Past Paper of FCPS Part 1 Medicine June 2009

Past Paper of FCPS Part 1 Medicine June 2009

MEDICINE JUNE 2009

 

  1. H+ ion secretion in the kidney causes

bicarbonatereabsobtion

bicarbonate excretion

 

  1. which is pivot joint

temporomandicular

atlantooccpital

Atlanto axial

 

  1. Drug used for mountain sickness

acetazolamide

scopolamine

 

4.Corneal opacities r caused by

ethambutol

phenothiazides

 

 

  1. Captopril causes

hypokalemia

hyperkalemia

 

  1. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is

metabolic alkalosis

respiratory alkalosis

partially compensated metabolic alkalosis

partially compensated respiratory alkalosis

 

  1. Which is P450 inducer

isoniazid

phenobarbitone

cometidine

ketoconazole

 

  1. Which causes decreased gastric motility

Magnesium Sulphate

Aluminium Hydroxide

 

 

  1. 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

incresedintra abdominal pressure

diaphragm paralysis

use of metoclopramadie

use of morphine

 

  1. Patient has acute blood loss the mechanism triggered imediately is

baro receptor mechanism

renin angiotensin system

 

  1. Carotid body receptors respond to

arterial PO2

arterail Pco2

  1. propylthyouracil acts by

decreasing iodine uptake

decreasing TSH levels

decreasingthyro globulin levels

 

  1. which is increased in first responce

Ig G

Ig M

Ig A

 

  1. which crosses placenta

Ig G

Ig M

Ig A

Ig E

 

  1. which is secreted in breast milk

Ig G

Ig A

Ig M

 

  1. which has memory function

Ig G

Ig M

Ig A

Ig E

 

  1. which drug causes abnormal differentiation between red and green colours

ethambutol

amiodarone

pyrazinamide

 

  1. for best verbal communication skill one should hav

goodvacabulary

competence in presentation

fluent speech

  1. which is not caused by parasympathelic stimulation

increased GIT motility

micturation

miosis

sweating

 

  1. ejaculation is caused by

sympathetic

parasypathetic

both

 

  1. Alpha receptors stimulation causes

pupilaary dilation

increased heart rate

increased contractility

 

  1. fracture of surgical neck of humerus, patinetcant raise arm and sensory loss on lateral surface of arm. damage to

axillary nerve

musculo cutaneous nerve

 

  1. action of gluteus medius n minimus is

abduction n medial rotation

abduction n lateral rotation

adduction n medial rotation

adduction n lateral rotation

 

  1. thymus is formed by

3rd pharangeal pouch

4th pharangeal pouch

 

  1. bromocriptine causes decresedprolaction levels by acting on

dopamine receptors

cholinergic receptors

 

  1. patientsecg shows increasing PR intervals and then a missed beat

first degree block

sinusarrythmia

Mobitz type 1 block

Mobitz type 2 block

3rd degree block

 

  1. Digoxin is drug of choice in

Atrial flutter

Atrial Fibrillation

Ventricular Tachycardia

Bradycardia

 

  1. patient after ischemic attack has ventricular tachycardia. drug that must b used is

lidocaine

amiodarone

verapamil

 

  1. apex beat is

4th left intercostal space mid clavicular line

8cm to the left of midline in 5th intercostal space

 

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

 

idiopathic thrombocytopenic purpura

aplasticanemia

Hemophilia

 

  1. Hemophilia is

X linked recessive

Autosomal dominant

Autosomal recessive

 

  1. which investigation to be done in patient with hemophilia

PT

APTT

bleeding time

complete blood count

 

  1. patient has hemoptysis and glomerulonephritis. diagnosis is

good pasture syndrome

wegenersgranulomatosis

  1. P falciparum causes

black water fever

 

  1. C perferingens acts by

producinelecithinase

depleting ATP

causing hypoxia

 

  1. Gonococcus in easily identified in exudate specimen by

gram staining

Z N staining

culture

 

  1. which is not oncogenic

Hep B virus

Hep D virus

Herpes Simplex virus

EBV

 

  1. Middle meingeal artery passes through

foramanspinosum

foramanlacerum

foramanrotundum

foramanovale

 

  1. damage to middle meningeal artery causes hematoma formation between

duramater n calvaria

duramater n arachnoid mater

arachnoid mater n piamater

 

  1. which is present in cavernus sinus

abducent nerve

 

  1. which cranial nerves r parasympathetic

III, VII, IX, X

 

  1. patients right eye has moved upward n has his neck tilted to left to avoid diplopia. damage to

superior oblique

inferiour oblique

 

  1. patient has homonymous hemianopia. lesion is at

optic nerve

optic tract

retina

opticchiasma

 

  1. germ cells r derived from

ectoderm

endoderm

mesoderm

 

  1. foreign body in trachea goes in which bronchus

right upper

right middle

right inferior

left inferior

 

  1. which lobe has only 2 brocho pulmonary segments

right middle

right upper

left upper

left middle

 

  1. 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

 

  1. which is thick filament

actin

myosin

 

  1. asacromere is present between 2

Z lines

H band

A band

 

  1. in muscle cells calcium is released from

endoplasmic reticulum

sarcoplasmic reticulum

  1. 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

 

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

 

 

64 babinski sign is positive in

pyramidal lesion

cerebellar lesion

 

  1. ventralspino thalamic tract ends at

lumbar region

mid thoracic

end thoracic

 

  1. commonest site of lumbar puncture is

L4-L5

L2-L3

S1-S2

 

  1. which is not punctured during lumbar puncture

duramater

ligamentumflavum

longitudinal spinal ligament

 

  1. after Rh incompatabilty what is given to the mother to prevent it next time

anti D antibodies

 

  1. patient has blood group A+ which cannot b given to him

O+

O-

A-

AB-

 

  1. hamartoma is

benigntumor

malignattumor

 

  1. medullary rays r present is

cortex

medulla

 

  1. inAddisons disease what does not occur

hyperkalemia

hypokalemia

 

  1. which is essential amino acid

phenyal alanine

 

 

  1. which is teratogenic

alcohol

 

  1. which is associated with cancer

methyl alcohol

propyl alcohol

  1. HLA- DR4 is associated with

rheumatoid arthritis

SLE

scleroderma

 

  1. which is present in SLE

anti DNA antibodies

anti jones antibodies

anti smith antibodies

 

 

  1. which causes dysphagia

ankylosing spondylitis

scleroderma

dermatomyositis

 

  1. irondeficincyanemia is

hypochromic microcytic

 

  1. patients had gastrectomy , after 3 months she presents with

irondeficiciencyanemia

perniciousanemia

hemolyticanemia

 

  1. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, she is suffering from

iron deficiency anemia

megaloblasticanemia

 

  1. which is tributary of portal vein

superior rectal

inferior rectal

 

 

 

  1. what arches in front of the root of left lung

Arch of aorta

Azygus vein

 

  1. selective beta blockers do not cause

broncho spasm

 

  1. how will the effect of warfarin immediatelty reversed

vitamin K

FFP

protamine sulphate

 

  1. RCA supplies

right atrium only

right atrium n right ventricle

 

  1. tunicavaginalis is derived from

transversalis muscle

transversalis fascia

peritoneum

inter oblique muscle

 

  1. turner syndrome has karyotype

45 XO

45 XX

45 XXy

45 XXX

 

 

  1. which muscles diviedsubmandicular gland in to super ficial n deep part

omohyoid

mylohyoid

anterior belly of digastric

 

  1. patient has difficulty closin right eye and distorted facial appearance. he has damage to

rightfascial nerve

leftfascial nerve

right trigeminal nerve

left trigeminal nerve

 

  1. which does not cause thenar muscle wasting

carpel tunnel syndrome

C8 neuritis

cervical rib

scalene muscle spasm

cervicalspondylosis

 

  1. apregnat 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

  1. what is end product of glucose metabolism in the presence of oxygen

lactic acid

1 molecule of pyruvate

2 molecule of pyruvate

 

 

  1. beetle chewing causes

submucuous fibrosis

leukoplakia

keratosis

 

  1. which is last mediator in septic shock

IL-1

IL- 6

 

  1. antigen antibody reactions r most reduced in

Liver failure

Low neutrophils

  1. Clavulanic acid

destroys B lactamases

causes decreased penicillin excretion

 

  1. Dose of Gentamicin is reduced in elderly due to

reduced renal function

 

 

  1. GFR can b best estimated by

creatinine clearance

serum urea levels

serumcreatinine levels

 

  1. best test for diabetic nephropathy is

serum urea levels

serumcreatinine levels

urinary albumin

 

  1. which protein maintains red cell shape

integrin

secretin

spectrin

 

  1. Cyanosis is due to

increaseddeoxyhemoglobin in blood

decresed PO2 in blood.

103 which of the following causes natriuresis

stretch receptors in atria

carotid bodies

 

  1. patient has gall stones , which enzyme could b most likely raised

Alkaline Phosphatase

LDH

ALT

 

  1. diffusion through alveoli is directly proportion to

thickness of membrane

total cross sectional area

 

  1. transpot of materials by carrier proteins is example of

simple diffusion

facilitated diffusion

active transport

 

  1. which does not has lymphoid follicles

speen

thymus

lymphnodes

payer patches

 

  1. in congestive cardiac failure there is

incresed pressure in venous system

 

  1. ventricular contraction causes which wave in JVP

a

c

v

 

  1. site for venesection

greatsephanous

shortsephanous

  1. which is not part of limbic system

vermis of cerebellum

amygdala

anterior thalamus

hippo campus

 

  1. right gastric artery is branch of

gastroduadenal

right gastro epiploic

 

  1. thiazide diuretics

donot require potassium supplemets

 

  1. behaviour sciences is branch of science which deals with

behaviour of persons in different social , psychological conditions

 

  1. pateint has loss of proprioception on right n loss of pain n temperature on left, lesion is

righthemisection of spinal cord

lefthemisection of spinal cord

 

  1. cerebral cortex is concerned with

voluntary movements of body

 

  1. DVT is causes by

stasis of blood

 

  1. lacrimal duct opens in

inferior meatus

middle meatus

 

  1. in asthma

FEV1/FEV less than 65%

FVC is reduced

 

120 6 years old girl has meningitis. most common organis is

streptocossuspneomonie

Neiserriameningitidis

HemophilusInfluenzae

E Coli

 

  1. exudate has

protein more than 3g/dl

specific gravity is less than 1.010

 

  1. 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

 

  1. Lambda chain is present in

amyloidosis

 

  1. which does not follow oro fecal route

teniasolium

trichuristrichuria

entrobiusvermicularis

Ankylostromaduodenale

 

  1. cholangio carcinoma is caused by

C Sinensis

paragonimuswatermani

taeniasolium

 

 

  1. young boy has bilaterla parotid enlargement. diagnosis

bacterialparotitis

mumps

infectiousmononuclosus

 

127.about Mycobacterium TB , which is false

causes disease only in humans

favors aerobic conditions

  1. which is false about spores

produced under nutrient rich conditions

B Anthracisproducs spores

C tetaniprodues spores

they r killed under 121 degree for 15 min in autoclave

 

  1. fetal brain development is caused by

Growth hormone

thyroid hormone

 

  1. gastric Acid increases most after taking

carbohydrate

protein

fats

 

  1. which hormone effects carbohydrate, protein and fat metabolism

insulin

Growth Hormone

 

  1. which is not an epithelial tumor

sq cell CA

adeno carcinoma

sarcoma

 

  1. Bence jones protein are produced in

multipla myeloma

 

  1. which hormone effects both nor epinephrine n serotonin metabolism

Mono amine oxidase

 

  1. patient presents with epistaxis and bruising on body. bestinvertigation is

complete blood count

PT

Aptt

 

  1. ADH acts on

Proximal tubule

Distal Tubule

Collecting Tubule

 

  1. which is most slow growing malignancy of thyroid

Follicular CA

Medullary

Papillary

Anaplastic

 

  1. Cerebellar lesion causes

Ataxia

 

  1. patient with cerebellar lesion

cannot touch objects with his finger tip

 

  1. PTH remains normal in

renal insufficiency

osteoporosis

 

  1. Neonatal Rubella infection is screened by measuring which antibody?

IgM

IgG

IgM and IgG








 

 

 

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