Past Paper of FCPS Part 1 Surgery and Allied 31 December 2015


Past Paper of FCPS Part 1 Surgery and Allied 31 December 2015

1..Aik pta nai ajeeb sa que tha aftr prostctomy koi infection tha .. which layer of facia is keept opn ..
A~bucks fascia
B~waldr fascia
C~sarca fascia
D~denevlr fascia
E~weldrs fascia

Attached distally to the undersurface of the glans penis at the corona, Buck’s fascia extends into the perineum, enclosing each crus of the corpora cavernosa and the bulb of the corpus spongiosum and firmly fixing these structures to the pubis, ischium, and inferior fascia of the perineal membrane (urogenital diaphragm) question was k prostatectomy k baad rectourethral fistula ban gya tha.. to which layer shud have been preserved to be on safe side? i think denonviliers was the right option 2 people recall diff ques…

2..Effect of sympathetic system on carbs
a.Adrenaline inc.glycogenolysis
b..alpha receptors suppress insulin
c.B 1receptors antagonist inc insulin spleen
a.coagulativ necrosis
b. fat nec

4..Lft renal vein to aorta
b.Ant to aorta
c.Post to ureteric pelvis
d.Posterior to renal artery

5..Person not able to open mouth
c.Lat .ptery

6..Tid.V affected..
a.Injury of Inspiratory
c.Decc.cmpliance tension…….not solveeeeee

7..13 yrs girl ; x.ray of elbow Secondary center of ossification a.Capitulum
c.Med condyle
d.lateral condyle
Two counting methods are taught to help remember the ages at which the ossification centers appear: 1-3-5-7-9-11 (simple) and 1-5-7-10-10-11 (more accurate).

capitellum: 1 year
radial head: 3 years
medial epicondyle: 5 years
trochlea: 7 years
olecranon: 9 years
lateral epicondyle: 11 years

8..Estrogen will not inc the risk ov following :
A. Breast CA
B. Emdometrial CA
C. CA gall bladder
D. HCC ovary

9..Infection is suprfical perinal pouch ll go to
A~deep trasvrs penineal muscl
B~great vestubulaar glnd
C~bulbiurethral glad

10..Regarding fibroblasts which is true A itz of rabia ali mcq
A) produce collagen only
B) produce elastic fibers only
C) produce amorphous ecm
D) ) reticular fibres only

11..premature ovarian failure associated most commonly with 1)genetic abnormailty
2)autoimune disease
5)last option forgot

12..thrombocytopenia by??
a. thiazide…..asim key
b. chloramphenicol……f.b admin
c. quinine

13..Metabolite use to check vit d levels.. Cholecalciferol
A. 1, 25dihydroxy D
B. 25 hydroxy D

14..abnormal curve in lumbar spine?

15..Mass of lymphoid tissue covered by resp epithelium is palatine or lingual phyringial tonsil

16 Bouderies of post triangle of neck

17..Which vitamin is involved in formation of clotting factors
A) vit A.
B) vit d
C) vit c
D) vit E
E) vit B6

18..New born is diagnosed to hv inclusion congestivitis bcox mother had vaginal infection… possible cause
A) chlamydia
B) staph aureus
C) fungus
D) dun remember
2 bacteria cause congenital conjuctivitis: Gonococcus & chlymadia Inclusion conjuctivitis indicates that its due to Chlymadia bcoz its obligate intracellular n forms intracellular inclusions

19..Most numerous lg in blood
A) lg G
B) lg m
C) lg A.

20..Structure leavng thorax.entering root of neck and again entering poster mediastinum Left subclavian Rite subclavian Ascending aorta

21..phagocytes in blood. monocytes nutrophils

22..hormones involved in lymphocytes growth and development?

21…Most Common site of brain abscess
A ) frontal lobe
B) parietal lobe
C) temporal lobe

22..Valves r presnt in
A) ateries
B) large veins
C) medium sized veins
D) capillaries medium sized veins ..ref : blue histology

23..common step of glycolysis and gluconeogenesis Fructose 1, 6 bisphosphate

24..organism causing burkitts lymphoma EBV

25..daily protein required by average adult person? Grams of protein needed each day Woman 46gm man 56 gm

26..* I.C and EC k+ maintenance Na/k atpase Aldosterone H ions Angio 2 Adh

27..Wilsons diagnosis ceruloplasmin

28* regarding facial nerve
a..myelohoid belly of digastric
C.chorda tympani arises from horizontal part

29* Related to 3rd pharyngeal arch Stylophyrangeus Cricothroid Cricopharngeus

30* cholinergic fibers arise from? meynart?

31* change in vascular resistance posp op catecholamines. acth.

32* Co2 diffuses easily into brain * Spleen coagulative necrosis

33* protein requirement in 70 kg person,,,120gm
Its 0.8 gm /pound…..1kg equal to 2.2 pound
70 kg * 2.2= 120 pounds
120* 0.8 = 121 something.

34* premalignant skin lesion? * thyroid gland relations

35* insoluble form of iron storage? hemosiderin

36* max glucose absorption PCT

37* 100pts of int.homorrhoids surgeon divided them into 2 groups One group on med And onther on dietary mod After one year surgeon call them all and asjed their experience Type of study Case control Cohort Clinical trial Prospective cohort or retrospective

38* Adenoma.. Glandular pattern Polyps Sq.cell

39* Protein synthesis.. Smooth e.r Granular Er

40* Characteristic of skeletal muscle Intrinsic ca2+ generation ability Increase number of apica lnuclei

41* raynauds phenomenon seen in peripheral arterial disease?

42* End of ventricular ejection Av valve close QRS and T waves represnt together the ventricular systole…..and hence at end of systole surely comes T wave and AV valve closes followed by diastole

43* 4th heart sound Ventricular filling

44* Thorn prick Staph Aureus

45* Impaired wound healing infection.

46* Dorsal spinal rami Extensors of trunk

47* length of trachea in neonates length of trachea average 4.12 cm

48.Basic drugs bound with: albumin alpha glycoprpotein

49★pt was hving altered taste, dyspepsia with microcytic hypochromic anemia… stool test showed eggs. Which organism is responsible
A) ankylostome duodenale
B) hydated cyst
C) pin worm- vermicularis wala A ( hookworm causes anemia)

50..Cluster of cd4 cells on surface is related to Eosinophil Monocytes Th cells

51..mechanism of local anesthetic action.options included 1)blocking influx of Na channels
2) interfere with resting membrane potential

52..hyperkalemia causes heart to stop…in diastole…systole…between systole and diastole…
In hyperkalemia K can’t leave the cell due to high concentration of K ions outside the cell, making the cell stuck in repolarization phase (diastole)

53..noradrenaline acts as a chemical transmitter at the post ganglionic sympatheticnerves supplying the
sweat glands
 Noradernaline kidny me hta………………….at sweat gland neurotransmitter is ACh

54..thrombi from deep veins of legs mostly occlude which vessels? 27, Klinefelter ..
XXY (ans)

55. Deep vein thrombus lodge in Pulmonry artery Pulmonry vein Rite atrium

56. Women blood group o neg .rbcs lack antigen (ans) Could be recepient

57.In neonates All face bones ossified Orbit diameter greater than maxillary length Orbit diameter equal to mandibular All sutures ossified

58..single most potent factor for secretion of insulin from pancreatic beta cells in humans. glucose was one of the option. other options included beta adrenergic

59..hemorrhagic infarcts ocur typically in?
1) pulmonary thomboembolism
2) liver in hypotension

1) no limiting membrane
2) contains DNA and ribosomes
3) contains DNA only
4) stains lightly basophilic

61..Philadelphia chromosome present in which disorder?CML

62..relations of phrenic nerve with subclavian vessels and scalnei musc in neck it lies on scalnus antiror, and in thorx subclvian….. (antriorly)

63…virus involved in AIDS related kaposisarcoma….Hhv8

64..toxoplasmosis is a. bacterial disorder b. viral c.parasitic d.helminthic
65..inferier rectal artery is a branch of? sup rectal …sup mesenteric middle rectal -intrnal iliac inf rectal —-int pudendal

66..diphylobothrium latum from fish. causes B12 defiiency

67..biological factor involved in cervical ca ans HPV

68..infarction of post 1/3rd of inter ventricular septum. artery responsible? Posterior descending rite coronary artery

69.Skeletal muscle paralysis War gas Carbachol Curare (ans)

70,Diphtheria toxin main action on Heart(ans) Pharynx

71…Capillary hydrostatic pressure heart failure (ans)

72..local anesthetic with highest toxicity….bupuvacain

73..inferior vena cava .. options included that it commences at L5 level

74..base of bl;ad er is posterior surface

75..Aplasia.. Dec in size Failure of growth(ans)

76..Imp.differnce b/w benign and malignant Pleeomorphism Inc.Nc ratio Invasion(ans )

77.Stph.aureus Coagulase (ans) Lactose fermnt Hemolytic
78, Woman taking estrogen Breast C.A Dvt(ans)

79.Pulmonry congestion Could be cardiac failure(ans) Foriegn body Cardiac temponade

80. Glucose max reabsorption C .T PCt(ans) Loh

81.Glucose and amino acids absorption in intestinal cells Facilatated diffusion(ans) Pinocytosis Endocytosis Active transport

82..increased karyopyknosis index in young females indicates what? an index that is calculated as the percentage of epithelial cells with karyopyknotic nuclei exfoliated from the vagina and is used in the hormonal evaluation of a patient scenario was based on normal distribution curve. and question was asked how many %age falls in 1st standard deviation. different options were given and 68%is the answer ( 68.5 ist , 2nd 95.4, 3rd 99.7)

84..germ cells from yolk sac migrate to gonadal ridges on which week?
d. 6th ans cccccc langman embryo( 3rd wk : primodial germ cells reside in the yolk sac 4th wk: migrate along the dorsal mesenty to the hind gut 5th wk : arrive at the primitve gonads 6th wk : invade in the gonads)

85..what is correct about thyroid gland
1)supplied by 3 paired arteries
2) surrounded by prevertebral fascia
3) isthmus attached to cricoid
4) veous drainage in bracheocephalic internal jugular vein
5) forgot the last option

86..what is correct about human kidney?
1)single lobular organ
2)renal corpuscles found only in medulla.

87..what is true about hcg?
1) can be detected in serum on 9th day of ovulation
2) max level reached on 18th wk
3) secondary rise during late 3rd trimester
4) rises 4 times every 48 hours
5) secondary fall during last 2 wks of pregnancy?? Pleatu reaches up to 18 to 20 weks B is rite

88..a female pt comes in ur office and starts talking in seductive way. most imp step from u shud be?
1)call nurse
2) refer the pt to other dr
3) start asking about her personal life
4) refuse examining her

89..type of sacroiliac joint?

90..proteins in mitochondria synthesized by…ribosomes 70s

91..fibroblast function in wound healing/
1) synthesis of collages fibers only
2) synthesis of elastic fibers only
3) reticular fibres only
4) extra cellular amorphous substances

93..if heart rate doubles during excercise? then cardiac cycle will complete in?
b. 0.4s
d. 1.2s
Normal heart cycle is of 0.8sec Wn heart rate wud b double then it wud b of 0.4sec


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