FCPS Part-1 Past Papers.

Medicine 25th May, 2010

2010-07-23T03:04:00.000+05:00

Hi, I am Dr. BUTTERFLY from FJMC, LAHORE.

I tried my level best to recall as many qs as I can to post it at your blog. Your blog is very much popular among part 1 candidates, thanks a lot. U r doing great job.

I wana see my name at the end of ds post at Ur blog. Plz do write my following name when u post ds paper to Ur blog, name is

‘’ DR. BUTTERFLY ’’

Thanks a lot.keep doing good work

25th may, 2010

PAPER 1 and 2.

DO CONFIRM THE ANSWERS

1
ECG changes can be seen in the following conditions EXCEPT
a) Change in body position
b) MI
c) Sleep
(http://ajpregu.physiology.org/cgi/content/full/292/3/R1320)
d) Mitral stenosis
e) Aortic regurgitation
Ans:
A:

2
About NEURAL TUBE
a) Forms primitive streak
b) Forms notochord
c) Cns develops from it
d) Forms three germ layers
e) …
Ans;
C (http://en.wikipedia.org/wiki/Neural_tube )
3
SACRALIZATION
a) Union of 1st sacral vertebra with 5th lumbar
b) Union of 5th lumbar with 1st sacral
c) Fusion of all sacral vertebra to form sacrum
d) Flexion at sacrum
e) …
Ans:
B http://wiki.answers.com/Q/What_is_sacralization_of_the_l-5
4
Stroke volume
a) Cardiac output depends on it
b) Heart rate determines stroke volume
c) Increases in haemorrhage
d) Independent of venous return
e) …
Ans;
DNT KNW EXACTLY
5
Central venous pressure
a) Inc. in haemorrhage
b) Dec in gram negative septicemia
c) Dec in heart failure
d) …
e) …
ans;
b http://books.google.com.pk/books?id=-V3k-2MnDQcC&pg=PA275&dq=cvp+is+decreased+during+gram+negative+sepsis&hl=en&ei=LSEpTPu_NMaAlAeNmY2ACA&sa=X&oi=book_result&ct=result&resnum=9&ved=0CE0Q6AEwCA#v=onepage&q=cvp%20is%20decreased%20during%20gram%20negative%20sepsis&f=false

6
What change occurs from lying to standing position?
a) Venous pressure inc
b) Arterial pressure inc
c) Sweating
d) Cutaneous vasoconstriction
e) ….
Ans;
A http://www.cvphysiology.com/Cardiac%20Function/CF017.htm

7
A simple senario of hurshspring disease
8
Which hepatitis dangerous in pregnancy
a) A
b) B
c) C
d) D
e) E
Ans;
e
9
A lady, who’s been deliverd in a remote village, presents with shock, septicemia, bleeding from venae sites.whats diagnosis

DIC
10,
Most common cause of pulmonary embolism?
a) Heart failure
b) Dvt
c) Cancer lung
d) Pneumonia
e) …
ans;
B
11,
Regarding vit. D synthesis
a) 1 hydroxylation ocurs in kidney
b) 25 ocurs in kidney
c) 1 ocurrs in liver
d) 25 in lung
e) Both in skin
Ans;
A http://en.wikipedia.org/wiki/Vitamin_D
12,
Treatment of erythroblastosis fetalis?
a) Exchange transfusion with b +ve
b) With b _ve
c) Ab +ve
d) Anti D
e) …
ans;

13,
WHICH IS NOT SUPLIED BY OCULOMOTOR N.
a) Medial rectus
b) Lateral rectus
c) Inf oblique
d) Sup rectus
e) Inf rectus

14,

About external juglar vein
a) Formed by retromandibular and ant. Auricular v.
b) Content of carotid triangle
c) Pierces deep fascia behind sternocleidomastoid
d) …
e) …
ans;
c

15,

Cephalic vein
a) Present in deltopectoral groove

16,
A lil senario of cervical rib i, e weakness and paresthesia along ulnar nerv course
17,
A qs about CSF findings, which 1 true etc

18
Diagnosis of typhoid in 1st week
Ans… blood culture

19,
Most common cause of SUBACUTE BACTERIAL ENDOCARDITIS
a) Staph aureus
b) Sterp. Viridans
c) Strep pneumonae
d) Staph epidermiditis
e) …
ans;
b
20,

Cause of gas gangrene (C. perferringens ws not givn)
a) C.botulinum
b) C. C. ljungdahlii
c) Tetanus toxin
d) C. septicum
e) …

ans;
d http://en.wikipedia.org/wiki/Gas_gangrene

21,
Type of omental necrosis?
a) Caseous
b) Gangrene
c) Fat
d) Coagulative
e) Fibrinoid
Ans;
C http://books.google.com.pk/books?id=c41BJkHrniEC&pg=PA25&dq=omental+fat+necrosis&hl=en&ei=8iopTKykIaWlsQaB9JzEBA&sa=X&oi=book_result&ct=result&resnum=4&ved=0CDYQ6AEwAzgK#v=onepage&q=omental%20fat%20necrosis&f=false

22,
Most of bicarbonate absorption ocurs in
a) Proxial c. tube
b) Distal c. tube
c) Loop of henle
d) Collecting duct
e) ….
Ans;
A http://books.google.com.pk/books?id=pekX0WUKzMoC&pg=PA414&dq=bicarbonate+reabsorption&hl=en&ei=oCspTPu0CIO0lQftobD-Bw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCYQ6AEwAA#v=onepage&q=bicarbonate%20reabsorption&f=false
23,
There were 4_5 qs about aldosterone

24,
Stimulus for aldosterone release
a) Hypernatremia
b) Hypokalemia
c) Hyperkalemia
d) Alkalosis
e) …
ans;
c

25,
Aldosterone causes
a) Hypercalcemia
b) Hyperkalemia
b) Acidosis
c) Hypernatremia
d) …
ans;
c

26,
Dec aldosterone will lead to
a) Hyponatremia

27,
ADH acts on
a) Loop of henle
b) Distal c. tube
c) Collecting duct
d) Bowman capsule
Ans
c

28,
For circardian rhythm optic nerve sends fibers to
a) Optic chiasma
b) Medial geniculate body
c) Lateral geniculate body
d) Suprachiasmatic n.
e) Upraoptic n.
Ans;
D http://en.wikipedia.org/wiki/Circadian_rhythm

29,
A person suffering from dehydration, which ion replacement is most important?
a) Ca
b) Mg
c) Na
d) K
e) Cl
Ans;
C

30,
What to give to Inc vitamen in diet
a) Nuts
b) Yougurt
c) Egg
d) Green vegetables
e) Margarine (sumthin like it)
Ans;
D

31
Natural anticoagulant
a) Heparin
b) Warfarin
c) Aspirin
d) Plasminogen
e) Fibrin
Ans;
D

32,
Endogenous pigment in chronic hemolysis
a) Hemosiderin
b) Lipofuscin
c) Anthracotic pigment
d) …
e) …
Ans
A

33,
In a ward, at a children hospital, all the children there have some permanent disabilitythe parents of such children are suffering from
a) Denial
b) Anger
c) Bargaining
d) Depression
e) Acceptance

34,
Square root of variance
a) Mean
b) Variation
c) Standard deviation
d) Median
e) Acuracy
Ans
C

35,
Mean Inc with
a) Inc in sample size
b) Dec in sample size
c) Inc in standard deviation
d) …
e) …
ans;
b http://www.stat.berkeley.edu/~stark/Java/Html/SampleDist.htm

36,
What is therapeutic index of a drug?

37,
Drug contraindicated in renal failure
a) Amikacin
b) Chloramphenicol
c) Vancomycin
d) Pencillin
e) …
ans;
a

38,
Drug for hyperthyroidism in pregnancy
a) Methimazolepropylthyrouracil
b) Ppu
c) Radioactive iodine
d) Total thyrodectomy
e) Ligol solution
Ans
B

39,
Which will not b present in a lung hamartoma (it ws senario of pulmonary hamartoma and qs ws asked at the end of senario)
a) Coin lesion on xray chest
b) Mostly asymptomatic
c) Mostly Discovered incidently
d) Benign
e) Cartilage in lesion area
Ans
E

40,

Difference BW hyperplasia and benign tumor
a) Hyperplasia invades surrounding tissues
b) Benign tumor metastasize to tissues
c) Benign tumor shows aggressive growth
d) Hyperplasia shows pleomorphisim
e) Benign tumor is surrounded by capsule
Ans
E

41,
Atrophy means
a) Dec in cell size

42,
Premalignant condition of oral cavity
a) Erythroplakia
b) Leukoplakia
c) SCC
d) Lichen planus
e) …
ans
b

43,
A senario was about sturge webber syndrome in which he gave neurological symptoms I,e seizures and convulsions then asked that what other symptom can be found in that child and ans ws GLUCOMA . Point to note that they did not talk about PORT WINE STAIN (birth mark) on face or forehead 
44,
Submucosal glands are present in
a) Stomach
b) Gall bladder
c) Duodenum
d) Small intestine
e) Pancreas
Ans
C

45,
After gastrectomy what can happen

a) Malabsoprtion
b) Steatorhea
c) Anemia
d) …
e) …
ans
c

46,
After gastrectomy B12 is not absorbed due to deficiency of
a) Parietal cells
b) Chief cells
Ans
A
47,
Gastroparesis treatment (last part1 me b tha)
a) Metoclopramide
48,
Absorption of long chain fatty acids?
a) Ileum

49,
Bile salts are absorbed where?
a) Terminal ileum

50,
Bile acids are conjugated with which amino acid to form bile salts
a) Taurine

51,
Which hormone Inc gastric contraction?
A) GASTRIN
B) CCK
C) Secretin
c) Gip
Ans
A
52,
Rupture of post wall of duodenal ulcer will damage
a) Gastroduodenal artery
53
Left renal vein relation to aorta
a) Ant
b) Post
Ans
A

54,
Final common motor pathway
a) Corticospinal tract
b) Alpha motor neurons
c) Upper motor neurons
d) Cerebral cortex
e) …
ans
b

55,
There was a qs about injury at T4,T8 level and dy askd about wat will happen , choices were not straight forward e,g askin sum tract lesion etc dts y not remeberd
56,
Stretch reflex maintains
a) Muscle tone
b) Balance
c) Length
d) …
e) …
ans
c

57,
There was qs in which options were (forgot qs)
a) Pancinian corpucles
b) Messiners corposccles
c) Ruffinis end organs
d) Golgi tendons
e) ….

58,
Regarding pulmonary wedge pressure
a) Called so cz measured by a wedge shaped catheter
b) Usually bw 10-15 mmhg
c) Measure of rit atrial pressure
d) …
e) …

ans
b

59,
During systole
a) Both ventricles contract simultaneously
b) 50% filling of ventricles occurs
c) Blod flow inc in coronary arteries
d) ..
e) ..
ans
a

60,
Fastest conducting fibers in heart
a) Purkinje
61,
Glomerular pressure inc due to
a) Afferent constriction
b) Efferent constriction
Ans
b
62,
A senario was about dijoxin toxicity
63,
Treatment of acute asthma
a) Terbutaline

64,
Isoniazid side effects can be prevented by
a) Pyridoxine

65,
Not a cause of cardiogenic shock
a) Cardiac temponade
b) Mi
c) Arrythmias
d) Hemorrhage
e) Aortic dissection
Ans
d

66,
A pt with deformed nose, AFB +ve
a) Leprosy

67,
Most imp point of exudative inflamation
a) Sp gravity < 1.020b) Neutrophilsc) Protein >2g| dl
d) .
e) …
ans
c

68,
Monocytes
a) Most abundant cells in circulation
b) Do not go out of vessels
c) Not phagocytic
d) …
e) …

69,
Tuberculous meningitis
a) Inc lymphocytes in csf

70,
Bladder ca caused by
a) Schistosoma haematobiam

71,
Which tumor does not hav bone metastasis?
a) Thyroid
b) Liver
c) Lung
d) Breast
e) Kidney
Ans
b

72,
ESTROGEN OCPs can cause
a) Breast ca
b) Ovary ca
c) Endometrial ca
Ans
a

73,
Residual vol.
a) Amount of air left in the lung after a max exhalation

74,
Vital capacity
a) After a max inspiration, max expired volume is vc

75,
Cardiac output
a) Measured by fick principle

76,
Regarding sup parathyroid gland
a) Located in close proximity to INF thyroid artery and recurrent laryngeal nerve at the level of cricothyroid junction. (Remembr that sup glands hv more constant position while INF r variable in position.that’s y dy askd about sup glands location.its imp)
77,
Digastric triangle
a) Bounded anteriorly ant. Belly of digastric, posteriorly by post. Belly

78,
Which is not covered by deep cervical fascia
a) Thyroid
b) Parotid
c) Sternocleidomastoid
d) Submandibular gland
e) Sublingual
Ans
e

79,
Circumduction
a) Combination of flexion, extension, aduction and abduction

80,
For surgery tibia should b aproached from medial side, why
a) Dnt remember choices, sory
B)
C)
D)

81,
Micturation reflex centre is located in
a) Brainstem (pontine micturation centre). There s also a sacral micturation centre but it ws not in the choices

82,
Diagnosis of pneumothorax?
a) Xray chest

83,
Approach to intercostal space for pleural effusion drainage
a) Lower part of space (neurovascular bundle in upper part os SPACE but lower part of RIB)

84,
Pt having uppr respiratory tract INF, then chest pain that relieved by sitting up
a) Pericarditis

85,

In nephron fluid which substance conc is higher than plasma
a) Na
b) Bicarbonate
c) Glucose
d) Urea
e) Albumin
Ans
d

86,

Renal plasma flow is determined by
a) PAH

87,
WHAT IS TRUE ABOUT UPPER HALF OF ANAL CANAL
A) Options wr about epithelium, nerve sup, lymph, blood suply. Dnt remember exactly

88,
Jaundice, hepatitis, diarrhea 10days after bone marrow transplant
a) Graft vs host disease
89
Erythroblastosis fetalis, type of hypersensitivity reaction?
a) 2

90,
WHICH VACCINE IS NOT LIVE
A) Measles
B) Mumps
C) Rubella
D) Yellow fevr
E) Tetanus
Ans
e

91,
Tissue for HLA typing (there were two same qs in each paper)
a) Buccal mucosa
b) Leukocytes
c) Skin
d) Bone marrow
Ans
b

92,
LP done at
a) L4-L5 (l3-l4 also correct but it ws not in choices, thanks ALLAH Dy did NT gv both choices simultaneously :-)

93,
Cauda equina
a) Collection of nerve roots and rootlets

94
Pilocarpine is nicotinic
a) Agoist
b) Antagonist

95
Diagnosis of klinefeltrs syndrome
a) Barr body

96
Which drug interers with warfarrin
a) Cemetidine

97
Adverse effect of chlorpromazine

a) Extrapyrimidal

98
Mechanism of action of captopril
a) Ace inhibitor

99
Feature of ca
a) Plomorphisim
b) Nuclear ratio
c) Hyperplasia
d) Invasion
Ans
d

100

Most cancers hav which fillament in them
a) Kerratin
b) Desmin
c) Vimentin
d) Neurofibrilary
e) …
ans
a

101
Paraneoplastic syndrome is associated with
a) Ca breast
b) Adeno ca lung
c) Small cell ca lung
d) Ca prostate
Ans
C

102
Hepatitis b INF is monitored by
a) Surface antigen
b) Srface antibody
c) Core antibody
d) E antibody

103

Hepatitis A inf, which test to perform
a) Hep A nd B VIRUS
b) Bilirubin
c) Sgpt
d) Albumin
Ans
c

104
Which hormone inhibits insulin secretion?
a) Secretin
b) Cck
c) Somatostatin
d) Glucagan
e) Vip
Ans
c
(As a general rule all git hormone stimulate insulin release and knwn as INCRETIN)
105
MOST IMP STRESS HORMONE (it was also in last part1)
a) Epinephrine
b) Insulin
c) Growth
d) Cortisol
e) Acth
Ans
d

106
In Cushing syndrome
a) Neutrophils are Inc, lymphocytes and eiosiniphils are Dec
107
A simple senario of graves disease
108
Whats pattern of antibodies in multiple myeloma (options were vry weird, nt exactly remembrd)
a) They hav igA, M, G in different ratios and %ages e, g
IgA 5gm, M 15gm, G 20gm
b) IgM: igG S 1:20

109
HLA type in RA
a) HLA DR4
110
ABSOLOUTE LYMPHOCYTOSIS NOT PRESENT IN
a) Sle
b) Inf. Mononeucleosis
c) Walders (sumthin like that) granulomatosis
d) …
e) …
ans
a (nt sure)

111

Pt with arithritis, butterfly rash, photosensitivity (these symptoms wr in the form of a simple senario), WATS diagnosis
a) SLE

112
Platelets contraindicated in
a) Splenomegaly
b) Acute immune thrombocytopenia
c) Coagulopathy
d) Dic
Ans
b

113
Water moves through
a) Pores
b) Membrane matrix
c) Protein channels
d) Fascilitated difusion
Ans
A (water channels)

114
Fascilitated diffusion
a) Passive transport trough protein channels or carier protiens

115
Which factor strenthen pt doc relationship
a) High professional skills
b) High social skills
c) Highly qualified
d) Logical answers to qs
e) Active listening
Ans
E
http://docs.google.com/viewer?a=v&q=cache:B-90RsYl_QIJ:www.racgp.org.au/afp/200512/200512robinson.pdf+active+listening+for+a+doctor&hl=en&gl=pk&pid=bl&srcid=ADGEEShL3aencNeNL6PcDL75akSth1myGNOsIBbWqXMO-BxP5X7QKVmiu16qKkAOUhwMcNerrFuT2x-kVNZ-Zz84Xr5Gy1K7AJJfrUhJoOWFb7PnEI52oZ3VXT9v3ZAKmA31w_Eh-Ea0&sig=AHIEtbTDPrtyezt44aYcvJMnrIDzau8oZw

116

Which is more aggressive (also in last part1)
a) Basal cell ca
b) Squmaous cell ca
c) Melanoma
Ans
b

117
Nissel bodies are
a) RER
b) SER
c) Mitichondria
d) Golgi bodies
Ans
a

118

Greatest area of cerebral cortex is covered by
a) Elbow
b) Knee
c) Thumb
d) Shoulder
e) Ankle
Ans
C

119

Deviation of tongue on protrusion, which N. is damaged
a) Fascial
b) Hypoglossal
c) Submandibular
d) Edenger westphal
e) …
ans
b

120

A pt with diastolic murmur in aortic area and colapsing pulse, diagnosis
a) Aortic stenosis
b) Mitral stenosis
c) Aortic R.
d) Mitral R
e) …
ans
c

121

SUB-DURAL HEMATOMA CAUSE
A) SUP CEREBRAL VEIN
B) INF CEREBRAL VEIN
C) ANT DIVISION OF MA
D) Post. Division of MA
Ans
A

122

Csf absorbed by
a) Arachnoid villi
b) Choroid plexuses
Ans
A

123
Which is pierced during LP
A) Dura matter

124
Inf spreads retroperitonealy, which will b infected
a) Spleen
b) Jejunum
c) Transverse colon
d) Descending colon
e) …
ans
d

125
Ant pituitary loss will result in Dec in size of
a) Zona glomerulosa
b) Zona fasiculata
c) Parafolicular cells of thyroid
d) Adrenal medulla
e) …
ans
b

126
Factor Dec wound healing
a) Vit c deficiency

127
How thrombocytes play role in thrombosis
a) Sorry forgotn the choices

128
Accomoation reflex intact, light reflex absent. Damage to?
a) Edenger westphal n.
b) Optic nerve
c) Optic tract
d) Optic chiasma
e) Pretectal area
Ans
E

129
Part of portal system draining esophagus
a) Azygous v.
b) Hemiazygous
c) Rit gastric
d) Lft gastric
Ans
D http://books.google.com.pk/books?id=21e4wArL7hQC&pg=PA18&dq=portal+system+draining+esophagus+is&hl=en&ei=N7w0TNLEDKjonQefitGDBA&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCkQ6AEwAA#v=onepage&q&f=false

130
Bronchopulmonary segment
a) Anatomical and functional unit iof lung

131
Temp set point is in
a) Ant hypothalamus
b) Post hypothalamus

132
Antibodies are produced by
a) Plasma cells

133
Virulence of bacteria is associated with
a) Dose
b) Duration of exposure
c) Toxin production
d) Body resistence
e) …
ans
c

134
For a blood donor what is not required (choices not well remembrd.actualy dy askd that which factor should not b there in a GENERAL HEALTHY DONOR)
a) Age
b) Sex
c) Systemic disease

135
Which one is not a epithelium tumor
a) Adenocarcinoma
b) Sq ca
c) Liposarcoma
Ans
C

136
Which receptor r involvd in acid production
a) H1
b) H2
c) Acetylcholine
d) …
e) …
ans
b

137
Which is present in slow wave sleep
a) Dopa
b) Acetylcholine
c) Serotonin
d) Norepinephrine
e) …
ans
c and d

138
Hemibalismus due to damage to
a) Subthalamic N.

139
A child having dyspnea when lyng down
a) Retrosternal goiter

140
Best buffer of body
a) Protein
b) Hb
c) Hco3
d) Phosphate
Ans
C

141
Protein utilization is chekd by
a) Urinary NO2
b) Blood NO2
Ans
A

142
A pt has fluid loss, now his urine is concentrated. It’s due to
a) Aldosterone
b) Adh
c) Acth
d) Cortisol
Ans
B

143
Ph 7.4 po2 65 pco2 33 hco3 19

a) Metabolic acidosis
b) Metabolic alkalosis
c) Compensated resp alkalosis
d) Resp alkalosis

144
What happens on mountain aclimitization?
a) Ventilation inc

145
Syphil dignosis material taken from
a) Blood
b) Urine
c) Semen
d) Genital sores (lesion)
e) Saliva
Ans
D

146
Best indicator of serum iron stores
a) Serum iron
b) Serum ferritin
c) Hemosiderin
d) TIBC
Ans
B

147
Why more oxygen goes to alveoli at apex than at base?
a) Inc compliance
b) Inc blood flow
c) In v\q
d) Inc pulmonary pressure
Ans
A

148
Urinary incontinence with overflow and excessive voiding, damage to (qs nt remembrd well)
a) S2, 3,4
b) S2, 3
c) L2, 4,s1

149
Hypospedias is due to defect in
a) Urogenital tubercle
b) Urogenital fold
c) Urachus
Ans
B

150
Cephalic vein
a) Begins in anatomical snuff box
b) Lies lat. To radial a.
c) Lat. To biceps
d) Ends in axilla
Ans
C

151
Upper part of anal canal is
a) Lined by stratified sq epi
b) Drained by sup inguinal nodes
c) Drained by inf rectal vein
d) Sensitive to touch
e) Sensitive to pain

152

Normal fetal heart rate
a) 40…. 60
b) 60…. 100
c) 100…. 120
d) 120…. 160
e) 160…. 200
Ans
D

153
One qs was about CVP.about its inc or dec in specific condition

154
Inc in systemic filling preesure causes
a) Inc venous return

155

Beta-blockers do not cause
a) Inc renin
b) Vasoconstriction
c) Bronchiodilation
d) …
e) …
ans
a

156

Lidocaine
a) Inc PR interval
b) Dec AP
c) Dec automaticity
Ans
A

157

A diabetic pt with BS 20mmole\l , obese,no complication,its 1st visit to a doc. What shold be the treatment?
a) Insulin
b) Insulin + sulphonylurea
c) Sulphonylurea
d) Biguanides
e) Biguanides +sulphonylurea
Ans
D

158

Pendulous knee jerk, cause
a) Cerebellar lesion
b) Upper motor neuron
c) Lower motor neuron
d) S2, 3,4
Ans
A

159

In which parasite the respiratory symptoms predominate?
a) Ascaris
b) Cystecercosis
c) …
d) …
e) …

160
Diagnosis of H.influnzae meningitis
a) Csf culture
b) Blood culture
c) Inc lymphocyte in csf
d) …
e) …
an
a

161
Antibody to TB bacteria is (dnt remember exact choices but they did ask regarding antibody against TB)
a) Cell bound
b) Membrane bound
c) in plasma
d) In saliva
e) …

162
In which phase os cell dividion the chromosomes are arranged in chromatids
a) Prophase
b) Metaphase
c) Anaphase
d) Telophase

163
Atrial contraction coresponds to
a) C wave
b) P wave
c) Qrs

164

Dorsal roots supply which musscles?
a) Internal intercostal
b) Externat intercostal
c) Innermost intercostal
d) Some back musscle

165

Internal spermatic fascia is derived from
a) External oblique
b) Internal oblique
c) Transvesalis fascia
d) Transversus abdominus
Ans
C

166
Inputs to cerebellum
a) From vestibular system

167
Resolving power of lens
a) That enables to see closely related subjetcs seperatly

168
Parasympathetic stimulation causes
a) Ciliary muscle contraction

169
RTA, 1.5L blood loss, skin is calm and cold due to
a) Vasoconstriction
b) Vasodilation

170

Most common manifestation of septic pt
a) Tachycardia
b) Hypotension
c) Inc GFR
Ans
B

171

Premalignant condition
a) Basal cell nevus
b) Dysplastic nevus syndrome
Ans
B

172

Tumor involving lymph vessels
a) Angiosarcoma
b) Cystic hygroma
Ans
B

173
A female having very high levels of prolactin, suffering from homonymous hemianopia. It’s due to
a) Compression of optic nerve
b) Damage to optic tract
c) Damage to optic radiation
d) Compression of upper part of optic chiasma
e) Compression of oculomotor n.
Ans
D

174

What u find in primary hyperaldosteronism
a) Inc k
b) Dec k
c) Hypotension
d) Inc renin
e) Inc angiotensin 2
Ans
B

175
Which take part in synthesis of aldosterone
a) Angiotensin 1
b) Angiotensin 2
c) Cortisol
d) …
e) …

176

Inc k causes
a) Inc aldosterone
b) Inc ADH
c) Dec aldosterone
d) Dec ADH

177
HYDROCHLORTHIAZIDE CAUSES
A) Inc k
B) Inc ca
C) Inc mg
D) Inc na

178
Hydrops fetalis occurs to RH –ve mother and RH +ve father. What type of hypersensitivity reaction occurred?
a) 1
b) 2
c) 3
d) 4
e) 5

179
Blood supply of eye except cones and rods
a) Central artery of retina

180
They gv senario of klinefeltr and askd what u will find most common
a) Gynecomastia

181

Aldosterone causes
a) Hyperkalemia
b) Hyponatremia
c) Hypercalcemia
d) Hypokalemia
e) Acidosis

Wishing all the part1 candidates GUDLUCK

DR. BUTTERFLY
FJMC,LAHORE.

MEDICINE JUNE 2009

2009-09-14T19:05:00.003+06:00

1. H+ ion secretion in the kidney causes
bicarbonate reabsobtion
bicarbonate excretion

2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial

3. Drug used for mountain sickness
acetazolamide
scopolamine

4.Corneal opacities r caused by
ethambutol
phenothiazides

5. Captopril causes
hypokalemia
hyper kalemia

6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is
metabolic alkalosis
respiratory alkalosis
partially compensated metabolic alkalosis
partially compensated respiratory alkalosis

7. Which is P450 inducer
isoniazid
phenobarbitone
cometidine
ketoconazole

8. Which causes decreased gastric motility
Magnesium Sulphate
Aluminium Hydroxide

9. Serum gastrin levels are incresed by prolonged use of
antacids
PPI
H2 blockers
anticholinergics
beta blockers

10.Esophago gastric junction competence is maintained by
lying supine
incresed intra abdominal pressure
diaphragm paralysis
use of metoclopramadie
use of morphine

11. Patient has acute blood loss the mechanism triggered imediately is
baro receptor mechanism
renin angiotensin system

12. Carotid body receptors respond to
arterial PO2
arterail Pco2
13. propylthyouracil acts by
decreasing iodine uptake
decreasing TSH levels
decreasing thyro globulin levels

14. which is increased in first responce
Ig G
Ig M
Ig A

15. which crosses placenta
Ig G
Ig M
Ig A
Ig E

16. which is secreted in breast milk
Ig G
Ig A
Ig M

17. which has memory function
Ig G
Ig M
Ig A
Ig E

18. which drug causes abnormal differentiation between red and green colours
ethambutol
amiodarone
pyrazinamide

19. for best verbal communication skill one should hav
good vacabulary
competence in presentation
fluent speech
20. which is not caused by parasympathelic stimulation
increased GIT motility
micturation
miosis
sweating

21. ejaculation is caused by
sympathetic
parasypathetic
both

22. Alpha receptors stimulation causes
pupilaary dilation
increased heart rate
increased contractility

23. fracture of surgical neck of humerus, patinet cant raise arm and sensory loss on lateral surface of arm. damage to
axillary nerve
musculo cutaneous nerve

24. action of gluteus medius n minimus is
abduction n medial rotation
abduction n lateral rotation
adduction n medial rotation
adduction n lateral rotation

25. thymus is formed by
3rd pharangeal pouch
4th pharangeal pouch

26. bromocriptine causes decresed prolaction levels by acting on
dopamine receptors
cholinergic receptors

27. patients ecg shows increasing PR intervals and then a missed beat
first degree block
sinus arrythmia
Mobitz type 1 block
Mobitz type 2 block
3rd degree block

28. Digoxin is drug of choice in
Atrial flutter
Atrial Fibrillation
Ventricular Tachycardia
Bradycardia

29. patient after ischemic attack has ventricular tachycardia. drug that must b used is
lidocaine
amiodarone
verapamil

30. apex beat is
4th left intercostal space mid clavicular line
8cm to the left of midline in 5th intercostal space

31. young patient has bruises on the body and no other significant history n examination unremarkable. he has

idiopathic thrombocytopenic purpura
aplastic anemia
Hemophilia

32. Hemophilia is
X linked recessive
Autosomal dominant
Autosomal recessive

33. which investigation to be done in patient with hemophilia
PT
APTT
bleeding time
complete blood count

34. patient has hemoptysis and glomerulonephritis. diagnosis is
good pasture syndrome
wegeners granulomatosis
35. P falciparum causes
black water fever

36. C perferingens acts by
producine lecithinase
depleting ATP
causing hypoxia

37. Gonococcus in easily identified in exudate specimen by
gram staining
Z N staining
culture

38. which is not oncogenic
Hep B virus
Hep D virus
Herpes Simplex virus
EBV

39. Middle meingeal artery passes through
foraman spinosum
foraman lacerum
foraman rotundum
foraman ovale

40. damage to middle meningeal artery causes hematoma formation between
duramater n calvaria
duramater n arachnoid mater
arachnoid mater n piamater

50. which is present in cavernus sinus
abducent nerve

51. which cranial nerves r parasympathetic
III, VII, IX, X

52. patients right eye has moved upward n has his neck tilted to left to avoid diplopia. damage to
superior oblique
inferiour oblique

53. patient has homonymous hemianopia. lesion is at
optic nerve
optic tract
retina
optic chiasma

54. germ cells r derived from
ectoderm
endoderm
mesoderm

55. foreign body in trachea goes in which bronchus
right upper
right middle
right inferior
left inferior

56. which lobe has only 2 brocho pulmonary segments
right middle
right upper
left upper
left middle

57. during iso volumetric contraction
atrial pressure decreases
semilunar valves r open
coronary blood flow decreses
first heart sound is produced
second heart sound is produced

58. which is thick filament
actin
myosin

59. a sacromere is present between 2
Z lines
H band
A band

60. in muscle cells calcium is released from
endoplasmic reticulum
sarco plasmic reticulum
61. in kidney select the best order of arteries
renal > arcuate>interlobar>interlobular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole
renal>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>interlobar>afferent arteriole

62.after normal saline infusion
blood volume increases
Na excretion decreases
osmolality increases
renin secretion increases

63. after renal transplant which malignancy is common ???

64 babinski sign is positive in
pyramidal lesion
cerebellar lesion

65. ventral spino thalamic tract ends at
lumbar region
mid thoracic
end thoracic

66. commonest site of lumbar puncture is
L4-L5
L2-L3
S1-S2

67. which is not punctured during lumbar puncture
duramater
ligamentum flavum
longitudinal spinal ligament

68. after Rh incompatabilty what is given to the mother to prevent it next time
anti D antibodies

69. patient has blood group A+ which cannot b given to him
O+
O-
A-
AB-

70. hamartoma is
benign tumor
malignat tumor

71. medullary rays r present is
cortex
medulla

72. in Addisons disease what does not occur
hyper kalemia
hypokalemia

73. which is essential amino acid
phenyal alanine

74. which is teratogenic
alcohol

75. which is associated with cancer
methyl alcohol
propyl alcohol
76. HLA- DR4 is associated with
rheumatoid arthritis
SLE
scleroderma

77. which is present in SLE
anti DNA antibodies
anti jones antibodies
anti smith antibodies

78. which causes dysphagia
ankylosing spondylitis
scleroderma
dermatomyositis

79. iron deficincy anemia is
hypochromic microcytic

80. patients had gastrectomy , after 3 months she presents with
iron deficiciency anemia
pernicious anemia
hemolytic anemia

81. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, she is suffering from
iron deficiency anemia
megaloblastic anemia

82. which is tributary of portal vein
superior rectal
inferior rectal

83. what arches in front of the root of left lung
Arch of aorta
Azygus vein

84. selective beta blockers do not cause
broncho spasm

85. how will the effect of warfarin immediatelty reversed
vitamin K
FFP
protamine sulphate

86. RCA supplies
right atrium only
right atrium n right ventricle

87. tunica vaginalis is derived from
transversalis muscle
transversalis fascia
peritoneum
inter oblique muscle

88. turner syndrome has karyotype
45 XO
45 XX
45 XXy
45 XXX

89. which muscles divied submandicular gland in to super ficial n deep part
omohyoid
mylohyoid
anterior belly of digastric

90. patient has difficulty closin right eye and distorted facial appearance. he has damage to
right fascial nerve
left fascial nerve
right trigeminal nerve
left trigeminal nerve

91. which does not cause thenar muscle wasting
carpel tunnel syndrome
C8 neuritis
cervical rib
scalene muscle spasm
cervical spondylosis

92. a pregnat lady from hilly area presents to. fetal scan at term shows no anomaly. which of the following can still b present in the newborn
ASD
VSD
PDA
pulmonary stenosis
93. what is end product of glucose metabolism in the presence of oxygen
lactic acid
1 molecule of pyruvate
2 molecule of pyruvate

94. beetle chewing causes
submucuous fibrosis
leukoplakia
keratosis

95. which is last mediator in septic shock
IL-1
IL- 6

96. antigen antibody reactions r most reduced in
Liver failure
Low neutrophils
97. Clavulanic acid
destroys B lactamases
causes decreased penicillin excretion

98. Dose of Gentamicin is reduced in elderly due to
reduced renal function

99. GFR can b best estimated by
creatinine clearance
serum urea levels
serum creatinine levels

100. best test for diabetic nephropathy is
serum urea levels
serum creatinine levels
urinary albumin

101. which protein maintains red cell shape
integrin
secretin
spectrin

102. Cyanosis is due to
increased deoxy hemoglobin in blood
decresed PO2 in blood.
103 which of the following causes natriuresis
stretch receptors in atria
carotid bodies

104. patient has gall stones , which enzyme could b most likely raised
Alkaline Phosphatase
LDH
ALT

105. diffusion through alveoli is directly proportion to
thickness of membrane
total cross sectional area

106. transpot of materials by carrier proteins is example of
simple diffusion
facilitated diffusion
active transport

107. which does not has lymphoid follicles
speen
thymus
lymphnodes
payer patches

108. in congestive cardiac failure there is
incresed pressure in venous system

109. ventricular contraction causes which wave in JVP
a
c
v

110. site for venesection
great sephanous
short sephanous
111. which is not part of limbic system
vermis of cerebellum
amygdala
anterior thalamus
hippo campus

112. right gastric artery is branch of
gastro duadenal
right gastro epiploic

113. thiazide diuretics
donot require potassium supplemets

114. behaviour sciences is branch of science which deals with
behaviour of persons in different social , psychological conditions

115. pateint has loss of proprioception on right n loss of pain n temperature on left, lesion is
right hemisection of spinal cord
left hemisection of spinal cord

116. cerebral cortex is concerned with
voluntary movements of body

117. DVT is causes by
stasis of blood

118. lacrimal duct opens in
inferior meatus
middle meatus

119. in asthma
FEV1/FEV less than 65%
FVC is reduced

120 6 years old girl has meningitis. most common organis is
streptocossus pneomonie
Neiserria meningitidis
Hemophilus Influenzae
E Coli

121. exudate has
protein more than 3g/dl
specific gravity is less than 1.010

122. a young boy has distorted nose and cervical lymphadenopathy. lymph node biopsy shows non caseating granuloma and sputum AFB is positive, diagnosis is
TB
leprosy
sarcoidosis
syphilus

123. Lambda chain is present in
amyloidosis

124. which does not follow oro fecal route
tenia solium
trichuris trichuria
entrobius vermicularis
Ankylostroma duodenale

125. cholangio carcinoma is caused by
C Sinensis
paragonimus watermani
taenia solium

126. young boy has bilaterla parotid enlargement. diagnosis
bacterial parotitis
mumps
infectious mononuclosus

127.about Mycobacterium TB , which is false
causes disease only in humans
favors aerobic conditions
128. which is false about spores
produced under nutrient rich conditions
B Anthracis producs spores
C tetani produes spores
they r killed under 121 degree for 15 min in autoclave

129. fetal brain development is caused by
Growth hormone
thyroid hormone

130. gastric Acid increases most after taking
carbohydrate
protein
fats

131. which hormone effects carbohydrate, protein and fat metabolism
insulin
Growth Hormone

132. which is not an epithelial tumor
sq cell CA
adeno carcinoma
sarcoma

133. Bence jones protein are produced in
multipla myeloma

134. which hormone effects both nor epinephrine n serotonin metabolism
Mono amine oxidase

135. patient presents with epistaxis and bruising on body. best invertigation is
complete blood count
PT
Aptt

136. ADH acts on
Proximal tubule
Distal Tubule
Collecting Tubule

137. which is most slow growing malignancy of thyroid
Follicular CA
Medullary
Papillary
Anaplastic

138. Cerebellar lesion causes
Ataxia

139. patient with cerebellar lesion
cannot touch objects with his finger tip

140. PTH remains normal in
renal insufficiency
osteoporosis

141. Neonatal Rubella infection is screened by measuring which antibody?
IgM
IgG
IgM and IgG

also 6 -7 questions about aldosterone and blood pressure control

GYNAE OBS JUNE 2009

2009-09-14T17:47:00.001+06:00

Gyn Obs JUNE 2009. Recalled By Syeda.

1-Etiology of cleft palate.

a-anticonvulsant
b-multiple preg
c-multifactorial
d-inc maternal age

2-left cleft palat dt malformation of.,

a-palatine shelves
b-maxillary prominence
c-med nasal prominence
d-lat nasal prominence
e-incisive foramen

3-germ cells derived from.,

a-ectoderm
b-endoderm
c-mesoderm
d-neural crest cell

4-karyotype of turner syndrom,,.......,,,,(smethng like dat exactly nt remembr)
a-45XO

5-which 1 contain granulosa cell,,

a-graffian follicle
b-,,,...,..,

6-in primary infertility,,diagnosis of failure of ovulation by ??

a-wid lower abdominal pain,,..,,
b-rise in basal body temp
c-middle of menstual cycle,,,
d-thick mucosa sec frm cx wch nt show fern pattern....

7-pentamer immunoglobulin is???

a-IgA
B-IgG
c-IgM*
d-IgD
e-IgE

8-Regarding entameba histplytica....

a-it is a nematode
b-it causes liver disease
c-occurs in both trophozoite nd cyst stage
d-it exist normally in intestine
e-..,.,.,.,.,

9-cornybacterium diphtheria..,.,

a-gm -ve bacilli
b-club shaped*
c-,,..,.,.

10-mode of cell injury by clostridium_____.....,,,,,???

a-ATP depletion.
b-.,.,.,.

11-shigella..

endotoxemia
neurotoxin
verotoxin
enterotoxin
exotoxin

12-corneal opacity caused by..

ethambutol
quinine
phenothiazine
chloroquine
.,,.,.,.,..,.....

13-drug inducer by p450 mechanism,..

cimitidine
ketokonazole
phenobarbitone
,.,.....,,,,,,,....
,.,.,.,.,.,.,.,.,.

14-last mediator of endotoxic shock...,..,

IL1
IL6
TNF ALPHA
LIPOPOLYSACHARRIDE

15-yellow fever inf occurs ,.,.,..,.,.,.,

endemic
sporadiac
pandemic
epidemic
.,.,.,.,..,.,.,

16-wall of inguinal canal Not formed by???????

ext oblique apponeurosis
lacunar lig
internal oblique
conjoint tendon
transversalis fascia

17-endocervical polyp in pregnancy,,,
Physiological
.,.,.,.,.,.,.,.,.,…

18-vaccination of mycobacterium T.B based on

Type I hypersensitivity
Type II
Type III
TYPE IV Cell mediated

19-after subdivided no of peoples into gps ,,sampling is taken a/c to age ….wat type of sampling it is
Random sampling (other options nt remember, ,,,stratified etc ,,,,,nt sure)

20-ultrasound..

4-8 weeks transabdominal u/s,, fetal heart sounds can detected
Cresenteric line seen w/h cnfirm pregnancy,,,,(smething like dat )

21-MRI
Frequencies,,,,,,,,,,,,
,nd methaemoglobin.,,,,,,,,,,, (these sort of alien words were written)

22-bone scan ,,,,,,
(name of sme disesases were written)

23-incidence,,,.,
No. of new cases in a population in a time given

24-pie chart

25-wch 1 is absent in muscles

Glucose 6 po4ase
Hexokinase

26-end product of glucose metabolism

Lactic acid
1molecule of pyruvic acid
2 molecule of pyruvic acid

27-hormone ass with glucose ,fats ,and protein storage

Insulin

28-fetal brain development

Growth hormone
Thyroid hormone

29-w/h of the following amino acid should be taken in diet

Alanine
Tyrosine
Glycine’glutamine

30-folllowing phagocytic cell present in circulation?

Monocyte
Macrophage
Lymphocyte
Neutrophils
31-morphine can be given in

Biliary cirrhosis
Terminal ill patient of cancer
Acute pancreatitis

32-functional layer of endometrium consists of

Stratum basal
Stratum compactum nd stratum spongiosum
Stratum basal nd compactum

33-maldevelopment of uro-rectal septum ,,

Rectovag fistula
Rectouterine fistula
Imperforate anus
Rectoperineal fistula

34-structure lying b/w labium majus nd minus

Urethral gland
Bulbourethral gland
Minor urethral gland

35-w/c 1 of following muscle not attached to tendon of perineal body

Ischiocavernosus
Ext urethral sphincter
Bulbospongiosus
Transverse perineal muscle

36-lymphoide nodule nt present in

Thymus
Spleen
Lymphnode

37-Notochord forms
Neural tube
Cns

38-epithelium of ovary
Simple cuboidal

39-pivot jt include

Atlanto occipital jt
Atlanto axial jt

40-sacroiliac jt
Fibrous .,.
Synovial.,.,
,,.,.,..,.,.,.,.

41-hamartoma is.,.,.,.,.,.,

42-an organ lined by stratified sq epi with inc cellularity, vascularity, nd elasticity,,tubular
glands in lamina propria
Vagina
Esophagus
Oropharynx
Duodenum

43-post relation of left ureter

Root of mesentry
Iliac vessel

44-outer lat quadrant of mamry gland drain into
Ant gp axillary lymph node

45-xerophthalmia dt
Vit A def

46-anti-oxidant
Vit E

47-w/h st having 3 layers of muscles
Fundus of stomach
Esophagus
48-fat embolism

49-regarding mammary tissues w/h is Not appropriate

Pect major, seratus ant,lie in deep relations
Can mov freely over retromammary space
Peau’d orange caused by lymphatic obstruction.,.,.,.,.,.,.,.,.
Puckering of skin dt subcut ductal infiltration.,.,.,.,.,.,.,.,.

50-lady died dt amniotic fluid embolism

During delivery
During c/s nd post partum
After post partum
During labour,delivery nd postpartum

51-pacinians corpuscles

Tactile touch
Fine touch
Temp
Pain
Vibration(I think it was nt in option nt sure)

52-H+ exchange in proximal tubules with

HCO3 reabsorption
K secretion

53-pat wid severly vomiting came wid breathlessness,,,PH=7.5,,HCO3=INC--------,,,PCO2=55

Metabolic alkalosis
Metabolic acidosis
Compensatory metabolic alkalosis

54-uterovag prolapse w/h lig is injured

Broad lig
Round lig
Transverse cx lig

55-alkaline po4ase rises in
Prostatic ca
BPH
Pancreatic ca

56-in ca mammary gland w/h drug is given in post menopausal lady

Tamoxifen
Clomiphen
.,.,.,.,.,.,.,.,.

57-in left shift O2 hbdissociation curve w/h 1 is increase
Fetal hb

58-in thalassemia there is

Poor hemoglobinization
Dyserythropoiesis
,.,.,.,.,.,.,,.,.,..

59-intravascular haemolysis diagnosed by

Reticulocytosis
Inc in hepatoglobulin binding
Inc TIBC
,.,.,.,.,.,.,.,.,……..

60-lady wid reddish cheeks, ,,arthritis,,,,,
SLE

61-in metaplasia w/h is inappropriate
Irreversible
.,,,,,,,,,,,,,.

62-acute inflammation

Transudate
Exudate
Inc protein content

63-w/h drug causing minimal GI side effects

Paracetamol
Aspirin
Ibuprofen
Ketorolac
Diclofenac

64-in 6 yrs old child meningitis occurs dt w/h organism

H-Infuenza
Ecoli
Niesseria

65-sepsis is diagnosed most appropriately by

Blood culture
Granulocyte <2000--->15000
H.R >100
HR>,.,.,…,

66-w/h is transmitted by mosquito
Yellow fever
..,.,.,.,.,.,.,.,.,

67-virus not associated with ca in human

HSV
HBV
HDV
HPV
Papova virus(papilloma vitus +polyoma virus)

68-w/h is more in human milk as compare to cow’s
Lactulose

69-gonococcus is best easily diagnosed by

Gram staining
Culture
ZN stain

70-w/h is completely covered by pretracheal fascia
Thyroid gland

71-is not an embryonic remanant

Lat umbilical ligament

72-oxytocin nd vasopressin originate frm

Hypothalamus
Neyrohypophysin
Autonomic ganglion

73-sucrose

Is a diasaccride
Metabolized into 2 glucose molecules
Reducing or non reducing (nt remember)

74-w/h of the following dis not ass with carcinoma

Lysosomal storage dis
.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.

75-rough endoplasmic reticulum
Protein synthesis

76-fragility of rbcs membrane

Spectrin
77-behavioural sciences .definition

78-verbal communication skill

Speak fluently
Education nd research training
Presentation
Good vocabulary

79-Not a function of beta blockers

-ve ionotropic
-ve chronotropic
.,.,.,.,.,.,,.
.,.,.,.,.,.,.,.,.,.

80- alpha blockers

81-centrally acting HTNsive

Clonidine
Methyldopa
.,.,.,.,.,.,.,.,.,.

82-w/h 1 decrease the muscle length

Golgi tendon organ
Muscle spindle
.,,,,,,,,,,,,,,,,,,,,,,,

83-cerebellar lesion,

Ataxia
Rigidity
Initiate muscle movement

84-pre-motor cortex lie in
Frontal lobe
85-coccygeal part of spinal cord lie at the level of w/h vertebra

C2
L2
S1
S2

86-lie in true pelvis nd crosses frm med to lat side of pelvis

Sup rectal art
Middle rectal art
Inf rect art
Internal iliac

87-inf fascia of urogenital diaghphram also called as

Perineal membrane

88-female pelvis also called as

Android
Anthropoid
Platypelloid
Mesatipellic

89-at crowning w/h muscle is cut during episotomy

Bulbospongiosis

90-lumbar puncture

L2 L3
L3 L4
L4 L5
S1 S2

91-Lactation,,,,,,
Hormones,,,wh stimulate

92-prolactin hormone
Stimulated by,.,.,.,.,.,.

93-pregnancy is diagnosed by
Gonadotrophin hormone

94-urogenital diagphram inserted on

Ishchial tuberosity
Ischial spine
Sub pubic arch
Ischial ramus

95-w/h muscle div submandibular gland into superficial nd deep part

Mylohyoid
Ant belly of diagastric

96-root of left lung
Azygous vein arched at root of left lung.

97-teratogenic

Alcohol
Caffeiene

98-carcinogenic
Methyl alcohol
Benzidine
99-pat with blood gp A should nt given

A+
A_
O
AB

100-. Regarding kidney ,w/h sequence is correct

renal art > arcuate>interlobar>interlobular>glomerular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole>glomerular
renal>glomerular>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>glomerular>interlobar>afferent arteriole

101-in muscle ca+2 release frm

sarcoplasmic reticulum
T-tubule
Sarcomere

102-sarcomere
b/w 2 z line

103-parasympathetic nerves r
3, 7, 9, 10

104-w/c is present in de cavity of cavernous sinus

Abducent nerv
Trochlear
Occulomotor

105-in haemophilia

PT INC
APTT INC
Inc bleeding time

106-gestational age estimated frm.,.,.,.,.

Abd circumference.,,.
Biparital diameter.,.,.,. wks
Crown rump length ,,, 8 weeks.

107-norepi + serotonin degraded by
MAO

108-at last trimester w/c uterus is sensitive to w/c hormone
Oxytocin

109-to prevent heat loss
Shivering
Vasoconstriction

110-inc K
Aldosterone sec

SURGERY June 2009

2009-09-14T17:44:00.000+06:00

SURGERY JUNE 2009. Recalled By Safwan. Thankyou.

(C) Means correct.

1. Gland of cloquet is located in:

a. inguinal canal

2. Below is a carcinogen:

a. methyl alcohol
b. propyl alcohol
c. benzidine (C)

3. Incidence is:

a. number of new cases in a population (C)

4. Following is correct about femur:

a. the head is in line of medial condyle
b. the angle between the neck and shaft is average 125 degrees. (C)

5. Subclavian artery passes:

a. above the 1st rib (C)
b. below the 1st rib

6. Abdominal angina is caused due to:

a. Superior mesenteric artery (C)
b. inferior mesenteric artery
c. celiac trunk
d. abdominal aorta

7. Left Suprarenal vein drains into:

a. inferior vena cava
b. left renal vein (C)
c. phrenic vein
d. portal vein

8. Squamous cell carcinoma of urinary bladder is caused due to:

a. shistosoma (C)

9. The species which causes carcinoma in urinary bladder is:

a. shistosoma mansoni
b. schitosoma hematobium (C)

10. Oxidative breakdown of glucose during glycolysis generates:

a. 1 pyruvate
b. 2 pyruvate (C)
c. lactic acid

11. Referred pain to shoulder is via:

a. C1, 2
b. C2, 3
c. C3, 4, 5 (C)
d. C5, 6

12. Following is not palpable on per rectal examination:

a. Ureter
b. Prostate
c. Seminal vesicle
d. ??
e. ??

13. Spinal cord ends at:

a. S2
b. L1-2 (C)
c. L3
d. L5

14. Femoral sheath is composed of:

a. transversus abdominis fascia
b. internal oblique fascia
c. iliacus fascia (C)

15. Fracture at neck of fibula:

a. injury to common peroneal nerve (C)
b. superficial pernoeal nerve
c. deep perneal nerve
d. tibial nerve

16. Posterior displacement of knee is prevented by:

a. Anterior cruciate ligament
b. Posterior cruciate ligament (C)
c. Tibial collateral ligament
d. fibular collateral ligament

17. A patient had cut in the center of wrist during a suicide attempt, he has no abduction or adduction of fingers plus no abduction of the thumb, the injury is to:

a. ulnar nerve
b. median nerve
c. radial nerve

18. Lymphatic supply of mammary glands is:

a. parasternal lymph nodes
b. abdominal lymph nodes
c. axillary lymph nodes (C)

19. Defecation is because of:

a. mass reflex
b. myenteric reflex
c. S2, 3, 4 (C)
d. Parasympathetic reflex

20. Prolonged coma is because of lesion of:

a. both frontal lobes lesions (C)
b. one frontal lobes lesion
c. periaquaductal area lesion
d. midbrain lesion

21. Retrograde amnesia:

a. can be abolished via prefrontal lobotomy
b. appears in amygdala lesions and propranolol therapy

22. Projection fibers of cerebral cortex travel through:

a. internal capsule (C)
23. Regarding neural tube which one is correct:

a. Involved in CNS development (C)
b. Involved in meninges development

24. Primordial germ cells are of:

a. ectodermal origin
b. mesodermal (C)
c. endodermal

25. Urorectal septum divides the cloaca into:

a. anus and urinary bladder
b. anorectal canal and urogenital sinus (C)

26. ADH and Oxytocin are released from:

a. suprachaismatic
b. preoptic
c. adenohypophysis
d. neurohypophysis (C)

27. Termination of subarachnoid space is at:

a. L2
b. S2 (C)
c. L5
d. S4

28. Following is true about middle meningeal artery:

a. Passes through foramen spinosum (C)

29. Mass reflex is elicited by:

a. decortication
b. complete section of spinal cord
c. lesions of cervical or thoracic spinal cord (C)

30. Medial lemniscus system mediates:

a. Pain
b. Temperature
c. Tickling
d. Fine touch (C)
31. What prevents muscles from over-stretching:

a. Golgi spindles
b. muscle spindles (C)

32. Hamartoma is a:

a. neoplastic condition with no malignant potential
b. non-neoplastic condition (C)
c. completely benign
d. malignant

33. In chronic hemolysis, following will deposit in tissues:

a. bilirubin (C)
b. biliverdin
c. conjugated bilirubin
d. lipofuscin
e. iron

34. Premalignant lesion of mouth is:

a. ??
b. ??

35. Complication of betel nuts chewing is:

a. haemorrhage ??
b. ulceration ??
??
??
??

36. Cleft palate is caused due to:

a. Viral
b. carbamazepine
c. multifactorial (C)
d. antiepileptics

37. A House surgeon is operating on posterior triangle, which structure is at risk:
a. spinal portion of accessory nerve (C)
b. cranial portion of accessory nerve

38. During surgery on submandibular glands, how will you protect labial branch of facial nerve:

a. lift the deep fascia of hyoid bone
b. nerve stimulation studies
c. protecting it as it enters surgical field
d. lifting the blood vessels

39. Enzyme for breakdown of serotonin and Norepinephrine is

a. Catechol - o - methyltransferase
b. Monoamine oxidase (C)

40. Inducer of drug metabolism is:

a. ketoconazole
b. phenobarbitone (C)

41. Lesions of cerebellum causes:

a. failure of initiation
b. resting tremor
c. rigidity
d. ataxia (C)

42. Essential amino acid is:

a. Glycine
b. glutamate
c. tyrosine
d. phenylalanine (C)

43. Slow growing tumour of thyroid is:

a. papillary
b. follicular
c. adenoma

44. Following are features of thyroid tumour:

a. ??

45. Premalignant condition of colon carcinoma:
a. inflammatory polyp
b. hyperplastic polyp
c. hamartomatous
d. adenomatous (C)
46. Among the following statements about parotid gland, which is false:

a. It has two lobes
b. parotid duct arises from deep lobe
c. retromandibular vein is related to its inferior pole
d. ??
e. ??

47. Which nerve lies in the cavernous sinus cavity:

a. III, V
b. IV, VI
c. VI (C)
d. IX

48. Muscles of facial expression are all of the following except:

a. orbicularis oris
b. orbicularis oculi
c. buccinator
d. platysma
e. ?? (C)

49. Taste is sensed by all of the following except:

a. fungiform
b. filliform (C)
c. circumvellate

50. Tympanic membrane forms:

a. lateral wall of tympanic cavity

51. Thyroid gland is surrounded by which fascia:

a. investing
b. pretracheal (C)
c. prevertebral
d. deep

52. Azygous vein:

??

53. Facilitated diffusion is:

a. energy dependent
b. carrier mediated (C)

54. The most significant prepotential is that of:

a. atria
b. ventricles
c. SA node (C)

55. Best mechanism for temperature loss:

a. Vasonconstriction
b. thirst
??
??

56. Acute inflammation:

a. transudate
b. exudate (C)

57. alpha-adrenergic discharge leads to:

a. cardioacceleration
b. baroreceptor reflex

58. Which organ gets less than required oxygenation during exercise:

a. Skeletal muscle (C)
b. kidney
c. skin
d. brain
e. heart

59. H+ ion secretion is in:

a. hyperkalemia
b. acidosis (C)
c. alkalosis
60. H+ secretion is associated with:

a. excretion of bicarbonate
b. reabsortion of bicarbonate (C)
61. Central and peripheral regulation of respiration is via:

a. PCO2
b. PO2
c. pH
d. CO

62. A fisherman came to emergency department with pallor. The most probable cause for this is:

a. Diphylobothrium (C)

63. Ileal resection leads to:

a. Increased iron absorption
b. Decreased amino acid absorption.

64. Aldosterone production is stimulated via:

a. Heart failure
b. Decreased perfusion of kidney
c. Renin (C)
d. Increased Na

65. Another use of thyroid hormone is:

a. Weight loss
b. Appetite
c. Hair loss
d. ??
e. ??

66. Anabolic hormone is:

a. Insulin (C)
b. Glucagon

67. Adult Polycystic Disease is:

a. Autosomal recessive
b. X- linked recessive
c. Autosomal dominant (C)
d. X linked dominant
e. Mitochondial

68. Lymphatic supply of ovary is:

a. Internal iliac lymph nodes
b. external iliac lymph nodes
c. deep inguinal
d. lumbar/paraaortic (C)
e. sacral

69. Remnant of mullerian factor is:

a. Duct of gartner
b. Round ligament
c. Appendix of testis (C)

70. Tuberculous ulcer has which type of edges:

a. Everted
b. Punched out
c. Sliding
d. Undermined (C)
e. Elevated

71. Severe infection in a post-transplant patient is due to:

a. Influenza virus
b. Streptococcus
c. Staphylococcus
d. Cytomegalovirus (C)

72. Within 10 hours acute transplant rejection is due to:

a. Type I
b. Antibody-mediated (C)
c. Type III
d. Cytotoxic T cells
e. Type V

73. Following is true about MAI:

a. Widespread resistant to TB drugs
b. Only causes lung disease
c. Very common

74. Following is true about cryptorchidism:

a. Failure of descent of testis from abdomen into scrotal sac.

75. Definition of Behaviour sciences is:

a. Scientific study of human behaviour
b. Scientific study involving epidemiology, biostatistics, ethics, psychology, sociology. (C)

76. Good communication skills are in a person who:

a. Who does presentations (C)

77. RER function is:

a. Protein synthesis (C)
b. Transcription
c. Post-translational modification

78. Following is true about sarcomere:

a. Is formed between two intercalated discs
b. Is formed between two Z-discs (C)

79. Calcium is released into muscles via:

a. Mitochondrion
b. RER
c. Sarcoplasmic reticulum (C)

80. Lymphatic nodules are not present in:

a. Thymus (C)
b. Spleen
c. Peyers patches
d. Tonsils

81. In Pnemothorax following happens:

a. Lung collapses and chest expands
b. Lung collapses and chest indraws (C)
c. Lung expands and chest expands
d. lung expands and chest indraws
e. lung expands and chest remains same

82. Vaccine of Bacillus-Calmette-Guerin is which type of vaccine:

a. Formaline killed Toxoid vaccine
b. Heat killed organism
c. Live attenuated (C)

83. Vaccine of Bacillus-Calmette-Guerin induces which type of immunity:

a. Active (C)
b. Secondary immunity
c. Passive

84. Which one is true about corynebacterium diphtheria:

a. Produces powerful exotoxin (C)
b. Produces powerful endotoxin

85. The most common cause of pneumonia in 6 months to 2 years age group is:

a. Neisseria
b. Streptococcs pneumonia
c. E. Coli
d. Haemophilus influenza
e. Streptococcu pyogenes

86. Pseudo membranous colitis is caused by:

a. Clostridium tetani
b. Clostridium botulinum
c. Clostridium perfringens
d. Clostridium difficile

87. Clostridium perfringens causes injury via following mechanism:

a. free radicals
b. hypoxia (C)
c. Invasion

88. Neisseria best diagnosed most easily via:

a. Gram stain (C)
b. Culture

89. Ocular opacity can be caused by:

a. Ethambutol

90. Hydatid disease caused due to ingestion of:

a. Cyst
b. Eggs (C)

91. Patient is having MCV=78, MCH=28, it is:

a. Normochromic normocytic anemia
b. Normchromic microcytic
c. hypochromic microcytic
d. hypochromic normochromic

92. Patient is vomiting: ph = 7.25, PCO2=45 (35=45), HCO3=35. Cause is:

a. metabolic acidosis
b. metabolic alkalosis
c. partially compensated metabolic alkalosis

93. Most common cause of Deep Venous Thrombosis is:

a. Contraceptive pills
b. Trauma
c. Surgery
d. Immobility (C)

94. Most common cause of hospital acquired pnuemonia is:

a. Streptococcus
b. Pnemococcus
c. Pseudomonas (C)

95. Following is an important component of Counter current exchange mechanism:

a. Vasa recta (C)
b. Proximal tubule
c. Distal tubule

96. Submucous glands are present in:

a. Stomach
b. Dudenum (C)
c. Iluem
d. Large intenstine

97. Patient is having bone pains, PO4 is decreased, Ca++ is raised, most probable cause is:

a. Pagets disease
b. Osteoporosis
c. Osteopenia
d. Hyperparathroidism (C)

98. Calcitonin works by:

a. Increasing bone resorption.
b. Decreasing bone resorption (C)

99. True hermaphrodite genotype is:

a. XY
b. X0
c. XXY (C)

100. Testosterone is produced by:

a. Sertoli cells (C)
b. Leydig cells

101. The vasculature of kidney is:

a. Afferent -> glomerulus -> efferent -> vasa recta

Alongwith these there were few questions about premalignant conditions of mouth and a question about which is correct about cholesteatoma. There was a Murad MCQ about pie chart.

RADIOLOGY JANUARY 2009.

2009-09-12T21:39:00.003+06:00

See the june papers below the January papers.

By 'Bolanian'. Correct answers are marked >> * <<

1. Most imp. stress hormone
ACTH*
Epinephrine
Norepinephrine
Growth hormone

2. wat is not in relation with right kidney
decending colon*
ascending colon
duodenum
spleen

3. wat is not in relation with pitutary gland
Facial nerve*
Abducent nerve
Sphenoid sinus
Trigeminal

4. tributery of external carotid vein
Anterior jugular vein*
Facial vein

5. side effect of thophyllin
nausea and vomiting*
hypertension
bradycardia
seizures

6. Nor-epinephrine & serotonin degration by
MAO*
COMT

7. chemotaxic factor
leukoterine B4*
C3b
C5 complex
histamine

8. wat is not in post. relation with left kidney
Deudenum*
Ascending colon
Descending colon

9. wat is in between celeiac trunk and superior messentry artery
Pancreas*
Pancreas + jujenum
Transverse colon + ilium

10. what is secreted in breast milk
Ig G*
Ig A
Ig M
Ig D
Ig E

11. wat cannot pass placenta
Ig G
Ig A
Ig M*
Ig D
Ig E

12. ant and post spinal arteries arise from

vertebral artery gives anterior spinal, PICA gives post. Spinal*
Internal carotid
Vertebral artery and ant cerebellar artery

13. from which foramen facial nerve enters temporal lobe
internal accustic meatus*
stylomastoid foramen
foramen ovale
foramen spinosum

14. When r the ventricles filled with blood
Diastasis*
Atrial systole
Rapid in flow

15. A boy had behavior problem, loss of memory but resolve …..he is agressive in his mood, where is damage
Mammillory bodies
frontal lobe*
temporal lobe
parital lobe
occipital lobe

16. a new born presented with obstructive jaundice,,,,, gall bladder looks ok in U/s, cause
Atresia of CBD*
Atresia of entire extra hepatic apparatus
Atresia of hepatic duct
Choledochal cyst

17. A man with noticed weakness of left side of the body, hypotonia of the left limb, he swangs to left side, where is the lesion
Cerebral hemisphere
Left cerebellum *
superior c puduncle
Red neucleus

18. adrenalcortical insuficancy causes
hypokelimia
hyponatremis
hypoglycemia*
alkalosis

19. In resting stage actin is attached to
tropomyocin
troponin
titin
myosin

20. if there is damage to sciatic nerve, supply to the dorsum of foot is by
sephenous nerve*
Sural nerve
Common peroneal
Deep peroneal

21. patient with difficulty in standing from sitting postion....
Gluteus Maximum*
Gluteus medius
Tensor fascia lata
Quadricep femoris

22. wat is not in relation with left recurrent nerve
SVC*
Arch of aorta
Lig arteriousum
Trachea
Esophagus

23. stucture compressing Esophagus
Left bronchus (correct)
Left Venticle
Right Atrium
Right ventricle
Thymus

24. Esophagus constriction at
Aortic arch*
Left ventricle
Rt atrium

25. wat vein run with Post. interventricle artery
great cardiac vein
middle cardiac *
small cardiac

26. utrine cancer spread to labia majore via
Round ligament*
utrosacral ligament

27. Basalic vein .
drain in axillary ven*
runs on radial side
starts from palmar surface

28. median nerve
supply lateral 2 lumbricals*
causes wrist drop

29. injury of neck of the humerus, nerve damage
Axillary nerve*
Musculocutaneous
Radial
Ulnar

30. wat is in proximal layer of carpal bone, true
Scaphoid, lunate triqutral & pisiform*

31. broncopulmonary segment wat is true
anatomical, fuctional n unit of the lung*
contains lobar bronchus
pulmonary veins run in intersegmental tissue

32. urinary bladder, wat is true
supplied by anterior division of internal iliac*
separated from uterus by pouch of Douglas
in males has seminal vesical above and vas deferens below

33. sephenous nerve wat is true
drain into femoral 3.5cm inferior n lateral to pubic tubercle*
has only 1 tributary
connected to short sphenous by perforators

34. down syndrome
trisomy 21*
18
15
13

35.Which of the following tissue is most radiosensitive
Skeletal muscle
Cartilage*
Bone

36. diagnostic test for strptococuss is
ASO titer
Blood culture*
Urine Dr

37. 65% of Na and water reabsorbed from
PCT*
DCT
Loop of Henle
Collecting duct

38. injury to hippocampus
Memory loss*

40. .Erythropoietin is secreted from
Yellow marrow
Macula densa
Preitubualr capillaries*
PCT

41. medial part of breast supply which node
internal thoracic*
lateral grp
ant grp
medial grp

42. diapharam contraction cause
increase in thoracic pressure
increase in thoracic diameter

43. thoracic duct
passes with aorta *

44. sypathetic supply by alpha receptors
dilator pupilary musscle of eye*
brochoconstriction
cardioacceleration

45. parasympathetic supply
inc. secretioin of slivary gland*

46. gastric emptying delayed by
CCK*
Secretin
Gastrin
Vagus

47. A boy has edema due to protien loss of 3.5g in urine..., wat is the cause of edema
Plasma colloid pressure is decreased*
Increase hydrostatic pressure
Increased capillary permeability

48. wat is not supplied by internal thoracic artery
Inferior portion of rectus muscle*
Ant abd wall upto umbilicus
Pericardium
Thymus

49. Patient Gravida 4 with anemia and occult blood in stool
Iron deficiency anemia *
Sideroblastic anemia
Thalassemia
Megaloblastic anemia

50. iron absorb in
ferruos form*
oxalate

51. Bile salt absorb from
Ileum*
Proximal jejunum
Distal jejunum
doudenum

52. Trachea start from ….wat is true
C6*
C4
C5
Cricoid cartilage

53. wat is true abt CSF
secreted at rate of 500 ml/day*
choroid villi are seen by naked eye
aqueduct transmits CSF from 4th ventricle to spine

54. blood supply to Bundle of His.
Circumflex artery a br. Of left coronary artery
Posterior interventricular artery
Main Left coronary artery
Main right coronary artery

55. metastatic carcinoma least common site
brain
lung
liver
spleen(correct)

56. premotor area , which artery supplies
Anterior and middle cerebral (correct)
Anterior
Middle
Middle and post. Cerebral
Anterior and pst. Cerebral

57. arterial supply to primary visual area
PCA*
ACA
MCA
PICA

58. A boy defecate just after he takes meal, wat the reflex
gagtrogastric reflex
gastro coic reflex (correct)

59. Median of 20,20,25,25,30,30.35,40
25
20
27.5*
30

60. nerve supply to latismus dorsi
thoracodorsal*
subscapular
long thoracic

61. Right bronchus as compare to left
is longer
ant to pul artery
right bronchus is more vertical than left*

62. A surgeon did a study on patients with heamorroids
he included 100 pt in grpA and treated them surgicall
whil kept the other 100pt on high fiber diet
he interviewd them after 12mons and found that the grp with surgical treatment had a better response…… wat type of study is this?
Case control
Cohort
Prospective
Randomized control trial

63. Doctor patient relations and how good a doctor is known by
his degrees
his records
his pleasant behavior and bed side manners*

64. if a patient develops a fatal disease it is best to
hide it from him
tell it to him and his family as soon as possible*

65.Benedicts test is done for
blood sugar
urinary glucose
urinary reducing sugars*

66.sup parathyroid gland
is related to sup thyroid artey*
lies outside the pretracheal fasciae
lies anterolatral to thyroid

67.MHC complex is
related to HLA typing*
blood grp antigens
same in identical twins

68. first part of axillary artery ends at
border of pectoralis major
border of pec minor *
border of teres major

69.Esophagus is related to which structure whose dilatation can cause dysphagia
l atrium*
left vent
SVC
Rt atrium

70. If RCA is occluded distal to the origin of right marginal artery which part of the heart will be affected most?
Rt atrium
SAnode
AVnode*
Apex of the heart

71. Myleination of the brain wat is most inappropriate?
Starts at birth
Occurs hapharzadly
Sensory neuros are myelinated first
Occurs by oligodendrogliocytes

72. A patient with multiple fractures and BP 90/60 pulse 60/min wat is the most appropriate initial treatment?

IV fluids*
Reduction os fractures

73. Factor 9 def wat is the appropriate treatment?

Cryoppt*
FFP
Whole blood
WBC

74. DIC most inappropriate

low FDP*
consumptive coagulopathy
treated with heparin
low platelets

75. Kleinfelters syndrome
chromosomal deficiency
autosomal dominant
autosomal recessive
extra X chromosome*
extra Y chromosome

76. Fat embolism most unlikely
urinary test is diagnostic*
occurs due to trauma to fatty tissues
caused bt acute pancreatitis

77. Highest mortality rate
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E

78. Diphtheria is transmitted by
sexual contact
respiratory *
feco oral

79.which organ has least chance of metastasis
lung
bone
liver
kidney
spleen*

80. which organism causes meningitis secondary to pyogenic lung abscess?
Strep
Staph
Pneuococcus
h.influenzae

81. thromboembolism is most common in?
leg*
liver
brain
kidney

82. OCP increase the risk of
breast cancer
endometrial cancer
thromboembolism*
osteoporosis

83. Osteoporosis is less in premenopausal women due to effect of
estrogen*
testosterone
progesterone
androgens

84. A trauma patient in shock with stab wound along left 10th rib which organ is damaged?
Liver
Spleen*
Colon
Duodenum

85. in autosomal recessive disease
all siblings are affected
both parents are affected
only mother is affected
all siblings have a chance of one into four of contracting the disease*

86.which of these is not caused by bacteria
histoplasmosis*

87. Most likely finding in CSF

inc glucose in fungal meningitis
dec glucose in viral meningitis
lymphocytosis in aseptic meningitis
dec glucose in pyogenic meningitis

88. most imp for wound contraction
myoblasts
fibroblasts
myofibroblasts*
epithelium
collagen

89. smooth muscles are
striated
voluntary
mostly arranged in circular and longitudinal layers *

90. hyperparathyroidism causes least likely
hypertension
dystrophic calcification*
inc PTH

91. Ductus deferens ends into
Prostate
u.Bladder
S.vesicles
Prostatic urethra
Ejaculatory duct*

92. About large gut
descending colon has no haustra
appendix has no tenia*
all large gut is supplied by inf mesenteric artery
ascending colon has a mesentry

93. most probable abt gall bladder.
Has thick submucousa
Mucousa has extensive folds*

94. a patient with known HBV infectio comes with
HBSAg + HBe ab+ HBV DNA + HBC IGM ab+
Wat is the diagnosis?
Acute dis *
Chronic carrier
Chronic active

95. Which HBpathy presents with crises
sickle cell trait
sickle cell disease*
thalassemia
Hb C

96. unconjugated bile is carried by which protein?
Albumin *
Pre albumin
A globulin
B globulin
Fibrinogen

97.After gastrectomy patient will develop
iron def anemia
megaloblastic anemia due to folic acid def
pernicious anemia*
sideroblastic anemia

98. 60 yr male with lymphandenopathy and low hb low platelets and increased wbc
microscopy show large mature cells wats the diagnosis?

CLL*
Burkitts
Follicular
NHL

99. what Is true abt Hb
consisits of alpha and gamma chains in adults
imp buffer of H+ *
not assoc with CO2 transport

100.PDGF is secreted from which part of platelets
alpha granules
dense bodies
cytoplasm
lysosomes

101. which cells produce antibodies
plasma cells*
T cells
Bcells
Platelets

102. Heparin is released from which cells.
Mast cells*
Eosinophils
IgE

103. Epitheloid cells in granulomas are formed by which cells
macrophages
lymphocytes
langerhans cells*

104. thyroid is invested in which fascia?
Pretracheal*
Deep cervical
Prevertebral

105. wat is true abt thyroid
consists of collecting ducts and acini
epi changes shape according to state of activity.*
Has parthyroids ant to it

106. wat is true abt pituitary
ant pitutiary derived from neurons
no portal vessels btw hypothalamus and post pituitary*

107. Satiety center is located in which part of hypothalamus
anterolateral
VPL
VL
Medial*

108. D & C at 18 days after LMP endometrium will show which stage of uterine cycle?
Follicular
Ovulatory
Secretory*
Proliferative

109. at the end of pregnancy uterus is most sensitive to which hormone?
Estrogen
Progesterone
Prolactin
Oxytocin*

110. Most abundant phagocytic cells in circulation
basophils
monocytes
macrophages
neutrophils*

111. ICF & ECF differ in

inc K+ in ICF

112. most potent stimulus for release of aldosterone is

inc K+ *
inc Na+
inc glucose

113. Pallegra is due to def of
riboflavin
thiamine
niacin *
vit C

114. Trauma to the middle meningeal artey causes
subdural hemorrhage
epidural hemorrhage*
SAH

115. patient with loss of fine touch proprioception and vibration injury to which part of spinal cord?
Fasiculus gracilis
Fasiculus cuneatus
Post white column*
Lateral white column

116. in females which structure lies btw ureter and peritoneum
uterine artery*
inf vesicle artery

117. which of these muscles is a part of the pelvic diaphragm
deep transverse perinei
puborectalis*
bulbospongiosus
ischeocavernosus

118. wat is not true abt adrenal gland
fetal gland is 1/3 size of the adult gland
it is invested by renal fascia
adrenal cortex is derived from mesoderm

119. which structure is most ant in popliteal fossa
popliteal vein
politeal artey *
tibail nerve
bicep femoris
gastrocnemeus

120.tendon of which of these muscles is intracapsular
bicep femoris
plantaris
popliteus*
semitendinosus

121. which of these are the major resistance vessels
arteries
veins
capillaries
arterioles*
venules

122. patient losses 1 litre of body fliud in 1 hour wat will happen first
inc PR
inc BP
inc veno spasm*

123. a person in a room with optimum enviormental conditions how will the heat loss occur

convections
sweating
breathing
radiation and conduction*
voiding

124. major part of energy utilized during breathing is to overcome
elastic recoil of lungs*
resistance of chest wall
large airway resistance
small airway resistance

125. a bullet pierces the intercostals space which layer will it come after the intercostals muscles

parietal pleura
visceral pleura
endothoracic fascia*
pleural cavity

126. which vessel will be damaged if the phrenic nerve is cut

musculophrenic
int thoracic
pericadiophrenic*

127. which of these is not a branch of internal iliac
sup rectal*
middle rectal
inf vesicle
sup vesicle

128. lymphatic of uterus do not drain into
int iliac nodes
ext iliac nodes
sup ing nodes
inf mesenteric nodes*

129. a patient with hoarseness and lyrangeal nodule which is most unlikely
atrophy *
nodule
hypertrophy
hyperplasia

130. pseudo hypoparathyroidism.
Due to inc ca
Dec vit D
PTHrP

131. wat is seen in dysplasia
pleomorphism
inc NC ratio*
inc mitosis

132. metastatic tumors are identified by

invasion of other structures*
pleomorphism
inc NC ratio
inc mitosis

133. sarcomas have
rapid growth
inc vascularity*
capsule
benign

134. epi of a smoker will show

inc ciliated epi
mixture of st sq and pseudostratified cells*
dec goblet cells

135. most unlikely abt glomerulus is

has urinary space btw 2 layers
is cup shaped
is blind ended part of tubule
has stratified epi*
has podocytes

136. which vessel is involved and dilated in portal HTN

portal vein*
hepatic artey
hepativ vien
SMV

137. most unappropraite abt liver
has dual blood supply
hepatic artey gives only 35% of O2
portal vein has 70% O2 *

138. not part of the portal tract

portal vein
hepativ artery
bile duct
hepatic vein*

139. not a part of axillary nodes
ant grp
medial grp
apical grp
central grp
deep cervical*

140. Clavipectoral fascia
completely covers pectoralis minor*
forms suspensory lig of breast
forms axillary tail

141. in males uretric stones mostly lodge at which point
just below kidney*
at crossing of ext iilac vessels
at pelvic brim
at ischeal spine

142. if there is fracture of the acetabulum post and superiorly which bones r inv
ileum and ischium *
ileum and pubis
isschium and pubis

143. most constricted part of the male urethra?
Ext meatus*
Infandibukum
Navicular fossa

144. at the level of second part of duodenum wat is unlikely

aorta at the right of SVC*
left renal vein

145. pain of the ovary is transmitted to the medial side of thigh thru which nerve
femoral
obturator*
ilioinguinal

146. left ventricle does not contain
supraventricular crest
chordae tendinae
aortic vestibule
papillary muscles

147. epidural space
contains venous plexus*
contiues into skull at foramen magnum
attached to dorsal coccyx
upto S2

148. Otic ganglion lies under

foramen ovale*
foramen spinosum
maxillart nerve
stylomastoid foramen

149. middle menigeal artery enters thru which foramen?

Foramen spinosum*
Foramen rotundum
Foramen ovale

150. Superior petrosal sinus lies in
falx cereberi
fakx cerebelli
tentorium cerebellli*
diaphragma sella

151. Great cerebral vein does not drain
deep cerebral vein
sup cerebral vein
basal vein
thalamic vein

152.which of these is not a basic tissue of the body
epi
nerve
muscle
blood
CT

153. Osmotic pressure depends on
electrical equivalence
conc gradient
yenp
no of particles
mol size

154. chemoreceptors respond to
inc PCO2*
dec PO2
inc Ph
inc temp

155. Processus vaginalis
covers testis only*
covers ductus deferens
forms ext spermatic fascia
arises from parietal peritoneum
arises from visceral peritoneum

156. Dorsal rami of nerves supply
ext of trunk
ext of limbs

157. which vessel lies ant to IVC
left renal vein
left renal artery
right renal vein
right renal artery
right testicular vein*

158. if inguinal canal of a female is opened wat does it contain

round ligament and ilioinguinal nerve

159. lymphatic drainage of testis is into

para aortic nodes
sup ing nodes
int iliac nodes
ext iliac nodes

MEDICINE JANUARY 2009

2009-09-12T21:33:00.000+06:00

By 'Crack Smart'.

Medicine paper (Jan 2009)

Q#1.a 45 yr old male comes with the complaint of acute abdominal pain with migratory thrombophilibitis. what is the diagnosis?

a. Acute pancreatitis

b. Chronic relapsing pancreatitis

c. C.a pancrease (ans)

d. D.M

Q#2.Iron is stored in parenchyma as:

a. Ferritin

b. Hemosiderrin

c. Transferrin

Q#3. Least site of metastasis is:

a. Spleen

b. Liver

c. Lung

d. Kidney

e. Lymph nodes

Q#4.Major stress hormone is:

a. ACTH

b. Epinephrine

c. Norepinephrine

Q#5. Benedict test is used for:

a. renal glycosuria

b. urinary ketone.

c. urine glucose test

Q#6.A lady with hepatitis B; Serology shows: HbsAg +, HbeAg +ve,Anti HBe -ve, Hbv Dna +ve. Anti HBc IgM +ve...what does it show?

a. Acute Hepatitis B (ans)

b. Chronic hepatitis B

c. Viral load is decreasing

d. Immunized

Q#7.A healthy baby comes apparently with the complaint that he does not take breast milk instead he prefers the bottle feed. What is the diagnosis?

a. Cleft hard and soft palate (ans; most probably)

b. Cleft soft palate

c. Hormonal deficiency

d. Nasolacrimal duct block

e. Laryngeal weakness

Q#8.Penetrating injury in left 4th ics will damage which of the following structure?

a. Intercostal membrane

b. Intercostal muscle

c. left lung

d. left ventricle

e. Left atrium

Q#9.In Hyperglycemia, which 1 will increase:

a. Epinephrine

b. Cortisol

c. Glucagon

d. Insulin (ans)

Q#10.Regarding polycystic kidney:

a. It is autosomal dominant

b. It is autosomal recessive

c. Genetic mutation

d. Only females suffer

e. Only male suffer

Q#11.After 3 months to gastrectomy, Pt will develop:

a. Microcytic hypochromic anemia

b. Microcytic hyperchromic anemia

c. Megaloblastic anemia (ans)

d. Hemolytic Anemia

e. Macrocytic Anemia

Q#12.Non-myelinated nociceptor fibre directly synapses with:

a. Dorsal spinothalamic tract..................sorry cant remember other options

Q#13.Somites are derived from

a. Mesoderm

Q#14.Pseudomembranous colitis is caused by

a. Clostridium difficile (ans)

b. C.perferinges

c. Helicobacter pylori

Q#15.A 2 yr old child (premature); which cardiovascular anomaly will most likely develop:

a. Coarctation of aorta

b. Failure of closure of foramen ovale

c. PDA (ans)

Q#16.Which is the major circulating phagocyte?

a. Neutrophil

b. Mast cell

c. Monocyte

d. Macrophage (ans)

Q#17.ICF differs from ECF in:

a. Has increased Na+

b. Has increased K+ (ans)

c. Has increased Ca+

Q#18.Neurotransmitter of corticostriatal fibres is

a. Glycine

b. Dopamine

c. Ach

d. GABA

Q#19.Bile salts are normally absorbed from

a. Duodenum

b. Jejunum

c. ileum

d. Stomach

Q20. S1Q3T3: ......cant remember options for this Qz

Q#21.Antidote for Morphine:

a. Nalaxone (ans)

Q#22.which of the following is absent in Axon hillock

a. R.E.R (ans)

b. S.E.R

c. Microtubules

d. Microfilaments

e. Mitochondria

Q#23.Glucronide conjugation of drugs

a. Cause inactivation of drug

b. Is type 1 reaction

c. Makes drug insoluble

Q#23.Dorsal rami of cervical nerves innervate

a. Abductor pollices

b. Extensors of limbs

c. Extensors of trunk

d. Stabilizers the shoulder

Q#24.Upper end of esophagus is at the level of

a.C6

Q#25.Which part of kidney produces Erythropoiten:

a. MACula densa

b. pertubular capillary (ans)

c. Pct

d. DCT

e.Loop of henle

Q#26.Liver biopsy from a pt shows a lesion which is comprised of central collection of structureless material surrounded by epitheloid cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen.The most likely change is:

a. Caseous necrosis

b. Coagulation Necrosis

c. Fatty change

d. Hydropic change

e. Liquefective necrosis

Q#27.Tissue damage by Ionization Radiation is due to:

a. Damage to Golgi bodies

b. Formation of free Radicles

c. Hydropic change

d. metaplasia of cell

e. swelling of cell

Q#28.Side effects of thiopental

a. Nausea

b. Seizure

29.Posterior belly of diagastric is supplied by:

a. Glossopharngeal nerve

b. Facial nerve

c. Trigeminal

Q#30.Which immunoglobulin has pentameric structure:

a. IgA

b. IgM

c. IgD

d. IgE

e. IgG

Q#31.Which is highest in human milk?

a. IgM

b. IgA

c. IgE

d. IgD

e. IgG

Q#32.Blood supply of Visual area:

a. Ant:Cerebral Artery

b. Middle cerebral Artery

c. Posterior cerebral artery

Q33.Aneurysm of arch of aorta will most like compress

a. Esophagus

b. Left main bronchus

c. Phrenic nerve

d. Thoracic duct

Q34.Gastroduodenal artey arises from

a. Celiac

b. Hepatic

c. Splenic

d. Superior mesentric

Q35. Slow growing tumor of thyroid is:

a. Anaplastic

b. Medullary

c. Follicular

d. papillary

Q36.Which does not lead to Pre-malignancy

a. Iodine deficiency

b. HIV

c. HBV

d. Melanosis

Q37.A 34yr old man can’t abduct his arm due to fracture of humerus. which nerve is damaged?

a. Axillary

b. Median

c. Radial

d. Ulnar

e. Musculocutaneous

Q38.Aldosterone will increase with:

a. Increased serum K+

b. Increased serum Na+

c. decreased plasma volium

d. Increased ACTH

Q39.A 14 yr Boy comes with the complaint of his abnormal Height and secretion from mammary glands. Histology of pitutary will show;

a. Increased Chromophobes

b. Increased Acidophilic cells (most probably diz was the ans)

Q40.A 35 yr old female is protected against osteoporosis due to

A. Estrogen (ans)

B. Progestron

41.Which is not “ Major Basic tissue”

a. Epithelium

b. Nerve (ans)

c. Bone

d. Blood

e. Muscle

SURGERY JUNE 2009

2009-09-12T21:14:00.001+06:00

SURGERY PAPER 24 JUNE 2009-07-11 By Dr Sana Memon.

Q1.WHICH LOBE OF LUNG HAS 2 SEGMENT
A.RT;UPER LOBE
B.RT LOWER LOBE
C.RT MIDDLE LOBE
D.LEFT LOWER LOBE
E..LEFT UPPER LOBE

Q2.EARLIEST SIGN OF ASPIRIN OVER DOSE?
A.TINNITUS
B.GASTRIC UPSET
C.METABOLIC ALKLOSIS

Q3.MAIN SIDE EFFECT OF LIDOCAINE
A.ARRTHYMIA
B.TONIC CLONIC SEZIRES
C.NAUSEA VOMITING

Q4.ENTAMOBEA HISTOLYTICA?
A.DOES NOT HAVE CARRIER
B.LIMITED TO G.I.T
C.PROTZOA

Q5.T.B ULCER MARGIN?
A.EVERETED
B.INVERTED
C.INDIFINE
D.INDURATED

Q6.SECTRION OF HARMONE INCREASE AS DARKNESS INCREASING?
A.CORTISOL
B.GROWTH HARMONE
C.MELATONINE
D.INSULIN

Q7.INDICATION OF SPLEENECTOMY?
A.AUTOIMMUNE HEMOLYTIC ANEMIA
B.SICKEL CELL ANEMIA
C.G SIX PHOSPATES DIF
D.THROMBOCYTOPENIA

Q8.RBC CELL MEMBRANE?
A.ACTIN
B.MYOCIN
C.SPECTRIN
D.HEMOGLOBIN

Q9.CLOSTRIDIUM DIFFIC?
A.CAUSES LOCAL HYPOXIA
B.AEROBES
C.ALPHA TOXIN
D.CONVERSVATIVLY TREAT.

Q10.INGUINAL HERNIA?
A.INDIRECT PASSES ONLY SUPER;RING
B.DIRECT PASSES THROUGH HESSAL BECH TRIANGLE
C.DIRECT LYING ON MEDIAL SIDE OF INF:EPIGASTIC ARTERY

Q11.CONTENT OF INGUINAL HERNIA?
A.INF:EPIGASTRIC ARTERY
B.LYMPH OF FUNDUS OF UTERUS.
C.OVARIAN ARTERY.
D.FEMORAL ARETY

Q12.DIALYSING FLUID COMPOSTION SAME AS PLASMA AXCEPT WHICH ONE HIGH?
A.GLUCOSE
B.UREA
C.K*
D.CA

Q13.COMMON ORGAINSM INFECTION IN LIVER TRANSPLANT PT:
A.HEP.B
B.HEB C
C.CYTOMEGALO VIRUS
D.INFLUENZA

Q14.RT:CORNOARY ARETY?
A.RISES FROM RT:POST AROTIC SINCUS
B.SUPPLY BOTH ARTIUM
C.RUN IN POST INTERVENTRICULAR GROOVE
D.BR:CIRCUMFELX

Q15.BRUN PT; HYPOTENSION,TACYCARDIA?
A.D.I.C
B.INFECTION

Q16.BOY WITH INCREASE BLEEDING TIME AFTER CIRCUMCISION,HIS COUSIN ALSO HAVE SAME PROBLEM?
A.BT
B.CLOTTING TIME
C.APTT
D.PT

Q17.SECOND HEART SONUD?
A.CLOUSER OF TRICUSPID VALVES
B.FILLING OF VENTRICLE
C.CLOSURE OF SEMILUNAER VALVES

Q18.BLADER CA?
A.TRANSITIONAL CELL CA.
B.Sq: CELL CA
C.EPITHOID CA

Q19.CALCITONIN?
A.INCREASE BLOOD CA LEVEL
B.INC;ABSORTION OF CA INTESTINE
C.INC:ABSORTION FROM RENAL TUBULES
D.INC:BONE REABSORBATION

Q20.AFTER MULTIPULE BLOOD TRANSFUSION?
A.HYPOKALEMIA
B.HYPERKALEMIA
C.HYPOCALCEMIA
D.RAISED BUN

Q21.COMPENSATION AFTER MILD BLOOD LOSS?
A.TACYCARDIA
B.DEC: COMP OF VEIN
C.NORMAL B.P

Q22.IN ALL TYPE OF SHOKE?
A.HYPOVOLEMIA
B.TACYCARDIA
C.UNCONSIOUS

Q23.FAT EMBOLSIM?
A.SYPMTOMS AFTER 12 HRS
B.80% FATAL
C.COMON CAUSE THROMBPHILIBITIES
D.BREAST TRUMA

Q24.CHILD THIN,DEPIGMENTED,APATHY
A.MARASMUS
B.KASHIKOR
C.DIARREHA

Q25.PT:WITH GRANULOMATOUS LESION IN BLADDER DEVELOPED CA.CAUSE?
A.SHISTSOMIA MANSONI
B.CIGGRATE SMOKING
C.SHIS;HEMATOBOIUM
D.DIYES

Q26.RETROGRADE AMNEISA?
A.FRONTAL LOBECTOMY
B.AGGREVATE BY TEMPORAL LOBE TRUMA

Q27.METAPLASIA,INCORRECT?
A.IRREVERSIBLE
B.BRONCHIAL EPI;
C.GASTRO ESOPHAGEAL JUNCTION
D.CERVIAL JUNCTION

Q28.APPENDIC EPIPLOIC PRESENT IN?
A.DEUDENUM
B.RECTUM
C.JEUJENIUM
D.ILIUM

Q29.COMMON COMPLICATION OF BETAL NUTS?
A.SUBMUCOSAL FIBROSIS
B.EPITHEIAL POLYP
C.CA; EPITHILIUM

Q30.FEMORAL SHEATH?
A.FASICA ILISCA
B.FASICA TRAVERSALIS
C.FASCIA TRANSVERSALIS AND ILISCAP

Q31.LOCALLY MALIGNANT TUMOR?
A.CHOLESTATOMA
B.NEUROBLASTOMA.

Q32.COMMON SIGN OF OF AGRUNLOSYTOSIS CAUSES BY ANTIEPILEPTICS?
A.WT:LOSS
B.SORE THOART
C.BLEEDING
D.GIT UPSET

Q33.DURING OPERATION OF POST;CERVICAL LYMH NODE BIOPSY?
A.CRANIAL PORTION OF ACCERY NERVE.
B.SPINAL PORTION OF ACCESSRY NERVE.
C.AXILLARY NERVE
D.LOWER CORD OF BRACHIAL PLEXUSES
E.PHERINIC NERVE.

Q34.PT: WITH ROAD TRAFFIC ACCEDIENT,UNABLE DORSIFLEX AND EVERT FOOT?
A.SUPER; PERONEAL NERVE
B.DEEP PERONEAL NERVE
C.COMON PERNEAL NERVE
D.TIBEAL NERVE

Q35.ESTABLISHED ANTIOXIDANT?
A.VIT A
B.VIT D
C.VIT E
D.VIT C
E.VIT B

Q36.URORECTAL SEPTUM?
A.SEPRATE RECTUM AND URINARY BLDER
B.SEPRATE RECTUM AND UROGENITAL SEPTUM
C.SEPRATE RECTUM AND SIGMOID COLON
D.SEPRATE RECTUM AND URETHRA

Q37.70% OXYGEN EXTRACT IN RESTING CONDITION IN WHICH TISSUE?
A.HEART
B.BRAIN
C.KIDNEY
D.LUNG
E.SK;MUSLES

Q38.PT: WITH THE S/S OF PANCREATITIS BUT NORMAL AMYLASE,WHAT NEXT DIAGNOSTIC TEST?
A.LFT
B.CHLESTROL
C.GLUCOSE
D.AST/ALT

Q4930 YRS OLD PERSON AHS STAB WOUND ON RT;SIDE OF CHEST?
A.IPSILATERAL LUNG COLLPASE AND IPSILATERAL CHEST WALL SPRING OUT
B.IPSILATERAL LUNG COLLAPSE AND CONTRALATERAL CHEST WALL COLLAPSE.
C.NO CHANGE IN CHEST WALL
D.CONTRALATERAL LUNG COLLAPSE AND IPSELATERAL CHEST WALL COLLAPSE

Q40.DURING OPERATION ILIUM REMOVE?
A.DEC;ABSORTION OF AMINO ACID
B.DEC ABS:OF WATER
C,INC ABSORBATION OF FAT
D.DEC; IRON ABSORBATION

Q41.COMA(DEMAGE OF PART OF BRAIN)
A.NUCLEUS CERULOSIS
B.RETICULAR FORMATION AREA
C.AREA POSTREMA

Q42.TRUE HERMOPHADISM?
A.XX/XY
B.XXY
C.XXX
D.XYY

Q43.AFTER APENDICTOMY,PT;DEVELOPED CHRONIC WOUND ABBCESS AND DRAING SINUS,CONTAING YELLOW GRANULES?
A.NOCARDIA
B.ACTINOMYCOSIS
C.H.PYLORI
D.E.COLI
E.ENT.HISTOLYTICA

Q44.RT:TESTIS LUMPH NODE DRAINGE?
A.DEEP INGUINAL NODE
B.SUP:MEDIAL GROUP INGUINAL NODE
C,PARAORTIC LYMPH NODE

Q45.FAT,CHO AND LIPID DEPOSTION BY WHICH HARMONE?
A.INSULIN
B.GLUCAGON
C.CORTISOL.
D.GROWTH HARMONE

Q46.MICROCYTIC,HYPOCROMIC ANEMIA?
A.IRON DEF;ANEMIA
B.CHORNIC BLOOD LOSS
C.SICKEL CELL ANEMIA
D.HEMOLYTIC ANEMIA

Q47.CYNOSIS?
A.DEC CONTENT OF HB%
B.INC:CONCENTRATION OF DEOXY;HEMOGLOBIN
C.ANEMIA

Q48.UNLOCKING MUSCLES?
A.POPLITIUS
B.SEMITANDANNIOUS
C.SEMIMEMBRANOUS
D.SARTORIUS

Q49.URETER CONSTRICTION?INCORRECT
A.PUJ JUNCTION
B.PELVIC BRIUM
C.CROSS THE COMON ILLIC ARTERY
D.RUN ON PSOS MUSCLE

Q50.COMON SITE OF RIB FRACTURE?
A.HEAD OF RIB
B.ANGLE OF RIB
C.BODY OF RIB

Q51.INCREASE BLEEDING TIME CAUSE BY?ACCEPT
A.HENOCH,SHIL:PUPURA
B.CIROHSIS
C.DEC PLATELETS
D.THROMBOCYTOSIS.

Q52.SLOWEST GROWING TUMOR?
A.PAPILLARY CA
B.MEDULLARY CA
C.FOLLICULAR CA

Q53.TURNER SYNDROME?
A.LONG HIGHT
B.MENTAL RETARDATION
C.CARRING ANGLE REDUCED
D.HIGHT 4.5CM

Q54PELVIC DIAPHAGRM FORMED BY MUSCLES EXCEPT?
A.COCCYGUS
B.PYriformus MUSCLES
C.ILOCOCCGUS

Q55.STD CAUSES ULCER ACCPET?
A.SYPHILIS
B.HERPES
C.GONOCOCCUS

Q56.PT WITH HYPOVOLEMIC SHOKE,TREATED.WHAT WILL BE DECREASE?
A.HEART RATE
B.urine OUTPUT
C.B.P

Q57.after 48 HRS OF STRAVATION,WHT WILL BE BREAKDOWN TO PROVIDE ENEGRY
A.CHO
B.FAT
C.PROTIEN

Q58.CHRONIC HEMOLYSIS AND INTRACELLULAR PIGMENT ACCUMULATION?
A.BILIRUBIN
B.HEMOSIDRIN
C.BIVIRDIN

Q59.BASCILIC VEIN?
A.RUN OF RADIAL SIDE OF FORARM
B.FORM ON THE PALMER SURFACE OF HAND
C60.CONTINUE AS AXILLARY VEIN

Q.DRUG LEAST NEPHROTOXIC
A.GENAMYCIN
B.NEOMYCIN
C.CLINDAMYCIN

Q61.ANT:DISLOCATION OF SHOULDER JOINT WHICH NERVE DEMAGE?
A.AXILLARY
B.RADIAL
C.MUSCULOCUTANEOS
D.MEDIAN
E.LOWER BRACHIAL PLUXES

Q62.TESTOSTERONE PRODUCED BY ?
A.LYDING CELL
B.EPIDYDEMUS
C.SRTOLI CELL

Q63.APEX OF HEART?
A.3RTH INTERCOSTAL SPACE.
B.TOWARDS RIGHT
C.8CM FROM MID LINE

Q64.AFLATOXIN B1 CAUSES CA?
A.HEPATOCELLUAR CA
B.BLADDER CA
C.LEUKEMIA
D.SKIN CA

Q65.BLOOD GROUP CAUSES REACTION?
A.B+
B.A+
C.AB-
D.O+

Q66.MUSCLES DIVIDE SUBMEDIBULAR GLAND?
A.STYLOPHARAGEUS MUSCLES
B.MYLOID
C.STYLOGLOSSIUS

Q67.PT:CANNT ABDUCT THE ARM UPTO 30 DEGREE?
A.INFRASPINATUS
B.SUPRA SPINATUS
C.DELTOID

Q68.MAJOR INSPIRATORY MUSCLES?
A.INTERNAL INTERCOSTAL MUSCLES
B.EXT:INTERCOSTAL MUSCLES
C.DIAPHGRAM

Q69.LEFT SUP:RENAL VEIN DRAIN IN WHICH VEIN?
A.RENAL VIEN
B.AZYGOS VIEN
C.HEMIAZYGOS VIEN
D.ACCESSARY AZYGOS VIEN

Q70.PARASYMPATHATIC SYS CAUSES ALL OF FOLLWING AXCEPT?
A.SPINCTER CONSTRICTION
B.DILATE THE PUPIL
C.EMPTY BLADDER

Q71.PT:LOSS OF ABDUCTION, ADDUCTION OF FINGERBUT NO LOSS OF SENSATION?
A.MEDIAN NERVE
B.ULNER NERVE.
C.RAIDAL NERVE
D.DEEP BR;OF ULNER NERVE

Q72.MALE WITH T4N1M1 SERVIVAL RATE LESS 50%,S/S?
A.CACHXIA
B.ANEMIA
C.ARRTHEYMIA

Q77.FUNCTION OF LIMIC SYS AXCEPT?
A.MEMORY
B.AGGRESTION
C.SPINAL REFLAX

Q78.STRONGEST LIGAMENT?
A.ILIOFEMORAL
B.ISCHEO FEMORAL
C.DELTA LIGAMENT/MEDIAL LIGAMENT

Q79.SHORT GASTRIC ARTERY BR:OF
A.SUP:EPIGASRIC ARTERY
B.HEPATIC ARTERY
C.SPLENIC ARTERY

Q80.TYMPANIC MEMBRANE?
A.FORMED LATERAL WALL OF TYMPANIC CAVITY
B.SUPPLY BY VAGUS AND TRIGEMINAL NERVE
C.OPENING OF AUDITARY TUBE IN POST WALL.

Q81.HEPARIN
A.EMBOLISM
BSECRTED BY .BASOPHIL
C.DISLODGMENT
D.DISOLVMENT OF CLOT

Q82.VERBAL COMUNICATION?
A.BY PRESENTATION
B.INVOLVE IN RESEARCH WORK

Q83.37%POST MENUPOSAL WOMEN TAKING HRT,63 WOMEN TAKING NO MEDICATION,HOW YOU SHOW IN CHART
A.BAR CHART
B.PIE CHART
C.PICTORIAL CHART

Q84.THYROXINE CAN BE USE OTHER THEN THYROID TREATMENT?
A.WEIGHT LOSS
B.INCREASE APPEPITTE.
C.BMR

Q85.THYMUS?
A.REGRESS AFTER BIRTH
B.FORMED BY 4TH PHARENGEAL ARCHES
C.PRODUCED T CELL

Q86.GROOVE OF SUBCLAVIN ARTERY?
A.1ST RIB
B.2ND RIB
C.3RD RIB
D.CLAVICLE

Q87.PIVOT JOINT?
A.ATLANTOAXIAL JOINT
B.MANDIBULAR JOINT
C.ELBOW JOINT

Q88.CA REALSE FROM SKETAL MUSCLES FROM?
A.SARCOPLASMIC RETICULIUM
B.MITOCHONDRIA
C.LYSOSOME
D.T-TUBULES

Q89.PROJECTION FIBERS PRESENT IN?
A.CORPUS CALOSUM
B.INTERNAL CAPSULES
C.RETICULAR FORMATION

Q90.PERIPHERAL AND CENTRAL CHEMO RECPTORS BOTH RESPONES TO?
A.PCO2
B.PO
C.OXYGEN CONCENTRATION
D.H+

Q91.ESSENTIONAL AMINO ACID
A.TYROSINE
B.ALANINE
C.ARGININE
D.PHENYALANINE

Q92.LUMBER PUNCTURE?
A.L2 TO L3
B.L4 TO L5
C.POST;SUP;ILIC SPINE

Q93.CEREBRAL CORTEX
A.RECEIVE NO SENSORY INFORMATION
B.PRESENT ONLY IN FRONTAL LOBE
C.ESSENTIONAL FOR INITATION OF VOLUENTRY MOVEMENT

Q94.WATER ABSORBTION IN PROXIMAL CONVULATED TUBULES?
A.55% ABSORED
B.ASECNDING LIMB IS PERMIALE FOR WATER
C.WATER ABSORED THORUGH FASCILITED DIFFUSION

Q95.SUBARCHANID LYER END AT?
A.L2
B.S2
C.S5

Q96.DORSAL COLUMN MEDIAL LAMINUSCUS COTAIN?
A.FINE TOUCH
B.CROUDE TOUCH
C.PAIN
D.TEMP

Q97.GLYCOLYSIS?
A.GIVE 1 MOLECULES OF PYRUVATE
B.2 MOLECULE OF GLUCOSE

Q98.THICK FILAMENT?
A.MYOSIN
B.ACTIN
C.ACTOMYOSIN

Q99.ORGAN TRANSPLANT REJECTED IN 10 MIN
A.CELL MEDIATED IMUNITY
B.ANTIBODY
C.PLASMA CELL
D.NATURAL KILLER CELL

Q100.WHICH FOLLOWING CHEMICAL EXPOSURE CAUSES CA?
A.METHYL ALCOHAL
B.BENZENE
C.CARBON TETRACHLORIDE

Q101.CRANIAL NERVES CARRINYING PARASYMPATHATIC FIBERS?
A.3,7,8,10
B.3.7.9.10
C.4,7,9,10
Q102.DURING PREGNANCY HICH DRUG SAFEST IN HYPOTHYRIOD PT:
A.BETA BLOCKERS
B.DIAZEPAM
C.PROPYTHIORACIL
D.CARBAMAZIPINE

Q103.ARCHES OF LEFT LUNG?
A.AZYGOS VEIN
B.THORACIC DUCT
C.ARCH OF AORTA

Q104.DIAPHGRAM SUPPLY BY?
A.C,3,4,5
B.INTERCOSTAL NERVE
C.C 2,3.4

Q105.WHICH DRUG CAUSES CORNEAL OPACITY
A.CHLOROQUINE
B.ERTHROMYCIN

Q106.CAVERNOUS SINUS COTAIN?
A.TROCHLER NERVE
B.INTERNAL JUGULAR VEIN
C.ABDUCENT NERVE

Q107.WHICH DRUG INCREASE CYTO P450 SYS
A.BARBITURATES
B.SULFA DRUGS
C.ISONIAZID
D.KETOKANAZOLE

Q108.EASIEST METHOD TO DIAGNOSED MENINGOCOCCUS?
A.CULTURE
B.STAINING
C.SERUM ANTIGEN

Q109.BALCK WATER FEVER CAUSES BY?
A.PLAS;MALARIA
B.PLAS:FALCIPARUM
C.QUATRUN MALARIA

Q110.OXYTOCIN AND ADH ORIGENATED BY?
A.POST PITUTARY
B.HYPOTHALAMUS
C.ANT PITUTARY

Q111.CEREBLLAR DISORDER?
A.UNABLE TO PERFORM VOL;MOVEMENT
B.STATIC TREMORS
C.INTENSTION TREMORS

RADIOLOGY JAN 2009

2009-02-05T12:32:00.002+05:00

FCPS part-1 january 2009 ( RADIOLOGY)

Contributed by Dr. Usman ( doc82me@yahoo.com)
Well the paper consisted of paper 1 and paper 2 . although I cannot commit to my memory all the mcqs but an effort is made to recall as many possible as it can be,to benefit my colleagues in future.i have tried to give the correct answers which I have later confirmed from authenticated sources but the margin of error is still there . I hope it will be benefical. anyone requiring any advice regarding fcps 1 feel free to contact on my e mail. Looking forward for your prayers.

1. Gastric emptying inhibited by
Ans. CCK

2. Which hepatitis has the most mortality
a. hepA
b. hep B
c. hep C
d. hep D ( ans)
e. Hep E

3. Aldosterone secretion increases in response to
a. hyponatremia
b. increase ACTH
c. hyperkalemia (ans)

4. 65% Na reabsorption is in
a. PCT (ans )
b. DCT

5. osmotic pressure depends on
a. increase molecular size
b. increase no of particles (ans)
c. electric charge

6. regarding heamoglobin
a doesnot carry CO2
b. acts as a buffer (answer )
c. contains 2 alpha and 2 gamma chains

7. diffusion is inversely proportional to
a. thichness of the membrane (ans )

8. infants tend to defecate immediately after they eat because of
a. gastroileal reflex
b. gastrocolic reflex (ans)

9. cause of achlasia is
a. loss of myenteric plexus (ans )

10. appendix
a. does not have tenia coli (ans )

11. what is the energy source after 48 hrs of starvation
a. muscle glycogen
b. liver glycogen
c. muscle proteins (answer)

12. which is not the part of portal tract
a. hepatic artery
b. connective tissue
c. portal vein
d. hepatic vein (ans)
e. bileduct

13. what results after portal hypertension
a. increase portal diameter (ans )

14. Benedict test is used for
a. urine glucose
b. urine ketones (ans)
c. serum glucose

15. iron absorption increases in
a. ferrous form (ans)

16. total gasrectomy results in
a. iron def anemia
b. microcytic anemia
c. pernicious anemia (ans)

17.women with gravida 4 hb 8 occult blood in stool cause
a. iron def anemia (ans)

18.which hormone is responsible for fetal brain development
a. growth hormone
b. prolactin
c. thyroid hormone (ans)

19.adrenal cortical def results in
a. hyperglycemia
b. hypokalemia
c. hyponatremia (ans)
20. hyperPTH will be in all except
a. brown atrophy
b. dystrophic calcification (ans)

21.pseudohyper PTH is seen in
a. vit D def
b. paraneoplastic PTH release from tumours ( I think it is the answer )

22. diagnostic criteria for pre malignant condition
a. increase nuclear cytoplasmic ratio
b. pleomorphism
c. mitotic figures

23. diagnostic criteria for malignant tumours
a. pleomorphism
b. mitotic figure
c. local invasion

24. diagnostic criteria for soft tissue tumours
a. pleomorphism
b. mitotic figures
c. increase vascularity

25. patient with decrease hb, decrease platelets but increase TLC with generalized lymphadenopathy. Lymphocytes normal appearance cause
a. tuberculous lymphadenitis
b. non Hodgkin lymphoma
c. hairy cell
d. CLL

26.patient with CML develop joint pain, which investigation
a. uric acid (ans)
b. RA factor

27. most important chemotactic agent
a. leukotriene B4
b. C5 complex (ans)
c. histamine

28. heparin is released by which cells
a. mast cells
b. basophils ( I think so it is the ans )
c. platelets
d. neutrophils

29. most radiosensitive tumour
a. bone
b. lung
c. lymphnode
d. brain

30.least site of metastasis
a. brain
b. lung
c. liver
d. lymphnode
e. spleen ( ans )

31.sideeffect of theophylline
a. hypertension
b. seizures (ans)
c. nausea vomiting
d. apnea

32. most common side effect of estrogen contraceptive
a. thromboembolism ( ans)

33. which hormone decrease cholesterol
a. progesterone
b. estrogen ( ans)

34.women with lower abdominal pain on 18 day of LMP presented with secondary infertility . diagnostic D&C will show endometrium in which sage
a. ovulatory
b. secretory
c. proliferative
d. premenstrual

35. insulin def will result in
a. protein synthesis
b. glycogen syntheseis
c. ketogeneis in liver (ans)

36. which is a stress hormone
a. cortisol (ans)
b. NE

37. severe dehydration will result in
a. loss of ICF only
b. loss of ECF only
c. loss of total body water (ans)

38. most imp ICF electrolyte in excess
a. K+(ans)
b. Na
c. Cl-
d. HCO3

39. Bilesalts absorb from
a. ileum (ans)
b. jejunum

40.factor 1X def what should be given
a. cryoprecipitate
b. FFP
c. whole blood

41.heavy smoker with hoarseness vocal cord will show
a. hyperplasia (ans)
b. tumour
c. atrophy

42.what is not present in bowman capsule
a. podocytes
b. stratified epithelium (ans)

43. habitual smoker the epithelium will be
a. continuous stratified sq epi
b. pseudo stratified epi with patches of stratified sq epi

44. regarding CSF
a. produced by chroidplexus which is cauliflower in shape coverd by smooth muscle
b. daily production is 500 ml per day(ans)

45. axon doesnot contain
a. mitochondia
b. nissl substance (ans)

46. PDGF released from which organelles of platelets
a. alpha granules (ans)
b. dense granules
c. cytoplasm
d. cell membrane

47. smooth muscle is
a. striated
b. cardiac muscle is a specialized smooth muscle (ans)

48.somites are formed from
a. ectoderm
b. mesoderm (ans)
c. mesenchyma

49.pt has difficulty rising from sitting position but flexion of leg is normal, which musle is involved
a.ileopsoas
b.gluteusmaximus (ans)
c. sartorius

50.pellagra is due to
a. niacin def (ans)

51.which enzyme common to metabolism of both NE and serotonin
a. COMT
b. MAO (ans )

52. thin filament is covered by
a. titin
b. tropomyosin ( ans)
c. troponin t

53.narrowest part of urethra
a. external meatus (ans)
b. membranous urethra
c. navicular fossa

54.dorsal rami contribute to
a. extensors of trunk(ans)
b. flexors of neck
c. extensors of leg

55.diapgragm doesnot arise from
a. T10(ans)
b. 7th costal cartilage
c.9th rib
d. L1

56.bones of carpel
a. proximal row contains scaphoid, lunate,triquetral, pisiform(ans0

57.lattismus dorsi nerve supply
a. thoracodorsal n (ans)

58.artery which is adjacent to the phrenic nerve
a. internal thoracic
b. musculophrenic
c. pericardiophrenic (ans)

59.lt recurrent laryngeal n not associated with
a. arch of aorta
b.ligamentum arterisus
c. trachea and esophagus
d. sup vena cava (ans)

60.foreign body enters into rt lung because
a. it is more vertical and wider than left lung(ans)

61.enlargement of which part of the heart causes esophageal obs
a. left atrium (ans)
b. rt atrium
c. rt ventricle

62. which vein of heart is located in posterior interventricular sulcus
a middle cardiac vein(ans)
b. anterior cardiac vein
c. great cardiac vein

63.contraction of diaphragm causes
a.increase thoracic pr
b.decrease abdominal pr
c. increase thoracic volume (ans)

64.medial quadrant of breast lymph drainage
a. internal thoracic nodes (ans)
b. posterior nodes
c. axillary nodes

65. tumour of cervix will spread to labius majora via
a. roung ligament of uterus (ans )

66clavipectoral fascia
a. invests pectoral minor muscle (ans)
b. is pierced by axillary artery
c.is continuous with prevertebral fasia

67. blockage of rt marginal artery will result in interruption of blood supply to
a. SA node
b. interatrium wall
c. rt atrium (ans)

68.thoracic duct
a. passes thru aortic opening (ans)

69.structure precent b/w celiac trunk and sup mesenteric artery
a. pancrease and jejunum
b. pancrease (ans)

70. structure not lying posterior to left kidney is
a. duodenum (ans)
b. spleen
c. tail of pancrease

71. most anterior structure in popliteal fossa is
a. popliteal vein
b. common peroneal n
c. tibial n
d. popliteal artery (ans)

72. regarding autosomal recessive trait
a. chances of siblings to be affected is one in four

73. sup petrosal sinus is related to
a. diaphragmatic sella
b. tentorium cerebelli
c. sella turtica
d. falx cebri

74. middle cerebral vein drains into
a. cavernous sinus
b. straight sinus

75. proximal portion of CBD is supplied by
a. cystic artey (ans)
b. rt hepatic artery
c. left hepatic artery

76.cbd is divided in to following portions
a. retroduodenal+infraduodenal+supraduodenal+intraduodenal(ans)

77. lesseromentum is divided inti following portions
a. gastrohepatic+hepatoesophageal+hepatoduodenal+gastrodenal (ans)

78. regarding mekels diverticulum
a. it is a remanant of embryonic yolk sac (ans)
b. it is precent in 10% of population
c. it is 60cm distal to ileocecal valve
79. what is the commenest site of ureter stone obstruction in a standing male patient
a. lateral wall of pelvis
b. pelvic brim (ans)
c. upper part of ureter

80. calculate the median in following data 20,24,25,30,30,35
a. 30
b. 28.5(ans)
c. 35

81. regarding behavioural sciences , how is the professionalism of a doctor judged
a. punctuality
b. reputation
c. knowledge

82. in order to disclose news regarding fatal disease
a. patient should know fist
b. relatives should be told first
c. information should be hidden

83. two gps of patients given haemmorhoidal treatment and their effect seen with time
a. prospective cohort study(ans)

84.antibodies are produced by which cells
a. neutrophils
b. plasmacells(ans)
c. macrophages
d. lymphocytes

85fat embolism all are true except
a. take place with damage to fat tissue only (ans)
b. trauma to the breast

86.in atherosclerosis following are seen
a. foam cells (ans)

87. migratory thrombophlebitis is seen in
a. acute pancreatitis
b. chronic recurrent pancreatitis
c. pancreatic tumour (ans)

88.which structure crosses the aorta
a.left renal vein (ans)
b rt renal vein
c. left ovarian vein

OCTOBER 08 Questions, ?subject

2009-02-05T12:28:00.002+05:00

Contributed by Dr Farhan Karim, but forgot to tell about the subject in which he took the exam.

1.What is most lateral in cerebral hemisphere :
Insula
Pars triangularis *
Pars interemedia
Amygdala

2.Below the umblicus anterior abdomen is formed by:
External intercostal and part of Internal oblique*
Internal intercostals and part of transverse abdominis uscle
External intercostals and transverse abdominis muscle
Internal intercostals and transverse abdominis muscle

3.Pre cancerous in aids:
Cmv
Ebv*
Hsv
Hpv

4.In liver of a patient under the microscope a lesion was seen with central cheesy appearance surrounded by large cells with lymphocytes and fibroblast what type of necrosis is present
Coagulative*
Liquefative
Fatty
tuberculous

5.Which harmone of the following stimulates thirst
Adh*
Aldosterone
Renin
oxytocin

6.Which has no antigens
AB*
O-
O+
A

7.In a thyroid surgery mass was excisied which microscopically showed amyloids post surgically which marker would be taken in account
PTH
Calcitonin*
Ca
Po4

8.Which variant rises with rise in BP
TPR*
Pulse
Venous tone
Arterial tone

9.When r the ventricles most filled with blood '
Diastasis
Rapid inflow
Atrial systole
Ventricular systole

10.Example of wet gangrene
Thromboembolism
Bacterial endocarditis
Pancreatitis

11.Which of the following harmone stops ovulation during lactation
Estrogen
Progestrone
Prolactin*
Oxytocin

12Which of the follwing delays wound healing
Vit c*
vita
Immobilization
Vit E

13.feature of Downs Syndrome
Cardiac anomolies
Fallots
Hypospadiasis
Early death*

14Turner syndrome has
Chromosomal defect
Xlinked
Short stature*
Tall stature

15.X linked dominant
Pku
Alkaptonuria
Familial polyposis*
Glycogen storage

16.Which of the following tissue is most radiosensitive
Skeletal muscle
Cartilage*
Bone

17.In dorsal column lesion which of the following will be lost
Pain
Temp
Crude touch
Itch
Proprioception

18.Asthma has low
Fev1*
Fvc
Vc
Tlc

19.Pre carcinogenic is
Berryliosis
Asbestosis*
Benzethe
Pentamidine

20.Common feature in nitrates, isoprenaline . Throphylline is
Postural hypotension
Rapid pulse
Vasodlation
Venodilation

21.Midarm circumference is the measure of
Proteins*
Fats
Carbohydrates
Minerals

22.Temporal Arteritis is diagnosis by
Esr*
Biopsy
B/c
WBC count

23.In food poisoning death occur by
Exotxin of samonella
Vibro cholera *
Shigella
Endotoxin of Shigella

24.Long term granulomatous disease is
Crohn
Celiac
Sarcoidosis
Ulcerative colitis*

25.Water reabsorption through ADH is done in
Proximal
Distal
Collecting
Loop of henle

26.The organ placed retroperitoneally is
Spleen
Transverse
Bladder
Ascending*
Liver

26.Urinary bladder in male is
Completely covered by peritoneum
Superiorly covers
From rectum separated by fascia of Denon Villiers

27.Hydrocephalus occurs because of obstruction in
I/v foramen*
Sylvius
Magendie
Lushka

28.Hipocampal injury causes
Sex rage
Hunger
Loss of Memory*
Temperature disturbances

27.What organ lesion causes hypothermia
Preoptic
Lateral hypothalamus
Post hypothalamus *
Pitutary

28.Chemotactic factors functions mostly in
Diapedisis
Margination '
Migration
Acute inflammation

29. Paramesonephric duct remnant in male is
Appendice testis
Appendix
Ovary

30.Musle traversing the shoulder joint
Crochobrachilis
Sspinatus
Ispinatus

31.Blood spread of CA occurs 1st in
Metaphysis
Diaphysis
Epiphyses
Epiphyseal plate
Cortex

32.A boy presented in the ER with fracture with less seum calcium.He is suffering from
Primary hypoparathyroidism
Vit D deficiency
2ndry hypoparathyroidism

33.Example of synchondrosis is
Symphisis
Involves hyaline crtlg b/w 2 bones
Costal joint

34.Erythropoietin is secreted from
Yellow marrow
Jg complex
Macula densa
Preitubualr capillaries
Loop of henle

35. Gluteus medius , minimus
Adducts,laterally rotate
Adducts .medially rotate
Abducts, medially rotate
Abducts, laterally rotate
Flexes , medially rotate

36.Juvenile polyps are also called
Hamartomas
Rectal polyps
Internal haemorrhoids

37.TGlycerides are absorbed in
Chylomicrons
Vldl
Hdl
Ldl

38.In gastrectomy loss of following occurs
Hcl
Intrinsic facor
Fats
Vit D

39.Hb is enclosed in RBC at stage of
Normoblast
Late normoblast
Erythroblast

40.Adrenal gland is separated from kidney by
Peritoneal fascia
Renal fascia
Perinephric fat

41.About antibodies
Have varible2 heavy chains
IgM is abundant

42.Median nerve supplies
Palmar medial 1/3
Palmar and dorsal medialm1/3
Dorsal medial 1/3
Dorsal 2/3 lateral

43.About 1st lumbrical
Arises from 2nd meta carpal
Is bipennate
Supplied by median nerve

44.Lumbricals are supplied by
Median neve deep br of median n
Deep br of ulnar n

45.Lateral part of breast supplied by
Ant group
Post group
Lateral group
Central group

46.The muscle of passive inspiration is
Diaphragm
External intercostal
Internal intercostal
Scalenes muscles

47.Lymph drainage of lateral 2/3 of tongue occurs through
Sup deep cervical nodes
Inferior deep cervical nodes
Submandibular nodes
Submental nodes

48.Boil on the tip of the tongue will drain into following lymph nodes
Submental
submandibular
Submental nd submandibular

49.Posterior triangle in the neck has follwing boundries
Ant ant border of SCM post omohyoid
Post ant border of SCM and ant diagastric
Ant post border of SCM and post ant border of trapezius

50.Left recurrent laryngeal nerve has
Shorter route than right recurrent laryngeal nerve
Branch of vagus nerve
Supplies all the muscles of soft palate
Supplies all the muscles of larynx

51.Right hepatic artery is branch of
Hepatic artery
gastroduodenal artery
Ceoliac artery
Splenic artery

52.Subcapsularis sinus is present in
Spleen
Lymph nodes
Payers patches
Palatine tonsils

53.After illeal resection absorption of which of the following components does not take place
Chylomicrons
Bile
Tglyceric acid
Vit d
Vit c

54.In CRF all of following occurs except
Anemia
Hyperkalemia
Hypocalcemia
Hypoposphatemia
Hyperuricemia

55.Patient after radiation vomited for 4hrs Cl is raised, he has
Metabolic acidosis
Respiratory alkalosis wirh ion gap
Metabolic alkalosis

56.Patientt has Babinski + lesion is in
UMN
LMN
Dorsal column
Ant column

57.Inferior rectal artery is a branch of
Ext illiac
Int illiac
Sup epigastric
Int pudendal artery
Femoral artery

58.Peristalsis in the intestine inhibited by
CCK
Gastrin
Secretin
GIP
Histamine

59.Granuloma formation does not occur in
TB
Cat scratch fever
Toxoplasmosis
Pneumonia

60.One of the following is not a feature of anaerobe
Cough
Tetanus
Pus
Granuloma formation
Gangrene

61.Melanocytes originate from
Neural crest
Mesoderm
Ectoderm

62.Structures which passes through the aortic opening is
vagus and azygous vn
Azygous vn
Esophagus
Phrenic nerve

63.IJV drain in
Petrosal sinus
Sagittal sinus
Straight sinus
Sigmoid sinus

64.Liver helps in immunity by
Detoxfying noxious agents
Kupffer cells
Hepatocytes

65.Sour and hot is perceived by tongue through
Von ebner cells
Folate papillae
Pain fibers
Nociceptors

66.ADH is inhibited by
Alcohol
Angiotensin
Insulin
Renin

67.In testis seminferous tubules show following under M/S
Sertoli cells
Spermatogonia
Mixed cells
Spermatocytes
Sperms

68.Constricting afferent ducts in kidney reduces
Gfr
Rpf
Creatinine clearance
Glucose claerance

69.A boy is malnutrioned and has edema due to protien loss his
Plasma colloid pressure is decreased
Increase hydrostatic pressure
Blocked lymphatics

70.Cholestatic cholangitis is caused by
Colonercis selecans
diphyllobothrum latum
Schistosoma
Entameoba

71.After appendicectomy what may be damaged
Inguinal ligament
Superior epigastric artery
Illhypogastric nerve
Spermatic cord

72.The mc burney point indicates the presence of tip of appendix.Following is true about appendix
Appendix ha incomplete muscular coat
Appendix not attached to mesentry
Supplied by ceoliac artery

73.One of the following is not a branch of External carotid artery
Lingual A
Ophtalmic A
Occipital A
Maxillary A
Suprficial temporal A

74.Femoral artery can be palpated in
Mid inguinal lateral to pubic tubercle
Mid point of inguinal ligament
Adductor canal

75.Apex of the femoral triangle
Lies under inguinal ligament
Contains small saphenous vein
Contains nodes
Is pointed downwards

76.Medial side of hand is supplied by
Median nerve
Ulnrr nerver
Radial nerve
Axillary nerve

77.Vomiting center is persent in
Hypothalamus
Pitutary
Pons
Medulla
Midbrain

78.Patient wirh Gravida 4 Par4 Abortio 0 with anemia and occult blood in stool
Fe deficiency anemia
Pernicious anemia
Anemia of chronic disease
Sideroblastic anemia

79.Injury to the neck and head of fibula causes damage to
Sural nerve
Sciatic nerve
Tibial nerve
Common peroneal nerve

80.Nerve to ligamentum teres capitis is
Femoral n
Obturator n
Medial femoral n
Lat circumflex femoral n

81.Artery to head of femur is
Medial femoral circumflex a
Lateral femoral circumflex a
Obturator a
Femoral a

82.Muscranic receptors are present in
Postgaglionic parasympathetic
Postgaglionic sympathetic
Preganglionic parasympathetic
Preganglionic sympathetic

83.On bronchoscopy bronchoscope will 1st enter
Sup bronchus
Apical bronchus
Inf bronchus
Middle apical bronchus

84.Essential fatty acid is
Linoleic
Palmitic
Citric
Oxaloacetic

85.In tissue bleeding occurs because of
Loss of coagulation factors
Congenital disorders
Endothelial damage
dec FDF

86.Following is not a feature of DIC
Dec FDF
Dec BT
Dec PT
Dec thrombin time
Dec platelets

87.Role of middle ear bones is
Transmit sound
Amplify sound
Does not respond to low noise
Are sesamoid bones

88.Direct inguinal hernia lies
Lateral to inf epigastric a
Medial ti sup epigastric a
medial to inf epigastric a
Medial to pubic tubercle

89.Thrombosis is initiated by
Leukotrienes
Prostacyclin
Arachidonic metabolites
Thromboxane A2

90.Most drug metabolism occur in
Kidney
Liver
Spleen
Intestine

91. End artery
Spleen
Bone
Brain

SURGERY October 2008

2009-02-05T12:14:00.000+05:00

Dr Qasim Hussain, M.D (Semipalatinsk, Kazakhstan)
Dr.Muhammad Irfan, M.D (Semipalatinsk, Kazakhstan)

FCPS -1 SURGERY 15, OCT 2008

1. A boy with lean body mass with fracture of arm osteopenia
a) VIT D deficiency
2. Regulation of PO2 and breathing rate is controlled by
a) Carotid bodies
3. Pallor, Lithargic patient with difficulty of walking have
Hb 5, TLC 3500cm,
a) Vit B 12
4. Hot souses on tongue, taste sent co taste centre by
a) Chemoreceptor

5. Which is not a cause of anaerobic?
a) Granulation formation

6. Right Gastric artery is a branch of
a) Hepatic artery

7) GFR is increased by increase in resistance
a) Efferent arterioles

8. Atypical Tuberculosis
a) Does not responds to common Anti TB drugs

9. Which blood group have no agglutinin?
a) AB+

10. Essential fatty acid is
a) Leniolenic acid

11. If large amount of Dextrose water is given to a patient
a) Decrease ADH

12. Interstitial fluid is
a) 1/3 of TBW

13) Not includes in enzymes of necrosis
a) Protease
b)Catalase
c) Hyaluronic acid

14. In lymph nodes, seen
a) Caseous necrosis

15. Iron deficiency anemia best diagnosed?
a)Increase TIBC
b) Serum ferritin

16. Bones of Ear
a) Amplify sound waves

17) Immune mechanism of Liver lies in
a) Kuffer cells

18. in Liver Cirrhosis
a) Increase PT

19. Smell fibers from nose
a) Does not reach Thalamus

20. Heat Loss Mechanism lies in
a) Posterior hypothalamus

21. Lymph nodes of lower lip drain into
a) Submental and submandibular lymph nodes

22. Insulin deficiency
a) Ketogenesis in liver

23. Subcapsular afferent lymph is in
a) Lymph nodes

24. SA node is supplied by
a) RCA

25. SA node is located on
a) Above the sulcus terminals

26. Death from food poisoning occur with
a) C. Botulism

27. Pretracheal fascia completely covers
a) Thyroid

28. Narrowest part of male urethra is
a) External meatus

29. Which cranial nerves are parasympathetic?
ANS: CN 3, 7,9,10

30. Contusion to Lateral border of Fibula result in
a) Common peroneal nerve damage

31. What causes depolarization?
a) Na+ influx

32. Helps in diagnosis of colonic carcinoma
a) CEA

33. What is called juvenile polyp?
a) Hamartomatous

34. Which is a characteristic of Cancer?
a) Pleomorphism---ANSWER
b) Increase mitotic figure

35. Increase of Platelets aggregation is by:
a)Thromboxane A2

36. A 20 year old boy with Headache and photobphobia
With high grade fever. LP shows in CSF neutrophils 40,000
Glucose 3.5mg

a) Acute Bacterial meningitis

37. Ansa cervicalis is
a) Hpoglossal nerve and C1, 2, 3

38) Mitral valve lies between
a) Left atrium and left ventricle

39. If resected 10inch ilium,
a) Decreased bile salts reabsorption

40. Wound heals poorly if absent
a) VIT C in diet

41. High level of creatinine is seen in
a) ESRD

42. Neurogenic shock is
a) Vasomotor injury

43. In Down syndrome seen
a) Short stature

44. XXY is
a) Klinefilter syndrome

45. Patient with some pituitary tumor has infertility, possibly due to
a) Increase level of prolactin in serum

46. Cause of lymphoid tumor in HIV patient is
a) EBV

47. a patient developed HAV completely recovered. Biopsy will show
a) Normal hepatic architecture

48. Neurohypophysis contains
a) Pititicytes

49. Melanocytes are derived from
a) Neural crest cells

50. Erythropoietin is produced by
a) peri tubular capillaries

51. ADH works on
a) Collecting ducts

52. Posterior to Urinary bladder is
a) Fascia Donovillaris

53. In adults, the spinal cord ends in
a) Below L1

54. Malignant malaria is caused by
a) Falciparam malaria
55. Dorsal column damage leads to loss of
a) Proprioception
56. What is buried in lateral sulcus?
a) Insula
57. A patient can utter few words. Where is lesion?
a) Broca's area
58. Spinal cord is supplied by
a) Vertebral artery

59. Complements are decreased in
a) SLE
60. If infection of abdomen spread to retroperitonium, can reach to colon?
a) Descending colon
61. IgE is present on
a) Basophils
62. A patient has some gastric problem
a) Iron Deficiency anemia
63. If Gastric mucosal permeability is increased
a) H+ comes out in lumen of stomach and damage mucosal barrier
64. Anterior Cardiac veins into
a) Right Atrium
65. Most common cause of malignancy is
a) Asbestosis
66. in bronchial Asthma, seen
a) Eosinophilia
67. END arteries are seen in
a) Spleen
77. Medially rotate and abduct the thigh is
a) Gluteus Medius and and Gluteus Minimus
78. Source of folic Acid is
a) Vegetables
79. Neurovascular bundle is in
a) inner and innermost muscles

80. Liver transplant, the cause of hepatitis is
a) CMV
81. END diastolic volume is
a) 120ml
82. Palpable anterior Auxiliary lymph nodes, most probably due to
a) CA breast
83. 1st heart sound is best listened on
a) On Mid clavicular line, 5th ICS
84. S3 is produced by
a) Rapid filling of left ventricle
85. Berry aneurysms are mostly found in
a) cerebrum
86. Cause of edema is
a) Decreased colloidal osmotic pressure
87. Patient with bronchial asthma has
a) Decreased FEV1
88. Structure not related to Right kidney is
a) Descending colon
89) Temporal arteritis best diagnosed by
a) Temporal artery biopsy
90. Aneurysm of abdominal aorta compresses
a) Thoracic duct
91. in EAC, young patient came with fracture of arm.
On attempt to measure the B.P, tetany is seen, mostly due to
a) Vit. D deficiency
92. Remittent of paramesonephric duct in male is
a) Appendix testis
93. Direct inguinal hernia in
a) Medial to inferior epigestric artery\
94. Achalasia is due to
a) Absent ganglions in LES
95. During fasting, circumference of mid arm is decreased after one month due to
a) Decreased protein of body
96. Myelination of peripheral nerves are by
a) Schwann cells
97. Myasthenia gravis improves on taking
a) Anti cholinesterase drugs
98. Hydrocephalas occurs blockage of
a) Aqueduct salvias
99. Which structure passes through shoulder joint cavity?
a)tendon of long head of biceps
100. Impaired metabolism of purine cause in urine
a) Increased uric acid
101. Most important muscle of inspiration is
a) Diaphragm

102. Most sensitive to radiotherapy
a) Lymphocytes
103 What is branch of ICA?
ANS: Ophthalmic artery
104. Squamous cell is cervix is an example of
ANS: Metaplasia
105: Thoracic duct drain all except
ANS: cerebrum
106: Increase blood in heart chamber is
ANS: Isovolumatric relaxation
107: If Clavicle is fractured, its lateral part is pulled down by:
ANS: Subclavius muscle
108. For uncoupled oxidative phosphorylation, which hormone?
ANS: Thyroid hormone
109: Diarrhea improves on fasting is
ANS: Osmotic
110: Source of energy to brain during fasting:
ANS: Amino Acid
111: Which of the following is not antiseptic?
ANS: Acetyl Salicylic Acid
112: Aging determined by bones?
ANS: Angle of mandible is less obtuse
113: Lacrimal gland is supplied by?
ANS: Ptyrigopalatine ganglion
114: During Episiotomy, damaged
ANS: Lavator Ani muscles
115: Broadmann's area 312 is also called
ANS: somatosensory area
116: Surfactant is produced by?
ANS: Pneumocyte II
117: Sigmoid sinus is continuous with
ANS: Internal carotid artery
118: In shock, what will decrease?
ANS: Venous compliance
119: Is a sign upper motor neuron lesion?
ANS: Babinsky sign
120: If numerous epitheliod cells are surrounded by lymphocytes, called
ANS: Caseous necrosis (Granuloma)
121: Fracture of medial epicondyl of humerous, on hand lost sensations?
ANS: medial 1/3 of hand palm, and dorsal 1/3 of hand
122: Winging of scapula is due to damage of?
ANS: Serratus anterior muscle
123: Right adrenal gland is
ANS: Pyramidal shape
124: Submucosal gland is in ?
ANS: Duodenum
125: Which is true?
ANS: Right brochus is longer
126: In bronchial asthma?
ANS: increased breathing by stimulating beta –adrenergic
127: inferior rectal artery is a branch of
ANS: internal pudendal artery
128: Is not a carcinogen?
ANS: Cyclophosphamide
129: Microsomal metabolism is
ANS: Liver
130: Half life is
ANS: time to metabolism of half of drug
131: Most of the drug is metabolize in
ANS: Liver
132 Diverticulosis occurs:
ANS: sigmoid colon
133: Stimulation of RBC from bone marrow by?
ANS: Erythropoietin
134: Occult blood in stool is in
ANS: Iron deficiency anemia
135: Partial gastrectomy
ANS: Pernicious anemia
136: Fat store is increased by
ANS: insulin
137: In stress which hormone is released?
ANS: Cortisol
138: Temperature regulator centre is in?
ANS: Hypothalamus
139: In heart
ANS: Right atrium lies anterior to left atrium
140: In hypovolumic shock
ANS: Rapid intravenous fluids
141: Not seen in DIC
ANS: Thrombocytosis
142: Best method of diagnosing ectopic pregnancy
ANS: Laparoscopy
143: superior parathyroid is
ANS: supplied by superior thyroid artery
144: The supra renal gland
ANS: The supra renal gland is supplied artery which is direct branch of aorta
145: Gas gangrene is not caused by
ANS: Bacterial endocarditis
146: permeability of a substance depends on
ANS: Total crosses sectional area
147: A patient can't abduct arm, but if supported up to 30 degree, can do. What is?
ANS: Supraspinatus muscle
148: incision between umbilicus and ribs passes
ANS: external oblique, anterior fibers of internal oblique, Rectus muscle
Posterior fibers of internal oblique, transverse muscle
149: Lymph from posterior 1/3 drain into
ANS: deep superior cervical lymph nodes
150) Negative Montoux test is seen in
a) Steroid therapy
b) Immunosuppressive Therapy
151) Permeability of a substance depends on

ANSWER a) Total cross sectional area-
b) Carrier
c) Receptors
152. A patient developed type I anaphylactic reaction. Treatment of choice?
ANS: Adrenaline
153: Amputated leg is the result of
ANS: Amniotic bands

154. Widal test is positive? Don’t Know
A) 1: 80 for O antigen
B) 1:180 for O antigen
C ) 1: 100 for O antigen
D ) 1:180 for O and H antigen
E) 1:80 for H antigen
155. Actin physically binds with
A) Troponin
B) Tropomyosin-------ANS
C) Myosin

156. congenital omphaloseal?
A) Not associated with any congenital Heart diseases----- wrong
B) Associated with VSD?
c) Associated with ASD?
D) B and C?

157.Polysithemia rubra vera associated with
a) bone tumors----ANS
b) lung diseased
c)Living on Himalayan mountain
158. Ptyrigopalatine canal is supplied by
a) Deep branch of petrosal nerve- ANS OK
b) superficial branch of petrosal nerve
c) maxillary nervr branch
159. Insertion of 1st lumbrical
160. Cholangiocarcinoma caused by
a) S. mansonei
b) S. Japonicum
c) S. Colonarisa ----ok
161. What passes through ligament teres of head of femur
a) obturator nerve branch---ok
b)branch of femoral artery
162. Contraindication for platelet
a. Auto antibodies to platelets ---ok
b. DIC
c. Splenomegaly
163. InG is in Largent quantity
164. At Mac burny point located
Tip of appendix
Base of appendix
In infants, tip of conical ceacum has appendix attached—ok?
165. Appendicectomy can damage to
Inferior epigestric artery
iliohypogastric nerve ----- I wrote This answer , Don’t know exact
ilioinguinal nerve\
166. In Osteomylitis of long bones, portal entry of infection by hematogenous route
a) Through epiphysis-ok
b) Metaphysis
c)Diaphysis
167. Primary cartilageneous joint
a) Connect the to bones together- I wrote This answer , Don’t know exact
b) Present in pinna of ears
c) is fibrocartilage
168. The premalignant condition is
a) Psoriasis
b) Cervical erosion
c) myelodisplastic syndrome---------ok
d) leukoplakia
169. Common side effect of Isoprenlene, Nitroglycerine, Histamine, is- Don’t know
a) Hypertension
b) increased bronchial constriction
c)Lacrimation
d) ?

170. Muscrinic receptors respond to

a) preganglionic parasympathetic
b) Postganglionic parasympathetic---------------Sok

171. What begins with Premalignant conditions?
a)Adenocarcinoma stomach
b)
c)

172. Stratified cuboidial epithelium is present in

a) Ducts of Salivary glands------ok
b) Distal convoluted tubules of nephron
c) Lacrimal gland ducts

173. The concentration of a substance in the blood is 10mg and in in urine is 100mg. The flow rate of urine is if 2 ml / min , what is its renal clearance?
HINT: use formula UV/ p
ANS: 20

174. 35 year old female Type I diabetic got fracture due to osteoporosis. The cause?
ANS: Insulin
a) insulin
b) Estrogen

175. Autosomal Dominant is
a)

176. Amyloidosis result in
a) Adenocarcinoma stomach
177. Regarding RBC
a) buffer as accepter of oxygen
b)Only mature forms contain Hemoglobin
c) Adult hemoglobin is alpha and Gamma
d)Not transport oxygen
178. Does not cause Gangrene
a) Bacterial endocarditis
b)???? ANS

179. ADH will decrease in

a) Nausea
b) Pain
c) Anxiety
d) Decrease serum osmolrity

180. Varicose veins
a) Somewhat associated with smoking-------------ok
b) Only in lower limbs
c due to defect in adventitia

181. Primary ossification centre is
a) Epiphysis
b) Metaphysis
c) Diaphysis
182. A patient with sepsis is best diagnosed with
a) Pulse > 100
b) Pulse > 120
c) Positive bacterial culture

183. intestinal motility is decreased by

a) C C K
b) Gastrin
c) Trypsin
d)lipase
e) Insulin

184. Gross increase level of HCO3

a) Persistent vomiting
b) CRH
c) Lung fibrosis

185. Primary brain vesicle is

a) Mesencepholan
b) Telencepholan
c) Diencephalan

186. Microtubules are part of
a) Centrioles
b) Cell membrane

187. BP is increased when there is
a) Increased sympathetic output
b)Increased total peripheral resistance

188. Cardiac Muscles are

189. Femoral artery is best palpated on?
ANS: mid inguinal ligament
190. Carotid cartilage is
ANS: on base of thyroid
191. In brochhocscopy, Fist structure to be visualized is:
ANS: Right lower bronchus

193. Fatty Acids are transferred from adipose to liver in the form of?
a) Chylomicrons
b) HDL
c) LDL
d) VLDL

MEDICINE Oct 2008

2009-02-05T12:02:00.000+05:00

15th OCT 2008(medicine & Allied)
BY DR.RIZWAN RIAZ

1. In type 4 Hypersensitivity mainly cells are

a. T cells+macrophages
b. B cells+macrophages
c. IGE+T cells
d. B+T cells
e. None.

2: Malignant tertian malaria caused by

a. P.falciparum
b. P.malariae
c. P.knowlasea
d. P.ovale
e. P.vivax

3: In duodenal perforation the artery involves.

A. Gastro duodenal artery
B. Lt.Gastric Artery
C. Splenic Artery
D. Rt. Gastric Artery

4: Parasite transmission e no feco-oral route
A. Ent histolytica
B. E.Vernicularis
C. Tenia solium

5: Antimalarial drug e can be used other than malaria
A. Arthemether
B. Basoquine
C. Choroquine
D. Mefloquine
E. Quinine

6: About RT adrenal gland choose correct
A. Has same size in adults & infants
B. Has 3 arterial supply
C. Pyramidal in shape
D. Separate form kidney by perinephric fat

7: Typhoid fever
A. All pts becomes carrier
B. Roth spots on 7th day
C. Organism is B-hemolytic, non_lactose

8: Melanocytes derived from
A. Endoderm
B. Ectoderm
C. Neural crest cells
D. Pharyngeal arch
E. Lateral plate

9: Most of drugs are metabolize in
A. Heart
B. Liver
C. Kidney
D. Lungs

.10: ½ life of a drug
Options not remember

11: Premalignant condition
1. Cervical erosion
2. Myeloprolefrative

12: In Cushing decrease amount of
A. Neutrophils
B. Lymphocytes
C. Basophiles
D. Monocytes

13: Babinski sign -ve in
A. UMNL
B. Sleep
C. New born
D. LMNL

14: Loss of accommodation reflex due to occulumotor nerve site of lesion
A. Pons
B. Medulla
C. Midbrain
?

15: Aspiration of gastric contents go in the
A. Rt lower lobe of lungs

16: Comatose patient are more prone to regurgitation
A. Stomach full
B. Rt lateral position
C. Lt lateral position

17: Vein that doesn’t directly drain in the inferior vena cava
A. Hepatic vein
B. Lumber vein

18: Rt kidney doesn’t relate to
A. Liver
B. Ascending colon
C. Ribs
D. Descending colon

19: Fever, headache Mydriasis associated with no option of meningitis
Options not remember

20: An I/v urograph of old boy shows Excretion of dye normal at Rt side but absence of shadow of Lt kidney instead there is a small shadow above the bladder on Lt side Most likely
i. Crossed ectopic kidney
ii. Unilateral agenesis
iii. Non rotating kidney
iv. Pelvis kidney
v. Horse shoe kidney

21: Drug with inhibit COX-1 as well as COX-2
A. Diclofenic
B. Naproxen
C. Aspirin

22: Rx of salicylate poisoning which can increase the excretion of salicylate
A. I/v NAHCO3
B. Dehydration state
C. Diuretics
D. 10% D/W

23: organ having subcapsularis & receives afferents
A. Palatine tonsils
B. Lingual tonsils
C. Thymus
D. Lymph node
E. Spleen

24: End arteries are in
A. Spleen
B. Brain
C. Kidney
D. Lungs
E. Heart

25: Fat stores in body
A. Glucagons lipogenic
B. Insulin lipolysis
C. Body fat <5 g/dl
D. Epinephrine has lipolytic effect

26: IDDM main disturbance by causing
A. Resistance to insulin
B. Receptors destruction
C. Increase ketogenesis by liver

27: Thirst increase due to
A. ADH
B. Aldosterone
C. Eryropoietin
D. Angiotensin 2

28: Sound of mitral valve is best heart at
Left 5th I.C space in midclavicular line

29: AV valve closure is responsible to
A. 1st heart sound
B. 2nd heart sound
C. 3rd heart sound
D. 4th heart sound
E. None of the above

30: During cardiac cycle ventricles are filled in
A. Atrial systole
B. Rapid ejection
C. Isovolumetric relaxation
D. Rapid inflow

31: In neurogenic stock
A. Loss of vasomotor tone
B. Decrease C.O
C. Increase C.O

32: In Hemorrhage after compensation with one of the following decrease
A. Venous Compliance
B. H.R
C. Cardiac output

33: CCF pt developed tachycardia best management of RX
OPTIONS NOT REMEMBER

34: Site of SA node
A. Lower part of Crista Terminals of R.A
B. RT auricle
C. Sulcus terminalis
D. Upper part of Crista Terminals of R.A

35: Which one is essential Fatty Acid
A. Palmitic acid
B. Len oleic
C. Saturated F.A

36: Boy having edema due to renal
A. Decrease plasma colloid osmotic pressure
B. Due to decrease interstitial fluid osmotic pressure
C. Decrease capillary pressure

37: Histamine theophyline & Aminophylline have same action
A. To increase the gastric acid secretion

38: I/v large amount of DEXTROX will inhibit
A. CORTISOL
B. ADH
INSULIN
C. THYROID
D. OXYTOCIN

39: Which 1 of the following is aggressive in nature?
A. Small cell carcinoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Nevis cell

40: CHEMOTAXIS is a feature of
A. CH.inflammation
B. AC.inflammtion

41: X-linked disorder
A. Marfan syndrome
B. Glycogen storage disease
C. Duchene muscular dystrophy
D. Cystic fibrosis

42: In factor 8 deficiency specific test is
A. PT
B. APTT
C. Plat.count
D. Thrombin time
E. Fibrin products

43: Vomiting centre located in
A. Pons
B. Medulla
C. Midbrain
D. Cerebellum

44: Arousal is controlled by
A. Hypothalamus
B. Pituat.gland
C. Reticular Formation

45: Arterial supply of spinal cord
A. Vertebral artery
B. Ant. Choroidal artery
C. Post. Choroidal artery

46: Mast cells r released 4om
A. Esinophils
B. Basophiles
C. Neutrophils
D. Lymphocytes

47: Regarding Glomerulotubular balance. Choose correct 1.
OPTIONS NOT REMEMBER

48: Regarding parathyroid gland.
A. Located anterolateral 2 thyroid gland
B. Covered by pretracheal fascia
C. Supplied by sup. Thyroid artery
D. Derived 4om 1st pharyngeal arch

49: Radiosensitive tumor
A. Bone
B. Lymph node
C. Muscle
D. Cartilage

50: Rh incompatibility related 2
Type 1 hypersensitivity reaction
Type 2 hypersensitivity reaction
Type 3 hypersensitivity reaction
Type 4hypersensitivity reaction
None of the above

51: Regarding IGG2 cells
OPTIONS NOT REMEMBER

52: Regarding Th-2 cells
OPTIONS NOT REMEMBER

53: Hypovolumic shock
A. Hot peripheries
B. Inc. C.O
C. Inc. H.R
D. Inc. Urine O.P
E. Dec. H.R

54: Regarding Microscopic feature of CASEOUS Necrosis
OPTINS NOT REMEMBER

55: Female pt. on oral contraceptive & u want to give her oral anticoagulant u must chk
A. PT
B. APTT
C. PT & aPTT
D. Thrombin
E. Fibrin products

56: Pt. came after 1 day of RTA with c/o unable of standup after seated position. Probably muscle injury.
A. G.Maximus
B. G.Minimus
C. Sartorius
D. Gracilis
E. Q. Femorus

57:Pt. feel tingling sensation on rt. Thumb during c-setion after giving epidural anesthesia. its due to.
A. C4
B. C5
C. C6
D. C7
E. C8

58:Diagnosed pt. of sciatica cam in o.p.d with c/o loss of sensation of RT. Little toe with difficulty in eversion of Rt. Foot. Injury to
A. L3
B. L4
C. L5
D. S1
E. S2

59: Below the medial epicondyle of humerus passes
A. Median nerve
B. Radial nerve
C. Ulnar nerve
D. Long thoracic nerve
E. Musculocutaneous nerve

60: Intermittent Diplopia is a classical sign of
A. Mys. Gravis
B. Inc. I.C.P
C. Horner syndrome

61: Pt. expire due to sudden inc. B.P.Autopsy shows thinning of tunica media.COZ OF DEATH
A. Berry aneurysm
B. Dissecting aneurysm
C. Marfan aneurysm
D. Temporal arteritis

62: Artery enters in cranium & becomes the principle artery of brain
A. Common Carotid
B. External Carotid
C. Internal Carotid
D. Maxillary Artery
E. Temporal

63: 1 of the following is not epileptogenic
A. flouxitin
B. Amitriptyline
C. Imipramine

64: Opoid Toxicity causes
A. Nausea & vomiting
B. Psychosis
C. Pin point pupil
D. Resp. depression

65: 1 of the following is not classified as non barbiturate hypnotic
A. Bromide
B. Choral hydrate
C. Triazolam
D. Chlormethimazole

66: In CARDIOGENIC SHOCK
A. Adrenaline
B. Dopamine & Dobutamine
C. I/V NaHCO3
D. 10% D/W

67: Coz of FATAL DIARRHEA
A. V.Cholrea
B. C.Botilinium
C. E.Coli

68: Anemia of CRF is best treated with
A. Dialysis
B. Blood transfusion
C. Folic Acid
D. Iron
E. E-poi tin

69: Pellagra is due to def. of
A. NIACIN
BIOTIN
B. Vita. C
C. Vita. B6
D. Folic acid

70: Site of constriction of esophagus. Chose correct one
A. Cricopharangeus
B. Left Bronchus crosses it
C. When enters in diaphragm
D. At cardiac end

71: Single cranial nerve which doesn’t contain parasympathetic fibers
A. 3
B. 4
C. 5
D. 7
E. 9

72: Tactile two point discrimination by
A. Pacinian
B. Ruffini
C. Free nerve endings
D. Merkel disc

73: Patient with resting tremors, rigidity, hypokinesia
A. Cerebellum
B. Parkinson disease
C. UMNL
D. LMNL

74: Motor aphasia due to lesion of
A. Wernicke’s area
B. Prefrontal gyrus
C. Sup. Temporal gyrus
D. Brocas area

75: Regarding lumber puncture which one is correct
A. Between L4 & L5
B. CSF pressure in mm of Hg
C. Spine fully extended
D. Angle of needle must be 45 degree
E. Advice to patient stands up immediately after L.P

76:Heat loose of body is controlled by
A. Lat. Hypothalamus
B. Preoptic hypothalamus (NO OPTION OF ANT. HYPOTHALAMUS)
C. Post. Hypothalamus
D. Thalamus
E. Hippocampus

77: Damage to dorsal column tract causes ipsilateral loose of
A. Pain
B. Fine touch
C. Temperature
D. Vibration

78: The first step occurs when light falls on retina
A. 11-Cisretinal to all Trans retinal

79: Lesion of mamillary body causes
A. Fear & rage
B. Hyper sexuality
C. Loose of Recent memory
D. Hyperphagia

80: Regarding facial nerve which one is correct?
A. Purely sensory
B. Give chorda tympani to posterior 1/3 of tongue
C. Supplies to middle ear
D. Supplies to stapedius muscle

81: CSF having proteins 400 mg/dl, glucose 40 & mainly lymphocytes. Diagnosis
A. Encephalitis
B. Cryptococcus virus
C. TBM
D. Bacterial meningitis
E. Viral meningitis

82: Lateral sulcus of cerebellum
A. Insula
B. Occipital lob

83: PH-7.54, O2-55 & CO2-25 cause of deranged ABG’S
A. Carbon mono oxide poisoning
B. Hysterical hypoventilation
C. Salicylate poisoning

83: Asthma diagnosed by
A. I.R.V
B. R.V
C. T.L.C
D. FEV
E. Tidal volume

84: Diagnosis of Emphysema
A. Physiological dead space
B. Physiological shunt
C. V/Q- affinity
D. V/Q-0
E. V/Q-1

85: Muscle of quite inspiration
A. Diaphragm
B. Intercostals muscle
C. Sternocladomastoid
D. Scalenius posterior

86: Muscle of forceful inspiration
A. External intercostals muscle

87: Regarding hemoglobin
A. Adult contains alpha-2 & gama-2
B. Contains iron in ferric form
C. Causes acidosis when add with H+

88: Receptors mediates increase heat rate
A. Alpha-1
B. Alpha-2
C. Beta-1
D. Beta-2
E. Nicotinic

89: Stress hormone of body called
A. ACTH
B. Epinephrine
NO OPTIONS OF CORTISOL

90: Heart muscle works as syncytium because of
A. Sarcomere
B. SER
C. Gap junction
D. Tight junction
E. Intercalated disk

91: Preload depends on
A. EDV of L.V pressure
B. EDV of R.A pressure

92: Diagnosed case of thyrotoxicosis came to you with heart rate of 190b/mn. Best treatment is
A. Digoxin
B. Lidocain
C. Verapamil
D. Propanalol

93: Saw tooth P waves in ECG associated with
A. Atrial flutter
B. A.V block

94: Captoprill (M.O.A)
Blocks ACE enzyme

95: Cyanosis due to
A. Anemia hypoxia
B. When deoxihaemoglobin is more then 5g/dl

96: Pulmonary vasculature resistance increase in
A. High altitude

97: 1/3 of total body water contains
A. E.C.F
B. I.C.F
C. Plasma
D. Interstitial

98: GFR can be calculated by
A. 24 hours urinary out put
B. S.creatinine
C. B.U.N
D. Urea

99: S/Chloride maintained by kidney through
A. Na+-K+-2Cl co transportation in thick ascending L.O.H
B. Na+ -K+ - 2Cl co transportation in thin ascending L.O.H

100: INC. Aldosterone causes commonly
A. Acidosis
B. DEC. Rennin
C. Sodium depletion
D. K+ retention

101: M.O.A spironolactone
OPTIONS NOT REMEMBER

102: A.D.H is inhibited by
A. Alcohol
B. Hemorrhagic Shock
C. Pain
D. Exercise

103: Erythropoietin secreted from
A. Peritubular cells
B. Juxtaglomerular cells
C. Macula densa

104: Hormone which causes relaxation of all G.I.T muscles
A. G.I.P
B. Gastrin
C. Secretin
D. CCK
E. V.I.P

105: Which causes diarrhea when it reaches to large colon?
A. Glucose
B. Fructose
C. Lactose
D. Sucrose
E. Maltose

106: Pt. with puffy eyes & edema with dec. TSH & when TRH given TSH slightly rises.coz of disturbance is
A. Primary Hypothyroidism due to Hypothalamus

107: Neurphyposis contains
A. Cholinergic
B. Adrenergic
C. Secretory cells
D. Puituicytes

108: In autoimmune diseases of thyroid antibodies against
A. TSH
B. Thyroglobulin
C. Follicular cells
D. C cells

109: Amniocentesis shows 47XXY
A. Turner syndrome
B. Adrenogenital syndrome
C. Klinefelter syndrome

110: In pregnancy cause of Hyper Parathyriodism
A. Prim. Hypoparathyroidism
B. Becoz estrogen causes inhibition of bone resorption

111: Estrogen doesn’t have action
A. Delayed bone loss after menopause
B. Follicular growth
C. Inc. serum Cholesterol
D.

112: HLA DR 27 associated with
A. Ankylosing spondilytis
B. Reiters Syndrome
C. R.A
D. S.L.E

113: Tumor marker of Thyroid carcinoma is
A. C.E.A
B. Calcitonin
C. Alpha fetoprotein
D. Beta H.C.G

114: Which hormone maintains body temperature by oxidative phosphorylation
A. Adrenal
B. Nor adrenaline
C. Cortisol
D. Thyroid gland

115: Hydrocele is the aculummation of fluid
A. Gubernaculums Testis
B. Scortal ligament
C. Tunica vaginalis
D. Vas deferens
E. Epidydimis

116: After gastrectomy pt. came with c/o
A. Iron def. anemia
B. Megaloblastic anemia due to folate
C. Pernicious anemia.

117: Old age Pt. came with jaundice Hb-10g/dl,S,Bili-2.8mg/dl,Retic 10%.U/S abdomen normal.whats Ur diagnosis.
A. Acute Hepatitis
B. Rotor syndrome
C. Dubin Johnson Syndrome
D. Gilbert Syndrome
E. Hepatitis B

118: IN Tumor immunity liver has a function of
A. To detoxify the toxic substances
B. Protein synthesis
C. Globulin Synthesis

119: Cholangio-Carcinoma caused by
A. Clonorchis –Sinesis
B. S.Hematobonium
C. S.Japanicum
D. Echunococcus Granuloses

120: Old age pt. Diagnosed as a case of OBSTRUCTIVE JAUNDICE & now cam With c/o bleeding tendency. Which 1 of the following cause.
A. Due to bile stones
B. Defi. Of VIT.K due to DEC. absorption from gut
C.
D.
E.

121: C.E.A is a tumor marker of
A. Breast
B. Colorectal Carcinoma
C. Testis
D. Thyroid

122: Juvenile Polyps are
A. Meckels diverticulum’s
B. Hyperplasic polyps
C. Hereditary non polpyposis
D. Colonic adenocarcinoma

123: Granuloma formation is not associated with
A. Sarcoidosis
B. T.B
C. Pneumococcal Pneumonia

124: Pt. came with distortion of nose, lymph nodes palpable, AFB +ve.whats Ur diagnosis
A. T.B
B. Sarcoidosis
C. Leprosy
D. None of the above

125: Which 1 of is not a Tumor marker
A. Alpha 1 antitrypsin
B. Vesmin
C. Desmin

126: Which 1 of the following is the diff. b/w malignant & benign tumor
A. Metastasis

127: Workers Having Increase chances 2 develop Malignancy
A. Tobacco
B. Coal
C. Asbestos worker

128: H.I.V pts. Have tendency to get infection of
A. E.B.V
B. H.P.V
C. H.S.P
D. Pneumocystitis carnii
E. Chicken Pox

129: Diagnosis of H.I.V when
A. Less CD4 cells count
B. Less CD8 cells count

130: Joint pain, Xerostomia, conjunctivitis sicca, associated with
A. Sjogran Syndrome
B. Scleroderma

131: Which 1 of the following is not associated with Dry gangrene?
A. D.M
B. Throboembolism
C. Bacterial Endocarditis

132: Platelets aggregation is due 2
A. Thromboxane A2
B. Prostaglandins
C. Cox 1
Cox 2

133: Which 1 of the following factor causes Delayed wound healing
Inc. Blood flow
Vit. C Deficiency
Vit. E deficiency

134: Diagnosed case of tuberculosis PPD or Tuberculin test found to be negative
Because of one of the following factor
A. A.T.T
B. Immunosuppressive
C. Steroid intake

135: Blood group having no antigen to A & B
A+
B+
AB+
O-
O+

136: About leukocyte adhesion factor responsible
Integrin
Selectin

138: In humans the End product of PURINE metabolism is
A. Xanthin
B. Urea
C. Uric Acid
D. Lactic Acid
E. Pyruvate

Site updated!

2008-09-19T12:02:00.008+06:00

Hi everyone.

Though a bit late for the october 2008 exam candidates, the pool of questions has been updated (in Surgery, Medicine,and Gyn/Obs from the March 2008 exam) . Hope it would help you guys in your preparations.

Wish you all, very best of luck!

Do remember me in your prayers.

Dr.Sultan Ahmad.

SURGERY, June 2008

2008-09-19T12:02:00.004+06:00

From Dr Qasim Hussain, M.D Semipalatinsk
FCPS -1 SURGERY 25, june 2008

1- Occulocardiac reflex mediated by
a)CN5

2- 1 gram of protein contains calories?
a) 4 calories

3-7th lobe of lung is called
a) medial basal

4-A marathion runner wins a race.What will be with blood insulin and Glucogan levels at the time when he crosses the win line?

5- Mandibular fracture occurs just brfore the mandibular foramen.
a) loss of taste to anterior 2/3 of tongue
b)Myelohoid muscle is unable to stabalizse mandible?
c) Loss of sensation to lower teets?
6-Head of femer
a) has anger of 125 with shaft
b)posteriorly completely covered by capsule?
c)epicondyls are in parallel line with shaft
7-Lymph nodules are present in
a)Spleen
b)Thymus
c)Lymph nobes
8-In DIC ,there is
a)decreased palatlets
9-what is inferior in perenium?
a) pereniul membrane
10)spleen is
a) mesodermal
b)endodermal
11)according to recent recommendations, recurrent MI should be treated with?
a) Anticoagulants
b) Lipid lowering drugs
c) Beta blockers
12)Stratified squamous epithelium is present in
a )palatine tonsils
b)pharynx
c)Ovary
13) Low voltage QRS comples ios seen in
a) MI
b) Bundel branch block
c)Hypertension
d)IHD
e)Pleuritis
14)Isthmus of thyroid is present at
a)C1- 2
15)Head of Humerous is supplied by
a) Anterior circumflex artery
b)Posterior circumflex artery
c)Suprescapular artery
d)Subscapular artery
16) Gene are composed of
a) RNA
b)DNA
c)Extrons
d)Introns

17) I/V dopamine is given to a patiend.followin if true about it onset of action
a) 5 min
b)5 sec
c) 60 sec

18)I/V sedation is given to a patient. Following is true about its arm-brain circulation
a)60 sec
b)5min
c)30min
d)5 sec
e)?
19) DVT is most common in
a)Femoral vein
b)popleteal vein
c)Superficial vericosed veins of leg

20) Which of the following is not a tumor marker
a)Acid phosphatase
b)PAP
c)Hcg
d)AFP
e)CEA

21) Pus contains
a)Dead bacteria
b)Dead neutrophils
22) The most common cause of fatty liver in our society is
a) Alcohol
b)Hepatitis B and C
c Drugs

23) Carotid bodies respond to
a) increase blood H+
b)Increase blood co2

24) In anterior Duodenal perforation , the contents will go to
a) Right iliac fossa
b)Left Iliac fossa
c)Anterior subhepatic space
d)posterior subhepatic space
e) small bursae
25) Metabolic alkalosis results from
a)Ingestion of ammonium chloride
b)ingestion of carbonic anhydrase inhibitors

26)A Diabetic patient fas urine ketones and urine glucose ++
the cause is ?
a)Hyperglycemia
b)Insulin difficiency

27 Response to chemotherapy is because it causes
a)Atrophy
b)Apaptosis

28)Dorsal column damage results in Ataxia because
a)loss of pathway from dorsal column to thalamus
b)Loss of proprioception input to cerebellum
c)Loss of proprioception to Thalamus
d) Loss of proprioception to Hypothalamus

29)Which of following nerve passes dorsal to brain stem?
a) 3, b) 4, c)5, d) 12, e) 9
30-A patient has hb 6, palatelet 450,000, with Hypercellular bone marrow/\
a)Due to drug he is using for anaemia
b) Leukemia
c) Iron deficiency anaemia
d)G6PD deficiency

31) The sign of cerebellar disease is
a)Adiadohakinesia
b)Static tremor
c)Hypertonia

31)Neurohypophysis drain secretions
a) Adrenergic neurons
b)cholinergic neurons
c)free nerve endings
32)CSF
a)has osmolarity <1040
b) pressure <10 mm of water
c) protein >200
33) Stimulation of Alpha adrenergic neurons

34)End arteries are present at
a)Brain
b)Heart
c)Bone
35) In Tempomandibular Joint Dislocation,What structure prevents the the joint to go back in cavity?
a) Tubercles on articular surface of mandible
b)Tempomandibular ligament
c)Lateral Ptyregoid muscle
d)Medial Ptyregoid muscle

36)Where the gangliom joining the superior petrosal nerve and inferior petrosal nerve is located?

37) A patient has hypercarboxyhemoglobin. He is breathing 100% oxygen. After how much time ,his blood will have 100% oxygen?
a) 1 min
b)2 min
c)5 sec
d) 5 min
38) FRC is?
a) TV + ERV
b)IRV + ERV
39)Aldosterone stimulate
a) Melatonin?
b)?
__________________________

40)A patient has fever 40c with flank pain ,increases frequency and chills and riggors.\
a) Blood culture
b)urine culture
c) Blood and urine culture
40)Following is not true?
a) HCV positive carriers have not been reported
41) Pulse pressure is increased in
a)Arteriols
b)capalleries
C)Aorta

42) A grand father was playing with his grandson with holding his wrist and rotation him in a circule.Suddenly the child starded crying and sit with holding his forarm in porn position. What happent ?
a) Proximal Radio ulnar joint dislocation
b)Distal Radio ulnar joint dislocation
c)Fracture of acromion

43) Regarding typhoid fever
a) Asypmtomatic
b)Carriers do not excreate causative agent in fees
c) Asypmtomtic carriers should be isolated and treated

44) Incision is given on Rt Lumbar area. The layers incised will be
a) Skin-superficial facia-deep facia- external oblique-internal oblique-transverse –Transverse fascia-exta peritoneal fat- peritoneum
b) skin- superficial fascia- extaperitoneal fat- peritinium

45) Carpus callosum
a) connects the two hemispheres

46)Most constricted part of male urethra is
a) External meatus
47)Superior Thyroid glands
a) Are located behind the Thyroid gland outside the facia
b)Have blood supply from the superior thyroid arteries

48) Which of the following is true
a) Piriformis attach to inferion trochanter
b) Schiatic nerve passes through superior sciatic foramen

49) A structure lined by cuboidal epithelium, and its center contains two calcified bodien of pink colour. What is it?

a) Prostate

50)25 cholecalciferol is not converted to 1,25 cholecalciferol in

a)Hepatic failure
b)Renal Failure
51) Which of the following is not present in posterior relations of kidney?
a) colic flexure

52) Rt border of heart is formed by
a)Rt atrium

53) In pregnancy ,Lactation does not occur because
a) Increased Level of progesterone and Estrogen
54) Which of the following have Pulmonary cycle?
a) Ascariasis

55)Causative agent of meningitis in 60 years old man is
a) St pneumonia
56) Cause of death in pneumonia bue to shock is
a)Gram –ve bacteria
b)Pseudomonas
c)st pneumonia
57) Diphtheria exotoxin hane powerful effect on
a) Larynx
b)Heart
c)Nerve endings
d)Kidneys
58) Aspiration of peanut will go in
a) Right lower bronchus
59) A female with butterfly ace,joint pain, Flank pain could have
a) SLE
60) A young patient has difficulty in swallowing
a) Sclerodermia
61) A patient with SLE have
a) Possitive ANA
b) Possitive anti SS

62) Incision on Supra pubic area caused heavy bleed. It could be
a) Damage to inferior epigestric artery?
63) In Hypoxia, cell swelling occurs due to
a) Entry of water in cell fromj surrounding
b) Entry of lipids

64)What is potent Antoxident ( Anti Aging)
a)VIT E
65) A boy is excreting meconium from rectum and has severe constipation. The rectal examination showed no ganglion cells. The condition is called

A) Intussusceptions
B) Hirschsprung’s disease

66) In what portion of nephrone, Na is absorbed totally neutrally active transport?
a) PCT
b)DCT
c)ATT

76) Cell mediated immunity is mediated by
a) T cells
b)B cells

77) Virus does not cause
a) Lipoma
b) Kaposi sarcoma
c)cervical cancer
78) Iodine is stored in thyroid follicles as
a) Thyroglobulin
b)DIT and MIT
79) A patient died due to colonic cancer.On autopsy found thousands of polyps. Patient's father also had colonic cancer. The cause could be
a)Adenomatous polyps?
80) A patient has double ureters and double pelvis. It could be
a) anomaly is due to premature separation of ureteric bud
81) Chylomicrons contains
a) Fatty acids with vitamins
82) Transudate has
a) Low Albumin

83) common mediator of Basophils and mast cells have
a)Histamine
84)In Skeletal muscle , contraction occurs due to
a) Sacromere
b) Actin
c)Myosin
88) In chronic inflammation, there is predominate
a) Fibroblasts
b)Macrophages
c)neutrophils
89)Characterics of malignant cancer is
a)Metastasis
90 )Characteristic of malignant cancer is
a) pleomorphism
91) Pretraceal fascia
a) completely encircle the Thyroid gland
b)Completely encircles trachea
92) 6 months after the resection of terminal ilium, the patient
a) iron deficiency anemia
93) A patient has sweating 2L , and he took 2 L plan water. What could be happen?
a) Increased body volume?
b) decreased intracellular osmolarity
c)Increased extracellular osmolrity

94) Inhibition of heart Rate will be in
a) Stimulation of parasympathetic nervous system
95) Aldosterone is stimulated by
a) Increase of serum K
96) Follic Acid difficiency causes
a)Megaloblastic erythropoises
b) Foliate deficiency
97) Difference B/w Plasma and interstitial fluid is
a) Protien
98) C02 is mainly carried by
a) Hco3
99) In Inguinal hernia, posterior wall is formed by a) Conjoint tendon
b)Internal oblique muscles

100) What is part basal ganglia are
a) Putamen
( 32 mistakes )

Paper 2

101) Blood supply of vertebral column is
a)Vertibral artery
102)Suprascapular nerve arises from
a) Thyrocerv ical trunk
103) Ist pharyngeal pouch forms
a) Auditory tubes
104)Diapharm is supplied by
a) c 345
105)Urachus is remnant of
a) Allantois
106)A patient had surgery of breast and he is now unable to lift his arm.
What is damaged?
a) serratus anterior muscle

107)Thurst is stimulated by
a) ADH

108) A patient has dirrhoea and developed metabolic acidosis. What is lost in feeces?
a) HCO3
109)phasic fast adaptive structure is
a) Mickle disk
b)Carotid baroreceptors
c)Rufini's carpuscles
110)The lesser omentum forms which structures?
a) Hepatoduodenal ligament, Falciparum Ligament, Gastroduodenal ligament
111) A patient can not abduct and adduct his fingers. Lost adduction of thumb also.
a) Deep branch of ulnar nerve
112)Femoral canal is formed by what fascias?
a) Fascia Lata + memberenous Layer
b)
c)
113) Organ , lined by stratified squamous epithelium, rounded structure.?
Palatine tonsils
114)Regarding the Iron requirement of a pregnant woman, following test is appropriate.
a) TIBC
b)serum ferritin

115)After gastrectomy, a patient might develop
a) Megaloblastic anaemia
116) A patient got injury in the posterior triangle of neck.there might damage
a) spinal part of accessory nerve
b) CNS part of accessory nerve
c) Vagus nerve
117)A patient in RTA came in EAC with hypovomumic shock. First what to treat?
a) I/V Fluids
118) Clostridia cause
a) Gas Gangren
119)Angiotensin 1 is converted to Angiotensin 2 in
a) Lung capillary endothelium
120) First week diagnosis of Typhoid is
a) Blood culture
121)A soldier posted at high altitude for many years came witg PVC > 40
a) Secondary polycythemis
122) Buerger's disease is strongly associated with
a)Smoking
123)Acute appendicitis is associated with
a) Neutrophelic leukocytosis
124) Medial arcuate Ligament encloses at its upper end
a)Psoas muscle
125) QRS comples is due to
a)Ventricular systole
126) The transitional epithelium have
a) Couoidial epithelium lined by more larger and rounded cells?
127) A patient have right optic tract damage. He might developed
a)Left homonymus hemianopsia
128)In Burkit Lymphome, The causative agent is
a) EBV
129)Regarding adrenal glands
a) Right is Larger than left
b)Supplied by numerous arteries ,and drained by single vein
130) Repture of middle meningeal artery cause hematoma in
a)Between the two layers of dura mater
131)Middle esophageal constriction is by
a)Arch of Aorta
b)Left bronchus
132) T- cells
a) Matured in Thymus after birth
b)Both T cells and B cells are derived by same precursors
133)Neurovascular bundle is located at ribs at
a)inferior border of ribs
134)Which of the following does not predispose the cancer?
a) Radiation
b)Bacterial products
c)virus
d)Chemicals
135)Methicilline resistant staph are
a) Usually sensitive to Vancomycin
136) Cardiac muscles can not be tetanized becosed
a)They have long refractory period
137) Severe blood transfusion reactoion occurs if transfused all except
a) A+ blood to 0+
b)A + blood to AB+
c) B+ to O+
d) B+ tp AB+
e)O +ve blood to OA+

138)Xenograft is
a) Transplant of tissues of different species
139) Lysosomes contains
a) Acid Hydrolase
140) Rt Gastro epiploic artery is the branch of
a) splenic artery
141) Right gastroduodenal artery is the branch of
a) Hepatic artery
142 )An asthematic patient may have
FEV1/FCV <75
143)Ligamentum arteriosum connect with
a) Aorta with Left pulmonary artery
144)In atrial fibrillation, therer is
a) Pulsus deficit
145)A patient lost weight , hot dry skin,RR 20, pulse 120/min, DB 120/80
a) Hyperthyroidism
146) Alpha receptors stimulation may cause
a) Lipolysis
b)Gluconeogenesis
c)glycogenolysis
d) Glycogenesis
147)Trypsinogen in the duodenum will be activated by
a) PH < 7
148) Pulmonary embolism most commonly involves
a) Left pulmonary artery
149 A patient had streptococcal infection. What blood test you will advise him after one week?
a) Anti streptolysin O titer
150)A patient developed hemolytic anaemia after blood transfusion. Hemoglobin released will be attached with
a) Heptoglobin
b) Albumin

151) A patient with itching, fever with Antimitochondrial antibody +ve
a) Primary billiary cirrhosis
152) PDA occurs in
a) Prematurity
153) Fertilization occurs in
a)Oviduct
154) Liquificative necrosis occurs in
a) Brain
155) Temperature regulatory center is in
a) Hypothalamus
156) Skin cancer occurs
a) In Sun exposed area
157) Giant cells have
a) Macrophages
158) Inflamatory mediator is
a) C5a
159) Optic tract ends in
a) Lateral geniculate body
160) Gastric motility is increased by
a) Acetylcholine
161)Wound healing is delayed by
a) infection
162)Achalasia is due to
a)loss of Aurbach plexus
163)Patient has severe chest pain with ST elevation
a) Disectening aorta
b)Pleuritis
c)Pneumothorax
d)costochondral
e)Pneumonias
164)Patient X-Ray shows hilar lymph nodes. Granuloma but no necrosis. What is the diagnosis?

A} Sarcoidosis
B} Silicosis
C} Tuberculosis

165) Strongest layer of small intestine is
a)Circular
b)longitudinal
c)Mucosa
d)Submucosa ok?
166). High output cardiac failure
a. B1
b. B2
c. B6

167)Valve less vessel is
A) Aorta
B) Pulmonary artery
C) Coronary Sinus
D) Pulmonary Trunk
E) SVC

168) Within 1 hr of the Acute M.I, which of the following enzyme will be raised?
A) CK-MB
B) LDH
C) Alkaline Phosphatase
D) AST
E) Troponin T

169) Replacement of cells of other normal site of body is called
a) Metaplasia

170)Heart sound produced by rapid ventricular filling is
A) 1st heart sound
B) 2nd heart sound
C) 3rd heart sound
D) 4th heart sound

171)Corticosteroids decrease
a) Neutrophils
b)Lymphocytes
c)Eiosinophils
d)Monocytes
e)Basophils
172) DVT occurs in females
by use of OCPs

173) Visceral Pericardium is supplied by
a) Phrenic Nerve
b) Sympthatic Nerves
c) Vagus neve
d) Cardiac Plexus

174) Basal Cell Carcinoma involves
a) Buccal Mucosa
b) Hard Palate
c) Soft Palate
d) Lower Lip
e) Oral Cavity

175) Primary spermatocyte divide by
a)Mitosis
b)Spermiosytosis
c)Primary meiotic devision
d)Sec Meiotic devision
176) The volume of distribution of drug is not influenced by
a)Sex
b)Age
c)Heart failure
d)Renal Failure
177)In Hypothyroidism
a) Increased cholesterol level
178)craniophrangioma in the center of optic chiasmata may cause

a) Bitemporal hemianopsia

179)Which one of the following most likely causes Increase in GFR?

a)Constriction of afferent arteriole
b)Constriction Of efferent arteriole

180) cardic output measured by thermodilution method
is called
a)fick law?

181. Blood flow regulation is mediated by:
a. arterioles
b. precepillary sphincter
c. capillaries
d. venules

182)Thiamine deficiency causes
A} Peripheral Neuropathy
B} Pellagra
C} Chelosis
D} Dermatitis

183) Which of the following is not a feature of shock
A.decrease cardiac output
B.muslce weakness
C.increased urine output
D.tachycardia
E.restlessness

184) Iron is stored in the form of

A.ferritin
B.transferrin
C.apoferritin

Gyn Obs June 25,2008

2008-09-19T12:02:00.003+06:00

June 25,2008
Gynaecology n obstetrics By SHEHER BANO.

1..half life of dopamine is 5 min , how much time will it take to reach the steady state concentration.
a….16 sec
b….8 sec
c….10 sec

2..wt is the circulation time b/w brachial n cerebral circulation.
a….15 sec
b….30 sec
c….60 sec

3..wt is the most potent stimuli for aldosterone release.
a….ACTH
b….Renin

4..which statement regarding adrenals is wrong.
a….size at birth is equal to adult size

5..actions of glucagons are all except

6..actions of growth hormone r all except

7..which of the following are features of type 2 hypersensitivity reaction
a….IgG
b….Ig M
c….T cells
d….B cells

8..wt is the requirement for complete sterilization
a….heating at 151 degree C for …. Min

9..energy liberated on complete metabolism of protein is
a….4.1 k cal
b….5.3 k cal
c….9.1 k cal

10..energy liberated on fat metabolism is
a….9.1 kcal

11..thyroid isthmus is at level of
a….2nd 3rd tracheal ring
b….3rd 4th tracheal ring
c….5th 6th tracheal ring

12..blood supply of spinal cord is
a….vertebral arteries
b….spinal arteries
c….internal juglar arteries

13 end arteries are present in
a….spleen
b….brain
c….lymph node

14..derivative of endoderm is
a….mesentry

15..laryngeotracheal bud appears during
a….4th week
b…5th week
c….7th week

16..muscle cut on episiotomy is
a….superficial transverse perineal + bulbospongiosus

17..patient feels pain on defecation nerve involved is
a….pudendal nerve
b….inferior rectal nerve

18..almost 10 to 15 questions on NSAIDs and prostaglandins

19..one of the following regarding levator ani is true

20..epthelial lining of ureter is

21..muscular layer of ureter in lower third is

23..derivatives of pharyngeal arches (2 to 3 questions)

24..wt makes right border of heart
a….rt atrium
b….rt ventricle
c….rt atrium + rt ventricle

25..chemoatractant for neutrophil is,

26..factors affected by vitamin K deficiency

27..lymphatic drainage of cervix is
a….int n ext iliac nodes
b….int iliac nodes
c….ext iliac nodes

28..point of meeting of intrinsic n extrinsic pathway

29..oxyhemoglobin dissociation curve (2 questions)

30..simple sqamous epithelium is present in all except

31..protein content of CSF is

32..which has highest protein content
a….plasma
b….lymph
c….CSF

33..autosomal dominant n recessive disorders (2 questions like name was give n was asked wt is wt)

34..origin of ext oblique muscle is from….

35..boundaries of inguinal triangle, the site for direct inguinal hernia, are…

36..structure palpable through lateral vaginal wall is

37..cortisol causes decrease in
a….platelets
b….RBCs
c….lymphocytes
d….neutrophils

38 difference b/w benign n malignant tumors is( 2 almost similar questions)
a….invasion
b….metastasis
c….capsule

Medicine JUNE 2008

2008-09-19T12:02:00.001+06:00

Contributed By Dr Noman Butt.

1) If a person came to u with infertility and azospermia what would be the best test
a) FSH+LH b) prolactin c) buccal smear d) LH e) testosterone

2) whats Hb H disease??
a) omission of 3 alpha chains of Hb
b) presence of barts hemoglobin
c) requires frequent blood transfusion
3) which one is not the part of brainstem?
a) pons
b) cerebral peduncles
c) cerebellum
d) superior colliculus
e) mesencephalon
4) Radiation affects/causes injury to......
a) cell membrane
b) nucleus
c) cytoplasm
d) mitochondria
5) cerebellar lesion causes
a) adiadokinesia
b) sensory loss
c) motor weakness
d) hypertonia
6) ovarian ca metastasizes early to......
a) lung
b) peritoneum
c) stomach
d) opposite ovary

7) Isthmus of thyroid gland lies against the tracheal rings:
a) 1st and 2nd
b) 2nd and 3rd
c) 3rd and 4th
d) 4th and 5th
e) 5th and 6th

8) Lymphoid nodules are not present in
a) spleen
b) thymus
c) tonsil
d) peyers patches

9) Most common Souce of pulmonary emboli
a) femoral vein
b) popliteal vein
c) periprostatic veins
d) periovarian veins
e) superficial saphenous vein

10) A lady suffered an injury in a RTA and became unable of flex both her leg and thigh. The muscle most likely affected
a) Biceps femoris
b) Rectus femoris
c) Semimebranosus
d) sartorius
e) semitendinosus

11) A child sufferd from repeated episodes of mild jaundice. Diagnosis after his labs showed unconjugated hyperbilirubinemia
a) Dubin johnson syndrome
b) Bile duct obstruction
c) Gilbert syndrome
d) Rotor syndrome

12) A child aspirated a peanut. In which lobar bronchus it must have lodged
a) Left upper
b) Right inferior
c) rt middle
d) rt superior
e) left inferior

13) Left 7th bronchopulmonary segment is called
a) lateral basal
b) anteromedial basal
c) lingual lobe
d) apicoposterior
e) posterior basal

14) The following does not have an associated valve
a) superior vena cava
b) inferior vena cava
c) coronary sinus
d) aorta
e) pulmonary trunk

15) The following is not present in relation to Posterior relations of left kidney
a) quadratus lumborum
b) psaos
c) colonic flexure
d) diaphragm

16) Normal quiet expiration is brought about by contraction/recoil of
a) diaphragm
b) elastic tissue in thoracic and lung wall
c) abdominal muscles
d) sternocleidomastoid

17) A child died of severe pneumonia. At autopsy, the lung shoed Warthin- fikelendenberg cells with many nuclei. causative organism:
a) Ebola virus
b) CMV
c) measles virus
d) rubella virus
e) pneumocystis carinii

18) The following disease most severely affects the esophageal phase of swallowing
a) myasthenia gravis
b) scleroderma
c) poliomyelitis
d) stroke

19) The normal esophagus is
a) 10 inches in length
b) lies entirely in the thoracic cavity
c) consists entirely of skeletal muscle

20) A 26 yr old girl 28 week of gestation developed vomiting...bilirubin 20mg/dl,SGOT 272 and SGPT 220 .2 weeks back she went to meet her parents in a remote village. she has no history of any blood transfusion or past surgery.whats her diagnosis
a) hepatitis A
b) hep B
c) hep c
d) hep d
e) hep e

21) Genes are
a) intron
b) exon
c) DNA
d) RNA
e) ribosome

22) Lymphatic drainage of medial quadrant of breast
a) axillary
b) internal memory lymph node

23) Renal excretion of a drug
a) depndnt on GFR
b) ......

24) Menopause is associated with
a) low estrogen and high FSH and high LH
b) low estrogen and high FSH and low LH
c) high estrogen and low FSH and LH
d) low estrogen and normal FSH and LH

25) A 20 yr old girl with type 1 diabetes is brought to emergency in semi comatosed condition. An injection of insulin given to her will raise her
a) blood sugar level
b) pH of blood
c) urinary excretion of ketones

26) Which one of the Following is terratogenic
a) alcohol
b) coffee
c) heroin
d) Phenothiazine
e) tobacco

27) Lamia propria of vagina is made up of
a) collgen fibres
b) reticular
c) elastic......

28) Which of the following is not forming double peritoneum layer
a) broad ligament
b) suspensory lig
c) mesovarium
d) mesosalpinx
e........

29) Richest in triglycerides
a) chylomicrons
b) LDL
c) VLDL
d) HDL

30) At the end of a marathon race, a person has
a) high insulin and low glucagon
b) high glucagon and high insulin
c) high glucagon and low insulin
d) high cortisol

31) A pts GFR dropped from 100 to 20. If the serum creatinine was 1 with GFR 100ml/min, the new serum creatinine would be
a) 0.5
b) 2.0
c) 5.0
d) 30
e) 20

32) Target tissue of Rickettsia??
a) endothelial cells
b) nervous tissue
c) macrophages
d) muscle cells
e) blood cells

33) Most effected organ by dental radiology-
a) brain
b) thyroid gland
c) lungs
d) heart

34) Which nerve is most likely to damage during 3rd molar surgical removal?
a) mandibular nerve
b) inferior alveolar nerve
c) lingual nerve
d) baccal nerve

35) A patient presented to emergency in a semicomatosed condition after an RTA with multiple long bone fractures with BP 80/50 mmHg. What will u do?
a) volume replacement
b) oral airway
c) tracheostomy
d) splinting of fractures
e)

36) Which of the following drugs is proved to be beneficial in the treatment of Subdural haematoma?

a) Atenolol
b) nifedipine.
c) losartan
d) nimodipine

37) Which of the following tumors in children is due to gene amplification?

a) Neuroblastoma
b) retinoblastoma
c) Wilms tumor

38) Chronic diarrhea can be due to
a) giardiasis
b) crohn’s disease

39) A patient presented with sore throat & fever. blood picture shows atypical lymphocytes. diagnosis is
a) aids
b) infectious mononucleosis

40) Changes in V1 & avf indicates
a) anterior wall MI
b) inferoir wall MI

41) A Patient presented with cysts in liver,cause can be
a)teania solium
b)teania echinococccus

42) 3rd heart sound is due to
a) rapid ventricular filling
b) AV valves closure

43) Following is responsible for CNS myelination
a) shwan cell
b) oligodendrocyte

44) Pt presented in emergency in unconcious sate,,,resport indiactes hematoma in right parietal region, cause is
a) internal carotid artery
b) basilar artery
c) middle cerebral artery

45) Functional residual capacity
a)can b measured by spirometry
b) RV+ERV

46) A Diagnosed case of emphysema presents in emergency with dyspnea, examination shows decreased breath sounds & hyper -resonance,investgation to evaluate cause is
a) chest x-ray
b) ABG'S

47) In adults, spinal cord ends at level of
a) L1
b) L3
c) L2

Perhaps it was middle meningeal artery in the above question

48) Upper end of esophagus is at the level of
a) C6
b) C7
c) T1

49) Fluid having 0.5gm protein/dl
a) CSF
b) Lymph
c) plasma
d) serum

50) Severe blood transfusion reaction will occur
a) A+ given to A-
b) AB+ given to O+

51) In achlasia cardia, there is
a) Decreased resting tone of LES
b) Increased no of ganglia in myenteric plexus
c) Decreased no of ganglia in myenteric plexus

52) Renal clearnace
a) depends on GFR
b) decrease in infants

53) Cerebellum lesion can cause
a) adiadokinesia
b) static tremors
c) hypertonia
d) sensory loss in body

54) A patient presented in the ER with an acute onset of severe chest pain radiating towards the left arm and jaw with a BP of 130/80 mm of Hg.ECG shows ST segment elevation; cardiac enzymes are normal.What is the diagnosis?

a) Acute MI
b) Ruptured Aortic Aneurysm

55) A patient presents with scanning speech & intention tremors, lesion is in
a) cerebellum
b) basal ganglia

56) There were 2 or 3 questions regarding acid-base balance but dont rememer the values..

57) Increase level of erythropoetin is seen in
a) lung carcinoma
b) renal CA
c) cerebellar tumor

58) A young 20yr old guy while climbing stairs had sudden sharp Rt sided chest pain. Cause
a) ventilation-perfusion mismatch
b) blockage of pulm capillary
c) Fall in PO2
d) Fall in atm pressure
e) ……..

59)A pt. on MAO inhibitor is given 1st dose of barbiturate will develop
a) coma
b) insomia
c
d

60) A lady in 3rd trimester comes with hypertension and edema . she has history of seizures . the treatment of choice will be
a) MGSO4
b) methyldopa
c) clonidine

61) Which of the following develop from endoderm ?
a)
b) gonads
c)
d) palatine tonsil

62) Cannon wave is associated with
a) tricuspid regurgitation
b) complete heart block

63) Which of the following property prevent heart muscles from tetanization?
a) rythymicity
b) prolong refractory period

64) A pt. comes to emergency with severe SOB for 4 hours,ecg shows ST elevation , serum cardiac enzymes are not raised , the most likely diagnosis is
a) MI
b) pulmonary emboli
c) retrosternal goiter

65) Jaw angle is innervated by
a )
b)
c)

66) pH 7.3 , pCO2 30 ,hco3 18 , pt. most likely to have (exact scenario not memorized)
a)
b)

67) Half life of a drug is 2 mins , how long it'll take to reach steady state concentration?
a) 4 mins
b) 9 mins
c) 16 mins

68) The pt. is suffering from UTI , the diagnosis is confirmed by
a) urine culture
b) blood culture
c) urine + blood culture

69) The most potent stimulant for erythropoietin?
a)
b) hypoxia
70) The true statement about growth hormone is
a)
b)
c)
d ) its a polypeptide

SURGERY March 2008

2008-05-11T21:49:00.000+05:00

COURTESY: DR: ALTAF GHUMRO &
PREPARED BY DR: MUHAMMAD SHEERAZ AKHTAR SOOMRO

1] A newborn child has abdominal swelling on the right side of the umbilical cord. It is not covered with amnion. The condition is

A} Gastroschisis
B} omphalocele

2] Which of the following is not related to Meckel’s Diverticulum?

A} is remnant of urachas
B} lies 60 cm proximal to illeocecal Valve

3] A boy is excreting meconium from rectum and has severe constipation. The rectal examination showed no ganglion cells. The condition is called

A} Intussusceptions
B} Hirschsprung’s disease

4] Regarding somites

A} They develop on both sides of notochord.
B} they develop from lateral plate mesoderm

5] Regarding diaphragmatic hernia the most likely is

A} Absence of septum transversum
B} Failure of pluiroperitoneal membrane

6] Which one of the following is not the derivative of 1st (mandible) pharyngeal arch?
A} Incus
B} Malleus
C} Stapes
D}
E}

7] Embrologically, Which one of the following is not the developmental remant

A} lateral umbilical ligament
B} Medial umbilical ligament
C} Median umbilical ligament
D} ligamentum teres
E} ligamentum venosum

8] The part of mouth derived from ectoderm is

A} Epithelium of parotid salivary gland
B} Epithelium of Tongue
C} Floor f mouth
D}
E}

9] A male with Gynaecomastia, small testes, diagnosed as Klienfelters syndrome. The karyotype involved is

A} 45 XO
B} 46 XX
C} 47 XXX
D} 47 XXy
E} 47 XX

10] Somites are derived from

A} Intermediate mesoderm
B} Paraxial mesoderm
C} Lateral plate mesoderm
D} Ectoderm
E} Endoderm

11] An I/V Urograph of 8 year old boy shows Excretion of dye normal I kidney but absence of shadow on left side. Instead there is a small shadow just above the bladder on the left side. Which one of the following is most likely?

A} Horse shoe kidney
B} Constricted ectopic kidney
C} Pelvis kidney
D} Non rotating kidney
E} Unilateral renal agenesis

12] Which one of the following is not formed from urogenital sinus?

A} Bartholin’s gland
B} Urethral glands
C} Para urethral glands
D} Seminal vesicle
E}

13] Virus damage the cell by

A} making the pores in cell membrane
B} Forming free radicals
C} Altering the formation of proteins
D} Nuclear damage
E} using energy for their own metabolism

14] The tissue damage by Ionization Radiation is due to
A) Damage to Golgi bodies
B} Formation of free radicals
C} Hydropic degeneration
D} Metaphase of cell
E} Swelling of cells
15] All are features of IRREVERSIBLE cell injury EXCEPT
A} Karyolysis
B} Karyorhexis
C} Autolysis
D} Shrinkage of mitochondria
E} Appearance of myelin figure
16] Which one of the following is least likely involved in increasing Osteoporosis

A} Increased wt: on bone
B} Renal cell carcinoma
C} Carcinoma prostate
D}
E}

17] Patient X-Ray shows hilar lymph nodes. Granuloma but no necrosis. What is the diagnosis?

A} Sarcoidosis
B} Silicosis
C} Tuberculosis
D}
E}

18] In women the most common form of necrosis after trauma is due to

A} Trauma to fatty tissue
B}
C}
D}
E}

19] Dystrophic calcification is present in which of the following

A} Acute pancreatitis
B} Malaria
C} Tuberculosis
D}
E}

20] Which one of the following is most likely feature of reversible injury?

A} Cell swelling
B} Karyorhexis
C} Decreased glycogen
D} Myelin figures
E}

21] A person fell on road and got an abrasion on elbow the first event likely occur would be

A} Vasoconstriction
B} Platelet adhesion
C} Platelet aggregation
D}
E}

22] Which one of the following facilitates phagocytosis in neutrophils?

A} C5a
B} C3a
C} C3b
D} C3 - C5 complex
E}

23] Which one of the following is potent antioxidant?

A} Vitamin A
B} Vitamin C
C} Vitamin E
D} Transferrin
E}

24] Which one of the following among Arachidonic acid metabolite is most likely function mediated in phagocytosis?

A} Chemo taxis
B} Diapedisis
C} Transmigration
D}
E}

25] Which one of the following is potent COX-II INHIBITOR?

A} Aspirin
B} Celocoxib
C} Indomethacin
D} Meloxicam
E} Piroxicam
26] In case of pulmonary embolism extensive infarction causes sudden death due to

A} Air embolism
B} Fat embolism
C} Thromboembolism
D}
E}

27] A patient was operated for abdominal surgery. A few days after he developed pain and swelling in his right leg. Which one of the following is most likely?

A} endothelial injury
B} hypercoagubility
C} stasis and endothelial injury
D}
E}

28] A soldier has profuse bleeding. He was admitted in the hospital. Which one of the following should be given immediately?

Fresh frozen plasma
B} 20 days old blood
C} 3 days old blood
D}
E}

29] A boy was born with the condition of polycystic kidney disease. Which one of the following is correct?

A} Autosomal Dominant disorder
B} Autosomal recessive disorder
C} X- linked disorder
D}
E}

30] In a renal transplantation, which one of the following is single most significant test to be done?

A} ABO blood grouping of donor and recipient
B} HLA typing and matching
C} Donor and recipient should be close relatives
D}
E}

31] A organ was transplanted to the patient, but within 10 mins the organ failed. Which one of the following is likely etiology?

A} Antibody mediated
B} T-Cell mediated
C} Preformed antibodies
D}
E}

32] AIDS occur in the presence of

A} Kaposi’s sarcoma
B}
C}
D}
E}

33] A 2 year old boy is suspected as HIV positive, which one of the following is the confirmatory test in the boy

A} ELISA test
B} Western Blot test
C} PCR
D} Increased levels of HIV in T lymphocytes
E}

34] A 10 year old boy was operated for gastrectomy, which one of the following type of anemia is developed postoperatively

A} Megaloblastic anemia
B} Iron deficiency anemia
C} Normocytic norm chromic anemia
D}
E}

35] Autoimmunity is not involved in which one of the following

A} Pernicious anemia
B} Grave’s disease
C} Diabetes mellitus
D} Hashimoto’s thyroiditis
E} Thymoma

36] In case of hashimoto’s thyroiditis, which one of the following is seen?

A} Anti thyroglobulin
B}
C}
D}
E}

37] To differentiate Chron’s disease from Ulcerative colitis, which one of the following is likely significant regarding Chron’s disease

A} has increased frequency to cancer
B} Involves both small and large intestine
C}
D}
E}

38] Regarding alcoholic hepatitis, following is finding

A} Mallory bodies
B}
C}
D}
E}

39] A 20 year old girl has developed Galactorrhea due to prolactinoma. Bromocriptine is given to treat it the drug causes

A} Inhibition of prolaction from pituitary gland
B} Decreased prolaction from hypothalamus
C} Inhibition of prolaction from breast
D} Stimulation of prolaction of anterior pituitary
E}

40] An unconscious patient presented in ED does not respond to Naloxone. Which of the following drug has been taken by this patient?

A} Morphine
B} Heroine
C} Pethidine
D} Phenobarbital
E}

41] Strongest layer of small intestine is

A} Mucosa
B} Sub mucosa
C} Circular layer
D} Serosa
E} Longitudinal layer

42] Regarding adrenal medulla which one of the following is true?

A} Secretes epinephrine and Norepinepinephrine in 80/20 ratio
B}
C}
D}
E}

43] R.E.R most likely

A} Synthesizes protein
B} Synthesizes lipids
C}
D}
E}

44] Half life of insulin is

A} 5 mins
B} 90 mins
C} 120 mins
D}
E}

45] Insulin

A} Converts glycogen to glucose
B} Stimulates protein synthesis
C} Stimulates lipolysis
D}
E}

46] Which one of the following most likely contains abundant cholesterol?

A} VLDL
B} LDL
C} Chylmicrons
D} HDL
E}

47] Which one of the following most likely causes Increase in GFR?

A} Constriction of afferent arteriole
B} Constriction Of efferent arteriole
C}
D}
E}

48] Gastric emptying is delayed by

A} Gastrin
B} Secretin
C} CCK
D}
E}

49] Which one of the following pancreatic enzyme is most likely involved in fat absorption

A} Amylase
B} Lipase
C}
D}
E}

50] Smooth muscle

A} Contain sarcomere
B} T-tubules are present
C} Gap junctions are present
D} Forms motor end plate
E}

51] Steady pressure on skin is perceived by

A} Pacinian’s corpuscle
B} Ruffini’s corpuscle
C} Meissener’s Corpuscle
D} Golgi tendon organs
E}

52] Which one of the following is related to pain?

A} Serotonin
B} Substance P
C}
D}
E}

53] Free nerve endings have receptor for

A} Light touch
B} Pressure
C} Pain
D} Vibration
E}

54] Which one of the following has highest pressure?

A} Pulmonary artery
B} Left atrium
C} Right atrium
D} SVC
E}

55] Flow of current through junctions in the muscle

A} Smooth muscle
B} Skeletal muscle
C} Cardiac muscle
D}
E}

56] A profusely bleeding patient develops hypotension, which one of the following would be immediate mechanism to maintain B.P

A} Baroreceptor reflex
B} Chemoreceptor reflex
C} Secretion of ADH
D} Aldosterone
E} Renin angiotensin mechanism

57] Water enters into the cell by

A} Pinocytosis
B} through pores
C} Simple diffusion
D} Facilitated diffusion
E} Active transport

58] Insulin secretion is controlled by

A} Glucagon
B} increased glucose
C} Decreased glucose
D}
E}

59] Systolic B.P is highest in

A} Pulmonary arteries
B} Cerebral arteries
C} Renal arteries
D} Brachial arteries
E}

60] End diastolic volume depends on

A} Atrial contraction
B} Distensibility of ventricles
C} Duration of diastole
D} Venous return
E}

61] Mean electrical axis of heart is deviated to left if

A} Heart is angulated on right side
B} Pulmonary stenosis
C} Right bundle branch block
D} COPD
E}

62] Pulse Oxymeter measurement gives error in the reading if

A} Pt. is dark skin
B} Increased conc: of Hb A
C} Increased Conc: of Hb F
D} Aortic stenosis
E}

63] Secretion of potassium by distal collecting tubule decrease by

A} Increase in potassium in diet
B} Hyperaldosteronism
C} Metabolic alkalosis
D} Spironalactone intake
E} Thiazide diuretic

64] Absorption of iron is markedly affected by

A} Ingestion with meal
B} Partial gastrectomy
C} Trivalent form
D}
E}

65] Patient with pancreatitis has developed steatorrhea due to deficiency of

A} Lipase
B} Pepsin
C} Amylase
D} Renin
E}

66] Absorptive surface of small intestine is

A} 50
B} 100
C} 200
D} 350
E} 500

67] Daily dietary protein for 70 kg. Man is

A} 12 gm
B} 120gm
C} 200 gm
D} 150 gm
E}

68] Source for metabolic fuel for liver in post absorptive state is

A} Glucose
B} Ketones
C} Glycerol
D} Fatty acids
E}

ANESTHESIA MARCH' 08

2008-05-10T21:55:00.001+05:00

FCPS I - 26th MARCH' 08
ANESTHESIA

1. If a drug is taken orally. How will u assess the drug?
a. plasma drug conc
b. blood drug conc
c. urine drug conc

2. Regarding Nitroglycerine, all are true except
a. extensive 1st pass effect
b. venodilator
c. dec venous return
d. dec HR
e. t1/2 is 3-5 min

3. Warfarin, effect inc by
a. Cimetidine

4. Why the dose of theophylline in infant is smaller than in adults
a. dec metabolism
b. dec plasma protein binding

5. Enzyme induction occurs in:
a. liver
b. kidney
c. heart
d. adrenals

6. Digoxin toxicity
a. Inc K*
b. Inc Mg*
c. dec Ca**
d. dec Na*
e. alkalosis

7. Secondary active transport occurs thru
a. glucose
b. Na*
c. K*
d. Urea

8. 2 liters of 2 different gases of diff mol wt contain
a. equal no. of molecules
b. equal no. of atoms

9. Capillary permeability is inc by
a. hypertension
b. plasma colloid osmotic pressure
c. intersitial hydrostatic press
d. altered permeability

10. PG in inflammation dec by:
a. aspirin
b. corticosteroids
c. phosphodiesterase inhibitors

11. Which is true.
a. all parasymp are cholinergic
b. all sympathetic are adrenergic
c. all post-gang parasymp are cholinergic

12. Gastric motility is inc by:
a. inc gastrin
b. ACh
c. Secterin
d. Somatostatin

13. Gastric acid is inc by
a. Gastrin
b. ACh
c. Secterin
d. Somatostatin

14. Basal level of bile

15. alpha recptors effects ?
a. inc HR
b. lipogenesis
c. midriasis
d. piloerector contraction
e. bronchodilator

16. Beta effect ?
a. Inc HR and force of contraction

17. ACh effect?
a. Inc salivation
b. inc sweating
c. constipation

18. Thirst is dec by:
a. ADH
b. aldosterone
c. Ag II
d. baroreceptor efferent
e. inc Hematocrit

19. promotes each others actions
a. atropine and reserpine
b. amytriptyline and reserpine
c. atropine and amitryptyline

20. After induction of anesthesia by 10 mg/kg thiopentone, pt is hypotonic. Cause ?
a. hypersensitivity
b. dec HR
c. dec contractility

21.In hypertonic obs cardiomyopathy, which Ca** channel blocker is used:
a. Nifedipine
b. Nicardipine

22. Loop diuretics + thiazides enhance each others effect ( Dec NaCl abs) at:
a. descending loop of Henle
b. ascending loop of Henle
c. proximal convoluted tubule
d. distal convoluted tubule
e. collecting duct

23. Pt with mild CCF. Treatment started. 1 week later pt complains of severe pain at Rt big toe. Cause:
a. thiazide
b. furosemide
c. ACEi
d. amiodarone

24. Metastatic pleural effusion. Drug to be given:
a. streptomycin
b. clindamycin
c. corticosteroids
d. bleomycin

25. Monotherapy for mild CCF:
a. digoxin
b. captopril
c. nifedipine
d. propranolol

26.Pacemaker for complete heart block. Terminals shd be in:
a. SA node
b. AV node
c. Rt atrium
d. purkinje
e. Rt ventricle ..............(correct)

27. Infant with renal abnormality (renal artery stenosis). Drug responsible:
a. ACEi
b. Ca** channel blocker
c. amiodarone

28.Lungs inactivate Bradykinin by:
a. enz involved in converting kallikrein to plasma protein

29.After loss of 1 litre of blood in 5 min:
a. diastolic press dec
b. systolic press dec
c. aldosterone inc
d. no change

30. CO = VR. Large hump on left of cardiac pacing mentions:
a. inc contractility
b. inc HR
c. inc end-diastolic vol

31. Amiodarone.........> MOA

32. Lidocaine. MOA?
a. dec abnormal tissue conduction and no effect on normal tissue
b. inc PR interval
c. dec atrial contraction
d. dec AV conduction
e. inc QRS
f. inc QT

33. Class IA antiarrythmic drugs
a. Lidocaine
b. quinidine
c. procainide
d. amiodarone

34. Lidocaine as antiarrrythmic:
a. blocks Na* channels
b. Beta blocker
c. K* channel blocker

35.Verapamil ..... as antiarrythmic ?

36.Drug that inc extracellular K* (moves K* out of the cell):
a. Angiotensin
b. H2CO3
c. Carbonic anhydrase
d. pH
e. exercise

37. Sec K* in renal cells
a. metabolic alkalosis
b. carbonic anhydrase

38. Consistent finding in hypoKalemia
a. prolong vomiting
b. diarrhea
c. ureters attached to colon

39. Metabolic alkalosis
a. renal failure

40. ARF- most effect.
a. PCT
b. DCT
c. LOH
d. CD

41. Hb 8.0, HCO3- inc (35), pH Inc, Ca++ dec. Cause
a. ARF
b. Vit D def
c. folic acid deficiency
d. PTH

42. Anesthetics differ from anelgesics in:
a. only alter A delta and C fibers
b. Anesthetics effect at cerebral level and analgesics at spinal cord level
c. affects only pain and temp and no other sensory modalities

43. High output cardiac failure
a. Thiamine
b. B2
c. B6
d. Folic acid

44. 90 yrs old lady with purplish large patch on Rt hand and arm. No itching or pain. No comorbids, Otherwise Normal. Reason?
a. Capillary abn
b. Prothrombin
c. Vit K dependent clotting factors

45. 10 yrs old girl from Baluchistan c/o fatiguw, lethargy, mild jaundice, discoloration of skin, enlarged spleen. Hb 8.0, MCV 58, S. Ferritin 1000. Appropriate treatment?
a. deferroxamine
b. blood transfusion
c. iron transfusion

46. Death d/t embolism after accident
a. Fat
b. tumor cells
c. air
d. thromboembolism

47. Warfarin, effects on:
a. Factor VIII
b. factor III
c. Prothrombin

48. Ibpratopium bromide given by nebulization:
a. dec ACh release in bronchi
b. vasodil
c. inc secretion

49. Mast cell stabilizer.
a. Na chromoglycate

50. T1/2 of desmethyl diazepam, an inactive metabolite of diazepam is:
a. 20-50 hrs
b. 50-100 hrs
c. 100-200 hrs
d. 36-200 hrs ................... (correct)

51. Post menopausal women with brease ca. DOC
a. Tamoxifen

52. Sec released from thyroid gland entering circulation is:
a. Thyroxine
b. Free T3
c. free T4
d. TSH
e. TRH

53. Cushing's triad:
a. Inc ICP, HTN, Bradycardia
b. Inc ICP, hypoTN, bradycardia
c. inc ICP, hypoTN, tachycardia
d. inc ICP, HTN. tachycardia
e. dec ICP, HTN, tachycardia

54. CSF
a. total 150 ml
b. production rate 20 ml/hr
c. produced by ependymal cells of choroid plexus
d. drained by lymphatics

55. CSF:
a. Inc K* than plasma
b. dec glucose
c. dec specific gravity

56. PTH
a. inc PO4 abs from renal tubules
b. inc Ca resorption from bones
c. CRF
d. Anemia

57. Imp buffer in interstitial fluid
a. H2CO3
b. Hb
c. plasma pr.
d. PO4

58. Cell wall synthesis inhib
a. Penicillin

59. Sulphonamides inhibit
a. tetrahydrofolate in bacteria

60. Dark urine after starting ATT.
a. Rifampin

61. 1 week after starting of ATT, pt c/o pain in big toe. Reason
a. INH
b. Rifampin
c. Ethambutol
d. PZA

62. Needle inserted at paramedian vertebral canal pierces:
a. ant spinal lig
b. post spinal lig
c. supraspinal lig
d. interspinal log
e. ligamentum flavum

63. Pseudomembrane colitis linked to:
a. clindamycin
b. penicillin
c. cephalosporins
d. erythromycin

64. Regarding chemotherapy all are true, except:
a. often multi therapy is not curative
b. req daily dosing of multiple drugs for long time

65. Flumazenil
a. onset of action 30-60 min
b. all unconscious pts must be screened by this drug
c. paradoxical tachycardia
d. max safe dose 1 mg/day

66. Isoflurane
a. MAC 1.9
b. req special vaporizer
c. dec HR

66. Sevoflurane
a. dec HR
b. req use of normal vaporizer

67. MAC of Sevoflurane with 60% NO
a. 0.66-0.68

67. Ether causes
a. autonomic stimulation

68. Enflurane
a. EEG typical of seizures
b. not concerned to dose / conc adm
c. inc ICP
d. nonevident facial spasm

69. More pungent.
a. Isoflurane
b. enflurane
c. desflurane at MAC <1

70. Halothane

71. Metabolism of halides to release fluroide levels in descending order:
a. desfurane < isoflurane < enflurane < sevoflurane < halothane < methoxyflurane
0.02 0.2 2.5 3 - 5 20

72. Blood flow regulation
a. cerebrum > cerebellum > sp. cord
b. sp. cord > cerebellum > cerebrum
c. cerebrum > sp. cord > cerebellum

73. N2O shd not be used in elderly with intestinal obs d/t:
a. risk of inc distension

74. Cylinder half filled with liquid N2O. Pressure in the cylinder?

75. Pressre of N2O cylinder is 750 psi. Pressure in the cylinder till the last drop evaporates?

76. T1/2 N2O ?
a. does not undergo metab and is exc unchanged

77. Myocardial toxicity to a L/A?
a. Bupivacaine

78. cardiovascular collapse
a. bupivacaine

79. MetHbemia
a. Prilocaine

80. Fracture 5, 6th rib. longest acting L/A to be given
a. Bupivacaine

81. MAC related to:
a. Bl / gas solubility
b. oil / gas solubility
c. alveolar air conc.

82. Hyperoxia. All true except 1.
a. retrolental fibroplasia
b. atelectasis
c. dec surfactant prod
d. CV depression
e. anemia

83. PG released in inflammation are inhibited by:
a. aspirin
b. corticosteroids
c. serotonin

84. Muscle relaxant that can be given to an asthmatic pt
a. atracurium
b. tubocurare
c. cisatracurium
d. suxa

85. Muscle relaxant, renally exc, long duration of action
a. tubocurare
b. vancuronium
c. pancuroniun
d. gellamine

86. For disinfection hands shd be washed with
a. phenol
b. alcohol with chlorhexidine
c. formaldehyde

87. The operating room shd b cleaned with the following drug, following surgery of HIV pt:
a. 10% gluteraldehyde
b. 1% phosphoenol
c. 2% gluteraldehyde
d. H2O2

88. Following is true regarding sterilization:
a. repeated heating denatures polyvenyl tubings
b. autoclaving is heating objects at 121 degC at 15 psi for 3 min
c. radiation (UV light)
d. dry heat
e. formaldehyd

89. Reason for heat generation when CO2 is passed thru soda lime
a. formation of CaCO3
b. CaO formation
c. friction b/w soda and CO2

90. Flowmeter stops working when
a. flow of N2O > O2
b. flow of O2 > N2O
c. breakage / disruption of control valve.

91. Laminar flow (MURAD QS)
a. flow directly prop pressure
b. resistance independent

92. When Rynolds no. exceeds 3000
a. viscosity dec
b. density dec
c. velocity dec

93. Flow meter
a. used towards expiration
b. kept vertical to keep the dial needle at zero
c. not affected by humidity
d. cannot be attached to the ventilator

94. Regarding transducer all are true except
a. changes signal from 1 form of energy to another
b. capacitanc transducer can be used on body

95. Movement of molecules from high conc they layer/ surface:
a. diffusion
b. osmosis
c. doppler effect

96. Critical temp is:
a. the temp at which gas must be cooled to become liquid

97. Latent heat of vaporization:
a. temp at which liquid converts to vapour / gas without the utilization of external heat
b. becomes zero with gain of energy

98. Relation of vol of a subs to its weight is:
a. density
b. viscosity
c. conc

99. To convert Celcius scale to Farenheit scale:
a. 9/5 *F- 32
b. 5/9 *F x 32
c. 5/9 *F + 32
d. Subract 32 and multiply by 5/9
e. add 32 and multiply by 9/5

100. Pt lying uncovered in operating room. Max heat is lost by:
a. Conduction
b. convection
c. radiation
d. evaporation

101. Pt with ETT tube. Heat is lost by:
a. Conduction
b. convection
c. radiation
d. evaporation

102. As the gas flows thru the vaporizer
a. gas is heated
b. outside of the container is cooled
c. surface vapour with highest energy is evaporated

103. Humidity is measured by:
a. hygrometer
b. thermometer

104. Apart frm measuring end tidal CO2 conc., capnograph can also measure
a. CO2 saturation
b. PO2
c. reduced Hb
d. oxyHb

105. Regarding Capnograph
a. rise of baseline indicate failure of valve
b. rise of height indicate valve failure

106. O2 is measured by all techniques except ......................(MURAD QS)
a. mass spectrometry

107. alpha waves with eyes closed
a. convert to beta when eyes open
b. convert to delta in REM
c. followed by slow frequency, high altitude wave

108. During diathermy when neutral plate is disturbed: ( Burn inc as current density inc, but independent of freq )
a. pt may get a burn even at ECG electrodes ( Burn can occur at all frequencies )
b. depends it is operating at cutting or coagulation mode
c. depends on current frequency

109. Strong magnetic instruments may not be used in a remote village d/t side effects. Instrument that can be used is:
a. CT scan
b. MRI
c. Angioplasty

110. Resistance in series:
a. inc as the wire is stretched
b. known as strain gauge used as pressure transducer
c. proportional to current flow

111. Wheatstone bridge
a. measures changes of resistsnce
b. no current flows when bridge is balanced

112. Pulse oxymetery
a. signals occur at 0.5 sec
b. light emitted by filtered light source

113. Variance is related to:
a. variability
b. square root of std deviation
c. range

114. Which measure of central tendency is used most frequently in clinical practise
a. mean
b. mode
c. median
d. 50th percentile
e. Wilcoxon rank sum test

115. t-test
a. shows relation of 2 paired means

116. Surgeon treats 200 pts of heamorrhoids. He randomly divides the pts into surgically treated and pharmacologically treated groups. After 1 yr he reasses the pts and finds that surgically treated pts have better outcome. This is called:
a. case - control study
b. cohort study
c. prospective cohort
d. randomized control trials

117. Treatment of strep pneumonia by sulphonamide and penicilline by random selection is called:
a. single blind
b. double blind
c. tripple blind

118. O2 carried most in fetal circ.
a. Umblical artery
b. Umblical vein
c. Superior vena cava
d. Aorta

119. Esophagus histology
a. covered by squamous ep
b. has str. sq in upper 1/3
c. has str. sq. in lower 1/3
d. has 3 layers of muscles
e. esophageal opening acting as anatomical sphincter

120. Length of larynx.
a. 15 cm average
b. cricoid to T2 cartilage

121. Esophageal opening
a. at left crus of diaphragm
b. Left phrenic nerve also passes thru this opening
c. at level of T12 vert
d. acts as anatomic sphincter to the stomach

122. Pt complains of chest pain for more than 30 min . ECG shows changes in V1- V4. It denotes:
a. anterior wall MI
b. anterolateral MI
c. Inferior wall MI
d. Lateral wall MI
e. Inferior wall MI

123. Groove for subclavian artery at
a. clavicle
b. 1st rib
c. 2nd rib
d. 6th rib

124. Structures entering thorasic inlet
a. accessory nerve
b. aorta
c. superior vena cava
d. azygous vein
e. Left recurrent laryngeal nerve

125. Diaphragm is directly not attached to:
a. T10 vertebral body
b. L1 vertebral body
c. xiphisternum
d. 10th rib

126. Fibrous pericardium and parietal layer of serous pericardium is supplied by
ä. phrenic nerve
b. cardiac plexus
c. esophageal plexus
d. intercostal nerves

127. Needle inserted at 5th intercostal space on the left of the sternum pierces:
a. internal intercostal muscle
b. internal membrane
c. left atrium
d. left ventricle
e. right ventricle

128. Which is untrue. 1st branch of ascending aorta is:
a. RCA from anterior aortic sinus
b. LCA from arch of aorta
c. left subclavian

129. 2nd heart sound is produced d/t :
a. closure of aortic and pulmonary valves

130. S2 splitting occurs d/t
a. delayed closure of pulmonic valve

131. Spinal cord ends at the level of lower border of:
a. L2 vertebra
b. L3 vertebra
c. L4 vertebra
d. L5 vertebra
e. S1 vertebra

132. Which is a branch of posterior division of sacral plexus
a. pudendal nerve
b. posterior cutaneous nerve of thigh
c. common peroneal nerve
d. nerve to quadratus femoris
e. perforating cutaneous nerve

133. Aortic pressure tracing is highest at which phase of cardiac cycle:
a. isovolumetric relaxation
b. rapid ejection phase
c. slow ejection phase
d. isovolumetric contraction

134. Muscle of quiet inspiration
a. diaphragm

135. Damage to pneumotaxic centre leads to:
a. apneusis
b. deep inspiration
c. short expiratory phase
d. irregular breathing
e. apnea

136. Thich filaments:
a. actin
b. myocin
c. tropomyocin
d. actin and myocin
e. troponin

137. Example of carrier mediated counter transport:
a. Na- glucose transport

138. Depolarization of cell is maintained by:
a. Na influx

139. Inhaled foreign body lodges in which part of lung
a. Rt apical bronchus

140. At the end of expiration:
a. intra-alveolar pressure is subatmospheric
b. intra-pleural pressure is subatmospheric

141. Action potential thru large nerve fiber:
a. 300 ms
b. 30 ms
c. 3 ms
d. 0.3 ms
e. 0.03 ms

142. Blow to the lateral surface of knee joint damages:
a. medial meniscus, medial collateral lig and anterior cruciate lig.

143. Knee joint is supplied by:
a. L3-L4

144. Vagus forms the efferent pathway of:
a. Hering- Breur reflex
b. J- receptors of pulmonary capillaries
c. Bain Bridge reflex

145. Leftwatd shift of oxy-Hb curve is called:
a. Bohr effect
b. Haldane effect
c. Chloride shift

146. Ventilation perfusion mismatch in which Ventilation > Perfusion is called as:
a. shunt
b. dead space

147. Most important buffer is interstitial fluid
a. Hb
b. H2CO3
c. H2PO4
d. Proteins

148. Damage to what part of brain will result in central cease of respiration
a. medulla

149. Pacinian corpuscles related to
a. touch
b. vibration
c. pressure
d. rapidly adapting pain
e. slowly adapting pain

150. Medullary respiratory group of neurons part of ascending reticular system
a. True
b. false

151. Anion gap increases in:
a. Uncontrolled DM

152. Bile from liver is different from that from GB in:
a. has more HCO3-
b. has more mucous and pigments
c. has more anions

153. Dry mouth increases all except
a. thrist
b. ADH
c. Ag II
d. Plsma osmolarity
e. Plasma vol

154. H* sec from nephron is inc by
a. acidosis
b. alkalosis

155. Coronary blood flow is maintained by:
a. autoregulation

156. Increased filtration thru capillary is fascilitated by:
a. Inc plasma colloid osmotic pressure
b. inc hydrostatic pressure of cap
c. inc hydrostatic pressure of ISF
d. inc oncotic pressure of ISF

157. General anesthesia influences
a. motor is affected 1st
b. pain neurons blocked 1st
c. sensory neurons blocked 1st
d. autonomic neurons blocked 1st

158. Middle cerebral artery supplies
a. leg foot area of motor and sensory cortex.......... true / false

159. Stretch reflex afferent 1a fibers .................... true/false

160. Mediators of inflammation
a. C3a
b. C5a
c. IL1
d. TNF alpha

161. Largest total cross-sectional and surface area is of:
a. artery
b. arterioles
c. capillaries
d. venules
e. veins

162. Blood flow regulation is mediated by:
a. arterioles
b. precepillary sphincter
c. capillaries
d. venules

163. If heart rate is 80 beats/min
a. duration of PR interval wld be b/w 0.12 - 0.16 sec

164. Lung function that cannot be measured by spirometry:
a. Residual vol

165. FRC = ?
a. ERV + RV

166. Hypoglycemia increases
a. SSK
b. Somatostatin
c. Gastrin
d. VIP
e. Secretin

167. Gastric acid is stimulated by:
a. Gastrin
b. CCK
c. Secterin
d. GIP
e. VIP

168. Somatostatin dec sec of which hormone
a. ADH
b. Insulin
c. Oxytocin
d. Prolactin
e. Thyroid hormone

169. A postmenopausal women suffered fracture d/t osteoporosis. Her Ca** is Inc, PO4 is dec. Reason?
a. Estrogen
b. Cortison
c. PTH
d. CRF
e. Calcitonin

170. Physics... Capacitance

Medicine March 2008

2008-05-10T21:47:00.001+05:00

PREPARED BY: DR:MUHAMMAD SHEERAZ AKHTAR SOOMRO

1] Which one of the following is COX-II INHIBITOR?
A} Aspirin
B} Ibuprofen
C} Indomethacin
D} Meloxicam
E} Piroxicam

2] Which one of the following vitamin deficiency causes HOMOCYSTENURIA?
A} Vitamin B1
B} Vitamin B2
C} Vitamin B6
D} Vitamin B12
E} Biotin

3] Which one of the following structures is present at free edge of LESSER OMENTUM?
A} Bile duct, cystic artery, portal vein
B} Bile duct, hepatic artery, portal vein
C} Hepatic vein, hepatic artery, portal vein

4] A 16 year old boy was given CO-TRIMAXAZOLE for fever, after few hours he developed red color urine, likely abnormality is in
A} Glucose-6-Phosphate deficiency
B} Immune hemolysis
C} Paroxysmal Nocturnal Haemoglobinuria
D} Malaria
E} Sickle cell disease

5] Thiamine deficiency causes
A} Peripheral Neuropathy
B} Pellagra
C} Chelosis
D} Dermatitis

6] Milk is notoriously deficient in
A} Vitamin C
B} Iron
C} Riboflavin
D} Pantothenic acid
E} Vitamin A

7] Dry heat kills the bacteria by
A} Coagulation of proteins
B} Cell lysis
C} Free radical formation
D} Direct killing
E} Oxidation

8] Virus damage the cell by
A} Making the pores in cell membrane
B} Forming free radicals
C} Altering the formation of proteins
D} Nuclear damage
E} using energy for their own metabolism

9] Which one of the following lipoprotein has highest protein content?
A} HDL
B} LDL
C} VLDL
D} IDL
E} CHYLMICRONS

10] All are related to PLATELET FUNCTION EXCEPT
A} Capillary resilience test
B} BT
C} Clot retraction

11] ALLELLE is:
A} Fragmented genes
B} Non-identical genes
C} Structural genes
D} Regulatory gene
E} Autosomal Dominant gene

12] D.I.C is stimulated by:
A} Factor X
B} Factor XII
C} Thromboplastin
D} Factor IX
E} Fibrinogen

13] In parenchymal cells Iron is deposited in the form of
A} Tranferrin
B} Ferritin
C} Heamatin
D} Heamoglobin
E} Lipifuscin

14] a mother is having blood group A+(Ao, DD), father is having blood group B+(Bo, Dd). Which of the following blood group cannot be inherited by their children?
A} A+
B} B+
C} AB+
D} AB-
E} O+

15] The person has suffered the injury to spinal cord leading to HEMISECTION of the cord, the IPSILATERAL sign will be
A} Loss of pain
B} Loss of temperature
C} Loss of sensation of touch and vibration
D} Lower motor neuron paralysis
E} Upper motor neuron paralysis

16] Valve less vessel is
A} Aorta
B} Pulmonary artery
C} Coronary Sinus
D} Pulmonary Trunk
E} SVC

17] A lady has undergone colostomy is now on the TPN. She is prone to develop:
A} Hyperglycemia
B} Hypocalcaemia
C} Hypophosphatemia
D} Hyperviscosity
E} Hypoglycemia

18] Turner syndrome
A} XXY
B} 45XO
C} 46XY
D} XXX
E} 69XX

19] Regarding Von Willbrand disease
A} Autosomal Dominant
B} Autosomal Recessive
C} Some family members have low level of Factor IX
D} Some family members have abnormal level of Factor IX
E} has positive family history

20] Which of the following condition is related to lymphatics?
A} Angiosarcoma
B} Rhabdomyosarcoma
C} Cystic hygroma

21] The condition in which pulmonary trunk fails to divide leading to

A} PDA
B} Truncus arteriosus
C} TOF

22] Basal Cell Carcinoma is located at
A} Lower lip
B} Upper lip
C} Tongue
D} Hard palate
E} Soft palate

23] All are branches of Vagus Nerve except
A} Auricular Nerve
B} Lacrimal Nerve
C} Recurrent Larengeal Nerve
D} Internal Larengeal Nerve

24] Permanent Atrophy is caused by
A} Loss of Innervation
B} Hormonal Deficiency
C} Immobilization
D} Nutritional deficiency
E} blockage of arterial supply

25] Which of the following is not Carcinogen?
A} Alcohol
B} Benzathracine
C} Cyclophosphamide
D} Benzidine
E} Dimethylsulfate

26] The Initial step in APOPTOSIS is
A} Inhibition of P53 genes
B} Activation of BCL-2
C} Activation of Caspases
D} pores formed by lymphocytes

27] Which of the following is content of Cavernous Sinus?
A} Oculomotor
B} Trochelear
C} Abducent
D} Trigeminal (V3)

28] Which part of kidney produces ERYTROPOITEN
A} Macula Densa
B} Peritubular Capillary
C} PCT
D} DCT
E} LOH

29] A patient with signs and symptoms of megaloblasstic anemia. The likely cause is
A Decreased GIT motility
B} Deficiency of intrinsic factor
C} Malabsorption

30] Stimulation to increase Serum Calcium is
A} Hypo-phosphatemia
B} Paratharmone
C} Decreased ECF

31] Malnutrition causes all of the following EXCEPT
A} Pitting Edema.
B} Loss of subcutaneous fat.
C} Failure to thrive.
D} Skin pigmentation
E} Thrombocytopenia

32] Liver biopsy from a patient shows a lesion which comprises of central collection of structure less material surrounded by epitheliod cells and lymphocytes. One large cell with multiple nuclei arranged close to membrane is also seen. The most likely change in central area would be:
A} Caseous necrosis
B} Coagulation necrosis
C} Fatty changes
D} Hydropic changes
E} Liquefective necrosis

33] A 28 year fisherman presented with slowly developing lethargy, easy fatigue and palpitations. His diet comprises of fish and rice only. Physical examination: Pallor, Loss of touch sense in both feet and legs Hb: 7.5 gm/dl, Platelet count: 110 x 10 9/L. Reticulocyte count: 0.5%. Stool DR: Ova of Intestinal parasite. The most likely causative parasite is
A} Ankylostomata Duodenale
B} Ascris Lumbricoidis
C} Diphylobothrium Latum
D} Strangyloids Stercoralis
E} Taenia Saginata

34] A 40 year old male after road traffic accident had received massive blood transfusion. He is expected to have all EXCEPT
A} Hypocalcaemia
B} Hypokalemia
C} Hypothermia
D} Left shift of Oxyheamoglobin dissociation curve
E} Metabolic acidosis

35] The endothelial molecules ICAM-1 & VCAM-1 are responsible for
A} Direct endothelial injury
B} Endothelial cell contraction
C} Junctional retraction
D} Leukocyte adhesion
E} Leukocyte margination

36] Eating raw or under cooked meat can cause infestation by
A} Dracunculous Medinensis
B} Echinecoccus Granulosis
C} Liver Fluke
D} Schistosomiasis
E} Tape Worm

37] A pt: has sustained burn that is very painful with blisters. Healing of this burn will take place from which of the following layers of the skin
A} Basal layer of epidermis
B} Keratinized layer
C} Layer of upper dermis
D} Lower dermis
E} Subcutaneous layer

38] A 40 year old male presented with jaundice and generalized itching. His LFT shows Direct Billirubin 11 mg/100 ml, SGPT 75U/L, Alkaline Phosphate 2300 IU/L 500IU/L. The most likely cause is
A} Drug induced jaundice
B} Extra hepatic Cholestasis
C} Autoimmune Hepatitis
D} Alcoholic Hepatitis
E} Intrahepatic Cholestasis

39] The tissue damage by Ionization Radiation is due to
A} Damage to Golgi bodies
B} Formation of free radicals
C} Hydropic degeneration
D} Metaplasia of cell
E} Swelling of cells

40] Formation of free radicals cause by
A} Ionization Radiation

41] Edema of renal origin is most likely due to
Albuminuria & sodium retention
B} Decreased water excretion
C} Hypertension
D} Renal stone
E} Sodium retention by the kidney

42] Increase in Light Chain Immunoglobulins Is the characteristic feature of
A} Endocrine type Amyloidosis
B} Hereditary Amyloidosis
C} Localized type Amyloidosis
D} Reactive Amyloidosis
E} Systemic type Amyloidosis

43] Chemotaxis is caused by
A} C5a
B} C5b
C} Lymphokines
D} Leucotriene B3
E} Opsonins

44] Following are the actions of Archidonic acid metabolites in inflammation EXCEPT
A} Chemotaxis
B} Increased vascular permeability
C} Thrombosis
D} Vasoconstriction
E} Vasodilatation

45] A 65 year old male pt: presented with chest pain for last 30 mins. And has ST segment elevation in LEADS V1 to V4. He is most likely to have
A} Anterior infarction
B} Anterolateral infarction
C} Anteroseptal infarction
D} Inferior Infarction
E} True Posterior infarction

46] A female at 30 wks of gestation has Hb: 9.0 g/dl with normocytic normochromic picture. The blood condition is most likely due to
A} Iron deficiency
B} Decreased bone marrow activity
C} Folic acid deficiency
D} Increased placenta size
E} Plasma Volume Expansion

47] The Sensations of Anterior Triangle of the neck is mediated through
A} C1, C2, C3
B} C1, C2, C3, C4
C} C2, C3, C4
D} C2, C3s
E} C1, C2

48] All are features of IRREVERSIBLE cell injury EXCEPT
A} Karyolysis
B} Karyorhexis
C} Autolysis
D} Shrinkage of mitochondria
E} Appearance of myelin figure

49] A young athlete has difficulty in flexion of knee and extension of hip. Which of the following muscle is likely paralyzed
A} Rectus femoris
B} Sartorius
C} Semitendinosus
D} Vastas lateralis
E} Popliteus

50] In the Aortic opening I the Diaphragm is constricted, which of the following structure will be compressed along with Aorta
A} Azygous vein and Vagus nerve
B} Thoracic duct and Vagus nerve
C} Thoracic duct and Azygos vein
D} Azygos vein and both phrenic nerves
E} Inferior vena cava

51] When the bulbur urethra wil injure, urine will leak into
A} Deep Perineal Pouch
B} Superficial Perineal Pouch
C} Fascia lata
D} Scrotum
E} Ischiorectal fossa

52] The most common site of fertilization in humans is
A} Ovary
B} Uterus
C} Fallopian tube
D} Cervix
E} Peritoneal cavity

53] The initial event in the transfer of RBC to site of inflammation
A} Margination
B} Emigration
C} Pavementation
D} Diapedesis
E} Phagocytosis

54] A semiconscious patient is brought to the emergency room. He has history of taking some unknown drug. NaHCO3 reverses the action of the drug. Which drug the pt. has likely taken:
A} Phenobarbital
B} Phenothiazine
C} Morphine
D} Diazepam
E} Alcohol

55] Within 1 hr of the Acute M.I, which of the following enzyme will be raised?
A} CK-MB
B} LDH
C} Alkaline Phosphatase
D} AST
E} Troponin T

56] Which organelle is not present at axon hillock
A} Microtubules
B} microfilaments
C} Mitochondria
D} RER
E} SER

57] Which is not related to embolus?
A} Liquid
B} Gas
C} Thrombus
D} Amniotic fluid
E} Fat

58] Which of the following muscle compensate for supinator?
A} Biceps Brachi
B} Brachialis
C} Brachioradialis

59] A patient presented with anterior wall M.I Artery involved is

A} LAD

60] Which of the following molecule easily crosses Blood Brain Barrier?
A} CO2
B} H2O

61] Hypervitaminosis A cause

A} Ataxia
B} Anemia
C} Scaly Dermatitis

62] Hypertrophy indicates
A} Increase in size of cell
B} Increase in no. of cell
C} Decrease in no. of cell
D} Decrease in size of cell

63] Diabetic patient using Roziglitazone and metformin. Which investigation for follow up
A} Lipid profile + Renal profile
B} Renal profile + Hepatic profile
C} Renal profile + Hepatic profile + Cardiac
64] If the whole movement of Abduction of arm is lost the likely damage is in the Brachial Plexus
A} Upper trunk + Posterior cord
B} Upper trunk + Medial cord
C} Lower trunk + Posterior cord
D} Lower trunk + Medial cord

65] Cords of Brachial Plexus are named according to Relation with
A} Axillary artery
B} Subclavian artery

66] Myelination in CNS is done by
A} Schwann cells
B} Oligodendrocytes
C} Astrocytes
D} Microglia cells

67] Captopril
A} can be given in large doses in hypertensive crisis

68] Which of the nucleus is NOT related to Facial Nerve?

A} Main Dorsal Nucleus
B} Nucleus of Tractus Solitarius
C} Nucleus Ambiguas
D} Sensory nucleus

69] Platelets
A} Are formed from precursor cells in the bone marrow
B} Has no nucleus

70] Primary auditory cortex is present in
A} Occipital lobe
B} Superior Temporal Gyrus
C} Frontal lobe
D} Prefrontal lobe

71] Patient is suffering from factor VIII deficiency
A} Genetically Engineered Factor VIII is available

72] Most Common cause of Thyrotoxicosis

A} Graves disease
B} Solitary nodule
C} Toxic nodular goiter
D} Diffuse goiter

73] Which of the following is involved in maintaining RESTING MEMBRANE POTENTIAL?
A} Outward Potassium current
B} Outward Sodium current
C} Inward Sodium current
D} Inward Chlorine current
E} Sodium/potassium ATPase Pump

74] Heart sound produced by rapid ventricular filling is
A} 1st heart sound
B} 2nd heart sound
C} 3rd heart sound
D} 4th heart sound
E} 5th heart sound

75] A patient presented with vertical diplopic, head tilting, and also difficulty coming downstairs the likely nerve damaged is
A} Oculomoter nerve
B} Trochlear nerve
C} Trigeminal nerve
D} Optic nerve
E} Abducent nerve

76] Substance has to cross semi permeable membrane in simple diffusion
A} Is not saturable
B} Require carriers
C} Require energy

77] Carcinoma prostate drain into
A} Para-aortic nodes
B} External iliac nodes
C} Internal iliac nodes
D} External and internal iliac nodes

78] Pulmonary capillary wedge pressure is so
A} Catheter used is wedge shaped
B} Is direct measurement of left atrial pressure
C} Is direct measurement of Right atrial pressure

RADIOLOGY OCT 2007

2007-11-18T14:35:00.000+05:00

BY KASHIF NADEEM
NISHTAR HOSPITAL,MULTAN

1-The muscle involved in unlocking of knee joint is:
Poplitus,Rectus femoris,Plantaris.Soleus
2-Adult derivative of notochord is:
Nucleus pulposis,Annulus fibrosis,Vertebre,Vertebral canal
3-Vertebrae is derived from:
Myotome,Sclerotome,Dermatome,Ectoderm,Endoderm
4-Memory centre is located in:
Insula,Parietal lobe,Temporal lobe,Frontal lobe
5-The most commom type of salivary gland tumor is:
Salivary glands,Parotids,Submandibular,Sublingual
6-Distruction of Ant.pituatary gland causes dec.functioning of
Glom.fasiculata,Glom.granulosa,Medulla,Adrenal cortex
7-Least chances of renal stones is associated with:
Hyperlipidemia,HyperPTH,Hyper vit.D,Infections,Hyperurecimia
8-Nerve supply to extensors of arm is supplied by:
Lat.cord,Medial cord,Post cord,Lateral and medial cord
9-Nerve injured in Ant.disloacation of Shoulder joint is:
Musculocutaneous,Axillary,Median,Radial,Suprascapular
10-Damage to scaphoid bone causes injury to:
Radial A.Ulnar A.Brachial A,Ant.interosseous A.
11-Common site of fracture at rib is:
Angle,Shaft,Costochondral joint,tubercle
12-Following is not a tumor marker:
PLAP,CEA,bHCG,AFP,Acid Phospatase
13-Most common histology found in lung tumors is:
Squamous,AdenoCA,Mixed,Small CA
14-Patients comes with Rt.deviation of tongue,Dec.sense of touch and vibartions,the artery
commonly involved in brain is:
PICA,AICA,Ant.Spinal,Post.Cerbral,Sup.Cerbral A.
15-Soldier comes with heavy bleeding,the ideal fluid replacement would be:
Packed RBCs,Crystallines,Colloids,Whole blood for 3 days,Whole blood for 18 days
16-Maxillary sinus opens into:
Sup.meatus,Inferior meatus,Middle meatus,Nasal septum
17-Patient having increased levels of IgE,most probably suffering from:
Bacterial inf,Viral inf,Parasitic inf,Fungal inf.
18-Autospy done on the patient having CRF,most prabable finding would be:
Hypertrophied PTH gland,Hypertrophied adrenals,Hypertrophied pituatry,Hypertrophied thyroids
19-Excitation of post.pituatary would cause:
Sweeting,Stress,Shivering,Hunger pangs
20-Foetal period starts after which week:
11th.8th,12th,16th,21st
21-Patient having dec levels of factorII,VII,IX,X,most likely have:
Dec.antithrombin III,Dec Vit.K
22-Young pt.having Hb:6.0,TLC:3.5/ul,Plts:1lac is suffering from:
Iron def.,Folate def.,Vit B12 def.,Aplastic anaemia
23-Nucleus ambigus supplies to:
Teeths,Jaw,Tongue,Lyrnx
24-Olfactory area is present in:
Ant.perforating material,Occipital lobe,Inf.temporal gyrus,Parietal lobe
25-Patient with injury to left 8th cervical segment of spinal cord will not show following sign:
Dec sense of position,vibration below lesion on same side,Extensor plantar on left side,Dec
power of muscles below the leson on same side,Dec sense of pain and temprature below the
lesion on same side.
26-Feature of Rickets and Osteomalacia is:
Inc.Vit D,Inc.Ca,Inc PTH,Dec.bone density
27-Most common site of malignancy in pts suffering from nuclear outbreak
Haematopoitic,Thyroid,Lung,Breast,Bones
28-Virus acts on cells by:
Damaging cell membrane,Damaging nuclear membrane,Invloving protien synthesis
29-Most sensitive cells to hypoxia are:
RBCs,Neurons,Nephrons,WBCs,Platelets
30-Myelin in CNS is formed by:
Microglia,Schawan cells,Oligodendrocytes,Astrocytes
31-Feature not associated with irreversible cell injury is:
Mylein figures,Karyolysis,Karyorrehxis,Mitochondrial shrinkage
32-Ureter isnot constricted at:
Pelvic brim,at PUJ,Psoas muscle,Openning at bladder
33-Common relation of ureter is:
Ant.to gonadal vessels and post.to iliac A.,Post.to gonadal vessels and ant.to iliac A.
34-Patient feels pain after she underwent surgery for fibroids,structure injured would be:
Ureters,Ovaries,Fallopian tubes
35-Least common site for ectopic pregnancy would be at:
Ovaries,Pouch of douglus,Greater omentum,Fallopian tubes,Cervix
36-Gall bladder is supplied by:
Cystic A and Left gastrcA.,Cystic A and Left Hepatic,Only Cystic A.
37-Venous drainage of urinary bladder is into:
Internal Iliac V.,External Iliac V.,Commom Iliac V.,Internal and external V.
38-Hypothyroid patient in on thyroxine,best marker to monitor his thyroid status is:
T3,T4,TSH,T3 and T4,T3,T4 and TSH levels
39-Patient having hyperplastic bone marrow,anaemia,Inc Platelets is probably suffering from:
Aplastic anaemia,Megaloblastic,Myelofibrosis,Leaukemia
40-Stimulus for Eryrthropoiten secreation is:
Hypoxia
41-Erytropoiten is always raised in:
Polycythemia vera,Primary polycythemia,Sec.polycythemia
42-Following vein would be dilated in portal HTN:
Inf.epigastric,Gonadal,Renal vein,Left colic V.
43-Patient after gastrectomy is on VitB12,the cells lost in the gastrectomy are:
Mucous,parietal,cheif,Goblet cells.
44-Fat tags attached to the walls of large intestine are known as:
Taenia coli,Hausstral folds,Appendeces epiplocea
45-Bile salts are reabsorbed from the:
Duedenum.Jejunum,Ileum,Colon,Rectum
46-Following is an autosomal disease is:
Cystic fibrosis,Hereditary spherocytosis,Thalasemia,Sickle cell anaemia
47-Type of defect in Heredetary spherocytosis is:
Enzymatic defect,Structural defect
48-Patient with jaundice,anaemia,high reticulocyte count is having:
Folate def.,Iron def.,VitB12 def.,Hemolytic anaemia
49-Ejaculatory duct opens into:
Ureter,Ureteric crest,Bladder,Prostatic urethera
50-Terminal part of CBD in relation to pancrease is:
Embeded into pancrease,lie posteriorly,lie anteriorly
51-Following would ause massive infarction and destruction leading to patient death:
Thrombus,Embolus,Fatty thrombus,Thromboembolism
52-22yrs female pt.with 13th week of pregnancy after having crush fractures in RSA dies after 3
days,most likely cause of death is:
Amniotic fluid embolism,Air embolism,Fat embolism
53-Patient with old history of adenoCA of colonis operated for polypectomy,on histologic evaluation
pathologist labelled it as benign growth with no chances into malignant transformation,it would be:
FAP,Villous adenoma,Tubular adenoma,Tubulovillous,Metaplastic polyp
54-Tyrosine derivateve doesnt include:
TSH,Adrenaline,Nor adrnaline,Prolactin,Dopamine
55-Precursor of steriod hormone is:
Progesterone,Pregnenolone,Cholesterol
56-Capsule of liver in known as:
Disse,Glissons
57-Most common site of thyroglossal cyst is:
Suprahyoid,Infrahyoid,Hyoid
58-Wasting of thenar eminence,loss of sensation over thumb and index finger,nerve involved is:
Median,Axillary,Radial,Ulnar
59-The base of urinary bladder is made by:
Post surface,Ant surface,Inferolateral,Superior surface
60-Shock without having vasodilation is likely associated with:
Burns,Gram positive inf,Gram negative inf.,Superantigen infection
61-Following doesnt form the layer of inguinal canal:
External oblique,internal oblique,transversus,rectus abdominus.
62-Femoral sheath is formed by:
Fascia transversalis,Fasica trans.and Fasica iliaca,External oblique,Internal oblique
63-Patient with bone pains having normal Ca,inc Alk.phosp.most likely suffering from:
Pagets,HyperPTH,Hyper VitD,Bone mets,Osteomalacia
64-External spermatic fasica is formed by:
External oblique,Internal oblique,Cremastric muscle,Transversus muslce
65-In Turner syndrome,the genotype would be:
XX,XO,XXY,XY,XYY
66-Organ having least chances of infarction:
Lungs,Heart,Kidneys,Liver,Spleen
67-Type of necrosis in brain infarction:
Couglative,Liquefactive,Fat,Traumatic
68-Pt.with cervical lymphadenopaty,+ve AFB sputum,sign to look for TB on microscopy is:
Chronic inflammation.caseous necrosis,lymphocyctic infiltartion
69-Thyroid gland moves with swallowing because it is enclosed in:
Pretracheal fasica,Investing fasica,Vertebral fascia,Carotid fascia
70-Neurovascular bundle in chest wall lies between:
External and Internal intercostal mucles,Internaland Innermost layers,Innermost and enothoracic
fasica,Beneath Endothoracic fascia
71-Fibrous pericardium and medicatinal pleura is supplied by:
Vagus N.,Intercostal N.,Phrenic N.,Autonomic N.
72-Man is suffering from testicular ca,the lympahtic drainage of testicle is into:
Para aortic L.nodes,Pre aortic,Superficial inguinal,Internal iliac,External iliac L.nodes
73-In exercise,the venous blood returns to the heart by:
Muscle pump in calves
74-Circulation in heart is maintained by:
Symphthatic sys,Parasymphthetic sys,Local mechanism
75-Fisherman is presented with gingival bleeding and ecchymosis,he is suffering from:
Folate def.,Iron def.,Vit B12 def.,Vit C def.
76-Facor affecting collagen synthesis during healing is:
Infections,Vit C,Foriegn body
77-Mesothelioma is associated with:
Vinyl chloride,Silica,Asbestos,Copper dust,Carbon
78-Child having meckels diverticulum is having bleeding per rectum,it is due to:
Volvulus,Interssusption,Ectopic gastric tissue
79-During lactation,Amenorrhea is due to:
Inhibition of LH and FSH thru Prolactin,Dec.prolactin,Dec oestrogen
80-Presence of pancratic tissue in gastric mucosa is termed as:
Hamartoma,Metaplasaia,Neoplasia,Choristoma,Dysplasia
81-Main difference between primary and secondary intention wound healing is:
Granulation tissue,Wound contraction,Inflammatory cells
82-Child with sore throat after 3 weeks developed oedema,haemturia,cause would be:
Minimal change disease.post streptococcal GN,IgA nephropathy,Focal segmental GS.
83-Microscopic feature of polyarterites nodusa is:
Granuloma,Fibrinoid necrosis
84-Angiotension II exerts its effects by activating:
Renin,Angiotension I,Aldosterone,ANF
85-Tumor compressing optic chiasma would cause:
Binasal haemianopia,Bilateral haemianopia,Bitemporal haemianopia,Complete blindness
86-Growth hormone is maximally rasies in:
Sleeping,Excercise,Hunger,Anxiety

BY KASHIF NADEEM
NISHTAR HOSPITAL,MULTAN

2007-11-03T14:56:00.000+05:00

OBST&GYNEA FCPS-1(OCT 23 07) Q & A’s- contributed by Dr.Ashh & Dr.Huma

1.Which of the following does not form the wall of perineum

A.coccyx
B.pubic symphsis
C.ishcial tuberosity
D.sacrotuberous ligament
E.sacrospinous ligament

2.A pt presented with pain on defecation after severe constipation.pain in constipation occurs due to ?
A.autonomic nerves
B.Internal pudendal artey
C.pudendal nerve
D.perineal nerve
E.inguinal nerve

3.Lymph drainage of perianal skin is from one of the following

A.internal iliac nodes
B.external iliac nodes
C.lateral group of horizontal superficail nodes
D.medial group of horizontal superficail nodes
E.vertical group of nodes

4.Lesser omentum
A.connects with deudenum
B.forms falciform ligament
C.related to left adrenal gland
D.related to left kidney
E.related to rt kidney

5.A young girl of 25 yrs went with her husband on honey moon after one month of marriage.she suddenly experianced severe spasmotic pain in her rt iliac fossa.n presented in emergency in state of shock.most probable diagnosis is
A..acute appendicitis
B.renal colic
C.intestinal obstruction
D.ectopic Pregnancy
E.acute cholecystitis

6.which of the following structure is not palpable through vagina
A.cervix
B.rectum
C.ureteric stone
D.retrouterine pouch
E.vesicouterine pouch

7.The peritoneum covers the anterior abdominal wall which is continous with the perineum.it has fascia which has superior n inferior layers.the inferior fascial layer also called as
A.colle's fascia
B.scarpe fascia
C.perineal membrane
D.....fascia
E......fascia

8.If a known hypertensive pt took some diuretic n died in 6 hours.wat is the cause
A.acute renal failure
B.chronic renal failure
C.diuretic use
D.hypophosphatemia
E.hypokalemia ?

9.Which of the following is not a feature of shock
A.decrease cardiac output
B.muslce weakness
C.increased urine output
D.tachycardia
E.restlessness

10.supply of sphincter urethra comes from
A.ilioinguinal nerver
B.pelvis splanchnic nerves
C.sacral splanchnic nerves
D.autonomic nerves
E.Pudendal nerves

11.Rt ovarian vein drains the following

A.inferior vena cava
B.superior mesenteric
C.inferior mesenteric
D.rt renal vein
E.left renal vein

12.What is most appropiate about uterine tube

A.moves laterally to open medialy in the ovaries
B.present at the base of broad ligament
C.is 6cm long in adults
D.has an abd ostiium which is 0.5mm when dilated
E.extend above the fundus of uterus

13.Genital tubercle in females give rise to

A.labia majora
B.labia minora
C.clitoris
D.vestibular glands
E.bulbourethral glands

14.urachal cyst is the remnant of

A.allantois
B.mekel's diverticulum
C.........
D.....
E.........

15.Thymus develops from

A.ectoderm of 2nd brachial pouch
B.endoderm of 2nd brachial pouch
C.ectoderm of 3rd brachial pouch
D.endoderm of 3rd brachial pouch
E.mesoderm of 3rd brachial pouch

16.A pt presented with an opening in the ant wall of sternocledomastoid muscle with pussy discharge coming out of it.this problem occured due to abnormality in one of the following

A.1st pharyngeal cleft
B.2nd pharyngeal cleft
C.1st pharyngeal pouch
D.2nd pharyngeal pouch
E.3rd pharyngeal cleft

17.Diaphragmatic hernia occurs due to

A. absence of pleuro-pericardial membrane
B. absence of septum transversum
C. absence of pleuro-peritoneal membrane
D. absence of central tendon
E. absence of arch?

18.Erythropoises occurs in middle trimester mainly from

A.liver
B.kidney
C.spleen
D.bone marrow
E.both liver n kidney
19.Superior parathyroid gland develops from

A.1st brachial arch
B.2nd brachial arch
C.3rd brachial pouch
D.4th brachial pouch
E.3rd brachial cleft

20.In cervical carcinoma,wat is the lymph drainage

A.internal iliac
B.external iliac
C.both internal n external iliac
D.superficial inguinal
E.deep inguinal

21.RT coronary artery

A.arises from anterior aortic sinus
B.enters the rt heart border after passing through sulcus on posterir surface
C. supplies both ventricles
D. supplies S.A node
E. supplies left atrium

22.Fat deposition n ductal development of breast is the function of which hormone

A.estrogen
B.progesterone
C.prolactin
D.oxytocin
E.hcG

23.Inhibition of ovulation is the function of which hormone

A.progesterone
B .prolactin
C.dopamine
D.estrogen
E.GnRH

24.Thirst is least stimulated by

A.decrease blood volume
B.angiotension 2
C.salt depletion
D.decrease plasma volume
E.blood pressure

25.Most imp hormone involve in gluconeogenesis is

A.growth hormone
B.insulin
C.thyroxine
D.cortisol
E. Glycogen

26.A pt presented with rt iliac fossa pain. he is diagnosed to have acute appendicitis on flexing his rt thigh inward n medially he cries with pain.wat is the type of appendicitis he has

A.paracolic
B.retrocolic
C.pelvic
D.paracecal
E.subcecal

27.which of the following structure has both intra n extra pelvic extension

A.broad ligament
B.ovarian ligament
C.transverse cervical ligament
D.round ligament of ovary
E.round ligament of uterus

28.Stab wound above the piriformis muscle will damage which structure

A.superior gluteal nerves?
B.inferior gluteal nerves
C.sciatic nerve
D.tendon of obturator internus
E.inguinal nerves

29.Nerve supply of rectum

A.hypogastric plexus
B.greater splanchnic nerves
C.pelvis splanchnic nerves
D.short spanchnic nerves
E. inferior mesenteric plexus
30.One slide of a specimen shows stratified squamous epithelium with vascular smooth muscle and elastic fibres most probably the specimen is

A.cervix
B.uterine tube
C.vagina
D.uterus
E.anus

31.Apoptosis is inhibited by

A.capsases activation
B. Bcl-2 inhibition
C. Activation of P-53
D. apoptosis related protein ??
E…

32.Most potent chemotactic factor is

A.C3a
B.C5a ?
C.IL-1
D.viruses
E.arachdonic acid metabolites

33.what is the most appropiate answer

A.C3a is opsonin
B.C5a is potent anaphylactic
C.C5a is a potent chemotactic agent
D.C3b n C5a are anaphylactant
E.......

34.Low serum complement seen in which condition

A.SLE
B.ankylosing spondiolitis
C.rheumatid arthritis
D.multiple sclerosis
E.dermatomiositis

35.Pt presented with photosensitivity,rash n joint pain.which is the daignostic in this case

A.anti SS antibodies
B.anti DS antibodies
C.RA
D.anticentromere antibodies
E.antimitochondrial antibodies

36.Most dangerous Side effect of estrogen therapy is

A. suppression of lactation
B. hirsutism
C.thrombophlebitis
D.osteoporosis
E..........

37.If a pt is on long term corticosteroid therapy.she wil most probably hav increased risk of

A.repeated infections
B.decrease wound healing
C.osteoperosis n fractures
D.........
E....

38.Platelets r stored at room temprature because

A.to optimise its function?
B.to maintain its number
C.to avoid allergic reaction
D. to increase number
E.....

39.Which is most imp indicator of muscle protein loss

A.urea
B.ammonia
C.none of above
D.uric acid
E. ?

40.wat is true about DNA

A.Double stranded in which two strands are antiparallel to each other
B. a single turn of DNA is 2nm
C.Can exist as helix in single stranded form as well as in Double stranded form
D.
E.
41.A normal looking Girl came to you with primary amenorrhea,on examination she was having short blind vagina wid normal vulva, scanty pubic n axillary hairs,normal breasts,absent uterus,her karyotype is?

A.46XY
B.47XY
C.47XXY
D.45XO

45.A pt came to you with primary amenorrhoea,webbed neck,short stature diagnosed as Turner syndrome, wht is her karyotype?

A.45XO
B.46XY
C.47XXY
D.46XX
E.......

46.Hydrolysis of DNA gives

A.proline
B.ribose
C.phosphoric acid?
D...
E...

47.Which of the following has highest cholesterol content

A. Chylomicron remnants
B. LDL
C. VLDL
D. HDL
E. IDL

48.Which hormone convert to its active form at target tissue with the help of 5 a reductase?

A. Testosterone
B.Estrogen
C.dihydoepiandosterone
D.Progesterone
E...

49.Which drug do not cause gynaecomasia?

A.Digoxin
B.Griseofulvin
C.Cimetidine
D.Androgen
E.spironolactone

50.Which is the best option in identification of Turner's syndrome

A.ultrasound
B.barr bodies
C.karyotyping
D.Ct scan
E...

51.Pyruvic acid is used as intermedite in which step of cell metabolism

A.carbohydrate to acetyl co A
B.glucose to acetyl co A
C.acetic acid to acetyl co A
D.......
E..

52.Epinephrine,norepinephrine n dopamine are derivatives of which aminoacid

A.alanine
B.arginine
C.proline
D.tyrosine
E.phenylalanine

53.End product of purine metabolism is

A.urea and water
B.uric acid
C.glucose
D.water and ammonia
E.ammonia

54.Erythropoitin is secreted from

A.liver cell
B.peritubular interstitium of kidney
C.macula densa of kidney
D...
E...

55.ESR is decreased with

A.temprature
B.albumin is decreased
C.globulin is decreased
D.decreased blood volume
E.decreased plasma volume

56.RBC's are

A.biconvex
B.nonfragile
C.have nucleus
D.largest of all cells
E.have glycolytic enzyme activity
57.Tamoxifen has effect on which system

A.CVS
B.CNS
C.breast
D.liver
E.kidney

58.Which of the following drug is most notorious for causing renal toxicity

A.cisplatin
B.cyclophosphamide
C.vincristine
D.blephamide
E.....

59.Commonest Cause of PDA

A.drugs
B.toxin
C.permaturity
D.congenital abnormality
E..infection

60.Most common Cause of metaplasia is

A.ultrasonography
B.chronic irritation
C.infections
D.radiations
E...

61.Wat is the differentiating point of hyperplasia fron hypertrophy

A.increase in size of cell
B.increase in size n no of cell
C.is reversible
D.is premalignant ?
E.involve viscera only

62.Dysplasia is seen mainly seen in

A.bone marrow
B.cartilage
C.epithelia
D.fibrous tissue
E.deep tissue

63.Wat is the differentiating feature of hyperplasia from benign tumor

A.increase in no of cell
B.are the same as parental cell
C.cytplasm n nucleus ratio is derranged
D....
E...

64.What is the most true among following

A.mRNA has a codon
B.mRNA has anticodon
C.rRNA is most abundant n involve as ribosomes on endoplasmic reticulum
D.tRNA is largest
E.tRNA involve in protein synthesis

65.deficiency of THAIMINE(B1)causes all except

A.cardiac anomalies
B.muscle wasting
C.defects in alcohlics
D.subacute degenaration of spinal cord
E.cns abnormalities in alcoholics

66.AIDS is associated with all of the following except

A.kaposi sarcoma
B.lymphoid tumors
C.primary tumor of brain
D.STD
E.leukemia

67.VITAMIN involve in collagen synthesis is

A.ascorbic acid
B.biotin
C.thiamine
D.pyridoxine
E.niacin

68.Neural tube defects occur due to deficiency of

A.iron
B.folic acid
C......

69.Iron is stored in the form of

A.ferritin
B.transferrin
C.apoferritin

70.CO2 is tranported in lungs through
A.simple diffusion
B.fasilitated diffusion
C.active transport
D.carriar proteins
E.channels

71.HSV is associated with
A.CA cervix
B.CA vulva
C.vaginal wart
D.vulval papules?

72.If a pt has presented with the wart on lateral wall of introitus.the most probable daignosis will be
A.fibroepithelial lesion
B.squamous cell CA of skin
C.polyp
D.squamous CA of vagina
E.HPV

73.Pt presented on 18th day of menstrual cycle her normal cycle is such dat she ovulates on day 14. Which phase will she be in?
A.follicular
B.ovulatory
C.pre mestural
D.proliferative
E.secretory?

74.Optic groove appears on left side of forebrain on day
A.12
B.22
C.32
D.42
E.52

75.Germen measles causes which abnormality. What is the most appropriate answer
A.congenital cataract
B.congenital deafness?
C,cardiac anomalies?
D.limb deformaties
E........

76.A newborn with anterior abd wall swelling and umbilical cord attached to it.wat is the condition called
A.omphalocele
B.gastroschiaosis
C.umblical hernia
D.omentocele
E.intestinal malformation

77.PT has exophthalmos n his T3 n T4 are increased.wat is the option for treatment of exophthalmos
A.drugs blocking the action of T4?
B.direct suppresion of T4
C.hypophysectomy
D.administration of testosterone
E.partial parathyroidectomy

78.Treatment of diabetes in pregnant lady is
A.sulphonyl urea
B.insulin
C.biguanides
D.suphonylurea n biguanides
E...

79.Statistical average applicable to the measurement of a population is
A.mean?
B.mode
C.median
d.standard deviation
e.central

80.Two groups one with CHD and associated risk factors is compared to another group with CHD but no associated risk factors. What type of study is it?
A. case control
B. cohort
C. prospective
D. retrospective
E. random

81.Oxytocin is given to a pt in labour.it has effect on:
A. oxytocin receptors on cervix
B.oxytocin receptor on myometrium and endometrium
C.dec prostaglandin recp on cervix
D.dec prostaglandin recp on myometriun

82.Beta lactum acts through
A.cell membrane
B.cell wall
C.DNA
D.30S
E.50S

83.side effect of streptomycin
A.impairment of hearing
B.
C.
D.
E.

84.Which of the following is opportunistic organism
A.E coli?
B.salmonella
C.shigella
D.klebsella
E.chlostridium

85.Psudomembranous colitis is caused by
A.Cl.difficile
B.Cl.tetani
C.CL perfiranges
D.Cl.botulinum
E..

86.About aspargillosis which is not correct
A.is caused by fungal
B.usually seen in preexisting lung diseases?
C.is caused by long term antibiotic use.
D...
E........

87.Most common cause of puerperal sepsis is
A.bacteriodes
B,E coli
C.trichomonas
D.chalymadia
E.gonorrhea

88.Another question associted with aspargilosis

89.Inutero infection is not caused by
A.syphlis
B.mumps
C.cytomegalovirus
D.HIV
E.rhinovirus

90.A pt with cervical lymphadenopathy. he has granuloma on histopathology.wat is the diagnostic finding in this case for T.B
A.AFB
B.caseous necrosis
C.montoux test
D.x-ray
E.......

91.A 25 yrs old multiparaous presented with lower abd pain.on histology it showed solid n cystic areas intermixed but on laproscopy it was semi solid with brown centre.wat is the most probable daignosis
A.dermoid cyst
B.endometrial cyst
C.ovarian CA
D.enodmetrial CA
E.teratoma

92.A pt presented with primary amennorhea.well developed secondary sexual characterstics,present breast but absent uterus.the organ not found is due to abnormal development of
A.mesonephric duct
B.paramesonephric duct
C.genital tubercle
D.........

93.A woman presented with vulvar itching n pinkish purulent discharge.wat is the cause
A.trichomanas vaginilis
B.chlamydia
C.gonorhea
D.lactobacillis
E....

94.presense of delta antigen shows( HDV)
A.Infectivity
B.recovery
C.Chronicity
D. Acute phase
E.Measure of severity/fatality of the disease

95.Most common organism involve in post operative abdominal & gynaecological infection is
A.E coli
B.bacteroides
C.chlamydia
D.trichomonas
E.gomorrhea

96.A pt presented with lower abd pain n purulent white dischrge.om laproscopy fallopian tubes were sticked together n ruptured during operation.wat is the condition involved
A.acute salpingitis
B.chronic salpingitis
C.pyosalpinx
D.hydrosalpinx

97.Pt has a history of infection 4 weeks back.now he developed same pain again.wat type of cell will present at this time of disease
A.neutophils
B.eosinophils
C.lymphocytes
D.basophils
E.mast cells

98.What is the drug of choice for DVT in ist trimester of pregnancy
A.aspirin
B.heparin
C.warfarin
D.indomethacin
E.mefanamic acid

100.Deficiency of Vit K will effect all of the following except
A.factor 7
B.factor 5
C.factor 9
D.fibrinogen
E.prothrombin

101.At which step intrinsic n extrinsic pathways converge
A.activater 10
B.activated 11
C.activated 12
D.prothrombin
E.activeted 9

102.Type 2 hypersensitivity reaction includes
A.erythroblastis fetalis
all other options were wrong

103.Transfusion reaction will not occur in a pt if we transfuse the
A.group A with O
B.group A with AB
C.group AB with A
D.group B with O
E.group O with B

104.Which of the following does not cross placenta easily
A.glucose
B.amino acid
C.Ig G
D.Ig M
E.CO2

105.Which drug is used in the treatment of hirsutism
A.antiandrogens
B.estrogen
C.testosterone
D.cryptoterone acetate
E.diacrone

106.Most common organism involved in infection caused by IUCD
A.actinomycosis
B.E coli
C.bacteroide
D.gonorrhea
E.trichomonas

107.ECF differ from ICF in
A.high conc. of Na n Ca
B.high K low Na
C.low Na n Ca high K
D. high conc. Of K & Ca with low Na
E.Volume …

108.diffrence of smooth n skeletal muscle
A.Ca-Calmodulin complex is present in smooth muscles

109.In partial mole,karyotype is
A.46XX
B.45XO
C.47XX
D.47XY
E.69XXY

110.If carbohydrate is separated from proteins wat will be the fate
A.aggregation n precipitation
B.eliminate fron kidney?
C.increase uptake int muscle

111.Lysozome contains
A.glucose
B.Ca
C.Na
D. hydrolases
E.alkaline phosphate

112.Which of the following does not have sulpha group
A.cysteine
B.cystedine
C.homocystine
D.methionine
E.threonine

113.What is not true about levator anni muscle
A.supplied by L1 n L2
B.puborectalis forms part of it

114.What is not true about ureter
A.enter the pelvis infront of common iliac artery
B.enter the bladder on superio lateral surface of trigone
C.not hav sphincteric valve at opening into bladder
D.can be palpated at pelvic brim
E.??
115. MCQ on Significance
A.

116. If a test is able to both diagnose and eliminate diseased and non-diseased wht is it called?
A.Specific
B.Accurate
C.Sensitive
D…

117. From a population two groups are selected on age basis and then subgroups are assigned randomly for the study.wht type of sampling is it?
A.Multistage sampling
B.Stratified sampling
C.Random stratified sampling
D.simple random sampling

118. Metabolic Alkalosis is caused by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN

119.Q on Metabolic acidosis

120.Q on compensated respiratory alkalosis

121. For Rh blood transfusion to the anemic baby
A.crossmatch blood to babys plasma
B.Crossmatch blood to mothers plama
C.Crossmath blood to mothers blood
D.give wbc depleted transfusion
E.Give red cell concentrates crossmatched wid fetal blood

122. Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa

123. Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum

124. 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.A

125.On examination of a female,a plaque like lesion seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart?

Medicine October 2007

2007-10-27T00:00:00.000+05:00

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

Welcome friends!

2007-10-18T23:21:00.000+05:00

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.

Gyn Obs July 07 By Dr Ayesha Bisharat

2007-10-14T23:54:00.000+05:00

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

SURGERY July 07

2007-10-14T23:46:00.000+05:00

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

More Surgery July 07

2007-08-21T14:00:00.000+05:00

Contributed by Dr Irfan Bhatti.

Surgery July 2007.

1 trapezious body relating to
auditory pathway
MLF
dorsal column-medial leminiscus
laterl column

2 which one of these cells is not a non dividing cell
neurons
nerve cells
myocardiocytes
hepatocytes

3 papillary muscle derived from
ectoderm
endoderm
mesoderm
neuroectoderm

4 LASER works by
cutting
thermal
crystalization

5 which of the followings is the benign tumor
wilms tumor
mesothlioma
hamartoma

6 internal cremastaric fascia dervied from
fascia tranversalis
fascia internal oblique
fascia tranversus abdominis

7 Regarding bone
regular lamellae
irreagular lamellae
horizontal canals
oblique canals

8 ADH works at
distal convulated tubule
collecting tubule distal convulated n collecting ttubule
proximal convulated tubule

9 commonly rib fractures
at angle neck shaft body

10 right umblical artery becomes
left medial umblical ligament
right median umblical ligament
left medial umblical ligament
median umblical ligament

MEDICINE Q's July 07 Part-1

2007-07-30T03:38:00.000+05:00

1) What structure is located superio-posterior to pituatory fossa
Mastoid air cells
Ethmoid sinus
Sphenoid sinus

2) Which Lung function Test is diagnostic of Asthma?
FEV1
FVC
FRC
RLC

3) Bee sting, shock like condition of a child, flushed, what mechanism is involved
Type 1 reaction
Type 2
Etc

4) What sensory receptors sense VIBRATION?
Pacinion corpuscles
Ruffini
Etc

5) Cause of anemia in Pregnancy
Fall in Hb
Decreased heme
Volume Expansion.

6) Cut to the postero lateral area of FOREARM near the head of Radius, a nerve is cut, cant appose thumb, no sensory loss, difficulty (I guess extending) thumb, injury to
Radial
Median
Ulner

7) Structure not passing through FLEXOR RETINACULUM of forearm
Ulnar nerve
Median Nerve
Flexor policis longus
Etc

8)Cause of SQUAMOUS METAPLASIA in a 38yrs old lady
Multiparity
HSV infection
IUCD

9) Mild CCF symptoms, Monotherapy to be prescribed
ACE-I
Thiazide
Frusimide
Ca Channel blockers

10)Pregnancy Induced Hypertension, Rx?
Methyldopa
11) Side Effects of ACE inhibitors
Hyperkalemia
HypoKalemia
Hypercalemia
Hypocalcemia

12)BARRETT’S Esophagus, whats the cause?
Loss of Myenteric nerve plexus
Failure of relaxation of LES

13) Which is not a branch of VAGUS
Lacrimal Nerve

14) Volume of Distribution, Defination?

15) First pass Hepatic Metabolism, Basic concept.

16) Branches of BASILAR Artery

17) Vertebral Artery Branches. Like, which is a branch of it.
(Circle of Willis was a hot thing this time, more than 3 Q)

18)Which of these form Circle of Willis
Post communicating artery
Vertebral A
Basilar A

19) RENIN ANGIOTENSIN System
Mechanism of Aldosterone release, the basic concept.

20)Body concerves body water by
ADH release
Cortisol release
Aldosterone

21) METAPLASIA, Defination.

22) HYPERPLASIA Definition.

23) VOLUME DEPLETION, Which mechanism is activated
Renin angio aldo system
ADH
Etc

24) Which drug has a n ATROPINE LIKE ACTION
Physostigmine
Scopolamine

25)Old obese Diabetic, newly diagnosed, choice of Rx?
Biguanides
Biguanides plus sulphonylurea
Insulin

26) BARRETT ESOPHAGUS can lead to:
Adenocarcinoma esophagus
Adenocarcinoma Stomach
Sq carcinoma Esophagus
Stricture

27) Location of PSEUDO STRATIFIED SQUAMOUS Epithelium

28) STRATIFIED SQUAMOUS Epithelium, characters

29) Pseudo Stratified COLUMNER CILIATED Epithelium, Location?

30) Histological section of a lymphoid tissue, a cortex and a medulla seen, and some ?ducts visible, Identify.

31) Which cells cannot PHAGOCYTOSE
Kuffners cells
Mast cells
Monocytes
Polymorphs

32) SENSORY RECEPTERS in Joints

33) Complement system is activated by the interaction of ?some factor with
A (cant remember the options)
B
C

33) Most Important use of ECF
Excretion of CO2 from body
Electrolyte exchange
Cell nutrition

34) Reasons for susceptibility to infections in AIDS
Decrease in CD4 count
CD8

35) HAIRY LEUKOPLAKIA is seen in
Fungal infection
HIV
Etc

36) Following PARTIAL HEPATECTOMY, remaining part can regenerate in
10 days
15-25 days
5 weeks
7 weeks

37) Which drug binds to COX-2 recepters and not to COX-1
Aspirin
Indomethacin
Piroxicam
Meloxicam
Ibuprofen

38) What is transmitted through corpus callosum.

39) What is the result of a lesion at the OPTIC CHIASMA

40) What structure is Not related to OPTIC TRACT?
Lateral Geniculate body
Medial ~

41) Area of brain affected in BITEMPORAL HEMIANOPIA

42) CSF pressure is increased when what structure is blocked :
Internal Jugular vein
Common carotid

43)Functions of CEREBELLUM

44) Venous drainage of the HEART
Anterior cardiac sinus
Inferior vena cava
Cardiac vein

45) RIGHT HEART BORDER is formed by
RA
RA+SVC
RA+RV

46) CIRCUMFLEX ARTERY supplies
LA LV
Apex
LA
L auricle

47) Whats correct regarding HEART?
Atria and Ventricles contract simultaneously.
Contraction starts from Left apex
Left Atria is 3 times larger than Right atria.
Left atria is 1st to contract
Excitation passes from Atria to Ventricles directly.

48) What structures are present in the free border of the LESSER SAC
Cause of abdominal angina, occlusion of:
Superior Mesenteric A
Inferior Mesenteric A

49) Lymph Nodes involved in Ca CERVIX are?

50) Ca Cervix is caused by:
IUCD
HSV
HIV

51) Sympathetic stimulationof Beta recepters causes
Bronchial dilatation

52) Mix lesion of loss of pain and Temperature of one side and Proprioception of the other side, whats the cause/where is the lesion.

53) In Cervical part of spinal cord, whats deficient?
Grey matter
White matter
Anterior Horn
Lateral horm
Posterior horn.

54) In REM sleep, the following happens:
Dreams
Sleep Walking.

55) Lesion in the Broca’s area:
Can’t write
Can’t speak except in few words

56) Surfactant:
Decreases compliance
Decreases when alveolar size decreased
Has a low turnover rate

57) An athlete at rest:
Increased Stroke rate
Increased cardiac output
Increased Heart rate

58) H-K-ATPase pump is blocked by
Omeprazole
Cimetidine
Bismuth

59) Murmur of MS best heard at
Apex
Tricuspid area
Etc

60) In Hypertension, Renin release is mediated by
Renal artery dilation
Na in distal limb loop of Henle

61) Vasodilation is mediated by
Histamine

62) Tidal Volume is a part of which capacity

63) Pneumoconiosis, whats the differenciating lesion
Fibrosis
Pleural plaques

64) Mesothelioma:
Pleural Plaques

65)Asthma, which investigation is diagnostic: (BRS-Physio Page 136 to confirm)
Decreased Fev1
Decreased FRC

66) Thellasemia, Where is the defect – in Heme or Globin

67) CCF, raised Ph, carbon dioxide 44mmhg, Hco3 raised.
Whats the metabolic disorder.

68) Histology of nephron, which part is in the medulla
Loop of Henle
Collecting duct

69) Infusion of I/V dextrose, how will body respond
Decrease in insulin release
Increase in Glucagon
Cortisol release
Somatostatin release

70) Bone lesion in the elderly, bone matrix is being eroded, which hormone is responsible

71) CRF, Hypertension, which of these changes CANNOT happen:
Raised Potassium
Decreased Calcium
Decreased Hb
Decreased Po4

72) Release of ADH happens under what circumstances,
(Basic concept)

73) Acid is released in stomach when
Proteins are ingested
Fat
Carbohydrate

74) Crohn’s disease, differenciating lesion from UC:
Perianal disease
Etc

75) Appendicitis, on lab test major finding :
Raised TLC
Water levels in R Iliac fossa

76) Polypeptide hormone:
Growth Hormone
And 4 steriod hormones mentioned

77) Protein synthesis in secretory cells:
RER
SER
Golgi A

78) Peroxisomes release:
Hydrolysing enzymes

79) Hormone/s responsible for BREAST ATROPHY
E
P
E+P

80) Dumb Question>>
Which Hormone is responsible for respiration during the leutinisation phase
FSH
LH
E (Do leave a comment if you think this Q makes any sense)
P
LH

81) Hashimoto’s Thyroiditis (Scenario given), whats the cause?

82) Pheocromocytoma, whats the treatment?
Alpha blockers
Beta blockers
Both Alpha+ Beta.

83) Hypertension, Increased Na, Decreased K, whats the reason
Ans: Hyperaldosteronism

84) Non Anionic Gap Metabolic Acidosis is seen in

85) Effects of Insulin on body fat deposits/metabolism

86) Gametogenesis

87) Modes of inheritance, ( 2+ questions were there) Like which is what. Autosomal Dominant was asked

88) Autosomal Recessive disorders are:

89) Wheat contains which vitamin/mineral

90) Child having diarrhea, has been on glutin free diet for 8-10 days. Whats the diagnosis
Shigella
Whipples
Celiac disease

91) Young girl with emlarded clitoris
Androgenital syndrome
Down
Etc

92) An old man hit by car bumper> #fibula, which nerve is affected.
Ans: common paroneal

93) Knee fully extended, in a locked-in position, which nerve is affected.

94) Right foot in the air, Left pelvis sinks down, which nerve is affected?
L Superior Gluteal Nerve (correct)
R Superior Glut
L Inferior Glut
R Inferior Glut

95) About Ca Colon,
Right sided present early
Cause is increased fat intake, low fibre (correct)

96) Man, previously had a disorder in U bladder, now came for follow up and is found to have Ca, whats the cause:
Nitrosamine
Schistosoma

97) Lateral quadrant of breast drains into which group of Lymph node.

98) CA anterior 2/3 tongue, which group of lymph nodes are involved:
L anterior superior submandibular
R
L Post Sup submandibular
R post sup submandibular.

99) Chorda Tympani, course.
Option: joins lingual nerve when exits skull.

100) About Lacrimal gland,
Is located in lacrimal fossa on the lateral side
Both glands drained by single duct.

101) Lacrimal duct opens at:
Superior
Inf
Middle
Spheno ethmoidal recess

102) In pure motor stroke, which area is involved

103) Functions of Corpus callosum, Globus pallidus, Putamen.

104) A patient on a psychiatric drug, side effects mentioned, which drug is responsible.
Clorpromazine
SSRI
Etc

105) A man, around 35 brought to emergency, sweating, salivation, Heart rate 45, BP 60/40, whats the treatment.
Atropine (correct) (Organo phosphate poisoning.)
Lignocaine
Digoxin

106) This area is normally resonant to percussion
2-4 Intercostal space on Right
2-4 Intercostal space on Left
5-6 I/c space on Right
5-6 I/c space on

107) Boy, age 10, history of trauma to chin 2 years ago presents with inability to open mouth fully, cause?
Sub mucous fibrosis
Misplaced Injection
Ankylosis of TM joint

The Q's below are courtesy of 'Dr Daffodil'.

108) Vitamin raised in disturbed homocystine metabolisma.B1.b.B6c.B12
109)Vit B 6 involve ina.oxidationb.reductionc.Carboxylation
110) End product of Purinea.uric acidb.urea
111) Miscellesa. contains more Triglyseridesb.absorb fats in duodenum
112) Chemotherapy causesa.degenerationb.apoptosis

113) Corpus callosum containsa.commisural fibersassociation fibers
114) Aphasia a.paralysis of muscles of palate/toungueb.due to damage of frontal cortex in dominant hemisphere
115) Tabes dorsalis causes bladder incontinence due to a.Atonic bladderb.automaticc.neuropathic
116) Dopamine regulates a.Prolactineb.Somatostatin
117) Neurotransmitter related to emotionsa.ACHb.Norepinephrinc.glutamted.Dopamine
118) Proencephalin is abnduntly found ina.Basal ?Gangliab.Cerebellumc.Thalmus
119) Regarding pul. circulationa. resistance is (dont remember % or ratio) less than systemic circulation
120) During Ventricular ejectiona. min pressure difference b/w Lt. Vent. and Aorta
121)Facial nerve/chorda tympani?( dont exactly remember)a. supply mucus membrane of int. earb.gives secretomotor fibers to Parotid gland
122)Disease of cervix inolves lymh nodesa.Int. illiacb.Int. n ext. illiacc.depp inguinald.Para aortic
123) prostate CA which lymph nodes be involveda.Int.illiacb.Para aorticc.Deep Inguinal
124) Radiotherapy effect the most a.ovaryb. Ut. tubesc.uterusd.cervix
125)CSF showing raised neutro,proteins ,low glucose .which drug to givea.ceftriaxoneb.rifampicin
126) Insensible lossoesa.200-400b.500-600c.800-1200127) Pri. opsonin in classic pathwaya.C5ab.C3ac.IgGd.C3b

Surgery Q's July 2007 FCPS-1

2007-07-30T03:22:00.000+05:00

1.mesothelioma is
.present in all da body cavities
.lined by simple cuboidal epi

2.surfactant is produces by
.kidney
.liver.
.pneumocytes1
.pneumocytes2

3.allantois is
.first formed blood vessels(sumthin like dat)
.remains of vitelline duct(sumthin like dat)

4.activation of one of followin occurs in kidney
.cholecalciferol
.renin

5.a pt cums 2 u wid loss of abduction of right arm upto 30degrees....but ven supported upto 30 drgrees abduction is normal,which muscle is involved?
.deltoid
.supraspinatuis
.infraspinatus
.teres major

6.how many valves r present in great saphenous vein?
.5
.10
.15
.20
.25

7.the ca head of pancreas may compress
.common bileduct
.duodenal artery
.spenic artery

8.wot structure arches over left bronchus
.aortic arch
.azygous vein

9.the central regulation of temperature occurs in
.hypothalamus
.pons
.medulla
.cerebellum

10.there was another stem regarding da temperature regulation but it was asked peripheral temp regulation...n one of da option was skin in dat plus anterior hypothamus...i dun remember da xact stem!

11.fine voluntary skilled movements of upper xtremities r conducted by
.cerebellum
.medulla
.pons
.upper motor neuron
.cortico spinal tract

12.there was another stem regardin fracture of bone n its complication...i dun xactly remember da clinical correlated stem...but one of da option was FAT EMBOLISM

13.which sensory part is involved in da flexion of knee joint? (sumthin like dat)
.s1-s2
.s3-s4
.s4-s5

14.a pt is unable 2 flex metacarpels,inability 2 abduct fingers,
and unable 2 flex wrist joint(i think)...which nerve is damaged?
.ulnar nerve above da elbow joint
.ulnar nerve below da elbow joint
.radial nerve
.median nerve

15.an unaffected stage in amoeba
.amoebic cyst
.amoebic larva
.adult amoeba (sumthin lyk dat)

16.which structure has no embryonic bacground?
.ligamentum teres
.ligamentum venosus
.median longitudnal lig
.medial longitudnal lig

17.all those structures in contact wid air hav da following epi
.stratified squamous epi
.keratinized sqamous epi
.non keratinzed sq epi
.pseudo startified sq epi

18.simple cuboidal epi is present in
. ducts of salivary glands

19.anemia,neutro penia and hepatosleenomagaly is present in
.falciparum malaria
.chagas disease