WorksheetsMSSK EMQ MCQ
Total questions: 88
Worksheet time: 1hrs 28mins
A patient with advanced bladder carcinoma suffers from difficulty while walking. Examination reveals weakened adduction of the right thigh. This nerve that supplies the
Obturator externus
Tibialis anterior
Adductor magnus
Semintendinosus
CT scan examination of a patient presenting with complaints of a painful knee & difficulty in walking, reveals a very large cyst in the popliteal fossa compressing the tibial. This muscle is most likely to be involved.
obturator externus
tibialis anterior
semitendinosus
adductor magnus
This is the prominent osteophyte at distal interphalangeal joint.
Heberden node
Bouchard node
Swan neck deformity
Boutounniere deformity
Impingement of spiral foramina by osteophytes can cause this clinical feature.
Neurological deficit
Dysplastic nevus
Muscle atrophy
Muscle spasm
A 59 y/o man, a known case of carcinoma of stomach, was also noted to have hyperpigmented verrucous plaques lesions over the back of neck & axillary folds.
Acanthosis nigricans
Dysplastic nevus
Seborrheic keratosis
Systemic Lupus Erythematosus
A 77 y/o man has a lesion on his right side of his face. The lesion enlarged slowly over the past 5 years. On examination, the 3 cm lesion has irregular border, variegated brown to black pigmentation & bleeding.
Seborrheic keratosis
Acanthosis nigricans
Dysplastic nevus
Ephelis
10 y/o girl has flat, uniform black skin lesion measuring about 2cm on right buttock
Freckle (ephelis)
Seborrheic keratosis
Acanthosis nigricans
Xeroderma pigmentosa
73 y/o man has a demarcated uniform brown pigmented papule over the trunk for 20 years, which is slowly enlarging. He was told by his doctor that he has the most common benign epidermal tumor.
Seborrheic keratosis
Acanthosis nigricans
Dysplastic nevus
Scalded skin syndrome
This substance promotes the activation of immune system.
interleukin
fibronectin
hydroxycloroquine
toxoid
This is an opsonin that helps in phagocytosis.
interleukin
fibronectin
toxoid
immune serum globulin
Exogenous antigens broken down to peptides are bound to this.
MHC Class II
MHC Class I
CD4+
CD8+
This is found in the epidermis & can present antigens.
Langerhans cell
Dendritic cell
Macrophage
Monocyte
This condition is caused when autoantibodies are formed against DNA & the patients present with characteristic ‘butterfly rash’.
Systemic lupus erythematosus
Acanthosis nigricans
Xeroderma pigmentosa
Scalded skin syndrome
Patients with this condition develop autoantibodies against receptors for thyroid-stimulating hormone (TSH).
Graves disease
Myasthenia gravis
Goodpasture's disease
Systemic lupus eryhtematosus
This vaccine is not suitable to be administered to immunocompromised individuals.
live attenuated vaccine
peptide subunit vaccine
This vaccine utilizes specific epitopes of microbial protein to bring about desired immune response.
live attenuated vaccine
peptide subunit vaccine
Extensive sloughing of the epidermal cells caused by the bacterial toxin leads to this condition.
scalded skin syndrome
acanthosis nigricans
ephelis
SLE
Skin and soft tissue infections: This condition is common among adolescents & young adults.
(a)
This parasite can cause post kala-azar dermal lesions.
strongyloides stercoralis
ancylostoma caninum
leishmania donovani
austrobilharzia variglandis
This parasite can cause cutaneous larva migrans.
ancylostoma caninum
leishmania donovani
strongyloides stercoralis
sarcoptes scabiei
Prolonged use of this drug is known to cause fibrosis & cirrhosis of liver.
methotrexate
baclofen
aspirin
infliximab
This drug is a monoclonal antibody that neutralizes the biological activity of TNF-alpha.α.
infliximab
methotrexate
baclofen
aspirin
The patient had history of injury to the right side of his chest wall. During physical examination, he was asked to push both his hands against the wall. His right scapula stood out like a wing. This nerve is most likely to be injured.
long thoracic nerve
median nerve
ulnar nerve
radial nerve
A typist complained of burning pain along the palmar aspect of the skin of her lateral three and a half fingers. This nerve is likely to be compressed.
median nerve
long thoracic nerve
ulnar nerve
radial nerve
Drug can cause Reye Syndrome if administered to a child suffering from viral fever.
aspirin
paracetamol
celecoxib
colchicine
Drug can be used parenterally as a morphine substitute to reduce post-operative pain because its analgesic action is more than its anti-inflammatory action.
ketorolac
baclofen
aspirin
paracetamol
45 y/o teacher suffered from prolapsed intervertebral disc after lifting a heavy baggage. The affected joint is categorized under this type.
primary cartilaginous joint
secondary cartilaginous joint
fibrous joint
synovial joint
Patient had difficulty in locking & unlocking the door. Examination of his hand muscles revealed no abnormality. The affected joint is categorized under this type.
synovial ellipsoidal joint
synovial ball-and-socket joint
cartilagenous joint
fibrous joint
Patient fell to the left side when he tried to stand only on his right foot. The weakened hip abductors of the right side are supplied by this nerve.
inferior gluteal nerve
sciatic nerve
fibular nerve
tibial nerve
Patient was unable to raise his right foot after he received an intramuscular injection. This nerve could have been injured.
sciatic nerve
inferior gluteal nerve
tibial nerve
fibular nerve
Secretion of this hypocalcaemic hormone shows a direct linear relationship with plasma calcium.
calcitonin
parathyroid hormone
Secretion of this hypercalcaemic hormone shows an inverse linear relationship with plasma calcium.
calcitonin
parathyroid hormone
Phosphate binds with this to form a complex that triggers events of smooth muscle.
myosin light chain kinase
calmodulin
myosin light chain phosphatase
calcequestrin
Binding of alpha-GTP with this will produce 2 seconds messengers.
phospholipase C
phospholipase D
phospholipase B
phospholipase A2
During excitation of nerve impulse, calcium is released & binds to this protein inside the sarcoplasmic reticulum.
calsequestrin
calcineurin
calmodulin
caldesmon
This calmodulin regulating protein plays an important role in regulating both slow & fast twitch muscle fibres.
calcineurin
calmodulin
calsequestrin
caldesmon
Patient with colorectal cancer was treated with a combination of chemotherapeutic drugs, which include 5-fluorouracil (5-FU). 5-FU is inhibited by this enzyme.
thymidylate synthase
dihyrofolate reductase
adenosine deaminase
PRPP synthethase
1 y/o boy had an immune disorder where both B cells and T cells are deficient with an accumulation of adenosine & dATP. This enzyme deficiency may lead to severe combined immunodeficiency disease (SCID).
adenosine deaminase
thymidylate synthase
dihydrofolate reductase
PRPP synthetase
A 2 week- break of endurance training affects this drastically.
(a)
This central adaptation has a direct effect in supplying oxygen to the exercising muscles.
increased red blood cell count
decreased red blood cell count
increased white blood cell count
decreased white blood cell count
10 y/o boy developed multiple skin lesions on his feet with pustular bullae & crusted black necrosis. Culture of the pus grew beta haemolytic colonies. This is likely cause of the infection.
streptococcus pyogenes
staphylococcus aureus
neisseria gonorrhea
microsporum canis
35 y/o woman reported to the physician that she feels fine in the morning but experiences drooping of her upper eyelids & weakness of muscles in the extremities during late afternoon. This is the most probable diagnosis.
myasthenia gravis
good pasture's disease
graves disease
rheumatoid arthritis
A patient developed Klumpke Palsy after he tried to catch hold of a tree branch when he fell from height. This part of the brachial plexus is injured.
lower trunk
upper trunk
Accelerated de novo purine nucleotide biosynthesis in the Lesch-Nyhan Syndrome is most probable due to this.
Increased availability of (a)
Peri-umbilical distribution of lesions resembling ‘thumb prints’ is characteristic of massive migration of this parasite.
strongyloides stercoralis
ancylostoma caninum
austrobilharzia variglandis
sarcoptes scabiei
Subcapsular sinuses are seen in this lymphatic organ/tissue.
(a)
The following cells can present an antigen except:
monocyte
macrophage
B lymphocyte
dendritic cell
The medial meniscus is more frequently torn in injuries than the lateral meniscus because it is firmly attached to one of the following structures:
medial collateral ligament
posterior cruciate ligament
anterior cruciate ligament
patellar tendon
This artery is a branch of the 2nd part of the axillary artery.
thoracoacromial
subclavian
brachial
This cell surface marker is found on cytotoxic T lymphocytes.
CD8+
CD4+
MHC Class I
MHC Class II
This clinical condition is due to fusion of joint-ends with calcification.
bony ankylosis
fibrous ankylosis
osteoarthritis
osteomyelitis
This confers passive immunity
toxoid
interleukin
calcineurin
immune serum globulin
This drug inhibits the microtubules & prevents the diapedesis of neutrophils to the inflammatory site.
colchicine
indomethacin
aspirin
methotrexate
This drug if administered to a pregnant woman after 32 weeks, can prematurely close patent ductus arteriosus in the fetus.
indomethacin
aspirin
celecoxib
colchicine
This enzyme catalyses the rate limiting step of pyrimidine synthesis where cytidine triphosphate ( CTP) exhibits allosteric inhibition.
aspartate trasncarbamoylase
PRPP synthetase
adenosine deaminase
guanine deaminase
This is exchanged with calcium in the plasma against concentration gradient that contributes to cardiac muscle relaxation.
Na+
K+
PO42-
This is the most reliable landmark to identify the femoral veins.
Femoral vein lies _____ to femoral artery
medial
anterior
posterior
lateral
Type of skin lesion that is premalignant.
actinic keratosis
acanthosis nighricans
xeroderma pigmentosa
scalded skin syndrome
True regarding stretch reflex.
Has type Ia afferent nerve fibers
Has type Ib afferent nerve fibers
Polysynaptic (disynaptic)
Effector is flexor
Portion of Ab fixes compliment.
Fc
Fab
Type of malignant skin lesions that is only locally invasive.
basal cell carcinoma
squamous cell carcinoma
melanocytic nevi
ephelis
location of thymic dependent
paracortex
postcapillary venules
medulla
subscapular sinus
This causes Reye's syndrome in children with viral fever
indomethacin
aspirin
paracetamol
celecoxib
This drug will cause hepatotoxicity to the liver and leads to fibrosis and cirrhosis to the liver in the long-term use.
methotrexate
aspirin
paracetamol
celecoxib
Swelling and have multinucleated giant cell
osteoclastoma
osteochondroma
osteoblastoma
osteosarcoma
This drug is an anti tnf-a monoclonal antibody which neutralises tnf-a antibody
infliximab
baclofen
aspirin
methrotrexate
Cell that induced apoptosis of cell.
CD4+
CD8+
this drug have more analgesic effect than opioid
ketorolac
celecoxib
baclofen
aspirin
Hormone that produce by parafollicular c cell of thyroid gland
calcitonin
parathormone
calcitriol
What parasite that burrow on upper layer of the skins and cause rash frequently on the webbing of the finger
sarcoptes scabiei
ancylostoma caninum
austrobilharzia variglandis
strongyloides stercoralis
Full elevation of arm to 180° by which muscle?
serratus anterior
deltoid
brachioradialis
The patient had injury at his thumb involving the carpo-metacarpal joint. This carpal joint likely to be fractured
trapezium
pisiform
scaphoid
trapezoid
Type of benign lesion and also known as freckle
ephelis
actinic keratosis
acanthosis nigricans
xeroderma pigmentosa
50 year old male patient presented with intense redness, heat and pain over his right great toe at metatarsophalangeal joint. Fluid from this joint showed birefringent crystals on polaroid light microscopy. These features might have developed due to degradation of excessive amount of this
adenine
guanine
cytosine
thymine
Charecteristic of type 1 muscle fiber
Resistant to (a)
Insertion site of flexor digitorum muscles?
Phalanges
Ulnar
Radius
Humerus
An 18 year old boy consulted a doctor for mild pain and swelling for his right knee for last 15 days. Histopathological picture of this lesion shows plump pleomorphic cells with osteoid formation.
osteosarcoma
osteochondroma
osteoblastoma
osteochondroma
This inhibit microtubules and prevent diapedesis of neutrophil to inflammatory sites
colchicine
methotrexate
celecoxib
aspirin
Acetylcholine receptors are located at this site.
sarcolemma
sarcoplasmic reticulum
terminal cisternae
T-tubule
Calcium ions that trigger events of muscle contraction are released from this.
sarcoplasmic reticulum
sarcolemma
T-tubule
terminal cisternae
Excess post-exercise oxygen consumption (EPOC) is not used for this
hormone balancing
storage of glycogen
cellular repair
innervation
Transfer of antibodies from mother to child is an example for this mode of acquiring immunity.
passive natural
active natural
active artificial
passive artificial
This hormone is essential to maintain normal plasma calcium between 3 mg/dL to 10 mg/dL
parathormone
calcitriol
calcitonin
Compression of this nerve leads to carpal tunnel syndrome.
median nerve
ulnar nerve
radial nerve
musculocutaneous nerve
This is the normal articulation of hand as seen on X-ray.
(a) articulates with the radius
Smooth muscle contraction is initiated when Ca2+ bind mainly to this.
calmodulin
calsequestrin
caldesmon
This substance provides an anti-viral state to uninfected cells during viral infection.
interleukin
interferons
calcineurin
This influences the initiation of liver glycogenolysis.
glucose-6-phosphatase
HGPRTase
APRTase
PRPP synthetase
