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PMDC STEP 1 Examination 2019(Dr.Hameed Boluch)

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PMDC STEP 1 Examination 2019(

Dr.Hameed Boluch

)

Total 50 MCQS

Duration 30 Minutes

1 The allele responsible for sickle cell anemia can be found on the short arm A chromosome 11

B chromosome 18 C chromosome 21

2.HOWELL JOLLY BODY ARE SEEN A Haemophilia

B sickle cell C Malaria

3 ,A worker of matchstick came to your clinic with complains of pain in allover teeth swollen gums,Fatigue Headach,On examination

You found that there is Phossy Jaw.,.Mostly this Patient is effected by A CO

B Yellow phosphorus poisoning C organophosphate

4 drug of choice in Malignant Hyperthermia A DICLOFENIC POTASSIUM

B IBUPROFEN C DANTROLENE

5. The snake bite of family viperidae is commonly identified by one of the following effect:

A)Myotoxic B)Neurotoxic C)Heamotoxic

6 Cotton dust is associated with A silicosis

B byssinosis C Asbestosis

7.In Down syndrome, the genotype would be: A Trisomy 21

b:Trisomy 13 c :Trisomy 19

8 Vaccination for those going abroad Saudia to perform hajj A Meningitis

B. Tetanus C. Brain abscess 9Shajjah i Munqaliba

A)In the injury where the bone is not revealed

B)In the injury where the bone is revealed but it is not fractured C)In the injury where the bone is fractured but it is not displaced D)In the injury where bone is not only fractured but displaced Bone

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10 . Long acting insulin is ?

A. Insulin Detemir B. Insulin Lispro

C. Insulin aspart

11 The hormone involved in the ejection of milk from a lactating mammary gland is: a. Prolactin

b. Growth hormone

c. FSH d. Oxytocin

12. The pellagra preventive factor is

(A)Riboflavin (B)Pantothenic acid

(C)Niacin (D)Pyridoxine

13 Low birth weight infant is one whose weight is: a. Less than 1.5 kg

b. Less than 2 kg c. Less than 2.5 kg d. Less than 3 kg

14 A HTN Patient visit your clinic with complaining of dry cough ,Upon History the patient Recently change his HTN medication The cause of dry cough

A amlpdipine B Enapril C propronol

15.The drug of choice in pulmonary Edema is A Calcium channel blockers

B fursemide C Adrenaline

16 In alcoholic Patient Mostly defiency of which Vitamin A Vitamin K

B B6 C vitamin c

17 which of the following is DNA virus A HBV

B HCV C HAV

18 A pregnant lady with complaining of fatigue headach weakness on examination there is koilonychia,This is due to

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B vitamin A defency C vitamin B6

19 The cause of black water fever is A Dengue

B Malaria C Hepatitis c

20 Mr.Rashid visit to your clinic and Asking Medicine for traveling Vomting Nausia A. PPI

B H2 Blockers C scopolamine

21 Iron chelation may be done with A Deferoxamine

B pyridoxine C dialysis

22 A 5 year old boy comes to vaccination center without BCG scar on his arm.it is advice able to give A NO BCG VACCINE NEEDED

B BCG Vaccine if Montoux test is Negative C Give BCG Vaccine

23 A 46 year old male ,brake lining worker visit to clinic with complains of fever chest tightness shortness of breath X ray shows ground glass appearance ,

A Silicosis B bagassosis C asbestosis

24 26 year old patient complaining of mild fever irriting proximal cough which ends crow like sound A Pertusssis

B tuberculosis C bronchal asthma

24 20 years old boy with fever chills lethargic headach .His blood film shows ring form protozoa A Amebiasis

B ascariasis C Malaria

25 Inhalation of cotton fiber dust may cause A Bagassosis

B byssinosis C farmers lung

26 occupational exposure foundry workers A asbestosis

B silicosis C stomach cancer

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27 Patient has sciatica and lost ankle jerk ,the segment involved A L1

B L4 C S1

28 Diagnostic test for Wilson disease A serum copper B serum ceruploasmin D hemosederin 29 ALt Increased in A viral hepatitis B alcoholic hepatitis

30 Increase circulating level of esoniophils suggest A tuberculosis

B viral infection C parasite

31 which of the following factor is not involved in the intrinsic pathway A FACTOR 12

B FACTOR 9 C FACTOR 7

32 Heinz body and bite cells are seen in A G6PD

B SICKLE CELL C APLASTIC ANEMIA

33 The turner syndrome ,chromosome pattern is A XX

B XO

34 Most sensitive plasma biochemical marker of myocardial cell is A myoglobin B troponine T C LDH 35 Haemophilia is A x linked recessive B x linked dominant C autosomal recessive

36 In both haemophilia A and B, ALL are correct except A normal prothrombin time

B normal partial thromboplastin time. C normal thrombin time

37 Mother bring 2 years old baby to your clinic with complaining of that unbalance movement of baby On examination there is bowing legs ,on further history the mother told that they usually avoid to go out side at day time,The child is suffered from

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A Rickets B polio C R. Arthritis

38 Hydrochlothazide side effect A Hyperglycemia

B gout C ARRYTHMIA

39 teeth discoloration in children A Azithromycine

B doxycycline C tetracycline

40 26 year old boy complaining of enlargement of his breast size ,He also have History of Gastritis in which he taking medication for a long period of time,this is due to

A Omeprazole B metronidazole C Cimetidine

41 A asthmatic Patient visit to your clinic for following complaining that after taking Medication there is tremors in his hands,this is due to

A Prednisolone B Salbutamol C Zirlukast

42 You are on ER duty at the night time ,A whole family was bring by ambulance ,On examination they all are confused lethargic and cherry red lips.This is mostly due to

A ALCOHOLIC B CO poisioning C opioids

43 The organism which cause black water fever is A Falciprum

B leishamiasis C P.vivax

44 The bacteria which can cause toxic shock syndrome A E.COLI

B S.Aureus C S.Epidermidis

45 Pelvic inflammatory disease cause by A Chlamydia

B E coli C S. Aureus

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46 A baby is delivered to a mother who is on antithyroid drugs ,what hazard could be occur to the baby if she breat feed him?

A Cushing syndrome B hyperthyroidism C Hypothyroidism

47 which one of the following is most reliable indicator of fertility in a country? A net production rate

B Total fertility rate C crude birth rate

48 Vitamin A DEFIENCY characterized by one of the following A Diarrhea

B bitos spots C dermatitis

49 which of the following is transmitted by predominatly by parenteral route A Hep E

B Hep A C Hep D

50 Surgical fracture of neck of humerus ,which nerve will be involved A Axillary Nerve

B ulner Nerve C Radial Nerve

Keep me in your prayers ,,

Dr.Hameed Boluch

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