Ceca Joyia Seniesa X-CelByLoyia | SECRETS / MEQ: Series PMDC Step 1, FCPS Part 1 1st yr MBBS, 2nd yr MBBS 3rd yr MBBS, 4th yr MBBS BDS, DPT, Pharm-D, MD/MS By: Dr. Muhammad Naeem Akhtar joyia Dr. Muhammad Nadeem Akhtar joyia Dr. Sumera Akhtar joyiaNUMS PMDC (NEB) Step I Exam 25 November 2018 Have on Feedback of Passing Graduates) 2. Community Medicine WCQs— 3. Pathagy MCQe 2 4 Physningy COs Ey S$. Bochemistry MCOs—— a 6 Anatomy MCQ¥——— 1. Forensic Meine MCQs—— 20 chorus ne MaseULES) Jovial| RUBIA Fol ni ammad ammad , Sume fit oin face) Join fa j facebO BHU vn 9.010 Aielmenthis > Praciquentl Mechanism of Peniilin > 1 MCQ Malignant Hypothermia > Dantrolene Acute pancreatitis marker > Alpha arslase Addison disease Steroids ‘Addison ciseuse > 2 CO SIADH causing hyponatremia in > Ling ee how may patents > 5000 10 ‘GER increase by decrecse sere aerial Post Strept > 1 MCQ Motion Sickness > Seopolemine Cobamzepine antiote Loperamige > 1 MQ. Gymecomasta > Spirinlactone Benzodiazepine antidote > Flamazen! yporunicemia > Thazde Diurete 2 MCQS (Coxe ofinerense ICP Marit Diabete Ketoacidons > Regular Inslin Calculation of BMI325.8 Anti thytoid > Agramaloeytoss DMicroeyie with Splenomegaly > Thalasemia Major ‘Mallory Bodies > Acoholi Hepatitis Cardiac Enrgmes > 3MCQs I out hour & Enzyme miso in Chest pain ALT > Viral Hepsi at iver changes > Alcoholic Hepatitis BAG *HBeAG > Chyosic Tafection Pynmidine Diener 3.1 MEQ ‘A woman at TB drugs develops Fever, malasa and hemoptysis, SIE of which drug > Pyazinamide? Alconolic case > Thiamine defisicney Iron studies in Blood > Ferrin WA Nepivopathy associated with clvonie disease > Celiac disease > Gluten Hypersensitivity > AnittgA Trarsgluamic AB Xrukenburg tumor > Mewstais carcinoma Pseudomembranous Colitis > Vancomycin Jodie deficiency > 2 MCOs Fever, UHL, Flu like Symptoms > Rifampicin Sulfsalzine > Uleerative Clits Aulopsy'blood taken from > 1 MC Amiemeti lke effect > Propo Dissociative sedation > Kein ‘A person died in police custody “> Magistrate Tetracycline SE > Teeth discolor Fasting plasma Gacoes > 126 Hhale~659 Dyspngie for seis & then for igus > Feophagus Cancer Lung maturation of child > Botameshasone Black guy with skin problem, which fatty acid seer >? miRNA codon > AUG Start codon Vitamin easing hypersreatinine > Vitamin A or BorCorD Pulmonary HIN -> Furcsemide Pt wth HF prosent io ER with dyspnea. rales on auscultation > Furcsemide Sublingual em engine > Giyeeryleiniate SLE Like syndrome > Procainamide Anti ITN SIP ry cough > Enalapril sod trauma, pupil dated, headache > Mannitol Diuretic & Gymaecomastia > Spiriaolaerone “Motion Sickness > Seopolamine Lactic nedosis > Biguanide Ant peptic uleer PPL > Omoprazole Preulomembranmus Cats, Mettonidanate filed > Vanconysin Femur neck facture, Hx of long term drugs aking, > Predsisolone Lung Maturation > Betamethasone Asthmatic presets with wemors > Salbutamol Long term ws, seizures > Theophylline CChromoiyn Sodium “> Prophylaxis of exthma Loperamide > Opis Denvative Renal Failure 3 DOC > Doxyeyeline Thioamies > Agranuocstosis GIT malig > Domperidone DKA Insulin Regular Teeth Dseolouration in Children > Tetracycline Anetobic infetion > Clindamyein ly ke Symptons > Interferons Bipolar disorder > Lithia Extrapyramidal Syngtoms > Metoclopramide Berwodiazepine adore > Flumrazeal Fat Emboli > Loog Bone facture Aer crimioal abortion > Hemorrhagic shock {atealvenicles are communicating with third entricl withthe help of foramen mono Babinsaki Sign postive > UMIN and CCorticospinal tact damage acess skin > Meisneecorpuscle ?BDS, | ; 5 Muhamn Bee Muhamn Dr. Sus v 2018 (ovia X-Cel Secret ¥ Aton cant ston his toes which muscle tine > Planans 72? boy hit with poinad objston lateral side of Sole, what wil be lost Machinery murmur > Ductus atenosus Meningocele > 1 NCQ Spica bifida oceulta 3 | MCQ Sh intercostals space, mid clavicular line > Mitral Viave ‘Neck of bumerus Fx > Axillary nerve Supeacondae fk Median nerve Medial epicondyle > Ulnar ‘Winging of sepula > Long thoreci nerve Patella reflex > Tibial Nerve Boca area > | MCQ Aer Cominal Abortion > Hemeraghie Shook Transitional Epithelium > Bladder ‘Transformation Zone > Staiied Squamous to Simpie Columar Progesterone and Estrogen release > Trophsblast Y Right PCA Occlusion > Left oye Blindnest Pituitary adenoma > Diplopia Daring exercise blond supply will decrease to > tr ‘YT Dehysration,essuming that ADH levels are high, maxienum amount of water is reabsorbed > PCT Person on ship devoid of food supoly asked not tocnk sea water direct demape so Key > Increase BP Green Signi for ambulatory pt in > Teane ‘Chilé Pigoon Ches and leg deft 9 Rickets Child with spasm of Muscles > Hypocaleemia Pancrease Enzyme > Alpha Amylase UC > Sulfasalazine ‘Tremors in Asthmate pt-> Theopayline ‘Alpha 1 side effeet > Dizziness fypotension ‘Antayonist of Orb ocull > Levator pal ‘Spoon shape als > ton deficeney anemia Slab Wound in Axil > Long Thoracic Nerve Shake bite Passive Iomnunvzation HERD Immunity 3 | MCO Vermicolans > 1 MCQ Albendazole > 1 MCQ (Cita went to mountain having nausea & ‘yomriting on return sa doe which dug ill you preseibe 7-9 1 MCO ¥ Phenylketonune > 1 MCQ < RRR RRR REE RE SEES Ks ity medicine —rToxt book of Community Medicine by Park JE Jogy-—» Basi and Clinical Pharmacology by Katzun, Lippincott Wil hredicine—»Parikh's Textbook of Medical Jurispradenee, Forensic M MOA OF Aspirin > 1 MOO Sublingual Antanginal of Choice > GTN Krukenberg Stomach Schietomosts > Sq Cell CA of Blader 'A Medical Student suing a issue uve ‘microscope and found some transitional ell 1 co ‘Stenosis of Renal Artery the ther Kidney Hyperplasia Shock > 3 MCQs |A Boner brought to ER - Neurogenie Shoei ‘A man on Zebra Cross and hic by suck, urine ae fecal neo ays > Payoho trauma Long Hone reak > Fat Embelismm Multiple Bone fractore > Hypovolemic Shock Cant touch his shoulder > Masculccutaneous ‘sill Nerve Dame Fracture of Humerus Surgical Neck and medial Epicondyie > Avillacy and Ulear Nerve _Aulopsy blood should he taken “> Vein or aor “agenesis of Kidney > 1 MCQ Angina > Inccease in Cholesterol & LDL. Cathon Transfering > Acyl Acetyl CoA ‘Marasmus 1 MCO During Moderate Exercise > TPR will decrease oR Rfled arm ->Proseres of Collar abrasion Pap Smear CIN I Prophslans of Obolea > Boiled Water Green Colour is for > Amoulatory Patents High Grade fever abdominal pain, MP Slits negative, cram nezative bacillus found, Gold Standard > Blood Culture Hop 8, HBug & HBeAg Positive > High Jnfeciviy KIC Hop B, woppurative FY Infection ‘Which dug in asthmate patient cause Bronchailaion > Theaphy/line inhibits PDE > sncreased cAMP in broachioles > Bronchoilauion Seasooal asthma > Mast cll activator +4 month ol hid son Boast Feed afer few days he develop cataract which substance accurate >? AML > LMC ALL 1MCQ. ML 1 McQ. tumor of BA Ovaries > Origin from inene,revaver and discharbe ator 4NUMS STEP 1, 25 Nov 2016 (Joyla X-Col Secrets Series 4th Euition By Dr Nadeem Joya) «4h Rene KS aK Pcs a) Aaa sas Fracture on base of skal and facial muscle paralysis, fos damage > Siylomastois Foramen Soldier ater long march > Metatarsal fracture Child wich No Ferm, deficiencies oF ealries pls proteins > Marasmus DVT > Warfann Facial mucles > Facial Nerve 3 Sylomaoid foramen Sucralfte ie yar proeetive Radiation > Green House Efet What the Dest measure tht cides the Population io old and young age > Medien Manimsum 02 > Umbilical Vein ‘Umbiicus level with which Vertebrac > LI Lower Pxtemity Paralysis > 11,12 (COPD pe having difficulty in breathing > Resp Acidosis Subsance abuse wil fect > Metal Health Community Major MenslTness > Schizophrenia Blood Group Transfision > 5 MCOs Card Massage > Decrease P-R interval or Re interval Stet > Inhibit Hing Co > Movelonste (Chest Pain Increased LDL Cholestyramine > 19 Proliferative Phase, what happens in Eniomesrium > 1MCQ Galacttol accumulation “> Lastose Esurogen receptor inhiber ia pulary > Clomephine Breast feeding lady method for Comaception > Tatation ly tke symptoms > Inerferon ‘Neutophila > Prednisone [ofan lg mararation > Betametbasone Lateral Venrcles to 34-3 Foramen Monro ‘Marea Sinus which Lympeoid Organ > 1 CQ Spleen LE > LMCO, ‘Mast Cel Activataion 3 1 MICO Accident Muliple Bone facture > Hypovelemic Shock Blood Culture isthe gold sandarddinnosis ‘metiod for diagnosis of Typhoid Feve. Ochaleine est 1MCO Total Ferlity Rate> | MCQ Timpied Conseat 3 1 MCQ RRR ERS a6 ees De to detcieny ofthis, CNS Manuraton wil rol aosut 9 Todine Police sui he cic defo drowning and relatives before drowning somebody attacked him fist and then throw im in canal, which sign of death hefore drowning > 1 (CO Cun in troat, Cause oF death > 1 MICO Medicolegal certificate issucd by > 1 MCQ Beveled sulle determine > 1 MCQ Tumer Syndrome > 1MCQ Ait Emolism > 1 MCO ‘Wrestler trauma on heod > Neuroseni Shock Koplik Spot and macalopapular rashes nose oye involved with cough > Measles Drigof Choice in Benign Malaria > 1 MCQ ArsiSnake Venom i administered to Poy Which ype of Immunization > Passive Immunization Rabies fx Immunoglobulins > Passive Immunization onary Bladder Cacionma arse from > Transitional Cell Schisiosomiads > Squamous Cell CA Hypotension, Hyperkalemia. Metabolic Acidosis > Addiion Disease Sir donate kidney to identical twin brother in renal flue > ISOGRAET Dru which delays death but docs not eure the lssase > Prevalence will Increace Aman with bead aur cequres surgical Imuerverion > Tertiary sare cents Female wit history of ancrorrhe for 6 weeks sueen abdorical pin, speck > Ruptured Ectopic Prgnaney Prepuant female slipped and fall down developed sevete pain abdominal > Teniary Care Ceore Aer using ami Maletal drag enema Occur > GORD Enayme Deficioney Anemia Phenykeionira > Phonvaleine Hydroxyl defcioney ‘White patches on ir and skin > Albinism DPrimaguine >> Hemolysis > GHPD Deficiency Pyruvate Kinase Decency Paty ac Synthesis raze determining enzyme > Acetyl CoA Carbosslase Fise Siang Codow > AUG [Atheete shift to protein dict > Btn deficiency INH > Be Deficiency Liver Disene > ALTNUMS STEP 1, 25 Nov 2018 (Joyia X-Cel Secrets Series 4th Edition By Dr Nadeem Joyia) <2 A5 <4 ay CaS nS Cardiac markers 3 Question > CK, LDH, Trp T Pancreatitis > Alpha Amylase Alcoholic 9 Thiamine Def Female Breast Careinoma Prevention best assessment Regular Mammography Winged Scapula > Long Thoracic Nerve ‘OW men ean not touch his Shoulder > Axillary Neve? Fracture of bone in road trafic accident > Fat “Embolism Asbestosis > 1 MCQ) Patient cant write, cant uneerstand language -> ‘Wernicke’s Encephalopathy Od age male, urinary urgency, hematuria, increased sizeof prostate, Ix be dove > PSA, labors skin > Meissnees Corpusle Dental Caries > Fluoride det Extra Calories required in Pregnancy and Jactation > 500 & 550 respectively 2 inferior parathyroid glans and thymus are envative of > 3" Pharyngsal Arch Ortholodine test > 1 MCQ Hypothyroidism > Raised TSH [ncreated Serum Caleium levels > Hyperparathyroidism Alcobe autopsy sample > Mercurie” Ma died in police custody, invesigated by Magistrate or by authorized medicolegal officer Anti snake trench > 1 MCQ Enithroblastosis Fetalis > 1 MCQ Child with severe microeytic, hypochromic anemia > Thelasemia Aesvloidosis > 1 MCQ ‘Aplastic anemia > 1 MCQ Sub aeute Endocarditis > Sup Viniters [uA Nephropathy predisposed by Ant gluten [eA H Influenza, Pneumococei and N Meningitidis > Capsular bactrias Far way rural team went for fee tretment in conservative mind set people > Acceptibilty Farmer, hypertension, hypersalivation, Laypersweating, meosis > OP Poisoning Krukenberg Tumor > Metastatic Tumor Emphysema , COPD > Resp Distress ‘Mild Proteinuria, Hematuria > Membranous Glomeculonephitis or Fost Stept Glomenulonephiitis During ISOVOLUMIC Contraction > Aotic Valve Open S <55 Bosc k sk Hepatic Abscess > F-Histolytica Vaccine concraindicated in Pregnancy -> Rubella Starvation of 3 days, what will happen > 1 Mco Firearm Collar abrasion Metabolic acidosis Salieylic acid fier exerise, vest increase glycogen synthase > Insulin Cushing & Addison syndrome > 1 MCQ. After spinal anesthesia pt gone to shock > Sympathomimeries Sealy dermatitis ve niacin CCreatinurian which vit def > Vit D def Recurrent laryngeal nerve damage during thyroidectomy ‘Thema and index finger > median nerve Universal antidote > Charcoal Green coloutis for ambulatory patients End systolic volume > 125 Bullet > rubber forcen Death in case of neck injury > air embolism Broca aphasia > 1 MCQ For PMDC Graduates: 1. PMDE Step 1 > foyia X-Cel Seeres MCQS Series 4 Faition By Dr. Nadeem Joyia, Dr Nacem Joyia & Dr Sumera Joyia Official Page > wow feebook com/secretofomde Group: Secrets of PMDC on facebook 2, PMDC Step 2 > sovia Secrets of UES Book 4" Edition By Dr.Nadeem Jeyia Dr.Nacer Joyia, Dr Sumera Jovia Official page > www facebuok.com/seeretsol Official Facebook Group: Secrets of UHS 3. PMDC Step 3 > Sccress of OSPE/OSCE 4* edition by DeNadoom joiya, DrNacom jiya, Dr Sumera Joyia Official facebook group > Secrets of OSPESOSCE: Note > Book is available to Joyie Publications, Cash on delivery for Book Cootaet Whats app No. of Joyia Publi tions > 0345-7211700,UMS PMDC (NEB) Step 1 Exam 15 April 2018 (Based on Feedback of Passing Graduates) 1. Pharmacology MCQs—- 50 2 Community Medicine MCQs~ 40 3. Pathology MCQs 50 4. Physiology MCQs — 50 5. Biochemistry MCQs 40 6. Anatomy MCQs —- 50 7. Forensic Medicine MCQs —-~- 20 Y- Calories Count > 103 (3 gram fat 10 gram protein, $ gram carbohydrate) > 39-43, yo*#=0, $°4=20 ¥ Antiviral drug used in Parkinson disease > Amandine Dey cough > Lisinopa! ¥ Drug used in Pregnancy as antithyroid > PTU ¥ Chass 1 amiarrytimie drug > Amiodarone Side effect red man symitome-3Vancomyein ¥- Priometal Angina Nifedipine Tremor, aquicardia > Albuterol + Insulin Secretine crup>Sulfonylrea ¥ Amidote for Lorwzepam->Fumazeni] Used in Triple therapy 2Omeprazate ¥ Oral antfurgal>Gricofulvin Aspinn side effect Bronchospasm “PID Tiearilin-Tobramyein ¥ Forangina> Sublingual Nivoglycerin Side effect of Thisside Hypokalerin ¥ Proptiyiais for Bronchial Asthma->Cromolyn Sodiurs| ¥ Adgict patient->Don't give pethidine Y Contraceptive effet decrease->Rifampicin ¥ SIF Flu like Syrdrome>Inerferon ¥ Anelfect produced by Glucocorticoid? ‘Gluconeogenesis Drug Interactions->Sodium Valproate ¥- ForCough->Dextrophorine ¥ 4.30 yrold pis sufering from an acute aiack of ‘Malaria, his blood film has shown P.Vivax parasites; be got Chloroquine for this attack but to avoid future relapses of such attacks he must be givenr>Primaguine ¥_ SIE of Spironolactone-> Hyperkalemia 18 (Joyia X-Cel Secrets 4th Edition By DrN: eee xm Joyia) Extrapyramidal dysfunetion->Mewelopraride Motility inerease->Metoclopramie Aanvalarial drag will eradicate the relapses in & tien of ben gn tertin malaria-> Primaguine DOC for Taenia Saginats->Praziquantel Drug used in Suborachnoid Haemorrhage-> Nimodipine Rey's Syndrome-> Aspirin Renal Failure-PDoxycy-lie (don't give Tetracycline) Drug used in regirrens 2 Clachrornyein Avoid in Pregnancy Tetracycline Drug produces its action without causing Ionchodiltion > Zaifukast erecta me oa Saran itio Hepatie Enzyme Inhibition > Cimetidine Variant angina > Nitwoglyeenin Metalic Tate SIE Metronidazole Peumocyetts Carin: ia AIDS Trimethopri + Sulfamethoxazole In Pregnancy BP 160/100 mimFg>MethsIiopa rg used for Hyperealciuria->Thiazide PEdema>Furosemide Hyperkalemia Spironolactone I Motonidazole contraindicated then used-> Vancomycin Dithetc Ketoaciosis is best managed by > IV ‘Regular Insulin MOA of Cephalosperin > Transpeptidation DOC for Pertussis-> Erythromycin SIE Tendonitis > Ciprofloxacin ‘Enzyme inhibited by Pencilins > Transpeptase elpfl in preventing uleers induced by NSAIDS > Misoprostol OC for Zollingcr Ellison Syndrome > Omeprazole Potassium Supplementation often is necessary for pliaking™> Furosemide In patents with rena failure, torsade de povines ray result due t accumulation ofthe metabolite of 9 Procainamide Dectease/Block AV Nodal Conduction > Adenosine For angina pt > Sublingual Niteycerin ENistolsica > Metronidazole ication of H PyloriNUMS STEP 1, 15 April 2018 (loyia X-Cel Secrets 4th Edition By Dr.Nadeem Joyia) Sf eee aK 4K tga « ‘Only Inslin preparation that can safely be administered Inaveaously in DKA > Regular Insulin AML? Aver rods Saw Tooth appearance > Atrial Futter SAA Novie RCA Mos useful in treatment of Byperprolactinoma Bromocriptine Folie cid daily requirement in Pregnancy > 05mg S.Aureus > Cloxacilin Antidote Opioils > Nalaxome ‘Nocturnal Enuresis in Childe > Imipramine SIE of Sulforsmide > Kerncterus Interaction Spironolactone + ACE Inhibitors > Hyperialemia Alopurinol > Hypoxanthine Analogue ‘Monitoring of Warfarin > PT “Microtubule assembly Inhibitor > Colchicine Antiplatit azent > Clopidogrel Irreversible inhibitor of Xanthive Oxidase > Allopurinol A prophylactic aniasdhmatic agent that stabilizes, mast cells 3 Cromolyn [A35 yrs old woman was brought to hospital ith toxic shock syndrome. She was using some rmethod of contraception. The method of csomtrasgption whic hac Likely lead to this condition is > Diaphragm A shipyard worker presents with increasing breathlessness His X-Ray shows ground glass sppearance in ower wo thicds of lungs. He is likely tobe suffering from “> Asbestosis A 5 yr old boy is brought to the emergency deparment with history of dog bite. Examination revealed caultiple transdermal bites on left leg. ‘he best management for such a patient is > ‘Vaccine, leave wound open, TT, ARS 6 ofthe ten family members living ina single room house complain of intense itching with seratching in axillae, groin and hands; iis more marked at night, The most lkely diagnosis is > Scabies ‘When a new treatment is developed tha delays deaths but does not produce recovery from a chronic disease, which ofthe following will ‘occur > Prevalence of the disease will increase ‘A case of snake bite was brought to abasic heath ‘uni. According to the American Red eros the immediate step tobe taken is “> fmobs lize the bisen area 'A person who subsist on taking maize only for ‘many ys reported toa bealth facility with the signs of plossitis, His history suggested frequent altacks of dsithea and memory loss. The likely cendition is > Pellagra In prevention of traffic accidents, the most ciective measure is > Enforcement of laws A recognized clinical sign of Kvashiorkor spe cof malnutrition is > Ederna Cn chest xray, it shows snow stonm appearance of lungs > Silicosis X ray chest showed difise fibrosis with ground lass appearance inthe lower two third ofthe fungs > Asbestosis drug prevents morality but does not affect cure then Prevalence will increase Sie eects & Complications of LCDs > Vaginal bleeding, pain, pelvic infection, uterine perforation, pregnancy. Ectopi pregnancy, Expulsion, cancer, mortality ‘Acchroic alcoholic was complaining of loss of {appetite and pain in tower limbs. OFF his gate ‘was atanic. He i suffering from deficiency of > Thiamine After Excision of breast for cancer breast, a suruical ecomstrvetion of breast issue ws done. ‘This reflects > Tertiary Prevention For Stray dog bite > Vaccine, leave wound! ‘open, TT, ARS ‘Child with 1V0 paroxysmal cough restlessoess, ‘GEE loud inspiratory sound and subconjunctval hemorrhage. Drug of Choice for this disease is > Enythromycin Mental retardation is een in > Trisomy 21 (Down Syncirom) Asbestosis > predisposes to pleural nesothelioma, Daily upper limit of noise withour substan damage w hearing > 83 db Vitamin A deficieney “> Bitot Spors Scabies > transmitted by close coniac, itching is wore at ight, in babies bead must be treated ‘with application of benzyl benzoate Marasmus “> usually good appetite, 00 hepatic enlargement, normal serum albumin and plasmalamino aid rato fici a(n) « Kurashiorkor > Skin changes, edema, diffuse pigmentation of skin {ind of Clinical Features of pellagra 91D. Diarrhea, Dermatitis, Dementia TUD > uterine perforation is more likely if inserted between 48 hours and 6 weeks postpartum, Teriary Prevention > Rehabilitation Major defects associated with Congenital Rubella are > Cataract, Deafness, Congenital heart siscase Asbestosis > Mesothelioma of Pleura Silicosis > Snow storm appearance Permanent loss of hearing can occur if continuous exposure to noise of > 100 db ‘Tuberoulosis ooeurs commonly in which ofthe ‘ype of Preumoecnioxis > Silicosis Hospital Waste > Yellow bag is forrisk waste Turner Syndrome > XO Existelvtica > Dysentary, Liver abscess Autry fatigue appears at > 90 db Mental Retardation is seen in which ofthe following childhood condition > Trisomy 21 Which one ofthe following is corect regarding daily upper limit of noise without substantial damage o hearing > 85 db Which one ofthe following is not a feature of Marasmus > Hypo pigmented hair Vitamin A deficiency state is characterized by one ofthe folowing > Bitt’s Spots (One imporsnt Clinical sign of Kwashiorkor type of Malnutrition is > Edema A stalent has come to Pakistan from Nigeria he ‘oust have valid certificate of vaceination aptinst > Yellow fever ‘When a new treatment is developed that delays death but doesnot produce recovery from & chronic disease, which of the following will occur “> Prevalence of the disease will increase Antidote for Opiates -> Nalaxone ‘The drug which s said to reduce appetite and {asigue; is commonly used as Aphrodisiac its addicts use it asa Snuff and feel a i insects are creeping on the skin. The drug is > Cocaine A Surgeon under the effect of Alcohol performed laparotomy operation ofa female patient. During the operation she was quite wreck less. AS 8 result ofthis death of the patient cecurred, The NUMS STEP 1; 15 April 2018 (loyia X-Cel Secrets 4th Edition By Dr. Nadeem Joyia) S68 68 KS < surzeon is guilty of > Criminal Medical Nealigence Specific Pulmonary Injury seen in Bomb Explosion is known as > Blast L [A patient dying on theatre table due to wreck less atin of en addict anesthetists classical cxample of > Criminal Medical Nesligence “Mest common preservative used 10 preserve the specimens for chemical examiners “> Saturated Saline Red tears > Organophosphate Poisoning The pulmonary lesion in the injury of air blast is called > Blast Lung ‘A bruise showing bluish black diseoloration is > 4 days old Commonly used homicidal poison is > Arsenic Bleed More > Ineised wound Boxer Black eye after punch after ‘he match is due to > ContusionBruise Blush black Bruise appear after > 2-4 days. By gesture an actions ¢ sit on examination stool, couch > yplies Consent A form simply saying authonty to operate on the civie date allowed by the words indicating ‘ranting of permission to a doctor to administer such treatment and anesthetics as necessary signed by patient and witness is called > Blanket Consent ‘Winged Scapuln > Long thoracic Nerve Spina! level of Patellar reflex > L3-L4 Peptic Ulcer profusely bleeding from posterior wall of duodenum, which artery is involved > Gastroduoderal artery ALS yrold girl with fixed dilated pupil lesion is at 3 Oculomotor Nerve Supporting Cells in PNS. > Schwann Cells Chie ces Priipal cells secrete > PTH Microglia >Phagoestic in function External Ausitory canal gland > Apocrine Failure of posterior europare to close, 010 induce tone grovitn around it, mildest form, ‘vertebra fll t form arcu spinal cor, 00 increase in AFP, asyepuomatie; tuft of hair over defect > Spina Bitida Occulia Pchaving tate hallucinations -> Cocaine bugs ‘Common homicidal Poisoning > Arsenic ‘leavy meta intake is dangerous for > Liver or heart oF kidney oF long bones Which one bleeds mostly > Incised Woundgen fe 2 ee A ee . Ssh ses eText book of Community Medicine by Park 1 a a Bs g sic and Clinical Pharmacology by Katzung, Lippincott Use feu b Porikh's Text book of Medical Jurisprudence, Forensic Medicine and Ra sesok Te pian se Ten ONO ey PTO NSO NUMS STEP 1:15 April 2018 [loyla X-Cel Secrets 4th Edition By Dr Nadeem foyia) 3 7 ‘In isoning ce, wont dost neil ist 7 PuinanerAppendezevomy > leokypoga > Inform Police Nee iver pales ins recalled 7 Tongue deviated on iaht side Right > Bird foot ‘Hypoglossal nerve damaged 7 Cussonone's neck, whieh wee hrzmat Ero Dehene Sign > Medal ot ar Suicidal or Homi! % adit Newe jury > Pacur of Sh z Y. Hypervegmented Neutrophils > B12 deficiency Humerus 2 7 Vales which vitmindetleney 3 AorE or Rada nei ijry > Cannot extend wit : CorDoray Biype % Thywidepem > Enoden 00 4 Nip Blindness > Viomin A deiceney % Which Orn rroperioneat Organ > 1 MCO ¥ Edema > Kwashiorkor ¥ Bille Stones will block > CBD fpmde PPRGREA SRG EAGNnxd | + vem scneme rack mnie? fare dicecy Suprapicae @aronine ¥ Nom decency which amino ai should ein inal etre ection of pem > esters Cipectation % Pherilctineiay ental watinpoapR ph Three Syme > Shor Sane feaise whch amano eld be hen > 1 Alerpcradion > Wh Tyrese M, Aneprlactc acl ¥ Biot Spot > Vianio A deleny % Rule pir 1 MEO Cieeacky manyermieanaeS Meson it Viena % Splidagof$2 > Delayed lowe of i epee waive coma Thiamine % Dysgeminoma > 1 CQ 7 Ghetiods Gist which verre etc > ¥ Alphatemericacion > Mcheis Bo a riaee ten sutecr cea % Hemmbpciks vein BIZ or 6 BS % Delytiton 9 Lows of id % tnving sedentcy ite ween ose eon Y PULSE Fresweinietc by dexeasng n> should 3 Exerebe for30 mints aly pees eee © Giilecing on cde > Nama ER ela ace eae % Shay Needs rheptin > Yolo Box > Somsisatin % Foleacddowc tn Peguney >03er040r05 — < San Toot Appearoce > Atl Fer Y Tova BHU inPatizan 9 1400 or 800 or 6400 COPHIRA SY Y astog Supa lvel 76,20 shatshoulddo > EF= SVIEDV=EDV-ESVIEDV oot % Teac OFR- By seing loner 4 emalchaving 2 children sag OC?s and LFTs cellar Fy Press tried so she stl hited > 1UCD Dire > Noval acon gp Mesto sione 7 FibeousPercardum -> Preciosa % Meas Allalsis > CQ % recor! Node dein > lard uk quairatot — Y ANP->1 NCQ pas Pesan nine > Hypa Puke of femora aney fren > at i % Coronary Blo spl > Local Metabolites Inguinal Pin % vlston > PCE 4 Onc Qvesion For Brachial Pens “Mot meds epomein Shock > 7 Asilaryaeeyeinry > 10109 eats men mit a> ane ore Chiefs oka > Farid mone % Arter orn > lcci Pai % Blood conpositoa> xa 35% xl ee nes ¥ Eotirpoiai iced iy Hp Ee oraleneistiaen Fanmme a ¢ Medes eseons GH Ea Speen sins % Gitrlain th Somatoanin % Pinay Gla uncon > 1 MCONUMS STEP 1; 15 April 2018 (Joyia X-Cel Secrets 4th Edition By DrNadeem joyia) 10: i eee. 4a 8 Ran SA a KROSS Local metabolite used in Exercise 1 MCQ MCHC or MCH > 1 McQ Hypercalcemia with increase of Parathyroid land > CRF (chronic renal feilure) Malaria > 1 McQ Hemstuna > Acute Post streptococcal Infection Traneudete > Low cell count eat Stable Bacteria > E.Coli PFalciparam > 1 MCQ Liver abscess 3 F Hisolytien CCandiac Markers > 3 MCQs IDA > 2MCOs pats B markers 3 3 NCOs Cushing Syndrome > Decreased Lymphocytes Microeytic Anemia Reta Thalasemia [Reta thalasemia > Inerease HbA? Polvhydroamnios > Esophageal atresia Fat, Female, 40 yrs > Gal stones Adenocarcinoma > H.Pvlort Thyroid ese, for follow up > TSH ‘Troponin L, Liver Cirtosis, Newrogenic Shock, IDA, AML, ALL, osulinoma, Grave's disease, Phecebomceytoma > 1 MCQ cach Vale involved in Rheumatic fever > Mitral + Artic Penicillin reaction > Type I Hypersensitivity [gE nythroblstois felis [gh Allergy reaction jrease in Gall Stes > ALP HBsAg> 1 MCO Anti HBe> 1 MCQ Pancreatitis cause > Alcohol & Gall Stones First defeme against infection > Skin Hepatocellular CA Alpha fto protein ‘Adrena!Insuliieny whic crug shouldbe used FV Hydrocortisone OC diatrhea > Diphenonyiate 480 Inhibitor > Valproate Drug Inhibit Xamhine Oxidase > Allopurino| ‘Cholestyramine 1 MCQ SIE Imerferon > Flu like Syodrome ‘DOC for recurrent angina > | MCQ Vancomyein > 1 MCQ Domperidone > 1 MCQ ‘Antibiotic cause arrhythmia > Levofloxtein K+ Chanel Blocker > Amiodarone Fr Warfarin follow up > PT Aspirin Toxicity > Worsen Asthmatic pt (Cane Brovshospase) ais oS ss esa 5 ks eo Ditference bw Domperidone & Metoclopramide > 1MCQ Which drug decrease effectiveness of Tetracyeline > Calcium Carborate DOC for peptic Ulcer disease > PPI (Omeprazole) Drug used for Hyperproactinoma > Bromocriptine Dug used for SVT > Adenosine AV Nodal block > Adenosine Drug used for P Eder > Furosemide Drug for asthoa prophylaxis > Cromolyn soda Drug for Noctareal Enuress > Imipramine RTT antibiotic used > Levofloxacin Dig used in Hyperthyzoidism in Prezmaney > pru Drug used io EETN in Pregnancy > Alpha methyl aopa Drug wed for Bradycardia > Atropine Drug used for Dermatophytosis > Terbiratine Drug used for Oral Cartiasis > Nystatin Dig used sgninstHypnozoite in Malaria > Primaquine SIE Meualic ste > Metronidazole Antibiotic used in Pregnancy > Amoxicillin Drug used sath elavulenic acid against beta lactamase > Amoxil ‘SE of Salbutamol> Tremor, Tachycardia, Acritimia Drug used 2 ati cough > Dextromethophan Antiviral drug ued in Parkinson disease > Amaniine| ‘SE dey cough > Enalapel Which crug sbould be wed in Renal faire > Daxyeyetine Live aerated vacine Chicken Pox TS8-> Diaphragm Immunoglobulin is transported across Placenta 316 Markers of Hepatitis > 2 MEQe Chien stool isbest disinfected by > Hypoehlons Tubercolin Test > Type LV Hypersensitivity Defective Virus > Hepatitis D Oxidase - & Nite * > E.Coli ‘A pregant wma presented wit pallor, ‘Shoctness of brea lethargy and palpitation. Her blood examination reveal haemoglobin level ofiy eS ee aes Ns eee. 228 book of Community Medicine by Park JE ene g=2e = 2 (cinical Phannacology by Katzang, Lippincott Wiliams eee 5 as {eText book of Medical Jurisprudence, Forensic Medicine and’ Oe esis {nciples and Practice of Forensic Medicine by Prof Nasib R. Avan, NUMS STEP 1; 15 April 2018 (Jovia X-Cel Secrets 4th Edition By Dr Nadeem loyia) Z Spun youroplalon vp could be 7 Bones Cosbecolesiney cent feats sales soca Ss Kee aie ¥ Gree Wanon Nod! > Conae ¥ FastCondcton pany > 1 MO ere (tiie) eae) Sea & DNA Hein tons 7 Blt jay 9 Blt Lane % Polmmmbo Nuc Cts % Gam Cal tumor > Dyer eas bon 7 sila Lang rete © Bowing tbves 2508 0.25 08 Bees an ) © KenhioniorCee % Wedana hme > Raxco Y Infeetive Mononucleosis ¥ Marre, Cherry red > CO Poisoning adc + Ga Y Shot eia Ulan Pees a> : Cigars acer © DAA? Roper nnn V ¥ RontNMUNIZED cild-> BCG, OPV, DPT, % Ong Corton Best Metre Menion Vita % Tiemutac > Lov ra RCo Fortead vrmhls > Belly of rovaCkspa Re servic tienes 9S % Prope serpton > PCT caoSGun ape © Mikado o Seay Nig Sean Prete Cough 9B © StorePreeant ers 9 Propet © uae Space > Alley nerve ie eerie Y Meat tate > Donec Seas aes © Care Maes 99 MCs % Seleot toc > Pon Titel Arey ree ee ee eee 7 mPa Ver FP ee eens rae Y ssdeial Aare Aner et sos > ie teeay ae Y tate 9 Coc 2 Ee a % totes Hand Wasting Picout, Doctor cco > Crinial Nedcal 7 Maina Saban md by Preyabive Nevibewe YTB dngone OCP ft Geese by ATT © DidooidoX ys > Cis Medel Nelrses 3 Rite Pe recieem ep sami Cage” Folic daca vem ongl 9 Foe eee ean % Phemihewnsce PKU, wae set > © Bieaing terre Vinrsn Prone ee eed + Bld non > 0. © stanpie tout cua Suri % Revd ogo Shp Cosine © tgG-beng > Chole erty 4 mon Veqbl ce > B12 datanocy © Sab wound > nk Foes % Phew 9 P40 igen eerste) eeeraes > pame % Shek ater IUCD > Uta eorion iis Gees Go are Paces ee 7 eee ates a asi 7 fetta tenon Aruziane nace) © Har Ton Spica iin occu 7 Teeth ml efetol> balsa er % Giving Pein Seconda Cae Same + prnaeibenpyHchbitaton? Tony Care Golgi > ACE ibn sider 2 MOOS) © Gal'Soms Oscion > Bie dc © Prepare HTN alpha aap £ Male Sup > Depninton of bea’ % Sunriy Nigh Palsy? Rada Nene % Mentiouse > tontaie © Metal ugh Robie fe a erin > L4 ©] sewrisesio el Vcc Pai ee eee ac cee ney sna me 1 Hopatnction ih pepeney> PT lr Reflex > LaLtNUMS STEP 1; 15 April 2018 (Joyia X-Cel Secrets 4th Edition By Dr:Nadeem [oyia) ¥ ‘Tone deviated on ht side Priht ¥ Hepatitis > HOSA Iypoglosel nerve damaged Y Reis > Ig, Vaccine, Wound Open ¥ Saw Tooth appearance -> Atnal Fluter Pregnancy Combination PID > Ticacilin & ¥ Placenta Cross > le Tobramyein ¥ Anaphylctic Shock > IgE Tetracycline tobe given in Renal {nsuiciency ¥ Allerg reaction > IgE > Dory or Oxytetra ¥ TBrest Hypersensitivity pe > 4 ¥Pharynsitis > Donieyline First line defense > Skin ¥ DKA Regular reulin1V V- Malf face weakness Same sided facial Neve Bloating with Milk Lactase defiiency ¥- Mus > Parainthoenze Vins ¥ Liver Dx ALT will incceuse ¥ Swollen abdomen, thin legs & arms? Hepatic Urea Cycle enzyme defiiensy > Glutamine wil Cinthosie Increase yperkalemic Hypertensive pt thazide diuretic“ Bluish Black Bruise > 2-4 days ¥ Potassium Channel Blocker > Amiodarone Y- Wrestler BLACK eye after Punch > ¥ SVE? Adenosine Contusiow Bruise ¥ Organ of Cort $Vestibulocoehiear ¥ InPregmncy > Amoxicilin Mover area in Cerebrum > Primary Motor ¥ Add with amoxicillin Clavuani acid Medial roation > Erbs Palsy Dive given with atropine > Diphevoxylate ¥ Gunshoton righ side > Ipsilateral LMN injury Opoids toxicity antidote > Naloxone Duodenal Uler > Gastaducdenal artery ¥ Gitlate her mother anxiety drugs antidote to be ¥ No.of BHUs in Pak > $400 oF 400 oF 1100 oF sven > Flumazenil #400 Farmers came with Poisoning OP Poisoning ¥ Consent fom Injured > Writen ¥- Chuonic Poisoning check > Long Bones Birds oF fot injury > Driver Bugs under Skin > Coceaine Poisoning Vanilla flavor Custard > Food alive Permanent Myiass > Occulomotor Nerve ¥ Nigenato Pak > Yellow Fever ¥ Hyposiycemia PInsutinoma ¥ Folicacid dose 05 oF 0.4 6°03 or 0.2 ¥- Conns Syndrome > Hypokalemia ¥- MepatitsIntecivity > Hhe ¥ Feoptalmas > Graves disease Faercise willedace > LDL or VLDL? ¥- Carlogenic Shock > Decreased CO Common Sugar meds her Obese > due © ¥ COP SV KH Gycose oF Fcose ¥ Severe Sarvation > Frergy from Starvation EP Sorc lecieegin > Taceed Vimae ¥- Viumin in ats > Vit or VitC or Vit or Vit Thyroid derived from > Kadedern Kor Any Vit pe ¥ Pemthyroid > Chief Cells Y- Hemopoitc Vitamin > Type of Vitamin 8 ¥ Pemisious anemia > intrinsic factor deficiency Dementia > Vic or Vit For Vit K ce any Vit ¥ Microeyi svemia > Ion ‘ype Y Megaloblasie anemia > B12 Y Chetisis > Ribotiavin Investigation aftr Hb iamscrcyte anemia > Alcoholic with Neacogicl Probes Ho Elecwophoesis Vitamin B12 ¥ uerrods > AML Y Alcoholic pt Thiamin deficiency Common a Kids > ALL YAntepleptie drug tsterneion > Sodium Y Seavanger Cells > Microglia Valproate YPNS Myelination > Schwan Cet Oral atitangal > Gnacotavin YTocheck in Thalasemia > HbA? Antifungal for Mouth, for Ora infection > ¥ Splecomegaty > Sickle Cel Nystatin ¥ Wasfuin dug check 3PT ¥ Cue Fuality > 10% Frozen Shoulder Muscle > Sub Seapularis Asthma Prophylaxis > Cromolyn Soi Calories Count > 105 Y Angion Rx > Nifedipine Moving uch alongside > Ruttin Sublingual dug > NitogtyeerineDC St ist yr Bd BDS, D uhamm ahamm: Dr. Sun pee aoa ciples and Prats of Forensic Meine by SO eat a NUMS STEP 1; 15 April 2018 (oyia X-Cel Secrets 4th Edition By Dr Nadeem Joyia) i & Rage aK Ue GINO S NN CUR OK CONS {Chelocs by which vitamin deficiency > Vit B2 Diarthes, Dementia, Dermatitis by which Jeficieney > 1 MCO Decreased tryptophan leads to > Niacin defcioney Vitamin A deficiency > 2 MCQs Cyneohalain deficiency 3 4 MCOQs Lomphatic of breast > 2 MCOs During appenticeciory which nerve damage > 1McQ Daring Mandible Surgery, which Vessel damage > 1Mco For Knse Jerk, Spinal level > 1 MCQ (C0 Poisoning, Person seeping at night in Mure > 1Mco ‘Cuwson Neck > Suicial hesitation mark on neck Spin bifia Occuta > 1 MC C5-Cé Injury, nove dange related to > Cs aby weigh 3600 gm, afer? momh > 78 Ke BBankot Consene > 1MCQ Person went wo wedding, he got fied acidenty 3 Richotech Cepacitaton > 1 MCO ‘Tumer Syndrome > 1 MCQ own Syndrome > 1 MCO ‘Warton mused > | MCQ Vitamin K inhibit 3 2,7,9, 10 ctor ‘Amino acids > 19 MCQs Vitamins > 10 MCQs Anemia > 10 MCOs Maternal morality rte > 1340Q {Lateral spinothalamic 3 1 MCQ Secondary Motor area > 1 MCO Nacin > 1 CQ Bitot Spot > Vitamin A deficiency Arsenic Polsoang > 1 MCQ. Organophosphate Poisoning > 1 MCO Cocain bugs > 1 MC Pectoral node in breast cancer > | MCQ Pulse at femoral ary > 1 MCQ bs Paralysis > 1 MCQ Cobra Poisoning 2 COs Alkaline phosphatase raised > | MCO CKMB & Troponin T > 3 MCOs Hepatocellular carcinoma > AFP raised Diphylium Bothirum > Macrocytic anemia Daxyeyeline 1 MCQ Clavalinic acd + Amoxiilin > 1 MCQ. ACE inhibitors > 2 COs Bromoeripine > 1 MCQ Amantadine > 2 MCQ Metronidazole > Metalic taste IDA > 3.MCOs PTH act on which hormone > 1 alpha hydovlnse Alcoholic Dr operated and death of patient > Criminal Medical Newtigeree Primary prevenion > 1 MCQ Tertiary Prevention > | MC. Fest susstance io preserve body pars > Sodium Chloride Enayme 7 MCQS Alkapvoniria > | MCO ‘Ondansetron > 1 MCO Domperdone > 1 MCQ Xanthine oxidase > EMCO Con eysle > 1 McQ) Stray dog bite, Rabies prevention 3 1 CQ. Asbestosis > 1MCQ Silieosts > Snowstorm appearance Difficulty in wrist Extension > Real nerve 6 yr old hil, bed wetting > Imipramine Radial nerve Injury, where willbe Face > Hiamerus Sha 0 yr old dead body brousht to you by hor relatives what will you inform Grst > Family or Magisrats or MS 07 Police (Answer: Poles) CEMB 3 2 Questions Troponin T > 1 MCQ. Hair los, which Vimin > 1 MCQ Primary anenorhca, so ovary > Tuer Syndrome Cuil Meal Negligence > 1 MEQ ‘After injury, Dr chosked the wound and treated but aot indicate Xen ltr Rnd actre > ‘Civil Maia! Negligence Ground gis appearance > Asbestosis Vancomycin > 2MCOs First ne reament in Pregnancy HTN Methy] ops Dry cough side effoot of HTN drug > Enalaert Th >2MCOs ‘Apex beat location > 1 MOQ) Buin bis Bask > 2-4 days ‘Gross production rate > Dauner imp 1 MCQ Determination of data, average > 1 MCQ na white fest, Can infection > NystatinNUMS STEP 1; 15 April 20: oon RAR LAL RS Upper trunk damage, what willbe effect on arm > 1 McQ Anchovy paste exudates - Entamoeba Histolytica Mechanism involved in Both Short & Long term [BP Regulation > Renin Angiotensin Mechanism Antipileptic inereave concentration of drug > | McQ Retroperitoneal Organ > Suprarenal Superficial multiple eut on shoulder & throat > Suicidal Feature of Cons Syndrome > Hypokalemia Lacrimation, defecation, Red tears > ‘Organophosphorus Poisoning Amount of fic acid in 2" trimester > 0.5 Pallets on back > 8 yards Lung maturity 9 1 MCQ Baby weigh at birth 4600, after 7 months > 78 ke Wrist cut, profs bleeding >> Written consent Wife beaten, no sign of injury > Call her afer 24 hours Palse regularly regular > Saw tooth appearance Ail fluner Dr Alcoholic, during Surgery, pt died. Type of Negligence > Criminal Medical Negligence ‘Appendicectomy tobe done, various features ‘not old to family, Type of Consent -> Blanket Coment Deep incised wound on Wrist, consent before treaiment > Oral Cardiac Output > SV x HR During jogging, increase in cardiac output > Local Vasodilators affecting on arterioles Septic abortion, treatment Poetipime + vancomycin Polyhydreamnios > Esophageal atresia Hydeolvic enzyme > 1 MCQ. Hepatic Cirrhosis > 1 MC. Secondary Polyeythemia > Hypox: ‘ruity Urine > Branched chain AA Woman, Hb 9.8, MCV 70, SOB & fatigue ,T3p= of Aneinia > IDA Aver rods > AML ‘Average > 1 MCQ Standard deviation > 1 MCQ Cid fed with airy ilk, no protein in dit, Fdema > Kevashorkor Ruffin Corpuscles > 1 MC) eas ss ey KK Ke Joyia) iE Hb per 100m 3 MCHC Structure behind Isthmus > | MC Cavernous Sinus Thrombosis > { MCQ. Isdhumis of thyroid gland “> 2.34 tracheal rings Facial nerve 3 1 MCO Deep bur, what wll be lost immediately > 1 McQ Which layer is aot Esophagus > mucosa or submucosa oc mscularis 1 MCQ Snake bite > Immobilize the pt ocd in Stool which anemia > IDA Episanis > Anteroinfrior septum of ease Heavy metal Poisoning, which organ it wll be found > liver o kidney or spleen or long bores iMco In desert. a fot of snakes, what you cen do as prevention > EMCO ‘Oran of comes on which layer > 1 M{CQ) Which organism causes macroeytie anemia > Diphylobotiwrs atu Young male with hyperpigmented raised lesion ‘on chest > Melanoma Anaphylaxis, whieh anibody raised > Ia Diarthea > Metabolic acidosis Parotid Swelling > Mumps Vitamin K éeticency > | MCQ Wax seresing glam > Apocrine ‘Non diaboic pe wit hypostycemua, cause > Insulinoma Adenocarcinoma > H Pyles ‘Which anno acid contraindicated in PAU pt > IMco ‘Pregnant woman with diabetes tyroid disease > ert Parathyroid hormone -> PCT oe DCT ot Collecting duct Seavenger cells > Microglia Myelin making cllsin PNS > Schwan cells Submandibular > Lingual artery Imp structre in guacramgge to makin ‘outstretched hand > Aillary nerve Fibrous pericarium continuation of which fseia > Preiraobeal fascia HLA done by > Blood or Real tise Walk for sedentary ite > 30 mms daily Saw tooth > A Flater ‘Ligamertum Flavum > { MCQ Deceased Osmoarty cused by > ADHStep 1, RAS ean r MBBS, NUMS STEP 1:15 April 2018 (Jo s DPT, Ph nmad Nae By amad Nad Sumera Al r MBB y i, Reversible cll from one type to anathce > Meraplasia PPD test which type of HSR-¥Type IV Fye hall prominence Graves disease Glucose Tolerance test > 1 MCQ Complete sectioning of spinal cord what ‘mediate reaction of bay > 1 MEQ) Sharp objests > Yellow bag Mid sha humerus Fracture > Radial nerve Difference biw Hypovolemic & Anaphylactis Shock > 1 meq Rh incompatibility > 1 McQ ‘Which gland contain both neural & glandular co > Pituitary o Pines Vasodilaton > 1 McQ) Grigodendsites > | MOQ. Aer 3 and half year od child has not received mary immunization Which of the followings the best vaccination aivice to such child > BCG, DPT, OPV 1, Measles, HB 1, Vitamin A Horner Syndrome Sympathetic nerve Cholehieine > Inhibition of microtubule Flue ike symptoms Interferon Liver abscess 3 Entamoeba Mistolytica Pregnant woman places IUD, BP 90/50 mmifg & Hear rate 110/mint, whot wal be complication > Urerine perforation o Fetopie pregnancy or Endometriosis (Answer: Uterine perfretion) Hic cuft > Spina Bifida Occuita For treatment pf Pseudomonas Coli Metronidazole failed, what drug will you give > Amenonthes,galactohen Trestinent > Bromocriptine Prolactin > 2 MCQs Sensitive marker for thyroid dinease > TSH For treatment of DKA > [V regular Insulin should be given Common in Community > Shizopirenia Ani peptic ulcer disease, medication > Omeprazole ‘Tmnwidate > Low Protein ‘Duodenal ulcer disease, artery camaged > Gasivoduoenal atery Folic acid dose in pregrancy 03 mgor 04 mg (0r0.2.mg or 0.5 mg (Answer 0.5 me) ‘Wreatler black eye alter Punch fier the math is duo to > Abrasion or laceration or |pook of Medical Juispradence, Forensic M Lend Praise of Forensic Meise by Prof Nash As ‘nesion/bruse or nelson (Answer: BrisetContusion) Mun-> 300 GRO LNB ¥ Dec NaS ADH For visceral presovation used - Norra saline ¥ Conn Syndrome 3 Hiypokalersia. Y Quinanzvar space trasmit-> Axillary Nerve ~ Lang inary ue Blast > Blase Lung Gallstones 3 CBD Y GER? 3 deughiers ¥ General Reproduotion ate > 3 daughters _luish back tine oftruse appear ater > 1-2 ys or 24 days oF 5-7 days or 7-10 days (ge ansyer 24 days} ¥ Neurooxin > Cobra Y. Viner > Hermiosic ¥ Vasculotoxcity caused by > Viper ¥ Bitalaemis > HOA2 Liver abscess with anchovy paste > Emamocba Rian Inst recng ude sin is due wen pe ofolscing > CO posing or CO2 prong or Cocaine Posoningor Dit poisoning {Right newer Crsin Potsnig) ¥ Redtean det wich 9p of Poronine> CO poten or dura poscning rginocophe one gt arr: OP coring) + Tnorhof conte i Manes, youre men died deo CO Peisningo CO2 Foran oe Mths Posoning or 28 Potsoning (ight timver 60 Pasting Shake it > Imnebiaon Sled mvement > iar moor aca oe second etre Prtnon > MAO Arian Patio > Anan: Henatoiet wan > Vit 2 aca 5 Quer aa Sake be anener Cabra” eves iron Cosing regio > Boon pte exter 9 oe ‘ay cans marker > AST or LDA or MB Trpnin Macrophages 3 1MCQ Dee osierng imei Spor BeNUMS STEP 1,15 April 2018 (Joyia X-Cel Secrets 4th Edition By Dr-Nadeem Joyia) e846 Re Ge Shuitling grit, tremors, age 65, which antiviral inug should be used > Acyclovir oF Amantadine or Interferon or Efivavir (Answer: Amantadine) ‘Class LIL antoarrythmic drug 3 Amiodarone Precursor of many enzymes hormones Phenylalanine In PhenyTketonuria, which should not be given > Phenylalanine or Tyrosine or Dopamine or Serotonin (Right answer Phenylalanine) Hepatitis B markers > 2 MCQs Germ cell Tumor > Dysgerminom AEP is tumor marker for > Gasiie cancer or ‘Hepatocellular cancer or pancreatic eaneet of adenocarcinoma (Right answer: Hepatocellular cancer) Al symptoms of Hepatic Cirrhosis given, Just dliggnosis asked > Hepatic Cirrhos Disinfection is due to Hypochlonus acid ‘Tetany > Low Calcium ion ‘Mechanism in Severe Fasting > Gluconeogenesis| Brain Maturation > Iodine or Insulin oF on or GH (Right ancwer [odine) Atonie Bladder > 1 MCQ Usnary Incontinence > 1 MCQ Chicken Pox Vaccine > Live sttenvated ‘Quadrangular space transmits > axillory nerve Step 1 > Joyia X.Col Secrets MCOQs Series 4 Edition By Dr. Nadeem Joyia, Dr.Nazem Joyia & Dr Sumera Joyia Official Page > sow facebook coms ctersofprnde Gromp: Secrets of PMC an facebook 2, PMDC Step 2 > Jovia Secrets of US Book 4 Edition By Dr Nadeem loyia, DrNacem loyia, Dr Sumera Joyia Official page Official Facebook Group: Secrets of UHS 3. PMDC Step 3 > Secrets of OSPE/OSCE 4* edition by De-Nadcem joiya, DrNacem joiya, Dr Surera Joyia Official facebook group > Scersts of OSPE/OSCE Note > Book is availabe to Joyia Publications, ‘Cash on delivery for Book Contact Whats app No. of Toyia Publications > 0345-7211700. ‘Book is in copyright If anyone one is photocopying please inform us, strict Iepal action wll be taken against ‘thet Best of Luck ee eerie erates ttyounh FIA,PMDC Step 1 NUMS 16 March 2017 Paper MCQs: 150 Marks: 150 Time: 3 hours Which ofthe following antiarrhythmic drags prolongs effective refractory period A. Procainamide B._Phenytoin © Mexilitne D. Ligecaine . Hlecainamide uw wacchook.comvsecretsfpmde) "like syndrom i seen with A Rifurspin| B. Isoniazid Streptomycin D. Pyrazinamide 1, Ethambutol (comm facchook.somvscerstsofpmde) Which of the following i he risk of digoxin Toxicity: Hyperatremia Hypokalemia Hyperkalemi Hyponatemia Hypomagnescms iw facebook comseeretsofpmde Which ofthe following i euglycemic dru A. Clhlorpropramile Metformin Giyburide {sulin Rapagliide ‘nae facebook com/seerstsofomde) Chill, fever and muscle acbes are common reactions to which one of the following mpoe> roe (Oseltamivir Inverferon Ribavian (wu wtacebook somecretsolpule) Abnipt withdrawal of antiscizares drugs ean inerease in seizure frequency a rooreg ich 2017 (loyia X-CEL Secrets 4th Edjtionby Dr.Nadeem fay seventy. Withdrawal is most easily accomplished ifthe patient is iteated with: A. Carbamazepine B, Clonazepam © Ethosunimide D. Phenobarbital E. Phenytoin sw facebook, com secretsofpmde) We have a patient with essential hypertension & unsually high circulating catecholamine level. Our goal is to black both alpha & beta actenergie receptors using just one drag. Which of the following is capable todo that? A. Labetaol B. Metoproe! . Nadolol D. Pindolot E. Tirol (nn facebook coms ‘Cinchonism is a dose related adverse effects associted with which ofthe following: Tocainide Procainamie Disopyramide Ounidine Lidocaine (wn foesbook comm ecretso fm Addition of epinephrine fo a local anaesthetic results ins, A. Early onset of local aesthesia BL Rapid metabolism ofloeal anesthesia Prolonged duration ofloeal anesthesia Increased toxicity of local anewthesi Avoidance of frst pass metabolism (nvslagebook.com seeretsofpinde) moos 1. Which ofthe following aniemtcs funesions through imbibition of neurokinin (NK-1) receptor! A. Aprepitant 1B. Domperidone C. Hyoscine D. Grunisteroa F Ondscron ww, facebook: come own fteebook.comsecrtsofimds) 1. Which ef be following drugs is leukotriene modifying drug indicated in the mangement ‘bronchial asthma? ‘A. Tramsiolone acetonide 1B Bhudesonide2017 (Joyia ©. Zafirtikast D. Flunisolide E. Fluticasone (ww slacebook.convsveretsofpmd) 12, The predominant effect of Glucocorticoids on the circulating white blood cells is: A. Inerease in T lymphocytes 1B. Inerease in morncytes| C._Inerease in basephils D._Inerease in neutrophils F._ Decrease in eosinophils (wom.facebook.com/secretsofpmale) 18, Which of te following agent is useful in treatment of malignant hyperthermia) Baclofen Diazepam Cyclobenzaprine Dantrolene Halothane (we secretsofpmude) 14. Which of the following corticostemids is most appropriate to administer to a woman in preterm labor to accelerate fetal lung ‘maturation? A. Betamethasone Fludecortisone Hydrocortisone Prednisone Triamcinolone (ww. fucebook com secretso pate) {A 32 year old male presen to an outpatient clinic with a Suday history of productive cough, purulent sputum and shortoess of breath. He 1s ‘dingnosed with community acquired ‘pneumonia (CAP), Itis noted that tis patient ‘has a severe Ampiclln allergy (anaphylawis. Which of the following would be an acceptable \weatment for this patient? A. Levofloxacin | BG Peneilin V Nitrofurantoin Tetracycline (oun facebook: com/secretsofpmule) 16 A lé-year old boy presents io the ambulatory care clinic with a persistent dry cough. He had leaned out a bam attic that was full f bats about 2 weeks ago and hus had the cough for 5 days. The physician suspects hisplasrooss, moome B c. D. E CEL Secrets 4th Editionby Dr.Nadeem loyia) _/8: Which would be the best treatment for this patient? A. Albendazole Ciprofloxacin Fluconazole Ribavirin Penicillin G (sxmv.faeebook.com A 60-year old woman had a myocardial infaretion. Which of te following should be used to prevent life-threatening arrhythmias that can cecur post-myocardil infarction in this patient? A. Digoxin B. Flecaimide ©. Quinidine D. Proesinamide E. Metoprolol (ww facehook.comsecretsofpmc) A L2.year old girl witha childhood history of asthma complained of cough, dyspnea and wheering after visiting a riding stable. Her symptoms became so severe that her parents brought her to the emergency room. Which af the following isthe most appropriate drug to rapidly reverse her bronckocosstriction? Inhaled fluticasone Inhaled beclomethasone Inavenous propranolol Inhaled allaterol Oral theophylline (eww facebook. com/sccretsofp me) A 26-year old female is using injectable ‘Medroxyprogesterone acetate as a method of contraception. Which ofthe following adverse effects isa concem if she wishes use this therapy long-term? Hyperkalemia Male paitem baldness Osteoporosis ‘Weight loss Pulmocary fibrosis book . A patient needs antibiotic teatment for culture positive infective enteroeoccal endoearsitis. His medical history includes a severe anaphylactic reaction wo penicillin G during the last year, The best approach would be ‘wcatment with moon rooRe monePMDC Step 1, 16 March 2 ionby Dr Nadeem joyia) _19 2. 2, 017 (Joyia X-CEL Secrets 4th Fu A. Amoxicillin-clavulamate i B, Azteonsm ©. PenicttinG D. Ticareillin BE, Vancomycin cu wiy.facehook.com/sceretsofpmde) ‘acold woman has been admitted to the ‘unit with a Te ventricular veer cn she develops ase cere he ue wh make money Sener mee pepe era Whuchon ote lowing Ss would be most useful? 26, Digoxin Furosemide Minoxidil Propranolol Spironolactone {vw facchonk.comisceretsofpmde {AAS-year old man was just started on therapy” for hypertension and developed a persistent n, ‘ry cough: Which is most likely responsible for this side effect? A. Enalapril B, Losartan C. Nifedipine D. Prazosin E. Propranolol (con facebook comsecretsofpmds) room |. A.68-year old woman is diagnosed as a case of ‘ovarian cancer, Sbe begins using cisplatin but ‘becomes nauseous and suffers from severe vomiting, Which ofthe follawing medications 2s Would be most effective to counteract the ‘emesis in this patient” A. Droperido! B. Dimenhydramine ©. Prochlorperazine D. Dronabinot E. Ondenstron ww, ets Bleeding from nose ard ears is commonly seen. at autopsy in: Hanging Lynching ‘Strangulation by ligature ‘Smothering Carbon monoxide poisoning (comm fueebook.consceretsofpnide) moose A.registered medical praitioner attempted 10 ‘terminate pregnancy of a35 years old woman because she did not want another child. However the woman died due to complications bf the procedure. In Pakistan, tbe medical Practitioner vould be guilty of the offense of: A. Medical Negligence B. Qui-e-Khaa. ©. Qatle-shibh-e-Amd D. Qatl-e-Bisabab E, Isqat-e-Hamal (ww facebouk.com/secretsofpmdc) The legal right of consent is conferred to patients under the principle of A. Benevolence B. Autonomy ©. Pateralisn D. Sustice E. Religion (exw, fasebook,comseeretsofpmie) InPakistan, a mecical officer is authorized 10 perform medicolegal postmortem examination Under authority of following lve: A. Section 302 of Pakistan Penal Code 1860 B. Section 174 of sode of Cominal Procedure 1898, Pakistan C Sction 307 of Pakistan Penal Code 1860 1109274 of Code of Criminal Procedure 1598, Pakistan E, Section 374 of Code of Criminal Procedure 1898, Pakistan (www facchoak.comecretsofpmdc) The direction of ire can be determined most reliably Eom: A. The oature othe atoning around entrance wound “The bullet trac in the tissues Grease mark Collar of abrasion Patter of damage on Clothing ‘Shajauingaila means: ‘A. Causing Shajah with exposing bone ofthe vet but without causing facture using Shih by fracturing the Bone of the victim but without disclosing it Causing Shajah by bot facturing and Aislocaton of the bone ofthe victim eoop BPMC Step 1, 16 March 2017 (JoyiaX-CEL Secrets 4th Editioniby Dr.Nadeem Joyia) 0 Fi Causing Shajich by causing fracture of the Sul and the wound touches the srembrane ofthe bein (Causing Shajah by causing fracture of the skull and the wound rupee ofthe rembrane of the brn (oon facebook cou/eeretsotpmile) llowing siatement does not depict charoetenstc of a bullet wound: ‘A. nit wound is usually regular in shape B, Damage canbe produced ata distance suvay from the original ult track. ©. With tow velocity gunshot, the main wound occurs due to cavitation Phenomenon D. Entry produces a clean cut hole in skull EE, Entry produces stellate shape wound on head (www facebook comisecretsofpmdc) M4. 4.52 year old female having eon veal hepatitis presents with pain at ight hypechordaur. Utrescund abvomen shows a space occupying lesion in he rit lobe. The ‘most likely diagnosis is pus “epatic adenoma Hepatocellular eacinoma Angiosarcoma Cyst of Fehinococcus granulosus Amoebiasis www facebook somsecretsofpmds) Te sake venom of viper usally kills wists ithe is noe given the antevenorm major test Heemotoxe Otowoxie Hepacwoxic Nephro-toxe Newrotxis anal growth rate of Population is 20% then it wil be double in 35 years 25 yeas 23 years 4 years 50 years on facebookico Aira disaster, TRIAGE isan approach fc ‘A. Provision of ood ani shelter to the people rpoe> POORP B._ Selestion of injured who can be beneficial the most from urgent medical treatment €. Rehabilitation ofthe affected people D. Removal of dead bodies Immunization of people (vwafacohook com/ecretsfpmde) Inte data 15, 2,9, 10, 18, 14 and 72 the median is A 10 Bid c 72 Ds Eis (ww facebook comseeretsofpmds) Hospital waste is best disposed of by A, Composting B, Dumping C. Iecinertion D. Burial 1, None ofthe above (qowwsfacedook.com/secretsofpmde [Equity in heath services means A. Provision of health service on eoual basis far everyone B,_ Provision of health service acconding to Ge demands C. Provision of health service according to the Needs D, Provision of health service acconting to the resources E, Provision of health service acconding co the GD? (wn. facchook com/secretsofpmde) Which of the following comieosteoids is most pproprite to acminister toa woman in preterm labor to accccrote fetal lung ‘A. Bewmetasone B, Fludrocortsonss ©. Hyiocortisone 1D. Predsisone E Trameinolone (cre facebook comsceretsofnmis) Limitation of freedom movements of apparently healthy individuals forthe pend of ‘ot more than te longest incubation period of particular disease is A Isolation B, QuarantinePMDC Step 1, 16 March 2017 (Joyi ©. Surveillance D. Segregation E. Allof the above (uw facebook convseeretsofpmds) Denominator in Crude Death Rate is: A. Population at risk B._ Mid year population C. Total no of births D._ Total no ofdeaths E. None of the above (orm. facebook,comusecretsofpmde) ‘Most sensitive indicator of health status of ‘whole population is: A. Crude death rate B. Infant mortality ate C. Maternal mortality rate D. Child mortality ate F. Dependency rate (cunt fcebook eom/seeretsofpmds) ‘The demographic eyele has five stages, the late expanding stage of the eyele indiates: A. High birth rate and high death rate B. Decreasing birth rate and decreasing death C. Decreasing death rate and stationary birth rate D. Low binh rate and low death rat: E, High birth rate and stationary death rate ‘www. acebook com/secrersofpmnde) A.A6 years old male worker of textile factory presented woth 02 months history of cough, fever and hemoptysis. The esposure to cotton cist im the factory Jead to a this condition know a Silleosis Asbestosis scebvok.com/secretsofpmids Poor i 2 In study carried out in the hospital war, every 10" admitted patient was included in the sample, which sampling procedure is this Random sampling Suratified sampling ‘Quota sampling Convenient sampling Systematic sampling (vw facebook com/secretsofpmde) poesP X-CEL Secrets 4th a ” Joyia) ‘A mother brought her six montbs old child 19a BHU. She is worried about the growth of her child. The best single measure for assessing the physical growth inthis age is Weight for age Height for age (Chest ciroumference Mid upper arm circumference ead circumference rope wiv facebook.co retsofpmde "Neonatal tetanus isan important preventable cause of neonatal mortality that accounts for 7% of neonatal deat worldwide, This could be prevented by: ‘A. Vaccination of women of reproductive age group B. Vaccination of newborn's (C.Vaccination of pregnant iadies . Vaccination of females of child bearing age E, Vaccination of non-pregrant ladies (wosfacehook.com/secretsofpmde) Dental earies is due to lack of: Chlorine Fluorine Tice Iron Caleium (www facchnok.comecretsofomde) COrthotolidine tests caries out to be: ‘4. Estimate the edour in water roo 2B, Enimate forine coment in water C. Ewimat chlorine coment of water D_ Eaimae citrate level of water E. Esimate cite vel of water (comm daschookcomceretiofpmds) Areseasber colts data fod the prevalence of smoking ang schoo children in Laboce, hes wing A Sampling B Testof Significance nfo saisties D._Dessrpivestiscs E, Complete enumeration ‘The arerage numberof chidrena womaa wll have i she were © pass through her epi yeas raring clea at he same fates the women in ech age sDGeneral fertility rate General martial fertiiy rate Tol fertility rate Gross reproduction rite oral martial Feility rate (umn facebovk. con/seeretsofpnide BM Lis calculated with te help of A. Age and weight BL Height and age Height and weight D. Mid upper area circumference and height E, Mid upper area circumference and weight (um facebook.com/seeretsofpnids) Stoily after a barbeque, medical student ofa Medical College eame back t their tooms and rnost of them (62 out of 74 stadenis) ‘experience acute vomiting and diamhea. This ‘epidemic may be classified a: A. Point source B. Propagate Common source Serial direct None of the above ‘A high school has expeneced a series of incidents of sexual harassment in the tally. ‘One of the health educuiom teachers assigns students to create posters in class encourage mPooeE positive peer pressure to prevent this behavior “The approach of Health edveational used i Group approach Individual approach Mass approach Personal approach Massive approach wiv facebook, con/sceretsofomde Low birth weight baby is one vino has weight at birth less than: sk 2ke. 23kg Ske 35ke sw facehook,com/sceretsofpmde) PPokisian is attached with WHO regional HQ of ‘A. South Bast Asia region B. Affiea region ©. Wester Peifi region Pooe> moo Secrets 4th Editionby De Nad 1D. Eastem Mediterranean region T._ None of the above. (wom facebook. com/secretsofpmns) 55. Separation of skull sutures in young persons by blunt trauma is eassitied as A. Commminuted fracture B. Diasiatie facture C. Hinge frzetare D. Ring facture E. Signature facture (own facebook comscerstenfomde 57. inder the Pakistan Penal Code, te minimus age oferiminal responsibility is: A 18 yeas BL 16 yeas © 1years D. 7 years E. Syeats (rum facebook convscerctsofpmie 58 Sispensory Ligament of Avilla is derived fiom A. Clavipectoral fascia B. Delta © Aviary sheath D. Plasma E. Pevtoralis major 59, The Structures passing through the aortic pening of diaphragm: AL Azygous vein B, Branches of ight phrenic mre _Fsophagus D. Gastro nerves E, Leftgatie atery (www. facebook com's nd a, ‘The ito ofthe thyroid gland A. Lies directly anterior tthe thyroid cartlaze 1B. Lies directly anterior othe rico cae man ate Lies diet anterior tothe 2", Sand tracheal rings Is the same asthe pyramidal lobe E. Contains the superior par of parthyroid lands ini fasebook com stoPMDC Step 1, 16 March 2017 (Joyia X-CEL Secrets 4th F 6 a. “. The middle nasal concha is part of what bone: A. Ethmoid bone B. Maxilla C. Palatine bone D. Sphenoid bone E. Vomer (qu facebook com/secretsofpmde Ifnystagmus is prominent sympiom of a cerebellar lesion, the lesion is within: A. The dentate nucleus The flocculonodalar lobe ‘The lateral cerebellum The cerebrocerebellar cortex ‘The superior corebellar peduncle im facebook comsecretsofpmde) The part of the male reproductive tract whieh carries only semen within prostate gland is A. Prostatic urethra B.Membranous urethra ©. Seminal vesicle D. I moog ‘Ductus deferens Ejaculatory duct (qyww facebook.com/secretsofpmide) A woman was diagnosed as having a cervical carcinoma, For exfoliative cytology cervical cells were taken from the junction of endocervix with ectocervix. Here the epithetium changes from simple columnar to: Stratified columnar Stratified cuboidal Stratified squamous keratinized Stratified squamous nonkeratinized Simple squamous epithelium (uw facebook.com/secretsofpmds) A lady gives birth to @ baby with small abniormally shaped cars, mandibular hypoplasia, cleft palate and heart defects. She save a history of treatment for eystie acne ‘throughout the pregnancy. Which chemical ‘agent is responsible forthe above mentioned ‘abnormalities in the baby? Lead Valproie acid Lithium Vitamin A Thalidomide (www. facebook.com/sceretsofpmude) mone rons fionby Dr. Nadeem foyia) 66, The development of thyroid land is marked by a depression called foramen cecum in the floor of the primitive pharynx. The foramen caecum gives rise (oa diverticulum which later ‘elongates and descends anterior fo the hyoid bone and thyroid cartilage to assume the adult position. What is this diverticulum called? Hypoglossal duct Laryngeal diverticulum Respiratory diverticulum ‘Thyroglossal duet ‘Thyroglossal diverticulum (orwm facebook.com/secretsofpmae) 67. A 22-year old woman who is a professional tennis player presents to the physician with pain on the lateral aspect of her elbow radiating ‘down her forearm, Repetitive use of which one of the following muscle most likely lead to this patient's condition: A. Biceps brachii B._ Extensor carpi radialis C._Extensor carpi ulnaris D. Flexor carpi ulnarise E. Pronator teres (om k.com seeretsofpmdc) (68, A°55 year old woman presents in OPD with inability to adduct and medially rotate her arm After right mastectomy. Examination showed. loss of Function of Latissimus Dorsi Muscle, ‘The nerve supplying the muscle is derived from: Lateral cord of brachial plexus ‘Medial cord of brachial plexus Posterior cord of brachial plexus Upper trunk of brachial plexus Lumbar plexus (www facebook. comsecretsofpmds) 68, While playing football a person falls on the ground because of loss of abduction of the tibia fon femur, Dr. Sheharyar is ofthe opinion that ligament has been injured. The most likely structure is: ‘A. Lateral collateral ligament B. Capsule of Knee Joint ©. Medial Collateral Ligament D. B mpom> roam Ligamentum Patellae Oblique Popliteal Ligament (ovr fucebook.com/secreteafpms)15 yes old boy is brought emergency sficr fll fom his bicycle. X ray reveals fincture oFhead of fibul. On physical ‘examination the patien has afoot drop. Which ofthe following nerves is most likely inured? A. Tibial Common fibular (peroneal ©. Superficial fibular (peroneal) D. Saphenous E._ Deep fibular (peroneal) (owmsfaschonk.comsecretsofpmds) Dr, Sama is operating a patient with myocardial infarsion she will prefer following suetune for the bypass gra A. Femoral vein B. Great saphenous vein . Smell Saphenous vein D. Profunda femoris vein B. Popliteal (ew faechook com/secretsofpnids) ‘A six year old child, whose medial history includes 2 rather diffeul bir, has a permanently tiled head posture, with the right ar noar the shouldee acd the face tumed upward and to te left, Which ofthe following muscles was very likely damaged during birth? A. Amtenor scalene 1B. Omohyoid C._Stemocleidomastoie D. Traperius E, Playsma (ww facebook comseeretsofpimde) You ae caring for patien: who has suered a stroke and has issues comprehending any spoken language. Branches of what artery do you know have been comoromised? Posterior cerebrel artery Middle cerebral atery Anterior eecbral atery Strate arteries ‘Aterior choroidal artery (ww face ook. en of Daring a full workup on 2-month old infant wth history ofintermnem: gastrointestinal ain and vomiting, physician discovered that the cause was lack of emptying ofthe stomach, ‘They immediatly suspected tat th cause was a spasmodic contraction of which of the Following parts ofthe stowah mpage A. Cardia noch B. Fundus CC Lesereurvanre D. Pylorus ©. Rugse ‘(wwf ookscomsesretsofpmndc) NA does not contain A Adenine B. Phosphate ©. Ribose: D. Thymine Uracil (www facebook comsecretsotpmde) A 60-year okd male ecutive who had a history ofa chronic duodenal ulcer was aut tothe ER exhibiting signs of a severe Internal bemorthage, He was quickly iagnosed wit perforation ofthe posterior wall of the first par of the duodenum and, foci ofan artery cid it ry the gas cexpellat, The artery is most likely the: A. Common hepate BL Gasroduoderal Left gastric D. Proper hepatic Superior meseneri (nw. facotook.comsecretsofpinde) [Myasthoniagrevis isan autoimmune disease in which antibodies damage or destoy: A. Acetylcholine molecules inthe synaptic leh 1B. Acetvicholine receptors onthe muscle membrane Acetylcholine vesicles inthe neuromseular junction D. Acetylcholinesterse molecules in the presynaptic terminal E, Acerysholinesterase molecules inthe syeaptie cleft (www tucebook. comAesretsofpmds) The seeretion of Growth hormone i increased ypergiycemie Exercise Somatosatin Hypotheria Free fay acid (www. facebook comiseeretso pnd Hi noose 3me ™. a A. Acts directly on bore cells to increase calcium deposition B. Acts indirectly on intestinal eels to increase calcium absonption ©. Canse decrease in cAMP concentration ‘within renal proximal tubule cells D. Is essential for life E, Te secreted in response of an inerease in plasma calcium concentration (rm facebook.com/secreisofpn Cytotoxie T-cells help in A. Destroying tissue cells invaded by viruses B. Producing antibodies €. Activation of mast eas D._ Regulating T-cell activity E. Suppressing the T-cell activity (om facehook.comsecretsofpmdo ‘A person with endemie goiter has A. High level of plasm TSH. B. High level of asia thytoxi ©. High level of plasoa triiodothyronine D. Low production of thyroglobulin E._Low level of growth hormone (www facebook com/secretsofpmds) ‘Vasodilation is caused by Parasympatheti stirulation Sympathetic blockade Localized hypoxia Anaphylactic shock Stimulation of chemoreceptors ‘The test that serens the extrinsic pathway i: A. Prothrombin time (PT) B. Activated partial thromboplastin time (erty Thrombin time D. Urea solubility test E, Clot ysis time Exposure to 4 almosphcre of oxygen (02-3040 mmf) can cause death within an hour or so due 1 acute oxygen poisoning. The lethal effect of acute oxygen poisoning can be attributed tothe dysfunction of which of the following organs? Brain Heart Kidey Liver moome popE 4s 6 E. Lungs (com. tncebok.convsesretsofprde) An aviator i lying at 30,000 feet, where the barometric pressure is 226 mm. He is breathing 100% oxygen His alveolar PCOR is 40 mmifg and alveolar water vapor pressure is 47 sata. Wht isthe alveolar PO2 ofthe aviator? A. 43 mig B. 75 mmtig C99 mile D. 139 milly E100 reatlg (ew facebovk eom/seeretsofpmde) In athletes, physical fitness is more closely correlated with ‘A. Maximal pulse rate than with resting pulse 'B. Maximal oxygen uptake than with resting ‘oxygen upeake (C. Maximal minute vention tan with maximal eardiae output D. Size of muscles TE Resting syrnpathetic tne than with esting vagal toe (xm facebook com/sccretvofon Lf musele stength is inereased ith resistive training, which ofthe following conditions is most likely to oecur? |A, Decrease in the numberof myofibrils B. Increase in mitoenondral enzymes Decrease in the components of ‘hosphogen system D. Decrease in stored tril ycerides E, Hyperkalemia Which ofthe following arythmias is most commonly asociated with syncope? AA. Sins arhythmia B, First degree neat block C._ Second degree bear block D. Third degree heart block FE Matoc! ail acyearda (MAT) vw feeb oo somsesretsofpmds) Which ofthe following values are the best indexes ofthe prefoad on eae A. Blood volume BB. Cenira volumes pressure C._ Pulmonary capillary wedge pressurea PMDC Step 1, 16 March 2017 (Joyia X-CEL Secrets 0. o. os D. Left ventricular end-diastolic volume E. Left ventricular end-diastolic pressure ebook conyscerstsofpmide) 65 years old female with real failure presents for hemodialysis, She is found tobe ‘anemic and i given a dose of erythropoietin along with ber usual vitamins ant miner supplements Enythropoiti stimulates which ofthe following intermediates in hematopoiesis? A. Basophilie erythroblasts Colony forming Maltipotenial ste Proerthrcblasts Reticuloeytes During the passage of an intravenous catheter, ‘numerous endothelial cells are dislodged from its erythroid 5 a D. E, the lining ofthe popliteal vein, What substance 96, allows platelet adhesions to the exposed collagen? A. Factor VIT B. Factor IX C. Fibronectin D. Tisove factor E. Von Willebrand facior (crwmcfacchook.comvsceretsofpmide) The following is an inkibior of prokaryoe sranscrption: A. Ciprofloxacin ” B. Evoposide C. Erythromycin D. Rifampicin B. Methouexate cwww facebook com /sceretsofpmide) The following subunit of bacterial RNA polymerase is responsible for promoter recognition A. Alpha B. Bea = C._ Besa prime D. Sigma FE, Alpha prime www fucebookconvsesrstsol Ayo jerc mn extn acy wih cl severechx pin wl re yang and sores of eth, He raepmned ma aeat of Acie Myocasal Dr.Nadeem | joyia) Infarction, Which isoenzyme of Creatine Kinase is mised inthis case: KI cK? cK3 CK MB oth b & a raw facebook.com/secretsofnme) ‘A 70 years old male is brought tothe ‘emergency department ina sem-conscious State with elevated lactate levels, which Vitamin can he used fo treatment? A. B c D. E, A. Pyridoxine BVWE Folie aid D. Thiamine E, Biotin (mw facchook.com/seeretsofpmds) ‘A.42 year old obese woman presented tothe ‘emergency room with complaint of worsening ‘nausea, vomiting and epigastric pain. The blood chemistry reveals high Amylase level. Most likely diagnosis is: ‘Acute appendicitis Acute panereatits Gasintis Renal colie ‘Viral hepatitis (xm facebook,comiseeretsofpmue) ‘term infant is born and does well with breast feeding. Two days later the mother calls frantically because the baby is bleeding from ‘umbilicus ang nosis. The following vitamin is most probably deficient in this infant? A. Vita vito2 Vins Vie monpP B. ci D. E emir a7 year ld nan sors wih 708 pan ypeeemia, Ar apres sane agus tavne ett Saree it ich eines inalia seecoce Later von of tr yee, ch ance Te team et ae eric snes Yih Sema inchs yaPMDC Step 1, 16 March 2017 (Joyia X-CEL Secrets 4th Editionby Dr.N serum levels of which on eof the following substances? A. Chylomicrons B. High density lipoproteins C. Intermediate density lipoprotein D. Low density lipoprotein E. Very low density lipoprotein (www fucchook.com/sccretsofpmidc) 99. Four hours after abdominal surgery a 65 years ‘old male was found th have some equivocal FCG changes and markedly raised serum CK. (1500 U/L), which of the following cardiac markers would be the most specific investigations to rule out myocardial infaretion im this patient A. CK-MB activity measurement B. CK-MB mass measurement ©. CK-MM activity measurement D. LDHlevels E, Estimation of cardiac Troponin (www _facebook.com/secretsofpmds) 10. A 50 year old non-smoker lady with alpha antitrypsin deficiency developed severe lung disease and requires a double lung transplant. What is the most likely lesion she is having? A. Adenocarcinoma B. Bullous emphysema C. Centriacinar emphysema D. Interstitial emphysema E. Panacinar emphysema (uw. facebook com/secretsofpmde) 101. After prolonged active hepatitis C , a 50 years old patient developed ascites and esophageal varices. These complications are secondary to; Cholangitis Hepatocellular carcinoma Pancreatitis Cirrhosis Early cirrhosis (ww w.facebook.com/secretsoipmde) 2. The pap smear of patient showed enlarged cells, having orarangophilic cytoplasm and central vesicular nucleus which was surrounded by perinuclear hallow These cells are most likely indicative of: A. CIN4 B. Invasive squamous cell carcinoma C._ Invasive adenocarcinoma of cervix 1D. Invasive adenocarcinoma of endometrium moomp en adi E. Koilocytic cells (ow fae: comiseeretsofpmile) 103, A specific form of necrosis, also visible under light microscope, which occur ater depostion of immune complexes inthe alls of he A. Coaguative necrosis Bh casey ott 6. Hild ect B Ta onors B, Linwete semi (qo: cob eom/seeresofomde 5 104 Secondary intention of wound healing differs of following aspect? A. Neutropbilie accumulation B. Mites a C. Fibrous reunion D. Wound contraction E, Clot formation (www. facebook convsecretsafpmde) Insertion or deletion of one or to base pairs altering the reading frame ofthe DNA strand is known as: A. Point mutation Frame shift mutation ‘Trimucleotide repeat mutation Missense mutation roo Single neucleotie polymorphism (www facebook.comvsecretsofpmde) 106, Which ofthe following gram nexative bacilli mostly colonic healthy GI tract as non pathogenic organisms: ‘A. Campylobacter enterocolitis B. Shigella Salmonella D, Eschericia colt E. Pscudomemibranous colitis (ww facebook: comvseeretsofpmnds) 107, Which ofthe following organism is responsible of causing infective endocarditis after skin infection? S.aureus Sterp. Viridens Haemophils Eikenella Kingella mone cosPMDC Step 1, 16 lus. A 30 year old male patient presented in ‘outdoor with compl n of oral ulceration. The consultant suspects a fungal infection, His medical record also showed that he is suffering from acquired immune deficiency syndrome (AIDS). What is the most likely cause of his ‘oral Lesions? A. Crypocoecus B. Coceiidiodomycosis C. Candiasis D.. Histoplasmosis E, Tinea (www facebook.com/sceretsafpmie) 109, Cytology examination of FNA breast of 45 years old female showed groups of cells which were dyscohesive and were showing dlyspolarty. Individually scattered eels with open chromatin and nuclear membrane irregularity were also found, Most fikely eytologic category ofthe lesion is A. Atypical probably benign lesion (C-3) B, Benign breast lesion (C-2) CC. Malignant lesion (C-5) 1D. Suspicious malignant lesion (C-4) E. Smear inadequate ww facebook.comiscerctsofpmids) 110, A 10 year old develops bruise on his arm after fall, which changes its color to yellow 0 brown a few days later due to accumulation of: A. Lipofusein B. Bilirubin C. Melanin D. Hemosiderin E. Anhaotie pigment (oon fueabook,comvsecretsofomds) 111, A 33 year old female presented with pain atodomen for 3-4 months, low grade fever and Jethargy. On ultrasound examination Hight ‘ovary was found to be enlarged and was removed for examination. On microscopy inflammation with eptheloid cals TLangeshan’s gant cells am caseous necrosis was sen, The most likely diagnosis Mumps Syphilis ‘Tuberculosis Maligeancy Sarcoidosis (ormwfnce! moORP s/secretsofpmde) March 2017 (Joyia X-CEL Secrets 4th Editionby DrNadeem joyia) 2: 1a, An 83 year old female has a biopsy of an ulcerated nipple lesion that is interpreted as Paget's disease. A biopsy ofthe breast tissue with an ulcerated lesion on the nipple diagnosed to be Paget's disease will most likely show the following? A. Acute mastitis B._ Dacia carcinoma in stn CC. Inraduetal papilloma , Invasive lobular carcinoma E. Nommal breast ise (oxww.fucebook co m/secretsofpmue) 11a, A 82 year od female baving chronic viral hepatitis present with pain at right typochondnum, Ultrasound abdomen sbows a space occupying lesion in the right lobe. The roost ikely diagnosis is ‘A. Hepatic adenoma B, Hepatocellular carcinoma G. Angiosarcoma D, Cystofechinoeoceus granulosus E, Amocbiasis (yw. facsbook.comvsecretsofpinds) 114. There is inverse relationship between hardness of drinking water and A. Diabetes mellitus B. Cardiovascular disease Malignancy D. Obesity E, Allof th above tus, 45 year old African male was chronically i tad swollen a’ and spleen and liver erlargement The calls on biopsy were moastonous small non cleaved Tymphocytes ‘Most likely chromosomal translocation t be found in ths diseases ae a 82) é > : retsof inthe orl cavity, base of skull exteoding down i viich on biopsy was diagnosed as being a 00k ‘Which of the following tumor me be increased in his marker is most likely (0Patient's serum as a result of being secreted from the cells ofthis tumor? Acid phosphat Alpha-fetoprotein (AFP) Alkaline phosphatase Beta-human chorionie gonodotrphin (Beta HCG) Caleitonin wmw.facebook.com/secretsofuhs oap> a 117, A known patient of haemophilia A being treated by Factor VIII concentrates has stopped responding to this treatment and his condition is worsening. The most likely explanation to this phenomenon is A. Neutralizing antibodies against factor VIN Low dose of factor VIt Expired factor VIIL ‘Wrong diagnosis Infection (yw fucebook.com/secretsofpmide) poof 118. The most likely cause of intermittent diarthea ‘of 3 weeks duration in a 26 year old male with 1 space occupying lesion inthe ight hypochondrium. Most likely is due to: A. Giardia lamblia Entamoeba histolytica Balantidium coli Entamoeba coli Cryptosporidium parvum (nw facebook, com/seeretsofpmde) mone 119, A 40 years old female developed a tumour, ‘which was labelled as grade 2 on grading. The grading of his lesion is most likely based on: Cell size & mitoses Cell shape & mitoses Degree of differentiation & mitoses Extent of invasion & mitoses ‘Nuclear pleomorphism (wmw.facebook.com/seeretsofpmds) 120, A'50 year old patient suffering from chronic ‘cough, weight loss and low grade fever is ‘admitted with probable diagnosis of tuberculosis, Immunity to tuberculosis infection is primarily mediated by: A. CDt+ve T cells B, CD8t Tells mone C. Macrophages D. Neutrophils E. BCells (xu faeebook.comi/sceretsafpmic) 121. A 25 year old male suffering from high grade fever, rigors and severe headache. Examination of the peripheral blood film reveals presence of Tings in the red cells and crescent shaped gametes, What isthe most likely pathogen? A. Plasmodium vivax Plasmodium malariae ©. Plasmodium Ovale D. Plasmodium falciparum E, Plasmodium knowles (wn fucsbook.com/secretsofpmdc) 122. Which enzyme is deficient or absent in lens, causing cataract in diabetes: A, Sorbitol dehydrogenase B. Aldase reductase C. Hexokinase D. Sucrose E, Lactase (www facebook.comseeretsofpmde) 123, Two enzymes have similar V max, but enzyme 1Lhas lower Km as compared to enzyme 2 this means: ‘A. Less substrate is required by enzyme I to attain V max/2 B. Enzyme | has more active si CC. Enayme 2 has lesser number of regulatory D. Enzyme 2 has lesser surnber binding sites E.Frayme 2s slowed down by substarte 1m An Operviis best decribed as ‘A. Acomsiuitively expressed gene system B. Amunregulated gene system CC. A-co-ordinated regulated gene system 1D. A gene that produces monosistronic messenger RNA EA combination of genes expressed independent ofeach other but under the influence of yw facebook co fi 1a, Muscle Spindle: ‘A. Controls body posture B Maintan the length of skeletal muscle bundle C._ Regulates muscle activityPMDC Step 1, 16 March 2017 (Joyia X-Cl D._Isthe sensory stretch receptor £._Relays motor impulse to the skeletal muscle (on facehook.com/seeretsofpmde) A72 years old won ‘with insomnia participates in a sleep study. As part of the study protocol she has BEG leads attached then goes to sleep. At one point during the evening, 12-16 Hz sleep spindles and K-complexes are observed, Which of the following stages of sleep is associated with this pattern? AL REM B. Stage 1 C. Stage 2 D. Siage3 E. Stage 4 (ommet scomseeretsofpmdc) 1m. A woodworker operating a saw accidently injures is wrist, severing his radial artery and producing severe hemorrhage. As he loses ‘blood, his body cries to compensate for the developing hypotension by increasing ‘sympathetic outflow, The postganglionic signals carrying the impulses to constrict his arterioles are transmitted along which of the following fiber types? A. AS-delta fikers BB fibers CC fibers D. Ia fibers E, Ib fibers (wn facebook comiceretsofpmde) 1a. Two days after a fllterm normal delivery, a neonate begins o hyperventlate, develops hnypothermia and cerebral edema and becomes cyomatas Urinalysis reveals high levels of slutamate and orotic acid, The BUN is below ‘normal. Which enzyme is most likely tobe deficient inthis eid? ‘A. Cytoplasmic elutaminase B, Cytoplasmic carbamoyl phosphate synthetase ©. Cytoplasmic orotidylate decarboxylase D. Mitochondal earbaroy1 phosphate synthetase E, Mitoehondril omihine ransearbamoylase un faccbook.comvseeretsolpmuls) 12», A patient with a history of recurring atacks of panereatitis, eruptive xanthomas and increased EL Secrets 4th a on 10 1m, 1 litionby DrNadeem Joyia) 30 plasma triglycerides levels (2000 ma/dL.) associated with chylomicrons, most likely has a deficiency in) A. Lipoprotein lipase B. LDL receptors C. HMG-CoA reductase D. apoB-48, E. apoB-100 receptor A 2-year old boy was brought into the cinergency coom, suffering from severe fasting hypoglycemia, hyperlactacideria & hyperuricemia. Biopsy revcaled hepatocytes ‘with increased amounts of glycogen. The child is suffering from the following disease with deficient enzvme A. Type la: Von Grieke disease (Clucose-6- phosphatase) B. ‘Type I: Pompe disease (alpha(1- glucosidase) C. ‘Type I: Cori disease (4:4 wansferase) D. Type Ill: Cor disease (6 glucosidase} E, Type V: Me Anile Syndrome (Glycogen Phosphorylase) (ww. fucchook.com/secretsofpmde) ‘The hormone which has contraceptive role is A. Luteinizing hormone B. Prolactin C. Testosterone D._ Estrogen | E. Human chor nie gonadotropin wn facebook convsccretsofpmde) in patent with metabolic alkalosis ICO of anteral blood is decreased Kidney retains bicarbonate Urine becomes alkaline Tir is secreted from blocd to eral tubules H+ is evercted in urine (www facebook comeeretsofpmade) “The potas in the real tubule is Only filtered and secreted Only filtered and reansorbed Filtered, reabsorbed and scoretod Only secreted Only filtered Ina patient with a urine low rae of | rlminute, the tabular Hud with Lowest cosmiolaity would be found in the? ‘A. Beginning of the proximal tubule apap roomTOSHe SaEdition) Re dit Joya Series X= CellByVoyia , Clinically Oriented Anatomy by Keith Moore abryology by Keith L, Mo » Medical Histology rd S Sel, Kaplan anatomy rep 1 4 iit PRC Step 1 16 Marcy 2017 (loyia XCEL Secrets Ath Edtionhy Dram asa] = Serles 6. Ed tein olen or D. Fay aotcen ore ncaa eae See ee a) Se amicraee ‘with refs to feed, #deficieney oF ‘uenber of sane asymm inmates in Sex —_ See ace | CE f . ee PMDC Step 1, FC Dee one 1st yr MBBS, 21 (lentaceekonsctfon 2 hn 3rd yr MBBS, 4t ee cee cena ounce ce mem BDS, DPT, Pharm poe Saree foo i fe Sete tin inaemnct cane Dr. Muhammad Naeem 1 Fawcett 0 Tivatechemecdsdonme Dr. Muhammad Nadeem © Geran pymphospiate omelet Dr. Sumera Akhta aaa ofa (ammdabeo 1 Sickat ey ease conn assbeokcomsecesufomd) lay Ad year old nemton goed ih shot os fon cemetifpmse) towel yore in, a caro De 1, 48 ys ee ra Rens hey and Proper sme omg cnn fie they west Re cie, seresed sueny of {ovblized om adipose tus to seer tnaston seem dagrned whe ope ‘ey The fllontg ith svbarate 09 ‘bee ei. Corr eprom seid oun: Iie et fghieve vamp he flown Longetain ty id thou altel ote act he Baty sehr Brinn Liver c D. ° a es po pares cere Miia! Ser Bees Smaller nt bain senate ae weeding unin Siete weeentah, Sania erin : Sicatereet “animes” BOVE Storonenia te fing ano 260 ef being onze, ey ade ata rec an fn bel Forme Deg came ‘roe en . een — te) | ear alc10, 144, 145, 17. Gloyia Alanine Aspartate Cysteine A B. c D. Glutamate Serine (umw.facchook.comy/secretsofpmde) Koplik’s spots seen in measles are: A. Pinkish spots om the abdomen B. White foamy spots on conjunctiva C._ Small, tinny bluish white spots on the buccal mucosa, D. Black spots om the back E. Red rosary spots on the back (am. facchook.comv/secretsofpmde) After a disaster, TRIAGE is an approach for: ‘A. Provision of food and shelter to the people B._ Selection of injured who can be benefitted the most from urgent medical treatment Rehabilitation of the affected people Removal of dead bodies Immunization of people (www.facebook.comvsecretsofpmde) Disadvantage in result of impairment or disability is called: Injury Impairment Disability Handicap Death (wmw facebook.com/secretsofpmde} roo roo . Inhalation of sugar cane dust resuts in: Bagassosis Asbestosis Silicosis Byssinosis Siderosis, (wmw.facebook.com/seeretsofpmde) Inhalation of cotton fibre dust result in: A. Siderosis B. Byssinosis ©. Silicosis Asbestosis E, Bagassosis (oun facehook.com/secrotsofpmide) mpopp 1. Weaning is: ‘A. To start breast feeding B. To give honey to new born baby C. Gradual process of starting liquid and semi liquid diet 149. Best Si 150 ‘ecrets 4th Editionby Dr Nadeem J D. : To give colostrums To start giving water (xww.facebook.com/secretsofpmdc le parameter for assessing physical growth ofa child is A B. c D. E. Weight for age ‘Weight for height Height for age Head circumference Mid upper arm circumference Low birth weight baby is one who has birth ‘weight less than: mooe> 2000 grams 2200 grams 2500 grams 2600 grams 2700 grams Keys of NUMS PMDC Step 1, 201 Beetom>smopsare corneas e woreaoe ee ~ Fry -netece, Forensic Medicine a TOOTS] IY ag PMDC Step 1, 16 March 2017 (Joyia X-CEL Secrets 4th Edi ? 2 3 9. w 1G o£ ea o7. B ae 0 C B mo = zs E 126. ¢PMDC Step 1, 16 March 2017 (Joyia Nadeem Joyia) _# 127.C For PMDC Graduates: 128. E 1. PMDC Step 1 > Joyia X-Cel Secrets MCQs Series 4" Edition By Dr. Nadeem Joyia, Dr Naeem Joyia 8 Dr. Sumera Joyia Official Page > som/secretsofpmide oup: Secrets of PMDC on facebook 2. PMDC Step 2 > Joyia Secrets of UHS Book 4 Edition By Dr.Nadeem Joyia, Dr. Naeem Joyia, Dr Sumera Joyia Official page > www. facebook conv secretsofuhs Official Facebook Group: Seerets of UHS 3. PMDC Step 3 > Jovia Secrets of OSPE/OSCE 4" edition by Dr Nadeem jovya, Dr Nacem jofya, Dr Sumera Joyia Official facebook group > Secrets of OSPE/OSCE 9 140, 141 1a, 143. a, us. 146 1. 148, us. 150 Note > Book is available to Joyia Publications, Cash on delivery for Book Contact Whats app No. of Joyia Publications > 0345-7211700. OPOereBNoON ae oe TASS Book is in copyright Ifanyone one is photocopying, please inform us, strict leval action will be taken against {. temthourh FIA. Best of Luck For feedback:drnadeemjolya@gmailcomJoyiaySenieshe ge sition NCD SECREMSica: Reference) Books) 1. Anatomy —> Gray's Anatomy, Richard Snell, Clinically Oriented Anatomy by Keith Moore The Developing Human. Clinically Oriented Embryology by Keith L. Moore, Medical Histology by Prof. Laiq Hussain, Neuroanatomy by Richard S.Snell, Kaplan anatomy + Physiology—»Guyton and Hall, William F. Ganong, BRS Physiology, Kaplan Physiology Biochemsistry—> Harper's Biochemistry, Lippincot's Illustrated Review of Biochemistry Pathology» Pathological Basis of Disease by Kumar, Cotran, Robbins, Medical Microbiology and Immunology by Levinson and Jawetz, Pathoma, BRS Pathology, Kaptan Pathology Community medicine—+Text book of Community Medicine by rk JE . Pharmacology —+ Basic and Clinical Pharmacology by Katzung, Lippincott Wil Forensic medicine—» Parikh's Text book of Medical Jurisprudence, Forensic Medicine and Toxicology by CK. Parikh 6th Ed, . G Principles and Practice of Forensic Medicine by Prof. Nasib R. Awan. aa