FCPS Part 1 Medicine and Allied Paper 2016 Morning 8 march mixed paper 1 and 2

FCPS Part 1 Medicine and Allied Paper 2016 Morning 8 march mixed paper 1 and 2

Hand completing a multiple choice exam.
Hand completing a multiple choice exam.

1.peroneal nerve damage, nerve will regenerate at which rate

A..0.1mm/day

B.0.3mm/day

C.10mm/day

Other option i forget

2..a female at late 2nd trimester (weeks were given)taking ferrous sulphate but not taking fruits and vefetables. Which of the following deficiency occur later

1.vit c

2.folic acid

Baki bhol gayin

3…stimuli for secretin secretion

A.ph less tha 4.5

B.fatty acids in duodenun

C amino acids in stomach

(aisi e options then)

4..Na/amino acid transport

A.prim active transport

B.sec active transport

5..pacinian corpuscle detect

A.high frequency vibration

B.low frequency vibration

6..tubular transport maximum,which of the following have max Tmax

A.glucose

B.phosphate

C.urea

7.external carotid  and inernal carotid ka difference pocha tha k external will b having

A.having large diameter

B.having branches in neck

C.have vigrous pulsations

D.ant to styloid process

8..which of the following brain vesicle first appear

A.telencephalon

B..diencephalon

C.metencephalon

D.myelencephalon

E.mesencephalon

9..howship lacunae are present

A.osteoclast

B.osteoblast

10..glucocorticoids function

A.dec utilization of glucose by cells

Aur bhol gayin

11.pannus is present in

A.rheumatoid arthritis

B.SLE

12.collagen se related tha aik mcq.in which type 3 procollagen is defective i think. consequence was

A.Blood vessel rupture

Poor recall mcq

13.. travlers diarrhea

A.metoclopramide

B.diphenoxylate

14.. plantar surface cutaneous supply

A.sural nerve

B.saphenous nerve

C.post tibial nerve

15..esophagus pass throug

A.right crus of diaphragm

B.covered by peritoneum from ant and. Right surface

16..EDV=160. Heart rate= 70, CO2 = 5.6

Calculate Ejection fraction

  1. 0.45
  2. O.55
  3. 0.60
  4. 0.50

17.. vein with LAD in anterior interventricular groove

A.great cardiac vein

B.ant cardiac vein

18.parathyroid related question

A.supplied by superior thyroid artery

Poor recall options

  1. Melanocortin se related aik questiin tha black population related.

20.aortic aneurysm at aortic opening in diaphram

Which structure will b compressed

A.azygous vein

B.hemiazygous

C.azygous+thoracic duct

21…after accident C5,C6 segment injury female cant do

A.Flexion of elbow

B.extension of arm

22..incidence ki definition was in option

23.female after death in family, stress,amenorrhea,

A.acth raised

B.low dopamine

C.low CRH

24.stab wound at right xiphisternal joit at 6th costal cartilage,penetrate which structure

A.IVC

B.right atrium

C.left atrium

D.right ventricle

25 lithium is toxix.when it should b stopped

A.when level will b >1.2 mmol

B.coarse tremors

C.vertigo

D.gastric discomfort

26.most common prim cause of HCC

A.hep B &C

B.hep B

C.Hep C

D.alpha 1 antitrypsin deficiency

27.common effect shared by diazepam and chlorpromazine

A.sedation

  1. Extrapyramidal side effects

28.ischemia of intestine from hepatic flexure to mid transverse colon, artery involved

A.middle colic

B.SMA

C.IMA

29.hashimoto thyroiditis repeat mcq

30.small cell lung carcinoma related mcq

N features told cushingoid like features.

A.acth

B.PTrP

C.TSH

31.scenerio was regarding low Ca level,high phosphate,normal ALP,inc PTH

A.CRF

B.prim hyperparathyroidism

C.sec hyperparathyroidism

32.a boy with fracture,serum calcium was 8.2

Excrete calcium in urine

A.vit D deficiency

B.prim hypoparathyroidism

33.prim hyperaldosteronisn scenerio repeated from rabia and past papers

34.cotton wool spot

A.diabetic retinopathy

35.tympanic reflex bad rcall options

36.meningitic scenrio in 4 yr old child,

DOC

A.3rd gen cephalosporin

B.2nd gen cephalosporin

C.1st gen cephalosporin

37.a kid with meningitis, presented with bilateral deafness

A.damage to tympanic membrane

B.neural pathway damage

C.air bone conduction deafness

38.CSF composition related question

39.other was also about CSF

40.exudate contain proteins

A.2.5-4

  1. 2. – 2.5

C more than 4

40 .dialyzing fluid comosition related question

41.vasoconstriction in vessels by

A ADH

B.aldosterone

42.most imp mediator of allergy

A.adrenaline

B.bradykinin

C.5-hydroxytriptamin

D.dopamine

43.BP increased

A.alpha agonist

B.saralasin

  1. 70 yr old male having raised creatinine and urea. .pericardial rub was there which type of carditis will b

A.peri

B.constrictive

C.serous

D.fibrous

45 .Active transport involves

A.Atp breakdown

B.uphill movement

  1. Downhil movement

D.saturation of carrier proteins

46.at bifurcation relation of internal and external carotid artery was asked

47.facial nerve scenerio

48.lymphoid tissue with stratified sq epithelium

A.palatine tonsil

B.thymus

49.intestinal basic electrical rhythm

  1. Controlled by.hormones

B.stomach and intestine have same rhythm

C.absent when mechanical stimuli absent

(Difficult poor recall options)

50.duodenum

A.controls bile secretion

B.dec gastric emptyng in response to fatty meal

51.not HLA associated

A..RA

B.graves disease

C.myasthenia

D.DM 1

  1. Extrasystole related question poor recall

53.a patien on beta blocker,ECG shows prolonged PR intrval

A.drug induced heart block

54which of following pass infront of pulm artery

A.phrenic nerve

  1. Bronchi

C.pulm vein

55..bronchiectasis scenerio,opacities seen on xray,antitrypsin level was given shayed 22 something tha.

56 .loud S1

A.mitral insufficiency

B.RBBB

Caortic stenosis

57.nerve accompanied with phrenic nerve

A.pericardiophrenic

58.fragile x syndrome

A.trinucleotide repeat

59.phrenic nerve pass ant to scalenus ant

60.serratus ant nerve damaged

A.long thoracic

61.fisherman typical scenerio

A.diphylobothrum latum

62.carbon laden macrophages

A.anthracosis

B.silicosis

C.pneumoconiosis

63.scenerio of infective endocarditis

A.strep viridans

B.strept agalactae

  1. Staph aureus

64.smokin is riskfactor of

  1. Giant cell arteritis
  2. Takayasu

C.thromoangitis obliterans

D.wegner granulomatosis

  1. A boy cane with sting bee 4 hr back.pule normal, bp normal what will we give

A.oral loratadine

B.i/m adrenaline

C.iv hydrocortisome

D.prednisolon

66.tachyphylaxis

  1. Hydrocephalus causes due to obsstruction of

A.aqueduct of sylvius

B.foramen magendie

70.sympathetic adrenergic alpha receptors

A.radial muscle of eye contracts

71.Bmr in resting condition maintained by

A.liver

B.brain

C.heart

72.intervertebral disc forms 1/4 of vertebral columb

73.thalasemia in fetus how will you diagnose

A.cvs sampling

B.mothers plasma for HbF

74 .loss of nuclei in RBCs occur at which stage

A.reticulocyte

B.proerythroblast

75.tumor metastasis occur due to

A.loss of cathedrin was written not cadherin

B.tumor cells migration

  1. Compensatory response after mild hemorhage was asked
  2. Regarding alleles was asked

77.choangiocarcinoma

A.chlonorchis sinesis

78.septic shock mostly due to

A.gram negative

  1. More than 90% patient of anthrax having manifestation of

A.skin

80.after two year HPV infected female,on pap smear prominent nucleoli

A.dysplasia

B.metaplasia

81.syphilus diagnosed on serology after 3 weeks findings will b

A.chancre

B.condyloma

C.vdrl in csf

82.after acute mild rejection of transplant

Which cells will b seen

A.neutrophls

B.lymphos

C.macrophages

83.stanging from lying position

Hypotention occur due t

A.dec discharge from baroceptors

84.stimus fr central chemoreceptos

A.pco2

85.antioxident

A.vit c

B.vit D

86.1 litr of normal saline infusion causes

A.inc plasma osmolarity

B.dec urine osmolarity

C.inc urine osmolarity

87.pulm embolism cause

A.thromboembolism

88.in obstructive lung disease which of the following change occur

A.inc FRC

B.inc IRV

C.Inc ERV

  1. Lobar pneumonia inveatigation was asked

A.sputum culture

B.blood culture

90.1st bone to ossify

A.clavicle

B.scapula

91.selective cox2 inhibitor more than cox 1

A.meloxicam

B.piroxicam

92.a patient on ATT visual changes were mentioned, drug will

A.ethambutol

B.iNH

C.rifampicin

93.cerebellar lesion was asked

94.temporal lobe damage

A.memory loss

95.gABA destroyed in substantia nigra n globus pallidua,what will happen

A.parkinsonism

B.athetosis

C.chorea

D.hamiballismus

96 sulphur containing amino acid

A.metionine

B.arginine

C.lysine

97.. down syndrome – robertsonian translocation

98.trachoma by

A.chlamidia

99.echo virus related disease

100.measles will cause

101.not a component of humoral immunity

102.myeloperoxidase present in

A.neutrophil

B.rbcs

103.glycolytic activity present in

A.Rbcs

104.temporalis muscle nerve supply

105.scenerio of tb was given,n asked type of hypersensitiviyy

A.type 1

B.type 2

C.type 4

106.PPD wich cells will b present

A.macrophages +lymphocytes

107.cell swelling sec to hypoxic injury cause will

A.entery of water in cell

B.protein accumulation in cells

C.lipofuscun accumulation

D.glycogen break down

108.a patien is on chemotherapy, cells will b damaged by

A.apoptosis

B.necrosis

(stem was not exactly this.itwas a scenerio)

109.hamartoma is

A.like choriostoma

B.total benign

110..a terminal ill patient with t3N1M1 stage, having less than five yr survival,

What wll b seen commonly

A.cachexia

111.in black woumd healing was asked, healng will

A.keloid

B.premalignant lesio

C.premalignant change

112.aggresive skin carcinoma

A.BCC

B.Sq cell CA

C.melanoma

113.tumor with gene amplification in child

A.neuroblastoma

B.wilms

C.nephroblastoma

  1. In portal hypertension, with dilated paraumblical veins

Which will b involve

A.portal vein

B.IVC

C.hepatic ve

115.regarding rbcs antigen

A.secreted in saliva

116.tachyphylaxis

117.protein dont come in urine due

A.podocyte

B.basement membrne

118.ventricles in complete depolarization

A.qrs

B.st segment

C.qt interval

119.chemotaxic involves

A.marginatio

B.migratio

120.sympathetic post ganglioniccholinergic

A.sweat glands

121.stratifief random sampling sceneri

122.ascending reticular syst

A.cortex

B.hypothalamus

C.spinal cor

123.heparin primrily affect

A.antithrombin 3

B.factor xa

124.patellar tapping

A.contraction of quadriceps

B.1b fibre stimulatio

124.thorn prick abcess

A.staph aureus

125.leyding cells

A.form blood testis barrier

  1. Mainly in semniferous tubules
  2. Have high level of ser

126.pencillin anaphylaxis most common feature

A.bronchospasm

  1. In vitamin k deficiency which factor will b decreased firs

A.factor 7

B.10

C.2

128.bromocriptine used i prolactinoma

A.dopamine agonist

  1. Inc prolactin

C.dopamine antagonist

  1. Not synthesized by postganglionic sympathetic

A.dopamine

B.adrenaline

C.ac

  1. Associated with smoking strongly

A.takayasu

B.giant cell arteriti

C.wegners granulomatosis

D.PAN

131.sympathetic related question

A.all spina

B.lumbar

C.thoracic

D.cervical

  1. Most common long bone fracture

A.femur

B.tibia

133.common in skeletal and smooth muscl

A.calcium released from sarcoplasmic reticulum

Rest options forgot

134.cell junctions dont allow movement

A.gap junction

B.tight junction

135.free nerve endings are

A.non capsulat

136.iron stored in parenchymal tissues

A.hemosidern

B.ferritin

137.in human blood

A.wbcs more than rbc

B.platelets more than rbc

C.iron binds to hemoglobin

138.middle meningeal artery related

A.branches at pterion

B.pass through foramen spinosu

139.increased bioavailibility

A.metoclopramide

140.pulm artery supply

A.alveolar duc

B.terminal bronchiole

  1. transport of uterus

A.transverse ligamen

B.round ligament

C.broad ligament

142.scalenus muscle relatio

A.phrenic nerve pass infront

143.severe steatorrhea by

A.complete pancreatectom

B.distal ileal resection

144.bile salts absorbed

A.ileum

B.jejunum

145.a person awake with eye closed. Waves on ee

A.alph

B.beta

C.delta

146.left  homonymos hemianopia ( asked like left temporal vision lossplus right nasal vision loss)

Lesion at

A.right optic trac

B.left optic tract

C.optic chiasm

147.skin related most common ca in HIV patient

A.kapos

B.sq cell c

C.basal cell ca

148.factor 8 is synthesized by

A.endothelial cells

B.liver cells

149.doctor patient relationship

A.respec

B.mutual trust

C.autonomy

D.clarity

150.diffusion capacity of O2

A.less than N2

B.more than CO2

C.dec in exercise

D.dec in pulm fibrosis

151.medical ethics

A.same as hippocratic oath

B.code of conduct of doctor

152.something about extrasystolic beats.dont remember any ootion.so give a read to topic

153.pulse pressure dec in

A.dec stroke volume

Poor recall sorry

154.oral anticoagulant how will onito

A.PT

B.aPTT

C.BT

155.child with recurrent join swelling

And pain.aPTT prolonged,PT normal,values of factor 8 and 9 were given.factor 8 value was high, n factor 9 = 8 %. I think.what will b the

Disease

A.hemppjilia A

B.christmas disease

C.von willebran

156.20 yr female with anemia,HB 6,retics 10 % peripheral smear showsspherocytes.what study will do in La

A.RBC survival study

B.direct coomb

C.uric acid tha shaye

157.intravascular hemolysis scenerio,reason of hemolysis asked,

158.uncompensated metabolic alkalosis scenerio.

Ph = 7.54,hco3= 30,pco2= 40

159.what structure pass through post mediastinum

A.esophagu

B.trachea

C.thoracic aorta

160.direct brain veinous drainage

A.dural venous sinu

B.emissery vein

C.IJV

D.petrosal siinus

161.in asthmatic patient

A.FEV1/FVC < .75

162.myxoid degeneration feature of

  1. Libman sac

B.rheumatic heart diseas

C.infective endocarditis

163.poliomyelitis

A.ant horn cell defect

164.loud S1

A.mitral insufficiency

B.RBBB

C.aortic stenosis

D.PR interval related two options.

(upper limit n lower limit)

165.jaw protrusion

A.lateral pterygoid

By Nimra Ashraf



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