SPSC MEDICAL OFFICER MO PAST PAPER 26-04-2016
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چار آپشن میں سے کسی ایک پر کلک کرنے سے جواب سرخ ہو جائے گا۔
bacteroides
clostridium botulinum
staphy lococci
shigella
vibrio cholera
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Explanation
Clostridium botulinum is particularly known for its potential to cause death due to the potency of its toxin.
Botulinum toxin blocks nerve function, leading to symptoms such as:
muscle weakness paralysis, potentially fatal respiratory failure While other organisms listed, such as Staphylococci, Shigella, and Vibrio cholera, can cause food poisoning and result in severe illness
decreased pulmonary vascular resistance
decreased blood viscosity
hypercapnic cerebral vasoconstriction
increased bicarbonate reabsorption in kidneys
decreased heart rate
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Explanation
The side effect of acute hypoxia or its compensatory changes is Hypercapnic cerebral vasoconstriction
Acute hypoxia can lead to hypercapnia (elevated carbon dioxide levels) due to hypoventilation.
Hypercapnia can cause cerebral vasodilation initially
But over time, it triggers compensatory cerebral vasoconstriction to maintain cerebral blood flow.
ondansetron
metacolppromide
hyposcine
domeperidone
aprepitant
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Explanation
The medication that functions as a cholinergic muscarinic antagonist is hyoscine
Hyoscine, also known as scopolamine .
It blocks muscarinic acetylcholine receptors in the vestibular system and in the central nervous system
Which helps reduce motion sickness and nausea.
glomerular disease
tumors of uncertain origin
bullous dermatosis
serum auto antibodies
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Explanation
Fluorescent microscopy is not typically used for the direct detection of serum autoantibodies.
Instead, techniques such as enzyme-linked immunosorbent assay (ELISA) or immunofluorescence assays (IFA) using serum samples are more commonly employed.
Fluorescent microscopy is used for various purposes in medicine, particularly in the diagnosis and study of diseases.
mentovertical
occipitofrontal
submentobregmatic
suboccipitobregmatic
suboccipitofrontal
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Explanation
Based on the examination findings provided , the presenting diameter of the fetus is likely the suboccipitofrontal diameter.
The suboccipitofrontal diameter refers to the diameter of the fetal head from the subocciput (the lowest point on the back of the head) to the center of the frontal bone.
In the occipitoanterior position, this diameter is the presenting diameter of the fetal head during labor.
sulphur dioxide
lead
hydrogen sulphide
carbon dioxide
carbon monoxide
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Explanation
The most common and widely distributed air pollutant among the options provided is carbon dioxide (CO2).
Carbon dioxide is a naturally occurring gas in the Earth's atmosphere.
Still, human activities, particularly the burning of fossil fuels like coal, oil, and natural gas, have significantly increased its concentration in the atmosphere.
CO2 is a greenhouse gas that contributes to global warming and climate change.
malaria
dengue fever
drug reaction
scarlet fever
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Explanation
A drug reaction can present with generalized pain, body aches, and skin rashes
Especially if the patient has recently started a new medication or has a history of drug allergies.
acarbose
biguanides
insuline
insulin and sulphonylurea
sulphonyl urea
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Explanation
insulin therapy is the most appropriate choice for managing blood sugar levels in a pregnant woman with elevated level s
Insulin does not cross the placenta, making it a safe option for both the mother and the developing fetus
Additional information:
Acarbose: Acarbose is not commonly used during pregnancy due to limited safety data.
Biguanides: Although metformin ( a biguanid e) has been used in some cases of gestational diabetes
Sulfonylureas: Sulfonylureas are generally avoided during pregnancy due to the risk of hypoglycemia.
karyolysis
enocytosis
pinocytosis
autophagic vacuoles
residual body
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Explanation
Specific nuclear changes may be visible when cells are irreversibly injured and dying, including:
pyknosis karyorrhexis karyolysis If large numbers of cells die, tissue necrosis may occur .
Cell necrosis is usually recognized microscopically by changes in the nucleus.
These changes include swelling of the nucleus, which is followed by:
condensation of the nuclear chromatin ( pyknosis ) finally by the dissolution of the nucleus ( karyolysis )
It represents left ventricular depolarization. physiological Q wave is more than .02 see in duration
it is less than 25% of R wave magnitude
The R wave is major negative deflection
The R wave is major positive deflection
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Explanation
The QRS complex represents ventricular depolarization, including the left and right ventricles.
However, it predominantly reflects the depolarization of the larger left ventricle.
Additional information:
The physiological Q wave is more than 0.02 seconds in duration: Incorrect . A physiological Q wave is typically less than 0.04 seconds in duration.
It is less than 25% of R wave magnitude: Incorrect . Normally, the Q wave is often much smaller than the R wave in magnitude.
The R wave is a major negative deflection: Incorrect . The R wave is a major positive deflection in the QRS complex.