points

Question 1

during lumbar puncture which structure is first pierced by the needle

Answer 1

interspinoous ligament

Question 2

csf shows neisseria, which cells are prominent?

Answer 2

neutrophils

Question 3

in cubital fossa, brachial artery is ?

Answer 3

lateral to median nerve

Question 4

on xray of multiple myeloma ?

Answer 4

multiple osteolytic lesions

Question 5

offensive stools, difficult to flush, dark urine ?

Answer 5

increased conjugated bilirubinuria

Question 6

weakness of plantar flexors, which root involve ?

Answer 6

S1

Question 7

active abduction of arm ?

Answer 7

supraspinatus

Question 8

8yr old, painless defecation, bleeding PR ?

Answer 8

juvenile polyp

Question 9

Abdominal pain, 5-6 ep of bloody diarrhea each day, pain in knees and elbows, recent visual problems ?

Answer 9

ulcerative colitis

Question 10

what gives direct support to uterus ?

Answer 10

transverse perineal muscles

Question 11

SA node

Answer 11

recieves fibers from vagus nerve

Question 12

PH7.2? HCO3=17

Answer 12

metabolic acidosis

Question 13

Psoas major

Answer 13

Arises from the lateral broder of the bodies of T12 to L5

Question 14

Extensor of hip

Answer 14

Semitendinous

Question 15

Left renal artery lies ?

Answer 15

posterior to the left renal vein

Question 16

which nerve is at risk of getting damage in posterior triangle during surgery ?

Answer 16

Spinal accessory

Question 17

right and left pulmonary artries embryologically derived from which arch ?

Answer 17

6th arch

Question 18

vertebral artery arise directly from?

Answer 18

subclavian artery

Question 19

In annular pancreas which strucure is constricted ?

Answer 19

2nd part of duodenum is constricted

Question 20

Physiological consequence of PPV in severe head injury is ?

Answer 20

decrease cardiac preload

Question 21

Compressed S1 roots ?

Answer 21

weak ankle plantar flexion, loss of sensation on sole of foot, loss of ankle jerk reflex

Question 22

Dark iregular gallstones are made of ?

Answer 22

unconjugated bili

Question 23

In pancolitis which can most likely develop ?

Answer 23

Arthritis, cholangitis, iritis, toxic megacolon

Question 24

Retraction of rectus abdominus muscle laterally froom midline will expose which structure?

Answer 24

transversalis fascia

Question 25

Transpyloric plane lies at which vertebral level ?

Answer 25

L1

Question 26

Emergenc surgical method of obtaining an airway?

Answer 26

Piercing the cricothyroid membrane

Question 27

IVC passes thru diaphragm at which vertbral level ?

Answer 27

T8

Question 28

Lactational mastitis

Answer 28

Staphlococcus aureus

Question 29

Physiological basis of post-op paralytic ileus ?

Answer 29

Stimulation of p recetors

Question 30

By what process bacterial ingestion has been inhanced ?

Answer 30

Opsonisation

Question 31

Connective tissue, mature cartilage, ciliated epithelium

Answer 31

Hamartoma

Question 32

Additional source of blood supply to the region of inferior mesentric artery ?

Answer 32

Middle colic artery

Question 33

Tumor of cerebellopontine angle which nerve is damaged ?

Answer 33

Fascial and vestibulocochlear

Question 34

Resection of rectal tumor leads to erectile dysfunction, which nerve is damaged ?

Answer 34

pelvic splanchnic nerves

Question 35

In sepsis ?

Answer 35

HR = increase
SVR = decrease
CO = increase

Question 36

Ureters pierces the bladder on which surface ?

Answer 36

Posterior surface

Question 37

What uses cori cycle for lactate metabolism ?

Answer 37

Hepatocyte

Question 38

Foot evator ?

Answer 38

Common peroneal ( fibular ) divison of sciatic nerve