WEST AFRICA RECALL 2018

Rank the following tissues in their decreasing order of their

sensitivity
1. Skeletal tissue
2. GI epithelium
3. Breast tissue
4. Lymphocytes

A. 2431
B 4213
C. 2413
D. 4231
E. 3241
5. The dominant collagen type in tendon
A. I
B II
CV
D IV
E III

6. Which of the following disease has a pathogenesis different from

other diseases
A. Rheumatic fever
B. Scarlet fever
C. TSS
D. Diphtheria
E. Cholera
7. Which of the following sites is the most common cancer likely to
be primarily adenocarcinoma
A. Cervix
B. Lungs
C. Oesophagus
D. True vocal cord
E. Bladder
8. Which of the following disorders is not a cause of vitamin D
deficiency
A. Celiac disease
B. Cirrgosis
C. Renal failure
D. Hypophosphatemia
E. Hypoparathyroidism

9. Squamous cell carcinoma are most commonly seen at the

following site except
A. Bronchus
B. Larynx
C. Skin
D. Cervix
E. Oesophagus

10. The commonest benign tumour in womenis found in

A. Breast
B. Uterus
C. Ovary
D.
11. Lateral Rectus is supplied by
A CN VI
B Mandibular nerve
C CN III
D CN II
E CN V

12 An elderly lady fell while climbing a stair case and became

lethargic and disoriented. Emergency T scan one reveal blood clot
obstructing the foramen of Monroe, the foramen of communication
between which of the following?
A. ventricle and cerebral aqueduct
B. 4th ventricle and subarachinoid space
C. lateral apertures of Luchska and Median aperture of Magendie
D. lateral ventricles and 3rd ventricle
E. 3rd ventricle and cerebral aqueduct ventricle a fourth ventricle -
cerebral aqueduct of Sylvius

13. Which of the following statement apply to apoptosis

A. it is mediated only by natural killer cells
B. DNA fragementation is a frequent observation
C. cells but not cytokines induce it
D. the target cells nucleus remains intact
E. It results in osmotic disruption of target cells

14. Immunosuppresion is commoner in which of the following

A.basal cell carcinoma
B.squamous cell carcinoma
C.malignant melanoma
D.merkel's Timor
E.lymphoma

15. The arythenoids develop from one of the following arches;

A. 1st pharyngeal arch
B. 2nd pharyngeal arch
C. 3rd pharyngeal arch
D. 5th pharyngeal arch
E. 6th pharyngeal arch

17. Which of the following is true of the mucles of facial expressions

A. They cause expression of the face
B. They are developed from 2nd pharyngeal arch
C. They are mostly attached to frontal bone
D. They are attached to skull bone
E. ????

18. Parasitic infections such as

trichinosis,strongyloidis,trichomoniasis will characteristically cause
an increase in which cells
A.Basophils
B.Eosinophils
C.Macrophages
D.
E.
19. Nerve supply to cricothyroid muscle is from...
A. External laryngeao
B. Recurrent laryngeal
C. Internal laryngeal
D. Ansa cervical is E.???

20. Squamous cell carcinoma,basal cell carcinoma and melanoma

have the following in common
A.Metastatis
B.associated with sun damaged skin
C. Only occur on the skin
D.
E.

21. Collagen type found in Tendon

A.Type 1
B.Type 11
C.Type 1v
D.Type 111
E.type V

22. A 27-year-old man is admitted to the emergency department

after a car crash. Physical examination re-veals weakness in medial
rotation and adduction of the humerus. Which of the following
nerves was most probably injured?
A. Thoracodorsal
B. Axillary
C. Dorsal scapular
D. Spinal accessory
E. Radial

23. Deficiency in aldosterone will cause the following changes in the

distal/collecting ducts of the kidney A.Retention of sodium
B.Retention of Potassium
C.changes in hydrogen ion conc of the urine
D.Changes in ph of the?
E. Reabsorption of bicarbonate
24. A 3-year-old child is admitted to the emergency department
with severe headache, high fever, mal- aise, and confusion.
Radiographic and physical ex-aminations reveal that the patient
suffers from men- ingitis. A lumbar puncture is ordered. Which
vertebral level is the most appropriate location for the lumbar
puncture?
A. T12-L1
B. L1-2
C. L2-3
D. L4-5
E. L5-S1

25. Which of the following is most useful in determining whether

penicillin,cephalospprin will be effective in killing strep aureus,H.
influenza and N. gonorhhoea
A-?Schmichter
B-Quellung
C-Beta lactamase
D-Gram stain
E-Kriby-Beur

26. MRSA (methicillin-resistant Staphylococcus aureus):

A. is more likely to cause deeper infection than ordinary Staphylococcus
aureus strains
B. is transmitted via the air-conditioning system.
C. pulsed field gel electrophoresis is useful in the investigation of
outbreak.
D. is resistant to iodine solution.
E. is sensitive to vancomycin.

27. Which of the following is derived from second pharyngeal arch

A-Anterior digastric muscle
B-Posterior cricoarytenoid muscle
C-Posterior digastric muscle
D-Stylopharyngeus
E.

28. The following substances are used in Gram staining EXCEPT:

a. Iodine.
b. Crystal violet.
c. Alcohol.
d. Safranin.
e. Congo red.

29. Type of epithelial lining of the vocal cord

A-pseudotratified
B-Columnar
C-Simple squamous
D-Cuboidal
E. Statified squamous

30. Most important cell of innate immunity

A-Lymphocutes
B-Neutrophils

31. A 3-year-old male child is admitted to the pedi-atric clinic.

Diagnosis reveals that the intermediate portion of the processus
vaginalis is not obliterated. Which of the following conditions will
most likely result from this?
A. Hypospadias
B. Sterility
C. Congenital hydrocele
D. Ectopic testis
E. Epispadias

32. Internal Capsule is supplied by

A. Medial striae artery
B. Lateral stiae artery
C. Recurrent branch of ACA
D. Posterior choroidal artery
E. MCA

33. The blood and the brain ependyma are separated by

A. Leaky ependymal
B. Tight ependymal
C. Capillary endothelium
D. Neuronal membrane
E. Fenestrated endothelium

34. Cerebellum is distinguished by

A. Six layers
B. Stellate cells
C. Purkinje cells separating 2 evident layers
D. Pyramidal cells E-Glial cells

35. A 3-day-old male newborn has difficulties in breathing. A CT

scan of his chest and abdomen reveals the absence of the central
tendon of the diaphragm. Which of the following structures failed to
develop properly?
A. Pleuroperitoneal folds
B. Pleuropericardial folds
C. Septum transversum
D. Cervical myotomes
E. Dorsal mesentery of the esophagus

36. A 4-month-old infant is admitted to the pediatric clinic because

urine can be observed passing through an opening on the dorsum of
the penis. Which of the following embryologic structures failed to
fuse?
A. Spongy urethra
B. Labioscrotal folds
C. Cloacal membrane
D. Urogenital folds
E. Genital tubercle

37. The following are branches of radial nerve except

A. Posterior cutaneousnerve of arm
B. Posterior cutaneous nerve of forearm
C. Superior lateral cutaneous nerve of arm
D. Inferior lateral cutaneous nerve of arm
E. Posterior interosseous nerve

38. Administration of atropine causes all of the following except

A-contraction of lower oesophageal sphincter
B-Bronchodilation
C-Decreased intestinal motility
D-Relaxation of ciliary muscle
E-Relaxation of detrusor muscle
Haliru Ladan: Kekule:

39. Which of the following substances will elicit the sensation of sour
taste?
A) Aldehydes
B) Alkaloids
C) Amino acids
D) Hydrogen ions
E) Ketones

40. Swallowing is a complex process that involves signaling between

the pharynx and swallowing center in the brain stem. Which
structure is critical for determining wheather a bolus of food is
small enough to be swallowed?
A) Epiglottis
B. Larynx
C. Palatopharyngeal folds
D. Soft palate
E. Upper esophageal sphincter
Charles Ekpenyong:

41. A 43-year-old man eats a meal consisting of 40 percent protein,

10 percent fat, and 50 percent carbohydrate. T hirty minutes later
the man feels the urge to defecate. Which reflex results in the urge
to defecate when the duodenum is stretched?
A. Duodenocolic
B. Gastrocolic
C. Intestino-intestinal
D. Rectosphincteric

42. All of the following are potential findings in a patient with ZES
except
A. HCO3-
B. Gastric ulcer
C. Duodenal ulcer
D. Decrease plasma level of gastrin
E. Pancreatic tumour
43. A person with normal lung at sea level (760mmHg) is breathing
50% O2. What is the approximate alveolar PO2
A. 100
B. 159
C. 268
D. 330
E. 380

44. The thalamic nucleus that subserves motor function is

a) Dorsomedial nucleus
B) Lateral geniculate nucleus
C) Medial geniculate nucleus
D) Ventral lateral nucleus
E)

45. A 25-year-old sustains à deep stab wound in the right 5th

intercostal space, midclavicular line, what part of the lung is
affected
A) the lower lobe
B) the lingula
C) the middle lobe
D) the apex
E) the lower lobe

46. Damage to the tibial nerve in the popliteal fossa would not affect
the following except
A) standing on the heel
B) achilles reflex
C) inversion of the foot
D) flexion of the knee
E) knee reflex
47. At the end of inhalation, with an open glottis, the pleural
pressure is
A. Greater then atmospheric pressure
B. Equal to atmospheric pressure
C. Less than alveolar pressure
D. Equal to alveolar pressure
E. Greater than alveolar pressure

48. A man inspires 1000ml from a spirometer. The interpleural

pressure was -4cm of water before inspiration and -12 cm at the end
of inspiration. What is the lung compliance?
A. 50 ml/ cm of water
B. 100
C. 125
D. 150
E. 250

49. Anencephaly is the result of a defect in which of the following?

(A) closure of the caudal neuropore
(B) closure of the rostral neuropore
(C) formation of the first branchial arch
(D) formation of the somites
(E) fusion of the metopon

50. An elderly resident of a nursing home fell down the front steps
and subsequently became disoriented and lethargic. He is brought
to the emergency room where an emergency MRI reveals that he
has developed hydrocephalus due to a small hemorrhage
obstructing the foramina of Monro. The foramina of Monro allow
for communication between which of the following?
(A) fourth ventricle and cerebral aqueduct
(B) fourth ventricle and subarachnoid space
(C) lateral ventricles and third ventricle
(D) third ventricle and cerebral aqueduct
(E) third ventricle and fourth ventricle

51. Which of the following dural venous sinuses is associated with

the falx cerebri?
A. cavernous sinus
B. inferior petrosal sinus
C. sigmoid sinus
D. superior sagittal sinus
E. transverse sinus

52. Eating a meal leads to a large increase in gastric acid secretion

that peaks within about 5 mins and returns to normal about 4 hrs
after a meal is taken. How long after a meal does the pH of the
gastric contents reach its lowest level ( in hours)?
A) 1.0
B) 1.5
C)2.0
D)2.5
E) 3.0
F) 4.0

53. Knife stabbed at right 5th ics at McL damaged

A-Superior lobe
B-Lingula
C-right inferior lobe
D-Middle lobe
E-

54. An 81 year old man who contracted syphilis while serving in

WW2 is now found to have saccular aneurysm of the thoracic aorta.
The pathogenesis of aortic aneurysm as a complication of tertiary
syphilis involve
A. End arteritis obliterans of the vasa- vasorum with subsequent mural
ischaemia
B. Hypersensitivity reaction with multinucleated giant cells and mural
fibrinoid necrosis
C. Immune complex formation and complement activation
D. Intimal fibroplasia and lipid deposition
E. Medial cystic necrosis

55. A premature female infant is born about 24 weeks after

fertilization and develops rapid, labored breathing shortly after
birth. She is immediately transferred to intensive care where she is
diagnosed with hyaline membrane disease (HMD). Which of the
following is most likely deficient in the infant?
(A) alveolar ducts
(B) lung surfactant
(C) terminal saccules
(D) type I alveolar cells
(E) type II alveolar cells
56. Which of the following is characterized by an absence of
lymphoid follicles and germinal centers?
A. axillary lymph node
B. Peyer s patches
C. pharyngeal tonsil
D. spleen
E. thymus

57. Erosion of posterior wall of duodenum

A. Anterior superior pancreaticoduodenal artery
B. Gastroduodenal artery
C. Common hepatic artery
D. Proper hepatic artery

58. The abdominal aorta provides for the major blood supply in this
region and its branches are organized into paired or unpaired and
visceral or parietal branches. Which of the following are paired
visceral branches of the abdominal aorta?
A. celiac trunk
B. gonadal arteries
C. inferior phrenic arteries
D. lumbar arteries
E. superior mesenteric artery

59.Neurotransmitters released from neurons of sympathetic

nervous system stimulate cells of adrenal medulla are
A. Epinephrine
B. Norepinephrine
C. Dopamine
D. Glutamate
E. Ach

60. During surgical resection of the gastrointestinal tract for

treatment of long-standing irritable bowel syndrome, a surgery
resident is asked to select a surgical site coinciding with the
termination of the vagal innervation. Which of the following does
she select?
(A) duodenojejunal junction
(B) ileocolic junction
(C) junction of the second part and third part of the duodenum
(D) left colic (splenic) flexure
(E) right colic (hepatic) flexure

61. What segment of GIT affected by failure of return of caudal

part of primary midgut
A. 4th part of doudenum
B. Ascending colon
C. Stomach

62. Primary site of fetal hemopeoisis are

A.bonemarrow
B.liver
C.spleen
D.thymus
E.yolksac
63. Which of the following thalamic nuclei subserves a motor
function?
(A) dorsomedial nucleus
(B) lateral geniculate nucleus
(C) medical geniculate nucleus
(D) ventral lateral nucleus
(E) ventral posterior medial nucleus

64. Which of the following is not antigen presenting cells

A. Dendritic cell
B. Neutrophils
C.
65. Which of the following is not a cell of chronic inflammation
A. Epithelial cell
B. Basophils
C. Macrophages
D. Mast cell
E. Epitheloid cell.

66. The sensory innervation of the posterior onethird of the tongue

is performed by cranial nerve IX (glossopharyngeal). During
development, this region of the tongue develops from which of the
following pharyngeal arches?

A. first
B. fourth
C. second
D. sixth
E. third

67. Substances that elicit sensation of sour taste are

A.aldehydes
B.alkaloids
C.aminoacids
D.hydrogen ion
E.potassium

68. The epithelium covering the vocal cords is which of the following?
(A) pseudostratified ciliated
(B) simple columnar
(C) simple cuboidal
(D) simple squamous
(E) stratified squamous

69. Squamous cell carcinoma is seen in except

A. Larynx
B. Oesophagus
C. Lungs

70. After recovery from the surgical removal of the thyroid gland,
the quality of the voice in a patient changed to a monotone. It was
discovered that the cricothyroid muscle in this patient was
paralyzed. The cricothyroid muscle is innervated by which of the
following?
(A) accessory nerve
(B) ansa cervicalis
(C) external laryngeal nerve
(D) hypoglossal nerve
(E) internal laryngeal nerve
71. Brain area that modulate sensation of pain are
A. Amygdala
B. Locus cereleus
C. Nucleus ambigus
D. Periaquiductal grey matter

72. Endocrine that av higher risk of metastasis is

A. Thyroid
B. Adrenal
C. Pancreas
D. Pituitary

73. Fibres supplying adrenal medulla are a.sympathetic cholinergic

B. Adrenergic

74. Disorder present late, associate with structural protein is

A. Autosomal dominant
B. Autosomal recessive
C. X linked

75. The following mediates inhibition of G cell secretion in response

to gastric juice
A. Gastrin
B. CCK
C. Secretin
D. GIP
E. Somatostatin

76. Which of the following presentation most likely represent

neoplastic process
A) solitary coin lesion in the lung
B) cold nodule in the lungs
C) midline cystic mass in the neck
D) mass in the right ovary of a 23yr old female
E) non tender mass in the parotid

77. Figure ....... shows the change in the membrane potential of a

postsynaptic neuron caused by addition, at the arrow, of a
neurotransmitter. The resting membrane potential of this cell is - 80
mV. Relevant equilibrium potentials for Ca2+, Na+, Mg2+, Cl , and
K+ are, respectively, +120 mV, +60 mV, 0 mV, 80 mV, and 90 mV.
This neurotransmitter likely increases the conductance of which of the
following ions?

(A) Ca2+
(B) Cl
(C) K+
(D) Mg2+
(E) Na+

78. Disorder presenting early in life associated with, enzymatic

dysfunction n in homozygous form is
a. Autosomal dominant
B. Autosomal recessive
C. X linked

79. Pudendal nerve block uses which structure as a landmark?

A. Ischial tuberosity
B. Ischial spine
C. Pubic tubercle
D. Posterior superior Iliac spine
E. Ischial ramus

80. A 52-year-old man has a history of anginal pain that until

recently was responsive to nitrates. He is now evaluated for possible
angioplasty. The graph in Figure below shows the ECG of this
patient. Blood flow across the mitral valve is largest around which
indicated point in this ECG tracing?

(A) A
(B) B
(C) C
(D) D
(E) E

81. Bleeding time is increased in all except

A) aspirin ingestion
B) DIC
C) thrombocytopenia
D) vit c deficiency
E) malignancy

82. The Achilles tendon is inserted in which bone:

A. Calcenius
B. Talus
C. Navicular
D. Cuboid
E. Medial cuneiform

83. Which of the following medication of inflammation is derived

from cells
A) complement
B) kinin
C) fibrinogen
D) cytokines
E) clothing factors

84. Progesteron will cause all following exept

1.thicking of v. Mucus
2uterine glandular secretion

85.It is known that stretch receptors contained in the walls of the

atria convey nerve impulses to the brainstem via the vagus nerve.
Under normal conditions, these nerve impulses are most likely to
occur during ventricular systole. What information is
communicated to the brain by these nerve impulses?
(A) arterial muscle contraction
(B) diastolic arterial pressure
(C) filling of the atrium by venous pressure
(D) filling of the ventricle
(E) systolic arterial pressure

86. It is known that stretch receptors contained in the walls of the

atria convey nerve impulses to the brainstem via the vagus nerve.
Under normal conditions, these nerve impulses are most likely to
occur during ventricular systole. What information is
communicated to the brain by these nerve impulses?
(A) arterial muscle contraction
(B) diastolic arterial pressure
(C) filling of the atrium by venous pressure
(D) filling of the ventricle
(E) systolic arterial pressure

87. A59-year-old Caucasian female is self-donating blood in

preparation for a hip replacement surgery in the near future.
Shortly after her third session of donating a unit (pint) of whole
blood, her mean arterial pressure remains unchanged, even though
the venous return of blood to her heart is diminished. Which of the
following is the most likely reason for the preservation of arterial
pressure?
(A) cardiac output rises to compensate for the reduced venous return
(B) end-diastolic ventricular filling pressure rises during hemorrhage
(C) fall in venous return is offset by an increase in total peripheral
resistance
(D) heart rate rises to compensate for a reduced venous return
(E) venous return and blood pressure are unrelated

88. Leukotrienes have been implicated in several disease entities,

including allergic asthma, where they are presumed to mediate
bronchoconstriction. Introducing leukotrienes into an airway would
be expected to cause which of the following responses?
(A) decreased airway resistance
(B) decreased dead space volume
(C) increased functional residual capacity (FRC)
(D) increased lung compliance
(E) increased total lung capacity

89. A patient presents with long-standing emphysema. Which of the

following would you expect to see in this individual?
(A) decreased physiological dead space
(B) increased FEV1/FVC
(C) increased FRC
(D) increased FVC
(E) increased lung elastic recoil
90. Which of the following have the same pathologic processes
A.Rheumatic fever
B.toxic shock syndrome
C.scarlet fever
D.

91. Which of the following is an adaptive response to moving from

sea level to higher elevation?
(A) bronchial relaxation
(B) decreased cardiac output
(C) decreased circulating levels of EPO
(D) decreased levels of 2,3-diphosphoglycerate (2,3-DPG) in
erythrocytes
(E) hyperventilation

92. Which of the following statements concerning skeletal muscle is

correct?
(A) active tension depends on the extent of overlap between thick and
thin filaments
(B) during contraction, thin filaments shorten and thick filaments
maintain constant length
(C) significant passive tension is generated at normal rest fiber length
(D) tension generation depends on myosin attachment to the z line
(E) velocity of shortening is independent of fiber load

93. A 30-year-old male seeks help because he lost weight and feels
full after eating only a small amount of food. He is diagnosed with a
delay in gastric emptying. Which of the following hormones has at
physiological levels the strongest effect in inhibiting gastric
emptying?
(A) cholecystokinin
(B) gastrin
(C) glucose-dependent insulinotropic peptide
(D) motilin
(E) pancreatic polypeptide
94. One of the following is wrongly paired
A. Anal Cancer - HIV
B. Hepatocellular Cancer - Hepatitis B and C
C. Nasopharyngeal Cancer - EBV
D. Adult T cell leukemia - human T cell leukemia virus type 1
E. Cervical CA - HPV 16, 18, 31

95. A patient presented with an acute abdomen including fever,

marked abdominal distension, acidosis, and leukocytosis.
Laparoscopy revealed that large parts of the small intestine were
necrotic and as a consequence, the entire ileum of the patient was
resected. It is expected that very soon after the surgery the patient
will have considerable problems resulting from the malabsorption
of which of the following?
(A) iron
(B) bile acids
(C) sodium
(D) vitamin B12
(E) protein

96. During development, the arytenoids cartilages arise from which

of the following?
(A) first pharyngeal arch
(B) second pharyngeal arch
(C) third pharyngeal arch
(D) fifth pharyngeal arch
(E) sixth pharyngeal arch
97. A newborn infant suffers from cyanotic heart disease caused by
transposition of the great arteries (TGA). In this situation, the aorta
arises from which of the following structures?
(A) ductus arteriosus
(B) left atrium
(C) left ventricle
(D) right atrium
(E) right ventricle

98. About 75% of the blood supply of the spinal cord is derived
from the anterior spinal artery. This artery arises from which of the
following?
(A) artery of Adamkiewicz
(B) basilar artery
(C) internal carotid artery
(D) posterior inferior cerebellar artery
(E) vertebral artery

99. In the brain, the amygdala plays an important role in emotional

processing. Patients with lesion of the amygdala display impairment
in enhanced perception of emotionally salient events. Which of the
following is a major output pathway from the amygdala?
(A) fasciculus arcuatus
(B) fasciculus cuneatus
(C) fasciculus of Vicq d Azyr
(D) fornix
(E) stria terminalis

100. An infant is born anencephalic. He presents without both a

forebrain and a cerebrum. The remaining brain tissue is exposed,
not covered by bone or skin. The infant is blind, deaf, unconscious,
and unable to feel pain. Because the infant has a rudimentary
brainstem, reflex
actions such as respiration (breathing) and responses to sound or
touch occur. However, the lack of a functioning cerebrum
permanently rules out the possibility of ever gaining consciousness.
Anencephaly is the result of a defect in which of the following?
(A) closure of the caudal neuropore
(B) closure of the rostral neuropore
(C) formation of the first branchial arch
(D) formation of the somites
(E) fusion of the metopon

101. During a direct inguinal hernia repair operation, the attending

surgeon reminds the first year surgical resident that an anatomical
variation for the origin of the obturator artery exists. This artery
normally arises from the internal iliac artery but it may also
originate directly from which of the following vessels?
(A) common iliac artery
(B) external iliac artery
(C) inferior epigastric artery
(D) inferior vesical artery
(E) superior vesical artery
102. The foramina of Monro allow for communication between
which of the
following?
(A) fourth ventricle and cerebral aqueduct
(B) fourth ventricle and subarachnoid space
(C) lateral ventricles and third ventricle
(D) third ventricle and cerebral aqueduct
(E) third ventricle and fourth ventricle

103. Which of the following dural venous sinuses is associated with

the falx cerebri?
(A) cavernous sinus
(B) inferior petrosal sinus
(C) sigmoid sinus
(D) superior sagittal sinus
(E) transverse sinus

104. A premature female infant is born about 24 weeks after

fertilization and develops rapid, labored breathing shortly after
birth. She is immediately transferred to intensive care where she is
diagnosed with hyaline membrane disease (HMD). Which of the
following is most likely deficient in the infant?
(A) alveolar ducts
(B) lung surfactant
(C) terminal saccules
(D) type I alveolar cells
(E) type II alveolar cells

105. Which of the following is characterized by an absence of

lymphoid follicles and germinal centers?
(A) axillary lymph node
(B) Peyer s patches
(C) pharyngeal tonsil
(D) spleen
(E) thymus

106. The pneumotaxic center and apneustic centers of the brain are
located in which of the following?
(A) diencephalon
(B) midbrain
(C) pons
(D) spinal cord
(E) telencephalon

107. The abdominal aorta provides for the major blood supply in
this region and its branches are organized into paired or unpaired
and visceral or parietal branches. Which of the following are paired
visceral branches of the abdominal aorta?
(A) celiac trunk
(B) gonadal arteries
(C) inferior phrenic arteries
(D) lumbar arteries
(E) superior mesenteric artery

108. An opera singer, who has maintained a demanding work

schedule, worries about the effect on her vocal cords. The
epithelium covering the vocal cords is which of the following?
(A) pseudostratified ciliated
(B) simple columnar
(C) simple cuboidal
(D) simple squamous
(E) stratified squamous

109. Amygdala is concerned with emotional. Which of the following

is main output from the amygdala
A. Fasculus cuneatus
B. Fasiculus arcuatus
C. ?Fasciculus Vicq d'azr
D. Stria terminalis
E. Fornix

110. The levels of alpa fetoprotein and beta human chorionic

gonadotropin or both are likely to be increase in presence of which
cancer
A) lung ca
B) testicular cancer
C) Liver cancer
D) Colon cancer
E) Ovarian ca

111. The cerebellum is ?distinguish by

A) six layer
B) satellite cells
C) pyramidal cells
D) Purkinje cells btw two evident layers
E) a distinctive staining white matter with evident ? glial cells

112. Which of the following thalamic nuclei subserve motor function

A) dorsal nucleus
B) lateral geniculate nucleus
C) medial geniculate nucleus
D) ventral lateral nucleus
E) ventral posterior nucleus

113. The hamstring muscles

A) muscle of same fibres
B) are inserted on the patella
C) are extensor of the knee joint
D) have a common origin and insertion
E) belong to the posterior compartment

114. One of this is a lateral rotator of the thigh

A) peroneus longus
B) bicep fermoris
C) abductor longus
D) gluteus maximus
E) sartorius

115. Which of the following is a derivative of the 1st pharyngeal

arch
A posterior diagastric
B anterior Diagastric
C
D
E

116. Which of the following is a derivative of the 2nd pharyngeal

arch
A anterior Diagastric
B posterior diagastric
C
D
E

117. By ?definition granuloma has

A epitheloid cells
B Epithelial cell
C macrophages
D
E

118. A 67-year-old retiree was employed for many years in the

plastics industry where he was exposed to vinyl chloride. This
industrial exposure has increased his likelihood of developing which
of the following?
(A) focal nodular hyperplasia
(B) hepatic adenoma
(C) hepatic angiosarcoma
(D) hepatic fibroma
(E) hepatocellular carcinoma

119. A63-year-old woman has a routine chest x-ray that reveals a

suspicious subpleural lesion. The lesion is resected and sectioned,
and reveals all (choices A through F) of the following microscopic
findings. Which of these findings would most strongly indicate that
the lesion is a malignant neoplasm?
(A) hyperchromatism
(B) increased nuclear/cytoplasmic ratio
(C) invasion
(D) mitoses
(E) necrosis
(F) pleomorphism

120. A 71-year-old man was diagnosed with prostate cancer

approximately 1 year ago. At that time he weighed 182 lbs (with a
height of 75 in). He has progressively lost weight since then and is
now found to weigh 148 lbs. Although he reports a moderate loss of
appetite, it does not correlate with his total weight loss. Which of the
following mediators is most likely contributing to this patient s
decrease in weight?
(A) C-reactive protein
(B) vomplement 3a protein
(C) interleukin-2
(D) parathyroid hormone-related protein
(E) tumor necrosis factor

121. Which of the following hormones has at physiological levels the

strongest effect in inhibiting gastric emptying?
(A) cholecystokinin
(B) gastrin
(C) glucose-dependent insulinotropic peptide
(D) motilin
(E) pancreatic polypeptide

122. Apatient presents with long-standing emphysema. Which of the

following would you expect to see in this individual?
(A) decreased physiological dead space
(B) increased FEV1/FVC
(C) increased FRC
(D) increased FVC
(E) increased lung elastic recoil

123. Apatient on intensive care is ventilated with a frequency of 12

per minute and a tidal volume of 0.6 L. His arterial pH increases to
>7.5. What is the most reasonable action to correct this respiratory
alkalosis?
(A) decrease dead space
(B) decrease tidal volume
(C) increase minute ventilation
(D) increase oxygen fraction
(E) use positive end-expiratory pressure (PEEP)

124. Worldwide, one of the most common parasitic infections is

schistosomiasis. Assume a complete blood cell count is performed in
a patient with this condition. Which of the following blood cells
would most likely be present in elevated amounts?
(A) eosinophils
(B) erythrocytes
(C) monocytes
(D) neutrophils
(E) platelets

125. Which of the following passes through the aortic opening

A descending aorta
B
C
D
E

126. Which structure passes thru the esophageal opening

A left vagus
B right vagus
C lymphatic
D
E

127. Which of the following statements concerning skeletal muscle is

correct?
(A) active tension depends on the extent of overlap between thick and
thin filaments
(B) during contraction, thin filaments shorten and thick filaments
maintain constant length
(C) significant passive tension is generated at normal rest fiber length
(D) tension generation depends on myosin attachment to the z line
(E) velocity of shortening is independent of fiber load

128. V-ancs is a ?suppressor gene seen in

A. Gram -ve and Gram +ve bacteria
B. Fungi
C

129. An advertisement promotes energy bars containing fructose as

an ideal food to take on extreme mountain-climbing expeditions.
Which of the following statements concerning fructose absorption is
true?
(A) absorption of fructose into an intestinal epithelial cell is by
facilitated transport and thus does not require energy
(B) metabolism of fructose generates more energy than glucose
(C) some fructose is already absorbed in the mouth and hence is the
fastest way to get energy
(D) the presence of fructose aids in absorption of vitamin A, C, and D
(E) the presence of fructose inhibits reabsorption of glucose, which is
then more readily available for muscle activity

130. Which of the following is an adaptive response to moving from

sea level to higher elevation?
(A) bronchial relaxation
(B) decreased cardiac output
(C) decreased circulating levels of EPO
(D) decreased levels of 2,3-diphosphoglycerate (2,3-DPG) in
erythrocytes
(E) hyperventilation

Eniafe:
131. Which of the following is INCORRECTLY matched
A. Sis--- epidermal growth
B. Ras- inhibition of DNA synthesis
C. Abl--- non-receptor activation of tyrosine kinase
D.
E.

132. Commonest benign tumor in women is found in which organ

A. Vagina
B. Uterus
C. Cervix.
D
E.

133. Which of the following substances will elicit the sensation of

sour taste?
A) Aldehydes
B) Alkaloids
C) Amino acids
D) Hydrogen ions
E) Ketones

134. Which structure is derived from the same embryonic

primordium as the kidney?
(A) Gonad
(B) Epidermis
(C) Pineal gland
(D) Liver
(E) Adrenal medulla

135. Which structure is derived from the same embryonic

primordia as the spinal (posterior root) ganglia?
(A) Adrenal medulla
(B) Kidney
(C) Liver
(D) Lungs
(E) Vertebrae

136. Your diagnosis is golfer s elbow, affecting mostly the

superficial flexor muscles of the forearm. This group of muscles has
a common origin from which of the following bony landmarks?
(A) head of the radius.
(B) lateral epicondyle of the humerus
(C) medial epicondyle of the humerus
(D) olecranon process of the ulna
(E) tuberosity of the radius
137. Pudendal nerve block anaesthesizes the following except
A. Uterus
B. Posterior vaginal wall
C. Clitoris
D. Posterior labial major
E.

138. A patient presented with an acute abdomen including fever,

marked abdominal distension, acidosis, and leukocytosis.
Laparoscopy revealed that large parts of the small intestine were
necrotic and as a consequence, the entire ileum of the patient was
resected. It is expected that very soon after the surgery the patient
will have considerable problems resulting from the malabsorption
of which of the following?
(A) iron
(B) bile acids
(C) sodium
(D) vitamin B12
(E) protein

139. Which of the following best describes ischiorectal fossa

A. Contains fat that can become infected
B. Lies between obturator externus and rectum
C. Lies between puborectalis and ........
D

139. year old man falls onto an outstretched hand. Following the
accident he is examined in the emergency department.On palpating
his anatomical snuffbox there is tenderness noted in the base. What
is the most likely injury in thisscenario?
A. Rupture of the tendon of flexor pollicis
B. Scaphoid fracture
C. Distal radius fracture
D. Rupture of flexor carpi ulnaris tendon
E. None of the above

140. Which of the following back muscles is innervated by dorsal

rami?
(A) latissimus dorsi
(B) levator scapulae
(C) rhomboid major
(D) rhomboid minor
(E) longissimus

141. An elderly resident of a nursing home fell down the front steps
and subsequently became disoriented and lethargic. He is brought
to the emergency room where an emergency MRI reveals that he
has developed hydrocephalus due to a small hemorrhage
obstructing the foramina of Monro. The foramina of Monro allow
for communication between which of the following?
(A) fourth ventricle and cerebral aqueduct (B) fourth ventricle and
subarachnoid space
(C) lateral ventricles and third ventricle
(D) third ventricle and cerebral aqueduct
(E) third ventricle and fourth ventricle
141. The parasympathetic innervation of the testis includes which of
the following nerves?
(A) pelvic splanchnic
(B) vagus
(C) iliohypogastric
(D) ilioinguinal
(E) pudendal

142. Which of the following is a deformity rather than a

malformation?
A-Hypospadias
B-VSD
C-Club foot
D-Porter's Syndrome
E-Open neural tube defect

143. A medical student has been immunized with hepatitis B virus

(HBV) recombinant vaccine. The curve in Figure ...... represents the
production of protective antibodies to the viral component present
in the recombinant vaccine. Which of the following is the known
viral component of the HBV vaccine?

(A) nucleocapsid proteins of HBV

(B) RNA genome of HBV
(C) viral core antigen (HBcAg)
(D) viral e antigen (HBeAg)
(E) viral surface antigen (HBsAg)
144. A failure of the truncoconal septum to follow a spiral ..ff
conditions?

a. common atrium
b. persistent atrioventricular canal
c. persistent truncus arteriosus
d. tetralogy of fallot
e. transposition of the great vessels

145. Which of the following is anterior to the thoracic trachea?

A. Brachiocephalic trunk
B. common carotid
C.??

146. Which nerve carries the efferent limb of the cremasteric reflex
A. Iliohypogastric
B. Ilioinguinal
C. Genitofemoral
D. Femoral
E. Obturator

147. A px with schistosomiasis. Assume a complete blood cell count

is performed in a patient with this condition. Which of the following
blood cells would most likely be present in elevated amounts?
(A) eosinophils
(B) erythrocytes
(C) monocytes
(D) neutrophils
(E) platelets

148. Which of the following cell types is most important in

innate(natural) immunity
a)T . lymphocyte
b)B-lymphocyte
c)neutrophile
d)plasmacytes
e)mast cells

149. The two medial umbilical folds represent remnants of which of

the following structures?
(A) urachus
(B) umbilical arterie
(C) umbilical veins
(D) ductus venosus
(E) ductus arteriosus

150. A 7yr old boy with down syndrome underwent surgery to

repair a congenital ventricular septal defect. During the procedure,
iartrogenic injury to the coronary artery supplying the conduction
system of the heart, including the SA&AV nodes occurred
resulting in a heart block. What artery was most likely damaged
by the surgeon?
a. anterior interventricular
b. left marginal
c. left coronary
d. right coronary
e. circumflex branch

151. Following the consumption of fish at a local restaurant, a 17-

year-old girl suddenly experiences severe dyspnea. Upon arrival at
the local emergency room she is found to be severely hypotensive
and in respiratory distress. Urticarial wheals are also noted all over
her body. As the resident physician you quickly realize this to be a
hypersensitivity reaction. To which of the following
immunoglobulins does the allergen bind rapidly during the
activation stage of mast cells?
(A) IgA
(B) IgD
(C) IgE
(D) IgG
(E) IgM

152. A 55-year-old woman develops a hiatal hernia in which the

fundus of the stomach protrudes through the esophageal hiatus of
the diaphragm into the thorax. Which of the following structures
is/are at greatest risk of injury during surgical repair of this hernia?
(A) Thoracic duct
(B) Azygos vein
(C) Vagus nerves
(D) Sympathetic chains
(E) Superior epigastric vessels
153. In the adult, the most important direct vascular source to the
femoral head and neck is which of the following?
(A) artery to the head of the femur
(B) femoral artery
(C) lateral circumflex femoral artery
(D) medial circumflex femoral artery
(E) superior gluteal artery

154. Constipation is a predictable consequence for which of the

following?
(A) a balanced fiber diet
(B) a decreased activity of the external anal sphincter
(C) patients with Zollinger-Ellison syndrome
(D) stopping the chronic use of laxatives
(E) when taking antibiotics

155. A 23-year-old jockey falls from her horse and complains of

headache, backache, and weakness. Radiologic examination would
reveal blood in which of the following spaces if the internal
vertebral venous plexus was ruptured?
(A) Space deep to the pia mater
(B) Space between the arachnoid and dura maters
(C) Subdural space
(D) Epidural space
(E) Subarachnoid space

156. Which of the following statements concerning the apex as

opposed to the base of the upright human lung is correct?
(A) alveoli are less compliant at the apex than at the base
(B) blood perfusion is higher at the apex than at the base
(C) on average, alveoli at the apex are smaller than alveoli at the base
(D) the ventilation/perfusion ratio is lower at the apex than at the base
(E) ventilation is higher at the apex than at the base

157. Irrigation of the seated patient s right ear with warm water
should produce which of the following?
(A) fast conjugate horizontal eye movement to the left
(B) no horizontal eye movements
(C) slow conjugate horizontal eye movement to the left
(D) slow conjugate horizontal eye movement to the right
(E) slow horizontal movement of right eye and fast movement of left
eye

158. In lung cancer , metastasis is least likely to which of the

following lymph nodes
A. Axillary node
B. Right Tracheobroncial node
C. Bronchomediastinal node
D. Left tracheobronchial node
E.??

159. Neuronal cell bodies innervating the chromaffin cells of the

suprarenal (adrenal) gland may be found in which of the following
locations?
(A) celiac ganglia
(B) dorsal motor nucleus of the vagus
(C) lateral horn of the thoracic spinal cord
(D) nucleus ambiguus
(E) nucleus of the solitary tract

160. A 20-year-old male patient displays bitemporal hemianopia. A

magnetic resonance scan reveals a developing tumor severely
compressing the visual pathway. Where is the most likely location of
the compression?
(A) left optic nerve
(B) left optic tract
(C) optic chiasma
(D) right optic nerve
(E) right optic tract

161. A postoperative patient with a febrile episode is carefully

monitored. Temperatures measured are rectal and given in degrees
centigrade in Figure .... At which point or period does the patient
begin to behave as if in a hot environment (sweats and complains of
burning up )?
(A) period A
(B) point B
(C) point C
(D) period D
(E) point E

162. A patient is diagnosed with problems in emptying the

gallbladder. On a blood check-up, one hormone/peptide that is
known to stimulate gallbladder contraction is inappropriately low.
Which is the most likely one to cause the symptoms?
(A) cholecystokinin
(B) estrogen
(C) pancreatic polypeptide
(D) somatostatin
(E) vasoactive intestinal peptide

163. A 67-year-old retiree was employed for many years in the

plastics industry where he was exposed to vinyl chloride. This
industrial exposure has increased his likelihood of developing which
of the following?
(A) focal nodular hyperplasia
(B) hepatic adenoma
(C) hepatic angiosarcoma
(D) hepatic fibroma
(E) hepatocellular carcinoma

164. )The primary site of hematopoiesis changes location during

development. In the fetus, by the eighth month of intrauterine life,
the primary site of hematopoiesis is in which of the following
locations?
(A) bone marrow
(B) liver
(C) spleen
(D) thymus
(E) yolk sac
165. Spinal arteries supplying the vertebrae are branches of the
(A) vertebral and ascending cervical arteries in the neck
(B) posterior intercostal arteries in the lumbar region
(C) subcostal and lumbar arteries in the pelvis
(D) iliolumbar and lateral and medial sacral arteries in the thorax
(E) aorta

166.Which of these findings would most strongly indicate that a

lesion is a malignant neoplasm?
(A) hyperchromatism
(B) increased nuclear/cytoplasmic ratio
(C) invasion
(D) mitoses
(E) necrosis
(F) pleomorphism

167. What's the FVC

A) 2000ml
B) 4000ml
C) 1000ml

168. What's the FEV1

A) 5000ml
B) 4000ml
C) 3000ml
D) Cannot be measured

169. What's the residual volume

A) 3000ml
B) 2000ml
C) 1000ml
D

170. Medial meniscus is attached to

A) ACL
B) PCL
C) Fibular collateral ligament
D) Medial collateral ligamen

171. The parasympathetic innervation of the testis includes which of

the following nerves?
(A) pelvic splanchnic
(B) vagus
(C) iliohypogastric
(D) ilioinguinal
(E) pudendal

172. Apneustic and pneumostic repiratory centers are found in

A) midbrain
B) pons
C) cerebellum
D

173. A student after sitting for long developed pains at the back of
the thigh which disappeared after standing up for a while. What's
the cause of the pain?
A) Ischial spine
B) Ischial tuberosity
C)

174. Pudendal nerve supplied the following except

A) labia majora
B) uterus
C) lower end of the vagina
D) Skin of the penis
E)

175. Which of the following rotate the hip laterally

A) sartorius
B) Gluteus maximus
C) Biceps femoris
D

176. The ureters lie on the anterior surface of which of the following
vessels?
A. Gonadal
B. Inferior mesenteric
C. Internal iliac
D. External iliac
E??

177. Fertilization of the ovum takes place in the

A) ovary
B) ampulla of the fallopian tube
C) Fimbrae

178. The main support of the hip joint in childhood

A) ligament of the head of femur
B) Iliofemoral ligament
C) Ischiofemoral ligament
D) Pubofemoral ligament
E) transverse acetabular ligament

179. Patellar reflex

A) L2 - L4
B) L4 - S1
C) S1 - S3
D
E

180. Cartilages are replaced by endochondrial ossification.

Which of the following is site for primary ossification center
A) epiphysis
B) metaphysis
C) diaphysis
D. Epiphyseal plate
E.??

181. Which hormone has the strongest negative......on female sex

drive/libido
A) testosterone
B) progesterone
C) cortisone
D) estrogen
E

182. In sexual act of male and female, the greatest difference is in

A) orgasm
B) resolution
C) climax
D. Plateau
E.??

183. About wound healing in fetus compared to adults

A. Has less hyaluronic acid
B. Has more ground substance
C. Heal without scar
D. Have more collagen type III

184. A woman developed fetal incontinence after a median

episiotomy. What's the damaged structure

A) external anal sphincter

B)
C)

185. Collagen in tendons

A) I
B) II
C) V
D) III
E) IV

186. Blood supply to the proximal part of femur

A) branches from profunda femoris
B) medial circumflex femoral artery
C) lateral circumflex femoral
D
E

187. Which of the following occur in final stage of extension in knee

joint
A) popliteus is stretched
B) femoral condyle....
C. Medial rotation of the the leg
D. Forward movement of the femur on d tibia
E. Slight medial rotation of the knee (? or leg)

189. Landmark in giving pudendal nerve block

A) Ischial spine
B) Ischial tuberosity
C)

190. Gray rami of sympathetic nerve passing through the anterior

ramus does what
A) innervates erector pili
B)
C
191. During spinal tap, your needle will not pass through which of
the following structures
A) Arachnoid mater
B) ligamentum flavum
C) dura mater
D. Interspinous ligament
E. Posterior longitudinal ligament

192. Blood brain barrier is made of

A) fenestrated epithelia
B) tight ependymal
C) Loose ependymal
D

193. Cutaneous supply to the angle of the mandible

A . Great auricular n
B. Greater occipital n
C. Mandibular n
D. Mental n
E. Buccal n

194. A woman whose blood type is A positive and who has always
been healthy just delivered her second child. The father s blood type
is O negative. Because the child s blood type is O negative (O, Rh
negative), what would you expect to find in this child?
A) Erythroblastosis fetalis due to rhesus incompatibility
B) Erythroblastosis fetalis due to ABO blood group incompatibility
C) The child would not be expected to have HDN
D.
E. None of the above

195. Which of the following will determine if the food is small

enough to be swallowed .
A) palatopharyngeal fold
B) upper esophageal sphincter
C) soft palate
D) Epiglottis

196. Which of the following Endocrine glands has the commonest

metastatic spread
A) Thyroid
B) Pituitary
C) Parathyroid
D) Pancreas
E) Adrenal

197. Neurons located in which area release serotonin as their

neurotransmitter?
A) Periaqueductal gray area
B) Interneurons of the spinal cord
C) Periventricular area
D) Nucleus raphe magnus
E

198. Drug that inhibits phosphodiesterase used for treatment of

asthma patient has the following effect
A) relaxation of bronchus via decreased cAMP
B) relaxation of bronchus via increased cAMP
C) constriction of bronchus via increased cAMP
D) constriction of bronchus via decreased cAMP
E)

199. Which system transmits somatosensory information with the

highest degree of temporal and spatial fidelity?
A) Anterolateral system
B) Dorsal column medial lemniscal system
C) Corticospinal system
D) Spinocerebellar system
E

200. There's a question about hyperkinetic and hypokinetic

disorder
A) use dopaminergic agonist for the hyperkinetic and anticholinergic for
the hypokinetic
B)
C)

201. Which of the following neurotransmitters, at the nerve ending

of preganglionic neuron stimulate the adrenal medulla
A) epinephrine
B) norepinephrine
C) acetylcholine
D)
202. Phenylethanolamine N - methyltransferase(PNMT) catalyzes
the production of the following
A) epinephrine
B) norepinephrine
C) dopamine
D)

203. 5 day old child diagnosed with non communicating

hydrocephalus. Which of the following is most likely to lead to such
condition?
A. Obstruction of CSF circulation
B. Excess csf production
C. Increased size of head
D. Disturbance in CSF resorption
E. Failure of neural tube to close

204. Allograft
A) different organism of same species
B) different organism of different species
C) from twins
D.
E.

205. Which of the following events does not occur during the
process of mitosis?
A) Condensation of the chromosomes
B) Replication of the genome
C) Fragmentation of the nuclear envelope
D) Alignment of the chromatids along the equatorial plate
E) Separation of the chromatids into two sets of 46 daughter
chromosomes

206. In comparing two types of cells from the same person, the
variation in the proteins expressed by each cell type reflects which
of the following?
A) Differences in the DNA contained in the nucleus of each cell
B) Differences in the numbers of specific genes in their genomes
C) Cell-specific expression and repression of specific genes
D) Differences in the number of chromosomes in each cell
E) The age of the cells

207. Weight lifting can result in a dramatic increase in skeletal

muscle mass. This increase in muscle mass is primarily attributable
to which of the following?

A) Fusion of sarcomeres between adjacent myofibrils

B) Hypertrophy of individual muscle fibers
C) Increase in skeletal muscle blood supply
D) Increase in the number of motor neurons
E) Increase in the number of neuromuscular junctions

208. Harvesting rectus abdominus muscle and its blood supply

What's the blood supply
A) musculophrenic vessel
B) superior epigastric vessel
C) Inferior epigastric artery
D. superficial epigastric artery
E.

209. Secondary active transport in the proximal tubules is used in

the transport of the following
A) urea
B) glucose
C) amino acids
D)
E.

210. Comparing glomerular capillaries to skeletal muscle capillaries

A) oncotic pressure decreases down the peritubular capillary
B)
C)

211. Vascular permeability during inflammation occur in

A) Capillary
B) Postcapillary venules
C) precapillary arterioles
D

212. Natriuretic peptide will cause the following

A) ?stimulation of renin release
B) will be decreased in left heart failure
C) ?Aldosterone.....
213.Which of the following is true about drugs for Parkinson
s(hypokinesia) and Huntington s (hyperkinesia)
A) dopaminergic agonists alleviate hypokinesia and worsen
hyperkinesia
B) use dopaminergic agonist for hyperkinetic and anticholinergic for
hypokinetic
C. Use of doperminergic agonist alleviates hypokinetic and exacerbate
hyperkinetic activity
D. Use of cholinergic agonist exacerbate hyperkinetic and alleviates
hypokinetic activity
E.? Use of doperminergic agonist alleviates hypokinetic and
hyperkinetic activity

Use these to answer the follow up questions

A) Respiratory Acidosis
B) respiratory alkalosis
C) Metabolic Acidosis
D) Metabolic Alkalosis
E) mixed metabolic alkalosis and respiratory acidosis

214. Bicarbonate = 38, low pH

215. Bicarbonate = 15, elevated pH

216. Which of the following will lead to elevated anion gap

A) vomiting
B) diarrhoea
C) renal tubular acidosis
D)? DM
E. Lactic acidosis

217. Which of the following is True concerning ?sterilization

A) moist heat take longer period than dry heat
B) ethylene oxide gas is used in heat-sensitive materials
C)
C. Boiling for 10 mins

218. Which of the following is True about renal threshold of solutes

A) maximal reabsorption
B) maximum secretion
C) amount at which that solute appears in urine
D)
Eyesha Xanna:
219. A clinical scenario for a child and a diagnosis of TOF. Which of
d following is a component?
A. Left ventricular hypertrophy
B. pulmonary infundibulum ?stenosis
C.?Stenosis of aortic vestibule
D. Hypertrophy of left ventricle

220. MHC type I is expressed on the surface of

A) Helper T-cell
B) macrophages
C) cytotoxic T-cells
D)
221. Common between Bacteriodes fragilis and Clostridium
perfringes
A) Normal flora of the intestine
B: Both are spore forming organisms in the colon.
C: Both produce endotoxins
D: both are implicated in food poisoning

222. Mediate primary immune response, too large to cross the

placenta
A) IgG
B) IgM
C) IgD
D) IgE
E) IgA

223. A man being treated for colonic cancer and was informed
recently that his tumor marker level is raised. Which tumor marker
will that be.
A. Carcinoembryonic antigen
B. CA 15-3
C.? Alpha fetoprotein

224. Full anticoagulation in a patient on warfarin does not occur

during the first 24 hours because:
A. Warfarin is poorly absorbed in the GIT
B. Co-administration of Heparin inhibits Warfarin absorption
C. The previously administered Vit. K dependent factors have different
half lives
D. The liver is still synthesizing functional vitamin K dependent factors
E. The inactivation of epoxide reductase by warfarin is incomplete for at
least 3days

225. A lady was bitten by her dog at the base of the thumb which
became infected and spread to the radial bursa. Which of the
following muscle tendon will be involved in the infection?
A flexor carpi radialis
B flexor pollicis longus
C flexor pollicis brevis
D. Flexor digitorum superficialis
E. Flexor digitorum profundus

226. A question on merging of autosomes and phagolysosomes

A) autophagy

MyPrince
:
227. Leukotriene product effective for chemotaxis and aggregation
of leukocytes
A) LTB4
B) PG E2
C

228. Deficiency of factor IX leads to

A) classic hemophilia
B) thrombocytopenia
C antithrombin 3 deficiency
D liver cirrhosis
229. The following Can increase bleeding time except
A) vitamin C deficiency
B) malignancy
C) hemophilia A
D)Thrombocytopenia
E) Aspirin

230. Use in quiet respiration

A) internal external oblique
B) external internal oblique
C) diaphragm only
D. Diaphragm and abdominal muscles.

231. Right ureter crosses which of the ffg structures at the pelvic
brim a: external iliac artery
B: internal iliac artery
C: inferior mesenteric artery

232. which of the following is the difference between male and

female sexual response cycle
A. Resolution
B. Orgasm
C Anticipation
D. Anticipation
E excitation

233. When the right ear of a sitting lady was syringed with warm
water
A horital bilateral movt of both eye
B movt of right eye
C. Slow movement of the eye to the right
D. Slow movement of the eye to the left
E. Rapid nystagmus?

234. Immediately a man took a meal, his gastric acid secretion rises
to highest in 1 hour and came back to normal in 4 hours. What time
does it take the PH of the stomach to reach it lowest value after
meal in hours?
A. 1.0
B. 1.5
C. 2.0
D. 2.5
E. 4

235. Fracture to medial epicondyle of the humerus will cause injury

to what structure
A.ulnar nerve
B.radial nerve
C.median nerve
D. musculocutaneous

236. In the brain, the amygdala plays an important role in

emotional processing. Patients with lesion of the amygdala display
impairment in enhanced perception of emotionally silent
events.Which of the following is a major output pathway from the
amygdala?
A.fasciculus arcuatus
B.fasciculus cuneatus
C.fasciculus of vicq d'Azyr
D.fornix
E.stria terminalis

237. which of the following is not transported by secondary active

transport in the tubules
A Lactate
B. Ketone
C urea
D amino acids
E. Glucose

238. which of the following is the least important blood buffer

A hemoglobin
B plasma protein
C. Po4/ HPO4
D. Hco3/H2co3

239. which gastrointestinal hormone of PH of hepatic bile

A secretin
B. CCK
C pancreatic polypeptide
D. VIP

240. Which somatosensory pathway has the highest temporal and

spatial fidelity
A. Spinocerellar
B medial lemniscus

241. Characteristics of skeletal and cardiac include the following

except
A. Gap junction
B. Central nuclei
C. Branching fiber
D. Perinuclear ...
E.

242. Compared to the result of an healthy 30 year old man, an 80 yr

old healthy man will have
A similar creatinine clearance
B slightly raised hemoglobin and hematocrit concentration
C. similar partial pressure of oxygen
D. Similar raise alkaline phosphatase
E. Similar lung function

243. Which area of the brain releases serotonin as its

neurotransmitter
A. Periaqueductal gray area
B Acuate

244. The following procedures will reduce the concentration of free

fatty acids and ketones in a pancreatectomised animal
A. Injection of insulin
B. Hypophysectomy
C. adrenalectomy
D adrenal medullectomy
E. Growth hormone

245. A questiion of where vagal nerve ended in the Gi

A right hepatic flexur
B left splenic flexure
C gatroduodenal junction
D. Sigmoid -rectal junction?

246. A patient died after vomitting copious amount of blood, he did

not have access to hospital during postmortem what is the like
artery that was involved
A. Gastrodeudenal
B. Right gastroepipiloid
C.

Hydrostatic pressure = 26mmHg

Plasma oncotic pressure = 10mmHg

Interstitial hydrostatic pressure 4mmHg

Interstitial oncotic pressure =?? 9mmHg

1.?? What's happening in the capillaries

A) reabsorption
B) filtration
C

2. What's the net pressure in the vessel

A) -21mmHg
B) +21mmHg
C)
D)

Thanks to:
ABUTU
KD MOMOH
MYPRINCE
CHARLES E
KIFAYAH
And others
Compiled by: Dr John Alexander O
(Freely you received, freely give.)
NOT FOR SALE