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Thursday, 20 March 2014

FCPS Past Papers, Recalls, Medicine & Allied, March 7, 2013 with answers

FCPS Past Papers, Recalls, Medicine & Allied, March 7, 2013 with answers
MCQs;

 1.grade IV encephalopathy caused by

    a paracetamol

    b ethylene glycol

    2. ptnt on ATT develop joint pain nd have inc. uric acid level which drug?

    a pyrazinamide

    b rifampacin

    c ethambutol


    3. phenoromone are
    a cant detect by human due to low threshhold of olfaction
    b relase among members of diff. species
    c elecit a special behaviour response

    4. ptnt with ATT now develop visual field abnormalty nd eye changes which drug?
    a ethambutol
    b inh
    c rifampacin

    5. which nerve not present in carotid sheath?
    a X
    b XI
    c XII
    d Ix
    e auditory

    6. hairy leukoplakia assoc. with
    a HIV

    7. T 9:22 dislocation occurs in
    a cml
    b aml
    c cll

    8. most common cause of fatty liver in our region?
    a hep a nd b
    b alcohol
    c inc fat intake
    d protien def

    9. basal ganglia complex have?
    a high ca
    b high magnesium
    c low ca

    10. peripheral blood of patnt show marked anisocytosis nd poikilocytosis with inc. mcv
    a pernicious anemia
    b anemia of chronic disease
    c thalasemia

    11. vit b12 normally absorb in
    a ileum
    b duodenum
    c stomach

    12. a ptnt with fracture of femur died after 2 days cause?
    a fat embolism

    13. ptnt with butterfly rash nd protienuriamost initial screening test?
    a ana
    b anti dna

    14. old male farmer with ascites on ascitic fluid have malignant cell nd on biopsy angiosarcoma cause?
    a afalatoxin
    b vinyl chloride
    c arsenic

    15. a 4 year boy with failure to thrive recurrent sinusitis otitis media nd RTI nd family history of such complains to cnfrm diagnosis?
    a choloride sweat test
    b fat absorption test
    jejunal biopsy

    16.most potent protien synthesis in skeletal muscle?
    a testosterone
    b dht
    c progesterone
    d estradiol

    17. child has surgery of terminal ileum which vitamin not absorbed?
    a b12
    b vit c

    18. baby with recurrent cervical lymphadenopathy klebsiella pneumonia is isolated from lesion which immun deficiency?
    a chronic gran. disease
    b severe combine agamma
    c t cell function defect

    19. most potent chemotactic agent
    a c5a

    20. 40 year male with skin pigmentation nd disturbance in balance. anemic, mcv 126fl serum ferritin 600ng/ml?
    a IDA
    b megaloblastic
    c anemia of chronic disease

    21. angina worsens by giving?
    a captopril
    b vasoopressin
    c b blocker

    22. IHD with or without MI features?
    a stable angina
    b unstable angina
    c MI
    d prazimental angina

    23. edema of nephrotic synd?
    a hypoalbumin

    24. best example of autoimmunity against single organ?
    a hashimoto thyr
    b poly arteritis
    c sle
    d RA

    25. 60 YEAR OLD MALE 8 MNTH HISTORY OF PROGRESIVe genrelisd lymphadenopathy hb 9.8 tlc 59x10`9 peripheral show mature lymphocyte?
    a CLL
    b Hairy cell leukemia
    c sarcoidosis

    26. boy with loss of apetite vomiting high color urine nd yellow sclera?
    a bilirubin + alt
    b hep a nd b
    c liver biopsy

    27. type of TYPE III hypersenstvty?
    a post streptococal gmnephritis

    28. klienfelter karyotype?
    a XO
    b XX
    c XXY

    29. diagnosis of typhoid in 2nd week?
    a blood culture + widal
    b widal
    c blood culture

    30. first symptom of hypopitutrism sec. to pitutiary tumor?
    a DI
    b DM
    c hypogonadism

    31. myxoid degeneration assoc with
    a mitral prolapse
    b inf. endocarditis
    c marantic endocard

    32. insulin inc entry of glucose in
    a skeletal muscle
    b neurons
    c mucosa of small intestine

    33. blockade of dopa receptor by l.dopa causes all except
    a ammenorhea glactorhea syndrome
    b antiemetic
    c parkinsonism
    d antipshycotic

    34. aspirin given to decrease chance of IHD will cause?
    a dec pltlt agregation

    35. digoxin related question in which toxicity in?
    a given with quinidine
    b hyperkalemia
    c hypermagnesimia
    d hypocalcemia

    36 hepatic pedicle consist of?
    a hepatic artery
    b br. of portal vein
    c hepatic artery portal vein common hepatic duct

    37 diff b/w cimetidine nd ranitidine s that ranitidine?
    a less effective
    b less CNS side effects
    c dec gastric motility

    38 distance for respiratory droplets to cause infection?
    a 1-2 feet
    b 3-6 feet

    39 artery of foregut?
    a celiac
    b SMA
    c IMA

    40 body first mechanism to produce heat against cold?
    a shivering

    41 presence of scanty barr body?
    a turner
    b klienfelter
    c TFS
    d downsyndrome male

    42 regarding thalamus?
    a control emotion
    'b control body water
    c recieve all somatic nd sensory information

    43 structure passing foramen ovale?
    a maxillary
    b mandibular
    c meningeal artery

    44 baby prefering bottle milk over breast milk?
    a cleft soft palat
    b cleft soft nd hard palate
    c dec hormones
    d weak larynx muscle
    e nose blokade

    45 fracture of shaft of humerus nd ptnt cant raise arm?
    a axilley nerve

    46 ptnt cant evert his foot damage to?
    a tibialis ant
    b tibialis post
    c peroneus longus
    d flexor digitorum'

    47 stucture not forming wall of inguinal canal
    a aponeurosis of EO
    b IO
    c lacunar ligament
    d cojoint tendon
    e fascia transversalis

    48 structure which prevent movement of unwanted material from passing from one epithelium cell to other?
    a tight junc
    b gap junc
    c desmosome
    d zona adherens
    e internuclear material

    50 regarding metaplasia chose inappropriate?
    a is irreversible

    51 most common thing causing tumor is?
    a non lethal mutaion in gene
    b mutation of proto oncogene

    52 cause of inc. BT
    a vwf def
    b liver disease
    c vit k def

    53 malignancy with autosomal dominant heritance
    a child retinoblastoma
    b ovarian ca
    c breast ca

    54 child treated for malaria develop anemia nd dark urine?
    a g6pd def

    55 neurotransmitr in slow wave sleep
    a Ach
    b serotonin
    c enkephalin

    56 oxytocin nd adh originate from?
    a hypothalamus
    b post pitutiary

    57 2nd pharyngeal pouch derv.?
    a rami of mandibule
    b stylohyoid ligament
    c stylomandibular ligament

    58 damage to hypothalamus which hormone will inc?
    a prolactin
    b GH
    c ACTH

    59 lung xray show multiple opacities on bronchial wash have plasma cells lymphocyte epitheloid macrophage what organism?
    a mycobacterium t.b

    60. rupture to bulbous urethra urine accumulate in?
    a superfical perineal pouch
    b rectovesical pouch

    61. breast tumor of upper outer quadrnt lymph drainage?
    a apical
    b anterior

    62. knife injury to mitd axillary area in 4th intercostal space damage to?
    a internal intercostal memb
    b internal intercostal muscle
    c atria

    63. hypertrophic cardiomyopathy assoc with?
    a myocyte disarray

    64. receptor for withdrawl reflex?
    a nocciceptor
    b pacinian
    c miesner

    65. Fast Pain Mediated by which Fibers ?
    a A alpha
    b A delta
    c C fibers
    d Highly Myelinated Fibers

    66. positive predictive value is?
    a proportion of true positive in all positive
    b same as senstivity
    c same as specificity

    67. receptor for vibration sense?
    a pacinian
    b ruffini
    c misener

    68. receptor for pressure on skin?
    a pacinian
    b ruffini
    c hair follicle

    69. which is benign tumor?
    a adenoma
    b hepatoma
    c melanoma

    70. child treated for 1% permitherin and also other child with same problem most best?
    a sarcoptes scabie

    71. child with parotid swelling have right testis enlarge other family member also same complain ?
    a mumps

    72. osmotic pressure of interstitial fluid is difr from plasma by??
    a.1 osmol/kg water
    b.1.5
    c.3
    d.5

    73. carbidopa given with levodopa to ?
    a help dec peripheral inactivation
    b to help in entering brain

    74. PTH hormone regulate calcium by?
    a inc. its reabsorption in distal tubule

    75. on ecg PR nd QRS with ratio of 3:1?
    a mobitz 1
    b mobitz 2
    c complete block

    76. which is not a bacterial inf.?
    a histoplasmosis
    other options were bacterial

    77. not given for candida infection?
    a ketoconazole
    b clotrimazole
    c amphotericin b
    d griseofulvin
    e nystatin

    78. muscle arising from femur damage to which causes instable knee joint?
    a vastus lateralis
    b rectus femoris
    c sartorius

    79. healthy individual Na balance by ?
    a osmoreceptor

    80. which dec heart rate?
    a brain bridge reflex
    b oculocardiac reflex

    81. regarding midbrain appropriate?
    a duct of midbrain is cerebral aqueduct
    b substantia nigra divide cerebral peduncle into tectum nd crus cerebri
    c have to colliculi posterirly
    d CN IV originate anteriorly

    82. poisioning not relieved by naloxone?
    a morphine
    b pheno
    c pethidine
    d heroin

    83. high altitude acclimization causes?
    a dec erythropoitn
    b inc pulmonary ventilation
    c pulmonary vasodilation
    d metabolic acidosis

    84. in isotonic exercise which doesnot inc?
    a heart rate
    b systolic BP

    85. type 2 hypersenstivity example?
    a erythroblastosis fetalis

    86. arthus reaction example of ?
    a type III hypersenstivity

    87. growth hormone most appropriate?
    a is polypeptide
    b inc growth of bone nd cartilage thru somatomedins

    88. blood supply of brain regulated by?
    a paco2
    b pao2

    89. which organ form peptide which help in bone growth?
    a kidney
    b liver
    c brain
    d intestine

    90. which is least malignant?
    a FAP coli
    'b tubulo villous
    c villous
    d metastatic polyp
    e tubular adenomatous polyp

    91. enzyme for serotonin nd epinephrine metabolism?
    a MAO
    b compt

    92. synapse least likely to present in?
    a sympathetic chain ganglia
    b dorsal root ganglia
    c dorsal horn
    d ventral horn
    e lateral horn

    93. PDA is remanant of left?
    a ventral aorta
    b dorsal aorta
    c 6 aortic arch
    d 5 aortic arch

    94. woman with 1 year immune disorder develop right cervical lymphadenopathy what is it?
    a AIDS
    b SLE

    95. Subcapsular afferent lymph vessel is feature of ??
    a Spleen
    b Thymus
    c Lymph node

    96. Which carcinogen causes bronchogenic ca. ?
    a Tobacco smoke
    b asbestosis
    c silicosis

    97. which is not a liver granuloma?
    a gumma
    b lipogranuloma
    c sarcoidosis
    d silicosis

    98. which is slow growing thyroid tumor?
    a follicular
    b pappilary

    99. ADH effect most is on?
    a medullary colecting duct
    b cortical colecting duct
    c distal tubule

    100. erythropoitn sec by?
    a macula densa
    b cell of proximal tubule
    c mesengial cell
    d cell of renal tubul

    101. third trimester pregnant lady dec cardiac output is in left lateral position to avoid compression of which abdominal structure?
    a IVC
    B right lung
    c liver
    d spleen

    102. related to abd. aorta chose incorect?
    a on right side of chisterna chyli
    b on left to IVC
    c divide at l4
    d give lateral pair branches to parietes

    103. which immunological test is used for the following conditions?
    a gonnococal inf
    b hydatid disease
    c giardiasis

    104. in asthma allergen attach to?
    a mast cell on bronchi mucosa

    105. identification or difference of left and right kidney ?
    a relation of stucture in hilum
    b size nd weight
    c coverings

    106. Eating behaviour
    a Inhibited by leptin secreted by adipocyte
    b inhibited by leptin secreted by muscle
    c increased by stomach distension
    d increased by destroying hunger centre

    107. short term regulation of B.P
    a baroreceptor
    b renin angiotensin
    c ADH

    108. Tractas solitarius

    a Carries first order neurons for taste sensations
    b Carries second order neurons for taste sensations
    c motor nucleus for tounge muscle

    109. The single most important local factor affecting wound healing

    a -infection
    b ischemia
    c foriegn body
    d vit c

    110. About Active transport:

    a Always involves Sodium-Potassium pump
    b Uphill transfer of molecules in a few cells.
    c Require Glucose
    d protien carriers are needed

    111. The cells forming the coronata radiata are:

    a Theca Interna
    b Theca Externa
    c Granulosa cells

    112.Two groups of Smokers & non-smokers, 500 each to study the effects of Smoking...what is the study?

    a case-control
    b Cohort
    c Cross-sectional

    113. Which of the following is a poor prognostic lastfactor for sepsis?
    a dic
    b vasodilation
    c diffuse tissue injury

    114.A 75 year old man with COPD is bedridden and develop tacyhcardia & shortness of breath, what is the diagnosis?

    a Pul.Embolism
    b MI

    115. Regarding Fibrocartilage

    a It has a prechrondrium
    b It is found in the Pinna
    c It is found in the Interverterbal disc

    116. prepotential iS MOST significant in which of the following
    a S A node
    b Atrial muscle cells
    c Bundle of his
    d Purkinje fibres
    e Ventricular muscle cells

    117. The digastric triangle is formed by:

    a The anterior Belly of digastric muscle, post. belly of digastric nd mandible

    118.A 30year old fireman got severe burns. Which of the following complications is he at likely to have?

    a Dehisce
    b Contracture
    c Keloid

    119. ptnt with hemicolectomy no liver metastasis how to monitor?
    a CEA
    b alpha fetoprotien

    120.regarding ant. pitutiary microscopic findings?
    a 50% corticotroph
    b somatotroph appear as small basophilic cells
    other options dont remember

    121. regarding scaleni ant. muscle?
    a ant. to subclavian vien
    b phrenic nerve passes in front
    c give post. relation to roots of brachial plexus
    d attach sup. to c3-c6 vertebra

    122. regarding vertebra?
    a c7 has long spine
    b lumbar vertebra have heart shape body
    c thoracic have foramen transversarium
    d ventral nd neural cure same

    123. which inc. metabolic rate?
    a inc. thyroxine levels
    b anxiety state
    C. Increase activity

    growth hormone

    124. most probable to relieve exophthalmus do?
    a hypophysectomy
    b thyroidectomy
    c give drugs to reduce t cell activation
    d testosterone

    125. which structure arches over root of right lung?
    a azygous
    b hemiazygous
    c arch of aorta


    {(SOME MORE RECALLS HERE,


    1) eversion of foot is caused by
    2) healthy induvidual Na balance by
    3)which decrease heart rate .. oculo cardic reflex
    4)regarding mid brain
    5)regarding syndromes caused by iron
    6)cimetidine n ranitidine
    7)steady touch
    8)poisioning not relieved bynaloxone
    9)acclimitaztion causes
    10)istonic exercise
    11)phreomnes
    12)regarding jaundice
    13)child with jaundice n dark color urine..test?
    14)withdrawal reflex receptor?
    15)regarding basal ganglia

    ANSWERS OF THESE: (1)peroneus longus

    2)osmoreceptors

    3)atrial reflex ........ANP

    4)red nucleus

    6)ranitidine ........ less CNS effects??

    5)iron ???

    8)methadone

    9)increase vetilatory effort

    10)work done ......... decrease in periferel resistance

    11)metabolites secreted by animals not well developed in humans

    12)peelia ...... ....... gilbert syndrome

    13)ALT & bilirubin

    14)nociceptor

    15)high magnesium ????? (no idea))}

                                                     ANSWERS

    1 A
    2 a
    3 C
    4 A
    6 A
    7 A
    8 HEP C
    10 and hypersegmented neutrophils an A
    11 A
    12 A
    13 MOST sensitive screening test ans A
    14 B
    15 A
    16 statement was a bit different PROBABLY ANS WAS B
    17 A
    18 A
    19 A
    20 B or C plz confirm
    21 B
    23 A
    24 A
    26 A
    27 A
    28 C
    29 C
    30 C
    31 mitral valve prolapse
    32 A
    34 Statement was aspirin is given in IHD as it (and was dec. syntesis of thromboxane)
    35 A
    36 C
    37 B
    39 A
    40 A
    41 B
    42 C
    43 B
    45 fracture at surgical neck A
    46 C
    47 C
    48 A
    50 A
    52 A
    53 A
    54 A
    55 B
    56 A
    57 B
    58 A
    59 A
    60 A
    61 B
    62 intercostal membrane A
    64 A
    65 B
    66 A
    67 A
    68 sustained pressure on body B
    69 A
    70 A
    71 A
    73 A
    74 A
    75 progressive increase of pr interval and 3:1 ans A
    76 A
    77 B
    78 A
    79 A
    81 C
    82 B phenobarbitone
    85 A
    86 A
    87 A
    88 A
    89 C
    90 E
    91 A
    92 C
    93 C
    96 B
    98 A
    99 B
    100 C125 A

    124 B
    123 A
    119 A
    118 B

    117 A
    116 A
    115 C
    114 A
    113 question was a bit different.ans. was A
    112 in the statement the risk of smoking was given so most likely it was B
    110 ans. was involves proteins with enzymatic activity
    109 A or B not confirm
    107 A
    106 A
    105 A
    104 Statement was in a sensitized patient allergen first interacts with..... not confirm maybe A
    103 statement was like in which diseases immunological test is done... A or C
    101 statement was a pt on dentist chair fainted so the doctor raised her legs and tilted her to the left lateral position to avoid compression of which abdominal structure. i think C




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