
arteriolar resistance ➜ arteriolar dilation to fulfill O2 demand. from the face to the extremities
✦ Davidson, Pg. 236
60. A 55-yer-old male presents in outpatient with the
complaint of difficulty in swallowing for one month. He 64. A man was hit by a branch of a tree and developed
also complains of lethargy and significant weight loss. chronic painful corneal ulcer with white base and
Which is the investigation of choice for diagnosis? (● NLE 27 hypopyon. The most likely causative agent would be (● NLE
March 2022 (M) ● NLE 27 Aug 2021 (M) +1 more) - ID: 54560 27 March 2022 (M) ● NLE Mock MCQ ) - ID: 54598

Ⓐ Barium swallow Ⓑ CT scan Ⓐ Fungi Ⓑ Gram-negative bacteria

Ⓒ Endoscopy Ⓓ MRI scan Ⓒ Gram-negative bacteria Ⓓ Viruses
Ⓒ Flexible endoscopy with biopsy is the primary method Ⓐ Fungal keratitis ☛ Eye pain.Eye redness.Blurred
for diagnosis of esophageal cancer. vision.Sensitivity to light.Excessive tearing.Eye discharge and
hypopyon

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Ⓒ Injection sclerotherapy with 5% phenol in almond oil

65. A 30-year-old lady with the pregnancy of 8 months
duration, gives a history of recurrent bouts of sneezing, Ⓓ Diathermy coagulation
rhinorrhea watery nasal discharge, and nasal obstruction.
Ⓒ First or second-degree piles when symptoms
Blood examination reveals an absolute eosinophilic count
of 500 and an ESR of 90 mm in 1st hour. What is the most are not improved by conservative measures, injection
likely diagnosis? (● NLE 27 March 2022 (M) ● NLE 27 Aug 2021 (M) +1 sclerotherapy (Mitchell), the submucosal injection of 5%
more) - ID: 54599 phenol in arachis oil or almond oil, may be used.
✦ Bailey and Love, Pg. 1356
Ⓐ Allergic rhinitis Ⓑ Vasomotor rhinitis
Ⓒ Rhinosinusitis Ⓓ Malignancy 70. A 49-year-old male presented with profuse rectal
bleeding, mucous discharge associated with tenesmus. He
Ⓐ Allergic Rhinitis ☛ Re-exposure to same antigen ➜ Mast
also had a fever for 3 days. He had a past history of a
cell degranulation ➜ Increased mucus secretion inflammation similar episode 1 year ago. Which of the following is the
of upper airways and sinuses ➜ Eosinophilia, Runny nose , most likely diagnosis? (● NLE 27 March 2022 (E) ● NLE 30 March
Watering eyes , Urticeria 2022 (E) ● NLE 27 March 2022 (M) +3 more) - ID: 54821

✦ Harsh Mohan, Pg. 515

Ⓐ Amoebiasis Ⓑ Crohn's disease
66. A 35-year old 3rd gravida was seen in antenatal clinic Ⓒ Diverticulitis Ⓓ Ulcerative colitis
with a history of 2 previous stillbirths at home with big
Ⓓ ✪ Ulcerative Colitis ☛ inflammation and ulcers in GIT
babies. One hour glucose challenge test with 50gm oral
glucose reveals one-hour blood sugar 140mg%. What is ➜presents with rectal pain and bleeding, straining of rectal
the most suitable investigation to confirm the diagnosis of muscles ( tenesmus ) abdominal pain, weight loss, fatigue and
diabetes? (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E) ● NLE 31 anal discharge of bloody mucus.
March 2022 (M) +3 more) - ID: 54663 ✦ Harsh Mohan, Pg. 552 ✦ Robbins, Pg. 622

Ⓐ Blood sugar profile Ⓑ Random blood sugar 71. Examination of a new born male baby, revealed
Ⓒ Oral Glucose Tolerance Test (OGTT) unilateral cleft lip extending into the floor of his nose
through the alveolar process of his maxilla. The most
Ⓓ Urine analysis
likely embryological basis of this anomaly is the failure of
Ⓒ Glucose Tolerance Test (GTT) also referred to as the Oral fusion of (● NLE 27 March 2022 (M) ● PMDC Official Mock 2 ) - ID:
Glucose Tolerance Test (OGTT), help to diagnose instances of 54822
diabetes mellitus or insulin resistance
Ⓐ Both medial nasal prominences
67. A 55-year-old male presents in outpatient with Ⓑ Unilateral maxillary prominence with medial nasal
complaints of painless, progressive jaundice for 6 weeks,
Ⓒ Lateral nasal with medial nasal on affected side
associated with itching and light-colored stool. What is the
most likely diagnosis? (● NLE 27 March 2022 (M) ● NLE 27 Aug 2021
Ⓓ Bilateral maxillary shelves in the midline
(M) +1 more) - ID: 54672 Ⓑ Cleft lip ☛ form as a result of failure of medial
nasal process to contact maxillary process.
Ⓐ Choledocholithiasis Ⓑ Gallbladder cancer
Ⓒ Hepatoma Ⓓ Periampullary carcinoma 72. A 30-year-old female presented with epigastric pain,
Ⓓ Periampullary carcinoma ☛ arise from head of pancreas, hematemesis and tarry black stools (melena) for one day.
Past history of episodic epigastric pain that increases after
the distal common bile duct and duodenum.
meals for 1 year. On examination she is anemic and there
◉ Jaundice and Pruritus (due to biliary obstruction) is tenderness in the epigastrium. Which of the following is
◉ Nausea, Vomiting, Weight loss, Diarrhea the most likely diagnosis? (● NLE 27 March 2022 (M) ● NLE 1st Dec
◉ Upper GI bleed and heme positive stools 2021 (M-1) ● NLE 27 Aug 2021 (M) +3 more) - ID: 54839

◉ Silver coloured stool, or Thomas's sign ( due to mixture of

Ⓐ Esophagitis.
malaena and cholestatic pale stools )
Ⓑ Gastroesophageal reflux disease.
68. A 40-year-old female presented with 6-month history Ⓒ Peptic ulcer Ⓓ Pancreatitis
of right eye exophthalmos. She has lost weight. Her pulse
Ⓒ PUD is a cause of Upper GI bleed ➜ “Coffee grounds”
= 120/min, BP = 120/80 mmHg. She has fine tremors
along with nervousness and palpitations The most likely
emesis, hematemesis, Melena, or hematochezia.
✦ CMDT, Pg. 641
cause of this illness is (● NLE 27 March 2022 (M) ● NLE 27 March
2022 (E) ● NLE 30 March 2022 (M) +5 more) - ID: 54696
73. A patient with pulmonary tuberculosis, receiving anti-
Ⓐ Cavernous sinus thrombosis tuberculosis drugs for two months develops pain and
needle sensation in the legs. The drug most likely to cause
Ⓑ Grave's disease Ⓒ Retro orbital tumour
is (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E) ● NLE 3rd Dec 2021
Ⓓ Sphenoidal ridge meningioma (M-2) +2 more) - ID: 54856
Ⓑ Repeated MCQ ! Already Explained
✦ First Aid, Pg. 342 Ⓐ Ethambutol Ⓑ Pyrazinamide
Ⓒ Isoniazid Ⓓ Streptomycin
69. A young male of 22 years suffers from first-degree
Ⓒ INH ☛ causes pyridoxine deficiency ➜ peripheral
bleeding hemorrhoids. Which of the following treatment
will benefit him the most? (● NLE 29 March 2022 (M) ● NLE 26 neuropathy.
March 2022 (E) ● NLE 27 March 2022 (M) +6 more) - ID: 54770
74. A 22-year old primigravida was admitted as an
Ⓐ Surgical haemorrhoidectomy emergency in labor room with history of gestational
amenorrhoea 30 weeks, pain abdomen and bleeding per
Ⓑ Cryosurgery
vagina since morning. Examination reveals pale, anxious-

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looking patient with pulse 120/minute, blood pressure examination, he has a palpable mass in right upper
140/90mmHg, and abdomen tender to touch. Available abdomen. What is the most likely diagnosis? (● NLE 27 March
report of urine shows proteinuria and Hb is 9gm/dl. What 2022 (E) ● NLE 27 March 2022 (M) ● NLE 31 March 2022 (M) +4 more) -
is the most likely diagnosis? (● NLE 30 March 2022 (M) ● NLE 27 ID: 54931
March 2022 (M) +1 more) - ID: 54866
Ⓐ Appendicular lump Ⓑ Colon cancer
Ⓐ Abruption placenta Ⓑ Labour pains Ⓒ Hepatoma Ⓓ Hypernephroma
Ⓒ Ruptured ovarian cyst Ⓓ Appendicitis Ⓑ Signs and symptoms of colon cancer
Ⓐ Repeated MCQ ! Already Explained ◉ Change in bowel habits, including diarrhea or constipation
◉ Rectal bleeding or blood in your stool.
75. A 20-year-old primigravida having epileptic fits. What
◉ Persistent abdominal cramps, gas or pain.
is the most suitable drug for her in this case? (● NLE 27 March
2022 (M) ● NLE 27 Aug 2021 (E) +1 more) - ID: 54874
80. A 6-month-old male child is brought to the clinic with
complaint of swelling in the right groin and scrotum since
Ⓐ Diazepam Ⓑ Heminevrin
birth. According to his mother, the swelling and right
Ⓒ MgSO4 Ⓓ Pentothal
scrotum has increased in size gradually and it becomes
Ⓒ The drug of choice to treat and prevent eclampsia bigger when the child cries and reduces when he is
is magnesium sulfate. sleeping. On examination, the child has a non –tender
reducible swelling of the right side of the scrotum. What is
76. A 2-year-old girl has been brought with excessive the most likely diagnosis? (● NLE 27 March 2022 (M) ● NLE 2nd Dec
crying and bleeding gums for the last 2 weeks. Clinical 2021 (E) ● NLE 27 Aug 2021 (M) +2 more) - ID: 54948
examination reveals an irritable girl with tender limbs,
skin bruises, and periorbital hemorrhage. What is the most Ⓐ Direct Inguinal hernia Ⓑ Hydrocele
likely diagnosis? (● NLE 27 March 2022 (E) ● NLE 27 March 2022 (M) Ⓒ Indirect Inguinal hernia
+1 more) - ID: 54907
Ⓓ Patent processes vaginalis
Ⓐ Iron Deficiency Anemia Ⓑ Scurvy Ⓑ Patent processes vaginalis ☛ allows a communication
Ⓒ Aplastic Anemia Ⓓ Septic arthritis of peritoneal fluid (but no intestine) between peritoneum and
Ⓑ ✪ Defeciency of Vitamin C cuases Scurvy ☛ ● swollen scrotum to track down to form a hydrocoele
gums,● bruising,● hemarthrosis,● hemoperitonium,● Hydrocele ☛ Unilateral or bilateral, asymptomatic,
Hemopericardium ● anemia,● poor wound healing,● non-tender and mostly reducible scrotal swellings due to fluid
perifollicular and ● subperiosteal hemorrhages, “corkscrew” accumulation .
✦ Bailey and Love, Pg. 125
hair.
✦ Harrison, Pg. 599
81. A 35-year-old, Gravida 9 Para 8+0 presents in an
emergency with a history of home delivery 4 hours ago,
77. A 40-year-old lady had a hysterectomy due to chronic
followed by heavy vaginal bleeding. The most probable
pelvic inflammatory disease. On 2nd postoperative day she
cause of this postpartum hemorrhage is (● NLE 27 March 2022
had right-sided severe loin pain, fever with nausea and
(M) ● PMDC Official Mock 2 ) - ID: 55025
vomiting, and oliguria. Blood urea was 96 mg% and
creatinine level was 3.8 mg/dl. What is the most probable Ⓐ Coagulopathy Ⓑ Genital tract trauma
reason of acute renal failure in her? (● NLE 27 March 2022 (M) ●
NLE Mock MCQ ) - ID: 54919
Ⓒ Prolonged labor Ⓓ Uterine atony
Ⓓ 4 T's for PPH
Ⓐ Blockage of the urinary bladder 1) Tone ( Atony is MCC)
Ⓑ Stone in renal pelvis Ⓒ Urinary infection 2) Tissue ( Retain POC )
Ⓓ Surgical ligation of ureter 3) Trauma
Ⓓ Hydronephrosis ☛ swelling of one or both kidneys ➜ 4) Thrombin ( Bleeding disorder e.g ITP)
complete ligation of ureter prevents urine from draining into ✦ Oxford OBG Handbook, Pg.

bladder leading to progressive renal failure. 82. A young man presents with 3 days history of red
watering eyes and foreign body sensation. On
78. A 15 year old girl who had her menarche 2 year ago
examination, there is preauricular lymphadenopathy.
has been brought with a history of weight loss and
There is no sexual contact. The likely diagnosis is (● NLE 27
amenorrhoea for the last 3 months. She weighed 65 kg 3
March 2022 (M) ● NLE 1st Dec 2021 (E) +1 more) - ID: 55036
months ago and was trying to lose weight since then by
jogging and diet control. Clinical examination revealed her Ⓐ Uveitis Ⓑ Viral conjunctivitis
height 165 cm, weight 40 kg pulse 56/min, BP 90/50 mm
Ⓒ Keratitis Ⓓ Pterygium
Hg. She appeared dysphoric but systemic examination was
not remarkable. What is the most likely diagnosis? (● NLE 27 Ⓑ Viral conjunctivitis ☛ a highly contagious acute
March 2022 (M) ● NLE 27 March 2022 (E) ● NLE 29 March 2022 (M) +2 conjunctival infection usually caused by an adenovirus.
more) - ID: 54925
Symptoms ➜ irritation, photophobia, and watery discharge.
Ⓐ Addison disease Ⓑ Anorexia nervosa Diagnosis ➜ clinical; sometimes viral cultures or
Ⓒ Malignancy Ⓓ Tuberculosis immunodiagnostic testing is indicated
Ⓑ ✪ Anorexia Nervosa ☛ Weight loss of at least 15% of total
83. A poor farmer went to the physician with complaints of
body weight ( or body mass index ≤17.5 ) dry skin, dry eyes, poor wound healing. He is suspected to
✦ Davidson, Pg. 1204 have vitamin A deficiency. What other symptoms should
be expected in this patient? (● NLE 27 March 2022 (E) ● NLE 27
79. A 60-year-old male presents with a history of blood in March 2022 (M) ● NLE 3rd Dec 2021 (E)) - ID: 55086
stool for two months and significant weight loss. On

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Ⓐ Conjunctival xerosis test will most likely answer your question? (● NLE 27 March
2022 (M) ● NLE Mock MCQ ) - ID: 55199
Ⓑ Diffuse Pigmentation of the conjunctiva
Ⓒ Keratomalacia Ⓓ Night blindness Ⓐ Biopsy Ⓑ Urea breath test
Ⓓ ✪ Night blindness is earliest symptom of Vitamin A ( Retinol Ⓒ Blood culture Ⓓ Stool Culture
) Defeciency Ⓑ Urea breath test
✦ CMDT, Pg. 1285 Most Accurate and highest diagnostic accuracy to identify H.
84. A 59-year-old previously healthy woman present to
pylori infectionbut Not easy to perform
cardiac emergency with complaints of left-sided chest pain ✦ American Academy, Pg. ✦ CMDT, Pg. 634

a few hours ago. She passed away within a few minutes of

89. A 6 year old child with coarse features is brought to
arrival. A section of left ventricle showed a deeply
you with the complaint of short stature. On examination
eosinophilic myocardium with loss of striations and nuclei
his height is 100cm and on investigation bone age is two
and Collagen fibroblast necrotic tissue Which of the
years. The most likely diagnosis is (● NLE 29 March 2022 (M) ●
following pathological change is most likely to be noted? (●
NLE 28 March 2022 (E) ● NLE 27 March 2022 (M) +4 more) - ID: 55213
NLE 27 March 2022 (M) ● NLE 27 Aug 2021 (M) +1 more) - ID: 55091

Ⓐ Hypothyroidism
Ⓐ Apoptosis Ⓑ Coagulative necrosis
Ⓑ Growth Hormone deficiency
Ⓒ Fatty change Ⓓ Hypertrophy
Ⓒ Addison's disease Ⓓ Hypoparathyroidism
Ⓑ Coagulative necrosis ☛ Cell death (typically caused by
Ⓐ Congenital hypothyroidism/cretinism ☛ lack of weight
ischemia or infarction) but No Proteolysis ➜ Cells become dry,
gain, stunted growth, fatigue, lethargy, poor feeding,
hard, and white ➜ Architecture preserved for at least couple of
thickened facial features, abnormal bone growth, mental
days (occur in All solid Organs except Brain)
retardation, very little crying.
✦ Robbins, Pg. 36
✦ Pubmed USA, Pg.

85. A 60 year old man presents with a blood pressure of

90. Which of the following vaccines is covered in
165/100 mmHg. He is a known type 2 diabetic. His blod
"Pentavalent Vaccine? (● NLE 27 March 2022 (M) ● NLE Mock MCQ )
sugar is controlled on Glucophage. The most appropriate
- ID: 55259
drug for controlling his hypertension would be (● NLE 27
March 2022 (M) ● PMC Mock MCQ +1 more) - ID: 55120
Ⓐ BCG Ⓑ DPT
Ⓐ ACE – Inhibitor Ⓑ Beta-blocker Ⓒ Measles Ⓓ OPV
Ⓒ Calcium channel blocker Ⓓ Diuretics Ⓑ Pentavalent Vaccine ☛ vaccine that contains five antigens
Ⓐ ACE Inhibitors ( Captopril ) ☛ hypoglycemic effect ➜ ↓ (diphtheria, pertussis, tetanus, and hepatitis B and
blood glucose by increasing muscular glucose disposal rate in Haemophilus influenzae type b)
✦ CDC, Pg.
hypertensive diabetic patients.
91. A 30-year-old female undergoes exploratory
86. A 10-year-old child presents in an emergency with
laparotomy for a perforated appendix. On the 8th
acute exacerbation of asthma. O/E he is tachypneic and
postoperative day, the abdomen was distended with
has intercostal recessions. What should be the initial
absent gut sounds. Xray Abdomen shows dilated small and
management of this child? (● NLE 27 March 2022 (M) ● NLE 27
large bowel loops. She also has hypokalemia. What is the
March 2022 (E) ● NLE 3rd Dec 2021 (M-1) +6 more) - ID: 55138
most likely diagnosis? (● NLE 27 March 2022 (M) ● PMC Mock MCQ )
- ID: 55325
Ⓐ Injection epinephrine
Ⓑ Injection magnesium sulfate Ⓐ Adhesive Obstruction
Ⓒ Injectable steroid Ⓓ Salbutamol nebulization Ⓑ Mechanical Bowel Obstruction
Ⓓ Salbutamol ☛ short acting β agonist ➜ used in severe Ⓒ Volvulus Ⓓ Paralytic Ileus
asthma for broncodilation Ⓓ Paralytic Ileus ☛ is a nonmechanical hypomotility resulting
87. A mother brings her 12-year-old son to O.P.D because in a functional obstruction of the bowel (pseudo obstruction)
he lost consciousness the day before while running. She ✪ In all abdominal surgeries patient initially develops paralytic
also states that he has been seen squatting down ileus which lasts for 3–5 days.
periodically, while in midst of activity. On physical
examination, a low-pitched systolic ejection murmur is ✦ SRB Surgery, Pg. 573
detected. What is the most probable diagnosis? (● NLE 27
March 2022 (E) ● NLE 27 March 2022 (M) ● NLE 3rd Dec 2021 (M-1) +3 92. A 2-year-old boy presents in emergency room with
more) - ID: 55173 severe diarrhea and vomiting. He is lethargic. Examination
shows slow skin turgor and sunken eyes. Heart rate:
Ⓐ Aortic regurgitation Ⓑ Aortic stenosis 140/min, blood pressure: 85/40 mm Hg and respiratory
Ⓒ Coarctation of the aorta Ⓓ Mitral stenosis rate: 30/min. What is the most appropriate management
Ⓑ Aortic stenosis ☛ Crescendo-decrescendo systolic ejection according to WHO guidelines? (● NLE 30 March 2022 (E) ● NLE 27
March 2022 (M) ● NLE 3rd Dec 2021 (M-1) +5 more) - ID: 55344
murmur. LV ＞＞ aortic pressure during systole. Loudest at
heart base. radiates to carotids Ⓐ Normal saline, lOOml/kg in 6 hours
✦ Davidson, Pg. 562 Ⓑ Normal saline, lOOml/kg in 3 hours
88. A 35 year old housewife presented to OPD with history Ⓒ Ringer lactate, lOOml/kg in 6 hours
of dyspepsia not responding to H2 blocker. You are keen Ⓓ Ringer lactate, lOOml/kg in 3 hours
to rule out H.pylori infection. Which one of the following

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Ⓑ Child 6 months to 5 years Ⓐ Caseating granulomas Ⓑ Noncaseating

Normal saline , 1OOml/kg in 3 hours granulomas
Ringer lactate can be given too Ⓒ Amyloid deposits Ⓓ Crypt abscess
Oral zinc supplementation has a promising role in reducing Ⓑ Epithelioid Non-caseating granuloma is a characteristic
the duration of diarrhea and improving stool consistency in histological feature of Crohn's disease and distinct it from
children Ulcerative Collitis microscopically
✦ W.H.O, Pg. ✦ Robbins, Pg. 622

93. A 55 year male with past medical history significant 97. An 80yo man presented with pain in his lower back
for smoking and alcohol abuse presented in the OPD with and hip. He also complains of waking up in the night to go
the complaints of epigastric discomfort and regurgitation to the washroom and has urgency as well as dribbling.
especially after meals. He admitted having this problem What is the most likely dx? (NLE 27 March 2022 (M)) - ID: 55731
from the last 5 -6 years off and on. Usually feeling better
after taking antacids and proton pump inhilation. The most Ⓐ BPH Ⓑ Prostatitis
appropriate investigation would be (● NLE 27 March 2022 (M) ● Ⓒ UTI Ⓓ Prostate carcinoma
NLE 27 Aug 2021 (E) +1 more) - ID: 55430
Ⓓ Prostate cancer ☛ Old Age, nocturia, urgency and
Ⓐ 24 hour pH monitoring Ⓑ Barium swallow dribbling indicates P.Ca . Pain of lower back and hip points
Ⓒ Ultrasound abdomen Ⓓ Upper Gl towards bony metastases from prostate cancer.
endoscopy Tumor Marker ☛ Prostate Specific Antigen
Ⓓ ✪ GERD ☛ provoked by alcohol ➜ causes epigastric ✦ Harsh Mohan, Pg. 234

discomfort and regurgitation ➜ weight loss in untreated cases 98. A 52yo male presents with sudden complete loss of
and even cause esophageal cancer vision from right eye. He also had been complaining of
✪ Upper Gl Endoscopy ☛ investigation of choice in GERD as right sided headaches which would come up more on
well as Stomach or esophageal Cancer chewing. On fundoscopy, the retina was pale and a cherry
red spot could be seen in the macular region. What caused
✪ PPI and NSAIDs ☛ effective in resolving symptoms.
this vision loss? (NLE 27 March 2022 (M)) - ID: 55941
✦ Davidson, Pg. 793

Ⓐ CRAO Ⓑ CRVO
94. A 65-year-old hypertensive man presented with
anorexia, ankle edema and generalized weakness for a Ⓒ Branch RAO Ⓓ Branch RVO
few months. His arterial blood gas analysis showed: pH Ⓐ Central retinal artery occlusion☛ cherry red spot due to
7.3, PaC02 33mmHg, Pa02 95 mmHg, HC03 16 mmol/L.
retinal edema ➜ causes perimacular tissue of retina to appear
What is the most likely acid base disorder in this patient?
(● NLE 27 March 2022 (M) ● PMC Mock MCQ ) - ID: 55437 translucent ➜ visual loss in relation to attacks of headache.

Ⓐ Metabolic acidosis Ⓑ Metabolic alkalosis 99. A 33yo male came to the hospital with complaint of
occasional left sided chest pain that lasts ＜30mins,
Ⓒ Respiratory acidosis Ⓓ Respiratory alkalosis
following exercise, which relieves upon taking rest. What
Ⓐ ✪ Metabolic acidosis ☛ Distinguishing lab value is is the most probable dx? (● NLE 27 March 2022 (M) ● NLE 27 March
↓ Bicarbonate (normal range 22-26 mEq/L). 2022 (E)) - ID: 55961

✪ Anorexia ☛ vomiting ➜ electrolyte abnormalities ➜

Ⓐ Unstable angina Ⓑ Decubitus angina
Dehyderation + Hypokalemia ➜ Metabolic Acidosis ➜ ↑
Ⓒ Stable angina Ⓓ Coronary spasm
production of organic acid ➜ lead to hypertension.
Ⓒ The key is C - Stable angina.
95. A 47-year-old male is admitted with severe chest pain,
100. A 6yo child presented with drooling of saliva and
chest tightness, sweating, and breathlessness. His ECG
severe stridor. He is febrile and sick looking. XR Neck in
revealed ST segment elevation in lead II, III and aVF. The
extension shows a thumb sign. Choose the single most
patient is immediately given 02, an enzyme to dissolve
likely dx. (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E) ● NLE 27
blood clot, a vasodilator, and a pain reliever. The most
Aug 2021 (E)) - ID: 55987
likely mechanism of action of the given enzyme is to
convert (● NLE 27 March 2022 (M) ● NLE Mock MCQ ) - ID: 55452
Ⓐ Croup Ⓑ URTI
Ⓐ Prothrombin to thrombin Ⓑ Fibrinogen to Ⓒ Diphtheria Ⓓ Acute epiglottitis
Fibrin Ⓓ Drooling of saliva and stridor along with thumb sign in neck
Ⓒ Plasminogen to plasmin X-ray are features of acute epiglottitis
Ⓓ Prothromboplastin to thromboplastin
101. A 75yo man comes in complaining of difficulty in
Ⓒ Tissue plasminogen activator ( vasodilator ) ☛ cleaves passing urine, poor stream and dribbling at the end of
plasminogen to plasmin ➜ plasmin degrades fibrin matrix of voiding and anorexia. US shows bilateral hydronephrosis.
What is the cause of these findings? (NLE 27 March 2022 (M)) -
thrombus ➜ thrombolytic action ➜ life-saving for acute MI and
ID: 56222
other conditions caused by blood clotting ➜ breaks clots.
Ⓐ BPH Ⓑ Renal stones
96. Pathologic finding that is Characteristic of Crohn's
Ⓒ Bladder stones Ⓓ Prostatic ca
disease (● NLE 27 March 2022 (M) ● NLE 1st Dec 2021 (M-1) ● NLE 27
Aug 2021 (E)) - ID: 55655 Ⓓ Prostatic CA☛ obstructive symptoms of lower urinary tract,
weak or interrupted urine flow, bilateral hydronephrosis.

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102. A 30yo man from Australia returned from a business result in Heinz bodies: clumps of damaged hb attached to
trip to Indonesia 6d ago presenting with complaints of RBCs
fever, joint and muscle ache and headache, in particular
behind the eye for the past 2 days. What is the most 107. A 23yo man is having difficulty in speaking following
probable dx? (● NLE 27 March 2022 (E) ● NLE 27 March 2022 (M) ● NLE a stab wound to the right of his neck. On being asked to
3rd Dec 2021 (E)) - ID: 56468 protrude his tongue, the tip deviated to the right. Which
anatomical site is most likely to be affected? (● NLE 31 March
Ⓐ Malaria Ⓑ Chicken pox 2022 (M) ● NLE 27 March 2022 (M)) - ID: 57181
Ⓒ TB Ⓓ Lyme’s disease
Ⓔ Dengue Ⓐ Facial nerve Ⓑ Right Hypoglossal nerve
Ⓒ Vagus nerve Ⓓ Trigeminal nerve
Ⓔ Dengue fever ☛ mosquito-borne tropical disease caused
Ⓑ In hypoglossal nerve palsy the tongue will be curved toward
by dengue virus.● IP 3-14 days ● This may include a high
fever, headache, vomiting, muscle and joint pains, and a the damaged side, combined with the presence of
characteristic skin rash. fasciculations or atrophy of tongue on same side
✦ Harsh Mohan, Pg. 176
108. A G3P2 female presented in obs opd for routine
cbeckup. She gave history of diabetes for 5 years. USG
103. A 28yo man has developed a red, raised rash on trunk
findings showed polyhydramnios. Most likely cause is: (NLE
after playing football. His PMH shows he had childhood
27 March 2022 (M)) - ID: 58997
asthma. The rash is becoming increasingly itchy. What is
the most appropriate tx? (NLE 27 March 2022 (M)) - ID: 56670
Ⓐ Cardiac anomaly Ⓑ Neural tube defects
Ⓐ Oral chlorpheneraime Ⓑ Oral amoxicillin Ⓒ Esophageal atresia Ⓓ None
Ⓒ IM adrenaline Ⓓ Nebulized salbutamol Ⓑ Polyhydramnios☛ associated with congenital
Ⓐ Chlorphenamine☛ blocks effects of histamine and reduces malformations ➜ 13.8%, being neural tube defects.
its symptoms ( watery eyes, a running or blocked nose, and
109. A 40 year old male presented with a complaint of
itchy skin rashes ). diarrhea for 3 months. He has 5 to 6 episodes of diarrhea
per day which contains mucus and blood. It is associated
104. A 12yo child with episodes of sudden bluish
with anorexia and weight loss. Which one of the following
discoloration and brief loss of consciousness. Exam:
Investigations should be carried out to reach a diagnosis?
clubbing, central cyanosis, systolic thrill with systolic
(NLE 27 March 2022 (M)) - ID: 59487
ejection murmur in 2nd left ICS. What is the most
probable dx? (● NLE 27 March 2022 (M) ● NLE 31 March 2022 (M)) - Ⓐ Ileocolonoscopy with biopsy for histopathology
ID: 56676
Ⓑ Stool for culture sensitivity
Ⓐ TOF Ⓑ ASD Ⓒ Barium Enema Ⓓ CT Colonogram
Ⓒ VSD Ⓓ PDA Ⓐ Ileocolonoscopy with biopsy for histopathology ☛ most
Ⓐ ✪ Tetralogy of Fallot ☛ most common cyanotic heart appropriate step to reach diagnosis for chronic case of
condition in children who have survived untreated beyond diarrhea associated with malabsorption.
neonatal age.
110. A 50-year-old female has been treated ten days back
✪ Most common S and S ☛ ➊ loud heart murmur ( systolic for bronchopneumonia. She has developed fever, chills
ejection murmur at left upper sternal border due to pulmonic and skin rash for 2 days. Peripheral blood film shows
stenosis and/or holosystolic murmur at left mid sternal border eosinophilia. On urine analysis she has proteinuria++.
due to a ventricular septal defect ➋ cyanosis. There is no significant past history. Her HbAlC is normal,
what is most likely diagnosis. (NLE 27 March 2022 (M)) - ID:
105. A man feels mild discomfort in the anal region and 59723
purulent discharge in underpants. What is the most likely
dx? (● NLE 27 March 2022 (M) ● NLE 29 March 2022 (M)) - ID: 57079
Ⓐ Acute serum sickness Ⓑ Acute tubular
necrosis
Ⓐ Feacal incontinence Ⓑ Anal abscess Ⓒ IGA nephropathy
Ⓒ Fistula in ano Ⓓ Anal tags Ⓓ Drug induced interstitial nephritis
Ⓒ Abscess is with severe pain which may reduce after it bursts Ⓔ Post streptococcal glomerulonephritis
with purulent discharge. But here mild discomfort and purulent Ⓓ Drug induced interstitial nephritis ☛ drug hypersensitivity
discharge favours the diagnosis of fistula reaction ➜ presents with chills, darkcolored urine,
106. A 22yo Greek man presents with rapid anemia and myalga, fever, headache and rash.
jaundice following tx of malaria. He is noted to have Heinx
111. A 23 yr old male came to OPD with complain of fever
bodies. Choose the single most likely cause from the given
from four days and right hypochondrium pain. On blood
options? (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E) ● NLE 1st
profiles his C reactive proteins were high too. What is the
Dec 2021 (E)) - ID: 57082
most likely diagnosis? (● NLE 27 March 2022 (M) ● NLE 27 March
2022 (E) ● NLE 2nd Dec 2021 (E)) - ID: 59983
Ⓐ G6PD deficiency
Ⓑ Anemia of chronic disease Ⓐ Hepatocellular carcinoma Ⓑ Gall stones
Ⓒ Pernicious anemia Ⓓ IDA Ⓒ Liver abscess Ⓓ Cirrhotic liver
Ⓐ G6PD deficiency ☛ exacerbated by administration of Ⓔ Carcinoma of gall bladder
oxidant drugs ( e.g., primaquine, dapsone, quinidine ) ➜ Ⓒ ✪ Liver abscess ☛ pain in right upper quadrant, fever,
hepatomegaly and jaundice.

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✪ C-reactive protein ☛ acute-phase protein ➜ synthesized

116. Surgeon ordered his HO to keep loose sutures on a
by liver endothelial cells ➜ indicator of inflammation ➜ raised wound because it is ? (● NLE 27 March 2022 (M) ● NLE 4th Dec 2021
in liver abscess. (M) ● NLE 3rd Dec 2021 (E)) - ID: 60282
✦ Harsh Mohan, Pg. 600
Ⓐ Clean Ⓑ Contaminated
112. A 24 year old hair dresser came to OPD with a Ⓒ Healed Ⓓ None
complain of sinus formation in bis natal cleft that
Ⓑ • Close clean wounds immediately to allow healing by
sometimes cause Irritation and pain. What is the
diagnosis? (NLE 27 March 2022 (M)) - ID: 60113 primary intention.
• Do not close contaminated and infected wounds, but leave
Ⓐ Imperforate anus Ⓑ Post anal dermoid them open to. heal by secondary intention.
Ⓒ Post anal dimple Ⓓ Pilonidal sinus ✦ W.H.O, Pg.
Ⓔ Anal incontinence
117. True about TOF is: (● NLE 27 March 2022 (M) ● NLE 27 March
Ⓓ : It is one or more non infected midline openingswhich 2022 (E)) - ID: 60420
communicate with a fibrous track lined by granulation tissue
containing hair in it. Ⓐ Murmur intensify during spells
Ⓑ No supportive treatment required
113. Oschner-Serron regimen is a combination of different Ⓒ Usually preserit after 7 years
treatments and is indicated in which condition? (● NLE 26
March 2022 (E) ● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E)) - ID:
Ⓓ Spells are associated with hypoxia and cyanosis
60116 Ⓔ Spells occur more frequently in the evening
Ⓓ : Paroxysmal hypercyanotic attacks (hypxic, blue or tet
Ⓐ Appendicular abscess Ⓑ Appendicular mass
spells) are a particular problem during the first 2 years of life
Ⓒ Acute appendicitis Ⓓ Lleocaecal tuberculosis
Ⓔ Recurrent acute appendicitis 118. Dubin Johnson syndrome is caused by a hereditary
Ⓑ Conservative treatment (Ochsner-Sherren regimen) defect in excretion of blllirubin glucroaides across the
canalicular membrane. What type of hyperbilirubinemia
comprises hospitalization, intravenous fluids, antibiotics,
will it cause? (● NLE 27 March 2022 (M) ● NLE 27 March 2022 (E)) - ID:
analgesics and a strict watch on the vitals and general state 60663
ofthe patient In 90-80% of the patients, the mass of appendix
resolves without complications Ⓐ Does not cause hyperbilirubinemia
Ⓑ Mainly conjugated Ⓒ Mainly unconjugated
114. A40 year old patient partial gastrectomy done due to
Ⓓ Both conjugated and unconjugated
gastric carcinoma. After smooth recovery whenever be
takes meals he develops palpitations, light headedness, Ⓔ Depends on the severity of the defect
dizziness, diaphoresis, flushing and blurred vision. What is Ⓑ Conjugated hyperbilirubinemia☛ observed in Dubin-
the most likely reason of his condition? (NLE 27 March 2022 Johnson syndrome ➜ results from defective transport of
(M)) - ID: 60133
bilirubin glucuronide across the membrane that separates the
Ⓐ Dumping syndrome Ⓑ Boerhaave's hepatocyte from the bile canaliculi.
syndrome
119. Which anti glaucoma drug decreases aqueous
Ⓒ Plummer Wilson syndrome Ⓓ None of above formation and avoided in asthma? (● NLE 27 March 2022 (M) ●
Ⓐ : Although considered together because the symptoms are NLE 27 March 2022 (E)) - ID: 61298
similar, early and late dumping have different aetiologies. A
Ⓐ Prostaglandins Ⓑ Beta – blockers
common feature, however, is early rapid gastric emptying.
Ⓒ Mannitol Ⓓ Pilocarpine
Many patients have both early and late dumping. This is
reactive hypoglycaemia. The carbohydrate load in the small Ⓑ Beta Blockers☛ reduce the production of fluid in the eye ➜
bowel causes a rise in the plasma glucose, which, in turn, lowers pressure in the eye.
causes insulin levels to rise, causing a secondary But avoided in asthma because they can cause increased
hypoglycaemia. This can be easily demonstrated by serial bronchial obstruction and airway reactivity.
measurements of blood glucose in a patient following a test
120. "Sunray appearance" on X-rays is suggestive of (● NLE
meal. The treatment is essentially the same as for early 27 March 2022 (M) ● NLE 27 March 2022 (E)) - ID: 63499
dumping. Octreotide is very effective in dealing with this
problem. Ⓐ A Chondrosarcoma
Ⓑ A metastatic tumour in the bone
115. A patient presented with a renal colic. Her urinalysis
Ⓒ An Osteogenic sarcoma Ⓓ An Ewing's
reveals protease splitting organisms and an alkaline urine.
Ultrasound scan and intravenous pyelogram reveals a stag sarcoma
born calculus. What type of renal stone do you expect to Ⓒ Sunray appearance☛ classically seen in osteosarcoma ➜
find in this patient. (NLE 27 March 2022 (M)) - ID: 60236 also occur in metastases, Ewings sarcoma, Haemangioma,
Meningioma and tuberculosis.
Ⓐ Calcium oxalate Ⓑ Cysteine
Ⓒ Uric acid Ⓓ Calcium oxalate 121. Commonest type of anal canal carcinoma is? (● NLE 27
Ⓔ Triple phosphate March 2022 (E) ● NLE 27 March 2022 (M) ● NLE 29 March 2022 (M)) - ID:
64031
Ⓔ : Triple phosphate crystals, also known as magnesium
ammonium phosphate crystals, are found in alkaline urine (pH Ⓐ Squamous cell carcinoma Ⓑ Adenocarcinoma
greater than 7) Ⓒ Adenoacanthoma Ⓓ Papillary type

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Ⓐ Already explained the SINGLE mot appropriate course of action ? (● NLE 27

March 2022 (M) ● NLE 27 March 2022 (E)) - ID: 66415
122. Central stellate scar is seen in (NLE 27 March 2022 (M)) -
ID: 64540 Ⓐ Ultrasound abdomen
Ⓑ ERCP (Endoscopic Retrograde
Ⓐ Focal nodular hyperplasia Cholangiopancreatography)
Ⓑ Chronic regenerative hyperplasia Ⓒ MRCP (Magnetic Resonance
Ⓒ Hepatoblastoma Ⓓ None Cholangiopancreatography)
Ⓐ FNH☛ benign liver lesion ➜ composed of proliferation of Ⓓ Reassurance
hyperplastic hepatocytes surrounding central stellate scar. Ⓓ Reassurance☛ for patients who are asymptomatic with

123. Most common intra abdominal solid organ tumor in stones in their gallbladder ➜ do not require any intervention.
child is ? (NLE 27 March 2022 (M)) - ID: 64727
128. A 68 year old woman has a sudden onset of pain and
Ⓐ Neuroblastoma Ⓑ Rhabdomyoblastoma loss of hearing in her left - ear and unsteadiness when
walking. There are small lesions visible on her palate - and
Ⓒ Wilm's tumor Ⓓ Hypernephroma
left external auditory meatus. What is the SINGLE most
Ⓐ Neuroblastoma☛ most common tumor constituting 29.6% likely diagnosis ? (● NLE 31 March 2022 (M) ● NLE 27 March 2022 (M)
of all cases, followed by Wilms' tumor (25.1%). ● NLE 27 March 2022 (E)) - ID: 66633

124. Most common cause of per rectal bleeding in infant is Ⓐ Acute mastoiditis Ⓑ Cholesteatoma
- (● NLE 27 March 2022 (M) ● NLE 1st Dec 2021 (M-1)) - ID: 64880 Ⓒ Herpes zoster infection Ⓓ Oropharyngeal malignancy
Ⓔ Otitis media with effusion
Ⓐ Anal fissure Ⓑ Rectal polyp
Ⓒ Ramsay Hunt syndrome☛ herpes zoster oticus ➜ shingles
Ⓒ Intussusception Ⓓ Hypertension
outbreak affects the facial nerve near one of ears ➜ painful
Ⓐ Anal fissure ☛ small tear in thin, mucosa that lines anus ➜
shingles rash, facial paralysis and hearing loss in affected ear.
causes pain and bleeding with bowel movements ➜ painful
defecation. 129. A 55 year old male presents with longstanding gastric
reflux, dysphagia and - chest pain. He says it comes on
125. Councilman bodies are seen (● NLE 27 March 2022 (M) ● NLE gradually and initially only noticed it with solid - food but
27 March 2022 (E)) - ID: 65116 more recently has been having symptos with soft foods
also. Barium - swallow shows irregular narrowing of the
Ⓐ Alcoholic cirrhosis Ⓑ Wilson's disease mid-thoracic oesophagus with proximal - shouldering.
Ⓒ Acute viral hepatitis Ⓓ Autoimmune hepatitis What is the SINGLE most appropriate diagnosis? (● NLE 27
March 2022 (M) ● NLE 2nd Dec 2021 (M)) - ID: 67467
Ⓒ Councilman bodies ☛ found in the liver of individuals
suffering from acute viral hepatitis, yellow fever, and other Ⓐ Achalasia Ⓑ Oesophageal spasm
viral syndromes. Ⓒ Barrett's oesophagus Ⓓ Oesophageal carcinoma
126. A 24 year old woman who is 15 weeks pregnant Ⓓ ✪ Long standing Barrett's ☛ Esophageal Ca
presents with pain in her lower - abdomen for the past ✪ Dysphagia to solid initially ☛ very much suggestive of
couple of hours. She has some vaginal spotting. On -
carcinoma
examination, abdomen is tender, and cervical os is closed.
✪ Achalasia ☛ Dysphagia for both solid and liquid ➜
A tansvaginal - ultrasound scan shows no fetal heartbeat
or fetal activity. What is the SINGLE - most likely prominently liquid.
diagnosis? (● NLE 28 March 2022 (E) ● NLE 28 March 2022 (M) ● NLE 27 ✪ Oesophageal spasm ☛ intermittent dysphagia.
March 2022 (M)) - ID: 66092
130. What viruses are associated with cervical carcinoma
Ⓐ Threatened miscarriage Ⓑ Inevitable (NLE 27 March 2022 (M)) - ID: 69802
miscarriage
Ⓐ Human papilloma viruses (HPVs) 16 and 18
Ⓒ Incomplete miscarriage Ⓓ Missed miscarriage
Ⓔ Spontaneous miscarriage Ⓐ HPV 16 and18 ☛ most common genotypes identified in
cervical carcinoma, representing 70% of all infections.
Ⓓ It is important to note that missed miscarriage may present
with heavy vaginalbleeding - or none at all. But if there is no 131. The optimum depth of a self threading pin for an
fetal heart seen, at this stage of pregnancy, itis a missed - amalgam restoration is: (NLE 27 March 2022 (M)) - ID: 71271
miscarriage. Note that in normal pregnancy the fetal heart is
seen usually at6 weeks. So - you should not be diagnosing a Ⓐ 0.5 mm. Ⓑ 1 mm.
missed miscarriage if a 4 week pregnantlady has no - fetal Ⓒ 2 mm. Ⓓ 4 mm.
heartbeat seen on a transvaginal ultrasound. - There are more Ⓒ Answer : C
specific ultrasound criterias to diagnose missed miscarriage
132. Shape of occlusal rest in distal extension r.p.d. (NLE 27
but - arebeyond what will be asked in part 1. March 2022 (M)) - ID: 71390

127. A 42 year old female presents to her GP following a

Ⓐ Deeper and box shaped
staging CT for her recently - diagnosed renal cell
carcinoma. On the CT scan, gallstones were noticed in the
Ⓑ Shallow and saucer shaped
- gallbladder. She has no history of abdominal pain or Ⓒ A and b Ⓓ All of above
jaundice and is otherwise - well. A left sided nephrectomy Ⓑ Rest ☛ that is part of retentive clasp assembly is referred
for her renal cell carcinoma has been scheduled. - What is
to as a primary rest

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◉ Functions ▶ Prevent vertical movement of prosthesis Ⓒ Shock is a life-threatening condition that occurs when the
toward tissues body is not getting enough blood flow
▶ Help transmit applied forces to supporting teeth.
141. Pterygm is caused by? (NLE 27 March 2022 (M)) - ID: 72577
◉ Shape ☛ It should be shallow and saucer shaped, and
should function as ball and-socket joint Ⓐ UV rays Ⓑ Xrays
133. Shape of rest for canine is (NLE 27 March 2022 (M)) - ID: Ⓒ Gamma rays
71806 Ⓐ Pinguecula and pterygium are both caused by UV and made
worse by chronic dryness or irritation.
Ⓐ Full moon shaped Ⓑ Half moon shaped
Ⓒ Half pear-shaped Ⓓ None of the above 142. Seton is a? (NLE 27 March 2022 (M)) - ID: 72578
Ⓑ Cingulum shaped ☛ rest preparation on maxillary canines
Ⓐ Silk suture Ⓑ Dye
and incisors are U- shaped/ half moon when viewed
Ⓒ Resorbable suture
from lingual and proximal view
Ⓐ Seton is a nonabsorbable nylon or silk suture.
➤ Half moon shaped when viewed from lingual.
143. Most common site of bladder carcinoma? (● NLE 27
134. What is the Normal value for HbA1c ? (● NLE 27 March
March 2022 (M) ● NLE 29 March 2022 (M)) - ID: 72579
2022 (M) ● NLE 3rd Dec 2021 (M-1)) - ID: 72060

Ⓐ Posterior Ⓑ Anterior
Ⓐ ＜6 Ⓑ ＞7
Ⓒ Lateral
Ⓒ ＞6.5
Ⓒ the lateral wall and trigone are more commonly involved
Ⓐ normal range for the hemoglobin A1c level is between 4%
and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% 144. Most common type of lip carcinoma? (NLE 27 March 2022
mean you have prediabetes and a higher chance of getting (M)) - ID: 72580
diabetes. Levels of 6.5% or higher mean you have diabetes
Ⓐ Squamous Ⓑ Basal
135. Improving sanitation is an example of ? (● NLE 27 March Ⓒ Both
2022 (M) ● NLE 27 March 2022 (E) ● NLE 2nd Dec 2021 (M)) - ID: 72109
Ⓐ Most common type of lip cancer forms in the squamous cells
Ⓐ Primordial prevention Ⓑ Primary prevention that line the lips and mouth.
Ⓒ Secondary prevention
145. Giant cell tumor (NLE 27 March 2022 (M)) - ID: 72581
Ⓐ While primary prevention is about treating risk factors to
prevent cardiovascular disease, primordial prevention refers to Ⓐ Benign agressive Ⓑ Malignant
avoiding the development of risk factors in the first place. Ⓒ Most common
Ⓐ Giant cell tumor is a rare, aggressive non-cancerous tumor
136. Preferred site of insulin administration ? (● NLE 27 March
2022 (E) ● NLE 27 March 2022 (M)) - ID: 72572
near a joint at the end of the bone.

Ⓐ Subcutaneous Ⓑ IV 146. Rest Definition (NLE 27 March 2022 (M)) - ID: 72582

Ⓒ IM Ⓓ Oral Ⓐ Option A Ⓑ Option B

Ⓐ Subcutaneous layer of fat ☛ on Belly, hips, thighs, Ⓒ Option C
buttocks and backs of the arms are common sites for injecting Ⓒ Confirm with EXPLANATION
insulin
147. Major and minor connector definition (NLE 27 March 2022
137. Which is least common in old age (NLE 27 March 2022 (M)) (M)) - ID: 72583
- ID: 72573
Ⓐ Option Ⓑ Option
Ⓐ Pseudo obstruction Ⓑ Volvulus
Ⓒ Option Ⓓ Option
Ⓒ CA colon
Ⓓ confirm with EXPLANATION
Ⓒ Confirm with EXPLANATION
148. Hypovolemic shock other definition (NLE 27 March 2022
138. Bradycardia (NLE 27 March 2022 (M)) - ID: 72574 (M)) - ID: 72584

Ⓐ HR ＜ 60 Ⓐ Hemorrhagic shock Ⓑ Option

Ⓐ HR ＜ 60 ➜ Bradycardia Ⓒ Option
Ⓐ ➤ Hypovolemic shock occurs when the body begins to
139. Gallstones spillage after ERCP in which part of large
shut down due to the loss of large amounts of blood or fluid
intestine (NLE 27 March 2022 (M)) - ID: 72575
➤ When hypovolemic shock is caused by blood loss, it's
Ⓐ Transverse Ⓑ Ascending known as hemorrhagic shock.
Ⓒ Descending Ⓓ Ceacum
149. Tooth preparation depth in final finishing FDP (● NLE 27
Ⓓ Confirm with EXPLANATION March 2022 (M) ● Dental NLE 26 March 2022 (M)) - ID: 72585

140. Definition of Shock (NLE 27 March 2022 (M)) - ID: 72576 Ⓐ 6 mm cervical to occusal Ⓑ 6mm Occlusal to
cervical
Ⓐ Hypotension Ⓑ Decrease ventilation
Ⓑ Confirm with EXPLANATION
Ⓒ Decrease perfusion

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150. Sealant composition (● NLE 27 March 2022 (M) ● Dental NLE 26 157. Mass in right upper kidney 5cm, hilar nodes positive,
March 2022 (M)) - ID: 72586 no secondaries. Treatment option? (● NLE 29 March 2022 (M) ●
NLE 31 March 2022 (M) ● NLE 27 March 2022 (M)) - ID: 72702
Ⓐ Option Ⓑ Option
Ⓒ Option Ⓓ Option Ⓐ Right radical nephrectomy and hilar nodes excision
Ⓓ Confirm with EXPLANATION
Ⓑ Nephrectomy and immunotherapy
151. Principal cell (NLE 27 March 2022 (M)) - ID: 72587 Ⓑ ✪ Partial nephrectomy ☛ recommended for localized renal
masses and can also be done for larger tumors.
Ⓐ Keratinocyte Ⓑ Melanocytes
✪ Immunotherapy - IL-2 ☛ good option for some patients
Ⓒ Fibroblasts
and can deliver excellent results for some patients.
Ⓐ Keratinocytes represent major cell type of the epidermis,
making up about 90 percent of the cells there. 158. After IV Diazepam in seizures (NLE 27 March 2022 (M)) -
ID: 72815
152. Management of cardiac patient for surgery (NLE 27
March 2022 (M)) - ID: 72588 Ⓐ IV Phenytoin
Ⓐ Phenytoin or fosphenytoid is next choice if diazepam is not
Ⓐ PreOp ECHO Ⓑ Option
helpful
Ⓒ Option
Ⓐ You always need an echocardiogram before surgery if: 159. Pregnant Mother taking phenytoin. Doctor advice
stopping the drug to prevent bleeding complications. Drug
You have a serious heart condition, such as uncontrolled heart
inhibits which process (NLE 27 March 2022 (M)) - ID: 72875
failure, irregular heartbeats (arrhythmias), or significant valve
disease Ⓐ Carboxylation of glutamate

153. Diagnosis of Hep B in window period (● NLE 27 March

Ⓐ Phenytoin interact with gamma carboxylation of glutamate
2022 (E) ● NLE 31 March 2022 (M) ● NLE 27 March 2022 (M)) - ID: 72687 causes bleeding

Ⓐ Anti HBc antigen Ⓑ HbsAg 160. Child with tender swelling on forearm. Drainage
Ⓒ Anti HBs shows oozing of white fluid. Process name? (NLE 27 March
2022 (M)) - ID: 72876

Ⓐ
Ⓐ Exudate.
Window Period
Ⓐ Exudate ➜ White of yellow discharge
☛ period from 6-8 months of infection ➜ neither HBsAg nor
Transudate ➜ Clear discharge
anti-HBs is detectable ➜ Anti-HBc IgM may be the only
positive marker during this period. 161. In compensated starvation, primary source of energy
for brain ? (NLE 27 March 2022 (M)) - ID: 72877
154. Acid fast staining and gram staining due to (● NLE 27
March 2022 (E) ● NLE 27 March 2022 (M)) - ID: 72690 Ⓐ Fats Ⓑ Carbohydrate
Ⓐ Cell wall Ⓑ Cell membrane Ⓒ Ketones Ⓓ Proteins
Ⓒ Plasma Ⓒ Brain ☛ has capacity to adapt to use of ketones ➜ can

Ⓐ ✪ Acid-fast bacteria ☛ stain red after acid-fast staining

provide 60 to 70% of the energy needs of the brain in
longstanding starvation.
because of nature of their cellwall.
✪ Gram stain ☛ distinguishes between Gram +ve and Gram - 162. Complication of exophthalmos (NLE 27 March 2022 (M)) -
ve groups by coloring these cells red or violet ➜ Gram positive ID: 72878

bacteria stain violet due to the presence of a thick layer of

Ⓐ Keratitis and corneal abrasion
peptidoglycan in their cell walls.
Ⓐ If you have severe exophthalmos, you may not be able to
155. Risk factor of subarachnoid hemorrhage? (● NLE 29 close your eyes properly. This can damage the transparent
March 2022 (M) ● NLE 27 March 2022 (M)) - ID: 72696 tissue that covers the front of your eyes (corneas) by causing
them to dry out. If your corneas become very dry, an infection
Ⓐ Berry aneurysm Ⓑ HTN
or ulcers may develop. These could damage your vision if left
Ⓒ Atherosclerosis Ⓓ Trauma
untreated
Ⓐ Berry aneurysm rupture ( usually non traumatic ) is most
common cause of Sub Arachnoid Hemorrhage. 163. Which is an effect of hypocalcemia? (NLE 27 March 2022
factors that increase the risk of aneurysms rupturing are : (M)) - ID: 72879

Smoking , hypertension, old Age, Gender: women Ⓐ ST segment prolongation

156. Post op pt, NG tube irrigation best by? (● NLE 29 March Ⓐ The ECG hallmark of hypocalcemia remains the prolongation
2022 (M) ● NLE 27 March 2022 (M)) - ID: 72700 of the QTcinterval because of lengthening of the ST segment,

Ⓐ Saline Ⓑ Distil water 164. Patient having enlarge goiter. Visual difficulties. TSH
Ⓒ Tap water Ⓓ Sterile water high. T3 and T4 high. Next investigation? A. MRI pituitary
(NLE 27 March 2022 (M)) - ID: 72880
Ⓓ Flush feeding tubes before and after enteral medication
administration and q 6 h and prn using 30 ml STERILE water. Ⓐ MRI pituitary Ⓑ CT Head
Ⓒ TFT

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Ⓐ Pitutary adenoma cause mass effect on optic chiasma and Ⓐ A dislocation is an injury in which the ends of your bones
release hormones (TSH) causes secondary hyperthyroidism, are forced from their normal positions.
MRI pitutary is diagnostic Ix
172. Investigation in Acute stroke . (NLE 27 March 2022 (M)) -
165. Patient has difficulty seeing from left half of both ID: 72888

eyes with some central area clear to vision. (NLE 27 March

2022 (M)) - ID: 72881 Ⓐ CT plain Ⓑ MRI
Ⓒ USG Ⓓ X Ray
Ⓐ Homonymous hemianopsia with macular sparing Ⓑ Diffusion-weighted MRI (DWI) is highly sensitive in
Ⓐ PCA stroke: detecting early cerebral ischemic changes in acute stroke
✪ Contralateral homonymous hemianopia macular sparing ( patients.
damage to the calcarine cortex, macular sparing due to
occipital pole receiving collateral blood supply from MCA ) 173. True about APGAR score. 9 means (NLE 27 March 2022
(M)) - ID: 72889

166. Which ATT increase enzyme metabolism leading its

Ⓐ No resuscitation required.
interaction with oral contraceptive pills (NLE 27 March 2022
(M)) - ID: 72882 Ⓐ APGAR score 9 is normal and no resuscitation required.

Ⓐ Rifampin 174. A young man presents with sudden, severe pain and
Ⓐ Rifamin causes enzymes inducer causes failure of swelling in the scrotum. Exam: one testis seems higher
than the other. What is the most probable dx? (NLE 27 March
contraception(OCPs)
2022 (M)) - ID: 72890

167. Test for Thalassemia. (NLE 27 March 2022 (M)) - ID: 72883
Ⓐ Varicocele Ⓑ Hematocele
Ⓐ Hb electrophoresis Ⓑ CBC Ⓒ Testicular tumor Ⓓ Testicular torsion
Ⓒ BM biopsy Ⓓ Testicular torsion ☛ Sudden severe pain, scrotal swelling
Ⓐ ✪ Hb electrophoresis ☛ diagnostic test ➜ uses principles and higher position of the affected testis is diagnostic of
of gel electrophoresis to separate various types of hemoglobin. testicular torsion. You may get further support from examining
✪ β thalassemia ☛ ↓ HbA, ↑ HbA2 and ↑ HbF cremesteric reflex which is absent in testicular torsion
✦ Robbins, Pg. 450
Surgery is required to correct testicular torsion

168. Pt presented with dehydration. A mixture of glucose 175. Common cause of testicular torsion in children? (NLE
27 March 2022 (M)) - ID: 72891
and electrolytes given. How are they absorbed in gut? (NLE
27 March 2022 (M)) - ID: 72884
Ⓐ High investment of tunica vaginalis
Ⓐ Co-transport. Ⓐ If the attachment of the tunica vaginalis to the testicle is
Ⓐ Biport (co-transport) ☛ occur from lower to higher inappropriately high, the spermatic cord can rotate within it,
conc. ➜ intestinal epithelial cells which can lead to intravaginal torsion. This defect is referred
to as the bell clapper deformity. This occurs in about 17% of
169. Danger area of face named because facial vein males and is bilateral in 40%.
connect to sagittal sinus by? (NLE 27 March 2022 (M)) - ID: 72885
176. Pt with lower lobe pneumonia. What's the next step
Ⓐ Deep facial pain Ⓑ Cavernous sinus in management (NLE 27 March 2022 (M)) - ID: 72892
Ⓒ Transverse sinus Ⓓ Sigmoid sinus
Ⓐ Send sputum culture
Ⓑ 'Danger Triangle' of face consists of area from ☛ corners
Ⓑ Give ceftriaxone and clarithromycin emperically.
of mouth to bridge of nose, including nose and maxilla.
Ⓑ Start broad specturm IV antibiotics in pt with lobar
Infection pathway can spread from Boil in Danger Triangle
pneumonia
➜ Ophthalmic Vein➜ Cavernous sinus and can cause
Thrombosis and eventually Death. 177. School going child poked a pen in a class fellows eye
✦ Snell Review, Pg. 581 which resulted in bleeding from eye. Child did not go to
jail because of 82 PPC. What is child's age acc to law? (NLE
170. All the lab staff and workers vaccinated against Hep 27 March 2022 (M)) - ID: 72893
B. Which type of prevention. (NLE 27 March 2022 (M)) - ID: 72886
Ⓐ Less than 7 years Ⓑ 10 years
Ⓐ Primary prevention Ⓒ 5 years Ⓓ 11 years
Ⓐ
Ⓐ Primary Prevention ☛ activities that limit risk exposure or
82. Act of a child under seven years of age: Nothing is an
increase the immunity of individuals at risk to prevent a
offence, which is done by a child under 7 years
disease from progressing in a susceptible individual to
subclinical disease ➜ vaccination and immunization 178. Cyanotic spell. 3/6 harsh systolic murmur. Absent
vascular markings on X ray. Rt axis deviation. (NLE 27 March
171. Disease where two or more bones are joined, and one 2022 (M)) - ID: 72894
bone leaves its anatomical place (● NLE 27 March 2022 (M) ● NLE
27 March 2022 (E)) - ID: 72887 Ⓐ TOF
Ⓐ ✪ Tetralogy of Fallot ☛ most common cyanotic heart
Ⓐ Dislocation
condition in children who have survived untreated beyond
neonatal age.

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✪ Most common S and S ☛ ➊ loud heart murmur ( systolic problem depends on history of (NLE 27 March 2022 (M)) - ID:
72901
ejection murmur at left upper sternal border due to pulmonic
stenosis and/or holosystolic murmur at left mid sternal border Ⓐ Hirschsprung disease
due to a ventricular septal defect ➋ cyanosis.
Ⓐ Hirschsprung disease ☛ Presents with bilious emesis,
179. CSF picture in cerebral malaria Essentially abdominal distention, and failure to pass meconium
normal.But maybe seen (NLE 27 March 2022 (M)) - ID: 72895 within 48 hours ➜ chronic constipation.
Normal portion of the colon proximal to the aganglionic
Ⓐ High protein Ⓑ High Neutrophil segment is dilated, resulting in a “transition zone.
Ⓒ RBCs ✪ Diagnosed by absence of ganglionic cells on rectal suction
Ⓐ CSF is generally normal in cerebral malaria, however, mild biopsy.
pleocytosis (10–50 cells/mm3) and protein rise up to 200 ✪ Treatment: resection
mg/dL may be seen.
186. Least likely cause of obstruction in elderly is (NLE 27
180. Best for diagnosis of acute cholecystitis? (● NLE 27 March March 2022 (M)) - ID: 72902
2022 (M) ● NLE 27 March 2022 (E)) - ID: 72896
Ⓐ Cancer Ⓑ PUD
Ⓐ HIDA scan Ⓒ Valvulus
Ⓐ A HIDA, or hepatobiliary, scan is a diagnostic test. It's used
Ⓐ CRC is least likely causes obstruction, rest two are common
to capture images of the liver, gallbladder, bile ducts, and causes
small intestine to help diagnose
187. Patient with burn. Black soot particles were present
181. Patient passes urine which is foul smelling and brown all the way till terminal bronchioles during autopsy (● NLE
in color. He also has diarrhea. He admits of having passed 27 March 2022 (M) ● NLE 27 March 2022 (E)) - ID: 72903
bubbles in urine. Diagnosis? (NLE 27 March 2022 (M)) - ID: 72897
Ⓐ Man was alive when fire started
Ⓐ Crohn's disease (Fistula) Ⓑ Option Ⓒ Option
Ⓐ IBD (CD) causes rectovesical fistula and stool content can Ⓐ Man was alive and he inhaled burn particle(Inhalation burn)
pass through urine and is foul smelling which is found on lung autopsy
182. Tx of obesity. Complications include dysphagia and 188. A patient with palpable masses in abdomen. Rectum
slippage (NLE 27 March 2022 (M)) - ID: 72898 is filled with soft stool. Diagnosis? (NLE 27 March 2022 (M)) - ID:
72904
Ⓐ Lap band procedure
Ⓐ Common presenting symptoms of LAGB slippage Ⓐ Fecal impaction
include abdominal pain, food intolerance, regurgitation, Ⓐ A fecal impaction is a large, hard mass of stool that gets
dysphagia, heartburn, nausea, vomiting, early satiety, and stuck so badly in your colon or rectum that you can't push it
nocturnal vomiting out. This problem can be very severe. It can cause grave
illness or even death if it's not treated. It's more common
183. Process in which swelling in a muscle space causes
among older adults who have bowel problems.
other structures to compress (NLE 27 March 2022 (M)) - ID:
72899

Ⓐ Compartment syndrome
Ⓐ Compartment syndrome
Painful and potentially serious condition caused by .
Any Trauma ➜ bleeding or swelling within an enclosed bundle
of muscles (a muscle 'compartment") ➜ severe high pressure
in the compartment ➜ insufficient blood supply to muscles and
nerves ➜ medical emergency that requires surgery to correct.

184. Neonate with abdominal distension. When you

passed a finger in rectum, a gush of stool and air was
passed (NLE 27 March 2022 (M)) - ID: 72900

Ⓐ Meconium Ileus
Ⓐ Meconium ileus is a bowel obstruction that occurs when the
meconium in your child's intestine is even thicker and stickier
than normal meconium, creating a blockage in a part of the
small intestine called the ileum. Most infants with meconium
ileus have a disease called cystic fibrosis.

185. A 4-month-old male infant has come to your

emergency room. The parents give a 5- day old history of
constipation and vomiting. Your diagnosis of a surgical

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