11.11.11

OBS/GYNA FCPS PART-1 NEW POOL (paper 1 & 2)


Lamellar bodies are found in:
A- Clara cells
B- Type 1 alveolar cells
C- Type 2 alveolar cells
D- Macrophages

Ans C
surfactant contained within the lamellar which is released via exocytosis.


Best method to detect malignancy
A- Cytology
B- Histopathology
C- Immunochemical

Ans B


HIV diagnosis is through
A- western blot
B- Elisa
C- CD count >300

Ans A
Vitamin D causes:
A- increased renal Ca re-absorption
B- increased serum phosphate levels

Ans A

Antithrombin
A- Has a structure similar to thrombin
B- is a valine protease inhibitor
C- When binds to protease action is increased by heparin

Ans C
it is a serine protease inhibitor. In antithrombin III deficiency heparin's anticoagulant effect is decreased.


Head injury causes paraplegia with no sensory loss which are is involved?
A- Cerebral cortex
B- Spinal cord at T10 level
C- Pons
D- Medulla

Ans A
Tricky! I guess what they are referring to is the involvement of motor cortex!!
ADH
A- Has double size compared to oxytocin
B- Released on decreased osmolarity
C- Is transported down attached to neurohypophysin

Ans C

HIV infection in female will cause
A- vulvar cancer
B- endometrial cancer
C- cervical CA
D- leukemia

Ans C
Following is not a sign of irreversible cell injury:
A- Karryorhexis
B- Karyolysis
C- Mitochondrial shrinkage
D- myelin figures


Ans D
still reversible at this stage, but if the conditions don't improve irreversible injury will develop


Type of necrosis in omentum:
A- liquefactive
B- coagulative
C- gangernous
D- fat necrosis

Ans D
A kidney transplant immediately turns blue and is rejected within minutes:
A- type 4 sensitivity
B- Ab. mediated
C- Cytotoxic rejection
D- GVHD

Ans B
a question of hyper-acute rejection.

Which of the following causes viral mediated host DNA transfer:
A- Transduction
B- Transformation
C- Conjugation

Ans A

Which of the following most probably has an animal reservoir?
A- influenza
B- measles
C- smallpox

Ans A
Vitamin K deficiency following is unusual:
A- coumarin therapy
B- Bile duct obstruction
C- red meat ingestion
D- in newborn due to lack of transport through placenta

Ans C


Liquid dysphagia is due to:
A- hypoglossal nerve palsy
B- plummer-vinson syndrome
C- palatal palsy
D- neuromuscular incoordiantion

Ans D
Heinz bodies are found in
A- autoimmune hemolytic anemia
B- G-6-P-D deficiency
C- hereditary spherocytosis
D- post splenectomy

Ans B


Hemolytic anemia is a feature of
A- acute myeloid anemia
B- cirrhosis
C- mycoplasma
D- SLE

Ans A
All the others.
Necrosis in omentum is
A- fat necrosis
B- caseous necrosis
C- gangrenous necrosis
D- fibrinoid necrosis

Ans A


When a question is asked from a student during lecture, he becomes red faced. This is due to
A- active congestion
B- active hyperemia
C- passive hyperemia
D- parasympathetic stimulation

Ans B


Testosterone is secreted by interstitial cells of leydig it
A- increases hair growth on scalp
B- increase protein synthesis in bones and muscles
C- inhibits secretions of sebaceous glands
D- it is 17-ketosteroid
E- is converted into androsterone in target cells

Ans B
Para amino hippuric acid is used to determine
A- GFR
B- renal blood flow
C- renal plasma flow
D- renal creatinine clearance

Ans C


Earliest side-effects of aspirin over-dose
A- tinnitus, vertigo
B- vomiting
C- seizures

Ans B


A scenario of child having serum cholesterol of 600mg/dl, his father, mother and elder brother are all having this high level of cholesterol in their blood.What gene mutation is responsible for this condition?
A- apoE
B- HDL receptors
C- LDL receptors
D- basal chylomicron transport proteins
E- VLDL receptor

Ans C
A scenario of child having Hb 6gm/dl, WBC is 5200 and platelets 150000/mm3. his elder brother also has a history of repetitive blood transfusions. ow you come to a diagnosis for this child?
A- CBC
B- Immunocytochemistry
C- Electrophoresis
D- Sickling test
E- Fragile test

Ans C


Diagnosis of a tumor is made by
A- cytological examination
B- histopathological examination
C- immunochemical assay
D- enzyme assay
E- tumor marker

Ans B
80% of oxygen is extracted by which organ?
A- heart
B- skeletal muscle
C- lungs
D- brain

Ans A


A scenario of patient having Factor VIII deficiency. The genes responsible for this disease are at chromosome?
A- 21
B- 14
C- 11
D- X
E- Y

Ans D
A surgical patient is transfused 3-5 units of blood before and after surgery. He develops abnormal ECG changes not consistent with ischemia. What is the cause of the ECG changes?
A- metabolic alkalosis
B- hypercalcemia
C- hyperkalemia

Ans C


Glucagon increases glycogenolysis in liver while ACTH does not due to?
A- ACTH increase plasma glucose
B- glucagon has different guanyl cyclase than ACTH
C- liver has different receptors for ACTH
D- ACTH is readily degraded by the liver enzymes

Ans A
ACTH via cortisol causes gluconeogenesis.


If celiac trunk is blocked which of the following will not suffer from ischemic injury?
A- liver
B- pancreas
C- spleen
D- gall bladder

Ans B
Head of pancreas is in front of of aorta
A- inferior vena cava
B- celiac trunk
C- aorta
D- renal arteries
E- superior mesenteric artery

Ans A


Carcinoma breast metastasizes to
A- lung
B- bone
C- brain
D- kidney
E- liver

Ans B

Lung contains metastatic tumor, histopathology reveals clear cells. Most commonly this tumor has metastasized from
A- kidney
B- liver
C- bone
D- adrenal
E- breast

Ans A


Regarding salivation
A- caused by salivatory nucleus of medulla/pons
B- increases during sleep
C- inhibited by pilocarpine
D- increases in response to Beta-adrenergic stimulation

Ans D


Beta adrenergic stimulation causes
A- mydriasis
B- increased blood flow to skeletal muscles
C- increase peristalsis

Ans B


Which organism is found in urine sample
A- paragonimus westermani
B- wuchereria bancrofti
C- schistosoma hematobium

Ans C


Which pus forming organism in lung also causes meningitis?
A- streptococci
B- staphylococci
C- bacteriodes
D- pneumococci
E- psuedomonas

Ans D


Common premalignant condition of mouth in adults
A- lichen planus
B- hyperkeratosis

Ans A


Most lethal premalignant condition is
A- lichen planus
B- leukoplakia
C- erythroplakia
D- solar keratosis

Ans C
is there anyone preparing for FCPS 1 in gyne obs or any other speciality in june or oct?
let's discuss the past papers in the forum one by one.
1.acute inflammation causes

a.Transudate
b.Exudate
c.Inc protein content
ans:b


2.verbal communication skill depends on

a.Speak fluently
b.Education nd research training
c.Presentation
d.Good vocabulary
ans:c

3.which artey lie in true pelvis and crosses frm med to lat side of pelvis

a.Sup rectal art
b.Middle rectal art
c.Inf rect art
d.Internal iliac
ans:d


4.urogenital diagphram inserted on

a.Ishchial tuberosity
b.Ischial spine
c.Sub pubic arch
d.Ischial ramus
ans:c

5.which prevent heat loss
a.Shivering
b.Vasoconstriction
ans:i think both prevents so wht's the answer?

6.which drug causing minimal GI side effects

a.Paracetamol
b.Aspirin
c.Ibuprofen
d.Ketorolac
e.Diclofenac
ans:c
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7.yellow fever inf occurs ,.,.,..,.,.,.,

endemic
sporadiac
pandemic
epidemic
ans:this is so confusing i think yellow fever comes in all these categories so wht's the answer?

8.last mediator of endotoxic shock...,..,

IL1
IL6
TNF ALPHA
LIPOPOLYSACHARRIE
ans:don't know any body knows the answer?

9.germ cells derived from.,

a-ectoderm
b-endoderm
c-mesoderm
d-neural crest cell
ans:c


10.wall of inguinal canal Not formed by?

a.ext oblique apponeurosis
b.lacunar lig
c.internal oblique
d.conjoint tendon
transversalis fascia
ans:c
After renal transplant which malignancy is most common?

Ans Common malignancies include:
1. Skin cancer
2. Melanoma
3. Kaposi
4. Post transplantation lymphoproliferative disorders



Commonest site of lumbar puncture:
A- L4-L5
B- L2-L3
C- S1-S2


Ans A


Which is not punctured during lumbar puncture:
A- Duramater
B- Ligamentum flavum
C- Longitudinal spinal ligament

Ans C

HLA-DR4 is associated with:
A- Rheumatoid arthritis
B- SLE
C- Scleroderma

Ans A


Which causes dysphagia
A- Ankylosing spondylitis
B- Scleroderma
C- Dermatomyositis

Ans B


Which is the tributary of portal vein:
A- Superior portal vein
B- Inferior portal vein

Ans A

Which is associated with cancer?
A- Methyl alcohol
B- Propyl alcohol

Ans B

Tunica vaginalis is derived from
A- Transversalis muscle
B- Transversalis fascia
C- Peritoneum
D- Internal oblique

Ans C

Turner syndrome has the karyotype:
A- XO
B- XX
C- XXY
D- XXX

Ans A

Cyanosis is due to
A- Increased deoxy hemoglobin in blood
B- Decreased PO2 in blood

Ans A

A lady suffers an injury in RTA and is unable to flex both her leg and thigh. The muscle most likely affected is:
A- Biceps femoris
B- Rectus femoris
C- Semimembranosus
D- Sartorius
E- Semitendinosus

Ans D
In Type 4 hypersensitivity mainly cells are:
A- T cells and macrophages
B- B cells and macrophages
C- IgE and T cells
D- B+T cells
E- None

Ans A


Malignant tertian malaria is caused by:
A- P. falciparum
B- P. malariae
C- P. knowlasea
D- P. ovale
E- P. vivax

Ans A


In duodenal perforation the artery involves:
A- Gastroduodenal
B- Left gastric
C- Splenic
D- Right gastric

Ans A


Lesion of mammillary body causes:
A- Fear and rage
B- Hyper sexuality
C- Loss of recent memory
D- Hyperphagia

Ans C


Heat loss of body is controlled by:
A- Lat. hypothalamus
B- Preoptic hypothalamus
C- Post. hypothalamus
D- Thalamus
E- Hippocampus

Ans B

Heart muscle functions as a syncytium because of:
A- Sarcomere
B- SER
C- Gap junction
D- Tight junction
E- Intercalated disk

Ans E
Central venous pressure:
A- Increases in hemorrhage
B- Decreases in gram negative septicemia
C- Decreases in heart failure

Ans B

Stroke volume:
A- Cardiac output depends on it
B- Heart rate determines it
C- Increases in hemorrhage
D- Independent of venous return


Ans A


Sacralization:
A- Union of 1st sacral vertebra with 5th lumbar
B- Union of 5th lumbar vertebra with 1st sacral
C- Fusion of all sacral vertebra to form sacrum
D- Flexion at sacrum

Ans B



What change occurs form lying to standing position?
A- Increase in venous return
B- Increase in arterial pressure
C- Sweating
D- Cutaneous vasoconstriction


Ans B



Causes of gas gangrene:
A- C. botulinum
B- C.C. Ijungdahlii
C- Tetanus toxin
D- C. septicum

Ans D


C. perfringens acts by:
A- producing lecithinase
B- Depleting ATP
C- Causing hypoxia


Ans A


Which one of the following is not associated with dry gangrene?
A- DM
B- Thromboembolism
C- Bacterial endocarditis

Ans C

About leukocyte adhesion factor responsible:
A- integrin
B- selectin

Ans A


Diagnosed case of tuberculosis PPD or tuberculin test found to be negative:
A- ATT
B- Immunosuppressive
C- Steroid intake

Ans B

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