Past Paper of FCPS Part 1 Medicine November 2013

PAPER 1

  1. Estrogen containing contraceptives…thrombo embolism
  2. Highest renal clearance…PAH
  3. Dec Hb dec MCV dysphagia (target cell confusing)…..IRON DEF ANEMIA
  4. Arches over root of left lung….ARCH OF AORTA
  5. Dorsal rami of spina nerve…SUPPLY EXTENSER TRUNK MUSCLE
  6. Primary artiagenous joint……COSTOCHONDRAL JOINT
  7. Sarcomere is between…..Z-LINES
  8. Moves k+ out of cell and hyperkalemia….STERNOUS EXERCISE
  9. Trigeminal ganglia…MIDDLE CRANIAL FOSSA CLOSE TO CAVERNOUS SINUS
  10. RBCs….DESTORY BY SPLEEN WHEN OLD
  11. Hyperplasia…INCREASE NO. OF CELLS AND…
  12. Vomiting center is in….MEDULLA
  13. Dec venous return…SKELETAL MUSCLE PARALYSIS
  14. True about thyroid…EPITHELIUM CHANGE WITH SERETARY ACTIVITY
  15. Good interaction between doc and patient…ACTIVE LISTENING
  16. True about trachea…ATTACHES TO LOWER END OF CRICOID
  17. Thyroid isthmus…2,3,4TH TRACHEAL RING
  18. True about human placenta…SEPARATES AT SPONGIOSUM
  19. False regarding blood suuply of heart…LCA 1ST BRANCH OF ARCH OF AORTA
  20. Drain into and become coronary sinus…GRAT CARDIAC VEIN
  21. Information care…TO REMOVE MYTHS AND MISCONCEPTION OF PATIENTS
  22. n=75,mean=80,deviation=10..percentage………84%
  23. true about statistic….BELL SHAPED CURVE
  24. stony dull percussion note rt ant chest…PLEURAL EFFUSION
  25. increases risk of bronchogenic carcinoma…SMOKING
  26. amino acid must be in diet…PHENYLALANINE
  27. urachus lumen persist…ALLANTOIC FISTULA
  28. store proteins lipids carbohydrates…INSULIN
  29. appendicectamy specimen contain…NEUTROPHILS
  30. corpus striatum….PUTAMEN AND CAUDATE
  31. which blood can not be given,..A- TO A+
  32. tonsillectomy after 2 hrs collapsed..HYPOVOLEMIC SHOCK
  33. primary sign of shock..RAPID PULSE
  34. most common intracellular buffer in body…PROTEINS
  35. hemorrhage result in increase release of…ALDOSRERONE
  36. differentiate SIADH and water deprivation…PLASMA OSMOLARITY
  37. mitosis alignment of chromosomes in…METAPHASE
  38. free nerve endings…UN ENCAPSULATED
  39. pus in abcess contain….DEAD BACTERIA
  40. 1 glucose molecule give ATP…38 ATP
  41. Hypertrophy commonly in…..SKELETAL MUSCLES
  42. Given to decrease osmolarity…VASOPRESSIN
  43. Pregnant lady obstructive jaundice…GAMMA GT
  44. Not secrete tumor marker…..CHONDROSARCOMA
  45. Dec in core body temp result in…..SHIVERING
  46. Natural defence against cancer is…..APOPTOSIS
  47. Important feature of apoptosis….CELL SHRINKAGE
  48. Stratified sq epithelium in endocervix….HPV INFECTION
  49. Cervical cancer…..HPV
  50. Not increase eosinophils…IgM
  51. Old hypertensive patient on antihypertensive k+6.5 suddely become droswsy….DIURETIC THERAPY
  52. Amebic liver abcess best investigation….SEROLOGY
  53. Increase aldosteroneas a result of rise in….. K+
  54. Type II heart block…dec stroke volume
  55. situation of fight and flight…DECREAE BRONCHIAL SERETIONS
  56. Increase heart rate…DIASOLIC DECREASE MORE THAN SYSTOLIC
  57. Fastest conduction fibers…A ALPHA
  58. Pregaglionic fibers are…A GAMMA
  59. Kidney disese edema occur due to…ALBUMINUREA AND SALT RETETION
  60. Hypermagnesemia…DEC ACETYLCHOLINE RELEASE
  61. Breast implant leakage after 2 yrs….GAINT CELLS
  62. Glucose is only source,….NEURONS
  63. Simple diffusion of drugs….WATER SOLUBLE CROSS EASILY
  64. Botulinum toxin important sign….FLACCID PARALYSIS
  65. Congenital cataract…RUBELLA
  66. Staging…EXTENT OFINVASION
  67. Basic drugs bind to…ALPHA GLYCOPROTEINS
  68. Sternocleidomastoid….TURN HEAD OPPOSITE SIDE AGAINST RESISTANCE
  69. Summer fasting man conc. Urine because of…SWEATING
  70. Decrease in ascorbic acid…DEC WOUND HEALING
  71. Drug/drug interaction…NMORHINE ANTAGONIZE BY NALOXONE
  72. Diagnostic of T.B…CASEATING GRANULOMA
  73. Highest adaptation….PACINIAN CORPUSCLES
  74. A sharp object touches pull leg reflex arc…..NO INTERNEURONS
  75. Antibodies….PLASMA CELLS
  76. last thing return to normal after 1L blood loss…..NO. OF RBCs
  77. In autosomal dominant disease…one parent effected
  78. Lymphocytes…defence against cancer
  79. Platelets…increase after spleenectamy
  80. Ribosomes….synthesize proteins
  81. Purpura…platlets count 20 thousand
  82. DVT…immobilization
  83. Hormone required for fetal development….thyroid
  84. CO2 crosses easily alveolar membrane then O2….inc diffusion coefficient
  85. Most of ventricular fiiling occur during…rapid inflow
  86. Suprarenal kidney fat….gerota fascia
  87. Correct about spinal foramen….pass from intervertebral foramina
  88. Fat necrosis in peritoneum…trauma
  89. Tumor right upper lobe of lung, segment…superior apical
  90. Not metastasize …..basal cell carcinoma
  91. Down syndrome…alzehmir disease
  92. Hanging…odontoid process of axis
  93. Oxygen binding protein….myoglobin
  94. Osmotic diuretic…mannitol
  95. Common hypersensitivity reaction…T.B

PAPER 2

  1. A smoker and psychic patient is having treatment presented with pain abdomen and visible peristalsis and audible sounds on examination:
  2. Psychogenic
  3. Stomach CA
  4. Pyloric stenosis
  5. Intestinal obstruction
  6. Which of the following suffers from fat necrosis in peritoneal cavity?
  7. Acute pancreatitis
  8. Gut gangrene
  9. Brain
  10. Which one only uses glucose?
  11. Brain
  12. Heart
  13. Liver
  14. Skeletal muscles
  15. Soft palate has:
  16. Stratified squamous non-cornified
  17. Simple columnar
  18. Stratified squamous cornified
  19. Facial nerve supplies:
  20. Stapedius muscles
  21. Muscle of facial expression except orbicularis occuli
  22. Sensation from the face
  23. Thalmic lesion is associated with sensory modulation:
  24. Hyperesthesia
  25. Numbness
  26. Hyperreflexia
  27. Nutmeg liver devolps due to:
  28. Passive congestion of liver
  29. Active viral hepatitis
  30. Portal hypertension
  31. Which of the following is NOT true about portal vein:
  32. Formed by superior and inferior mesenteric vein
  33. Present on free end of lesser omentum
  34. Has tributaries from right gastric
  35. Has tributaries from superior epiploic vein
  36. In aortic dissection:
  37. Cystic medial necrosis
  38. Hypertension
  39. Athero sclerosis
  40. Old age
  41. Which of the following is blood born:
  42. Hep B
  43. Herpes simplex
  44. TB
  45. Dormal rami of spinal nerve supplies:
  46. Extensor of trunk
  47. Limbs
  48. Flexor of neck
  49. Skin of abdomen
  50. Spinal nerve:
  51. Exit through inter-vertebral foramina
  52. They have motor and dorsal root anteriorly
  53. Ventral horn contains ganglion
  54. About thoracic nerves:
  55. Carry sympathetic innervations
  56. 12 intercostal nerves
  57. Supply the skin of the abdomen only
  58. Supply intercostals muscle only
  59. Best site of lumber puncture:
  60. Above L4
  61. Above L2
  62. Above L3
  63. Below L5
  64. Coarctation of aorta is associated with:
  65. Constriction just after the subclavian artery
  66. Dilatation below the coarctation
  67. Down syndrome is associated with before the age of 40:
  68. Alzheimer’s disease
  69. Placenta:
  70. Separates vessels in muscular layer from spongiosum
  71. Separates vessels from many uterine arteries
  72. Covered with amnion on fetal side
  73. It is also called feto-chorionic
  74. A patient is febrile and undergoing shock. Investigation shows P. aurignosa. The shock is dues to:
  75. Endotoxin
  76. Factor release
  77. Toxic shock syndrome
  78. Exotoxin
  79. True about hyperplasia
  80. Cells with rapid mitosis
  81. Occurs in old age
  82. Usually irreversible
  83. Human is intermediate host in which of the following:
  84. Hydatid cyst disease
  85. Beef tape worm
  86. Encylostoma duedinale
  87. Ascaris
  88. Trachonema vaginalis
  89. Eosinophilia is not associated with:
  90. IgM
  91. Ascaris
  92. Hey fever
  93. Asthma
  94. IgE
  95. Heart does not show tetanization due to:
  96. Increase refractory period
  97. Prolonged intermodal delay
  98. Decrease intracellular calcium
  99. Which of the following is associated with treatment of vomiting, increases the contractility of lower esophageal sphincter and increases the motility of gut
  100. Metoclopramide
  101. Which of the following is NOT associated with Thyroid hormone?
  102. Catabolism of muscle
  103. Increase metabolic rate
  104. Ionotropic effect
  105. Bone maturation
  106. Anabolism of fatty acids
  107. Which of the following has highest clearance?
  108. Inulin
  109. PAH
  110. Glucose
  111. Na
  112. Lesion of common peroneal nerve, inability to:
  113. Eversion
  114. Plantar flexion
  115. Plantar flexion of big toe
  116. Inversion
  117. Medial side sensation
  118. Eversion/inversion occurs at:
  119. Subtallar joint
  120. Tibiofibular joint
  121. Ankle joint
  122. 15 years old boy present with bleeding :
  123. 20 x 109
  124. Platelet count 90 x 109
  125. In boy the most common cause of petechial rash on oral mucosa and skin after pancreatectomy is due to:
  126. Decrease absorption of vitamin K in gut
  127. Decrease iron
  128. Decrease absorption of vitamin C in gut
  129. Sarcomere lies between
  130. Z disc
  131. H lines
  132. M lines
  133. A boy present with complaint of pain abdomen, diagnosed as a case of appendicitis and appendicectomy was done. What would you look on biopsy?
  134. Neutrophils
  135. Eosinophils
  136. Lymphocytes
  137. Plasma cells
  138. Antibodies are produced by:
  139. Plasma cells
  140. Mast cells
  141. T cells
  142. Neutrophils
  143. Spinal nerves
  144. Originate from neural crest cells
  145. Ventral rami supply the limbs
  146. A yellow fever case occurring in area of non-endemic is called:
  147. Sporadic
  148. Endemic
  149. Pandemic
  150. Which one produces severe reaction while transfusion?
  151. A- to A +
  152. O to AB
  153. A to AB
  154. A woman with obstructive jaundice, which of the following is marker?
  155. Gamma glutamyl transferase
  156. ALP
  157. AST
  158. ALT
  159. Ribosomes
  160. Site of protein synthesis
  161. Attached with ER and synthesize cytoplasmic protein
  162. Present in cytoplasm and synthesize protein
  163. Synthesize messenger RNA
  164. Pain epigastrium due to gastric ulcer carried by:
  165. Greater splanchnic nerve
  166. Lesser splanchnic nerve
  167. Least splanchnic nerve
  168. Stony dull percussion note on anterior chest:
  169. Pleural effusion
  170. Thickened parietal pleura
  171. Thickened visceral pleura
  172. Pneumothorax
  173. Creatinin clearance: Plasma creatine = 1.12; Urine creatine = 1.44; Total urine =? Creatinine clearance clearance?
  174. 1.68 L/m
  175. 168 L/D
  176. 1.44 L/m
  177. 1.16 L/m
  178. Cannot be calculated with these values
  179. Which is the following is true about BP study. N = 75; Mean BP= 80 mmHg; SD = 10. How many percentages have blood pressure greater than 10 mmHg?
  180. 48%
  181. 64%
  182. 16%
  183. 84%
  184. 96%
  185. In distribution curve, which of the following is most likely?
  186. Normal distribution
  187. Distribution on right side +ive peak
  188. Distribution on left side +ive peak
  189. Life of platets:
  190. 10 days
  191. About 1 week
  192. 2-4 days
  193. About 1 month
  194. About RBCs
  195. Destroy in spleen when are old
  196. Life is 3 weeks
  197. A 25 years old lady has complaint of weakness, dysphagia, Hh = 6 mg/dl, MCV= 70. She is having target cells in peripheral blood film: Diagnosis?
  198. Iron deficiency
  199. Anemia of chronic disease
  200. Thallassemia intermedia
  201. A 60 years old patient present with dysphagia and biopsy of mid-esophagus shows squamous cell CA. Condition associated with it is:
  202. Chronic alcoholism
  203. Behaviour disease
  204. Mallory Weis tear
  205. Perinephric fat and kidney is enclosed by:
  206. Geota’s fascia
  207. Gillson’s fascia
  208. Peritonium
  209. Triangular ligament
  210. Coronary ligament
  211. Lungs receive blood at rest in liter per minute
  212. 5
  213. 3
  214. 4
  215. 2
  216. 6
  217. Staging of tumour is related with:
  218. Invasive extent
  219. Cellular atypia
  220. Hyperchromia
  221. Mitotic bodies
  222. Venous return decreases in:
  223. Skeletal muscle paralysis
  224. Veno-constriction
  225. Increase blood pressure
  226. Increase cardiac output
  227. During the increase in HR, which of the following occurs?
  228. Diastolic period decrease more as compared to systolic period
  229. Systolic period decreases and diastolic remains constant
  230. Diastolic decreases and systolic remains constant
  231. Systolic period decreases as diastolic
  232. No change
  233. A lady presents with bilateral diplopia worsening on evening. Which test is most appropriate to diagnose the case?
  234. Antibodies to acetylcholine receptors
  235. Tensillon test
  236. Nerve conduction study
  237. EMG
  238. Myasthenia gravis ai improved by:
  239. Anticholinestases
  240. Chilinesterases
  241. Acetylecholine transferases
  242. Acetyle CoA
  243. Most appropriate function of sternocleidomastoid muscle:
  244. Turns the neck to the opposite side against resistance
  245. Turns the neck to the same side against resistance
  246. Flexes the neck
  247. Extends the neck
  248. After trauma, patient loses sensory sensations on the lateral palmar surface of the hand and unable to flex index finger. Lesion in:
  249. Median nerve
  250. Radial nerve
  251. Ulnar nerve
  252. Axillary nerve
  253. Musculocutaneous nerve
  254. Most appropriate for the diagnosis of SLE is?
  255. Ds DNA
  256. Nuclear protein
  257. Rh0 antibodies
  258. Endomycial antibodies
  259. Antinuclear antibodies
  260. Reversal of MGSO4 :
  261. CaCl2
  262. Bicarbonate
  263. Proteins
  264. Phosphate
  265. Sojogren syndrome is most likely associated with:
  266. Scleroderma
  267. SLE
  268. Rheumatoid arthritis
  269. Thyroiditis
  270. Ceiliac disease
  271. A patient comes with leratitis, arthritis, xerosmia. Diagnosis?
  272. Scleroderma
  273. SLE
  274. Rheumatoid arthritis
  275. Thyroiditis
  276. Ceiliac disease
  277. 30 years old man present with hematuria. Biopsy shows patchy urothelium with underlying hyperplasia of smooth muscles. Cause?
  278. Smoking
  279. Tubular sclerosis
  280. Recurrent infections
  281. Hypertension
  282. Memory loss after trauma:
  283. Hippocampus
  284. Cerebral cortex
  285. Mid-brain
  286. Reticular formation
  287. During walking painful stimuli causes flexion of the leg. It is:
  288. Reflex with no inter-neuron
  289. Polysynaptic
  290. Muscle stretch
  291. Golgi tendon
  292. Primary sign of shock:
  293. Rapid pulse
  294. Transient increase in BP
  295. Dyspnia
  296. Altered sensorium
  297. CO2 diffusion in the lung is greater than O2 is due to?
  298. Greater solubility coefficient
  299. Increased CO2 partial pressure in lungs
  300. Increased density of CO2
  301. Basic drugs bind to:
  302. A-1 glycoprotein
  303. Albumin
  304. Fat
  305. Water soluble
  306. Substances that pass through biological membrane in the process of simple diffusion:
  307. Water soluble
  308. Un-saturatable
  309. Energy dependant
  310. Have carrier protein
  311. In chronic alcoholism which of the following occurs in liver?
  312. Disorganized structure
  313. Constriction of central vein
  314. Distortion of porta-hepatis
  315. On terminal iliostomy, which of the following occurs?
  316. Increased amount of water in stool
  317. Decreased absorption of fat
  318. Decreased absorption of iron
  319. Decreased absorption of glucose and amino acids
  320. Micturation reflux:
  321. Involves parasympathetic sacral segment
  322. Initiated by higher center
  323. Controlled by sympathetic
  324. Generates itself
  325. During decrease in blood pressure, which compensatory response occurs?
  326. Decreased discharge rate of carotid sinus
  327. Increase parasympathetic activity
  328. Increased hering nerve activity
  329. Decreased hering reflex

 







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