FCPS PART 1 in Surgery & Allied (7th Nov. 2013 )

                                    FCPS PART 1 in Surgery & Allied (7th Nov. 2013 )

NOTE:… From Q.186 and below may have one or two line or even 4  options  , these questions doesn’t match with my Friends’ question list…Even few questions above Q.186 don’t match match with that list too but wrote them earlier  because of lack of time so include them above….

And one thing you might notice the increase number of questions about 12..i-e upto 212 while paper contains 200 questions….I myself had written 187 questions, but when I got some questions from friends so I became confused with questions even some scenarios, it was due to that…. I have tried my best to make that key an appropriate one but I am still a student , not perfect one to answer those all question..even I was afraid with part 1 result that’swhy I wrote them as much as possible to relieve my anxiety so Please confirm them from authentic Book reference or from any other reliable source…..I also made many mistakes even some answers I now don’t know what I did at that time Because situation at paper time was different even u know the question at that time clearly……And I am Sorry for any inconvenience….Thanks a lot…God bless you all…….:-)

 

  1. 1. A Female during delivery loses blood and requires blood. Her blood sample is reactive blood agglutinates with anti-sera A and anti-sera D. And patient’s serum contain anti-B antibody. which blood is suitable for transfusion.
  2. A+….?
  3. B RH Positive
  4. O +
  5. AB +
  6. .
  7. Patient IVC is blocked just above the emergence of azygos vein, where blood will divert.
  8. Left gastric artery…?
  9. Hepatic vein
  10. Hepatic artery
  11. Umbilical artery
  12. Splenic artery
  13. Internal Jugular vein is related
  14. Anterior to Carotid artery
  15. Medially to Carotid Artery
  16. Laterally to Carotid artery….?
  17. Posteriorly to Carotid artery
  18. Internal Carotid Artery posteriorly

@4. Rapid adaptation receptors

  1. Free nerve endings
  2. Meckels disk
  3. Pacinian corpuscles
  4. Ruffini’s corpuscles
  5. barorecceptors
4….this was exact question…Rapidly adapting or phasic receptors is;
A. muscle spindle
B. barroreceptors…….?
C. Pacinian Corpuscles
D. All of the above

 

5.A boy present with complaint of pain abdomen, diagnosed as a case of appendicitis and appendicectomy was done. What would you look on biopsy?
A. Neutrophils…….?
B. Eosinophils
C. Lymphocytes
D. Plasma cells

6.The vomiting center is located in the ;
A. Cerebral cortex
B. Cervical spinal cord
C. Hypothalamus
D. Medulla oblongata…….?
E. Thalamus

 

7. After road traffic accident patient is suffering from memory loss, which part of brain is involved
A. Hippocampus…..?
B. Cerebral cortex
C. Mid-brain
D. Reticular formation

 

8.During the increase in HR, which of the following occurs?
A. Diastolic period decrease more as compared to systolic period
B. Systolic period decreases and diastolic remains constant
C. Diastolic decreases and systolic remains constant
D. Systolic period decreases as diastolic
E. No change

 

9. A nurse is giving as IV injection to a pt in right median cubital vein. As he inserts the needle pt experiences sever pain in lower arm . Which structure does the misplaced needle in cubital fossa probably pierce?

medial cutaneous nerve of arm b. medial cutaneous nerve of forearm c. ulnar nerve d. median nerve

ans…d




 

10.most lethal malignant lesion of oral cavity?
a.leukoplakia
b.erythroplakia………………..???
e was option) lichen plannus
c)apthous ulcer
11.oxygen-binding
protein found in the muscle tissue
A. myoglobin…….?
B. haemoglobin
c. troponin
d. tropomysin

 

12. paminiform plexus are presnt in
a liver
b spleen
c kidney
d inguinal canal……….?

 

13. Which ion is pasdively reabsorbed
Na
Cl
Urea…..?
K

 

  1. 6. Hyper-magnesaemia causes
  2. Hyperreflexia
  3. Dec acetylcholine uptake
  4. Increase acetylcholine release
  5. dec ach release………..?
  6. .
  7. Only autoimmune disease that affects against single organ?
  8. Hashimoto thyroiditis………………?
  9. PAN
  10. SLE
  11. RA
  12. .

16.. Hormone  required for brain development

  1. Thyroid hormone………?
  2. Growth hormone
  3. Cortisol
  4. Androgen
  5. Insulin
  6. Ketamine used in repeated burn dressings because
  7. It can be given IV as well IM
  8. Causes profound analgesia
  9. It does not cause hypotension
  10. It does not causes addiction
  11. It’s not narcotic

Ans…I did a…don’t know exact answer..

 

  1. 10. Hanging causes death by………………….reeat from asim n shoib3
  2. Fracture of odontoid process………..?
  3. Fracture of atlas
  4. c3
  5. c4
  6. base of skull

 

  1. Drug propylthiouracil is given in pt of thyrotoxicosis because it
  2. Inhibition Iodine pump
  3. Blocks the synthesis of thyroid hormone…….?
  4. Blocks the synthesis of thyroglobulin.
  5. Inhibits hormone release
  6. Decreases TSH

 

  1. Antibodies are produced by
  2. Lymphocytes
  3. T cells
  4. Neutrophils
  5. Plasma cells…….?
  6. Endothelium

 

  1. Male brought to the ER with critical condition, ABGs showed PH 7.25 PCO2 65 and HCO3 24.
  2. Acute Respiratory Acidosis
  3. Respiratory alkalosis
  4. Partially Compensated Respiratory Acidosis…………?
  5. Partially Compensated Respiratory Alkalosis
  6. Respiratory and metabolic Acidosis

 

 

  1. most common congenital cyanotic malformation is
  2. ASD
  3. VSD……?
  4. Transposition of Great Vessels
  5. truncus arteriosus
  6. .

 

  1. After trauma Female with sudden acute chest pain, Dyspnoea, haemoptysis and shock and then death.
  2. Fat embolism ……..?
  3. Air Embolism
  4. Pneumonia
  5. Amniotic fluid embolism
  6. .

 

  1. In complete Glucose oxidation number of ATP
  2. 30
  3. 28
  4. 38……..?
  5. 48
  6. 60

 

  1. Male breathing with Tidal volume 500ml and RR of 10/m what will be the Alveolar ventilation ( VA ).
  2. 1000
  3. 3500…….?
  4. 3000
  5. 4800
  6. 5000

 

  1. After forced expiration residual volume will be
  2. 500
  3. 1500
  4. 1200…………………?
  5. 2700

E.3500

 

  1. 23. A 46 year old farmer with history of discharging sinus on foot, smear shows red granule and filaments 1-3 microns, which is most appropriate
  2. Actinomyces…………?
  3. Medurula mycetoma
  4. Actinomyces pellettieri
  5. Corynebacterium

E.

 

  1. Non-malignant cancer include
  2. Basal cell carcinoma………………………….?
  3. Squamous cell carcinoma
  4. Breast Carcinoma
  5. Bronchial Carcinoma
  6. neuroblastoma

 

  1. Common peroneal nerve is in relation with bicep femoris
  2. medially…………………?
  3. laterally
  4. .posteriorly
  5. anteriorly

E.

 

  1. Microscopic examination of the endocervical biopsy of a 30 yr old female revealed the endocervical tissue lined artially by stratified squamous epithelium . This is due to a process of ,
  2. a) anaplasia
  3. b) dysplasia
  4. c) HPV infection
  5. d) Hyperplasia

e)Metaplasia……………?

 

31) Good communication between patient and doctor :

  1. a) good knowledge of doctor
  2. b) active listening……..?
  3. c) good logical answers to patients questions
  4. d) asking leading questions

e)avoiding substance abuse and sexual history

 

32)  Person on water depriviation over night . Compare this person with SIADH patient on the basis of;

  1. Plasma osmolarity……….?
  2. Urine Osmolarity
  3. ADH Level
  4. Water content in plasma or/ Free Water Clearance
  5. Corticopapillary Osmotic Gradient

And…I did a option

33)  Maximum clearance by kidney ;

  1. Inulin
  2. PAH………..?
  3. Glucose
  4. Na

e.

 

  1. Cornea epithelium
  2. Stratified squamous non-cornified…….?
  3. Simple columnar
  4. Stratified squamous cornified

d.pseudostratified coloumner

e.

 

  1. Muscle doesnot cause Flexion of knee
  2. Sartorius
  3. Gastrocnemius
  4. Adductor Magnus……..?
  5. Biceps femoris
  6. .Gracilis

I did e…but ans is c.

 

  1. Right vagus nerve in relation to trachea:
  2. a) direct contact
  3. b) held away by brachiocephalic artery or vein was option

c)anterior

d)posterior

e)

I did b option……I think its right one….confirm plz.

 

37)  Drug-Drug interaction

  1. Thiazide and lithium
  2. Tetracycline with ca+2
  3. Morphine and naloxone
  4. Procaine and Adrenaline
  5. Phenobarbital and warfarin??

 

I did b option…don’t know exact one…one says c…because of antidote.

 

  1. Anaesthesia is avoided in Intracranial HTN
  2. Ketamine
  3. Thiopental
  4. Fentanyl………?
  5. Midazolam
  6. .

I think I did c or a……ans is c….reference Kaplan pharma..

 

39) Person from sibbi Balochistan with history of fever, anorexia and fly bite, and examination showed hepatosplenomegaly, lymphadenopathy.

  1. Kala-azar……….?
  2. Malaria
  3. Loiasis
  4. . Bebesiosis
  5. .

40) Girl having cervical Lymphoma with splenomegaly s/o Hodgkin disease stage would be.

  1. Stage I
  2. Stage IIa
  3. Stage IIb
  4. Stage III…………….?
  5. Stage IV

I did ( d ) option

 

41) Breast lymph draining , to parallel???

  1. Along Axillary vessels apical nodes.
  2. Along intercostal vessels to posterior thoracic node,
  3. the internal mammary vessels in parasternal lymph nodes………….???
  4. .
  5. .

 

42)In axilla , contents of brachial plexus, ( may be scenario given but asking question it was )

  1. a) cords

b)division …………………….?

c)trunks

  1. d) dorsal scapular nerve

e)roots

 

43)Which is not crossing the axilla

  1. a) dorsal scapular nerve……..?

b)median nerve

c)radial nerve

d)axillary nerve

e)ulnar nerve

 

44) loss of sensation of dorsal aspect of hand just near thumb due to injury of

  1. Median nerve
  2. Radial nerve…..?
  3. Axillary nerve
  4. .ulnar nerve
  5. .

 

45) Testicular tumour will first drain to

  1. External iliac nodes
  2. Internal iliac nodes
  3. Para aortic nodes
  4. superficial inguinal lymph node
  5. deep inguinal lymph nodes

 

46) Female pt having right ovarian tumor, now she is undergoing Oophorectomy ,  which artery is most likely to be damaged.

  1. External iliac
  2. Internal iliac
  3. Uterine artery……………………?
  4. .Middle sacral artery
  5. inferior rectal artery

 

47) Patient with defect in lumen of allantois

  1. Meckel’s diverticulum
  2. Umbilical Sinus/fistula
  3. Urachal Fistula
  4. Urachal Cyst
  5. Urachal Sinus

I did d option…but one say its b and one says c…

 

48) Diabetic Ketoacidosis patient managed but dies, infection

  1. Mucor……………………?
  2. Pseudomonas
  3. TB
  4. .
  5. .

49)  Patient with Tobacco chewing showing ulcer on inner lip margin which is indurated and pale is s/o

  1. Squamous cell carcinoma…..?
  2. Basal cell carcinoma
  3. Melanoma
  4. .
  5. .

Idid a option

 

  1. Most important carcinogen in Bronchogenic carcinoma
  2. Smoking……………………..?
  3. Asbestosis
  4. .
  5. .
  6. .

51)  Amoebic liver abscess ,best test to diagnose

  1. X-Ray
  2. CT
  3. IHA
  4. Amoeba in stool culture
  5. serology

I did d option…..some says serology

 

52) Observation / investigation, most important diagnostic tool for T.B?

  1. a) AFB of sputum
  2. b) x ray chest
  3. c) caseous necrosis
  4. d) evening pyrexia

e)

I did D ( to see observation word, I go for it and heard evening pyrexia can occur in other conditions as well. )…..but ans may be A…..please confirm..

 

53) Cystic artery is branch of

  1. Gastroduodenal
  2. Left gastroepiploic
  3. Right hepatic……………………?
  4. Spleenic artery
  5. superior mesenteric artery

 

54) Adrenal gland,Perinephric fat and kidney is enclosed by:

  1. Triangular ligament
  2. Gillson’s fascia
  3. Geota’s fascia ………..?
  4. Peritonium
  5. Coronary ligament

 

55) Disease not transmitted by Blood Transfusion?

  1. Hepatitis A……..?
  2. HTLV1
  3. CMV
  4. EBV
  5. .

 

56)  superficial incision in Submandibular gland surgery will cause damage to

  1. .maxillary nerve
  2. .cervical br of facial nerve
  3. .The marginal br of facial nerve…………………..?

 

  1. Which is not damaged during submandibular gland surgery ….
  2. Lingual nerve
  3. Hypoglossal nerve
  4. marginal br of facial nerve
  5. cervical br of facial nerve………………?
  6. mylohoid nerve

 

58) True regarding Trigeminal ganglia

  1. Completely covered by Dura
  2. bathed with CSF
  3. Anterior portion lies in trigeminal cave
  4. Is lies beside cavernous sinus
  5. anterior and posterior portions lies in the cave

 

I did A……not confirm about it…seems to be A…

 

59) 84. Spinal cord is suspended by;

  1. Alar ligament
  2. Filum terminale
  3. .denticulate ligament
  4. conus medullaris

 

I did C…..somewhere studied about it…

 

60) Pain during defecation , which of the following is damaged;

  1. Pudendal nerve…………….?
  2. .s3,s4,s5
  3. inferior glueatal nerve
  4. .
  5. .

 

61)  Pus in boils or abscess is mainly due to

  1. Dead bacteria………?
  2. Dead Neutrophils
  3. Exudate
  4. Monocytes
  5. .

I think I did a….

 

62) Which one of the following is only capable of utilizing glucose

  1. Brain………..?
  2. Heart
  3. Liver
  4. Skeletal Muscles
  5. .kidney

 

63) Patient with C. Botulinum  affectected flaccid paralysis will be

  1. Diarrhoea
  2. Vomiting
  3. Respiratory muscles…………………?
  4. Convulsions
  5. .

 

64)  Factor IX is not available what next best choice is.

  1. Cryoprecipitate
  2. FFP…………………..?
  3. Platelets
  4. Whole Blood
  5. .

I did b I think….

65) Factor VIII is not available what next best choice is.

  1. Cryoprecipitate
  2. Platelets concentrate……………?
  3. Whole Blood
  4. PCV
  5. I am sure…FFP was not in option in this question

I did b …not confirm ..plz check…

 

66)  Left circumflex artery obstruction , then what what will be damaged;

  1. Post part of left ventricle
  2. anterior part of left ventricle
  3. I/V septum

 

I did A , I think…plz confirm..

 

67) Right border of heart is formed by;

  1. a) right ventricle

b)left atrium

  1. c) right atrium and sup vena cava…………?

d)apex of heart

e)

 




68)  Phonation is produced by

  1. voluntary movement of Vocal cords
  2. voluntary movement of infrahoid muscles
  3. vibration of vocal cords………………….?
  4. .
  5. .

 

 

69) Pharyngeal part of swallowing;

  1. a) larynx should move up………….?
  2. b) voluntary

c)

d)

e)

I did a…..lloks that option is correct

 

70) Gustatory sweating is caused by.

  1. sup. Parotidectomy…………?
  2. lensectomy
  3. maxillary tooth surgery
  4. .
  5. .

I did A…..looks to be correct one.

 

71)  Corpus Striatum

  1. Amygdaloidal nucleus + Globus Pallidus
  2. Caudate nucleus + Globus pallidus
  3. Amygdaloidal Nucleus + Lentiform Nucleus
  4. Caudate Nucleus + Putamen ………………………………?
  5. Amygdaloidal Nucleus + Putamen

72) Following muscle does not attach to humerus

  1. Pectoralis major
  2. Pectoralis minor……………….?
  3. Teres minor
  4. Subscapularis
  5. Supraspinatus

73) Main blood supply of Hip joint;

  1. Medial circumflex humeral………………………..?
  2. Lateral circumflex humeral
  3. Obturator
  4. Nutrient

 

74)  Female on Oestrogen containing contraceptive  pills , she has more chances of having,

  1. Breast cancer.
  2. Thromboembolism…………………………..?
  3. .
  4. .
  5. .

 

75) Diastolic blood pressure is distributed normally in a group lady teachers (N=75). Mean was 80 mmHg and standard deviation of 10, approximately what percentage of teachers have diastolic blood pressure of 70 mmHg or greater?

  1. 16 %
  2. 34%
  3. 48%
  4. 84%…………………..?
  5. 96%

76) Non-malignant cancer

  1. Basal cell carcinoma…………….?
  2. Squamous cell carcinoma
  3. Breast Carcinoma
  4. Bronchial Carcinoma
  5. neuroblastoma

 

77)  Patient with CRF on dialysis with normocytic normochromic anemia what should be given

  1. Erythropoietin………………….?
  2. VIt b 12
  3. Iron
  4. Folate
  5. .

 

78)  Regarding thyroid Gland

  1. Comprises of acini drained by collecting ducts
  2. Epithelium changes its shape according to stimulus……………………………?
  3. Has parathyroid glands lying on anterolateral surface
  4. .
  5. .

 

79)  A young boy deteriorated drastically 2 hours  after tonsillectomy. He has tachycardia and hypotension. Most likely pathogenesis is?

  1. Anaphylaxis shock
  2. Cardiogenic Shock
  3. Hypovolemic Shock………………..?
  4. Septic Shock
  5. Traumatic Shock

 

80)  in Exercise / Anxiety , you will see;

  1. a) Increase gi motility
  2. b) decrease respiratory airway resistance……………………………?
  3. c) dec utilization of glucose by muscle

d)

e)

 

81)  HIV+ patient’s surgery is done then before doing surgery of next pt in Operation theater,  which antiseptic to use after surgery to clean floor

  1. 2% Glutaraldehyde
  2. 4% Glutaraldehyde
  3. hypochlorite
  4. Soap and water……………….?
  5. Water

 

I did D….ans is also D I think…

 

82) Damage at Pterion will cause bleeding , which of the following is damaged

  1. Middle meningeal artery…………………..?
  2. Bridging veins
  3. superficial temporal artery
  4. Middle cerebral artery
  5. Anterior cerebral artery

 

83) Patient with fluent speech with insensible talk, damage at ;

  1. Boca’s
  2. Wernicke…………………..?
  3. Splenuim

 

84) A 65 yr old patientpresented with hemiplegia and facial paralysis .On examination lower part of face is more severly affected with loss of voluntary movements of facial muscles. What could be the site of lesion?

  1. facial canal
  2. petrous temporal
  3. Supranuclear………………………..?
  4. Cerebello-Pontine Angle
  5. Pons

 

85) Sternocleidomastoid muscle is damaged that causes in difficulty in:

  1. Flexes the neck
  2. Turns the neck to the same side against resistance
  3. Turns the neck to the opposite side against resistance…………………..?
  4. Extends the neck

 

 

86) Inferior epigastric artery lateral to mass.

  1. Indirect hernia
  2. Direct Hernia…………………..?
  3. Femoral hernia
  4. Umblical Hernia
  5. Epigastric Hernia

87) Male presents with Stoney dull percussion on right sided of chest what is the cause

  1. Pleural effusion ………………………..?
  2. Pneumonia
  3. Thickened parietal Pleura
  4. Pneumothorax
  5. Cavity in lung

 

88) Decrease in Venous return due to;

  1. Paralysis of skeletal muscles……………….?
  2. Venoconstriction
  3. Increased Blood Pressure
  4. Increase Cardiac Output
  5. .

 

89) Defence mechanism against tumor cells

  1. a) T-cells or (Natural killer cell was option)
  2. b) B- cells
  3. c) macrophages
  4. d) Neutrophils
  5. e)

OR question was like ….

89) Natural defence against cancer;

  1. a) Apoptosis.

 

90) Physiologic Apoptosis

  1. a) during maturation of T cell selection in thymus…….?

b)

c)

d)

e)

91) Renal cell Carcinoma Metastasis by

  1. Renal Arteries
  2. Renal Veins……………..?
  3. Lymphatic

 

92)  Ribosomes

  1. Site of protein synthesis
  2. Attached with ER and help in cytoplasmic protein synthesis
  3. Present in cytoplasm and synthesize protein
  4. Synthesize messenger RNA

I did b ( I think) but some says it’s a….plz confirm..

 

93) Which of the following is primary cartilaginous joint.

  1. Costochondral………………..?
  2. Symphysis pubis
  3. Sutures of skull

 

94)  Down syndrome is associated with at the age of 40

  1. Alzheimer’s disease …………………?
  2. Parkinson’s
  3. Huntington Disease
  4. Wilson disease

 

95)  A patient had resection of terminal ileum, what will result

  1. Decreased Amino acid absorption
  2. Increased water content in stool……………………..?
  3. Increased enterohepatic circulation
  4. increased absorption of iron
  5. decreased fat content in stool

 

I did d…but ans is b…

 

96)  Ejaculatory duct opens at

  1. Prostatic urethra…………………….?
  2. penile uretha
  3. membranous urethra
  4. .
  5. .

 

97)  Regarding Information care session what is appropriate?

  1. Remove patient’s myths and misbeliefs…………………………………?
  2. Updated information regarding the disease and its treatment advancements are communicated
  3. consent form is given
  4. Seeks information from friends and family
  5. given the knowledge about hospitals newly advanced technolgies

 

  I did a……confirm the ans plz..i think its right ans i-e A.

 

98)  G1P2 female after delivery develops sudden chest pain and difficulty in breathing and haemoptysis, ECG shows S1 Q3 T3 pattern which is most appropriate test.

  1. LDH
  2. SGO?PT
  3. X-Ray
  4. CPK
  5. gallium scan…………………………?

I did E……plz confirm…

 

99)  Structures posterior to medial malleolus except.

  1. Tibial nerve
  2. Post tibial artery
  3. Flexor hallucis longus
  4. Flexor digitorum longus
  5. Tibialis anterior ……………………..?

 

100) Flexor Retinaculum contains;

  1. a) Dorsalis Pedis Artery
  2. b) Posterior tibial artery……………………….?
  3. c) Tibialis anterior
  4. d) Extensor digitorum longus
  5. e) Peroneus longus

 

101)  Key bone of Medial longitudinal arch  is;

  1. Talus……………………….?
  2. Calcaneus
  3. Navicular
  4. Cuneiform
  5. Cuboid

 

102) Young male comes to you with the history of problem in erection and is embarrassed by his enlarged breasts,what you suspect most likely diagnosis is….

  1. Prolactinoma………………………….?
  2. Mineralocorticoid tumour
  3. Increased CRH
  4. Increased gonadotrophic hormones.
  5. .

 

I did A…..plz confirm..

 

103)  Biopsy of tissue shows Lymphoid tissue with stratified squamous epithelium

  1. Palatine tonsils……………….?
  2. Lymph nodes
  3. Peyer’s patches
  4. Thymus
  5. Spleen

I did A……………..

 

104) Female with fever,  malaise enlarged cervical lymph nodes biopsy reveals granulomatous lesions, appropriate diagnosis is done by,

  1. Chest X-Ray
  2. AFB demonstration………….?
  3. Tuberculin test
  4. Caseasting granuloma on pathology
  5. .

105)  Regarding renal tubular absorption which of the following is passively absorbed.

  1. Na
  2. NH3
  3. Urea…………..?
  4. Ca
  5. Glucose

 

106)  Fastest conduction in

  1. A alpha………………..?
  2. A beta
  3. A delta
  4. B Fibres
  5. C Fibres

 

107)  Which carries Preganglionic fibers;

  1. A Alpha fibres
  2. A Beta Fibres
  3. A gamma Fibres
  4. B Fibres………………………?
  5. C Fibres

 

108) Free Nerve endings

  1. are non-encapsulated receptors……………..?
  2. Are found in voluntary muscles
  3. Are a type of special visceral enteroreceptor
  4. Are not present in the epidermis of skin
  5. Detect only pain

109)  Sarcomere lies between

  1. Z disc ………………?
  2. H lines
  3. M lines
  4. A band
  5. Transverse tubules

 

110) Heparin action on DVT, it prevents

  1. Embolization
  2. Organization
  3. Propagation……………………….?
  4. .
  5. .

 

111) Female after delivery has developed sepsis and DIC . Which test shouldn’t be done in DIC pt OR which test is not appropriate..?

  1. Fibrin degrading products
  2. Bleeding time
  3. clotting time
  4. aPTT
  5. Thrombin time

 

I don’t remember which I did..i think I did C…Ans may be c…plz confirm…

 

112)  Delayed wound healing ;

  1. a) vit c deficiency
  2. b)

c)

d)

e)

 

113)  Truncal vagotomy causes

  1. increased motility
  2. increased acid secretion
  3. increased pepsin secretion
  4. decreased gastric emptying………?
  5. .

 

I did D….plz confirm this question..

 

114) Patient developed SCC of bladder 8 years back and granulomatous appearance of bladder biopsy. What do you suspect…?

  1. Schistosomiasis ……………?
  2. Tuberculosis
  3. Bladder stone
  4. Nitrosamines

 

115) Dorsal Rami of Spinal nerves innervate ;

  1. a) Abductor muscles of the limbs
  2. b) Extensor muscles of the limbs
  3. c) Extensor muscles of the trunk………………?
  4. d) Flexor muscles of the neck
  5. e) Stab;izer muscles of the shoulder

 

116)  Male died after adenocarcinoma. He is also having Family history of Colon cancer. Autopsy showed thousands of polyps in colon, type of polys.

  1. Adenomatous
  2. Hyperplastic
  3. Hamartomatous
  4. Metaplastic
  5. Villous

Plz confirm this ans…..i think  a or c is correct ( not sure )

 

117)  Regarding spironolactone

  1. IV dose 100 mg
  2. Is steroid
  3. induce hypokalemia
  4. .
  5. .

I changed the option after 2nd read from c….but it was not among two above…remaining two option having the correct option…don’t remember yet..

 

118)  Which of the following disease in pregnancy will cause congenital cataract

  1. Measles
  2. Rubella during pregnancy………………..?
  3. VZV
  4. Herpes Simplex
  5. .

 

119) Pt having Non Caseating granulomatous , Leat likely cause is;

  1. a) Cat scratch fever
  2. b) Syphilis
  3. c) Leprosy
  4. d) Sarcoidosis
  5. e) T.B………………………..?

I did E…b/c its caseating…..plz confirm it .

 

120) Most of the Ventricular filling accurs ;

  1. a) Rapid inflow
  2. b)
  3. c)
  4. d)
  5. e)

 

121)  Idiopathic thrombocytopenic purpura which of the following is prolonged

  1. aPTT
  2. PT
  3. BT
  4. CT
  5. Thrombin time

 Some says ques was regarding ITP…..acc to that …ans would be  C…

But what I had written

121) Scenarion given on vWF deficiency…now what you will go test to diagnose it:

  1. aPTT
  2. PT
  3. BT
  4. CT
  5. Thrombin time

 

I did A….b/c scenario was mixing with ITP so differentiating point I thought It was aPTT….plz confirm this question..

 

122)  Regarding spleen

  1. Related to Rib 5 and 6
  2. Related to left colic flexure in lower pole……..?
  3. Developed from ventral mesentery
  4. .
  5. .

 

123) 15 year old boy presented with bleeding tendency and ecchymosis…….

  1. Platelets 20 x 10^9………………….?
  2. Platelets 90 x 10^9
  3. Deficiency of calcium
  4. Deficiency of factor viii

 

124)  Foramen cecum represents embryological structure OR foramena cecum is related with;

  1. Thyroid
  2. Thymus
  3. Anterior pituitary…………………………….?
  4. Poterior pituatary

 

125) Chromosome alligns in the equatorial plane

  1. Metaphase
  2. Prophase
  3. Anaphase
  4. Telophase
  5. Prometaphase

 

I did Prophase ..but ans is A, metaphase……plz confirm it…

 

126)  1 year boy with anaemia showing microcytic cells, failure to thrive. Family history is showing that his elder brother regular blood transfusion

  1. Haemophilia
  2. Sickle cell anaemia
  3. Thalassemia………………..?
  4. .
  5. .

 

125)   A 25 years old Female having complains of dysphagia, and weakness labs show hb=6.2 mg/dl MCV=68 fl and target cells in peripheral film, what is the diagnosis

  1. Iron deficiency anaemia
  2. Anaemia of chronic disease
  3. Thalassemia…………………………..?
  4. .
  5. .

 

I did C…plz confirm this question…

 

126) Staging of tumour is related with

  1. Invasive extent…………………?
  2. Cellular atypia
  3. Hyperchromasia
  4. Mitotic Bodies
  5. .

 

OR question may be on Grading or something like that ….pleomorphism, I did….not sure how question was..

 

127) Which of the following can cause hypersensitivity reaction ;

  1. a) Streptococcus pyogens ………………?
  2. b) Staphylococcus aureus
  3. c) N.meningitidis
  4. d) Streptococcus Agalatia

e)

 

128)  Fetal Placenta:

  1. Separates vessels in muscular layer from spongiosum
  2. Separates vessels from many uterine arteries
  3. Covered with amnion on fetal side
  4. It is also called feto-chorionic

E)…

I did the option related spongiosum….. don’t know the exact Ans…….Plz confirm this..

 

129)  Maximum O2 tension in ;

  1. a) Pulmonary capillaries
  2. b) Left ventricle
  3. c) Aortic blood
  4. d) Pulmonary artery

e)




 

I think I did  b……don’t know exact ans….looks its b, not pulmonary capillaries because there is exchange takes place so cant be maximum O2, also there is CO2 presence …

 

130) Characteristic feature of Apoptosis;

  1. a) Cell membrane damage
  2. b) Karyolysis

c)

d)

  1. e) Shrinkage

 

I think I did A….but not sure the right ans….plzz Confirm…

 

131) Regarding trachea

  1. Gaps in the C-shaped Cartilage rings lie anteriorly
  2. Total length of trachea is 15 cm
  3. It commences at lower border of cricoid……………………………..?
  4. It is attached to the upper margin of cricoid cartilage
  5. Recurrent laryngeal nerve lie anteriorly

 

132) Axons of alpha motor neurons of the spinal cord;

  1. a) are myelinated…………………………………………..?
  2. b) are non-myelinated
  3. c) pass through the dorsal root
  4. d) terminate in the intrafusal fibers of the neuromuscular spindles
  5. e) terminate on the motor end plates

 

133)  If there is a tumour in the right superior lobar bronchus then the Bronchopulmonary segment most likely to be collapsed would be:

  1. Apical superior………………?
  2. Anterior Basal
  3. Medial Basal
  4. Middle lateral
  5. Superior Basal

 

134)  When a pathologist reports a tumour as grade 3

  1. Almost 100% cells are undifferentiated
  2. 25% undifferentiated
  3. between 50 – 75 % cells are undifferentiated ………………………….?
  4. less than 10 % undifferentiated
  5. More than 75 % undifferentiated

 

135) Significantly raised level of serum “ Alpha fetoprotein “ is characteristic of

  1. Bronchogenic Carcinoma
  2. Cirrhosis of liver
  3. Colonic carcinoma
  4. Gastric carcinoma
  5. Hepatocellular carcinoma…………………….?

 

136)  An Osmotic Diuresis may result from

  1. Aldosterone
  2. Furosemide
  3. Hyperinsulinism
  4. Ingestion of Alcohol
  5. Mannitol………………………?

 

137) Significant intracellular buffer

  1. HCO3
  2. Haemoglobin
  3. PO4
  4. Na
  5. Protein

I did E…..but some says its B….plz confirm it..

 

138)  A woman with obstructive jaundice, which of the following is marker?

  1. Gamma glutamyl transferase
  2. ALP
  3. AST
  4. ALT

I think I did a……plz confirm the ans…

 

139) Female pt. with Cushing like disease symptoms came for investigations, her cortisol level is <1 what question we should ask

  1. Having Headache
  2. H/o taking any steroid
  3. .
  4. .
  5. .

 

I did B…..dont remember the other options exactly but that option matches that.

 

140)  Female with fever,  malaise enlarged cervical lymph nodes biopsy reveals granulomatous lesions.A definite diagnosis of Tuberculousis in this case requires,

  1. Evidence of lung involvement by Chest X-Ray
  2. AFB demonstration………………………..?
  3. Mantoux test
  4. Presence of caseation necrosis
  5. Presence of langhan giant cells

 

141) A peripheral blood smear from a 72 year old lady shows marked anisocytosis and poiklocytosis. The mean corpuscular volume is increased and the neutrophils are hypersegmented . The most likely diagnosis is;

  1. a) Anemia associated with chronic renal disease
  2. b) Bone marrow hypoplasia
  3. c) Pernisious Anemia………………………..?
  4. d) Sickle cell disease
  5. e) Thalassemia

 

142) A 60 year old male diabetic was admitted with pneumonia . The sputum culture revealed growth of gram negative rods . His blood sugar level was normal. On 6th day he was described to have a SHOCK like state . the likely mechanism in this case is;

  1. A) Acute tubular necrosis
  2. B) Decreased myocardial contractility
  3. C) Electrolyte imbalance
  4. D) Increased vascular permeability……………………..?
  5. E) Low serum albumin

 

143) The investigations of bleeding disorder in a 2 year old boy reveals deficiency of factor VIII. He has two brothers and two sisters . His sisters are unlikely to have this disease because the mode of transmission in this case is likely to be :

  1. Autosomal Dominant
  2. Autosomal Recessive
  3. Non-genetic
  4. X-Linked Dominant
  5. X-Linked Recessive…………………………?

 

 

 

144)  Which one produces severe transfusion reaction

  1.   A+ to B+
  2. AB+ to O+
  3. O+ to AB+
  4. A- to A+
  5.   A to AB

 

I did B……it seems to be true b/c AB is universal recipient  and O is universal donor…while if u r given AB mean both antigen antigens are present while no antibodies….then severe reaction will take place in pt o positive bc he is having both antibodies……….plz confirm it…

 

145)  A female had bilateral silicon breast implant placements. After 2 years, now she has arrived with inflammation, which cells you will find on biopsy?

  1. Lymphocytes
  2. Giant Cells………………..?
  3. Plasma cells
  4. Neutrophils
  5. Eosinophil

 

146) How much pressure is required for the opening of aortic valve?

  1. 50
  2. 100
  3. 60
  4. 80
  5. 120

 

I did  d…..but plz confirm I was confused between b and d….ans it may be b…plzzz confirm it..

 

147) Glomerular filtration rate increases when there is decreased;

  1. a) arterial blood flow
  2. b) arterial blood pressure
  3. c) glomerular pressure
  4. d) permeability of glomerular membrane
  5. e) plasma colloid osmotic pressure………………..?

 

148) Which of the following amino acid is essential amino acid :

  1. a) Alanine
  2. b) glutamic acid glycine
  3. c) glycine
  4. d) phenyl alanine………………..?
  5. e) tyrosine

 

149) Vein of heart which continues as coronary sinus.

  1. Great cardiac vein…………………….?
  2. Middle cardiac vein
  3. Small cardiac vein
  4. Anterior cardiac vein
  5. Oblique cardiac vein

 

150) which of the following is NOT associated with hormonal secretion

  1. Chondrosarcoma …………………………………..?
  2. Teratoma
  3. Bronchiogenic Carcinoma
  4. ArrhinoBlastoma
  5. Small Cell Carcinoma Lungs

 

151) CO2 diffusion in the lung is greater than O2 is due to?

  1. Greater solubility coefficient……………………………?
  2. Increased CO2 partial pressure in lungs
  3. Increased density of CO2
  4. Increased thickness in lung alveolar wall

E.

 

152)  An acute decrease in arterial pressure elicits which of the following compensatory changes?

  1. Decrease Firing rate of carotid sinus……………………………?
  2. Increase parasympathetic outflow to the heart.
  3. Decrease heart rate.
  4. Decrease contractility
  5. Decreased mean systemic pressure.

 

153) pt having cyst in pouch of doughlous , we have to drain the cyst thru the procedure via;

  1. a) lateral fornix of vagina
  2. b) posterior fornix of vagina……….?

c)

d)

e)

154)  A sharp object touches the foot patient withdraws.

  1. Reflex with no inter-neuron
  2. Polysynaptic
  3. Muscle stretch
  4. Golgi tendon
  5. Multisynaptic reflex

 I did a……it seems to be true…plz confirm..

 

155) Type 2 heart Block

  1. Distorted ECG Complexes
  2. Atrial rate is greater than ventricles
  3. ventricular rate is greater than atria
  4. decreased stroke volume
  5. .

 

I think, I did D…..plz confirm…..

 

156)  Isthmus of thyroid gland lies at

  1. Thyroid cartilage
  2. C2-C3-C4 tracheal ring………………………………?
  3. Above Cricoid
  4. C4-C5

 

157) Regarding Facial nerve:

  1. Stapedius muscles…………………………………….?
  2. Muscle of facial expression except orbicularis occuli
  3. Sensation from the face

D.

E.

 

158) Boy with lymphadenopathy painless, biopsy large cells with multiple mitoses, appropriate diagnosis by

  1. Lymphocytosis on peripheral smear
  2. Immunohistochemistry of leukocytes
  3. .
  4. .
  5. .

I think..its b…Plz confirm it

 

159)  flexor sheath of thumb contains

  1. flexor pollicis longus
  2. Flexor pollicis longus and abductor pollicis longus?
  3. Flexor pollicis brevis
  4. Flexor pollicis longus
  5. Flexor pollicis longus, synovial membrane and something more written

I think I did E or c…..ans must b from them..i think..it should be E…plz confirm

 

160)  A 59 female Non-Insulin dependent diabetes and HTN on antihypertensive brought to the emergency with semi collapsed state, K+ is 6.1 what is the cause?

  1. ARF
  2. CRF
  3. Diuretics
  4. Heart Failure
  5. .

Note…I think, I did C….plz confirm…

 

 

161) 15 year Gardner with history of chest pain, no other symptoms, X-Ray was done which showed Round mass which is calcified in lower lobe of lung

  1. Aspergillosis
  2. Tuberculosis
  3. Sarcoidosis
  4. Hydatid cyst
  5. .

I did A…..but don’t know exact scenario…..it was looking like fungal infection…plzz confirm…

 

162)  A female with regular cycle of 21 to 23 days what will be the ovulation days

  1. 12 – 14
  2. 14 – 18
  3. 7 – 9…………………..?
  4. 10-12
  5. 6-8

 

163)  Male with Trans-mural infarction died suddenly in washroom after 8 days.

  1. Atrial fibrillation
  2. Ventricular Fibrillation
  3. Cardiac Tamponade
  4. Thromboembolism
  5. Pulmonary oedema

 

I think , I did B…..but please confirm the answer..

164)  Young boy with 3 week history of facial weakness and nasopharyngeal sinusitis, on examination bilateral facial weakness, with drooling on mouth

  1. H. Influenzae
  2. Corynebacterium
  3. .
  4. .
  5. .

 I don’t know what I did….it may be B…plz confirm it.

 

165) Boy with high grade fever and tender abdomen, X-Ray shows pneumoperitoneum, before surgery antibiotic should be given

  1. Cefotaxime…………….?
  2. Gentamycin
  3. Augmentin
  4. .
  5. .

 

166) Regarding arterial supply of heart all statements are true except that

  1. left Coronary Artery is larger than Right Coronary Artery
  2. Right Coronary artery arises from anterior aortic sinus
  3. Left Coronary Artery is the first branch of arch of aorta
  4. Right Coronary Artery supplies both ventricles
  5. Interventricular septum is supplied by left coronary artery

…???

 

167) When is confidentiality of patient breached

  1. Patient dies
  2. Insurance Purposes
  3. Psychiatric Illness
  4. .
  5. (I think it was an option…) when pt own saying……?

 

 

168) Last thing to be returned normal  after losing a litter of blood

  1. Heart rate
  2. Blood pressure
  3. Cardiac contractility??…..( it was in other question’s option..ventricular filling ques)
  4. RBC in peripheral smear……?
  5. Pulse pressure
  6. Volume.

I did option ( D ).

 

169) Most commonly hypertrophy occurs in

  1. Skeletal muscles……………………………..?
  2. Thyroid Gland.
  3. Ovaries
  4. Breast
  5. Testis

 

170) Which of the following is most important cause of Fat necrosis in peritoneal cavity

  1. Acute pancreatitis……………..?
  2. Gut gangrene
  3. Brain
  4. .
  5. .

 

171)   Epiploic Appendages are on

  1. Duodenum
  2. Ileum
  3. Jejunum
  4. Sigmoid colon……………………?
  5. Stomach

 

172)  Basic drug binds to

  1. Albumin
  2. Iron
  3. Blood Cells
  4. A1 Glycoprotein
  5. Protein

Idid a or ebut i think ans is D…..i am not sure..plz confirm it…..

 

173)  Basophilia is caused by

  1. Nucleus
  2. Ribosomes
  3. Cytoplasm
  4. Endoplasmic reticulum
  5. .

I think it is A…plz confirm it…..i don’t remember what I did….

 

174)  112. Regarding spinal nerves

  1. Exit from intervertebral foramen…………………..?
  2. Derived from neural crest only
  3. Ventral horn contains ganglion
  4. Motor supply from dorsal root
  5. .

 

175)  Increased risk of Cervical cancer due to

  1. Chronic irritation
  2. IUCD
  3. HPV………………?
  4. Herpes simplex
  5. .

 

176) Eosinophilia is not associated with

  1. IgM………………………………..?
  2. Ascariasis
  3. Asthma
  4. Hay Fever
  5. IgE

 

177)  Which is the neurotransmitter involved in slow wave sleep.

  1. Acetylcholine
  2. Dopamine
  3. Adrenaline
  4. Serotinin
  5. GABA

I think its d….

OR question may be like this…

Which is the neurotransmitter involved in REM sleep.

  1. Acetylcholine
  2. Dopamine
  3. Adrenaline
  4. Serotinin
  5. GABA

…then it’s A……………………………..i don’t remember this question exactly….plzzzzz confirm..

 

 

178)  In distribution curve, which of the following is most likely?

  1. Normal distribution…………………….?
  2. Distribution on right side +ive peak
  3. Distribution on left side +ive peak

D.

E.

179) About RBCs

  1. Destroy in spleen when are old……………?
  2. Life is 3 weeks

C.

D.

E.

 

180) Substances that pass through biological membrane in the process of simple diffusion:

  1. Water soluble………………..?
  2. Un-saturatable
  3. Energy dependant
  4. Have carrier protein

 

181) Kidney disease edema occur due to….

  1. a) Albuminuria and salt retention

 

182) To decrease osmarality, what should be given…

  1. a) Vasopressin

183)Haemorrhage results in increase of

  1. a) Aldosterone
  2. d) Cortisol
  3. c) Inulin

 

184) Moves K+ out of the cell and hyperkalemia

  1. a) Strenious exercise

 

185) Pain epigastrium due to gastric ulcer carried by:

  1. Greater splanchnic nerve
  2. Lesser splanchnic nerve
  3. Least splanchnic nerve

d)

e)

 

NOTE:… from now , these questions doesn’t match with my Friends’ question list…Even few questions above don’t match match with that list because of lack of time some included above….

186) Hemolytic Uremic Syndrome, most appropriate statement should be…

  1. a) associated with microangiopathy

b)

  1. c) immediately treated with antibiotic
  2. d) occurs due to food posining organism Shigeela

e)more common in children

 

should b…A..i think…I am not sure…

 

187) Functional Residual Capacity

  1. a) Air remain in lungs after normal tidal expiration

b)

 

188) Female pt with high grade fever, head ache, anaemia and haematuria…most likely causative organism is

  1. P. falciparum
  2. .
  3. .
  4. .
  5. .

 

189) Pt having duodenal ulcer which artery will be damaged;

  1. a) Gastroduedenal
  2. b) splenic artery
  3. c) sup. Mesenteric artery

 

190) During thyroidectomy , inferior thyroid artery is ligated .The nerve likely to be injured ;

  1. a) External laryngeal N
  2. b) Internal laryngeal N
  3. c) Recurrent laryngeal N
  4. d) Superior laryngeal N
  5. e) Vagus N.

 

191) Anterior Dislocation of  arm, the nerve most likely damaged is ;

  1. a) Radial N
  2. b) Median N
  3. c) Axillary N
  4. d) Musculocutaneous N
  5. e) Ulnar N

 

192) Virus damage by

  1. a) altering protein

 

193) Radiation damage at

  1. a) Nucleus
  2. b) Cytoplasm

 

194) Spleenectomy…..( scenario given and then spleenectomy done )

  1. a) Increase platelet count

 

195) Hypovolumic shock, what you will see…;

  1. a) cold and clumpsy

 

196)  Which of the following is NOT true about portal vein:

  1. Formed by superior and inferior mesenteric vein……………………???
  2. Present on free end of lesser omentum
  3. Has tributaries from right gastric
  4. Has tributaries from superior epiploic vein

 

 OR question would be like..

Question on .. Regarding Porta Hepatis

a)Hepatic artery overlies the portal vein……

 

I don’t remember exactly……plz confirm….

 

197)  3rd week development

  1. a) Heart tube…

 

198) Autosomal dominant

  1. a) One of family member’s parent is affected with his child….

 

199) regarding Pterigopalatine ganglion…

Don’t know options…sorry.

200) Spinal accessory Nerve supply to

  1. a) Trapezuis.

 OR question like this

Trapezuis is supplied by….

a)Greater auricular

b)Cranial accessory

c)Spinal accessory

 

201) S1 nerve root

  1. a) achilis tendon is damaged

 

202) Cough reflex ( scenario based question)

  1. a) vagus nerve.

203) Trochlear N ……question how it enters in orbit……………not sure…buut I think it was..

 NB..Sure.204) Corticospinal of common final pathway………………..plz write this question even single root..

a)Extreme efferent from anterior horn of spinal cord

 

204)Neonate ARDS

  1. a) damage to capillary endothelium

205) damage to bulbus part of urethra urin will go..

  1. a) sup. Perineal pouch

206) Sjorgen Syndrome ( scenario like dryn eyes, dry mouth like so….)……NB

  1. a) Antiboby Ro

 

207) Transplant rejection after 2 years….

  1. a) vasculitis and thrombosis

208) question on development….dont remember ..one option was ARRhinocephaly …like that…I odnt remember ..i am sorry

209)Hyper osmolar non ketotic coma….

  1. a) hyponatremia..

b)hypernatremia…

 not sure about this question…even don’t know exact options…

210) question on DNA virus….

211) on invasive pulmonary issue..

  1. a) histoplasma..

212) non invasive loer lobe of lung…

  1. a) phycomycosis b)mucor c)Histoplasma

 

NOTE:… From Q.186 and below may have one or two line or even 4  options  , these questions doesn’t match with my Friends’ question list…Even few questions above Q.186 don’t match match with that list too but wrote them earlier  because of lack of time so include them above….

And one thing you might notice the increase number of questions about 12..i-e upto 212 while paper contains 200 questions….I myself had written 187 questions, but when I got some questions from friends so I became confused with questions even some scenarios, it was due to that…. I have tried my best to make that key an appropriate one but I am still a student , not perfect one to answer those all question..even I was afraid with part 1 result that’swhy I wrote them as much as possible to relieve my anxiety so Please confirm them from authentic Book reference or from any other reliable source…..I also made many mistakes even some answers I now don’t know what I did at that time Because situation at paper time was different even u know the question at that time clearly……And I am Sorry for any inconvenience….Thanks a lot…God bless you all…….:-)

 

Dr. Raja Mahendar Nankani 




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