July 2007, FCPS 1 past papers Surgery and Allied, embryology, neuroanatomy, histology, physiology, general and special pathology, pharmacology, mcqs recalls


FCPS 1 previous papers, mcqs recollects, outdated examination apply papers obtain half 1

Half 1

Surgical procedure and Allied, embryology, histology, physiology, normal and particular pathology, pharmacology

July 2007

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Surgery and Allied, embryology, histology, physiology, general and special pathology, pharmacology
Questions:
 Be aware; Right solutions are represented by ‘A’. A is appropriate and all different selections are fallacious.

ANATOMY

01. A 10 12 months outdated boy with shoulder damage misplaced abduction of his shoulder as much as 30 diploma which muscle is misplaced:
Supraspinatus
Deltoid

02. A boy is delivered to a hospital with damage at elbow joint misplaced extension of medial Four fingers at MTP joint, abduction of thumb with intact sensation as a consequence of:
Harm to Radial nerve at elbow

03. Which of the next muscle just isn’t equipped by median nerve:
Adductor polices.

04. Concerning palm:
Superficial palmer arch is beneath palmer apeneurosis.

05. Which of the next muscle have twin nerve provide from median and ulner nerve:
Flexor digitorum profundus.

06. An infection of the primary pulp area lymph nodes will first drained.
Epitrochlear lymph nodes.

07. Which of the next muscle groups is flexor at hip and extensor at knee:
Sartorius.

08. In an damage to knee joint a person is unable to increase his knee the basis worth affected:
L3-L4.

09. Within the damage to neck of fibula the artery broken:
Ant. Tibial artery.
Peroneal artery.

10. Concerning submit. Triangle:
Base is kind by center third of clavicle.

11. Bifurcation of widespread carotid artery:
Beneath the any. Border of sternocladomastoid on the sup. Border of thyroid cartilage.

12. Nice saphenous vein has what number of valves:
20.

13. Vertebral venous plexus:
Has no communication with cerebral sinuses.
Lies in epidural area.
Is fashioned by two vertebral veins.

14. A 40 years outdated man feels ache in his gastrocnemeus muscle after he walks 100 meter which relieves when he stops strolling is probably going as a consequence of obstruction of:
A. Publish. Tibial artery.

15. Subclavian artery grooves over:
A. 1st rib.

16. What’s inappropriate about azygus vein.
A. It enters the thoracic cavity through esophageal opening.

17. Which of the next construction arches over root of left lung:
A. Arch of aorta.

18. Weakest level of rib is:
A. Angle of the rib.

19. A pathologist desires to cross dye to the liver he’ll attain through:
A. Ligamentum Teres.

20. Inner spermatic fascia is a continuation of:
A. Transversalis fascia.

21. The department of inside carotid artery which stays in true pelvis all through its course:
A. Center rectal artery.

22. Throughout a per rectal examination the examiner is not going to reveal:
A. Ureter

23. Parasympathetic nerves supplying the urinary bladder are:
A. Pelvic splanchnic nerves.

24. Nerve provide to the decrease airways:
A. T3-Four

25. Throughout an damage to the bulbar a part of urethra the urine will extravasate to:
A. Superficial perineal pouch.

26. Nerve provide to the distal scrotum is through:
Illioinguinal nerve.
Illiohypogastric nerve.
Genitofemoral nerve.

27. Throughout surgical procedure of proper colon for carcinoma which construction wouldn’t be injured:
A. Aorta.

28. Sluggish rising tumor of head of pancreas will compress:
A. Frequent Bile Duct.

29. Tumor of the pinnacle of pancreas will compress:
A. Frequent Bile Duct.


EMBYROLOGY

1. Concerning Decidua:
A. Decidua basilis kinds the maternal a part of placenta.

2. Embryonic interval is:
A. Three-Eight weeks.

Three. Which of the next is a by-product of neuro ectoderm:
A. Sphincter pupili muscle.

Four. Spinoff of Ectoderm embrace:
A. Secretary Epithelium of parotid gland.

5. Spinoff of Ectoderm embrace:
A. Secretary Epithelium of parotid gland.

6. Concerning Allantois:
……

7. left umbilical vein will regress to:
A. Ligamentum Teres.

Eight. Which of the next construction just isn’t an Embryological remnant:
A. Lateral umbilical ligament.

9. Concerning Mesothelium:
A. Traces the physique cavities.

10. Physiological hernia happens in between:
A. 6-10 weeks.

11. What’s going to occur instantly after beginning:
Anatomical closure of Ductus arteriosus.
Anatomical closure of Ductus venosus.
Anatomical closure of foramen ovale.
Obliteration of Left umbilical vein.
Obliteration of Proper umbilical vein.

12. Which of the next bone is derived from 2nd Pharyngeal arch:
A. Styloid course of.

13. Muscle mass innervated by hypoglossal nerves are derived from:
A. Occipital Somites.

14. Primordial Germ cells are derived from:
A. Yolk sac endoderm.


NEUROANATOMY

1. In adults spinal wire ends on the intervertebral disc between:
A. L1-2.
2. Harm to L1 vertebra will immediately injury which of the next spinal construction:
A. Conus Medullaris.
Three. Which of the assertion concerning Lateral Horn of spinal wire is inappropriate:
A. It’s current on the cervical portion of spinal wire.
Four. Concerning Trapezoid Physique:
A. It’s associated to the auditory pathway.
5. Lack of Nice and expert actions of the hand is because of injury of:
A. Corticospinal Tract.
6. What’s inappropriate concerning Glossopharyngeal nerve:
A. It’s totally sensory.
7. Lack of temperature regulation is because of injury at:
A. Anterior Hypothalamic Nucleus.
Eight. Temperature regulation centre is positioned in:
A. Hypothalamus.
9. In spinal faucet the needle which can go throughout:
A. Epidural Area è Dura Matter è Sudural Area è Arachnoid Matter è Subarachanoid area.
10. Concerning spinal wire what’s inappropriate: A. Its dura matter has two layers

HISTOLOGY

1. Easy columner epithelium is current:
A. Choroidal plexus of ventricles.
2. Cytoskeleton:
A. Maintains the integrity of the cell.
Three. Mast cell.
……….
Four. Newly fashioned Elastic cartilage seems to be yellow & dense due to:
A. Massive no: of Elastin fibers.
5. Compact bone comprises:
A. Osteoblast cells within the lacuner areas.
6. Which a part of the respiratory tract comprises mucous glands:
A. Nasal cavity.
7. Skeletal muscle groups have:
A. A number of nuclei positioned at their periphery.
Eight. Surfaces that are vulnerable to large amount of friction have:
A. Straitifed Squamous Keratinizing Epithelium 

PHYSIOLOGY

1. Pulmonary Wedge Strain:
A. Not directly measures left atrial stress,
2. Ventricular Depolarization on ECG strip is represented by:
A. QRS Advanced.
Three. Ventricular preload is measured by:
A. LVEDV.
Four. Blood movement to the left ventricles is improve by:
Acetylcholine infusion.
Sympathetic stimulation
5. Bain Bridge reflux.
……………
6. IPSP is generated by opening of:
A. Cl- channels.
7. Throughout Depolarization:
A. There’s fast inflow of Na+.
Eight. Blood group antigen:
A. Won’t present in every other tissue than blood.
B. Can be inherited by Autosomal recessive sample
9. If father’s blood group is B+ve & mom’s blood group is AB+ve there little one can’t have which of the next blood group:
A. O+ve.
10. ESR will improve with the lower in:
A. Albumin.
11. ADH will act on:
A. Distal Tubules.
12. Renal absorption of glucose through secondary transport with sodium happens at:
A. Proximal Tubules.
12. Easy Diffusion relies on the entire following components besides:
A. Magnetic area.
13. What’s the appropriate I/V fluid for the affected person of acidurea:
Regular Saline.
Dorrow`s answer.
Ringer lactate.
5% dextrose
10% dextrose.
14. Which of the next causes Hyperkelemia:
Zollinger Ellison syndrome.
Cushing syndrome.
Conn`s syndrome.
Pyloric stenosis.
15. Which of the next hormone known as STRESS HORMONE:
A. Cortisol.
16. Inhibitory issue launched by hypothalamus in opposition to which of the next hormone:
Prolactin
Progress hormone.
17. Bile of the Liver differs from the GB bile as a result of GB bile comprises lower quantity of:
A. Water.
18. Which of the next cell can by no means reproduce:
Erythrocyte.
Neuron.
Skeletal muscle.
Easy muscle.
19. Which of the next is the NOT non dividing cell:
A. Hepatocytes.
20. Warmth loss primarily relies on:
Temperature of the encompassing.
Evaporation.
21. Cortisol decreases which of the next cell:
A. Lymphocyte.
22. Resection of distal ileum will impair the absorption of:
A. Bile Salts.
23. Concerning Bradykinin:
It formation is activated by killkeran.
24. Concerning Interferon:
……….
25. Surfactant is launched by:
A. Sort II pneumocytes.
26. Enhance peripheral resistance is because of:
A. Enhance vasomotor tone.
27. Chloride shift means:
A. Switch of Cl- in erythrocytes in trade of HCO3.
28. Cardiac muscle groups are prevented by tetanization as a consequence of its:
Rythmicity
Automaticity
Conductivity
Lengthy refractory interval.
29. Sustained rhythmic reflex tremors induce by sudden actions is:
A. Clonus.
30. Most energetic type of thyroid hormone current in circulation is:
A. T3.
31. Concerning conduction of visible pathways:
………..
32. Concerning olfaction:
A. Sharp odors have the standard of water & lipid solubility.
33. Unilateral Anosmia is because of:
A. Affection of Nasal mucosa.

GENERAL PATHOLOGY

1. Irreversible cell damage begins with:
A. Rupture of the Lysosomal membrane.
2. Which of the next just isn’t a mediator of acute irritation:
A. Dopamin.
Three. ICAM & VCAM mediates:
A. Leukocyte Adhesion.
Four. Fever in irritation is attributable to:
A. IL1 & TNF α.
5. A 36 years outdated girls introduced with acute stomach. At laparoscopy most of the bowl loops had been darkish purple black. Her mesenteric veins had been patent. Probably the most possible underlying pathological course of is:
A. Moist Gangrene.
6. Superimposed an infection on necrosis known as:
A. Gangrenous Necrosis.
7. Fluid accumulates in acute irritation comprises:
A. Proteins >3gm/dl.
Eight. Fats necrosis happens in:
A. Acute pancreatitis.
9. What’s inappropriate about fats necrosis:
A. Solely attributable to trauma to the fats tissue.
10. A 25 12 months outdated woman with 14 weeks being pregnant had a street visitors accident dropped at the emergency division with a big open wound on thigh and femur fracture. After 2 days of accident she all of the sudden collapsed & died. Probably the most possible pathological course of contain in her dying:
A. Fats Embolism.
11. Concerning Fats Embolism:
It’s Fetal in >80% of circumstances.
IT manifest inside 12 hours.
12. A 30 12 months outdated girls dropped at emergency division with bleeding …..
13. A 16 years outdated boy deeply jaundiced introduced with gum bleeding as a consequence of:
A. Vitamin Ok deficiency.
14. A affected person introduced with enlarge lymph nodes, the analysis of Tuberculosis on this affected person is confirmed by:
A. Presence of caseous necrosis in lymph nodes.
15. An 18 12 months outdated lady got here to household physician complaining of major amenorrhea, on examination she discovered to have nicely fashioned breasts, blind ended vagina with no uterus & ovary. Her possible Karyotype is:
A. 46 XY.
16. Edema as a consequence of improve hydrostatic stress is seen in:
A. Congestive cardiac failure.
17. Which of the next is a benign tumor:
A. Warthin`s tumor.
18. Which of the next is a premalignant situation:
A. Leukoplakia.
B. Erythroplakia.
19. Which of the next is a premalignant situation:
Condyloma
Metaplasia Endocervix.
Cystic hyperplastic endometrium
20. Metaplasia doesn’t happen in:
Mind.
Vitamin A deficiency.
21. The first supply of Creatinin is:
Liver.
RBC.
Skeletal muscle groups.
Cardiac muscle groups.
Lungs.
22. Dystrophic Calcification is seen in the entire following besides:
Malarial parasite.
Lifeless fetus.
Hydatid Cyst.
23. Maximal tensile Energy of a wound is attained in.
Three Months.
Over an unpredictable time frame.
1 Yr.
6 days.
10 days.
24. Concerning autosomal recessive issues:
………………
25. Which of the next aren’t non-dividing cells.
A. Hepatocytes.
26. In a affected person there’s atrophy of submandibular gland as a consequence of its duct obstruction. Atrophy of the gland is due to:
A. Apoptosis.
27. The mechanism of damage of ionization radiation is:
A. Free radical formation.
28. LASER act by:
Chopping.
Biochemical modifications
29. A affected person admitted to the hosp. recognized as case of gasoline gangrene dies as a consequence of:
A. Poisonous shock
30. Which of the next is the confirmatory check of AIDS:
Western blot.
ELISA.

SPECIAL PATHOLOGY

1. Hepatic hemengioma is related to:
A. Vinyl Chloride.
2. Which of the illness is widespread in I/V drug abusers:
A. Infective Endocarditis.
Three. Typhoid carriers are:
A. Normally asymptomatic.
Four. Intestinal metaplasia as a consequence of reflux esophagitis results in:
A. Adenocarcinoma.
5. Embryological marker that reappears in circulation in Ca Colon is:
A. CEA.
6. Which of the next is peculiar for crohn`s illness is:
A. Perianal Lesions.
7. Anemia of being pregnant is because of:
A. Enhance plasma quantity.
Eight. Main complication of extreme burn:
Formation of granulation tissue.
Carcinoma formation.
9. What’s Inappropriate about hyper parathyroidism:
A. There’s improve PO4 renal absorption.
10. A 25 12 months outdated woman complaining of palpitations, warmth intolerance on examination her pulse is 112b/min, BP 120/80, R/R 20 br/min. She is most most likely a case of:
A. Hyperthyroidism.
11. Resection of Anterior lobe of pituitary will result in:
A. Lower glucocorticoids.
12. A 6 12 months outdated boy is complaining of proximal muscular weak spot was discovered to be Ca++ channel antibodies optimistic. Probably the most possible analysis is:
Lambert Eaten Syndrome.
Mysthenia Gravis.
13. In pulmonary embolism, respiratory failure is because of:
A. Air flow / perfusion mismatch.
14. Left ventricular failure will result in:
A. Enhance pulmonary arteriolar Strain.
15. Fast impact after damage to a vessel is:
Vasoconstriction
16. Results of hyper parathyroidism in Ca. lung is because of:
Parathyroid like protein
Parathyroid hormone
17. Spleenectomy will assist in treating which kind of anemia:
A. Hereditary Spherocytosis.
18. Malignant Tumor that won’t metastasize:
A. Basal cell carcinoma.
19. Achlasia is because of:
A. Absence of Myenteric plexus.
20. After a visitors accident a girl is delivered to a hosp the IMMEDIATE step you do:
A. Clear airway.
21. Ameobic an infection reaches lungs by way of:
Direct extension from liver.
By aspiration of ova of Entameoba histolitica.
By aspiration of trophozoits of Entameoba histolitica.
By way of Portal vein.
22. In Hypothyroidism there’s improve in:
A. Ldl cholesterol
23. In thyroid illness the antibodies are directed in opposition to:
A. Thyroglobin.
24. A 50 years outdated man is woke up in the course of the evening with acute ache & tenderness of the fitting knee. He has a low grade fever. His knee is sizzling, tender & swollen. Evaluation of fluid from proper knee exhibits: leukocytes 70,000/mm3 with 75% neutrophils, crystal evaluation = damaging birefringent, gram stain = damaging. The more than likely analysis is:
A. Gout.
B. Pseudo gout.
C. Septic arthritis.

PHARMACOLOGY

1. Which of the next blocks α and β receptors:
A. Labetalol.
2. Ketamin is used as anesthetic in repeated dressings of burn affected person as a result of:
A. It relieves ache as nicely.
Three. Drug that decreases the tone of decrease esophageal sphincter & will increase gastric emptying:
A. Metaclopromide.
Four. Which of the next is appropriate antihypertensive for bronchial asthma & IHD affected person throughout surgical procedure:
I/V sodium nitroprusside.
I/V nitroglycerin.
5. Which of the next is drug of alternative for affected person of standing asthematicus:
I/V aminophylin
Oral steroid
I/V salbutamol.
6. Throughout surgical procedure antibiotics needs to be given at:
A. On the time of induction of anesthesia.
7. Heparin will inhibit:
A. Clot propagation.
B. Clot group.
Eight. Acid suppression is completed by blocking:
A. H2 Receptor.
9. Drug of alternative for acute pancreatitis.
Pethidine.
Morphine.
Paracetamol

Extra questions of Surgical procedure contributed by; Dr. Irfan Bhatti

1 trapezious physique referring to
auditory pathway
MLF
dorsal column-medial leminiscus
laterl column

2 which certainly one of these cells just isn’t a non dividing cell
neurons
nerve cells
myocardiocytes
hepatocytes

Three papillary muscle derived from
ectoderm
endoderm
mesoderm
neuroectoderm

Four LASER works by
reducing
thermal
crystalization

5 which of the followings is the benign tumor
wilms tumor
mesothlioma
hamartoma

6 inside cremastaric fascia dervied from
fascia tranversalis
fascia inside indirect
fascia tranversus abdominis

7 Concerning bone
common lamellae
irreagular lamellae
horizontal canals
indirect canals

Eight ADH works at
distal convulated tubule
amassing tubule distal convulated n amassing ttubule
proximal convulated tubule

9 generally rib fractures
at angle neck shaft physique

10 proper umblical artery turns into
left medial umblical ligament
proper median umblical ligament
left medial umblical ligament
median umblical ligament 

Extra Questions:

  • 1.mesothelioma is
    .current in all da physique cavities
    .lined by easy cuboidal epi

    2.surfactant is produces by
    .kidney
    .liver.
    .pneumocytes1
    .pneumocytes2

    Three.allantois is
    .first fashioned blood vessels(sumthin like dat)
    .stays of vitelline duct(sumthin like dat)

    Four.activation of certainly one of followin happens in kidney
    .cholecalciferol
    .renin

    5.a pt cums 2 u wid lack of abduction of proper arm upto 30levels….however ven supported upto 30 drgrees abduction is regular,which muscle is concerned?
    .deltoid
    .supraspinatuis
    .infraspinatus
    .teres main

    6.what number of valves r current in nice saphenous vein?
    .5
    .10
    .15
    .20
    .25

    7.the ca head of pancreas could compress
    .widespread bileduct
    .duodenal artery
    .spenic artery

    Eight.wot construction arches over left bronchus
    .aortic arch
    .azygous vein

    9.the central regulation of temperature happens in
    .hypothalamus
    .pons
    .medulla
    .cerebellum

    10.there was one other stem concerning da temperature regulation but it surely was requested peripheral temp regulation…n certainly one of da possibility was pores and skin in dat plus anterior hypothamus…i dun keep in mind da xact stem!

    11.tremendous voluntary expert actions of higher xtremities r performed by
    .cerebellum
    .medulla
    .pons
    .higher motor neuron
    .cortico spinal tract

    12.there was one other stem regardin fracture of bone n its complication…i dun xactly keep in mind da medical correlated stem…however certainly one of da possibility was FAT EMBOLISM

    13.which sensory half is concerned in da flexion of knee joint? (sumthin like dat)
    .s1-s2
    .s3-s4
    .s4-s5

    14.a pt is unable 2 flex metacarpels,incapacity 2 abduct fingers,
    and unable 2 flex wrist joint(i feel)…which nerve is broken?
    .ulnar nerve above da elbow joint
    .ulnar nerve beneath da elbow joint
    .radial nerve
    .median nerve

    15.an unaffected stage in amoeba
    .amoebic cyst
    .amoebic larva
    .grownup amoeba (sumthin lyk dat)

    16.which construction has no embryonic bacground?
    .ligamentum teres
    .ligamentum venosus
    .median longitudnal lig
    .medial longitudnal lig

    17.all these buildings involved wid air hav da following epi
    .stratified squamous epi
    .keratinized sqamous epi
    .non keratinzed sq epi
    .pseudo startified sq epi

    18.easy cuboidal epi is current in
    . ducts of salivary glands

    19.anemia,neutro penia and hepatosleenomagaly is current in
    .falciparum malaria
    .chagas illness

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