Showing posts with label Surgery. Show all posts
Showing posts with label Surgery. Show all posts

11.11.11

FCPS PAST PAPERS POOL PART-1 SURGERY JAN 2009 with answers


1. most imp. stress hormone
ACTH*
Epinephrine
Norepinephrine
Growth hormone

2. wat is not in relation with right kidney
decending colon*
ascending colon
duodenum
spleen

3. wat is not in relation with pitutary gland
Facial nerve*
Abducent nerve
Sphenoid sinus
Trigeminal

4. tributery of external carotid vein
Anterior jugular vein*
Facial vein


5. side effect of thophyllin
nausea and vomiting*
hypertension
bradycardia
seizures

6. Nor-epinephrine & serotonin degration by
MAO*
COMT



7. chemotaxic factor
leukoterine B4*
C3b
C5 complex
histamine


8. wat is not in post. relation with left kidney
Deudenum*
Ascending colon
Descending colon



9. wat is in between celeiac trunk and superior messentry artery
Pancreas*
Pancreas + jujenum
Transverse colon + ilium



10. what is secreted in breast milk
Ig G*
Ig A
Ig M
Ig D
Ig E



11. wat cannot pass placenta
Ig G
Ig A
Ig M*
Ig D
Ig E

12. ant and post spinal arteries arise from

vertebral artery gives anterior spinal, PICA gives post. Spinal*
Internal carotid
Vertebral artery and ant cerebellar artery



13. from which foramen facial nerve enters temporal lobe
internal accustic meatus*
stylomastoid foramen
foramen ovale
foramen spinosum



14. When r the ventricles filled with blood
Diastasis*
Atrial systole
Rapid in flow

15. A boy had behavior problem, loss of memory but resolve …..he is agressive in his mood, where is damage
Mammillory bodies
frontal lobe*
temporal lobe
parital lobe
occipital lobe

16. a new born presented with obstructive jaundice,,,,, gall bladder looks ok in U/s, cause
Atresia of CBD*
Atresia of entire extra hepatic apparatus
Atresia of hepatic duct
Choledochal cyst

17. A man with noticed weakness of left side of the body, hypotonia of the left limb, he swangs to left side, where is the lesion
Cerebral hemisphere
Left cerebellum *
superior c puduncle
Red neucleus

18. adrenalcortical insuficancy causes
hypokelimia
hyponatremis
hypoglycemia*
alkalosis

19. In resting stage actin is attached to
tropomyocin
troponin
titin
myosin


20. if there is damage to sciatic nerve, supply to the dorsum of foot is by
sephenous nerve*
Sural nerve
Common peroneal
Deep peroneal

21. patient with difficulty in standing from sitting postion....
Gluteus Maximum*
Gluteus medius
Tensor fascia lata
Quadricep femoris

22. wat is not in relation with left recurrent nerve
SVC*
Arch of aorta
Lig arteriousum
Trachea
Esophagus

23. stucture compressing Esophagus
Left bronchus (correct)
Left Venticle
Right Atrium
Right ventricle
Thymus

24. Esophagus constriction at
Aortic arch*
Left ventricle
Rt atrium

25. wat vein run with Post. interventricle artery
great cardiac vein
middle cardiac *
small cardiac

26. utrine cancer spread to labia majore via
Round ligament*
utrosacral ligament

27. Basalic vein .
drain in axillary ven*
runs on radial side
starts from palmar surface


28. median nerve
supply lateral 2 lumbricals*
causes wrist drop

29. injury of neck of the humerus, nerve damage
Axillary nerve*
Musculocutaneous
Radial
Ulnar

30. wat is in proximal layer of carpal bone, true
Scaphoid, lunate triqutral & pisiform*


31. broncopulmonary segment wat is true
anatomical, fuctional n unit of the lung*
contains lobar bronchus
pulmonary veins run in intersegmental tissue


32. urinary bladder, wat is true
supplied by anterior division of internal iliac*
separated from uterus by pouch of Douglas
in males has seminal vesical above and vas deferens below


33. sephenous nerve wat is true
drain into femoral 3.5cm inferior n lateral to pubic tubercle*
has only 1 tributary
connected to short sphenous by perforators


34. down syndrome
trisomy 21*
18
15
13

35.Which of the following tissue is most radiosensitive
Skeletal muscle
Cartilage*
Bone




36. diagnostic test for strptococuss is
ASO titer
Blood culture*
Urine Dr


37. 65% of Na and water reabsorbed from
PCT*
DCT
Loop of Henle
Collecting duct

38. injury to hippocampus
Memory loss*

40. .Erythropoietin is secreted from
Yellow marrow
Macula densa
Preitubualr capillaries*
PCT

41. medial part of breast supply which node
internal thoracic*
lateral grp
ant grp
medial grp

42. diapharam contraction cause
increase in thoracic pressure
increase in thoracic diameter

43. thoracic duct
passes with aorta *


44. sypathetic supply by alpha receptors
dilator pupilary musscle of eye*
brochoconstriction
cardioacceleration


45. parasympathetic supply
inc. secretioin of slivary gland*

46. gastric emptying delayed by
CCK*
Secretin
Gastrin
Vagus




47. A boy has edema due to protien loss of 3.5g in urine..., wat is the cause of edema
Plasma colloid pressure is decreased*
Increase hydrostatic pressure
Increased capillary permeability


48. wat is not supplied by internal thoracic artery
Inferior portion of rectus muscle*
Ant abd wall upto umbilicus
Pericardium
Thymus


49. Patient Gravida 4 with anemia and occult blood in stool
Iron deficiency anemia *
Sideroblastic anemia
Thalassemia
Megaloblastic anemia

50. iron absorb in
ferruos form*
oxalate


51. Bile salt absorb from
Ileum*
Proximal jejunum
Distal jejunum
doudenum

52. Trachea start from ….wat is true
C6*
C4
C5
Cricoid cartilage

53. wat is true abt CSF
secreted at rate of 500 ml/day*
choroid villi are seen by naked eye
aqueduct transmits CSF from 4th ventricle to spine


54. blood supply to Bundle of His.
Circumflex artery a br. Of left coronary artery
Posterior interventricular artery
Main Left coronary artery
Main right coronary artery

55. metastatic carcinoma least common site
brain
lung
liver
spleen(correct)

56. premotor area , which artery supplies
Anterior and middle cerebral (correct)
Anterior
Middle
Middle and post. Cerebral
Anterior and pst. Cerebral

57. arterial supply to primary visual area
PCA*
ACA
MCA
PICA

58. A boy defecate just after he takes meal, wat the reflex
gagtrogastric reflex
gastro coic reflex (correct)


59. Median of 20,20,25,25,30,30.35,40
25
20
27.5*
30

60. nerve supply to latismus dorsi
thoracodorsal*
subscapular
long thoracic

61. Right bronchus as compare to left
is longer
ant to pul artery
right bronchus is more vertical than left*

62. A surgeon did a study on patients with heamorroids
he included 100 pt in grpA and treated them surgicall
whil kept the other 100pt on high fiber diet
he interviewd them after 12mons and found that the grp with surgical treatment had a better response…… wat type of study is this?
Case control
Cohort
Prospective
Randomized control trial

63. Doctor patient relations and how good a doctor is known by
his degrees
his records
his pleasant behavior and bed side manners*

64. if a patient develops a fatal disease it is best to
hide it from him
tell it to him and his family as soon as possible*

65.Benedicts test is done for
blood sugar
urinary glucose
urinary reducing sugars*

66.sup parathyroid gland
is related to sup thyroid artey*
lies outside the pretracheal fasciae
lies anterolatral to thyroid

67.MHC complex is
related to HLA typing*
blood grp antigens
same in identical twins

68. first part of axillary artery ends at
border of pectoralis major
border of pec minor *
border of teres major

69.Esophagus is related to which structure whose dilatation can cause dysphagia
l atrium*
left vent
SVC
Rt atrium

70. If RCA is occluded distal to the origin of right marginal artery which part of the heart will be affected most?
Rt atrium
SAnode
AVnode*
Apex of the heart

71. Myleination of the brain wat is most inappropriate?
Starts at birth
Occurs hapharzadly
Sensory neuros are myelinated first
Occurs by oligodendrogliocytes

72. A patient with multiple fractures and BP 90/60 pulse 60/min wat is the most appropriate initial treatment?

IV fluids*
Reduction os fractures





73. Factor 9 def wat is the appropriate treatment?

Cryoppt*
FFP
Whole blood
WBC


74. DIC most inappropriate

low FDP*
consumptive coagulopathy
treated with heparin
low platelets

75. Kleinfelters syndrome
chromosomal deficiency
autosomal dominant
autosomal recessive
extra X chromosome*
extra Y chromosome

76. Fat embolism most unlikely
urinary test is diagnostic*
occurs due to trauma to fatty tissues
caused bt acute pancreatitis

77. Highest mortality rate
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E

78. Diphtheria is transmitted by
sexual contact
respiratory *
feco oral


79.which organ has least chance of metastasis
lung
bone
liver
kidney
spleen*

80. which organism causes meningitis secondary to pyogenic lung abscess?
Strep
Staph
Pneuococcus
h.influenzae

81. thromboembolism is most common in?
leg*
liver
brain
kidney

82. OCP increase the risk of
breast cancer
endometrial cancer
thromboembolism*
osteoporosis

83. Osteoporosis is less in premenopausal women due to effect of
estrogen*
testosterone
progesterone
androgens

84. A trauma patient in shock with stab wound along left 10th rib which organ is damaged?
Liver
Spleen*
Colon
Duodenum

85. in autosomal recessive disease
all siblings are affected
both parents are affected
only mother is affected
all siblings have a chance of one into four of contracting the disease*

86.which of these is not caused by bacteria
histoplasmosis*

87. Most likely finding in CSF

inc glucose in fungal meningitis
dec glucose in viral meningitis
lymphocytosis in aseptic meningitis
dec glucose in pyogenic meningitis

88. most imp for wound contraction
myoblasts
fibroblasts
myofibroblasts*
epithelium
collagen

89. smooth muscles are
striated
voluntary
mostly arranged in circular and longitudinal layers *

90. hyperparathyroidism causes least likely
hypertension
dystrophic calcification*
inc PTH




91. Ductus deferens ends into
Prostate
u.Bladder
S.vesicles
Prostatic urethra
Ejaculatory duct*

92. About large gut
descending colon has no haustra
appendix has no tenia*
all large gut is supplied by inf mesenteric artery
ascending colon has a mesentry

93. most probable abt gall bladder.
Has thick submucousa
Mucousa has extensive folds*

94. a patient with known HBV infectio comes with
HBSAg + HBe ab+ HBV DNA + HBC IGM ab+
Wat is the diagnosis?
Acute dis *
Chronic carrier
Chronic active

95. Which HBpathy presents with crises
sickle cell trait
sickle cell disease*
thalassemia
Hb C

96. unconjugated bile is carried by which protein?
Albumin *
Pre albumin
A globulin
B globulin
Fibrinogen

97.After gastrectomy patient will develop
iron def anemia
megaloblastic anemia due to folic acid def
pernicious anemia*
sideroblastic anemia




98. 60 yr male with lymphandenopathy and low hb low platelets and increased wbc
microscopy show large mature cells wats the diagnosis?

CLL*
Burkitts
Follicular
NHL



99. what Is true abt Hb
consisits of alpha and gamma chains in adults
imp buffer of H+ *
not assoc with CO2 transport

100.PDGF is secreted from which part of platelets
alpha granules
dense bodies
cytoplasm
lysosomes

101. which cells produce antibodies
plasma cells*
T cells
Bcells
Platelets

102. Heparin is released from which cells.
Mast cells*
Eosinophils
IgE

103. Epitheloid cells in granulomas are formed by which cells
macrophages
lymphocytes
langerhans cells*

104. thyroid is invested in which fascia?
Pretracheal*
Deep cervical
Prevertebral

105. wat is true abt thyroid
consists of collecting ducts and acini
epi changes shape according to state of activity.*
Has parthyroids ant to it

106. wat is true abt pituitary
ant pitutiary derived from neurons
no portal vessels btw hypothalamus and post pituitary*



107. Satiety center is located in which part of hypothalamus
anterolateral
VPL
VL
Medial*

108. D & C at 18 days after LMP endometrium will show which stage of uterine cycle?
Follicular
Ovulatory
Secretory*
Proliferative

109. at the end of pregnancy uterus is most sensitive to which hormone?
Estrogen
Progesterone
Prolactin
Oxytocin*

110. Most abundant phagocytic cells in circulation
basophils
monocytes
macrophages
neutrophils*

111. ICF & ECF differ in

inc K+ in ICF


112. most potent stimulus for release of aldosterone is

inc K+ *
inc Na+
inc glucose

113. Pallegra is due to def of
riboflavin
thiamine
niacin *
vit C

114. Trauma to the middle meningeal artey causes
subdural hemorrhage
epidural hemorrhage*
SAH

115. patient with loss of fine touch proprioception and vibration injury to which part of spinal cord?
Fasiculus gracilis
Fasiculus cuneatus
Post white column*
Lateral white column

116. in females which structure lies btw ureter and peritoneum
uterine artery*
inf vesicle artery


117. which of these muscles is a part of the pelvic diaphragm
deep transverse perinei
puborectalis*
bulbospongiosus
ischeocavernosus


118. wat is not true abt adrenal gland
fetal gland is 1/3 size of the adult gland
it is invested by renal fascia
adrenal cortex is derived from mesoderm

119. which structure is most ant in popliteal fossa
popliteal vein
politeal artey *
tibail nerve
bicep femoris
gastrocnemeus

120.tendon of which of these muscles is intracapsular
bicep femoris
plantaris
popliteus*
semitendinosus

121. which of these are the major resistance vessels
arteries
veins
capillaries
arterioles*
venules

122. patient losses 1 litre of body fliud in 1 hour wat will happen first
inc PR
inc BP
inc veno spasm*

123. a person in a room with optimum enviormental conditions how will the heat loss occur

convections
sweating
breathing
radiation and conduction*
voiding



124. major part of energy utilized during breathing is to overcome
elastic recoil of lungs*
resistance of chest wall
large airway resistance
small airway resistance

125. a bullet pierces the intercostals space which layer will it come after the intercostals muscles

parietal pleura
visceral pleura
endothoracic fascia*
pleural cavity

126. which vessel will be damaged if the phrenic nerve is cut

musculophrenic
int thoracic
pericadiophrenic*

127. which of these is not a branch of internal iliac
sup rectal*
middle rectal
inf vesicle
sup vesicle

128. lymphatic of uterus do not drain into
int iliac nodes
ext iliac nodes
sup ing nodes
inf mesenteric nodes*

129. a patient with hoarseness and lyrangeal nodule which is most unlikely
atrophy *
nodule
hypertrophy
hyperplasia

130. pseudo hypoparathyroidism.
Due to inc ca
Dec vit D
PTHrP

131. wat is seen in dysplasia
pleomorphism
inc NC ratio*
inc mitosis





132. metastatic tumors are identified by

invasion of other structures*
pleomorphism
inc NC ratio
inc mitosis

133. sarcomas have
rapid growth
inc vascularity*
capsule
benign

134. epi of a smoker will show

inc ciliated epi
mixture of st sq and pseudostratified cells*
dec goblet cells


135. most unlikely abt glomerulus is

has urinary space btw 2 layers
is cup shaped
is blind ended part of tubule
has stratified epi*
has podocytes

136. which vessel is involved and dilated in portal HTN

portal vein*
hepatic artey
hepativ vien
SMV

137. most unappropraite abt liver
has dual blood supply
hepatic artey gives only 35% of O2
portal vein has 70% O2 *

138. not part of the portal tract

portal vein
hepativ artery
bile duct
hepatic vein*

139. not a part of axillary nodes
ant grp
medial grp
apical grp
central grp
deep cervical*

140. Clavipectoral fascia
completely covers pectoralis minor*
forms suspensory lig of breast
forms axillary tail

141. in males uretric stones mostly lodge at which point
just below kidney*
at crossing of ext iilac vessels
at pelvic brim
at ischeal spine

142. if there is fracture of the acetabulum post and superiorly which bones r inv
ileum and ischium *
ileum and pubis
isschium and pubis


143. most constricted part of the male urethra?
Ext meatus*
Infandibukum
Navicular fossa

144. at the level of second part of duodenum wat is unlikely

aorta at the right of SVC*
left renal vein

145. pain of the ovary is transmitted to the medial side of thigh thru which nerve
femoral
obturator*
ilioinguinal

146. left ventricle does not contain
supraventricular crest
chordae tendinae
aortic vestibule
papillary muscles

147. epidural space
contains venous plexus*
contiues into skull at foramen magnum
attached to dorsal coccyx
upto S2

148. Otic ganglion lies under

foramen ovale*
foramen spinosum
maxillart nerve
stylomastoid foramen



149. middle menigeal artery enters thru which foramen?

Foramen spinosum*
Foramen rotundum
Foramen ovale

150. Superior petrosal sinus lies in
falx cereberi
fakx cerebelli
tentorium cerebellli*
diaphragma sella

151. Great cerebral vein does not drain
deep cerebral vein
sup cerebral vein
basal vein
thalamic vein

152.which of these is not a basic tissue of the body
epi
nerve
muscle
blood
CT

153. Osmotic pressure depends on
electrical equivalence
conc gradient
yenp
no of particles
mol size

154. chemoreceptors respond to
inc PCO2*
dec PO2
inc Ph
inc temp

155. Processus vaginalis
covers testis only*
covers ductus deferens
forms ext spermatic fascia
arises from parietal peritoneum
arises from visceral peritoneum

156. Dorsal rami of nerves supply
ext of trunk
ext of limbs




157. which vessel lies ant to IVC
left renal vein
left renal artery
right renal vein
right renal artery
right testicular vein*

158. if inguinal canal of a female is opened wat does it contain

round ligament and ilioinguinal nerve


159. lymphatic drainage of testis is into

para aortic nodes
sup ing nodes
int iliac nodes
ext iliac nodes





























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