FCPS past papers surgery june 2005

1- Occulocardiac reflex mediated by

a)CN5


2- 1 gram of protein contains calories?

a) 4 calories


3-7th lobe of lung is called

a) medial basal

4-A marathion runner wins a race.What will be with blood insulin and Glucogan levels at the time when he crosses the win line?

5- Mandibular fracture occurs just brfore the mandibular foramen.

a) loss of taste to anterior 2/3 of tongue

b)Myelohoid muscle is unable to stabalizse mandible?

c) Loss of sensation to lower teets?

6-Head of femer

a) has anger of 125 with shaft

b)posteriorly completely covered by capsule?

c)epicondyls are in parallel line with shaft

7-Lymph nodules are present in

a)Spleen

b)Thymus

c)Lymph nobes

8-In DIC ,there is

a)decreased palatlets

9-what is inferior in perenium?

a) pereniul membrane

10)spleen is

a) mesodermal

b)endodermal

11)according to recent recommendations, recurrent MI should be treated with?

a) Anticoagulants

b) Lipid lowering drugs

c) Beta blockers

12)Stratified squamous epithelium is present in

a )palatine tonsils

b)pharynx

c)Ovary

13) Low voltage QRS comples ios seen in

a) MI

b) Bundel branch block

c)Hypertension

d)IHD

e)Pleuritis

14)Isthmus of thyroid is present at

a)C1- 2

15)Head of Humerous is supplied by

a) Anterior circumflex artery

b)Posterior circumflex artery

c)Suprescapular artery

d)Subscapular artery

16) Gene are composed of

a) RNA

b)DNA

c)Extrons

d)Introns

17) I/V dopamine is given to a patiend.followin if true about it onset of action

a) 5 min

b)5 sec

c) 60 sec

18)I/V sedation is given to a patient. Following is true about its arm-brain circulation

a)60 sec

b)5min

c)30min

d)5 sec

e)?

19) DVT is most common in

a)Femoral vein

b)popleteal vein

c)Superficial vericosed veins of leg

20) Which of the following is not a tumor marker

a)Acid phosphatase

b)PAP

c)Hcg

d)AFP

e)CEA

21) Pus contains

a)Dead bacteria

b)Dead neutrophils

22) The most common cause of fatty liver in our society is

a) Alcohol

b)Hepatitis B and C

c Drugs

23) Carotid bodies respond to

a) increase blood H+

b)Increase blood co2

24) In anterior Duodenal perforation , the contents will go to

a) Right iliac fossa

b)Left Iliac fossa

c)Anterior subhepatic space

d)posterior subhepatic space

e) small bursae

25) Metabolic alkalosis results from

a)Ingestion of ammonium chloride

b)ingestion of carbonic anhydrase inhibitors

26)A Diabetic patient fas urine ketones and urine glucose ++

the cause is ?

a)Hyperglycemia

b)Insulin difficiency

27 Response to chemotherapy is because it causes

a)Atrophy

b)Apaptosis

28)Dorsal column damage results in Ataxia because

a)loss of pathway from dorsal column to thalamus

b)Loss of proprioception input to cerebellum

c)Loss of proprioception to Thalamus

d) Loss of proprioception to Hypothalamus

29)Which of following nerve passes dorsal to brain stem?

a) 3, b) 4, c)5, d) 12, e) 9

30-A patient has hb 6, palatelet 450,000, with Hypercellular bone marrow/\

a)Due to drug he is using for anaemia

b) Leukemia

c) Iron deficiency anaemia

d)G6PD deficiency

31) The sign of cerebellar disease is

a)Adiadohakinesia

b)Static tremor

c)Hypertonia

31)Neurohypophysis drain secretions

a) Adrenergic neurons

b)cholinergic neurons

c)free nerve endings

32)CSF

a)has osmolarity <1040

b) pressure <10 mm of water

c) protein >200

33) Stimulation of Alpha adrenergic neurons



34)End arteries are present at

a)Brain

b)Heart

c)Bone

35) In Tempomandibular Joint Dislocation,What structure prevents the the joint to go back in cavity?

a) Tubercles on articular surface of mandible

b)Tempomandibular ligament

c)Lateral Ptyregoid muscle

d)Medial Ptyregoid muscle

36)Where the gangliom joining the superior petrosal nerve and inferior petrosal nerve is located?

37) A patient has hypercarboxyhemoglobin. He is breathing 100% oxygen. After how much time ,his blood will have 100% oxygen?

a) 1 min

b)2 min

c)5 sec

d) 5 min

38) FRC is?

a) TV + ERV

b)IRV + ERV

39)Aldosterone stimulate

a) Melatonin?

b)?

__________________________

40)A patient has fever 40c with flank pain ,increases frequency and chills and riggors.\

a) Blood culture

b)urine culture

c) Blood and urine culture

40)Following is not true?

a) HCV positive carriers have not been reported

41) Pulse pressure is increased in

a)Arteriols

b)capalleries

C)Aorta

42) A grand father was playing with his grandson with holding his wrist and rotation him in a circule.Suddenly the child starded crying and sit with holding his forarm in porn position. What happent ?

a) Proximal Radio ulnar joint dislocation

b)Distal Radio ulnar joint dislocation

c)Fracture of acromion

43) Regarding typhoid fever

a) Asypmtomatic

b)Carriers do not excreate causative agent in fees

c) Asypmtomtic carriers should be isolated and treated

44) Incision is given on Rt Lumbar area. The layers incised will be

a) Skin-superficial facia-deep facia- external oblique-internal oblique-transverse -Transverse fascia-exta peritoneal fat- peritoneum

b) skin- superficial fascia- extaperitoneal fat- peritinium

45) Carpus callosum

a) connects the two hemispheres

[hide]46)Most constricted part of male urethra is

a) External meatus

47)Superior Thyroid glands

a) Are located behind the Thyroid gland outside the facia

b)Have blood supply from the superior thyroid arteries

48) Which of the following is true

a) Piriformis attach to inferion trochanter

b) Schiatic nerve passes through superior sciatic foramen

49) A structure lined by cuboidal epithelium, and its center contains two calcified bodien of pink colour. What is it?

a) Prostate

50)25 cholecalciferol is not converted to 1,25 cholecalciferol in

a)Hepatic failure

b)Renal Failure

51) Which of the following is not present in posterior relations of kidney?

a) colic flexure

52) Rt border of heart is formed by

a)Rt atrium

53) In pregnancy ,Lactation does not occur because

a) Increased Level of progesterone and Estrogen

54) Which of the following have Pulmonary cycle?

a) Ascariasis

55)Causative agent of meningitis in 60 years old man is

a) St pneumonia

56) Cause of death in pneumonia bue to shock is

a)Gram -ve bacteria

b)Pseudomonas

c)st pneumonia

57) Diphtheria exotoxin hane powerful effect on

a) Larynx

b)Heart

c)Nerve endings

d)Kidneys

58) Aspiration of peanut will go in

a) Right lower bronchus

59) A female with butterfly ace,joint pain, Flank pain could have

a) SLE

60) A young patient has difficulty in swallowing

a) Sclerodermia

61) A patient with SLE have

a) Possitive ANA

b) Possitive anti SS

62) Incision on Supra pubic area caused heavy bleed. It could be

a) Damage to inferior epigestric artery?

63) In Hypoxia, cell swelling occurs due to

a) Entry of water in cell fromj surrounding

b) Entry of lipids

64)What is potent Antoxident ( Anti Aging)

a)VIT E

65) A boy is excreting meconium from rectum and has severe constipation. The rectal examination showed no ganglion cells. The condition is called

A) Intussusceptions

B) Hirschsprung's disease

66) In what portion of nephrone, Na is absorbed totally neutrally active transport?

a) PCT

b)DCT

c)ATT

76) Cell mediated immunity is mediated by

a) T cells

b)B cells

77) Virus does not cause

a) Lipoma

b) Kaposi sarcoma

c)cervical cancer

78) Iodine is stored in thyroid follicles as

a) Thyroglobulin

b)DIT and MIT

79) A patient died due to colonic cancer.On autopsy found thousands of polyps. Patient's father also had colonic cancer. The cause could be

a)Adenomatous polyps?

80) A patient has double ureters and double pelvis. It could be

a) anomaly is due to premature separation of ureteric bud

81) Chylomicrons contains

a) Fatty acids with vitamins

82) Transudate has

a) Low Albumin

83) common mediator of Basophils and mast cells have

a)Histamine

84)In Skeletal muscle , contraction occurs due to

a) Sacromere

b) Actin

c)Myosin

88) In chronic inflammation, there is predominate

a) Fibroblasts

b)Macrophages

c)neutrophils

89)Characterics of malignant cancer is

a)Metastasis

90 )Characteristic of malignant cancer is

a) pleomorphism

91) Pretraceal fascia

a) completely encircle the Thyroid gland

b)Completely encircles trachea

92) 6 months after the resection of terminal ilium, the patient

a) iron deficiency anemia

93) A patient has sweating 2L , and he took 2 L plan water. What could be happen?

a) Increased body volume?

b) decreased intracellular osmolarity

c)Increased extracellular osmolrity

94) Inhibition of heart Rate will be in

a) Stimulation of parasympathetic nervous system

95) Aldosterone is stimulated by

a) Increase of serum K

96) Follic Acid difficiency causes

a)Megaloblastic erythropoises

b) Foliate deficiency

97) Difference B/w Plasma and interstitial fluid is

a) Protien

98) C02 is mainly carried by

a) Hco3

99) In Inguinal hernia, posterior wall is formed by a) Conjoint tendon

b)Internal oblique muscles

100) What is part basal ganglia are

a) Putamen

( 32 mistakes )

Paper 2



101) Blood supply of vertebral column is

a)Vertibral artery

102)Suprascapular nerve arises from

a) Thyrocerv ical trunk

103) Ist pharyngeal pouch forms

a) Auditory tubes

104)Diapharm is supplied by

a) c 345

105)Urachus is remnant of

a) Allantois

106)A patient had surgery of breast and he is now unable to lift his arm.

What is damaged?

a) serratus anterior muscle

107)Thurst is stimulated by

a) ADH

108) A patient has dirrhoea and developed metabolic acidosis. What is lost in feeces?

a) HCO3

109)phasic fast adaptive structure is

a) Mickle disk

b)Carotid baroreceptors

c)Rufini's carpuscles

110)The lesser omentum forms which structures?

a) Hepatoduodenal ligament, Falciparum Ligament, Gastroduodenal ligament

111) A patient can not abduct and adduct his fingers. Lost adduction of thumb also.

a) Deep branch of ulnar nerve

112)Femoral canal is formed by what fascias?

a) Fascia Lata + memberenous Layer

b)

c)

113) Organ , lined by stratified squamous epithelium, rounded structure.?

Palatine tonsils

114)Regarding the Iron requirement of a pregnant woman, following test is appropriate.

a) TIBC

b)serum ferritin

115)After gastrectomy, a patient might develop

a) Megaloblastic anaemia

116) A patient got injury in the posterior triangle of neck.there might damage

a) spinal part of accessory nerve

b) CNS part of accessory nerve

c) Vagus nerve

117)A patient in RTA came in EAC with hypovomumic shock. First what to treat?

a) I/V Fluids

118) Clostridia cause

a) Gas Gangren

119)Angiotensin 1 is converted to Angiotensin 2 in

a) Lung capillary endothelium

120) First week diagnosis of Typhoid is

a) Blood culture

121)A soldier posted at high altitude for many years came witg PVC > 40

a) Secondary polycythemis

122) Buerger's disease is strongly associated with

a)Smoking

123)Acute appendicitis is associated with

a) Neutrophelic leukocytosis

124) Medial arcuate Ligament encloses at its upper end

a)Psoas muscle

125) QRS comples is due to

a)Ventricular systole

126) The transitional epithelium have

a) Couoidial epithelium lined by more larger and rounded cells?

127) A patient have right optic tract damage. He might developed

a)Left homonymus hemianopsia

128)In Burkit Lymphome, The causative agent is

a) EBV

129)Regarding adrenal glands

a) Right is Larger than left

b)Supplied by numerous arteries ,and drained by single vein

130) Repture of middle meningeal artery cause hematoma in

a)Between the two layers of dura mater

131)Middle esophageal constriction is by

a)Arch of Aorta

b)Left bronchus

132) T- cells

a) Matured in Thymus after birth

b)Both T cells and B cells are derived by same precursors

133)Neurovascular bundle is located at ribs at

a)inferior border of ribs

134)Which of the following does not predispose the cancer?

a) Radiation

b)Bacterial products

c)virus

d)Chemicals

135)Methicilline resistant staph are

a) Usually sensitive to Vancomycin

136) Cardiac muscles can not be tetanized becosed

a)They have long refractory period

137) Severe blood transfusion reactoion occurs if transfused all except

a) A+ blood to 0+

b)A + blood to AB+

c) B+ to O+

d) B+ tp AB+

e)O +ve blood to OA+

138)Xenograft is

a) Transplant of tissues of different species

139) Lysosomes contains

a) Acid Hydrolase

140) Rt Gastro epiploic artery is the branch of

a) splenic artery

141) Right gastroduodenal artery is the branch of

a) Hepatic artery

142 )An asthematic patient may have

FEV1/FCV <75

143)Ligamentum arteriosum connect with

a) Aorta with Left pulmonary artery

144)In atrial fibrillation, therer is

a) Pulsus deficit

145)A patient lost weight , hot dry skin,RR 20, pulse 120/min, DB 120/80

a) Hyperthyroidism

146) Alpha receptors stimulation may cause

a) Lipolysis

b)Gluconeogenesis

c)glycogenolysis

d) Glycogenesis

147)Trypsinogen in the duodenum will be activated by

a) PH < 7

148) Pulmonary embolism most commonly involves

a) Left pulmonary artery

149 A patient had streptococcal infection. What blood test you will advise him after one week?

a) Anti streptolysin O titer

150)A patient developed hemolytic anaemia after blood transfusion. Hemoglobin released will be attached with

a) Heptoglobin

b) Albumin

151) A patient with itching, fever with Antimitochondrial antibody +ve

a) Primary billiary cirrhosis

152) PDA occurs in

a) Prematurity

153) Fertilization occurs in

a)Oviduct

154) Liquificative necrosis occurs in

a) Brain

155) Temperature regulatory center is in

a) Hypothalamus

156) Skin cancer occurs

a) In Sun exposed area

157) Giant cells have

a) Macrophages

158) Inflamatory mediator is

a) C5a

159) Optic tract ends in

a) Lateral geniculate body

160) Gastric motility is increased by

a) Acetylcholine

161)Wound healing is delayed by

a) infection

162)Achalasia is due to

a)loss of Aurbach plexus

163)Patient has severe chest pain with ST elevation

a) Disectening aorta

b)Pleuritis

c)Pneumothorax

d)costochondral

e)Pneumonias

164)Patient X-Ray shows hilar lymph nodes. Granuloma but no necrosis. What is the diagnosis?

A} Sarcoidosis

B} Silicosis

C} Tuberculosis

165) Strongest layer of small intestine is

a)Circular

b)longitudinal

c)Mucosa

d)Submucosa ok?

166). High output cardiac failure

a. B1

b. B2

c. B6

167)Valve less vessel is

A) Aorta

B) Pulmonary artery

C) Coronary Sinus

D) Pulmonary Trunk

E) SVC e

168) Within 1 hr of the Acute M.I, which of the following enzyme will be raised?

A) CK-MB a

B) LDH

C) Alkaline Phosphatase

D) AST

E) Troponin T

169) Replacement of cells of other normal site of body is called

a) Metaplasia

170)Heart sound produced by rapid ventricular filling is

A) 1st heart sound

B) 2nd heart sound

C) 3rd heart sound c

D) 4th heart sound

171)Corticosteroids decrease

a) Neutrophils

b)Lymphocytes b

c)Eiosinophils

d)Monocytes

e)Basophils

172) DVT occurs in females

by use of OCPs

173) Visceral Pericardium is supplied by

a) Phrenic Nerve

b) Sympthatic Nerves

c) Vagus neve

d) Cardiac Plexus

174) Basal Cell Carcinoma involves

a) Buccal Mucosa

b) Hard Palate

c) Soft Palate

d) Lower Lip

e) Oral Cavity

175) Primary spermatocyte divide by

a)Mitosis

b)Spermiosytosis

c)Primary meiotic devision

d)Sec Meiotic devision

176) The volume of distribution of drug is not influenced by

a)Sex

b)Age

c)Heart failure

d)Renal Failure

177)In Hypothyroidism

a) Increased cholesterol level

178)craniophrangioma in the center of optic chiasmata may cause

a) Bitemporal hemianopsia



179)Which one of the following most likely causes Increase in GFR?

a)Constriction of afferent arteriole

b)Constriction Of efferent arteriole

180) cardic output measured by thermodilution method

is called

a)fick law?

181. Blood flow regulation is mediated by:

a. arterioles

b. precepillary sphincter

c. capillaries

d. venules

182)Thiamine deficiency causes

A} Peripheral Neuropathy

B} Pellagra

C} Chelosis

D} Dermatitis



183) Which of the following is not a feature of shock

A.decrease cardiac output

B.muslce weakness

C.increased urine output

D.tachycardia

E.restlessness


184) Iron is stored in the form of

A.ferritin

B.transferrin

C.apoferritin[/hide]

 

thanks.can some body post the answer bec some question are confusing,thanks.