- All of these are correct of renal physiology except:
- Sodium absorption occurs in DCT
- Potassium is both secreted and absorbed in tubules
- Glucose is reabsorbed in DCT
- All
- None
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- Blood brain barrier is absent in ?
- Adenohypophysis
- Neurohypophysis
- Hypothalamus
- Thalamus
- None
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- True regarding HbA2 is/are?
- It has more capacity to carry oxygen
- Concentration is more than HbA
- Level is increased in Thalasemia
- Consists of 2 alpha and 2 beta chains
- None of the above
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- TRUE statement(s) regarding "loop of Henley" in kidney is/are?
- Ascending limb actively absorbs Na
- Ascending limb actively absorbs Cl
- Ascending limb secretes water in lumen
- Descending limb secretes water
- Descending limb receives hyperosmolar fluid from PCT
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- Iodine is transported to the thyroid gland by ?
- Active transport
- Diffusion
- Passive transport
- Pinocytosis
- None
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- Antioxidant effects are shown by?
- Vitamin C
- Vitamin E
- Selenium
- Zinc
- Vitamin B
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- Right combination of sensory receptor and sensation carried by them includes?
- Krouse's bulb - pressure
- Pacinian corpuscels - vibration
- Meissner's corpuscles - pressure
- Ruffini's end organs - pressure
- Merkel's disc - cold temperature
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- TRUE regarding hypoxemia is/are?
- Decrease in ventilation
- Decrease in delivery of oxygen to tissues
- Inadequate utilization of oxygen by tissues despite normal delivery of oxygen
- Decreased oxygen pressure in blood
- All of the above
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- According to WHO, normal semen findings are?
- Volume - 1.5 ml
- Concentration - 15 million/ml
- Progressive motility - > 40%
- Normal morphology - > 10%
- Ph - < 6.3
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- Normal value of hydrogen ions in human fluids is?
- 35 meq/L
- 40 meq/L
- 45 meq/L
- 50 meq/L
- None of the above
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- Which of the following play most important role in memory:
- Synaptic network
- Electric conduction network
- Conductivity circuit
- Conductivity network
- None
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- Cyanide poisoning block K influx & Na efflux. But ATP reverse this effect. So true statement(s) related to mechanism of action of cyanide is/are:
- K influx & Na efflux is regulated by Na-K ATPase enzyme
- K influx & Na efflux is regulated by Na-K pump
- ATP provide energy for this channel
- Na-K ATPase channel is ATP independent
- None
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- True about Carbon monoxide poisoning:
- CO has 100 times more affinity than 02 for Hb
- Cause right side shifting of 02 dissociation curve
- Oxygen-haemoglobin saturation curve becomes hyperbolic shape
- Pulse oximetry can accurately detect level of CO
- 10-15% level of CO normally may occur in healthy nonsmoker
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- Dead space is increased in:
- Positive pressure ventilation
- Extension of neck
- Anticholinergic drug
- Endotracheal tube intubation
- Emphysema
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- Which of the following is true about cardiac innervation:
- T1 -T5 is sympathetic supply
- Inferior & superior cervical ganglia not involve in innervation
- Parasympathetic supply is from vagus nerve
- Great cardiac nerve arise from superior cervical ganglia
- Inferior cervical ganglia gives off Inferior cardiac nerve
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- True about cortisol level in blood plasma:
- Morning concentration is 17-18nmol/d1
- Morning concentration is 5-23 microg/dL
- Evening concentration is almost half of morning concentration
- Evening concentration is 5-23 i.ig/dL
- None
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- Saccadicc eye movement is controlled by:
- Parietal lobe
- Prefrontal lobe
- Temporal lobe
- Frontal cortex
- Occipital lobe
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- True about normal ECG:
- Normal PR interval is 0.12-0.20 s
- PR internal correspondence initiation of P wave to initiation of R wave
- QT internal correspondence initiation of Q wave to initiation of T wave
- Normal QRS interval < 0.12 s
- Normal QTc interval
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- Which of the following is/are true about SIADH:
- Desmopressin is used for treatment
- Vasopressin level is inappropriately high
- Plasma osmolality is higher than urine osmolality
- Ted Osmolality of urine
- Ted Osmolality of plasma
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- Which of the following feature(s) is/are suggestive of nehogrnic DI in comparison to central DI :
- Desmopressin nasal spray restore urine output to normal level
- Basal vasopressin level > 1 pg/ml
- Normal posterior pituitary bright spot is not visible on MRI scan
- Change in water loss during fluid deprivation test
- None
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- True stateinent (s) about Olfactory system :
- Olfactory mucosa cover upper 1/3 of nasal cavity
- Olfactory pathway passes via thalamus to orbitofrontal cortex
- Adaptation to odour develop only after 1-2 minutes
- Olfactory receptors act via cAMP
- Rate of olfactory nerve impulses change approximately in proportion to the logarithm of stimulus strength
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- Vomiting centre (s) involved in post - operative vomiting
- Area postrema
- Chemoreceptor trigger zone (CTZ)
- Reticular formation located in medulla
- Nucleus tractus solitarius
- Basal ganglia
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- True about special anatomy and Physiology of lung:
- Surfactant prevent collapse of small alveoli into larger one
- Larger alveoli has more tendency to collapse than smaller alveoli in absence of surfactant
- Surfactant decrease chance of collapse
- Surfactant increases surface tension
- With surfactant, large alveoli tend to become smaller and smaller ones tend to become larger
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- All are true about acromegaly except :
- Increased IGF-1 levels
- Excessive growth occurs before fusion of the epiphyses of the long bones
- Somatostatin analogues can be used
- Growth hormone levels increased
- Transsphenoidal surgical resection is the preferred primary treatment for pituitary adenoma
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- True statement (S) is/are:
- Vasopressin increase only water reabsorption, not solute reabsorption
- Aldosterone increase Na+ reabsorption from tubules
- Glomerular filtrate of PCT has similar osmolarity as of plasma
- Urine is hyperosmolar in early DCT
- Generally urine osmolarity equals to plasma osmolarity
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- Rapidly adapting receptor(s) is/are:
- Pain receptor
- Pacinian corpuscles
- Muscle spindle
- Golgi tendon organs
- Meissner corpuscles
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- Which of the following is/are true about normal level:
- Total Calcium: 8.5-10.5 mg/dL
- Sodium:135-145 mmol/L
- Potassium: 3.5-5.1 mmol/L
- Creatinine: 0.6-2.6 mg/dL
- TSH level: 0.1-3.1 mIU/L
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- True about Action Potential in skeletal muscle fibers and nerve fibres:
- Skeletal muscle fibres conduction velocity is 1/4 of thick myelinated nerve fiber
- Action potential of both qualitatively similar
- Resting membrane potential almost same
- Duration of action potential same in both
- Action potential of both quantitively similar
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- Comprehension preserved in which of the follwing aphasia
- Broca's aphasia
- Conduction aphasia
- Wernicke's aphasia
- Gobal aphasia
- Anomic aphasia
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- Tissue elevation of which of the following cause vasoconstriction :
- Na+
- K+
- Mg
- Ca2+
- H+
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- Which of the following statement (s)is/are true changes at time of ovulation:
- GnRH level decreases
- Gonadotropin hormone surge
- hCG surge
- 1' Prostaglandins
- Activation of proteolytic enzymes
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- Which of the following statements are true regarding diffusion of gas in lung -
- Diffusion of gas is perfusion limited
- CO, diffuses 20 times faster than 02
- PO2 gradient is low between alveoli & blood vessel in case of restrictive lung disease
- Diffusion of gas is decreased in emphysema
- Diffusion capacity of 0, is 25
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- Which of the following about renin angiotensin system are true -
- Renin is produced by modified smooth muscles of glomerular capillary
- Macula densa cells are part of this pathway
- Angiotensinogen is converted to angiotensin by this pathway
- Angiotensin converting enzyme is present in lung capillary endothelial cell
- Angiotensin -II is decapeptide
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- True about renal tubular system are ?
- Ascending loop of Henle actively pumps Chloride out of tubule
- Ascending loop of Henle actively pumps Carbonate out of tubule
- Descending loop of Henle is permeable to water
- Ascending loop of Henle is impermeable to water
- Descending loop of Henle receives hypotonic solution
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- True statement about nerve muscle physiology is ?
- Action potential traverses along T tubules
- Contraction is mainly because of extracellular calcium
- Rynadine receptors sense the action potiential
- actin pulls the myosin
- ATP binds to myosin
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- True about copper metabolism is are ?
- Intestinal absorption occurs in duodenum
- 95% bond to albumin in the serum
- Ceruloplosmin contains 6 atoms of copper
- Failure to Synthesize ceruloplasmin causes wilson's disease
- Copper excretion mainly occurs in urine
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- True about gas equation -
- Gas constant is 0-9
- PV = constant
- PV = nRT
- Diffusion is directly related to molecular weight of gas
- Oxygen has more diffusion coefficient
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- True about Prostaglandins -
- Derived from lipooxygenase pathway
- First product is PG G2
- PG E2 causes vasoconstriction
- PG F2a causes bronchoconstriction
- PG 12 causes fall in BP
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- Which is/are feature(s) of prostaglandins -
- 20 carbon atom compound
- 10 carbon atom compound
- Cyclopentane ring
- -OH group at 15º position
- Trans double bond at 10th position
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- Which of the following is/are effect of increased 2,3-DPG on oxygen-hemoglobin dissociation curve?
- ? ed affinity of heamoglobin to oxygen
- ? ed affinity of haemoglobin to oxygen
- Left shift of oxygen-hemoglobin dissociation curve
- Right shift of oxygen-hemoglobin dissociation curve
- No change in oxygen-hemoglobin dissociation curve
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- Oxygen consumption by the heart is determined by ?
- Intramyocardial tension
- Contractile state of the myocardium
- Initial length of the myocardial muscle fiber
- Heart rate
- Basal oxygen consumption of myocardium
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- Insulin causes intracellular shift of which of the following ion?
- Na+
- K+
- Chloride
- Calcium
- Bicarbonate
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- Hypothalmk pituitary axis (HPA) controls all except -
- Thyroid
- Parathyroid
- Pancreas
- Testis
- Adrenals
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- True statement about male reproductive physiology -
- Sertoli cells secrete Miillerian inhibiting substance (MIS)
- Inhibin is released by sertoli cell
- Primary spermatocyte is diploid
- LH and FSH are steroidal in nature
- Inhibin stimulates follicle-stimulating hormone (FSH)
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- Erythropoietin is/are produced by -
- Juxtaglomerular cells
- Interstitial cells of the peritubular capillary bed of the kidneys
- Pars recta of PCT
- Macula densa
- Mesangial cell
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- True about carotid sinus -
- Chemoreceptor
- Present in early part of internal carotid artery
- Has glomus cells
- Baroreceptor
- Supplied by glossopharyngeal nerve
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- Stress hyperglycemia occurs due to all except -
- Increased level of ACTH
- Increased level of cortisol
- Decreased level of norepinephrine
- Insulin resistance
- Increased level of epinephrine
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- Parasympathetic nerve stimulation results in:
- Sphincter closure of gall bladder
- Increased peristalsis
- Decreased GIT motility
- Detrusor muscle relaxation
- Gall bladder musculature contraction
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- True about muscle spindle:
- Group la fiber contain sensory afferent
- Nuclear bag & nuclear chain fibers present in intrafusal muscle fiber
- Motor supply by Aa fiber
- Motor supply by y fiber
- Secondary ending is stimulated by nuclear bag fiber
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- Hyperbaric oxygen therapy is/are used in:
- Radiation induced proctitis
- Tension pneumothorax
- Bleomycin induced lung damage
- Gasa angrene
- Carbon mono-oxide poisoning
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- Peripheral cyanosis is/are associated with:
- SLE
- TAPVC
- Atrial septal defect
- Methemoglobinemia
- Cardiogenic shock
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- Blood in foetus is/are formed by:
- Liver
- Lymph nodes
- Spleen
- Bone marrow
- Yolk sac
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- Important buffer system operating in blood:
- Protein system buffer
- Phosphate buffer
- Carbonic acid- Bicarbonate system buffer
- Hemoglobin system buffer
- None
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- Pepsinogen, the inactive form of pepsin, is secreted by:
- Interstitial cell of Cajal
- Chief cell
- Paneth cell
- Goblet cell
- Zymogen Cells
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- Type IIB muscle fibers are different from type I fiber with having:
- Small diameter
- Calcium reWlease by sarcoplasmic reticulum is low
- Fast fatigable
- Color pink
- Faster acting
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- Which of the following is true about myoglobin:
- Bind 1 mol of oxygen per mole of myoglobin
- Dissociation curve is a rectangular hyperbola
- Its curve lies right of the hemoglobin curve
- Bind oxygen at low P02 pressure
- Show Bohr effect
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- Vasomotor inputs to rostral nuclesus of ventomedial medulla is/are from:
- Inhibitory input from caudal ventrolateral medulla
- Excitatory inputs from cerebral cortex via hypothalamus
- Inhibitory inputs from cerebral cortex via hypothalamus
- Inhibitory inputs from brain stem reticular formation
- Inhibitory inputs pain pathway
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- For Growth hormone testing, which of the following stimulate the secretions of Growth hormone:
- Glucagon
- Insulin
- Cortisol
- Water deprivation
- Arginine
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- Which of the following are feature of blood-brain barrier:
- Thick basement membrane
- Podocyte
- Closely associated layer of astrocyte
- Tight junction
- Decreased vesicles in endothelial cells
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- Which of the following statement is/are true regarding Fick principle of measurement of cardiac output:
- Cardiac output is calculated by amount of oxygen consumed by whole body per unit mass divided by A-V Oxygen difference across the lung
- Oxygen concentration in artery is measured by passing catheter to Pulmonary artery
- Mixed venous blood is measured by inserting catheter into pulmonary artery
- Rate of oxygen absorption by the lungs is measured by spirometry
- For oxygen content of artery, any artery of body can be chosen
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- Feature (s) of hyperprolactinemia is/are all except:
- Amenorrhoea
- Decrease milk production
- Galactorrhoea
- Hypogonadotropic hypogonadism
- Hypothyroidism may cause hyperprolactinemia
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- Which of the following is/are Pain scale:
- McGill Pain Questionnaire
- Visual analogue scale
- Coloured Analogue Scale
- All of the above
- None of the above
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- True about Oxytocin:
- Secreted from anterior pituitary
- Secreted by posterior pituitary
- Decapeptide
- Gonadotropin releasing hormone (GnRH) stimulate its secretion
- Cause milk ejection by contraction of myoepithelium of breast
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- True about hormone sensitive lipase:
- Activity is increased by insulin
- Found intracellular
- Activated by Epinephrine
- Located in wall blood capillaries
- None
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- Which of the following is true regarding GLUT-5:
- Present in brain
- Present in Adipose tissue, skeletal muscle & skin
- Insulin mediated transporter
- Sodium independent transport
- Present in RBC
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- True statement relating to compliance of lung:
- Increased by surfactant
- Decreased in emphysema
- At height of inspiration compliance is less
- It can be measured by measuring intrapleural pressure at different lung volume
- None
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- True about Hering-Breuer reflex:
- Signal initiated through mechanoreceptor receptors of lung
- Signal initiated through Chemoreceptor of lung
- Signal initiated through Carotid & aortic body
- Transmit signals through the vagus nerve
- None
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- True about blood supply of kidney:
- Flow is 600 ml/min each kidney
- It receives more blood supply per unit mass than the brain
- Renal medulla have more supply than renal cortex
- It is under direct sympathetic control
- None
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- All are true about Brunner's gland except:
- It lies in duodenum only
- It lies in duodenum & ileum
- It secretes bicarbonate rich fluid
- It secretions neutralizes acidic pH of stomach
- Secretes mucus rich fluid
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- Oxygen binding to hemoglobin cause allosteric activation. This allosteric property of Hb results in :
- Maintaining iron in ferrous state (Fe2+)
- Increase oxygen supply to tissue
- Increases oxygen binding
- Increases 2,3-DPG in blood
- None
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- Calcitriol in children is formed in:
- Glomerulus
- Bowmann capsule
- PCT
- DCT
- Collecting duct
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- Secretion of insulin is increased by:
- Fatty acid
- Aminoacid
- Adrenaline
- Acetylcholine
- Somatostatin
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- True about carbohydrate metabolism:
- It supplies 4 kcals per gram
- It increases insulin secretion
- Stored in liver
- In starvation glycogen in liver is exhausted only after 24-48 hr
- It provide 80% calorie need of body
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- Nerve velocity is increased by:
- Myelination
- Smaller axon diameter
- Decreased temperature
- Increase in intracellular calcium
- Increase in extracelluar sodium
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