FCPS Past Papers, Recalls,fcps part 1 mcqs Medicine & Allied, November 2013

FCPS Past Papers, Recalls,fcps part 1 mcqs Medicine & Allied, 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

101. A smoker and psychic patient is having treatment presented with pain abdomen and visible peristalsis and audible sounds on examination:

A. Psychogenic

B. Stomach CA

C. Pyloric stenosis

D. Intestinal obstruction

102. Which of the following suffers from fat necrosis in peritoneal cavity?

A. Acute pancreatitis

B. Gut gangrene

C. Brain

103. Which one only uses glucose?

A. Brain

B. Heart

C. Liver

D. Skeletal muscles

104. Soft palate has:

A. Stratified squamous non-cornified

B. Simple columnar

C. Stratified squamous cornified

105. Facial nerve supplies:

10. Stapedius muscles

B. Muscle of facial expression except orbicularis occuli

C. Sensation from the face

106. Thalmic lesion is associated with sensory modulation:

A. Hyperesthesia

B. Numbness

C. Hyperreflexia

107. Nutmeg liver devolps due to:

A. Passive congestion of liver

B. Active viral hepatitis

C. Portal hypertension

108. Which of the following is NOT true about portal vein:

A. Formed by superior and inferior mesenteric vein

B. Present on free end of lesser omentum

C. Has tributaries from right gastric

D. Has tributaries from superior epiploic vein

109. In aortic dissection:

A. Cystic medial necrosis

B. Hypertension

C. Athero sclerosis

D. Old age

110. Which of the following is blood born:

A. Hep B

B. Herpes simplex

C. TB

111. Dormal rami of spinal nerve supplies:

A. Extensor of trunk

B. Limbs

C. Flexor of neck

D. Skin of abdomen

114. Spinal nerve:

A. Exit through inter-vertebral foramina

B. They have motor and dorsal root anteriorly

C. Ventral horn contains ganglion

115. About thoracic nerves:

A. Carry sympathetic innervations

B. 12 intercostal nerves

C. Supply the skin of the abdomen only

D. Supply intercostals muscle only

116. Best site of lumber puncture:

A. Above L4

B. Above L2

C. Above L3

D. Below L5

117. Coarctation of aorta is associated with:

A. Constriction just after the subclavian artery

B. Dilatation below the coarctation

118. Down syndrome is associated with before the age of 40:

A. Alzheimer’s disease

119. Placenta:

A. Separates vessels in muscular layer from spongiosum

B. Separates vessels from many uterine arteries

C. Covered with amnion on fetal side

D. It is also called feto-chorionic

120. A patient is febrile and undergoing shock. Investigation shows P. aurignosa. The shock is dues to:

A. Endotoxin

B. Factor release

C. Toxic shock syndrome

D. Exotoxin

121. True about hyperplasia

A. Cells with rapid mitosis

B. Occurs in old age

C. Usually irreversible

122. Human is intermediate host in which of the following:

A. Hydatid cyst disease

B. Beef tape worm

C. Encylostoma duedinale

D. Ascaris

E. Trachonema vaginalis

123. Eosinophilia is not associated with:

A. IgM

B. Ascaris

C. Hey fever

D. Asthma

E. IgE

124. Heart does not show tetanization due to:

A. Increase refractory period

B. Prolonged intermodal delay

C. Decrease intracellular calcium

125. Which of the following is associated with treatment of vomiting, increases the contractility of lower esophageal sphincter and increases the motility of gut

A. Metoclopramide

126. Which of the following is NOT associated with Thyroid hormone?

A. Catabolism of muscle

B. Increase metabolic rate

C. Ionotropic effect

D. Bone maturation

E. Anabolism of fatty acids

127. Which of the following has highest clearance?

A. Inulin

B. PAH

C. Glucose

D. Na

128. Lesion of common peroneal nerve, inability to:

A. Eversion

B. Plantar flexion

C. Plantar flexion of big toe

D. Inversion

E. Medial side sensation

129. Eversion/inversion occurs at:

A. Subtallar joint

B. Tibiofibular joint

C. Ankle joint

130. 15 years old boy present with bleeding :

A. 20 x 109

B. Platelet count 90 x 109

131. In boy the most common cause of petechial rash on oral mucosa and skin after pancreatectomy is due to:

A. Decrease absorption of vitamin K in gut

B. Decrease iron

C. Decrease absorption of vitamin C in gut

132. Sarcomere lies between

A. Z disc

B. H lines

C. 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?

A. Neutrophils

B. Eosinophils

C. Lymphocytes

D. Plasma cells

134. Antibodies are produced by:

A. Plasma cells

B. Mast cells

C. T cells

D. Neutrophils

135. Spinal nerves

A. Originate from neural crest cells

B. Ventral rami supply the limbs

136. A yellow fever case occurring in area of non-endemic is called:

A. Sporadic

B. Endemic

C. Pandemic

137. Which one produces severe reaction while transfusion?

A. A- to A +

B. O to AB

C. A to AB

137. A woman with obstructive jaundice, which of the following is marker?

A. Gamma glutamyl transferase

B. ALP

C. AST

D. ALT

138. Ribosomes

A. Site of protein synthesis

B. Attached with ER and synthesize cytoplasmic protein

C. Present in cytoplasm and synthesize protein

D. Synthesize messenger RNA

139. Pain epigastrium due to gastric ulcer carried by:

A. Greater splanchnic nerve

B. Lesser splanchnic nerve

C. Least splanchnic nerve

140. Stony dull percussion note on anterior chest:

A. Pleural effusion

B. Thickened parietal pleura

C. Thickened visceral pleura

D. Pneumothorax

141. Creatinin clearance: Plasma creatine = 1.12; Urine creatine = 1.44; Total urine =? Creatinine clearance clearance?

A. 1.68 L/m

B. 168 L/D

C. 1.44 L/m

D. 1.16 L/m

E. Cannot be calculated with these values

142. 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?

A. 48%

B. 64%

C. 16%

D. 84%

E. 96%

143. In distribution curve, which of the following is most likely?

A. Normal distribution

B. Distribution on right side +ive peak

C. Distribution on left side +ive peak

144. Life of platets:

A. 10 days

B. About 1 week

C. 2-4 days

D. About 1 month

145. About RBCs

A. Destroy in spleen when are old

B. Life is 3 weeks

146. 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?

A. Iron deficiency

B. Anemia of chronic disease

C. Thallassemia intermedia

147. A 60 years old patient present with dysphagia and biopsy of mid-esophagus shows squamous cell CA. Condition associated with it is:

A. Chronic alcoholism

B. Behaviour disease

C. Mallory Weis tear

148. Perinephric fat and kidney is enclosed by:

A. Geota’s fascia

B. Gillson’s fascia

C. Peritonium

D. Triangular ligament

E. Coronary ligament

149. Lungs receive blood at rest in liter per minute

A. 5

B. 3

C. 4

D. 2

E. 6

150. Staging of tumour is related with:

A. Invasive extent

B. Cellular atypia

C. Hyperchromia

D. Mitotic bodies

151. Venous return decreases in:

A. Skeletal muscle paralysis

B. Veno-constriction

C. Increase blood pressure

D. Increase cardiac output

152. During the increase in HR, which of the following occurs?

A. Diastolic period decrease more as compared to systolic period

B. Systolic period decreases and diastolic remains constant

C. Diastolic decreases and systolic remains constant

D. Systolic period decreases as diastolic

E. No change

153. A lady presents with bilateral diplopia worsening on evening. Which test is most appropriate to diagnose the case?

A. Antibodies to acetylcholine receptors

B. Tensillon test

C. Nerve conduction study

D. EMG

154. Myasthenia gravis ai improved by:

A. Anticholinestases

B. Chilinesterases

C. Acetylecholine transferases

D. Acetyle CoA

155. Most appropriate function of sternocleidomastoid muscle:

A. Turns the neck to the opposite side against resistance

B. Turns the neck to the same side against resistance

C. Flexes the neck

D. Extends the neck

156. After trauma, patient loses sensory sensations on the lateral palmar surface of the hand and unable to flex index finger. Lesion in:

A. Median nerve

B. Radial nerve

C. Ulnar nerve

D. Axillary nerve

E. Musculocutaneous nerve

157. Most appropriate for the diagnosis of SLE is?

A. Ds DNA

B. Nuclear protein

C. Rh0 antibodies

D. Endomycial antibodies

E. Antinuclear antibodies

158. Reversal of MGSO4 :

A. CaCl2

B. Bicarbonate

C. Proteins

D. Phosphate

159. Sojogren syndrome is most likely associated with:

A. Scleroderma

B. SLE

C. Rheumatoid arthritis

D. Thyroiditis

E. Ceiliac disease

160. A patient comes with leratitis, arthritis, xerosmia. Diagnosis?

A. Scleroderma

B. SLE

C. Rheumatoid arthritis

D. Thyroiditis

E. Ceiliac disease

161. 30 years old man present with hematuria. Biopsy shows patchy urothelium with underlying hyperplasia of smooth muscles. Cause?

A. Smoking

B. Tubular sclerosis

C. Recurrent infections

D. Hypertension

162. Memory loss after trauma:

A. Hippocampus

B. Cerebral cortex

C. Mid-brain

D. Reticular formation

163. During walking painful stimuli causes flexion of the leg. It is:

A. Reflex with no inter-neuron

B. Polysynaptic

C. Muscle stretch

D. Golgi tendon

164. Primary sign of shock:

A. Rapid pulse

B. Transient increase in BP

C. Dyspnia

D. Altered sensorium

165. CO2 diffusion in the lung is greater than O2 is due to?

A. Greater solubility coefficient

B. Increased CO2 partial pressure in lungs

C. Increased density of CO2

166. Basic drugs bind to:

A. A-1 glycoprotein

B. Albumin

C. Fat

D. Water soluble

167. Substances that pass through biological membrane in the process of simple diffusion:

A. Water soluble

B. Un-saturatable

C. Energy dependant

D. Have carrier protein

168. In chronic alcoholism which of the following occurs in liver?

A. Disorganized structure

B. Constriction of central vein

C. Distortion of porta-hepatis

169. On terminal iliostomy, which of the following occurs?

A. Increased amount of water in stool

B. Decreased absorption of fat

C. Decreased absorption of iron

D. Decreased absorption of glucose and amino acids

170. Micturation reflux:

A. Involves parasympathetic sacral segment

B. Initiated by higher center

C. Controlled by sympathetic

D. Generates itself

171. During decrease in blood pressure, which compensatory response occurs?

A. Decreased discharge rate of carotid sinus

B. Increase parasympathetic activity

C. Increased hering nerve activity

D. Decreased hering reflex