Past Paper of FCPS Part 1 Medicine july 2007

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Past Paper of FCPS Part 1 Medicine july 2007

 

MEDICINE Q’s July 07 Part-1

 

1) What structure is located superio-posterior to pituatoryfossa

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 policislongus

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’SEsophagus, 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)Bodyconcerves body water by

ADH release

Cortisol release

Aldosterone

 

21) METAPLASIA, Defination.

 

22) HYPERPLASIA Definition.

 

23) VOLUME DEPLETION, Which mechanism is activated

Renin angioaldo 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 leutinisationphase

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

Sphenoethmoidal 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.uricacidb.urea

111) Miscellesa.contains more Triglyseridesb.absorb fats in duodenum

112) Chemotherapy causesa.degenerationb.apoptosis

 

113) Corpus callosum containsa.commisuralfibersassociationfibers

114) Aphasia a.paralysis of muscles of palate/toungueb.due to damage of frontal cortex in dominant hemisphere

115) Tabesdorsalis causes bladder incontinence due to a.Atonicbladderb.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) Regardingpul. 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.givessecretomotorfibers to Parotid gland

122)Disease of cervix inolveslymhnodesa.Int. illiacb.Int. n ext. illiacc.deppinguinald.Para aortic

123) prostate CA which lymph nodes be involveda.Int.illiacb.Paraaorticc.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









 

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