FCPS Part 1 Surgery Past Paper 12 November 2014
Here is latest collection edition to fcps part 1 surgery
1. sephaneous n terminal br of
a)femoral(ans) b)obturator c)sciatic
2. adductor muscle hamstring muscle supplied by which nerve
a) tibial(ans) b)abturator c) femaoral d) common peroneal
3. gracillis supplied by
a)obturator n(ans) b) femoral d) common peroneal
4. adductor brevis supplied by
a) ant br of obturator n(ans) b)femoral d) common peroneal
5. fracture of surgical neck of humers, artery damaged
a)axillary n b) post.circumflex humeral(ans)
6. common bile duct parts
a) omental, retroduodenal, paraduodenal
b) ) omental, retroduodenal, paraduodenal, intaduodenal
c) , retroduodenal, paraduodenal, intraduodenal
7.lesser omentum contents except
a)short gastric a(ans) b) right gastric c) gastroepiploic d) lymphnodes and lymphatics
8.loss of small muscle of one hand damage
a) C8,T1 b) ulnar c)radial d) C5 C6
9) navicullar attachment except
a)middle cuniform b)medial cuniform c) lat cuniform d)talus(ans) e)calcanium
10) inion landmar of
a)glabella b)pterion c)extrnal occipital prominence(ans) d)internal occiptal groove
11) gastroduodenal a br of
a) rt hepatic artery(ans) b) celiac c) splenic
12) abduction at wrist all except
a)extensor carpii radial b)extenser digiti minimi(ans) c) oppenens policis d)extensor indicis e)flexor carpi radialis
13) tramadol
a)kappa nd meu b)strong kapa c)weak kappa d)strong meu e)weak meu
14)ketorolac analgesia most preferable
a) Thoractosy patient with ozzing blood from woung b) patient of peptic ulcer
c)Non diabetic cholecyctectomy d)Asthma patient having inguinal.hernia repair
15) suboccipital n supply which muscle
a)capitis b) lattisimus dorsi c) trapezius d)rectus capitis post(ans)
16) Radiotherapy most sensitive to
a)craniopharyngioma b)pineal tumor c)midbrain glioma d)glial glioma
17)bilat exopthlmos, antithyroid antibody presen
t a)graves(ans) b)hashimotos
18)all cancer cause by virus except
a)lymphoma b)kaposi sarcoma c) esophageal(ans) d) anal d)cervial
19) epitheial changes, endocervix in squamous tissue
a)metaplasia(ans) b)dysplasia
20)disease not cause by blood transfusion
a) tb(ans) b)malaria
21)about typical thoracic ribs all true except
a) tubercal of lower rib does not form synovial joint with vertebra
b) c)
too long statements difficult to remember
22)intercostobrchial n
a)2nd intercostal sensory b)post side of arm c) loss of nerve supply (ans)d) loss to preganglionic sympethaetic
23)sharp weapon injury at left 5th intercostal space, all damage except
a)fibrous pericardium b)serous parietal pericardium c) viseral paricardium d)pericdial cavity e)serous parietal nd viscer pleura(ans)
24) normal rasonance area in
a)rt 2nd to 4th midclvicular line b) right 4 to 6 midclavicular c) left 2nd to 4 mid clavicular d) left 2nd to 4 midaxillary
25)internal carotid a damage, bleeding, at what vertebral tubercle u will press to stop bleeding
a)3rd b)4th c)5th d)6th(ans) e)7th
26)right atrium related to all except
a)crista termnalis b) musculi pactini c)trabiculae d)fossa ovalis e) sinous venarum
27)human intermediate host
a)hydatid cyst b)
28)cysteriosis caused by
a) (ans)ingesting eggs of tenia solium b) ingesting cysts of tenia solium c) eating uncooked meat d) eating uncooked mutton
29) in asian population most common cause of macrocytosis
a) (ans) alcohal b)hemolysis c)hypothyrodism d) liver diease
30) which drug has more effect on coxII than cox I
a)aspirin b)celexocib(ans) c) nalproxane d)ketorolac
31)corticoteriod mechanism anti inflammatory
a) inhibit phospolipase A2 b) inhibit cycloxygenase c) inhibit lipoxygenae d) action on leukotriene B e) inhibit lukotriene D
32) superior vena cava except
a)remanat post vitelline vein b) commence at 1st thoracic vertebra c) end at third intercoastal space
33) scenerio about sacrioilac joint pain, loss of lumber ladorosis negative ana
a) HLA b27 (ans)b) rA
34) Internal oblique muscle aponeurosis
a)form conjoint tendon b) post boundary of inguinal canal c0 external spermatic fasia
35) RCA after ginving marginal branch obstruction affect
a)SA node b)av node c) apex of heart d)right atrium
36) penile urethra rupture
a)scortum under colles fascia b)tunica vahinilis c)thigh d)deep fascia
37)benign tumor
a)warthin
38)middle rectal a br of
a)internal iliac (ans)b) femoral c) common iliac d) supr mesentric
39)rotator cuff lesion affect all except
a) tere major
40)right testis tumor nodes affected
a)paraaortic (ans) b) righ deep inguinal c) sup inguinal
41)Chlamydial infection causing chlamydia psittacosis is
a).obligate intracellular B.)DNA derived from host
42)scenerio of granuloma wid yellow pigment
a)actinomyecets
43) a person standing at same place for 1hour, what wl dec
a)diametr of aorta b)central venous pressure c)rennin d) adh
44) painful papule at labia
a) hsv II a)hsv I c) vz d) CMV
45)most perinium nd pelvis supplied by
a)pudendal b)femoral c)obturator
46)maintain flexor tone arm
a)corticopinl b)corticobulbr c) reticulo spinal d)rubro spinal(ans)
47)lower motor neuron lesion
a)muscle wasting (ans)b) hyperreflexia c) positive babinski d) spasticity
48)hemisetion with total spinal section differentaiad by
a) paraplegia in extension b) degre of reflex activity c)sensory loss permanat d) (ans)spinal shock
49)pancreas exocrine tumor most common
a)ductal adenocarcinoma b)acinar adenocarcinoma c) mixed d) intraductal
50)delayed action of insulin
a)glucose inside cell b)potasium inside cell c)inhibit protein catabolism d) protein synthesis e) stimulate mRNA transcription for lipogenesis
51) meckels diverticulum true except
a)arise from mesentric border b) pancreatic tissue may b prsent
52)gas having mximum diffusion capacity in body fluids
a)CO2 b)CO c)He d)O2 e) N
53) dec PO2 in blood
a)CO poisoning b)hypoventiltion c) anemia d) cyanide poisong e) hypoventilation
54)true regarding breast peau de orange appearance except
a) orange brown appearance due to necrosis b) dimpling of skin due to lymphatic obsturstion
c) subcutenous edema
55)A person living on river side since 2yrs, having blindness, opthalmologist indentify which larva
a) onchcerosis b) wucheria c) loa
56)enzymes for abcess formation
a)neutrophil b)serum c) lymphocyte
57)during surgery thyroid nerve present to a distance to superior thyroid a
a)externl lyryngeal n b)internal laryngeal c) recurrent
58)antrum of stomach removed
a)dec compliance b)inc acid output 3)increase gastrin
59) which condition not lead to mlignacy
a)iodine deficiency goiter b) chronic gastritis c) barret
60) anti bodies to sperm can cause all except
a) inhibit fertilization b) inhibit implantation c) prevent penetration cervical mucous d) prevent removal of sperm cap
61) margins of TB ulcer
a)undermined b) everted c)inverted
62) ulcer due to hypertension
a)decibuts b)marjolins c) martorell d) bazin
63) PTU inhibit (old)
Thyroid harmone foramtion
64) lt optic radiation lesion
a) right homonymous hemianopia b) left homonymous hemianopia
65) Internal laryngeal nerve passes through a) Arytenoid n cricoids cartilage b)Cricoid n thyroid c)Thyroid n hyoid
66) prgnanacy related senerio, PT and APTT inc (too long scenario but answer DIC )
a) DIC
67)A lady presented with with leg swelling for last five months and no cough nd fever, on investigation thre were bilateral plueral effusion and right atrium enlargemt...ast 200 ,alt250 ldh dearranged
a)good posture b)rheomatid arthritis c)recurrent thromboembolism d)renovascular hypertension e)chronic asthma
68)whichr used for screening congenital abnormality
a) estriol b)estrione c) estradiol
69)phenyl over alcohol anaesthesia
a) effect detected soon b) less painful c) phenol most potent
70) 134Estrogen, progesterone and testosterone k receptors act through.. ligand chanel involves a)tyrosine kinase, b)g coupled c)Increase transcription
71)patient developed hemolysis due toG6PdD deificiency nxt happen
b)self limiting c) hemolysis with G6PD d)autosomal domint
72)iron insoluble form
a)ferritin b) transferring c) hemosiderrin
73) Primitive streak mesoderm cells migrate around the cloacal membrane to form ant. Abdominal wal cell, if ths migration does not hapen around the cloacal membrane will ruptureand open caudly as.
a)exstrophy of bladder b)imperfrate anus c)hypospedia d) ectopic anal opning
74)thymus except ( very long statements)
a) no lymph node no sinus
75)teratogenic drugs except
a) diethylbestrol b) fluxuotene chloride (other options oh God don’t know from where cpsp found them
76)liver development
a)from dorsal mesentry proximal midgut
b) from dorsal mesentry proximal forgut c) from ventral mesentry proximal foregut d) ventral mesentry proximal midgut
77) great tronchetric fracture, cant walk properly painful swelling, next complication
a)pulm thromboembolism b)soft tissue tumor
78)post triangle relations
79)drain into left brachiocephalic vein
a) sup thyroid a b)middle thyoid a c) inf thyroid d) facial
80)acute appendicitis scenerio, on pathologicl emanination
a) neutrophil in muscular wall
b) lymphoid hyperplasia with giant cell in muscular wall
81)64 year Old man with posterior cervical lympadenopathy which is firm and mobile. Hb 13-14 hct 40 wbc 7230 plateletes 250000 no hepato splenomegaly seen biopay showed numerous small monomophic lyphocytes a)infectious mononucleosis b) hodgkin lymphcyte predominant c) CLL d) reactive hyper plasia
82)hb 10, O2 sturation 90, PO2 60 , ask abt to calculate O2 contents
a) 10 b) 13) 18) 21
83)girl with h/o of gum bleeding, giant platelets , plt count 85k,
a)von willibrand b) bernaud solier c).familial thrombocytopathy d).thrombocytopenia e).ITP
84) for CCF, thiazide and loop diuritc given work simultaneously in excretion of Na and chloride from
a)ascending loop of henele b) proximal tubult c) distal tubule d) descending limb
85) required for transport of B12 in blood
a) intrinsic factor b) TC 1 c) TC 2 (ans) d) TC 3
86)terminal ileum removed what happens
a)large amount of water in feces b) decreased amino acid absorption c) increased bile acid and entero hepatic circulation d) increased fat absorption
87) protein content less in glomerular filtrate occur due to
a) pore size and negative charge b) rapid active transport absorbtion
89) increase in aldosterone dure to inc in
a)high K b) angiotensin 2
90)35 year old man bilat crepts, on xray chest heart fills completely
a)mesothelioma b)rhabdomyosarcoma b)angiosarcoma c) myxoma
91)about flexor hallucis longus
a) tendion can be felt immediately post to medial maleolus
b) inserted on first metarsal base
other too long statements
92)superficial parotid painless tumor, psudopoid growth, contain no capsule on histopatho
a)pleomorphic b)warthin c)mucoepidermoid d) cyst adeno carcimona 93).Hypertensive ulcer
a) bazin b) martorel c) curling d) decubitus
94). Broca's area and near lying spinothalemic tract blood supply
a) middle cerebral b) anterior cerebral c) post cerbra
95. betel nut chewing causes a)Submuscosal (ans)
b) ulceration
c) keratosis
96. Middle cranial fossa dural sensory loss is due to Vagus Trigeminal (ans) Glosopharyngeal
96) tumor doubling time not depend on a) exfoliation b) oxygen in tumor environment c) necrosis
97) old man develepod discomfort in abdomen with enlargement massive Splenomegaly(3000 gm)
a)sickle cell b)Mononucleosis c) portal Hypertension
97)Reflexes correctly marched a)Bicep C6 (ans) b) triceps C8 c) abdominal L5 S1 d) knee L4 L5
98)Rt ovarian vein drains into ivc (ans)
99)Which is not related in pain transmision a)A delta b)Medical leminiscus (ans) c)spinal leminiscus d) neospinal tract
100)regarding posterior communicating artery
a)connect post cerebral to internal carotid b) connect post and middle cerebral c) pass anterior to occulomotor and connect internal carotid with post cerebral d) connect basilat and internal carotid e) connect post cerbellar inernal carotid
101)local cause of edema a)Allergy
102) what separates maternal and fetal blodd in last trimester
a) Syncytotrophoblast + endothelium b) syncytiotrophoblast + cytotrophoblast c) syncithio trophoblast only d) cytio trphoblast only
103)Mucous acni presnt in? a)parotid b)submandibular c)sublingunl gland (ans)
d)brunner
e)vonebner
104)other than steroid snthesis smooth ER also helps a)detoxification (ans) b)protein synthesis
105)ADH is inhibited by
a) alcohol b) increased plasma osmolarity c) angiotensin 2 d) dec ECF
106)estrogen containing ocp will cause mostly: a> thromboembolism (ans) b> breast cancer
107)which investigation or observation is more reliable in diagnosis of tb: a> positv montaux test b> caseating granuloma in tissue biopsy c> acid fast bacilli seen (ans) d> cavitating lesion on chest xray e> pyrexia at evening
108)BuccoPharyngeal facia sepreate? a)Nasopharyngeal from mouth
b) pharynx and larynx c) foregut from stomach( not exactly this quiest difficult statement)
109)Which product of fat metabolism can enter kerbs cycle a)Acetyl Co A (ans) b)Pyurvate c) lactate
110)chemiccal mediator For carcinogen a. a 1 antitrypsin b)benzidine (ans)
c)methyl alcohol
d) propyl alcohol
111)physiological Dead space a)Warms and humidifies air b)Upto respiratory bronchiole c) decrese in shallow breathing d) decrease in recumbent position
112)large Bolus stuck after eating what will happen next A. Its never happens B.secondary persiatlisis will be generayed by intrinsic nervous sytem to remove it (ans)
c) swallowing centre activated
113)Female child,breast fed developed jaundice on 2nd day hb 9 bilirubin 8 unconjugated ..
a) mother is rh positive
b)breast feeding jaundice
c)physiological jaundice
114)Person under spinal anesthesia durng surgry sudunly go into shock due to? A.loss of blood B.over dose of ansthesia C.loss of vasomtr tone
115)End arteries a)Freely anastomose b) if blocked causing no damage c)presnt in vital organs d)form precappilry anastomosis
115. Wegener's granulomatosus repeat question
116)During exercise decreased TPR is due to a)Skeletal muscle arterioles dilation due local metabolites
b)due to increase coronary flow to brain c) increase splanchnic flow
116) Child wd edema.1st line investigation a)Urine prtn
c)albumin globulin ratio c)Bloodd albumin
117)About Hyline cartilage a)Collagn n elastic fibers r visibl a)Collagen fibers visibl a)Fibers r absent a)Elastc fibers r visibl
118)After adrenalectomy.taste preference will be increased for a)Glucose b)Nacl c)Kcl d)Morphine
119)Rh compatibility which IG? a)IgM, b)IgG
c) igD
d)ig A
120)Apex of heart a)Most superior part b)Directly downward to ryt side c)In left 3rd intrcostal space
d) lies 8 cm away from median plan
121)6 years old Child with large testis n penis inc 17 ketosteroid in urine a)testicular tumor b)adrenogenital syndrome c)Congenital adrenal hyperplasia
d)adrenal tumor
122)dna is also present in adiition to nucleus in which organelle: a> mitochondria (ans) b> rer c> ser d> Golgi bodies e> lysosomes
123) Metaplasia... chronic irritation(Ans) sun rays, uv rays
124)Def.of metaplasia... a)replacement of 1 epithelium by other (ans)
101Most importt factor in. neutrophictaxis... a)c5a b)Bacterial products
c) leukotrienes
125)disc displacement causes sensory loss diue to impingment on a).spinal nerve or post root b).post ramus
c)ant root
126) Barr body diagnostic for a)Turner (ans)
b) kline felter
127)Structure right to trachea as it pases in thorax from sup mediastinum a)vagus nerve b) mediastinal pleura
c) aortic arch
d) tracheobronchial nodes
128) Max blood volume a)Caplaries b)Arteries c)Veins n Venules
d) aorta
129)time Interval betwee. 1st and 2nd heart sounds.. equals to a)ventricular systole
b)atrial systole
c) cardiac cycle
d)artiral diastole
e)ventricular distole
130)most important to detect Diabetic nephropathy.. a)Urine albumin
b)BUN
c)creatine clearance
d) serum creatine
e)ultrasonography
131)in uremic nephropathy a)hypochromic normocytic anemia b)severe hypotentiin
c) hemolysis
132)prevalence a)Cases of disease in population
b)doesnot include new cases
133)incidence a)New cases in given time(ans)
134)child diagnose with disease causing permanent disability reaction of parents? a)Denial (ans)
b)anxiety
c)acceptance
135)Counseling done for. a) involves empathy and compasion b)best possible treatment
c) to enhance self understanding
136)large no of mitochondria present in apex a)Cilia, b)skeletal muscle
c) cardiac muscle
d) smooth ER
137) stimulation of golgi tendon organ causes
a) relaxation in muscle
b)contraction
138)Actin,myosin and clathrin involved in transport which type a)Facilitated diffusion b)Active transport c)Passive transpot d)Simple diffusion e)Pinocytosis
139)whn will u do dilaysis whn gfr decreases by % a)5 (ans) b)20 c)30 d)40 e)50
140)About kidney A)Ryt renal artry largr thn left B)Renal fat extrnl to the peri renal facia C)Left renal vein anterior to aorta n renal atry (ans) D)left kdndy lowr then the right kdny
141)Which factor does not take part in intrinsic pathway a)Factor10 b)Factor7. c)Factor 8
d)factor 12
141) Cholelithiasis in a pregnant lady. reliable test? a. ALT b. GGT c. ALP
142)what happens when dec sodium reaches macula densa
a) angiotensin release
b) rennin release
143)pt wd protein in urine defect present a)basement membrane
b)proximal tubule
144)man in hot sunny environment fell...finding na 122 due to a)excessive sweating
b)decrease water intake
c)decrese reabsorption
vonebner brunner
145)involved in hydroxylation in collagen synthesis a)Ascorbic acid
b) biotin
146)about post fontanell a)close at same time as ant fontanel b)Poster is bigger than the anterior c)Present at the posterior occipital side (Ans)
d)felt in occipito-posterior postion
e)can be felt in asyntilic postion ( something with asyntilism)
147)alles are a)regulatory genes b)walled off frm genes c)non identical on same locus (Ans)
148)increase alpha adrenoreceptor stimulation would lead to increase in a)vasodilation
b)git activity
c) pupil diameter
149)A drug with parasympathetic effect lead to decrease in a) pancreatic secretion
b) saliva secretion
c)git motility
d) eye diameter
150) carotid sinus a)respond to changes in bp
b)respond to change in ph
168) regarding amniotic membrane
a) derived from hypoblast
b) derived from fetal endoderm c) non-immunogenic
169) lady presented with persistent asthenuria ( dilute urine) defect
a) high blood urea
b) fixed specific gravity
c) low urine nacl
170) severe hypomagnesia result in
a)hypocalcemia
b)hyper calcemia
c)hypokalemia
171) injury causing crushin at centre of optic chiasm
a) bitemporal hemianopia
b)homonymous hemianopia
172) does not cause increase in thirst
a) Angiotensin 2
b) adh
c) increase ECF
173)regarding Rh agglutinins
a)present on rbc membrane
b) develop in –ve mother with rh positive fetus
174) regarding auto regulation in coronary
a)sympathetic system involved more
b) vasodilation due to local metabolites
c) vasodilation is due to local metabolits in brain
175) which artery damage in relation in damage to phrenic nerve
a) muslophrenic b) pericardio phrenic c) sup epigastric
176) regarding finding in meningitis
a) glucose increase in viral
b) glucose decrease in pyogenic
177) Regarding active transport about drugs which is incorrect A) saturable B) require energy C) all drugs tranpoted by this mechanism
d)involves cariers
178) about pancrease
a. . they are inferior to stomach b. sup mesenteric pas anterior to uncinate process
179) wrong about stomach blood supply
Left gastric artery is on greater curvature
180) organism causing cerebral malaria
a) p. falciparum
b)p. vivax
c) p. malaria
181) p.falciparum disease
a)black water fever
182) regarding coronary supply
a) right coronary artey give branch to sa node av bundle bundle of hid
b)left coronary artery devides into anterior interventricular and LCx
183) microscopic feature of malignancy
a)highy NC ratio
b) invasion
c)pleomorphism
184) microscopic feature in chronicity
a) plasma cell infiltrate
b)lymphocyte infiltrate
c) fibrosis
184)ulcer developed in bid toe in diabetic patient cause
A) angiopathy neuro pathy
b) due to atherosclerosis
c) angiopathy
185) about pituatry gland
a) vein drain directly in dural sinuses
b) partly derived from foregut
c) related to ethmoidal sinus
d)optic chiasm lie anteriorly
186) CD4 cells
a)inducers of plasma cells
b) helper cells
c)killer
d)regulatory
187)help in platelet adhesion
a)damaged endothelium
b)smooth endothelium
c)glycocalyx
188) leukocyte adhesion factor is a) integrin b) selectin
189) thyroid gland covered in
a)pretracheal
b)prevertebral
