43. A child with recurrent history of tonsillitis. Surgeon advised tonsillectomy. During surgery bleeding from right tonsillar artery. Right tonsillar artery is a branch of? A. Lingual B.Facial✅ C. Ascending pharyngeal D. Descending palatine E. 44. A patient after RTA came to ER. No history of blood loss. O/E BP was 80/40, pulse was 60 something(low) and warm peripheries. Type of shock? A. Septic B. Hypovolemic C. Anaphylactic D.Neurogenic✅ E. 45. A girl with different BP at upper and lower limb and a murmur. On investigation anomaly seen ? A. Patent truncus arteriosus B.Coarctation of aorta✅ C. Patent foramen ovale D. E. 46. T cells are related to (somewhat aisi hi short stem thi) A. ANCA B. Vasculitis C.Insulin dependent DM✅ D. Insulin independent DM E. 47. A young lady died suddenly. Only short history of fever and headache. On autopsy heart is enlarged (weight mentioned) and small lymphocytes in the myometrium. Infectious cause is? A.Coxsackie B virus✅ B. C. D. E. 48. A lady with pain abdomen radiating to back. Labs showed raised amylase and lipase. On investigation a cyst with necrosis seen. Type of necrosis A. Fat necrosis✅ B.Coagulative C. Fibrinoid D. Liquifective E. 49. A patient with history of dysphagia to fluids for 3 months. Also episodes of vomiting food contents and no GERD. On CXR air fluid levels seen behind heart. Diagnosis A. Ca esophagus B. Achalasia✅ C. Mallory weis D. E. 50. A patient came with Hashimoto thyroiditis and Conns syndrome. Diagnosis? A. Schmidt syndrome✅ B. MEN 2A C. MEN 2B D. APC E. 51. A patient with dysphagia and other symptoms..... Endoscopy showed patches and discoloration but no ulcers. Long scenario. In end asked ...Barrett's esophagus increased the risk of? A. Adenocarcinoma✅ B. Signet ring adenocarcinoma C. Squamous cell carcinoma D. E. 52. Scenario of a patient with cough and hemoptysis. On investigation a tumour was seen in right lower lobe. Histology showed well differentiated with keratin.... (Something with keratin, not keratin pearls). Diagnosis A. Small cell lung Carcinoma B. Large cell lung Carcinoma C.Squamous cell carcinoma ✅ D. E. 53. Feathery necrosis in liver is seen in A. Hemochromatosis B. Copper deposition✅ C. D. E. 54. Pacemaker cells of intestine A. Myenteric layer B. Muscular layer C.Interstitial cells of Cajal✅ D. E. 55. A patient underwent splenectomy post RTA. 2 months later came with shock like symptoms. Culture showed clusters of gram positive bacteria, catalase negative.... A. Staphylococcus Aureus B.Streptococcus pneumonae✅ C. Staphylococcus epidermidis D. E. 56. Which type of polyp has potential to become malignant? A. Serratus B. Hemartomatous C.Adenomatous✅ D. Hyperplastic E. Tubular 57. A scenario of dysphagia and other symptoms. On endoscopy a mass seen with intact mucosa. Histology showed spindle cells and CD 117 positive. Diagnosis? A. GIST tumour✅ B. Leiomyoma C. Leiomyosarcoma D. Adenocarcinoma E. Squamous cell carcinoma 58. Baby 6 months age. Passes stool soon after every feed. Most likely.... A. Rectoanal reflex B. Anorectal reflex C. Gastrocolic reflex✅ D. Ileocolic reflex E. 59. A female with dysuria. On culture gram positive, coagulase negative organism.... (Many features written down) with swarming motility A. E. Coli B. Proteus mirabilis✅ C. D. E. 60. Two siblings who lives most of the time in home away from sunlight. Which of the following is most likely deficienct in them? A.24,25,hydrocholecalciferol✅ B.1-25 dihydrocholecalciferol D. E. 70. Patient with Hypercalcaemia and squamous cell carcinoma of lung found. Which is responsible for the symptoms? A. Parathyroid hormone B. ACTH C.Parathyroid hormone related peptide✅ D. E. 71. Chemotherapy advised for a cancer. Tumour size shrink by? A. Necrosis B. Phagocytosis C. Apoptosis✅ D. E. 72. Generalized lymphadenopathy. Large B cell lymphoma found. Treatment of choice? A. Surgery alone B. Surgery followed by chemotherapy C. Surgery followed by radiotherapy D. Radiation alone E.Chemotherapy✅ 73. Patient with symptoms of UTI. Bladder is protected from the microbes because of A. B. C. D. E. 74. A 20 years old female presents with primary amenorrhea. On examination breast developed with sparse axillary hair and vagina present. On USG absent ovaries and uterus. Diagnosis A. CAH B.Androgen insensitivity syndrome✅ C. D. E. 75. A patient of Breast carcinoma. On investigation mets seen in peritoneum, liver and ovaries. Route of spread? A. Lymphatic B. Seeding of tumour✅ C. Venous connections D. E. 76. A young man with testicular tumour. After resection it was found to be non-seminomatous. Which of the following will be raised? A. ALP B. Acid phosphatase C.Beta HCG✅ D. PSA E. 77. A boy with diarrhea was prescribed a drug that acts on 5-HT3 receptor. A. Loperamide B. Aldosterone (not Alosetrone) C. D. E. 78. Asian cholangio..... caused by A. Schistosoma hematobium B. Clonorsis sinensis✅ C. D. E. 79. A female with history of RTA and lower limb injury. Can't walk. Posterior discloation of femur. Which nerve is likely damaged? A. Femoral B. Obturator C.Sciatica✅ D. E. 80. A patient with long history of betel net use. Which of the following is a premalignant condition predisposing to squamous cell carcinoma of mouth? A. Leukoplakia✅ B. Erythroplakia C. Submuscal fibrosis D. Actinic keratosis E. 81. History of cough and hemoptysis. On X-ray a lesion seen in upper lobe of lung. Histology showed a lesion with megacells (or some word starting with mega) A. Small cell lung Carcinoma B. Large cell lung Carcinoma✅ C. Squamous cell carcinoma D. Adenocarcinoma E.