ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

1. Which species of Plasmodium is most prevalent in Malaysia?

A. Knowlesi.

B. Malariae

C. Falciparum

D. Vivax

2. Which muscle is used the most during sit and reach test?

A. Quadriceps

B. Rectus Abdominis

C. Hamstring

D. Trapezoid muscle

3. What is the role of C5A.

A. Vasodilation

B. Vasoconstriction

C. Inflammation

D. Opsonisation

4. Before DNA replication can take place, the DNA double helix needs to be

unwound by a certain enzyme. Name the enzyme.

A. Single-strand Binding Protein

B. Helicase

C. RNA primers

D. DNA ligase

5. Some defects in human body can be detected with physical examination of urine.

Which metabolic defect that results in dark urine and progressive damage to joint?

A. Phenylketonuria

B. Maple Syrup urine Disorder

C. Glycogen strorage Disease

D. Alkaptonuria

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

6. All of the following factors controls the flow of lymph EXCEPT

A. Contraction of smooth muscle

B. Changes in intra-thoracic pressure

C. Presence of valves

D. Pulsation by nearby arteries

7. All of the following is correctly matched, EXCEPT

A. Zona fasiculata : Produce glucocorticoids

B. Zona glomerulosa: Produce mineralcorticoids

C. Zona reticularis : Produce aldosterone

D. Adrenal cortex : produce cathecolamines

8. Which is not a cardinal feature of large intestines?

A. Teniae coli

B. Haustration

C. Cordae tendinae

D. Epiploic appendages

9. Which of the following stimulate gastric emptying?

A. Gastrin

B. Secretin

C. Cholecystokinin

D. Gastric inhibitory peptide

10. In which environment is Rickettsia prowazekii most likely to infect people to

establish an infection?

A. Rainy season and flood

B. Hospital setting

C. Famines and war

D. Drought

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

11. Among all Rickettsia related infections below, humans are infected by ticks, lice,

and fleas, except:

A. Scrub typhus

B. Endemic typhus

C. Rocky Mountain Spotted Fever

D. Q fever.

12. Which of the following is the fungal infection in the feet?

A. Tenia pedis

B. Tenia corporis

C. Tenia manuum

D. Tenia capitis

13. Which of the following is used to treat Myasthenia gravis?

A. Pilorcarpine

B. Succinyl CoA

C. Propanolol

D. Neostigmine

14. Of the giant cell stated below, which one is not pathological?

A. Foreign body type

B. Langhans cell

C. Syncytiotrophoblast

D. Deed steenberg type

15. Which of the following muscle protein can bind to Ca2+?

A. Myosin

B. Myoglobin

C. Mesomyosin

D. Troponin

E. Actin

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

16. Multiple peripheral nuclei are found in

A. Smooth muscle

B. Skeletal muscle

C. Cardiac muscle

D. Fat cells

E. Mast cells

17. Normal spleen can perform the following function except:

A. Hemopoeisis

B. Destruction of old RBC

C. Eliminate foreign body and microorganism

D. Productions of lymphocytes

18. The following are true about intercalated disc except:

A. There are only found in cardiac muscle

B. They have no role in cardiac function

C. Presence of desmosome

D. Presence of gap junctions

E.

19. The anisotropic band in muscular tissue contain

A. Actin and myosin

B. Actin only

C. Myosin only

D. Ground substance

E. All of above

20. Types of T-lymphocytes include all of the following except:

A. Cytotoxic cells

B. Killer cells

C. APC

D. Helper cells

E. Suppressor cells

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

21. There are four known blood group. Individual with blood group A

A. Has B antigen on RBC and anti-A antibodies in blood plasma

B. Has A antigen on RBC and anti-B antibodies in blood plasma

C. Has A and B antigen on RBC and no antibodies in blood plasma

D. Has no antigen on RBC and anti-B, anti-A antibodies in blood plasma

22. Reticulocytes are considered as

A. Immature RBC

B. Immature platelets

C. Mature fibroblast

D. Reticular connective tissues

23. The normal range of diameter of RBC is

A. 7-8 µm

B. 8-9 µm

C. 6-8 µm

D. 7-10 µm

E. 9-10 µm

24. Cells forming the blood brain barrier are

A. Microglia

B. Astrocytes

C. Schwann cells

D. Oligodendrocytes

25. Schwann cells are characterized by the following features except;

A. They form segmented myelin sheath

B. They are present in CNS

C. They are interrupted by nodes of Ranvier

D. They play a role in regeneration of neurons

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

26. The perichondrium is present in the following types of cartilage except;

A. Thyroid cartilage

B. Tracheal cartilage

C. Costal cartilage

D. Articular cartilage

E. Pinna cartilage

27. The largest connective tissues cells are;

A. Fibroblast

B. Myofibroblast

C. Adipocytes

D. Eosinophils

E. Macrophages

28. The following are connective tissue cells excepts

A. Fibroblast

B. Langerhan’s cells

C. Myofibroblast

D. Adipose cells

E. Mast cells

29. If both parents are heterozygous Aa, the expected genotypes of their offspring may

be;

A. AA

B. Aa

C. Aa

D. All of above

E. None of above

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

30. The pattern (47, XX+21) is best describes

A. Patau syndrome

B. Female with Down’s syndrome

C. Male with Down’s syndrome

D. Turner syndrome

31. The following is true about apoptosis excepts;

A. It occurs in infants and adults

B. It is required for normal growth and development

C. It is associated with inflammation

D. It occurs due to hypoxial cell injuries

32. Chromosomes are aligned at the equatorial plate of dividing cells during which

phase?

A. Prophase

B. Metaphase

C. Anaphase

D. Telophase

E. Interphase

33. Which of the following structures is derived from mesoderm?

A. Central spinal nerve

B. Skin of upper extremities

C. Epithelium of lungs

D. Muscle of upper extremities

E. Spinal cord

34. The following is true about ribosome except

A. They are membranous cell’s organelle

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

B. Attached to rER

C. Play a vital role in protein synthesis

D. Basophilic in staining

35. The greatest number of mitochondria is found in

A. Erythrocytes

B. Plasma cells

C. Smooth muscle

D. Cardiac myocytes

36. Incidence is calculated by

A. Prospective studies

B. Case control studies

C. Retrospective studies

D. Case studies

37. Dengue hemorrhagic fever is due to

A. reinfection by the same virus

B. reinfection by the another strain of the dengue virus

C. infection in immunocompromised

D. infection by rickettsia prowazekii

38. which of the following structures is located only in the superior mediastinum

A. arch of aorta

B. left atrium

C. esophagus

D. ascending aorta

E. thoracic duct

39. A tumour in the posterior mediastinum is most likely to make initial contact with

A. Left atrium

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

B. Phrenic nerve

C. Trachea

D. Esophagus

E. Recurrent laryngeal nerve

40. Which of the following structures does not usually come in contact to the spleen?

A. Left kidney

B. Duodenum

C. Left colic flexture

D. Tail of pancreas

41. The nerve of which pharyngeal arches provide sensory innervations to anterior

two third of tongue

A. 1st pharyngeal arch

B. 2nd pharyngeal arch

C. 3rd pharyngeal arch

D. 4th pharyngeal arch

42. A patient complains of burning pain in the umbilical region of her abdominal

wall. The attending physician states that this is referred pain from abdominal

organ abnormalities. Which portion of GI tract might give referred pain to this

region of abdominal wall?

A. Ascending colon

B. Descending colon

C. Small intestine

D. Sigmoid colon.

43. The sternocostal surface of heart in formed primarily by the anterior wall of the

A. Left atrium

B. Left ventricle

C. Right atrium

D. Right ventricle

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

44. Which of these vaccines is killed vaccines?

A. Measles vaccine

B. Mumps vaccines

C. Rubella vaccines

D. Pertussis vaccines

E. Poliomyelitis vaccines

45. One of these vaccines is live attenuated vaccines

A. MMR vaccines

B. DPT vaccines

C. Influenza vaccines

D. Polio vaccines

46. Which of these antibodies is of a particular importance and found in abundant

amount in human colostrums?

A. IgA

B. IgM

C. IgD

D. IgE

47. The reservoir host for West Nile fever is

A. Birds

B. Sheep and cattle

C. Rats

D. Monkeys

48. Opportunistic infection most likely occurs in

A. AIDS

B. Viral hepatitis

C. Syphilis

D. Gonorrhea

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

49. One of the following method could not transmit syphilis

A. Sexual intercourse with infected individuals

B. Transplacental transmission

C. Dental treatment

D. Blood transfusion

50. The formula for point prevalence is

A. number of new cases/ number of persons who did not have the disease at the

strating point of observation

B. number of new cases/ person-time of follow-up

C. number of current cases/ number of persons in population

D. number of new cases/ number of persons in population

51. The sensitivity of a diagnostic or screening test is best decribed as

A. The likehood that an afflicted person will have a positive test result

B. The likehood that a person with a negative test result is indeed normal

C. The likehood that a normal person will have a negative screening test result

D. The likehood that a person with a positive test result has the disease in question

52. Routine voluntary human immunodeficiency virus (HIV) screening tests are recommended in which of the following group? A. All adolescent B. Individual with higher risk of infection C. All newborn D. All prenatal patient E. Premarital examination

53. A patient is treated with drug A, which has a high affinity for albumin and is

administered in amounts that do not exceed the binding capacity of the albumin. A second drug, B, is added to the treatment regimen. Drug B also has a high affinity for albumin but is administered in amounts that are 100 times the binding capacity of albumin. Which of the following occurs after administration of drug B? A. A decrease in half life of drug A

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

B. A decrease in volume of distribution of drug A C. An increase in tissue concentration of drug A D. A decrease in tissue concentration of drug A

54. All of the following are direct acting sympathomimetic amines except;

A. Amphetamine B. Ritodrine C. Albuterol D. Methoxamine E. Dobutamine

55. Stimulation of the vagus nerve in the neck will slow the heart directly,Which of

the following drugs would inhibit this response to vagal stimulation.? A. Neostigmine B. Pilocarpine C. Atropine D. Bethanecol E. Methacholine

56. All the following statements about persons of lower sosioeconomic status and

attitude toward health are true EXCEPT A. They are more alienated from society and medical institution B. They are less concerned about their health C. Their medical needs are greater D. They have a chronically low utilization rate of medical service

57. Miss M was offered a place at IMU and UM to study medicine. She likes both of

the universities and did not know which one to choose. Which of the following is Miss M’s Motivational Conflict? A. Multiple avoidance conflict B. Approach- approach conflict C. Avoidance –avoidance conflict D. Avoidance-approach conflict E. Multiple approach conflict

58. The leading cause of death in elderly (65 years and above) is

A. Heart disease B. Infectious disease C. Motor vehicular accidents D. Substance abuse

ME 2/11 OBA

Say, "If the sea were ink for [writing] the words of my Lord, the sea would be exhausted before the words of my Lord were exhausted, even if We brought the like of it as a supplement."

59. The learning mechanism that pairs a neutral stimulus with a stimulus that produces a known response until the neutral stimulus alone produces the known response: A. Operant conditioning B. Systematic desensitization C. Classical conditioning D. Contact desensitization

60. Which are the two main functions of the family in America?

A. Socialization of children and nurturance and security of adult personalities

B. Perpetuation of lines of inheritance and stabilization of adult personalities

C. Socialization of children and regulation of sexual behavior

D. Achivement of economic security and perpetuation of lines of inheritance