FCPS MEDICINE JUNE 2009
1. H+ ion secretion in the kidney causes
bicarbonate reabsobtion
bicarbonate excretion
2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial
3. Drug used for mountain sickness
acetazolamide
scopolamine
4.Corneal opacities r caused by
ethambutol
phenothiazides
5. Captopril causes
hypokalemia
hyper kalemia
6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is
metabolic alkalosis
respiratory alkalosis
partially compensated metabolic alkalosis
partially compensated respiratory alkalosis
7. Which is P450 inducer
isoniazid
phenobarbitone
cometidine
ketoconazole
8. Which causes decreased gastric motility
Magnesium Sulphate
Aluminium Hydroxide
9. Serum gastrin levels are incresed by prolonged use of
antacids
PPI
H2 blockers
anticholinergics
beta blockers
10.Esophago gastric junction competence is maintained by
lying supine
incresed intra abdominal pressure
diaphragm paralysis
use of metoclopramadie
use of morphine
11. Patient has acute blood loss the mechanism triggered imediately is
baro receptor mechanism
renin angiotensin system
12. Carotid body receptors respond to
arterial PO2
arterail Pco2
13. propylthyouracil acts by
decreasing iodine uptake
decreasing TSH levels
decreasing thyro globulin levels
14. which is increased in first responce
Ig G
Ig M
Ig A
15. which crosses placenta
Ig G
Ig M
Ig A
Ig E
16. which is secreted in breast milk
Ig G
Ig A
Ig M
17. which has memory function
Ig G
Ig M
Ig A
Ig E
18. which drug causes abnormal differentiation between red and green colours
ethambutol
amiodarone
pyrazinamide
19. for best verbal communication skill one should hav
good vacabulary
competence in presentation
fluent speech
20. which is not caused by parasympathelic stimulation
increased GIT motility
micturation
miosis
sweating
21. ejaculation is caused by
sympathetic
parasypathetic
both
22. Alpha receptors stimulation causes
pupilaary dilation
increased heart rate
increased contractility
23. fracture of surgical neck of humerus, patinet cant raise arm and sensory loss on lateral surface of arm. damage to
axillary nerve
musculo cutaneous nerve
24. action of gluteus medius n minimus is
abduction n medial rotation
abduction n lateral rotation
adduction n medial rotation
adduction n lateral rotation
25. thymus is formed by
3rd pharangeal pouch
4th pharangeal pouch
26. bromocriptine causes decresed prolaction levels by acting on
dopamine receptors
cholinergic receptors
27. patients ecg shows increasing PR intervals and then a missed beat
first degree block
sinus arrythmia
Mobitz type 1 block
Mobitz type 2 block
3rd degree block
28. Digoxin is drug of choice in
Atrial flutter
Atrial Fibrillation
Ventricular Tachycardia
Bradycardia
29. patient after ischemic attack has ventricular tachycardia. drug that must b used is
lidocaine
amiodarone
verapamil
30. apex beat is
4th left intercostal space mid clavicular line
8cm to the left of midline in 5th intercostal space
31. young patient has bruises on the body and no other significant history n examination unremarkable. he has
idiopathic thrombocytopenic purpura
aplastic anemia
Hemophilia
32. Hemophilia is
X linked recessive
Autosomal dominant
Autosomal recessive
33. which investigation to be done in patient with hemophilia
PT
APTT
bleeding time
complete blood count
34. patient has hemoptysis and glomerulonephritis. diagnosis is
good pasture syndrome
wegeners granulomatosis
35. P falciparum causes
black water fever
36. C perferingens acts by
producine lecithinase
depleting ATP
causing hypoxia
37. Gonococcus in easily identified in exudate specimen by
gram staining
Z N staining
culture
38. which is not oncogenic
Hep B virus
Hep D virus
Herpes Simplex virus
EBV
39. Middle meingeal artery passes through
foraman spinosum
foraman lacerum
foraman rotundum
foraman ovale
40. damage to middle meningeal artery causes hematoma formation between
duramater n calvaria
duramater n arachnoid mater
arachnoid mater n piamater
50. which is present in cavernus sinus
abducent nerve
51. which cranial nerves r parasympathetic
III, VII, IX, X
52. patients right eye has moved upward n has his neck tilted to left to avoid diplopia. damage to
superior oblique
inferiour oblique
53. patient has homonymous hemianopia. lesion is at
optic nerve
optic tract
retina
optic chiasma
54. germ cells r derived from
ectoderm
endoderm
mesoderm
55. foreign body in trachea goes in which bronchus
right upper
right middle
right inferior
left inferior
56. which lobe has only 2 brocho pulmonary segments
right middle
right upper
left upper
left middle
57. during iso volumetric contraction
atrial pressure decreases
semilunar valves r open
coronary blood flow decreses
first heart sound is produced
second heart sound is produced
58. which is thick filament
actin
myosin
59. a sacromere is present between 2
Z lines
H band
A band
60. in muscle cells calcium is released from
endoplasmic reticulum
sarco plasmic reticulum
61. in kidney select the best order of arteries
renal > arcuate>interlobar>interlobular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole
renal>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>interlobar>afferent arteriole
62.after normal saline infusion
blood volume increases
Na excretion decreases
osmolality increases
renin secretion increases
63. after renal transplant which malignancy is common ???
64 babinski sign is positive in
pyramidal lesion
cerebellar lesion
65. ventral spino thalamic tract ends at
lumbar region
mid thoracic
end thoracic
66. commonest site of lumbar puncture is
L4-L5
L2-L3
S1-S2
67. which is not punctured during lumbar puncture
duramater
ligamentum flavum
longitudinal spinal ligament
68. after Rh incompatabilty what is given to the mother to prevent it next time
anti D antibodies
69. patient has blood group A+ which cannot b given to him
O+
O-
A-
AB-
70. hamartoma is
benign tumor
malignat tumor
71. medullary rays r present is
cortex
medulla
72. in Addisons disease what does not occur
hyper kalemia
hypokalemia
73. which is essential amino acid
phenyal alanine
74. which is teratogenic
alcohol
75. which is associated with cancer
methyl alcohol
propyl alcohol
76. HLA- DR4 is associated with
rheumatoid arthritis
SLE
scleroderma
77. which is present in SLE
anti DNA antibodies
anti jones antibodies
anti smith antibodies
78. which causes dysphagia
ankylosing spondylitis
scleroderma
dermatomyositis
79. iron deficincy anemia is
hypochromic microcytic
80. patients had gastrectomy , after 3 months she presents with
iron deficiciency anemia
pernicious anemia
hemolytic anemia
81. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, she is suffering from
iron deficiency anemia
megaloblastic anemia
82. which is tributary of portal vein
superior rectal
inferior rectal
83. what arches in front of the root of left lung
Arch of aorta
Azygus vein
84. selective beta blockers do not cause
broncho spasm
85. how will the effect of warfarin immediatelty reversed
vitamin K
FFP
protamine sulphate
86. RCA supplies
right atrium only
right atrium n right ventricle
87. tunica vaginalis is derived from
transversalis muscle
transversalis fascia
peritoneum
inter oblique muscle
88. turner syndrome has karyotype
45 XO
45 XX
45 XXy
45 XXX
89. which muscles divied submandicular gland in to super ficial n deep part
omohyoid
mylohyoid
anterior belly of digastric
90. patient has difficulty closin right eye and distorted facial appearance. he has damage to
right fascial nerve
left fascial nerve
right trigeminal nerve
left trigeminal nerve
91. which does not cause thenar muscle wasting
carpel tunnel syndrome
C8 neuritis
cervical rib
scalene muscle spasm
cervical spondylosis
92. a pregnat lady from hilly area presents to. fetal scan at term shows no anomaly. which of the following can still b present in the newborn
ASD
VSD
PDA
pulmonary stenosis
93. what is end product of glucose metabolism in the presence of oxygen
lactic acid
1 molecule of pyruvate
2 molecule of pyruvate
94. beetle chewing causes
submucuous fibrosis
leukoplakia
keratosis
95. which is last mediator in septic shock
IL-1
IL- 6
96. antigen antibody reactions r most reduced in
Liver failure
Low neutrophils
97. Clavulanic acid
destroys B lactamases
causes decreased penicillin excretion
98. Dose of Gentamicin is reduced in elderly due to
reduced renal function
99. GFR can b best estimated by
creatinine clearance
serum urea levels
serum creatinine levels
100. best test for diabetic nephropathy is
serum urea levels
serum creatinine levels
urinary albumin
101. which protein maintains red cell shape
integrin
secretin
spectrin
102. Cyanosis is due to
increased deoxy hemoglobin in blood
decresed PO2 in blood.
103 which of the following causes natriuresis
stretch receptors in atria
carotid bodies
104. patient has gall stones , which enzyme could b most likely raised
Alkaline Phosphatase
LDH
ALT
105. diffusion through alveoli is directly proportion to
thickness of membrane
total cross sectional area
106. transpot of materials by carrier proteins is example of
simple diffusion
facilitated diffusion
active transport
107. which does not has lymphoid follicles
speen
thymus
lymphnodes
payer patches
108. in congestive cardiac failure there is
incresed pressure in venous system
109. ventricular contraction causes which wave in JVP
a
c
v
110. site for venesection
great sephanous
short sephanous
111. which is not part of limbic system
vermis of cerebellum
amygdala
anterior thalamus
hippo campus
112. right gastric artery is branch of
gastro duadenal
right gastro epiploic
113. thiazide diuretics
donot require potassium supplemets
114. behaviour sciences is branch of science which deals with
behaviour of persons in different social , psychological conditions
115. pateint has loss of proprioception on right n loss of pain n temperature on left, lesion is
right hemisection of spinal cord
left hemisection of spinal cord
116. cerebral cortex is concerned with
voluntary movements of body
117. DVT is causes by
stasis of blood
118. lacrimal duct opens in
inferior meatus
middle meatus
119. in asthma
FEV1/FEV less than 65%
FVC is reduced
120 6 years old girl has meningitis. most common organis is
streptocossus pneomonie
Neiserria meningitidis
Hemophilus Influenzae
E Coli
121. exudate has
protein more than 3g/dl
specific gravity is less than 1.010
122. a young boy has distorted nose and cervical lymphadenopathy. lymph node biopsy shows non caseating granuloma and sputum AFB is positive, diagnosis is
TB
leprosy
sarcoidosis
syphilus
123. Lambda chain is present in
amyloidosis
124. which does not follow oro fecal route
tenia solium
trichuris trichuria
entrobius vermicularis
Ankylostroma duodenale
125. cholangio carcinoma is caused by
C Sinensis
paragonimus watermani
taenia solium
126. young boy has bilaterla parotid enlargement. diagnosis
bacterial parotitis
mumps
infectious mononuclosus
127.about Mycobacterium TB , which is false
causes disease only in humans
favors aerobic conditions
128. which is false about spores
produced under nutrient rich conditions
B Anthracis producs spores
C tetani produes spores
they r killed under 121 degree for 15 min in autoclave
129. fetal brain development is caused by
Growth hormone
thyroid hormone
130. gastric Acid increases most after taking
carbohydrate
protein
fats
131. which hormone effects carbohydrate, protein and fat metabolism
insulin
Growth Hormone
132. which is not an epithelial tumor
sq cell CA
adeno carcinoma
sarcoma
133. Bence jones protein are produced in
multipla myeloma
134. which hormone effects both nor epinephrine n serotonin metabolism
Mono amine oxidase
135. patient presents with epistaxis and bruising on body. best invertigation is
complete blood count
PT
Aptt
136. ADH acts on
Proximal tubule
Distal Tubule
Collecting Tubule
137. which is most slow growing malignancy of thyroid
Follicular CA
Medullary
Papillary
Anaplastic
138. Cerebellar lesion causes
Ataxia
139. patient with cerebellar lesion
cannot touch objects with his finger tip
140. PTH remains normal in
renal insufficiency
osteoporosis
141. Neonatal Rubella infection is screened by measuring which antibody?
IgM
IgG
IgM and IgG
also 6 -7 questions about aldosterone and blood pressure control
bicarbonate reabsobtion
bicarbonate excretion
2. which is pivot joint
temporomandicular
atlanto occpital
Atlanto axial
3. Drug used for mountain sickness
acetazolamide
scopolamine
4.Corneal opacities r caused by
ethambutol
phenothiazides
5. Captopril causes
hypokalemia
hyper kalemia
6. Ph =7.5 HCO3= 48 PCO2= 45 diagnosis is
metabolic alkalosis
respiratory alkalosis
partially compensated metabolic alkalosis
partially compensated respiratory alkalosis
7. Which is P450 inducer
isoniazid
phenobarbitone
cometidine
ketoconazole
8. Which causes decreased gastric motility
Magnesium Sulphate
Aluminium Hydroxide
9. Serum gastrin levels are incresed by prolonged use of
antacids
PPI
H2 blockers
anticholinergics
beta blockers
10.Esophago gastric junction competence is maintained by
lying supine
incresed intra abdominal pressure
diaphragm paralysis
use of metoclopramadie
use of morphine
11. Patient has acute blood loss the mechanism triggered imediately is
baro receptor mechanism
renin angiotensin system
12. Carotid body receptors respond to
arterial PO2
arterail Pco2
13. propylthyouracil acts by
decreasing iodine uptake
decreasing TSH levels
decreasing thyro globulin levels
14. which is increased in first responce
Ig G
Ig M
Ig A
15. which crosses placenta
Ig G
Ig M
Ig A
Ig E
16. which is secreted in breast milk
Ig G
Ig A
Ig M
17. which has memory function
Ig G
Ig M
Ig A
Ig E
18. which drug causes abnormal differentiation between red and green colours
ethambutol
amiodarone
pyrazinamide
19. for best verbal communication skill one should hav
good vacabulary
competence in presentation
fluent speech
20. which is not caused by parasympathelic stimulation
increased GIT motility
micturation
miosis
sweating
21. ejaculation is caused by
sympathetic
parasypathetic
both
22. Alpha receptors stimulation causes
pupilaary dilation
increased heart rate
increased contractility
23. fracture of surgical neck of humerus, patinet cant raise arm and sensory loss on lateral surface of arm. damage to
axillary nerve
musculo cutaneous nerve
24. action of gluteus medius n minimus is
abduction n medial rotation
abduction n lateral rotation
adduction n medial rotation
adduction n lateral rotation
25. thymus is formed by
3rd pharangeal pouch
4th pharangeal pouch
26. bromocriptine causes decresed prolaction levels by acting on
dopamine receptors
cholinergic receptors
27. patients ecg shows increasing PR intervals and then a missed beat
first degree block
sinus arrythmia
Mobitz type 1 block
Mobitz type 2 block
3rd degree block
28. Digoxin is drug of choice in
Atrial flutter
Atrial Fibrillation
Ventricular Tachycardia
Bradycardia
29. patient after ischemic attack has ventricular tachycardia. drug that must b used is
lidocaine
amiodarone
verapamil
30. apex beat is
4th left intercostal space mid clavicular line
8cm to the left of midline in 5th intercostal space
31. young patient has bruises on the body and no other significant history n examination unremarkable. he has
idiopathic thrombocytopenic purpura
aplastic anemia
Hemophilia
32. Hemophilia is
X linked recessive
Autosomal dominant
Autosomal recessive
33. which investigation to be done in patient with hemophilia
PT
APTT
bleeding time
complete blood count
34. patient has hemoptysis and glomerulonephritis. diagnosis is
good pasture syndrome
wegeners granulomatosis
35. P falciparum causes
black water fever
36. C perferingens acts by
producine lecithinase
depleting ATP
causing hypoxia
37. Gonococcus in easily identified in exudate specimen by
gram staining
Z N staining
culture
38. which is not oncogenic
Hep B virus
Hep D virus
Herpes Simplex virus
EBV
39. Middle meingeal artery passes through
foraman spinosum
foraman lacerum
foraman rotundum
foraman ovale
40. damage to middle meningeal artery causes hematoma formation between
duramater n calvaria
duramater n arachnoid mater
arachnoid mater n piamater
50. which is present in cavernus sinus
abducent nerve
51. which cranial nerves r parasympathetic
III, VII, IX, X
52. patients right eye has moved upward n has his neck tilted to left to avoid diplopia. damage to
superior oblique
inferiour oblique
53. patient has homonymous hemianopia. lesion is at
optic nerve
optic tract
retina
optic chiasma
54. germ cells r derived from
ectoderm
endoderm
mesoderm
55. foreign body in trachea goes in which bronchus
right upper
right middle
right inferior
left inferior
56. which lobe has only 2 brocho pulmonary segments
right middle
right upper
left upper
left middle
57. during iso volumetric contraction
atrial pressure decreases
semilunar valves r open
coronary blood flow decreses
first heart sound is produced
second heart sound is produced
58. which is thick filament
actin
myosin
59. a sacromere is present between 2
Z lines
H band
A band
60. in muscle cells calcium is released from
endoplasmic reticulum
sarco plasmic reticulum
61. in kidney select the best order of arteries
renal > arcuate>interlobar>interlobular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole
renal>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>interlobar>afferent arteriole
62.after normal saline infusion
blood volume increases
Na excretion decreases
osmolality increases
renin secretion increases
63. after renal transplant which malignancy is common ???
64 babinski sign is positive in
pyramidal lesion
cerebellar lesion
65. ventral spino thalamic tract ends at
lumbar region
mid thoracic
end thoracic
66. commonest site of lumbar puncture is
L4-L5
L2-L3
S1-S2
67. which is not punctured during lumbar puncture
duramater
ligamentum flavum
longitudinal spinal ligament
68. after Rh incompatabilty what is given to the mother to prevent it next time
anti D antibodies
69. patient has blood group A+ which cannot b given to him
O+
O-
A-
AB-
70. hamartoma is
benign tumor
malignat tumor
71. medullary rays r present is
cortex
medulla
72. in Addisons disease what does not occur
hyper kalemia
hypokalemia
73. which is essential amino acid
phenyal alanine
74. which is teratogenic
alcohol
75. which is associated with cancer
methyl alcohol
propyl alcohol
76. HLA- DR4 is associated with
rheumatoid arthritis
SLE
scleroderma
77. which is present in SLE
anti DNA antibodies
anti jones antibodies
anti smith antibodies
78. which causes dysphagia
ankylosing spondylitis
scleroderma
dermatomyositis
79. iron deficincy anemia is
hypochromic microcytic
80. patients had gastrectomy , after 3 months she presents with
iron deficiciency anemia
pernicious anemia
hemolytic anemia
81. pregnant lady has MCV of 70 fl. and Hb 8.1 g/dl, she is suffering from
iron deficiency anemia
megaloblastic anemia
82. which is tributary of portal vein
superior rectal
inferior rectal
83. what arches in front of the root of left lung
Arch of aorta
Azygus vein
84. selective beta blockers do not cause
broncho spasm
85. how will the effect of warfarin immediatelty reversed
vitamin K
FFP
protamine sulphate
86. RCA supplies
right atrium only
right atrium n right ventricle
87. tunica vaginalis is derived from
transversalis muscle
transversalis fascia
peritoneum
inter oblique muscle
88. turner syndrome has karyotype
45 XO
45 XX
45 XXy
45 XXX
89. which muscles divied submandicular gland in to super ficial n deep part
omohyoid
mylohyoid
anterior belly of digastric
90. patient has difficulty closin right eye and distorted facial appearance. he has damage to
right fascial nerve
left fascial nerve
right trigeminal nerve
left trigeminal nerve
91. which does not cause thenar muscle wasting
carpel tunnel syndrome
C8 neuritis
cervical rib
scalene muscle spasm
cervical spondylosis
92. a pregnat lady from hilly area presents to. fetal scan at term shows no anomaly. which of the following can still b present in the newborn
ASD
VSD
PDA
pulmonary stenosis
93. what is end product of glucose metabolism in the presence of oxygen
lactic acid
1 molecule of pyruvate
2 molecule of pyruvate
94. beetle chewing causes
submucuous fibrosis
leukoplakia
keratosis
95. which is last mediator in septic shock
IL-1
IL- 6
96. antigen antibody reactions r most reduced in
Liver failure
Low neutrophils
97. Clavulanic acid
destroys B lactamases
causes decreased penicillin excretion
98. Dose of Gentamicin is reduced in elderly due to
reduced renal function
99. GFR can b best estimated by
creatinine clearance
serum urea levels
serum creatinine levels
100. best test for diabetic nephropathy is
serum urea levels
serum creatinine levels
urinary albumin
101. which protein maintains red cell shape
integrin
secretin
spectrin
102. Cyanosis is due to
increased deoxy hemoglobin in blood
decresed PO2 in blood.
103 which of the following causes natriuresis
stretch receptors in atria
carotid bodies
104. patient has gall stones , which enzyme could b most likely raised
Alkaline Phosphatase
LDH
ALT
105. diffusion through alveoli is directly proportion to
thickness of membrane
total cross sectional area
106. transpot of materials by carrier proteins is example of
simple diffusion
facilitated diffusion
active transport
107. which does not has lymphoid follicles
speen
thymus
lymphnodes
payer patches
108. in congestive cardiac failure there is
incresed pressure in venous system
109. ventricular contraction causes which wave in JVP
a
c
v
110. site for venesection
great sephanous
short sephanous
111. which is not part of limbic system
vermis of cerebellum
amygdala
anterior thalamus
hippo campus
112. right gastric artery is branch of
gastro duadenal
right gastro epiploic
113. thiazide diuretics
donot require potassium supplemets
114. behaviour sciences is branch of science which deals with
behaviour of persons in different social , psychological conditions
115. pateint has loss of proprioception on right n loss of pain n temperature on left, lesion is
right hemisection of spinal cord
left hemisection of spinal cord
116. cerebral cortex is concerned with
voluntary movements of body
117. DVT is causes by
stasis of blood
118. lacrimal duct opens in
inferior meatus
middle meatus
119. in asthma
FEV1/FEV less than 65%
FVC is reduced
120 6 years old girl has meningitis. most common organis is
streptocossus pneomonie
Neiserria meningitidis
Hemophilus Influenzae
E Coli
121. exudate has
protein more than 3g/dl
specific gravity is less than 1.010
122. a young boy has distorted nose and cervical lymphadenopathy. lymph node biopsy shows non caseating granuloma and sputum AFB is positive, diagnosis is
TB
leprosy
sarcoidosis
syphilus
123. Lambda chain is present in
amyloidosis
124. which does not follow oro fecal route
tenia solium
trichuris trichuria
entrobius vermicularis
Ankylostroma duodenale
125. cholangio carcinoma is caused by
C Sinensis
paragonimus watermani
taenia solium
126. young boy has bilaterla parotid enlargement. diagnosis
bacterial parotitis
mumps
infectious mononuclosus
127.about Mycobacterium TB , which is false
causes disease only in humans
favors aerobic conditions
128. which is false about spores
produced under nutrient rich conditions
B Anthracis producs spores
C tetani produes spores
they r killed under 121 degree for 15 min in autoclave
129. fetal brain development is caused by
Growth hormone
thyroid hormone
130. gastric Acid increases most after taking
carbohydrate
protein
fats
131. which hormone effects carbohydrate, protein and fat metabolism
insulin
Growth Hormone
132. which is not an epithelial tumor
sq cell CA
adeno carcinoma
sarcoma
133. Bence jones protein are produced in
multipla myeloma
134. which hormone effects both nor epinephrine n serotonin metabolism
Mono amine oxidase
135. patient presents with epistaxis and bruising on body. best invertigation is
complete blood count
PT
Aptt
136. ADH acts on
Proximal tubule
Distal Tubule
Collecting Tubule
137. which is most slow growing malignancy of thyroid
Follicular CA
Medullary
Papillary
Anaplastic
138. Cerebellar lesion causes
Ataxia
139. patient with cerebellar lesion
cannot touch objects with his finger tip
140. PTH remains normal in
renal insufficiency
osteoporosis
141. Neonatal Rubella infection is screened by measuring which antibody?
IgM
IgG
IgM and IgG
also 6 -7 questions about aldosterone and blood pressure control
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