MEDICAL CHOICES: August 2013

MEDICINE JUNE 2013 FCPS PART 1

Thanks to Zoha Ali & Asad Ali

1.Scenario: Lady with dry eyes and dry mouth... diagnosis is

a.Sjogren(Ans)

b.Milkulicz syndrome?

2 Smooth and cordinated movement by

a. basal ganglia(Ans)

b. spinocerebellar

3.Scenario: elderly,diplopia,granuloma,raised b.p

a. giant cell arteritis(Ans)

b. takayasu disease

c. wegeners Granulomatosis

4. Zinc required for

a cellular oxiadtion(Ans)

b glucose oxidation

5. Maxillary artery form

a 1st arch(Ans)

b 2nd

arch

6.Testosterone causes transient bone growth because?

a it causes epiphyseal closure(ans)

b downgrade its receptors

c 17 ketosteroid

7 GFR decreased by

a afferent arteriolar contraction(ANS)

b.renin increases

c.efferent arteriolar constriction

8 Aotosomal recessive

a. Achondroplasia

b. Marfans syn

c. Alpha1 antitrypsin defiecncy(ANS)

d. Neurofibramatosis

9 Nucleus

a continous with rough endoplasmic reticulum(Ans)

b conatin pores

10 basophila in cell due to which organelle?

a ribosomes(Ans)

b glogi apparatus

11 fatty liver NOT seen in

a viral hepatitis(ans)

b congestion of liver

c pregnancy

d obesity

e alcohol12 scenario: pt with increased heaptic glycogen with normal structure, no inc in serum glucose

after giving fructose,enzyme deficiency

a fructokinase

b glucose 6 phospahate(Ans)

c hexokinase

13 scenario 6 yrs old, given anti malarial, hb low, ad coke cloured urine,( inc tlc n platelets were

also there may b)

a g6pd deficincy(Ans)

b black water fever

c Paroxysomal nocturnal hemoglobinuria

14 vasodilators

a PGI2(ans)

b ltc4

c ltd4

d TXA2

15 difference bw kwashiorkor and marsmus

a bilateral pitting edema(Ans)

b muscle wasting

16 Two point discrimination sensor

a mesiners corpuscles

b merkels disk

c Golgi tendons

d free nerve

e muscle spindle

17 which is not a direct effect of cushing syndrome?

a facial hair growth(ans)

b buffalo hump

c muscle weakness

d thin limbs

18 hormone required for brain developlment in fetal life

a thyroid hormone(Ans)

b growth hormone

c cortisol

d androgens

19 scenario, mother rh negative, baby delivered at 34 weeks with anemia palour, died after 6 hrs

after transfusion, most likely cause

a. basal ganglia staining(Ans)

b. cardiac malformations

20 post ganglionic sympathic nerve fibers r present in1.cervical nerve

2.all spinal nerve(ans)

3.thoracic n(ans)?? Thoraco lumbar?

4.lumber

5.sacral

21 insulin increased by

a beta blockers

b secretin (ans)(its homologous to glucagon)

c thiazides

22 virus act carcinogecially thru

a oncogenes(Ans) (in virus are oncogenes, in humans are protoncogens)

b protooncogenes

c promotor

23 radiation causes carcinoma in how many years?

a. les than 1 yr

b. less than 2 yrs.

c. 2-5 yrs

d > 10 yrz

e. 7-10 yrs(ans) (Radiation can cause cancer in most parts of the body, in all animals, and at any age,

although radiation-induced solid tumors usually take 10–15 years, and can take up to 40 years, to

become clinically manifest, and radiation-induced leukemias typically require 2–10 years to appear)

24 atrial flutter

a treated with defibrillation shock therapy(Ans)

b heart rate is so rapid above 400 beats / min

c heart beat between 200 and 350/min(??)

d circus waves are not main reason

25 carcinogen

a nitrosamides(Ans)

b nicotine

c cadmieum

26 u wave

a slow reploarization of papillary muscles(ans)(its due to hypokalemia)(1st

aid)

b atrial repolarization

c.SA depolarization

d.AV depolarization

e septum depolarization

27 purkinje fibes

a specialized heart muscle cells

b contain numerous myofibrils

28 hb 6gm/dl increased plateled count with hyperplastic bone marrow?

a.iron def anemiab.hemolytic anemia

c.acute blood loss

d.sideroblastic anemia

e.leukemia(?)

29 clostridium

a are spores forming(Ans)

b are facultative anerobes( they are obligate anerobes)

30 pseudomembrane colitis least likey caused by

a ceftriaxone

b clauvinic ampicllin(Ans)

c clindamycin

d vancomycin(it’s the treatment of pseudomembrane colitis)

31 virus

a altered protien synthesis

32 In right atrium, SA node is located just near the

A- Auricle

B- Fossa Ovalis

C- Superior part of Sulcus Terminale(Ans)

D- Lower part of Crista Terminalis

33 which of following DOES NOT drain in internal juglar vein

a ext. juglar(ans)

b sup. thyroid

34 soldeir came from high attitude , 2000 ft , pcv 60 %,malaise,fever, spleenomegaly, cyanosis

a sec polycythemia(ans)??

b methmaglobinemia

35 Men from sea to attitude

a pul vasoconstriction(Ans)

36 increased diffusion of CO2 through alveolar membrane is due to?

a increased diffusion coefficient (20 times more ability to diffuse)

b increased solubility

c more affinity then o2(Asim shoaib)

37 water intoxication

a distended neck veins

b pulmonary edema(cerebral edema happens)

c slow pulse(Ans)(Asim shoaib)

d Increased alertness(guyton)

e thirst

38 total water depletion, replaced by?

a hypotonic (ans by some ppl.. logically fit)

b isotonic

c 5% dextrose( ans by most)

d 1% glucosee ringer lactate

39 unconcious patient brought to hospital after 1 hour of severe haemoraghe his bp is 50

mmhg,pulse is rapid, cool n calmy skin, which mechanism is most active at this stage

a baroreceptors reflex

b cerebral ischemic(ans)(its start acting below 60mmHg of BP )

c cushing reaction

d chemoreceptors

40 po2 60 mmhg, hgb 15. cause of injury

a hypoxic

b anemia

c overutilization

d histotoxic

41 integrins at

a leukocytes(Ans)

b platelets

c endothelial cells

42 primary amylodosis of increase immunoglobulin light chain

a systemic(Ans)

b reactive systemic

43 superior parathyroid

a at the level of middle of thyroid gland on posterior surface at 1st tracheal ring( its actually 3rd ring )(ans

nearly to right)

b variable in position

c in frront of pretracheal fascia

d supplied by superior thyroid artery(inferioris the main supply)

44 cricoid level

a oesophagus with pharynx(Ans)

b common carotid bifurcation level

45 vertical lesion of optic chiasma

a bitemporal hemianopia

46 patient has done clostomy, its now on parenteral diet

a fatty liver

b hyperglycemia(Ans)

c hypophosphotemia

47 opiods are agonist, one with antagonist

a pethidine

b buprenorphine(ans)

c pentazocine(also correct bt is prototype)

d morphine

e fentanyl

48 Regarding ANTI-EPILEPTIC DRUGS,which one is INCORRECTa dizipam inhibits gaba channels

b ethusuxsimide act via blocking of K channels(ans)(its Ca channels)

c. phenobarbitaol…

d phenytoin prolongs the inactivated stated on Na Channels

e vigabatrin irreversibly block the enzyme

49 Lumbar puncture done through:

A- L2 & L3

B- L4 & L5(ans)

C- S1- S2

50 subduaral hemaorhage

a superoir cerebral veins(ans)

b middle meningeal artery

51 most dangerous effect of diphtheria exotoxin on which organ?

a heart(Ans)

b.Larynx

c.Intestine

52 renin secretion is increased by?

a decreased atrial strech

b macual densa?

c plasma osmolarity( Ans)?

d inc K+ ?

53 most characteristic symptom of esophageal atresia?

a regurgitation of all of first feed

b attacks of cough on feed (this one also by Wikipedia)

c continuous dribbling(ans) (Asim shoaib)

54 after adrenalectomy, cause of death within few days is coz of absent of

a aldosterone (Ans) Addison’s is due to mineralocorticoid deficiency basically

b cortisol?

55 which of the following is not neoplasia

1. choriostoma(ans)

2. memgioma

3. lymphoma

56. 40 yrz old lady with swelling n pain in knee joint, synovial fluid shows basophilic rhomboid

crystals:

a. calcium pyrophosphate(ans)(psedogout)

b. monosodium urate

c. glycine

57 90 % of anthrax pts have lesions in

a.skin(ans)

b.lungs58. Glucose transport is directly proportional to it's concentration, this phenomenon is known

A -Active Transport

B- Diffusion (ans? Mostly say this)

C- Facilitated Diffusion(ans)?

59 nutrient which need further digestion to be absorbed

a sucrose(ans)

b tripeptides

60 high triglyceride content

a chylomicrons(Ans)

61 cholesterol with negative coronary risk factor

a hdl(Ans)

b ldl ?

62 counter current multiplier

a requires hypertonic medullary interstitium(Ans)

b produce by vasa recta(mainitaineb by it

63 preganlonic nerve fibres contain

a B fibres(Ans)

64 muscle tension is decreased to prevent muscle rupture by

a golgi tendons??(Ans)

b muscle spindle ??

65 durg to irreversibly impair platelet function

a aspirin(Ans)

b ibuprofen

66 A patient comes to a doctor with a complain of pain down the medial side of right forearm &

hand, & wasting of small muscles of hand. On examination ,circulation of right upper limb was

also impaired. The anatomical structure most likely to be involved is?

A. Head of right humarus

B. Left cervical rib

C. Right 1st rib

D. Right 2nd rib

E. Right cervical rib(Ans)

67 Pt presented with hemoptysis & hematuria. It progressed to renal failure. On biopsy there were

focal depositions with linear pattern

A- Focal glomerulonephritis

B- Rapid Progressive Glomerulonephritis

C- Good pasture's (Ans)68 scenario male 30 years splenomagaly fever malaise cardiac murmer and splinter hemorrhages

and hematuria . Most appropriate test

a.Blood serology

b.Blood culture(ans)

c.Stool culture

69 scenario some weeks of disease, fever, lethargic, creatinine was 4, pedal edema n

anemia hb,6 rbc 3.6, cause

a erythropoiten deficiency(Ans)(i.e CRF)

b acute renal failure( acute dose not cause anemia)

70 sceanrio: pt of acromegaly.. lips n bone enlarged

a adenoma of adenohypophsis

b adeoma of acidophilic cells(Ans) (acidophilic cells include somatotrohs and mammaotrohs )

c adenoma of chromphobic cells

71 most likely about mammary gland

a extend vertically from 2 to 6 rib( its right also)

b contain 15 to 20 lactiferous ducts(Ans)?

c in pregnancy, contain lactiferous ducts and secretory alveoli

d sebaceous glands in aereola

72 scenario of post op. abdominal surgery, thromboembloism cause?

a stasis n hypercoagubility(Ans)

b stasis

c endothelial injury and stasis

d endothelial injury and hypercoagulability

73 biceps reflex absent, knee n ankle reflex hyper, ventilation rate 16 / min, cause spinal cord

section

a L1 l2 l3

b c8 t1

c t8 t9

d c5 c6(ans)

e c3 c4

74 ventrical cortico spinal fibres ends on

a lumbar

b mid thoracic(ans)(Wikipedia)(its small as compared to main lateral corticospinal and ends gradually on

mid thoracic)

c thoracic

d end of spinal cord

75 standing from supine position

a incraese heart rate(ans)

b decrease cardiac output

76 not of cardiogenic shock

a hemaorragheb MI

c CHF

d dehydration

77. Water enter interstitium

a.filtration(Ans)

b.diffusion

c.cotransport with Na

d. decrease hydrostatic pressure

78 most evident clinical feature of sjogrens

a enlargement of salivary gland

b dry mouth n dry eyes

c dry mouth only

79 leprosy

a intracellular acid fast

b intraceelualar non acid fast

c extracelluar acid fast

80 scenario: child with skin eruptions along facial hair line, conjunctivitis, bluish white specs with

red margins at buccal mucosa (measles)

a kopliks spot

81 Not oro fecal

a triculais spirailis(Ans)

b triculais tachuli

82 hepatits B

a by sexual contact(Ans)

b oro fecal

83 not a 2nd line drug in Rheumatoid arthritis

a antibiotics(Ans)

b anti malarials

c ?golds

e sulphazine

84 from under cook meat

a tape worm(ans)

b liver fluke

85 smooth muscles

a arrange in longitudinal and circular layer(Ans)

b striated muscle

86 post traumatic patient, memory loss, area

a hippocampus(ans)

87 heart muscle show no tetnus

a increase absolute refractory period88. Pancreatic fistula, somatostatin

a inhibit other enzymes

b dec secretions(ans?)

89 somatosensory different from primary motor in

a granular layer(ans?)

b at lateral side

c has lager homunculus

90 A patient in an operation requiring general anaesthesia has high BP which drugs should be

given

a glycerine nitride?

b halothane

c hydralizine(Ans)

d metoprolol

91 regarding medulla, correct one

a forth ventricle in upper medulla

92 A 40 year Male working as a taxi driver in sharjah presented with C/O fever,weight

loss,anorexia. Diarrehea, spleenomegaly,he is emaciated,has jaundice and generalized

lymphadenopathy.whats the diagnosis.

a AIDS(ans)

b leishmaniasis

c yellow fever

93 Turner syndrome

a. 44XO(ans)

b. 44XXX

c. 44XXXX

94 not present in AIDS

a sqaumous cell ca(Ans)

b primary brain lyhpoma

c kaposis’s

95 scenario: nodule on dorsum of hand,same side axillary lymph nodes are enlarged, happened

due to? (melanoma case)

a ultra violet radiations(Ans)

b old job related asbestos

c latex glove allergy

96 coronary sinus co tinuation ofA graet cardiac vein

97 A pt came to gingival hypertrophy, bleeding from gums, petachies, painful sore at lips..you

advice investigation to.rule out

a.Lyphoma??

b.Lukemia??

c. bachet disease

98 souce of creatinine

a muscle(Ans)

b heart

99 pt with diabetic nephropathy, investigation of chioce

a albumin(ans)

b serum creatinine levels

c creatinine clearance

100 scenario, pt having swellin on right neck, dicsharging, routine culture shows nothing. now

first initial investigation for diagnosis

a biopsy(Ans)(it will reveal everything)

b zehil stain

101 question regarding ovary’s embryology

a all primary ooctyes go in prophase of first meotic in fetal life(ans)

b most of oocyte undergo degeneration from birth to puberty

c oocyte completes secondary miosis before ovulation something like that

102 which structure seperate maternal and fetal blood at last stages of pregnancy

a Cytotrophoblast

b.Syncishiotrophoblast

c.Cyto and synchio

d.Synschiotrophoblast and fetal endothelium(Ans)

103 2nd division of trigeminal nerve NOT supply to

a one air sinus

b nasal cavity

c nasal pharynx?

d temporal bone

104 Female having HIV but no AIDS CD count 800 now having middle ear infection SOM (supartive

otits media), cause

a pneumocytis carinii(below 500 typical infections of aids get start)

b streptococci pneumonia

c M avium

d psedomanas aueriginosa ( cause ext otits media)

e staph aureus105 men having abcess at left thigh after injury from thorn, cause

a staph aureus

b strept pyogens

106 19 yr old boy sitting in a well ventilated room of 26'C. severely sweating , His pulse 120

beats/min, Bp 150/90. What's the diagnosis?

A- Heat Stroke( surrounding/ambient temp should b raised in this )

B-Mental Stress

C-Exercise(Ans)

D-Sympatholytic drugs

107 most potent mechansim of preventing heat loss

a shivering (potent mechanism for heat production)

b vasoconstriction (Ans) (potent mechanism to prevent heat)

108 old lady, shortened limb, rotated laterally, cause

a fracture neck of femur(Ans)

b dislocation of hip(Anot dislocation, hip fracture can be true )

c supr gluteal

d inf gluteal

109 asthma pt, most decrease volume is

a fev1

b fev1/fvc ratio

c fvc

110 cynosis's cause

a carbon monoxide posioning(cherry red coloration)

b deoxyhenoglobin less than 5mg/dl(ans)

111 Regarding Aminoacids,which one of the following amino acids is not synthesized by the

human body and should be included in the diet.

A- Alanine

B- Tyrosine

C- Phenylalanine(Ans)( (in phenylketonuria,phenylalanine is excluded from human diet).

D- tryptophan

E-

112 Hering–Breuer reflex due to

a stretch receptors in bronchioles (Ans)

b irritants

c j receptors

113 protein bound fraction of the drug is:

a.active

b inactive

c more lipid soluble114 frequency distribution

a tells distribution of value appear in data

b tells distribution of value which is missing

c gives percentage of values

115 standard deviation for

a variability(ans)

116 you are allowed to breech patient's confidentiality

A- For insurance claim

B- If parents ask

C- if pt authorizes you(ans)

D- after pt's death

117 cerebellum is connected to Midbrain by

A-Superior Cerebellar Peduncle(ans)

B-Middle Cerebellar Peduncle

C-Inferior Cerebellar Penduncle

118 A 45 yrs female came with abnormal vaginal bleeding. biospy shows simple hyperplasia due

to?

a.increase stimulation with estrogen(ans)

b.decrease stimulation with estrogen

c.increase stimulation with LH

119 a patient was lying in spine position ABCESS will enter in lung

A.right upr lobe

B.left posterior lobe

c.right posterior lobe

Dright apical superior

120 arterioles diameter

a 0.03 mm with naked eye?

b ½ to 1mm

c 1mm

d 3mm

e 5 mm121. Which of the following have the greatest amount of blood

1. Capillaries

2. Resistance vessels

3. Large veins(ans)

4 Arteries

122. A young adult received crush injury to his foot which became infected and necrosed for

which BKA (below knee amputation) was carried out. Six months after the amputation, the patient

developed a tender Haphazard bundles of nerves(nodule) with pain at the site of amputation. The

nodule most likely is:

a.neuroma(ans)

b.ganglioma

c.ganglionueroma

d.hamartoma123 adh acts primarily on

a.PCT

b.Cortical Ct(ans)(late distal n collecting so mostly collecting)

c.Medullary CT

d.loop of henle

e.DCT

124, which cells are not part of CNS

A oligodendrocytes

B padular astrocytes

C ….. astrocytes

D schawn cells(ans)

125 Parkinson

a peduncular knee

b static tremor(Ans) (Static tremor,cogwhel rigdity ,clasp knife in uper neuron lesion)

C clasp knife rigidity

126 Pus forming cavities in sinuses type or a patient came to ER with fever n multiple abscess in

neck region draining outside. which is the likely organism?

a.pseudomonas

b.staph aureus

c.Treponema pallidum

d.Actinomyces israelli(ans)

127. last to return after donation of 1 litre blood

a rbc(Ans)

128 scientist want to study about telomerase activity so which cells have rapid turnover

a endothelial

b.erythrocyets

c.leukocytes

d.germ cell(ans)

129 apoptosis, most initial

a activation of caspases(ans)

b phagocytosis

c activate bcL2(its deactivated 1st

)

130 sight of lodging of inhaled foreign body

a right lower lobe(ans)131 SA node activity decreased by parasympathetic increase in

a potassium(Ans)

b Na

c Na n ca

132 thyroid problem and pt’s ven. rate was 180 with irregular regular pulse

A digoxin

B propanaol

C amiodrone

D verapamil (ans)

133 in pregnanacy rhematic fever, detoritation of cardiac status due to

a mitral regurgitation

b mitral stenosis

c aortic regurgitation

d aortic stenosis

134 Vagal stimulation on heart or like Acetylcholine increases in heart.

a PR interval prolong(Ans)

b stroke volume

c heart rate

135 long term memory need

a antaomical changes in neuronal circuits

b Random storage in brain

c dont reqire repeatition

d 10 mints

136 exopthalamus, cause

a increase TSI

b increase t4 levels

c increase t3 and t4

137 surfactant produced by

a type 2 alveloar epithelial cells(Ans)

138. giving many dugs in TB bcoz

a delay resistance

139 ineffective erythropoises

A beta thalasemia

B sickle 140 Not contain parasympathetic fibes

a acessory spinal nerve??? or acessory nerve?(ans)

b glossopharngeal

141 ganglin of lacrimal? or was parotid ??

a pterygopalatine ganglion

142 scenario: parasite causing urinary bladder ca, granuloma present.

a. ascaris

b shistosomiasis(Ans)

143 preganglioninc neurotransmitter

a ACH

144 increase blood volume in vein due to

a increase capacity

b decrease compliance

145 scenario, eye partially ptois, unable to move up and medially, (downward n outward gaze)

a occulomotor nerve palsy

146. Scenario: cataract, deafness and cardiac malformations

a mothers Rubella(Ans)

147 chronic liver disese, (G.I bleed and portal HTN mentioned?dont remember)what will do

a inj vit k

b inj octreotide(Ans)

148 iron absorption

a in ferrous fe+2 from

b presence of oxalates

149 hco3 absorb at

a proximal and distal cortical

b proximal and collecting(Ans)?

150 pt passing urine at 1ml/mim.urine's lowest osmalrity level?

a cortical collecting tubule(here ADH action make tubule hyperosmolar)

b papillary collecting tuble

c macula densa(ans)(As dct not mention so its right)

d tip of loop of henle(here isotonic fluid)

151 kidney not related and posteriorly to

a diaphragm

b rectus abdominis

c psoas

d tranverse abdominis

e colinic flexure

152 protocaval anastomosis

a inf and sup rectal veins(Ans?)b superor epigastric and inferior epigastric

153 which steriod synthesis step reduce prostrate hypertrophy

a inhibition of 5 alpha reductase(Ans)

b increase cholesterol desmoloase

c 17,20 hydrolase deficiency??

154 pregnant women with thyrotoxicosis

a propylthiouracil(Ans)

155 pt with thyrotoxicosis, treatment

a propanaol

156 myocardial infarction, at 5th day or week, pt died autopsy showed?

a cardiac temponade(ans)

157 most abundant immunoglobulin in plasma

a IgG

158 PPD inserted, type of cells along with macrophages

a T lymphocytes(Ans)

159 SLE is familial bcoz of

a high incidence in monozygotic twins(Ans)

b incidence is high in females

c if its in family, more chances to occur…sumthing like that

160 transplantation rejected in 10 minutes

a antibody mediated(Ans)

b cell mediated

c graft versus host

161 regarding csf

a its byoncy and cushioning effect keep brain safe from injury(Ans)

b produce 1000 ml in 24 hours

c provide neutrient

162 csf in meningtis, what not correct

a pyogens don’t decrease glucose(Ans)

b fungal keep glucose normal

163 structure arching over left bronchus?

a arch of aorta(Ans)

164. Resting membrane potential of heart?

a is more depends on potassium equilibrium(ans)

b is more depends on sodium equilibrium165 ketamine is used in repeated burn dressing’s coz?

a its does not cause hypotension

b.Causes profound analgesia(ans)(past ques)

c,it can b given im iv

d.it does not causes addiction

e it is not narcotic

166 which is NOT leukoplakia precursor

a spices (Sipces can cause chronic irritation and lead to leukoplakia)

b spirits

c syphilis(Ans)??( it can cause leukoplakia rarely)

d sexual contact(Ans?

167. P wave

a atrial depolarization

b atrial contraction?

168 in type 2 mobitz

a decrease in stroke volume

b increase in cardiac output

c ventricular rate slower then atria(Ans)

169 thymus?

a has numerous lymphocytes(Ans)

b derivative of 4th arch

c deveops from thyroid tissue

d Largest at puberty

e regresses shortly after birth

170 female in er pain in RIF, lmp 3 weeks back, fever n wbc raised

a appendix

b uterus

171 no change to MCV, which condition?

a sickle

b 2nd

post heamorrahge day(ans)

172 sicle cell scenario. boy having hb 5.6 deeply jaundiced, ,plt 260000 nd tlc 10000 having non

healing ulcers, abdominal pain after tooth extraction

a aplastic crisis

b painful crisis

c sequestration crisis

d hemolytic crisis

173 g6 pd

a henz bodies

b helmet

c etc etc

174 primary cartilaginous jointa costochondral(ans)

b.teeth in jaw

c joints of skull

d. inferior radio ulnar

e. pubic symphisis

175 which is exactly 2/3 body water

a intracellular

b Extracellular

c plasma

176 Scenario of azad kashmir lady injured in in earth quake, one of his distant uncle died too????

a family crisis

b social crisis

c situational crisis(Ans)

d economic crisis

e developmental crisis

177 scenario: young adult atypical lymphocytes, virus?

a ebv virus(Ans)

b cytomegalus virus

178 all are wrong except one ??

a hbv and burkitt lyymphoma

179 hanging causes death by

a Fracture of odontoid process of axis(Ans)

b atlas

180 Which of the arteries does not supply the scalp

A- Maxillary

B- Verterbral

C- Occipital

181 Winging scapula

a Long thoracic

182 appendicular artery

a br . of posterior cecal artery

183 Anal canal

a supplied by sup and inf rectal artery (Ans)

b Inf rectal drains in portal circulation

184 Internal sphincter is supplied by

A. Pudendal nerve(ans)

B. Hypogastric plexus185 basic drugs bind to

A albumin (Asim n shoaib) (acidic drug binds to alklotic albumin)

B alpha 1 glyco protein (ans) wikipedia

186 diabetic type 2 pt with dyspepsia and consistent diabetic gastroperisis, what shoud given

a domperidone

b metaclopramide

c scrulfate

187 edema in nephrotic syndrome due to

a. low colloid osmotic pressure of plasma(Ans)

188. Ascorbic acid vit c causes

a.hydroxylation of collagen(ans)

b triple helix formation

189 Regarding lower gastroesophageal sphincter

a. its a true anatomic sphincter

b its pressure increases in pregnancy

c.its pressure decreases in achalasia

d.it relaxes during swallowing(ans)

190 About retics

a. corrected count is good indicator of erythropoietc activity

b.contain DNA remanants

c with wright stains

d include in CBC191 bleeding time increased in

a liver failure

b vit k deficiency

c hemophillia

D thrombocytopenia(Ans)

E thrombesthenia

192 Glucose transport n kidney

a cotransport with Na

193 cause if inc Ca in cardiac cell

a adrenaline(ans)

b diltiazam

c trimethphen

194 An isolated complete rupture of anterior cruciate ligament will result in instability of tibia over

femoral condyle. The direction of instability will most likely be?

A. Anterior(Ans)

B. Antero-lateral

C. Antero-medial

D. Postero-lateral

E. Postero-medial

195 About platelets

a. forms clot by binding with collagen fibre(ans)

B. has granules

C hav no nucleus196 regarding in pregnancy effects of parahormone(not remember fully)

a. hyperparathroidism due to estrogen

b inhibition of bone resorption

197 hypergicemia.. Question like that …or may b I am mixing it with question no 21 (abt insulin)

A thiazides diuretics?

198 during formation of nonessential a a( amino gp ???) is donatd by( not sure this came or not)

a-oxaloacetate

b-glutamate

c-pyruvate

A thiazides diuretics?

199 incraese uric acid( not sure this question came or not)

a prizinamaide?

200 Organs present in the peritoneal cavity

? A fallopian tube

b ovary?

c proximal part of duodenum(ans)

d uterus

e gonads

MEDICAL CHOICES

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MEDICINE JUNE 2013 FCPS PART 1