ANATOMY - · PDF fileRobbin. Mitochondrial shrinkage is NOT associated with irreversible injury, You will never see mitochondrial shrinkage in any ... Inflammation 2. C 24. D

Rabia Ali errata by Fazli Rashid. (4th edition)

Dear Doctors,

Please note that this Errata is in addition to the one already made

by Dr.Amara Iftikhar. So I have also included Dr.Amara's Errata

in this file at the end. I have tried my best to answer all the

questions with wrong keys, but still there may be some

questions that needs to be corrected.

ANATOMY

Thorax

28. C (Nerve lies just behind the lower border of the rib)

29. B (VAN from above downwards, Ref Rj last)

51. key correct. (For adults its b/w 2nd and 3rd)

62. Add Right ventricle (Correct option missing)

114. C (A is wrong coz bronchopulmonary segment is not

. functional unit of lung, Functional unit is alveolar sac)

131. B

205. A (All others are attached to 12th rib, Ref RJ last.)

Upper limb

47. C true (Its cpsp key, In golden file CPSP demo Qs key is

Musculocutaneous which is wrong)

76. D (Cephalic vein continues as axillary vein, it does not drain

into axillary vein. and it starts from dorsal surface)

102. D ( Ref Netter)

119. C (Ref. Snell)

144. D (Tip of scapula lies at level with the spine of T7 and body of

T8, i.e T7 spine = T8 body, here T8 is correct Ref. Snell)

Lower limb

43. All wrong. Look for option E, If not then follow key.

44. B

Neck of femur= Medial and lateral circumflex

Head of femur in adults= Retinacular > medial and lateral circumflex

Head of femur in children= Obturator artery

Head of Humerus= Arcuate > Anterior circumflex humoral

Neck of humerous= Posterior circumflex humoral

112. B (Nerve is not among the contents of femoral sheath)

Abdomen

17. C > A

46. Arcuate line is also called linea semicircularis

53. A (B is wrong, Ref RJ last and Netter)

65. Correct answer is,

"Supraduodenal, Retroduodenal, Paraduodenal" (Ref. Rj last)

66. B (Right Gastroepiploic > Right Gastric)

127. Inferior Vena cava (Add option E. i.e IVC)

130. E

145. A (C is clearly wrong, Ref RJ last and Netter)

156. A (Ref Netter. U can see the ascending branch anterior to right

kidney. Bile duct is medial, not anterior, and there is no

intraduodenal bile duct, its ampulla of vater which is

intraduodenal)

165. B

172. All wrong, Click option E

220. B (Splenic artery is not an end artery, its branches inside the

spleen are end arteries.)

222. B

236. D (If splenic artery is blocked by the tumor then Short gastric

arteries will receive blood from Left gastoepiploic, which will receive

blood from Right gastroepiploic, a branch of Gastroduodenal artery.

Pancreatica magna is the last one in series, moreover it can be directly

affected by the tumor)

Pelvis and Perineum

34. D (It covers testes and part of epididymus, so A is wrong)

104. B (Its just like the MCQ which asks about the site of urine

accumulation in rupture of penile urethra. Here its Blood which will go

to scrotum and perenial region)

Head and Neck

6. C (See dermatomes in Netter. Ans should be C3 C4. Here optoin C is

most appropriate)

58. D Ref. Last

76. Add Superior oblique. Trochlear nerve supplies contralateral S.O

79. D (Bells palsy is idiopathic.There is no lesion in Bell's palsy. If

there is lesion then its not Bell's)

107. Typing mistake. Option C and D are similar. Correct option is

"Posterior to RLN and cranial to ITA"

129. A (Posterior Cricoarytenoid is the only abductor of vocal cord/

ligament and is the most important muscle of the body)

151. C (Internal jugular is lateral to carotid artery)

153. None of the above. (Cervical part of internal carotid has no

branches)

163. E (Ref Netter and RJ last)

165. D All others are true

207. Chorda tympani > Lesser petrosal

213. B,

230. E (C is wrong coz sternocleidomastoid is covered by investing

layer of Deep cervical fascia)

Back and Vertebral column

4. B

Neuroanatomy

11. B (Prolactinoma may extend posteriorly and damage posterior part

of optic chiasm and adjoining area of optic tract leading to homnymous

heminopia plus defect depending upon the part of optic chiasm that is

invloved. Ref. A big article on Google. Dont waste ur time searching for

it)

148. A

187. D Ref. First Aid (Diagram)

244. Add Dorsal Nucleus

259. Add Sensory ataxia

Histology

27. Correct sequence is "Renal artery > Segmental > interlobar >

Arcuate > Interlobular > Afferent > Golmerulus > Efferent."

58. A (E wrong, Once monocytes leave the circulation, they can never

re-enter)

76. E (A wrong, Brush border contains antibodies which protects

epithelium. If epithelium is damaged, digestion will be impaired)

86. D

Embryology

57. D (A is wrong, Notochord does not form neural tube, it induces the

overlying ectoderm to form neural tube)

139. C

164. C

PHYSIOLOGY

Cell and General

23. B CPSP key

Nerve and Muscle

20. B (key correct)

50. A (CPSP)

48. E (RMP Maintenance by Na/K pump. Achieved by K efflux)

Blood

4. D

20. A (key correct, Inheritance is autosomal dominant)

39. B (Indirect Coomb's test)

CVS

24. A

40. B

49. A

77. B (If HR is incresed it will allow less time for ventricles to fill

with blood, as a result EDV will be decreased)

88. Increased pulmonary Vessel compliance. During deep inspiration

venous return to right heart increases while to the left heart it decreases.

CO decreases as a result of dec venous return to left heart.

114. A (Ref Ganong. Peripheral chemoreceptors respond to inc H+

and dec O2. Central chemorecptors respond to inc CO2 indirectly via

increasing interstitial fluid H+.)

201. Decreased vasomotor tone (Patient has taken alpha blockers

which decreases vasomotor tone leading to reflex tachycardia). D is

wrong coz Increased vasomotor tone does not increase HR, Increased

sympatheteic does. Another point to remember is that Barorecptors

increases firing rate in hypERtension, and dec in hypotension. Inc firing

rate will dec HR.

Neurophysiology

6. D (Tactile 2 point discrimination = Merkel's disc,

2 point discrimination = Messiner's corpuscle)

28. B

37. C

90. B (Key correct)

120. A (Golgi tendons are present at the "junction of muscle fibers and

tendons". E is wrong coz its statement is correct.i.e It has a high

threshold. It is stimulated only at high pressure)

131. A

153. B (15% people are Left handed. among them 8% are left

hemisphere dominant and 7% r right hemisphere dominant.)

162. D Semicircular canals = angular acceleration.

Utricle = linear acceleration

Saccule = vertical acceleration

Endocrionolgy

55. Key correct

78. C (Some say Its D, as the main disturbance is insulin defeciency)

97. A

140. A

144. B (TSH have no Iodine)

152. C ( Here Thyroid hormones are in excess. TRH is low coz of

negative feedback and so TSH is also low. If u give TRH, TSH will

increase which will further increase thyroid hormones. So primary

problem is in thyroid gland.)

171. B

135. A (Oxytocin increases intramammary pressure by inducing

contraction of the myoepithelial cells and thus aids in the secretion of

milk from the mammary glands. Ref...ncbi.com

Oxytocin does not directly cause dilation of cervix)

Reproduction

10. B

15. B

17.C

19. A (Pernicious is wrong coz the cause of perniciuos anemia is

autoimmune destruction of Gastric parietal cells, not gastrectomy. Ref

Ganong. If B12 def in options then thats correct. but thats another

MCQ. Here Iron defeciency is correct.)

48. B (Bile salts will be reabsorbed from the remaining ileum.)

50. B key correct

GIT

6. B

101. D

Respiration

34. B (If perfusion > ventilation then Shunt is correct)

44. C (In anemia total O2 content is decreased but PO2 is normal so

there is no effect on Respiratiory rate and alveolar ventilation. Ref. First

Aid)

69. A (Normally Alveolar PO2 is less than Atmospheric PO2 because

O2 from alveoli diffuse into pulmonry cappilaries. In embolism there is

no blood in cappilaries leading to decreased diffusion of O2 from alveoli

to cappilaries and so Inc Alveolar PO2 level. Pulmonary artery CO2

may be decreased in early stages of pulmonary embolism, Coz of high

ventilation as CO2 can more easily diffuse as compared to O2)

72. Add "High altitude" (Asim and Shoaib)

77. C

Kidney and body fluids

9. B (Ref WHO criteria "A handbook of fluid resuciation"........... 3

times normal saline or 3 times R/L. e.g If 1 litre blood is lost it should be

replaced by 3 litres N/S or R/L)

34. A (Urea is readily diffusable, so there is no defference between

plasma levels and glomerular filtrate)

50. D (hydrostatic pressure has nothing to do with permeability)

53. Glomerulus (Its a scenario of glemerulonephritis)

133. A (Pancreatic fistula will lead to loss of HCO3 to the small

intestine, and will lead to metabolic acidosis. Chronic hypoventilation

will lead to respiratory acidosis causing compensatory metabolic

alkalosis)

Metabolism, temperature

38. C (Brain can also use ketone bodies)

PATHOLOGY

General

Cell injury

2. D (Myelin figures are present in both reversible and irreversible

injury. Ref. Robbin. Mitochondrial shrinkage is NOT associated with

irreversible injury, You will never see mitochondrial shrinkage in any

book. It ocurrs in apoptosis) D is chandkian key too.

9. Same as Q# 2

55. D (Ref. Atlas of histopathology)

71. D (Dry Gangrene. TB is caseous necrosis)

76. C

78. Giant cells (Foreign body granuloma. Ref Goljan)

112. D

Inflammation

2. C

24. D

36. C (Thrombosis is not a part of inflammation. A is wrong coz AA

metabolites are potent chemoattractants. Ref BRS)

44. A (The first response to injury is local vasoconstriction which is

mediated by serotonin)

51. Both B and D (Ref, Goljan. follow key)

Hemodynamic Disorders

3. B (C wrong coz its a scenario of venous thrombosis and endothelial

injury does not ocurr in venous thrombosis,

Venous thrombosis = Endothelial injury and hypercoaguability Ref.

Goljan)

46. D

63. D Ref. FA

66. B (ANA is non specific but vasculitis is much more non specefic)

Immune system

36. D

81. D

104. E ("Hairy leukoplakia" is associated with AIDS and is caused by

EBV but the term "leukoplakia" means Idiopathic white patches. the

word idiopathic differentiates it from hairy leukoplakia. i.e Hairy

leukoplakia is not a form of Leukoplakia. AIDS is associated with

Squamous cell Ca of Anus, so SCC is wrong)

132. A (Selective IgA defeciency)

Neoplasia

31. A

Tissue and wound repair

12. A (Mature scar contains more collagen type 1 and cross linked

collagen)

14. A (Ref. Robbin and FA.) During healing Collagen type 3 appears

which is then replaced by Collagen type 1. Type 1 has more tensile

strength. Remember that wound healing lasts for months. After 3rd week

or so, collagen type 1 starts appearing in the scar.

33. A ( RBCs can never reproduce coz they lack nucleus, 0% chance.

however they can regenerate from bone marrow. Neurons, skeletal

muscle and smooth muscles reproduce in tumors e.g Neuroma,

Rhambdomyoma, Leimyoma respectively. Neurons can regenarate but

cannot reproduce)

Special pathology

Blood

116. D

145. D (PGI2 is platelet inhibitor. Ref BRS)

174. D

CVS

33. C (tamponade = 3 to 14 days post MI)

34. C (LDH starts rising after 24 hours)

42. D All others are 100% true about PDA. ECG is often normal. It

may be (Not usually) abnormal.

73. C

GIT

14. All wrong. Click option E ( In achalasia cardia there is dec number

of ganglion cells of myenteric plexus, not of vagus.)

60. A (Primary carcinoid tumors of lung produces carcinoid syndrome

without mets to liver. Ref Robbins) B is wrong coz its statement is true.

i.e Carcinoid tumors may be primarily present in lungs. The word

"primarily" here means Primary tumors.

72. C

Respiration

1. B (Characteristic diagnostic feature is Non caseating granuloma, Ref.

Robbins. Asteroid bodies are sometimes present but they are not

diagnostic)

35. C

36. A

Renal

31. B (Nephritic = Salt retention. Nephrotic= Hypoalbuminemia)

48. B (Smoking > Aromatic amines)

49. A

55. B (If dec capillary oncotic pressure is in options, click it)

Bone and Soft tissue

6. C

15. C (if leukocyte more than 50,000 its septic arthritis. Ref Kaplan

medicine)

20. C

Skin

6. C

Endocrinology

42. A

Reproduction

18. B

Microbiology

99. C (C.tetani secrete tetanus toxin, which is exotoxin)

199. E

139. D (Acellular vaccine does not prevent infection. Ref. Google)

174. A (Toxin goes up along the nerve i.e Ascending. Ref Google)

177. B (This test primarily detects patient's sensitivity to TB) A is

wrong coz it can also be positive in present infection.

305. B (Ref MRS Microbiology)

Pharmacology

90. B

102. A

129. C (Beta blockers worsen vasospastic angina)

162. A

268. A

270. E (Vancomycin kills Clostridium difficiles and is used in the

treatment of pseudomembranous colitis Ref MRS micro..)

277. B

367. A

441. B

Biochemistry

34. E

36. C (Human liver can make its own carbohydrates from lipids and

proteins via gluconeogenesis. While it cannot make essential aminoacids

and fatty acids)

87. A (Histamine is amide, Its not amino acid. GABA is considered

amino acid by non medical professionals)

Biostatistics

54. D (Euphoria= A feeling of well being or elation. ref. English

dictionary definition)

-----------------------------By Fazli Rashid-------------------------------

Dr. AMARA'S Errata

RABIA ALI 4TH Edition Errata

note:’Correct’ is written in front of those BCQs which were

having wrong answeres in 3rd Ed,but are now having right

answeres in 4th Ed.I have added those corrected ques and

mentioned CPSP keys in errata so that you don’t waste time in

finding and changing their keys.’Complete’ word is written in

front of the topics whose errata is almost complete(no more

wrong ques) as far as I could compile from searching of

finalized discussion keys of seniors and admins of this

group,books,google etc.But topics not having complete in

front of them may have some other BCQs besides those in

errata with wrong keys.Human errors are possible and

accepted.Seniors are welcomed to find mistakes and correct

them!take it as a pay back to group esp gynae people I’m

emphasizing that anatomy and embryo is the key to success

for you!!remember me in dua,thanks.

ANATOMY(DETAILED AND ALMOST COMPLETE)

GENERAL{complete}:-

31---- D

62----B

THORAX{complete} :-

18----A(CPSP key)

22----C

29----A

43----A

79----B

157----D

103----C

118----B

135----A

140----A

164----D(asim key,other all are good alternate drain systems)

194----B(CPSP key)

211----B

212----B(most common type ‘A’ b/w L1 & L2)

215----all are true

216----D(CPSP key)

UPPER LIMB{complete}:-

93----B(key is correct;admins)

122----A(75% drain)

152----A

LOWER LIMB{complete}:-

15----A(if put except in statement then ans C)

64----B

67----E

69----D

93----D(adductor longus is in medial compartment of thigh)

94----B(add except in statement)

119----C

ABDOMEN{complete}:-

29----B

96----D(first aid)

99----B

102----B

117----B

142----change statement to ‘not lying anterior’

165----B(asim key)

167----B

204----D(drain into left common iliac)

218----C

229----B

234----C

PELVIS AND PERINEUM{complete}:-

22----A

65----D

70----A(CPSP key)

71----C

88----add to statement pain in lumbar region after

hysterectomy(past paper q)

106----C(correct)

116----in statement ‘BISHOP score’

127----change internal carotid to internal iliac artery in

statement

143----D

147----D(fascia present between prostat,urinary bladder and

rectum)

158----A

HEAD AND NECK:-

5----C

9----C

23----A

29----A(superficial middle cerebral vein directly drains into

cavernous sinus and deep middle cerebral vein finally drains

into straight sinus)

40----B

86----D(separate bone)key is correct

92----B

128----E

BACK AND VERTEBRAL COLUMN{complte}:-

2----A

9----B(asim key)

NEUROANATOMY{complete}:-

35,46----A+B(follow key)

54----if LMN type ans is A;if UMN type ans is B

64----B

71----C

86----C

92----C

109----B

161----C

168----C

222----E

226----E

229----C

230----A

233----A

256----change stem in A spinal nerves ans is C

266----A(reflexes normal)

267----B 268----complete statement by add angle of mouth

deviated to(if towards left ans is internal capsule or if deviation

to right then ans is pons)

277----C(CPSP key)

281----D

282----C

283----C

285----B

HISTOLOGY{complete}:-

9----B(CPSP key)

19----A(CPSP key)

25----A

38----A

45----B(most common in sigmoid)

51----D

57----C

69----B

EMBRYOLOGY{complete}:-

47----D(asim key)

53----C

54----C

68----A

80----B

97----C(if except added in statement then ans is D)

106----D(asim key)

108----A

123----D

139----B(if stem C is non union of metanphros and ureteric bud

then select C)

146----all wrong(ans is after 14 weeks or 14-18 wks)

147----A

148----A

154----A(CPSP key)

155----B(CPSP key)

156----C(CPSP key)

172----(pouch derivative is palatine tonsillar crypt epithelium

and arch derivative is stylohoid;change in statement Pouch to

arch,ans is B)

173----A(ratheke pouch related to ant pituitary,foramen cecum

related to thyroid)

179----A+B(follow key)

180----D

PHYSIOLOGY:-

CELL AND GENERAL:-

40----B

50----A

62----C

65----C

NERVE AND MUSCLE:-

29----A(correct)

46----A

BLOOD:-

7----D(correct)

85----B

CVS:-

1----add option E (slow ejection phase) ans is E

7----A

130----A(if systemic BP less than 50 then CNS ischemic

response)

149----E

163----B

166----C

NEUROPHYSIOLOGY:-

40----A

116----D

81----A(correct)

155----B

166----A

171----B

215----B

ENDOCRINOLOGY:-

18----C

127----B(correct)

REPRODUCTION:-

43----D

70----D

73----A

GIT:-

42----A(correct)

64----E(correct)

RESPIRATION:-

32----B(correct)

46----B(correct)

62----C

KIDNEY AND BODY FLUIDS:-

13----B+C (B ans)

18----A(correct)

28----A

49----C(key correct)

71----D

88----A(key correct)

92----C

108----D(CPSP key)

130----C(correct)

147----B

156----A

163----C

METABOLISM AND TEMPERATURE:-

19----C

20----D

22----A

23----A

25----B

26----D

28----A

37----D

39----A

GENERAL PATHOLOGY

CELL INJURY:-

51----A(correct)

57----D(CPSP key)

58----D(correct)

INFLAMMATION:-

28----E(in acute implant neutrophils,in chronic giant cells)

42----D

78----A

HEMODYNAMIC DISORDER:-

2----B(correct)

17----A

21----wrong BCQ

24----D(correct)

56----A

59----A(correct)

60----B(correct)

IMMUNE SYSTEM:-

27----C

88----D

115----C

121----A(correct)

122----B(correct)

131----A

136----A

GENETICS:-

32----A(some say B is cpsp key,if u find follow it)

49----B

ENVIRONMENT AND NUTRITION:-

13----A

14----B

24----D(correct)

40----A

NEOPLASIA:-

24----A

47----E

53----B

54----A

TISSUE AND WOUND REPAIR:-

19----B

SPECIAL PATHOLOGY:

BLOOD:-

12----A(correct)

85----A+D(follow key)

92----A(correct)

132----A(most appropriate initial investigation)

138----A

156----E

163----D(correct)

178----A

196----D

CVS:-

20----A(CPSP key)

68----E(CPSP key)

GIT:-

31----B(correct)

34----E

82----B

RESPIRATION:-

18----B

48----B

49----A

BONE AND SOFT TISSUES:-

2----D

RENAL:-

20----A(correct)

46----A(correct)

SKIN:-

8----D

9----B

10----A

11----A

12----A

13----B

14----C

15----B

16----A

17----A (all these ans 8 to 17 are correct)

NEUROPATHOLOGY:-

12----D

ENDOCRINOLOGY:-

23----C(correct)

42----D

59----D

60----D

62----B

REPRODUCTION:-

10----A(correct)

22----B(correct)

46----A

MICROBIOLOGY:-

5----A(correct)

31----C(If only herpes virus in option then choose hep D)

73----C

76----D

95----C(correct)

122----B

129----C(correct)

185----C(correct)

208----A(correct)

209----A(correct)

252----A

253----D(CPSP key)

289----D

325----A

326----C

PHARMACOLOGY:-

45----A(correct)

46----D

49----C

57----B

61----B

66----D

75----A

105----A(correct)

141----D

167----B

246----B

247----A(correct)

278----C

288----A+B(follow key)

301----add except in statement ans is D

305----D

445----A

BIOCHEMISTRY{complete}:-

8----A(correct)

25----D(CPSP key)

27----A

32----A(content is starch,compound is ATP)

34----E

BIOSTATISTICS{complete}:-

2----B

4----C

5----A(correct)

8----D

25----C

50----A(correct)

53----C

54----D

56----A

57----C

60----A

!!!---BEST OF LUCK--- !!!

DR.AMARA IFTIKHAR