fcps 1 surgery november

7/28/2019 FCPS 1 Surgery November

1/8

Q1 which of the following has high caloric value a- fats b-CHO c-proteins d-mineralsQ2 Avidin binds to a-biotin b-vit C c-vit A d-vit B12Q3 Anterior fontanelle closes at a-12-18 months b-18-24 monthsQ4 In embryo 1st bone to ossify is a-clavicle b-femur c-humerus d-tibia d-sternumQ5 In renal failure(uremia),the blood urea level is increase bcz of a-dec GFR b-dec secretion of urea from DCTQ6 In mycobacterium tuberculosis, the antibodies produce are a-present in serumb-bound to cell c-can be transmitted to the other person d-bound to bacteriaQ7 Viruses demage the cell by a-altering the protein metabolismQ8 Choose the appropiate statement regarding glands & epithelium a-simple sequamous epithelium is present at the site of gaseous exchangeQ9 In insulin deficient pt,there is a-increase ketogenesis in liverQ10 A pt is treated for sarcoma of lower leg,6months later he develop ulcer & fi

brosis of skin of leg.it is due to a-Damage to seqamous epithelium b-End arteritis obliterans c-Venous thrombosis d-InfectionQ11 What is the most frequent side effect of cimetidine a-Anti estrogenic b-Inhibit hepatic metabolism c-Agranulocytosis d-hypertentionQ12 Non-dividing permanent cells are a-Glial cells b-Myocardial cells c-hepatocytesQ13 Axon of the neuron does not contain a-Neurofilaments b-Microtubules c-Nisselgranules d-MicrofilamentsQ14 Propagation of action potential across the memb is bcz of a-membrane depolar

ization b-increase entery of Ca+2Q15 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 metabolismQ16 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/LQ17 Volium of distribution of drug is not effected by a-age b-renal disease c-liver disease d-sexQ18 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-VasomotertoneQ20-Lymph is filtered in a-Lymph node b-spleen c-LiverQ21 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


2/8

Q22 Thromboxane A2 is synthesized by a-platelets b-endothelial cellQ23 Prostacyclines are synthesized in a-Endothelial cellsQ24 T-wave represent a-ventricular repolarizationQ25 Large size RBCs are found in a-Pernicious anemiaQ26 Pt has dec Ca+2,inc PO4,inc PTH & normal alkaline phosphatase,the diagnosisis a-CRF b-OsteomalaciaQ27 Diff b/w septic & hypovolemic shock a-temp b-hypovolemia c-tachycardiaQ28 Blood group antigen a-secreted in saliva b-AglutininQ29 Antibodies are formed by a-Plasma cellsQ30 A 54yr old hypertensive pt,on treatment,presented in semiconscious state.Herserum K+ level is 6mmol/l,the most probable cause is a-Diuretics b-ARF c-CRF d-Cushing"s syndromeQ31 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 contractureQ33 A cardiovascular surgeon whille operating notices bleeding from a vein accompanying anterior interventricular artery,the vein is a-Great cardiac veinQ34 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 basalQ35 A pt has worms infestation & incr WBC count.On differential leukocyte count,most probably there is a-EosinophiliaQ36 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-mRNAQ38 A pt has hematocrit 41%, it indicates a-41% of RBC"s in formed elements of blood b-41% of Hb in RBC"sQ39 Sound produce by distensibility of ventricle,during ventriculer filling is a-S3 b-S4Q40 Thirst centre is stimulated by a-ADH b-Angiotensin 2 c-AldosteronQ41 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 givenamoxicillin(without labelling) & Group B is given ciprofloxacin without labelling.this type of study is called a-single blind b-double blindQ43 Potent stimullant, causing release of aldosteron is increase in a-plasma K+level b-renin release from kidneyQ44 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


3/8

Q45 which of the following is NOT raised in stress a-cortisol b-growth hormone c-catecholamines d-InsulinQ46 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 cellQ47 Heparin is stored in cells of connective tissue a-mast cell b-fibroblastsQ48 Mechanism involve in activation of memb cAMP pathway is a-Receptor b-Enzymec-carrier proteinQ49 Factor causing Rt shift of Hb-dissociation curve is a-Acidosis b-increas phQ50 The main difference b/w benign & malignant tumor is a-Anaplasia b-increase mitotic figures c-Metastasis d-Invasive & infiltrative marginsQ51 which of the following does NOT metastasize to bone a-CA breast b-CA prostate c-CA lung d-HCCQ52 Remanent of urachus is a-median umblical ligamentQ53 which is NOT the part of Diencephalon a-Infundibulum b-Habnular nucleus c-ma

millary body d-pulvinar e-superior colliculusQ54 Which receptors are not activated by mechanical distorsion a-Cones b-paccinian corpuscles c-Semicircular canal d-Utrical & saccule e-otolith organ of cortiQ55 Transitional epithelium of u bladder is derived from a-Mesoderm b-endoderm c-ectoderm d-endoderm & mesodermQ56 Disorderly growth wiith change in cell shape,size,maturation,which is also reversible a-metaplasia b-anaplasia c-dysplasia d-neoplasia e-desmoplasiaQ57 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 negatived-false positiveQ59 which enhances communication b/w Dr & pt a-Active listeningQ60 A pt with glycosuria but his plasma glc level is 100mg/dl a-it may be normalfor the individual b-due to dec renal threshold for glc c-dec absorption of glcfrom PCT d-pt is diabetic e-abnormaly dec reabsorption of glcQ61 MHC are on a-HLA geneQ62 Iron stores in tissue as a-ferritin

Q63 Triglycerides a-carried in plasma by lipoprotein b-freely cross placental barrier c-consist of glycerol & glcQ64 Enzymes that transfer 1 group of atom from one substrate to other are calleda-Transferases b-Hydrolases c-OxidoreductasesQ65 Glucocorticoids act via a-memb receptor b-cytoplasmic receptor c gene transcription d-IP3 system


4/8

Q66 During fight,fright & flight,the sympathetic system activation causes a-decbronchial resistance b-pupil constriction c-dec heart rate d-dec B.PQ67 Regarding withdrawl reflex..A pt gets a painful stimulus on foot a-polysynaptic b-monosynaptic c-involve stretch receptors/reflex d-inhibition of flexersQ68 which of the following is a Premalignant lesiona-Leucoplakia b-cervical erosion c-duodenal ulceration d-haemarthrosisQ69 Gaseous exchange is max at a-Aveolar ducts b-Alveolar sacs c-Alveoli d-Respiratory bronchiolesQ70 At time of ovulation,the most appropriate statement is a-inc in body temp at2nd half of cycle b-corpus luteum form in ovary c-inc estrogen d-inc progestronQ71 A tumor with all germ cell layers is a-teratomaQ72 A pt was given 5% dextrose water,this will inhibit a-ADH b-aldosteron c-vasopressin d-cortisol e-insulinQ73 A pt can survive without mechanical ventilation,if the lesion is a-above C2b-at C3 c-at C4 d-below C5

Q74 Heart muscles are not tetanized bcz of a-long refractory period b-automicityc-rhythmicity d-conduvtivityQ75 which structure is burried in lateral sulcus a-insula b-sebiculum c-operculam d-splenium e-pars triangularisQ76 what is the most appropriate about thyroid a-parathyroid lies on ant lateralsurface b-epithelium changes according to the activity of the gland c-Isthmus lies above cricoid cartilageQ77 Subarachnoid space end at level of a- L1-L2 b- L3-L4 c- S2-S3 d- L5Q78 Role of renin angiotensin in short term regulation of B.P a-vasoconstriction

of arterioles b-stimulation of thirst centre c-release of aldosteroneQ79 Ant wall of rectus sheath b/w umblicus & xiphisternum is a-formed by ext oblique & ant lamina of int oblique aponeurosisQ80 oedema is caused by a-dec hydrostatic P b-inc osmotic P c-lymph obstructionQ81 specific symptom of Clostridium Botulinium in food poisoning a-diarrhea b-flaccid paralysis of respiratory muscles c-nausea & vomitingQ82 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-propylthiouracilQ84 Coupling of myosin filaments,to actin binding site, is inhibited by a-tropomyosin b-troponin CSURGERY PAPER 2Q1 A 40yr old male is diagnosed as having Hodgkin lymphoma, which type has goodprognosis a-Lymphocyte predominant b-Lymphocyte depleted c-Mixed type d-Nodularsclerosis


5/8

Q2 Which structure lies posterior to arch of aorta a-Left phrenic nerve b-Rt phrenic nerve c-SVC d-Bracheocephalic veinQ3 An Asthmatic pt with following ABGs pH 7.32, pCO2 48, HCO3 25 has a-Respiratory acidosis with metabolic compensation b-Respiratory acidosis without metaboliccompensation c-Respiratory alkalosis without metabolic compensation d-respiratory alkalosis with metabolic compensattionQ4 Mucosa of Gall bladder is a-simple columner b-simple cuboidal c-stratified sequamous epitheliumQ5 Cells involve in formation of BBB a-Astrocytes b-Microglia c-Macroglia d-Ependymal cellsQ6 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-Schistosomiasise-MalariaQ7 Which is correct regarding Axillary artery a-It Lies behind pectoralis minorb-Extend upto the lower border of pectoralis majorQ8 Liver is connected to ventral body wall via a-Falciform ligament b-Lesser ome

ntumQ9 Gluteus medius & minimus a-Abducter & medial rotater of hip joint b-Abducter& lateral rotater of hip joint c-Adductor & lateral rotater of hipQ10 Foot drop is due to demage of a-Common peroneal nerve b-Superficial peronealnerveQ11 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-GastrocnemiusQ12 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 jointQ14 Demage to ulner nerve at supracondyler fracture,results in a-loss of innervation to 3rd & 4th lumbricalsQ15 Flextion at carpometacarpal joint is by a-Flexor digitorum profundus b-Flexor digitorum superficialisQ16 Iliac resection causes a-Increase in H2O content of feces b-increase in bilesalts in enterohepatic circulation c-decrease in amino acids absorptionQ17 Sevoflurane a-carboxylated ether b-causes cough when given during induction

Q18 Central chemoreceptors respond to a-increase in CO2 tension b-increase in O2tension c-decrease in O2 tensionQ19 Ascending reticular formation a-present in the floor of aqueduct of sylviusQ20 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-HypercalcemiaQ21 Organisn causing meningitis 2ndry to lung abscess is a-Staph aureus b-H.infl


6/8

uenzae c-PneumococcusQ22 Which pt gets maximum benifit from splenectomy a-Autoimmune hemolytic anemiab-Hereditary spherocytosis c-Thallassemia d-Sickle cell anemia e-G6PD deficiencyQ23 Cerebral malaria is caused by a-Plasmodium falciparum b-Plasmodium vivax c-Plasmodium ovaleQ24 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 esophagusQ26 Regarding Thymus a-it contains large amount of lymphocytes b-Arise from 4thpharyngeal arch c-Originate from thyroid glandQ27 In Haemophillia a-there is decrease level of factor 8 b-Increase PT c-Increase BTQ28 Anemia in CRF is due to a-decrease erythropoeitin

Q29 Bone marrow RBCs precursors continue to produce RBCs bcz of effect of a-ErythropoietinQ30 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-TTPQ31 A severly burn pt develops bleeding diasthesis after developing fever.On gram staining,there are gram -ve diplococci.The most likely diagnosis is a-DICQ32 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 overthe 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 8e-Increase capillary permeabilityQ34 If factor 8 is not available,what will you give to a pt of haemophilia a-Cryoprecipitate b-Plasma c-AlbuminQ35 A pt having CVP line in subclavian vein & on parenteral nutrition.He developfever.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 lymphomaQ37 Sore throat is caused by a-Group A beta haemolytic streptococci b-PseudomonasQ38 A therapeutic & toxic side effect of Loop diuretics a-Low blood volume b-increase Na+ conc c-increase K+ conc d-AcidosisQ39 A pt with episodic hypertension,increase urinary vinyl mendalic acid,the most probably tumor is of a-Chromaffin cells


7/8

Q40 Which parasitic disease is caused by mosquito a-FilariasisQ41 In case of autosomal dominant trait disease a-Only one parent of the affected child is the suffererQ42 Respiratory symptoms are most the characteristic of a-AscariasisQ43 The most common aquired mutation in thrombotic disorders is a-Antiphospholipid syndrom b-Protein C deficiency c-Protein S deficiency d-SLE e-Antithrombin 3deficiencyQ44 Pyogenic peritonitis is caused by a-Bacterioides b-E.coliQ45 Anterior surface of Lt kidney is not related to a-Diaphragm b-Spleen c-Stomach d-PancreaseQ46 Aorta a-Ends at L5 b-Give paired branches to the parietes c-Give renal artery at L2Q47 Left Gastric artery is a branch of a-Celiac arteryQ48 Right suprarenal vein drains into a-Inferior vena cava

Q49 During surgery on the Parotid gland,the posteromedial surface is related toa-Carotid sheath b-Medial pterygoid c-lies medial to pharynxQ50 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 & gumsQ51 External jugular vein a-formed on the surface of sternocleidomastoid behindangle of mandible b-formed by ant division of retromandibular vein & post auricular veinQ52 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 omohyoidQ54 In the formation of thyroid hormone,the 1st step is binding of iodine to a-Tyrosine b-ThyroglobulinQ55 Sternocleidomastoid is supplied by a-Accessory NerveQ56 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 finge

rsQ57 Head of Humerus is supplied by a-Anterior circumflex humeral artery b-Posterior circumflex humeral artery c-suprascapular arteryQ58 In adults the head of femur is supplied by a-Medial & Lateral circumflex femoral artery b-Obturator arteryQ59 Under microscope the features showing Actinomycosis a- Lined by Giant cellsb-Abscess c-Granulation tissue with abscess


8/8

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 hormoneQ61 A 70yr old male come with history of SOB,loss of apetite, fatigue, off & onconstipation.His Hb is decreased & stools for occult blood is +ve.The diagnosisis a-C.A Colon b-ulcerative colitis c-Diverticulitis d-Polyposis e-HaemorrhoidsQ62 A pt has multiple polyps on colonoscopy.His father died of same disease.These types of polyps are a-Hemartomatous b-Adenomatous polyp c-MetaplasticQ63 Regarding autonomic blood supply of heart,which is not appropriate a-On postganglionic 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 peristalsisQ65 Stimulation for release of Gastrin a-Proteins in food b-Fats in food c-Acidreleased come in contact with antrum

fcps 1 surgery november

Documents