Arabic Recall

MRCOG Part 1 Recalls — Arabic Compilation (Corrected)

Crowd-sourced recall questions from the MRCOG Part 1 exam.

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Recall July 2017 T-which of the following enzymes not secreted from exocrine pancreas: i Vinase COprnfeayes: dt-pshon a Prelley- 1 Jritiated | pepe (By Matase (sumac) mM rol; ¢. Trypsinogen @ Peworestic -\3 RAE “ Ribonuclease (©) Pose 7 Amylase — 8- which of the followings inhibits gastric secretion: a. Static tremor ° b. Dysmetria c. Monotonus speech Gorilla like appearance Lead pipe rigidity => Paw kinson' 5 Arexe 9- Which one of the following would increase in obstructive but not in. restrictive REStHICHVE long disease: coPD, 7 ws) Absosis ~§ 7 SS Athwer a. FEV] b. Breathing frequency c. Vital capacity (ay Functional residual capacity e. Maximum breathing capacity 10- Physiologically active thyroxine exists in which of the following forms: @ Unbound Bound to prealbumin Bound to albumin d. Asa glucuronide e. Bound to globulin ° 11- A patient with chronic asthma is started on glucocorticoid therapy. The treatment may result in bone loss because glucocorticoids do which of the following : a. Suppress vitamin D activation (® Inhibit bone formation ~ c. Increase osteoblast grovéth AfeptdtS MR. _sFiKit bone resorption e. Increase calcium absorption form the GI tract 12- Growth hormone excess results in ich of the following : a. Decreased protein synthesis . Insulin resistance —> hyPerayCewmicg c. Decreased lipolysis d. Decreased gluconeogenesis Dppoglycemia

(Page 2) Recall July 2017 d.) Affects the nerves and the heart Sr) 4 wet ; e. Is the combination of diarrhea, dementia and dermatitis ] = pallasycar (sek b, y 4 ack’) Pantothenic acid : ke waky sé lable Z 7) waved Pov santos q 7 A a. Form part of S-Adenosylmethionine ; ; : b. Needs a carrier in plasma “ c. Coenzyme in transamination F © Can cause burning foot syndrome dermoditis £ Cnbeipis + dope an + adrenal mao Reiency e. Is not commonly found in food Hormone receptors : a. Are proteins b. Are cytosolic 6) Effective binding and action occurs within the physiological level d. Are nuclear e. Are membrane bound Isoenzymes : a. Are functional plasma enzymes b. Are 5 for creatine kinase Differ in affinity to substrate d. Are not used in diagnosis e. Have different functions The key reaction in glycolysis is catalyzed by : Uday ra) Phosphofructokinse-1 b. Glucokinase = d. Fructokinase e. Phosphohexoseisomerase » i Pyruvate kinase The citric acid cycle : TCA Cevelss cycle J Cc it cole. 4S Kyeb’s S$ tows hae hyd. a. dekesemivy Does not Cn2- => fsacibale ded, oI Foe participate in amino acid synthesis akin (6) Kaloacehhe fo.) Is the primary site fo CO2 production + 2 VADH +404, +1Gi7p J GA = 12 AT | Dose not produce ATP at substrate level = Avef Jats A cytosolic pathway pe’ MittthonAa we Is amphipathic Gluconeogenesis Padrwac) Produce Fresh Gluase | 2. Isa mitochondrial pathway +drsol ~ ER

. Occurs in the liver only Patmos ley Zits Kidvew a intestinal Pith. c. Produces glucose for insulin dependent tissues (.) Involves the utilization of amino acids and glycerol Does not occur in the liver in the fed state Chole determing On2. = Firedose 11b-bis phosphate wT a} Ts UFO ARROD Warr sopraegece

(Page 3) Recall December 2013 57. A patient with renal TB. How you will collect a sample for AAFB test: a) 5ml of midstream urine b) 10 ml of terminal urine ADs nil of early morning urine d) 250ml of midstream urine e) 250 ml of ........0... 58. 3 day old neonate with fever ....... oa CSF analysis shows increase protein and low glucose. What is the possible organism: a) Listeria monocytogenes 1 b) Neisseria meningitides we, On B streptococci d) Streptococcus pneumoniae e) Staphylococcus aureus 59. The following organisms can cause non-gonococcal urethritis except: a) Ureaplasma urealeticum AOveor! as hominis arayoncdecdal c) Mycoplasma genitalium d) Chlamydia trachornpts | 60. Nosocomial infections are mostly acquired from: a) Medical ward b) Surgical ward c) Generalward d) Dialysis center AOcu 51. What is the best way to reduce the rate of hospital acquired infections: AS Omesical staff to wash their hands in the patients room b) An infection contro! policy that assign one nurse for 100 patients 62. What is the best disinfectant to kill viruses:

(Page 4) Recall December 2013 cb Ws: ence of which complement (s) will keep activation through alternative pathway is possible: a) Cl,C2,C3 1.02.04 —> Cladi'ce( c) C3 only dC... 72, Primary immune response to tumors is: QO) mmunosurviellance ; Chemotherapeutics and pharmacology: 73. Which of the following cytotoxic antibiotics most commonly causes cardiac toxicity: a) Bleomycin 9 Lang Piao Si's Daunonrubicin 4 oxorubicin 74, Which of the following can cause hearing defect: a) Methotrexate A Beislatin c) Vincristine 75. Chemotherapy that causes breaking of DNA: A Md vctophosphamide b) 6 -mercaptoburine c) Methotrexate d) 5-Fluorouracil e) Vincristine 76. Clavulanic acid acts by: a) Inhibits protein synthesis Inhibits B-lactamase enzyme : c) Attacks cell wall d) Inhibits DNA synthesis

(Page 5) Recall December 2013 . aia ~S si = 83. Tunica vaginalis in males is homologous to WI e SO heck >DUT > ] >) Ahajen a) Broad ligament OGex e o'=> Slons Penns + b) Round li GPus Cavencsum - Q => alan’ cLibenis + igament : vest buler bulbs ‘- c) Rete ovarii . 5 ~ + p 3 Dusgpentel sas? Ma balked 30 d) Gubemaculum ovarii ; : (cPawper) 7 = Grtafer véstib | ede | lay Dlowdd (of. Skene)+ Lower 37 ch aging . a) Clitoris eres folds 410 => {0p Prepuce te fens penile. urethya ) : g = labia wi . mire c ) Hymen ahs @ Labiescroteal Swe 2 On» SCrohun d) Fourchette ?27' g 3 labia PNB sya : ° 84. Labia minora meet together in the upper part in: 85. Urinary bladder: a) Is covered by peritoneum only superiorly b) Lies between uterus and rectum in females Al bladder will rise to the abdomen 86. Which of the following structures prevent uterus from prolapsed: LA i ) . revarer ani b) Pubococcygeus c) Puborectalis d) Illiococeygeus e) Coccygeus 87. Supravaginal cervix is laterally related to: a) Broad ligament AO Parametrium c) Urinary bladder 88. Structures that is developed from paramesonephric duct include: a) Vas deference Aer tubes c) Uterus d) Trigone of the urinary bladder

(Page 6) Recall December 2013 SE 77. Which of the following is the best treatment for invasive pulmonary aspragellosis: Cay AmphotricinB > spel 1% Ketoconazole c) Itraconazole ‘ 78. Best drug for treatment of mycoplasma, rickettsia and chlamydia is: a) Macrolides a a io Ofrerracyctine c) Vancomycin d) Metronidazole Radiology 79. Wedge shape appearance in chest X-ray is seen in: Al (é) Pulmonary embolism b) Pulmonary edema 80. (A question regarding X-rays) VOXray of chest, abdomen and bone are good as first lineinvestigation. Anatomy: 81. Greater vestibular gland: a) Lies under the whole length of the bulb of the vestibule b) Has duct of 2 cm length (6) Has homologous to bulbourethral gland in males d) Has copious mucus secretions 82. The outer layer of the ovary is: a) Tunica vaginalis b) Tunica Adeerninal epithelium

(Page 7) Recall December 2013 . Mesonephric duc A - B Neserepyic chart: _ male Mnternak — cmt ais ae efures earn cept feed a eeee Semmal vericle , Epididgmis , B jecula 90 en , c ( Auta : | duct Posomesonephr , Ductus item. uct —> Sallopian ~— Cet ee ul , upper J, of Vagina . __-/e))Lay medially to psoas muscle in .....--.--- a) Originates frem L3, L4 and L5. b) Innervates all adductor‘muscles d) Leaves ........+++++ 91. Regarding anal canal: Aes no peritoneal covering 92. Cumulus oophorus: Jar! peripherally in Grafflian’s $ follicle Genetics And Biochemistry 93. Which cellular organelle is responsible forexcretion, import and export: a) Endoplasmic reticulum Wcorgi apparatus c) Mitochondria d) Ribosomes 94, What is the similarity between eukaryotic mitochondria and bacteria: a) Rapid growth b) Double membrane A) Circular DNA 95. All of the following are characteristic of codon except: W) Cyovertaprin g 96.) The characteristic of all transfer RN incluce: a) 3" end is methylated b) Same anticodon end is CCU AC C.

(Page 8) Recall December 2013 SS EE TT 97. The best description of the genetic abnormality in sickle cell anaemia is: eAePoint mutation 98. Which of the following organs is exclusively dependent on glucose for energy . 7 ———— production: a) Brain =) 9lc- d wehues b) Heart : oo Ores d) Kidneys « 99, Phosphocratine provides energy to: AGpreleta muscle during long mild exercise b) Skeletal muscle in the beginning of heavy exercise 100. Through which metabolic pathway lactate can produce energy: a) Kreb cycle b)Ketolysis c) Gluconeogenesis Adbori cycle e) B oxidation 101. Deficiency of 5 a reductase lead to decrease in production of: a) Testosterone c) Progesterone

(Page 9) LOCAL OBS & GYNAE EXAM NO. (D 120 BEST OF FIVE arcie ol the answei ae ae Sarat entecemenanremaeeneeeniare oan

(Page 10) OI Recall December 2014 OO —— —————————— ES 14) Supraoptic Neucleus Mainly release: a- Oxytocine paravertrinculler cells : nuzlei Cnypetvalamas GAD ¢ onyxfecin > store 1 Pow: prt. (neu inygo fhopis) 15) Parathyroted hormone: a- Produced by oxyphil cells: b- Increase reabsorption of phosphate =>- c- Stimulated by vitaminD <> ) Cat® d- Stimulated by hypercalceemia = ype Le #2 bs (<) Essential for life 16) Physiological action of estrogen: a- ‘Lower LDL a Delay bone loss at menupause c- Thickening cervix d- Produce lobular proliferation 17) Hormone needed for development of external genitalia in male embryo is: v@ DHT => canbe differentiation of pend, sorctum, priate b- MIH Lode + 1 . c- Testosterone prvtehe bal dive) , rea 18) Progesterone is produced by which structure in the first 2 months of pregnancy: 4 @ Corpus leuteum b- Placenta c- Pituitary gland 19) Ovulation in 20 yrs old female is indicated by: Ryd LH elevation in plasma b- FSH elevation c- Estrogen elevation d- Raise temperature 20) Role of sertoli cells in spermatogenesis /O Play role in formation of testes blood barrier be Inhibit inhibin 2 gods Onn c- Produce testosterone eee REE TE EESTI : AHIA - 0900987639 Ne ee ae enee Dr. MOHAMED Y,

(Page 11) Recall December 2014 Physiology: \ aherted = aynsoai oto (ea 2 ydalazine ) 1) best index describing afterload is: jm @A//\ oar Jer (pmpernrnak (a) mean systolic blood pressure - peng heyal pesistence) b. Ejection fraction 1-07 the yiStene BANOS ¢ c. Total preiphral resistance - bisection : alter evel. (OVE Benons Bp. Henevis Dsyhenc HTN Opa- aTN 6 2) Stroke volume is decreased by: oe 2axper F _— ZX (6) Increased HR Hk a" b. Venous dilatation c. Increase venous compliance d. Decrease afterload 3) Parasympathatic (vagus stimulation) lead to: a. IncreaaseeHR =D y b. Increase contractility <> J}, c. Increased S.V. =» Lb Prolonged PR internal / 4) GFR is increased by: st? — Nw Dilatation of afferent arteriole b. Increase oncotic pressure = |) (+ leas giien ) c. Contraction of mesangial cells 2) -) d. Increase resistance of afferent arteriole —» y 5) Measurement of lecthine: sphyngomyeline ratio in amenrotic fluid during pregnancy indicate: ; ad Fetal lung maternity b. Feton brain act 6) surfactant level leads to: Increase lung compliance b. Increase tension in aleovli c. Increase surface tention SEE HAMED YAHIA 0900987639

(Page 12) Recall December 2014 SUT al we Piotokene fan bp OFSH + Strwuloles release of ABPLInkibin Bom Sertti cells =» Sperm procuctis 21) Spermatogenesis: —jeglodeyovie Ds sper p ] fi a- Sertoli cells stimulated by LH . b- FSH stimulate ledig cells c- It occurs in cyclical way. 7 ve) Sertoli cells required for mitotic and meiotic devisions 22) Man with large hands and feet, big skull complains of gyneacomastia and impotence. Most likely diagnosis: : 4 AH ye PRL “© tumor of anterior pituitary gland b- Tumor of posterior pituitary c- Hypothalamus tumor d- Prolactinoma 23) Excess of growth hormone leads to: we) THEME sistance 9 M4 Per gycowds b- inhibit glycogenolysis 24) Following do not occur in D.ML.: a- Hyper cholsterolemia ~ ——> WKY b- FFAs degradation .~ eS) Lipogenesis d- Ketogenesis .~ 25) Following stimulated cAMP receptors:, Adu @Fsu @t -4 © TSH OACT iF a- Progesterone Opr. H QD Zalédtenia 9) Glucagon Dah echels b- Estrogen @ i ds AG cron OTPSME Kirane stinhess Oorpboeine Cie d- Insulin @ Ps , DAG A G2 © fasion O by Aivuldes + oq Poichy . BEN) ASP A. we 5D 26) Active form of thyroid gland hormone: a- Bond to albumin b- Bound to TGB AD Unbound

(Page 13) OORecall December 2014 27) 32 yrs female-with history of recurrent miscarriage in the last 5 yrs and leg pain due to DVT. Which of the folidwing factors will be defect. 4@ ProteinCandS. @vit- deficienc- al synthesis f a Caches DM pe (1472), PmnG c- Thrombocytes probed § d- Plasminogen Blewcfhilig A => dehcionces of: lech Si - , @ ¢ 2@>_¢& o' s me. Microbiology: 28) A patient with watery diarrhea after eating sandwich contaminated from a man has injury in his hand which of the following is the causative agent. We S-aureus enterotoxin b- Cl-perferrgins c- Botulinum Bobligale tmhocelulod x Sey twhide (cells when Hs 29) L-Monocytogenes: Really Gld = Ricettsia r Chiomupier) a- Develops flagella in law/high temp a cell ale b- sensitive to ampiclin nate ? ft U Can live intracellular \ AC UNE d- Cause epiglottitis B facaltahve mhacelidlad : Some Nasty Bugs M Lid Faculteriveby 2 Sibmen Nieyzria , Buca, s douechiny hegiie Erandise obesierel: a ww donovan bodies. there 30) Female with genital ulcer raised, smear stained by silver sho’ is inginal lymphadenopathy, Most common causative is: ky a- Lymph granulouma venereum : ' 3 Lymphgranuloma inguinale >) Onaies Ay ra / Hach rt a, hy c- Syphilis d- Leishmania donovani 31) 7 years old boy c/o vascularisation of cornea; high notched teeth and flat nose from congenital infection which of the below is correct: a- T-pallidum Z KK v-)) Congenital rubella c- Toxoplasmosis d- CMV a MOHAMED YAHIA = 0900987639

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Recall December 2014

=) HB in convalensonce period (window period) serology contains:

a- anti HBelgM.

A EBPanti nace rete dhs.

c- Anti HBclgG —» chrvek ¢ aya.

Anatomy: . ‘

48) Sciatic nerve exit pelvis through

a- Greater sciatic foramen

b- Lesser sciatic foramen

c- Obturator canal

28) Femoral nerve roots:

@).2-3-4

38) Obturator Nerve exit from lumbar plexus at: which side of psoas muluscle.

a- Medial border

b- Lateral

c- Anterior posterior

31) Femoral sheath formed by:

a- Fascies (super.) + fascia lata.

F ¥® Transvesalis abdominis and iliacus

32) Levator ani muscle supplied by:

Pudendal nerve and perimeal branch b- Sympathetic c- Pelvic splanchenic nerve 53) Lymph drain from labia major is: /O Superficial inguinal @ etlernal seri tala, b- Internal iliac c- Paraaortic <t ovarian artery originates from: y abd. Part of aortas) |# ovo) YY Rt renal artery Q X r "

(Page 15) Recall June 2015 53) How much of AIP, in metabolizing 1 molecule of glucose in anaerobic glycolysis a- 6 ATP ‘ b- 16 ATP amebic Sa aie d- 4 ATPATE MOzair￾SS ‘anOrobic 2 ATP 54) A subject was given a new discovered vaccine for the follow up of the outcome, 2 i) which type of analysis should be used:- ie a- Retrospective cohort study b- Student test ; c- Chi. Squared test --> wy ee d- Case control 55) Person smoking cigarette for 70 year, to follow its affect with lung cancer which type of study:- : a- Cross-sectional study Cohort study c- Case control 56) _Instatistic you don’t need randomization of a sample if you:- - & Have enough sample

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S 4 45/ which of the following vaccine is live attenuated vaccine;?

Recall December 2015

44] Which of the following occurs in primary response;?

A. IgG

comS IgD

D. IgE

E. IgA

A. pertesus ¢

B. HB vaccine

LE p<

46/the lipoprotein causes atheroma?

5 LDL - v Q@ VLDL

c. HDL

D. chylomicrons

E. IDL

Microbiology:

47/ patient delivered a baby with cataract ,cranial calcification defines, cardi

‘¥ gbnormality, mental retarded,/ nasal_bridge depression, which of the following is #

° causative agent:? aa? , 4 1

Rrak (y lhigh pastel 2 ips A. T. pallidum. Ruble Mbyh rete C3ety

B. CMV Rubelle =

+ © mbella

D. rubelella

| eee

48/which of the _ following viruses responsible for _ 1“trimes'

congenital anomalies? / us ¢ pod A. HSV Rupell*? ir ee

B. CMV in 1A woe EP ed

Cw 7 a

rub] A ss U [Spo arr? Tv

D. HBV ge ell

E. HIV ‘ I ke

snes) oD ae)

49/ sexually active female presented to your clinic complaing of genital ulcer(pain

enlargement inguinal lymphnode, in the lab (silver stain),what is your diagnosis;?

A. T, pallidum B. chaneroid rh,

©) chancre D> 34 pla lis

D. granulomavearum

herpes simplex - < ee “pr. MOHAMED YAHIA - ¢

(Page 17) Recall December 2014 32) 2yrs old child p/c with sore throat edema/hyperemia and inflammation of epiglottis leading to difficulty in breathing causative agent: Hinfleunzae => Bpiglettity + Menor 5+ ofits mediq + Pneumol b- S- pneumonia prod cor” t4 \ Prtenre c- Influenza ; Cure, on choclate agen (eyuiery fethors SL (wad Jo x d- Nisseria z f 33) 5Syrs boy develops hemolytic uremic syndrome and thrombocytopenia. Which of the (hemaby) following is causative - a. H-infleunzae b. S-preumonea c. Shigella E. coli 0175 H7 e. Salmonella 34) Osteomyelitis in pts with sickle cell disease is caused by: a- Staph. Aureus “SB Salmonella 35) 40 yrs man complains of pain an draining lesion following dentist Procedure. Swabs taken describe few cocci and multiple branching bacteria most likely cause is:

a- Strepto pyogens Hoy Actinomyces Israeli c- Staph aureus vig) 36) Bacteria much abundant in vagina and play beneficial role is: a- S.epidermidis 4) Lactobacillus c- S. viridans 37) teroid infeetion:s, Obi SA Produce foul smelling infection b- Occur spontaneously +CstidiumA Adiompes (Grit Bredhe Air) Produce 94S Pn HIME (luo Ho) c- In immunocompitent patient fre. norwal Fra m GY , Padhgenic asewhe MRSA WIAA a- Treated with amoxcilline Transmitted rapidly / O More virulent

(Page 18) ————— SS Recall December 2014 @ ue a => Aue te aldered penen Vin Landing glen : ntibiotic diarrhea after antibiotic caused by: 39) Most severe form ofa eye defficile b- Cl botulinum c- Staph aureus P 40) Antibiotic of choice for pseudomembranous enterocolitis =>C- dd cite SO Vancomycine % ( Baila + 6 - aureus b. Ceftriaxone Fi c. Clindamycine st bacilli was found in nerve biopsy most likely: 41) Acid fa vw” ® M. leprae b- T. pallidum. him is complaining of having fever of unknown 42) Farmer who used to raise goats with cause. Most likely due to: ‘ax A) Bricella melitensis & 43) viruses ass ¢ self limiting febrile illness with rash yet can lead to aplastic crisis in patient with sickle cell anaemia: Q parvo virus * oc Cash enphewa Medios (AY Ab j , Prabrops fobli> b- herpes simplex c- papilloma 44). virus ass with majority of cases of cervical warts in females: a human papilloma b- syphilis c- gonorrhea 45) Cor arus have sunray appearance projection called: el IO) Spikes — agglutination of RBCs B stRS 46) Health worker has close fever found HBsAg +ve, & Ag tye pt is: Was Aa 2 conier le Hite ag) =p Ackve viral rplizah Acute illness and infective

(Page 19) Recall June 2015 Physiology: 1) Which of the following hormones inhibited by negative feedback inhibition by Gastric acid: AB Gastrin 47 acfioo 2° HF searehon » T apvmth A enuier a ,T aes | VIP =pocttion. TH. 4 alesis Seoxthion , lodabrra oP ntcltod Sm C. CCK ap vttion 9% panctalit. setethion ,T Gh lontractivn , Ygaxtnd D. Secretin'=> ach on > Pancake Hloz setrehion jgasic atich sevieler, 2) A person ingested 600 ml of Normal water rapidity, how much volume can increase in plasma A. 400 ml B. 200 ml Cc. 100ml 7 Bom 3) Neurotransmitter at the NMJ plate substance. A . Acetylcholine . Substance P. Cc. VIP 4) A Red blood swollen after infusion and burst, which of this following solution is true. A. 150 m/m Nad B. 250 m/m Nak C. 300 m/mat Kel Ze ©) Urea -*> kk ypetroe ne 5) a Person in erect position, which of the following is high at apex compose to th base: @ ot She opr Wa = 3 ( wasted vend lation) A. Ventilation \Z- B® ViQrastion ar Wb Vn = (seater pel fusie C. Perfusion 6 Ne Y/ a . ) D. Pco2 E. Compliance 6) a pregnant woman has RR 18, with Tidal volume of 350 ml Auatomic dead space i 100 mt, what is minute yentilation of this fasters. ( 399-60 ) y 14 a) 3.51 : of 3) 4.51 ¢) 651 Jes Jb 7) A patient has decrease in Carotid. sinuses pressure which of the following is true. y Increase heart rate b) Decrease TPR c) crease cerstnal venous pressure.

(Page 20) Recall December 2014 a 7) In male tidal volume 500 ml, RR = 15 dead space 100 ml alveolar ventilation: a. 3.5L b. 4.5L (s00- (09) XIS c.. 55 L. m0) 6L (ridal val -ded spore) xX RR ‘ 8) In compensated metabolic Acidosis there is: a. Increase pH —> b b. Reduced renal production of ammonia —_» ai c. increase Hco3 —- i Hyperventilation 9) H+ secretion in Renal tubules is coupled with a. K+ Excretion b. Na excretion c. H+ excretion Net voabl 10) Hyperkalemia will stimulate: 4 “OQ Aldosterone secretion aldgsteron ied Vee ¥ b. ADH excretion c. exercise 11) Vit B12 absorption occurs in: Terminal ilium + OE, X, ft b- Duodenum c- Stomach 12) Resection of proximal portion of small intestine result in: a- Increase gastric emptying for liquids b- Decrease Basal acid production v0) Reduce pancreatic enzyme secretion 13) Fat soluble vitamin and miceile absorption needs: . a- Pancreatic lipase b- Amylase JQ Bile salts

(Page 21) - Connected to remnant of cloaca (a) In female is completely pelvic organ e. Its sphincter vesicae has parasympathetic motor supply S- Muscle of urogenital diaphragm include: a @ Sphincter urethrae : . Sphincter vesicae ‘ c. Levator ani ; d. Ischiocavernosus e. Obturator internus Regarding the anterior abd wall: a. Superficial tissues of the anterolateral wall above theumbilicus to axillary nodes b. Intertubercular plane lies at the level of L4 1S) Mid-inguinal point lying halfway between the pubic tubercle and ASIS _ x - Posterior wall of the inguinal canal is formed by the transversalis muscle e. Sugrical incision at linea alba heals faster than that along paramedian abd wall Concerning the peritoneum: Right sub-hepatic pouch also called the lesser sac The medial umbilical ligament contains the urachus It’s a mucous membrane . Left sub-hepatic pouch is the hepatorenal pouch of morris fe) The epiploic foramen is bounded anteriorly by the portal vein pos The pelvic part of the ureter : Is related to the ischial spine before it turns medially toward the bladder Is an intraperitoneal structure Enters the false pelvis in front of the bifurcation of the common iliac vessels Enters the bladder by passing directly through its wall Is supplied by the iliac vessels The femoral sheath is formed by which of the following : The fascia lata and the membranous layer of the superficial fascia The pectineus fascia The fascia iliaca and the fascia transversalis The psoas fascia and the fatty layer of superficjal fascia

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(Page 23) Recall December 2016 is sulph alkylating antineoplastic agent Weecristine Bemixifen . Busulfan : a measured following penicillin has anti beta lactamase activity Oxzcillin ‘ @moxcillin Ampicillin Pepercillin penicillin G . thetic penicillin is effective against Grem +ve cocci and clostridium (Gram +ve rods and recketssia gram -ve and viruse Sellowing is not true except / Amphotricin is an antifugal but has no antiviral or antibacterial activity becteria can synthesise it,s own folic acid but human can,t effective against bacteriods fragalis mertrinidazole erigin of Ift ovarian artery is from iG renal artery ebdominal aorta ee ; i . cl Le zi Rr renal artery : _ a Common iliac artery origin of oviduct i Lblzced mesonephric os, +774 SP op © peramesonephric .-> /,, ,, | ihe be eles . i femoral sheath is from re a . Or AZ WEIKS > te pre The facsia lata . 4 Naa p there is infamation in the deep perineal pouch and u perform digital aminatin you wi colle.s fascia

(Page 24) Recall December 2015 eath formed by; selis fascia and fascia ilicus. Se Sensversalis and fascia lata aa ie fascia ter nerve is; a ‘ a4 . ‘Sumor mets to uterus by: id Egament Geaments acai ligament sory ligament plogy: ited by =m myelinated c ated group B c af the following true about chemotherapy em all phase of cell cycle X - iy ti ig work in GO x = mot contain antimetabolite ~ Ly vy Paso Mmolucers g￾the following drugs interact with warfarin, on cytochrom 3450. Queen empacin => T Puso Phen Magi = Phe Bemiidine ~~} )Pleo Corts Chronic aa - _~ P4Se0 pinto = Inhibit Yourself - dsinkiv beer from a KEG woes” rd Acutel Sick because ine share with aati psychotic (T.C antideprssion) in. ease gastric acid secretion se gastric motility. ulation (eating NO, iscsorbid, ...,include.

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Recall December 2015 .

Anatomy:

74] which of the following not content of broad ligament;

A. utrine artery B. ovarin artery C. utrine tube D. epoophoron P vA ‘@) ureter 75/ all of the following support direct and in direct theutrus except; A. levaterani muscle S @ mesosalpinx . utrocervical ligament D. bupocervical ligment 76/ which of the following pass through greater sciatic foramen; A. obturator intrnus muscle a ZC) sciatic nerve C. Levator ani ceca ete: AER 77/ illioiguanal nerve related to psoas muscle pass A. anterior wr Q lateral . medial D. posterior 78/lymph drainage of external genitalia wf superficial inguinal nod. B. external iliac nod. C. internal iliac nod D. internal and external ilic nod 79/lymph drainage of the cervix; A. external iliac nodes. J@ external and internal iliacs nods. . superficial inguinal nods. D. internal inguinal nods. 80/ left ovarian vein drainage into; A. inferior vena cava B. superior vena cava C. RT renal vein LP LF renal vein E. para aortic lymph nods

(Page 26) Recall December 2015 ciestridium, heat resistance and boiling?; [teenidium deficile —» Odve> tan, VOWS Onlerecuter — preidomenlaanoys ©! ‘Gesvidium tetani uh Producey Spadman a Tetanus (eAehoorin’) Tlestrid wetchri a illi \ ieee => heat ; labile ben —> mist ACh eleabe —ywh. ; ef the following organisms inhibit a neurotransmitter release at neuromuscular : ic um botulinium glestidiuim difficele G@iesseria meninigitides - est cause of neonatal meningitis is; @ Jak Vs BDH ices 2Nee NN menigitids. ‘ ; atest! Aye qs E.monocytogens — > if Pes el! @) E 2 ak Z Ky xo soup B streptococuse if ley joe. B E oolli Buyena 4 ee sardiag differentiated B/W,staph aureus and staph epidermis; owing is the eegulase all oo ’ 4 fmallence = catalase carbohydrate in cell wall eristic of mycobacterium TB compare to other mycobacterium species; ving within macrophage. resistant to antibiotics ecid fast stain + Siow we resistant to disinfection. 1“trimester , # Sc enc of streptoccouse is; steptolysinO. ® M protein - hemolysin er(painIss) ai? received blood and developed transfusion reaction which of the following his reaction; cellular antigen -antibody cytotoxicity. antigen- antibody complex reaction. = ype Er weathyr . anaphylaxis ch of the foilovwi S 800987639

(Page 27) Recall December 2015, trensported from muscle to liver by which of the following? pyrovat cycle cycle cycle, sate from muscle to liver. from liver to muscle. ; ate from muscle to liver Bp lectate pyrvate cycle. of the following is not reduceing sugar? iucose fuctose lactose sucrose teombomodulin. won willbrand-—> it Guvies /orvtecs lachy tIT | tomboplastin. “ of the following is true about restrict endonuclosis;? )) cleavage nucleotide in specific site. cleavage nucleotide in different site. sucleotide activated. “> metabolic intermediate share B/W glycolysis and fatty acid;? lactate pyruvate Ee» acetyl coA oxaloacetate £4 have which properties; -» 41 ION Kyo (sonail) 3 methylated. an methylated 3-5 methylated 5-3 tail Esher containing amino acid: (DMedn Me RAY) alanine wine a Q Copr€ine BD ho meeypsheine oe 7 @ Fansirok Sy ae % of the following procoagulant;? ~ #/* pe i ay

(Page 28) Recall July 2017 b, Her leutenizing hormone secretion rate will be totally suppressed She is not have normal menstrual cycle d. Her bone will be normally calcified gy C) All of the above 33- 22 years old lady presented with amenorrhoea and her investigation show very low level of progesterone which of the following will occur: a- Low eosterogen b- High FSH and LH Cc) No corpus luteum 34-which hormone is responsible of preovulatory phase: (2 sterogen (exiodicl) RW Rwy ¢ b- Progesteron c- LH d- FSH e- Prolactin 35-sinus bradycardia is: a- HR more than 100 Ad HR less than 60 c- HR more than 60 d- HR less than 100 e- HR more than 50 36- Which of the following is the cause of hypertonicity of the medulla: a- Diffusion of the water in ascending loop of henle Active reabsorption of sodium from vasarecta é- Diffusion of water in the ascending loop of henle d- Reabsorption of water at collecting duct Anatomy: @) 37- A 60 years lady was known to have cancer of the ovary presented over the medial aspect of the thigh. The nerve most likely to be : a. Lumbosacral trunk b. Medial cutaneous nerve of the thigh / (©) Obturator nerve d. Femoral nerve trunk e. Intermediate cutaneous nerve of the thigh 2- Venous drainage of lower limb is mainly by : short saphenous vien great saphenous vier

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Recall December 2016

pre virulent

= wound discharging blue green-pus the causative organism is:

Steph epidermis : ; shane?

. oi -

[mest cemsrrenw © @sorigelus flavus > Vile - gre ar =

@seudomonus aerogenosa

Steph pyogen .

eomial infection most commonly. seen in:

a- Surgical ward

b- Medical ward

cy 1CU

a- Out pt Prev ro “ j <<

{ :

= oid woman admitted to hospital b/c of chest pain 2nd day developed severe

@errhea stool culture reveal salmonella the following is true:

is is nosocomial infection

community acquiered infection

he source is food

owing are causes of steril pyurea except:

ee

a ——, ’

Stra AL 5'¢ nen-sl) « Antibiotics strval Us —_—

a@zinary tract tumour ap polgcyotic Jer }

Stone 2 » / =

a Poel TY

Epithelial cell -

owing is not countribute to protection of H-pylori:

Urease secretion

acidity of chyme

is curve shape

HIV infected pt the organism responsible to opportunistic infectioa is:

a staph aurus

pseudo.argenosa

46-2 = candida albicans

q - tS yy Ae mycoplasma

ameba a of following is unique for UT! EXCEPT: , me { aw Pus cell in the urine toy th Bm Dysurea > micturitior 99009876

(Page 30) Recall December 2015 D. Clostadium tetani. 58/ Bacteria, not flagellated, type of salmonella. Ss. Typhi ee ae | B. S. paratayphi. _> > < # eye a[ ks c. 8. £Y fA nati 59/ which of the following is not group of poxvirus;? A. Small pox. -~ ‘ Chicen pox. => {0 vy “$9 HWV-% C. Cowpox. .~ (vote WA a) D. Mo.{uscum Gonkoy fosuwm 60/ Which of the following oncogenic virus? A. Adenovirus “@ HPV C. rehenoovirus 61/ which virus can synthesis DNA from RNA and restore genome? A. adenoviruse B. varicella. C. pox virus. f( (@ retrovirus > les VASE HALT ptase Influenza virus. HBV. . Simplex herpes virus. Adenovirus CMV AG which of the following does not causes. chronic carrier Status; ? moo Dw Tofrecwone of Ame setend lis 63/ in patient with HBV, window phase. Describe by? Ab = wiedowiag toh A. HBVs Ag ==» Cartier +; iM B. HBV antibody. . ABs Ab =} C. HBV core Ag. anki)! aa! Hi C 4 => YW 8 None of the oo Biochemistry: 64/gluconeogensis activated by all of the following hormones except;? A. glucogon 6) epinephrine LSet 2 + ATP werdhic = ~ 32 AP YO 65/i anaerobic glycolysis the 2 amount of ATP produce insulin is;

(Page 31) \O jae a are yo Recall December 2016 g- )ee : 5: prdaction Ke walk. j \3 prolactin : blood flow will not affected by: P € x . : . OS sympathetic activity : a — =] ao een ad Mean renal arterial pressure 85 mmHg 4 Le : ; 25% of H20 reabsorped =» Most / - f 100%of Nareabsorped => Mast fer V7 85% of HCO3 reabsorped M0 fe a | 75% of amino acids absorped => joo°7. ) 50 %of glucose reabsoroed —> \ ov" ¢ ~“ pr reabsoption of HCO3 in the proximal tubules depend on Coe tran spel t Fad Mi id heo3\cl cotransporter elucose/hco3- cotransporter “yt 7 H+/Na+ exchanger -— g ce oe ae a ~AA ~ Atel fet ’ Hco3-/h+ cotransporter ape L nl es ee he <= d, the mechanism by which stetoid cause osteoporosis amtic pt start corticosteroi inhibit bone formation inhibt steoclast increase mineralization eerding bile acids che amount lost dialy repreasnt the dialy loss of cholesterol 7 reabsorped passively in the terminal ileium +7 95 Z athye pealyyid TA Ku VW Ve: imerease in G¥R lead to increase salt and water Az Bgobion=T hycho the glomerulotubular alance nin proximal tubules is due to : * al qton r H® onlotic an increase in peritubular capillary hydrostatic pressure neease in peritbular oncotic pressure ¢ in peritubula r Na concenteration bstance by macula densa »f vasoacti

(Page 32) | Recall December 2016 Statstics 59-peakedness is measured by: (ay kurtosis 60-in statistic the measured used for comparesson b/w 2 or more group and is measured in different unit : : a- Mode mG) Coeficent 61- Which of the following statistical measure is afected by very high or very low variant: : Se Mean Pharmacolo 62- The amount of drug that found in circulation from the total amount at site of administration called ffe Cc t Looe AY Bioavailability Absorption c- Bioineqvilence d- dose J OX 63-alpha 2 agonist used to increase vagal tone and decrease the sympathetic outflow, ’ which of the following is not belong to them a. clodine % 2 ~ methy (rr epinegh:4 ez py - methydopa o-. FE © epinephrine (beta agonist not alpha) 64-which of the following is not B2 agonist a turbutaline 65-Antithyroid medication which is not currently used a- propylthiouracil b- carbimazole c- Na-———— AP k threcholate < Methizal \ 66-definition of agonist Ps) ® substance bind to cell receptor and stimulate activity

(Page 33) 63) congestive heart failure: "1G cause high hydrostatic pressure. &) histamine inflammatory mediate its action in: xX post capillary venule y ~ _ eaeeed [p~\2 b- capillary : On” e— red bead ZY (ce) past capillary arteriole 5) histamine released from which cell ye mast cell 85) cell autolylysis through fusion of phage with lysosome of own cell is called: YO autophage b- intracellular killing 87) effect of free radicals include: a- Carbon tetrachloride b- Antioxidant AZO Intracellular killing 68) Procoagulant mediator released by endothelial cells a- prostacyclin b- thromboxare Az c- fibrinogen Sl (6) von willbrand factor Genetics: 59) Genetic abnormality in xxy is: a- paternal in meiosis II VAG) maternal in Meiosis II X. 72) abnormal chain in sickle celi anemia: JO B.chain b- a-chain c- 8-chain

(Page 34) Recall June 2015 45) Which of the following maintain RMP of cells:- a- Sodium b- Calcium c- Cloride ARs x - d- Phosphate a ( bu X Potassium 46) Which of the following structure is not part of rectus sheath 7 7 a- Interior hypogastric artery : b- urachas c- Superior hypogastric artery - & Ligamentum teres Pharmacology: ° | 47) Nucleatide pair base, which of the following is true - a- Base perpendicular to the axis 48) Which of the following is sulphar group Amino acid: AD Meticnive pu gpfine- + howogsre + _ c- Aspartate 49) Nucleotide sequance and pairing, which is true:- oe @ Each triplet code specific amino acid - The codon is not degenerate c- There is more than 3 stop codons 50) Where protein biosynthesis occur in the cell: a- Nucleus b- Mitochondria Ribosomes - Smooth endoplasmic reticulum 51) _ lactate in exercising muscle used as glucose:- a- Glycolysis b- Gluconiogenesis JS © Cori cycle . - TCA 52) Growth Hormone action. v@ Mobalize fritty acids b- Catobalize CHO c- Increase use of carbohydrate by body d-- Lobular growth HAMED YAHIA - 090098763 Q 4nde

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(Page 36) cell injury there is © entation of cell memberane NEVEMb|e ribosomes |‘ W(EVAS 7) e oflysosomes i/y@ verble : - tus denseties in the mitichoderia Mee yeyi ble =tin clumping yevermible a tree regarding dysplasia a ee fl oprwth € lass of Galklay eatahin Lape si lod } ; aie pre vorstete nae 4 te 58 pd sed with invasion of basement memberane Ff Laon, ja Situ ccur in ulcerative colitis crogress to metaplasia > : ciated with low nuclear cytoplasmic ratio = B- tA siky isl te following is not considered anon metastatic manifestation of cancer 2? a y 7 thaemia : ss thrombosis ice chosis nigricans 3 pt given purified protein subcutanouslyafter 48 hours askin lesion appear ection this best described ot dermatitis J dermatitis . af WV yy a stoux test A (> ~ hyrupees ee? — « £ i * = occur in hepatitis B > Ld FG CUHAZ ( m progress to dysplasia or neolasia leukaemias the followind is associated with disseminated intra vascular onic promyelocytic leukaemia (M) AEE 00987639

(Page 37) i) e to 639 & inability to digest glactose in milk + laghese sn Aceh accumulation of glactose in the blood - increase excretion of gtactose in urine ~ =m of second step metabolism in starvation is: ~ increase glucneogenesis in muscle b) to reduce muscle degradation _ © to increase ketone body formation = to reduce body metabolism * @ which of the following is expected to occurs ——_— in the intreprandial period: : fy F ; Poy a) ; increase glycogenolysis in the liver ; Re Ca feted ve DW 1 mobilization of fat from adipose tissues _ increase glucneogenesis in the muscle ketonaemia high in the blood increase glucose in the blood ‘uring the period of prolonged fasting which of the following will occurs: A S) production of large amount of keton bodies to support the brain r nyleketoneurea, PR WHICH le OF THE FOLLOWING IS TRUE: . AY Phew alan ¢ Sephon = due to single gene mutation in pheny] alaninine hydroxylase enzyme OB ; ne S Gene =) b-is an autosomal recessive condition J ol/4/.1.¢ y pheng! dule)) d-may complicated by severe brain damage henslaeie FF Pro = ene of the following enzymes is important in brain: S) kehnes *h | j =>) hexokinase = glucose 6 phosphate dehydrogenase 3yrs old child with vitamin D deficiency which of the following is correct: = is most likely to develop osteomylacia —) may have bowing of the legs and flare of the wrist most of ioxic effects of vitamin A are related to: hve Ww yer a leh, vegedalb les = retinal = due to deficiency of glactokinase in the liver “» Xy\Ce of. Saladyse. a pPy- wf dj i] tafe @ glucokinase =) livwr f-cells cf p ure |

(Page 38) Recall July 2017 26-The first sign of ovarian maturation is : a. Ovulation di @) Development of breast tissues . Appearance of libido ., Increases body temperature Menstruation 27- FSH is : . b nN + a. Lens hormone : b. Has no role in ovulation c. Has luteinizing effect S Its beta chain is specific xe Agonized by prolactin s 28- Ay i dison’s disease characterized by : CP albenal ropulircrontnd A hespocettise isin (a Hyperglycemia < b. Low ACTHifit is pHmary 2° xc. HyYpgkaleamia Wain yd. Normocytic , northochromic anaemia _ Maplldaitic Ongen< ye. Hyperpigmintaion if it is secondery ea 29- Which is false about T 4 h eS ich is false.a ou! ormon © @ahe 40> aon 1: Zi ill @) Has the same effects , but less strength than T 3 %, Has intracellular receptors c. Synthetized in follicular cells XB Does not affect O 2 by the lymphatic tissue e. Where it acts in the target cells it must deiodonised to T 3 30- The effect of insulin on glucose transport is to: Enhance transport across the tubular epithelium of the kidney Permit transport against a concentration gradient Enhance transport through the intestinal mucosa d. Enhance transport into the brain SL Enhance transport into adipocytes 31- Malabsorption assessed by all of the following except : ese a- Weight loss w © Acid base status £- Anaemia d- Mild oedema e- Presence of oesteomalasia 32- woman has tumor secreting large amount of oestrogen. which of the following will occur: a. Progesterone level in the blood will be very low Ne ars sere er Dr. MOHAMED YAHIA - 0900987639 6 Aaius

(Page 39) terone mn: Lut Recall July 2016 increase the heart rate(HR) increase the basal metabolic rate(BMR) decrease blood cholesterol level skin vasoconstriction = Voyooli L dion : =) hot et hypercalcaemia which of the following is an example of countercurrent mechanism = macula densa and vasa recta | = proximal convoluted tubules and collecting ducts © macula densa and loop of Henle _>> vasa recta and loop of Henle ene of the following is expected in patient with graves' disease: = increase sensitivity to cold <7 L = increase plasma cholesterol level ~> f © hypotension» Wwhger =>) low plasma TSH = low plasma T3andT4 — 7 7 vt v G sympathetic stimulation to which of the following vascular bed will produce imum increase in peripheral vascular resistance: veins veinules arterioles capillaries arteries which of the following is true concerning spermatogenesis: sperm production is cyclical continuous release of gonadotrophins releasing hormones(gnRH) is essential for spermatogenesis sertoli cells are needed for normal meiotic and mitotic activity of germ cells FSH act only on lydige cells to stimulate testosterone release LH act on sertoli cells to stimulate release of androgens one of the following is true about unstable angina: central chest pain during exercise is characteristic can be diagnosed by resting ECG characterized by large QRS complex diagnosed by exercise ECG a uckling will stimvlate secretion of which of the following hormones = ADH by supra-optic nucleus ( 5 oxytocine by para ventri oxyiocine and ADR ar nucleus

(Page 40) Recall July 2017 c. Stimulated by fear d. Has trophic effect on breast tissue YC) Concenteration increase at time of delivery 20-Blood pressure equal: (0 0 : © COP X Peripheral resistance = (} Ax sv) X pr - COP XSV ‘ c. HR X weight d. HRXSV 21-Parathyroid hormone: Hypersecretion occur in chronic renal failure % he i, Cet 1 ( q Alp) 6. Is hypocalcaemic hormone ey Gr ery+ c. Is essential for life as insulin d. Secretion represent neural hormone control A “ thal Layton Lalest- ery 22-regarding the ca and bone which is true: (tt tavpenin (ace juny) 4. Filterable fraction is40% of serum ca @ * crakinn ot iy pay ( ati desis) Osteoclast has no receptor for parathyroid Osteoporosis can be caused by vit D hypervitaminosis d. acidosis can cause tetany calcitonin cause hypophosphataemia @ Lol, of- Ct fs ound le plasua pins 23- Cholystyramine : eosP a. Increase bile acid absorption at distal ileum b. Enhance bile acid reuptake by liver / Act as resin for bile acid . Is synthesize at terminal ileum e. Circulate between liver and terminal ileum 24- C-peptide: a. Can be isolated from insulin in blood b. is not detected in type 2 diabetes © is found only in pre-proinsulin d. has antigenic property for insulin e. enhance insulin uptake by adipocyte 25- Neuromuscular junction is: — / o excitatory _7>. excitatory and inhibitory inhibitory » b. synapse 0

(Page 41) Recall December 2014 71) pleoymorphism, is: o1 (@)rormal single gene with different allels b- Abnormal locus the base Has: 72) warlea vend Lab en at apex Apex of the lung when compared to (e) higher viq ratio, = b- higher co2 Fs c- higher compliance Tmmunity: 73) Complement system: 76) Associated with agglutination © attacks CDs+ cell which other cells hi f cell but not lysis. 74) HIV ave same CD4t receptor. oi © Macrophages ne response include: 75) Acquired immu Beene Wa ig w“@ Maternal poave > Wthosme Ab b- NK cells. c- T cells | Statistics: 76) Statistical study including three groups; the analysis would be best by: wZ anova # Cheek oliffe Wok. the means of 2 Grup) of F Chi square 2) 4Cheele vl hel - 2 of mare °F oT Prpertiams 4 c- T-lest . ‘ tchecdh Ath bet. Yhe merry cf 2. gwd followed for period of 10 yrs, type of study: "71 2 ergnps of patients what will Cohort study £220) pmnc> a OUP Z agen ASK Poubt to aR) wi ‘ : to absex5 weve | das what iS : €b Cross sectional study, Dees AY Wdthoed hapfenins aspuup 1 ayers f ae sae relajecl rie fachers) ¢ ot a dosti culo ec m hime . 78) Gailssion distribution: normal dist.) n same area under apex of the curve. 2 Grausion € Mean, mode, median all fall i O) Megan =meouan= meal Chel shaded ) about randomization 79) Following is correct er Q Reduces error and gives correct estimators.

(Page 42) | Recall December 2016 30-Leptin ; glia AC) regulate food intake b- decrease GH release 31-In respose to exercise an increase in muscle perfusion is met primarly by ; gf a-_ variation of breathing AO locally mediated vasodilation : “ decrease HR Pathology 32-in mismatch blood transfusion haemolysis occur due to _ Antibodies(Abs) in donor blood against reciepent RBCS ~ Abs in reciepent blood against donor blood. c- Neutrophils in the donor blood 33-Haemolytic disease ofneoborninvolve ig ys 4 SU type 2 hypersensitivty reaction b- type3 hypersensetivty reaction c- typel 34-in blood transfusion heamolytic reaction isdueto =) pe iota fF Activation of complement and function of memberane Attack Complex(MAC) & Activation of CD8 c- Activation of macrophages d- Activation of neutrophills 35-in the mast cell which of the following isnot performed and have to be synthesitized a- histamine uth ¢ ( (2 ( b- heparin 2% \ seld oa wt pepabglard me d- cytokine 36- in the arthus reaction the recruded ceils is i¢t Yy I ge dat Me a- mast cells we) neutrophils Cf iG eosinophills d- macrophages e- langerhans cell © S 37-which of the following organsis specifically vulnerable to shock a. heart muscle © brain <- skeletal r ae ce Se are Dr. MOHAMED ¥IA- 0900987639

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(Page 44) ‘ AY pO Recall December 2016 Microbiology: | . a) 44- Icosahedral capsid viral: 2) < /-@ cause systemic disease b- protein arrange in tube c- The capsid is bilayer 45-HIV belong to which family: + a- reovirus retrovirus c- lentivirus 46-which of the following is dsRNA virus: Ze) rotavirus b. HAV c. HBV d. HIV 47-Kaposis sarcoma cause by: a. HIV i SP Human herpis simplex type 8 c. herpis type 2 48-regarding the fungi the foiiowing is true except : a. contain ergosterol in its wall b. the cell will contain chitin c. heterophil SD they synthesized their own organic material 49-the following is not true: JP? gram -ve rod are found in the nose b- bactroid is normal flora in colon b. streptococus in the throat —~ c. staph epidermis in the skin “~ r al 50-which of the following is commoner cause of UTI: Con nes ~_) BR Staph auos preve«s- KARO i & « et 4S — b- 3 Strept fecalis prencro ARR E TM Ud. a 4 J BD Kiebsila ue % ne “ q- Protus species (% Sto Sep? Let pe . = , f

---

51-MRSA differ from staph in: zal plors ng = by a- coagulase —ve f ee [stay b- cause W ound infection eee peers Dr MCHAMED ¥ ‘A - 0900987

(Page 45) 3 days. three Recall July 2016 eee of the following cause hyperkalaemia: exercise high aldestrone level => hyper nat © injection of insulin = inhalation of beta 2 agonist of the following cause increase central venous pressure: =) low cardiac output b-hypovolaemia = increase in total peripheral resistance => ayo les @ e-dehydration . ly patient prolonged bed ridden in nursing room his serum sodium 154mmol hematocrit of 55%.this patient is most likely suffer from: =) dehydration = b-hyperosmolar coma c-malnutrition d-renal failure e-DKA ene of the following is used for diagnosis of diabetes mellitus: = glycosaemia = random blood glucose of 160 '<) fasting blood glucose of 130 <= low hemoglobin Acl => We = Heets Conte sebstance found to have plasma concentration of 10mmhg/ml,, urine concentration 80m mhg/dl and and urine flow rate of 2mmgh/ml. what is the clearance: f = 300ml/min Clete < = Wine Gal - Lay (aw “ — > 20ml/min Your tare” low ce 4ml/min ; ? smn Gre - . 2 200mI/min = loeX2 _ 26 \o_ 40 yrs old develop bleeding after trauma .which of the following is expected to be S> than normal and result in sodium retention: ©) estrone >» Not mo CAA Fed __rédenbion, = angiotensinogen c. angiotensine 2 a atrial naturetic peptide e ADH one of the following result in growth hormone secretion: 2 hyperglycemia

(Page 46) Recall July 2016 -" the parasympathetic preganglionic fiber arise Ewfrom second ,third and fourth sacral segments of spinal nerve e. sensory afferent fiber from bladder wall are carried by obturator nerve 79. which of the following is true concerning the ovary; a. the left ovarian artery is branch of ta ton iliac artery b. the obturator nerve lie medial to ovary -€9) the ovarian fossa bounded above by the external iliac vessels and behind by internal iliac vessels * d. lymph drains into preaortic nodes e. the round ligament of the ovary extend the ovary to lateral pelvic wall 80 which of the following is, true about ischiorectal fossa: a. pudendal nerve lie on the medial wall b. the floor is formed by pelvic floor muscle the lateral wall formed by obturator internus muscle and its fascia a. the medial wall is formed by the rectum e. the roof is formed by urogenital diaphragm 81. malignant tumors of the bladder trigone spread(metastasized) to following lymph node: a. lumbar b. sacral c. external only . internal and external iliac e. superficial inguinal 82. the broad ligament contains all of the following except: a-the round ligament of the ovary b-the uterus c-the round ligament of the uterus d-the uterine tubes ureter “hy (oer oP 82. support of the uterus either directly or indirectly, provided by the following structures except: a. prineal body J mesosalpinx transverse cervical(cardinal-..makings' rods) ligament lavator ani muscle pubo cervical ligament 83. following receive innervations from branches of pudendaL_nerve except: a. labia minora b. urethral sphincter 14 Anke Dr. MOHAMED YAHIA - 0900987639

(Page 47) Recall December 2016 —— ESSE penta 97 Sb large hands and feets and oesteoarthritic changes also has galactorrhea he has = Aeeeplly FG E TPRL | Av) A- Thyroid glands 4 B) Anterior pituitary

) vend U - Adrenal gland & small bowel obustrution NG tube for suction inserted which of the following ; disorder may occurs Metabolic acidosis Metabolic Alkalosi Respirory acidosis » elderly proloned bed ridden with home nursing brought to hospital , confused » Na 154,heamatocrit 55}'most like cause 7 SY . . Dehyderation Fever Hyperosmolar coma GH will result in Decrease bone formation Ne UNE YG Ie. g's le ace Decrease protein synthesis / ~,4ulir a _feace Insulin resistance ae itt? pregee : Drereased lipolysis ~<> ~- + ye “| Hypoglyceamia —) et ich of the following increase in obustructive but not restrictive Lung disease FEV1 TV @ FRC FVC the preovulatroy time granulose cell secret Ce i) b i 14 =} LH yl” FSH ; ESteogen Androgen Progesterone following is not tue about corpus lutum Produce progesrtone in postovulatory time | = Maintained by HCG in early pregnancy —~ Produce FSH , LH - Produce progesterone

(Page 48) a Recall July 2017 13-Growth hormone secretion increased by :Olprgtycomi, @ bK® 7 Yat yom Daluagon - @ sha. lycemia Ms) feiien ; (Ei sleep @ Sm hy orer, c. Hypothermia d. FFA e. Somatostatin | 14- which one is correct about spermatogenesis: a. Production and relase of spermatozoa is cyclical at Sertoli cell is require for mitotic and meiotic activity for germ cell ¢. Spermatogenesis need continuous release of GRH d. Ledig cell secretion of testosterone require FSH e. LH act directly on sertoli cell to promote cell devision 15- Thyroid hormone receptor : a. Has an associated co-repressor protein b. Does not involve binding of co-activators to initiate gene transcription c. Is associated with heat shock protein-90 in the cytoplasm Is found free in the cytoplasm and move to the nucleus following its stimulation / & Isbound to HRE(hormone receptor elements) before hormone binding ed pezald ster ag 16- An abdominal CT in patient with conn’s syudrome show multiple small adrenocortical masses which of the following clinical finding is most likely present: Hypertention + alialosiS + VET 4 - WAR VENA + a, b. Hyperkalemia 7 c. Increased concentrating ability of the kidney d. Decreased extra cellular fluid volume e. Increased hematocrit 17-Suckling in lactating lady stimulated which of following: a. ADH Oxytocin c. Prolactin d. ACTH e. FSH 18- 30 years old lady breast feeding her infant which of the following is expected: a. Increase secretion of ADH b. increase secretion of ADH from paraventricular, SO increased secretion of oxytocin from paraventricular d. decreased secretion of neurophysin 19- which is true about oxytocin hormone: a. Secreted by supra optic nucleus hd. Induce milk production (willie We ta, |) rewene Dr. MOHAMED YAHIA - 0900987639 er EE Seal

(Page 49) Physiology 1- Thelowest conduction Ye! heart occur at whoweS+ =) velocity in the a. SAnode : b.. Atrial fibers < lotr AV node*** ‘ os pavenaked 4. birkinj fibers © ventricular fibers 2 oh pans olcscpaje ent AN vede (Pav AY) | sath =) vendil 2-In the ECG the QRS complex repres A- Atrial depolarization ig oh spel gree fier ee eee pinto D- Burkinji fibers excitation \ Sie gece y, ae fo ree Ca 3-H less than 60 bpm is AA A SINUS bradycardia ot steroid hormone 4- the following is 0 A- Testosterone B- VitD ; 6) Aldesterone. ACTH % qrygePide +nQic 5-The following is tyPe 1 hormons oo) by > apes a teail 6) al pI“ e - Insulin * B- Glucagon O binge LZ (e) Thyroids hormons (a Tereston€ — © payne 6- IN Pt with vit D deficiency A+ Highs.Ca 7 y y B- Highs. phos ~? y High PTH level 9 Y Low s. Alkaline Phosphtase ease bone menrilization y the production 2 ° 7-After thyroidectom Incr A- T4 B- Calcitonia J Oi D- 73 @7 ya net 2— © 27s @aaleronir Ma f the following incease

(Page 50) the posterior fornix of the vagina ischiocavernous muscle skin of the penis or clitoris ning the ureter, one is correct: it enter the false pelvis anterior to bifurcation of common iliac artery the ureter inter the blader by passing directly through its wall it related to Ischial spine before turning medially toward the uterus blood supply of the proximal ureter is from superior vesical artery it enter the bladder directly by crossing over vasa difference concerning the uterus: * fundus is the upper part of the body of the uterus the long axis of the uterus is usually bent anteriorly over the the long axis of the vagina(antiflexed) 9 avy 432 Verte od © the anterior surface of the cervix is completely covered with peritoneum @ uterine veins are drain into external iliac veins = the nerve supply of the uterus is from the vagus nerve ose one single false statements: the anorectal ring is formed by superficial ,subcutaneous and deep parts of eternal anal sphincter ~ which of the following is true about staging of tumors ,0 ,1 ,2, 3 4 = a-numerical

) ordinal © c-nominal E sensetivity in clinical trial: a-ratio of sick subject diagnosed negative and total number of population b-ratio of healthy subjects diagnosed negative and total number of healthy subjects c-ratio of sick persons diagnosed positive and number of healthy persons diagnosed positive ratio of sick subject diagnosed positive and total number of sick subjects diagnosed . negative the mediamis best described by: c ‘ the mid-value between the maximum and minimum the most frequent number summation of the total numbers divided by two

(Page 51)

Recall December 2016

15- in the week fpllowing ovulation the endometrial thickness increase from 5 to 7em is

by action of f é -

. Ze fle (po ) A- Estrogen = fae (9 Cala { 8} Progesterone( secretory phase) - HCG . D- LH 16- Lady takes Combined C p mechanism of Action that prevent pregnancy A- increase estrogen ; B- increase FSH Airs | Secretion Prevent Development of graffian follicle D- Stimulate GaRh 17- regarding ovulation A- body temp decrease > t B- there is negative feedback by eostrogen on LH = *vt preceed by LH surge D- decrease eostrogen secretion 18-5 alpha reductase inhibitor prevent production of &3) 3 h nshex A - , Aw ide woe Testosterone sm reduchas DUT b- Progesterone AQ DHT Esterogen 19- testosterone converted by aromatase in adipose tissue to a- Progesterone EY Esterogen c- DHT 20- ee of ptsie d cg Oa pk edim, + omomet alls a- Increase cx thickness b- Responsible from secretory phase ) Increase the ductal tissue development in breast + Aprelodmant aenatal we a ails a + lemale fat olde Nabi 21- suckiling lead to a- increase prolactin secretion b- increase dopamine secretion V 6) Increase oxytocin release from posterior pitutory 22-in alactating women milk move from mother to baby is action of (pi We echon) a- TSH wi €& oxytocin c- Dopamin

(Page 52) Recall June 2015 31) Which of the following of cell organelles has higher molecular weight. a- Mitochondria KB Golgi-apparatus c- Ribosome d- Nucleus 32) Which of the following substance contain antiseptic for hand washing: a- Firmalidejyde > Bee ate Cholorhexodine ¢- Ethylere—odixe Microbiology: . 33) What of the following bacteria is lactose tormenting: a. Shegilla =prun lactose fermedten “Q@ Klebsisla , Salmonalla => yoy \actee fermemer d. Proteus 34) Acchild develop pneumonia, which of the following associated with causative agent:- we) Positive optichin test b- Resistant to bile c- Resistant to penicillin d- Cause epiglotatitis a@ 35) A young male develop STI) asample collected and there is no bacterial gross, it .* needed special media. 2/wks latter there was a grow of :. a- Gonorrhea b- Toxoplasmosis c hi c- Syphilis d- Nisseria @ chiamesre 36) which of the following is obligate interacellulaor (parasite): a- Toxoplasmosis b- Mycoplasma YO Ricketfia, d- Streptococcus 37) Pt has been treated with multiple drugs including anti-viral and antipyrexcis, later on pt develop diarrhea, the following drug is appropriate: a Clindamycine ‘ JO Matronidazol c- Sulphonamide d- Amoxcilline MOHAMED YA 1900987639

(Page 53) Recall December 2015 D. augmented cytosis 89/ site effect of nifidipine 4 ;' @® postural hypotension Y 4 S, B._ ...metabolite. : C. polyuria 90/ the oocyte reach the maximum account at. A. at birth ‘ 4 at 5 month interutrine C. after birth DA Skeivasnsess 91/the main lipid in surfactant is «A~@) di phosphatidyl - choline B. di-palmitoyl-phosphatidyl-choline 92/ block of Ach at neuromuscular junction by A. Atropine —**7" 7 B. Hexamethonium => $iy.2er //$¢ C. Acetyl choline. : Curare 7 scopolamine 93/ gonorrhea treated by single dose of the following drug; A. procaine B. doxacycline ¥O ceftraxone . tetracycline 94/ a study design to research about patient smoker for 10 years ,type of study is A. Case control y Cohort study C. Cross section ee ee

(Page 54) Recall June 2015 = be Palpospongious . ¢- Obtratur muscle =) A women had stab injury in pelvic area, which at of the following structures, above periformis muscle can be injured a- Internal pudendal artery. . . b- Perineal Nerve ‘ c- Sciatic nerve “~ @ superior gluteal nerve 2+) The following structure support lower part of vagina posteriorly: 2 9 ; a- Coccegius - b- Puborectalis muscle GC Perineal body. =) In both sex the following come with gonadal descend: - Contruction of Tunica Contraction of Gubernuculom c- Mullorian duct. 25) A drop of unire in the tip of penis, squeezed by contraction of urethral muscle and pulbospongiosus, which of the following nerve plexuses supply these muscle. a- Pelvic plexus ~ ® Pudendal nerve c- Socrotal plexces d- Infenor hypogustric. 27) Pelvic outlet, posteriorly related to Tip of coexygeal bone and lateral wall by sacrospinatous ligament, what other structures related posteriorly: a- Obturator muscle b- Piriformis muscle YO Sacrotuberous ligament. 33) «Female urethra relation a- Lies 2 inch below clitoris b- It is wide and flexible vA © Readily can get infection The following arteries supply uterus: a- Internal pudendal artery. b- Internal iliac artery uterine ortery c VAC) Uterine and ovarian artery.

(Page 55) EE io Recall July 2017 d. perforators e. superficial viens tic fascia is exposed to see ductus deferens and 39- During hernial repair internal sperma g fascia is internal spermatic cord : testicular vessels .from which of the followin a. Internal oblique aponeurosis b. Processus vaginalis c. Transversus abdominis aponeurosis . d. External oblique aponeurosis , S Q Transversalis fascia : 40- Both ischiorectal (ischioanal) fossae communicate : a. Superiorly b. Medially Posteriorly ““d. Anteriorly e. Laterally osits cancerous cells in the vertebrae this 41- Cancer from pelvic viscera can dep | iliac veins and the vertebral viens the communication occur between the interna through the : a. Lateral sacral veins b. Lumbar vein Prostatic plexus vA Umbilical veins e. Pudenal vein 42- Which of following muscles does NOT attach to the perineal body : é* a. Transverse perineal muscles Pubovaginalis U “SS External anal sphincter d. Levator ani & Puborectalis 43- In a patient with small volume of fluid collection in the abdomen likely site for fluid collection in the erect position is: a. lesser sac b. Greater sac © Douglas pouch WwW & Rt hepatorenal pouch e. Paraduedenal recesses 44- Concerning urinary bladder a. Against fascia of levator ani b. Detruser muscle supplied by sympathetic motor fibre es rears ee) AMED YAHIA - 0900987639 Dr. MOF ee eee eg AP eas Hesdoo » 27Qk @

(Page 56) re Recall June 2015 << eae 38) a patient develop hospital strain staph-aureus which drug is appropriate for this patient a- Amoxicillin b- penicillin G. c- Ampicillin (d-) pipepcillin 7 e- methecilline « ‘ 39) wound related infection shows sulpher — granules puts which is apportunistic oR infection, which drug suitable: $ a- cepholaspbrine b- cephlexin c- pipevucidin amoxillin 40) which of the following cause of decrease GFR: a- efferent arteriole contraction —) NOPR f b- increase affarent arteriole dilation 7 4 (RY sees ~ J fee Ww increase pressure in efferent arteriole ; d- decrease plasma oncotic pressure — > THER ad Obs oPtron Pharmacology: 41) _ paclitaxedl it’s a drug which group of drugs action: 7 a- antibiotics b- Anti-viral, c- Alkaloids SCO Alkalating 42) Clavulnic acid, characterized by which of the following: a- Anti-staph b- Alkaloid c- Anti pseudomonas (a) B-lactornase drug. V@ 43) AIDS pt, develop Herpis simplix related angular stomatitis what is drug of choice. a- Zidoradin b- Riburirin Aciclovir 44) Qbligaie intraceiluir bacteria related infection, v hich of drug of choice:- 4 7 a- Chloramphenicol _ b- Metromdozale © Tetracycline d- Trimethoprim e- ceftrixone

(Page 57) Recall June 2015 15) Whatis the abandent immunoglobulin in the body: a) IgM c) IgA d) IgD 16) Prothrombotic substance produced by Endothelial cell a) Plasminogen . b) Antithrombin III + ¢ Fibrinogen. ; JS Von willbrand factor 17) Which of the following is high in pts of obstructive lung disease comparing restrictive. a) Vital capacity: b) Residual volume Functional residual volume d) Tidal volume 18) Operation was done and adrenal was totally removed, which of the following will occur: a) Decrease K+ absorption b) ADH secretion decrease A Decrease, Na, water volume in blood. 19) PTH has increased activity in the following: : _ J ‘sal @) Increase osteoclast for bone resoption. | 7“ et ee b) Increase Ca reabsorption from GIT c) Increase phosphate reabsorption from PCT. 20) Awomen 56 yrs old menspouse has HRT which of the following improves in here: Ww Bone strength ee Stroke c- Hot flush d- Hair loss Anatomy: 21) In old women has pelvic diaphragm relaxation, which of the following responsib! for diaphragm support a- Cocciguous muscle - Obturator muscle — Levator ani muscle 22) After normal delivery, obstetric registrar had done injury, there is torn in perineal body, which muscle has attachment: 99 a- Ischeocavenous an episiotomy to ovoid perin

(Page 58) Recall June 2015 G@pz2svxB&® ® Which of the following can decrease stroke volume: H KK AR Increase heart rate. . b) Increase end diastolic volume. c) Decrease total peripheral resistance. ® Which of the following i is true regarding GI motility: a) Fluids emptied more than solids > dev b) Acidity in the Antrim decrease stomach empting —> 1 i- Proximal vagotomy of stomach decrease receptive relaxation. ui . o & “1: oa) d) Peristalsis is — = produces misnrartind Motus np Pathology: Old age pt develop acute MI, which type of Necrosis to cardiac muscle: a) Caseos Necrosis =) T-(2 AY Co-agulative Necrosis A eal Nivel, Kidney c) Fat Necrosis => d) Liquifactive necrosis Sele ) A smear was taken periphrally of pts has peripheral focal loss of sensation and it was stained by zahil Nellson stain, shows mycobacterium:- a) Mycoloactricum TB. b) Traponeme pallidum ey ©Maycobacrtium leprosy, On abscess contain depris, which of the following cell is predominate: a) Macrophces. SQ Neurophil c) Epitheiloid cells d) Lymphocyte =) incubation period of hepatitis B. a) 2-3 wks b) 2-3 month S/O 2-4 month d) 1-3 month The following is not true about memory cells: a) B-lymptrocyte b) Plasma cell wef (@) Complement d d) Macrophage

(Page 59) \ Recall July 2016 _ Physiology: 90. one of the following is true concerning insulin: increase glucose entry to hepatocyte increase glucose entry to RBCS ‘ increase glucose entry to renal tubular cells . increase glucose entry to brain tissues - increase glucose entry to, adipocyte wy 91. which of the following is true concerning gastric empty: ao 7 P solid empty rapid than liquid empty of fat rich meal is more rapid than carbohydrate rich meal acidification of antrum decrease the gastric empty vagotomy increase the gastric empty of solid vagotomy abolish accommodation of the proximal stomach 3. oP 92. patient with vomiting and severe watery diarrhea after eating shellfish iv fluid and electrolytes replacement started and stool was taken which come back positive vibriocholerae.which of the following best describe water and electrolyte absorption in the GIT tract: a. electrolyte absorption in the GIT is primarily electrogenic b. osmotic equilibration of the chyme occurs in the ileum vO absorption of majority of water occurs in the jujenum " d-small intestine and colon have similar absorptive capacity e. e-toxin produced by vibriocholerae decrease the cyclic AMP in the intestinal epithelium 93. 30 yrs old man with small bowel obstruction on nasogastric tube suction for 3 days. one of the following is a metabolic abnormality is likely to develops in this patient: metabolic alkalosis “b. mixed acidosis c. metabolic acidosis d. d-respiratory acidosis e. e-mixed alkalosis 94. 40 yrs old man ,known case of chronic renal failure on regular dialysis »skip three setions..one of the following is true about his acid base status(PH:7.35— 7.45,,,,H1c03:22— 26,,,,pc02:35—45),:, <=) méloboaic § gcidesiS § att yy PH:7.54 co2:35mmhg HCO3:19mmhg~ NC, b. pH:7.45 co2: 45mmhg Hco3:24mmhg al ~~ ©) PH:7.27 co2:34mmgh HCO3:19mmhe », ahs ~ Ph:7.27 co2:60mmhg HCO3:28mmhg qd. PH:7.55 CO2:55mmhg HCO3:32mmhg 9900987639

(Page 60) - Ye (, Le Recall July 2016 \ypreptene artery) ich of the following is a usual branch of posterior division of internal iliac artery: p mmm ON) eal sacral 4 of glterly smoraen umbilical artery goth. H onh P))cutee ged ad. ere 4 ene middle rectal artery slo 2) mo }ay}- pia - = le Puderdol. + sp eon) ich of the following is true about ductus deference: = it opened via ejaculatory duct into spongy urethra begins at the fia bf epidedymis one of content of spermatic cord it inter the abdominal cavity at superficial inguinal ring it is retroperitoneal (Gra fer bead ) cep prineal space( pouch) contains: G) eS ene = ischiocavernous muscle > bulbospongiosus + a <r wcley a. ») sphincter urethrae muscle Marah = d-root of clitoris = e-par urethral glands nein prude aale urethra, the following are true: . = is immediately anterior to clitoris & external orifice is two inches (Scm) from clitoris ©) itis about 1.5(3.75)long 3 iy tm: (\ - mde) < do not pierce the the urogenital diaphragm it is strait and only minimum resistance is felt as the catheter is passed through the urethral sphincter efi of the following concerning the visceral layer of pelvic fascia are true except: in the region of the cervix is called the parametrium it condense to form pub cervical, transverse cervical, and sacrocervical ligaments of the uterus it cover the obturator internus muscle it does not become continuous with the fascia transversalis on the lateral wall of the uterus ,it fuse with parietal peritomium | neerning the urinary bladder which of the following statements is tr ue: the sympathetic post ganglionic nerve are originate in sacral plexus the parasympathetic preganglionic fibers originate in inferior hypo gastric plexus the senaes sensory fibers carried i in preganglionic parasy mines nerves are

(Page 61) "\ Recall July 2016 d. high fatty acid in the blood e. somatostatine 402. 20yrs female presented with amenorrhea..serum analysis showed low progesterone Jevel..what is the most likely explanation of her condition: a. lowLH b. high estrogen level @) no corpus lutetium | d. d-low growth hormones 103. milk synthesis is inhibited during pregnancy..what is most likely explanation: a. high estrogen during, pregnancy b. high dopamine during pregnancy c. high progesterone during pregnancy d) high estrogen and progesterone during pregnancy e. high gonadotrophins during pregnancy 104.. which of the followings best described ACTH: J shows circadian rhythm in humans 6. increase aldestfoud fetion from the adrenal cortex Jf Tow in patient with Cushing's syndrome = / 105. which of the following best describe parathyroid hormones(PTH) a. synthesized and secreted from oxyphil cells of parathyroid glands b. its secretion increase by high plasma calcium concentration =) dy Qa a sh Ply c. act directly on small intestinal cells to facilitate calcium absorption d. act directly in renal tubular cells to facilitate phosphate absorption =? vy ph is essential for life 106. tidal volume of 350mmgh,,,,dead space of 100mmgh,,,respiratory rate of 18mmgh...what is the alveolar ventilation: = (Heel den sa ce) x” R R a. 3L panes eba 6 See b. 3.5L Qs dal e. SL 107. one of the following is a hormone produced from posterior pituitary gland;: a. prolactine b. dopamine SK >) oxytocine + A i} ~ d-ACTH e. E-FSH 108. ALL of the following are functions of thyroid hormones except:

(Page 62) Recall July 2016 415. granulosa cells produce which of the following hormone at the time of pre￾ovulation; a. LH b. FSH SL C) estrogen ~ d. progesterone e. HCG 116. which of the following ‘will increase in obstructive rather than restrictive lung disease: a. ventilation perfusion ratio functional residual capacity(FRC) ai © c-forced expiratory volume in the first second d. d-forced vital capacity 117. small low voltage QRS complex is associated with: a. myocardial infarction b. unstable angina c. ventricular tachycardia of oP) pericardial effusion e. e-a trial fibrillation 118. 30 yrs old female on her postpartum period develop mild cough followed coma..brought by her husband..furthermore at the casualty she develop attack of convulsion..what is the most likely cause her condition; a. intracranial hemorrhage v4 amniotic fluid embolism c. epilepsy d. pulmonary edema ai pulmonary thromboembolism 119. calcium most effectively absorbed in: a. infants b. pregnant / adolescents ‘ females in their reproductive period e. alcoholics 120. which of the following is expected to occurs in patient with low ventilation perfusion ratio: Ne _ Wp a. alveolar ventilation is increased b. partial pressure of carbon dioxide decreased c. partial pressure of oxygen increase S/o increase in pulmonary vascular resistance e. pulmonary vascular resistance decrease

(Page 63) Recall December ET 2013 eae RR c) Angina d) Cardiac tamponade Acorgulative necrosis 37. Which cell is characterize for granuloma formation: (2) Monocyte _,) hamid => epithelinid ce it = Giont ell b) T-lyrnphocyte eee * 2 Componertts c) B-lymphocyte bilooMlosts ob Wynphotgte : of ronaloone d) Nernrophils e) Dendrjtjc cell 38. Apoptosis occurs in: terine endometrium during menstrual cycle 39. In all of the following sites epithelial dysplasia can occur except in: a) Epithelial surfaces wo eonnective tissues 40. Endogenous chemical mediators produce all of the following except: a) increase vascular permeability b) Chemotaxis c) Vascular dilatation d) Pain A Mpecrease vascular permeability 41. Which one of the following causes high protein in CSF: a) OVA Ww pens tumors c) Viral meningitis d) CNS trauma 42. Ail of the following can predispose to septicaemia except: a) Steroid therapy b) Neutrophil count <1000 c/mm A Cperrornil count> 100000 c/mm d) Long term treatment with broad spectrum antibiotic

(Page 64) 0 a) Blood agar wor issue culture c) MacConkey agar 51. Viruses resist killing by antibiotics because: _ a) Have B lactamase ; eo) Have no biosynthetic enzymes 52. The following disease iscaused by virus: a) Relapsing fever b) Brucellosis AGSnavies d) Leishmaniasis e) (a name of fungal infection) 53. Bacteria sensitive to tetracycline is infected with virus and becometetracycline resistant. The mode of resistance transmission is: a) Conjugation tachera jy Bacteria than yh Pitlus b) Horizontal gene transfer c) Transformation Pabality dy teke uP ONA farm anUdonvent Conefence) er ransduction =) @ovteyia inbecte? & virus { 54. A patient with a 2 months history of painless right leg swelling and he develops discharging sinus of black Substance: a) Actiriomadura madurae b) Actinomadura pelletieri A QMadurellamycetomatis d) Aspergillus nidulans 55. Poorly controlled diabetic with nasal blockage and left orbital pain. On examination there is ptosis and blackish necrotic mucosa of left nostril: ing ; a) Blastomycosis ae b) Aspragellus flavus SO NSPaigells niger 56. All of the following regarding leprosy areTRUE except: a) Lepromatous leprosy . b) Skin test

(Page 65) Recall July 2016 Pathology: 38.which of the following tumor marker is commonly used for diagnosis and follow up of prostatic cancers: “a. human chorionic gonadotrophin(HCG) alpha fetoprotein prostatic specific antigen(PSA) U\S@ d-carcinoembryonic antigen(CEA) C5. 39. pure hyperplasia is seen in which of the following condition: ' , a. as compensation in the kidney after unilateral nephroctomy tas yar) SQ in bone marrow of hypoxic patient 7». breast of pregnant lady \ypeP labia aby perteply c. skeletal muscle during exercise a arog) pe. 40. 30 yrs male develop fever after trauma..at the site of trauma his toe was red and infected .which of the following mediator is likely focause his pain and fever: ~ a pet a. bradykinin of a a . y/ (6) prostaglandin > freit<7 (a dt yn fei i'a af VOC ce. IL-l ss) WE rm d. leuckotrien B4 € 3 5 ¢ 41. which of the following is true about reversible cell injury: ua F a. cell membrane fragmentation eveoible c® clumping of chromatin (sc legs ) seueyrivle ¢. chromatin condensation jywivemible d. mitochondrial swelling went Mdle ogi of ribosome (deka cleat) ever se 42. amyloidosis is best described by: deposition of protein in extracellular matrix = 4. intracellular deposition of pigment b. protein produced by the liver 43.30 yrs old female presented to casualty because of increasing fatigability ,dysphagia and menorrhagia for 3months.on examination the tongue was_smooth. which of the following is most likely diagnosis of her condition: a a. beta thalasaemia a Jef b-. sickle cell anemia (Oey ef is, c- megaloblastic anemia CP Plummer Vinson syndrome = e- nutritional anemia SE Dr. MOHAME ES

(Page 66) pillus) is AN o \ one of the following is immunoglobulin is responsible for protection of mucosa: 2 IgG

IgM 2 . [> IgA - & IgD e IgE which one of the following is not needed for development of autoimmune disease: ( > anaphylaxis . complement development cytotoxicty ©. antigen antibody complex a. cytotoxic T-cell which of the following is characterizes the innate immunity: 2 2 “LS natural ferr NEO nm formation of memo! H 7 specific : pi v3 a. (“> Aecteered psllen ell c specific, ner spealic ~ ' Ao barebee phi lcd 5 + ie & recognition of infection shared by all organisms {~? /*? fi at rn. ao f : (=) somatic mutation > em plains £ which of the following is the cause of severe tissue injury in patient with 27 rsensitivity reaction type 2: 2- phagocytosis by immunoglobulin A 5- opsonization by immunoglobulin G c- production of antibodies by plasma cell a membrane attack complex(MAC) Oo Loy nef, 4v ADCC-K-eell ee atiledy defer Deal ce CYTE te Cette § at reds at-€ J Cy Fol € which of the following graft is most clinically applicable: : a autograft 2 fe Pers _,- isograft —— > idewdic.( Fowind ©} allograft - - -—— >. Fee, S haria® tama, Se d- syngraft ee e- all above F. one of the following is true about the natural killer cells: )? (2) large granular lymphocyte yee te ge YY 5. responsible for humeral immunity is a T-helper cell

(Page 67) \ Recall July 2016 Biochemestry .Genetic, Nutrition And Vitamines: 50. vitamin D is needed to be supplemented in which of the following: a. dark skinned persons elderly patient c. athlete d. pregnant ladies > @ir . . e. chronic alcoholics 2) (\wyamane Ch) 51. in contrast to DNA polymerase -RNA polymerase: a. fill the gap between okazaki fragment b. b-work in 5 to3 direction » . c-edit as it synthesize synthesized RNA primer to initiate DNA synthesis A Qnmety site / . add nucleoside monophosphate to growing polynucleotide 52. study of genetic code in bacteria have revealed that: a. messenger RNA(mRNA) molecule specify only one polypeptide chain b. many triplet can be( nonsense) triplets . no signal exist to indicate the end of one codon and beginning of another ~ the nucleotide on 5 end of the triplet has the least specificity for amino acid e. gene sequence and encoded proteins are not collinear 53. which of the following correctly describes the nucleolus of a mammalian cells : Probar a. it differ from that found in the bacterial cells in that histones are present 40 +50 5 . it may contains hundreds of copies of genes for different types of ribosomal RNAs c. it synthesize 5S ribosomal RNA 70 5 4a) synthesize 60 and 40 ribosomal subunits —) ¥° S Gey) (« ad ) @. it synthesizes all ribosomal RNA primary transcripts 54. which statement about the ( genetic code) is most accurate: information stored as sets of dinucleotide repeat called codons the code is degenerate(i.e. ;more than one codon may exist for a single amino acid) information is stored as a sets of trinucleotide repeat called codons there are 64 codons , all of which code for amino acids the sequence of codons that make up a gene exhibit an exact linear correspondence to the sequence of amino acid in translated protein oO 55. the so called cap of RNA: a. allow tRNA to be processed anit b. occurs in 3 end of tRNA yA 5 ond c. compose of poly A tail SOB unique for eukaryotic mRNA allow correct translation of of prokaryotic mRNA Dr. MOHAMED YAHIA - 0900987639

(Page 68) Recall December 2013 \ SL a 6. Peristaltic movement is stimulated by: ) 7 a) Acetylcholine, VIP b) Acetylcholine VIP and substance P DA Cetylchrolra 7. A3 year old child is brought to the hospital with severe abdominal swelling. His parents mentioned that he had sorethroat 1 month ago with fever and chills. He is likely to have all the following except: ae a) Increase in lymph vessels flow b) Decrease in interstitial fluid oncotic pressure a ~“O Decrease in interstitial fluid hydrostatic pressure => fs Push braid out >a HS d) Increase in plasma renin concentration » e) Diagnosis of nephrotic syndrome due to post streptococcal .~ glomerulonephritis 8. Which one of the following changes does occur in a patient with diabetes insipidus due to of antidiuretic hormone: C4VS@4 2) OLRRIC ADA (soll ced\ Lara a ) QWs head hewlo, a) increase in plasma osmolarity concentration Doar dis. OQ pres . Br yCloAesPhamide nv Oidecresse in Plasma sodium concentration Ctyype Natt, + BeXNE H20 vention 4 UNnNe c) Increase in plasma renin osmolarity > Serum osivtelanTM) d) Increase in urine volume adh = Demec ory Line at Hae erAictirn . e) Decrease in the distal and collecting duct water reabsorption 9. Hyperventilation may be produced by stimulation of the following receptors except: a) Peripheral chemoreceptors -~—, abidss>s b) irritantreceptors _~ c) Peripheral pain receptors — yA Purmonary stretch receptors —> “} HR ee &p e) J Guxtacapillary) receptors aaa J 0. Which of ihe following is NCT correct about O,transport: Are arterial pCO; is 95 mmHg b) Hb is 97% saturated with O, in the arterial blood c) The tissues remove 4.6 ml of O2from every 100 ml of arterial blood. d) The venous blood pO2 is 40 mmHg. e) None of the above

(Page 69) Recall December 2013 43. Which of the followingfactors that ensure excellent bone healing: 6) Apposition of the fragments b) Surgical removal of hernatoma c) Elevation of the limb d) Mobilization MICROBIOLOGY: 44, Flagillae, pili and umbrae te al extensions of bacterial: a) Microfilament b) Microtubule c)Cell wall A revlasmicmembrane 45. Virus structure is composed of: AONeeleic acid and a capsid 46. Viruses are classified aooordlaaie: i Bowe viruses 2 HHAPPPP y =) Wepackia a (Mrreinnneteic ie ; werdes / Adene » Pox » Parvo, Pagi Her SANS Palyoma - 47, Viruses multiply by: a) Binary fission b) Mitosis NA 2 all tplicahe mM nul leew 7 kept Porvrws v6) Complex life cycle a ; Saha ge ¢ & hQlaim, 4 mPlucnza 4 rel 48. Which of the following methods is used to detect viruses: a) Filtration b) Sedimentation J (PAcelutination 49. Virus envelope is derived from: Onna vela@ped 2 Nake CPR awd PAPP Sma a) Lipopolysccharides Calavirus , Prcorna view , Reovicus 7 Patvo VivuS, b) Glycopeptides Adensvirus , Papilloma 7 Poly OWA) = VO cytoplasmic membranep (passes etaliong,) ave herpes VvuseEs DY how nucleas eur lang

(Page 70) Recall July 2016 32yrs old female presented with abnormal vaginal bleeding -examination showed ralar uterine texture lead the clinician to suspect uterine lieomyoma.. the fallowing to send the patient for: w up of a- ultrasound scan b- salpingiogaphy AO MRI = Jey Pvasion d- CT-scan abdomen e- x-ray 2 female with granulosa cell tumor .which of the following may occurs: abnormal menstrual bleeding av & abnormal high FSH and LH X 19 vn" increase calcification of bone ~~ : increase in progesrone level ><. Livlen “eben =—> fate Gaus pabioe all above red and hich of the following is not true abuut free radicals : lead to enzymatic denaturation

. lead to DNA cross-linking © may cause uncontrolled growth of cells ad. may cause vascular degeneration exudate may be caused by which of the following: 2 obstruction of the lymphatic outflow =) [dav yy increase in capillary permeability right sided heart failure —? Clea d. high albumen concentration in intravascular compartment which of the following is true about interleukin- 1: Ss cause fever interleukine-1 cause fever by act on: sphagia of the 2. t!halamus ‘C) hypothalamus | c. anterior pituitary L tumors of granulose ceils sre expected to secrete large amount of : estrogens 6. androgen c. progestrone 1)

(Page 71)

dow

dl

apy Jeb) ode Results from Uihydrobiopterin deficiency + * pate m ne

Pre!

Paramesonephric ducts

eamlican) TM d. | Methionine ars => & OH Tyrosine a R Cox

Recall July 2017

\ d. Metanephricblastema

51- pudendal nerve supply all the fallowing except :

a. Skin of the penis

b. Sphincter Urethrae

c. Ischiocavernus muscle

/G Posterior vaginal fornix

Biochemistry:

52- A young child was diagnosed as a case of failure to thrive (failure to grow ) because

of essential amino acid deficiency. Which of the following amino acids can A )

treatment even when supplied in adequate amounts te) : aysOych\ IN a tae

, a. Valine =>blute Ol te b. Isoleucine erg a. *B Phe

ue

Leucine = eho qeaic -

a. Is related to folate deficiency —-

Can lead to increased foraminoglutamic acid secretion in urine B12 deficiency

c. Does not involves THF

d. Produces aspartate as an end product

e. Uroconate is not produced

BF Beare

/® Homogentisate accumulation in the kidney leads toa failure c.

pb 54- Alkaptonuria :(ochoress) aie iho ey, OK cotich Phi Prue, » ans ) cogil uncle Is associated ath lens dislocation® 9 Math ctrth a je 2, i

Fn

Ph Is an X-linked recessive disorder Kw Aubssewal velenywk

d: Benzoquinone acetate accumulation causes ochronosis

e. Isalife threatening disease hevign avseme

55- Phenylketonuria Type-II and III: ue }y ph Lalomine bse or V ihe wwfacles Wn cover exscubr » 4 phenitalanine sian 7m wine

Is more common in ae

wa ont Due to lack of NADPH} t# =7Yy Phenjalalanine (in ab pos’

mS a. Dihydrobiopterin reductase activity is low Associated with a negative ferric chloride urine testing 56- Beriberi : 4a. Isnot common in alcoholics tb, The deficient vitamin never affect the brain an c. Is the deficiency of ri = Teale

(Page 72) Recall December 2014 SEAGER a RA GR LE 30) Major role of T. Lymphocyts: 77 Recognition of cells ass with MHC complex b- Bacterial infection c- Foreign body infection d- Type Ill hypersensitivity reaction ‘ Pharmacology: 1) Hapins: “A Pencillin is on example. 82) Action of alkaloid agints: vy © Inhibit microtubules 35) HIV: retrovirus reverse transcripitive a- DNA dependant RNA polymerase. b- DNA dependant DNA polymerase - © RNA dependant DNA polymerase = SsyMhesizes ONA Rg RUA d- RNA dependant RNA polymerase $4) ACEI side effect: DUMBRELSS ; Diarhce 5 etades pbteaee if @ Teratogenic affect kidney By LY ay 4 L ie iledion ef irr b- Agranulosytosis Leacrin pis s m r 4 ‘ c- Hyper kalemia my a $4 livahion

(Page 73) Recall December 2013 Physiology and Endocrinology: = £Sy v4 1.Stroke volume is decreased when; sv 7 = EO ? a) Vagal centers are stimulated => bie +\ coikvocdli sas] ~f SV b) Sympathetic nerves are stimulated. _,, c i oo db SV c) The arterial blood pressure falls =» d) The end-diastolic volume is increased —) T SV =a nhac Ws ~ (eyrhe patient standsup => ‘) Contvach |i 2. Frank-starling curve describes the relationship between a) Myocardial tension & oxygen — we (b) Length Gove nten & strength oPatltrection c) Myocardial work & end-systolic volume d) The end-diastolic volume & strength of contraction e) Myocardial contractility & blood pressure 3. A patient in the A & E department with profuse haemorrhage from a severed limb artery will have increased: a) Vagal nerve activity b) Sodium excretion Zw (©Isympathetic nerve activity d) Water excretion e) Arteriolar diameter in skin 4, Parietal cells secrete: ve (ap CL & intrinsic factor b) Pepsin & intrinsic factor c) HCL & lipase d) Gastrin => &r_wlls e) Mucus 5. Secretin hormone: a) Is secreted by 1 cells ofthe duodenum a) $.cels b)Relaxes the lower esophageal sphincter X c) Has trophic effect on parietal cells. ¢ J Opimasbie bicarbonate secretion by panczeatic acinar cells + Lik serefien nhibits gastric acid secretion. 2 a.

(Page 74) Recall December 2013 b) Chronic alcoholic 31. All of the following are derived from tyrosine except: Myepokine Melanin “A 'a)) Melanin nelatenis F ; , ~ aa susie LY 2 b) Thyroid hormone __» phuglalanne. : Y . DePa +e Dafemine—>%F ~ c) Adrenaline lep) - d) Dopamine - Typhi BG, Seratmn —> Melaterm e) Noradrenalin » ar Niabn —s NAD YADP’ x 32. Which of the following is TRUE regarding TSH: a) Its secretion is stimulated by TRH from hypothalamus b) Is a glycoprotein LED ui af che abele 33. Dopamine: PATHOLOGY 34. All of the following are leniaalt te of an acute inflammation’ except: a) Dilution of toxins : 4 (Formation of fibrin a> dross c) Stimulation of immune system d) Release of cellular enzymes e) Phagocytosis 35. An enlarged lymph node below the clavicle is found in a patient with metastatic adenocarcinoma The primary source is from: Virchows node a) Pancreas b) Liver ? homered spred (diss—iraghi AGPsromach “ d) Spleen e) Kidneys 36. The leading cause of death in acute myocardial infarcti a) Atrial tibrillation

(Page 75) Recajl December 2013 16. Why methaemoguhin is unable to carry O;: AAD i000 is in the ferric status. fe +3 17. Growthhormone: a) Causes hypoglycaemia ==7 hypey b) Deficiency in children leads to obesity = shum}ta/ gout oo C)Stimulates secretion of insulin-like growth factor from the liver. 18.which of the following can cause eas primary hyperaldesteronism: sage AH Gacrenocortical adenorna Yd the level of dhe I gland b) Renal artery stenosis 9, at phe it~ Sod. Bx. 5 ee aa, 19. The main function of antidiuretic (ADH) hormone is: RAW esoconstreton a) wae mown June . Curencpressin) + mn WA Painse do hrae b) Neurotransmission in the brain wALJstiriation of water redbsorptisn in the collecting ducts + Atel Gnvlded Labial d) To decrease urine osmolarity 20. Adrenocortcotrophic (ACTH) hormone: a) Stimulates aldosterone secretion b) Increases in patient with Cushing’s syndrome =hm 8 s as. (excess Gubied From A (ODincreases secretion of cortisol adrenal tor hex ) 7tin z cine Sond. (edopic Pi. tamer? 21. Leptin hormone sokiehy 4 a) Regulates ............ A CReeulates the appetite behaviors 22. 1,25 Dihydrocholecalciferol: a) Directly inhibits PTH secretion —> ~~ A inhibited by calcitonin > Rott _» T Oltitynw 2 J 2s i bog dre Sholecale fer, 23. Parathyroid hormone: Dan a) Increases phosphate secretion from distal tubules QO inhibited by 1,25 dihydrocholecalciferol __» vé hed bacy pratt Oy pert

(Page 76) , Recall December 2014 c- Internal iliac artery 55) Following provide support to uteres directly or indirectly, except: wv Mesosalpenx b- Levator ani Pernial body ent c d- Pubocervial ligam ned in the broad ligament except: 56) Following isazet- contai 7°) Ureter >? seheoperitneah, 57) following incorrect regarding ovary: a- Ovulate ova in peri ament joining it to la’ ~O@ has round lig sa (clu. De sac) poach toneal cavity {deal pelvic wall. => Poser ns of Doglas can pe reached through 58) Rectoutrine fos: r vaginal fornix ot Posterio! b- Anterior fornix c- Lateral fornix Pathology: . afple um fibrillar material, congo red — pik green 59) Elderly - MI on psotmort amyloidosis 60) abcess best defined: of G, collection of pus￾61) Granuloma abunda

) Epitheliod cell SO pitheliod ce ubor due to: nt cell 62) Inflammation: T a: Permeability Us9900987

(Page 77) pgs he 24. The following hormones are produced by adeno yaophysts except: : a) Growth hormone ~> ra i i : O yore : b) Prolactin > ont- Q) Apt c) Thyroid Paha hormone _» ow: gt- ~@eonadotrophin releasing homone ~ byt Yhalesn? e) Adrenocorticetrophic hormgne =) ounk. gt - rou) (2) Vee wwe>(cebly), 25. Group Lhormones include: =yclew C © Aides Lanne ® sulin : @) Gh. a) Insulin Qelu . lant ; Airvtnmsjois Gree, Noes pale a atecholamines aoe - @iv- NORA HPAL 4 LGPL e) Parathyroid hormone Q Ayer e o Y) Waa wy 26. Action of oxytocin is: A pike \Milk ejection b)Stimulates uterine contractions during labor 27. Actions of insulin —. include all the following: =? onalaglic uw. ugtawe s — nok don't abe mown Yor 4 a) Glycogenesis .. @ ise i Aner 7 ivealiedtn 6 RIEK_L (Brain Re, Lntertine eves Kia A Obipolysis & Alu . Rie: s, Laan @AluT—4 Onsulin responsive) eadiane, . 28, Prolactin: O Glut 2.6 ilebiells lives. Yidn 2 Silefal wus a) Is a glycoprotein b) Its level is decreased by estrogen 0 1 inhibited by dopamine. 29. The following oppose the action of insulin on blood glucose: a) Growth hormone “ b) Epinephrine c) Cortisol d) Glucacon Joni of the above

(Page 78)

11, What is NOT true about lung compliance:

a) Is a change in volume per unit change inpressuré

b) Is a measure of elasticity

c) Normal compliance is 0.2 liter/em water ;

A Precreased by emphysema ~ due lo bass A elavhic. bbea

e) .Is low at small lung volumes

12. The following shift Oxygen-Hb dissociation curve to the right:

AOricn artenal pCO, ~> et - Xe

b) Low temperature —» \e fa he & MG

c) HighpH —> le}

d)Low2,3DPG — ifs

e) Metabolicalkalosis > |ap4

13. Which of the following is TRUE concerning body fluids:

a) More in females than males because females have more lean mass 3 ja *

b) Interstitial fluid volume represents 20% of total body water. => iSy 42}

bY x fee. deers W =L-= lo Ss l PQ Total body water is 36 L ina 60 Kg man (40 z. oF Fetol body wt. ae 420

d) Is not affected by gender GIL =281 ties

e) Decrease with age y -1Qw Aecparser & ape @eE. ly b fap + Sins body Begshd

4

@ plana - 25. ley ; - , “A

id. An infusion with hypertonic saline is expected to:

a) increases extracellular fluid (ECF) volume with no effect on osmolarity. “=> Lote i¢

SO Increases ECF volume and osmolarity i<¢ —_ ECE

c) increases intracellular fluid (ICF) volume with no effect onosmolarity.

SW Romie . ECLatvel., Lore,

e) Decreases both ECF and ICF. ECE» 1¢ 2EDAD vo 5

owe. @ W7Per foal C 1¢p =} eS as ee i ? i5. The following is used for follow up of diabetes mellitus control over long period: d) Increases ICF volume and osmolarity. a) Fasting blood glucose b) Random blood glucose c) 2 hours post-prandial blood glucose Bierce e) GIT

(Page 79)

(Page 80)

Recall July 2016

25. transfer of antibiotic resistance between tow bacteria through abridge(sex pillus) is

~ called:

/

Vs VW as trans ductier

R-B>< slget on

ae tuft

26. systemic fungal infection —" acquired by:

a. from person to person Refers .wirus 1} — b. from water

a. ‘transduction

b. transformation JO conjugation

d. transversion

e. transition

y a dh ad ‘ tex um c. by direct contact ; eo let bre a te ), er by inhalation ost A leg iC anemic oF 27. which of the following is true about abdominal infection: slefed € be Kee a. rapid and progressive JS mixed ¢. caused by anaerobic bacteria 28. one of the following is caused by Epstein bar virus: a. tumor f the nasal cavity chronic lymphocytic leukemia JO Hodgkin lymphoma 29. HIV commonly infect: A T-helper cells a. cytotoxic T-cell b. monocyte c. neutrophils d. natural killer cell 30. hellicobactor pylori is commonly associate with: ay ureas production 31. Candida is commonly associated with: 844 , i th ag h Cer ore tf rtniegs a “eC ; ‘ A oral thrush fa AT b. systemic infection ; c. pulmonary infection * Ves; afi Sx ale - d. skin infection — eve TY TTl+ 2 IVE SE yt > Ze i bao Pr'ceal ~> aS ; ; JAS oF pol GFr~ Ara ae ~ Dr. M QHAMED YA HIA 4 - 9900987639

(Page 81) Recall July 2016 __ d. tetracycline e. chloramphinicol 32yrs old cancer patient who smocked two packs of cigarette a day presented with screasing pulmonary function test x ray suggesting pre-existing pulmonary disease .of following drugs which is not prescribed: a. vinblastine ‘ b. doxyrubucine methramycine bleomycine bL. a Causes deosbruch on Clue thaws ) e. cisplatine an athlete's 40yrs female used to take anabolic steroid containing testosterone esented with amenorrhea for 3 months .-testosterone cause amenorrhea by which of following mechanisms: a. reduce the sensitivity of endometrium to estrogen b. stimulate LH and FSH release from anterior pituitary gland c) reduce LH and FSH production by the anterior pituitary gland reduce gonadotrophine releasing hormone by the hypothalamus increase inhibine secretion by the corpus lutetium crobiolog VIRULANCE factor that associated with strain of E.cholli that cause UTI is: against . endotoxine alpha hemolysine K antigen capsule pilli functional unit of capsid is: dificele a. virion ©) capsomere c. capsule d. lipoprotein e. glycoprotein one of the foilowing organism commonly contaminate cocked meat: salmonella typhemerium b. pseudomonas c. shigella strain 0157\H7 d. staph aurius e. E.cholli

(Page 82) uscle fibre DR. MOHAMED YAHLA ABUELGASEM

(Page 83) {| Recall July 2016 newborn delivered 3 days ago presented with fever and convulsion .gram stain of his od showed a small gram positive rode.. what is most likely causative organism: 2 E,CHOLLI peotatal é lesteria monocytogen ; ©. .staph aureus ae (Ses aglecti es da _pseudomonas aurogihosa "2 « BB © streptococcus pryogene en Me af L UElee. E.cholli is - og wen Cetegen © which of the following is true about HIV slow progress 2 amutation of CD4 7 b. rapidly progressing <<) mutation of cofactors =) Herter 243008 mutediew\ CCRo > Yow Gunse /) homedpeus ad. resistant to HIV mule jah CCR, . 2. all above T > Remain ' which of the following cause scarlet fever: —o—o—" =... pseudomonas auroginosa > bGe/ lef ete! , tke Sack syed 7) Foor gguic pare A streptococcus pyogene .~ . ifs 7h PES. E.cholli Le > fihbeerntic FEres fe Tromerab. =) immune ary, staph aureous > WES Soft Zing 4 fec jee! L3 S, 1 Phew se fate / f a child presented with fever and sore throat .which of the fatioltug complications is y to occurs: acute post streptococcal glomerulonephritis rheumatic fever rheumatic fever and acute post streptococcal glomerulonephritis skin infection one of the following virulence factor is commonly shared in enterobactriacae: Celi ; Salwnedls /Sieela ———————— —— vila Sewalic, ponhank orvtars exotoxcin > $/2 teflw A. Celt capsule : teichoic acid ; 53 ef a motility — \ J « Hi snore al Sakic (Osha : 4 coal nthe YT -aDk Caf / a t# fend et one of the following is = toxin that responsible for staph scalded skin =drome(SSSS): a. toxic shock syndrome toxin b. leuckocidine exfoliatin d. lecithin e. enterotoxine 10987639

(Page 84) j a Recall July 2016 — 42. aman with infected finger used to prepare sandwiches. One of customers develop severe nausea and vomiting after eating ‘sandwich. which of the following is the causative organism: a. salmonella typhemerium b. shigella ._ collesridium perfringes we) staph aureus enter toxin : . e. coagulase from staph aprous 43. E.cholli cause disease by different ways. which of the following strain of E.cholli is responsible for traveler's diarrhea: enterotoxigenic E.cholli(ETEC) b. enter aggregative E.cholli(EAEC) ; c. enter hemorrhagic E.cholli(EHEC) => YWep-Ake taba —> d. enterohaemolytic E.cholli(EHEC) = heweWw Cc VAG Csk e. enter invasive E.cholli td okt ter invasive stoi CB ps ee aha hesen ~ dpenker’ Cvede 14. one of the following is not true concerning : a. oncogenic qe OQ double stranded SSRN . diploid genetic material d. ‘icosahedral e. enveloped Eqroni\lamakys AS*45, 40yrs old with chronic cough brought to casualty »»-X-ray chest shows bilateral oT4 B@syphiris lymph node enlargement. Which of the following cause caseating granuloma: OB Wishplasrcss3 (74 ] Ce $ $e tIA YL, Oud (ister oh, then ; ee ae| hilater ( casratily = J 4 Varb(ual a. sarcoidosis teat (ate © histoplasmosis : ¢. cat scratch disease SyCoh 6 1S . d. toxoplasmosis es : el pe chs al e. shistosomiasis \ GalEt ‘Fos paltet pon co 3 bag ¢ a 16. cul’shaped capsid is associated with: { i: a. non enveloped viruses enveloped viruses =? oud Ss re helio d. helical viruses ( Guid one) , 1 icosahedral viruses 17. which of the following is double stranded RNA virus: HBV ds pri) adenovirus 4A pw Rota virus +sfovigss herpes virus As pwA influenza virus (ox¥romypovit us ) SS ONKK Se Dr. MOHAMED YAHIA . 0900987639.

(Page 85) eeu juinafer High ALP. by ae hub. HighPTH. Wns, pat? ; ur | i bh MES tmmial &= Increased troponin he Recall July 2017 Physiology: mtlobdiz abi doris 1- Biochemical change in chronic rena fail de all of the following except : Fe Kt, uta, TA, cea id no Phisphate jure inclu P ( a9 x mo Zt @) Lew total serum calcitonin Ys Nat, bieborak, , @t? © ng ionized calcium | /” Es ith hypovolemia all of the 2- fluid replacement therapy in patient who presents wit following will occur except : a. Inhibits ADH secretion s Mm wn ~Wyproet > VW EGreh,, /® Reduced colloid osmotic pressure => Increased urine output é v c ie ‘3 4 EG Low plasma urea =) Bh in Qo vol. al C are moe Urine Sodium less oy 30 mmol/ m 64 /L eggovrl - typ) lass 3- Hypo secretion of eel T& Sue era @rr 7° 3 a. Hypopituitarism b. Pheochromocytoma oft Q Addison’s disease 3 »Aubbrwwne |© adyenol- IM sff cren | : . Con’s syndrome e. Chronic renal failure is useful in diagnosis of osteomalasia: ghathatere + Bore alkaline profrabse) 4-The following enzyme 2 se + BAP @ltolve AST d. Gama glutaml transferase e. ACP 2 - 5- Movement of fluids from the interstitial space to plasma due to: a. Blood pressure in the capillaries b. Plasma sodium concentration c. Plasma potassium concentration we @) Plasma protein concentration = ent C prose e. Plasma PH 6- Medullary chemoreceptors are more sensitive to = of Q High PCO2 High K+ - Low PO2 xP High PH High H concentration ’ Noy 00g Peete

(Page 86) Recall July 2016 Pharmacology: 1. 40yrs old female with history of AIDS develop herpes simplex keratitis of the eye,. which of the following antiviral should be administered to this case: a. zanamivire WA trifluridine ¢. amantidine d. zidovudine ‘ e. indnavire 2. which of the following may cause damage to cartilage: re A) fluroquinolones 2%) » Age - (ocin PAGD) x cefaclor b. amino glycosides => nephstoxi Ory; ototexizity c. erythromycin (moerrder) => acute Chidetetic AS d. tetracycline = phiosensatvrky P PantonvS Cempned ) 3. amoxicilline and ampicilline are in the same group of penicillin which of the following best describe amoxicillin: sf has better oral absorption than ampicilline N. can be produced in penicillinase producing organisms c. can be classified as broad spectrum antibiotic d. it does not cause hypersensitivity e. itis effective against pseudomonas waa waa 4. which of the following cephalosporin would have increasing activity against anaerobic bacteria including bacteroides fragilis? a. cephaclor b. cephatholine . cefuroxime Ad cefixitine 5, 75 yrs women hospitalized for pneumonia on intra day 3 she developed severe diarrhea. stool analysis is toxin. What of the following is the best treatment: oo wo venous infusion of antibiotics on positive for clostridium dificele a. clindamycine b. cefaclor SO mitronidazole d. erythromycin e. doxycycline 6. which of the following drug should be tested against gram negative ‘bacteria: a. amoxicillin VANE + yancomycine —5 (itoness Flushiney AdensSing ¢. erythromycin Dr. MOHAMED YAHIA - 0900987639

(Page 87) Recall July 2017 ~O) Their capsid arranged in cubes Immunity: 101- The classical pathway for a goge activation emis : a oldornabi ve, Pedhindeg 3 Sedivalee boy. mokeules on byiLxebes surface (, ait An antigen — antibody reaction =) pi On ol Tah Factors releaséd from damaged tissues a Factors released from phagocytes e. A foreign polysaccharide - 102- Immunity obtained from the passage of antibodies across the placenta is : a. Species immunity Pv, Natural passive immunity c. Artificial passive immunity d. Natural active immunity e. Artificial active immunity 103- Passive immunization: =) To Be H cal R ~ Telayyts I HRV) Rorvies) = ph given Pe apy ( /helubinun , a. Is not effective Acts immediately —pyapid onset pa ) like pan (Hale te 3 of” "e Needs T and B cells interaction 4. Revert to virulent + e. Gives permanent protection 104- The following contain attenuated live vaccines EXCEPT ‘ a. BCG (>) TAP €. Measles =s hve alenmeed d.. Yellow fever —) Wve. adleniibaed Polio (sabin) =) KjUcd + tive olbermoded Sv pen 2a pp 105- Which of the ‘wal abnormalities is best described as a secondary immunodeficiency : a. Lack of helper T lymphocytes b. Failure to make the IgM, IgE and IgG c. Failure of T cell to mature 2ry to structural and functional alteration of the gland d_ Selective deficiency of IgA production Immunodeficiency following radiation exposure a ae a EEE : ra aT = Dr. MOHAMED YAHIA - 0900987639 18 Sate

(Page 88) Recall July 2017 c. Benztropine d. Digoxin e. Tranylcypromine 112- The skeletal muscle relaxant that act directly on contractile tissues of muscle fibre is: inn Hg barapihe <=? Contec, c- Gallamine Dantrolene Cyclobenzaprine 113- Clavulanic acid is important because it : a. Isa potent inhibitor of cell-wall transpepitdase b. Has a spectrum of activity similar to that of penicillin c. Is specific for gram-positive microorganisms d. Easily penetrates gram-negative microorganisms vA Inactivates bacterial B-lactamases Statistics: 114- Gradual decrease in x-ray beam intensity as it passes through is called : a. Decay b. Impedence c. Imaging a Attenuation e. Radioactivity 115- Speed of ultrasound depends upon : a. Material b. Size of the transducer ~e Medium Wavelength e. Amplitude 116- Which of the following is CORRECT : ref A large sample size always ensures that our sample size is accurate and precise & Inrandom samples the randomization ensure that stimate c. We do not need to randomize if our sample size is sufficiently enough d. Ifall other things are equal , we need a larger sample size e. Inaproperly chosen sample ,an estimate will be less and more precise - 090098 7639

(Page 89) ondary and 987639 A 45-year — old female treated for ovarian cancer develops hearing loss of the ing agents most likely caused these finding : Doxorubicin 5-FU Cisplatin Bleomycin Paclitaxel - A positive coombs’ test .and hemolytic anemia may following which ihypertensive drug : a. Prazosin Methyldopa c. Clonidine da. Guanabenz The most effective agent in the treatment of rickettsia mycoplasma and chlamydia tion is; Gentamicin Penicillin G Bacitracin Vancomycin Tetracycline A nucleophilic attack on deoxyribonucleic acid which cause disrubtion of base ing occurs as a result of : | SFU Dank wetola lide b. Thioguanine =)ewting falc lhe c. Prednisone d. Methotrexate —) whubads se eabade walks > Mlosmpression , renal ‘rity Cyclophosphamide >, |, oy Cardiotoxicity limits the clinical usefulness of which one of the following antitumor Bdictics : Doxorubicin Bleomycin Dactinomycin Plicamycin Mitomycin interact with which of the Jalothane

(Page 90) Recall July 2017 gke& ‘Which of the following will Ynequivocally confirm urinary tract infection : a- Burning micturition Dysuria c- >10 pus cells /high field ¢@ Clinical symptoms Significant bacteuria ' The single most important characteristic of diarrhea caused by vibrio cholera: a- Severe abdominal pain b- Massive bloody diarrhea AC) Profound watery diarrhea - Renal insufficiency afections caused by bacteroid fragilis are best treated by: 2- Cefoxitim propaple &- Chloloramphenicol e- Clarithromycin * G Metronidazole | =- Gentamycin hich of the following organim is not cause of nosocomial infection: 2 pseudomanas aerogonosa 2 eweyica vila Fd Gur n =>Produce Pyecynis (tae gyn, b Sands D4 As => Aspration Proumenia c- Enterobacter. » Abcess ure 7 Alahelies de Wreics (ed cay Se nae) ‘ e have sowodic O ambien (Pelysorharide ot endstyedn) 6 Streptococcus pyogen ==? Jrnmurrg/ Oe ALN sed ft , a important means of preventing hospital acquired infection: 2- For all patient to be placed 5- For all patient to receive asingle dose of antibiotics at time of presentation “3 For health care patients to wash their hands between patients = An infection control program with one nurse for every 10 patients The following are cause of gonococcal urethritis except: 2 Mycoplasma genitalium (>) Mycoplasma hominis = Prd + rots (ad *- Chlamydia pneumonia —_, jel ‘ & J atyp W Ureaplasma urealyticum p os - Chlamydia trachomatous => Mt > erarowyane Of tehacycline An icosahedral virus !s the virus which gonsa: Lacks the capsid layer Resist to ether Duple layer capsid 0987639 2 RNA oy QUA sly)

(Page 91) Recall July 2017 / ( Maxillary sinus d. Frontal sin e. Ethmoidal sinus i 88- Systemic fungal infections are common in: 7 Diabetics b. Critically ill c. Unvaccinated- . a ad (® Immunocompromised patients e. Malnourished patients - 89- Which of the following is completely cured by surgical removal: Paranasal aspergilloma Allergic aspergillosis Otomycosis d. Invasive aspergillosis uH“& (e,)Pulmonary aspergilloma 90-A woman aged 40 years c/o non offensive discharge like milk the most propaple organism is: : a- Gardenella vagialis b- Cryptococcus neofomans : | Ye Candida albicans d- Trichomonas vaginalis / / eo P 91-Which of the following tests will give you a correct answer the same day: ~— a- Culture on sabourauds agar b- Fluorescent antibody test c- Histopathology d- Gram stain yf (GS) Prepare specimen in 20%KOH 92-The commonest cause of fungal sinusitis in sudan is: A a) Flavus b- A.nidulans c- Aspergillus fumigatus d- Rhizpas oryzae e- Absidia ramose 93-Which of the following antibiotics is the least effective on pseudomonas apyrogonsa: a- Ticarcillin ~~ b- Azlocillin Piperacillin ut C Amoxicillin Gentamycin Dr. “MOHAMED YAHIA - 9900987 7639 16 dais F k E E ~] in I I ? 4aa A i lw cy

(Page 92) Recall July 2017 i- Regarding HIV infection ,slow progressors :PomozercuA CLR. = FF matahen = Iemma, -a. Ee: mutation in both genes coding for the coreceptors Helene 2pyeus ZR > mitten = Shwe b. Are genetically immune against HIV infection - Cane c. Lack CD4 molecules Have mutation in one of the genes coding for — CXCR4, e. Have efficient immune system that eliminates the virus 2- The following is NOT correct about influenza viruses: Rn, Or rapa 7 ,nvelvfel Type A undergoes antigenic shift and drift conkesle hema glut ivi Promedey vial entr}) Grows in the amniotic and as well the allantoic cavity of egg produce 9 types of neuraminidases C Promotes re —— Pateency viv CASE d. Does not cause CPE on tissue culture 0) one rel ) € Type B undergoes antigenic shift only ed = The following virus a one DNA strand : Sh DN DH 2) Puevne by pron ike tag Lrdis hn Mickig , Sopped cheeks Wh, Ab itu fob Y Rotavins Soy > Wlewkile hoot ight Out The Anus) c. Papiloma virus DS Dwi = WV wots /CLN ;lervicol th» d. Hepatitis C virus SS ROA (Pai viru e. HIV virus gy QA C } seus) The following are correct about Rhinovirus EXCEPT: =» Gwmwon ald Fy a. Causes diffuse rounding of cells —“ b. Icosahedral —~ c. Non-enveloped ~ A ws Prevented by a live attenuated vaccine Detected in tissue culture by hemagglutination test —- The following virus is a double stranded RNA virus .... : HIV virus = SHAW (eh) ; Hepatitis E virus SSQNAS a wd) Hepatitis B virus > HS py Chepadnavi w) Rotavirus = fs RNG ( reoveews) Herpes simplex virus => ps DNA Fungi pose a problem in treatment because they are : \ . Can assimilate any substance ) Eukaryote Prokaryotes Partially anaerobic Heterotroph IGN9AR762°

(Page 93) 118. Which of the following represent the intermediate value between maximum and minimum value? enance aturia. a. Mean of the b. Mode these Median d. Standard deviation e. Standard error - 119. What level of measurement uses a verbal scale to measure data; slight, alfa moderate and severe? a. Continuous b. Nominal iO. Ordinal d. Interval . &. Ratio i shronic ure by 120. An inherited metabolic disorder called phenylketonuria (PKU) can result in serious problems in infancy. Via which pattern of inheritance is the PKU? a. Autosomal dominant b. Autosomal dominant with incomplete penetrance Autosomal recessive => ¢” zyme d. X-linked recessive e. Polygenic inheritance

(Page 94)

b. Inhibition of viral particle assembly

c. Inhibition of viral proteases > prolgae Mibebys Ly auirTM 9) 4 Sagivina ung

j Inhibition of nucleoside reverse transcriptase

e. Inhibition of nonnucleoside reverse transcriptase Me yo e€ ver Delivey

Neviyapind, Ejay en2» Delavigcline

109. Ampicillin and amoxicillin are in the same group of penicillins. ‘Which of the

following statements best characterizes amoxicillin?

Ae has better oral absorption than does ampicillin

. It can be used in penicillinase-producing organisms

c. It is classified as a broad-spectrum penicillin

d. It does not cause hypersensitivity reactions

e. It is effective against Pseudomonas

110. The most effective drug for immunosuppression of rejection of the

allografted kidney is

Azathioprine

Cyclosporine

c. 5-fluorouracil (5-FU)

d. Cyclophosphamide

e. Vincristine

th the

of the ‘411. Cardiotoxicity limits the clinical usefulness of which one of the following

antitumor antibiotics?

e will

a. Dactinomycin

Doxorubicin

- ¢. Bleomycin

d. Plicamycin

e. Mitomycin

od the

2s that

drug 112. Binding to the enzyme dihydrofolate reductase is the mechanism of action

for

a. Procarbazine

b. Paclitaxel

Ac) Methotrexate

d. Ifosfamide

e. Cladribine

cludes 113..A 40-year-old female post—renal transplant has developed evidence of

osteoporosis, most likely due to cyclosporine. Which of the following agents — NO.(1)

(Page 95) Recall July 2017 75- 23 years old man c/o calves pain after walking is relieved by rest which underlying cause is : a- Peripheral neuropathy b- Acute osteomyelitis c- Polymyositis d- DVT Atherosclerosis 3 mater nithent adlliCibeyn 76- Generalized oedema is seen if : wa (a) Congestive heart failure hs DVT c- Filiarsis d- Cushing syndrome e- SIADA 77- Metastatic calcification occur in: a- Acute pancreatitis —O Primary hyperparathyroidism 42 c- Secondary hyperparathyroidism =? i) Qo a@ d- TB e- Duodenal ulcer 78- Tumor cell is : a. Self but not altered b. Self cell c. Nonself cell _ @ Selfaltered cell e. A target cell for T helper cell 79- The normal immunological control of tumors is referred to : Super antigen recognition b. Immunological tolerance - © Immunological surveillance Microbiology: 80- Infected by HIV virus is : @) T-helper b. Sperm c. T-suppressor d. T-cytotoxic e. Monocyte SHIA - 0900987639 a Tt kn Oe ————— Dr. MOHAMED Y

(Page 96) 58. The secretion of ACTH is correctly described in which of the following statements? It shows circadian rhythm in humans > ere in Ae morals b. It is decreased during periods of stress => c. Itis inhibited by aldosterone . d. Itis stimulated by glucocorticoids = Inhibited -e. It is stimulated by epinephrine boa 59. The actions of angiotensin II include a. Vasodilation of peripheral arterioles 9 Guiicton ; b. Promotion of salt excretion by renal tubules —y réalgaty Phun c. Decredted aldosterone secretion —> » Wat Cention (védsar ida) iC d. Increase in secretion oo) Initiation of thirst ~ 60. A person with hypothyroidism would exhibit a. Tachycardia Srorodmyoden .= b. Increased metabolic rate = c. Heat intolerance —» old pntvley One’ Sleepiness e. Decreased body mass index =» 4 61. The gastrointestinal hormone involved in initiation of migrating motor complexes is a. Gastrin b. Enterooxyntin c. Somatostatin - Motilin ed . e. Secretin 62. A patient with chronic asthma is started on glucocorticoid therapy. The treatment may resuit in bone loss because glucocorticoids YO mmrivit bone formation 6. Increase calcium absorption from the GI tract c. Increase osteoblast growth d. Inhibit bone resorption e. Suppress vitamin D activation ith primary adrenal insufficiency Addison’ 5 dig

(Page 97) a. antigen-antibody complexes. b. cytotoxic T cells. inp c.. 1gA antibodies. 2 re Ady IgE antibodies. " IgG antibodies. 104. The brain cell type is? a. Labilecells =, Multipotent adult progenitor cells Permanent cells 4. Stablecells >> Liver, Kidaer) 105. The immunoglobulin that cross the placenta and smallest is: a. IgM Mot allan | IgG c. IgA A vad) ststdio? d. IgD e. IgE 106. Of the following characteristics, which is unlikely to be associated wi process of facilitated diffusion of drugs? a a. The transport mechanism becomes saturated at high drug concentrations ionic or structural configurations b. The process is selective for certain i drug c. If two compounds are transp | ae inhibit the a the other ic al ov ele teeta Eee the membrane against a concentration gradient | process requires cellular energy e. The transport process can be inhibited noncom interfere with cellular metabolism orted by the same mechanism, one petitively by substan 107. Which of the following is unlikely to be associated with oral administration of an enteric-coated dosage form? a. Irritation to the gastric mucosa with nausea and vomiting b. Destruction of the drug by gastric acid or digestive enzymes c. Unpleasant taste of the drug d. Formation of nonabsorbable drug-food complexes /O Variability in absorption caused by fluctuations in gastric emptying ti 108. A patient with AIDS is treated with a combination of agents, which zidovudine. What is the mechanism of action of zidovudine? : a. Inhibition of RNA synthesis

(Page 98) abiypetacike wepectin » Prefered ant don’ antiadies tm iPe of 2h @ Chante rFetion » Tall outibody medial vascular Aamege =5 mony fo —» Treva Lle BACH VS -host = aeled’ on ait ell prolitercke tw the tetetliad | a, Eosinophils “TMwecomprmed best amd reject celld—» severe omen dys functor re) Lymphocytes =? Cytorox é T—by mPhocishe s agpu'n sf foreign MHC oxtrerbible c. Mast cells : —d. Monocytes-macrophages e. Neutrophils ‘is most 99. Pyogenic .bacterial infections and ischemic brain infarcts most —~ characteristically produce which one of the listed types of necrosis? re best a. Caseous necrosis —> Tk b. Coagulative necrosis => heost , liver 7 hick : c. Fat necrosis —) gomcrCogic Fibrinoid necrosis => Vid. vesaes . Liquefactive necrosis —— egy 100. What is the source of epithelioid cells? a. Bronchial cells b. Fibroblasts c. Lymphocytes Monocytes > Macrap hapa —oé Pithelscid _—» Aiewt coll e. Pneumocytes ~ 5 Z 101. Which of the following changes best describes the pathophysiology P involved in the production of pulmonary edema in patients with congestive heart failure? a. Decreased plasma oncotic pressure b. Widespread endothelial damage ~ Increased hydrostatic pressure —> Pith Hid w . Increased vascular permeability e. Acute lymphatic obstruction 402. After receiving incompatible blood, a patient develops a transfusion reaction in the form of back pain, fever, shortness of breath, and hematuria. Which one of the following statements best classifies this type of immunologic reaction? ; a. Systemic anaphylactic reaction => T yer ceives b. Systemic immune complex reaction => 172 2 initially, c. Delayed type hypersensitivity reaction —> Types atinin Y~O@ Complement-mediated cytotoxicity reaction =pT ype Tr. vhich 0 e. T cell-mediated cytotoxicity reaction => Tipe te i woman develops generalized ee

(Page 99) ea ©. | & 94. In condition of pancreatitis, which of the following types of necrosis i characteristic? a. Caseous. 71 & : b. Coagulative aria + Ligeti se add AD Enzymatic => Poy PELONS > founciedje | Fibrinoid => Ud- yerxsels | ; €. Liquefactive- =| brow’ and widespread bony met 95. A 60-year-old woman with breast cancer gans. The calcifications @ found to have calcification of multiple or: described as a. _ dystrophic with decreased serum calcium. b. _ dystrophic with increased serum calcium. metastatic with decreased serum calcium. wo) metastatic with increased serum calcium. 96. A 26-year-old African-American woman has bilateral hilar adenopat® radiography reveals multiple reticular densities in both lung: fi bronchoscopic biopsy reveals granulomatous inflammation with multi cells of the Langhans type and no evidence of caseous necrosis. Whie! following is the most likely diagnosis? Aspergillosis Coccidioidomycosis Histoplasmosis Sarcoidosis Tuberculosis fe oP .) “© a 23-year-old woman develops ge followed shortly by swelling of the This reaction is mediated by 97. Within minutes of a bee sting, pruritus and hyperemia of the skin, | eyelids, dyspnea, and laryngeal edema. | a. antigen-antibody complexes. b. cytotoxic T cells. _ IgA antibodies. ,, @ IgE antibodies. e. IgG antibodies. man with membranous glomerulonephritis her HLA-matched sister. She does well e in serum 98. A 25-year-old wo kidney transplant. The donor is but after several weeks, there i Assuming that this represents acu the following types of inflammatory cells is s a progressive increas: te cellular rejection, an infiltrate with most likely to be a prominel on renal biopsy?

(Page 100) ———— 83. The following statements concerning the ischiorectal fossa are true exce, {a s in its lateral wall rficial fascia and skin ator internus muscle and its fascia, a. The pudendal nerve lie! b., The floor is formed by the supe’ c..The lateral wall is formed by the obtur d..The medial wall is formed in part by the levator ani muscle + pwbv: ~40 The roof is formed by the urogenital diaphragm => ne ek 84, The following statements concerning the penis are true except: ts root is formed in the.midline by the bulb of the penis which continues anteriorly as the corpus spongiosum b. Its roots laterally are formed by the crura, corpora cavernosa c../The penile urethra lies within the corpus spongiosum arate on . : S| un The glans penis is.a distal expansion of the fused corpora cavernosa ~ Js c../The penis is suspended from the lower part of the anterior abdominal w: by two condensations of deep fascia cerning the anal canal are true except: a. which continue anteriorly ast 85. The following statements con at is about 1.5 in (3.8 cm) long It pierces the urogenital diaphragm ¢. -At is related laterally to the external anal sphincter d.. It is the site of an important portal-systemic anastomosis e.,/The mucous membrane of the lower half receives its arterial supply the inferior rectal artery | 86. The following statements concerning the subcutaneous part of the e. anal sphincter are correct except: —=— xte! a../It encircles the anal canal is not attached to the anococcygeal C.aAt is composed f striated muscle fibers for causing the anal canal and the rectum to join d. It is not responsible acute angle i It is innervated by the middle rectal nerve Spinfeniert 87. The following statements regarding the urinary bladder are true except: n the visceral layer of the pelvic fascia beneath the peritoneum a. /It lies i ernal surface is wrinkled except at b. When the bladder is empty, the int trigone, which is smooth hetic nerve fibers innerva pen te the detrusor muscle c. /Parasympat ings of the urethra and the d.y The trigone is the area between the 0 ureters Ze) In children. the bladder is located entirely within the ~— pelvis =a oo SYNAE EXAM

(Page 101) 88, The broad ligament contains all of the following except: a.’The round ligament of the ovary bx The uterine artery c. The round ligament of the uterus “d.The uterine tubes Ureters . 89. The deep perineal space (pouch) contains the: 7] 2 . a. Internal pudendal artery, ~ b. Pudendal artery c. Sphincter urethtrae .~ d.. Both A andB e) Both A and C 90. The following is true about the pudendal canal excepr: 77 Can be palpated throughout its entire length during rectal examination b/s a fascial tunnel ..¢. Contains the terminal branches of the pudendal nerve d./Lies in the lateral wall of the ischiorectal fossa 91. The deep perineal space (pouch) contains the: a. Internal pudendal artery b. Pudendal artery P: )) a, c. Sphincter urethtrae Both A and B 1@ Both A and C 92. The following is true about the pudendal canal except: ey Can be palpated throughout its entire length during rectal examination b. Isa fascial tunnel A f= ~¢. Contains the terminal branches of the pudendal nerve : d. Lies in the lateral wall of the ischiorectal fossa $3. Primary support for the uterus is derived from the: (a) Lateral (transverse) cervical ligaments ~ b. Pubocervical ligaments c. Sacrocervical ligaments d. Round ligament of the uterus e. Broad ligament

(Page 102) 68. Which of the following causes increased aldosterone secretion? Hyperosmolarity Sly pe Hypokalemia Wiper 69. Which of the following explains the suppression of lactation during pregnancy? — : /O Decreased blood volume 6. Administration of an inhibitor of angiotensin-converting enzyme (ACE) — > ‘ c d. (A) Blood prolactin levels are too low for milk production to occur (B) Human placental lactogen levels are too low for milk production to occur C) The fetal adrenal gland does not produce sufficient estriol Blood levels of estrogen and progesterone are high (E) The maternal anterior pituitary is suppressed ed 1D ly 79. Which of the following inhibits the secretion of growth hormone by the anterior pituitary? i} : => eu la (nen Re) b. Stress => +L-Dopa +X adey ot pheir agen > c. Puberty =>T +A ludagen + regex Ardaarens = Somatomedins — Pwwoles uth moh Hey ' Starvation => + Pest “ ty pogbycemi a \ M Meéfel +over 71. Physiologically active thyroxine exists in which of the following forms? ig, he a. Bound to albumin b. Bound to prealbumin c. Bound to globulin d. Asa glucuronide ACJ nbound 72. Activation of hormone-sensitive lipase in adipocytes ne a. Causes increased hydrolysis of cholesterol esters Mey, mediated by a cyclic AMP-dependent protein kinase . Is prevented by cortisol d. Is stimulated by insulin _ e. Resultsin accumulation of monoglycerides and diglycerides in adipocytes 73. Hyperparathyroidism decreases the plasma levels of AO Phosphate . Sodium c. Calci —=—t

(Page 103) 79. Concerning the pelvic part of the ureter, the following statements are true except: a. It enters the pelvis in front of the bifutication of the common iliac arteries ie S/O The ureter enters the bladder by passing directly through its wall, there being no valvular mechanism at its entrance , gin c., It has a close relationship to the ischial spine before it turns medially toward the bladder : es d., The blood supply of the distal part of the ureter is from the papectars vesical gen artery e.., It enters the bladder at the upper lateral angle of the trigone 80. Concerning the seminal vesicle, the following statements are true except: a, The seminal vesicles are related posteriorly to the rectum and can be palpated through the rectal wall Y The seminal vesicles are two lobulated organs that store spermatozoa Ss, _ The upper ends of the seminal vesicles are covered by peritoneum d., The function of the seminal vesicles is to produce a secretion that is added to the seminal fluid e./ The seminal vesicles are related anteriorly to the bladder, and no peritoneum separates these structures 81. Concerning the visceral layer of pelvic fascia in the female, the following in statements are true except: sum a. -In the region of the cervix of the uterus, it is called the parametrium cal b. Mt is condensed to form the pubocervical, transverse cervical, and 3» sacrocervical ligaments of the uterus It covers the obturator internus muscle -~ d. At does not become continuous above with the fascia transversalis e, /On the lateral wall of the pelvis, it fuses with the parietal layer of the pelvic fascia 82. The following statements concerning the lymphatic drainage of pelvic structures are correct except: i Lymph from the cervix of the uterus drains into the iriternal and external ! x. iliac lymph nodes LE GD. 4/b) Lymph from the prostate drains into the external iliac lymph nodes. x c yvymph from the posterior fornix of the vagina drains into the internal and external iliac lymph nodes dy Lymph from the trigone of the bladder drains into the internal and external es lymph nodes e. Ty mph from the fundus of the uterus drains into the para-aortic lymph 1odes at the level of the first lumbar vertebrae

(Page 104) 74, Which of the following statements regarding vitamin A is true? io) Vitamin A promotes maintenance of epithelial tissue b. Vitamin A is necessary for hearing but not for vision > Vitamin A is synthesized in skin Syt-D csd. All vitamin A derivatives are safe to use during pregnancy => eyotoogn a e. Vitamin A is a form of calciferol cle} UWP + tor, aiding ett 75. Which of the following vitamins becomes 2 major electron accep - the oxidation of numerous substrates? niacra srthess? tene soyrthesi yy oxstadhienta sytheais, be howhomatahiisn ? deca ars ation ot 3 Vitamin B 6 => 4 loactus wel i Niacin (Ga) > tapshrtiemts ef want , pet [c) Riboflavin => Colarher i euidaltin wd dhew (an -% Riecle stdu on 4 d. Thiamine<=> debby fer eroal Pig ae ee pat) e. VitaminB 1) @X dehacleapr’ 2. ss Beit tiie aa oe , 76. Which of the following statements describing Vitamin K is true? a. Vitamin K is broken down by intestinal bacteria ap spnbesiaed b. Vitamin K is obtained by eating citrus fruits, spinach, and cabbage * c. Vitamin K is not found in dairy or meat products; it is obtained by eating _ _” yolk and liver { 4(4) Vitamin K is req mbin =>) re at e. Vitamin K prevents thrombosis Geckos WAFL CO Nik-Kddacienty —>T PT E4# arr 77. A 54-year-old Native American living on an Indian reservation in sout! Arizona is brought into the clinic by a family member. They are con because of impaired memory, diarrhea, and a rash on the face, neck, and do! of the hands. Which vitamin deficiency do these symptoms represent? p, uired for liver synthesis of prothro AS Niacin 4 Ds (0) Djow hea > 6. Cobalamin @ Oermoditis : c. Folic acid @ D : « d. Vitamin CDementio e. Vitamin E @ Daan ; 78. The following statements concerning the uterus are correct except: —- ve the openings of uterine tubes y bent anteriorly on the long axis of anictlag/J 2werns b hypogastric plexuses _y a. The fundus is part of the uterus abo wb. The long axis of the uterus is usuall vagina (antdversion) =>uleru 5 Afia0) en , .. The nerve supply of the uterus is from the inferior ! (d) The anterior surface of the cervix is completely covered with péritone drain into the internal iliac veins e. The uterine veins

(Page 105) c. High cortisol Jevels . Hyperkalemia e. Hypertension 64. Radiation treatment for a pituitary tumor in an 8-year-old boy resulted in the complete loss of pituitary function. As a result, the child is likely to experience a. Hypothyroidism and goiter b. Increased ACTH . Absent sexual maturation d. Accelerated growth spurts e. Increased TSH levels - 65. A 41-year-old woman has hypocalcemia, hyperphosphatemia, and decrease urinary phosphate excretion. Injection of parathyroid hormone (PTH) causes aB increase in urinary_cyclic adenosine monophosphate (cAMP). The most like diagnosis is - a. primary hyperparathyroidism b. vitamin D intoxication vitamin D deficiency HO hypoparathyroidism after thyroid surgery ca pseudohypoparathyroidism 66. A 46-year-old woman has hirsutism, hyperglycemia, obesity, muscle wasti and increased circulating levels of adrenocorticotropic hormone (ACTH). T most likely cause of her symptoms is a. primary adrenocortical insufficiency (Addison’s disease) b. pheochromocytoma primary overproduction of ACTH (Cushing’s disease) ~ treatment with exogenous glucocorticoids e. hypophysectomy 67. Which of the following results from the action of parathyroid horm! (PTH) on the renal tubule? a. Inhibition of la-hydroxylase LJ Stimulation of Ca 2+ reabsorption in the distal tubule j c. Stimulation of phosphate reabsorption in the proximal tubule =) oxerth d. Interaction with receptors on the luminal membrane of the proximal tu cells : e. Decreased urinary excretion of cyclic adenosine monophosphate (cAMP)

(Page 106) _Recall July 2017 Major and minor groove in DNA: a. major and minor grooves are site for polymerase enzymes. athology: 3 4 cAL A2e One of the following is example of hypertrophy due to hormonal change: a- Uterine fibroid : a EP trogen b- Uterus change due to menstrual cyéle => fem Plegi'e Ane to C5T%eF ) Acromegaly c- Muscle of atheletes : ; e- Uncontrolled hypertention 5 .cd «7 tive 68 years old man c/o recent change in bowel habit s show bloody stool colonoscopy veal adenocarcinoma. the malignancy acquired set of mutations that cause which of following behavior: a- Increased cell-cell adhesion b- Increased susceptibility to apoptosis Loss of cell cycle point control d- Enhance stem cell differentiation e- Decreased cellular motility Which one of the following sme for tot RSs medullary carcinoma of thyroid gland : a T4 i | b- TSH : I € Calcitonin | d- Low urinary iodine e- Thyroglobulin | Which of the following indicates defect in synthetic function of the liver: 2- Hyperbilirubinaemia 5- High AST f°) Prolonged prothrombin time a Vit k deficieny High ALP y done for 65 years old patient from suffering schistosomiasis small areas of on in his liver this calcification is: 2- ls sign for hypercalcaemia

• Indication of liver cirrhosis Indication of liver fibrosis <- Is normal finding of such age f=) Indication of presence of Schistosoma ova 0987639

(Page 107) 53. Fully activated ia gon depends upon the presence of . pris > oxalvacedabe a. Malate and niacin Re Acetyl CoA and biotin c. Acetyl CoA aid thiamine pyrophosphate d. Oxaloacetate and biotin e. Oxaloacetate and niacin 54. Which one of the following statements about spermatogenesis is correct? a. Production and release of spermatozoa is cyclical Sertoli cells are required for mitotic and meiotic activity of germ cells G: Spermatogenesis requires continuous release of gonadotropin-releasing hormone (GRH) d. Leydig cell secretion of testosterone requires follicle-stimulating hormone (FSH) e, Luteinizing hormone (LH) acts directly on Sertoli cells to promote cell division 55. The secretion of growth hormone is increased by a. Hyperglycemia wA(G) Exercise c. Somatostatin =) } d. Hypothermia e. Free fatty acid 56. lodides are stored in the thyroid follicles mainty in the form of a. Thyroxine Wad Thyroglobulin c. Monoiodotyrosine d. Diiodotyrosine e. 3,5,3'-triiodothyronine 57. Correct statements about human growth hormone include which of the following? a. Itis synthesized in the hypothalamus => owd- pit￾J It stimulates production of somatomedins by the liver c. Its release is stimulated by somatostatin => \nwhibs d. It causes.a decrease-in lipolysis —» 7 e. It is deficient in acromegaly => x25

(Page 108) 48. Which of the following statements correctly describes eukaryotic nuclear chromosomal DNA? a. Each discontinuous piece making up the chromosomes of eukaryotes is about the same size as each prokaryotic chromosome b. Unlike bacterial DNA, no histones are associated with it g. It is not réplicatéd semiconservatively Vv 3) It is a linear and unbranched molecule ” e. It is not associated with a specific membranous organelle 49. Which of the following enzymes can be described as a DNA-dependent RNA polymerase? . a. DNA ligase =? seals J at 5 scans an RNA priwer on wie DNA Poly merase tit” con wi = DNA polymerase II] ppiolior join only a ow Gof vkonds els d. DNA polymerase | => pooloypdic_only > Deyrdes RVA primer + TM e. Reverse transcriptase 50. In contrast to DNA polymerase, RNA polymerase a.. Fills in the gap between Okazaki fragments b. Works only in a 5‘ to 3’ direction c. Edits as it synthesizes Synthesizes RNA primer to initiate DNA synthesis €. Adds nucleoside monophosphates to the growing polynucleotides 51. The removal of introns and subsequent self-splicing of adjacent exons occurs in some portions of primary ribosomal RNA transcripts. The splicing of introns in messenger RNA precursors is a. RNA-catalyzed in the absence of protein b. Self-splicing Ai Carried out by spliceosomes “d. Controlled by RNA polymerase e. Regulated by RNA helicase 52. Which of the following statements correctly describes the nucleolus of a mammalian cell? It may contain hundreds of copies of genes for different types of ribosomal. - “= RNAs It synthesizes 5S ribosomal RNA 60S and 40S ribosomal subunits all ribosomal RNA primary transcripts a. It differs from that found in bacterial cells in that histones are present - JO

(Page 109) " 43. Which of the following events occurs during formation of phospho￾c- ~ enolpyruvate from pyruvate during gluconeogenesis? CO 2 is consumed b. Inorganic phosphate is consumed ; (ey Acetyl CoA is utilized» nwa, —>cralpace d. ATP is generated — “i : joke = valed ACR generated = ries ATCT bah - e. GTP isegenerated 2 ep wires asker DAVY é Ge = aroha a Ze => PhsPhoencl Pym 44, The fatty acid synthase complex of mammals a. Jsadimer of unsimilar subunits b. Is composed of seven different proteins ¢. Dissociates into eight different proteins d, Catalyzes eight different enzymatic steps - JO 1s composed of covalently linked enzymes S ma 45, Which one of the following occurs in an individual who is rested and has cTM~ fasted for 12 hours? JY a) Gluconeogenesis is the major process by which blood glucose is maintained. b. Adenylate cyclase has been inactivated in liver. c... Liver glycogen stores have been depleted. 4 id.) Glycogen phosphorylase, pyruvate kinase, and glycogen synthase are phosphorylated in the liver. ‘e. Glycogen synthase has been activated in liver. 46. Which of the following would rule out hyperuricemia in a patient? a. Lesch-Nyhan syndrome b. Gout c. Xanthine oxidase hyperactivity A > Carbamoy] phosphate synthase deficiency e. Purine overproduction secondary to Von Gierke’s disease 47. Which is the rate-controlling step of pyrimidine synthesis that exhibits allosteric inhibition by cytidine triphosphate (CTP)? ev Aspartate transcarbamoylase b. Hypoxanthine-guanine phosphoribosy] transferase (HGPRT) 5-fluorouracil c. Thymidylate synthase , => d. Ribose-phosphate pyrophosphokinase ey e Xanthine oxidase

(Page 110) 33. The CSF from a 2-week-old infant with meningitis shows rods with tumbling motility. These bacteria are found to be Gram-positive and do not form spores: What is the most likely agent? a. Actinomyces b. Bacillus c. Clostridium Corynebacterium Listeria enone tupeM 34, The Monospot test is based on a. Destruction of Downey cells AG Heterophile antibodies ©. Syncytia inhibition d. Viral capsid antigen antibodies 35. Which of the following antiviral agents is a purine nucleoside analogue thai has shown promise with Lassa feyer, influenza A and B, and respirato syncytial virus (RSV)? a. Amantadine b. Rimantadine c, Vidarabine S @ grein e. Acyclovir 36. A 3-year-old child presents at the physician’s office with symptoms of co cough conjunctivitis, low-grade fever, and Koplik’s spots. The eausntive agent of # disease belongs to which group of viruses? a. Adenovirus b. Herpesvirus c, Picomavirus d. Orthomyxovirus vw (Gy Paramyxovirus >) fwd Rubeola (menrles) 3 os 41k 37. One of the most common sexually transmitted diseases that may lead cervical carcinoma is caused by which of the following yiruses? a. C ytomegalovirus J@ Papillomavirus =) HPV c. Epstein-Barr virus d. Herpes simplex virus fo) Adenovirus

(Page 111) 63. Hospital acquired pneumonia can be caused by all of the following organisms except: a) Pseudomonas aerugenosa : b) E.coli c) Proteus mirabilis . d)Klebsiella AO. pyogenes f 64. Candida albicans commonly causes: JO Oral thrush F 65. MRSA defers from staphylococcus in: J Dvirience 66. An infection with anaerobic bacteria is a) Rapidly progressive AS OMixed IMMUNOLOGY 67. Transfer of immunity of the mother to the fetus through placenta is: a) Active immunity Zs “a (by atural passive immunity 68. Passive immunity is characterized by: LS Oomediately acting re memer] b) Long lasting 69. All of the following are types of activeimmunity: entdept a) Killed bacteria — b) Attenuated bacteria AOMnrtiserum d) Synthetic peptides

(Page 112) d. Chlamydia trachomatis e. S. aureus 28. In people who have sickle cell anemia, osteomyelitis usually is associated with which of the following organisms? : ; a. Micrococcus Ps b. Escherichia . ‘ Pseudomonas Salmonella e. Streptococcus 29. The antibiotic of choice for pneumococcal pneumonia is F GY Penicittin ~b. Ampicillin c. Erythromycin d. Vancomycin e. Ceftriaxone 30. Which of the following is the predominant organism on skin commonly seen as a blood culture contaminant? a. a-hemolytic streptococci b. Lactobacillus 7 ©)S. epidermidis d. Escherichia coli e. B. fragilis 31. Intracellular, red diplococci are seen on Gram stain. What is the most likely 7c ini eis ee | enus? g Geom —vé Staphylococcus Streptococcus Gi " - TemKo, Chlamydia »-~ =? oll igehe mtacellilon’ (oyowm me Play morphic.) @) Necceacteriim “<> fewultotive wtrceMular” (08m 28 bacilbi) 4O — =rhronltative mbracellnlar (Cus) rapid test commonly used on Gram- negative rods rules out ———— robacteriaceae if ve? “ a. Catalase b. Coagulase “,@) Oxidase => forment Sle. A onidnre Negative ae 32. What d. Chitinase e. Urease

(Page 113) 38. Which one of the following enzymes catalyzes i ee phosphorylation of substrates during glycolysis? a. Pyruvate kinase b. Phosphoglycerate kinase Triose phosphate isomerase a9 Aldolase : A} Giyceraldehyde-3-phosphate dehydrogenase 39, After 2 well-rounded breakfast, which of the following would be expected to oceur? . : a. Increased activity of pyruvate carboxylase b. Decreased activity of acetyl CoA carboxylase Decreased rate of glycogenolysis d. Decreased rate of protein synthesis e. Increased activity of phosphoenolpyruvate carboxykinase 40. The thyroid hormone thyroxine (T 4) is derived from re Melanin a. Threonine / LQ Tyrosine PheryLedontne > Tyesine —> 004, —9 Dopamine NES c. Thiamine d. Tryptophan e. Tyramine 41. Which of the metabolites below is a precursor of tyrosine? a. L -dihydroxyphenylalanine (dopa) b. Dopamine c. Norepinephrine d. Epinephrine A) Phenylalanine _ 42. Which of the following is an allosteric effector that enhances activity of phosphofructokinase of the glycolytic pathway? ' wo) Adenosine monophosphate (AMP) b. Citric acid c. Adenosine triphosphate (ATP) d. Glucose-6-phosphate e Glucose I njubi © RIO , Cita fe Fructee_ 6 Pp Pritalnvche—> Fruchse 6p Yue -| 2 EP sali peli 3 oP OCAL OBS & GYNAE EXAM NO

(Page 114) a eOE~ESttt” d. Lymphadenopathy and splenomegaly on physical examination e. B-cell lymphocyte proliferation 23. A 70-year-old nursing home patient refused the influenza vaccine and subsequently developed influenza. She died of acute pneumonia 1 week after contracting the “flu.” The most common cause of acute postinfluenzal pneumonia is ‘a. Legionella b. Listeria : ; pa) Stsphylocoemns aureus + H-- inCluenzae a ~ Klebsiella ’ e. Escherichia coli 24. Which one of the following viruses is the leading cause of congenital malformations? a. Rabies b. Rhinovirus AO cyomegalovirus + Rebel La d. Respiratory syncytial virus ; e. Mumps ae 25. A vaccine is available for one of the most common causes of infantile gastroenteritis. However, it has recently been recalled. The virus is A =>Rigur Out The Arus a. Cytomegalovirus JD Rotavirus =) db RNA —pvillews desuchen & atrophy — “6. Varicella-zoster virus dy aberpton of rot A He d.. Adenovirus e. Papillomavirus 26. The class of antibiotics known as the quinolones are bactericidal. Their mode of action on growing bacteria is thought to be ver) F ne : ar roperse er) Finely Prokcient AL Cell . 2.) Inhibition of DNA gyrase (Uanderyeine ‘ Flusrequine, 1 b. Inactivation of penicillin-binding protein IT Penicillin , Ames bye sides a c. Inhibition of B -lactamase ¢ Porras »M thick d. Prevention of the cross-linking of glycine e. Inhibition of reverse transcriptase 27. A Gram-negative rods able to grow only on 2 charcoal yeast extract agar. This organism most likely is a. Klebsiella pneumoniae b. Mycoplasma pneumoniae => Eatanrs oop AS sions pneumophila

(Page 115) d. Gastric emptying of solids J Pancreatic enzyme secretion 18. If 600 mL of water is ingested rapidly, plasma volume will increase by approximately plasma > 57. of BW - G0OKG _xo a. 400 mL ‘ — : b. 200 mL ‘ a 4 x Te￾c. 100 mL : \ DEY 50mi Fs fe) 25mL 19. Glomerular filtration rate would be decreased by a. Constriction of the efferent arteriole => 7‘ b. An increase in afferent arteriolar pressure => 7 OO Compression of the renal capsule d. A decrease in the concentration of plasma protein => T e. An increase in renal blood flow => “> 20. If GFR increases, proximal tubular reabsorption of salt and water will increase by a process called glomerulotubular balance. Contributions to this process include a. An increase in peritubular capillary hydrostatic pressure b. A decrease in peritubular sodium concentration An increase in peritubular oncotic pressure > realpsox Pio d. An increase in proximal tubular flow e. An increase in peritubular capillary flow 21. Which of the following viruses causes an acute febrile rash aad produces disease in immunocompetent children but has been associated with transient aplastic crises in persons with sickle cell disease? => Str dease 9 xplanf'e COYTIS 7 a. Rubeola hy hops fetes b. Varicella-zoster i Jv @ Parvovirus d. Rubella e. Herpes simplex 22. Which of the following procedures or clinical signs is most specific for the diagnosis of infections momopucleasis caused by the Epstein-Barr virus? 7 Burfeitts, home , nas cells Phar} a. Laboratory diagnosis is based on the presence of “atypical lymphocytes” an h / by MBiutnakor of sheep RCE

(Page 116) 12. When a person ascends to a high altitude, alveolar ventilation increases.” Alveolar ventilation continues to increase over the next several days because a. The central chemoreceptors become more sensitive to low oxygen tensions b. The peripheral chemoreceptors increase their firing rate c. *The plasma concentration of 2,3-DPG increases WF The pH of the cerebrospinal fluid decreases €. The oxygen-carrying capacity of hemoglobin increases > y _ 13. Which one of the following gases diffuses across the alveoli-capillary membrane by a diffusion-limited transport process? a Oxygen =p ©, "Cin novarel, réalth )> etusion Linited b. Nitrogen c. Carbon dioxide =) Perfusie lymited - Carbon monoxide +o, (in Crm phy annr or Plorosi') . Nitrous oxide (N 2 O) — Perbasiesn mitted 14. In the hemoglobin—O 2 dissociation curves shown above, the shift curve from left to right could be caused by j, PH, ay DPC S Gup a. increased pH —) \y b. decreased 2,3-diphosphoglycerate (DPG) concentration —y * SO strenuous exercise => mékebe lic gf ‘setal hemoglobin (HBF) > Uk- SWiK e. carbon monoxide (CO) poisoning —~ A alti _» if. Sup4 ; 45. Which one of the following statements about gastric emptying is correct? a. Solids empty more rapidly than liquids b. Vagotomy accelerates the emptying of solids = y -c. Indigestible food empties during the digestive period d. Acidification of the antrum decreases gastric emptying at Ke) Vagotomy decreases accommodation of the proximal stomach shes 16. Hypokalemic metabolic acidosis can occur with excess fluid loss from the a. Stomach b. Tleum Colon d. Pancreas e.. Liver 17. Removal of proximal segments of the small intestine results in a decrease in a. Basal acid output Maximal acid output Gastric emptying of lig s JAE EXAM NO.(}

(Page 117) 1. Which one of the following is the best index of preload? a. Blood volume b. Central venous pressure :. Pulmonary capillary wedge pressure uy Cy Left ventricular end-diastolic volume e. Left ventricular end-diastolic pressure 2. Which one of the following is the best index of afterload? a. Left ventricular end-diastolic pressure Left ventricular mean systolic pressure c. Pulmonary capillary wedge pressure d. Total peripheral resistance 7 Mean arterial blood pressure 3. Stroke volume is increased by => Te pre laa / Ay alder) wad y, 4 Gvivott VO decrease in venous compliance Gz > ay tastance) An increase in afterload —> J c. A decrease in contractility — \" d. An increase in heart rate y e. A decrease in coronary blood flow —> \ 4. Propagation of the action potential through the heart is fastest in the a. SA node PAN- Av : Pureinye > Atra> b. Atrial muscle c. AV node Neahricles > Av node F Purkinje fibers Spicemope sls» SADAN Soundle of rae e. Ventricular muscle ‘ Purine Y venticles 5. The distribution of blood among the various organs of the body is regulated by regulating the resistance of the a. Arteries Arterioles # actounts fey mast c. Precapillary sphincters d. Postcapillary venules e. Veins 6. Which of the following parameters is decreased during moderate exercise? 4 Arteriovenous O 2 difference Ss 2 Heart rate =~ i eT ‘ eo Cardiac output =») Pulse pressure =) 4 Total peripheral resistance (TPR) EES TRIE FEE II AEE ? dade

(Page 118) 7. Which of the following agents or changes has a negative inotropic effect on the ———————————— heart? ; WO Increased heart rate 6. Sympathetic stimulation C. Norepinephrine d. Acetylcholine (ACh) e. . Cardiac glycosides . 8. Which one of the following is higher at the apex of the lung than at the base when a person is standing? ViQ ratio = waryted venti lation “b. Blood flow c. Ventilation d. PacCO2 e. Lung compliance 9, A deficiency of pulmonary surfactant would a. Decrease surface tension in the alveoli => “S b. Decrease the change in intrapleural pressure required to achieve a given tidal volume (Ae dvecrease lung compliance d. Decrease the work of breathing =» 4+ e. Increase functional residual capacity (FRC) => J, 10. An increase in the P60 of an oxyhemoglobin curve would result froma decrease in (j44 mat the curve fo We tt-) ss \y pk 7 POP ‘ i, oy Obesity OLEH eo? BT Poco BT vélalelic read Hop aliick’ Ga ps) tren? OT2-3 PRA & apt a. Metabolism ()/) 0 ara ~Q c. Ph BY Peo Temperature B \ meld Wc yeas d. Oxygen e. 2,3-DPG Bw 2G Ob Plo ©hseP Sh hae glad I He 11. Which of the following will increase as a result of stimulating parasympathetic nerves io the bronchial smooth muscle? a. Lung compliance b. Airway diameter F c. Elastic work of breathing Resistive work of breathing e. Anatomic dead space ce -woken fsice of souls -

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