FCPS Part 1 Surgery and Allied April 2015


22 APRIL 2015

Qi. Saphenous nerve terminal br of A. femoral B. obturator c.sciatic
Q2. Adductor muscle hamstring muscle supplied by which nerve
A. tibial B. Obturator C.femaoral D.common peroneal
Q3. gracillis nerve supplied by , A.obturator nerve b. femoral c. common peroneal
Q4. Adductor brevis supplied by„ A. ant branch of obturator nerve b.femoral c.common peroneal
Q5. Fracture of surgical neck of humerus, artery damaged,
a.axillary nerve B.post.circumflex humeral
Q6. common bile duct parts„
a. omental, retroduodenal, paraduodenal
B. omental, retroduodenal, paraduodenal, intaduodenal
c.retroduodenal, paraduodenal, intraduodenal
Q7.human intermediate host „
A. hydatid cyst
Q8.loss of small muscle of one hand damage,
A. C8,T1 B. ulnar c.radial D. CO C6

Image Source: pitchengine.com

Q9. inion landmark for what, a. glabella b. pterion C. extrnal occipital prominence
D. internal occipital groove
Q10. gastroduodenal artery branch of, A.right hepatic artery b.celiac c.splenic
Q11. regarding tramadol true is, a.kappa nd meu b.strong kappa c.weak kappa d.strong meu E.weak meu agonist
Q12.ketorolac analgesia most preferable„
a.Thoractosy patient with ozzing blood from wound
b. hernoraphy wid patient of peptic ulcer C.Non diabetic cholecyctectomy D.Asthmatic patient having inguinal hernia repair
Q13.Radiotherapy most sensitive to, a.craniopharyngioma b.pineal tumor
c.midbrain glioma D.glial glioma[confirm it ]
Q14.bilateral exopthlmos, antithyroid antibody present„
A. graves
Q15.epitheial changes in endocervix in squamous tissue due to „ A.metap las ia b.dysplasia
Q16.normal rasonance area in„ A. right 2nd to 4th midclvicular line b. right 4 to 6 midclavicular c.left 2″ to 4 mid clavicular d.left 2. to 4 midaxillary
Q17.internal carotid a damage, bleeding, at what vertebral tubercle u will press to stop bleeding„
a.3rd b.4th c.5’° D.6° e.7th
Q18.cysticercosis caused by„ A. ingesting eggs of tenia solium b.ingesting cysts of tenia solium c. eating uncooked meat d. eating uncooked mutton
Q19. which drug has more effect on coxll than cox I „
a.aspirin B.celexocib c. nalproxane d.ketorolac
Q20. Internal oblique muscle aponeurosis„
a.form conjoint tendon b. post boundary of inguinal canal c. external spermatic fascia D.conjoint tendon
Q21. RCA after ginving marginal branch obstruction affect „
a.SA node B. AV node c. apex of heart
d.right atrium Q22. penile urethra rupture „ A. scortum under colles fascia b.tunica vahinilis c.thigh d.deep fascia
Q23.which one is benign tumor„
A. warthin
Q24.middle rectal artery branch of, „ A.internal iliac b.femoral c.common iliac d. superior mesenteric
Q25.right testis tumor nodes drain into
A. paraaortic b. righ deep inguinal c.superficial inguinal
Q26.Chlamydial infection causing chlamydia psittacosis is„ A.obligate intracellular b.DNA derived from host
Q27.scenerio of granuloma wid yellow pigment „
A. actinomyecets
Q28. painful papule at labia „, a. hsv II A.hsv I [ confirm it by urself] c. vz d. CMV
Q29.most perinium and pelvis nerve supplied by„
A.pudendal b.femoral c.obturator
Q30.maintain flexor tone arm by „ a.corticopinal b.corticobulbr c.reticulo spinal D.rubro spinal

Q31.lower motor neuron lesion… A.muscle wasting b.hyperreflexia
c.positive Babinski d. spasticity
Q32.hemisetion with total spinal section differentaiad by „
a.paraplegia in extension b. degre of reflex activity c.sensory loss permanent D.spinal shock
Q33.which one is most common exocrine pancreas tumor „
A.ductal adenocarcinoma b.acinar adenocarcinoma c.mixed d.intraductal
Q34.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 [confirm it by urslf ]
Q35.gas having mximum diffusion capacity in body fluids,,,
A. CO2 b.00 c.He d.02
Q36.dec P02 in blood.. a.00 poisoning B.hypoventiltion c.anemia d.cyanide poisong e.hypoventilation
Q37.A person living on river side since 2yrs, having blindness, opthalmologist indentify which larva,„
A.onchcerosis b. wucheria c. loa
Q38.during surgery thyroid nerve present to a distance to superior thyroid artery,
A.externllyryngeal b.internal laryngeal c.recurrent
Q39.antrum of stomach removed wht happen, a.dec compliance b.inc acid output c.increase gastrin
Q40.margins of TB ulcer, A.undermined b.everted c.inverted
Q41. ulcer due to hypertension„ a.decibuts b.marjolins C. martorell d.bazin
Q42. PTU: A. Inhibits synthesis of thyroid hormones b.lt homonymous hemianopia B. Inhibits release of thyroid hormones
Q43. Right optic tract lesion causes„ a.right homonymous hemianopia b.left homonymous hemianopia
Q44.lnternal laryngeal nerve passes through„
a.Arytenoid n cricoids cartilage b.Cricoid n thyroid C.Thyroid n hyoid
Q45. prgnanacy related senerio, PT and APTT inc (too long scenario but answer DIC :
Q46.which is used for screening congenital abnormality„
A.Estrol b.estrione c.estradiol
Q47.phenyl over alcohol anaesthesia „ a. effect detected soon Bless painful c.phenol most potent
Q48.patient developed hemolysis due toG6PdD deificiency nxt happen„
A.self limiting b.hemolysis with G6PD c.autosomal domint
Q49. 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

Q50.liver development ,
a.from dorsal mesentry proximal midgut
B.from ventral mesentry proximal foregut
c. from ventral mesentry distal foregut
d. ventral mesentry proximal midgut
Q51.which one drain into left brachiocephalic vein,,,
a. sup thyroid b.middle thyoid C.inf thyroid d. facial
Q52.64 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
Q53.hb 10, 02 sturation 90, P02 60 , ask abt to calculate 02 contents„
all B.13 c.18 d.21
Q54.girl with h/o of gum bleeding, giant platelets, plt count 85k, ,„
A.vonwillibrand b.bernaud solier c.familial thrombocytopathy d.thrombocytopenia e.ITP
Q55.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
Q56. required for transport of B12 in blood,
a.intrinsic factor b.TC 1 C. TC2 d.TC 3
Q57.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
Q58.protein content less in glomerular filtrate occur due to ,
A.pore size and negative charge
b.rapid active transport absorbtion
Q59. increase in aldosterone due to inc in,
b.angiotensin 2
Q60.35 year old man bilateral crept, on xray chest heart fills completely,mass in rt ventricl , what wil b the main cause..
a.mesothelioma b.rhabdomyosarcoma c.angiosarcoma d.myxoma
Q61.about flexor hallucis longus„
a.tendion can be felt immediately post to medial maleolus
b.inserted on first metarsal base
Q62.superficial parotid painless tumor, psudopoid growth, contain no capsule on histopatho „
A.pleomorphic b.warthin c.mucoepidermoid d.cyst adeno carcimona Q63.Hypertensive ulcer a.bazin B.Martorel c.curling
Q64.Reflexes correctly marched„ A.Bicep c6 b.triceps C8 c.abdominal L5 S1 d.knee L4 LS
Q65.Rt ovarian vein drains into„
A. IVC b.renal vein
Q66.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.Its connects internal carotid with posterior cerebral e.connect post cerbellar inernal carotid
Q67.ADH is inhibited by, A.alcohol b.increased plasma osmolarity c.angiotensin 2 d.dec ECF
Q68.large Bolus stuck after eating what will happen next,
a Its never happens b.swallowing centre activated
C.secondary persiatlisis will be generayed by intrinsic nervous sytem to remove it
Q69.whn will u do dilaysis whn gfr decreases by ./0„
A. 5
Q70.feature of malignancy„ a.Invasion B.metastasis c. high NC ratio
Q71.Death of Gas gangrene is„,
A.Toxernic shock b.excessive necrosis
Q72. big scenario of ischemia but in end asking finding in brain ,
A. Liquefactive b.coagulative c)caseous
Q73.infection related to pretracheal layer will spread to„
A.Ant mediastinum b.sup mediastinum c.post mediastinum
Q74. Regarding active transport about drugs which is incorrect„
b.require energy
C. all drugs transported by this mechanism
d.involves cariers
Q75. organism causing cerebral malaria„
A. p. falciparum b.p. vivax c.p. malaria
Q76.p.falciparum disease„
A. black water fever
Q77.regarding piturtry gland true is A.vein drain directly in dural sinuses b.partly derived from foregut c.related to ethmoidal sinus d.optic chiasm lie anteriorly
Q78. Patient with fluid loss now show metabolic acidosis e hypokalemia. most fluid loss will be through:
A. Stomach B. Colon C. Pancreas D. Duodenum E. Jujenum
Q79. Inversion of foot by which muscle: A. Peronues Longus B. Peroneus Brevis C. Peroneus tertius D. Tibialis Posterior
Q80. Anemia mid Blast Cells in peripheral blood: A. Iron deficiency anemias B. Erythroblastosis fetalis C. Folate deficiency D. Bone marrow depression
Q81. Most common cause of Hepatocellular CA in developing countries: A. HEP B, C
B. Hep C c. Hep B
Q82. Closure of lips involve: or unable to close lips which muscle involved: a. Depressor anguli oris b. Depressor labii inferioris c. Depressor labi superioris d. Orbicularis oris e. Lateral pterygoid
Q83. Superior Thyroid artery arise from: A. First branch of Subclavian Artery B. External Carotid Artery C. Internal Carotid Artery
84. Incubation period of which disease is longest: A. Measles B. Rubella C. Chicken pox D. Infectious Mononucleosis E. Mumps
Q85. Regarding CSF true is„ Atonal 150 ml B. production rate 20 ml/hr C.produced by ependymal cells of choroid plexus D. Arachnoid villi are visible
Q86. Age estimation at 5th to 12th week is done through: A.Biparietal diameter B. Crown rump length
C. Crown heel length D. Abdominal circumference

87. A sprinter during running had injury to his ankle. He can stand on his toes but with severe pain. There is a visible ecchymoses around ankle joint:
A. Plantaris tendon
Q88. Amoeba causes lesions in which part of gut: A. Terminal ileum B. Cecum C. Ascending colon D. Transverse colon E. Sigmoid and rectum
Q89. Buccopharyngeal Membrane: A. Stomodium from Foregut B. Nose from Pharynx
Q90. Pretracehal fascia infections spreads to: A. Anterior mediastinum B. Posterior mediastinum
Q91. Shivering center is located in: A. Anterior hypothalamus B. Posterior hypothalamus
Q92. A 30 year old woman in azad kashmir was injured mildly in an earthquake that killed many people apart from her distant uncle. She would most probably be in, A. Social crisis B. Personal crisis C. Situational crisis D. Developmental crisis
Q93. While a surgery on Submandibular gland which has more chances of injury: A. Superior thyroid artery B. Lingual nerve C Mandibular nerve D. Facial nerve
Q94. Which ligament supports odontoid process of axis on atlas, A. Posterior longitudinal ligament B. Anterior longitudinal ligament C. Tranverse ligament D. Ligamentum nuchae
Q95. C7 Vertebrae has: A. Longest spine B. Broad body
Q96. conversion of fibronogen into fibrin what will b detected in blood
A. Prothrombin
Q97. Percentage of Plasma out of ECF: B. 20% C. 50%
Q98. Newborn with a Erythroblastosis Fetalis having Blood group B postive what is best for management: A. Any blood with Rhpostive B. B Negative
Q99. If a person is taking Protein in his diet which will be necessary: A. Riboflavin B. Thiamine
Q100. Group of young men bathing n beech next day develop blisters on back shoulder limbs region cause is: A. Mast cell destruction B. Endothelium venules destruction
Q101.Renal Column: A. Collecting Duct B. Interlobar artery C. Interlobular artery D. Minor calyces
Q102.Function exclusively linked with sit E: A.Carbohydrate metabolism B. Endothelial protection C. Skin integrity D. Germinal epithelial protection
Q103.Deep to post digastric and near palatoglossus a structure runs obliquely upwards, A.Facial artery B. Lingual artery C. Maxillary artery D. Sup thyroid
Q104.Nucleus of general visceral efferents of tenth nerve to palate muscles is present in:
A. Locus ceruleus B. Tractus solitaries C. Nucleus ambiguous )confirm it by urself] D. Nucleus raphe
Q105.Regarding pneumotoxic center following is true: A. Increases inspiratory potential B. Fires dynamic respiratory drive
Q106. What is correct about thyroid: A. Supplied by 3 paired arteries B. Surrounded by prevertebral fascia C. Isthmus attached to cricoid D. Venous drainage in bracheocephalic vein
Q107. Regarding Pituitary gland true is : A. TSH B.TRH
Q108. Blood group An transfusions reaction due to: A. A+ B. Be C. O-D. A-
Q109. H202 found in: a.mitochondira B.peroxisome ANS [confirm] c. Lysosome D. RER
0110. ICAM and VCAM are for: A. Leucocyte adhesion
0111. Breast atrophy in young female is due to: A. Estrogen B. Estrogen and Progesterone C. Progesterone
Q130. During mitosis chromosomes double in which phase? A. Prophase B. Metaphase C. Anaphase D. Telophase E. Interphase
131. Example of observational study: a. Cohort b.cases (include case reports ) c.mata anylasis
Q132. most two common pathway of axillary lymph drainage: A. central and apical B. Supraclavicular and posterior C. Pectoral and lateral D. anterior and posterior
Q133.true about csf is A.produced by chroid plexus which is cauliflower n shap coverd by smooth muscle and seen by naked eye B.daily production is 500 ml per day C.hyperosmolar thn plasma
Q134.the maximum strengh of wound healing occurs in
A.3 month
Q135. suboccipital n supply which muscle
b. lattisimus dorsi c. trapezius D.rectus capitis post
Q136. regarding intercostobrchial nerve true is „
a. loss of nerve supply b.post side of arm C. 2nd intercostal sensory d.loss to preganglionic sympethaetic
Q137.Normal rasonance are„ A. rt 2nd to 4th midclvicular line b.rt 4th to 6th midclavicular
Q138. in asian population most common cause of macrocytosis A. liver diease b.hemolysis c.hypothyrodism d. alchol
Q139.corticoteriod mechanism anti inflammatory A. inhibit phospolipase A2 b.inhibit cycloxygenase
c.inhibit lipoxygenae d) action on leukotriene B e. inhibit lukotriene D
Q140. scenerio about sacrioilac joint pain, loss of lumber ladorosis negative ana„ 22 A. HLA b27 b.rA
Q141.a person standing at same place for lhour, what wl dec a.diametr of aorta B.central venous pressure c.rennin d.adh
Q142.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
Q143.enzymes for abcess formation A.neutrophil b.serum
Q144.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 Idh dearranged
a.recurrent thromboembolism b.rheomatid arthritis C.good posture d.renovascular hypertension e.chronic asthma
Q145.Estrogen, progesterone and testosterone k receptors act through.. ligand chanel involves„
a.g coupled b.tyrosine kinase C.increase transcription [confirm it]
Q146. great tronchetric fracture, cant walk properly painful swelling, next complication
A.pulm thromboembolism
b.soft tissue tumor
Q147.post triangle relations


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