Past Paper of FCPS Part 2 Surgery March 2013

SURGERY MARCH 2013

1 .. there was a scenario in which in

crease k and dec sodium given … cause addisons disease .

‎2 . scenario of humeral neck fracture … loss of sensations at lower end of deltoid msl …. axillary nerve damage ..
‎3 . in hypoxemia increase in ventilation is due to … co2
‎4 . tinnitis in the ear with 7th nerve damage signs … acoustic neuroma ..
5 . increase dextrose water given to the pt will dec ….ADH
6. OXIDASES ARE FOUND IN ….PEROXISOMES.
7 . PYRAZINAMIDE …… GOUT
8 . ETHAMBUTOL CAUSES …… EYE SYMPTOMS
9 DROPLET INFECTION SPREAD BY ….1 TO 2 FEET DISTANCE
‎10 . 3RD STAGE OF DEGLUTATION ….. GRAVITY ASSISTS FOOD TO STOMACH
11. BRONCHIAL CA CARCINOGEN ….SMOKING
12 . OLIGOURIA ….. LESS THAN 300 TO 5OO ML URINE PER DAY
‎13 . ECTOPARASITE……. FLEA..lice,bedbug
‎14 . CARCINOMATOUS PIGMENT …KERATIN
‎15 . IMMUNOLOGICAL TESTS ARE DONE IN …HYDATID CYST DISEASE .Gonnorrhea
16 .ACTIVE TRANSPORT REQUIRE …CARRIER PROTEINS WHICH ARE ENZYMATIC IN NATURE
‎17 .KETOROLAC …GIVEN AFTER CHOLECYSTECTOMY TO RELIEVE PAIN .
18 . ACTINOMYCES CAUSES …. ABSCESS AND GRANULOMAS
19 . URETER IS NARROWEST …WHEN IT LEAVES THE PELVIS
20 . TOTTAL PERIPHERAL NUTRITION …. A / ALL CALLORIES ARE PROVIDED IN THE FORM OF GLUCOSE .B/ AMINO ACIDS ARE PROVIDED AS DEXTROSEAMINES ?
21. PERSON WITH LOSS OF DORSI FLEXION AND LOSS OF SENSATION AT THE DORSAL SURFACE OF THE FOOT …COMMON PERONEAL NERVE DAMGE .
22. WHICH TUMOR IS NOT EPITHELIAL ORIGIN ….BRENNER TUMOR .
23 . WHICH BACTERIUM IS NOT TRANSMITTED BY ORAL ROUTE …..MYCOBACTERIUM AVIUM INTRACELLULARE .
24. PCT ABSORBS 100% ….A/BICARB ..B / GLUCOSE
25.AT BIRTH EPIPHYSEAL CENTER IS PRESENT AT …. TIBIA
26 .IN PAKISTAN MOST COMMON CAUSE OF FATTY LIVER …MALNUTRITION .
26…SEVERE BURNS …. CONTACTURE …
27..STORED BLOOD …PLATELETS REMAIN STABLE FOR 5 DAYS .
28..HSV NON MALIGNANT…. .HdV

 

30 . REGARDING GROWTH HARMONE …. AFFECT SKELATAL AND CARTILAGE GROWTH THROUGH SOMETOMEDINS … ANOTHER OPTION OF POLYPEPTIDE HARMONE WAS ALSO TRUE ..
‎31 . CHILD WITH ANEMIA…PALE …ETC … INVESTIGATION OF CHOICE BONE MARROW OR CBC ..
‎32 . PAROTID GLAND ENLARGEMENT IS VERY PAINFUL BECOZ … AURICULOTEMPORAL NERVE
‎33 . GLOSSOPHARYNGEAL NERVE NUCLEAUS …. SALIVATORY NUCLEAUS ..
‎34 . HEPATIC PEDICEL …… MEANS PORTAL TRIAD .
35 . HYPERSENSITIVITY IN A PT DEVELOPED AFTER 10 DAYS OF TOXOID VACCINE ….. TYPE III
36 . REGARDING PSOAS MSL …. PASSES BELOW THE INGUINAL LIGAMENT
37 . LATERAL VENTRICLES ARE SEPARATED BY …SEPTUM PELLUCIDUM
38 .PARASITE TRANSFERRED BY EATING UNDERCOOKED MEAT ….. TRICHENELLA SPIRALIS
39 . INSULIN INREASES GLUCOSE ENTRY INTO …MUSCLE
40 . SCENARIO OF PT WITH HYPOCALCEMIA AND BONE PAINS .WHICH HARMONE WILL BE INCREASED IN BLOOD FOR COUNTERACTING HYPOCALCEMIA…PTH
‎41. NA BALANCE IS MAINTAINED BY …….ALDOSTERONE .
‎42. HARMONE INCREASING BMR …. THYROXIN
43 . RECTUM SUPPLIED BY …. SUP AND INF RECTAL ARTERIES
44. PARASITIC INFECTION …. INCREASE EOSINOPHILLS
45 . BLOOD GROUP A WILL BE HAVING …B ANTIBODY
46 . REGARDING IRON DIFICIENCY ANEMIA ….. DUE TO CHRONIC BLOOD LOSS .
‎47 . CML……9 22 TRANSLOCATION
48 . TIGHT JUNCTIONS PREVENT FLOOW OF UNWANTED SUBSTANCES BETWEEN THE CELLS .
‎49 . WITHDRAWAL REFLEX IS MEDIATED BY …NOCICEPTORS
50 . DORSAL COLLUMN PATHWAY DOES NOT TRANSMIT ….PAIN.
51 .HEMISECTION OF THE CARD …. SIGNS WII BE BELOW THE SITE OF THE LESION .
52 .CAROTID SHEATH DOES NOT INCLUDE ….AUDITORY NERV.hypoglossal n in hypoglossal canal?
53 . BUPIVACAIN ………CARDIOTOXIC
54 . IN EDEMA ….. DEC ALBUMIN
55. GAS EXCHANGE IN THE LUNGS OCCUR AT….. ALVEOLAR SACS .
56 .ISCHIORECTAL FOSSA …… LAT BOUNDED BY OBTURATOR INTERNUS MSL
‎57 .. CANCERS IN HUMAN BEINGS IS DUE TO ….OVEREXPRESSION OF PROTOONCOGENS
58 . APPENDIX….. POST CAECAL ART, iliocolic
59 .ANOMIC APHASIA …. DMAGE TO … BROCAS OR ARCUATE FASICULUS … BOTH CAN CAUSE
60 .RT KIDNEY DIFF FR LEFT KIDNEY BY …. STRUCTURES AT THE HILUM OF EACH KIDNEY ..
61 . digastric triangle is bounded by … ant and post belly of digastric and mandible …
62 . which structure passes superficial to flexer retinaculum…. palmaris longus…
63 . ADH AND OXYTOCIN ORIGINATES FROM ….. HYPOTHALLAMUS
‎63 . REGAERDING SPERM PRODUCTION ….FSH IS NEEDED
65 . BLOOD TRANSFUSION REACTION …. TYPE II HYPERSENSITIVITY
66 . SCENARIO OF WOMEN HAVING HB 6 PALE ETC …. HEMOLITIC ANEMIA ..
‎67 . STAB WOUNd INJURY TO THE CHEST …. LUNG WILL BE DEPRESSESD AND CHEST WALL WILL BE PUSHED OUT
‎68 . CLAVIPECTORAL FASCIA ….ENCLOSES PECTORALIS MINOR MSL …………………………….
‎69 . CRUCIATE LIGAMENTS ARE ….. INTRACAPSULAR
70 . FAST PAIN IS TRANSMITTED BY …. A DELTA FIBERS
71 . IN ASTHMA …. DEGRANULATION OF MAST CELLS WITH INCREASE IGE .
72 . TRACTUS SOLITARIUS …. CONTAIN 2ND ORDER NEURONS IN TASTES PATHWAY ..
73 …SEPTICEMIA … POOR PROGNOSTIC SIGN IS DIC
74 . KNEE JOINT LIMINISCI … FIBROCARTILAGE
‎75 . BLADDER SUPPLY …. S2 S3 S4
76 . IN HIV … THERE IS DECREASE CD4 CELLS
77 . DHT INCREASE MSL PROTEIN SYNTHESIS …
78 . SODIUM DIFICIENCY IS SENSED BY ………OSMORECEPTORS
79 . WHICH REFLEX DECREASES HEART RATE ….OCULOCARDIAN REFLEX
80 . SCALENE ANTERIOR MSL …..ORIGINATES FROM C3 TO C6 .phrnic nerve pass anterior
81 . REAGARDING LESSER TUBEROSITY …..RECIEVES INSERTION OF SUBSCAPULARIS
‎82 . ELBOW FLEXION PLUS SUPINATION …..MUSCULOCUTANEOUS NERVE .
83 . REGARDING PLEURAL EFFUSION TAPPING …. DONE AT THE APPER BORDER OF RIB BELOW AT MAX AREA OD DULLNESS
‎84 ..LIVER CA WITH PROMINENT VEINS IN THE ABDOMEN AND THIGH ….. IVC OBSTRUCTION,hepatic vein
‎85 . RESPIRATORY ZONE ….EXTENDS FROM RESP BRONCHII TO ALVEOLI ….
86 . 67 % SODIUM ABSORBED IN ………….PCT
87 . HODGKIN LYMPHOMA WITH SPLEEN INVOLVMENT …. STAGE 3
88 . INTERNAL SPERMATIC FASCIA DERIVED FROM ………….FASCIA TRANSVERSALIS
89 .IN EPISIOTOMY WHICH MSL IS USUALLY CUT ….BULBOSPONGIOSUS,labia majorum..
90 . LAT FORNIX OF VAGINA IS RELATED TO ……. URETER
91 . SMOKING IS RELATED TO …………… THROMBONGITIS OBLITRANS
92 . SCENARIO OF CHILD WITH RECURRENT RESP INFECTIONS …SWEAT CHLORIDE TEST POSITIVE …..CYSTIC FIBROSIS
94. single most common cause of delayed wound healing is ……….infection
95 . scenario with gram negative bact infection …. meaning endotoxic shock …. cause of shock …. increse capillary permeability
96 . regarding neurogenic shock ….. decrease peripheral resistance ie vasodilatation
97 . which one is correct…… all preganglionic parasympathetics are cholinergic …
‎98 . receptors in adrenal medulla are ……………..nicotinic
99 .regarding end plate ….. acetylcholinestarases are present
1oo . left leg in air ….. right gluteus medius play role
‎1o1 . regarding vertebras …. c7 is called vertebra prominence coz of longest spinous process
1o2 . most radio sensitive tissue in the body is ….. lymph nod
‎1o3 . radiations affect which system of the body mostly ….hematopoetic
‎1o4 .TB ……………… CASSEOUS NECROSIS
‎1O5 .SCANARIO WAS GIVE WITH FEMALE AGE 24 …PALPITATIONS … WEIGHT LOSS ….. VALUES ALSO GIVE …TSH WAS IN THE LOWEST VALUE OF NORMAL …….THYROTOXICOSIS
‎1O6 . RAGARDING SLE WHICH STEMSHOWS ITS GENETIC PREDISPOSITION …. FEMALES OF THE FAMILY HV INC CHANCES OF HAVING THE DISEASE .family history?
1O7 . REGARDING BREAST CANCER ….INAPPROPRAITE IS …1 DETECTED BY SELF EXAM …2 . DEC INCIDENCE B4 24 YRZ OF AGE ..3 MULTIPAROUS WOMEN HV INCREASE CHANCES …
‎108 . INC PT …INC APTT …INC BT ……. DIC
109 . IN COLD WEATHER MOST COMMON SHORT TERM WAY OF HEAT PRODUCTION IS …..SHIVERING,piloerection?
‎110 . AFTER HIV SURGERY …OPERATION THEATER SHOULD BE WASHED WITH …. 2% GLUTARALDEHYDE .
‎111 . DIABETIC PERSON , WITH PARESTHESIAS N THENAR AREA … WASTING …… CARPAL TUNNEL SYNDROME
112 . POST PRANDIAL STATE …. INSULIN CAUSES STORAGE OF NUTRIENTS
113 . IN NECK DISSECTION WICH LYMPH NODE ARE NT REMOVED …. POST OCCIPITAL…. MYLOHYOID NODES
114 . REGARDING EXT OBLIIQUE MSL ….. ORIGINATES FROM LOWER 8 RIBS
‎115 .CSF FINDINGS WERE GIVEN . THEY SAID NO BACT INVOLVED …. CRYPTOCOCCUS
‎116 . POSITIVE PREDICTIVE VALUE …. PROPORTION OF POSITIVE TEST RESULTS THAT ARE TRUE POSITIVE …
117 . INCREASE INTRACELLULAR FLUID FORMATION …. DEC COLLOID OSMOTIC PRESSURE
‎118 . DIFF BETWEEN COLLOID OSMOTIC PRESSURE OF PLASMA AND INTRACELLULAR FLUID ….. I MOSM/L
119 . VIT B 12 ABSORBED IN ……………TERMINAL ILEUM
120 . ONE QUESTION WAS REGARDING CASE CONTROLE STUDY …. LUNG CANCER … SMOKING PERSONS EVALUATION ………………………………relative risk
121 . CHILD WITH YELLOW DISCOLOURATION OF THE SKIN …TESTS TO BE DONE ON ARRIVAL …ALT PLUS BILIRUBIN
122 . RENAL CAPILLARIES HV INCREASE PRESSURE COZ …1 ..SHORT AFFERENT ART …2 . DESCENDING EFFERENT ARTERIOL …3 .. DEC CAPILLARY LUMEN SIZE …ETC
123 .REGARDING LEFT RENAL VEIN ….DRAINS DIRECTLY IN TO THE IVC
124 . JOINT BETWEEN TWO PUBIC BONES IS OF WICH TYPE ….SYMPHYSIS
‎125 . KLINEFILTER SYND 47XXY
126 . CHILD WEITH NO CHEST SOUNDS ON LEFT AND INTESTINAL LOOPS IN THE CHEST …. FAILURE OF DEVELOPMENT OF PLEUROPERITONEAL CANALZ .hiatal hernia
127 . MALABSORPTION SYNDROME …. WICH VIT ABSORPTION WILL BE AFFECTED ….. VIT D
128 .. PROPYLTHIURACIL MOA …………….. DECREASE THYROID HARMONE SYNTHESIS ?????
129 . BOTH NE AND SEROTONIN ARE METABOLIZED BY …………..MAO
‎130 ..DEC STROID HARMONES SYNTHESIS …. DEC DESMOLASE ENZYMEE….
131 . ILEOSTOMY DONE …. DEC BILE SALTS ABSORPTIO
132 . DKA PT INFECTIVE FUNGUS ….MUCOR
‎133 . MID BRAIN REGARDING ….. CEREBRAL EQUIDUCT,cerebral peduncl divided by substantia nigra in tegemnt and crus
‎134 ..2ND ARCH DERIVATIVE …. STYLOHYOID LIGAMENT
135 . REGARDING THYMUS … DEVELOPS FROM 3RD POUCH?????????????
‎136 . REGARDING SUP LARYNGEAL NERVE …LIES BETWEEN HYOID BONE AND SUP CORNUE OF THYROID CARTILAGE …………………..
‎137 .. INCORRECT ABOUT THYROID …. ISHTMUS LIES AT THE LEVEY OF THYROID CARTILAGE
138 . WICH ORGANISM IE INSIDE RETICULO ENDOTHELIAL CELLS ……HISTOPLASMOSIS
‎139 .. BINIGH CONDITION …………….ADENOMA
140 … HEMARTOMA … ARISES FR BASIC CELLS OF THE TISSUE …I HV FORGOTTEN THE CORRECT WORDS IN THE STEM …BUT THIS WAS THE CORRECT ANSWER .
141 …HLA TYPING DONE N …………NEUTRIPHILLS
‎142 .. ORGAN REJECTION …………..HLA ANTIGENS ..
143 … CHOLANGIO CARCINOMA ….. CLONORCHIS SINENSES .
‎144 . CIMEIDINE GIVEN AFTER 2 HOURS OF SUCRALFATE …. COZ IT DES ITS ABSORPTION BY FORMING A LAYER .
145 .. ASPIRIN …DEC THROMBOXANE A 2 .
146 . SUBCAPSULAR SINUS……….LYMPH NODE
‎147 . HLA DR4 …..RHEUMATOID ARTHRITIS .
‎148 . ERYTHROBLAST FETALIS …. TYPE II HYPERSENSITIVITY …
149 . MOST POTENT CHEMATACTIC FACTOR …C5A
150 . INCREASE NEUTROPHILLS CAUSE … OCCURE IN MI .
151 ..INAPPROPRIATE ABT METAPLASIA ……… IRREVERSIBLE
152….COLONIC CA FOLLOW UP …. CEA
‎153 .. COMULUS OOPHORUS FORMED BY ………..GRANULOSA CELLS
154 .. ESTROGEN SECRETING TUMOR …………SERTOLI CELLL TUMOR
‎155 . MAP = DIASTOLIC PRESSURE PLUS 1/3RD OF PULSE PRESSURE
‎156 . 0SMOTIC PRESSURE DEPENDS ON … OSMOTICALLY ACTIVE PARTICLES .
‎157 . QRS COMPLEX OCCURS JUST B4 ……..VENT CONTRACTION..
158 …UNSTABLE PRE POTENTIAL …. SA NODE ..
159 … BARORECEPTORS DETECT ….DEC IN BP
160 ..BRAIN BLOOD FLOW REGULATED BY ….CO2
161 . REGARDING NEUROBLASTOMA ……… MASS IS FOUND IN THE ABDOMEN………………………..
162 ,,,SEVERE HYPOTENTION TRIGGER ……..BRAIN ISCHEMIC RESPONSE
‎163 . IST HR OF MI …ENZYME …CK MB
‎164 . INRESE HBV TRANSMISSIBILITY ,…… HBEAG POSITIVE … HBEAB NEGATIVE .
165 . INAPPROPRIATE ABT THORACIC DUCT BLOCKAGE …. CEREBRAL HEMISPHERES SWELLING .
‎166 .. STRUCTURE ARCHING OVER THE ROOT OF RT LUNG … AZYGOUS VEIN ..
167 .. INAPPROPRIAT …BRACHIALIS MSL IS PRONATOR OF THE FOREARM
168 . REGARDING CORONARY ARTERIS … BOTH RUN N THEIR RESPECTIVE AV GROOVES
170 .. MAJOR VESSELS IN THE BRAIN ARE FOUND IN ……SUBARACHNOID SPACE …
171 ..HEMOPHILLIA … X LINKED RECESSIVE
172 . HEMOPHILIA TEST ……………..APTT
173 .. CARBIDOPA IS GIVEN WITH LEVODOPA BACAUSE ….TO PREVENT PERIPHERAL BREAKDOWN OF LEVODOPA ….. 2ND OPTION WAS …TO FACILITATE LEVODOPA IN CROSSING BBB ..

174 . THIAZIDE DIURETICS ……………HYPERURECEMIA ………………………………..

175 . IN OLD AGE DEC AMINOGLYCOSIDES EXCRETION IS DUE TO …. DEC RENAL FUNCTION …

‎176 .. INCREASE BT NORMAL PLATELETS COUNT …………. WON VILLIBROND DISEASE .

177 ..BAD NEWS SHOULD BE IDEALLY DELIVERED BY PSYCHOLOGIST OR PSYCHAITRIST

178 ..PREGNANT LADY …FAVOURED POSITION IS LEFT LATERAL NOT RIGHT LATERAL BCOZ ……TO PREVENT PRESSURE ON IVC ..

179 …PT DOC CONVERSATION …. SHOULD BE STARTED BY ASKING PT NAME ..AGE …LOCATION..

180 …2ND WK TYPHOID TEST …..BLOOD CULTURE WITH WIDAL

‎181 .. SICKLE CELL ANEMIA ….TYPE OF HEMOGLOBIN IS HBSS

182 . MESONEPHRIC DUCT PERSISTS AS …… EPIDIDYMUS…………………………………….

183 .. CILLIAS ARE FOUND IN …….FALLOPIAN TUBE

184 . FEMALE WITH FEVER , SUPRAPUBIC PAIN …………ECOLI

185 .. MALABSORPTION NOT IMPROVED WITH GLUTEN FREE DIET . DX IS ……………GIARDIASIS

186 . PAIN FELT BETWEEN ORBIT AND UPPER JAW …..MAX NERVE

187 .. TATSE FR POST PART OF TONGUE …..LINGUAL BRANCH OF GLASSOPHARYNGEAL NERVE

188 . PT IS UNABLE TO WHISTLE ….FACIAL NERVE INJURY ..

189 .. AFTER ACCDENT WITH FEMORAL FRACTURE PT DIED …..FAT EMBOLISM

190 . COPD PT BED RIDDEN ..DEVELOP SHORTNESS OF BREATH ETC …THROMBOEMBOLISM

191 .. STOMACH PAIN ….EPIGASTRIC RAGION …GREATER SPLANCHNIC NERVE …

192 ..ARTERY OF FOREGUT ….CELIAC TRUNK

‎193 … FROM ARCH OF AORTA … WICH BRANCH ARISES IMMEDIATELY TO THE LEFT OF THE MIDLINE OF THE BODY …LEFT COMMON CAROTID …OR LEFT SUBCLAVIN …OR RT SUBCLAVIAN ………………..

194 …IN MYXOID DEGENERATION …MVP INVOLVED

195 ..TRICUSPID AREA IS BEST AUSCULTATED AT …LOWER PART OF RT STERNUM ….

196 .. VALUE OF FEV1/FVC …..0.8

‎197 .. HAIRY LEUKOPLAKIA …ASSOCIATED WITH HIV

198 …TRAVELLORS DIARRHEA DRUG TO BE GIVEN …ALLUMINIUM..

199 ..KNEE JOINT STABILITY MSL RESPONSIBLE …. Q FEMORIS MSL …

200.spur cell….







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