Friday, November 08, 2013

FCPS Part- I (Medicine and Allied, Nov 2013, Section: 2 )

This post contains questions of FCPS Part- I Exam in Medicine (Nov 2013). Most probable answers are written in option "A". Mistakes are expected; not final answers at all. You can send us your feedback and leave comments about the questions and answers below in the "comment section". Questions in RED need to be cleared. This post contains 71 MCQs. Click Section: 1 for more MCQs. Bear in mind, this post is just to offer you a high-light of the Medicine paper held in November 2013 by CPSP. Your feedback will be highly appreciated.

Dr. Muzammil Irshad
Dr. Muhammad Imran Awan
Dr. Abdul Manan
101.  A smoker and psychic patient is having treatment presented with pain abdomen and visible peristalsis and audible sounds on examination:
A.     Psychogenic
B.     Stomach CA
C.     Pyloric stenosis
D.     Intestinal obstruction
102.  Which of the following suffers from fat necrosis in peritoneal cavity?
A.     Acute pancreatitis
B.     Gut gangrene
C.     Brain
103.  Which one only uses glucose?
A.     Brain
B.     Heart
C.     Liver
D.     Skeletal muscles
104.  Soft palate has:
A.     Stratified squamous non-cornified
B.     Simple columnar
C.     Stratified squamous cornified
105.  Facial nerve supplies:
10.     Stapedius muscles
B.     Muscle of facial expression except orbicularis occuli
C.     Sensation from the face
106.  Thalmic lesion is associated with sensory modulation:
A.     Hyperesthesia
B.     Numbness
C.     Hyperreflexia
107.  Nutmeg liver devolps due to:
A.     Passive congestion of liver
B.     Active viral hepatitis
C.     Portal hypertension
108.  Which of the following is NOT true about portal vein:
A.     Formed by superior and inferior mesenteric vein
B.     Present on free end of lesser omentum
C.     Has tributaries from right gastric
D.     Has tributaries from superior epiploic vein
109.  In aortic dissection:
A.     Cystic medial necrosis
B.     Hypertension
C.     Athero sclerosis
D.     Old age
110.  Which of the following is blood born:
A.     Hep B
B.     Herpes simplex
C.     TB
111.  Dormal rami of spinal nerve supplies:
A.     Extensor of trunk
B.     Limbs
C.     Flexor of neck
D.     Skin of abdomen
114.  Spinal nerve:
A.     Exit through inter-vertebral foramina
B.     They have motor and dorsal root anteriorly
C.     Ventral horn contains ganglion
115.  About thoracic nerves:
A.     Carry sympathetic innervations
B.     12 intercostal nerves
C.     Supply the skin of the abdomen only
D.     Supply intercostals muscle only
116.  Best site of lumber puncture:
A.     Above L4
B.     Above L2
C.     Above L3
D.     Below L5
117.  Coarctation of aorta is associated with:
A.     Constriction just after the subclavian artery
B.     Dilatation below the coarctation
118.  Down syndrome is associated with before the age of 40:
A.     Alzheimer’s disease
119.  Placenta:
A.     Separates vessels in muscular layer from spongiosum
B.     Separates vessels from many uterine arteries
C.     Covered with amnion on fetal side
D.     It is also called feto-chorionic
120.  A patient is febrile and undergoing shock. Investigation shows P. aurignosa. The shock is dues to:
A.     Endotoxin
B.     Factor release
C.     Toxic shock syndrome
D.     Exotoxin
121.  True about hyperplasia
A.     Cells with rapid mitosis
B.     Occurs in old age
C.     Usually irreversible
122.  Human is intermediate host in which of the following:
A.     Hydatid cyst disease
B.     Beef tape worm
C.     Encylostoma duedinale
D.     Ascaris
E.     Trachonema vaginalis
123.  Eosinophilia is not associated with:
A.     IgM
B.     Ascaris
C.     Hey fever
D.     Asthma
E.     IgE
124.  Heart does not show tetanization due to:
A.     Increase refractory period
B.     Prolonged intermodal delay
C.     Decrease intracellular calcium
125.  Which of the following is associated with treatment of vomiting, increases the contractility of lower esophageal sphincter and increases the motility of gut
A.     Metoclopramide
126.  Which of the following is NOT associated with Thyroid hormone?
A.     Catabolism of muscle
B.     Increase metabolic rate
C.     Ionotropic effect
D.     Bone maturation
E.     Anabolism of fatty acids
127.  Which of the following has highest clearance?
A.     Inulin
B.     PAH
C.     Glucose
D.     Na
128.  Lesion of common peroneal nerve, inability to:
A.     Eversion
B.     Plantar flexion
C.     Plantar flexion of big toe
D.     Inversion
E.     Medial side sensation
129.  Eversion/inversion occurs at:
A.     Subtallar joint
B.     Tibiofibular joint
C.     Ankle joint
130.  15 years old boy present with bleeding :
A.     20 x 109
B.     Platelet count 90 x  109
131.  In boy the most common cause of petechial rash on oral mucosa and skin after pancreatectomy is due to:
A.     Decrease absorption of vitamin K in gut
B.     Decrease iron
C.     Decrease absorption of vitamin C in gut
132.  Sarcomere lies between
A.     Z disc
B.     H lines
C.     M lines
133.  A boy present with complaint of pain abdomen, diagnosed as a case of appendicitis and appendicectomy was done. What would you look on biopsy?
A.     Neutrophils
B.     Eosinophils
C.     Lymphocytes
D.     Plasma cells
134.  Antibodies are produced by:
A.     Plasma cells
B.     Mast cells
C.     T cells
D.     Neutrophils
135.  Spinal nerves
A.     Originate from neural crest cells
B.     Ventral rami supply the limbs
136.  A yellow fever case occurring in area of non-endemic is called:
A.     Sporadic
B.     Endemic
C.     Pandemic
137.  Which one produces severe reaction while transfusion?
A.     A- to A +
B.     O to AB
C.     A to AB
137.  A woman with obstructive jaundice, which of the following is marker?
A.     Gamma glutamyl transferase
B.     ALP
C.     AST
D.     ALT
138.  Ribosomes
A.     Site of protein synthesis
B.     Attached with ER and synthesize cytoplasmic protein
C.     Present in cytoplasm and synthesize protein
D.     Synthesize messenger RNA
139.  Pain epigastrium due to gastric ulcer carried by:
A.     Greater splanchnic nerve
B.     Lesser splanchnic nerve
C.     Least splanchnic nerve
140.  Stony dull percussion note on anterior chest:
A.     Pleural effusion
B.     Thickened parietal pleura
C.     Thickened visceral pleura
D.     Pneumothorax
141.  Creatinin clearance: Plasma creatine = 1.12; Urine creatine = 1.44; Total urine =? Creatinine clearance clearance?
A.     1.68 L/m
B.     168 L/D
C.     1.44 L/m
D.     1.16 L/m
E.     Cannot be calculated with these values
142.  Which is the following is true about BP study. N = 75; Mean BP= 80 mmHg; SD = 10. How many percentages have blood pressure greater than 10 mmHg?
A.     48%
B.     64%
C.     16%
D.     84%
E.     96%
143.  In distribution curve, which of the following is most likely?
A.     Normal distribution
B.     Distribution on right side +ive peak
C.     Distribution on left side +ive peak
144.  Life of platets:
A.     10  days
B.     About 1 week
C.     2-4  days
D.     About 1 month
145.  About RBCs
A.     Destroy in spleen when are old
B.     Life is 3 weeks
146.  A 25 years old lady has complaint of weakness, dysphagia, Hh = 6 mg/dl, MCV= 70. She is having target cells in peripheral blood film: Diagnosis?
A.     Iron deficiency
B.     Anemia of chronic disease
C.     Thallassemia intermedia
147.  A 60 years old patient present with dysphagia and biopsy of mid-esophagus shows squamous cell CA. Condition associated with it is:
A.     Chronic alcoholism
B.     Behaviour disease
C.     Mallory Weis tear
148.  Perinephric fat and kidney is enclosed by:
A.     Geota’s fascia
B.     Gillson’s fascia
C.     Peritonium
D.     Triangular ligament
E.     Coronary ligament
149.  Lungs receive blood at rest in liter per minute
A.     5
B.     3
C.     4
D.     2
E.     6
150.  Staging of tumour is related with:
A.     Invasive extent
B.     Cellular atypia
C.     Hyperchromia
D.     Mitotic bodies
151.  Venous return decreases in:
A.     Skeletal muscle paralysis
B.     Veno-constriction
C.     Increase blood pressure
D.     Increase cardiac output
152.  During the increase in HR, which of the following occurs?
A.     Diastolic period decrease more as compared to systolic period
B.     Systolic period decreases and diastolic remains constant
C.     Diastolic decreases and systolic remains constant
D.     Systolic period decreases as diastolic
E.     No change
153.  A lady presents with bilateral diplopia worsening on evening. Which test is most appropriate to diagnose the case?
A.     Antibodies to acetylcholine receptors
B.     Tensillon test
C.     Nerve conduction study
D.     EMG
154.  Myasthenia gravis ai improved by:
A.     Anticholinestases
B.     Chilinesterases
C.     Acetylecholine transferases
D.     Acetyle CoA
155.  Most appropriate function of sternocleidomastoid muscle:
A.     Turns the neck to the opposite side against resistance
B.     Turns the neck to the same side against resistance
C.     Flexes the neck
D.     Extends the neck
156.  After trauma, patient loses sensory sensations on the lateral palmar surface of the hand and unable to flex index finger. Lesion in:
A.     Median nerve
B.     Radial nerve
C.     Ulnar nerve
D.     Axillary nerve
E.     Musculocutaneous nerve
157.  Most appropriate for the diagnosis of SLE is?
A.     Ds DNA
B.     Nuclear protein
C.     Rh0 antibodies
D.     Endomycial antibodies
E.     Antinuclear antibodies
158.  Reversal of MGSO4 :
A.     CaCl2
B.     Bicarbonate
C.     Proteins
D.     Phosphate
159.  Sojogren syndrome is most likely associated with:
A.     Scleroderma
B.     SLE
C.     Rheumatoid arthritis
D.     Thyroiditis
E.     Ceiliac disease
160.  A patient comes with leratitis, arthritis, xerosmia. Diagnosis?
A.     Scleroderma
B.     SLE
C.     Rheumatoid arthritis
D.     Thyroiditis
E.     Ceiliac disease
161.  30 years old man present with hematuria. Biopsy shows patchy urothelium with underlying hyperplasia of smooth muscles. Cause?
A.     Smoking
B.     Tubular sclerosis
C.     Recurrent infections
D.     Hypertension
162.  Memory loss after trauma:
A.     Hippocampus
B.     Cerebral cortex
C.     Mid-brain
D.     Reticular formation
163.  During walking painful stimuli causes flexion of the leg. It is:
A.     Reflex with no inter-neuron
B.     Polysynaptic
C.     Muscle stretch
D.     Golgi tendon
164.  Primary sign of shock:
A.     Rapid pulse
B.     Transient increase in BP
C.     Dyspnia
D.     Altered sensorium
165.  CO2 diffusion in the lung is greater than O2 is due to?
A.     Greater solubility coefficient
B.     Increased CO2 partial pressure in lungs
C.     Increased density of CO2
166.  Basic drugs bind to:
A.     A-1 glycoprotein
B.     Albumin
C.     Fat
D.     Water soluble
167.  Substances that pass through biological membrane in the process of simple diffusion:
A.     Water soluble
B.     Un-saturatable
C.     Energy dependant
D.     Have carrier protein
168.  In chronic alcoholism which of the following occurs in liver?
A.     Disorganized structure
B.     Constriction of central vein
C.     Distortion of porta-hepatis
169.  On terminal iliostomy, which of the following occurs?
A.     Increased amount of water in stool
B.     Decreased absorption of fat
C.     Decreased absorption of iron
D.     Decreased absorption of glucose and amino acids
170.  Micturation reflux:
A.     Involves parasympathetic sacral segment
B.     Initiated by higher center
C.     Controlled by sympathetic
D.     Generates itself
171. During decrease in blood pressure, which compensatory response occurs?
A. Decreased discharge rate of carotid sinus
B. Increase parasympathetic activity
C. Increased hering nerve activity
D. Decreased hering reflex

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