Past Paper of FCPS Part 2 Surgery November 2012

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SURGERY 20th  NOVEMBER 2012 

 

Q1 which of the following has high caloric value
a- fats
b-CHO
c-proteins
d-minerals

Q2 Avidin binds to
a-biotin
b-vit C
c-vit A
d-vit B12

Q3 Anterior fontanelle closes at
a-12-18 months
b-18-24 months

Q4 In embryo 1st bone to ossify is
a-clavicle
b-femur
c-humerus
d-tibia
d-sternum

Q5 In renal failure(uremia),the blood urea level is increase bcz of
a-dec GFR
b-dec secretion of urea from DCT

Q6 In mycobacterium tuberculosis, the antibodies produce are
a-present in serum
b-bound to cell
c-can be transmitted to the other person
d-bound to bacteria

Q7 Viruses demage the cell by
a-altering the protein metabolism

Q8 Choose the appropiate statement regarding glands & epithelium
a-simple sequamous epithelium is present at the site of gaseous exchange

Q9 In insulin deficient pt,there is
a-increase ketogenesis in liver

Q10 A pt is treated for sarcoma of lower leg,6months later he develop ulcer & fibrosis of skin of leg.it is due to
a-Damage to seqamous epithelium
b-End arteritis obliterans
c-Venous thrombosis
d-Infection

Q11 What is the most frequent side effect of cimetidine
a-Anti estrogenic
b-Inhibit hepatic metabolism
c-Agranulocytosis
d-hypertention

Q12 Non-dividing permanent cells are
a-Glial cells
b-Myocardial cells
c-hepatocytes

Q13 Axon of the neuron does not contain
a-Neurofilaments
b-Microtubules
c-Nissel granules
d-Microfilaments

Q14 Propagation of action potential across the memb is bcz of
a-membrane depolarization
b-increase entery of Ca+2

Q15 On operating table,(where moisture is 80% & temp is 27C)the heat loss from the body of pt is via
a-Radiation & conduction
b-Sweating
c-Respiratory system
d-Increase metabolism

Q16 Bioavailability is factor,which determine the blood conc of the drug,if given via
a-Oral
b-I/V
c-I/M
d-s/c
e-s/L

Q17 Volium of distribution of drug is not effected by
a-age
b-renal disease
c-liver disease
d-sex

Q18 Liver is suspended in abdominal cavity via
a-hepatic vein connecting to inferior vena cava

Q19 TPR depends on
a-arterial B.P
b-Vascular tone
c-Microcirculation
d-Vasomoter tone

Q20-Lymph is filtered in
a-Lymph node
b-spleen
c-Liver

Q21 oedema fluid in acute inflammation has the most imp characteristic feature
a-contain lymphocytes
b-contain no fibrogen
c-contain proteins 3.5g/dl
d-has specific gravity 1.010
e-it is transudate

 

Q22 Thromboxane A2 is synthesized by
a-platelets
b-endothelial cell

Q23 Prostacyclines are synthesized in
a-Endothelial cells

Q24 T-wave represent
a-ventricular repolarization

Q25 Large size RBCs are found in
a-Pernicious anemia

Q26 Pt has dec Ca+2,inc PO4,inc PTH & normal alkaline phosphatase,the diagnosis is
a-CRF
b-Osteomalacia

Q27 Diff b/w septic & hypovolemic shock
a-temp
b-hypovolemia
c-tachycardia

Q28 Blood group antigen
a-secreted in saliva
b-Aglutinin

Q29 Antibodies are formed by
a-Plasma cells

Q30 A 54yr old hypertensive pt,on treatment,presented in semiconscious state.Her serum K+ level is 6mmol/l,the most probable cause is
a-Diuretics
b-ARF
c-CRF
d-Cushing”s syndrome

Q31 A pt with apathy,oedema,hepatomegaly & dec serum albumin,the diagnosis is
a-Kawashiorkor
b-Marasmus

Q32 In wound healing by 2ndry intention,the granulation tissue
a-provide nutrition to macrophages
b-causes wound contracture

Q33 A cardiovascular surgeon whille operating notices bleeding from a vein accompanying anterior interventricular artery,the vein is
a-Great cardiac vein

Q34 Blockage of Rt superior bronchus by a mass will block the segment of the lung
a-Rt anterior superior segment
b-Anterior basal
c-Lateral basal
d-Medial basal

 

Q35 A pt has worms infestation & incr WBC count.On differential leukocyte count, most probably there is
a-Eosinophilia

Q36 Adult polycystic kidney disease is
a-Autosomal dominant trait

Q37 In case of genetic disease,the defect lies in
a-DNA
b-Nucleotide
c-RNA
d-mRNA

Q38 A pt has hematocrit 41%, it indicates
a-41% of RBC”s in formed elements of blood
b-41% of Hb in RBC”s

Q39 Sound produce by distensibility of ventricle,during ventriculer filling is
a-S3
b-S4

Q40 Thirst centre is stimulated by
a-ADH
b-Angiotensin 2
c-Aldosteron

Q41 Fibrous & parietal layer of pericardium is suplied by
a-phrenic nerve

Q42 A gynaecologist wants to know the effects of 2 drugs on UTI.Group A is given amoxicillin(without labelling) & Group B is given ciprofloxacin without labelling.this type of study is called
a-single blind
b-double blind

Q43 Potent stimullant, causing release of aldosteron is increase in
a-plasma K+ level
b-renin release from kidney

Q44 A 30yr old female with granulomatous lesion of nasal septum,vasculitis & proteinuria, the most likely lesion is
a-Wegener granulomatosis
b-leprosy
c-T.B
d-sarcoidiosis

Q45 which of the following is NOT raised in stress
a-cortisol
b-growth hormone
c-catecholamines
d-Insulin

Q46 For mycobacterium tuberculosis,a pt is given PPD s/c,after 48hr there is induration of skin,the cells involved in skin reaction along with macrophages are
a- T lymphocytes
b-neutrophil
c-mast cells
d- B cell

Q47 Heparin is stored in cells of connective tissue
a-mast cell
b-fibroblasts

Q48 Mechanism involve in activation of memb cAMP pathway is
a-Receptor
b-Enzyme
c-carrier protein

Q49 Factor causing Rt shift of Hb-dissociation curve is
a-Acidosis
b-increas ph

Q50 The main difference b/w benign & malignant tumor is
a-Anaplasia
b-increase mitotic figures
c-Metastasis
d-Invasive & infiltrative margins

Q51 which of the following does NOT metastasize to bone
a-CA breast
b-CA prostate
c-CA lung
d-HCC

Q52 Remanent of urachus is
a-median umblical ligament

Q53 which is NOT the part of Diencephalon
a-Infundibulum
b-Habnular nucleus
c-mamillary body
d-pulvinar
e-superior colliculus

Q54 Which receptors are not activated by mechanical distorsion
a-Cones
b-paccinian corpuscles
c-Semicircular canal
d-Utrical & saccule
e-otolith organ of corti

Q55 Transitional epithelium of u bladder is derived from
a-Mesoderm
b-endoderm
c-ectoderm
d-endoderm & mesoderm

Q56 Disorderly growth wiith change in cell shape,size,maturation,which is also reversible
a-metaplasia
b-anaplasia
c-dysplasia
d-neoplasia
e-desmoplasia

Q57 While calculating plasma osmolality the conc of Na+ is multiplied by 2 bcz of
a-other cation
b-proteins
c-anions

Q58 Specificity of a test shows
a-true positive
b-true negative
c-false negative
d-false positive

Q59 which enhances communication b/w Dr & pt
a-Active listening

Q60 A pt with glycosuria but his plasma glc level is 100mg/dl
a-it may be normal for the individual
b-due to dec renal threshold for glc
c-dec absorption of glc from PCT
d-pt is diabetic
e-abnormaly dec reabsorption of glc

Q61 MHC are on
a-HLA gene

Q62 Iron stores in tissue as
a-ferritin

Q63 Triglycerides
a-carried in plasma by lipoprotein
b-freely cross placental barrier
c-consist of glycerol & glc

Q64 Enzymes that transfer 1 group of atom from one substrate to other are called
a-Transferases
b-Hydrolases
c-Oxidoreductases

Q65 Glucocorticoids act via
a-memb receptor
b-cytoplasmic receptor
c gene transcription
d-IP3 system

Q66 During fight,fright & flight,the sympathetic system activation causes
a-dec bronchial resistance
b-pupil constriction
c-dec heart rate
d-dec B.P

Q67 Regarding withdrawl reflex..A pt gets a painful stimulus on foot
a-polysynaptic
b-monosynaptic
c-involve stretch receptors/reflex
d-inhibition of flexers

Q68 which of the following is a Premalignant lesion

a-Leucoplakia
b-cervical erosion
c-duodenal ulceration
d-haemarthrosis

Q69 Gaseous exchange is max at
a-Aveolar ducts
b-Alveolar sacs
c-Alveoli
d-Respiratory bronchioles

Q70 At time of ovulation,the most appropriate statement is
a-inc in body temp at 2nd half of cycle
b-corpus luteum form in ovary
c-inc estrogen
d-inc progestron

Q71 A tumor with all germ cell layers is
a-teratoma

Q72 A pt was given 5% dextrose water,this will inhibit
a-ADH
b-aldosteron
c-vasopressin
d-cortisol
e-insulin

Q73 A pt can survive without mechanical ventilation,if the lesion is
a-above C2
b-at C3
c-at C4
d-below C5

Q74 Heart muscles are not tetanized bcz of
a-long refractory period
b-automicity
c-rhythmicity
d-conduvtivity

Q75 which structure is burried in lateral sulcus
a-insula
b-sebiculum
c-operculam
d-splenium
e-pars triangularis

Q76 what is the most appropriate about thyroid
a-parathyroid lies on ant lateral surface
b-epithelium changes according to the activity of the gland
c-Isthmus lies above cricoid cartilage

Q77 Subarachnoid space end at level of
a- L1-L2
b- L3-L4
c- S2-S3
d- L5

Q78 Role of renin angiotensin in short term regulation of B.P
a-vasoconstriction of arterioles
b-stimulation of thirst centre
c-release of aldosterone

Q79 Ant wall of rectus sheath b/w umblicus & xiphisternum is
a-formed by ext oblique & ant lamina of int oblique aponeurosis

Q80 oedema is caused by
a-dec hydrostatic P
b-inc osmotic P
c-lymph obstruction

Q81 specific symptom of Clostridium Botulinium in food poisoning
a-diarrhea
b-flaccid paralysis of respiratory muscles
c-nausea & vomiting

Q82 cavernous sinus contains
a-Abducent nerve
b-trigeminal nerve
c-trochlear nerve

Q83 A 15 week pregnant lady develop thyrotoxicosis,the drug of choice is
a-propylthiouracil

Q84 Coupling of myosin filaments,to actin binding site, is inhibited by
a-tropomyosin
b-troponin C

SURGERY PAPER 2

Q1 A 40yr old male is diagnosed as having Hodgkin lymphoma, which type has good prognosis
a-Lymphocyte predominant
b-Lymphocyte depleted
c-Mixed type
d-Nodular sclerosis

Q2 Which structure lies posterior to arch of aorta
a-Left phrenic nerve
b-Rt phrenic nerve
c-SVC
d-Bracheocephalic vein

Q3 An Asthmatic pt with following ABGs
pH 7.32, pCO2 48, HCO3 25 has
a-Respiratory acidosis with metabolic compensation
b-Respiratory acidosis without metabolic compensation
c-Respiratory alkalosis without metabolic compensation
d-respiratory alkalosis with metabolic compensattion

Q4 Mucosa of Gall bladder is
a-simple columner
b-simple cuboidal
c-stratified sequamous epithelium

Q5 Cells involve in formation of BBB
a-Astrocytes
b-Microglia
c-Macroglia
d-Ependymal cells

Q6 In Bano,a soldier presented with 3 month history of fever,bilateral lymphadenopathy,hepatosplenomegaly,anemia,fatigue.He has history of sleeping on floor & bite by some fly.the diagnosis is
a-Kalazar
b-CML
c-Filariasis
d-Schistosomiasis
e-Malaria

Q7 Which is correct regarding Axillary artery
a-It Lies behind pectoralis minor
b-Extend upto the lower border of pectoralis major

Q8 Liver is connected to ventral body wall via
a-Falciform ligament
b-Lesser omentum

Q9 Gluteus medius & minimus
a-Abducter & medial rotater of hip joint
b-Abducter & lateral rotater of hip joint
c-Adductor & lateral rotater of hip

Q10 Foot drop is due to demage of
a-Common peroneal nerve
b-Superficial peroneal nerve

Q11 Demage to the tibial part of Sciatic nerve, but still the pt is able to do some flextion on the knee bcz of
a-Short head of BICEPS FEMORIS
b-Gastrocnemius

Q12 Biceps Brachii
a-Arise from supraglenoid tubercle of scapula
b-Attach to humerus
c-cause pronation

Q13 Pubic symphysis is example of
a-2ndry cartilagenous joint

Q14 Demage to ulner nerve at supracondyler fracture,results in
a-loss of innervation to 3rd & 4th lumbricals

Q15 Flextion at carpometacarpal joint is by
a-Flexor digitorum profundus
b-Flexor digitorum superficialis

Q16 Iliac resection causes
a-Increase in H2O content of feces
b-increase in bile salts in enterohepatic circulation
c-decrease in amino acids absorption

Q17 Sevoflurane
a-carboxylated ether
b-causes cough when given during induction

Q18 Central chemoreceptors respond to
a-increase in CO2 tension
b-increase in O2 tension
c-decrease in O2 tension

Q19 Ascending reticular formation
a-present in the floor of aqueduct of sylvius

Q20 During operating on a vascular tumor,a pt is given multiple massive transfusion.He develop ECG changes,not related to infarction.The most likely cause is
a-Hyperkalemia
b-Hypercalcemia

Q21 Organisn causing meningitis 2ndry to lung abscess is
a-Staph aureus
b-H.influenzae
c-Pneumococcus

Q22 Which pt gets maximum benifit from splenectomy
a-Autoimmune hemolytic anemia
b-Hereditary spherocytosis
c-Thallassemia
d-Sickle cell anemia
e-G6PD deficiency

Q23 Cerebral malaria is caused by
a-Plasmodium falciparum
b-Plasmodium vivax
c-Plasmodium ovale

Q24 Demage to ant cruciate ligament causes rotation of femur on tibia
a-anteriorly
b-anteromedially
c-anterolaterally
d-posterolaterally

Q25 Which of the following is a Premalignant lesion
a-Achalasia
b-Barret esophagus

 

Q26 Regarding Thymus
a-it contains large amount of lymphocytes
b-Arise from 4th pharyngeal arch
c-Originate from thyroid gland

Q27 In Haemophillia
a-there is decrease level of factor 8
b-Increase PT
c-Increase BT

Q28 Anemia in CRF is due to
a-decrease erythropoeitin

Q29 Bone marrow RBCs precursors continue to produce RBCs bcz of effect of
a-Erythropoietin

Q30 An 18yr old girl presented with epistaxis & menorrhagia.On bone marrow aspirate,there is hyperplasia of Megakaryocytes.The most likely diagnosis is
a-ITP
b-TTP

Q31 A severly burn pt develops bleeding diasthesis after developing fever.On gram staining,there are gram -ve diplococci.The most likely diagnosis is
a-DIC

Q32 Morphine causes
a-Bradycardia & meiosis
b-Bradyapnea & mydriasis
c-Tachyapnea & mydriasis
d-Tachyapnea & meiosis

Q33 A17yr old boy presented with rapid onset of wide spread purpura on all over the body.The diagnosis is
a-Vit C deficiency
b-Platelets count is 20(10 raised to power 9)/L
c-Platelets count is 90(10 raised to power 9)/L
d-decrease factor 8
e-Increase capillary permeability

Q34 If factor 8 is not available,what will you give to a pt of haemophilia
a-Cryoprecipitate
b-Plasma
c-Albumin

Q35 A pt having CVP line in subclavian vein & on parenteral nutrition.He develop fever.Blood CP shows increase TLC. Gram staining shows clusters of gram +ve cocci.The drug of choice for this organism is
a-Amoxicillin+Clavulanic acid
b-Vancomycin
c-Ceftazidim
d-Imepenam
e-Piperacillin+Tazobactam

 

Q36 EBV virus is associated with
a-Burkit lymphoma

Q37 Sore throat is caused by
a-Group A beta haemolytic streptococci
b-Pseudomonas

Q38 A therapeutic & toxic side effect of Loop diuretics
a-Low blood volume
b-increase Na+ conc
c-increase K+ conc
d-Acidosis

Q39 A pt with episodic hypertension,increase urinary vinyl mendalic acid,the most probably tumor is of
a-Chromaffin cells

Q40 Which parasitic disease is caused by mosquito
a-Filariasis

 

Q41 In case of autosomal dominant trait disease
a-Only one parent of the affected child is the sufferer

Q42 Respiratory symptoms are most the characteristic of
a-Ascariasis

Q43 The most common aquired mutation in thrombotic disorders is
a-Antiphospholipid syndrom
b-Protein C deficiency
c-Protein S deficiency
d-SLE
e-Antithrombin 3 deficiency

Q44 Pyogenic peritonitis is caused by
a-Bacterioides
b-E.coli

Q45 Anterior surface of Lt kidney is not related to
a-Diaphragm
b-Spleen
c-Stomach
d-Pancrease

Q46 Aorta
a-Ends at L5
b-Give paired branches to the parietes
c-Give renal artery at L2

Q47 Left Gastric artery is a branch of
a-Celiac artery

Q48 Right suprarenal vein drains into
a-Inferior vena cava

Q49 During surgery on the Parotid gland,the posteromedial surface is related to
a-Carotid sheath
b-Medial pterygoid
c-lies medial to pharynx

Q50 Fracture of ramus of mandible,just below the opening of mandibular foramen,there is
a-Loss of function of mylohyoid
b-Loss of sensation on skin of chin
c-Loss of sensation on lower jaw & gums

 

Q51 External jugular vein
a-formed on the surface of sternocleidomastoid behind angle of mandible
b-formed by ant division of retromandibular vein & post auricular vein

Q52 Inyracellular & extracellular K+ gradient is maintained by
a- Na-K ATPase
b-Insulin
c-cortisol

Q53 Posterior triangle of neck
a-formed by apex of middle of clavicle
b-formed by anterior border of trapezius & anterior border of sternocleidomastoid
c-it contain trunks of brachial plexus,rami of C2;C3,C4 & subclavian artery
d-It is crossed by superior belly of omohyoid

Q54 In the formation of thyroid hormone,the 1st step is binding of
iodine to
a-Tyrosine
b-Thyroglobulin

Q55 Sternocleidomastoid is supplied by
a-Accessory Nerve

 

Q56 Median Nerve
a-fibers derived from C6-C8,T1
b-supply medial half of flexor digitorum profundus
c-supply dorsal surface of skin of lateral three & half fingers

Q57 Head of Humerus is supplied by
a-Anterior circumflex humeral artery
b-Posterior circumflex humeral artery
c-suprascapular artery

Q58 In adults the head of femur is supplied by
a-Medial & Lateral circumflex femoral artery
b-Obturator artery

Q59 Under microscope the features showing Actinomycosis
a- Lined by Giant cells
b-Abscess
c-Granulation tissue with abscess

Q60 In 15yr old boy,the medullary carcinoma of thyroid is considered familial because of
a-Age
b-Solitary
c-Metastasis
d-Increase secretion of hormone

 

Q61 A 70yr old male come with history of SOB,loss of apetite, fatigue, off & on constipation.His Hb is decreased & stools for occult blood is +ve.The diagnosis is
a-C.A Colon
b-ulcerative colitis
c-Diverticulitis
d-Polyposis
e-Haemorrhoids

Q62 A pt has multiple polyps on colonoscopy.His father died of same disease.These types of polyps are
a-Hemartomatous
b-Adenomatous polyp
c-Metaplastic

Q63 Regarding autonomic blood supply of heart,which is not appropriate
a-On post ganglionic sympathetic endings,there is discharge of acetylcholine.
b-Parasympathetic causes vasoconstriction of coronary arteries.
c-Local regulation by metabolites is more than hormonal control.
d-Post ganglionic sympathetics end at SA & AV node

Q64 Regarding Parasympathetic
a-causes relaxation of intestinal sphincters
b-Inhibition of peristalsis

Q65 Stimulation for release of Gastrin
a-Proteins in food
b-Fats in food
c-Acid released come in contact with antrum








 

 

 

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