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SurgeryWound & General
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Q1289. A nasogastric tube is inserted in an adult patient. The tube has been advanced to a depth of 40 cm from the incisor teeth and gets obstructed. Which anatomical landmark has most likely been reached?

A.GEJ
B.Dipahragm
C.Brochus
D.Quadratus lumborus, psaos minor, psoas major, transverse abdominis

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MicrobiologyGeneral Microbiology
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Q1290. 40-year-old man sustains a head injury involving the left temporal region following a road traffic accident. After regaining consciousness, he speaks fluently but his speech is irrelevant and meaningless. He is unable to comprehend spoken language. Which cortical area is most likely affected?

A.Broca’s area
B.Wernicke’s area
C.Primary auditory cortex
D.Arcuate fasiculus

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AnatomyHead & Neck
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Q1291. A patient with cavernous sinus infection presents with ophthalmoplegia and loss of sensation over the forehead, cheek, and upper lip, while sensation over the lower lip is preserved. Which of the following cranial nerves will be spared in this condition?

A.Ophthalmic nerve
B.Maxillary nerve
C.Oculomotor nerve
D.Arcuate fasiculus

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AnatomyThorax
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Q1294. Upper GI endoscopy reveals a perforated bleeding ulcer on the posterior wall of the first part of the duodenum. Which artery is most likely to be involved? Image

A.Right gastroepiploic artery
B.Left gastroepiploic artery
C.Gastroduodenal artery
D.Superior mesenteric artery

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AnatomyHead & Neck
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Q1295. The ansa cervicalis supplies motor innervation to all of the following muscles EXCEPT:

A.Sternothyroid
B.Omohyoid
C.Sternohyoid
D.Thyrohyoid

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AnatomyLower Limb
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Q1301. A scientist was performing an experiment on a nerve. H53e applies a stimulus during the refractory period. The nerve fails to excite because:

A.Na
B.Na
C.K
D.K

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AnatomyGeneral Anatomy
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Q1302. Strength Duration Curve At , which point aortic valve opens ?

A.Point A
B.Point B
C.Point C
D.Point D

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OphthalmologyLens & Cataract
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Q1303. In the following pressure-volume curve of the bladder, what is the physiological basis for the segment labeled Ib?

A.Compliance of the bladder (Laplace law)
B.Detrusor overactivity
C.Urethral obstruction
D.Bladder outlet incompetence

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RadiologyGeneral Radiology
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Q1305. A patient undergoes a surgery where one lung is removed due to malignancy. Which of the following parameters should be measured to accurately assess the remaining lung's elasticity, independent of the change in lung volume?

A.Tachycardia and hypertension
B.Bradycardia and hypertension
C.Bradycardia and hypotension
D.Tachycardia and hypotension

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PsychiatryMood Disorders
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Q1308. and buttocks. Laboratory evaluation reveals markedly elevated serum triglyceride levels with a predominance of chylomicrons even in the fasting state. There is no significant elevation of LDL cholesterol. Which of the following defects is the most likely underlying cause of this condition?

A.LDL receptor defect
B.Apolipoprotein E deficiency
C.Deficiency of lipoprotein lipase (LPL)
D.Apolipoprotein B-100 mutation

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PhysiologyBlood
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Q1309. A patient presents with joint pain and hepatomegaly. Histopathological examination reveals abnormal deposition of glycolipids and glycoconjugates. What is the most likely subcellular organelle involved in this deposition?

A.Golgi apparatus
B.Lysosome
C.Deficiency of lipoprotein lipase (LPL)
D.Apolipoprotein B-100 mutation

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PaediatricsPediatric Diseases
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Q1310. A 9-month-old child presents to the pediatric OPD with anemia, failure to thrive, and hepatomegaly. Histopathological examination shows macrophages with a “crumpled tissue paper–like” cytoplasm due to cerebroside accumulation. What is the most likely diagnosis?

A.Niemann–Pick disease
B.Gaucher’s disease
C.Fabry’s disease
D.Metachromatic leukodystrophy

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OphthalmologyRetina
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Q1311. A patient presents with retinitis pigmentosa, ataxia, ichthyosis, and cardiac conduction defects. Laboratory results show increased peroxisomal deposition of phytanic acid. What is the most likely diagnosis?

A.Zellweger syndrome
B.Gaucher’s disease
C.Fabry’s disease
D.Metachromatic leukodystrophy

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PaediatricsGrowth & Development
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Q1312. A young boy is brought to the pediatric clinic with developmental delay, dystonia, hyperuricemia, and a striking history of self-mutilating behavior such as biting of lips and fingers. There is also a family history of a similar illness in male relatives. Which of the following enzymes is defective in this disorder?

A.Adenosine deaminase
B.Hypoxanthine-guanine phosphoribosyltransferase (HGPRTase)
C.Xanthine oxidase
D.Glucose-6-phosphatase

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PaediatricsGeneral Pediatrics
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Q1313. A child presents to pediatric OPD with hepatosplenomegaly. On examination histopathological examination shows foam cells in bone marrow due to lipid accumulation. What is the most likely diagnosis?

A.Tay Sachs’s disease
B.Gaucher’s disease
C.Xanthine oxidase
D.Glucose-6-phosphatase

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PaediatricsNeonatology
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Q1314. A newborn infant develops vomiting, jaundice, and failure to thrive. On labs UPG Ill to CPG conversion is affected. Which of the following enzyme is likley defective?

A.UPG decarboxylase
B.CPG oxidase
C.Ferrochelatase
D.Prophyria

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PaediatricsGrowth & Development
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Q1315. A 4-month-old infant is brought with poor feeding, failure to thrive, and progressive hypotonia. On examination, the baby has macroglossia and signs of cardiomegaly. Echocardiography reveals hypertrophic cardiomyopathy. Laboratory evaluation shows deficiency of acid maltase. What is the most likely diagnosis?

A.Cori disease
B.Pompe’s disease
C.Anderson disease
D.McArdle’s disease

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RadiologyChest Radiology
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Q1316. severe sepsis. He presents with acute onset dyspnea, hypoxemia refractory to oxygen therapy, and difuse bilateral infiltrates on chest X-ray. Which of the following components of pulmonary surfactant is primarily deficient or inactivated in this condition?

A.Surfactant protein A
B.Lecithin
C.Sphingomyelin
D.Cholesterol

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PharmacologyOther Drug Classes
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Q1317. receptors. The hormone–receptor complex then translocates to the nucleus and binds to specific DNA sequences to regulate gene transcription. Which of the following DNA- binding motifs enables steroid hormone receptors to attach to their target sites on DNA?

A.Leucine zipper motif
B.Helix–turn–helix motif
C.Zinc finger motif
D.RNA recognition motif

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MicrobiologyGeneral Microbiology
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Q1318. of life. Laboratory investigations reveal severe hyperammonemia, low citrulline levels, elevated plasma glutamine, and normal orotic acid levels in urine. There is no evidence of metabolic acidosis or hypoglycemia. What is the most likely diagnosis?

A.Hyperammonemic encephalopathy
B.Type II hyperammonemia
C.Type I hyperammonemia
D.Encephalopathy

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