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Friday, February 28, 2014

FCPS Part 1 Surgery Feburary 2014

FCPS Part 1 Surgery Feburary 2014


FCPS PART-1 12TH feb 2014 Sugery paper 1 and 2 compiled by Dr. ASAD-UR-REHMAN
No body knows the exact answer in CPSP key and every one is defending his answers but I have compiled paper with best suitable answers on basis of discussions in this page. Those questions in which more than one answer is written the option written first is answered by most of candidates according to group discussion.
1. Percentage…dividing unit by total units and multiply by 100
2. Confidentiality can be breached….when patient allow it
3. patient developed a fatal disease…give clear crisp evidence based information according to patient need
4. Glycolysis…glucose breakdown to pyruvate aerobically and lactate anaerobically
5. True about collagen….present in all type of connective tissues
6. turner…….44xo
7. klinefilters syndrome……..46XXY
8. vitamin in oxidation of fatty acids….biotin
9. ESR…………..increase in infection
10. BSF=122 1hr gtt=192…..impaired GTT
11. diagnostic test of beta hemolytic streptococcus……………ASO titre/ blood culture
12. not of epithelial origin……liposarcoma
13. decrease B.P……decrease carotid sinus firing
14. dysarthria is feature of lesion in ……….cerebellum/ brocas area
15. secondary center of ossification represent….epiphysis
16. common complication of diabetes in limb…..dry gangrene
17. definition of acute inflammation….local response of living tissue to injury/systemic response to injury
18. 1st heart sound during…….isovolumetric contraction
19. cause of oedema………..lymphatic obstruction
20. supply of sternocleidomastoid….acessary nerve
21. most drugs metabolized in….liver
22. dyspnea on laying….retrosternal goiter
23. cause of edema in nephrotic…hypoproteinemia
24. better hearing in noisy environment….otosclerosis
25. sebaceous gland not in which hairless area of skin…..palm and sole
26. vein accompanying LAD artery……..great cardiac vein
27. pain between eye and angle of mouth and temporal….maxillary division of trigeminal nerve
28. EBV cause…….nasopharyngeal carcinoma
29. microtubules present in…….centrioles
30. stretch of muscle resulting relaxation……….golgi tendon
31. fast sharp pain carried by…….A delta fibers
32. 3rd ventricle….lateral boundary by ant 2/3 rd of thalamus
33. parasympathetic cranial nerves…III,VII,IX,X
34. 16 yr female mcv 78, mch 25, MCHC…..MICROCYTIC HYPOCHROMIC
35. Right shift of hb-O2 curve in …….acidosis
36. fever,pain on lying down……..pericarditis
37. primary opsonin………C3b
38. symphisis pubis…………………sec. cartilaginous joint
39. pain from both fibrous and parietal pericardium by………………phrenic
40. least metastasis to………….spleen
41. fat necrosis…………….acute pancreatitis
42. severe hypomagnesemia cause………….hypocalcemia
43. H+ secretion in PCTs coupled with…….bicarb reabsorption
44. compression of S1 root……loss of ankle jerk
45. not related to rt. Kidney…………..descending colon
46. heat lost in an uncovered pt. in OTat 23C……………..radiation and conduction
47. 67.S2,S3,S4 lesion………….rectal incontinence
48. tumour comprising all the germ layers……………teratoma.
49. at rest actin covered by………tropomyosin
50. GFR in clinical setting……….creatinine clearance
51. greenish discharge from wound…….. pseudomonas
52. cause of death in gas gangrene………….toxemia
53. diagnosis of typhoid in 2nd week ……widal test + blood cultures
54. antibodies formed by …..plasma cells
55. plasmodium falciparum……..black water fever
56. langarhans giant cells……..T.B
57. hamartoma……totally beningn
58. nodule on voccal cord unlikely……..atrophy
59. alkalinization of urine done in overdose of……..phenobarbitone
60. pre ganglionic sympathetic fibers secrete………Ach
61. parasympathetic promote……salivary gland secretions
62. common site of ectopic pregnancy…………. fallopian tube
63. vitelline duct…………meckel diverticullum
64. both central n peripheral chemoreceptors respond to……increase in arterial pCO2
65. death on 6th post MI day……………cardiac tamponade
66. most sensitive cardiac marker……..trop-T
67. primary hyperthyroidism……increase TSH
68. left suprarenal vein drain in…….left renal vein
69. PAIN OF PLEURA to shoulder…..C3 4 5
70. fastest B.P Control mechanism………baroreceptor regulation
71. severe reaction when A+ patient transfused with………….AB-
72. single common local factor delaying wound healing………infection
73. energy fuel after 48hrs of starvation…..triglycerides/liver glycogen
74. 2L of volume lost in sweat and 2L distilled water given result is …….inc ICF volume
75. most active gluconeogenesisis from…..proteins
76. compact bone histology……lamella regularly arranged
77. 60 yr chronic smoker working in tyre factory and transitional S C…..cigarette smoking/aromatic
amines
78. false about statistics….statistical values have not influence practical values
79. fluid given in severe dehydration………………5% glucose solution/ 0.9 normal saline
80. concentration gradient mediated tranport of glucose……..diffusion/facilitated
81. not found in dermis………melanocytes/reticulocytes
82. ACTH effectively control…….hydrocortisone/adrenal androgens
83. true about bronchopulmonary segments…..each having independent blood supply
84. effective dose of drugs bound to alpha 1 acid glycopro not affected in….. MI/hepatic disease/trauma
85. parasympathetic cause……inc the AV nodal delay/ increase k effluxs in sa node
86. inhibit insulin secretion…………beta blockers/glucagon/secretin
87. RBC fragility……completely destroy in 0.35% solution/certain drugs cause RBCs hemolysis
88. dilation of arterioles…increase venous volume
89. Monocytes….can transform in to multinucleated gaint cell in chronic infections
90. 10 %formaldehyde used for sending biopsy specimen becoz……… it prevent of autolysis/denature proteins
91. post communicating artery……connect internal carotid n post cerebral passing under occulomoror nerve
92. lowest pressure in aorta durng cardiac cycle… isovolumetric contraction /isovolumetric relaxation/atrial sysole
93. true about hydatid cyst…transmitted to man by infected water
94. corona radiataformed by……………….granulosa cell
95. female vaginal discharge having growth in vagina received diethylstilbestrol during 1st trimester….clear cell carcinoma
96. which one is malignant…………………glioma
97. external carotid artery……………lateral to mandibular vein
98. loss of 2L by in marathon replaced by pure water…..decrease extracellular osmolarity
99. increase interstitial fluid pressure……………….increase capillary permiability
100. increase in venous return not increase…. pulmonary pressure/left ventricular tension
101. fibrous dysplasia most common in…….maxilla/temporal/frontal/spenoid/ethmoid
102. liquefactive necrosis…..brain
103. STERILIZATION….121C FOR 3 MINUTES KILL ALL ORGANISMS
104. ATYPICAL MICOBACTERIUM……NOT RESPOND TO ROUTINE ANTITUBERCULOUS
105. PSEUDOMEMBRANOUS COLITIS……C.difficile
106. CARRIES….LACTOBACILLUS
107. FILAMENTOUS ORGANISM…….ACTINOMYSIS
108. By blood transfusion…HCV
109. Broodie abcess…..osteomyelitis
110. UTI NO PENILE LESIONS LEUKOCYTE ESTERASE +VE ORGANISM…CHALMYDIA
111. SEPTIC ARTHITIS…..STAPH AUREUS
112. OCULAR TOXICITY…ETHAMBUTOL
113. SEVERE BLOOD TRANSFUSION REACTION…MISMATCHED BLOOD
114. BAD SIGN OF GRAFT…..THROMBOSIS and vasculitis
115. RADIATION….HEMOPOITIC SYSTEM
116. DYSPLASIA…HPV
117. PROSTATIC INTRAEPITHELIAL NEOPLASIA….MONITOR PSA
118. AFLATOXIN…HCC
119. LIVER ADENOCARCINOMA…alpha fetoproteins
120. Tumor.Increase cathecolamines in urine child…neuroblastoma
121. Hypothalamus,….not control respiration
122. Fainting episodes investigation tobe done….insulin and c peptide
123. Renal stones,punched out lesions on x ray…hyperparathyroidism
124. hyperthyroidism in pregnancy….propylthiouracil
125. increase ca absorption from kidney….parathyroid
126. Residual volume…1200
127. not in CRF….hypophosphetemia
128. most common TEF….blind esophagus and distal communicate with trachea
129. cloacal membrane….ectoderm and endoderm open at 7th weak
130. 2nd part of duodenum anteriorly…..transvere colon mesentary
131. Lower body of epiploic foramen…1st part of dudenum
132. Right suprarenal vein…IVC
133. True about abdominal aorta…related to left sympathetic trunk
134. Left gastroepiploic artery….splenic artery
135. Parasympathetic….increase stomach muscular contraction
136. Relation of femoral artery to vein in femoral sheat…lateral
137. Internal oblique…cremasteric fascia
138. Potent stimulator of salivary secretion….proteins
139. best histocompatibility sample….wbcs
140. thalasemia…..factor viii
141. bleeding circum….increase APTT
142. MENORAGIA PURPURA MEGAKARYOTYPES….ITP
143. OLD LYMPHOCYTES ON SMEAR…CLL
144. DIFIICULT LABOUR INCREASE PT APTT….DIC
145. MCV 128…..MEGALOBLASTIC ANEMIA
146. CRF…ERYTHROPOITIN
147. MOST COMMON DAMAGED CARPAL BONE…SCAPHOID
148. ANATOMICAL SNUFFBOX…RADIAL ARTERY
149. THENAR WASTING…..MEDIAN NERVE
150. WRIST ADDUCTION…both extenser and flexer carpi ulnaris
151. LATRAL BREAST…ANT AXILLARY
152. NOT BY SCIATIC….GLUTEUS MAXIMUS
153. SUBDURAL HEMMORHAGE…superior cerebral vein
154. Common peroneal gamage….LOSS OF EVERSION
155. S1 COMPRESSION….loss of ankle jerk
156. PAIN KILLER FOR ASHAMATIC…paracetamol
157. NOT GEGENERATE MYELIN SHEAT BECOZ NO ….SCHAWAN CELLS
158. OVARIAN….PARAoRTIC
159. LEFT SAGITAL SENSARY AREA damage….RIGHT LEG
160. LACRIMAL GLAND…PARASYMPATHEYTIC BY FASCIAL
161. POST TRIANGLE NECK disection…SPINAL ACESSARY
162. Cricothyroid…….EXTERNAL LARANGEAL
163. RENAL VASCULAR SEGMENT…5
164. Conserve blood volume….RENIN
165. SEMINAL VESICLE…join vasferens to form ejaculatory duct
166. CRF SOB….metabolic acidosis
167. HYDROGEN SECRETION IN PCTS…HCO3 REABSORPTION
168. Main support uterus…..TRANSVERSE CERVICALL LIGAMENT
169. HISTOLOGY…PROSTATE
170. RIGHT SHIFT…DEC PH
171. Not related to aortic arch….RT RECURRENT LARANGEAL
172. Pleural effusion on standing…..COSTODIAPHARAMETIC RECESS
173. Embed in Ant wall of carotid sheat………ANSA ERVICALIS
174. FEMORAL SHEAT …FASCIA ILIACA AND TRANSVERSALIS FASCIA
175. Correct about FEMUR…….. SHAFT NECK ANGLE IS 125
176. Tetnus….exotoxin has lethal effect
177. SEMIOMA…poor prognosis inpulmonary metastasis
178. Cast applied to leg Ant shin syndrome…….ANT TIBIAL ARTERY
179. Small cell carcinoma…..level of cortisol/decrease Na in plasma
180. True about left coronary artery…give circumflex artery
181. true about histology of GIT…Striated border microvilli 4 options were correct question was wrong
182. HEALTHY MALE EJACULATE… bulk formed by seminal vesicle secretions/ no bacteria
183. DEFECATION involve ….parasympathetic sacral segment/intrinsic myenteric reflex
184. PULSE OXIMETERY give wrong reading…. Methemoblobinemis/black coloured people
185. CNS TUMOR CHEMO RADIO DEATH AFTER 8 MONTH PULMONARY THROMBUS….cardiac metastasis
186. ADVANCE DRUG TO REVENT FORM RENAL HEART LIVER TRANSPLANTATION…MURONOMAB CD-3 ANTIBODY OKT3/cyclosporine/ANTILYMPHOCYTIC GLOBULINS
187. Safe dose of local anesthetic….200mg lignocain/50 mg bupivacain
188. Medial necrosis on autopsy…. disecting aneurysms/ berry aneurysm
189. Peripheral golden brown mass.macropage filled alveoli….malignant mesothelioma/SILICOSIS
190. locally malignant…ameleoblastoma/plemorhic tumors
191. VERTEBRAL ARTERY….pass from foramen transversarium
192. BREAST SAMPLE FOR FLOW CYTOMETER to determine….malignant cell/ kary otype/aneulpoidy
193. Achalasia cardia…loss of vagal neurons
194. Continuous Pain chest not affected by respiration fever 10 day…myocardium/costochondral junction/ pleura/pericardium
195. NOT PASS FROM GREATER SCIATIC FORAMEN…OBTURATUS INTERNUS
196. FLOOR OF MIDDLE CRANIAL FOSSA…greater wing of sphenoid
197. SPARING OF LATERAL THENAR EMINENCE….ulner nerve
198. LIPS BUCCAL MUCOSA LESIONS…..HSV TYPE I
199. HIV related lymphoma…EBV
200. NOT TRANSMITTED BY ARTHROPODS….dracunculous

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