1.
About the coronary arteries that ascend from the ascending aorta, left coronary branches to :
Correct Answer
D. Anterior interventicular and circumflex
Explanation
The left coronary artery branches into two main arteries: the anterior interventricular artery (also known as the left anterior descending artery) and the circumflex artery. The anterior interventricular artery supplies blood to the anterior part of the interventricular septum and the anterior walls of both ventricles. The circumflex artery supplies blood to the left atrium and the lateral walls of the left ventricle. Therefore, the correct answer is "Anterior interventricular and circumflex."
2.
One of the following is not related to Type 2 in DM :
Correct Answer
D. Most common in juvenile onestÂ
Explanation
The given answer, "Most common in juvenile onset," is not related to Type 2 diabetes mellitus (DM) because Type 2 DM is typically associated with adult-onset diabetes rather than juvenile-onset. Type 2 DM is characterized by a relative deficiency of insulin, nonketonic hyperglycemia with stress, and is more prevalent in individuals who are obese.
3.
In the Diagnosis of peptic ulcer disease , one of the following is correct :
Correct Answer
C. In OGD , duodenal ulcer biopsy done to r/o H.pylori
Explanation
The correct answer is "In OGD, duodenal ulcer biopsy done to r/o H.pylori." In the diagnosis of peptic ulcer disease, a biopsy of a duodenal ulcer is done during an OGD (esophagogastroduodenoscopy) procedure to rule out the presence of H. pylori bacteria. H. pylori infection is a common cause of duodenal ulcers, and a biopsy can help confirm the presence of the bacteria. This information is important for determining the appropriate treatment plan for the patient.
4.
One of the following disease represents a reduced intestinal surface with regard to causes of Malabsorption disease :
Correct Answer
C. Croh'n diseaseÂ
Explanation
Crohn's disease is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract. It is characterized by inflammation, which can lead to the thickening and narrowing of the intestinal walls. This can result in a reduced intestinal surface area, leading to malabsorption of nutrients. Symptoms of Crohn's disease include abdominal pain, diarrhea, weight loss, and malnutrition.
5.
In laboratory assessment in the Cirrhosis , one of the following is incorrect :
Correct Answer
D. Serum creatinine decreaseÂ
Explanation
In cirrhosis, the liver is damaged and its function is impaired. This can lead to a decrease in the production of certain proteins, resulting in a decrease in serum protein levels. Additionally, cirrhosis can cause congestion in the liver, leading to an increase in pressure in the portal vein and subsequent fluid accumulation in the abdomen. This can cause a decrease in hematocrit levels. Alkaline phosphatase is an enzyme found in the liver, and its levels can increase in cirrhosis due to liver damage. However, serum creatinine levels are typically increased in cirrhosis due to impaired kidney function, so a decrease in serum creatinine would be incorrect.
6.
Physical symptoms of psychotogical origins is :
Correct Answer
B. Hypochondriasis
Explanation
Hypochondriasis refers to a psychological disorder in which individuals excessively worry about having a serious medical condition despite having no or minimal medical evidence to support their concerns. This disorder is characterized by the presence of physical symptoms that are primarily caused by psychological factors rather than any actual underlying medical condition. Therefore, hypochondriasis is the correct answer as it specifically relates to physical symptoms of psychological origins. Arrhythmia, thyroid disease, and hyperlipidemia, on the other hand, are medical conditions that have physiological causes rather than psychological origins.
7.
One of the following is incorrect about Metabolic syndrome :
Correct Answer
A. Hypotension
Explanation
Hypotension is not a characteristic of metabolic syndrome. Metabolic syndrome is a cluster of conditions that includes elevated blood pressure, high blood sugar levels, abnormal cholesterol levels (low HDL and elevated triglycerides), and excess abdominal fat. Hypotension, on the other hand, refers to low blood pressure. Therefore, hypotension is incorrect in relation to metabolic syndrome.
8.
About the drugs that used in treatment of peptic ulcer disease , one of the following drugs considered a prostaglandin analogue :
Correct Answer
D. Misoprostol
Explanation
Misoprostol is considered a prostaglandin analogue used in the treatment of peptic ulcer disease. Prostaglandins are natural substances produced in the body that help protect the stomach lining. Misoprostol works by replacing these natural prostaglandins, reducing the production of stomach acid and promoting the healing of ulcers. Tums, Cimetidine, and Lansoprazole are not prostaglandin analogues and have different mechanisms of action in treating peptic ulcer disease.
9.
Which of the following bacteria causes a thyroid fever :
Correct Answer
B. Salmonella
Explanation
Salmonella is the correct answer because it is a type of bacteria that can cause a condition known as typhoid fever. Typhoid fever is characterized by symptoms such as high fever, abdominal pain, and diarrhea. It is typically contracted by consuming contaminated food or water.
10.
Elevated Jugular Venous pressure is :
Correct Answer
C. Kussmauls's sign
Explanation
Kussmaul's sign refers to an abnormal increase in jugular venous pressure during inspiration, instead of the normal decrease. It is commonly seen in conditions such as constrictive pericarditis, cardiac tamponade, and severe right-sided heart failure. This sign is characterized by a paradoxical rise in the jugular venous pressure with inspiration, indicating impaired filling of the right ventricle. Ankle edema, pleural effusion, and ascites are not associated with elevated jugular venous pressure.
11.
In DKA-treatment ( diabetic keto acidosis ) , we need :
Correct Answer
D. All of the above
Explanation
In the treatment of diabetic ketoacidosis (DKA), all of the mentioned options are necessary. Volume replacement is required to correct dehydration and electrolyte imbalances. Insulin is essential to lower blood glucose levels and promote the utilization of glucose for energy. Magnesium supplementation is needed because DKA can cause magnesium depletion. Therefore, all three components are crucial for effective DKA treatment.
12.
One of the following is not true about H.pylori :
Correct Answer
C. Inhibits gastric acid and increase pH
Explanation
H.pylori does not inhibit gastric acid and increase pH. In fact, it produces an enzyme called urease that converts urea into ammonia and carbon dioxide, leading to an increase in gastric pH. This increase in pH helps the bacteria survive in the acidic environment of the stomach.
13.
One of the following drugs is not Antivirals regard to Hepatits drugs :
Correct Answer
A. Oral ribavirin
Explanation
Oral ribavirin is not considered an antiviral drug for Hepatitis.
14.
A weakening of an artery wall , that creates a bulge or distention of the artery :
Correct Answer
A. Aneurysm
Explanation
Aneurysm refers to a weakening of an artery wall that causes a bulge or distention of the artery. This condition can be dangerous as the weakened artery may rupture, leading to internal bleeding and potentially life-threatening complications. Aneurysms can occur in different parts of the body, including the brain, aorta, and other arteries. Prompt medical intervention is often necessary to prevent complications and treat the aneurysm.
15.
One of the most potent vasoconstrictors known and it is an octapeptides ( 8 amino acids ) :
Correct Answer
D. Angiotemsin ||
Explanation
Angiotensin II is a potent vasoconstrictor and is an octapeptide composed of 8 amino acids. It is produced in the body through a cascade of reactions involving renin, angiotensinogen, and angiotensin-converting enzyme (ACE). Angiotensin II acts on blood vessels to constrict them, leading to an increase in blood pressure. It also stimulates the release of aldosterone and ADH, which further contribute to fluid retention and vasoconstriction. Therefore, Angiotensin II is the correct answer as it fits the description of being a potent vasoconstrictor and an octapeptide.
16.
Regard to principals mechanisms of diarrhea , the Exudative mechanism include :
Correct Answer
B. Output of purulent and bloody stool
Explanation
The exudative mechanism of diarrhea involves the output of purulent and bloody stool. This means that the stool contains pus and blood, indicating inflammation and infection in the gastrointestinal tract. This type of diarrhea is often associated with conditions such as inflammatory bowel disease, infection, or certain medications. The presence of purulent and bloody stool suggests that there is damage to the lining of the intestines, leading to the release of inflammatory cells and blood into the stool.
17.
Regard to Portal Systemic Encephalopathy (hepatic coma) , the incorrect one is :
Correct Answer
D. Caused by Decrease ammonia levelsÂ
Explanation
Portal systemic encephalopathy, also known as hepatic coma, is a condition that occurs due to liver dysfunction. It is characterized by impaired cognitive function and mental confusion. The correct answer is "Caused by Decrease ammonia levels" is incorrect because portal systemic encephalopathy is actually caused by an increase in ammonia levels in the blood, which occurs as a result of liver dysfunction.
18.
In compensented shock , one of the following is peripheral effects :
Correct Answer
B. Shunting of blood to main core organs
Explanation
In compensated shock, the body tries to maintain blood flow to vital organs by shunting blood away from less essential areas. This is known as shunting of blood to main core organs. This mechanism ensures that organs such as the brain, heart, and lungs receive adequate blood supply to continue functioning properly, even in a state of shock.
19.
Main explanatory reasons for Berserk movement in fibrillation :
Correct Answer
A. Decrease velocity and increase refractory period
Explanation
The main explanatory reasons for the Berserk movement in fibrillation are a decrease in velocity and an increase in the refractory period. This means that the electrical signals in the heart are slowing down and taking longer to recover, leading to irregular and chaotic contractions. This can result in a rapid and uncoordinated heartbeat, which is characteristic of fibrillation.
20.
Regard to alpha stimulatory in G protein coupled receptor , the correct one is :
Correct Answer
C. Enzyme adenine cyclise converts ATP to CAMP
Explanation
The correct answer is "Enzyme adenine cyclase converts ATP to cAMP." Adenylate cyclase is an enzyme that catalyzes the conversion of ATP to cyclic AMP (cAMP) in response to the activation of G protein-coupled receptors (GPCRs). This conversion is an important step in many signaling pathways, as cAMP acts as a second messenger to regulate various cellular processes. Protein kinase A (PKA) is then activated by cAMP and plays a role in downstream signaling events.
21.
One of the following is incorrect about trans pulmonary pressure :
Correct Answer
A. More trans pulmonary pressure , less volume of air inside the lungsÂ
Explanation
An increase in trans pulmonary pressure leads to a decrease in the volume of air inside the lungs. This is because trans pulmonary pressure is the difference between intra alveolar pressure (pressure inside the alveoli) and intra pleural pressure (pressure in the pleural cavity). When the trans pulmonary pressure is higher, it means that the alveolar pressure is greater than the pleural pressure, causing the lungs to expand and the volume of air inside them to decrease. Therefore, the statement "More trans pulmonary pressure, less volume of air inside the lungs" is correct.
22.
One of the following is like coffee ground vomit :
Correct Answer
B. Hematemesis
Explanation
Hematemesis refers to the vomiting of blood, which can appear similar to coffee grounds due to the interaction between stomach acid and blood. This can occur as a result of various conditions, such as peptic ulcers, gastritis, or esophageal varices. The other options, chronic cough, acute cough, and hemoptysis, do not involve the presence of blood in the vomit. Chronic cough refers to a persistent cough lasting for more than 8 weeks, while acute cough is a sudden, short-term cough. Hemoptysis, on the other hand, refers to coughing up blood from the respiratory tract.
23.
One of the following diseases usually represents a high V/Q ratio in pulmonary test :
Correct Answer
C. COPD
Explanation
COPD, or Chronic Obstructive Pulmonary Disease, usually represents a high V/Q (ventilation/perfusion) ratio in pulmonary tests. This is because in COPD, there is a decrease in airflow through the airways, leading to inadequate ventilation. However, perfusion (blood flow) to the lungs remains relatively normal. As a result, the V/Q ratio becomes imbalanced, with a higher ratio indicating a higher ventilation compared to perfusion. This imbalance is typically seen in COPD patients, making it the correct answer.
24.
In acute asthma attack , One of the following is not major event :
Correct Answer
D. Hyperinflation of alveoli
Explanation
During an acute asthma attack, the major events that occur include bronchiolar constriction, inflammatory swelling, and mucus hypersecretion. These events lead to the obstruction of the airways and difficulty in breathing. However, hyperinflation of alveoli is not a major event in an acute asthma attack. Hyperinflation of alveoli refers to the increased volume of air in the alveoli, which is typically seen in conditions like emphysema. In asthma, the focus is on the constriction of the bronchioles and the inflammation of the airways, rather than the hyperinflation of alveoli.
25.
Acts as a bronchodilator, and cause relaxation of smooth muscle by acts as Ca antagonist :
Correct Answer
C. MgSO4
Explanation
MgSO4, also known as magnesium sulfate, acts as a bronchodilator and causes relaxation of smooth muscle by acting as a calcium antagonist. This means that it blocks the entry of calcium into smooth muscle cells, leading to muscle relaxation and widening of the airways in the bronchial tubes. As a result, MgSO4 can be used to treat bronchospasm and improve airflow in conditions such as asthma and chronic obstructive pulmonary disease (COPD).
26.
Patients with a predominant emphysema usually have :
Correct Answer
C. Normal PaCO2
Explanation
Patients with a predominant emphysema usually have normal PaCO2 levels. Emphysema is a lung condition characterized by the destruction of the alveoli, which are responsible for gas exchange. This leads to impaired oxygen uptake and carbon dioxide elimination. However, in emphysema, the loss of lung tissue also results in increased dead space, allowing for more efficient carbon dioxide elimination. As a result, the PaCO2 levels remain within the normal range.
27.
The first line of treatment of high blood pressure :
Correct Answer
C. Diuretics
Explanation
Diuretics are the first line of treatment for high blood pressure because they help to reduce the volume of fluid in the blood vessels, thereby lowering blood pressure. They work by increasing the excretion of sodium and water from the body through the kidneys. This helps to decrease the amount of fluid in the bloodstream, which in turn reduces the pressure on the blood vessel walls. Diuretics are considered effective and safe for most people with high blood pressure, making them a commonly prescribed medication for initial treatment.
28.
Digitalis (digoxin) are example of :
Correct Answer
B. Beta blockers
Explanation
Digitalis (digoxin) is not an example of ACE inhibitors or Spironolactone. Digoxin is a cardiac glycoside that is used to treat heart failure and certain heart rhythm problems. Beta blockers, on the other hand, are a different class of medications that are used to treat conditions such as high blood pressure, angina, and arrhythmias. Therefore, the correct answer is Beta blockers.
29.
Happens in athletes because cardiomegaly :
Correct Answer
A. Bradycardia pHysiology
Explanation
Bradycardia refers to a slower than normal heart rate, which can occur in athletes due to cardiomegaly, or an enlarged heart. In athletes, the heart muscle becomes stronger and more efficient, allowing it to pump blood more effectively with each beat. This increased efficiency leads to a lower resting heart rate, resulting in bradycardia. This physiological adaptation is a normal response to regular exercise and is not typically associated with any negative health effects.
30.
Example of sympathetic postganglionic neurotransmitter :
Correct Answer
C. EpinepHrine and norepinepHrine
Explanation
Epinephrine and norepinephrine are examples of sympathetic postganglionic neurotransmitters. These neurotransmitters are released by the postganglionic neurons of the sympathetic nervous system and are responsible for activating the fight-or-flight response in the body. Epinephrine and norepinephrine bind to adrenergic receptors, specifically the A1, A2, B1, and B2 receptors, to elicit various physiological responses such as increased heart rate, elevated blood pressure, and dilation of bronchioles.