Past Paper of FCPS Part 1 Medicine and Allied Online 11 June 2015

I have tried to state the main point of the ques as clearly as possible…yes some answers can be wrong…so you may double check in doubt.
For now these are all i can recall…will add more as i remember. Hope this helps!

By: Dr Lubna Jafri 

1) Most common cornyebacterium in clinical cases
2) Green discharge – pseudomonas
3) CSF had inc protein dec glucose and polymorph – give Ceftriaxone 
4) # of cervical sclerotomes, vertebrae and nerves – 8,7,8
5) Nursing mother with herpes lesion – Acylcovir 
6) Eversion damages – Deltoid ligament 
7) formula needed to be applied for clearance in kidneys – ans was 20 ml 
8) Alveolar ventilation to be calculated when Tidal volume is 500 and RR 10 




9) After trauma and amputation – Neuroma


10) Most common cause of HTN – idiopathic 
11) Left vent hypertrophy and pulm edema – Bicuspid aortic stenosis
12) JVP a wave due to Mitral stenosis (i think)
13) Cause of cervical and genital Ca – HPV
14) Heart shaped vertebra – Thoracic
15) About renal vessels – Left renal vein is ant to aorta and renal art
16) Neiserria – Penicillin G
17) Heart base formed by Left atrium
18) Biceps – supraglenoid tubercle 
19) Difficulty abduction of arm only till 30 degrees, fine after that – supraspinatus 
20) Aspirin overdose causes Alkalosis
21) Common carotid artery bifurcates at Upper border of thyroid cartilage
22) What is therapeutic window
23) Tachyphylaxis – rapid decrease in response to drug 
24) Glycogen storage diseases cause Hepatomegaly and hypoglycemia 
25) benign tumor – Leiomyoma 
26) function of alpha macroglobulin
27) Metastasis feature – tumor invasion by loss of E cadherin 
28) In our culture support to patient is by Family
29) Good patient doctor relationship depends on Active listening
30) Opioid stimulated chemoreceptor trigger zone
31) Construction work history along with pleural plaques – Asbestosis
32) betal chewing causes submucosal fibrosis
33) Some patient with visible peristalsis – pyloric stenosis
34) Dorsal column transmits Propioception
35) Conus medullaris is at L3 in children 
36) PCOS scenario 
37) Menopause – inc LH and FSH
38) Nucleus in midbrain – CN III
39) 2nd week of typhoid fever – Widal plus blood culture 
40) kallman syndrome – arcuate nucleus
41) Atypical TB – resistant to anti TB drugs 
42) Corneal epithelium 
43) Bitemporal hemianopsia – lesion at optic chiasm 
44) Vibration from Dorsal column
45) Pseudo mem colitis – C difficile
46) RIver blindness
47) Man is intermediate host in Hydatid cyst 
48) Sheehan syndrome typical scenario
49) Diffuse loss of vibration – check gastric mucosa biopsy
50) Medially rotated arm of child – lesion in upper trunk of brachial plexus 
51) Something about gastrocolic refles
52) B12 def check urine for methylmal acid
53) In late preg uterus becomes sensitive to Oxytocin
54) Bleeding after pregnancy complication – DIC
55) Child born at home has echymosis – Vit K def
56) Some symptoms including facial palsy – cerbellopontine angle
57) Asthma – < FEV1
58) Hypertrophic cardiomyopathy – disarray of myocytes
59) Skin lesions along Ophthalmic branch of CN V
60) raised direct bili and Alk Phosph – extra hepatic cholestatis
61) Maximum AV difference of O2 in Cardiac muscle
62) Carbohydrate product of digestion
63) Spindles attaching to chromatids – Anaphase 
64) Autosomal dominant – half of the children affected
65) Heterozygous trait and both express fully – Co dominance
66) left shift of Ox Hb curve – CO poisoning
67) Diarrhea – Non anion gap metab acidosis
68) Reciprocal but not dual supply – Salivary gland
69) PPD – cytotox T cells
70) Atropine causes Dry mouth
71) what indicates pt given Warfarin and not heparin – inc prothrombin (i think)
72) Cimetidine dec clearance of Warfarin
73) Dermis contains type I collagen
74) Kidney Tranplant rejected within 10 mins – antibody mediated
75) Labetalol – A and B receptors
76) Anaphylxis due to penicillin – Broncospasm is typical feature
77) Collagen – abundant in Lig flavum ?
78) Severe flexion of neck injured – Lig Nuch ?
79) Uterus to lab majora – round lig
80) Cardiogenic shock due to MI
81) Anaphylatoxin – C5a
82) Helps in phagocytosis – C3b
83) Virus – Alt proteins
84) Cancer mostly due to inc protoncogene
85) no occurence of chromosome shortening – Telomerase ?
86) typical picture of microcytic hypochromic anemia
87) Which lobe has 2 segments – Right middle 
88) Iron tranfered as Transferrin
89) Thiazide – hypokalemia
90) Infarction mostly due to Art occlusion
91) Reactive hyperemia not seen in – ischemia
92) Aplasia – lack of cell production
93) Splenectomy most effective in – Heredit Sphero
94) Basilar artery forms – 
95) most common chromosomal abnormality – Downs
96) ESR more than 100 in Multiple Myeloma
97) MHC – HLA antigens
98) Thirst stimulated by AT 2
99) Erythropoetin secreted from Mesangial? or Renal tubular cells 
100) Something about free water clearance
101) Vit D acts by gene expression
102) Normal saline causes … ? inc plasma Na, inc plasma osmolarity, inc urine osmolarity
103) Blood loss, dec BP – symp activity inc
104) most imp factor delaying wound healing – infection?
105) CSF – 500 ml/day
106) Glucocorticoids cause – dec glucose utilization in cells
107) Hormone inc during sleep – Cortisol (not sure though)
109) Growth hormone inhibited by Somatostatin
110) HIV hallmark – progressive immunosupression
111) Hep B infection – keep checking SGPT
112) Machinery murmur – PDA
113) Something about long bones – i marked haversian canal (total fluke)
114) As compared to ICF, ECF has – low K
115) pO2 close to 100 in Left to Right shunt
116) Some values given and asked which graph represents better. Confusion between bar or pie chart 
117) Primordial germ cells – by 3rd week
118) After bed rest leg pain and swelling – DVT
119) megaloblastic due to – folate and cobalmin
120) Philadel chromosome – CML
121) Metab acidosis – causes inc breathing 
122) X linked agammaglob – pyogenic infections
123) Dead space – humidifies and filters air

At the moment I dont even remember the most difficult ones…Please pray for me.

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