SURGERY 20th NOVEMBER 2012 FCPS Part1 Q BANK

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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

FCPS Part1 Q BANK

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