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No.QuestionSubjectLevelStatus
001 A 58-year-old shopkeeper from Biratnagar presents with crushing chest pain. His ECG shows ST elevation in leads II, III and aVF. Which artery is most likely occluded?Coronary circulation · NMC Licensing Examination pattern Anatomy 002 A 62-year-old man has an anterior wall myocardial infarction complicated by a new right bundle branch block. The anterior two-thirds of the interventricular septum, which carries the bundle branches, is supplied by which artery?Coronary circulation · NMC Licensing Examination pattern Anatomy 003 A 24-year-old woman from Jumla with rheumatic mitral stenosis complains of difficulty swallowing. A barium swallow shows the oesophagus indented from the front. Enlargement of which chamber explains this?Heart chambers and valves · NMC Licensing Examination pattern Anatomy 004 A 55-year-old man with a tumour in the aortopulmonary window develops hoarseness. Which nerve, hooking around the ligamentum arteriosum, is most likely involved?Pericardium and mediastinum · NMC Licensing Examination pattern Anatomy 005 A young man from Pokhara develops a pneumothorax after a bus accident and needs an intercostal chest drain. To avoid the intercostal neurovascular bundle, where in the intercostal space should the drain be passed?Thoracic wall and diaphragm · NMC Licensing Examination pattern Anatomy 006 A 35-year-old man from Sarlahi with an amoebic liver abscess complains of pain at the tip of his right shoulder. The pain is referred because the diaphragmatic peritoneum is supplied by which nerve?Thoracic wall and diaphragm · NMC Licensing Examination pattern Anatomy 007 A 3-year-old child from Bhaktapur inhales a peanut while sitting upright. In which bronchus is it most likely to lodge?Lungs and pleura · NMC Licensing Examination pattern Anatomy 008 A porter from Mustang falls and fractures the surgical neck of his humerus. He cannot abduct the arm beyond the first few degrees and has numbness over the lower part of the deltoid. Which nerve is injured?Limbs · NMC Licensing Examination pattern Anatomy 009 A 30-year-old man fractures the midshaft of his humerus in a motorcycle accident in Butwal. He is unable to extend his wrist. Which nerve is most likely injured?Limbs · NMC Licensing Examination pattern Anatomy 010 A carpet weaver from Kathmandu has tingling of the thumb, index and middle fingers at night and wasting of the thenar eminence. Weakness of which muscle would be expected?Limbs · NMC Licensing Examination pattern Anatomy 011 After a tight plaster cast is applied below the knee, a patient develops foot drop and numbness over the dorsum of the foot. Which nerve has been compressed at the neck of the fibula?Limbs · NMC Licensing Examination pattern Anatomy 012 At operation for a groin hernia in a farmer from Kaski, the neck of the hernial sac is found lateral to the inferior epigastric vessels. What type of hernia is this?Abdomen · NMC Licensing Examination pattern Anatomy 013 A motorcyclist is struck on the side of the head, recovers consciousness for an hour and then deteriorates rapidly. CT shows a biconvex haematoma beneath the pterion. Which vessel is most likely torn?Head, neck and neuroanatomy · NMC Licensing Examination pattern Anatomy 014 A blood sample for glucose estimation is collected in a tube containing sodium fluoride. Fluoride prevents glycolysis in the sample by inhibiting which enzyme?Glycolysis · NMC Licensing Examination pattern Biochemistry 015 A man with chronic alcohol dependence is brought to a hospital in Kathmandu with confusion, ataxia and ophthalmoplegia. The activity of which enzyme is most directly impaired by his vitamin deficiency?TCA cycle and oxidative phosphorylation · NMC Licensing Examination pattern Biochemistry 016 Cyanide poisoning blocks cellular respiration by inhibiting which component of the electron transport chain?TCA cycle and oxidative phosphorylation · NMC Licensing Examination pattern Biochemistry 017 Which of the following cannot serve as a substrate for net glucose synthesis in humans?Gluconeogenesis and glycogen · NMC Licensing Examination pattern Biochemistry 018 A boy from the Terai develops dark urine and pallor two days after starting primaquine. His red cells are unable to generate enough of which product of the hexose monophosphate shunt?HMP shunt and other sugars · NMC Licensing Examination pattern Biochemistry 019 Cataract in a patient with long-standing poorly controlled diabetes is attributed to the accumulation of which substance in the lens?HMP shunt and other sugars · NMC Licensing Examination pattern Biochemistry 020 A 16-year-old girl with type 1 diabetes is admitted with ketoacidosis. Which organ produces ketone bodies but is unable to use them as fuel?Regulation and diabetes · NMC Licensing Examination pattern Biochemistry