00
Correct
00
Incorrect
00 : 00 : 00
Session Time
00 : 00
Average Question Time ( Secs)
  • Question 1 - Regarding the long head of the biceps femoris, which of the following is...

    Correct

    • Regarding the long head of the biceps femoris, which of the following is correct?

      Your Answer: It crosses two joints

      Explanation:

      The long head of the biceps femoris arises from the lower and inner impression on the back of the tuberosity of the ischium. It inserts with the short head in an aponeurosis which becomes a tendon and this tendon is inserted into the lateral side of the head of the fibula and the lateral condyle of the tibia, thus crossing two joints.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      74.2
      Seconds
  • Question 2 - A patient admitted for esophagectomy showed low levels of the lightest plasma protein...

    Incorrect

    • A patient admitted for esophagectomy showed low levels of the lightest plasma protein in terms of weight. Which of the following is the lightest plasma protein:

      Your Answer: Gamma-globulin

      Correct Answer: Albumin

      Explanation:

      Albumin is the most abundant and the lightest of all the plasma proteins. It maintains osmotic pressure, transports unconjugated bilirubin, thyroid hormones, fatty acids, drugs and acts as a buffer for pH.

    • This question is part of the following fields:

      • General
      • Physiology
      74.2
      Seconds
  • Question 3 - In the case of an injury to the sub sartorial canal, which of...

    Incorrect

    • In the case of an injury to the sub sartorial canal, which of the following structures is most likely to be injured?

      Your Answer: Nerve to sartorius

      Correct Answer: Nerve to vastus medialis

      Explanation:

      The adductor canal (sub sartorial canal) is situated in the middle third of the thigh.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      33.8
      Seconds
  • Question 4 - The superior pancreaticoduodenal artery, the artery that supplies blood to the pancreas and...

    Correct

    • The superior pancreaticoduodenal artery, the artery that supplies blood to the pancreas and the duodenum, is a branch of the:

      Your Answer: Gastroduodenal artery

      Explanation:

      The superior pancreaticoduodenal artery together with the right gastroepiploic artery form the two branches of the gastroduodenal artery which divides at the lower border of the duodenum.

    • This question is part of the following fields:

      • Abdomen
      • Anatomy
      14.6
      Seconds
  • Question 5 - A man was stabbed in the thigh following a bar brawl. A superficial...

    Correct

    • A man was stabbed in the thigh following a bar brawl. A superficial vein was injured which terminates in the femoral vein. This superficial vein is?

      Your Answer: Great saphenous

      Explanation:

      The great saphenous vein is considered the longest vein in the body. It terminates in the femoral vein nearly 3cm below the inguinal ligament. It begins at the dorsum of the foot in the medial marginal vein and ascends at the medial side of the leg in relation with the saphenous nerve.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      64.2
      Seconds
  • Question 6 - In the adult heart, the sinus venosus gives rise to the: ...

    Correct

    • In the adult heart, the sinus venosus gives rise to the:

      Your Answer: Coronary sinus

      Explanation:

      The sinus venosus is a large quadrangular cavity which precedes the atrium on the venous side of the chordate heart. It exists distinctly only in the embryonic heart (where it is found between the two venae cavae); however, the sinus venosus persists in the adult. In the adult, it is incorporated into the wall of the right atrium to form a smooth part called the sinus venarum, which is separated from the rest of the atrium by a ridge of fibres called the crista terminalis. The sinus venosus also forms the SA node and the coronary sinus.

    • This question is part of the following fields:

      • Anatomy
      • Embryology
      26.9
      Seconds
  • Question 7 - Blood supply to the posterior compartment of the thigh is supplied by which...

    Incorrect

    • Blood supply to the posterior compartment of the thigh is supplied by which artery?

      Your Answer: Superior gluteal

      Correct Answer: Perforating

      Explanation:

      There are usually 3 perforating arteries:

      The first gives branches to the adductor brevis and magnus, biceps femoris and gluteus maximus and anastomoses with the inferior gluteal, medial and lateral femoral circumflex.

      The second artery supplies the posterior femoral muscles and anastomose with the first and third perforating vessels.

      The third supplies the posterior femoral muscles.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      31.6
      Seconds
  • Question 8 - A 40 year old man from Japan was diagnosed with cancer of the...

    Incorrect

    • A 40 year old man from Japan was diagnosed with cancer of the oesophagus. He is to undergo esophagectomy. While mobilizing the oesophagus in the neck, for resection and anastomosis with the stomach tube on the left side, the surgeon must be cautious not to injure a vital structure. Which of the following is it?

      Your Answer: Azygos vein

      Correct Answer: Thoracic duct

      Explanation:

      The oesophagus is divided into 3 portions: cervical (part that is in the neck), thoracic portion and the abdominal portion. The cervical part is bordered by the trachea anteriorly and the prevertebral fascia covering the bodies of the 6,7 and 8th vertebra posteriorly. The thoracic duct lies on the left side at the level of the sixth cervical vertebra. The carotid sheath with its contents and lower poles of the lateral lobes of thyroid gland are lateral. The thoracic duct is the structure most likely to be injured.

    • This question is part of the following fields:

      • Anatomy
      • Thorax
      31.6
      Seconds
  • Question 9 - Which of the following proteins prevents red blood cells (RBCs) from bursting when...

    Correct

    • Which of the following proteins prevents red blood cells (RBCs) from bursting when they pass through capillaries?

      Your Answer: Spectrin

      Explanation:

      Spectrin is a structural protein found in the cytoskeleton that lines the intercellular side of the membrane of cells which include RBCs. They maintain the integrity and structure of the cell. It is arranged into a hexagonal arrangement formed from tetramers of spectrin and associated with short actin filaments that form junctions allowing the RBC to distort its shape.

    • This question is part of the following fields:

      • General
      • Physiology
      109.2
      Seconds
  • Question 10 - Which of the following is true about a patient who has undergone total...

    Incorrect

    • Which of the following is true about a patient who has undergone total colectomy and ileostomy?

      Your Answer: Long-term survival is possible, but parenteral nutrition is required to maintain fluid and electrolyte balance

      Correct Answer: Following total colectomy and ileostomy, the volume and water content of ileal discharge decreases over time

      Explanation:

      After a patient has undergone total colectomy and ileostomy, the volume of ileal discharge, along with its water content gradually decreases over time. Post surgery, most patients can live a normal life. Iron and vitamin B12 absorption do not take place in the colon and hence are not affected significantly by a colectomy.

    • This question is part of the following fields:

      • Gastroenterology
      • Physiology
      19.6
      Seconds
  • Question 11 - Lack of findings in the bladder but presence of atypical epithelial cells in...

    Incorrect

    • Lack of findings in the bladder but presence of atypical epithelial cells in urinalysis is most often associated with which of the following conditions?

      Your Answer: Nodular glomerulosclerosis

      Correct Answer: Transitional cell carcinoma of renal pelvis

      Explanation:

      The presence of atypical cells in urinalysis without findings in the bladder suggests a lesion located higher up, most probably in ureters or renal pelvis. Transitional cell cancer of the renal pelvis is a disease in which malignant cells form in the renal pelvis and is characterised by the presence of abnormal cells in urine cytology.

    • This question is part of the following fields:

      • Pathology
      • Renal
      66
      Seconds
  • Question 12 - Which of these structures does NOT pass posterior to the medial malleolus? ...

    Incorrect

    • Which of these structures does NOT pass posterior to the medial malleolus?

      Your Answer: Tibialis posterior tendon

      Correct Answer: Saphenous vein

      Explanation:

      The saphenous vein passes anterior to the medial malleolus. The structures passing posterior, from nearest to furthest include: tibial, posterior tendon, flexor digitorum longus tendon, posterior tibial artery, posterior tibial vein, posterior tibial nerve and the flexor hallucis longus tendon.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      27
      Seconds
  • Question 13 - Calculate the pulmonary vascular resistance in an adult male with the following parameters:...

    Correct

    • Calculate the pulmonary vascular resistance in an adult male with the following parameters:

      Heart rate 70 beats/min

      Arterial [O2] 0.24 ml O2/min

      Venous [O2] 0.16 ml O2/mi

      Whole body O2 consumption 500 ml/min

      Pulmonary diastolic pressure 15 mmHg

      Pulmonary systolic pressure 25 mmHg

      Wedge pressure 5 mmHg.

      Your Answer: 2.0 resistance units (mmHg/l per min)

      Explanation:

      Pulmonary vascular resistance (PVR) = (Mean pulmonary artery pressure – Pulmonary capillary wedge pressure) divided by Cardiac output. To get cardiac output, Fick’s principle needs to be applied which states that VO2 = (CO × CAO2) – (CO × CVO2) where VO2 = oxygen consumption, CO = cardiac output, CA = oxygen concentration of arterial blood and CVO2 = oxygen concentration of venous blood. Thus, CO = VO2/CAO2– CVO2, CO = 500/0.24–0.16, CO = 500/0.8, CO = 6.25 l/min. To calculate mean pulmonary artery pressure, we use the formula: Mean pulmonary artery pressure = Diastolic pressure + 1/3(Systolic pressure – Diastolic pressure). Thus, Mean pulmonary artery pressure = 15 + 1/3(25 – 15) = 15 + 3. 33 = 18.33. Substituting these values in the first formula, PVR = 18.3–5/6.25 = 13.5/5.25 = 2.0 resistance units (mmHg/l per min) approximately.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      61.1
      Seconds
  • Question 14 - The muscle that forms the posterior wall of the axilla along with the...

    Incorrect

    • The muscle that forms the posterior wall of the axilla along with the scapula, subscapularis muscle and teres major muscle is the?

      Your Answer: Trapezius

      Correct Answer: Latissimus dorsi

      Explanation:

      The latissimus dorsi forms the posterior wall of the axilla along with the scapula. It is responsible for extension, adduction, transverse extension also known as horizontal abduction, flexion from an extended position, and (medial) internal rotation of the shoulder joint. It also has a synergistic role in extension and lateral flexion of the lumbar spine.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      30.5
      Seconds
  • Question 15 - A 14 year-old girl is found to have haemophilia B. What pathological problem...

    Correct

    • A 14 year-old girl is found to have haemophilia B. What pathological problem does she have?

      Your Answer: Deficiency of factor IX

      Explanation:

      Haemophilia B (also known as Christmas disease) is due to a deficiency in factor IX. Haemophilia A is due to a deficiency in factor VIII.

    • This question is part of the following fields:

      • Haematology
      • Pathology
      33.4
      Seconds
  • Question 16 - In order to arrest sudden bleeding during pericardiectomy that started after accidental injury...

    Incorrect

    • In order to arrest sudden bleeding during pericardiectomy that started after accidental injury to a major vasculature in the pericardium; the surgeon inserted his left index finger through the transverse pericardial sinus, pulled forward on the two large vessels lying ventral to his finger, and compressed these vessels with his thumb to control the bleeding. Which vessels were these?

      Your Answer: Superior vena cava and right pulmonary artery

      Correct Answer: Pulmonary trunk and aorta

      Explanation:

      Transverse pericardial sinus: located behind two great vessels (aorta and pulmonary trunk) and in front of the superior vena cava and is accessed from above as in this case. The brachiocephalic trunk is located above the pericardium and the right pulmonary artery is above the pericardial reflections.

    • This question is part of the following fields:

      • Anatomy
      • Thorax
      18.6
      Seconds
  • Question 17 - What percentage of cardiac output is delivered to the skin? ...

    Incorrect

    • What percentage of cardiac output is delivered to the skin?

      Your Answer: 20%

      Correct Answer: 2%

      Explanation:

      Making up 4-5% of total body weight, the skin receives approximately 2% of cardiac output.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      88.4
      Seconds
  • Question 18 - The muscle that stabilizes the stapes is innervated by which of the following...

    Incorrect

    • The muscle that stabilizes the stapes is innervated by which of the following nerves?

      Your Answer: Chorda tympani nerve

      Correct Answer: Facial nerve

      Explanation:

      The stapedius is the smallest skeletal muscle in the human body. At just over one millimetre in length, its purpose is to stabilize the smallest bone in the body, the stapes and is innervated by a branch of the facial nerve.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      12.1
      Seconds
  • Question 19 - One of the following structures is contained in the anterior compartment of the...

    Incorrect

    • One of the following structures is contained in the anterior compartment of the lower leg. Which is it?

      Your Answer: Flexor digitorum longus muscle

      Correct Answer: Extensor hallucis muscle

      Explanation:

      The lower leg is made up of four fascial compartments separated from one another by septa that contain the muscles of the lower leg. The four compartments are ; anterior, lateral, deep posterior and superficial posterior compartments.

      These are the compartments and there contents:

      i) Anterior compartment: Tibialis anterior muscle, extensor hallucis longus muscle, extensor digitorum longus muscle, peroneus tertius muscles, deep fibular nerve and anterior tibial blood vessels

      ii) Lateral compartment: Fibularis longus muscle, brevis muscles and superficial fibular nerve

      iii) Deep posterior compartment: Tibialis posterior m., flexor hallucis longus m., flexor digitorum longus m. ,popliteus m. , tibial nerve, posterior tibial artery and posterior tibial vessels such as the fibular artery.

      iv) Superficial posterior compartment: Gastrocnemius m., soleus m., plantaris m., medial sural cutaneous nerve

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      8.6
      Seconds
  • Question 20 - Which nerve lies immediately medial to the psoas major muscle? ...

    Correct

    • Which nerve lies immediately medial to the psoas major muscle?

      Your Answer: Obturator

      Explanation:

      The obturator nerve is formed from the ventral divisions of the 2nd, 3rd and 4th lumbar nerves. It courses through the fibres of the psoas major and emerges from the medial border near the pelvic brim.

      The iliohypogastric nerve comes from the first lumbar nerve and emerges from the upper part of the lateral border of psoas major.

      The ilioinguinal nerve arises with the iliohypogastric nerve from the first lumbar nerve and also emerges from the lateral border of the psoas major muscle.

      The lateral femoral cutaneous nerve comes from the posterior division of the 2nd and 3rd lumbar nerves to emerge from the lateral border of the psoas major muscle near its middle.

      The femoral nerve also arises from the dorsal divisions, but of the 2nd, 3rd and 4th lumbar nerves and courses through the muscle fibres to emerge at the lower part of the lateral border.

      The coccygeal nerve doesn’t arise from the lumbar plexus but from the sacral plexus.

    • This question is part of the following fields:

      • Abdomen
      • Anatomy
      23.5
      Seconds
  • Question 21 - The LEAST mobile structure in the peritoneal cavity is the: ...

    Incorrect

    • The LEAST mobile structure in the peritoneal cavity is the:

      Your Answer: Transverse colon

      Correct Answer: Pancreas

      Explanation:

      The presence or absence of the mesentery determines mobility of abdominal contents. Structures like the stomach, transverse colon and appendix have mesenteries and thus are relatively mobile. In contrast, the pancreas is a retroperitoneal (behind the peritoneum) structure and therefore is fixed. The greater omentum is a large mobile fold of omentum that hangs down from the stomach .

    • This question is part of the following fields:

      • Abdomen
      • Anatomy
      32
      Seconds
  • Question 22 - Driving pressure is considered to be a strong predictor of mortality in patients...

    Incorrect

    • Driving pressure is considered to be a strong predictor of mortality in patients with ARDS. What is the normal mean intravascular driving pressure for the respiratory circulation?

      Your Answer: 200 mmHg

      Correct Answer: 10 mmHg

      Explanation:

      Driving pressure is the difference between inflow and outflow pressure. For the pulmonary circulation, this is the difference between pulmonary arterial (pa) and left atrial pressure (pLA). Normally, mean driving pressure is about 10 mmHg, computed by subtracting pLA (5 mmHg) from pA (15 mmHg). This is in contrast to a mean driving pressure of nearly 100 mmHg in the systemic circulation.

    • This question is part of the following fields:

      • Physiology
      • Respiratory
      16.8
      Seconds
  • Question 23 - A 40-year old woman presents with tightening of the skin over her fingers...

    Incorrect

    • A 40-year old woman presents with tightening of the skin over her fingers which makes movement of her fingers difficult.. She also gives a history of her fingers turning blue on exposure to low temperatures. She admits to gradual weight loss. Investigations reveal negative rheumatoid factor, negative antinuclear antibody and a positive anticentromere body. Which of the following conditions is she likely to have?

      Your Answer: Acute pancreatitis

      Correct Answer: Oesophageal stricture

      Explanation:

      Scleroderma is a connective tissue disorder that ranges in severity and progression. The disease could show generalised skin thickening with rapid, fatal, visceral involvement; or only cutaneous involvement (typically fingers and face). The slow progressive form is also known as ‘limited cutaneous scleroderma’ or CREST syndrome (calcinosis cutis, Raynaud’s phenomenon, (o)oesophageal dysmotility, sclerodactyly, and telangiectasia).

    • This question is part of the following fields:

      • Gastrointestinal; Hepatobiliary
      • Pathology
      36.4
      Seconds
  • Question 24 - In the emergency room, a nurse was introducing a catheter into the patients...

    Incorrect

    • In the emergency room, a nurse was introducing a catheter into the patients femoral vein for rapid fluid therapy. The femoral vein is situated inside the femoral sheath. Which of the following is true about that sheath?

      Your Answer: The femoral sheath invests the femoral vessels throughout their entire course

      Correct Answer: The medial compartment is called the femoral canal

      Explanation:

      The femoral sheath is situated ,4cm below the inguinal ligament. It is a prolongation of the abdominal fascia. The anterior wall is a prolongation of the transversalis fascia and the posterior wall, the iliac fascia. It is divided by two vertical septa into 3 compartments, lateral, intermediate, and medial. The medial compartment is known as the femoral canal and contains some lymphatic vessels. The lateral one contains the femoral artery and the intermediate one contains the femoral vein.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      32.4
      Seconds
  • Question 25 - Which of the following conditions may cause hypervolaemic hyponatraemia? ...

    Incorrect

    • Which of the following conditions may cause hypervolaemic hyponatraemia?

      Your Answer: Polycystic Kidney Disease

      Correct Answer: Cirrhosis

      Explanation:

      Hypovolaemic hyponatraemia: reduced extracellular fluid
      Renal loss of sodium and water; urine Na >20 mmol/day
      Causes:
      Diuretic use
      Salt wasting nephropathy
      Cerebral salt wasting
      Mineralocorticoid deficiency/adrenal insufficiency
      Renal tubular acidosis
      Extrarenal loss of sodium and water with renal conservation; urine Na <20 mmol/day
      Causes:
      Burns
      Gastrointestinal loss
      Pancreatitis
      Blood loss
      3rd space loss (bowel obstruction, peritonitis)

      Hypervolaemic hyponatraemia: expanded intracellular fluid and extracellular fluid but reduced effective arterial blood volume
      Causes:
      Congestive cardiac failure
      Cirrhosis
      Nephrotic syndrome

      Euvolaemic hyponatraemia: expanded intracellular and extracellular fluid but oedema absent
      Causes:
      Thiazide diuretics (can be euvolaemic or hypovolaemic)
      Hypothyroidism
      Adrenal insufficiency (can be euvolaemic or hypovolaemic)
      SIADH (cancer, central nervous system disorders, drugs, pulmonary disease, nausea, postoperative pain, HIV, infection, Guillain‐Barre syndrome, acute intermittent porphyria)
      Decreased solute ingestion (beer potomania/tea and toast diet)

    • This question is part of the following fields:

      • Fluids & Electrolytes
      • Pathology
      53.1
      Seconds
  • Question 26 - Bloody discharge from the nipple of a 40-year old woman with no obvious...

    Incorrect

    • Bloody discharge from the nipple of a 40-year old woman with no obvious lump or abnormality on mammography is suggestive of:

      Your Answer: Galactocele

      Correct Answer: Intraductal papilloma

      Explanation:

      A small benign tumour, namely intraductal papilloma is most common in women between 35-55 years of age. It is also the commonest cause of spontaneous discharge from a single duct. A lump below the nipple may be sometimes palpable. Ultrasound and ductography are useful investigations., along with cytology of discharge to assess the presence of malignant cells. Confirmation is by breast biopsy.

    • This question is part of the following fields:

      • Pathology
      • Women's Health
      28.1
      Seconds
  • Question 27 - Which organ is most vulnerable to haemorrhagic shock? ...

    Incorrect

    • Which organ is most vulnerable to haemorrhagic shock?

      Your Answer: Skeletal muscle

      Correct Answer: Kidneys

      Explanation:

      At rest, the brain receives 15% cardiac output, muscles 15%, gastrointestinal tract 30% and kidneys receive 20%. However, if normalised by weight, the largest specific blood flow is received by the kidneys at rest (400 ml/min x 100g), making them highly vulnerable in the case of a haemorrhagic shock.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      41.9
      Seconds
  • Question 28 - The normal location of the major duodenal papilla: ...

    Incorrect

    • The normal location of the major duodenal papilla:

      Your Answer: 1 cm from the pylorus

      Correct Answer: Descending part of the duodenum

      Explanation:

      The major duodenal papilla is on the descending portion of the duodenum on the medial side, about 7-10cm from the pylorus. The pancreatic ducts and the common bile ducts unite and open by a common orifice on the summit of the duodenal papilla.

    • This question is part of the following fields:

      • Abdomen
      • Anatomy
      17.3
      Seconds
  • Question 29 - A 30 year old female suffered from mismatched transfusion induced haemolysis. Which substance...

    Incorrect

    • A 30 year old female suffered from mismatched transfusion induced haemolysis. Which substance will be raised in the plasma of this patient?

      Your Answer: Hemosiderin

      Correct Answer: Bilirubin

      Explanation:

      Bilirubin is a yellow pigment that is formed due to the break down of RBCs. Haemolysis results in haemoglobin that is broken down into a haem portion and globin which is converted into amino acids and used again. Haem is converted into unconjugated bilirubin in the macrophages and shunted to the liver. In the liver it is conjugated with glucuronic acid making it water soluble and thus excreted in the urine. Its normal levels are from 0.2-1 mg/dl. Increased bilirubin causes jaundice and yellowish discoloration of the skin.

    • This question is part of the following fields:

      • General
      • Physiology
      9.5
      Seconds
  • Question 30 - A 40 year old man suffered severe trauma following a MVA. His BP...

    Incorrect

    • A 40 year old man suffered severe trauma following a MVA. His BP is 72/30 mmhg, heart rate of 142 beats/mins and very feeble pulse. He was transfused 3 units of blood and his BP returned to 100/70 and his heart rate slowed to 90 beats/min. What decreased after transfusion?

      Your Answer: Cardiac output

      Correct Answer: Total peripheral resistance

      Explanation:

      The patient is in hypovolemic shock, he is transfused with blood, this fluid resuscitation will result in a decreased sympathetic discharge and adequate ventricular filling which will result in the decreases TPR with an increased CO and cardiac filling pressures

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      15.4
      Seconds
  • Question 31 - A 76-year-old man with a urinary tract obstruction due to prostatic hyperplasia develops...

    Incorrect

    • A 76-year-old man with a urinary tract obstruction due to prostatic hyperplasia develops acute renal failure. Which of the following physiological abnormalities of acute renal failure will be most life threatening for this patient?

      Your Answer: Raised serum urea level

      Correct Answer: Acidosis

      Explanation:

      Acute renal failure (ARF) is a rapid loss of renal function due to damage to the kidneys, resulting in retention of nitrogenous (urea and creatinine) and non-nitrogenous waste products that are normally excreted by the kidney. This accumulation may be accompanied by metabolic disturbances, such as metabolic acidosis and hyperkalaemia, changes in body fluid balance and effects on many other organ systems. Metabolic acidosis and hyperkalaemia are the two most serious biochemical manifestations of acute renal failure and may require medical treatment with sodium bicarbonate administration and antihyperkalaemic measures. If not appropriately treated these can be life-threatening. ARF is diagnosed on the basis of characteristic laboratory findings, such as elevated blood urea nitrogen and creatinine, or inability of the kidneys to produce sufficient amounts of urine.

    • This question is part of the following fields:

      • Physiology
      • Renal
      26.8
      Seconds
  • Question 32 - Which one of the following is a derivative of the midgut? ...

    Incorrect

    • Which one of the following is a derivative of the midgut?

      Your Answer: Pancreas

      Correct Answer: Caecum

      Explanation:

      The primary intestinal loop is formed from the midgut which gives rise to the distal half of the duodenum, the jejunum, ascending colon, proximal two thirds of the transverse colon and the ileum.

    • This question is part of the following fields:

      • Anatomy
      • Embryology
      27.3
      Seconds
  • Question 33 - A 24-year-old patient with recurrent episodes of deep vein thrombosis presents again to...

    Incorrect

    • A 24-year-old patient with recurrent episodes of deep vein thrombosis presents again to the clinic. Deficiency of which of the following blood proteins is the most probable cause of this episode?

      Your Answer: Fibrinogen

      Correct Answer: Antithrombin III

      Explanation:

      Antithrombin III (ATIII) is a blood protein that acts by inhibiting blood coagulation by neutralizing the enzymatic activity of thrombin.

      Antithrombin III deficiency is an autosomal dominant disorder that leads to an increased risk of venous and arterial thrombosis. Clinical manifestations typically appear in young adulthood.

    • This question is part of the following fields:

      • Haematology
      • Pathology
      29.5
      Seconds
  • Question 34 - A 25 year old primi gravida lady was scheduled for a regular antenatal...

    Incorrect

    • A 25 year old primi gravida lady was scheduled for a regular antenatal check up. During the vaginal exam of this lady, the registrar discovered a malignant growth on the anterior wall of her vagina. Which of the following structures, adjacent to the vagina, is likely to be involved as well?

      Your Answer: Uterine tube

      Correct Answer: Fundus of the bladder

      Explanation:

      The fundus of the bladder is related anatomically to the anterior surface of the vagina and the urethra as well. If there was a malignant growth in the anterior surface of the vagina, then most likely the fundus of the bladder would be involved as well aspotentially the urethra.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      27.3
      Seconds
  • Question 35 - A 7-year-old boy is diagnosed with metabolic acidosis as a result of severe...

    Correct

    • A 7-year-old boy is diagnosed with metabolic acidosis as a result of severe dehydration. Which of the following conditions is most likely to cause severe dehydration and metabolic acidosis?

      Your Answer: Severe diarrhoea

      Explanation:

      Diarrhoea is defined as having three or more loose or liquid stools per day, or as having more stools than is normal for that person. Severe diarrhoea, causing fluid loss and loss of bicarbonate, will result in marked dehydration and metabolic acidosis.

    • This question is part of the following fields:

      • Fluids & Electrolytes
      • Physiology
      32.7
      Seconds
  • Question 36 - Which of the following malignancies is likely to have the best prognosis? ...

    Incorrect

    • Which of the following malignancies is likely to have the best prognosis?

      Your Answer: Anaplastic carcinoma of the thyroid

      Correct Answer: Papillary carcinoma of the thyroid

      Explanation:

      Papillary carcinoma accounts for 70-80% of all thyroid cancers and is seen commonly in people aged 30-60 years. It is more aggressive in elderly patients. 10-20% cases may have recurrence or persistent disease. More common in females with a female to male ratio of 3:1. Papillary carcinomas can also contain follicular carcinomas. The common route of spread is through lymphatics to regional nodes in one-third cases and pulmonary metastasis can also occur. Papillary carcinomas of the thyroid have the best prognosis, especially in patients less than 45 years of age with small tumours confined to the thyroid gland.

    • This question is part of the following fields:

      • Endocrine
      • Pathology
      42.7
      Seconds
  • Question 37 - A 25-year old man presented to the clinic with swelling of the penis....

    Correct

    • A 25-year old man presented to the clinic with swelling of the penis. His uncircumcised penis was erythematous and oedematous. The foreskin could not be retracted over the glans. Which of the following agents is the likely cause of his condition?

      Your Answer: Staphylococcus aureus

      Explanation:

      Inflammation of the glans penis is known as balanitis. Associated involvement of the foreskin is then known as balanoposthitis. More likely to occur in men who have a tight foreskin that is difficult to pull back, or poor hygiene.

    • This question is part of the following fields:

      • Pathology
      • Urology
      25.9
      Seconds
  • Question 38 - A biopsy taken from the respiratory passage of a 37 year old male,...

    Incorrect

    • A biopsy taken from the respiratory passage of a 37 year old male, chronic smoker will mostly likely show which cellular adaptation?

      Your Answer: Mucous hyperplasia

      Correct Answer: Stratified squamous metaplasia

      Explanation:

      Metaplasia is a change in the cell type caused in part due to an extrinsic stress on the organ. It involves a change in the surface epithelium from one cell type to the another, most commonly squamous to columnar. This is a reversible process, and removal of the stress should theoretically reverse the surface epithelium back to normal morphology. Respiratory tract metaplasia is a classic example, in which the normal pseudostratified columnar epithelium is replaced by stratified squamous epithelium to better cope with the stress. Under continuous stress metaplasia can progress to dysplasia which is a disordered growth of cells eventually leading to the development of carcinoma.

    • This question is part of the following fields:

      • Cell Injury & Wound Healing; Respiratory
      • Pathology
      28.8
      Seconds
  • Question 39 - A histology report of a cervical biopsy taken from a patient with tuberculosis...

    Incorrect

    • A histology report of a cervical biopsy taken from a patient with tuberculosis revealed the presence of epithelioid cells. What are these cells formed from?

      Your Answer: Epithelial cells

      Correct Answer: Macrophages

      Explanation:

      Granulomas formed in tuberculosis are called tubercles and are made up polynuclear phagocytes, Langhans cells and epithelioid cells. Macrophages when enlarged, consist of abundant cytoplasm and have a tendency of arranging themselves very closely to each other representing epithelial cells. These enlarged macrophages are therefore termed as epithelioid cells.

    • This question is part of the following fields:

      • Cell Injury & Wound Healing
      • Pathology
      42.1
      Seconds
  • Question 40 - Which of the following chemotherapy regimens is most likely to be used in...

    Incorrect

    • Which of the following chemotherapy regimens is most likely to be used in colorectal cancer?

      Your Answer: ABVD

      Correct Answer: FOLFOX

      Explanation:

      Chemotherapy regimens are often identified by acronyms, identifying the agents used in the drug combination. However, the letters used are not consistent across regimens. FOLFOX is a chemotherapy regimen used for the treatment of colorectal cancer, made up of the following drugs: • FOL: fluorouracil (5-fluorouracil or 5-FU) • F: folinic acid (leucovorin) • OX: oxaliplatin (Eloxatin®).

    • This question is part of the following fields:

      • Pathology
      • Pharmacology
      38.4
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (9/19) 47%
Lower Limb (2/8) 25%
General (2/3) 67%
Physiology (7/11) 64%
Abdomen (2/4) 50%
Embryology (1/2) 50%
Thorax (1/2) 50%
Gastroenterology (1/1) 100%
Pathology (10/11) 91%
Renal (2/2) 100%
Cardiovascular (2/4) 50%
Upper Limb (1/1) 100%
Haematology (1/2) 50%
Head & Neck (1/1) 100%
Respiratory (0/1) 0%
Gastrointestinal; Hepatobiliary (1/1) 100%
Fluids & Electrolytes (2/2) 100%
Women's Health (1/1) 100%
Pelvis (1/1) 100%
Endocrine (1/1) 100%
Urology (1/1) 100%
Cell Injury & Wound Healing; Respiratory (1/1) 100%
Cell Injury & Wound Healing (1/1) 100%
Pharmacology (1/1) 100%
Passmed