1.

there was a whole stem about patient having bleeding and epigastric pain in last line was mentioned
about circumferential mass around caecum, which tumor is it ?

a. adenocarcinoma b. sarcoma c. cystadenoma

2. stem was about pneumonia patient presented with dysnea and other symptoms one line was on
histopatho you see septal thickening of alveoli no any fluid/serous material was mentioned name the
bacteria causing this?

a. legionella b. mycoplasma pneumoniae c. klebsiella d.strep pneumo

3. patient presented with pneumonia 3 days later developed bloody diarrhea asked about the organism
causing this ?

a. campylobacter b. e.coli c. enterohemorrhagic e.coli d. shigella e. salmonella

4. skin lesion was there a pic given with raised edges non pruritic and black dot on centre asked the
origin of this lesion cells ?

a. epidermal b.neural crest c. melanocytes (may be B or C not sure).

5. patient comes with complain of profuse diarrhea for 2 or 3 days in the end asked parameters with up
down arrow ? all combinations given including word no change mentioned in some combinations

SERUM PH(inc) PCO2(inc) URINE SODIUM(normal but in later phase may increase) AND
BICARBONATE LEVELS(decrease).

6. patient comes with the complain of insomnia and anxiety on multiple drugs like statin and ccbs in end
was asked about which drug would be prescribed for quick sleep initiation ?

a. diazepam b. phenobarbital c. zolpidem

7.resistence against ciprofloxacin asked ?

a. peptidoglycan b. chitin c.topoisomerase

8. i-cell inclusion disease questions all features like corneal clouding hepatosplenomegaly mentioned
asked about defect in?

a. golgi

9.epinephrine given patient was hypoglycemic who does it work ?

a. increases glycogen mobilization

10.anterior tongue lesion asked about draining nodes?

a. submental

11. 2 other questions on drainage one was prostate which is internal iliac other was stomach …celiac
nodes

12. female patient in 40s presented with abdominal pain it was told that on imaging bilateral ovaries
were affected like salpingogram showed bilateral ovaries blocked and hysterectomy with bilateral
oophorectomy was performed and both ovaries were black in color what was the causes I thought
krukenburg tumor ..

a. gastric cancer b. pancreatic cancer c. colorectal cancer

13.patient was vaccinated 3 months ago dpt vaccine and now injured with insertion of rusty nail on foot
asked something like how the vaccine would work ?

a. igG abs against toxoid b.cd8 lymhocytes response c. b cell

14.long case about patient having petechiae ecchymosis eats drinks limited number of things had icterus
pt time was normal leukocytes were increased (proper labs were given) in the end told spleen is affected
what would you see on histopatho of spleen ?

a. red pulp expansion b. necrosis and hemorrhage c. enogorged vessels like something option
d.calcified like something

15. patient had mycobacterium avium complex infection same concept of granuloma formation asked
about cytokine involved option were.

a. tumor necrosis factor b.interferon alpha c.IL2 d. IL6

16.patient was having some clinical trial for treatment of cancer now extra drug affecting which of the
following would be most affective at stopping cancer? It was very long case

a. cd86 b.cd24 c. cd16 d.tnf alpha e.rankL

17.mother comes with child for some flu like infection says to dr he has been having allergic rhinitis(this
term mentioned) since birth child was around 5 or 7 years now presents with nasal dribbing or
congestion like feeling polyp is observed in nose and removed what would you see on microbiologic
examination of polyp?

a. eosinophil mentioned in some option b. irregular angiogenesis c.granules with histamine

18.patient was defined of TOF and cleft palate asked about pharyngeal pouch ?

a. 1st b.2nd c. 3rd d. 5th (4th not mentioned in options)

19.patient presented with one day history of epigastric pain, high fever, scleral icterus, dry mucous
membrane , fluffy face , jaw pain what could be the cause? Labs showed alt ast in hundreds and direct
bilirubin around 10 or 12

a. cholangitis b. acute pancreatitis c. stones obstruction (few other options were there)

20. patient type 2 diabetic and hypertensive was on insulin,ccb,nitroglycerin presented to hospital with
confused state glucose was given in labs (800),dehydrated, pale mucous membrane, confused in the end
asked cause?

A .hyperosmolar hyperglycemia b.diabetic ketoacidosis c. lactic acidosis

21.rheumatic disease diagnosed in childhood now comes to hospital in adulthood with complain of sore
throat for one week murmur was there to listen to asked what could is the cause ?
a. antibody formation b.complent activation c. valve sclerosis

22.patient comes with fever,headache on further examination dr tries to move patient’s head to which
legs also moves though brudizski sign patient lives in dorm affecting organism has which property?

Options… catalase (positive or negative ) hemolysis (partial or complete)

Catalase negative and partial hemolysis.

4 combinations were given with these 2 parameters

23. another case of sudden stomach pain not associated with food and bloody bowel movement patient
describing it as a lot of blood in last 4 hours picture given intestinal segment was shown it was black and
had some gaps looked like diverticulosis and ischemic region mixed ..

a. due to increased intraluminal pressure in intestine b. embolus occluding vessels of intestine

c. blind pouchings in intestinal lumen d. amyloid deposition

24. an army officer came for complains like myalgia ,fever ,fatigue he was deployed to some country few
6months back and on his way back he went to some eastern country where he took camel ride and ate
meat/poultry now in end asks what could be the indication for prescribing antibiotic in this patient ?

a. tick b.louse c.flea d.sandfly

25. patient diagnosed with mood disorder takes lithium regularly comes to clinic telling about how she
has stared exercise and drinking more water but has sad effect now and states( I used to be much more
energetic ,this drug is not working like before) and lithium levels were given like 0.3 in patient normal
were also given like 0.6 to 1.1 and now asks what other indication/effect would be needed for
ineffectiveness of this drug?

A. disorientation b.hallucination c.delirium d.bloating

26. stem was about rash on wrists and fever pictures were given of rashes on wrists and sole(full with
rash dots) asked about causative organism ?

a.fleas b.insects few other options

27.there was a case of Rheumatoid arthritis all about it mentioned as morning stiffness, symmetric
polyarthritis in the end asked about additional finding?

a.synovial inflammation was in one line b. synovial fibrosis with pannus formation

28.a case about person visit to Mississippi river and signs of pneumonia asked about organism involved?

a. Blastomyces b. aspergillus c.coccidiomycosis d.cryptococcus neoformans (histoplasmosis was not

29. case about ulcer on penis asked about dermatomal involvement ?

a. s3-s4 2.L1-s2 3. C8-t5 4. L1 -l3

a.attachment of capsid something b.sialic acid binding along with capsid c.viral mrna incorporation
in patient’s dna d.gene transcription

31.question on association asked about a patient who uses injectable drugs frequently and now has
hepatomegaly, scleral icterus now pt has risk of ?

a. diabetes b.goiter some other options

32.mycobacterium avium complex mentioned which cells are decreased due to which infection has
occurred in immunocompromised patient?

a. CD8 b. lymphocytes c. neutrophils d.nk cells

33.increased opening pressure, decreased glucose, increased protein on csf analysis asked cause
bacterial option was only one in stem ….. strep pneumo

34.a mother comes for routine check up before delivery in 1st trimester she had infection for 5 days
having fever,vesicular rash,fatigue that soon resolved , she has taken 12oz alchocol/vodka daily and
stopped around the time of 3rd trimester and she smokes 4 cigarettes daily, she had no any prenatal care
now the baby is born at 36/37 weeks gestation height is 25th percentile and head circumference is 15th
percentile no any other abnormality mentioned in baby what is the cause of baby’s these findings?

A. infection b.alcohol c.lack of vitamins d.smoking

35. question was like neuronal cell body damage has occurred and now it shows pseudopods
protruding,membrane blebbing, chromatin condensation asked the process ?

a. Wallerian degeneration b. apoptosis

36.necrosis on nose tips , ean lobules and chin asked about type?

a.coagulative b. liquefactive c. caseous d.fat e. gangrenous

37.uterine diadelphys gross pic given could be bicornuate maybe I misinterpreted asked what is
responsible ? pic was of excised uterus clearly shows 2 sides of uterus

a.metanephric blastema b.mullerian duct c.ureteric bud d.wolfian duct

38.bifid ureter pic given asked about defect in what ?

a. ureteric bud b. metanephric blastema c.paramesonephric duct d.omphalomesenteric duct

39.there was a question on a clinical trial being conducted on smoking cessation a woman wants to
participate she says I think I should consult my attorney before making a go ahead then after some time
she says that she would take /charge money for trial, most appropriate statement by physician?

a. it is not necessary to consult attorney for this clinical trial

b. this trial is on voluntary basis

40.there was a case of patient being forgetful(middle aged woman around 40’s)few points given
pointing towards alzheimers maybe as dr asks patient to repeat things , she does but after 5 mins she
can’t recall a thing in stem it was mentioned that she had a central lesion on lung imaging what would
be the cause of memory impairment ?

a. alzheimers b.frontotemporal dementia c.limbic encephalitis d. vascular infarcts

41.efficacy and potency graph it said same potency but decreased efficacy

answer is C

42.what ecg findings would you find in a patient of pericarditis? Ecgs were given in options

a. must see st elevation and PR depression on ecg

43. Some person erolls in a clinical trial and before the trials starts dr measures his TSH,T3,T4(all were
normal) levels and after certain trial of drug is done his T3 is decreased T4 and TSH are normal/slightly
elevated, asked what hormone is responsible for that ?

a.thyroid peroxidase b.deiodinase-II c.protease

44. young patient started on OCP’S what would be her thyroid hormone levels before and after 6
months?

BOUND T4, FREE T4, THYROGLOBULIN (UP DOWN ARROWS)

45.a pregnant lady comes to office with complain of unable to lose weight she says to dr ( I am not able
to lose weight since the child birth 3 years ago now I want to get up and exercise but unable to do I try a
lot ) then she starts crying, she also tells about how her father fell down and had fracture and now lives
with her for the past 6 months she asks about any drugs that could help her lose weight and fit into old
clothes so she could be her previous self now what would be the physician response?

A. although drugs are not 1st option but just for your satisfaction I am prescribing them to you

b. how do you exercise / what sort of exercise do you do (something like this)

c. it must be overwhelming/difficult for you take care of your child and father and able to do exercise

d. I know you are upset but that would not get you to lose weight ( 2 other statements were there)

46.case was given about a person feeling fatigue,nausea, jaundiced in labs only platelets,hemoglobin
and hematocrit were all other cells( lines were okay ) in the end told about spleen is
destroyed/engorged what will be the findings on spleen ?
a.necrosis and hemorrhage b. red pulp expansion and fibrosis something c. engorgement of splenic
vessels (3 other options were also there)

47. patient comes with complain of upper limb weakness and numbness for past 2 days he last played
some sports and fell while running patient feels a bit pain when asked to flex and passive flexion is ok
but feels pain when ask to move arm upward laterally which muscle damage has occurred?

a. supraspinatous b. teres minor c.supscapularis d. trapezius e.infraspinatous

48. xray given had to diagnose injured structure looked like mcl …

49.asian woman around 50 comes for evaluation of headache she has been smoking for 30 years , takes
ocps, has multiple sexual partners, drinks 2 glasses of vodka daily , has a job that requires prolonged
sitting infront of computers in the end asks what is the risk factor ?

a. ethnicity b.smoking c.alcohol d.ocps e.age

50.acetaminophen toxicity treatment given asked about mechanism ? options were confusing no
glutathione mentioned some related to glucornidation was there

51.cells that assist in csf absorption(it was experimental said about cells incorporation in some lab that
may treat refractory increase of icp permanently which cells will play role)

52.case described about lateral medullary(wallenburg)syndrome symptoms were like described pain and
temperature not loss and hoarseness,dysphagia.

53.CT of subdural hematoma patient was old age he was an alcoholic, occasional smoker, he fell of a
motor bike and died after 2 hours what could be the cause ?

a.accident b.smoking c.smoking d.hereditary anamoly

54. some question on red spot found on eye examination patient also had a history of previous MI and
eye examination had cholesterol mentioned

a. arterial occlusion b.vein occlusion c.retinal separation something

55.a question on elderly patient worrying a lot lately says( my kids and grandkids are far from me I think
what if I am not there and something happens to them) had to diagnose?

a.normal age related b.generalized anxiety disorder c.delusional disorder d.panic disorder
e.adjustment disorder

56.pcp overdose case patient when came was all ok sounded happier but all of sudden became violent
abusive and in case it was mentioned that he often partied.

Other options were alcohol and benzos

57.uric acid stones case all diagnosed in case asked treatment ?

a. nsaid b.alkalinizing agents c.surgical removal d.diuretics

58. a multigravida woman who comes with complain that she has persistent urge to void urine and
whenever she goes to urinate as soon as she gets up after urinating she immediately feels that there is
still some left and sits for sometime before completely emptying says to dr it is uncomfortable and has
been going on for quite some time now few other lines were there had to diagnose ?

a. overflow incontinence b.stress incontinence c.urge incontinence d.recurrent cystitis d.some

59.peyronie disease question asked about damaged structure?

a.tunica albuginea b.corpus muscles

60.obesity hypoventilation syndrome case patient had difficult breathing while sleep and even walking
bmi was around 38..S