FCPS PART 1 JUNE 2010 MEDICINE PAPER B

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FCPS PART 1 JUNE 2010 MEDICINE PAPER B

Postby DR RAKHSHANI » Wed Jul 07, 2010 7:39 am

HI Friends i m posting the mcqs.it will help us in our board exam, paper A is still not received

PAPER B

Q 1. A person undergoing an 8 hour long explorative laprotomy now can not oppose thumb with index finger, likely lesion is
a. Median 
b. Ulnar
Q 2. Fracture of surgical neck of humerus injured which nerve
a. Auxillary
b. Radial
c. Median
d. Ulnar
e. Musculocutaneous
Q 3. A person is unable to flex his thigh and knee
a. Bicep femoris
b. Semitendinious
c. Sartorius
d. Rectus femoris
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Q 4. Upper border of Illiac crest crosses
a. Ant sup iliac spine
b. Body of L4
Q 5. Abdominal organs are lined by
a. Visceral peritoneum
b. Parietal peritoneum
c. Omentum
Q 6. Muscle of the back are supplied by
a. Ventral primary rami
b. Dorsal primary rami of spinal nerve
Q 7. Knee joint is supplied by
a. L2, L3
b. L3, L4
c. L4, L5
d. L5, S1
Q 8. Which of the following is not true regarding Hemi section of the spinal cord?
a. Loss of pain and temp sense on same side
b. Ipsilateral Babinski sign
c. Loss of joint position sense on same side
Q 9. Spinothalamic tract is
a. Anterion
b. Lateral 
c. Posterior
Q 10. A young boy was climbing stairs experiences chest pain and dyspnea. What is the mechanism of dyspnea
a. Low pO2
b. V/Q mismatch
Q 11. A known smoker is having sudden onset chest pain and dyspnea . o/e breath sounds are absent and percussion is hyperresonant. What initial investigation would u like to do
a. CXR
b. ECG
c. Echo
d. ABG’s
Q 12. Most common feature of atypical pneumonia is
a. Fever
b. Dry cough
c. Consolidation
Q 13. In Asthma there is
a. FEV1=FVC
b. FEV1 < 75% OF FVC
Q 14. A plumber is having chronic cough, his PH is 7.3, PCO2 30mmHg, HCO3 18 meq/L
a. Compensated Respiratory Alkalosis
b. Compensated Metabolic Acidosis
c. Combine
d. Uncompensated respiratory Alkalosis
Q 15. Question about respiratory failure types associated with chronic bronchitis.
Q 16. Deviation of uvela to left lesion will be at
a. Right Vagus
b. Right hypoglossal
Q 17. Which one is wrong about ECG
a. P wave precede pacemaker potential
b. Etc 9/27/08Ashfaq
Q 18. A patient GFR drops from 100 to 20, his s. creatinine will rise from 1 to
a. .5
b. 2
c. 5
d. 10
e. 20
Q 19. The best index of Afterload is
a. Blood Pressure
b. Venous volume
c. Cardiac output
Q20. Total Peripheral Resistance is determined by
a. Caliber of Arteriole
b. Blood pressure
c. Cardiac output
Q 21. In polycythemia which parameter is increased
a. Mean Arterial Pressure
b. PO2
c. WBC count
Q 22. Polycythemia is associated with
a. Cerebellar Hemingioblastoma
b. Migraine
c. MI
d. Thyrotoxicosis
Q 23. Which of the following tumor is associated with amplification of oncogenes
a. Nephroblastoma
b. Neuroblastoma
c. Retinoblastoma
d. Schwanomma
Q 24. Esophageal motility is affected in which disease?
a. SLE
b. Scleroderma
Q 25. Question abt Hashimoto’s thyroditis ie autoimmune.
Q 26. A 25 year old female with chronic diarrhea and weakness, investigation shows hypocalcemia and low vit D. the diagnosis is
a. Giardiasis
b. Celiac Disease
Q 26. A young child with sore throat and fever, her FBC shows 85% lymphocytosis, the diagnosis is
a. Infectious mononucleosis
b. Pertusis
c. Typhoid Fever
Q 27. The causative agent of lymphoma in AIDS is
a. HSV
b. EBV
c. CMV
Q 28. Of the following which one is not cause by a virus?
a. AML
b. Burkitt’s lymphoma
c. Kaposi’s sarcoma
d. Cervical carcinoma
Q 29. HSV-2 is a risk factor for
a. Endometrial carcinoma
b. Cervical carcinoma
c. Ovarian carcinoma
Q 30. Which one is not a feature of cirrhosis?
a. Acute piecemeal necrosis
b. Regenerative nodules
c. Portal hypertension
d. Ascities
Q 31. A patient on oral anticoagulant which parameter should be monitored?
a. aPTT
b. PT
c. Bleeding time
d. Clotting time
Q32. A 30 year old lady who is 34 weeks pregnant is having fits and raised BP with proteinuria,
What is the most appropriate initial management?
a. IV Diazepam
b. MgSO4 9/27/08Ashfaq
Q33. A 23 yr old male with malar rash, cutaneas vasculitis and arthritis will show?
a. Ig A deficiency
b. C1 esterase inhibitor deficiency
c. complement deficiency
d. CD4 helper deficiency
Q34. Most common cell of chronic inflammation?
a. Neutrophill
b. Macrophage
c. Lymphocyte
d. Basophill
e. Monocyte
Q35. Which chemical mediator is involved in cell mediated immune response?
a. IL-2
b. IL-4
c. IL-6
d. IL-10
e. IL-12
Q36. Which gram –ve bacteria do not produce endotoxin?
a. Vibrio cholera
b. Bordetela pertussis
c. Pseudomonas
Q37. On X-Ray right heart border is made by
a. SVC and right atrium
b. SVC, right atrium and IVC
c. IVC and right atrium
Q38. Adenosine Deaminase deficiency is seen in which patients?
a. SCID
b. Lyshnyan syndrome
Q39. A Patient presented wid cysts in liver,cause can b
a. teania solium
b. teania echinococccus
Q40. A question regarding S. Hematobium?
Q41. A notch between lesser curvature of stomach and pylorus is called?
a. Insisura angularis
Q42. In peptic ulcer disease bleeding commonly occur from which artery?
a. Gastrodudenal Artery
b. Pancreatodudenal Artery.

Q43. Which of the following vaccine has got the protein component to enhance immune response?
a. Polio
b. Meningococal vaccine
c. Rabies
Q44. Neonatal Rubella infection is screened by measuring which antibody?
a. IgM
b. IgG
c. igM and IgG
Q45. Which of the following is not true regarding Immunoglobulin?
a. Light and Heavy chain have the same domain
Q46. A question about HLA-II , DP,DQ,DR.
Q47. Which neurotransmitter is not involved in memory?
a. LHRH
b. TRH
c. Somatostain
d. Vasopressin
e. Serotonin
Q48. A question about alzhiemer disease whether it affect short or long term memory.
Q49. Genes are made of
a. Intron
b. Exon
c. Ds DNA
d. RNA
e. Ribosome 9/27/08Ashfaq
Q50. Thiazide diuretic causes
a. Hypocalcemia 
Q51. Thiazide diuretic causes
a. Hypokalemia
Q52. Antidote of morphine poisoning is
a. Nalaxone

Q53. Pt. on MAO inhibitor is given 1st dose of barbiturate will develop
a. coma
b. Insomnia
Q54. In acute heart failure the drug of initial choice is
a. I/V frucemide
Q55. A patient with carpopedal spasm following throidectomy, the drug of initial choice is
a. I/V Ca gluconate.
Q56. A patient on MAO inhibitor is given 1st dose of barbiturate, he will develop
a. Coma 
b. Insomnia

Q57. A 20 yr old girl with type 1 diabetes is brought to emergency in semicomatose condition. An injection of insulin given to her will raise her
a. Her blood PH 
b. Blood sugar
c. K+ level
d. Urinary excretion of ketones

Q58. Fine tremors are associated with which drug?
a. Alcohol
b. Terbutaline
c. Theophyline

Q59. Which drug is teratogenic?
a. Alcohol
b. Coffee
c. Heroin
d. Phenothiazine
e. Tobacco

Q60. Most common Souce of pulmonary emboli
a. femoral vein
b. popliteal vein
c. periprostatic veins
d. periovarian veins
e. superficial saphenous vein

Q61. The normal esophagus is
a. 10 inches in length
b. lies entirely in the thoracic cavity
c. consists entirely of skeletal muscle
d. lined entirely by stratified squamous epithelium.

Q62. A child sufferd from repeated episodes of mild jaundice. Diagnosis after his labs showed unconjugated hyperbilirubinemia
1.Dubin johnson syndrome
2. Bile duct obstruction
3. Gilbert syndrome
4. Rotor syndrome
Q63. A pt z having anosmia and hypogonadism, CT will show lesion of which area?
a. Amygdala
b. Arcuate
c. preoptic
d. paraventricular
e. supraoptic.

Q64. Menopause is assosciated with
1. Low estrogen and high fsh and high lh
2. Low estrogen and high fsh and low lh
3. High estrogen and low fsh and lh
4. Low estrogen and normal fsh and lh 9/27/08Ashfaq
Q65. A patient is having oligospermia, which of the following hormone is likely to be low?
a. FSH
b. LH
c. Estrogen

Q66. Which one of the following is not a vasodilator?
a. PGI2
b. Endothelin
c. NO
Q67. A question abt Androgen.

Q68. Which drug is given to close ductus arteriosus if it does not closes spontaneously?
a. Indomethacine
b. Paracetamol

Q69. A normal umbilical cord contain
a. Two artries and left umbilical vein
b. Two artries and right umbilical vein

Q70. A pregnant lady is likely to have risen following value
a. TIBC
b. Serum iron
c. Serum ferritin

Q71. A patient on broad spectrum antibiotic starts to get bleeding, likely cause is
a. Vitamin k deficiency



Q72. The posterior relation of left kidney include following except
a. Quadrates lamborum
b. Psoas
c. Diaphragm
d. Splenic flexure

Q73. A patient with swallowing difficulty and bird beak appearance on Ba meal is suggestive of
a. Achlasia
b. Esophageal carcinoma

Q74. A question about anatomy of spinal arteries.

Q75. A question about allergic urticaria.

Q76. Which anti tubercular drug is associated with Hyperuricemia.
a. Isoniazid
b. Rifampicin
c. Pyrazinamide

Q77. A patient on corticosteroid will show a decline in which cell line
a. Neutrophils
b. Monocyte
c. Lymphocyte

Q78. A question about long acting thyroid stimulating antibody (LATS)

Q79. Which property of motion is affected in cerebellar lesion?
a. Range of moton

Q80. Which lobe of cerebellum is concerned with Balance and eye movement?
a. Vermis
b. Flocunodular lobe
c. Lateral hemisphere

Q81. Pubic symphasis is an example of which type of joint?
a. Fibrous
b. Fibrocartillagenous
c. Synovial

Q82. Tissue bleed is a feature of
a. Collagern defect
b. Clotting problem

Q83. Which feature differentiates malignant from benign?
a. Metastasis
b. Recurrence
c. High vascularity 9/27/08Ashfaq
Q84. A feature of malignancy include
a. Invasiveness
b. Hardness
c. Vascularity

Q85. Blast injury is associated with deafness of which type
a. Sensory
b. Neural
c. Combine
d. Toxic

Q86. In neural pathway unilateral lesion above which nucleus cause bilateral deafness?
a. Lateral leminisci
b. Inferior colliculi
c. Cochlear nucleus
d. Medial geniculate body
I am not giving this answer let see can you do it.


Q87. Which enzyme is measured to differentiate raised alkaline phosphate whether of hepatic or bone in origin?
a. ALT
b. AST
c. Gama GT.

Q88. A hypertensive patient is having raised renin activity in left renal vein and in plasma, and a decreased renin activity in right renal vein, he is having
a. Right renal artery stenosis
b. Left renal artery stenosis
c. Bilateral stenosis

Q89. A child aspirated a peanut. In which lobar bronchus it must have logged
1. Left upper
2. Right inferior
3. Right middle
4. Right superior
5. Left inferior

Q90. Drug of choice for sub-arachnoid Hemorrhage
a. Nifedipine
b. Nimodipine
c. Verpamil
d. Amlodipine
e. Diltiazem

Q91. Recketsia infect which cells
a. Epithelial
b. Endothelial
c. Fat cell
d. Schwann cell
e. Macrophage
f. Muscle cell

Q92. Which one is anaphylatoxin
a. C3b
b. C5b
c. C3a

Q93. Normal quiet expiration is brought about by contraction/recoil of
1. Diaphragm
2. Elastic tissue in thoracic and lung wall
3. Abdominal muscles
4. Sternocleidomastoid

Q94. A child died of severe pneumonia. At autopsy, the lung shoed Warthin- fnkendly cells with many nuclei. Causative organism:
1. Ebola virus
2. CMV
3. Measles virus
4. Rubella virus
5 pneumocystis carinii

Q95. The following disease most severely affects the esophageal phase of swallowing
1. Myasthenia gravis
2. Scleroderma
3. Poliomyelitis
4. Stroke 9/27/08Ashfaq
Q96. Pt presented in emergency in unconscious state report indicates hematoma n rite parietal region, cause z
1. Internal carotid artery
2. Basilar artery
3. Middle cerebral artery
4. Middle meningeal artery

Q97. A young patient with hypertension and hematuria, investigation shows anti basement membrane antibodies, the likely diagnosis is
a. Good pastuer syndrome
b. SLE
c. Membranous Gn 9/27/08Ashfaq
Answer
the ans with blocks mean correct option.

if u need word document then leave email.
Paper A is coming soon.
DR RAKHSHANI
 
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