mcq for fcps

1ECG changes can be seen in the following conditions EXCEPTa) Change in body positionb) MIc) Sleep d) Mitral stenosise) Aortic regurgitationAns: A:

2About NEURAL TUBEa) Forms primitive streakb) Forms notochordc) Cns develops from itd) Forms three germ layerse) …Ans;C (http://en.wikipedia.org/wiki/Neural_tube )3SACRALIZATIONa) Union of 1st sacral vertebra with 5th lumbarb) Union of 5th lumbar with 1st sacralc) Fusion of all sacral vertebra to form sacrumd) Flexion at sacrume) …Ans:B http://wiki.answers.com/Q/What_is_sacralization_of_the_l-54Stroke volumea) Cardiac output depends on itb) Heart rate determines stroke volumec) Increases in haemorrhaged) Independent of venous returne) …Ans;DNT KNW EXACTLY5Central venous pressurea) Inc. in haemorrhage

b) Dec in gram negative septicemiac) Dec in heart failured) …e) …ans;b http://books.google.com.pk/books?id=-V3k-2MnDQcC&pg=PA275&dq=cvp+is+decreased+during+gram+negative+sepsis&hl=en&ei=LSEpTPu_NMaAlAeNmY2ACA&sa=X&oi=book_result&ct=result&resnum=9&ved=0CE0Q6AEwCA#v=onepage&q=cvp%20is%20decreased%20during%20gram%20negative%20sepsis&f=false

6What change occurs from lying to standing position?a) Venous pressure incb) Arterial pressure incc) Sweatingd) Cutaneous vasoconstrictione) ….Ans;A http://www.cvphysiology.com/Cardiac%20Function/CF017.htm

7A simple senario of hurshspring disease8Which hepatitis dangerous in pregnancya) Ab) Bc) Cd) De) EAns;e9A lady, who’s been deliverd in a remote village, presents with shock, septicemia, bleeding from venae sites.whats diagnosis

The FCPS past papers blog 1

DIC10,Most common cause of pulmonary embolism?a) Heart failureb) Dvtc) Cancer lungd) Pneumoniae) …ans;B11,Regarding vit. D synthesisa) 1 hydroxylation ocurs in kidneyb) 25 ocurs in kidneyc) 1 ocurrs in liverd) 25 in lunge) Both in skinAns;A http://en.wikipedia.org/wiki/Vitamin_D12,Treatment of erythroblastosis fetalis?a) Exchange transfusion with b +veb) With b _vec) Ab +ved) Anti De) …ans;

13,WHICH IS NOT SUPLIED BY OCULOMOTOR N.a) Medial rectusb) Lateral rectusc) Inf obliqued) Sup rectuse) Inf rectus

14,

About external juglar vein

a) Formed by retromandibular and ant. Auricular v.b) Content of carotid trianglec) Pierces deep fascia behind sternocleidomastoidd) …e) …ans;c

15,

Cephalic veina) Present in deltopectoral groove

16,A lil senario of cervical rib i, e weakness and paresthesia along ulnar nerv course17,A qs about CSF findings, which 1 true etc

18Diagnosis of typhoid in 1st weekAns… blood culture

19,Most common cause of SUBACUTE BACTERIAL ENDOCARDITISa) Staph aureusb) Sterp. Viridansc) Strep pneumonaed) Staph epidermiditise) …ans;b20,

Cause of gas gangrene (C. perferringens ws not givn)a) C.botulinumb) C. C. ljungdahliic) Tetanus toxin


d) C. septicume) …

ans;d http://en.wikipedia.org/wiki/Gas_gangrene

21,Type of omental necrosis?a) Caseousb) Gangrenec) Fatd) Coagulativee) FibrinoidAns;C http://books.google.com.pk/books?id=c41BJkHrniEC&pg=PA25&dq=omental+fat+necrosis&hl=en&ei=8iopTKykIaWlsQaB9JzEBA&sa=X&oi=book_result&ct=result&resnum=4&ved=0CDYQ6AEwAzgK#v=onepage&q=omental%20fat%20necrosis&f=false

22,Most of bicarbonate absorption ocurs ina) Proxial c. tubeb) Distal c. tubec) Loop of henled) Collecting ducte) ….Ans;A http://books.google.com.pk/books?id=pekX0WUKzMoC&pg=PA414&dq=bicarbonate+reabsorption&hl=en&ei=oCspTPu0CIO0lQftobD-Bw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCYQ6AEwAA#v=onepage&q=bicarbonate%20reabsorption&f=false23,There were 4_5 qs about aldosterone

24,Stimulus for aldosterone releasea) Hypernatremia

b) Hypokalemiac) Hyperkalemiad) Alkalosise) …ans;c

25,Aldosterone causesa) Hypercalcemiab) Hyperkalemiab) Acidosisc) Hypernatremiad) …ans;c

26,Dec aldosterone will lead toa) Hyponatremia

27,ADH acts on a) Loop of henleb) Distal c. tubec) Collecting ductd) Bowman capsuleAnsc

28,For circardian rhythm optic nerve sends fibers toa) Optic chiasmab) Medial geniculate bodyc) Lateral geniculate bodyd) Suprachiasmatic n.e) Upraoptic n.Ans;D http://en.wikipedia.org/wiki/Circadian_rhyth


m

29,A person suffering from dehydration, which ion replacement is most important?a) Cab) Mgc) Nad) Ke) ClAns;C

30,What to give to Inc vitamen in dieta) Nutsb) Yougurtc) Eggd) Green vegetablese) Margarine (sumthin like it)Ans;D

31Natural anticoagulanta) Heparinb) Warfarinc) Aspirind) Plasminogene) FibrinAns; D

32,Endogenous pigment in chronic hemolysisa) Hemosiderinb) Lipofuscinc) Anthracotic pigmentd) …e) …Ans A

33,In a ward, at a children hospital, all the children there have some permanent disabilitythe parents of such children are suffering froma) Denialb) Angerc) Bargainingd) Depressione) Acceptance

34,Square root of variancea) Meanb) Variationc) Standard deviationd) Mediane) AcuracyAns: C

35,Mean Inc witha) Inc in sample sizeb) Dec in sample sizec) Inc in standard deviationd) …e) …ans;b http://www.stat.berkeley.edu/~stark/Java/Html/SampleDist.htm

36,What is therapeutic index of a drug?

37,Drug contraindicated in renal failurea) Amikacinb) Chloramphenicolc) Vancomycin


d) Pencilline) …ans;a

38,Drug for hyperthyroidism in pregnancya) Methimazolepropylthyrouracilb) Ppuc) Radioactive iodined) Total thyrodectomye) Ligol solutionAnsB

39,Which will not b present in a lung hamartoma (it ws senario of pulmonary hamartoma and qs ws asked at the end of senario)a) Coin lesion on xray chestb) Mostly asymptomaticc) Mostly Discovered incidentlyd) Benigne) Cartilage in lesion areaAnsE

40,

Difference BW hyperplasia and benign tumora) Hyperplasia invades surrounding tissuesb) Benign tumor metastasize to tissuesc) Benign tumor shows aggressive growthd) Hyperplasia shows pleomorphisime) Benign tumor is surrounded by capsuleAnsE

41,Atrophy meansa) Dec in cell size

42,Premalignant condition of oral cavitya) Erythroplakiab) Leukoplakiac) SCCd) Lichen planuse) …ansb

43,A senario was about sturge webber syndrome in which he gave neurological symptoms I,e seizures and convulsions then asked that what other symptom can be found in that child and ans ws GLUCOMA . Point to note that they did not talk about PORT WINE STAIN (birth mark) on face or forehead 44,Submucosal glands are present in a) Stomachb) Gall bladderc) Duodenumd) Small intestinee) PancreasAnsC

45,After gastrectomy what can happen

a) Malabsoprtionb) Steatorheac) Anemiad) …e) …ansc

46,After gastrectomy B12 is not absorbed due to


deficiency ofa) Parietal cellsb) Chief cellsAnsA 47,Gastroparesis treatment (last part1 me b tha)a) Metoclopramide48,Absorption of long chain fatty acids?a) Ileum

49,Bile salts are absorbed where?a) Terminal ileum

50,Bile acids are conjugated with which amino acid to form bile saltsa) Taurine

51,Which hormone Inc gastric contraction?A) GASTRINB) CCKC) Secretinc) GipAnsA 52,Rupture of post wall of duodenal ulcer will damagea) Gastroduodenal artery53Left renal vein relation to aortaa) Antb) PostAns A

54,Final common motor pathway

a) Corticospinal tractb) Alpha motor neuronsc) Upper motor neuronsd) Cerebral cortexe) …ansb

55,There was a qs about injury at T4,T8 level and dy askd about wat will happen , choices were not straight forward e,g askin sum tract lesion etc dts y not remeberd56,Stretch reflex maintainsa) Muscle toneb) Balancec) Lengthd) …e) …ansc

57,There was qs in which options were (forgot qs)a) Pancinian corpuclesb) Messiners corposcclesc) Ruffinis end organsd) Golgi tendonse) ….

58,Regarding pulmonary wedge pressurea) Called so cz measured by a wedge shaped catheterb) Usually bw 10-15 mmhgc) Measure of rit atrial pressured) …e) …

ansb


59,During systolea) Both ventricles contract simultaneouslyb) 50% filling of ventricles occursc) Blod flow inc in coronary arteriesd) ..e) ..ansa

60,Fastest conducting fibers in heart a) Purkinje61,Glomerular pressure inc due toa) Afferent constrictionb) Efferent constrictionAnsb62,A senario was about dijoxin toxicity63,Treatment of acute asthmaa) Terbutaline

64,Isoniazid side effects can be prevented bya) Pyridoxine

65,Not a cause of cardiogenic shocka) Cardiac temponadeb) Mic) Arrythmiasd) Hemorrhagee) Aortic dissectionAnsd

66,A pt with deformed nose, AFB +ve

a) Leprosy

67,Most imp point of exudative inflamationa) Sp gravity < 1.020 b) Neutrophils c) Protein >2g| dld) .e) …ansc

68,Monocytesa) Most abundant cells in circulationb) Do not go out of vesselsc) Not phagocyticd) …e) …

69,Tuberculous meningitisa) Inc lymphocytes in csf

70,Bladder ca caused bya) Schistosoma haematobiam

71,Which tumor does not hav bone metastasis?a) Thyroidb) Liverc) Lungd) Breaste) KidneyAnsb

72,ESTROGEN OCPs can causea) Breast cab) Ovary cac) Endometrial ca


Ansa

73,Residual vol.a) Amount of air left in the lung after a max exhalation

74,Vital capacitya) After a max inspiration, max expired volume is vc

75,Cardiac outputa) Measured by fick principle

76,Regarding sup parathyroid glanda) Located in close proximity to INF thyroid artery and recurrent laryngeal nerve at the level of cricothyroid junction. (Remembr that sup glands hv more constant position while INF r variable in position.that’s y dy askd about sup glands location.its imp)77,Digastric triangle a) Bounded anteriorly ant. Belly of digastric, posteriorly by post. Belly

78,Which is not covered by deep cervical fasciaa) Thyroidb) Parotidc) Sternocleidomastoidd) Submandibular glande) SublingualAnse

79,Circumduction

a) Combination of flexion, extension, aduction and abduction

80,For surgery tibia should b aproached from medial side, whya) Dnt remember choices, soryB)C)D)

81,Micturation reflex centre is located ina) Brainstem (pontine micturation centre). There s also a sacral micturation centre but it ws not in the choices

82,Diagnosis of pneumothorax?a) Xray chest

83,Approach to intercostal space for pleural effusion drainagea) Lower part of space (neurovascular bundle in upper part os SPACE but lower part of RIB)

84,Pt having uppr respiratory tract INF, then chest pain that relieved by sitting upa) Pericarditis

85,

In nephron fluid which substance conc is higher than plasmaa) Nab) Bicarbonatec) Glucosed) Ureae) Albumin


Ansd

86,

Renal plasma flow is determined bya) PAH

87,WHAT IS TRUE ABOUT UPPER HALF OF ANAL CANALA) Options wr about epithelium, nerve sup, lymph, blood suply. Dnt remember exactly

88,Jaundice, hepatitis, diarrhea 10days after bone marrow transplanta) Graft vs host disease89Erythroblastosis fetalis, type of hypersensitivity reaction?a) 2

90,WHICH VACCINE IS NOT LIVEA) MeaslesB) MumpsC) RubellaD) Yellow fevrE) TetanusAnse

91,Tissue for HLA typing (there were two same qs in each paper)a) Buccal mucosab) Leukocytesc) Skind) Bone marrowAnsb

92,LP done ata) L4-L5 (l3-l4 also correct but it ws not in choices, thanks ALLAH Dy did NT gv both choices simultaneously :-)

93,Cauda equinaa) Collection of nerve roots and rootlets

94Pilocarpine is nicotinica) Agoistb) Antagonist

95Diagnosis of klinefeltrs syndromea) Barr body

96Which drug interers with warfarrina) Cemetidine

97Adverse effect of chlorpromazine

a) Extrapyrimidal

98Mechanism of action of captoprila) Ace inhibitor

99Feature of caa) Plomorphisimb) Nuclear ratioc) Hyperplasiad) InvasionAnsd


100

Most cancers hav which fillament in thema) Kerratinb) Desminc) Vimentind) Neurofibrilarye) …ansa

101Paraneoplastic syndrome is associated witha) Ca breastb) Adeno ca lungc) Small cell ca lungd) Ca prostateAnsC

102Hepatitis b INF is monitored bya) Surface antigenb) Srface antibodyc) Core antibodyd) E antibody

103

Hepatitis A inf, which test to performa) Hep A nd B VIRUSb) Bilirubinc) Sgptd) AlbuminAnsc

104Which hormone inhibits insulin secretion? a) Secretin

b) Cckc) Somatostatind) Glucagane) VipAnsc(As a general rule all git hormone stimulate insulin release and knwn as INCRETIN)105MOST IMP STRESS HORMONE (it was also in last part1)a) Epinephrineb) Insulinc) Growthd) Cortisole) ActhAnsd

106In Cushing syndromea) Neutrophils are Inc, lymphocytes and eiosiniphils are Dec107A simple senario of graves disease108Whats pattern of antibodies in multiple myeloma (options were vry weird, nt exactly remembrd)a) They hav igA, M, G in different ratios and %ages e, g IgA 5gm, M 15gm, G 20gmb) IgM: igG S 1:20

109HLA type in RAa) HLA DR4110ABSOLOUTE LYMPHOCYTOSIS NOT PRESENT INa) Sleb) Inf. Mononeucleosisc) Walders (sumthin like that) granulomatosis


d) …e) …ansa (nt sure)

111

Pt with arithritis, butterfly rash, photosensitivity (these symptoms wr in the form of a simple senario), WATS diagnosisa) SLE

112Platelets contraindicated ina) Splenomegalyb) Acute immune thrombocytopeniac) Coagulopathyd) DicAnsb

113Water moves through a) Poresb) Membrane matrixc) Protein channelsd) Fascilitated difusionAnsA (water channels)

114Fascilitated diffusiona) Passive transport trough protein channels or carier protiens

115Which factor strenthen pt doc relationshipa) High professional skillsb) High social skillsc) Highly qualifiedd) Logical answers to qse) Active listening

Ans E http://docs.google.com/viewer?a=v&q=cache:B-90RsYl_QIJ:www.racgp.org.au/afp/200512/200512robinson.pdf+active+listening+for+a+doctor&hl=en&gl=pk&pid=bl&srcid=ADGEEShL3aencNeNL6PcDL75akSth1myGNOsIBbWqXMO-BxP5X7QKVmiu16qKkAOUhwMcNerrFuT2x-kVNZ-Zz84Xr5Gy1K7AJJfrUhJoOWFb7PnEI52oZ3VXT9v3ZAKmA31w_Eh-Ea0&sig=AHIEtbTDPrtyezt44aYcvJMnrIDzau8oZw

116

Which is more aggressive (also in last part1)a) Basal cell cab) Squmaous cell cac) MelanomaAnsb

117Nissel bodies area) RERb) SERc) Mitichondriad) Golgi bodiesAnsa

118

Greatest area of cerebral cortex is covered bya) Elbowb) Kneec) Thumbd) Shouldere) Ankle


AnsC

119

Deviation of tongue on protrusion, which N. is damageda) Fascialb) Hypoglossalc) Submandibulard) Edenger westphale) …ansb

120

A pt with diastolic murmur in aortic area and colapsing pulse, diagnosisa) Aortic stenosisb) Mitral stenosisc) Aortic R.d) Mitral Re) …ansc

121

SUB-DURAL HEMATOMA CAUSEA) SUP CEREBRAL VEINB) INF CEREBRAL VEINC) ANT DIVISION OF MAD) Post. Division of MAAnsA

122

Csf absorbed bya) Arachnoid villib) Choroid plexusesAnsA

123Which is pierced during LPA) Dura matter

124Inf spreads retroperitonealy, which will b infecteda) Spleenb) Jejunumc) Transverse colond) Descending colone) …ansd

125Ant pituitary loss will result in Dec in size ofa) Zona glomerulosab) Zona fasiculatac) Parafolicular cells of thyroidd) Adrenal medullae) …ansb

126Factor Dec wound healinga) Vit c deficiency

127How thrombocytes play role in thrombosisa) Sorry forgotn the choices


128Accomoation reflex intact, light reflex absent. Damage to?a) Edenger westphal n.b) Optic nervec) Optic tractd) Optic chiasmae) Pretectal areaAnsE

129Part of portal system draining esophagusa) Azygous v.b) Hemiazygousc) Rit gastricd) Lft gastricAnsD http://books.google.com.pk/books?id=21e4wArL7hQC&pg=PA18&dq=portal+system+draining+esophagus+is&hl=en&ei=N7w0TNLEDKjonQefitGDBA&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCkQ6AEwAA#v=onepage&q&f=false

130Bronchopulmonary segmenta) Anatomical and functional unit iof lung

131Temp set point is ina) Ant hypothalamusb) Post hypothalamus

132Antibodies are produced bya) Plasma cells

133Virulence of bacteria is associated witha) Doseb) Duration of exposurec) Toxin productiond) Body resistencee) …ansc

134For a blood donor what is not required (choices not well remembrd.actualy dy askd that which factor should not b there in a GENERAL HEALTHY DONOR)a) Ageb) Sexc) Systemic disease

135Which one is not a epithelium tumora) Adenocarcinomab) Sq cac) LiposarcomaAnsC

136Which receptor r involvd in acid productiona) H1b) H2c) Acetylcholined) …e) …ansb

137Which is present in slow wave sleep


a) Dopab) Acetylcholinec) Serotonind) Norepinephrinee) …ansc and d

138Hemibalismus due to damage toa) Subthalamic N.

139A child having dyspnea when lyng downa) Retrosternal goiter

140Best buffer of bodya) Proteinb) Hbc) Hco3d) PhosphateAnsC

141Protein utilization is chekd by a) Urinary NO2b) Blood NO2AnsA

142A pt has fluid loss, now his urine is concentrated. It’s due toa) Aldosteroneb) Adhc) Acthd) Cortisol

AnsB

143Ph 7.4 po2 65 pco2 33 hco3 19

a) Metabolic acidosisb) Metabolic alkalosisc) Compensated resp alkalosisd) Resp alkalosis

144What happens on mountain aclimitization?a) Ventilation inc

145Syphil dignosis material taken froma) Bloodb) Urinec) Semend) Genital sores (lesion)e) SalivaAnsD

146Best indicator of serum iron storesa) Serum ironb) Serum ferritinc) Hemosiderind) TIBCAnsB

147Why more oxygen goes to alveoli at apex than at base?a) Inc complianceb) Inc blood flow


c) In v\q d) Inc pulmonary pressureAnsA

148Urinary incontinence with overflow and excessive voiding, damage to (qs nt remembrd well)a) S2, 3,4b) S2, 3c) L2, 4,s1

149Hypospedias is due to defect ina) Urogenital tubercleb) Urogenital foldc) UrachusAnsB

150Cephalic vein a) Begins in anatomical snuff boxb) Lies lat. To radial a.c) Lat. To bicepsd) Ends in axillaAnsC

151Upper part of anal canal isa) Lined by stratified sq epib) Drained by sup inguinal nodesc) Drained by inf rectal veind) Sensitive to touche) Sensitive to pain

152

Normal fetal heart ratea) 40…. 60b) 60…. 100c) 100…. 120d) 120…. 160e) 160…. 200AnsD

153One qs was about CVP.about its inc or dec in specific condition

154Inc in systemic filling preesure causesa) Inc venous return

155

Beta-blockers do not causea) Inc reninb) Vasoconstrictionc) Bronchiodilationd) …e) …ansa

156

Lidocainea) Inc PR intervalb) Dec APc) Dec automaticityAnsA

157


A diabetic pt with BS 20mmole\l , obese,no complication,its 1st visit to a doc. What shold be the treatment?a) Insulinb) Insulin + sulphonylureac) Sulphonyluread) Biguanidese) Biguanides +sulphonylureaAnsD

158

Pendulous knee jerk, causea) Cerebellar lesionb) Upper motor neuronc) Lower motor neurond) S2, 3,4AnsA

159

In which parasite the respiratory symptoms predominate?a) Ascarisb) Cystecercosisc) …d) …e) …

160Diagnosis of H.influnzae meningitisa) Csf cultureb) Blood culturec) Inc lymphocyte in csfd) …e) …an

a

161Antibody to TB bacteria is (dnt remember exact choices but they did ask regarding antibody against TB)a) Cell boundb) Membrane boundc) in plasmad) In salivae) …

162In which phase os cell dividion the chromosomes are arranged in chromatidsa) Prophaseb) Metaphasec) Anaphased) Telophase

163Atrial contraction coresponds toa) C waveb) P wavec) Qrs

164

Dorsal roots supply which musscles?a) Internal intercostalb) Externat intercostalc) Innermost intercostald) Some back musscle

165

Internal spermatic fascia is derived froma) External obliqueb) Internal obliquec) Transvesalis fascia


d) Transversus abdominusAnsC

166Inputs to cerebelluma) From vestibular system

167Resolving power of lensa) That enables to see closely related subjetcs seperatly

168Parasympathetic stimulation causes a) Ciliary muscle contraction

169RTA, 1.5L blood loss, skin is calm and cold due toa) Vasoconstrictionb) Vasodilation

170

Most common manifestation of septic pta) Tachycardiab) Hypotensionc) Inc GFRAnsB

171

Premalignant conditiona) Basal cell nevusb) Dysplastic nevus syndromeAnsB

172

Tumor involving lymph vesselsa) Angiosarcomab) Cystic hygromaAnsB

173A female having very high levels of prolactin, suffering from homonymous hemianopia. It’s due toa) Compression of optic nerveb) Damage to optic tractc) Damage to optic radiationd) Compression of upper part of optic chiasmae) Compression of oculomotor n.AnsD

174

What u find in primary hyperaldosteronisma) Inc kb) Dec kc) Hypotensiond) Inc renine) Inc angiotensin 2AnsB

175Which take part in synthesis of aldosteronea) Angiotensin 1b) Angiotensin 2c) Cortisold) …e) …


176

Inc k causesa) Inc aldosteroneb) Inc ADHc) Dec aldosteroned) Dec ADH

177HYDROCHLORTHIAZIDE CAUSESA) Inc kB) Inc caC) Inc mgD) Inc na

178Hydrops fetalis occurs to RH –ve mother and RH +ve father. What type of hypersensitivity reaction occurred?a) 1b) 2c) 3d) 4e) 5

179Blood supply of eye except cones and rodsa) Central artery of retina

180They gv senario of klinefeltr and askd what u will find most commona) Gynecomastia

181

Aldosterone causesa) Hyperkalemiab) Hyponatremiac) Hypercalcemiad) Hypokalemiae) Acidosis

Wishing all the part1 candidates GUDLUCK

DR. BUTTERFLYFJMC,LAHORE.


mcq for fcps

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