Past Paper FCPS Part-1 Medicine 25th May 2010

CONFIRM ANSWERS:
1
ECG changes can be seen in the following conditions EXCEPT
a) Change in body position
b) MI
c) Sleep
d) Mitral stenosis
e) Aortic regurgitation
Ans:
A:

2
About NEURAL TUBE
a) Forms primitive streak
b) Forms notochord
c) Cns develops from it
d) Forms three germ layers
e) …
Ans;
C
3
SACRALIZATION
a) Union of 1st sacral vertebra with 5th lumbar
b) Union of 5th lumbar with 1st sacral
c) Fusion of all sacral vertebra to form sacrum
d) Flexion at sacrum
e) …
Ans:
B

4
Stroke volume
a) Cardiac output depends on it
b) Heart rate determines stroke volume
c) Increases in haemorrhage
d) Independent of venous return
e) …
Ans;
DNT KNW EXACTLY

5
Central venous pressure
a) Inc. in haemorrhage
b) Dec in gram negative septicemia
c) Dec in heart failure
d) …
e) …
ans;
b

6
What change occurs from lying to standing position?
a) Venous pressure inc
b) Arterial pressure inc
c) Sweating
d) Cutaneous vasoconstriction
e) ….
Ans;
A

7
A simple senario of hurshspring disease

8
Which hepatitis dangerous in pregnancy
a) A
b) B
c) C
d) D
e) E
Ans;
e

9
A lady, who’s been deliverd in a remote village, presents with shock, septicemia, bleeding from venae sites.whats diagnosis

DIC

10,
Most common cause of pulmonary embolism?
a) Heart failure
b) Dvt
c) Cancer lung
d) Pneumonia
e) …
ans;
B

11,
Regarding vit. D synthesis
a) 1 hydroxylation ocurs in kidney
b) 25 ocurs in kidney
c) 1 ocurrs in liver
d) 25 in lung
e) Both in skin
Ans;
A

12,
Treatment of erythroblastosis fetalis?
a) Exchange transfusion with b +ve
b) With b _ve
c) Ab +ve
d) Anti D
e) …

13,
WHICH IS NOT SUPLIED BY OCULOMOTOR N.
a) Medial rectus
b) Lateral rectus
c) Inf oblique
d) Sup rectus
e) Inf rectus

14,
About external juglar vein
a) Formed by retromandibular and ant. Auricular v.
b) Content of carotid triangle
c) Pierces deep fascia behind sternocleidomastoid
d) …
e) …
ans;
c

15,
Cephalic vein
a) Present in deltopectoral groove

16,
A lil senario of cervical rib i, e weakness and paresthesia along ulnar nerv course
17,
A qs about CSF findings, which 1 true etc

18
Diagnosis of typhoid in 1st week
Ans… blood culture

19,
Most common cause of SUBACUTE BACTERIAL ENDOCARDITIS
a) Staph aureus
b) Sterp. Viridans
c) Strep pneumonae
d) Staph epidermiditis
e) …
ans;
b
20,

Cause of gas gangrene (C. perferringens ws not givn)
a) C.botulinum
b) C. C. ljungdahlii
c) Tetanus toxin
d) C. septicum
e) …

ans;
d

21,
Type of omental necrosis?
a) Caseous
b) Gangrene
c) Fat
d) Coagulative
e) Fibrinoid
Ans;
C

22,
Most of bicarbonate absorption ocurs in
a) Proxial c. tube
b) Distal c. tube
c) Loop of henle
d) Collecting duct
e) ….
Ans;

23,
There were 4_5 qs about aldosterone

24,
Stimulus for aldosterone release
a) Hypernatremia
b) Hypokalemia
c) Hyperkalemia
d) Alkalosis
e) …
ans;
c

25,
Aldosterone causes
a) Hypercalcemia
b) Hyperkalemia
b) Acidosis
c) Hypernatremia
d) …
ans;
c


26,
Dec aldosterone will lead to
a) Hyponatremia

27,
ADH acts on
a) Loop of henle
b) Distal c. tube
c) Collecting duct
d) Bowman capsule
Ans
c

28,
For circardian rhythm optic nerve sends fibers to
a) Optic chiasma
b) Medial geniculate body
c) Lateral geniculate body
d) Suprachiasmatic n.
e) Upraoptic n.
Ans;
D


29,
A person suffering from dehydration, which ion replacement is most important?
a) Ca
b) Mg
c) Na
d) K
e) Cl
Ans;
C

30,
What to give to Inc vitamen in diet
a) Nuts
b) Yougurt
c) Egg
d) Green vegetables
e) Margarine (sumthin like it)
Ans;
D

31
Natural anticoagulant
a) Heparin
b) Warfarin
c) Aspirin
d) Plasminogen
e) Fibrin
Ans;
D

32,
Endogenous pigment in chronic hemolysis
a) Hemosiderin
b) Lipofuscin
c) Anthracotic pigment
d) …
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 from
a) Denial
b) Anger
c) Bargaining
d) Depression
e) Acceptance

34,
Square root of variance
a) Mean
b) Variation
c) Standard deviation
d) Median
e) Acuracy
Ans
C

35,
Mean Inc with
a) Inc in sample size
b) Dec in sample size
c) Inc in standard deviation
d) …
e) …
ans;
b

36,
What is therapeutic index of a drug?

37,
Drug contraindicated in renal failure
a) Amikacin
b) Chloramphenicol
c) Vancomycin
d) Pencillin
e) …
ans;
a

38,
Drug for hyperthyroidism in pregnancy
a) Methimazolepropylthyrouracil
b) Ppu
c) Radioactive iodine
d) Total thyrodectomy
e) Ligol solution
Ans
B

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 chest
b) Mostly asymptomatic
c) Mostly Discovered incidently
d) Benign
e) Cartilage in lesion area
Ans
E

40,

Difference BW hyperplasia and benign tumor
a) Hyperplasia invades surrounding tissues
b) Benign tumor metastasize to tissues
c) Benign tumor shows aggressive growth
d) Hyperplasia shows pleomorphisim
e) Benign tumor is surrounded by capsule
Ans
E

41,
Atrophy means
a) Dec in cell size

42,
Premalignant condition of oral cavity
a) Erythroplakia
b) Leukoplakia
c) SCC
d) Lichen planus
e) …
ans
b

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) Stomach
b) Gall bladder
c) Duodenum
d) Small intestine
e) Pancreas
Ans
C


45,
After gastrectomy what can happen

a) Malabsoprtion
b) Steatorhea
c) Anemia
d) …
e) …
ans
c

46,
After gastrectomy B12 is not absorbed due to deficiency of
a) Parietal cells
b) Chief cells
Ans
A
47,
Gastroparesis treatment (last part1 me b tha)
a) Metoclopramide
48,
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 salts
a) Taurine

51,
Which hormone Inc gastric contraction?
A) GASTRIN
B) CCK
C) Secretin
c) Gip
Ans
A
52,
Rupture of post wall of duodenal ulcer will damage
a) Gastroduodenal artery
53
Left renal vein relation to aorta
a) Ant
b) Post
Ans
A

54,
Final common motor pathway
a) Corticospinal tract
b) Alpha motor neurons
c) Upper motor neurons
d) Cerebral cortex
e) …
ans
b

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 remeberd
56,
Stretch reflex maintains
a) Muscle tone
b) Balance
c) Length
d) …
e) …
ans
c

57,
There was qs in which options were (forgot qs)
a) Pancinian corpucles
b) Messiners corposccles
c) Ruffinis end organs
d) Golgi tendons
e) ….

58,
Regarding pulmonary wedge pressure
a) Called so cz measured by a wedge shaped catheter
b) Usually bw 10-15 mmhg
c) Measure of rit atrial pressure
d) …
e) …

ans
b

59,
During systole
a) Both ventricles contract simultaneously
b) 50% filling of ventricles occurs
c) Blod flow inc in coronary arteries
d) ..
e) ..
ans
a

60,
Fastest conducting fibers in heart
a) Purkinje
61,
Glomerular pressure inc due to
a) Afferent constriction
b) Efferent constriction
Ans
b
62,
A senario was about dijoxin toxicity
63,
Treatment of acute asthma
a) Terbutaline

64,
Isoniazid side effects can be prevented by
a) Pyridoxine

65,
Not a cause of cardiogenic shock
a) Cardiac temponade
b) Mi
c) Arrythmias
d) Hemorrhage
e) Aortic dissection
Ans
d

66,
A pt with deformed nose, AFB +ve
a) Leprosy

67,
Most imp point of exudative inflamation
a) Sp gravity <>2g| dl
d) .
e) …
ans
c

68,
Monocytes
a) Most abundant cells in circulation
b) Do not go out of vessels
c) Not phagocytic
d) …
e) …

69,
Tuberculous meningitis
a) Inc lymphocytes in csf

70,
Bladder ca caused by
a) Schistosoma haematobiam

71,
Which tumor does not hav bone metastasis?
a) Thyroid
b) Liver
c) Lung
d) Breast
e) Kidney
Ans
b

72,
ESTROGEN OCPs can cause
a) Breast ca
b) Ovary ca
c) Endometrial ca
Ans
a

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

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

75,
Cardiac output
a) Measured by fick principle

76,
Regarding sup parathyroid gland
a) 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 fascia
a) Thyroid
b) Parotid
c) Sternocleidomastoid
d) Submandibular gland
e) Sublingual
Ans
e

79,
Circumduction
a) Combination of flexion, extension, aduction and abduction

80,
For surgery tibia should b aproached from medial side, why
a) Dnt remember choices, sory
B)
C)
D)


81,
Micturation reflex centre is located in
a) 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 drainage
a) 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 up
a) Pericarditis

85,

In nephron fluid which substance conc is higher than plasma
a) Na
b) Bicarbonate
c) Glucose
d) Urea
e) Albumin
Ans
d

86,

Renal plasma flow is determined by
a) PAH

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

88,
Jaundice, hepatitis, diarrhea 10days after bone marrow transplant
a) Graft vs host disease
89
Erythroblastosis fetalis, type of hypersensitivity reaction?
a) 2

90,
WHICH VACCINE IS NOT LIVE
A) Measles
B) Mumps
C) Rubella
D) Yellow fevr
E) Tetanus
Ans
e

91,
Tissue for HLA typing (there were two same qs in each paper)
a) Buccal mucosa
b) Leukocytes
c) Skin
d) Bone marrow
Ans
b

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

93,
Cauda equina
a) Collection of nerve roots and rootlets


94
Pilocarpine is nicotinic
a) Agoist
b) Antagonist

95
Diagnosis of klinefeltrs syndrome
a) Barr body

96
Which drug interers with warfarrin
a) Cemetidine

97
Adverse effect of chlorpromazine

a) Extrapyrimidal

98
Mechanism of action of captopril
a) Ace inhibitor

99
Feature of ca
a) Plomorphisim
b) Nuclear ratio
c) Hyperplasia
d) Invasion
Ans
d

100

Most cancers hav which fillament in them
a) Kerratin
b) Desmin
c) Vimentin
d) Neurofibrilary
e) …
ans
a

101
Paraneoplastic syndrome is associated with
a) Ca breast
b) Adeno ca lung
c) Small cell ca lung
d) Ca prostate
Ans
C


102
Hepatitis b INF is monitored by
a) Surface antigen
b) Srface antibody
c) Core antibody
d) E antibody

103

Hepatitis A inf, which test to perform
a) Hep A nd B VIRUS
b) Bilirubin
c) Sgpt
d) Albumin
Ans
c

104
Which hormone inhibits insulin secretion?
a) Secretin
b) Cck
c) Somatostatin
d) Glucagan
e) Vip
Ans
c
(As a general rule all git hormone stimulate insulin release and knwn as INCRETIN)
105
MOST IMP STRESS HORMONE (it was also in last part1)
a) Epinephrine
b) Insulin
c) Growth
d) Cortisol
e) Acth
Ans
d

106
In Cushing syndrome
a) Neutrophils are Inc, lymphocytes and eiosiniphils are Dec
107
A simple senario of graves disease
108
Whats 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 20gm
b) IgM: igG S 1:20

109
HLA type in RA
a) HLA DR4
110
ABSOLOUTE LYMPHOCYTOSIS NOT PRESENT IN
a) Sle
b) Inf. Mononeucleosis
c) Walders (sumthin like that) granulomatosis
d) …
e) …
ans
a (nt sure)

111

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

112
Platelets contraindicated in
a) Splenomegaly
b) Acute immune thrombocytopenia
c) Coagulopathy
d) Dic
Ans
b

113
Water moves through
a) Pores
b) Membrane matrix
c) Protein channels
d) Fascilitated difusion
Ans
A (water channels)

114
Fascilitated diffusion
a) Passive transport trough protein channels or carier protiens

115
Which factor strenthen pt doc relationship
a) High professional skills
b) High social skills
c) Highly qualified
d) Logical answers to qs
e) Active listening
Ans
E

116

Which is more aggressive (also in last part1)
a) Basal cell ca
b) Squmaous cell ca
c) Melanoma
Ans
b

117
Nissel bodies are
a) RER
b) SER
c) Mitichondria
d) Golgi bodies
Ans
a

118

Greatest area of cerebral cortex is covered by
a) Elbow
b) Knee
c) Thumb
d) Shoulder
e) Ankle
Ans
C


119

Deviation of tongue on protrusion, which N. is damaged
a) Fascial
b) Hypoglossal
c) Submandibular
d) Edenger westphal
e) …
ans
b


120

A pt with diastolic murmur in aortic area and colapsing pulse, diagnosis
a) Aortic stenosis
b) Mitral stenosis
c) Aortic R.
d) Mitral R
e) …
ans
c


121

SUB-DURAL HEMATOMA CAUSE
A) SUP CEREBRAL VEIN
B) INF CEREBRAL VEIN
C) ANT DIVISION OF MA
D) Post. Division of MA
Ans
A


122

Csf absorbed by
a) Arachnoid villi
b) Choroid plexuses
Ans
A


123
Which is pierced during LP
A) Dura matter

124
Inf spreads retroperitonealy, which will b infected
a) Spleen
b) Jejunum
c) Transverse colon
d) Descending colon
e) …
ans
d


125
Ant pituitary loss will result in Dec in size of
a) Zona glomerulosa
b) Zona fasiculata
c) Parafolicular cells of thyroid
d) Adrenal medulla
e) …
ans
b


126
Factor Dec wound healing
a) Vit c deficiency

127
How thrombocytes play role in thrombosis
a) Sorry forgotn the choices

128
Accomoation reflex intact, light reflex absent. Damage to?
a) Edenger westphal n.
b) Optic nerve
c) Optic tract
d) Optic chiasma
e) Pretectal area
Ans
E



129
Part of portal system draining esophagus
a) Azygous v.
b) Hemiazygous
c) Rit gastric
d) Lft gastric
Ans
D


130
Bronchopulmonary segment
a) Anatomical and functional unit iof lung

131
Temp set point is in
a) Ant hypothalamus
b) Post hypothalamus

132
Antibodies are produced by
a) Plasma cells

133
Virulence of bacteria is associated with
a) Dose
b) Duration of exposure
c) Toxin production
d) Body resistence
e) …
ans
c


134
For 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) Age
b) Sex
c) Systemic disease

135
Which one is not a epithelium tumor
a) Adenocarcinoma
b) Sq ca
c) Liposarcoma
Ans
C


136
Which receptor r involvd in acid production
a) H1
b) H2
c) Acetylcholine
d) …
e) …
ans
b


137
Which is present in slow wave sleep
a) Dopa
b) Acetylcholine
c) Serotonin
d) Norepinephrine
e) …
ans
c and d


138
Hemibalismus due to damage to
a) Subthalamic N.

139
A child having dyspnea when lyng down
a) Retrosternal goiter

140
Best buffer of body
a) Protein
b) Hb
c) Hco3
d) Phosphate
Ans
C


141
Protein utilization is chekd by
a) Urinary NO2
b) Blood NO2
Ans
A


142
A pt has fluid loss, now his urine is concentrated. It’s due to
a) Aldosterone
b) Adh
c) Acth
d) Cortisol
Ans
B


143
Ph 7.4 po2 65 pco2 33 hco3 19

a) Metabolic acidosis
b) Metabolic alkalosis
c) Compensated resp alkalosis
d) Resp alkalosis

144
What happens on mountain aclimitization?
a) Ventilation inc

145
Syphil dignosis material taken from
a) Blood
b) Urine
c) Semen
d) Genital sores (lesion)
e) Saliva
Ans
D


146
Best indicator of serum iron stores
a) Serum iron
b) Serum ferritin
c) Hemosiderin
d) TIBC
Ans
B


147
Why more oxygen goes to alveoli at apex than at base?
a) Inc compliance
b) Inc blood flow
c) In v\q
d) Inc pulmonary pressure
Ans
A


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

149
Hypospedias is due to defect in
a) Urogenital tubercle
b) Urogenital fold
c) Urachus
Ans
B


150
Cephalic vein
a) Begins in anatomical snuff box
b) Lies lat. To radial a.
c) Lat. To biceps
d) Ends in axilla
Ans
C


151
Upper part of anal canal is
a) Lined by stratified sq epi
b) Drained by sup inguinal nodes
c) Drained by inf rectal vein
d) Sensitive to touch
e) Sensitive to pain

152

Normal fetal heart rate
a) 40…. 60
b) 60…. 100
c) 100…. 120
d) 120…. 160
e) 160…. 200
Ans
D


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

154
Inc in systemic filling preesure causes
a) Inc venous return

155

Beta-blockers do not cause
a) Inc renin
b) Vasoconstriction
c) Bronchiodilation
d) …
e) …
ans
a

156

Lidocaine
a) Inc PR interval
b) Dec AP
c) Dec automaticity
Ans
A



157

A diabetic pt with BS 20mmole\l , obese,no complication,its 1st visit to a doc. What shold be the treatment?
a) Insulin
b) Insulin + sulphonylurea
c) Sulphonylurea
d) Biguanides
e) Biguanides +sulphonylurea
Ans
D


158

Pendulous knee jerk, cause
a) Cerebellar lesion
b) Upper motor neuron
c) Lower motor neuron
d) S2, 3,4
Ans
A


159

In which parasite the respiratory symptoms predominate?
a) Ascaris
b) Cystecercosis
c) …
d) …
e) …

160
Diagnosis of H.influnzae meningitis
a) Csf culture
b) Blood culture
c) Inc lymphocyte in csf
d) …
e) …
an
a


161
Antibody to TB bacteria is (dnt remember exact choices but they did ask regarding antibody against TB)
a) Cell bound
b) Membrane bound
c) in plasma
d) In saliva
e) …

162
In which phase os cell dividion the chromosomes are arranged in chromatids
a) Prophase
b) Metaphase
c) Anaphase
d) Telophase

163
Atrial contraction coresponds to
a) C wave
b) P wave
c) Qrs


164

Dorsal roots supply which musscles?
a) Internal intercostal
b) Externat intercostal
c) Innermost intercostal
d) Some back musscle

165

Internal spermatic fascia is derived from
a) External oblique
b) Internal oblique
c) Transvesalis fascia
d) Transversus abdominus
Ans
C

166
Inputs to cerebellum
a) From vestibular system

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

168
Parasympathetic stimulation causes
a) Ciliary muscle contraction

169
RTA, 1.5L blood loss, skin is calm and cold due to
a) Vasoconstriction
b) Vasodilation

170

Most common manifestation of septic pt
a) Tachycardia
b) Hypotension
c) Inc GFR
Ans
B


171

Premalignant condition
a) Basal cell nevus
b) Dysplastic nevus syndrome
Ans
B


172

Tumor involving lymph vessels
a) Angiosarcoma
b) Cystic hygroma
Ans
B


173
A female having very high levels of prolactin, suffering from homonymous hemianopia. It’s due to
a) Compression of optic nerve
b) Damage to optic tract
c) Damage to optic radiation
d) Compression of upper part of optic chiasma
e) Compression of oculomotor n.
Ans
D


174

What u find in primary hyperaldosteronism
a) Inc k
b) Dec k
c) Hypotension
d) Inc renin
e) Inc angiotensin 2
Ans
B


175
Which take part in synthesis of aldosterone
a) Angiotensin 1
b) Angiotensin 2
c) Cortisol
d) …
e) …

176

Inc k causes
a) Inc aldosterone
b) Inc ADH
c) Dec aldosterone
d) Dec ADH

177
HYDROCHLORTHIAZIDE CAUSES
A) Inc k
B) Inc ca
C) Inc mg
D) Inc na

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

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

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

181

Aldosterone causes
a) Hyperkalemia
b) Hyponatremia
c) Hypercalcemia
d) Hypokalemia
e) Acidosis