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

o t contain "#e tion o$ FCPS Part- I %&a' in Medicine (Nov 2013)( Mo t !ro)a)le an *er are *ritten in o!tion +A+

101. A smoker and psychic patient is having treatment presented with pain abdomen and visible peristalsis and audible sounds on examination: A. B. . !. Psychogenic Stomach A Pyloric stenosis "ntestinal obstruction

10#. $hich o% the %ollowing su%%ers %rom %at necrosis in peritoneal cavity& A. B. . Acute pancreatitis 'ut gangrene Brain

10(. $hich one only uses glucose& A. B. . !. Brain )eart *iver Skeletal muscles

10+. So%t palate has: A. B. . Strati%ied s,uamous non-corni%ied Simple columnar Strati%ied s,uamous corni%ied

10.. /acial nerve supplies: 10. B. Stapedius muscles 0uscle o% %acial expression except orbicularis occuli

Sensation %rom the %ace

101. 2halmic lesion is associated with sensory modulation: A. B. . )yperesthesia 3umbness )yperre%lexia

104. 3utmeg liver devolps due to: A. B. . Passive congestion o% liver Active viral hepatitis Portal hypertension

105. $hich o% the %ollowing is 362 true about portal vein: A. B. . !. /ormed by superior and in%erior mesenteric vein Present on %ree end o% lesser omentum )as tributaries %rom right gastric )as tributaries %rom superior epiploic vein

107. "n aortic dissection: A. B. . !. ystic medial necrosis )ypertension Athero sclerosis 6ld age

110. $hich o% the %ollowing is blood born: A. B. . )ep B )erpes simplex 2B

111. !ormal rami o% spinal nerve supplies: A. B. 8xtensor o% trunk *imbs

. !.

/lexor o% neck Skin o% abdomen

11+. Spinal nerve: A. B. . 8xit through inter-vertebral %oramina 2hey have motor and dorsal root anteriorly 9entral horn contains ganglion

11.. About thoracic nerves: A. B. . !. arry sympathetic innervations 1# intercostal nerves Supply the skin o% the abdomen only Supply intercostals muscle only

111. Best site o% lumber puncture: A. B. . !. 114. A. B. Above *+ Above *# Above *( Below *. oarctation o% aorta is associated with: onstriction :ust a%ter the subclavian artery !ilatation below the coarctation

115. !own syndrome is associated with be%ore the age o% +0: A. Al;heimer<s disease

117. Placenta: A. B. . !. Separates vessels in muscular layer %rom spongiosum Separates vessels %rom many uterine arteries overed with amnion on %etal side "t is also called %eto-chorionic

1#0. A patient is %ebrile and undergoing shock. "nvestigation shows P. aurignosa. 2he shock is dues to: A. B. . !. 8ndotoxin /actor release 2oxic shock syndrome 8xotoxin

1#1. 2rue about hyperplasia A. B. . ells with rapid mitosis 6ccurs in old age =sually irreversible

1##. )uman is intermediate host in which o% the %ollowing: A. B. . !. 8. )ydatid cyst disease Bee% tape worm 8ncylostoma duedinale Ascaris 2rachonema vaginalis

1#(. 8osinophilia is not associated with: A. B. . !. 8. "g0 Ascaris )ey %ever Asthma "g8

1#+. )eart does not show tetani;ation due to: A. B. . "ncrease re%ractory period Prolonged intermodal delay !ecrease intracellular calcium

1#.. $hich o% the %ollowing is associated with treatment o% vomiting> increases the contractility

o% lower esophageal sphincter and increases the motility o% gut A. 0etoclopramide

1#1. $hich o% the %ollowing is 362 associated with 2hyroid hormone& A. B. . !. 8. atabolism o% muscle "ncrease metabolic rate "onotropic e%%ect Bone maturation Anabolism o% %atty acids

1#4. $hich o% the %ollowing has highest clearance& A. B. . !. "nulin PA) 'lucose 3a

1#5. *esion o% common peroneal nerve> inability to: A. B. . !. 8. 8version Plantar %lexion Plantar %lexion o% big toe "nversion 0edial side sensation

1#7. 8version?inversion occurs at: A. B. . Subtallar :oint 2ibio%ibular :oint Ankle :oint

1(0. 1. years old boy present with bleeding : A. B. #0 x 107 Platelet count 70 x 107

1(1. "n boy the most common cause o% petechial rash on oral mucosa and skin a%ter pancreatectomy is due to: A. B. . !ecrease absorption o% vitamin @ in gut !ecrease iron !ecrease absorption o% vitamin in gut

1(#. Sarcomere lies between A. B. . A disc ) lines 0 lines

1((. A boy present with complaint o% pain abdomen> diagnosed as a case o% appendicitis and appendicectomy was done. $hat would you look on biopsy& A. B. . !. 3eutrophils 8osinophils *ymphocytes Plasma cells

1(+. Antibodies are produced by: A. B. . !. Plasma cells 0ast cells 2 cells 3eutrophils

1(.. Spinal nerves A. B. 6riginate %rom neural crest cells 9entral rami supply the limbs

1(1. A yellow %ever case occurring in area o% non-endemic is called: A. B. . Sporadic 8ndemic Pandemic

1(4. $hich one produces severe reaction while trans%usion& A. B. . A- to A B 6 to AB A to AB

1(4. A woman with obstructive :aundice> which o% the %ollowing is marker& A. B. . !. 'amma glutamyl trans%erase A*P AS2 A*2

1(5. Cibosomes A. B. . !. Site o% protein synthesis Attached with 8C and synthesi;e cytoplasmic protein Present in cytoplasm and synthesi;e protein Synthesi;e messenger C3A

1(7. Pain epigastrium due to gastric ulcer carried by: A. B. . 'reater splanchnic nerve *esser splanchnic nerve *east splanchnic nerve

1+0. Stony dull percussion note on anterior chest: A. B. . !. Pleural e%%usion 2hickened parietal pleura 2hickened visceral pleura Pneumothorax

1+1. reatinin clearance: Plasma creatine D 1.1#E =rine creatine D 1.++E 2otal urine D& reatinine clearance clearance& A. B. 1.15 *?m 115 *?!

. !. 8.

1.++ *?m 1.11 *?m annot be calculated with these values

1+#. $hich is the %ollowing is true about BP study. 3 D 4.E 0ean BPD 50 mm)gE S! D 10. )ow many percentages have blood pressure greater than 10 mm)g& A. B. . !. 8. +5F 1+F 11F 5+F 71F

1+(. "n distribution curve> which o% the %ollowing is most likely& A. B. . 3ormal distribution !istribution on right side Bive peak !istribution on le%t side Bive peak

1++. *i%e o% platets: A. B. . !. 10 days About 1 week #-+ days About 1 month

1+.. About CB s A. B. !estroy in spleen when are old *i%e is ( weeks

1+1. A #. years old lady has complaint o% weakness> dysphagia> )h D 1 mg?dl> 0 9D 40. She is having target cells in peripheral blood %ilm: !iagnosis& A. B. . "ron de%iciency Anemia o% chronic disease 2hallassemia intermedia

1+4. A 10 years old patient present with dysphagia and biopsy o% mid-esophagus shows s,uamous cell A. ondition associated with it is: A. B. . hronic alcoholism Behaviour disease 0allory $eis tear

1+5. Perinephric %at and kidney is enclosed by: A. B. . !. 8. 'eota<s %ascia 'illson<s %ascia Peritonium 2riangular ligament oronary ligament

1+7. *ungs receive blood at rest in liter per minute A. B. . !. 8. . ( + # 1

1.0. Staging o% tumour is related with: A. B. . !. "nvasive extent ellular atypia )yperchromia 0itotic bodies

1.1. 9enous return decreases in: A. B. . !. Skeletal muscle paralysis 9eno-constriction "ncrease blood pressure "ncrease cardiac output

1.#. !uring the increase in )C> which o% the %ollowing occurs& A. B. . !. 8. !iastolic period decrease more as compared to systolic period Systolic period decreases and diastolic remains constant !iastolic decreases and systolic remains constant Systolic period decreases as diastolic 3o change

1.(. A lady presents with bilateral diplopia worsening on evening. $hich test is most appropriate to diagnose the case& A. B. . !. Antibodies to acetylcholine receptors 2ensillon test 3erve conduction study 80'

1.+. 0yasthenia gravis ai improved by: A. B. . !. Anticholinestases hilinesterases Acetylecholine trans%erases Acetyle oA

1... 0ost appropriate %unction o% sternocleidomastoid muscle: A. B. . !. 2urns the neck to the opposite side against resistance 2urns the neck to the same side against resistance /lexes the neck 8xtends the neck

1.1. A%ter trauma> patient loses sensory sensations on the lateral palmar sur%ace o% the hand and unable to %lex index %inger. *esion in: A. B. . 0edian nerve Cadial nerve =lnar nerve

!. 8.

Axillary nerve 0usculocutaneous nerve

1.4. 0ost appropriate %or the diagnosis o% S*8 is& A. B. . !. 8. !s !3A 3uclear protein Ch0 antibodies 8ndomycial antibodies Antinuclear antibodies

1.5. Ceversal o% 0'S6+ : A. B. . !. a l# Bicarbonate Proteins Phosphate

1.7. So:ogren syndrome is most likely associated with: A. B. . !. 8. Scleroderma S*8 Cheumatoid arthritis 2hyroiditis eiliac disease

110. A patient comes with leratitis> arthritis> xerosmia. !iagnosis& A. B. . !. 8. Scleroderma S*8 Cheumatoid arthritis 2hyroiditis eiliac disease

111. (0 years old man present with hematuria. Biopsy shows patchy urothelium with underlying hyperplasia o% smooth muscles. ause&

A. B. . !.

Smoking 2ubular sclerosis Cecurrent in%ections )ypertension

11#. 0emory loss a%ter trauma: A. B. . !. )ippocampus erebral cortex 0id-brain Ceticular %ormation

11(. !uring walking pain%ul stimuli causes %lexion o% the leg. "t is: A. B. . !. Ce%lex with no inter-neuron Polysynaptic 0uscle stretch 'olgi tendon

11+. Primary sign o% shock: A. B. . !. 11.. A. B. . Capid pulse 2ransient increase in BP !yspnia Altered sensorium 6# di%%usion in the lung is greater than 6# is due to& 'reater solubility coe%%icient "ncreased 6# partial pressure in lungs "ncreased density o% 6#

111. Basic drugs bind to: A. B. A-1 glycoprotein Albumin

. !.

/at $ater soluble

114. Substances that pass through biological membrane in the process o% simple di%%usion: A. B. . !. $ater soluble =n-saturatable 8nergy dependant )ave carrier protein

115. "n chronic alcoholism which o% the %ollowing occurs in liver& A. B. . !isorgani;ed structure onstriction o% central vein !istortion o% porta-hepatis

117. 6n terminal iliostomy> which o% the %ollowing occurs& A. B. . !. "ncreased amount o% water in stool !ecreased absorption o% %at !ecreased absorption o% iron !ecreased absorption o% glucose and amino acids

140. 0icturation re%lux: A. B. . !. "nvolves parasympathetic sacral segment "nitiated by higher center ontrolled by sympathetic 'enerates itsel%

141. !uring decrease in blood pressure> which compensatory response occurs& A. !ecreased discharge rate o% carotid sinus B. "ncrease parasympathetic activity . "ncreased hering nerve activity !. !ecreased hering re%lex

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