Q.1 Paracetamol.....
a) increases PT
b) its overdose causes Nephrotoxicity
c) is a poor anti-inflamatory
d) is more stronger than codeine
e) causes met-Hb.emia more frequently than Phanacetin
Q.2 ATN is associated with...
a) Hyperkalemia
b) conc. urine in initial stages
c) increase in s.urea but normal s.creatinnine
d)
Q.3 Congenital cataract is associated with
a) chiken pox
b) chromosomal abnormality
c) small pox
d) Rubella
Q.4 MS is characterized by...
a) Lewy bodies
b) Patchy demylination & white fiber gliosis
c) axonal neuropathy
d)
Q.5 All of the following have ability of phagocytosis EXCEPT
a) Microgila
b) Lymphocytes
c) Kuffer cells
d) Neutrophils
Q.6 Pulmonary Arterial pressure increases with..
a) Essential HPTN
b) Sympthatic stimulation
c) Nitroglycerine
d) Excercise
e) Hypoxia
Q.7 in an Asthamtic female,immeditae treatment of HPTN during intra-operative HPTN, is
a) sublingual glycerine trinitate
b) intra.venous nitroglycerine
c) propranalol
d)
Q.8 During giving local anaestheia, the long needle goes far into greater palatine canal,causing anaesthesia of an autonomic ganglion,as a result along with dryness of nasal mucosa also occurs
a) decreased secretions of Parotid
b) decreased secretion of Submandibular & sublingual glands
c)
Q.9 Tissue which has in-ability to replace dead cells
a) Heart
b) Kidney
c) Liver
d) Bone
e) Bowl Mucosa
Q.10 Non-essential amino acid includes
a) Leucine
b) Iso-leucine
c) Methionine
d) Tyrosine
Q.11 Metabolic Alkalosis is caued by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN
Q.12 Glucronide conjugation of drugs
a) causes inactivation of drug
b) is Type 1 reaction
c) makes drug insoluble in water
d) increases its effects
Q.13 A patient having generalized body weakness & numbness,
on investigation he is having Un-conjugated Bilirubinemia,
Hb= 7.4 md/dl MCV..> 120 fl,
the anemia is due to ....
a) Hemolysis
b) Vit B 9 def.
c) Vit B 12 def.
d) Hypersplenisim
Q.14 Tissue with Dual autonomic supply but not reciprocal suuply is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle
Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism
Q.16 In summer,in a fasting man the cause of concenterated urine is
a) Skin
b) Blood vessels
c) Pupil
d) Salivary glands
e) Ciliary muscle
Q.15 Cause of joint pain in Deep sea divers
a) arterial embolism
b) venous embolism
c) DIC
d) thromboembolism
Q.16 In summer,in a fasting man the cause of concenterated urine is
a) ADH
b) No Oral intake
c) Aldosterone
d) increased sweeting
Q.17 A 35 yr old man is having bilateral ptosis of eye during evening since last few weeks,the confirmatory test of the diagnosis will be
a) Tensilon Test
b) Ach Receptor Antibody Test
c) blood culture
d) CT scan Brain
Q.18 if a High Dextrose water is infusion given to a person,it inhibits
a) Cotisol
b) ADH
c) Aldosterone
d) Insulin
Q.19 Parasympthatic supply of Sigmoid Colon is
a) Sacral segments S2,S3,S4
b) Pelvic splanchnic Nerves
c) vagus nerve
d)
Q.20 which does not take part in inflamatory reactions
a) Adrenaline
b) Histamine
c) 5-hydroxy tryptamine
d) Dopamine
Q. 21 Parietal & Visceral Pericardium is supplied by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus
Q.22 A young man had sinjury to the neck with sum sharp object,3 yrs ago,
Now he notices a bulging swelling above the clavicle on sneezing & coughing,
this swelling most probably due to...
a) Injury to deep fascia of neck
b) demage to supra-pleural membrane
c) Un-united first Rib Fracture
Q.23 Middle meningeal artery if ruptured while meinges are intact,the Haemorrhage will be
a) Epidural
b) Subdural
c) Intracranial
d)
Q.24 Dorsal Rami of the cervical nerves innervates
a) Abductor Pollices
b) Extensors of Limbs
c) Extensors of Trunk
d) Stabilizers of Shoulder
Q.25 Muscles of Hand supplied by
a) ventral rami of C-8
b) Ventral branches of T-1
c) Median Nerve
d) Ulnar Nerve
e) Radial Nerve
Q.26 A person has sharp knife injury to upper medial aspect of arm,
after which He is unable to Flex his elbow & having loss of cutaneous sensations on lateral aspect of forearm,
the nerve injured is
a) Median Nerve
b) Axillary nerve
c) Radial Nerve
d) Musculocutaneous Nerve
Q. 27 A Transplant from identical twin is
a) Allograft
b) Heterograft
c) Homograft
d) Isograft
e) Xenograft
Q.28 Therapeutic Index of a drug indicates its
a) Effectivity
b) Efficacy
c) Potency
d) Toxicity
Q.29 Pharmakokinetic interaction among drugs is examplified by :
a) Shortening of action of Procaine by Adrenaline
b) increase peripheral toxicity of Levodopa with Carbidopa
c) increase toxicity of Methotrexate by Aspirin
d) prevention of Nitroglycerine induced tachycardia by Propranolol
e) blokade of acetylcholine receptors by atropine
Q.30 A 30 years old 75 kg Diabetic man with recent diagnosis of Hypertension,
On ECG : Left Ventricular Hypertrophy
s.Urea -- 20 mg/dl s.Creatinine -- 0.7 mg/dl
s.Uric Acid-- 7.5 mg/dl s.Na -- 140 mmol
s. K-- 2.5 mmol s.Cl --- 103 mmol
s.HCO3 -- 23 mg/dl 24 Hr Urinary Proteins-- 30
& Fasting BSL--- 80 mg/dl
The cause is.......
a) Essential HPTN
b) Diabetic Nephropathy
c) Pheochromocytoma
d) Addison Disease
e) Primary HyperAldosteronism
Q.31 Acute Tubular Necrosis is characterized by
a) Hyper-kalemia
b) Initially concenterated urine
c) Metabolic Alkalosis
d) s.Urea is increased & s.creatinine is normal
Q.32 GFR is measured by clearance of
a) Inulin
b) Creatinine
c) Urea
d) Glucose
Q.33 Sarcoidosis is diagnosed microscopically by
a) Granuloma with Asteroid
b) Non-caseating Granuloma
c) Caseating Granuloma
d) Macrophages & Giant cells
Q.34 Multipule sclerosis is characterized by...
a) Lewy Bodies in Neucleus
b) Ptachy demylination with white fiber gliosis
c) Axonal degeneration
d)
Q.35 What is INAPPROPRIATE about Vagus Nerve..
a) its longest Cranial Nerve
b) passes in between IJV & ICA
c) passes posterior to Carotid Sheath
d) Gives Recurrent Laryngeal Nerve
e) gives Superior Laryngeal Nerve
Q.36 Thymus is
a) Rich in Lymphocytes
b) Present at birth but shorly regree after birth
c) derived from 4th Pahryngeal Pouch
d) is a part of Thyroid
e) Lies posterior to Trachea
Q.37 True statement about Down Syndrom is
a) Trisomy 23
b) contains single X chromosome
c) more chances with increasing maternal age
Q.38 Kleinifilter syndrome
a) contains single X chromosome
b) less chances of Mental retardation
c) phenotypically female
Q.39 Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa
Q.40 At 35 weeks of Gestation,in sample taken from amniocentesis,
there is increased Alpha-Fetoprotein,its most probable cause is..
a) Down syndrome
b) Turner syndrome
c) Spina Cystica
d) Hydrocephalous
e)
Q.41 Thoracic Duct....
a) recieves Lymph from both right & left sides
b) lies in posterior mediastinum
c) passes just right to the thoracic aorta
d) extends from upper abdoment to neck
e) has a dilatation called Cisterna
Q.42 Rate of passage of food in esophagus depends upon
a) Gravitational Force
b) Neuromuscular excitation different @ upper & lower oesophagus
c) progressive peristalsis in esophagus
d) Acidity
Q.43 @ Leprotomy Retroperitoneal Abscess was found,the site woud be
a) Stomach
b) Sigmoid Colon
c) Transverse Colon
d) Ascending Colon
e) Small intestine
Q.44 Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum
Q.45 A patient having Facial deviation along with loss of sensations on anterior 2/3 rd of tongue,the leision lies in
a) Facial Canal
b) Internal auditary meatus
c) Facial Nerve Nucleus
d) Stylomastoid Foramen
Q.46 All are the branches of Vagus nerve EXCEPT
a) Auricular
b) Lacrimal
c)Pharyngeal
d) Recurrent Laryngeal
Q.47 Following nerve lies in the Cavernous Sinus
a) Opthalmic
b) Occulomotor
c) Abducent
d) Trigeminal
Q.48 In a Pituitary Adenoma,the Bitemporal Hemianopia occurs due to leison of
a) Central part of Optic chiasma
b) Optic Nerve
c) Optic Tract
d) peripheral Part of Optic chiasma
e) Lateral Geniculate body
Q.49 Muscle of Forced Expiration is
a) Internal Intercostal
b) External Intercostal
c) Sternoceidomastoid
d) Scalenus Anterior
e) Scalenus Medius
Q.50 Na Retension is associated with
a) Dehydration
b) increase ADH
c) Decreased Aldosterone
d) Heart Failure
e) Hyperthyroidism
Q.51 Von-Willebrand Disease is
a) Autosomal Dominant
b) Autosomal Recessive
c) in some family members asoociated with Factor IX deficiency
d) in some family members associated with normal Factor IX
Q.51 A male wd A+ (Ao,DD) Blood group, married to a female having
B+ (Bo,Dd ) blood group,children can have all blood gp EXCEPT
a) AB +ve
b) AB -ve
c) A + ve
d) B +ve
e) O -ve
Q.52 Vital Capacity
a) measured directly by Spirometry
b) is decreased in some Lung diseases
c) is the sum of Tidal Volume+ERV+IRV
Q.53 When a branch of Pulmonary Artery is blocked by embolus,following Lung function increases
a) Alveolar Co2
b) Alveolar O2
c) Pulmonary artery O2
d) Pulmonry artery Co2
e) Ventilation Perfusion
Q.54 Difference between Adenoma & Hyperplasia is
a) increase in size of cell
b) increase in No. of cells
c) Capsule
d)
Q.55 In a CLD patient presenting with Haematemesis,the preferred immediate treatment is
a) Octeriotide
b) Vit K
c) formed Platelet Conc.
d) PPI
e)whole blood
Q.56 Among most important initial steps in apoptosis
a) Activation of Bcl-2 Receptors
b) Activation of Caspases
c) Water influx into the cell
d)
Q.57 After a trauma, a person has inability to stand from sitting position,
the nerve demaged is
a) Infragluteal
b) Supragluteal
c) Schiatic
d) Femoral
e) Obturator
Q.58 About K - Regulation , following is correct
a) K is 98% in the cells
b) normally completely reabsorbed in Distal tubule
c) increase water affects K-balance
d) decrease in D.K
Q.59 A man with persistant fits without regaining consciousness for 30 minutes,
the immediate treatment is with
a) Carbamazepine
b) Valporate
c) Lorazepan
d) .......
Q.60 An unconsious man with pin-point pupils not responding to Naloxone,the probable cause is
a) Heroin
b) Hasheesh
c) Morphine
d) Phenobarbitone
Q.61 Stomach gets its arterial supply from all EXCEPT
a) Ceiliac artery
b) Splenic Artery
c) Superior Mesenteric Artery
d) Hepatic Artery
Q.62 The Hormone which stimulates release of HCO3 from Pancreas without stimulating pancreatic enzyme secretions,is
a) CCK
b) Secretin
c) Gastrin
d) Pepsin
e) Mucin
Q.63 Supra-Renal Gland arterial supply
a) recieves all braches directly from Aorta
b) recieves blood from 3 sources
c) recieves branches from both renal arteries
d) recieves blood from inferior phrenic artery
Q.64 Stenson's duct
a) arises from posterior surface of Parotid
b) pierces the Buccinator muscle
c) opens in the oral cavity against ....
Q.65 Which infection is not caused by DNA virus
a) Chicken Pox
b) Herpes Simplex
c) Herpes Zoster
d) Mumps
e) Small Pox
Q.66 On examination of a female,a plaque like leision seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart
Q.67 About CSF most appropriate statement is
a) it is ultrafilterate of Plasma
b) has more glucose than blood
c) has cushioing effect
d) absorbed in Choroid Plexus
Q.68 On standing from a sitting position,@ apex of lung there is increase in
a) Blood Flow
b) Ventilation
c) pO2
d) pCO2
Q.69 Metastatic Calcification occurs mostly in
a) Kidney
b) Bone
c) Lung
d) Intestine
e) Pancreas
Q.70 Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity
Q.71 A female underwent Gastrectomy for Zollinger-Ellison Syndrome,given Parenteral Vit B-12,
the inability to absorb B-12 is due to loss of...
a) Parietal Cells
b) Gastric Cells
c) Cardiac Ceells
Saturday, October 27, 2007
Thursday, October 18, 2007
Welcome friends!
Assalam o Allaikum everybody.
Now that the july 23 exam date is just around the corner I wish you all success and good luck! May we all shine and rise in all our endeavours.
May I request you all who have benefited from this website in any way to kindly post your own recalled questions soon after the October exam (all specialities). Out of experience, I can say that after the 1st few days of exam, one is not able to jog the memory and reproduce much. So, kindly do make sure to send your recalled stems/q's so future candidates could benefit from them.
Please leave comments at the end of the posts or at the extreme end of this page regarding feedback and suggestions.
And send your recalled stuff to medguru88@gmail.com
Jazakallah.
p.s. Do remember me in your prayers as I am writing the oct exam aswell.
Now that the july 23 exam date is just around the corner I wish you all success and good luck! May we all shine and rise in all our endeavours.
May I request you all who have benefited from this website in any way to kindly post your own recalled questions soon after the October exam (all specialities). Out of experience, I can say that after the 1st few days of exam, one is not able to jog the memory and reproduce much. So, kindly do make sure to send your recalled stems/q's so future candidates could benefit from them.
Please leave comments at the end of the posts or at the extreme end of this page regarding feedback and suggestions.
And send your recalled stuff to medguru88@gmail.com
Jazakallah.
p.s. Do remember me in your prayers as I am writing the oct exam aswell.
Sunday, October 14, 2007
Gyn Obs July 07 By Dr Ayesha Bisharat
GYN OBS Questions JULY 2007
Hi just got to know of dis site through cpsp community otherwise would have mailed u questions way back anyways great effore am mailing fcps part 1 obs gynae mar n jul 2007
question no 1:eversion of endocervical epithelium in pregnancy is due to:
a)physiological change
b)chronic cervicitis
c)carcinoma in situ
d)estrogen stimulation
e)epidermadization of epithelium
2:primary oocyte surrounded by a non cellular layer:
a)theca interna
b)theca externa
c)corona radiata
d)cumulus oophurus
e)zona pellucida
question no 3:
simple columnar epithelium is the lining of:
a)epithelium lining the ducts
b)cornea
c)testis
d)uterine tubese)
question no 4:48 years lady has carcinoma cervix that has involved the cervix and has involved the vagina but not its lower third and has not extended onto pelvic walls stage of ca:
a)stage 1ab)stage 1bc)stage 11d)stage 111e)stage 4
question no
5:38 years lady has endometrial ca that has involved upto half the tickness of myometrium and ovaries are normal stage:
a)stage 1a
b)stage 1b
c)stage 1c
d)stage 11
e)stage 111
question no 6:20 yrs old girl has been raped,she has now watery vaginal discharge,has painful red papules n ulcers on vagina and vulva has fever and tender inguinal lymph nodes,causative organism:
a)bacteroides
b)chlamydia
c)herpes simplex
d)gonococcus
e)trichomonas vaginalis
7: a married woman has right sided tubulo ovarian abscess which was removed in a surgery had an iucd placed before,causative organism:
a)chlamydia
b)gardenella
c)tuberculous
d)bacteroides
e)gonococcus
8.the late secretory phase of menstrual cycle is not characterised by:
a)the spongy layer becomes thick
b)corpus luteum secretes estrogen n progesterone
c)the endometrial thickness is doubled
d)endometrial cells have subnuclear vacuolations
e)endometrial glands become tortuous
9.just 2 days before ovulation,LH is increased:
a)2 fold
b)2 to 4 fold
c)2 to 6 fold
d)6 to 8 fold
e)8 to 10 fold
10.menopause is characterised by:
a)atrophy of uterus
b)decrease in ovarian size
c)derease estrogen increased FSH AND LH
d)decreased estrogen increased FSH decreased LH
11.sperms stay active in female genital tract:
a)12 hours
b)12 - 24 hours
c)12 -36 hours
d)24 - 48 hours
e)24 - 72 hours
12.the volume of distribution of a drug is not influenced by:
a)age
b)sex
c)cardiac failure
d)renal failure
13.the bioavailability of a drug determines :
a)efficacy
b)efficency
14.paracetamol:
a)is more potent analgesic than codeine
b)is a weak anti inflammatory agent
c)overdosage can cause nephrotoxicity
question no 15:anticoagulants are contraindicated in:
a)cerebral infarction
b)thrombocytopenia
16.20 yrs lady has endotoxic shock after septic abortion,which of the following investigation is least likely to benefit:
a)clotting time
b)FDPs
c)prothrombin time
d)platelet counte)serial fibrinogen levels
17.30 yrs male has dyspnea on lying down,examination revealed:
a)multinodular goitre
b)retrosternal goitre
c)colloid goitre
d)cold nodule
18:cortisol:
a)increases amino acids n glucose in blood
b)is a glucocorticoid
c)is found in circulation bound to proteins
d)metabolised in liver
e)formed from cholesterol
19.JVP is differentiated from carotid pulse:
a)does not change with abdominal pressure
b)does not change with posture
c)does not change with respiration
d)pulsation varies with respiratione)prominent outward movement
20.a multigravida admitted with labour pains examination revealed os 6 cm dilated,baby cephalic,and head at zero station,the point of reference is:
a)ischial tuberosity
b)pubic arch
c)pubic symphysis
d)ischial spines
e)sacral promontory
21.at LSCS the artery damaged in superficial fat in suprapubic incision:
a)inferior epigaSTRIC artery
b)superior epigastric artery
c)internal iliac artery
22.following is not a tumor marker:
a)acid phosphatase
b)beta hCG
c)alpha fetoproteins
d)CEA
e)placental alkaline phosphatase
23.question o 23:beta hCG:a)it is a polypeptideb)it has action similar to FSHc)it prevents involution of corpus luteumd)e)
24:adrenal medulla will selectively secrete norepinephrine in the condition:a)exerciseb)sleepc)cold exposured)hemorrhagee)
25:cardiac output is decreased in:a)pregnancyb)standing or sitting from lying positionc)exercised)e)
26:cardiac output is decreased in all except:a)sleepb)starvationc)sittingd)e)
27:epinephrine will selectively onstrict muscles in:a)arteriolesb)bronchiolesc)ciliary muscled)pupilse)intestinal walls
28:spores should be disinfected by:a)dry heat at 100cb)dry heat at 60cc)dry heat at 160cd)cidex solutione)moist heat
29:following is not a disinfectant:
a)derivatives of salicylic acid
b)alcohol
c)soap
d)
e)
question no 30: that she had urinary incontinence,due to injury and communication in:
a)ureter n bladder
b)ureter n vagina
c)bladder n cervix
d)bladder n vagina
e)bladder n uterus
question no 31:perineal body is injured,muscle damaged is:
a)bulbospongiosis n superficial perineal muscles
b)superficial n deep perineal muscles
c)external anal sphincter n deep perineal muscles
d)ischiocavernosus n sphincter urethrae
e)sphincter urethrae n deep perineal muscles
32:pudendal nerve:
a)formed from ant primary rami of second third n fourth sacral spinal nerves
b)crosses the ischial spine medial to internal pudendal artery
c)enters the pudendal canal on the lateral side of ischiorectal fossa
d)leaves the pelvis by passing through the upper part of greater sciatic foramen
e)reenters the pelvis through lesser sciatic foramen
33:following does not form wall of inguinal canal:
a)aponeurosis of external oblique
b)internal obliquec)conjoint tendon
d)lacunar ligament
e)fascia transversalis
34:following does not pass through lesser sciatic foramen:
a)inferior gluteal vessels
b)tendon of obturator internus
c)nerve to obturator internus
d)pudendal nervee)internal pudendal artery
35:after LSCS patient had peritoneal hemorrhage she was reopened bleeding most likely from:
a)branch of ovarian artery
b)branch of uterine artery
c)internal iliac artery
d)obturator artery
e)external iliac artery
no 36:left ovarian artery is a branch of:
a)abdominal aorta
b)left renal artery
c)uterine artery
d)left inferior mesenteric arterye)obturator artery
question no 37:patient had laparotomy for ovarian mass mass was burried in ovarian fossa artery likely to be injured is:a)common iliac vesselsb)internal iliac vesselc)external iliac vesseld)ovarian arterye)obturator artery
questoion no 38:insulin stimulates transport of glucose into:
a)renal tubular cells
b)neurons of cerebral cortex
c)skeletal muscled)intestinal cells
e)liver
question no 39:the secretion of following is not increased in pregnancy:
a)cortisol
b)growth hormone
c)thyroid hormone
d)prolactine)PTH
question no 40:a patient had hypophsectomy for pituitary tumor she has amenorrhea for 8 months ovulation induction can be done in her by:
a)clomiphene citrate
b)pulsatile hCG
c)hMG
d)hMG followed by pulsatile hCG
question no 41:following does not occur in pregnancy:
a)increase in fasting blood sugar
b)increase in uric acid level
c)increase in serum urea level
d)decrease in serum albumine)decrease in serum proteinse)decrease in nitrogen levels
question no 42:respiratory acidosis occurs in:
a)emphysema
b)hyperventilation
c)ingestion of excess amount of sodium bicarbonate
d)starvatione) vomiting
question no 43:CO2 is transported from the alveoli of lungs into blood in lungs via:
a)diffusion
b)active transport
c)facilitated diffusion
d)secondary active transporte)osmosis
question no 44:O2-Hb dissociation curve delivering O2 in normal limits will have:
a)PaO2 40mmHg SO2 60%
b)PaO2 68mmHg SO2 78%
c)PaO2 96mmHg SO2 90%
d)PaO2 123mmHg SO2 98%
e)PaO2 256mmHg SO2 99%
question no 45:b-hCG has alpha n beta units,each unit has aminoacids:a)102 alpha 210 betab)100alpha n 160 betac)92 alpha n 156 betad)e)
qyuestion no 46:mothers milk differs from cows milk in that it contains:a)calciumb)lactosec)proteinsd)vitamin D
question no 47:pelvic outlet:
a)can b increased in supine position
b)begins at the level of ischial spines
c)dimensions change by movements of coocyx
d)contracture is more common than mid cavity probleme)
question no 48:patient has endocrine disorder has metabolic alkalosis and hypokalemia,he has excess of:a)ACTHb)aldosteronec)cortisold)estrogene)progesterone
question no 49:hormone that stores carbohydrates, lipids n proteins in cells is also known as hormone of abundance:a)growth hormoneb)cortisolc)thyroid hormoned)estrogene)progesterone
question no 50:hyperglycemia is caused by:a)insulinb)glucagonc)estrogend)progesteronee)growth hormone
question no 51:ketoacidosis is caused by:
a)increased production of glucose
b)decreased production of glucpoose
c)decreased utilisation of carbohydrate in body
d)insulin excess
question no 52:insulin secretion is stopped by:a)glucagonb)decreased k levelsc)somatostatind)e)
question no 53:hormone that stores carbohydrates,lipids n proteins in body is:a)growth hormoneb)thyroid hormonec)cortisold)insuline)PTH
question no 54:8 yrold girl has vaginal bleeding she is taller than her age and examination revealed an abdominal mas arising from pelvis she is suffering from:
a)constitutional; symptoms
b)hypothalamic tumors
c)hypothalamic mass
d)granulosa cell tumor
e)adrenal gland tumor
question no 55:least positive titre for widal test isa)1:80b)1:160c)1:260d)1:320e)1:156
question no 56:all of the following can b stored at 4c except:a)shigellab)vibrio cholerac)d)e)
question no 57:vaccine is available for all except:a)EBVb)typhusc)pneumococcusd)e)
question no 58:patient has presented with fever n generalised lymphadenopathy, bone marrow exam normal,weight loss positive,he is suffering from:a)metastatic carcinomab)hogkins lymphomac)non hogkins lymphomad)CMLe)
question no 59:patien is taking glucocorticoids for 10 days,she wont suffer from:a)moon faceb)hypotensionc)thin skind)e)
question no 60:gestational age can best be estimated from:a)abdominal circumference at 36 wksb)biparietal dia at 28 wksc)crown rump length at 8 wksd)femur length at 32 wkse)
question no 61:turners syndrome,most definitive diagnostic test:a)presence of barr bodyb)chromosomal analysis
question no 62:14 yrs girl has primary amenorrhea,normal breast development,secondary sexual characteristics normal,short blind ending vagina,slight pubic hair,usg revealed absent uterus,underlying cause:
a)congenital adrenal hyperplasia
b)chromosomal defect
c)failure f development of genital tubercle
d)defect of paramesonephric duct
question no 63:the lumen of uterine cavity is obliterated by fusion of:
a)decidua basalis n spongy layer
b)decidua basalis n decidua capsularis
c)decidua capsularis n decidua parietalis
d)decidua parietalis n decidua basalise)
question no 64:a woman has been exposed to radiation in young life,now she has visited a gynaecologist after some years,organ most likely to b affected:a)fallopian tubesb)cervixc)ovaryd)endometriume)vagina
question no 65:repeated blood transfusions (AB n Rh compatible) in an individual will lead to:a)haemochromatosis of liverb)hypocalcemiac)haemoglobinuriad)transfusion reactione)
question no 66: Rh incompatibility occurs in a mother if she has:a)Rh negative fetusb)Rh positive fetusc)d)e)
question no 67:the best way to prevent Rh isoimmunisation in a woman who has given birth to Rh positive fetus:a)blood transfusionb)platelet transfusionc)serumd)Rh immunoglobulinse)
question no 68:a person brought in er had burns,he was admitted later on he developed fever and bleeding diathesis,he is suffering from:a)DICb)hepatorenal failurec)hepatic failure of prothrombin productiond)renal failuree)
question no 69:following is not a cause of DIC:a)pre eclamsiab)amniotic fluid embolismc)cervical carcinomad)abruptio placentaee)PPH
question no 70:following is not a cause of DIC:a)abruptio placentaeb)burnsc)malignant tumorsd)e)
question no 71:multigravida P9+0 delivered a boy in a village 2 hours later she started bleeding profusely had oozing from gums she was brought to hospital her labs showed hb 6 TLC 15000/ul platelets 30000/ul she is suffering from:a)DICb)PPHc)clotting disorderd)bleeding diathesise)ITP
question no 72:27 year old female had profuse vaginal bleeding 2 hrs after delivery her labs showed hb 6 TLC 15000/ul plt 30000/ul peripheral blood film showed burr bodies,she is suffering from:
a)DIC
b)PPH
c)ITP
d)von willebrand disease
question no 73:vit k directly influences d reaction:a)conversion of fibrinogen to fibrinb)prothrombin to thrombinc)activation of factor 7d)formation of fibrinogen
question no 74:intrinsic n extrinsic pathways converge upon:a)activation of factor 7ab)activation of factor 5ac)factor 12ad)prothrombine)tissue factor
question no 75:bacteria that grow at 42c:a)vibrio cholerab)gonococcusc)shigellad)Ecolie)salmonella
question no 76:following is not true about endocarditis:a)blood cultures for causative organisms r usually negativeb)is caused by streptococcus group of bacteriac)is more common in elderly groupd)valvular involvemente)
question no 77:cause f subacute bacterial endocarditis:a)H.influenzaeb)Ecolic)streptococcus viridansd)e)
question no 78:interferon:a)binds to DNAbbinds to RNAc)is a protein derivatived)inhibits protein synthesis n their phosphorylation
question no 79:highest energy compound:a)ATPb)glucosec)hexose phosphated)starche)glycogen
question no 80:the end product of carbohydrate metabolism:a)fructoseb)glucosec)galactosed)starche)pyruvate
question no 81:L-dopa taken by a patient will decrease :a)estrogenb)progesteronec)prolactind)cortisole)
question no 82:isoniazid:a)cant b administered with rifampicinb)is contraindicated in nephropathyc)pyridoxine is used prophylactically to prevent its neurotoxic effectsd)e)
question no 83:hepatitis b following is not true:a)has an incubation period less than that of hep ab)caused by sexual contactc)caused by DNA virusd)e)
question no 85:actinomyces does not cause disease in:a)boneb)lungc)brain
question no 86:disseminated coccidiodomyces following is not true:a)infection will not provide life time immunityb)c)d)e)
question no 87:middle aged man crossing the road stumbled n hit by a car he fell down had injury to neck of fibula of his left leg was taken to hosp examination revealed that he is unable to dorsiflex and evert his left foot the injury is to:
a)common peronel nerve
b)tibialis post
c)superficial peroneal nerve
d)deep peroneal nervee)
question no 88:ECF:a)provides nutrients to cellsb)provides glucose to cellsc)bathes the cellsd)takes away electrolytese)takes away wastes
question no 89:spermatogenesis is stimulated by:a)FSHb)testosteronec)LHd)FSH n testosteronee)
question no 90:patient brought in shock in er successful fluid replacement will b indicated by:a)decrease in tachcardiab)increase in bpc)increase in urine outputd)e)
question no 91:cardoiac cycle:a)60% of ventricular filling occurs in diastoleb)end diastolic left ventricular vol is 100 mlc)ejection fraction is 75%d)the notch of d pulse is due to atrial systolee)
question no 92:a man has a pulse rate of 72/min impulse originates in:a)AV nodeb)SA nodec)left bundle branchd)purkinje fibrese)
question no 93:muscles r derived from:a)mesodermb)ectodermc)endoderm
question no 94:in our country d cause of cell inujury is:a)alcoholb)hypoxiac)ischemiad)ionising radiatione)malnutrition
question no 95:in our country cause of fatty liver is:a)alcoholismb)amoebiasisc)due to hep b n cd)increase intake of fatsdecreased protein utilisation
question no 97:in d female d neck of urinary bladder is located :a)in front of rectumb)below d urogenital diaphramc)in d urogenital diaphramd)above d urogenital diaphrame)behind symphsis pubis
question no 98:the highest content of triglycerides is in:a)chylomicron remnantsb)HDLc)LDLd)
IDLe)VLDL
question no 99:following is not a phospholipid:a)cephalinb)lysolecithinc)lecithind)plasminogene)sphingolipid
question no 100:a human being can survive without:a)calciumb)proteinsc)carbohydratesd)lipidse)
question no 101:patient has pyuria but has negative urine culture for organisms this happens in all conditions except:
a)acute post streptococcal glomerulonephritis
b)polycystic kidneys
c)urine stored at room temp for long
d)alkaline urinee)vesical calculus
question no 102:broad ligament a double layered fold of peritoneum ,ovary is attached to it by:
a)mesoovarium
b)suspensory ligament of ovary
c)round ligament of ovary
d)cardinal ligament
Hi just got to know of dis site through cpsp community otherwise would have mailed u questions way back anyways great effore am mailing fcps part 1 obs gynae mar n jul 2007
question no 1:eversion of endocervical epithelium in pregnancy is due to:
a)physiological change
b)chronic cervicitis
c)carcinoma in situ
d)estrogen stimulation
e)epidermadization of epithelium
2:primary oocyte surrounded by a non cellular layer:
a)theca interna
b)theca externa
c)corona radiata
d)cumulus oophurus
e)zona pellucida
question no 3:
simple columnar epithelium is the lining of:
a)epithelium lining the ducts
b)cornea
c)testis
d)uterine tubese)
question no 4:48 years lady has carcinoma cervix that has involved the cervix and has involved the vagina but not its lower third and has not extended onto pelvic walls stage of ca:
a)stage 1ab)stage 1bc)stage 11d)stage 111e)stage 4
question no
5:38 years lady has endometrial ca that has involved upto half the tickness of myometrium and ovaries are normal stage:
a)stage 1a
b)stage 1b
c)stage 1c
d)stage 11
e)stage 111
question no 6:20 yrs old girl has been raped,she has now watery vaginal discharge,has painful red papules n ulcers on vagina and vulva has fever and tender inguinal lymph nodes,causative organism:
a)bacteroides
b)chlamydia
c)herpes simplex
d)gonococcus
e)trichomonas vaginalis
7: a married woman has right sided tubulo ovarian abscess which was removed in a surgery had an iucd placed before,causative organism:
a)chlamydia
b)gardenella
c)tuberculous
d)bacteroides
e)gonococcus
8.the late secretory phase of menstrual cycle is not characterised by:
a)the spongy layer becomes thick
b)corpus luteum secretes estrogen n progesterone
c)the endometrial thickness is doubled
d)endometrial cells have subnuclear vacuolations
e)endometrial glands become tortuous
9.just 2 days before ovulation,LH is increased:
a)2 fold
b)2 to 4 fold
c)2 to 6 fold
d)6 to 8 fold
e)8 to 10 fold
10.menopause is characterised by:
a)atrophy of uterus
b)decrease in ovarian size
c)derease estrogen increased FSH AND LH
d)decreased estrogen increased FSH decreased LH
11.sperms stay active in female genital tract:
a)12 hours
b)12 - 24 hours
c)12 -36 hours
d)24 - 48 hours
e)24 - 72 hours
12.the volume of distribution of a drug is not influenced by:
a)age
b)sex
c)cardiac failure
d)renal failure
13.the bioavailability of a drug determines :
a)efficacy
b)efficency
14.paracetamol:
a)is more potent analgesic than codeine
b)is a weak anti inflammatory agent
c)overdosage can cause nephrotoxicity
question no 15:anticoagulants are contraindicated in:
a)cerebral infarction
b)thrombocytopenia
16.20 yrs lady has endotoxic shock after septic abortion,which of the following investigation is least likely to benefit:
a)clotting time
b)FDPs
c)prothrombin time
d)platelet counte)serial fibrinogen levels
17.30 yrs male has dyspnea on lying down,examination revealed:
a)multinodular goitre
b)retrosternal goitre
c)colloid goitre
d)cold nodule
18:cortisol:
a)increases amino acids n glucose in blood
b)is a glucocorticoid
c)is found in circulation bound to proteins
d)metabolised in liver
e)formed from cholesterol
19.JVP is differentiated from carotid pulse:
a)does not change with abdominal pressure
b)does not change with posture
c)does not change with respiration
d)pulsation varies with respiratione)prominent outward movement
20.a multigravida admitted with labour pains examination revealed os 6 cm dilated,baby cephalic,and head at zero station,the point of reference is:
a)ischial tuberosity
b)pubic arch
c)pubic symphysis
d)ischial spines
e)sacral promontory
21.at LSCS the artery damaged in superficial fat in suprapubic incision:
a)inferior epigaSTRIC artery
b)superior epigastric artery
c)internal iliac artery
22.following is not a tumor marker:
a)acid phosphatase
b)beta hCG
c)alpha fetoproteins
d)CEA
e)placental alkaline phosphatase
23.question o 23:beta hCG:a)it is a polypeptideb)it has action similar to FSHc)it prevents involution of corpus luteumd)e)
24:adrenal medulla will selectively secrete norepinephrine in the condition:a)exerciseb)sleepc)cold exposured)hemorrhagee)
25:cardiac output is decreased in:a)pregnancyb)standing or sitting from lying positionc)exercised)e)
26:cardiac output is decreased in all except:a)sleepb)starvationc)sittingd)e)
27:epinephrine will selectively onstrict muscles in:a)arteriolesb)bronchiolesc)ciliary muscled)pupilse)intestinal walls
28:spores should be disinfected by:a)dry heat at 100cb)dry heat at 60cc)dry heat at 160cd)cidex solutione)moist heat
29:following is not a disinfectant:
a)derivatives of salicylic acid
b)alcohol
c)soap
d)
e)
question no 30: that she had urinary incontinence,due to injury and communication in:
a)ureter n bladder
b)ureter n vagina
c)bladder n cervix
d)bladder n vagina
e)bladder n uterus
question no 31:perineal body is injured,muscle damaged is:
a)bulbospongiosis n superficial perineal muscles
b)superficial n deep perineal muscles
c)external anal sphincter n deep perineal muscles
d)ischiocavernosus n sphincter urethrae
e)sphincter urethrae n deep perineal muscles
32:pudendal nerve:
a)formed from ant primary rami of second third n fourth sacral spinal nerves
b)crosses the ischial spine medial to internal pudendal artery
c)enters the pudendal canal on the lateral side of ischiorectal fossa
d)leaves the pelvis by passing through the upper part of greater sciatic foramen
e)reenters the pelvis through lesser sciatic foramen
33:following does not form wall of inguinal canal:
a)aponeurosis of external oblique
b)internal obliquec)conjoint tendon
d)lacunar ligament
e)fascia transversalis
34:following does not pass through lesser sciatic foramen:
a)inferior gluteal vessels
b)tendon of obturator internus
c)nerve to obturator internus
d)pudendal nervee)internal pudendal artery
35:after LSCS patient had peritoneal hemorrhage she was reopened bleeding most likely from:
a)branch of ovarian artery
b)branch of uterine artery
c)internal iliac artery
d)obturator artery
e)external iliac artery
no 36:left ovarian artery is a branch of:
a)abdominal aorta
b)left renal artery
c)uterine artery
d)left inferior mesenteric arterye)obturator artery
question no 37:patient had laparotomy for ovarian mass mass was burried in ovarian fossa artery likely to be injured is:a)common iliac vesselsb)internal iliac vesselc)external iliac vesseld)ovarian arterye)obturator artery
questoion no 38:insulin stimulates transport of glucose into:
a)renal tubular cells
b)neurons of cerebral cortex
c)skeletal muscled)intestinal cells
e)liver
question no 39:the secretion of following is not increased in pregnancy:
a)cortisol
b)growth hormone
c)thyroid hormone
d)prolactine)PTH
question no 40:a patient had hypophsectomy for pituitary tumor she has amenorrhea for 8 months ovulation induction can be done in her by:
a)clomiphene citrate
b)pulsatile hCG
c)hMG
d)hMG followed by pulsatile hCG
question no 41:following does not occur in pregnancy:
a)increase in fasting blood sugar
b)increase in uric acid level
c)increase in serum urea level
d)decrease in serum albumine)decrease in serum proteinse)decrease in nitrogen levels
question no 42:respiratory acidosis occurs in:
a)emphysema
b)hyperventilation
c)ingestion of excess amount of sodium bicarbonate
d)starvatione) vomiting
question no 43:CO2 is transported from the alveoli of lungs into blood in lungs via:
a)diffusion
b)active transport
c)facilitated diffusion
d)secondary active transporte)osmosis
question no 44:O2-Hb dissociation curve delivering O2 in normal limits will have:
a)PaO2 40mmHg SO2 60%
b)PaO2 68mmHg SO2 78%
c)PaO2 96mmHg SO2 90%
d)PaO2 123mmHg SO2 98%
e)PaO2 256mmHg SO2 99%
question no 45:b-hCG has alpha n beta units,each unit has aminoacids:a)102 alpha 210 betab)100alpha n 160 betac)92 alpha n 156 betad)e)
qyuestion no 46:mothers milk differs from cows milk in that it contains:a)calciumb)lactosec)proteinsd)vitamin D
question no 47:pelvic outlet:
a)can b increased in supine position
b)begins at the level of ischial spines
c)dimensions change by movements of coocyx
d)contracture is more common than mid cavity probleme)
question no 48:patient has endocrine disorder has metabolic alkalosis and hypokalemia,he has excess of:a)ACTHb)aldosteronec)cortisold)estrogene)progesterone
question no 49:hormone that stores carbohydrates, lipids n proteins in cells is also known as hormone of abundance:a)growth hormoneb)cortisolc)thyroid hormoned)estrogene)progesterone
question no 50:hyperglycemia is caused by:a)insulinb)glucagonc)estrogend)progesteronee)growth hormone
question no 51:ketoacidosis is caused by:
a)increased production of glucose
b)decreased production of glucpoose
c)decreased utilisation of carbohydrate in body
d)insulin excess
question no 52:insulin secretion is stopped by:a)glucagonb)decreased k levelsc)somatostatind)e)
question no 53:hormone that stores carbohydrates,lipids n proteins in body is:a)growth hormoneb)thyroid hormonec)cortisold)insuline)PTH
question no 54:8 yrold girl has vaginal bleeding she is taller than her age and examination revealed an abdominal mas arising from pelvis she is suffering from:
a)constitutional; symptoms
b)hypothalamic tumors
c)hypothalamic mass
d)granulosa cell tumor
e)adrenal gland tumor
question no 55:least positive titre for widal test isa)1:80b)1:160c)1:260d)1:320e)1:156
question no 56:all of the following can b stored at 4c except:a)shigellab)vibrio cholerac)d)e)
question no 57:vaccine is available for all except:a)EBVb)typhusc)pneumococcusd)e)
question no 58:patient has presented with fever n generalised lymphadenopathy, bone marrow exam normal,weight loss positive,he is suffering from:a)metastatic carcinomab)hogkins lymphomac)non hogkins lymphomad)CMLe)
question no 59:patien is taking glucocorticoids for 10 days,she wont suffer from:a)moon faceb)hypotensionc)thin skind)e)
question no 60:gestational age can best be estimated from:a)abdominal circumference at 36 wksb)biparietal dia at 28 wksc)crown rump length at 8 wksd)femur length at 32 wkse)
question no 61:turners syndrome,most definitive diagnostic test:a)presence of barr bodyb)chromosomal analysis
question no 62:14 yrs girl has primary amenorrhea,normal breast development,secondary sexual characteristics normal,short blind ending vagina,slight pubic hair,usg revealed absent uterus,underlying cause:
a)congenital adrenal hyperplasia
b)chromosomal defect
c)failure f development of genital tubercle
d)defect of paramesonephric duct
question no 63:the lumen of uterine cavity is obliterated by fusion of:
a)decidua basalis n spongy layer
b)decidua basalis n decidua capsularis
c)decidua capsularis n decidua parietalis
d)decidua parietalis n decidua basalise)
question no 64:a woman has been exposed to radiation in young life,now she has visited a gynaecologist after some years,organ most likely to b affected:a)fallopian tubesb)cervixc)ovaryd)endometriume)vagina
question no 65:repeated blood transfusions (AB n Rh compatible) in an individual will lead to:a)haemochromatosis of liverb)hypocalcemiac)haemoglobinuriad)transfusion reactione)
question no 66: Rh incompatibility occurs in a mother if she has:a)Rh negative fetusb)Rh positive fetusc)d)e)
question no 67:the best way to prevent Rh isoimmunisation in a woman who has given birth to Rh positive fetus:a)blood transfusionb)platelet transfusionc)serumd)Rh immunoglobulinse)
question no 68:a person brought in er had burns,he was admitted later on he developed fever and bleeding diathesis,he is suffering from:a)DICb)hepatorenal failurec)hepatic failure of prothrombin productiond)renal failuree)
question no 69:following is not a cause of DIC:a)pre eclamsiab)amniotic fluid embolismc)cervical carcinomad)abruptio placentaee)PPH
question no 70:following is not a cause of DIC:a)abruptio placentaeb)burnsc)malignant tumorsd)e)
question no 71:multigravida P9+0 delivered a boy in a village 2 hours later she started bleeding profusely had oozing from gums she was brought to hospital her labs showed hb 6 TLC 15000/ul platelets 30000/ul she is suffering from:a)DICb)PPHc)clotting disorderd)bleeding diathesise)ITP
question no 72:27 year old female had profuse vaginal bleeding 2 hrs after delivery her labs showed hb 6 TLC 15000/ul plt 30000/ul peripheral blood film showed burr bodies,she is suffering from:
a)DIC
b)PPH
c)ITP
d)von willebrand disease
question no 73:vit k directly influences d reaction:a)conversion of fibrinogen to fibrinb)prothrombin to thrombinc)activation of factor 7d)formation of fibrinogen
question no 74:intrinsic n extrinsic pathways converge upon:a)activation of factor 7ab)activation of factor 5ac)factor 12ad)prothrombine)tissue factor
question no 75:bacteria that grow at 42c:a)vibrio cholerab)gonococcusc)shigellad)Ecolie)salmonella
question no 76:following is not true about endocarditis:a)blood cultures for causative organisms r usually negativeb)is caused by streptococcus group of bacteriac)is more common in elderly groupd)valvular involvemente)
question no 77:cause f subacute bacterial endocarditis:a)H.influenzaeb)Ecolic)streptococcus viridansd)e)
question no 78:interferon:a)binds to DNAbbinds to RNAc)is a protein derivatived)inhibits protein synthesis n their phosphorylation
question no 79:highest energy compound:a)ATPb)glucosec)hexose phosphated)starche)glycogen
question no 80:the end product of carbohydrate metabolism:a)fructoseb)glucosec)galactosed)starche)pyruvate
question no 81:L-dopa taken by a patient will decrease :a)estrogenb)progesteronec)prolactind)cortisole)
question no 82:isoniazid:a)cant b administered with rifampicinb)is contraindicated in nephropathyc)pyridoxine is used prophylactically to prevent its neurotoxic effectsd)e)
question no 83:hepatitis b following is not true:a)has an incubation period less than that of hep ab)caused by sexual contactc)caused by DNA virusd)e)
question no 85:actinomyces does not cause disease in:a)boneb)lungc)brain
question no 86:disseminated coccidiodomyces following is not true:a)infection will not provide life time immunityb)c)d)e)
question no 87:middle aged man crossing the road stumbled n hit by a car he fell down had injury to neck of fibula of his left leg was taken to hosp examination revealed that he is unable to dorsiflex and evert his left foot the injury is to:
a)common peronel nerve
b)tibialis post
c)superficial peroneal nerve
d)deep peroneal nervee)
question no 88:ECF:a)provides nutrients to cellsb)provides glucose to cellsc)bathes the cellsd)takes away electrolytese)takes away wastes
question no 89:spermatogenesis is stimulated by:a)FSHb)testosteronec)LHd)FSH n testosteronee)
question no 90:patient brought in shock in er successful fluid replacement will b indicated by:a)decrease in tachcardiab)increase in bpc)increase in urine outputd)e)
question no 91:cardoiac cycle:a)60% of ventricular filling occurs in diastoleb)end diastolic left ventricular vol is 100 mlc)ejection fraction is 75%d)the notch of d pulse is due to atrial systolee)
question no 92:a man has a pulse rate of 72/min impulse originates in:a)AV nodeb)SA nodec)left bundle branchd)purkinje fibrese)
question no 93:muscles r derived from:a)mesodermb)ectodermc)endoderm
question no 94:in our country d cause of cell inujury is:a)alcoholb)hypoxiac)ischemiad)ionising radiatione)malnutrition
question no 95:in our country cause of fatty liver is:a)alcoholismb)amoebiasisc)due to hep b n cd)increase intake of fatsdecreased protein utilisation
question no 97:in d female d neck of urinary bladder is located :a)in front of rectumb)below d urogenital diaphramc)in d urogenital diaphramd)above d urogenital diaphrame)behind symphsis pubis
question no 98:the highest content of triglycerides is in:a)chylomicron remnantsb)HDLc)LDLd)
IDLe)VLDL
question no 99:following is not a phospholipid:a)cephalinb)lysolecithinc)lecithind)plasminogene)sphingolipid
question no 100:a human being can survive without:a)calciumb)proteinsc)carbohydratesd)lipidse)
question no 101:patient has pyuria but has negative urine culture for organisms this happens in all conditions except:
a)acute post streptococcal glomerulonephritis
b)polycystic kidneys
c)urine stored at room temp for long
d)alkaline urinee)vesical calculus
question no 102:broad ligament a double layered fold of peritoneum ,ovary is attached to it by:
a)mesoovarium
b)suspensory ligament of ovary
c)round ligament of ovary
d)cardinal ligament
SURGERY July 07
Contributed By Dr Ahsan Siraj.
FCPS Part 1
SURGERY AND ALLIED
5TH JULY 2007
Note: Only correct answers are given as choice “A”. Some questions do contain other choices but you consider “A” the right choice.
ANATOMY
01. A 10 year old boy with shoulder injury lost abduction of his shoulder up to 30 degree which muscle is lost:
Supraspinatus
Deltoid
02. A boy is brought to a hospital with injury at elbow joint lost extension of medial 4 fingers at MTP joint, abduction of thumb with intact sensation due to:
Injury to Radial nerve at elbow
03. Which of the following muscle is not supplied by median nerve:
Adductor polices.
04. Regarding palm:
Superficial palmer arch is below palmer apeneurosis.
05. Which of the following muscle have dual nerve supply from median and ulner nerve:
Flexor digitorum profundus.
06. Infection of the first pulp space lymph nodes will first drained.
Epitrochlear lymph nodes.
07. Which of the following muscles is flexor at hip and extensor at knee:
Sartorius.
08. In an injury to knee joint a man is unable to extend his knee the root value affected:
L3-L4.
09. In the injury to neck of fibula the artery damaged:
Ant. Tibial artery.
Peroneal artery.
10. Regarding post. Triangle:
Base is form by middle 3rd of clavicle.
11. Bifurcation of common carotid artery:
Beneath the any. Border of sternocladomastoid at the sup. Border of thyroid cartilage.
12. Great saphenous vein has how many valves:
20.
13. Vertebral venous plexus:
Has no communication with cerebral sinuses.
Lies in epidural space.
Is formed by two vertebral veins.
14. A 40 years old man feels pain in his gastrocnemeus muscle after he walks 100 meter which relieves when he stops walking is likely due to obstruction of:
A. Post. Tibial artery.
15. Subclavian artery grooves over:
A. 1st rib.
16. What is inappropriate about azygus vein.
A. It enters the thoracic cavity thru esophageal opening.
17. Which of the following structure arches over root of left lung:
A. Arch of aorta.
18. Weakest point of rib is:
A. Angle of the rib.
19. A pathologist wants to pass dye to the liver he will reach thru:
A. Ligamentum Teres.
20. Internal spermatic fascia is a continuation of:
A. Transversalis fascia.
21. The branch of internal carotid artery which remains in true pelvis throughout its course:
A. Middle rectal artery.
22. During a per rectal examination the examiner will not reveal:
A. Ureter
23. Parasympathetic nerves supplying the urinary bladder are:
A. Pelvic splanchnic nerves.
24. Nerve supply to the lower airways:
A. T3-4
25. During an injury to the bulbar part of urethra the urine will extravasate to:
A. Superficial perineal pouch.
26. Nerve supply to the distal scrotum is thru:
Illioinguinal nerve.
Illiohypogastric nerve.
Genitofemoral nerve.
27. During surgery of right colon for carcinoma which structure would not be injured:
A. Aorta.
28. Slow growing tumor of head of pancreas will compress:
A. Common Bile Duct.
29. Tumor of the head of pancreas will compress:
A. Common Bile Duct.
EMBYROLOGY.
1. Regarding Decidua:
A. Decidua basilis forms the maternal part of placenta.
2. Embryonic period is:
A. 3-8 weeks.
3. Which of the following is a derivative of neuro ectoderm:
A. Sphincter pupili muscle.
4. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
5. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
6. Regarding Allantois:
……
7. left umbilical vein will regress to:
A. Ligamentum Teres.
8. Which of the following structure is not an Embryological remnant:
A. Lateral umbilical ligament.
9. Regarding Mesothelium:
A. Lines the body cavities.
10. Physiological hernia occurs in between:
A. 6-10 weeks.
11. What will happen immediately after birth:
Anatomical closure of Ductus arteriosus.
Anatomical closure of Ductus venosus.
Anatomical closure of foramen ovale.
Obliteration of Left umbilical vein.
Obliteration of Right umbilical vein.
12. Which of the following bone is derived from 2nd Pharyngeal arch:
A. Styloid process.
13. Muscles innervated by hypoglossal nerves are derived from:
A. Occipital Somites.
14. Primordial Germ cells are derived from:
A. Yolk sac endoderm.
NEUROANATOMY
1. In adults spinal cord ends at the intervertebral disc between:
A. L1-2.
2. Injury to L1 vertebra will directly damage which of the following spinal structure:
A. Conus Medullaris.
3. Which of the statement regarding Lateral Horn of spinal cord is inappropriate:
A. It is present at the cervical portion of spinal cord.
4. Regarding Trapezoid Body:
A. It is related to the auditory pathway.
5. Loss of Fine and skilled movements of the hand is due to damage of:
A. Corticospinal Tract.
6. What is inappropriate regarding Glossopharyngeal nerve:
A. It is entirely sensory.
7. Loss of temperature regulation is due to damage at:
A. Anterior Hypothalamic Nucleus.
8. Temperature regulation centre is located in:
A. Hypothalamus.
9. In spinal tap the needle which will go across:
A. Epidural Space è Dura Matter è Sudural Space è Arachnoid Matter è Subarachanoid space.
10. Regarding spinal cord what is inappropriate: A. Its dura matter has two layers
HISTOLOGY
1. Simple columner epithelium is present:
A. Choroidal plexus of ventricles.
2. Cytoskeleton:
A. Maintains the integrity of the cell.
3. Mast cell.
……….
4. Newly formed Elastic cartilage looks yellow & dense because of:
A. Large no: of Elastin fibers.
5. Compact bone contains:
A. Osteoblast cells in the lacuner spaces.
6. Which part of the respiratory tract contains mucous glands:
A. Nasal cavity.
7. Skeletal muscles have:
A. Multiple nuclei located at their periphery.
8. Surfaces which are prone to great amount of friction have:
A. Straitifed Squamous Keratinizing Epithelium
.
PHYSIOLOGY
1. Pulmonary Wedge Pressure:
A. Indirectly measures left atrial pressure,
2. Ventricular Depolarization on ECG strip is represented by:
A. QRS Complex.
3. Ventricular preload is measured by:
A. LVEDV.
4. Blood flow to the left ventricles is increase by:
Acetylcholine infusion.
Sympathetic stimulation
5. Bain Bridge reflux.
……………
6. IPSP is generated by opening of:
A. Cl- channels.
7. During Depolarization:
A. There is rapid influx of Na+.
8. Blood group antigen:
A. Will not found in any other tissue than blood.
B. Will be inherited by Autosomal recessive pattern
9. If father’s blood group is B+ve & mother’s blood group is AB+ve there child can not have which of the following blood group:
A. O+ve.
10. ESR will increase with the decrease in:
A. Albumin.
11. ADH will act on:
A. Distal Tubules.
12. Renal absorption of glucose thru secondary transport with sodium occurs at:
A. Proximal Tubules.
12. Simple Diffusion depends on all of the following factors except:
A. Magnetic field.
13. What is the suitable I/V fluid for the patient of acidurea:
Normal Saline.
Dorrow`s solution.
Ringer lactate.
5% dextrose
10% dextrose.
14. Which of the following causes Hyperkelemia:
Zollinger Ellison syndrome.
Cushing syndrome.
Conn`s syndrome.
Pyloric stenosis.
15. Which of the following hormone is called STRESS HORMONE:
A. Cortisol.
16. Inhibitory factor released by hypothalamus against which of the following hormone:
Prolactin
Growth hormone.
17. Bile of the Liver differs from the GB bile because GB bile contains decrease amount of:
A. Water.
18. Which of the following cell can never reproduce:
Erythrocyte.
Neuron.
Skeletal muscle.
Smooth muscle.
19. Which of the following is the NOT non dividing cell:
A. Hepatocytes.
20. Heat loss mainly depends on:
Temperature of the surrounding.
Evaporation.
21. Cortisol decreases which of the following cell:
A. Lymphocyte.
22. Resection of distal ileum will impair the absorption of:
A. Bile Salts.
23. Regarding Bradykinin:
It formation is activated by killkeran.
24. Regarding Interferon:
……….
25. Surfactant is released by:
A. Type II pneumocytes.
26. Increase peripheral resistance is due to:
A. Increase vasomotor tone.
27. Chloride shift means:
A. Transfer of Cl- in erythrocytes in exchange of HCO3.
28. Cardiac muscles are prevented by tetanization due to its:
Rythmicity
Automaticity
Conductivity
Long refractory period.
29. Sustained rhythmic reflex tremors induce by sudden movements is:
A. Clonus.
30. Most active form of thyroid hormone present in circulation is:
A. T3.
31. Regarding conduction of visual pathways:
………..
32. Regarding olfaction:
A. Sharp odors have the quality of water & lipid solubility.
33. Unilateral Anosmia is due to:
A. Affection of Nasal mucosa.
GENERAL PATHOLOGY
1. Irreversible cell injury starts with:
A. Rupture of the Lysosomal membrane.
2. Which of the following is not a mediator of acute inflammation:
A. Dopamin.
3. ICAM & VCAM mediates:
A. Leukocyte Adhesion.
4. Fever in inflammation is caused by:
A. IL1 & TNF α.
5. A 36 years old women presented with acute abdomen. At laparoscopy most of the bowl loops were dark purple black. Her mesenteric veins were patent. The most probable underlying pathological process is:
A. Wet Gangrene.
6. Superimposed infection on necrosis is called:
A. Gangrenous Necrosis.
7. Fluid accumulates in acute inflammation contains:
A. Proteins >3gm/dl.
8. Fat necrosis occurs in:
A. Acute pancreatitis.
9. What is inappropriate about fat necrosis:
A. Only caused by trauma to the fat tissue.
10. A 25 year old lady with 14 weeks pregnancy had a road traffic accident brought to the emergency department with a large open wound on thigh and femur fracture. After 2 days of accident she suddenly collapsed & died. The most probable pathological process involve in her death:
A. Fat Embolism.
11. Regarding Fat Embolism:
It is Fetal in >80% of cases.
IT manifest within 12 hours.
12. A 30 year old women brought to emergency department with bleeding…..
13. A 16 years old boy deeply jaundiced presented with gum bleeding due to:
A. Vitamin K deficiency.
14. A patient presented with enlarge lymph nodes, the diagnosis of Tuberculosis in this patient is confirmed by:
A. Presence of caseous necrosis in lymph nodes.
15. An 18 year old girl came to family doctor complaining of primary amenorrhea, on examination she found to have well formed breasts, blind ended vagina with no uterus & ovary. Her probable Karyotype is:
A. 46 XY.
16. Edema due to increase hydrostatic pressure is seen in:
A. Congestive cardiac failure.
17. Which of the following is a benign tumor:
A. Warthin`s tumor.
18. Which of the following is a premalignant condition:
A. Leukoplakia.
B. Erythroplakia.
19. Which of the following is a premalignant condition:
Condyloma
Metaplasia Endocervix.
Cystic hyperplastic endometrium
20. Metaplasia does not occur in:
Brain.
Vitamin A deficiency.
21. The primary source of Creatinin is:
Liver.
RBC.
Skeletal muscles.
Cardiac muscles.
Lungs.
22. Dystrophic Calcification is seen in all of the following except:
Malarial parasite.
Dead fetus.
Hydatid Cyst.
23. Maximal tensile Strength of a wound is attained in.
3 Months.
Over an unpredictable period of time.
1 Year.
6 days.
10 days.
24. Regarding autosomal recessive disorders:
………………
25. Which of the following are not non-dividing cells.
A. Hepatocytes.
26. In a patient there is atrophy of submandibular gland due to its duct obstruction. Atrophy of the gland is because of:
A. Apoptosis.
27. The mechanism of injury of ionization radiation is:
A. Free radical formation.
28. LASER act by:
Cutting.
Biochemical changes
29. A patient admitted to the hosp. diagnosed as case of gas gangrene dies due to:
A. Toxic shock
30. Which of the following is the confirmatory test of AIDS:
Western blot.
ELISA.
SPECIAL PATHOLOGY
1. Hepatic hemengioma is associated with:
A. Vinyl Chloride.
2. Which of the disease is common in I/V drug abusers:
A. Infective Endocarditis.
3. Typhoid carriers are:
A. Usually asymptomatic.
4. Intestinal metaplasia due to reflux esophagitis leads to:
A. Adenocarcinoma.
5. Embryological marker that reappears in circulation in Ca Colon is:
A. CEA.
6. Which of the following is peculiar for crohn`s disease is:
A. Perianal Lesions.
7. Anemia of pregnancy is due to:
A. Increase plasma volume.
8. Major complication of severe burn:
Formation of granulation tissue.
Carcinoma formation.
9. What is Inappropriate about hyper parathyroidism:
A. There is increase PO4 renal absorption.
10. A 25 year old lady complaining of palpitations, heat intolerance on examination her pulse is 112b/min, BP 120/80, R/R 20 br/min. She is most probably a case of:
A. Hyperthyroidism.
11. Resection of Anterior lobe of pituitary will lead to:
A. Decrease glucocorticoids.
12. A 6 year old boy is complaining of proximal muscular weakness was found to be Ca++ channel antibodies positive. The most probable diagnosis is:
Lambert Eaten Syndrome.
Mysthenia Gravis.
13. In pulmonary embolism, respiratory failure is due to:
A. Ventilation / perfusion mismatch.
14. Left ventricular failure will lead to:
A. Increase pulmonary arteriolar Pressure.
15. Immediate effect after injury to a vessel is:
Vasoconstriction
16. Effects of hyper parathyroidism in Ca. lung is due to:
Parathyroid like protein
Parathyroid hormone
17. Spleenectomy will help in treating which type of anemia:
A. Hereditary Spherocytosis.
18. Malignant Tumor that will not metastasize:
A. Basal cell carcinoma.
19. Achlasia is due to:
A. Absence of Myenteric plexus.
20. After a traffic accident a lady is brought to a hosp the IMMEDIATE step you do:
A. Clear airway.
21. Ameobic infection reaches lungs via:
Direct extension from liver.
By aspiration of ova of Entameoba histolitica.
By aspiration of trophozoits of Entameoba histolitica.
Via Portal vein.
22. In Hypothyroidism there is increase in:
A. Cholesterol
23. In thyroid disease the antibodies are directed against:
A. Thyroglobin.
24. A 50 years old man is awakened in the middle of the night with acute pain & tenderness of the right knee. He has a low grade fever. His knee is hot, tender & swollen. Analysis of fluid from right knee shows: leukocytes 70,000/mm3 with 75% neutrophils, crystal analysis = negative birefringent, gram stain = negative. The most likely diagnosis is:
A. Gout.
B. Pseudo gout.
C. Septic arthritis.
PHARMACOLOGY
1. Which of the following blocks α and β receptors:
A. Labetalol.
2. Ketamin is used as anesthetic in repeated dressings of burn patient because:
A. It relieves pain as well.
3. Drug that decreases the tone of lower esophageal sphincter & increases gastric emptying:
A. Metaclopromide.
4. Which of the following is suitable antihypertensive for asthma & IHD patient during surgery:
I/V sodium nitroprusside.
I/V nitroglycerin.
5. Which of the following is drug of choice for patient of status asthematicus:
I/V aminophylin
Oral steroid
I/V salbutamol.
6. During surgery antibiotics should be given at:
A. At the time of induction of anesthesia.
7. Heparin will inhibit:
A. Clot propagation.
B. Clot organization.
8. Acid suppression is done by blocking:
A. H2 Receptor.
9. Drug of choice for acute pancreatitis.
Pethidine.
Morphine.
Paracetamol
FCPS Part 1
SURGERY AND ALLIED
5TH JULY 2007
Note: Only correct answers are given as choice “A”. Some questions do contain other choices but you consider “A” the right choice.
ANATOMY
01. A 10 year old boy with shoulder injury lost abduction of his shoulder up to 30 degree which muscle is lost:
Supraspinatus
Deltoid
02. A boy is brought to a hospital with injury at elbow joint lost extension of medial 4 fingers at MTP joint, abduction of thumb with intact sensation due to:
Injury to Radial nerve at elbow
03. Which of the following muscle is not supplied by median nerve:
Adductor polices.
04. Regarding palm:
Superficial palmer arch is below palmer apeneurosis.
05. Which of the following muscle have dual nerve supply from median and ulner nerve:
Flexor digitorum profundus.
06. Infection of the first pulp space lymph nodes will first drained.
Epitrochlear lymph nodes.
07. Which of the following muscles is flexor at hip and extensor at knee:
Sartorius.
08. In an injury to knee joint a man is unable to extend his knee the root value affected:
L3-L4.
09. In the injury to neck of fibula the artery damaged:
Ant. Tibial artery.
Peroneal artery.
10. Regarding post. Triangle:
Base is form by middle 3rd of clavicle.
11. Bifurcation of common carotid artery:
Beneath the any. Border of sternocladomastoid at the sup. Border of thyroid cartilage.
12. Great saphenous vein has how many valves:
20.
13. Vertebral venous plexus:
Has no communication with cerebral sinuses.
Lies in epidural space.
Is formed by two vertebral veins.
14. A 40 years old man feels pain in his gastrocnemeus muscle after he walks 100 meter which relieves when he stops walking is likely due to obstruction of:
A. Post. Tibial artery.
15. Subclavian artery grooves over:
A. 1st rib.
16. What is inappropriate about azygus vein.
A. It enters the thoracic cavity thru esophageal opening.
17. Which of the following structure arches over root of left lung:
A. Arch of aorta.
18. Weakest point of rib is:
A. Angle of the rib.
19. A pathologist wants to pass dye to the liver he will reach thru:
A. Ligamentum Teres.
20. Internal spermatic fascia is a continuation of:
A. Transversalis fascia.
21. The branch of internal carotid artery which remains in true pelvis throughout its course:
A. Middle rectal artery.
22. During a per rectal examination the examiner will not reveal:
A. Ureter
23. Parasympathetic nerves supplying the urinary bladder are:
A. Pelvic splanchnic nerves.
24. Nerve supply to the lower airways:
A. T3-4
25. During an injury to the bulbar part of urethra the urine will extravasate to:
A. Superficial perineal pouch.
26. Nerve supply to the distal scrotum is thru:
Illioinguinal nerve.
Illiohypogastric nerve.
Genitofemoral nerve.
27. During surgery of right colon for carcinoma which structure would not be injured:
A. Aorta.
28. Slow growing tumor of head of pancreas will compress:
A. Common Bile Duct.
29. Tumor of the head of pancreas will compress:
A. Common Bile Duct.
EMBYROLOGY.
1. Regarding Decidua:
A. Decidua basilis forms the maternal part of placenta.
2. Embryonic period is:
A. 3-8 weeks.
3. Which of the following is a derivative of neuro ectoderm:
A. Sphincter pupili muscle.
4. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
5. Derivative of Ectoderm include:
A. Secretary Epithelium of parotid gland.
6. Regarding Allantois:
……
7. left umbilical vein will regress to:
A. Ligamentum Teres.
8. Which of the following structure is not an Embryological remnant:
A. Lateral umbilical ligament.
9. Regarding Mesothelium:
A. Lines the body cavities.
10. Physiological hernia occurs in between:
A. 6-10 weeks.
11. What will happen immediately after birth:
Anatomical closure of Ductus arteriosus.
Anatomical closure of Ductus venosus.
Anatomical closure of foramen ovale.
Obliteration of Left umbilical vein.
Obliteration of Right umbilical vein.
12. Which of the following bone is derived from 2nd Pharyngeal arch:
A. Styloid process.
13. Muscles innervated by hypoglossal nerves are derived from:
A. Occipital Somites.
14. Primordial Germ cells are derived from:
A. Yolk sac endoderm.
NEUROANATOMY
1. In adults spinal cord ends at the intervertebral disc between:
A. L1-2.
2. Injury to L1 vertebra will directly damage which of the following spinal structure:
A. Conus Medullaris.
3. Which of the statement regarding Lateral Horn of spinal cord is inappropriate:
A. It is present at the cervical portion of spinal cord.
4. Regarding Trapezoid Body:
A. It is related to the auditory pathway.
5. Loss of Fine and skilled movements of the hand is due to damage of:
A. Corticospinal Tract.
6. What is inappropriate regarding Glossopharyngeal nerve:
A. It is entirely sensory.
7. Loss of temperature regulation is due to damage at:
A. Anterior Hypothalamic Nucleus.
8. Temperature regulation centre is located in:
A. Hypothalamus.
9. In spinal tap the needle which will go across:
A. Epidural Space è Dura Matter è Sudural Space è Arachnoid Matter è Subarachanoid space.
10. Regarding spinal cord what is inappropriate: A. Its dura matter has two layers
HISTOLOGY
1. Simple columner epithelium is present:
A. Choroidal plexus of ventricles.
2. Cytoskeleton:
A. Maintains the integrity of the cell.
3. Mast cell.
……….
4. Newly formed Elastic cartilage looks yellow & dense because of:
A. Large no: of Elastin fibers.
5. Compact bone contains:
A. Osteoblast cells in the lacuner spaces.
6. Which part of the respiratory tract contains mucous glands:
A. Nasal cavity.
7. Skeletal muscles have:
A. Multiple nuclei located at their periphery.
8. Surfaces which are prone to great amount of friction have:
A. Straitifed Squamous Keratinizing Epithelium
.
PHYSIOLOGY
1. Pulmonary Wedge Pressure:
A. Indirectly measures left atrial pressure,
2. Ventricular Depolarization on ECG strip is represented by:
A. QRS Complex.
3. Ventricular preload is measured by:
A. LVEDV.
4. Blood flow to the left ventricles is increase by:
Acetylcholine infusion.
Sympathetic stimulation
5. Bain Bridge reflux.
……………
6. IPSP is generated by opening of:
A. Cl- channels.
7. During Depolarization:
A. There is rapid influx of Na+.
8. Blood group antigen:
A. Will not found in any other tissue than blood.
B. Will be inherited by Autosomal recessive pattern
9. If father’s blood group is B+ve & mother’s blood group is AB+ve there child can not have which of the following blood group:
A. O+ve.
10. ESR will increase with the decrease in:
A. Albumin.
11. ADH will act on:
A. Distal Tubules.
12. Renal absorption of glucose thru secondary transport with sodium occurs at:
A. Proximal Tubules.
12. Simple Diffusion depends on all of the following factors except:
A. Magnetic field.
13. What is the suitable I/V fluid for the patient of acidurea:
Normal Saline.
Dorrow`s solution.
Ringer lactate.
5% dextrose
10% dextrose.
14. Which of the following causes Hyperkelemia:
Zollinger Ellison syndrome.
Cushing syndrome.
Conn`s syndrome.
Pyloric stenosis.
15. Which of the following hormone is called STRESS HORMONE:
A. Cortisol.
16. Inhibitory factor released by hypothalamus against which of the following hormone:
Prolactin
Growth hormone.
17. Bile of the Liver differs from the GB bile because GB bile contains decrease amount of:
A. Water.
18. Which of the following cell can never reproduce:
Erythrocyte.
Neuron.
Skeletal muscle.
Smooth muscle.
19. Which of the following is the NOT non dividing cell:
A. Hepatocytes.
20. Heat loss mainly depends on:
Temperature of the surrounding.
Evaporation.
21. Cortisol decreases which of the following cell:
A. Lymphocyte.
22. Resection of distal ileum will impair the absorption of:
A. Bile Salts.
23. Regarding Bradykinin:
It formation is activated by killkeran.
24. Regarding Interferon:
……….
25. Surfactant is released by:
A. Type II pneumocytes.
26. Increase peripheral resistance is due to:
A. Increase vasomotor tone.
27. Chloride shift means:
A. Transfer of Cl- in erythrocytes in exchange of HCO3.
28. Cardiac muscles are prevented by tetanization due to its:
Rythmicity
Automaticity
Conductivity
Long refractory period.
29. Sustained rhythmic reflex tremors induce by sudden movements is:
A. Clonus.
30. Most active form of thyroid hormone present in circulation is:
A. T3.
31. Regarding conduction of visual pathways:
………..
32. Regarding olfaction:
A. Sharp odors have the quality of water & lipid solubility.
33. Unilateral Anosmia is due to:
A. Affection of Nasal mucosa.
GENERAL PATHOLOGY
1. Irreversible cell injury starts with:
A. Rupture of the Lysosomal membrane.
2. Which of the following is not a mediator of acute inflammation:
A. Dopamin.
3. ICAM & VCAM mediates:
A. Leukocyte Adhesion.
4. Fever in inflammation is caused by:
A. IL1 & TNF α.
5. A 36 years old women presented with acute abdomen. At laparoscopy most of the bowl loops were dark purple black. Her mesenteric veins were patent. The most probable underlying pathological process is:
A. Wet Gangrene.
6. Superimposed infection on necrosis is called:
A. Gangrenous Necrosis.
7. Fluid accumulates in acute inflammation contains:
A. Proteins >3gm/dl.
8. Fat necrosis occurs in:
A. Acute pancreatitis.
9. What is inappropriate about fat necrosis:
A. Only caused by trauma to the fat tissue.
10. A 25 year old lady with 14 weeks pregnancy had a road traffic accident brought to the emergency department with a large open wound on thigh and femur fracture. After 2 days of accident she suddenly collapsed & died. The most probable pathological process involve in her death:
A. Fat Embolism.
11. Regarding Fat Embolism:
It is Fetal in >80% of cases.
IT manifest within 12 hours.
12. A 30 year old women brought to emergency department with bleeding…..
13. A 16 years old boy deeply jaundiced presented with gum bleeding due to:
A. Vitamin K deficiency.
14. A patient presented with enlarge lymph nodes, the diagnosis of Tuberculosis in this patient is confirmed by:
A. Presence of caseous necrosis in lymph nodes.
15. An 18 year old girl came to family doctor complaining of primary amenorrhea, on examination she found to have well formed breasts, blind ended vagina with no uterus & ovary. Her probable Karyotype is:
A. 46 XY.
16. Edema due to increase hydrostatic pressure is seen in:
A. Congestive cardiac failure.
17. Which of the following is a benign tumor:
A. Warthin`s tumor.
18. Which of the following is a premalignant condition:
A. Leukoplakia.
B. Erythroplakia.
19. Which of the following is a premalignant condition:
Condyloma
Metaplasia Endocervix.
Cystic hyperplastic endometrium
20. Metaplasia does not occur in:
Brain.
Vitamin A deficiency.
21. The primary source of Creatinin is:
Liver.
RBC.
Skeletal muscles.
Cardiac muscles.
Lungs.
22. Dystrophic Calcification is seen in all of the following except:
Malarial parasite.
Dead fetus.
Hydatid Cyst.
23. Maximal tensile Strength of a wound is attained in.
3 Months.
Over an unpredictable period of time.
1 Year.
6 days.
10 days.
24. Regarding autosomal recessive disorders:
………………
25. Which of the following are not non-dividing cells.
A. Hepatocytes.
26. In a patient there is atrophy of submandibular gland due to its duct obstruction. Atrophy of the gland is because of:
A. Apoptosis.
27. The mechanism of injury of ionization radiation is:
A. Free radical formation.
28. LASER act by:
Cutting.
Biochemical changes
29. A patient admitted to the hosp. diagnosed as case of gas gangrene dies due to:
A. Toxic shock
30. Which of the following is the confirmatory test of AIDS:
Western blot.
ELISA.
SPECIAL PATHOLOGY
1. Hepatic hemengioma is associated with:
A. Vinyl Chloride.
2. Which of the disease is common in I/V drug abusers:
A. Infective Endocarditis.
3. Typhoid carriers are:
A. Usually asymptomatic.
4. Intestinal metaplasia due to reflux esophagitis leads to:
A. Adenocarcinoma.
5. Embryological marker that reappears in circulation in Ca Colon is:
A. CEA.
6. Which of the following is peculiar for crohn`s disease is:
A. Perianal Lesions.
7. Anemia of pregnancy is due to:
A. Increase plasma volume.
8. Major complication of severe burn:
Formation of granulation tissue.
Carcinoma formation.
9. What is Inappropriate about hyper parathyroidism:
A. There is increase PO4 renal absorption.
10. A 25 year old lady complaining of palpitations, heat intolerance on examination her pulse is 112b/min, BP 120/80, R/R 20 br/min. She is most probably a case of:
A. Hyperthyroidism.
11. Resection of Anterior lobe of pituitary will lead to:
A. Decrease glucocorticoids.
12. A 6 year old boy is complaining of proximal muscular weakness was found to be Ca++ channel antibodies positive. The most probable diagnosis is:
Lambert Eaten Syndrome.
Mysthenia Gravis.
13. In pulmonary embolism, respiratory failure is due to:
A. Ventilation / perfusion mismatch.
14. Left ventricular failure will lead to:
A. Increase pulmonary arteriolar Pressure.
15. Immediate effect after injury to a vessel is:
Vasoconstriction
16. Effects of hyper parathyroidism in Ca. lung is due to:
Parathyroid like protein
Parathyroid hormone
17. Spleenectomy will help in treating which type of anemia:
A. Hereditary Spherocytosis.
18. Malignant Tumor that will not metastasize:
A. Basal cell carcinoma.
19. Achlasia is due to:
A. Absence of Myenteric plexus.
20. After a traffic accident a lady is brought to a hosp the IMMEDIATE step you do:
A. Clear airway.
21. Ameobic infection reaches lungs via:
Direct extension from liver.
By aspiration of ova of Entameoba histolitica.
By aspiration of trophozoits of Entameoba histolitica.
Via Portal vein.
22. In Hypothyroidism there is increase in:
A. Cholesterol
23. In thyroid disease the antibodies are directed against:
A. Thyroglobin.
24. A 50 years old man is awakened in the middle of the night with acute pain & tenderness of the right knee. He has a low grade fever. His knee is hot, tender & swollen. Analysis of fluid from right knee shows: leukocytes 70,000/mm3 with 75% neutrophils, crystal analysis = negative birefringent, gram stain = negative. The most likely diagnosis is:
A. Gout.
B. Pseudo gout.
C. Septic arthritis.
PHARMACOLOGY
1. Which of the following blocks α and β receptors:
A. Labetalol.
2. Ketamin is used as anesthetic in repeated dressings of burn patient because:
A. It relieves pain as well.
3. Drug that decreases the tone of lower esophageal sphincter & increases gastric emptying:
A. Metaclopromide.
4. Which of the following is suitable antihypertensive for asthma & IHD patient during surgery:
I/V sodium nitroprusside.
I/V nitroglycerin.
5. Which of the following is drug of choice for patient of status asthematicus:
I/V aminophylin
Oral steroid
I/V salbutamol.
6. During surgery antibiotics should be given at:
A. At the time of induction of anesthesia.
7. Heparin will inhibit:
A. Clot propagation.
B. Clot organization.
8. Acid suppression is done by blocking:
A. H2 Receptor.
9. Drug of choice for acute pancreatitis.
Pethidine.
Morphine.
Paracetamol
Subscribe to:
Posts (Atom)